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Home My WebLink About030-420-014—.y ..':..°.,,: '•::';;'•:.) ': ''"t;` .', tri+.,,�.; , .M �;,: Y,':ty$> '.yr ..3:�•�. ;?ti:::i.:� •:r . J':: ii:::. .;•ye!.; -va:^^ ,: :3 s. >a . .;t: :v , h; u ti•':y. 7` ' psi.. i. 7 L •>e.i Y.. .:. 4} '��• P. E 1 uY 5 1 ry t , N C C 'ES ' 4} '��• P. E 1 1 ry N C C 'ES ' 1t T e t� Sh a } k c 7 t # 3 c v if f K d { 4 � t i• '�I !A� I �t'. _ } p { ( i f 1 Sy Y 4} '��• P. E 1 N C C e t� Sh a } c f T 5 } r d Y r� E r 3 w4 y t i t y�y 14 S 4. }f 4 COUNTY OF BUTTE - DEPARTMENT OF n;,EVEL-DPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541P (Rev. 12/96) APPLICATION AND PERMIT a3- ASSESSOR PARCEL NUMBER 030-420-014 ZONING BUILDING PERMIT - OWNER T CFAW n TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 6475 FERN ST-, REND NV_ 89901 'CONTRACTOR'S NAME TELEPHONE CONTRACTORS MATING ADDRESS 363 CANYON HIGIATANDS ]RCa71T_J_F 95966 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace - Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAtuNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1739 LETA L Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFYEach Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: C/O ELECTRIC SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 800.VoA mss 23.00 23.00 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 — /0 Lic. No. OWNER -BUILDER DECLARATION 1 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. ❑ 1, 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 Main Service TO 1000A 46.00 NEW CONST. DWELLING OCCUP. WEE OR ADDNS. ( a ACC. Bios. SO 3.5¢FT: NON-REOSID. =OxFql .— @7,50 POWER APPARATUS &SINGLE OUTLET CTR. Ex. Occup. OUTLET OR FD(TURES 2O Q 1.00 BAL @ .a0 Ex. Occup. ° .°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Dre inspPctiom 23.00 PERMIT FEE $ 66.00 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed 0 the permit is for work of a valuation Of ne hundred dollars ($100) or less.) 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 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ��r?tr�/� Date �� ii nature of Applicant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for ex vati ver 5'0" deep and demolition or construction of structures g -, Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 D FEES IMP I FLOOD CDF PARCEL I PD HD ISS This permit is hereby issued under the applicable o e Bu unty ode and/or Resolutions indic ed b r w ich fees have been By - D PERMIT EXPIRES ON tDato provisions to do work paid. II L Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NSTRU=w LEND - . OR ADDNs. i ACG . T. MULTI_ u @7.50 /I NDNi�14 FEE PAID $ Fireplace .PERMIT, MAAJ,G AODREss.Total E) . Occu . Ou•R.Er DR FDCRJRES SAL .50 - Valuation S Ex. Occup. WTLETS (AW0.)Ek 5.00 LICENSE Na $ FM Fee $ 20.00 OR ENO,NEER .. S w 23.00 Permit Fee $ ,AMM= DR ENa►JEM'S mile M ADDRESS SHERIFF Plan Checking Fee S P RMIT FEE S Energy Plan Checking Fee 5 " - gup,DNQ ADDRESS _ , OTHER � :. $ PERMIT FEE S. - PARCEL. MP PLUMBING PERMIT - Frmg Fee . 20.00 LOTND.: - - suso=tows NAME . , 7.00 PERMIT FEIE S Each Trap USEOFSTRUCTURE Energy Inspection Fee $ Solar or heat um water heater 23 00 , CCG CONST. TYPE Water piping 15.00 SF' ❑ Duplex 0 Mobilehome' ❑ Other s Each as water heater or vent 15.00 " TYPE OF WORK Gas. in 1 - 5 outlets D. FEB 15.00 tJew O: Adson l7 m el Co � • ,• � kWallation p .Other2::: C01;PARCEL Building sewer PD 15.00 @20.00. 65UE S. G W Nlobtle Home cri a Wor1c . __. " AMOUNT. RECEIVED..-,.,.$ PERMIT FEE S. This permitis hereby issued under the applicable provisions ELECTRICAL PERMIT of "the. Butte County Code and/or. Resolutions to do work Filing Fee 20.00 Main. Service ►o°AR indicated above for which fees have been paid. 23. 46.00 Maln Service zow TD ,000A _t rmmL UP. .PTT 3.5QFT . T. MULTI_ u @7.50 /I NDNi�14 FEE PAID $ _spq= "PPA � . .PERMIT, E) . Occu . Ou•R.Er DR FDCRJRES SAL .50 - Ex. Occup. WTLETS (AW0.)Ek 5.00 A �((♦ $ Temporary Service 23.00 Mobile Home Facilities 20.00 w 23.00 $ SHERIFF P RMIT FEE S Firing MECHANIMPERMITFrmg - Heating,' OTHER � :. $ Cooling Hood Ventilation PERMIT FEIE S Mobile Home. Installation Fee S Energy Inspection Fee $ CCG CONST. TYPE TOTAL FEE HAZ . D. FEB ISN FLDOD C01;PARCEL PD HD 65UE " AMOUNT. RECEIVED..-,.,.$ This permitis 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. DATE *RECEIVED Date .�'.�,J"i?i��>;•"rcr�Y`;-e'y`jr""r`ru'- `r �.r-��+fiF•�A'.. .,�� ,....,.,mV^z.-'"'•vs. ws;w, - r---�� :..,.v�I,=•;.�..w2.--owe,a-a:.`..�,'A.-.1",�::dw,cy:ka,a �".�,-r,• ., COUNTY OF BUTTE -DEPARTMENT E� SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, A 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET �) OWNER: ASSESSOR PARCEL NUME O R Proposed Building Use:UD Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in rder to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer 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. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fid plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residenfial buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... _ ❑ 17. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 18. Sanitation and site plan approval from the Environmental Health Department in _ ❑ 19. City of Chico Plumbing permit........................................................................ ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: _ ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form .................................... ... .........."*'* ............ Encroachment Permibayoom.e ep ........................ 25. Pre -Inspection for DL e .......... ... El 26. Contractor's license information. (Number, Name Style, Classification). ................. - _ _ ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. _ ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... _ ❑ 29. Letter of Signature authorization.................................................................... _ ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... _ ❑ 31. Manufactured home utility clearance............................................................... _ ❑ 32. Existing violations and/or expired permits......................................................... _ ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: _ When issued Telephone Z and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: / 11.9 1. Index ?mit 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 Elphone, ❑ 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 J• r QUMIT NO. 4.629-79$ k. J PERMIT EXPIRES 7/30/80 OWNER - ROBERT • SHAW CONTR. owner LOCATION (A.P. 30-42-14 ) . ;1739 Leta Lane, Oroville i ' I 1 r i = Temp (ower Pole a Called PG&E t Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (D ature `l COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIDN RECORD ' BUILDING BUILDING (Cont'd) PLUMBING - Setback Firewall Soil Plpin Forms Parapets 1st Floor Main Bld '. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage ` Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Insulation Heaters Slab Prov. for physically Appliances' Carport handica ed Gas Piping & Test Conformance of ex. -Footings structure Temp. Gas Slab Final Sanitation Patio .FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Coolino Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping AOBILEH- - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage - Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) W COUNTY OF'BUT-TE _ "' DEPARTMENT OF PUBLIC WORKS, 7`County Center Drive. Orovilie California 95965 Tel 534-4541, APPLICATION ANCITERMIT. C . autnonze-representatives_•ot�tne uounty, ot:ttutte to enter upon,tne This permit'is;herebyissued under the applicable provisions of above=mentioned, property for` inspection'.purposes. the Butte County Code and/or resolutions to do work indicated ' above for "h h fees have been paid. I CTOR OF PUBLIC -WORKS reDate i tu.oI PermiteeA or gent Z.D�1 _ { By Date eiNo. Recpt f I �d �� White-D.P.W. - Yellow -Assessor,- Pink -Inspector Goldenrod -Applicant Building permit eXplreS Ste BUILDING Owner ��j , l �: ��.� vL'T"P� W SQ. FT.` OCC. BUILDING VAL• UA Mail i n'g Address e`� ele hone o Contractor. ' . Mailing Address Firepface. . ,Total Valuation' - Telephone No i PermitFee . Building Address `� 7 � L� %/% . ' tl.) � ^•. ! P fan Chec ee &/or Penalty F eing Permit :Fe �. - � _ PLUMBING No. @ FEE PERMIT;-Fi'LING:FEE' $3:00 Each Traa ,, ( 1.50 Repair drainage or vent piping 1.50 / A. -P. o. 0 _u Z.— I y Tan � 8 Planning Water piping,` Each gas water heater or vent I 1.50 F es Fire Dept. .Fire Zone. U'se Permit '. Gas piping'system 1 --5 outlets- ; 1.50 EQA. Parking Plans' ParcelEach I Declaration Parcel Map .°60 R/W Improvements additional outlet .30 Building sewer 5.00 Parc'eI,A roval Pians Approval ` —Lawn -sprinkler system 2.00 NEW ADDITION' UTILITIES . ,5 •[] OTHER P.ermit Fee t" $ ELECTRICAL No... @ FEE .. 'r '. .,. :� .. ... .. PERMIT FILING FEE $3,00 gOOV OR LESS .Main service 100 AMP OR LESS 5.00` - . Single Family'• Duplexj. , Mobil Home 0`.: •'Others Main''service *.EA: ADD'too AMP 2.50 ' - .' . Main service OVER e00V - 25.00 100 AMP OR LESS , ' Main service. EA. ADD'L 100 AMP 1.00 NEW OR ACONST. I DNS. % ACCLBL GSLING CCUP. 9) •ZP sq ft 'CONTRACT OAS LICENSE LAW am licensed under the provisions -of, Chapterv9.-Div 3�,. of the.. State of California Business.&..Professions Code,under the'name ^��"' style of: NEW CONSTR. (/MULTI. U L T NON-RESID •.1 BRANCH CIRCUITS) 2.50ea " NEW CONSTR (POWER APPARATUS a. NON-RESID.'=• SINGLE -OUTLET CIR. EX.,000UP{0UTLETS OR FIXT11RES ® BAL�1 APPLNS. OR ' - (OUTLETS Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 ' Mobile. Home -Facilities, 15.00 License No.` Classificationt' Misc. Wiring, 6.25 I am.exempt:from'theContr'actors License Laws of .the,State'of'Califomia. Permit•Fee $ $ MECHANICAL No. @ FEE WORKMENr S COMPENSATION INSURANCE M y I am.aware of,the proFvisions ot'.Sect Ion.3700.of the California;Labov. Code which requires every ofto_,be'insured against liability for Workmen's Compensation. - EjI'have'placed on_file with ;th'e.County of•Butte a certificate of Workmen's Compensat Ibn`Insurance: I certify that in,ahe performance of th6`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 $3.00 Heating 'Cooling. .'. Ventilation' Hood 2.00 Permit Fee $ $ I certify that I 'have read this application and state 'that' the above, information -is correct. 'f agr6e. to comply to,aII'County Ordinances,, and State Laws. relating - to -building .construction; and: hereby . Land' Development Fee $ : TOTAL PERMIT: FEE $Ljoi autnonze-representatives_•ot�tne uounty, ot:ttutte to enter upon,tne This permit'is;herebyissued under the applicable provisions of above=mentioned, property for` inspection'.purposes. the Butte County Code and/or resolutions to do work indicated ' above for "h h fees have been paid. I CTOR OF PUBLIC -WORKS reDate i tu.oI PermiteeA or gent Z.D�1 _ { By Date eiNo. Recpt f I �d �� White-D.P.W. - Yellow -Assessor,- Pink -Inspector Goldenrod -Applicant Building permit eXplreS Ste + ((p f/ � . r nl ry- �+ 1 ciy Y'A�11 /�•t' (� P�SIiFYuI1, .+ `L 1 1. 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