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HomeMy WebLinkAbout017-030-047047' 93"1024P E.` e- - - CH C W' ,4, r _., , �,, COLEMAN' RANCH,RD CHICO,=' ~� � �~; � ' • �r 1 J ��`' �,�� . i''MH aUTILIT %'•� t ;,#�' Lt ��,w�/�.�;��) � i r ,S - - 'LEC ` ;GAS x COMPACTION ST REQ SUPPOR TRUCT REQ'.0/-7,0 Y; • s o. v � b a • i" t C e a v l v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMI NO. 5d ASSESSOR PARCE NUMBER 011-350-0�+7 ZONING Fe 4o BUILDING PERMIT owN�R .W. CHASE TELEPHONE SQ. FT. OCC. BUILDING VALUATION 011POR ffO 1_142ff IRESS CHICO 95927 COryT RKI 694 TS NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ MOI(XX Permit Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADORE ULD COLEMAN RANCH RD CHICO Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex[]MobilehomeXX Other Building sewer 15.00 Mobile Home @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑UtiIities)M Installation❑ Other ❑ Permit Fee $ 60.00 Describe work: Iv HU Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): NEW CONST. ( DWELLING OCCUP.�\ OR ADDNS. ACC. BLDGS. / 3.6asq.ft. ❑I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlness NEW CONSTR. MULTI_ OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 and Professions Code and my license is in full force and effect. POWER APPARATUS e1 SINGLE OUTLET CIR. License No. Classification Ex. OCCUp(OUTLETS OR FIXTURES F20@76,__ AL P 46 I, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR Ex. QCCUp. OUTLETS (RESID.) EA.) 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring -15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling ,& I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject Ventilation to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE $ 128.50 all liabilities, judgments, costs, and expenses which may in any way accrue" AZ DFEES IMP FL`_OD CDF PARQEC PD HD ISSUE against said County in consequence of the granting of this permit. I I X '"'� Date �-1 3 This permit is hereby issued under the applicable provi- Signature of Applicant — Owner Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permitis required forover 5'0" deep and demolition or construct- work indicated above for which fees have been paid. ion Of structures height. s DIRECTOR OF PUBLIC WORKS Receipt No. 136078 By Date WHITE-D.P. W., YELLOW-ASSt;9gOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date .�-!Y,�IL t�.i�f'-�.-�?+--"�i.'r'f�'^�w�,:.,Nr-�'�t71h�+�1.::3i.�sr+--r,,i�r1}.�—l4'7i��•e'*'k+'i��";:jif•,,,�,,,.v,,.,.,t,.iy„_,,�;,�Nw.r.+,,.._.v-., z':r� �,�, yr„hr , .:. COUNTY OF BUTTE - DEPARTMENT F DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL�t"E, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER ( - (-kj . 0 9' (�.a.Q_ A. P. No. (211- 33 Proposed Building Use Building Inspector t . Q? r-. Date 3 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. ........... 0 Fees of $ . .................. 1. Impact fees as shown on attached schedule. 12. California -Department of Forestry plan approval/fees. ....:...... . 13. Flood elevation letter (100 year floo by California Engineer.. ................... 14. Sanitation and plot plan approval Health Department . ............ 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: . ........ 1 Contact Land Development. about (A) Improvements (B) Drainage. . 19. Driveway permit (construction approval required prior to occupancy). . . �• Pre -Inspection requ� . Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance .......................... — �Owner-Builder Verification (Given to owner , Mail to owner . .......... . (24> Recorded copy of Agricultural Acknowledgement Statement . .................. 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 . ...................................... P�la,7 check lis . 33. ��. ......©.... )� .. J..... �. ..... �7410tJ [ aV �/ to- l,1 I r� 6 Q.CTn# [Yro _.Lc 0 -if ,o iy r/a C, c When you issue the permit, process -as follows: ✓ ' 1911511 Td- t MW to contracfor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation /�y-�' / Acreage Applicant `- Date Z 5 3 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 submittl 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer owner was advised of above required data by _ phone _ mail GCounter by _ Date 4127 9 Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Ow Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE DEPAR71'IENT+OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY =M EIR DRIVE - OROVIUE, CAL170M A 95965 - TMZ290NE (916)5387541 `1ER A.P. NO - C) L4 _}- OPOSr-D BU=T --NG USE DATE 44 /,Lo G) 3 REC. DAZE REC 1. School Dist-ic Fees �1►LIiC.t7 (paid at District Office) 2. She=-iff -Fees (paid at Building Departament) Residential ......... Z unit amt. Commercial(per sq.ft.) Z sq.ft. amt. Z3. Urban Area Fees C (j 4. (paid at Building Depar-.ment Residential (per unit) I I 3 � 3 � units amt. Commerical(per sq . ft.) g 4 sq. 16t. amt. Receation Dist= -pct Fees O1,L►-a (paid at Dist -_-4_c-!_- Office) .......................... S. Drainage Dist-ic= Fees (Contact Land Deve-lopment) 6. Other 7. Other time of permit aaplicat_on, I was advised the above fees are required to be" paid pr=_ _ issuance of the permit. FUCANT � " - DATE22 Z6; lf?_ -3- COUNTY OF BUTTE - D'epartment of Public Works - 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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) 't"ef 2. I (have/have not) 1-k-9, 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 Contractors License No. 4.-�I,plan to provide portions'of this work, but I have hired the following person to coordina a supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Nalp Address Phone Type of Work �T Signed: Property Owner Social Security Number Date c� t0107 3 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 per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,. CA 95965 C. W. Chase P.O. Box 9253 Chico, CA 95927'" Dear Mr. Chase: With reference to the above subject: " Attached is: OTHER PHONE: 916-538-7541 DATE April 27, 1993 RE: "Permit Application #93-1024 `"- A.P. #011-350-047 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced XXXI We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation.Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs. in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section'(DPW). sets of plans in accordance with the changes.marked in red. XXXX Sanitation approval from Butte -County Health Department at:. XXXX 1469 Humboldt.Road,-Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 -County Center Dr.ive,. Oroville, for Completed Owner=Builder Verification form. Recorded copy of deed showing XXXX Recorded -copy of :agricultural acknowledgement statement. XXX$ OTHER 1. Plot plan needs to be redrqwn to show driveway. Location of mobile needs to be revised to show a 50 foot rear -'yard set back. Extraneous information on plot plan needs to be eliminated (surveyor's bearings, etc.) 2. Provide recorded deed showing easement for water line over parcel 7. 3. Separate permit is required for decks as shown. Should you have any questions concerning the above, please contact of this office,. between 3:00 and 5:00 pm weekdays. Barbara Wilding Yours very truly, Enclosed plot plan William Cheff Director of Public Works j. F'.. G 1 a n d e r JFG/a j ... Not/ Co Lp r 3 7 F • <; r rl -� ;.r ,?,. < }LJ ' :� }`i%'•`'' �O Z Qv.✓ �i/�L- / r'a>.f. LS Z700 r► v ':�;.j ,� N � •,•.1: !09 � re/3 - 84 / �,Z , '� ��, �.. ��-, 7.`. ,. T,;, /''nv.,p 34" 1¢�N Ply !_s z 76 o o,., wigs r zAs e4 `�:• `� �'�' / �: y5rva: CENiL°RYIi.LG Qp,� •r ' rte: 2ot•.� Q � �..• 1/,� -. .. `l` / / .. .. • •'�.'. '.�G, L NLb 10 7-5) ��"•':>>�.� er=_5 89 ° 7'qi" 30 30, ow`.t);A. N, �T 40 . :,lop'.'; _. ;'• ` � � .., a N' 9°741 4� 5 o" -7: I' ..r. 114.79 / cl' • A' p ti. --- - h 55.0 ZZ 4tL,-.) nPr.i k_ s l;,.e -16 - Z `Io n/53 °48'4L �' l07 Z-19. 1,96 / ! d• 113 .��,.?`' • �P� ¢cis I t ¢ '� � � , .: ��1 � i ,�.o�: t7 � .� lig . '�• �} �.!;; o• / 5 r I ° a�• 45'cJ Q 0 T}. 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