HomeMy WebLinkAbout026-192-002A.P. 26-192-5
John Warren ----- - ---- - - -- #
2488 Williams Ave_. , .Palermc.,",z _
- 'CONTR: -O:W: Clinkingbeard, rtll oville.-� + STUART' -Jack 786-67B i
Permit 2298-73 (repair fire;damaee.)� 655-67E'
AP 21920' 5 _ . _ __ . _ _- - _ - 00-6 P, � -;
PATRICIAi-& JOHN WARREN l ,.� 7 2 -192- f
` Permit# 1788-75E( service change) s f -e - 2488 Williams Ave., Palerm o
' (add' bedroom 8c bath & det . 'garage)
' 026-192-005 PERMIT#96', 0800
WHITEMAN,.Pam
2488'Williams-Ave., Oroville
Cont; C & G Plumbing
GAs Piping/SF ✓��
f
026-192-005 05-1760 IL;IL
WHITEMAN, BRENT -
2488 WILLIAMS AVE, PALERMO i " -
Cont: OWNER
ADD SF/REMODEL KCHN
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0
0
026-192.=005 PERMIT#96-0800
26
Pam,
2488 Williams Ave., Oroville
.Cont; C& G,Plumbing
Gas Piping/SF �(/�S
COUNTY OF BUTTE- DEPARTMENT OF -DEVELOPMENT SERVICES -BUILDING DIVI ION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 5 1 PERMIT NO.
38-7
APPLICATION AND PERMIT -6) on
ASSESS,Z 49:�S..l j
ZONING
BUI ING PERMIT
OWNER
PnA 1i t.rri}�•(r�+�M
(rill IMIMM
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
2488 WIi.I 91.5 AYME, OROVILLE
CONTRACTOR'S NAME
C AND G PLUMBING
TELEPHONE
6
CGN,UJIMAIUYpTE$gTOROV1ILomp
Fireplace
CONSTRUCTION LENDER
UNXNOWN
Total Valuation $
Filing 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
$
BUILDING ADDRESS
PERMITFEE
$
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping '
15.00
USEOFSTRUCTURE
SF OX 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 ❑X
CAS PIPE
Describe Work: —
Mobile Home I S I GI W 1
@20.00
PERMITFEE
g 35.00
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main Service000v OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO IIIIA )
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 i�full force and effect. /
License Class / "• 3 G Lic. No. 5 C�
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, asownerof theproperty, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 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 OCCUP.
OR NS. ( 8 ACC. )
SO.
3.50 FT.
NEW CCONST. MULTI.OUTLETLE T
NON-RESID. BRANCH CIRCUITS )
@7.50
POWER APPARATUS
( & SINGLE OUTLET CIR. )
EX. Occup. ( OUTLET OR FIXTURES)t23.00
Ex. Occup. FIXED APPLNS. OR
(OUTLETS (RESID.) EA)
Temporary Service
Mobile Home Facilities
Misc. Wiring
PERMITFEE
$
Contractor
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 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
PERMITFEE
S
Contractor
Policy Number
(rhe 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. --•
I'
C
w' �• 1�? •�/� --�--indicated
Date �t��?��--
r-1 Owner
Signature of Applicant - ❑ Owner Contractor ❑ Ag en,
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
Is
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
I D. FEES
I IMP I FLOOD
I CDF PARCEL I PD I HD
ISSU
This permit is hereby issued under the
of the Butte County Code and/or
above for which fees have
By
PERMITEXPIRESON
I
applicable provisions
Resolutions to do work
been paid.
/s �►/
Date
(Date)
ReceiptNo.�s ,��
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIV ;ON7 County Center Drive - Oroville;Calit2rnia 95965 -Telephone (916) 538-7 1 / PERMITNO.
APPLICATION AND PERMIT�
ASSES18Tff21J91MFR005
ZONING
BUI ING PERMIT
OWNER PAM T,JHITEIJAN
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
2488 WILLIAM
CONTRACTOR'S NAME
C AND G PLUAiBING
TELEPHONE
933-2696
DONTRA�,TQp'$ MAILI/Gypp�jiE*ST OROVILLE
1�1 J
_Fireplace
CONSTRUCTIONLENDIERL
UNMOWN
Total Valuation $
Fling Fee
$ 20.00
LENDER'S MNUNG ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMITFEE
$
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF [X Duplex ❑ Mobilehome O 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 O Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other OI
GAS PIPE
Describe Work: —
Mobile Home I S I G W 1
920.00
PERMITFEE
$ 35.00
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service a OR LESS
( zooA oR LESS )
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 i full force and effect. /
License Class '-34 -_ Lic. No. C1 -
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 OCCUP.
OR ( 8 ACC. BLAS. )
SO.
3.50 FT.
CNS.
NEW CONST. / MULTI -OUTLET
NON-RESID. \ BRANCH CIRCUITS )
97.50
SINWER APPARATUS )
( PO ER
GLE OUTLET CIR.
EX. Occup. ( OUTLET OR FIXTURES)
ani 20 @ I.0050
EX. Occup. ( OUTLETS RSD.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
s
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' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
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
f ith comply with those provisions.
Date�19--
a ure of Applicant - ❑ Owner Contractor O ger jK
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
I
TOTAL FEE $ 35 .00
HA2.
1 D. FEES
I IMP I FLOOD
I CDF PARCEL I PD I HD
ISSU
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRESON�
the applicable provisions
Resolutions to do work
been paid.
/s
Date q -7
%5 —
(Date)
Receipt No. , [ ��
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
��
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T
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC ItIR0
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date `
Signature of Permitee or 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.
DIRECTOR OF PUBLIC WORKS
By Date
Bt:Hd4ng permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone Na.
Permit Fee
Building Address
PLUMBING
No.1
@ FEE
PERMIT FILING FEE $3.00
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.
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W.C.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
NO -1
@ FEE
PERMIT FILING FEE J$3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 er less) (more than 12) ,
Single Family ❑ Duplex ❑ Mobil Home E]Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures b
10
a
Receps., switches & fix outlets
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. Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
MECHANICAL
No•
@ FEE
WORKMEN'S COMPENSATION INSURANCE
I 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.
PERMIT FILING FEE
J$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 representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date `
Signature of Permitee or 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.
DIRECTOR OF PUBLIC WORKS
By Date
Bt:Hd4ng permit expires Date
J
r COUNTY OF BUTTE — DEPA#rMEN-T OF PUBLIC WORKS
7 County Center•Drive - Orol'ill%. California 95965
Telephone: 534-4541 '
APPLICATION AND PERMIT
v
auinorize representatives or ine uounty of tsuite io enter upon ine
above-mentioned property for inspection purposes.
_X ,G� c.�lly c� c� �tJ 001424- Date
Signature of Permitee or Agent. .
Receipt No. ;,4
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 whffi��'' fe ave �bb eh paid.
/.P�.�O,F�OF PUBLIC WORKS
ByDate Z
&A d g permit expires Date
BUILDING
Owner C%� �����
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address Z8 l.L/ A U
TL533
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE J$3.00
Z� VE
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.- —
Z G - /
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
WzP
-&ae�
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W Imp rovements
P
Lawii sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 -0v
Main service incl. 1 meter p
Additional meters, h 1.00
Sub -panel 02 ess) (more than 12) 2J 3. Z)
_
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures b a102
Receps., switches & fix outlets
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. Classification
Misc. wiring - ,r.pp
i I am exempt from the Contractors License Laws of the State of California.
Permit Fee ` $ /¢-Qct
$ pZ
WORKMEN'S COMPENSATION INSURANCE
I 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.
h 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
$ �Z
auinorize representatives or ine uounty of tsuite io enter upon ine
above-mentioned property for inspection purposes.
_X ,G� c.�lly c� c� �tJ 001424- Date
Signature of Permitee or Agent. .
Receipt No. ;,4
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 whffi��'' fe ave �bb eh paid.
/.P�.�O,F�OF PUBLIC WORKS
ByDate Z
&A d g permit expires Date
J
4
J
PERMIT NUMBER - B 2298-73B
P
E
PERMIT EXPIRES
'r
OWNER John Warren
CONTR:.' '0: V. Clinkingbeard, Oroville
F LOCATION (A.P. 26-192-5 )
2488 Williams, Palermo
Ar
E: ,
„
F
COUNTY OF BUTTE=
,
Departmen-t 'of Public, Works
BUILDING INSPECTION RECORD
Zoning
r •' c.
Setback
Forms '
Foundation
Piers & Girders
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found. Vents
Framing
Plmg. Topout
Rough Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final
Final
Final
DATE
REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DE-PARTMENT OF PUBLIC WOR
7 County Center Drive — OroviIle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
Owner SQ. FT. OCC. BUILDING VALUATION
Mai ' ddress
Telephone No.
Fireplace
Contractor �it/ otal Valuation
Mailing AddressPermit Fee
Plan Checking Fee &/or Penalty
elephone No. $ $
Permit Fee
Building Address .2 PLUMBING No.1 @ FEE
PERMIT FILING FEE J$2.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
Gas piping system 1 - 5 outlets 1.50
A. P. No.�p a�f s Zoning 8 Planning Each additional outlet .30
s Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00
EQA Parking Parcel Parcel Ma 60' R/W Improvements
Lawn sprinkler system 2.00
�/�Plans Declaration P P
1 fig. Plans_f� • I Parcel Approval I Plans Approval Permit Fee $ $
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.OQ
/ Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Famil Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures pal ago
�- Receps., switches & fix outlets
CONTRACTORS LICENSE LAW Hood, Ex. FanorF.A. Furn. Motor 1.00
I am licensed under the provisions of Chapter 9, Div. 3, of the Evap. cooler, gar. disp. or D.W. 1.00
State of California Business & Professions Code under the name Air conditioner or heat pump .
style of: f Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License NoXr� i/ Classification Misc. wiring
r
[:]I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00
1 am aware of the provisions of Section3700 of the California Labor Heating
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 Cooling
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this Ventilation
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of Hood 2.00
California. $ $
Permit Fee
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or nt
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE 1$ Al 10-
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 PUBLIC WORKS
By Date 6,'j,,p -
Building permit expires Date __--_._-..:..-..-,[:.-
�jj� k, $ 1, 0-7�?. � ►
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 OFAPPLICATION �a
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER
a
t
i
A s S
City v Slat
Zip
PhOS55 ^ Fax
E-mail
APPLICANT NAME
CONTRACTOR
Name
V'Flood Zone
Address
State
City
a�0 O Fa
E-mail
State
Zip
Phone
Fax
E-mail
Date Approved:
Lic. #
Class
APPLICANT NAME
R ITECT/ENGINEER
Name
V'Flood Zone
Address
State
City
a�0 O Fa
E-mail
State
r\ip
Phone
Fax
E-mail
Date Approved:
State License Number
APPLICANT NAME
Nam
Addres�
l
V'Flood Zone
Cit #D, gg4t�� �Q
State
Zip
a�0 O Fa
E-mail
If
APPLICAIYfF SIGNATURE
For office use only:
Zoning
I
V'Flood Zone
SRA
Yes
I No
Occ,
Type Const.
Subdivision Name Map
BookPage
Lot #
Planner
Date Approved:
IT
'NO.
65. 1-1�o
BP
LO ATION
AP#OA&_ /9
11g _ 66,S7 --
131
(Z , Ill rns I%l m
Cross Slreet U) l AJ
ORKER'S COMPENSATION
Policy Numbed
If(��nr�g ��rie other than ' ense contractors, a certificate of worker's
tfmpensa on must beown at the time of permit issuance.
LENDING AGENCY
j `�;e �ripti�or Scope 9�Cgrk� (56Z_
Li Structure tiuut wltnoui rermns
O 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
OVER FOR SUBMIT I AL KtUUlrcttvttty t J t_
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
Receipt #:
4�)-3� a
Date- 16o
Amount:' Bldg
SRA
Sheritt
SMIP
Other
Total
REV 7.27-04
2
Butte County Department of Development Services uT TF
YVONNE CHRISTOPHER, DIRECTOR oo I °o
O
i County Center Drive
Oroville, CA 95965 COv N,�y
(530) 538.7601.Telephone
Applicant: Whiteman, Brent Permit No: . 05-1760
Project Type: Addn 026-192-005
100% 70%
Plan Check Fees $ 428.92 $ 300.25
$ 428.92. - $ 300.25
WILLDAN Fee $ 300.25
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
t Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
(530) 538.7785 Facsimile
TO'
WILLDAN
FROM:
Scott Rutherford (530) 538-7160
00
t
srutherford(cDbuttecounty.neLO
SUBJECT:
Plans Transmittal For Review Per Contract
ODATE:
1
IM
7/11/2005
Applicant: Whiteman, Brent Permit No: . 05-1760
Project Type: Addn 026-192-005
100% 70%
Plan Check Fees $ 428.92 $ 300.25
$ 428.92. - $ 300.25
WILLDAN Fee $ 300.25
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
t Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
v�
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION'
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: ��)ry_\el\ f\ ASSESSOR PARCEL NUMBER oats
Proposed Building Use:11_ Permit Technician: Date: v V
Items required in order to ap' ly for a permit. All boxes MUST be checked OR marked NA in orde to apply.
I1. Site plans, 3 or 4 sets, signed by the prepares of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
'M_ 4. Engineered truss details and layouts in duplicate. No faxesl
❑ 5. Letter from Engineer or Architect for truss design review.
f f�, 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. 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.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Letter of intent for non-residential' buildings
❑ 12. Hazardous Material Form
13. Acknowledgement of building permit application without required clearances.
❑ 14. Other
Rerdaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
(' 15. Sanitation! and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 16. Fire Sprinklers............................................................................................
❑ 17. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by
❑ 18. Soils Report and/or Engineered Foundation required ...........................................
❑ 19. Erosion Control Plan Required........................................................................
liaell 20. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ .. 21. City of Chico Plumbing permit........................................................................
❑ 22. Site plan and business license approval from the City of Biggs ..............................
❑. / 23. California, Department of Forestry plan approval ❑ paid. Sent by: ............
p/ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ... *** ...
❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................
10 26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ ` 29. Worker's Compensation Carrier and Policy Number.. e*
per/ 30. Owner -Builder Verification (_Given to owner,ilailed to owner) .....................
p/ 31. Letter of Signature authorization....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits....................:....................................
❑ 34. Deed Restriction..........................................................::..............................
❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO .........................
❑ 36. Other:
❑ 37. Other:
When issued Telephoneand hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
L�
Applicant: l� Date: "' 57G
1.. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE "(530)538-7541, FAX (530)538-2140
SCHEDULE OF RECEIPT OF FEES
Website: www.buttecounty.net/dds
OWNER r\ A.P. # V dlD• ��" 666
PROPROSED BUILDING USE—. \ DATE (9 O
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES �(�
--- Balance Due ..................... $ V� I
--- FEMA Flood elevation review ... $
--- Additional plan checking Fee.... $,
2. SCHOOL DISTRICT FEES
(paid at School District Office) (form auaila
(LSA 2�wo
r PlUv
3. SHERIFF FEES (paid at Building Division)
R dential............ X $360.00 =$
Units
Comme 'al (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
e4. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
RESIDENTIAL DEVELOPMENT IMPACT FEES
COUNTY WIDE (per dwelling) $
CHICO URBAN AREA (per dwelling) $
EL MEDIO FIRE DISTRICT (per dwelling) $
NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning
6. SRA FIRE INSPECTION AND PLAN CHECK FEE
$204.98 (paid at Building Division)
WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
8. SMIP
9. OTHER
10. OTHER
11. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be change I&ring the plan checking process.
,
APPLICANT DATE —� ' O�
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05)
arte o Publiclorks
eP r�
f B u
:'0/ ' C o u n t y, o t t e
,Director LAND DEVELOPMENT DIVISION
J . Michael CrumpStorm Water Management Pro;ran
c® 7 County Center Drive
0 U / Oroville, CA 95965
p �g (530) 538-7266
AUC WOF (FAX) 538-7171
National P®llutant Discharge Elimination System (NPDES)
Construction Storm Water Permit and Storm Water Pollution
Plan (SWPPP) Acknowledgement (LESS TH�11d 9 ACRE1
Project Description:
Project Location and/or Parcel Number: ca�L
Phase Il
Prevention
By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit
from the State of California Regional Water Quality Control Board. Phased projects that contain
multiple site build -outs of less than one acre but when combined with subsequent phases total more
than one acre of disturbed soil will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
Date:5.—
Butte County Department o 'Developinent 5`ervlces
7 County Center Drive
°�vTr�0
•,
° \ °
Oroville, CA 95965
0 _ o
(530) 538-7601 Telephone
(530) 538.7785 Facsimile
couN�y
BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES
I request and authorize the Building Division to process this building pennit application through the plans
examination process WITHOUT first obtaining all necessary, related permits and clearances from other
regulatory entities, including but not limited to, Planning, Environmental Health, Land Development,
County Fire, and Agriculture.
I hereby acknowledge:
I need to submit applications for septic andlor well to Butte County Environmental Health
immediately.
I ant required to bring the approved Environmental Health site plan and approved sanitation
clearance to the Building Division as soon as clearance is obtained.
® I am responsible for notifying Development Services, in writing, to stop processing of the
application and to arrange for disposition of plans.
The Building Division will process the application through the plans examination process, as submitted,
without input from other regulatory entities that could prohibit issuance of the building_ permit or require
submission of amended building plans to the Building Division. Once the plans examination process
begins, there will be no refund of plans examination fees. Any changes requiring submission of amended
plans to the Building Division will incur additional fees.
Within one year from the date of application for a building permit, all other required permits and clearances
from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances
will void.the application.
Typically other required permits/clearances include, but are not limited to, verification the parcel was
legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well
as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture
buffer zones, and habitat/species).
Please print:
Applicant Name: �Lt �'►� APN: �q Z "
Building site address: 9 4 g$ Uit I Permit No.:
I have read, understood and accept the terms and conditions as expressed herein as indicated by my
submission of the above -referenced building permit application and my signature below:
SIGNATURE OF APPLICANT DA
.. V • I:n, c/R1rioPPnnitwithoutCicarances 020705
Butte County Department of Development Services
PAUL MCINTOSH, INTERIM DIRECTOR
7 County Center Drive
Oroville; CA 95965
(530) 53&7601 Telephone
(530) 538.7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
September 7, 2005
Brent Whiteman
2488 Williams Ave,
Palermo, CA 95968
Subject: APN — 026-192-005
Dear Mr. Whiteman,
The Butte County Department of Development Services, Planning Department has reviewed the
building permit OS -1760 for an addition to a single family residence. The property is located in
along Williams Ave. and in an AR -1 (Agricultural Residential 1 acre minimum) zone. The
standard setbacks for this zone are 20' in the front (from the front property line) or 50' from the
centerline of the right of way. The other setbacks that apply in this zone are 10' on the side and
10' on the rear property lines. On your site plan, you have indicated a 5' building setback line
from the property line along Williams Avenue. This setback needs to be a minimum of 20'.
I cannot approve your site plan at this time-, as it does not meet the minimum setbacks along
Williams Avenue. - Please, revise your site plan to show that your residential structures will be at
a minimum of 20' feet from the front property line.
Should you have any questions please feel free to call me between the hours of 8:00 a.m. and
4:00 p.m. Monday through Friday at (530) 538-7601.
Sincdrely, '
Lana Adler
Assistant Planner
i