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HomeMy WebLinkAbout026-040-02326-04,.-� . . _ ��._.. Tco16 UIS F,- ULMAN 35 Irwin Ave., Palermo ntr: E. D. Stafford, Biggs Permit #5359-75B,P,E(construct detached bath & elec.serv.change/ SF) 4.r DANIEL CHIRILOV 26-04-23 6835 Irwin Ave, Palermo Permit#3890-88B(demolish/stg bldgs) 026-040-023. �. 05-04607r r "MESTAZ, THOMAS- i 6835'IRWIN PALERMO, A!•' v Cont: OWNER„ "':j 'UPGRADE ELEC SRV.-, ' ' i ,+ � r ✓, A m u cy�cfl� o I n i A f PERMIT NO. 5359-25B.P'E t P E M MH UTIL. PERMIT NO. PERMIT EXPIRES < �"L d N'19 Y) OWNER Louis F- Ulman �GONTR. F.- n- Stafford gicrcrS 'LOCATION (A.P. 26-04-14 1835 Irwin Ave., Palermo Temp. Power. Rulot�-_ Called PG&E ?MW.�Elec. Serv. �` '" Called PG&E �. ' Temp. Gas Serv. Called PG&E JOB FINALED (Date) t' f (Signatur a� COUNTY OF BUTTE — DEPARTMENT SOF. 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 StemwaIII Siding To out Slab Roof Sheathing Water Piping 2 Is Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final / w Z — �% 4— Footings Footin s Footing ELECTRICAL Masonry Walls Throat Rou h 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 DATE 7 ( J REMARKS OR CORRECTIONS 4a-- P / 1 � - l " Ile C117 .c. r e- A4 I AK Lai) ':2�- 40 tv Jcmol--7y O v f? t? -t ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR.' 7 County Center Drive — Oroville, California 95965 �o�c �, Telephone: 534-4541 APPLICATION'AND PERMIT P/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Krrni4eS or Agent Receipt No. le�15_ ZZ22W White-D.P.W. - Yellow-Assesso - 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. DIRECTOR OF BLIC WORKS r BY -Date U .' ilding permit expires Date ����- e`e� BUILDING Owner '` SQ. FT. UCC. BUILDING VALUATION 'Fd _T Mailing Address Telephone No. Fire lace Contractor ( Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty A Telephone No. Permit Fee �� -- Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3r�U Each Trap 3 1.50 ' Repair drainage or vent piping 1.50 Water piping 1.50 _ Each gas water heater or vent 1.50 A. P. No. r ^— I Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S o Fire Dept. re Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvem nts Lawn sprinkler system 2.00 Bldg. PI s Rec'd Parcel Ap val Plans proval Permit Fee $ NEW r( ADDITION ❑ UTILITIES ❑ OTHER [ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter app Additional meters each 1.00 Single Family Duplex ❑ Mobil Home ❑ Other Sub -panel (12 or)Zss) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space He Ver 1.00 /,00 Light fixturesb (�2 10 ,Z) R%%ps., swit_&es & fix ou is 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 /% Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner_ or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. `-.!r Classification �t! Misc. wiring„ ❑ I 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 $�a- authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Krrni4eS or Agent Receipt No. le�15_ ZZ22W White-D.P.W. - Yellow-Assesso - 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. DIRECTOR OF BLIC WORKS r BY -Date U .' ilding permit expires Date ����- e`e� 0 ,. �w �y;ti,....rTe..�•.-,c+.r^�ae�j.�.����"TnY'�: ':.+ix;N%n1l'i�..: ,s''', 4A.�`, � ;±�,�`.�z :...n.R'.J�F.�J;'�"`f�'M'"f�'s```�su'�'YF, :d: r''i"1{ }t} Permit#3890=88B Daniel Chirilov • 6835, Irwin AVe, PAl � \ • � �, a �,w say' _ I s. 'tl l` w ``ti j�zS•".,�;'�T^.�'.'✓?l` M.: �,: M.l�'- 'cr - iL� 'j:1: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAT19N.&N-9 PERMIT ASSES R ARCS UMBER ZONING BUILDING PERMIT OWN N P. I{rI O TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI LIN DDRE S - ' a 0 COCACTOR•S NAME TEL E CONTRACTOR'S MAILING ADDRESS Fireplace CONS R CTION LENDER - 1 - UNKNOWN Total Valuation $ Flling Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ (� ARCH ; CT OR ENGINEER I LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS+, Penalty $ BUILDING ADDRESS Q,,, I1 Permit fee _ $ O PLUMBING PERMIT Filing Fee 10.00 I A Each Trap 2.00 Q Ir Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTUREGas SFf*. Duplex❑ Mobilehome❑ Other 5 I- CIF piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G IN 0.00ea TYPE OF WORK New[—] Addition❑ Remodel U ilities p Installation Other Descr�e work: P t V' n P Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslne$$ and Professions Code and my license is in full force and effect. License No. 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.M` I OR ADDNS. ACC. BLDGS. / /20sgIt NEW CONSTR. MULTI -OUTLET 2.50 ea NON.RESID .BRA CH CIRC ITS /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occu 20 a D0e p OUTLETS OR FIXTURES 8AL030 Ex. Occup. OUT ETSP(RESID )FIXED ALNS.REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor 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. 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct.( 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. z I also agree to save indemnify and keep harmless the County of Butte against all liabilities,-judg'mAnts, costs, and expenses which may in any way accrue against said Coufniyn equence of the granting of this permit. 5i. ature of Applicant i Owner�Contractor ❑ Agent ❑ An OSHA permit is regJ ired for excavations over 5'0" deep and demolition or construct- ion of structures over s ories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ I OCCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work i meted above fo which )IRE F PUBZnw. B P M T EXPIRES Date the applicable provi- resolutions"rto do^ fee; have been paid. ORKS t Receipt No.VIE WHITE-D.P.W.. YELLOW -ASSESSOR, PIN. -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - D'EPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIOWAND PERMIT PER T N0. ` ASSES R ARC UMBER w ZONING BUILDING PERMIT owN © TELEPHONE SO. FT. OCC. BUILDING VALUATI N 'OW ER'S MAILIN ODRE %� © • / U, \16) I CO ACTOR'S NAME TELEP O E CONTRACTOR'S MAILING ADDRESS Fireplace CONS R CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH T' CT OR ENGINEER E LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1A J Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Q r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5,00 USE OF STRUCTURE A SFS Duplex❑ Mobilehome❑ Other SJ -Building ECI F Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑Remodel UT Iities Installation Other Descri work: r i 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 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 my license is in full force and effect. License No. Classification ,�J/ u 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.SI , OR ADDNS. AGC. BLDGS. /20sgft NEW CONSTR. U TI.OUTLET 2.50 ea N•R ESID RANCH CIRC I ti TS POWER APPARATUS e (SINGLE OUTLET CIR. I z00a0e p OUTLETS OR FIXTURES Ex. OCcu BAL030 FIXED APLNS. Ex. Occup. OUT —LETS P(RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate I 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 thi Apermit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify t t i h e read this application and state that the above information is correct I agre to comply to all County Ordinances and State Laws relating to buildi constr ction, and hereby authorize representatives of the Countyot Butte to an er he above-mentioned property for inspection purposes. I also gree sav indemnify and keep harmless the County of Butte against all H bil tie ' ' in nt ,.-costs, and expenses which may in any way accrue ag ' st s id C u' equence of the granting of this permit. Date ,2 _ 2 _ �� _ alma f pplica t Owner Controctor ❑ Agent ❑ An OSHA permit is q ired for excavations over 5'0" deep and demolition or construct- on of strctures over ories in height. Mobile dome Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL PD HD 139UE This permit is hereby issued under sions of the Butte County Code and/or work i d above for which IRE F PU B P T EXPIRES Date the applicable provi- resolutions to do fee have been paid. I ORKS Dat L:eceipt,'No. XITL-O.. W.. YELLOW -ASSESSOR. PI -INSPECTOR. GOLD ENROD-APPL I CANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. ,No building permit will be issued until this verification is received. —1.. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) S (� 2. I (have/have not) i/-esigned an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name - Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the'work indicated: Name Address Phone Type of Work Sig r NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO50460 B. C. Building Permit 01-16-04 pq 1 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: 02/16/2005 APN: 026-040-023-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 6835 IRWIN AVE PAL Date: Contractor: Map Index: Description: elec Svc upgrade 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: MESTAZ THOMAS L &LOIS M permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 1620 GRAND VIEW DR signed statement that he or she is licensed pursuant to the provisions of ALHAMBRA, 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 91803 she is exempt therefrom and the basis for the alleged exemption. Any 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 Applicant: MESTAZ THOMAS L & LOIS M Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 1620 GRAND VIEW DR such work himself or herself or through his or her own employees, ALHAMBRA, CA provided that such improvements are not intended or offered for 91803 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 Contractor: 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.). ❑ lam Exempt under Article 3 usiness and Profe ons Code License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarrons- *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 Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: ❑ 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 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: n Applicant: WARNING: Failure to secure workers' compen n coverage is unlawful, and shall subject an employer to crimina 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 ' sued 9nder the pli le pr isions of the Butte County Co and/or I hereby affirm that there is a construction lending agency for the Resolutions to do rk indi ted ab a for hich f s have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Date: Name: By: / Address: PERMIT EXPIR ON: Date O 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. O Notification in accordance with Section 19827.5 of California Health & Safely 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 o ficial form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the abovem—eennttioned property for inspection purposes ta Print Name: %L(L//�%� S C�� /jamo�Z Sign e: Date: per Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pq 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.neNdds "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last Name City49 4�9 First Nam s AddressJ;rgj;S_ 144W INJ City o State StateZip 441 Phone Pho Fax Fax E -m ' Lic. # APPLICANT NAME CONTRACTOR Name City49 4�9 Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name N City49 4�9 Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name, Address City49 4�9 State Zip Phonel�R � Fax E-mail For office use only: Zoning Property Address Flood Zone Cross Street SRA Yes No Occ. Type onst. Subdivision Name Map Book I Page Lot # Planner Date Approved: PERMIT NO. BPO S -b `/� BIN # LOCATION AN 26-©�D-©2 Property Address City Cross Street 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 II KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: 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. Received by: Amount:�P Bldg (,L`7' SRA Receipt #: 5�Sheriff � SMIP Date: ?I I(::,/b Other Total REV 7-27-04 . „A SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a per it. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK P 1. Site plans,Wr 4 sets, signed by the preparer of the plans. No graph paper! [ 2. Complete plans,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! C� 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 AIC 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). ❑ ,03 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. 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, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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 7-27-04