HomeMy WebLinkAbout025-060-01925-06-19 46 0
Jack K-a-waski
W/S L in Rd.,1000'N.of Walnut Ade.,
Biggs
Permit 6425-w77B(new roof hea ing &
asphalt singles/SF)
Z-;�j
roof
hea,-i rgl,
<tl�,6 4 2
025-060'019 PtRMI;T#16-i6
KAWASKI FARMS.,
3229 Larkin Rd., Biggs
Cont:.Robert. King
:,El:e' Ser'Ch &
wo
025-060-019,* .04-2891
YANDELL RANCH-LANDTR.USTi
3229 LAkKIN RD, BIGGS
Cont: GRE61E & SONS',, i
RER OOF, 110 L
il
Ln
r 0;-
Butte County Department ofDevelopment Services
Tim Snellings, Director i Pete Calarco, Assistant Director
o�UTrFo
7 County Center Drive 0 0
Oroville, CA 95965 0 0
(530) 538-7601 Telephone o - _— o .
(530) 538-7785 Facsimile
www.buttecounty.net/dds
ADMINISTRATION * BUILDING * PLANNING
November 6, 2006
Michael Kawasaki
3229 Larkin Rd.
Biggs, CA 95917
Re: Application for Lot Line Adjustment, LLA06-0051
A.P. Number(s) 025-060-019, 023
Dear Applicant:
On November 6, 2006, the Department of Development Services made the finding that
4 the Lot Line Adjustment on the above referenced property is exempt from environmental
review, and approved the project subject to the conditions on the attached page.
Should you appeal the decision of the Dept. of Development Services, please submit
your appeal, in writing, with the appeal fee of $50.00, to the Clerk of the Board of
Supervisors, 25 County Center Drive, Oroville, California 95965, prior to 4:00 p.m.,
November 15, 2006.
The conditions of approval must be met within thirty-six (36) months from the date of
approval by the Department of Development Services or the approval will be considered
null and void.
If you have any questions concerning this matter, please contact this office at (530) 538-
7601, Monday through Friday, 8:00 a.m. to 4:00 p.m.
Sincerely,
Charles Thistlethwaite
Planning Manager
cc: Richard F. Sannar, 556 Little Ave., Gridley, CA 95948
Environmental Health Department
Building Division
EXHIBIT A
Lot Line Adjustment for Michael Kawasaki, APN 025-060-019 & 023 File # LLA 06-0051
CONDITIONS OF APPROVAL:
1. New lot or parcel lines shall comply with setback requirements of applicable zoning and building
ordinances.
2. Deeds and plats (if required) shall be submitted to the Department of Public Works, Land
Development Division, for checking and approval prior to recordation and shall contain the notes
specified below.
Provide documentation from a title company of the applicant's choice verifying any deed of trust
affected has been partially re -conveyed or modified to reflect the lot line adjustment and to prevent
the creation of any additional lot or parcel.
4. Prior to recordation of deeds, provide documentation verifying payment of taxes as required by
Subsection (b) of Section 20-95 of the Butte County Code and as specified in Article 8 of Chapter 4
of Division 2 of Title 7 of the Government Code, commencing with Section 66492.
Deed Note
(To be placed on any deed to effect lot line adjustment)
The purpose of this deed is to effect a lot line adjustment as approved by the Butte County
Director of Public Works on
combined with and become
. The above described lands are to be
a part of those lands as described in the deed to
as filed for record in Butte County Official Records at Serial
Number Book Page . No additional lots or parcels are
created hereby. The scope of review of said lot line adjustment was limited as specified in
Government Code Section 66412(d), and approval of it does not constitute assurance that
future applications for building permits or other land use entitlements on the modified lots or
parcels will be approved by the County of Butte.
Plat Note
(To be placed on any required Plat)
This plat does not constitute a legal description of the lots or parcels depicted and does not
show all easements of record on or affecting said lots or parcels.
■ Butte County Department of Development Services ■
■ Kawasaki LLA06-0051 Memorandum ■ Page 3 of 3 ■
R
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE it: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP042891
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 70001 of Division 3 of
Issued Date•- 10/04/2004 APN • 025-060-019-000
the Business and Professions Code, and my license is in full force andeffect.
75-06:
2'
Site Address: Lar *, �a
License Class: `—� License Number:
J��
Date: 119 -d Y Contractor. ( re if ff-e- te9 C12"r°'9
Map Index:
Description: REROOF W/COMP 30 SID
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
Owner: YANDELL RANCH LANDTRUST
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
C/O OWEN CHARLES
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
55 SPRINGSTOWN CENTER STE 131
she is exempt therefrom and the basis for the alleged exemption. 'Any
VALLEJO, CA 94591
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).):
❑ 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
Code: The Contractors' State License Law does not apply to an
Applicant: YANDELL RANCH LANDTRUST
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ 1, 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
not apply to an owner of property who builds or improves thereon,
j
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor: GREENE & SON ROOFING
❑ 1 am Exempt under Article 3 of the Business and Professions Code
PO BOX 2467 _
Date: Owner:
PARADISE, CA 95967-2467
530-873-3940
WORKERS' COMPENSATION 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 #: 275057
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
have and will maintain workers' compensation insurance, as
Architect: 4
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carder policy number are:
//and
J `e Fp( N a
Carder: o� J/T
.,/
2 3 1 Y a
Policy #: 7
Total Square Ft: 0 S.F. _ l
❑ 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.
—v
Date:
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
I hereby affirm that there is a construction lending agency for the
This pe miti hereby i sued under the applicable provisions of the Butte County Codp 2nrt/or
Resolutions t w indicated above for which fees have been paid.
L 1
performance of the work for which this permit is issued (Sec 3097 Civ.)
l/)
BY Date: � ,
Name:
��r
PERMIT EXPIRES` }
Address:
Da e
❑ I 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. 1 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 fondocument of Butte County. I hereby
authorize representatives of Butte County enter upon the above mentioned property for inspection purposes. pr
�to
�`
Print Name: 0 �ty�aa"�- Signature:
' `�/�
Date:
❑ Owner ®ontractor 0 Agent for Owner ❑ Agent for Contractor
_ BUTTE COUNTY
A 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.
BP042891
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: 10/04/2004 APN: 025-060-019
the Business and Professions Code, and my license is in full force and
effect. n
License Class: ` —3 License Number. Z7S05/
C, /� /`iC� ti
Site Address: �?j� / C.��I t �S
Date: f0 1%-dlf Contractor. t4:@/1i� t�90 �` �
MP Index:
Map
Description: REROOF W/COMP 30 SQ
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
Owner: YANDELL RANCH LANDTRUST
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
C/O OWEN CHARLES
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
55 SPRINGSTOWN CENTER STE 131
she is exempt therefrom and the basis for the alleged exemption. Any
VALLEJO, CA 94591
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).):
❑ 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
Code: The Contractors' State License Law does not apply to an
A -
Applicant: YANDELL RANCH LANDTRUST
owner of property who builds or improves thereon, and who does
PP
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ 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
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor: GREENE 8r SON ROOFING
O 1 am Exempt under Article 3 of the Business and Professions Code
PO BOX 2467
Date: Owner:
PARADISE, CA 95967-2467
530-873-3940
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
O 1 have and will maintain a certificate of consent to self -insure for
License #: 275057
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
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 carder and policy number are:
�/TT-eP,
Carrier:
3,& Y 7`
Policy #: 2!2/
Total Square Ft: 0 S. F.
❑ 1 certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, 1 shall not employ any person in any manner so as to
Census
become subject to the workers' compensation laws of California,
Code:
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:
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 s provided for in Section 3706 of the Labor
cede, interest, and attorney's fees.
/cp
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
This permiti hereby i sued under the applicable provisions of the Butte County CodA ?nrVor
Resolutions t w indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
l� , �
Name:
By: Date: U
PERMIT EXPIRES ) '
(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 for r document of Butte County. I hereby
authorize representatives ofButteCounty to enter upon the above mentioned property for inspection purposes.
%
�L "�-
Print Name: / Signature: !/!'
Date:
❑ Owner 4ontractor 0 Agent for Owner ❑ Agent for Contractor
U AnA_))
-> BUTTE COUNTY
J
DEPARTMENT.OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
v,r\ OFFICE #: (530) 538-7541 ,
A FEE.WILL BE REQUIRED AT TIME OFAPPLICATION
LEASE PRINT CLEARLY**C)
cel
APPLICANT NAME
OWNER
LastFust
City
Name
, b 7
city
a� g e
Address
/ `-�
City
State
ZIp
E-mail
Planner
Uc.2: � d
Phone
Fax
Z 7 2—
E -mal
'
APPLICANT NAME
CONTRACTOR
Name
City
Address
, b 7
city
a� g e
Stat ,
Z 7
Phone
F23 -39,z,
Fax
E-mail
Planner
Uc.2: � d
CI s3
APPLICANT NAME
-- - -ARCHITECT/ENGINEER' -
Name
City
Address
Zip
City
Fax
State
Zip
PhoneFax
ell
Page
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only -
Zoning
Property Address
3
Flood Zone
Cross Street
SRA
I Yes
ND
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
BP
BIN #
LOCATION
API
Property Address
3
C'
Cross Street
WORKER'S COMPENSATION
Policy N er d
itT
Carrier
Jother
If hiring anyone than license contractors, a certificate of worker's
compensation must be shown at the time ofpermit issuance.
LENDING AGENCY
Name
Address
Description o Scope of Wok:
O k� V -e
Sq. Footage 0 -4
❑ 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.
Received by:
Amount
SRA
Receipt It Sheriff
SMIP
Datei b C7 Other
O Total
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 LEG/BLEAND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl
❑ 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. (Note: Not required for additions to
mobile or modular homes.)
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Data sheets and 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).
❑ 13. Sanitation and site plan approval from the Environmental Health Department.
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 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
:1 2. Impact Fees.
:1 3. California Department of Forestry plan approval (if required).
:1 4. NPDES Form.
:1 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
:1 6. Contractor's license information: (Number, Name Style, Classification).
1 7. Worker's Compensation Carrier and Policy Number.
7 8. Owner -Builder Verification (if required).
7 9. Letter of Signature authorization (if required).
7 10. Recorded copy of Agricultural Acknowledgment Statement.
3 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
f you have questions or would like additional information regarding this process, contact a Permit
kpplication 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
-n an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
:eTunds can only be made upon written request by the person who paid the fee. The request must be made within two
aars from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
:sued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
Teck fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
TORMSIBUILDING FORMS\BIdgApplSubRamts.doc Pana 7 r f'>
� � „ �;,., _...g:� .. .. .;r = , ti^v-+4+«uan. �,•,"•' v`'i'C"'T z' K ,e:T�j'?cT.r:; ,yPa r`r -1r, `
10
I
025-060-019 PERMIT#96-1622
KAWASKI FARMS '
;3229 Larkin'Rd., Biggs -
Cont: Robert.King '
Ele Ser Ch &.Repairs/SF
OFFICE COPY
Address J
GAS
Meter By Date
ELECTRI
Meter By Date?��w
COUNTY OF BUTTE - DEPARTMENT OF Df-VELOPMENT SERVICES - BUILDING DIVISION
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 53 7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 025-060-019
ZONING
EfUILDING PERMIT
OWNER KAWASKI FAMIS
13229
TELEPHONE
SO. FT. OCC. BUILDING VALUATION'S
OWNER'S MAILING ADDRESS "Dyt .,
CONTRACTOR'S NAME ROBERT KING
T=701
CONTRACTORS MAILING ADDRES4 99 IIAM GRIDLEY
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
•
Fling Fee $
20.00
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 $
T
BUILDINGADDRESS 322{� 7 LARKIN RD
PERMITFEE $
35.00
PLUMBING PERMIT
Filing Fee 20.00
BIGGS
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME •'�
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF [I Duplex, 0 Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ELEC CM4GE. WATER DAMAGE
—
Mobile Home S G W
920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filinq Fee 20(.0(0
Main .Service ( 000V20OR LESS )
OR LESS
'23.00 23.000A
Main Service ( 2..A TO woo ,)
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. �^_r S// 4/ t—Ex,
'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 OCCURS0.
OR ADDNs. ( a ACC. BLDs. )
3.5d FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS, )
97.50
POWER APPARATUS
(a SINGLEOUfIETR. )
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL .50
Occup. UTLETS OR )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
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' complenseLition insurance carrier and policy number are:
Carrier 5,/ r — -• •-"
MECHANICAL PERMIT
Filing Fee 20.00
g
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number / Z / -Z !�J !�
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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
forthwith comply with those provisions.
X�//��� — Date ice. rj_�.
lgnature of/Applicant - ❑ Owner ❑ Contractor ��k 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 Is
occ
CONST. TYPE
TOTAL FEE $ 113.00
NAZ. 1
O. FEES
IMP
I FLOOD
1CDF PARCEL I PD I HD
SU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for whiclrfees have been paid.
BY
PERMITEXPIRESON
I (Date)
Receipt No. .G3
WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVEL9PMENT SERVICES -BUILDING DI ION
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 53 41 PERMIT NO.
APPLICATION AND PERMIT W, -142
ASSESSOR PARCEL NUMBER 025-060-019
ZONING
GILDING PERMIT
OWNER KAWASKI FARMS
TELEPHONE
SO. FT. OCC. BUILDING
VALUATION
500 00
OWNERS MAILING ADDRESS 3229 LARKIN
CONTRACTOR'S NAME ROBERT KING
TELEPHONE4-701
CONTRACTORS MAILING ADORES[} 99 HAZEL GRIDLEY
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation Is
500.00
Filing Fee $
20.00
LENDER'S MAIUNG ADDRESS
Permit Fee $
Q
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS 3229 LARKIN RD
PERMITFEE $
35.00
PLUMBINGPERMIT Filing Fee 20.00
BIGGS
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00 15,00
YY USEOFSTRUCTURE
SF i6 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: _ ELEC CHANGE. WATER DAMAGE
Mobile Home I S I G W 1 920.00
PERMITFEE g 35,00
Contractor
ELECTRICAL PERMIT Filina Fee 20:00
Main Service ( eoov OR LESS )
200A OR LESS
23,00 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. 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:
❑ 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
OR NS. ( 8 ACC. )
s0.
3.5¢ FT.
NEW CONS.
MULTI.OUTLETLE T
NON-RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FIXTURES )
BAL Q I.50
Ex. Occup. (oFFXD I ELET3 (AEN o.OR )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE S
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' coypijenr tion insurance carrier a d policy number are:
Carrier / �C/ %' `c ^ G
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number l Z J Z
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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
fort ith comply with those provisions.
X Date ���=� _
nature 6f41`plicant - ❑ 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 $
Occ
CONST. TYPE
TOTAL FEE $ 113.00
HAZ.
1 D. FEES
I IMP
FLOOD
I COF
PARCEL PO HD
SU
This permit is hereby issued under iIi a applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for whi ees have been paid.
, 9
By,`� a ee
PERMITEXPIRESON G -(7
I (Date)
Receipt No. 02123
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
0
HERMIT N0. 6425-77B
.�1 PERMIT EXPIRES �.,is//��7_ '
OWNER Jack Kawaski
CONTR. owner
LOCATION (A.P. 25-06-19
W/S Larkin Rd.,1000'N.of Walnut Ave., Biggs
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Cafled PG&E
Teml Gas Serv.
Called PG&E
ONALED
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------- Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
M0016EWOME INSTALLATIIPN - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
'9
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwal l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
p
Footings
Slab
Prov. for physically
handicaped
Conformance of ex.
structure
Final
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Patio
FIREPLACE
Final
Footings
Footina
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------- Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
M0016EWOME INSTALLATIIPN - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
'9
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 /�����
Telephone: 534-4541 }/��,
APPLICATION AND PERMIT
authorize represeniatives or the County of Butte to enter upon the
above-mentioned property for inspection purposes. 7
X _" Date '44/
Signature of Perermitee/orr Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
AI
W1 OF P LIC WORKS
By �� Date11Z� 7 -7
Building permit expires Date A�-::::;«cl!
BUILDING
Owner
C ct.w
SQ. FT. OCC. BUILDING VALUATION
Mailing Address d
el p ne o
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address W _j Q
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
0-00 LAGtr �-Q�
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. �- Q - /
Z
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
W.
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
IParking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
provements
Lawn sprinkler system 2.00
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service io00o AMP OR1 OR LESS5.00
1�
Main service EA. ADD -L too AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW OR ADDNS. ( ACCLBLDGS.LING CCUP. &1 2¢sgft
NEW CONSTR. (MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) BA@@�1
Ex. Occu FIXED APPLNS. OR
P• ( OUTLETS (RES(FIXED
EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
coI am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
have placed on file with the County of Butte a certificate of
F-1 'Workmen's Compensation Insurance.
IN 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 the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$� '-
authorize represeniatives or the County of Butte to enter upon the
above-mentioned property for inspection purposes. 7
X _" Date '44/
Signature of Perermitee/orr Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
AI
W1 OF P LIC WORKS
By �� Date11Z� 7 -7
Building permit expires Date A�-::::;«cl!
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL JNSPECTION REPORT
Owner: A.P. #
Address:�Date of Inspection
Tenant: Inspector:
Building Location:
Type of -Inspection requested:
1. Housing 2. Financing L 3. Change of Occupancy to
4. Other (specify)
Present use of building:
A. Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Connection to sewage disposal:
'12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Comments
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing:
4. Comments
D. Plumb in
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem or violation (give complete descri tion) :
-T
2. What action take (give complete description) :
3. What action recommended:
TI A. Information only - file.
B. Hold for ten (10) days, then write letter,
C. Write letter.
7 D. Other: