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HomeMy WebLinkAbout030-200-041I HUBERT, DENA & LES : 93-2815 B r+®®�. '.1411 BIGGS _ _ ®� ® ®' REROOF/SF OROVILLE. i i fi * � � � �_ � � � � � � �1 C030-20.0-041 7 "1 93-2815 B] UBER' =4 —0-0 93-2�15 DENA & S 0 0 0-20 HUBERT T, DENA & 1411 ♦mssL�--BIGGS OROVILLE-, 00 .-REROOF/SF- C�l COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION "7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 93-2815 ASSESSOR PARCEL NUMBER 030-200-041 ZONING . A� BUILDING PERMIT OWNER DENA I.ESHUBERT TELEPHONE 589-1944 SQ. FT, OCC. BUILDING VALUATION MAILING&ADDRESS 630 RIVERVIEW Cr.OROVILLE CA 95966 16 SQ 960 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 25.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 45.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SADuplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: REROOF WITH WIP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 APPROX 16 SQUARES Main Service ( 2111V 01 LESS 00AORLESS ) 23.00 Main Service ( 200ATO1000A ) 46.00 DWELLING OCCUP. NEW CONST. DW8, ) OR ADDNS. ( ACC. BLDS. $O . 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. ,License vLicense No. Classification the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.00 Ex. Occup.FIXEDAPPLNS.OR ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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. 1 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 consequencellof the granting of this permit. j X. w �1. I, c --{ —� Date r/ , -� Signature of Applicant ❑Owner ❑Contractor El Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 45.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC -WORKS Date PERMIT EXPIRES ON /Date/ 148380 Receipt No./� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 93-2815 / ASSESSOR PARCEL NUMBER 030-200-041 20N,:� AR BUILDING PERMIT OWNER SHUBERT DENA TELEPHONE 589-1944OWNEWS SQ. FT. OCC. BUILDING VALUATION 16 SQ 960 MAILINGADDRESS 630 RIVERVIEW CT OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 25.00 ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 45.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFS] Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20'00 TYPE OF WORK New ❑ Addition ClRemodel ❑ Utilities ❑ Installation ❑ Other Ex Describe Work: REROOF WITH COMP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 APPROX 16 SQUARES 101 OR LESS Main Service ( 00AORLESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLOS. ) . 3.50 FSTO, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. `/License No. Classification �Si I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @'.50 Ex. Occup' FIXED APPWS. OR ( . ) OUTLETS (RESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a �, Certificate of Consent to Self -insure. tea[ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all Iiabili ies, judgments, costs, and expenses which may in any way accrue against said Co u �y n consequence of the nting of this permit. i �' XDate Signature of App ee ontractor ❑ Ag ❑ Owner ❑ Cent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 45.00 HAZ• I D. FEES IMP FLOOD I CDF PARCEL PD HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have DIRECTOR OF By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 4G -WORKS Date 2�i� cI C 9�" lDet 1 ReceiptNoJ.48380 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ;,I.� .-.�,..v--...C"'isJti-��`.��".-•�7,.;r'cwt•�y't'^^r.Y�'�'J+�7ri'!`^'."'.y'7•v���� r�'�..:7'�a�'tiit.,�...,f-`,r^...-t:+-�/'7"'�+..---(�tr�..v'N�`t'tiT,�„^T.-�.rr�.-n-...,v COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CrJlFggg NIA 95965 - TELEPHONE (916) 538-7541 JSP$ .� LM VI.- PERMIT APPLICATION DATA SHEET OWNER �/V 6 A. P..NNo. �zoo- Proposed Building Use o Building Inspector/ Date 3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: i DATE RECENED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... A. Engineered plans and talcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ......................................... . 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ... .... . 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for P��"�e Inspector required. . to Building lnspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ...................... . .................. 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A),Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as folio r. o co a or. Telephone and hold for office. Deliver with inspector. Other Parcel Creation / Acreage Applicant 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. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department of Public Works 7 County Center Driv,e,_19roville, 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) 2. I (have/have not) signed an -application for a building permit. for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone -Contractors License No. 4. I plan to provide, portions of this work,.but'l have hired - the following person to coordinate, supervise, and provide the major work: .' Name Address City Phone Contractors' License 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 \\X/ Signed : 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. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER (5,5oiZ6o y C> [� ; O. _bi • .:✓I- /�- BUILDING PERMIT OWNER LEPHONE SQ. FT. OCC. BUILDING VALUATION . o So, OWNER'S MAILING ADDR Q=5C\ V t4 CONTRACTOR'S NAME _ /T TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ m� ARCHITECT OR ENGINEER uCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 4UILDWG ADDRESS PERMIT FEE $ .I S EYc PLUMBING PERMIT Filing Fee 20.00 C/1 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE S\\�SPECIFY Duplex ❑ Mobilehome O Other Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W El � @20.00 TYPE OF WORK New ElAddition O Remodel O Utilities O,, aAI-nstallation O Other )A-- DescribeWork:_e V_6kpQ (U ��V\ �� f I PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( B00V OR LESS ) 23.00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLDS. ) s0. 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) IDI am a licensed under provisions of Chapter 9, Division 3 of the 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI-OUTLET -NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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. X Date Signature of Applicant - ❑ Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee S OCC CONST. TYPE TOTAL FEES HA2- I D. FEES I IMP I FLOOD I CDF PARCEL PO HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON /Dere! Receipt No. / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFQRNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: ` Owner's Name: Date: Address: Acct. No: A.P. No.: Phone: No. Units: Applicant/Agent: Agents Proof: Address: ''Z Fees: Phone: • `�' - Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: SC -0 R 1st mo. S.C. Other n Total Fees ollected By: -,i Date: Field Review By:• �1�.� ..._%/���;' °� 'r Date:(2 Remarks: N/ �j �;/o-- �� s li)r int 0 4. MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID •oag,juawdojanaa pue� £661 T I d3S 31168.0 AiNgl 03