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Home My WebLink About024-130-070a 0 24-13-70 LINDA ASHBAUGH 1041 East Evans Reimer Rd, Gridley ,*GRIMSLEY, Mrs. Verna 578-71B Contr: North V lley Electric _ _ 810-71E* 555-71P 1E- Permit#247-83E(ele ser ch/SF) 1414 i /�c��I 4-13-7 •. n�s Evans Reimer Rd.•app..1500, W. o Richard Ave., Gridley" 24-13-70 CONTR: Glen Bar 'ngton,P.U. Box 862,Gridley .R. BRITT . ' (addi kitchen Mountain Air ContR: P (*service) PErmit#3380-88M(furnace)SF �0! aS/U i 024-130-070' ASHBAUGH, LINDA 05-1 0 103 7 E. E VANS REIMER RD, GDLEY Cont: MULLIKINS APPLIANCE NEW HVAC ` i l is __......�._. �; �,., .� �..�.....�.,.. �.�.. ___..-1� Butte County Department of Development Services www.b uttecou nty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING November 30, 2005 Subject: Reconstruction of a Nonconforming Use; 024-130-070 Dear Interested Party: Non -conforming uses in Butte County are governed by Butte County Code Sections 24-35 though 24-35.55 inclusive. These sections of the code provide for the replacement of a nonconforming use subject to the requirements contained therein. This applies to all nonconforming uses in Butte County. The applicable sections of the Butte County Code may be found on the Butte County Department of Development Services website at www.buttecounty.net/dds If you have any specific questions please feel free to contact my office. Sin ely Yours Chris Tolley Assistant Planner S r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERZONING tZLI 1- - -70 BUILDING PERMIT OWNER �!R /A/ Il �� F!1-J'n T�E}LE/P/HO�N`(E� •y C1 ~.! Ca lei J/tJ SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7s V,CONTRACTOR'S NAME/ •�• Alli 1A LTELEPHONE CONTRACTOR'S MAILINGfADDRESS Fireplace CONSTRUCTION LENDEIR UNKNOWN Total Valuation � Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee I 1 $ ARCHITECT OR ENGINEER LICENSE NO. I Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS Z PLUMBING PERMIT9 Filin Fee 10.00 I � F` �- ��~ ��` Each Trap 2.00 Solar Water Heater 20.00 f Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL'MAP•,:• •Each�gas^water heater or vent ,5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF []'Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S FG W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ // Utilities ❑ Installation❑ Other ❑"" Describe work: r L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 G+p(J y Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. I 2h¢sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Bus iness and Professions Code and m license is in full force and effect. �{ �f y License No.. 170"y�,+-��-�+ Classification C.- /!1 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) F] 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason a:. NEW CONSTR ULTI.OUTLET 2,50 ea ' NON.RESID. BRANCH CIRC ITS NEW CONSTR / POWER APPARATUS &) NON•RESID. (SINGLE OUTLET CIR. / Ex. Occu zAL@30 P�o OR FIXTURES eAL�3oc A FIXED APPLNS. OR FIXED Ex. OCCUp. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 �fi' f' + ;h , r' L t �t U Permit Fee '$ 0-0 _Contractor MECHANICAL PERMIT FilingFei;. --,10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Fg I have placed on file with the County of Butte Building Department Lel 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 W. C. laws of California, Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating t Cooling Hood 3.00 Ventilation r s r permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and 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 in consequence of,the granting of this permit. X1.Date ❑-/ ❑ ❑ Signature of Applicant — Owner Contrlactor x Agent An OSHA permit is required for excavations OVer 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ .- TOTAL PERMIT FEE $�7: UU OCCUP, GROUP I TYPE OF CONST. PARCEL PD NO ISSUE This permit is hereby issued under sions.of the Butte County Code and/or work indicated above for which l DIRT=CtOR OF PUBLIC y• / PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �at��-�� Receipt No. W45 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT aM _-•_— . .� ...�.. a rs.�..-...�.-.w`.,-.++T^�Nn...Vx+s�.M�w-,w�?�y,.7�"...a+w►wn.y�i�. '' "n,�"�+lc'"`q`,+v` ` ., . ; % 6.� � ,� a t • �,�r �' q -- - r. �.r ...-_ .�.... __ - r � �.. ,� - �' �. e; j � � G�� 2 y�: ` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARC L NUMBER 1 3-70 ZONING I r E BUILDING PERMIT OWNER S u TELEPHONE 8 S0. FT. OCC. BUILDING VALU ION OWNER'S MAILING ADDRESS D - t A5VqyVs 1i -AA r-: Y3 I a /e CO T ACTOR'S N ME TEL PHON CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRES Permit Fee $ ARCHITECT OR ENGINEER_- LICENSE NO. Plan Checking Fee $ Penalty - $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS _) S 0 PLUMBING PERMIT .Filing Fee 10.00 _ Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF L"I— Duplex❑ Mobilehome❑ Other SPECIFY Building sewer--F--F--T-5.00 Mobile Home SGW 10.00_ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ - Other Describe work: Sfli — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service/EA. ADD'L 100 AMP 2.50 114EW CONST. R ADDNS. \ ACCLBLDGS.CCUP.&\ O / 2ys2sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and license is in full force and effect. m y License No...,27141 A,3�j . Classification C_ /6 ❑ I, as the owner, or my employees with wages as their sole compen- sation, 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 contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET NON -RES'., CIRC UITS 2,50 ea NEW CONSTR.U NON-RESID. SINGLE OUTLET CIPOWER APPARATSR. & ( 20@50C Ex. Occup( OUTLETS OR FIXTURES eAL�aoc FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 0 A / 'O O Permit Fee $ 0-9 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Ill I have placed on file with the County of Butte Building Department lel 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 W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating 'Cooling Hood 3.00 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 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' onsequof the granting of this permit. JJ Date /— ,2 7 Signature of Applicant — Owner ❑ Con r ctor ® Agent ❑ An OSHA permit is required for excavations o r 5'0" deep and demolition or construct-CTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 3jr.0d occUP, GROUP I TYPE OF CONST. -I PARCEL PD I ND I ISSUE This permit is hereby issued under sion of the Butte County Code and/or wor i dic d ove for which OF PUBLIC By PERMIT EXPIRES Date_.. the applicable provi- resolutions to do fees have been paid. WORKS f Zk 83 Date J� z0zReceipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT -yu��-��u4:Y.�;.w�-,"�.icy;:.L,..;�...,.._.�..f..,-�:,,;.�-�, .,rr':.t�c+r^��- s--•ti�^-,.. r i Permit#3380-88 C.R. Britt 1041 E Evans -Reimer Rd, G. .1. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PA-RCENUM%ER^ FFFF//��//tt' ZONI G) � J BUILDING PERMIT O WNF_'Rl) .. t/ I TEL,E/fP,/,H O N EE/ SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING / ADDR S ( I %' S'e it 1(' (��i (`Ll CON/T�'R AC OR'S NAME / /�/I� TELEPHO.NIZ Ao' CONTRACTOR'S,g (LING ADDRESS ' CJ i� [' IMif 0445 Fireplace CONSTRUCTION'LENDER- / UNKNOWN F Total Valuation $ Filing Fee $ 10.00 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 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MA Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W O. 00ea TYPE OF WORK New❑ Addition❑ Remode❑ Utilities❑ Installation[] Other Describe work: �_ ' Id f/+ ri o r �= Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SS 100 AMP OV OR R LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I ' and Professio'nns Code and my license Is In full force and effect. License No. _ �� , t .� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) E:1 1, I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.EI OR ACDNS. (ACC. BLOGs. ) , ft /zQsga NEW CONST R. U CH TLETCIRCU NON-RESID .BRA CH CRC ITS 2,50 ea e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200301 BAL030 EX. OCCUp- OUTLETS P(RESID )FIXED APLNS. KEA.) 2.00 Temporary service 10.00 Home Facilities Ho 15.00 Misc. - 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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. ❑ I shall not employ any person in any manner so as to become subject to the W. C.'laws of California.Ventilation Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating n Cooling g Hood 3.00 perm it Fee $ Contractor I certify that I have read this application -and 1,state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon Ahe 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 sai&County in consequence of the granting of this permit. c� ^" /`7r' e ef� X %�1—��t_•�2�iw.,0 r.c Date�) Signature III Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is Irequired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ I on1/ TOTAL PERMIT FEE $ (� Occup. CONST.TTPC ISCHOOL.1 FLOOD PARCEL PD ND 99UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above fon which fees, DIREtyT01i pF PUBL�C �B ./1lrt /l //l {�y PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS j Da / / /L��(] Date / j Receipt No. WNITE-O.P.W.. TlLLO -ASSESSOR. PINK -INSPECTOR. GOLDlN ROC -APPLICANT C COUNTY OF BUTTE - DEPARTMENT OF PUBLIC. WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P5RM�1T O-01 :EJ ASSESY ARCEL NUM R 4R ZONIN BUILDING PERMIT ow%'R lam. � TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING DDR S `f v ` CONT C OR' NAME T PH NE C TR C OR' ILIN ADDRE /\ (/ 6 Fireplace CONST UCTIO LENDER UNKNOWN* Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS n n F 7 Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MA Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home --T—SG I W 0.00ea TYPE OF WORK New❑ Addition[] Vymodejo Utilities Installation❑ Other Describe work: CF _ ✓� �r� I�✓�:i(` C �- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ACD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I de c are under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code a y license is in full force /and /�effect. License No. / Classification 0 oC 0 ❑ I, as the owner, or my employees with wages as their sole compen- sation, 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 contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST, ( DWELLING OCCUP.01) , OR ACDNS. ACC. BLOGS. / /20sgft NEW CONSTR. U TI.OUTLET 2.50 ea NON-RESID .BRANCH CIRC ITS POWER APPARATUS o- SINGLE OUTLET CIR. Ex. Occ Up(OUTLETS OR FIXTURES Z0030E eALO 30 FIXED APLNS Ex. DCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin 15.00 9 ± I Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. iC 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. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee - $ Contractor I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and 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 judgments, costs, and expenses which may in any way accrue ounty in consequence of the a 'ng of this permit. ' Date %G —�7 plicant — ' Owner ❑ Contractor ❑ Agent ❑ Rawtur.) An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 1 Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ ISCHOOLIFLO PARCEL PD HD I 13 -UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRErT� F PUB B PERMIT EXPIRES Date the applicable provi- resolutions to do fee have been paid. 1 ORKS Date q�4/ Receipt No. WHITE-D.P.W.. YELLO E -A3D330R. PINK -INSPECTOR. GOLDENROD -APPLICANT Y, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP051810 LICENSED CONTRACTORS 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 Issued Date: 07/11/2005 APN: 024-130-070-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1037 E EVANS REIMER RD GRI Date: Contractor: Map Index: Description: NEW HVAC -REPLACING EX UNIT p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: ASHBAUGH, LINDA L. to its issuance, also requires the applicant for such permit to file a 1037 E. EVANS REIMER signed statement that he or she is licensed pursuant to the provisions of GRIDLEY, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95948 she is exempt therefrom and the basis for the alleged exemption. Any (530) 846_0508 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): O 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 (Sec. 7044, Business and Professions Applicant: ASHBAUGH, LINDA L. Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 1037 E. EVANS REIMER such work himself or herself or through his or her own employees, GRIDLEY, CA provided that such improvements are not intended or offered for 95948 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 846-0508 proving that he or she did not build or improve for the purpose of (7 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: MULLIKINS APPLIANCE &HEATING &AIR not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractors' State License Law.). 1577 4TH AVENUE O 1 am Exempt under Article 3 of a Busi ass nd Profes ons Cod OLIVEHURST, CA Date: f�w^ 95961 (530) 743-1414 WORKERS' COM NSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 788094 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the 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. Date' f_... Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code ?nrVor I hereby affirm that there is a construction lending agency for the Resolutiprip to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: —11--os By: (NI I �]( �11 /� Date: I — O PERMIT EXPIRES ON: — ! ` n Cn Date Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte jounty. I here authorize representatives of Butte Cou7ttnterupon he above mentioned property for inspectio purposes. Print Name:: Signatur . �} Date• iad caner ❑ Contractor O Agent for Owner 13 Agent for Contractor . y'. V T ]' BUTTE COUNTY C� Fo DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION o o AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 o=?'_�a 0 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION c0U 14 Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** • WAFAM :1MAMpo ' t Name ►, � Vl= State Zip °�1 I X70 % E-mail � : 11 6.,M-1��► M CONTRACTOR Nam S 0 V ,(f� � Vl= State Zip °�1 I X70 % E-mail # ClassG� APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Planner Fax E-mail State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT ./ - �- 1�T For office use only: Zoning Flood Zone SRA I Yes FNo Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. MR) BIN # OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: U -E�DlnctX . Sq.. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. �) ao Received by _ �'J , Amount: Bldg Receipt #:�3130(--7 Date: r% - t ( - 0 5 Other o1C) Total REV 2-24-05 LOCATION AP# 0 -130 - 0 Pr y Aidr s L /V /S `/'/ S CrosStreet . WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: U -E�DlnctX . Sq.. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. �) ao Received by _ �'J , Amount: Bldg Receipt #:�3130(--7 Date: r% - t ( - 0 5 Other o1C) Total REV 2-24-05 w SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd,plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). , Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire 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. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 V