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HomeMy WebLinkAbout033-010-081�- 03 3l VD ej. 1 6,0000..v 'S Y 6,0000..v r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 1 ZONING BUILDING PERMIT OWNER SUSAN STAIB 934-9240 TELEPHONE SO. Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS GO . T(1 T_ DAD DT) /l (� COW6tgME - - TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 0RU711 I F$ Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ITPC;RAnF. ELEMICAI Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 2_1 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 in full force and effect.P License Class Lic. No. 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 ep ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLM OCCUP. ACC. BLCDCr OR A DNS 3.S¢F0 . M TI NON•RESID. @7.50 OWER APPARATUS S SINGLE OLmFT CIR. Ex. Occup. oLmETORFaTUREs 20 sA°'; 0 Ex. Occup. OUTIET3 REESS,6.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE -INSPECTION 2 3.00 PERMIT FEE $ 66.00 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of_a valuation Xof one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shallTOTAL 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. X bzt& Date �� Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for avations over 5'0" deep and demolition or construction of structures t. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE FEE $ 66.00 HAZ. D. FEES IMP FL HD IS E This ermit is hereby issued under the of Butte County Code and/or iridicat e 0 Issued fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date' rO IIMNI�* Receipt No. WHITE-D.D.S.-B. D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD•APPLICANT -+•vim--_. "'.ter r"�*^�','.�a_r- ♦S�' -� � - .,�.. .__�•,+...-v ,.. a`-.yH'.5,...-.=.Y"."f,•.7' �.� .-M .s,4:: - . COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE R MIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �,it mY i .� c f� >�✓ f ve r/ J ems.,+• ............. Data ,ori ,L Inspectors �-'-;�—' REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/46) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 033-010-081 l ZONING BUILDING PERMIT OWNER SUSAN STAIB 934-9240 TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS TP -NO U A,U TATI ()A CO C�(QbtgME .. _ ..-..: -... ..• _ TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNelONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _�(;RADF. FLET; ZEE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W —±L@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service A OR LESS 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 in full force and effect.POWEPUS License Class Lic. NO. 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 COFISLIUCt eP ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TG 1000A 46.00 NEW CONST. DWEWNG OCCUP. EE OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT_ NONN•RESINEW D. MULTI.OUTLET @7.50 8 SINGLER AOUTLETPARATCIR. EX. Occup. OUTLET OR FDRURES 20 O'•50 BAL @ .SO Ex. Occup. ovrLEEDTSAR OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE -INSPECTION 123.00 PERMIT FEE $ 66.00 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) 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. X Date Ali Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for avations over 5'0" deep and demolition or construction of structures t. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FL HD IS E This ermit is hereby issued under the of Butte County Code and/or Nao Awhiiiindi atees have .been By PERMIT EXPIRES ON applicable provisions Resolutions to do work paid. loll O Date Receipt No. WHITE-D.D.S.-B EDY CANA Y-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT .. ... w. .- . ..-.-.....t.. r - , - 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 SHEI.ET OWNER: �� `1 ASSESSOR PARCEL NUMBER U �3-3� G U� Proposed Building Use: n`n C- Counter Technician: Date: lG�0-5 Items required in order to apply for a permik A(I bodes MUST be checked OR marked NA in orde apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer he 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 faxes! O 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 fnd 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 ❑ 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-residential 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 By 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 ............................... ❑ 23APDES Form............................................................................................. ❑ �. Encroachment Permit for rive r , o the P blic Work Dept .................:.............. Ci iJ'25. 'Pre=Inspection for �. required ................ ❑ 26. Contractor's license informatio , (Nu er, 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 ..................................... ❑ 311 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 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: /D 18 A3 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, O 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 :4k COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - O®®r11oviil�llaae,,ppCalifornia * Telephone (530) 538-754 PE IT NO. �� ��e959665 hi�iLlirF�Tl®i�9piiV® iEUl�919'T NEw cD MULTI-0LmEr 7.50 NDNA6ID. C @ .12/96) PERMIT ZONING BUILDING PERMIT ESSORPARCELNUMBER OUTLET OR FwruREs 20 @ I.� Ex Occu eAL w Fl%ED APPLNS. OR S.00 Ex. Occup. OUTLETS ESLD. E0. SR'A O NER T "a SO. FT. OCC. BUILDING VALUATION Moble Home Facilities 1 20.00 owN�AS�MAIUNG AD aESs Mi tri 23. RACTOa•S/F(AA�E TELEPFIONE $ NTRACTORS MAWNG ADDRESS NSTRUCTION LENDER MECHANICAL PERMIT Fling Fee 20.00 Fireplace $ LENDERS MAILING ADDRESS Total Valuation $ ARCNRECT OR ENGINEER LICENSE NO. Flip Fee $ 20.00 Permit Fee $ ARCMTECr OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 13UILDING ADDRESS / Y Energy Plan Checking Fee $ lJ $ PERMIT FEE $ LLT NO, SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 CONST. TYPE TOTAL FEE $ Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 S Duplex ❑ Mobllehome ❑ Other Water piping 15.00 SPECIFY Each gas water heater or vent 15.00 TYPE OF ORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ UtiB6es Installation ❑ Other ❑ Building sewer 1 1 15.00 �� `� Mobile Home I S G 1 920.00 Describe Work: PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20,00 Main Service zo A OR IFSS 23.00 Main Service 200A TO 1000A 48.00 NEW CONST. DWELLING OCCUP. 3 S¢60. ORADDNS. ( a ACC. SDS. FT• FEE PAID $ NEw cD MULTI-0LmEr 7.50 NDNA6ID. C @ POWETi APPARATUS PERMIT a SM.OUTLET G0. OUTLET OR FwruREs 20 @ I.� Ex Occu eAL w Fl%ED APPLNS. OR S.00 Ex. Occup. OUTLETS ESLD. E0. SR'A $ Temporary Service 23.00 Moble Home Facilities 1 20.00 Mi tri 23. SHERIFF $ _ RRfliT FEE $ MECHANICAL PERMIT Fling Fee 20.00 OTHER $ Heating Cooling Hood 6.50 $ Ventilation PERMIT FES S Mobile Home Installation Fee $ $ Energy Inspection Fee $ CCC CONST. TYPE TOTAL FEE $ NAL D. FEES IMP FLOOD CDF PARCEL PD � ISSUE AMOUNT RECEIVED ��/ $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work ` U indicated above for which fees have been paid. DATERECEIVED C�j By Date RRECEIPT PERMIT EXPIRES ON (Date) .. .. .., .. ; ....... ':.:`:.�::.:•�`>i'Y^�ii;::;,.:.iii?:T'::i:r:;•:3:;:;�.:: »; ::.�:•:�1` ;...;:.; :; ° ": `., :. .. .'� :: .. t. C ,_�,,. x. s PRE -INSPECTION REPORT ..:.:..::....:.::: C�,h I� OWNER: DATE: LOCATION: V �� �� A P. #�� ' G� O r o ? CONTRACTOR: ���- �cj"t,4 "C,ZONING: r. PRE-INSPETION FOR C: . + DATE TO INSPECTO PERMIT HLSTORY:( ) NONE CX-,�SFOLLQ WS: v BUILDING INSPECTOR'S REPORT Building Description: I CommerciaWsage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes No Electric currently On - Off r' Condition of Electric =` Gas: Natural Propane None +x Currently On Off Obvious Problems: ' Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems ' Comments: �/ a� a• �. e�f n .� .�(` / s ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector. Date Sketch buildings on, reverse and indicate location on property. • ' _ � " • � w' .cif•" e .n ^. r� ` .. ,. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 4- 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754j PE IT NO. Rev.12/96) APPLICATION AND PERMIT � ZOMNG BUILDING PERMIT ISSESSORPARCELNUMBER /` /1 J V (J ;�E"E1 SQ. FT. I OCC. BUILDING VALUATION CONTRACTORS CONTRACTORS MAUNrd ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUDDING ADDRESS 1 C' LOT NO. I SUBDNISIONS NAME USEOFSTRUCTURE �uplex Mobilehome ❑ Other TYPE OF ORK New ❑ Addition ❑ Remodel ❑ U6G6es Instaliat Describe Work: .PERMIT FEE PAID SRA SHERIFF OTHER G E C°C° AMOUNT RECEIVED $ DATE RECEIVED RECEIPT # Fireplace HAL @ .50 ELECTRICAL PERMIT Filing Fee 20.00 Total Valuation $ 'u'orv, on r, 23.00 Main Servile ucENSE"°' Filing Fee $ 20.00 0. 3.5¢ OR ADDNS. Permit Fee $ NEW ecroM ( -MULTI.OVTLET Pian Checking Fee $ Energy Plan Checking Fee $ $ PERMIT FEE $ PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 SAIF'' Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 xT ❑ Other E3Buifd'mg sewer 15.00 l Q J„� ;/ _ I Mobile Home I S I G I W 1 @20.00 E C°C° AMOUNT RECEIVED $ DATE RECEIVED RECEIPT # Ex. Occup. PERMIT FEE S HAL @ .50 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 'u'orv, on r, 23.00 Main Servile 20DA TO +000A 46.00 NEW CONST. ( DWFLING OCCUP. 0. 3.5¢ OR ADDNS. 6 ACC. BLDS. NEW ecroM ( -MULTI.OVTLET @7.50 Ex. Occup. OVTLET OR FDRVRES HAL @ .50 Ex. oCCU . u,>_ETs PLM. ORA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 FS'ERMIT FEE I $ (P LP IIS I MECHANICAL PERMIT I Firing Fee 1 20.00' Hood 6.501 PERMIT FEE S Mobile Home installation Fee $ Energy inspection Fee $ =C CONST' TYPE TOTAL FEE $ HAZ 0. PEES IMP FLOOD CDF PARCEL PD I HD I MUE 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. By Date PERMIT EXPIRES ON