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HomeMy WebLinkAbout035-180-020035-18-0-020 97-2209 E MILLER, Richard 2121 Ithaca St, Oroville (elec ser ch) SF Hill Const 035-180-020 99-1867 MILLER, RICHARD 2121 ITHEACA STREE�O CONTR: OWNER �I li" RE ROOF v t i 035-180-020 99-1867 MILLER, RICHARD 2121 ITHEACA STREET, OROVILLE CONTR: OWNER RE_ROOF f- R r7- 000% V1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P .RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 035-180--02(0 ZONINO� BUILDING PERMIT OWNER RICHARD I t ER R11L�1i:.lU� ll.k.EJiY,S:t MILLER TELEPlH1ONNE SO. FT. OCC. BUILDING VALUATION . . OWNERS MAILING ADDRESS 2121 ITHACA ST.. OROVIL 5 CONTRACTOR'S NAME O�W��N�E+�R VRL:GiI TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 17000 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2121 ITHEACA ST., OROVILLE Energy Plan Checking Fee .$ $ PERMIT FEE $ 37.00 LOT 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:RZRMobile �� r Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200' 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. License Class Lic. No. OWNER -BUILDER DECLARATION Li I hereby affirm under penalty of perjury that I am exempt from the Contractors cense 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. 6 I, 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 200A TO 1000A 46.00 NEW CONST. DWEl11NG OCCUP. OR ADDNS. a ACC. BLDs; s0 NEW CONST.MULTI-OUTLET 97,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup.OUTLET ORFOcruREs 20°'•0° BAL @ .50 Ex. Occup.OUTLEEDTSA R0 °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring L 23.00 PERMIT FEE S 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 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.) 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 workers'HAz. 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 - 7 Signatbre of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TYPEp, TOTALFEE$ 37.00 EOCCONST. D FEES IMP I FLOOD I CDF PARCEL I PD HD 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. By l�Lr %%–! Date %& 1,1rS PERMIT EXPIRES ON / 4e Receipt No. 2 737 G0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION y 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541WRIT NO. (Rev.12/96), APPLICATION.AND�PERMIT qu 11 1 ASSESSOR PARCEL NUMBER 035-180-020'- 2ON1NXR BUILDING PERMIT OWNER RICHARD MILLER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 2121 ITHACA ST., OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 17.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2121 ITHEACA ST., OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 37.00 LOT 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: REROOF W/ COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo 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. License Class 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. I, 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 zooA To ,000A 46.00 NEW CONST. DW %* OCCUP. OR ADONS. ( a ACC. slns. SO 3.5QFT: NEW CONS. NO RES DT MULTI.OUTLET 97,50 POWER APPARATUS a SINGLE OurLer c,R. EX. Occup. OUTLET OR FIXTURES BAL p I.so LNS Ex. Occup. ounEEDTs AEES,6.oEEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) X 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. �y X NN—e— Date 13 - 77 Signal re of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNST. TYPE TOTAL FEE $ 37.00 Z.A D. FEES IMP I FLOOD I CDF PARCEL I PO I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By EXP RE ON the applicable provisions Resolutions to do work been paid. Date l� XSA�l a6 to Receipt No. T-37PERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER&), S—/� 0 — ZONING BUILDING PERMIT OWNER o j/ TELEPMONE i/ SO. FT. OCC. BUILDING VALUATION o ,, - N 2 33 CONTRACTORS NAME TELEPHONE' CONTRACTORS MAIUNO ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. _ Filing Fee $ 20.0 Permit Fee S 0 46 ARCHITECT OR ENGINEERS MA0.JNG ADDRESS Plan Checking Fee S BUILDWGADDRESS -2—�� '(� '/'nLX� - Energy Plan Checking Fee S a !^ d PERMIT FEE = 3 , 0 LDT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF'&,,Duplex ❑ Mobilehome ❑ Other SPEc�v 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 ❑ In Ration Describe Work: ❑ Other Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE ! ELECTRICAL PERMIT Filing Fee 20.00 Main Service 22ow ca LLESS 23.00 -' — --- — ' • ' -- " in Service ?DBA TO l000A 46.00 NEW CONST. DWELLING OCCUP. 3.5dssoo. OR ADDNS. ( a ACC. BLDS. NEW CONS MULTFOUTLET NON-RESID. @7.50 POWER APPARATUS a SWOLE0 IT.. 20 00 IXT.50 Ex. Occup. OUTLET OR FIXTURES BAL ®/ Ex. Occup. a 5APP6 .oma 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ O O HA2. D. FEES IMP I FLOOD I CDF PARCEL I PO ND 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. By Date PERMIT EXPIRES ON ate 035-18-0-020 97-2209 E ,. MILLER, Richard 2121 Ithaca St, Oroville (elec ser ch) SF Hill'Const h 17 • i OFFICE Copy Address", � c Bath ELECTRIC c a. Meter By Date i i COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION It 7 County Center Drive Oroville, California 95965 - Telephone (916) 538-75PERMIT NO. 917 - (Rev. 12/96) APPLICATION AND PERMIT -C92r ASSESSOR PARCEL NUMBER 035-180-020 ZONINA AR BUILDING PERMIT '- OWNER RICHARD MILLER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS "UNG ADDRESS PO BOX 5291 OROVILLE, 95965 CONTRACTORS NAME RI1 L .STRUMON �`J �'jl TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS ' Total.Valuation $ ARCHITECT OR ENGINEER LICENSE NO. I Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkiri Fee $ BUILDING ADDRESS 2121 ITHHACA ST Energy Plan Checking Fee $ $ OROVILI_L PERMIT FEE S LOT NO. SUBONISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other _ SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping15.00 Water gas water heater or vent 15.00 TYPE OF WORKy.{ j �'�:.. t 1. �� New ❑ Addition ❑ Remodel ❑ Utilities ❑�IhAallatlon� ❑ Other ❑ Describe Work: H',LEC SER CHHANGF Gas i in s stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 _Lt -FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800VOR UE Main Service zo.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.POWER 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. p I, 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 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 6 ACC. BUDS. so. 3.5¢FT. ON ," N -R.,,. MULTI.OUTLETIR @7.50 APPARATUS 8 SINGLE Ol T. CI R. Ex. Occup. OUTLET OR FIXTURES BAS@' o Ex. Occup. DUTELeTs REIp,OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PTI T N PERMIT FEE $ 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. I My workers' compensation insurance carrier and policy number are: Carrier 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.) ,Q 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 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. (� Date na ure of Applicant - ❑Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 66.00 HAZ, 1 D. FEES IMP I FLOOD CDF.PARCEp I PD HD 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. / ! L^ By t Date//1 —�3 PERMIT EXPIRES ON Date Receipt No. Ll4ii`l�► WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE { BUILDING DIVISION I DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 Ca 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE NER. PERMIT 0. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of -work is completed. If you have any questions pertaining to this matter, or need additional explanation, Inspector REV 1 IJ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751w 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE t y OWNER PERMIT NO. A. A routine inspection indicates that the following violations of Butte County Ordinances exist at s the above address and should be corrected. Please notify this office when correction of work is completed. If yo have any questions pertaining to this matter, or need additional explanation, e please contact is office immediately. 71 / a -1 R DateInspector/ REV IQ 2 7 • y k DateInspector/ REV IQ 2 7 ��_. • _._ _�..-.1r'..y...__"-!ice �.`'"�"+�-"4.., 7�"'.� ..: ..t ..._ r ... wr .. r COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 r CORRECTION NOTICE /ZI' a OW ER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify 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. Lt. l Ari� Date Z2 Inspector &/-41— REV �� REV 10/92 \ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75A'-(7 a�7ERNO. (Rev.,.e/96) APPLICATION AND PERMIT jj 7 ASSESSORPARCELNUMBER 035-180-020 ZONING AR BUILDING T7 OWNER RICHARD MILLER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 5291 OROVILLE, 95965 CONTRACTOR'S NAME BILL CONSTRUCTION TELEPHONE ' CONTRACTORS MAKING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee- $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2121 ITHACA STEnergy Plan Checking Fee $ $ OROVILLE PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF X3 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat1pump 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: ELEC SER CHANGE 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 Fling Fee 20.00 - Main Service ioOAOOR , 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 in full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License aw 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 construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 WEL200A CCUOOOA NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. Bins. SO 3.50FT: NON-RESIDTNEWCONS MUL OC CLET @7,50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FDUURES 20 @ 1•00 BAL @ .50 Ex. Occup. ouTEI, %%.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PRE INSPECTICIN PERMIT FEE S 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 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.) j 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 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. (� Date��_� _� ! gna ure of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for fees have been paid. B ate PERMIT EXPIRES ON;� �l�p Date Receipt No. 224854 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/99) - APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER�� I l%/ (J�J� ZONINGAL BUILDING PERMIT owNER TELEPHONE SO, FT, OCC. BUILDING VALUATION ow 'S I ADDRESS coM OR'S E ` HONE ' CO TORS NO ADDRESS CONSTRUCTION LENDER - LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 ARCHITECT OR ENGWEERS MAILING ADDRESS Permit Fee S Plan Checking Fee $ BUILDING ADDRESS 9T��_ Energy Plan Checking Fee $ $ PERMIT FEE $ i LOT NO. SIIBONBpN9 NAME PARCEL MAV. _--Ffling Fee USEOFSTRUCTURE ��{ SF �"C Duplex ❑ Mobilehome ❑ Other sPECIPr Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities O Installation ❑ ADthor Describe Work: - Each as water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Buildino sewer 15.00 Mobile Home F§] G W (920.00 PERMIT FEE $ _ ELECTRICAL PERMIT Filing Fee 20.00 800VOR LESSMain Service zow OR LESS 23.00 0-2& 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. License Class 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. ❑ I, 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 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. O 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 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 issdod 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 _ _ Signature of Applicant - O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLINGOCCUP: SO OR ADDNS. ( b Ate. Bis. NEW CONS ' NON-RESID. MULT, OtlTI ET @7.50 P.Or APPAAArus a swDUE 0 n. CIR Ex. Occup. oUn.ET OR FUTURES �® 1.000 Ex. Occup. Owners L.16.1EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee S Energy Inspection Fee b - � - CONST rP£ TOTArFEE $ HA:. 10). FEES IMP ROOO COF PARCEL PO HD 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. By Date PERMIT EXPIRES ON re ReceiptNo. WHITE-D.D.S.•B.D. CA RY• SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,/ ��'4�,Kti"V"i'l�"pP'�f1!'''7C,Ert�M.�'h"�..,"e,;,.'^j�..:.ri`r.�.'Y-'�"���f""�{..a^�"^'�w�:...s..wt���'sy;,�T.baa._•ti�'�'M""'°.s..C^�Z'�.`�:^'..,a �����anl yii'.µlY-ti�����r�. � `CDUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER:QN)"')ASSESSOR PARCER: Proposed Building Use: Building Inspector: Date: KoHowing At time of permit application, I was"-;' Aiseddata must b subm' ed prior to permit proc ss' an or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------==----. ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ----------------- E16. ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- El8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- -------------------------------------------------------- 1:113. ❑13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ------------------------------------------ Ell 5. ❑15. City of Chico plumbing pemrit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- --------------------------------------------- 1117. ❑17. Planning approval for (A) Use: (B) Parking: -------------------------- ------------------------- 1-118. ❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑19 ncroachment Permit fovewaY (construction approval riot to occupancy)- ---------------------------- j i�lc 0. Pre -inspection for Q= o required Request to Building Inspector on ate) 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------------- El 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ------------------------------------ 024. ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------- ------------------------------ 1:129. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- -------------- [130. ❑30. Other: ------- When you issue the permit,process as follows ❑ Mail to owner, ❑Mail to co tractor. 9-relephone �-� (' and hold for pickup at © 1 office. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: Cl Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division.