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Home My WebLink About005-472-0030 0 005-472-003 94-1218E FREESE, ALFRED 2204 LAUREL-ST."CHICO ELE SER CH & ELE FOR DRYER/SF r. 005-472-003 02- ZEPEDA, BENITO 2204 LAUREL ST., CHICO RE -ROOF i - - � - - - - - o.0 3- y� s�_ 0 4 3 0 P OZ -2698 005-472-003 02 ZEPEDA, BENITO 2204 LAUREL ST., CHICO RE -ROOF (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVEL-OPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 2-2698 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER U05-472-003 ZONING M *- A -R BUILDING PERMIT OWNER ��))��-, �f,p benit0 r/t-pgdg� TELEPHONE '-{' SO. FT. OCC. BUILDING VALUATION ' �� 113Q. OWNERS MAILING ADDRESS 2204 Laurel St. Chico A CA L CONTRACTOR'S NAME (Amer TELEPHONE CONTRACTORS MARINO ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation is 600.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS `1204 t.i St. Chico fl 9l8 Energy Plan Checking Fee $ $ PERMIT FEE $ 3 7. 00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 782 Sq. Ft. Ccxarp Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A 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. License Class Lic. No. 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 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 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 Appli nc'b t [ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height.By Main Service zoOA TO 46.00 CCU000A NEW CONST. DT. WELLING OCCUP. SO OR ( a ACC. Bins. 3.5QFT: EW CNS. NON•REOSID. muLT-04,%uT @7,50 POWELEPPARATUS 8 SINR A GOUTLET CIR. OUTLET Ex. Occup. BAL 9 .5500 Ex. Occup. ounFTs ..,&) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 37, 00 HAZ. I D. FEES I IMP I FLOOD I CDF ;;;FC9 PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. f �,_ ' f %' Date PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.-B.D GCA ARY-ASSEPSOR INK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELiOMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 PERMIT NO. (Rev. 12/96) A APPLICATION AND PERMIT `��L-2698 ASSESSOR PARCEL NUMBER 005-472-003 H-il ZONING BUILDING PERMIT OWNER Benito,-' Zepeda TELEPHONE 8 SQ. FT. OCC. BUILDING VALUATION 10 S . 600. 00 OWNERS MAILIESS Laurel St. / C"hico CE' 9S928 Y 4 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ED 0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 17.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2204 Laurel St. Caico 95928 Energy Plan Checking Fee $ $ PERMIT FEE $ T00 LOT NO. SUBDIVISIONS 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 ❑ Describe Work: 782 Sq. Ft. Com- Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling 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 :)f the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. 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 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 carver and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR CCU OR ADDNS. 6 ACC. BLOS. SO 3.50FT. CONST. ANCHOIRCUT @7,50 POWER APPARATUS 8 SINGLE OtlTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1'00 SAL @ .SO Ex. Occup. Onx� R� DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completes" 4 the permit is for work of a valuation of one hundred dollars ($100) or less.) –k7 I 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 shou'd become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort pith co I ose provisions. _ Date Sigrf4fi of Appli ant - Owner ❑ Contractor ❑ Agent O An OSHA permit is required for excavations over 5'' deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 37.00 I.AL .FEES IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated bove for w ch es have been paid. _ y Date /� / PERMIT EXPIRES ON � � 7 �J I Date ReceiptNo. 0 0 WHITE-D.D.S.-B.D. CANARY -ASS SOR PINK•Ih3PECTOR GOLDENROD -APPLICANT . a.—..-v-y.tY"-s�.a"• .,cw:.o,o.,�,sn-•a• .,mss,• .. � ... . '*.^:1 .,..1.d . , _ .. _, SRi:.^ v` r:...•_x,T,,,,,,r,s.-c�+ Y^c- c..E 005-472-003 94-1218E FREESE, ALFRED 2204 LAUREL ST., CHICO. ELE SEP. CH & ELE FOR DRYER/SF 1 Y 1 p, t f � 1f A OFFICE COPY — Address 2Z.v GAS Meter By ELECTRIC Meter BY r ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT No. APPLICATION AND PERMIT ' I a ASSESSOR PARCEL NUMBER 005-472—M3 ZONING AR BUILDING PERMIT OWNER AT. F. TELEPHONE 1345-9583 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7176 MITTAERRY qT, CHICO 95026 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2204 LAUREL ST CHICO PERMIT FEE $ " PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE gg I SF t3 Duplex O Mobilehome CIOther SPECIFY � Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities 03 Installation ❑ Other O Describework: M 100 APM SRVC & 220 VOLT OUTLET FOR DRY] PERMIT FEE $ Contractor R ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 200A OR LESS 23.00 • Main Service ( 200A TO 1000A ) 46.00 l i NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 FT.SO. NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Code and my license is in full force and effect. dLicense No. Classificationp'(OUTLETS ,as the owner, or my employees with wages as their sole compensation, will do work, and the structure is not intended or offered for sale. (Sec 7,044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 1 00Professions Ex. Occu FIXED APPwS. OR (RESID.) EA. .00 5.00 N20 Temporary Service .00the Mobile Home Facilities .00 Misc. Wiring 23.00 PRE INSPECTION 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 71.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 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 County i, consequence�f the gr sting of •this permit. X y Date ^ y Signatu�e�of Applicant - Owner ❑ Qontractor I O Agent L An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories inkheight. 1 Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPETOTAL FEES 71 .00 I HAz D. FEES 1 IMP 1 FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte CountyCode and/or Resolutions to do work I - indicated above for which fees have been paid. � By Date PERMIT EXPIREiONj'— lDetel Receipt No. 152557 WHITE-D.D.S.-B.D. CANARY -ASSESSOR rPINK-INSPECTOR GOLDENROD -APPLICANT —�-. '� � '"�ti::.-�-LJ"'."',Sf`^-Z.....�,}.yl'0.iT-+-jj��r-+tiai`7.�•i"�"aF.'•"a.+-d�`_'i� p COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVECES n 1469 Humboldt Road, Chico, CA - (916)'891.-2751 7 County Center Drive, Croville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 t* CORRECTION NOTICE Yh •'* 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 notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. (A6§-(,,(,( = Z Pkv rJi12A�S Date J /0 " �"� Inspector REV 10192 JC ;.) ''4 COUNTY OF BUTTE - CEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California'95965 - Telephone (916) 538-7541 PERMIT O. APPLICATION AND PERMIT g q 19 l ASSESSOR PARCEL NUMBER 005-472-003 ZONING AR BUILDING PERMIT Z/1' OWNER ALFRED FREESE TELEPHONE 1345-9983 SO, FT, OCC. BUILDING VALU N OWNER'S MAILING ADDRESS 9176 MITT RETRY ST, CHIM 99996 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2204 LAUREL ST CHICO PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF 6 Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities IR Installation C2Other 1:1Contractor Describework: NEW 100 APM SRVC & 220 VOLT OUTLET FOR DRYIN PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 00A OR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. ( & ACC. BLOS. ) 3.50FT".- CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED AP ES OR (OUTLETS IRESID.1 EA. ) 5.00 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE* INSPECTION 93-012, WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Bute Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. • I shall not employ any person in any manner so 3s to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 71 nc Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances a -W California State Laws relating to building construction, and hereby authorize represBntatives of the County of 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, coslp, and expenses which may in any way accrue against said County i consequenc a gr ting of this permit. 3� DategT J Slgnatur of Applicant Owner ❑ Contractor ❑ Agent An O HA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 siories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTALFEE 5 %1 •0 HA2. D. FEES IMP I FLOOD CDF PARCEL PD I HD I UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. A&'," Bi V Date 9- PERMIT EXPIRES ON k4g� ` ,Mate') Receipt No. 162567 WHITE-D.D.S.-B.D.. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT kt a � n PRE -INSPECTION OWNER:iCG DATE 9y LOCATION: 27-044 4 CONTRACTOR: Kz1A1e - ZONING A - R PRE -INSPECTION .FOR: OcAkWU 2=s WAN+i Ng A- ' Me,..,j I cm �,-4Serc),tco PERMIT HISTORY: NNE = AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: T'ENNANT : [� OCCUPIED D HAS ELECTRIC Q HAS GAS F7 HAS SANITATION FACILITIES 57 Q HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: ACTION RECOMMENDED:' ISSUE Q HOLD FOR OTHER:. BY Q�QZ� DATE N ACTION RECOMMENDED:' ISSUE Q HOLD FOR OTHER:. BY Q�QZ� DATE COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER ) ('t" fif GK ::Z "C z° SG A. P. No. �X�S- yi2 C-xz Proposed Building Use rn Building Inspector Date Z At time of permit 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. Caljfornia 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 (co ns_tr,�u,ctions approval required prior to occupancy). ...P��e�o; r6qu� Pre for L4 20. -inspection %k ot.tf� 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 o issue oo ner. the permit, process as follows: Mail tMail to contr - a . t te. herj and hold for pickup at office. r 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, 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 ., COUNTY OF BUTTE Department of .Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION . Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I have/have not) // -P✓ signed an application for a building permit for the proposed work. 3. I have contracKwith the fggow0j pers% (firm) to nye the proposed construction: Address / ` �' l� e- U y, y • S 7 City Phone -2/yo 4— c SS Qom- z 5? Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work. Name M Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name / Address Phone Type of Work Signed: Prope Socia Date a NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit.