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Home My WebLink About024-090-037NI PERM-IT#98'0219.'' DEAN, Theodore '. . il .. � PRUE, Franbis'L. 17,51-72P,E 355 3V -T O-Briefi�, Gridley 'Cont: North Valley'Electric Repair Ele SwAts" e!72%�-09� If n/s O'Brien Ave. 600, east of---Gi7-strap,, (utilities for mobile -home I I .COUNTY OF BUTTE-DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County'Ce4er Drive - Oroville, California 95965 - Telephone (916) 538-7541 PE f -E OYMIT NO. 4. (Rev. 12/96) APPLICATIONAND PERMIT '10 ,ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER MM TE"H E SQ. FT. OCC. BUILDING VALUATION OWN& _V'9ii'LA(9'WD_RE§_S__ FS EAST MY, B10-4- 91-50-1-7 PHE CONTRACTbR E'.'CT TELEPHONE CONTRACTows MAIO ReSs CONSTRUCnON LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ 35S -AN $ PERMIT FEE $ LOTNO., SUBDIVISION'S NAME 1`.�.�L MAP t PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE I SF 0 Duplex 0 Mobilehome 8 Other to A! PLA M 06(1011 I Each Trap 1 7.00 I - Solar or heat pump water heater 23.00 Water piping 15.00 Each gai water heater or vent 15.00 — TYPE OF WORK New 0 Addition 0 Remodel 0 Ublitieso Installation 0 Other 0 Describe Work: REPLACE MAIN SWITCH AND MISC MING ON POLE (STORM DWOE) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home. (9?2 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 ( 800V O.R LESS --Main'Servicp �..A . SS 23.0023.W LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing skith Section 7000) of Division 3 of the Business and Professions Code, and my license is in full forceend effect. 1 License Class Lic. No. OWNER -BUILDER DECI A' 'rO N I hereby affirm under penAlty of perjury that I am exempt from the Contractors License Law for the- following reason: 0,,I, asownerof theproperty, ormy employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for -sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors V to construct the project. 0 1 am exempt under Sec. Business and Professiones Code for this reason i.. WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of workforwhich this permitis issued. My workers' compenSation insurance carrier and policy number are: Carrier G.6 I ( � * b Main Servic� 200A TO 10130A 46.00 --- NEW CONST. OWE NG 0 so OR ADDNS. LALC . BLSCUP & I C 3 . 50FT.' NFW COJINSTr M T' -OUTLET NON-RESID. I AU.LC . ,.CUTS @7.50 OWELA PARATU PSING E LIT. C SIR. ) 20 @ 1.00 Ex. Occup. J'6uTLE-r,OR FIXTURES ) BAL @ .50 ( ..FITX.E0 APPLNS OR, Ex._Qccup- (RES,6.) E 5.00 Temporar . y _ Sery - ice 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Z3.00 PRE INSP MOO PERMIT FEE 89,00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number F '10I IF, 11 4i 4 (The above sections need not be completed if the Oermit is for work of i valuation of one hundred dollars ($100) or less.) 0 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' compen�aition I provisions of section 3700 of the Labor Code, I shall forthwith comply , 'ith those,,gr-ovili- n's'. X Date _2 17 P Sig--natudrre 0 15wner JR'C'06tractor 11 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 $ occ CONST. TYPE TOTALFEE$ 89.00 �HAZ. Z. D. FEES IMP ES - FLOOD I . I CDF� PARCEL PO -I HD I ISS�p This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work in icate a ove for which fees have been paid. B, Date a PERMIT EXPI RES ON V! I I ReceiptNo. 231756 WHITE -D.D.S. -13. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT - - - - - - - - - - 024-090-037 PERMIT#98-0219 DEAN, Theodore is 31:6-9 O -Brien, Gridley Cont: North Valley Electric L�pair'Ele'Ser/t%skV OFFICE Copy Address GAS Meter B- y Date ELECTRI P&:E: D Meter By COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County 'Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 �MIT /N. (Rev. 12/96) APPLICATIONAND PERMIT ASSESSOR PARCEL NUMBER 024-09-0-037 ZONING A-5 BUILDINGPERMIT OWNIER — TELEPHONE SO. Fr. OCC. BUILDING VALUATION T H R Q D -0 R. E D E A N OWNEERIFJ�WUNG ADDRESS C.1114RA ARH�GS FAST HWY, BIGGS 95917 TELEPHONE COiARNR UU91R.RKS R1 FCTR1C_ CONSTRUCTION LENDER UENDER*7 MAILING ADDRESS __75�ENO. Fireplace Total Valuation $ ARCHITECT OR ENGINEER Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDAESS Energy Plan Checking Fee $ $ PERMIT FEE LOT NO. SUBDrVtSIONS NAME MAP PLUMBING PERMIT Filing Fee 20.PO- USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome KI Other LLV11- 11r, (1,01Q E41FY - 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 0 Addition 0 Remodel 0 Utilities Q Installation 0 Other 13 Describe Work: REPLACE MAIN SWITCH AND MISC WIRING ON POLE (STORM . DWEE) - Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.0 0 600V OR LES9 Main Service .A OR LESS 23.00?3.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing %�ith Section 7000) of Division 3 of the Business and Professions Code, and my license is in fuII force nd effect. License Class —V Lic. No. tC OWNER -BUILDER DECLAFfATrON I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of theproperty, ormy employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. OR ADONS. 07W.1.1NOICSUP. 3.5��,D.' NEW CONST. UT .0. S. =O RE U.Ts ., Ir 97.50 'PONI.ELR APPARATUS E OUTLET CIR OUTLET OR FIXTURES Ex. Occup. L 20 @ 1.00 BAL @ .50 0 �F ITX ED SA P LNS OR, —Ex. Occup. CPR ES, 6.) 5.00 Temporary ServLice 23.00 - Mobile Home Facilities 20.00 Misc. Wiring 23.00 3.00 PRE INSP 3.00 PERMIT FEE $ 9.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: JI( I 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. I 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' compenqAtion insura9ce carrier and policy number are: Carrier Ca a 0 Policy Number ly -11 - F �i,// (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 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 fo with comply rith thos ro i X Date 19W Si6-nat re -@ -Applica ':__0 -6w—ner R—o ractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection F a Is occ CONST. TYPE TOTAL Fpc it w 89.00 L. FEES IMP I FLOOD I COF PARCEL PID I HD I ISSJ�� This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicatep a�ove for which fees have been By Date PERMIT EXPIRES ON 1 06) provisions to do work paid. 1 Receipt No. 231756 WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT COUNTY OFBUTTE'_ DEPARTMERT OF DEVELOPMENT SERVICES - BUiLD1NG DIVISION V I 7 COUNTY CENTER DRIVE - OROVILL15,� CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICA TION DA TA SHEET OVINER: 7-44 M�Qft e-0 A ASSESSOR PARCEL NUMBER: 0��L 1�96 Proposed Buildinj Use: B d1ding Inspector: /2A -Date: IQ z1a At time of permit applicatGn, I was advise the fonowing data must be subni�ftted prior to permit processm"g an&oi issuance: Date Received By El 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans - ------------------------------------------------------------ E13. Complete plans, 3/4 sets, signed by the preparer of plans - ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - -------- 0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation - ---------------------------------------------------- 0 7. Statement of Intent. for Non -Heated and A/C Buildings - --------------------------------------------------------- ,3,9r+U-Z�mus Material Form - ------------------------------------------------------------------------------------------ 119. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $ 1111. Impact fees as shown on the attached schedule - ------- El 12. California Department of Forestry plan approval/fees. 0 13. Flood elevation certificate - ------------------------------- 1114. Sanitation and plot plan approval Health Department - ------------------- 0 15. City of Chico plumbing permit - ----------------------------------------------------------- El 16. Plot plan and business license approval from the City of Biggs - ---------------------- 0 17. Planning approval for (A) Use: (B) Parking: 0 18. Contact Land Development about El Improvements, 11 Drainage, 0 Legal Parcel. 0 1. 9. Encroachment Pemu*t for veway (constructign approval prior to occupancy) - --------------------- e 00. Pre -inspection for A/& _ r " e- ;J4re�ired. Request to Building Inspector on El I Contractor's license information. (Number, Nam� �tyle, Classification) - ---------------------- ------ i *2. (Workers' Compensation carrier and policy number - ----------------------------------------- I ----------- 023. Owner -Builder Verification (Given to owner 11, Mailed to owner EI) - ------------------------------- E124. Letter of signature authorization - -------------------------------------------------------------------------- E125. Recorded copy of Agricultural Acknowledgment Statement - ------------------------------------------- E326. Letter of intent on building use - ---------------------------------------------------------------------------- 1-127. Manufactured Home utility clearance - --------------------------------------------------------------------- 1128. Existing violations and/or expired permits - --------------------------------------------------------------- 0 29. 0 43 3 A, 0 Grant Deed, 0 M.H. Title, 0 Check to H. C.D S - -------- 030. Other: (Date) ken you issueie nerrm*t, process as follows El Mail to owner, [led to conq4tor. elephone and hold for pickup at ro v; ce C3 Deliver tor. T, Applicant: ate: 0?_ Copy of Haz-Mat form sent 0 Health Department, 0 Fire Department, 0 Air Pollution V Datg: - : Copy of plans sent I] Health Department, 0 Fire Department, 0 Other: Date: BY: 1. Index permit application for the above items numbered: -0 Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 13 phone, 0 mail, 0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. PRE—INSPECTION OWNER: too66te- LOCATION: 3:55 CONTRACTOR: -- - - - - - - - - - - - - - - - 400-f ---------- -------------------- PRE—INSPECTION FOR: ki PERMIT HISTORY: JD' NONE [ZYAS FOLLOWS: TYPE OF OCCUPANCY P1 0 BUILDING USAGE: TENNANT: v DATE c -,V — /, ? — e9 A.P. # P?V-0'7— -3 ZONING k DATE TO INSPECTOR— FIELD — INFORMATION -OCCUPIED F__j ' HAS ELECTRIC HAS :'GAS HAS SANITATION FACILITIES HEATED—COOLED L_j PERSON CONTACTED OTHER COMMENTS: P_ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County'Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT t (Rev. 12/96) . APPL1,CffI'0N AND PERMIT q� 0.�;2_1 q - ASSESSOR PARCEL NUMBER 224-09-0-037 ZONING BUILDING PERMIT OWN TE&. NE OWNE TREODORE DEAN R'S MAILING ADDRESS A RTr-nQ EAST HWY, MCQ2 95917 CONT OR'S NAME TELEPHONE Co "AD Ks'L'CTR'C 846-9081 SO. FT. OCC. BUILDING VALUATION CONSTRUC71ON LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.01 ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDINGADDRESS Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee $ $ PERMIT FEEf$ LOT NO. SUBDIVISIONS NAME MAP PLUMBING PERMIT USEOFSTRUCTURE SF 0 Duplex [3 Mobilehomet Other SPECIFY — tFilingFee E2-0.poC Each Trap 7.00 Solar or heat Pump water hetater 23.00 Water piping 15.00 TYPE OF WORK New 0 Addition 0 Remodel [3 Utilities dQ Installation Other 13 Describe Work: REPLACE MAIN SWITCH AND MISC WIRING ON POLE (STORM D W GE) Each gas water heater or vent 15.00— Gas piping system 1 - s outlets 15.00 Building sewer 1-5.00 Mobile Home S G W @20.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee' 20.00 Main Service ".A' OR' L'��'s 23.00 3. 00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing %0h Section 7000) of Division 3 of the Business and Profession and my license is in full force nd effect. s Code, 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: 0 1, 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 f6r sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason WORKE ' RS' COMPENSATION DECLARATION' 1 hereby affirm under penalty of perjury one of the following declarations: I 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. I have and will maintain workers' compensation insurance. as required by Section 3700 ofthe Labor Code, forthe performance of work for which this permit is issued. My workers' compennibon insurne carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is f r work on of one hundred dollars ($100) or less.) 0 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should bec6me subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with comply ith thos ro ' �i� X ate D 2 Sig�n/atre of Applic IQ$/- 0 'Owner X C6-mTacfor 0 Agent An OSHA permitis required for excavationsover 60"Cleep and demolition orconstructon of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW NST. DIN ADCDONS. So. .!�IJNG OR =LP. ) 3.50Fr. __NE_W_C_0N_S_f__ MULTI -OUTLET NON-RESID. BRANCHCIRCUITS ) @7.50 OWER APZRATU .L . ET PSIN E _ C SIR. Ex. Occup. OUTLET OR FccrURES 20 (9 1.00 BAL .50 Ex. Occu p. OUF'rXLED APPLN".OR ETS IRESID I EA 00 Temporary Service 23.00 Mobile Home Facilities ___20.00 Misc. Wiring 23.00 ?3. 00 PRE INSP ?3.00 PERMIT FEE $ 89.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE CONST PE TOTAL FEE $ 89.00 TFYE_ — A . IMP 7 I FLOOD I CDF PARCEL PD I HD I 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. By Date PERMIT EXPIRES ON Receipt No. 231756 - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT e