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HomeMy WebLinkAbout010-270-050�. 21`�OZ 021=070=050 ' A PERMIT#94-1726 = REMODEL WITHOUT PERMIT f °, � ADAMS', Mel' 11/6/96.,fADAMS,- MELVA 1413 ;Randolp`h"�*r dley G _f 1413-RANDOLPH,.GRIDLEY` w w � : PLBG/SF -- I,,' AR w Ag Exempt l,Qvt �e50 _ _r 1`J�e4 's-lV.^- Iv r kiwi ,storage s` a 021'=111,2— 070-050 g ,:: PERMIT#96-2582 r ADAMS ;' `Melva'_tt r,G 480.. Little Ave ridley Remodels/ Zy� "I n o U 0 f it rf p r 0 6 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 9� f / IT NO. APPLICATION AND PERMIT 7 ^ (o ASSESSOR PARCEL NUMBER 021-070-050 ZONING A5 BUILDING PERMIT OWNER MELVA ADAMS TELEPHONE 846-0354 SO- FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1413 RANDOLPH AVE GRIDLEY 95948 CONTRACTOR'S NAME PGE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDEWS 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 1411 RANDOLPH AVE PERMIT FEE $ GRIDLEY 95948 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 SF 5 Duplex O 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 y New O Addition ❑ Remodel El Utilities LF Installation O Other 1:1 Describework: GAS SPLIT MTR TO HOUSE PERMIT FEE $ 35.00 Cont rector ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC UP. OR ADDNS. ( & ACC. OLDS. ) 3.50 SD, FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification O I, 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 REBID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @ 1.00 BALL.. .50 Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O 1 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. 14 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 $ 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. 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 County in consequence of t e granting of this permit. / X Date J a2 vT Signature of Applicant -' Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ• I D. FEES I IMP I FLOOo F7PARCEL I PD HO ISSU 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. / BY Date (p PERMIT EXPIRES ON 6/2 5 (Do tel Receipt No. 163266 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTYCENTER DRIVE: OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER D�I%� S A P No.,;v Proposed Building Use /41 fi%-� Building Inspector Date a20 1�5� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 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 required. 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. _QGni// &R- 1" / [- L S161V 34. IX J When you issue the permit, process as follows: ✓ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Applicant EXPIRATION OF APPLICATION Date Applications for which a permit has not been issued, will expire by limitation 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. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant , �'I`• _ 11 "%� -.� ` s.. �:'w 021-070-050 ;,PERMIT#94 ;ADAMS, MELVA ° •• .,; 1413=RANDOLPH,. GRIDLEY «" Y PLBG/ SF : r{ ir 1 r � r 1 ' J { Y • 1 a. 1 -41 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 021-070-050 ZONING A5 BUILDING PERMIT OWNER *MLVA ADAMS TELEPHONE 84,',0354 SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1413 RANDOIFN AVE GRIDLEY 95911" CONTRACTOR'S NAME PGEE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace .. CONSTRUCTION LENDER 777[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 1413 TIZANWILP1 AVE PERMIT FEE $ GRIDLEY, 95948 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 qq USE OF STRUCTURE SF fl Duplex ❑ Mobilehome ❑ 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 A New ❑ Addition ❑ Remodel ❑ Utilities Q Installation 1:1Other El Describe Work: GAS SPLIT MTR TO UOUSU PERMIT FEE $ 35.00 Contractor ELECTRIC L PERMIT Filing Fee 20.00 Main Servi _ B°°v OR LESS SS ) r •ZOOA OR LESS 23.00 Main Servi e ( 200A To IOOOA ) 46.00 NEW CONST. OWELLING OCCUP.SO, OR ADONS1 ( " h ACC. BLDS. ) 3.50 FT. 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 Professions Code and my license is in full force and effect. License No. Classification O I, 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) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL_ 1@ (:1.50 Ex. Occup.FIXED APPWS. OR ' (OUTLETS (RESID.) EA. ) 5.00 Temporary ervice 23.00 Mobile Home Facilities 20,00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 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 $ 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. 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 County in consequence of the granting of this permit. X i .! [ tRcL J / .'. Date J t ' 'I Signature of Applicant -)I 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. Mobile Home Installation Fee $ Energy Inspection Fee $ oc±HCAON ST. TYPE TOTAL FEES 35.00 D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSu This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been ey �. `-'�' 6 � PERMITEXPIRESON IDetel provisions to do work paid. / Date ('� •� , 163266 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 021-070-050 PERMIT#96-2582 MELVA ADAMS LIVING TRUST GRIDLEY 480 LITTLE AVE GRIDLEY, CA 95948 r COUNTY OF BUTTE - •7°" C'iii Aty Centel DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION DriVe -" OroVille, Zaliforgia 95965 - Telephone (916) 538-7541/ _ -PERMIT 6 APPLICATION AND PERMIT )!J ASSESSOR PARCEL NUMBER L OZ1-07Q�� ZONING A5 ' BUILDING PERMIT t OWNER MELVA"- ADAMS LIVING TRUST TELEPHONE SQ,. gOCC. BUILDING VALUATION EST X11300.00 OWNER'S HARING ADDRESS 1413 RANDOLPH AVE GRIDLI;Y 8 SQy. 480.00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIONOWN Total Valuation $ J 730.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 41.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 26.65 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 480 LIME AVE PERMITFEE $ 87.65 PLUMBING PERMIT Filing Fee 20.00 GRIDL'EY 95948 Each Trap 7.00 LOT NO. SUBDNISIOWS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other S"IG/PUMP HoUsE SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK yy New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 6 UNCLOSE DOOR & REROOF RESIDE. Describe Work: - Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service800V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 tic. 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 NEW CONST. DWELLING OCCUR SD. OR ( d ACC. BLDS. ) 3.5Q FT. NEW CNS. CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWERAPPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL Q .50 Ex. Occup. ( OUTLETS(RES . ORa) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 4.5 9 00 Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) _-- f 1 certify that in the performance of the work for which this permit is issued, I shall r 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 with comply with those provisions. p X Date _ II 1 7 G - -Sign ure Applicant -,q Owner ❑ Contractor ❑ Agent AnGOSHA ermit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 130.05 HA2. I D. FEES I IMP I FLOOD I CDF PARCEL PD I HD ISSU 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. -- J r� f�d�,� ✓; / , BY '�'i ' Date PERMITEXPIRESON I (Dale) Receipt No. zkJ0/U WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 COUNTY OF BUTTE- DEPARTMENT OF DEVeLOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (9161538-754'96- 9161 538-7541 ERMIT NO. APPLICATION AND PERMIT V\��J`S ASSESSOR PARCEL NUMBER 021-070-050 AIS ZONING BUILDING PERMIT OWNER �IELVA ADAiN1S LIVIidG TRUST TELEPHONE SO. F', OCC. BUILDING VALUATION EST X11300.00 OWNERS MAILING ADDRESS 1413 RANDOLPH AVE, GRIDLEY 8 SO 3014P 480.00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNI<NOWN Total Valuation $ 780.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 41.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 480 LITTLE AVE PERMITFEE $ 87.55 GRIDLEY 95948 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other STUP RIT HOUSE, SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK YY New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other YEI Describe Work: E14CLOSE DOOR (0y REROOF RESIDE. Mobile Home S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service E000A Y OR LESS ( 20oR LESS 23.00 Main Service ( 200A TO I000A 46.00 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 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 NEW CONST. DWELLING OCCUP. SO. OR NS. ( 8 ACC. BUDS. 3. S{t F7. NEW CONS MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS @7.50 ( POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FURORES) BA2L Q 1.00 L .SO EX. Occup. (oFIXEEDTs PPLNS. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 23.00 PERMITFEE ; 43.00 Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 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 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall with comply with those provisions. X Date _�% 1 ��® _ pplicant -Owner ❑ Contractor ❑ Agent ig urerermit A SHA is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 130.65 HA2. D. FEES - IMP FLOOD _ CDF PARCEL Po HD ISSU 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. )� �/ By ` Datea6 (� PERMITEXPIRESON q` / 7 I IF (ate) ReceiptNo. 206762 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 37, Fi.su sir + wr? +yif ar.a r+ri yS v„�» �« �...��....Y•. r ..+-.r•u`ti ern.. - .t :.trw ... .- . r.. + COUNTYOF BUTTE - DEPARTMENTOF D.,. ' LOPMENTSERVICES -BUILDING DIVISION M 7COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHON1 916) 538-7541 PERMIT ►AA c APPLICATION DATA SHEET At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY ll 't h b b d 411C,'omplete i ems ave een su matte . ...........7lot plans, 3/4 sets, signed by preparer of plans. ........................ 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 . ...................... Engineered truss details andlayout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ..................I......................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 planapproval i Health De artment.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...........`1�veway permit (construction approval"required prior to occupancy). ..20. Pre -inspection for ..e� required. ..t.s.;�a 9�spe�� (Date) 21. Contractor's license information. No., ame St le, Classification .22. Certificate of Workmans Compensation Insurance . .........................23. Owner -Builder Verification (Given to owner Mail to owner �............ 24.. Recorded copy of Agricultura'&cknowledgement 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......................:...............Y.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. Wissue the ermit, roc ss as follows: �rner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel CreationAcreage 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 byDate Contractor, designer, owner, wasadvised of above required data by _ phone mail Counter by Date Plans checked by Date Plans approved by � (' 13 6 o/N%S Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works O.B.-1 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: YES1>4 NO ]. )I HAVE[X] HAVE NOT[ ] signed an application for a building permit for the / proposed work. ' 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following per sori to coordinate, supervise, and provide the major work: NAME: 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: PROPERTY OWNER: SOCIAL SECURITY t DATE: )1"r -1 1 % . NOTE: ,This owner -Builder Verification is required by Section 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. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks•for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 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. -n i'5 0 A a 5 r -C 6Lr—d ,re- 4!- e- r < 4,rieele 1,'A' e -.,v C- 0 151A.'r r .14010 61, .54" A 44 P— LIZ;, �Lh e- Wo't Ell, F- I A A L^ - Date Inspector CIA REV 10/92 . � y t _. . ! 1 r"¢-_ -. #'R _ -t'e+ •.� s�i,.tL �,,. , . -�� :y.-• _ ' .r., .'1 - �. ♦._. '"di� - _� -tz '�!—>-.•.+6-l..i 'F'y.. 3YRJi57j• T , � r i .J i ��.! ' .. ._fir, • 4 - �:: -"%� BUTTE COUNTY DEVELOPMENT SERVICES Complainant: Address: Phone Number. Other Comments: `t lie`Zic "t b "�ailaili 'to a oriiiaiio s le f Inspector must draw a plot plan with all building locations: Additional Comments from Inspector— %OUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �O, TY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT 4zRMIT N / t l/ Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. FLOOD I PARCE P.D. ZONING ©S0 _ �S OWNER e. I u e. da Y-^ s PHONE NO. IY 6 - `75 S OWNER'S ADDRESS i- i3 (941'ndotph LOCATION OF BUILDING I RandA �e t- O'P I USE OF BUILDING SIZE OF STRUCTURE C /� ` o Ix 60' SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE S e t 91, -e (1' p'n c rt ESTIMATED COST OF CONSTRUCTION 2 00ings shall comply with the building front, side, and rear yard requirements of the applicable County LO��2inua:ines as follows: FRONT -- SIDES . S REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. �o Date �� 7AM LIal_ �i Permit Fee 5-0 •00 Receipt No. 1170 S Ly Signature of Owner The above described White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant Building is exempt from a building permit. Director of Public Works By FLOOD I PARCE P.D. ISSUE [ROOFING Director of Public Works By COUNTY_Oi%BUTTE °DEPARTMENT OF PUBLIC WO, BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) �8-7541 _PERMIT APPLICATION DATA SHEET OWNER - d Q ►V, S A. P. Nob 2 r 7 - Proposed Building Use Building Inspector I Date % 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. California Department of Forestry planyapproval/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). .. .. ... . ction request 20. Pre -inspection for required. .. o Builthg 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. Whey you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone,54/6-41S- '8 and hold for pickup at office. Deliver with inspector. Other Parcel Creation / q Acreage Applicant Date^!^/ Copy of Haz-Mat form sent Health Dept. Fire Dept. v 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 1 Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works k, 9 lz lw. � - ST ' Q� ( to t I .85 c 9 I is S_ J o l I `6, , P M 119 cn I� 4. 1 0 31 f /114GN uA S r PTN. wESTS10E 1 (r7T I 'S5o y =S TATE PG., UNIT 1, �J (Scc PG. 3/ FOR 4 4 REM.) - - - Au 30' r. RI W '— 15 3� ® 5.98Ac to ►6 „2 AC. r I d7 O115 / 33 n \5� r ..75 AC 7 o Q o 601.9 2.28AC - 375 BAC O -- �i cv 140- - 0� _ 9 1 I U �� y J 0 ly N v IN y 8.66AC. I I -_ '3r � t w -�G;• 406.90 61105110 /03 30 L/�o 10.9 2.08 c 1 J p m t 3 ^ 0; .. 1 9P_ to /02 ti ae ss N 8 ico 90 e}. 3 c 0/ 99 0 la K T. i3dG , o / �' 7.633AC 4.54AC 4.62AC `Y 20.39 AC. �✓ '� 44C N > PARX�S/DEI D I� O h N 77, F` J es 'w 165 I { : y r 95 94 1 1� � O f\ BO 1 79 1 78 77 3 6 = — 1� b -- 'r' y n l �- III,� �o /o .� aes l r s{ y 4 I I an �'�J,, d / I. I I i T � � 0: �� ci 115.7AC.' 1 97 t pp n 0 ►ss rY ,o�-� 31 'y ,�► I �t.� LITTLE� I , i 6a '� e 13 L/rT1.E A VE. _ I _ � �• COLONY . 9 u N0M. G. R. 8K. 6 PG. 58 SURVEY DDD. M. 0. R. BK.. 7 PG. 3 9 (SCHOOL) M. C. F. 3Y.. 29 PG. 35 I ASSESSORt MAP NO, 21-0 7 COUNTY OF BUTTE7CAL1 F. MAR., 1951 REVISED: 9-9 0