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Home My WebLink About039-270-051039=27-0-05.1, COOPER", •-LARRY 2947 ORD FERRY RD,CHCIO ELEC SERV/SF / 1;0*4/ 7 ro I �•• 039-27-0-051-7 •• 3-2127 E JDOPER, LARRY 947 ORD FERRY RD,CHCIO 'ELEC SERV/SF - i OFFICE COPY #! Address _ 1 GAS Meter By pate ELECTRIC r(_ Meter By ate�� COUNTY OF BUTTE - DEPARTMENT OF.PUBLIC WORKS 7 County Center Drive - Oroville; California 95965 - Telephone, 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASS SQZ^J"55IfUMBER ZONING BUILDING PERMIT OWNER larry Cooper TELEPHONE 343-3590 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3947 Ord Ferry Rd., Chico 9592E CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 247 Ord :err Rd. Chico Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 r d USE OF STRUCTURE SF E3 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK at New _ Addition _ Remodel l_; U-erVl& �pgrQC n❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service V OR SS 200A OR LESS 1 18.50 1$.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury Iur y (check one): J 1 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 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) El I, 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 Main service 200ATO1000AI 37.50 NEW CONST./ DWELLING OCCUP.&) 3.64 sq.ft. OR AADONIS.( ACC. BLDGS. / NEW CONSTR ULT I -OUTLET NON-RESID EIR ANCH CIRC ITS ` 5.00 POWER APPARATUS 4 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 764 Ar FIXED APLNS EX. OCCUp. OUT LETS P(RESID )REA.) I 3.00 Temporary service 1 15.00 Home Facilities 15.00 Misc. Wiring 1 15.00 15.00 Pre-Zi1S ection I 20.6C 20.00 Permit Fee $ 68.50 — 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g 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 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 against id County in con equence of the granting of this permit. Date - !♦ - Signcture of Applicant v owns ® Contractor El Agent Elsions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.' Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOL FEES 5`''S0 "TA HAz 1 11FEES I IMP I FLOOD I CDF I PARCEL I PD HD I This permit is hereby issued under the applicable provi- of theBu'tte Cour xjr Code and/or resolutions to do work indlcatedoabove for which fees have been paid. J DIRECTOR OF PUBLIC WORKS By��" ", 1 Date PERMIT EXPIRES Date Receipt No. 143437 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone. 916.538-7541 APPLICATION AND PERMIT PERMIT NO. / ASS SSOR PARCEL NUMBER X39-270-051 ZONING BUILDING PERMI OWNER LarryCooper TELEPHONE 343-3590 SQ. FT. OCC. BUILDING ALUATION OWNER'S MAILING ADDRESS 3947 Ord Ferry Rd., Chico 95928 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 2q47 Ord Ferry Rd.- Chico Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME 771 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF 3 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New 1 1 Addition LJ Remodel ❑ Utilities � nstall�tion❑ Other ❑ Describe work: Service Upgrade Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 18.50 Main service 200A TO 1000A1 37.50 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 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) ❑ 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.&\ OR ADDN5. ACC, BLDGS. Ir 3.66sq.ft. NEW CONST R. ULTI.OUT LET NON -R ESID BRANCH CIRC ITS 5.00 POWER APPARATUS &) (SINGLE OUTLET SIR. Ex. Occup(OUTLETS OR FIXTURES 760 L P 460 FIXED Ex. Occup. OUTLETS P(RESID•IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 s ection 1 20.0 20.00 Permit Fee $ 68.50 — 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g 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 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 against aid County i co quence of the granting of this permit. f Date — j — Or; Signature of App cant — Owner X Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $68.50 HAz I DFEES I IMP FLOOD I CDF PARCEL I PD HD I ; permit is hereby issued under the sions of th to Cou Code and/or work I Ica b for which fees OR OF PUBLIC By PE MIT EXPIRES Date applicable provi- resolutions to do have been p Id. OR Date Receipt No. 143487 WHITE-D.P.W.. YELLOW -ASSESSOR, PINx•INSPEC TOR. GOLDENROD -APPLICANT I J yt=7+'.y'.r'a'ski'-a?`►,a:.�YS�t'.t.r'�°i""+y.''T'7r' 'T- 1W+ri7T7`7'`A� COUNTYOF BUTTE - DEPARTMENT OF DEV,5 PMENTSERVICES - BUILDING DIVISION 'r 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOR IA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATIONDATA SHEET 11 Proposed Building Use At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED 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 . ...................... .4. Engineered plans and calcs, 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-anr/ovalare4'i ired prior to occupancy). . . 20. Pre -inspection for �i-(�r _ P'a'"ssppm"BQ08 liq i required. . t° Building Inspedor 21. Contractor's license i- formation. (i .......... o., 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 follows: /Mail to owner. Mail to contractor. Telephone \ and hold for pickup at office. Deliver with inspector. Other Parcel Creation r Acreage Applicant Date 7711-c3 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 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) ' \/E - S 2. I (have/have not) 1y'AVC__ 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 w 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 ..';,NOTE: Signed: L?¢� Property Owner Social Sggcurity Number' —� Date 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. PRE -INSPECTION OWNER: L8 e= /' 7 �O Q DATE l / LOCATION: q4-7 O/ --o lr-�XILl 12 # 03 CONTRACTOR:- ZONING ------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------- PRE -INSPECTION FOR: DATE TO INSPECTOR ------------------------------------------------------------------- ------------------------------------------------------------------- PERMIT HISTORY: NONE Q AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TEN ANT: j� OCCUPIED jam' HAS ELECTRIC fff HEATED-c4)ohE _ OTHER COMMENTS: FD HAS GAS s AS SANITATION FACILITIES, E.l PERSON CONTACTED ACTION MMENDED: ISSUE 0 HOLD FOR OTHER:. BY � CU V DATE !z I. �� P.� �� ,