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HomeMy WebLinkAbout039-270-145lqs 039-270-993 01-2926 BEST BUILT SS 3956 -DAYTON WEST, DAYTON NEW ELEC SERV & MISC WIRING 039-270-963 01-3194 JOHNSON, CRAIG 3936 DAYTON WEST, DAYTON CONT: BEST B LALDERS WOODSTOVE d--tdt S-17 September 19, 2003 California Appraisals 120 Independence Circle, Suite B Chico, CA 95973 ATTN: Joan Chamlee '6utte' County D O F NATURAL WEALTH A N D B E A U T Y PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 Re: 100% Rebuild -Burn -down letter for 9505 Dayton West Rd., Chico, CA, (APN 039-270-145). Dear Mrs. Chamlee; The above referenced parcel is currently zoned SR -1 (Suburban Residential, 1 acre minimum). This zone allows for a single-family dwelling. This parcel is a.20 acre parcel which was created before the SR -1 zone, and is considered a legal pre- existing non -conforming parcel. Should the dwelling be catastrophically destroyed it may be reconstructed, provided it will not be placed within the required building setback areas and meets sanitation codes in effect at the time of reconstruction. The setback requirements for the SR -1 zoning are 50 feet from the center of the road and 5 feet side and rear yard property lines. Should you have any further questions, please contact this office between the hours of 8:00 a.m. and 4:00 p.m., Monday through Friday, at 530-538-7977. Sincerely, o= arty Painter Planning Technician II CC: Development Services, Building Division Butte County Department of Development Services Planning Division e�.:r .,.r„u, . __ ..�;.•�ne,rtx,�►:-r.-.n-.� v a -• .:�:.�. .�Y;.t.... j' .• c� ,-. r7�'y.. .. -.<-,`.t , •%,..,�",�-..-..y _,t .� 039-270-003/lr1 JOHNSON, CRAIG,,- 94 3956 CONT: BEST B T, DAYTON ' D WOODSTOVE ERS -29 Pet • OFFICE COPY Address)79 GA �. Meter By Date - ELECTRIC Meter By Date i �•�Ip �OF ICE COP r Q j Address GAS I Meter B pate ELECTRIC Meter By I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�i� . ERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 31. 'LO-) r ZONING BUILDING PERMIT OWNER` (i A J 08451)i ��V r N.E 3 SO. FT. OCC. BUILDING VALUATION r OWNERS MAIUNGSADDRESS CONTRACTOR'S NAME ��� TELEPHONE CONT.T�ORS �AIUNG ADDRESS �7S r(I� [ � CONSTRUCTION LENDER / Fireplace LENDER'S MAILING ADDRESS Total Valu Ion $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ r ARCHITECT OR ENGINEERS MAILING ADDRESS © �.� Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ De; PERMIT FEE S �� LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE r Al I SFplex ❑ Mobilehome ❑ Other ' ` SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK pp New ❑ Addition ❑ Remodel [3 Utilities ❑ Installation ❑ Other ❑ i" Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 000R LESS Main Service 200A VOR 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. �� J 6 t License Class 1 . �_�I'�i L'IC. 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 t Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. EMS . s0 3.5QFT. NON-RESID. MULTI -OUTLET 97.50 POWER APPARATUS a sINGLE OUTLET CIR. Ex. Occup. OUTLET OR FD(TURES 20 p 1.00 BAL @ .SO FIxeDAPPLNs. oR Ex. Occup.."EDs ,='. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 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. ❑ I 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.) 4- 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort , ith comply�with those provisions. ""'- , U, X Date ': _ Signature of Ap I cant - Ilk Owner ❑ Contractor ❑ Agen An OSHA permit s required for excavations over 60" 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 $ HAZ. D. FEES IMP FLOOD - CDF _ 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 � AI PERMIT EXPIRES ON ! %/2 I Dale Receipt No. X1.7 iF+. cr WHITE-D.D.S.-BSD. C A Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 �,�«.,R--•....- . -� �.. ��..•�•„y--...-...avw.-t�r=-�es+xc_-�...�..;.�..-.-,,..,.« ;—•.---..r--a-rr -..... -,. ..- -. COUNTY OF BUTTE ?` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 f 7 County Center Drive • Oroville, CA • (530) 538-7541 =; CORRECTION NOTICE OWNERO PERMIT 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. I- —L r Uk 4'Q/Ye1-% UOL— Date � d Inspector 11/ REV 10/92 ` t: 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 n PERMIT 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. Daft Inspector REV 10/92 41- D 1i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 61-367 IT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - -D , ZONING BUILDING PERMIT OWNER JvYVI5^� TELEPHONE G�OZ37 SO. FT. OCC. BUILDING VALUATIONC�wI OWNERS MAI NG QPRESS_ , / /D N vC.. CONTRACTOR'S NAME ]2l/�_� /i� ( TE HONE_�� CONT. V p.NO /`'/� R, i? CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valu tion $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS rl 7 S�- �� + eu 2 Energy Plan Checking Fee $ 0 ��� PERMIT FEE $ 5-6 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE / SF) Duplex ElMobilehome 13 Other \ SPECIFY Solar or heat um 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: W�(J`sr(j�� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 500V0LE Main Service 20.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 I full force and effect. �0 �A f ' License Class Lic. No. (� 1D 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 construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 NEW CONST. DWWELEE LINGOCCUP. CU OR ADONS. ( a ACC. BLDS. 3.5,sSO NEW CONST. MULTI -OUTLET NONRESID. @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL p':50 FIXED ALNS. OR E Ex. Occup. PP ounETs RESID. A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 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. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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' 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 fort ith comp) ith those provisions. — � X Date eJI::J,.�) o Signature of A cant --g Owner ❑ Contractor ❑ Ag 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 $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP ROOD CDF PARCEL PD HD a UE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date /L Lt7/ IL Z Dete Receipt No. WHITE-D.D.S.-B.D. CANA V -ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT 4 03°1-2.-70' cM 3 0 1 ZAZ(o 3 OI S G Dc-4 * ties �- ir��Lo C (ecivk ci p a— 1� • �' `•d 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 01 ASSESSOR PARCELNUMB �• .4 r =Dµ''' G, BUILDING PERMIT OWNER ^! TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER MAILING ADDRESS-) - CONTRACTOR'S NAME TELEPHONE (7e 1. ry C CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Pilin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS r Energy Plan Checking Fee $ lCi a PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL AP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFA Duplex ❑ Mobilehome ❑ Other sPECIFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition 9 Remodel 13 Utilities ❑ Installation ❑ Other ❑ ,r Describe Work: 1 i i1- -. E ` Z-uo K � h Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 "Mobile Home S G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 800V OR UE:: Main Service OA OR.23.00 .(37 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisionsIf Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professiitns Code, and my license is in full force and effect. License Class ( � %+ t6 Lic. NO. O (Q —OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contract o s License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole comensation, 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 YOGA TO 1000A 46.00 NEW CONST. DWELLING OCCUP.SO OR ADONS. ( d ACC. BLDS. 3.50FT; NEW COS MULTI -OUTLET 97,50 POWEPPARATUS 8 SINGLER AtlTLET OCIR. Ex. Occup. c�ORFIXTUREs BA�®':50 Ex. Occup. DUTEjF7gRZ.) E, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 a– a. ai 3 PERMIT FEE $ , Qv 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. i ❑ 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 4:; I (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' compensation laws'bf California, and agree that if I should become subject to the w rkers' compensation provisions of section 3700 of the Labor Code, I shall rthwith comply w'Rh those provisions. X n Date (� C ` Sign Pure of Ipplicaiff - Owner Ef Contractor ❑ Agent An OSHA per it 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 FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ TY CONST. PE - TOTAL FEE $ 9 , OU HAZ. D. FE MP FLooD CDF PARCEL PO HO IS-SSJE V 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. f� By Oat/e f L PERMIT EXPIRES ON % r2/ 2, el"' ata ReceiptNo. 3 8 t WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT W � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 MIT NO. (Rev. 12/96) APPLICATION AND PERMIT C ASSESSOR PARCEL NUMB , 3CI—+0_ ZONING BUILDING PERMIT OWNERf TELEPH NE SO. FT. OCC. BUILDING VALUATION .OWNER M,J1�ILffjQ DRES� /1 ` 4Zj�/_ /W7 •��o CONTRACTOR'S NAME TELEPHONE CONTRACTORS 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 ` �\ /YJ_ VJ./) Energy Plan Checking Fee $ $ Daub% PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF)k Duplex ❑ Mobilehome ❑ Other sFfclFr 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: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OO Main Service zoos oa mss 23.00 73,op 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 L st �J Lic. No. -%G S2. a, I 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 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. ❑ 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.) 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 law?2f California, and agree that if I should become subject to the w rkers' compe on provisions of section 3700 of the Labor Code, I shall ns. I rthwith cmz!!-�rriiib X Date h Sign ure of pplica Owner qContractor ❑ Agent An OSHA per it is req Ired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, SO OR ADONS. ( 8 ACC. BLDS. 3.5¢FT. rNj RESIp. MULTI.OUTLET 97,50 PowER APPARATUS 8 SINGLE OIITLEr CIR. Ex. Occup. OUTLET OR FIXTURES BAS @':50 Ex. Occup.G EOrs gES,O.1 E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 a3,0 .00 PERMIT FEE $ r Oct MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ �V�''rPE TOTAL FEE $ 9 , 00 HA2. D. FE IMP FLOOD CDF PARCEL PD MD This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By din PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. j� 2 O ate l b ale Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ?. dt-�ir{♦ v` r > ''COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: &a a ASSESSOR PARCELNUMBER:() 9 rQ-40- CO3 Proposed Building Use: 19 ' r- Building Inspector: %.) da Date: It -15-01 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 the preparer of plans............................................................................ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans................................................................... ❑ 4. Engineered plans and calculations, 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! ............... ❑ 6. Energy Design Compliance and supporting documentation................................................................ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings...................................................................... ❑ 8. 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...................................................................... ❑ 13. Flood Elevation Certificate.................................................................................................................. i ❑ 14. Sanitation and Plot Plan Approval Environmental Health Department.......... ❑ 15. City of Chico Plumbing Permit............................................................................................................ ❑ 16. Plot Plan and Business License Approval from the City of Biggs ....................................................... ❑ 17. Planning Approval for (A) Use: (B) Parking: ........... ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel ........................... ❑ 19 ncroachment Permit fnfor Driveway (coQstruction approval prior to occupancy) ............................... 0. Pre -Inspection for �gQd required. Request to Building Inspector ❑ 21. Contractor's License Information (Number, Name Style, Classification) ........................................... ❑ 22. Workers' Compensation carrier and policy number............................................................................. ❑ 23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) ............................................. ❑ 24. Letter of Signature Authorization........................................................................................................ ❑ 25. Recorded Copy of Agricultural Acknowledgment Statement.............................................................. ❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................ ❑ 27. Manufactured Home Utility Clearance................................................................................................ ❑ 28. Existing violations and/or expired permits.......................................................................................... ❑ 29. ❑ 433 A, ❑ Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D. $ ..................... ❑ 30. Other .................... Whetl y6u issue the ermit, rocess as follows: ❑ Mail to Owe Q Mail Contractor. �� dh Idf � k ffi D 1; 'hI elephone an o or ptc up at ce. _ e Iver wtt nspector. r )Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Datco By: Copy of Plans sent ❑ Health Department, ❑ Fire Department, ❑ Other Index permit Application for the above ite ^- . R. Date: By: (Date) Plan Chl List C 2. Additional itemJ a� ve �� /C E -u eea r Contracto , design,;red: was advised of the above requir data by: o e mail, ❑Building Division counter, By: Date: %designr was advised of the above required data by: hone, ❑ mail, ❑ Building Division counter, By: Date: I 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: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder Yellow Copy - Department of Development Services - Building Division Plans reviewed by: Date: Note transfer by: Date: �� 6� _ �/ G+�¢�✓l9/ 4µ'i-Q� �W �!��e�li G� ����4(J U �l�t�.aC /�� • t PRE -INSPECTION REPORT OWNER: &,at &;Ca DATE: //-/5-(0) LOCATION: ----3 e( 5-6 Djut&22 WaA vd CONTRACTOR: C9uTh_Q/L PRE-INSPETION FOR DATE TO INSPECTOR 11-2 (0 Q ] PERROT HISTORY:( NONE Standing Description: A.P. # i�)? � a--6 - 0o3 ZONING: ONING:: a ( ) AS FOLLOWS: BUILDING nYSPECTOR'S REPORT Commes+ciaWsae: . Residentialffi of Units: Currently Occupied L O AbandonaWacaat Electric: Yes___ No Electric currently On Off_ Condition of Electric—f—CDr., AepW AeLAD spryx -e 5L& IF, c.-oAv-iors Gas: r i spr, °�„���5 �o 1-;;., rov.,..dl;,� Ply-Jrbj�. e Itt- lC PX111iscoy'12 PfIZ Natural Propane None Currently On Off Obvious Problems: Sanitation: c Plumbing Working A, v, k n oa r\ ,, // Well Working 1�t=S PotableWater_4fS Obvious SewagePioblems fE)4y-r 1 o f CGs � - 1 r u ,n u o4 3' roof rI Comments: w I c 1 .. +zoSS 1'V? &�4," r k'ej (1-0, d— S e- ��. Cah CO.,,ljyv 11n �,Ofm IOli P '1VI S rl�omm Ck 1 C1e0� ANL1- Ill Iu1n. ✓� ACTION RECOMMENDED: ISSUE: AMn� Wl % SC , 11,t i 0 k� � a J r. In O P C. o 1M b itis Inspector: Date I 0 I 4�1�►'s11 Sketch buildings on reverse and indicate location on property. Dec -27-01 08:45A I PRE -INSPECTION REPORT OWNER: LOCATION: a 5-6 Dam CONTRACTOR:.4-Pit. PRE-INSPETION DATE TO iNSPECTOR //'-/(o - D 1 PERMrr mr0RY: -jfi0NE DATE: / /- /5"0 1 A.P. #_ _i�) 5 l -cx)-46 - CW ZONING: e&&P7 c41f ( ) AS FOLLOWS: BUILDING INSPRLTOR'S REPORT Building DeaerkWoo: ',:::o"N. ResidendaW of Units: r Currently l 0 ' •2'• •.;tai..":Y t�::`' Abaadaoed/Vacant Electric: Yes_Z__ No Electric =Tently On Condition ofEloctric 6 Pe' Pty 5,-r,) �_�' dr 5���`'�� . S• E• �o,,y��c+ors {-:�1 oJ, n p Gas: r s roc °� ,,%; % �o.1a i� 5r��.,..d : r P 1. c Ir+��(�� P tz . w�- 'r ham. -t- (ac o 7,G IJ�S �1%lk O A�iOJ? �r�.l�+ �f./�✓C'J� LJ /a�rJ Natural Propane None Currently On Off Obvious Problems: nl� A�,� v Sanitation Plumbing Working "r k n o,.-) r1 1 / Well Working b- 1��5 Potable Water 4r'S Obvious SewageProblems EE YA-r - o r cGa + -, run j o_4 -ttr f;, rj&s- 3, b r'�o rz cif Comments, W l c n '� J (� a551 �17 • &% m c Lej L'0.-/��/� CO�.�t%H�, 1Y�t✓Jf LCi�[7.�TOlJr /I✓l$10.P� fl�n�.�w,��� Clnlr�t r,.'o,fr.tnr?S (? I1. ACTION RECOMMENDED: ISSUE: �iAlE�1-itOR' / � Wl 1 S C , 0I Lib 1-i l' �DC ,3 a�_ (' e ✓tC' oS �A f P ct-�'1 QJol.17 ��7� IL4e . PV\ a r� V 10 x.10 D �J $;f � J C, �J �-/� / � l S•Si.t� 1 L�z 7� �/ ,((�� O�Nt� Jdid-G�.1 NG h�6s /�iyod2� t„),2i ,�� Inspector: Date � � �-� Sketch buildings on reverse and indicate location on property. e( kZ C- ` S C v ✓) ✓A Z� ✓� n � 111 / / v (,j l