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HomeMy WebLinkAbout025-200-020025-200-020. PERMIT#98-0139 MACFARL"E,, Wesley, 383 E Gridley Rd., Gridley Ele Ser Ch & Rer f/SF, 025-200-020 02-2U1!NALEDMACFARLANE, WESTLEY383 EAST GRIDLEY RD., GRI CONT: BILL'S ROOFING RE -ROOF 6 0 i F r 1tI ` f :i 1 a � 6 025-200-020 02-2251 MACFARLANE, WESTLEY 383 EAST GRIDLEY RD., GRIDLEY CONT: BILL'S ROOFING RE -ROOF u COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-75 ' 'PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 0; ' ip ASSESSOR PARCEL NUMBER 025-200-020 ZONING BUILDINGPERMIT OWNER MACFARIME WFSII.1r"Y TELEPHONE SO. FT. OCC. BUILDING VALUATION 20 1 200.00 OWNER'S MAKING ADDRESS 383 EAST GRIDLEY ROAD GRIDLEY, CA 95948 CONTRACTOR'S NAME BILL'S ROOFING TELEPHONE 1846-3981 CONTRACTORS MAILING ADDRESS 1770 KOFEMROM GRIDI CA 95948 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1 200.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BBUIILLDINGADDRESS 3S Energy Plan Checking Fee $ $ PERMIT FEE $ 49.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF;O Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other M Describe Work: RE ROOF WITH MT ! Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VOR LESS Main Service zo.A OR LESS 23.00 T 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. Or 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( a ACC. BLDS. 3.50 FT. , OPI-COS MULTI.OUTCIRTS @7.50 CUI a PSINGLE OUTLET CIR. OWER APPARATUS 20 Q ,.00 Ex. Occup. OUTLET OR FDRURES BAL @ .50 Ex. Occup. oFuT,EEDTSA(R D)Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation /of one hundred dollars ($100) or less.) &0101 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' i 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 mforthwith comply'with.those provisions. Qate j _ 02 X t� i ' (� lJ i Signature of Applicant - ❑ Owner Contractor ❑ Agent ,%An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heigh V�.._I Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 49.00 HA2. I D. FEES IMP I FLOOD 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. jy `�- By- M / 4 1�,,// ,N1 oA Date PERMIT EXPIRES ON s �� zt! Dw- Receipt No. ,lbs kq 44 WHITE-D.D.S.-B.D. — CANARY -A ES'SOR PINK -INSPECTOR GOLDENROD -APPLICANT r� �D COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 PERMIT NO. V (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 025-200-020 ZONING BUILDING PERMIT OWNER MACFARLANE WES= TELEPHONE SO. FT. OCC. BUILDING VALUATION 20 S 1 200.00 . OWNERS MAILING ADDRESS 383 EAST GRIDLEY ROAD GRIDLEY, CA 95948 CONTRACTOR'S NAME BILL'S ROOFING TELEPHONE 1846-3991 CONTRACTORS MAILING ADDRESS 1770 KOFFORD ROAD CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total valuation $ 1,200.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS CA 95948 Energy Plan Checking Fee $ _y $ PERMIT FEE S 49.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF)a Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other jQ Describe Work: RE ROOF WITH COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 0 E 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, nd my license is�J f Fe and effect. /e� License Class Lic. No. [ / � l 2 OWNER -BUILDER DECLAR ION 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 Main Service 200A TO 1000A 46.00NEW COLT. DVFILJNG OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT. NON. ITS MULTI.OUTLET @7,50 a soirWio E APPARATUS OUTLET c . OUTLET FIXTURES Ex. Occup.BAL 20 Q 1.00 @ .50 Ex. Occup. DFlxur ETs p. 0EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION rI 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation /�f one hundred dollars ($100) or less.) of 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 workers'HOZ. 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 hwithMmTose provi ' ns. W_ VV ri6-n—ature of Applicant - ❑ Owner Contractor Agent ermit is required for excava ons over 60" deep and demolition or construction of structures over 3 stories in height Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 49-00 D. FEES IMP I FLOOD CDF PARCEL Po HD 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. ' Date 01—/9 - PERMIT EXP RES ON [,� Date ReceiptNo. . Df WHITE-D.D.S.-B.D. C NARY•A S OR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION t 7 County Center.Drive - Oroville, California 95965 • Telephone (530) 538. 541 tRev. 12/96) APPLICATION AND PERMIT _ a�pEa N A::ciioLL►ARcaLAlLASEJI a0® ^ , BUILDINOPERMIT 0799 ZAA �"°"� SO. FT. OCC. suILOINo v owNE7ls ADDRESS a /A, ALUATION COMNA1AEr _ COMMCTORS ~4 ADD 9 © 40 (� CONSTRLICnONLE/OER - LENDER'S MNLAM ADDRESS ARCMrECT OR DONEER AACNrtECT OR ENORM3 MAl1NO ADDRESS - // /i /) 1 . . Fire lace Total Valuatlon LICENSE NO Filing Fee Permit Fee Plan Checkin F J c r ,a 11A Energy Plan Chi LOT NO ( Suso"ONS NAME PAACEt. MAP USEOFSTRUCTURE SFDuplex O Mobilehome ❑ Other SPEcsv TYPE OF WORK New O Addition O Remodel ❑ Utilities ❑ InstaAe ❑ Other Describe Work: (�f 0 'ikrw,� �et7b►�d 4 a SR11 1� S1ytr�.� O4aKcsr-Ttct;Vd 14 1� � a ace RtAum iftca" Lk+vr �S b E E ng Fee t i PERMIT FEE _ PLUMBING PERMIT Each Trap Soler or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Buildino sewer Mobile Home S G W PERMIT FEE S ;;0,; Z91 -0I --MuLT1-Ounzr 1 9MUMI POYMpI AM"" • sN O 10. Ex. Occup. ovnET opt iOnu REs Ex. OCCuMED APPL43. OR OUTUM ESID. EA Temporary Service Mobile Home Facilities Misc. Wiring PERMIT FEE _ MECHANICAL PERMIT PERMIT FEE S Moble Home Installation Fee 6 Energy Inspection Fee t 0C =ding Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 C4j20.00 ng Fee 20.00 23.00 46.00 3.SCs°� 5.00 23.00 20.00 23.00 Fee 20.00 6.S01 r..-". - TOTAL FEE $ L6!2 C HA2 0. AYES I WP I n.000 I CD/ I PARCEL I ro I - i ssuI This permit is hereby Issued under the applicable provisions of the Butts County Code end/or Resolutkons to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON .. .+.,,, �sT4\"air •�::'•sm v A 1 025-200-020 PERMIT#98-0139 MACFARLANE, Wesley 383 E Gridley Rd., Gridley Ele Ser Ch & Reroof/SF 4 XpQ.rs f OFFICE COPY Address Date Meter -By �J ELECTRIC paw Meter BY J ) 1 e' COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION , 7 County Center Drive - Oroville, California 95965-- Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 4)K-n13i ASSESS 0 PAfi_CEI.NU 20 '�•SJ'�"z ZONING BUILDING PERMIT OWNER MACFARLANE' TELEPHONE OCC. --BUILDING VALUATION OWNER'S MAILING. ADDRESS 1052 E EVANS REIHER ROADo GRIDLEY 95948 RSIQI.FT.WESLEY 10 CONTRACTOR'S NAME _ OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 „ Permit Fee $ V1V� ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 383 E, GRIDLEY ROAD, GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: UPGRADE ELBC AND REROOF ( I rl /I, GY t+y r In . en ti Gi Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200.' OR LESS 23.00 73 • DU 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.Pow 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR so OR ADDNS. ( d ACC. BUDS. 3.5¢FT; Ho q I. T' MULTI.OUTLET @7.50 ER APPARATUS d SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 @ 1.00 Ex. Occup.BAL @ .so Ex. Occup. OUTELETSPRESD.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP 23,00 PERMIT FEE S + 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. ❑ 1 have and will maintain workers' compensation insurance, as require by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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. , IT 1 X ��/ /�yt1n[ 1 f?-%w+,.�__ Date c} _ Signature of FApplicant - El Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and /demoili�tion or construction of structures over 3 stories in height. �i ,��f �� d Mobile Home Installation Fee is Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ lAs'.'OB" HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD 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. Bye h4► V _ >/ Date 0/ _ PERMIT EXPIRES ON � A l 99 Dale Receipt No. 231598 " 1j%, /i1% � . O� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -IN PECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 025-20-0-020 ZONING A-40rc BUILDING PERMIT. OWNER WESLEY MACFARLANE TELEPHONENFR SO. FT. OCC. BUILDING VAI OWNER'S MAILING ADDRESS 1052 E EVANS REIMER ROAD, GRIDLEY 95948 es t l0 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRNONE LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $960 ARCHITECT OR ENGINEER NONE LICENSE NO. FilingFee $ 20.00 Permit Fee $ �' ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 383 E. GRIDLEY ROAD, GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ &3.6() Lor No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ XDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work- UPGRADE EL�E'fC AfN/D� REROOFL, EL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS Main Service zo AOR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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 CIflsS 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 Mein Service TO 46. 00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. SO so 3.5¢FT, NOON RESIST' MULTI-ORANCH CU MULTI -OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BPL 4 1.300 Ex. Occup. oFlx�eFD�A .=.) OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP 23.00 PERMIT FEE S 66.00 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling - Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) -4 1 certify that in the performance of the work for which this permit is issued, l 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. /J X '�1/ YYI a o- --Date Signature of pplicant - Owner ❑ Contractor ❑ Agent An OSHA per it is require for excavations over SO" deep and demolition or construction of structures over 3 stories in height. �' Mobile Home Installation Fee Is Energy Inspection Fee Is 11-9.00 Occ CONST. TYPE TOTAL FEE $ 1997e15 - FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicat a ove for6L� hi fees h v B OW JumZ/f PERMIT EXPIRES ON the applicable provisions R solutions to do work een paid. Date _ IA-/np T19 rReceiptNo. P HITE-D.D.S.-B.D. CAN AS SSOR PINK- PECTOR GOLDENROD -APPLICANT All 4 C, ,(,XTY OF BUTTE= DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICA TION DA TA SHEET V OWNER: ofd, SESSOR PARCEL NUMBER: 00' 0 0� Proposed Buil ing Use: Building Inspector: ._ Date: 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 -------------------------------------------------------------------------------------- D2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ D3. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.--------x`�:' ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- El 7. Statement of Intent for Non -Heated and A/C Buildings.---------------------------------------------------------. ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------ ------'�, . ❑ 10. Fees of $ ' ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 13. Flood elevation certificate. ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ------------------------J--'=--- - -= --=---------------------------------------- ❑ 16. Plot plan and busmess:Aicense-approval from4herCity ,.ofBiggs.---------------------------------------------- 1117. --------------------------------------------- ❑17. Planning appi6val for (A) Use: (B) Parking ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19 Encroachment Permit for driv way (construction approval prior to occupancy)- -------------------- - .Pe -inspection for (tfCt c -f r IN C required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------ ❑22. Workers' Compensation carrier and policy number. 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 11) - -------------------------------------- 024. Letter of signature authorization.-------------------------------------------------------------------------------- _ ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use.----------------------------------------------------------------------------------- _ ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------- _ ❑29. 0433A, ❑Grant eed, ❑ M.H. Title,Check to H C.D $ .--------------- _ 0. Other: 3 a itfYl ' O r S` 4- to 14 C ------- When you issue the permit, process as follows Mail to owner, 19Mail to contract r. ❑Telephone and hold for pickup at office. ❑ Deliver with inspector. (Date) Applicant: Date: / ; c .. i Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List: 2' Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by' .'. Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑Building Division 'counter,.liy Date: Contractor, designer, owner, was advised of the above requu�ed data by ❑ phone, ❑ mail, ❑ Building -Division counter ,. by' Date. �. °} 7! r' 1: w` vl , e' { �, � .�. , ." f ,... r O ` ra4i y. rt r c e Plans reviewed by: Date: Plans approved by: „' Date: , s . Sets of plans on hold in o Plan Cabinet'❑ A.P. folder. �' Note transfer by: Date:" '} Yellow Copy - Department of Development Services, Building Division. OB. -1 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 M NO ❑ 2. I HAVE ® HAVE NOT ❑ 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBS : DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. Tl:is verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for vpur benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verifrcation4 on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER C�zunc/ Center Drive, Croville G Phone: 915-538-7541 WESLEY MACFARL.ANE 1052 E EVANS REIMER RD GRIDLEY CA 95948 RE: PERMIT FOR ELECTRIC UPGRADE AND REROOF A.P. # 025-200-020 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm DATE: 2/3/98 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations /expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road PLEASE APPLY FOR ADDITIONAL PERMITS FOR SIDING.AND REPLACING WINDOWS. Other: IS G PERMIT APPLICATION FOR THE E F-CIRIC CFRVTCE Should you have any questions concerning the above, please contact ANNE BRANDEL of this office. 4Man very t , (08:00.- 4:00 MON - THUR) l C. Vieira, C.B.O. MCV:ahb r, uilding Inspection PRE -"INSPECTION OWNER : (�/ C S (� /� f-0 LOCATION: CONTRACTOR: ===----------- ---------------------------- PRE -INSPECTION FOR: v( DATE /Z,� 2 A. P. # ®c),5 "c�D�'(io�� ZONING 11110 ----------------------------- ----------------------------- )�rv; DATE TO INSPECTOR- ---------- PERMIT HISTORY: NONE AS FOLLOWS: TYPE OF OCCUPANCY ------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------- FIELD - INFORMATION BUILDING USAGE: TENNANT : [� OCCUPIED!Q/HAS ELECTRIC FEOAs GAS AS SANITATION FACILITIES HEATED -COOLED L_j PERSON CONTACTED5c OTHER COMMENTS: ;,Vo ACTION RECOMMENDED 0 ISSUE E��HOLD FOR OTHER: RINI u DATE :9— �` �� UILFuN IT ur esu i It -UtI'AH I Mtn I Ul- UtVELUYMLNT 5ERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, Californip 95965 - Telephone (916) 538-7541 PERMIT NO. 12/96) v APPLICATI'ON AND PERMIT .SESSGR�1RCi-.,57 R _ 5L y� C, /O`) '`(/) /v ZONING 0 BUILDING PERMIT NNER TELEPHONE SO, Fr, OCC. BUILDING VALUATION NNERS MAILING ADDRES )NTRACTOR•S NAME Ifi2t/-) L.1 c V, TELEPHONE )NTRACTORS �UAG ADDRESS . - )NSTR CN LENDER NDER•S MAIUNG ADDRESS Fireplace Total Valuation $ ;CNRECj O41 ENGINEERLICENSE NO. Flirt Fee $ 20.00 CNITECT OR ENGINEERS MAIUNG ADDRESS Permit Fee $ W.00 Plan Checking Fee $ JILDING ADDRESS /'� /v^ r tC' rc, C Energy Plan Checking Fee $ $ PERMIT FEE $ )T No. SUaDNIS IONi NAME PARCEL MAP PLUMBING PERMIT .601 Fling Fee 20.00 USEOFSTRUCTURE r 1 F ❑ Duplex ❑ Mobilehome ❑ Other 1 SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 - Water piping 15.00 TYPE OF WORK few ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ,escribe, Work: UP q )(, Cl L t� /' Jr -0 O Out Each as water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home is G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service.eoov oR LEss sow oR uess 23.00 LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, -id my license is in full force and effect. :cense Class Lic. No. OWNER -BUILDER DECLARATION i hereby affirm under penalty of perjury that I am exempt from the Contractors License sw for the following reason: ❑ 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 for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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 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' compensation insurance carrier and policy number -are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 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 _ 'ignature of Applicant - ❑ Owner ❑ Contractor ❑ Agent .n OSHA permit is required for excavations over 5'0' deep and demolition or construction )f structures over 3 stories in height. Main Service sow TO I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a ACC. BLDS. 3.5¢FT: NEW CONS MULTFOUTLLA NON-RESID. @7,50 POWER APP uS 8 SINGLE OUR.ET CIA. Ex. Occup. OUTLET OR FIXTURES S+w°'.w Ex. Occu . OFlunE;s as D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mi s Wiring 23.00 �e _ oD PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP FLOOD CDF PARCEL PD ND ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date (0410 leceiptNo. VHITE-O.D.S.•B.D. CANARY• SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT