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HomeMy WebLinkAbout039-470-004o =47-0 004 4 93=1607 B ERRIDGE, -:373��2• C,�OµnS�,B. YF�,,R'-Ar NCHI' ERRIDGE,, ' Frank r_a_nO A •REROOF/SF•:: 1 "—+6° 8�B� �I 569-68P Ii B08;0724Sr:Ac�li�C D x:,'039 470 004: `' _' - _- ' _ — - ` 607-6gE MISCE F. '��%-� - LLANEOUS 'J,, . Re Roof n�s Crosby Ave. 1000'4 Lone r,t t , , - _ - - _ -- -= E. of- ine-Ave REROOF W/COMP (16) t ' ` Chi co -, `3732'60SBY AVE ° (new single fami lir) ,ERRIDGE GRANTOR TRUS, �C~. �'s 3) s { 14 'z 5;;�*, . 0:9 o � > • • 6 F �19 OFAI s 039-47-0-004' 93-1607 B ERRIDGE, FRANK 3732 COSBY, CHICO REROOF/SF rY 3n­r- Wgf-f.s ,FIRPYIIVNWFRW� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. Qalifornia 95965 - Telephone: 916.'538-7541 APPLICATIONAND PERMIT ASSESSOR PARCEL NUMBER b�fl 0 - 6� -cs-U ZONING A-5 BUILDING PERMIT 0 WNER�/ %l�AlIC TELEPHONE 343-4782 VALUATION S0. FT. OCC. BUILDINGQ(1 (( ���� 080.0+ OWNER'S MAILING ADDRESS 3732 Cosby Ave. Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN p /�(0� Total Valuation $ 1,080.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 24.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 39.00 PLUMBING PERMIT Filing Fee 15.00 '1711 (`n�hp AVE?.. Cficn 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 USE OF STRUCTURE SF E] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W TYPE OF WORK New'AdditionRemodelE Utilities❑ InstallationC Other® Describe work: Reroof w/Comp. _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO IOOOA> 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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) ❑ 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.&) 3.64 sq.ft. OR ADDNS. ( ACC. BLDGS. r NEW CONSTR ULTI-OUT LET 5 00 NON•R ESID BRANCH CIRC ITS @ POWER APPARATUS (SINGLE OUTLET CIR.6 ) Ex. Occup(ouTLETS OR FIXTURES 20 760 A FIXED Ex. Occup. OUTLETS P(RESID IRE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — 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. teI 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. MECHANICAL PERMIT FiIirig Fee 15.00 Heating Cooling Hood 6.50 I 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 said County in nsequence of the granting of this permit. X Date �� Signature of Applicant — Owner Contractor ❑ Agent ❑. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ 39.00 HAz I DFEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is,hereby issued under the applicable provi- sions of the'Butte Coiolty Code and/or resolutions to do work indicated aboGGve for,which fees have been paid. %/(RECTOR OF PUBLIC WORKS /! By v / ""C__� Date PERMI EXPIRES Date / �V Receipt No. 143164 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT / COUNTY OF BUTTE -DEPARTMENT OF PUBLI RKS OM : 1 S PERMIT 0. 7 County Center Drive - Oroville, California 95965 - Teleph38-7541 / F� �t 4 " APPLICATION AND PERMIT f�C� ASSESSOR PARCEL NUMBER 3 q .- 4,,r-77,0 — 00 a ZONING A-5 BUILDING PERMIT OWNER FY&? kl �� TELEPHONE 343-4782 SQ. FT. OCC. BUILDING VALUATION Q 1,080.00 OWNER'S MAILING ADDRESS 3732 Cosby Ave. Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN p Total Valuation $ 1,080.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 24.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 39.00 PLUMBING PERMIT Filing Fee 15.00 '1719 roqhV Avp-, Chico Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF X❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New r Addition t� Remodel ❑I Utilities ❑ Installation❑ Other ® Describe work: lRe—of w/Cam¢ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A) 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 ;Jo. ClassificationEx. 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) LlI, 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 OCCUPM OR ACDNS, l ACC. B II 3.66sq.ft. OUT LET NEW CONST"ES'.. RANCH CIRCUITS) NO O.."ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES 761 20 @0 46 FIXED \ Ex. QCCUp. P OUTLETS (RESID )REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. F -1I 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. 2g 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. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling 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 said County in ns equence of the granting of this permit. X Date 6 — 1 .. � o Signature of Applic��aant — Owner, 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 TOTAL FEE $ 39.00 I HAz OFEES IMP I FLOOD I CDF I PARCEL I PD I HD IssuE This permit i er y iss ed under the sions of th ut Co ty de and/or work ind' ate ab e r hich fees I T O P By PER EXPIRES Date applicable provi- resolutions to do have been paid. WORK$ D to 9� Receipt No. 143164 WNITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT � ..J'.i'r•i.,,.r_ .a .,j. �,.i� �v.�,��t'f,.,I'��+s°�`rit'a'y,' It%s�'>.��•d:.�1it,��'.r�,.,.s^•-"�'{.i�r+{blt�.•^iyi.r,.:.,t�{r+i "'^`.,.�rN�.. COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTS C S -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - LEPHONE NE(9116)538-75411 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Pan Building Inspector Date At time of permit ¢lication, I was advised the following data must be submitted prior to permit processing and/or issuance: s 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 approval required prior to occupancy). .. .. .. . 20. Pre -inspection for Pre4nspectiion requeis required. . to Building Inspector (Date) 21. Contractor's license information. (No., 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 Acreage Applicant Date 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 permiffor 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 t . Copy - Department of Public Works COUNTY OF BUTTE - Department of Public Works 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: 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 �imp"rovement (yes or no) 2. I (have/have not) r�'1�4V 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 Address City Phone Contractors License No. 4: I plan to provide' portions of this work, butI have hired -the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors Lioense 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 Signed: Property Owner Social Sec rity Number Date / " z�U I. NOTE: 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.