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Home My WebLink About005-407-007005-407-007 :sa - `02-0319 PALMER, BURL; T 141 I MARTIN ST. CHICO CONT: RICHARD HEA REPLACE WALL HEAT Is. 005-407-007, 06-1430 PALMER, JACK 1411 MARTIN ST, CHIC_ O Cont: BEST BUILT C ELEC (NEW) o t I I lI r I f I I 005-407-007 :sa - `02-0319 PALMER, BURL; T 141 I MARTIN ST. CHICO CONT: RICHARD HEA REPLACE WALL HEAT Is. 005-407-007, 06-1430 PALMER, JACK 1411 MARTIN ST, CHIC_ O Cont: BEST BUILT C ELEC (NEW) --T! 005-407-007' 1' 02-0319 PALMER, BURL 1411 MARTIN ST.'C'HICO - CONT: Mb-IARb HEATH & Assc REPLACE, WALL HEATER Ce �"o' COUNTY OF BUTTE,.- DEPARTMENT OF DEVELOPMENT SERVICES,- BUILDING DIVISION 7 County Center Drive • Oroville,'California 95965 • Telephone�(530)-538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER "1 Uc;i �- 4�L ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS \ •TELEPHONE CONTRACTOR'S NAME ` CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS (��"� //ry Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE / SF /Duplex ❑ Mobilehome ❑ Other p, SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Re/model ❑ Utilities ❑ Installation ❑/ Other 0 Describe Work: t Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V OR LE S Main Service 200A OR LESS 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. v �y License Class I&( - .O IIA t (. , Lic. No. t - C ' r� -!.C� i,.-. OWNER -BUILDER DECLARATION 1 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 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. C3' 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 11, ` 1a ( c ,,%. -,t —, c., \ c `.-,, -, C'( , ti� � r' t �., 1,1 Policy Number W; 07_ (The above sections need not be completed 0 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 % 'd< �•.._ Date Z !` 1 "J Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. owELLxaG occuP. so OR ADDNS. ( a ACC. ZCS 3.5¢FT; No Rale MULTI.OUTLET @7.50 P IN.L APPARATus a SINGLE RIR. .00 R FDCT EX. Occup. OUTLET OR FDCTURES BAL 20 @ 1. 0 Ex. Occup. OFIX�E S RES 6.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Gu Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 1 TOTAL FEE $ ) CU HAZ. t.FEES IMP I FLOOD I RDF PARCEL PD HD I Q29V This permit is hereby issued under of the ButteCounty Code and/or indicate�L3 ve for which fees ha By _ ,F��f-// PERMIT EXPIRES ON % the applicable provisions Jilesolutions to do work been paid. Datee ' �! Date ' Receipt No. e� . �'^ WHITE-D.D.S.-B.D.CANARY-ASSES OR 'PINK -INSPECTOR GOLDENROD -APPLICANT Butte County Department of Development Services ur AREA NOTES 7 County Center Drive, Oroville, CA 95965 (530) 538.7601 www.puttecounty.net/d�s • "" • J } RESIDENTIAL APN: 005-407-007_—, PALMER, JACK 06-1430 Owner. _—!41 I,MARTIMSTN, CHICO -- "�Cont: BEST BUILT CONST Site Address: 1 ELEC(NEW) ) i Contractor. Type of Permit: t OFFICE COPY t;. Address I ( r GAS Meter ELECTR C S` Date(Lr?(-0�P a, Meter By -7-7(o i SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACH MENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE. CMFCKFn nv per �pc.�ct-fcl'Z- DATE JOB FINALED: SIGNATURE: t t .. , .... COUNTY OF BUTTE.... ' BUILDING DIVISION i DEPARTMENT OF DEVELOPMENT SERVICES. x 7 County Center Drive • Oroville, CA • (530) 538-7541 >+ —CORRECTION NOTICE C�(o" (1{ 3b OWNER PERMIT NO. " A routine inspection indicates that the following violations of Butte County Ordinances exist at ^ the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional ex lanation, please contact the Building Inspector as indicated below. r F'o12 G te0U A- Q) C _ Frl l�o� ro/JJD tCTaIZ V-1 I- /' , 1/ / Date (� Inspector - 2a -D& REV 4/05 Phone #�- FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 +=OK 0 Not OK MANUFACTURED HOMES DATE U PERMANENT FOUNDATION LJ SOFT -SET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Am -Concrete Wr 6 Yard Gas; Loctn-Test-Wap Nat or LP❑ . Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Cimcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer. Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers MISCELLANEOUS-. DECKS•C0VERS•CARP0RTS•GARAGES 1 Zoning -Setbacks -Easements 2 Figs; SoilsSz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handralls 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors T Electric 8 Frmg; Sills-AnchrsStuds-Rttrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Rooflng 11 Ext; Steps -Doors -Landings 12 Braced Wail pnis 41. ur%rc irvv� 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts -Gk 6 Elec.Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Encisrs-pnlboards-lnsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alamos 13 Bonding, Diving board or Slide Drawing .At , o=OK 0 - Not RESIDENTIAL (Single & Duplex) URIC IUNUEKFLOOK 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg DRth 3 Fig Garage; SoilsSteel-Elec Grnd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Fig Dpth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgitrService Test 12. Elec Undrgmd 13 Plenums & Ducts; Clrnc-MaterialSupportdnsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & Vntltn 16 Insulation 90 dS' 00 fir` DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Wails over Girders .& fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs 22 Headers & Beams -Si & Bearing 23 Hangers-Post'Caps-Anchrs-Cnnctns 24 Coiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall .& Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insuitn-Walls-Ceilings 39 Infiltration -Walls -W ndws 4 0`I o'er #� DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs .!,Prfldng Electrode Bond Gas & Wtr 46 2 Appinc Cites In Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz , ❑ CU or❑AL AC Wire Sz oa ❑ CU or AL 48 Range Clic ❑ CU or ❑AL Oven Circ ya ❑ CU or ❑AL In;mlated Neutral [:]Yes ❑ No ervice-Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clo Closet Lt-Shwr Lt -Spa Lt moke Detector o'' eTs' dd mss'. LIAR IPLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr.Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tuti & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE IMECHANICAL 61 AC Ducts Insulin & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrnw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pitfrin If Furnace in attic o� e`er DATE IFINAL 66 Ext Steps -Door & SldeLt Prtctn-landings 67 Smoke Detector 68 Furnace Vnts-CImc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GSM& Bath Fxtrs & Tub Ace -Spa tM—GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frpic or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-CImc-Com Air Cnnctr-PRV; abv flr Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Ramex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dm e & Wood -Earth 86 Clmc Drnge Planters Yes [:]No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-CIrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Ifispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler Co -ZSR -OCo QQ�p 40 �. 7 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061430 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS 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 Issued Date: 06/15/2006 APN: 005-407-007-000 the Business and Professions Code, and my license is in full force and effect. y� LicenseClss: G33License Number: 'jQ52� Site Address: 1411 MARTIN ST CHI Date: t S(6& Contractor: TiCST F?fl(CT Map Index: Description: new elec service OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: PALMER BURL L FAMILY TRUST ETAL to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of PALMER JACK L the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or: 1411 MARTIN ST she is exempt therefrom and the basis for the alleged exemption. Any CHICO, CA 95928-7543 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: BEST BUILT CONSTRUCTION AND such work himself or herself or through his or her own employees, PAINTING CO. provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 1354 EAST AVE. SUITE R, 4124 year of completion, the owner -builder will have the burden of CHICO, CA. proving that he or she did not build or improve for the purpose of 95926 sale.). 530-520-6776 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business - and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the contractors' State License Law.). Contractor: BEST BUILT CONSTRUCTION AND ❑ 1 am Exempt under Article 3 of the Business and Professions Code PAINTING CO. 1354 EAST AVE. SUITE R , 4124 Date: Owner: CHICO, CA. 95926 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 530-520-6776 ❑ 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 License #: 705261 is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: . _ Engineer: Carrier: Policy #: ry� I certify that in the performance of the work for which this permit is I ` issued, I shall not employ any person in any manner so as to Total Square Ft: 0 S. F. Valuation: become subject to the workers' compensation laws of California, $0.00 and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Census Code: "( forth ith co ply with those provisions. S 0 6 Date: Applicant: WARNING: Failure to secure workers' compensation coverage is / unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in 'Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY 4This permit i ereby is ued 'der the placable visions of the Butte County Code and/or been I hereby affirm that there is a construction lending agency for the Resolutio to do work dieted above r whit es have paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: PERMIT EXPIRES ON: L3---// Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize reprAse tetives of ButteCountyto enter upon the above mentioned property for inspection purpos ?/ �"� Print Name: "� Signal e: �? 1 6 Date: ❑ Owner leFltractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY** C G fod&36k CONTRACTOR OWNER INFORMATION Address .$ I l -M/ srr Last Name N S1 L V6t,tj,9,1, irst Name S�Sf Address E-mail / 06Z s City Planner Stat Zip q Tq 2$ I� l Phone State License Number Fax E-mail C G fod&36k CONTRACTOR Name s 3v ur fJ Address .$ I l -M/ srr City C'm 6co State- Zip l 2� l Phone _ Fax E-mail Lic. # 7 0 �Z Class G APPLICANT INFORMATION , ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Planner Fax E-mail State License Number APPLICANT INFORMATION Name Ahv� Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address/ ' 1,I q ,l,,n l(k ST pV l �'C. Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: . OVER FOR SUBMITTAL REQUIREMENTS K TORMSXBUILDING FORMS1BIdgApp1SubRgmts.doc o%NC 3 PERMIT NO. BP06/V BIN # PROJECT LOCATION AP# CV5' C (c-)7— 6?07 Property Address/ ' 1,I q ,l,,n l(k ST pV l �'C. City. , I6 l..►�( Cross Street r— L61,66 fto WORKER'S COMPENSATION Policy Number nI `� Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 3 Description or Scope of Worj(� `rM " .." / .. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date. of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b : Amount: Bldg SRA Receipt #: Sheriff SMIP Date��Other :/�(�� .Total REV 8-12-05 4 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits Issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees -for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-j541 ��I PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER bS N a'"l d U-1ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS X411 �A o ��-� �. S� L CONTRACTOR �t C w �S C' ` A C> TELEPHONE `C 7- CONTRACTOR'S MAILING ADDR'\ESSSR�•1CW��p 3 cs Satx- �JL S 3 -�L c_w CAA ci S `tZA CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS I 1 ... �� Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 10, Zuplex❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel/❑ Installation ❑ Other 0 ,(Utilities .❑��y/�/f Describe Work:(?//y�}' (pis �/� G,ii �iL>� 4 Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200, OR LESS 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.POWER License Class�CZ.O lA l L Lic. No. (o �O2 OWNER -BUILDER DECLARATION 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. DWNG OCCUP. OR ADDNS. ( a ELIJAGC. BLDS. SO 3.50 FT. NEW T. REBID. RANCHO CIRCUITS @7,50 APPARATUS a SINGLE OUTLET CIR. �(, QCCU OUTLET OR FIXTURES B 4L I. 0 Ex. Occup. OuT. Ra D, °E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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: r Carrier S�� .(arr,yoQv. .�to Ii��lJ.r�C�.v�c� ��^`rC` Policy Number S"1`1S U SOZ (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 employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f rthwith compl with those provisions. '' (( X e Date Z, -(q -0 Z Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Gf/ Cooling Hood 6.50 Ventilation PERMIT FEIE $ C& Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONATYPE❑ TOTALFEE$not HAZ.IMP FLOOD CDF PARCEL p0 HD S This permit is h reby issued under of the Butt unty Code and/or indicated=ate ByZ, PERMIT EXPIRES ON the applicable provisions esolutions to do work een paid. 2& efe ReceiptNo. . 377 WHITE-D.D.S.-B. D.CANARY-ASSES OR PINK -INSPECTOR GOLDENROD -APPLICANT