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HomeMy WebLinkAbout017-030-021Lt]1VL °:DEVELOPMENT SHEET � • _ ,; yr; +4'3 ;{' 1 b '. i"'••yytf�'�"ri- k 01 -1121 l �r�{Fyy 5�u� E, sLzN • a"HARIHO ,: LLENy, 133151 H O LO r YMET)k ROOF, • i k ' • r a , 1 4 ` J�- t E' � 1, L. l E' � l E' � .:.f:@. . ., .�r.aq. yr rn:ti4" ✓r�:1,Y•.. r-• a+sRyyv .r .. .._. , L t. . �- .- ._ _ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�� `/P„I IT NO. (Rev.12/96) APPLICATION AND PERMIT / ©�� ASSESSOR PARCEL NUMBER ZONINGBUILDING t . (46 PERMIT OWNER G f? , 7 N=NE SO. FT. OCC. BUILDING VALUATION OWNERS MANJNO_ADDRESS 0.0 59,-;g („{� , CONTRACTOR'S NAME - U I TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S "UNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ BUILDINGADDRESS 13-11's r Energy Plan Checking Fee $ I(' � PERMIT FEE $ � w LOT No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF IV 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 ❑ Ulilities ❑ Installation ❑ Other ❑ I n III Describe jWork: //J { 5Co. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 80.0V OR mss 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 a following reason: 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 TO 46.00So CCU000A NEW CONST. DWELLING OCCUP. WEL OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT; pppl p�ID MULTI.ONCH UTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu owner OR FIXTURES XL®':50 Ex. Occu . ours RM D 1 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: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) Q00rcertify 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 if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r`) ,r X r a. Date _ 13 ' ' ; ^ 0 � _ Signature of Applicant - 0.L ner ❑ Contractor ❑ Agent An OSHA permit 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 $ c TYPE TOTAL FEES 55• °tinot 5CO.S7 HAZT-FE 'IMP FLOOD ,.► CDF ... pARC0. .�- PD ND SSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicat d above for which fees have been By �Li.LF : r L -(:(�� Date PERMIT EXPIRES ON ' P5'_ PAto provisions to do work paid. 5-15-61 6.1 Receipt No.151514U I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT P r V. 4z COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P IT NO. (Rev. 12/96) APPLICATION AND PERMIT G - ��'-/�; y� ASSESSOR PARCEL NUMBER OC ING G -(46 BUILDING PERMIT OWNER _kJUM89 TELEPHONE -03100 SO. FT. OCC. BUILDING VALUATION I . OWNERS MAID ORESS • ^ 53 Y CONTRACTOR'S NAME TELEPHONE D CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 14 ARCHITECT OR ENGINEER LICENSE NO. • Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS I Energy Plan Checking Fee $ $ PERMIT FEE t S. w LOT NO. 77BDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFA Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ I Describe DWork,:�.Q. MAM U 5`-'ti�• Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOVOR LIE Main Service zo.A 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f3p&e 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 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP, SO OR ADDNS. ( s ACC. BLDS. 3.5Q�: Zr.RES,,p ' MULTI.OUTLEr 97.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDTn1RES � �':� Ex. Occup.oFTx�LEED�A A� oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET: $ Policy Number (The above sections need not be completed if the permit is for work of a valuation 1pf"one hundred dollars ($100) or less.) Qoo�l 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'd I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 0-- o-'�-- Date `� S� I Signature of Applicant %- %wner ❑ Contractor ❑ Agent An OSHA permit 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 $ c i 3 co TYPE r TOTAL FEE $ 3!5' °v HAZ D IMP FLOOD �. cDF PARCEL _ PD HD ISSUE This permit is hereby issued under the applicable provisions of the B e County Code and/or Resolutions to do work indica d above for which fees have been paid. ByTJbAW&P&0 Date S-1 5-b 1 PERMIT EXPIRES ON Date Receipt No. 3 15'36-7-Ssr WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 thej6r labor and materials for construction of the proposed property unpro,,yement :YES NO 2. I HAVE HAVE NOT E3 signed an application for a building permit for the proposed work. 3. I have contracted with the following person. (&=) to.proyigc. the .proposed construction: NAME. ADDRESS: GZTY:_ . PHONE: 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: 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: �c-riLov—^, PROPERTYOWNER: \\a__Ak_ e �. SOCIAL SECURITY NUMBER: KDATE: NOTE. This Owner -Builder Verification is required by Section 198.31 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. OVER OWNER BUILDER INFORMATION I 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-buildee, 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 -, ; ; 1fr i plik to do�your own work, with the exception of various trades that you plan to subcontra4 you should be aware of the following information for your benefit and protection: ' ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (inchrding 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. ♦ 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. ♦ 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. ♦ 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 "owner builder" 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. rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Coda OVER LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. Address: 3GTJ5Z_& F1 Parent/Previous AP: OWNERS A.P. NAME:- / "��J i i(/ NUMBER: PRINT LAST NAME FIRST COUNTY ZONING DESIGNATION: F/e FLOOD ZONE: X FLOOD MAP: G/ 2 -71-7 9 4'P/114 APPROVED: CONDITIONALLY. APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP WAS 6) -0/-3S" G9/70 DEED INFORMATION: LLc� j - 31 _2i Pc Tit�ry t �/EccrTow"v DATE OF CREATION: /-M Ta 69/70 A64 DEED REFERENCE: 66/7- J Stens ofF/c,4::r LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CON DITIONS: MAP INFORMATION: DATE OF RECORDING LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK -17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE Bu/LD/NG DIVISION UNLESS OTHERWISE NOTED. _ 1. Maintain a 50 ft. building setback from centerline of road. _ 2. Maintain a ft.building setback from right-of-way/centerline of 3. Comply with Zoning code for building setback from road. _ 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 8. Connect to a public water supply. 9. Connect to a public sewer system. J _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with.the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 12. Meet the requirements of the.Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Paynimt to be nnde to the PlanoiiW Divii ian. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school, impact,mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 22. 23. 24. 25. 26. AI3�,e 40 uNnOD Lw < z %V ( a3nr333B LD 7/96 C:WM5I (FORMS. MOLOOKRM.CIA