The URL can be used to link to this page

Home My WebLink About005-384-010,APPLICATION FOR CERTIFICATI OFMERGER APN#, DDS- 36q- Do7� Dog I 1 .. +ate - - -• � _ �. • r � �1"'w, t +F� r e •�4 3. 9, x r /� f 32 , 8:��: '005:38 SECOND BAPTIST CHURCH '1053 OHIO' ST;: CHICQ CONTR: -JAMES 0', BANNON'-, DEMOLISH SF .•.. •. 1. i N �I r1 .. +ate - - -• � _ �. • r � �1"'w, t +F� r e •�4 3. 9, x r /� f 32 , 8:��: '005:38 SECOND BAPTIST CHURCH '1053 OHIO' ST;: CHICQ CONTR: -JAMES 0', BANNON'-, DEMOLISH SF .•.. •. 1. i N ' w i.g.��,�r <+Rr3'•-... i-./ .Y`...•." - -^—-'Y.1"r ='. [ '' >�. �y;,o„►. �� +^� 1� .SAV i w S 5_38-4'009. r ._= UND BAPTIST 105 CHURCH 93-53 OHIO . 2 B , C CONTI- JAMES ST Co DENOLISH SF, 0 BANNON.• T r . 30 ... , ��,><.•�a nom• , 1 _ l�I;..� v -.', r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 (�_ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING a BUILDING PERMIT OWNER Murch n"LING TELEPHONE 533-6788 SO. FT. OCC. BUILDING VALUATION OWNER'S DDRESS 1 Demo R-3 11500.00 CONTRACTOR'S NAME T ' TELEPHONE 895-1300 CON RACTOR'S MAILING ADDRESS 1751 Hooker Oak Ave., Chiop 95926 Fireplace CONSTRUCTION LENDERUNKNOWN Total Valuation 1$1,t500.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $65.00 1nS�'h— St.. Chico PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Demo Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR 200AORLELESS S 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered �f sale. (Sec. 7044) LJ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000Ar 37.50 NEW CONST. / DWELLING OCCUPM 3.64 sq.ft. OR ADDNS. \ ACC. BLDGS,II NEw CONSTR ULTI.OUTLET NON.RESID BRANCH CIRCUITS @ 5•00 POWER APPARATUS &) (SINGLE OUTLET CIR. EX. Occup( OUTLETS OR FIXTURES 20076 FIXED APLNS Ex. OCCup. OUTLETS PIRESID IREA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �l shall not employ any person in any manner so as to become subjectHood to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling 6.50 Ventilation Pe It Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said.CotJnty in co se of the granting of this per it. X `�J Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $65 00 ' HA2 DFEES I IMP I FLOOD I COF I PARCEL I PD HD ISSUE by issued under the applicable provi This permit Rarb(&e-for'�vhich sions of the ount ode and/or resolutions to do %f work indica fees have been paid. r / IRECTOR`OF PUBLIC WORKS By / Date S PER IT EXPIRES Date •; /3'f� , Signature O -A a icont — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. �3Slo/ +} WHITE -D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOC-7541 PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/5 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER on 5-384-029: 10 ZONI G BUILDING PERMIT OWNER qprnnd apLiat Church TELEPHONE 533-4788 SQA FT. OCC. BUILDING VALUATIO OWNER'S MAI LING DORESS 1053 t.0 Chico Demo R-3 1,500.00 CONTRACTOR'SNAME Tnmacz ' TELEPHONE 895-1300 CONTRACTOR'S MAILING ADDRESS 17S] 14nnkp-r Oak Ave., Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$1,500.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: Demo Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation ill do the work,and the structure is not intended or offered f e. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST. ( DWELLING OCCUP.91\ OR ADDNS. \ ACC. BLDGS. / 3.60 9q.ft. NEW CONST R. MUM I.OUTLET NON.R ESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS el SINGLE OUTLET C.R. / Ex. Occup(OUTLETS OR FIXTURES20 @ 7154 F AL 0 ARA Ex. OCCUp. FIXED APOUTLETS PI RESID )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I �al.soato save, indemnify and keep harmless the County of Butte againstas, Jud ents, costs, and exp ses which may in any way accrue a t n co o(t ting of this per it. )( Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $45.00 HAz DFEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is her by issued under the applicable provi sions of the B Count ode and/or resolutions to do I C OF PUBLIC WORKS By ate PERMIT EXPIRES Date 3 o e o pplicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. !'� WHITE-D.P.W., TELLOW-A9Hf990R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEV E LOPMEN7ERVICE -BUILDING DIVISION V 7 COUNTY CENTER DRIVE - OROVILLE ,CALIFORNIA 95965 - TELEPHONE.(916) 538-7541 ,. la PERMIT APPLICATION DATA SH:EET`' .„� o4Iq OWNER 4-33t- _ A. P�No. 05'-3&y- ooq Proposed Building Use Q/Yl�.i� 7 S i C Building Inspector j%.&E tA, Date 7§- "q3 At time application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. . .......... 2. Plot plans, 3/4 sets, signed by preparer of plans. .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans. ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ............. 5. Hazardous Material Form. ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non-Heated and A/C Buildings. ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .. ............ ................... . 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit..... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. 20. Pre-inspection for P`Bu Building 1ns `�q0� required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) ................. 22. Certificate of Workmans Compensation Insurance........ * ......... nsurance................... 23. Owner-Builder Verification (Given to owner , Mail to owner �. .......... . 24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization. ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. 'Letter of intent on building use.......................................... 28. Mobilehome utility clearance.......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............... r 31. Existing violations/expired permits. ..................................... . 32. Plan check list . ..................................................... 33. .34. When you issue the permit, process as follows: Mai to owner. Mail to contractor. Telephonel5=1300 and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applic t Datei Copy of Haz-Mat form sent Health Dept. Fire Dep . Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by - phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works rt Demolition permits Asbestos Notification Statement Date G . �3 AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is -authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the. Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli— cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at OR I hereby declare that a written asbestos no icat Environmental Protection Agency is not appli�ab 2/19/91 -Signature of Applicant iso the-lnited States this molition project. f �—• gnatur�Kpplicant CiQ