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HomeMy WebLinkAbout030-110-064I 30-11-64 CLARENCE HAMMER` 1555 Grand Avenue, olZ ville PErmit#8-88P(replace gas piping/MH) -+ B08-0013 030-110-064 :MISCELLANEOUS' Ag Exempt Ag Bldg: Store tractor, hay; feed, farm eqt 1555 GRAND AVE '. FRAZIER, ROBERT & MARILYN , 0 u fl II U V V 0 B V I I N II 8 0 V 8 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES AGRICULTURAL BUILDING EXEMPTION PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1555 GRAND AVE Owner: Permit No: B08-0013 APN: 030-110-064 FRAZIER, ROBERT & MARILY Issued Date: 04/24/2008 By KEJ Permit type: MISCELLANEOUS 1553 GRAND AVE Subtype: Ag Exempt OROVILLE, CA 95965 Expiration Date: 04/24/2009 Description: Ag Bldg: Store tractor, hay, feed, farn (530) 533-9096 Occupancy: U-3 Zoning: A -R Contractor Applicant: Square Footage: FRAZIER, ROBERT & MARII Building Garage Remdl/Addn 1553 GRAND AVE OROVILLE, CA 95965 Other Porch/Patio Total (530)533-9096 FEE INFORMATION DBOMSCF Ag Exemption Permit $115.98 PW DRAINAGE $0.00 Total Charged: $115.98 Fees Paid: $115.98 Balance Due: $0.00 Receipt No: B5972 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 04/24/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date �I I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE �J COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or less. ❑ IAM EXEMPT under Section B. 8 P.C. for this reason: 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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 04/24/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners 1gnature Date provisions. X 04/24/2008 I hereby certify that I have read this application and stale that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signatur Date WARNIN : FAILURE SE RE WORKE COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJEC AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the owner or am authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCYoperty 7/ r• 4/24/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for me of P e SIG Print 'Date the performance of the work for which this permit is issued. (3097 civ. code) XOwn r 1:1 Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net/dds AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies. Initials AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initialsj'}�� AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, -�= 10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings Initialspj� AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a residence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 1555 GRAND AVE Permit No: B08-0013 APN: 030-110-064 Square Footage: Permit Type: MISCELLANEOUS Occupancy: U-3 Permit Subtype: Ag Exempt Zoning: A -R Description: Ag Bldg: Store tractor, hay, feed, farm equipn Required Setbacks: Applicant: FRAZIER, ROBERT & MARILYN Front: Side: 20' Rear: 20' 1553 GRAND AVE Type of Construction: OROVILLECA95965 (530) 533-9096 Type of Siding: Metal Owner: FRAZIER, ROBERT & MARILYN Est. Const. Cost: $ 3,000.00 1553 GRAND AVE Roof Covering: Metal OROVILLE, CA 95965 (530) 533-9096 Floor Type: Concrete I declare under penalty of perjury that the building will be used as stated above, and the proposed us conforms with the AG Building definition. If any change in use or occupancy of the building is made, I wil contact the Building Division and obtain the necessary permits, inspections and approvals to comply with th requirements in effect at that time and prior to occupancy. Signature of owner: ,4 Date: 01/03/2008 CJ FILE COPY e 1 e BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WII L BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. _ BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name r Z JW2e ! / \ V Mailing Address SS �► �� City State Zip Phone 5 30 —3-3 Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE l X PROJECT LOCATION AP# . b Property Address City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address 10 DESCRIPTION OR SCOPE OF WOR Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning I AR, I Flood Zone SRA I Yes I No Occ. Type Const. .Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: O Make sure your application is complete. • Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building ficial shall expire and become null and void if the work authorized by such permit is not started or completed within one year frothe date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, pr idled construction progress has been documented by the Building Division during each year during scheduled inspections. No\too may be made in the original plans and specifications for such work. In order to reinstate action on a permit after exphe permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon on of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegupy this building or any portion of the building for which this permit is issued without a final inspection. (` � eX� NA A i'p �. mp+ berm ►�s EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municii)alcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-0013 Date: 01/03/2008 Location: 1555 GRAND AVE Parcel Number: 030-110-064 Owner Name: FRAZIER ROBERT & MARILYN Phone: (530) 533-9096 Description: Ag Bldg: Store tractor, hay, feed, farm equipment (20'X30' Signature of Applicant:)41 - Date: 01/03/2008 / , 'V' Fgi Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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 your 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 $500 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 government 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 to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLYO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMEN . (YES R NO) 2. l VE VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (Fff M) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO_ 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: 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 Description: Ag Bldg: Store tractor, hay, feed, farm equipment (20'X30' Reference Number: B08-0013 Applicant Name: FRAZIER ROBERT & MARILYN Owner's Name: FRAZIER ROBERT & MARILYN AP h Signature of Property Owner: c Date: :030-110-064 l_�?-6W' Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, `CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds C 00 Aim!+ O a O 0 0 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B08-0013 Date: 01/03/2008 Location: 1555 GRAND AVE By: KCG Parcel Number: 030-110-064 Sub Type: Ag Exempt Owner Name: FRAZIER ROBERT & MARILYN Phone: (530) 533-9096 Description: Ag Bldg: Store tractor, hay, feed, farm equipment (20'X30' By signing below, I the project owner/owners' 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 buildouts 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 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. W MR FILE Date: 01/03/2008 El SITE PLAN _........._.....---------- ----------- .... _..... _..........,_..__.........__...---......_..._..._......_....._...........__..._......._.......... _ I r tj 60 si 19 v I t� - LdlC kcu� 1 I J;r4 A).NF FC ! CacP i - 1 AssessoPs Parcel Number%J T F; FOR OFFICE USE ONLY PROVIDE FOR ALL El ©� - a o El- o 0 o Scale: 1" _ - ADJACENT PARCELS o Owner Name a Zoning: SIZE (AC): o . Address / Phone No. m a General Plan Desig: ZONING: SPIe',Location ® l ` Size, Acres GEN PLAN: �ccc- ;c^-•-+�--t,..;i..-�+-�+,,-...,;.r:-xr--�...—.•.•cit'stt`'�irTy�'+.wc*`=��a.s�'iii;,r�"'�Y'�`�'�•;�..t'�s�l-.�-.i-.F^�,�-yr.lj�ryf�7*�-�••'tiwy-�r'.'�r�fyt`,v�71'w''�s"""'^a"`"'�...-r.-y�.�-�` ".,.tit • �' r ! .�'�ti� S�._._ �:���'� �•� .� 1. N � AFF\CE CopY Pdatess Q a S Oa�e . Meket eyR\G Meev 6y OT 43 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS_ PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATICN.Ait PERMIT ASSESSOR PARCEL, UMBER y/� — ZONING BUILDING PERMIT OWNER L �' oven UI "f Ff//� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNEjR{' MAILING ADDRE S 7 CO NSR ACTOR'S-�N/AME TELEPHONE CONTRACTOR'S MAILING ADDRESS 1 i Fireplace CONSTRUCTION LENDER Z /` UNKNOWN Total Valuation $ Filin Fee g $ 10.00 LENDER'S MAILING ADDRESS i '� Permit Fee $ ARCHITECT OR ENGINEER G LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS , I j Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 f ! i Each Trap 2.00 I/'1/19 e Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCJL MAP Water piping 5.06 Each qas water heater or vent 5.00 USE OF STRUCTURE SF F1Duplex[:]Mobilehome� Other SPECIFY F Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S '7G W O.00ea /i./ i TYPE OF WORK Utilities.❑ Installation[] Other f New Addition❑ Remodepef Describe work: %�l' �� �2 S ` li) / (I / 1 1101/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 {� I Main service e00V OR LESS 10.00 100 AMP OR LESS 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 thel Business 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) /--71t �� ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) f ' ,^`, ! ❑ I am exempt under Sec. Business Business and Professions Code for this reason NEW CONST. DWELLING OR ADDNS. ACG. SLOGS. OCCUP.a/ � yz¢sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID .BRA CH CIRCU' ITS POWER APPARATUS ei) SINGLE OUTLET CIR. EX. OCCUp(OUTLET3 OR FIXTURES e20 A 030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. _This X " Date Signature of Applicant — Owner QContractor ❑ Agent ❑ An OSHA permit is required for exc � vations over 5'0" deep and demolition or construct- ion of structures over 3 stories in -height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TTPEJ SCHOOL FLOOD PARCEL I PD I HallISSUE permit is hereby issued under the applicable provi- sions of the. Butte County Code and/or resolutions to do work indidat d above for which fees have been paid. f A / DIREC ,OR OF PUBL­W RKS By > r Date x r� - PERMIT•EXPAS Date / " Receipt No. C��' /� WNITE-D.P.W., YELLOW-ASSE350R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT N 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 � APPLICATION AND PERMIT 0000 ASSES OR PARCE`7U=BER /// ZONING BUILDING PERMIT owN 1" n e i" TEL PHO SQ. FT. OCC. BUILDING VALUATION OW MAILIN DDRE S �� u 9 CON RAC TOR•Sw ACME f �I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS R CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT T OR ENGINEER 6 14 LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ AR HIT CT R ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Ir Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 to V 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 SF ❑ Duplex[] Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S W 0.00ea TYPE OF WORK/M New❑ Addition❑odel Utilitie Install n❑� Other Describe work: Z15 / no Air Permit Fee $ tractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'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 1, as the owner, or my employees With wages as their sole compen- I�Lsation, 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.a1 A )BLDGS. h2sgft New CONSTR. MULTI -OUTLET NO N.R ESID .BRA CH CIRC TS 2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. toeDoe Ex. Occup OUTLETS OR FIXTURES .ALO 30 FIXED APPLNS. OR11 Ex. OCCUp. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F] 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 becomesubject 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 FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult Fee $ Contractor i 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again sai Coun i onseq ence of the granting of this permit. Signature of Applica — Owner Contractor ❑ Agent ❑ ion of structures over 3 stories in eigt.Receipt An OSHA permit is required for a cavations over 5'0" deep and demolition or Construct-AMITEXPAWS' Mobile Home Installation Fee $ Energy Inspection Fee $ tA TOTAL PERMIT FEE $ bJ occuP. CON5T.TYPEJ SCHOOL FLOOD PARCEL PD This permit is hereby issued under sions of the..Butte County Code and/or work in at above for which =A'�n P Date the applicable provi- resolutions to do fees have been paid. ORKS - No. 0gd , �ate WNITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL[CANT • COUNTY OF BUTTE - D4rtmknt of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916 -;' _ 538_7541 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) �. —2. I (have/have not) signed an application for a building permit for the proposed work.- 3 or . 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 Signed: Property Owner Social Security umber Datey— 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. 06;-qzv SI T EPLAN _.. - A(& ?,sc� PwKei .., ---------------- - --- .................................. ...... .. . . ------ ---- ---------- ---------------- ............ - ..... . ---- Assessors Parcel Number 0 El 1:1 1:11:11:1 U ❑ ❑ -scale: 1- _ Omer Name Addr-,ss I Phone Pio. j Siie. Location FOR OFFIC.E USE ONLY Zoning: . General Plan sig: Size, Acms O PROVIDE FOR ALL . ADJACENT PARCELS S V -E (AC): ZONING: GEN PLAN: USES: FE