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Home My WebLink About005-385-003005-385-003 PERMIT#97-0536 YOUNG, Todd 877 Wisconsin, Chico Cont: Clint Freedle Electric Ele Ser Ch/SF P/Z,!F- $,I 5 3 '5 ' �+ ' . � _ ., _ .. ' � • ,•'f . iii � �_" � .r 005=385-003 "" s. PERMIT#97-0536" YOUNG,. Todd' 877 Wisconsin, , Chico t r Cont: `Clint Fre'edle Electric , Ele 'Ser Ch/SF' too - A, y IV 1 • ' 4 e tQ, 1 - f jCOUNTY OF BUTTE- DEPARTMENT OF [,DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 9!-2 _ e.)� ASSESSOR PARCEL NUMBER z , ZONING AR BUILDING PERMIT OWNER TODD TELEPHONE 891-5603 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 877 WISCONSIN CONTRACTOR'S NAME TELEPHONE 872-0331 CONTRACTOR'S MANG ADDRESS -A CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 877 WISCONSIN CHICO Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING, PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF El Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap', T,' 1 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gaswater heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CX Describe Work: ELECTRICAL SERVICE CHANGE 200 AMP Gas piph system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home F I GI W1 1 @20.00 PERMIT FEE $ ELECTRfm PERMIT Filing Fee 20.00 110 OR III Main Ser(iice 200AORLESS 23.00 • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.�� License Class ! LIC. No. OWNER -BUILDER DEL ARATIO� I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. IS.S. s0 3.50FT: NEW CONST. MULTI -OUTLET @7,50 POWER APPARATUS b SINGLE OUTLET CIS. EX. OCCU OUTLET OR FURORES BALQ .50 NS Ex. Occup. OUTrLEETS RESD.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PR EINSP 3. PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑; 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation, insurance carrier and policy number are: Carrier : L..�;. !¢-�' Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, i shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date ' _ Signature of Applicant -EI-Owner "Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee I $ OCC CONST. TYPE TOTAL FEE $ 66.00 =.A.FE ES IMP FLOOD CDF PARCEL PO HD ISSU . , This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have _. By r.' / •'s'' ' PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date - w Dere Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OFDEVEL`ti *`PMENTSERVICES -BUILDING ISION 7 County Center Drive - Oroville, Ca,,�iforn95965 - Telephone (916) 53 - 54PERMIT._ N.O. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ ZONING AR UILDING PERMIT 01--/_ OWNE TODD YOUNG TELEPHONE 891-5603 SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 877 WISCONSIN CONTRACTOR'S NAME TELEPHONE ' 872-0381 CONTRACTORS MAILING ADDRESS 9567 TIESANTE LN CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 877 WISCONSIN,CO Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap* 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: ELECTRICAL SERVICE CHANGE 200 AMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0AORLESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In ull fo ce and effect. License Class Lic. No. OWNER -BUILDER D LARA ION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BUDS. SO 3.50FT. NON -RES D. MULTI-OUTLET@7,50 CH c cu POWER APPARATUS SINGLE OUTLET CIR. Ex. Occup OUTLET OR FIXTURES 20 @ '0 00 940 � . 0 Ex. Occup. DurEjFfS RE ,p,OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PR EINSP 23.00 PERMIT FEE $ 66.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My worker ' P.QK10y9surance carrier and policy number are: Carrier ( 7 Policy Number (The above sections need nof be comp) ted if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith mply with those provisions. X _ /y Date Signature of Apt Owner ❑ Contractor ❑ Agent An OSHA perr. i its required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling - Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. D-�ate z4 g i v 20 & De Receipt No. 209966 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT +'�""i�-�"'.!'�{,i`.^r'`-��Y.-'+ici'%.Irs^..r�i.:.+�f''.+r„r�x,:r"l.td'Sf"?+�%`"Fid''"`'` {;^,�`yna,v`+`+.`N+'�'},f�....,(?�:'.1v!�,[ti..n+�.`,:".�y��.-....r•�u,..w.�-««-��ri-,.�yi+.�„-,...,..-,- ..,. . .. 1 . 9 - -COUNTYOF BUTTE -DEPARTMENT OF;D EVOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHON 916) 538-7541 PERMIT APPLICATION DATA THEET V OWNER 7-&-1V 7 /A. P. No. ods-- Proposed Building Use G%ILlC Building Inspector V Date 3 41 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED 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 . ............. 15. Hazardous Material Form. . 1.6. Energy Design Compliance and supporting documentation . .................. 1 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. .......... . 9: Driveway permit (co�n required to occupancy). .. ... . 20. Pre -inspection for U� P��nspeai°" sue p required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 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 . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ............................... . 33. 34. When you issue the permit, process as follows: Mail too n . Mail to contractor. Telephone and hold for pickup at �'� G d office. Deliver with inspector. Other ! Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. 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, wasiadvised 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