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HomeMy WebLinkAbout027-060-068� o6 i c>> � � .._ _ _ �: -COUNTY OF BUTTE - DEPARTMENT OF PUBLIC.WORKS 7 County Center Drive, Oroville,:CA -.95965 PHONE: 916-538-7541 • �. DATE January 2. 19A1 William Parks.. 6975 Citrus.. RE Permit appin. #4368-90'for MH util, Oroville, 'CA 95966 A.P. #27-06-(x ' With reference to the above subject: Attached is: l Application for permit Mobilehome.,Utilities Installation Sheet. Building Plans Mobilehome Installation Information'Sheet Engr.,Calcs Typical Plan Sheet . Owner -Builder Verification Form List of Codes Enforced OTHER =We need the following information:. Permit application signed and completed where indicated with all copies returned. Fees of'$ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement'. Complete plans in including plot .plans. Plot 'plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section'(DPW). sets of plans -in accordance with the changes marked in red. Sanitation approval from Butte County Health.Department at: 196 Memorial Way,' Chico T County Center Dr., Oroville Skyway & Elliott Rd., Paradise XXX Planning approval from Butte County Planning Department, 7 County Center -Drive, .Oroville, for.zoning conformance of narrpl cirP Completed Owner -Builder Verification form. - XFY Recorded copy of deed showingaarrcel1 ,galls, rrPatAd XXX Recorded copy of agricultural.acknowledgement statement. -XXXX DRIVEWAY PERMIT LL OTHER t Should you have, any questions concerning the above, please contact Rod Taylor of this office. Yours very truly, William Cheff Director of Public Works. Bander —` JFG/aj Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95985 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING 27-06-68 AR 5 BUILDING PERMIT , OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION William Parks OWNER'S MAILING ADDRESS 6975 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan ARCHITECT OR ENGINEER'S MAILING ADDRESS Checking Fee $ I -Penalty $ BUILDING ADDRESS Permit fee $ 15.00 PLUMBING PERMIT Filing Fee. 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME - PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehomea Other Building sewer 5.00 SPECIFY Mobile Home 10.00e . 30,00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities® Installation❑ Other ❑ Permit Fee $ 40,00 Describe work: MHU Contractor _ ELECTRICAL PERMIT Filing Fee 10.00 V OR L Main service 100 AMP ORSLESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.@ 2/20sgft _ I declare under penalty Of perjury (check One): -1I OR ADDNS. ACC. BLDGS. NEW CONSTR. ULTI-OUTLET 2,50 ea F am licensed under provisions Of Chapt. 9, Div. 3 of the Business NON.RESID BRANCH CIRC ITS POWER APPARATUS e and Professions Code and my license is in full force and effect. SINGLE OUTLET CIS. / License No. Classification EX. Occup( OR FIXTURES 20 @80C 5AL030 �I, as the owner, or my employees with wages as their sole compen- FIXED APLNS Ex. Occup. OUTLETS P(RESI 0.)REA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, Mobile Home Facilities 15.00Misc. as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Wiring g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ -37.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling g I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have -read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of occ Butte to enter upon the above-mentioned property for inspection purposes. CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against92.50 TOTAL FEE $ all liabilities, judgments, costs, and expenses which may in any way accrue HAZ CUA I PARK I SCHL I FLD PAR PD HD ISSUE against said County in consequ a of t e granting of this permit. I X �l —a ;L y This permit is nereby issued under the appiicable provi- Date sions of the Butte County Code and/or` resolutions to do Signature of Applicant — caner '� Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. 949!9.16 By Date WNITC-D.P.W., YELLOW-AS8C390R, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - 9ROVIL'YL�E, CALIFORNIA 86986.- TELEPHONE: 916/838-7641 PERMIT APPLICATION DATA SHEET Permit No. OWNER t�5 A. P. No. ©� — 66'G Proposed Building Use ✓Vl ,0�1 Building Inspector Date yZ �27-`�0• At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and .business license approval from City,of (see City for other requirements) C__k re. -2-4 17. tanning approval for (A) Use��!L_E (B) Parking: . ...... 18. Improvements may be required. Contact Land Development Section DPW 1 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone 53 iCC5 and hold for pickup at office. Deliver w/inspector. Other u�L Ctol Applicant .[, �.Date A; Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. —Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 17— 7,�' 2. Additional items required: Contractor, designer, owner, was advised of above required data by,/—phone---nail—counter byV ..date 61 Contractor, designer, owner, was advised of above requirecl/data by —phone _maiI—counter by date Plans checked by Date 1 Plans approved by Sets of plans on hold in File cabinet " AP folder Copy—DPW Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,.Oroville, CA 95965 Phone: 916=538-754.1 OTINER-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) Alf :5. I (have not) A&IIF signed an application for a obuilding permit. for the proposed wrk. 3. 1 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 Signed: r Property Owner r` Social Security Number Date 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: IAP 141 1-2 1-7 is CFL,' - 2 -6 0 6'F - IAP C�Zt=� T.*07,4 i rt► /?. 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