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HomeMy WebLinkAbout040-120-020040-12-0-020 92-3870P,E,.. WHEELOCK,, , Vine 605 Neal Rd, Chico �� mh utilities , IV ELEC -� GAS COMPACTION TEST REQ SUPPORT STRUCT REQ c Butte e OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Vine Wheelock ADDRESS: 1814 Durham -Dayton Hwy. CITY & STATE: Durham, CA 95938 IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: December 10, 1992 ON REVERSE- SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Permit #92-3870 MHU & #92-3871 MHII ! AP#040-120-020, Receipt #126312, dated 11/3/92. ! I i Total Permit Fees Paid For #92-3870 ---------------------- $128.50 ! Retain Plan Checking Fee ----------------------- $20.00 Retain Plumbing Permit Filing Fee-------------- 15.00 ! Retain Electrical Permit Filing Fee------------ 15.00 Total Permit Fees Retained------------------------------- X0.60 TOTAL REFUND DUE-----------------------------------------$ 78.50 Total Permit Fees Paid For - ---------------------- Retain Building Permit Filing Fee -------------- $20.00 Total ermit ees Retained ------------------------------- TOTAL REFUND DUE-----------------------------------------$ 85.00 1 I ! I I l I I Total Refund Due For Both Permits TOTAL I $163 150 I, the undersigned. declare under penalty of perjury that the services or articles claimed have been performed or delivered. and that this claim is true and correct an stated. Dated this . ...: e...J—�............... day of/V�i�Ea�t:�tCG a.... 19?z a[ � �4:.L ... .. Calif. Signature of Claimant I, the undersigned. hereby certify that. to the best of my knowledge. the ser�vi'c�es or articles specified above have been performed or d,livered and that there is a Budget Appropriation= or Specific Board Approval = (Check one) forAAe.-..2 Dated this 10th day of December..... 19..Q2 a[ Oroville_.... cauf. ..__.�t--- ,._....__.... 3. xp- Dept. ............4.4.0.-IIQ2............ c ae .....�t2�Q�QO ........................PAYABLE FROM Const .Permits Fc;YD ....................................................................... DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PAOJ. SUB. OBJ. I CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. ! 40 m n v 2 Cr0 LL all a 0 F- 0 • INVENTORY ` Date Priced by Sheet No. Department Extended by Called by Location Examined by Entered by ITEM NO. DESCRIPTION QUANTITY UNIT PRICE UNIT 1 2 3 v 4 5 6 7 8 9 10 11 12 13 4 15 16 17 18 19 20 21 22 23 2c 25 26 27 28 29 30 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER �x 6-/4 -iZd -02 o ZONI4,IG U BUILDING PERMIT OWNER _ �v H�LOC' TELEPHONE 343-4772 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1814 Durham -Dayton Hwy, Durham 95938 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 $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit tee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 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 ❑ 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationEX Other ❑ Describe work: MHI 3 Bedroom _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 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 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 Main service 200A TO 1000A, 37.50 NEW CONST./ DWELLING OCCUP.E\ OR ADDNS. ( ACC. SLOGS. // 3.6Q sq.ft. NEW CONSTFL MULTI -OUT LET NO N.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 76 FIXED APLNS.I, Ex. Occup. OUTLETS PRESID IREA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ 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 Filing Fee 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 said County in consequence of the granting of this permit. X DateAQl/: Signature of Applicant — owner g pp ❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr3gstories inehe excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee S70.00 Energy Inspection Fee $ OCC 'O's""' 1 TOTAL FEE $105.00 I HAz DFEES IMP I FLOOD A CDF I PARCEL I PD 1 HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 126312 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT . } .� .til•' ,. a. .:;1(.'� c},r7.'-�;.>•:�.' ..,,sv-r...;.-.:.-T+r-M....,y,;•,{,"' :'11r�*�'•'.C'�'27r'%ny.:..r_ =.N. :;; tP . t e�)_COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION/ 7 COUNTY CENTER DRIVE - ORO\/1LLF4-,,EALIFORNIA 95965 - TELEPHONE (916) 538-7541 0 0,01 PERMIT APPLICATION DATA SHEET OWNER(N / l y�L.L��G A. 1?,�• D Z Proposed Building Use Building Inspector Date za z 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 . ...................... $ Engineered truss details and layout in duplicate (required prior to plan ® check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. . 1 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). .... . Pre -Inspection requ�- 20. -Pre -inspection for 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. .... . 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. Wu issue the permit, process as follows: Mail to owner. Mail to contractor. (O Telephon Cfd hold for pickup at loffice. Deliver with inspector. Other 1 Parcel Creation Acreage Applicant. lt-! _ , , Date ifloV: 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 1. Index permit for above items No. 2. Additional items required: ce: (Circle new item not checked above). r14 " Contractor, designer, o ner, 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 -'BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 'WNER �f LaG XC A.P. NO . D qG 'ROPOSED BUILDING USE M DAA l Z� REC. ; DATE REC 1. School Distric Fees Z� e'15 D (paid at District Office) 2. Sheriff Fees .................. (paid at Building Department) Residential ......... x unit amt. Commercial(per sq.ft.) R =$ sq.ft. amt. Urban Area Fees (paid at Building Department Residential (per unit) X = itir units amt. Commerical(per sq.ft.) X = sq.ft. amt. /V 4.. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other time of permit application, I was advised the above fees are re4uired to be paid pr=c- issuance of the permit. PPLICANT �,� .2_. DATE 7� COMITY OF BUTTE - Deoartment of Pub t is Works i County Cancer Drive, Oroville, CA 93963 OWNER -BUILDER VERIFIC.3TION Lttention Property Owner: Phone: 916-5378-7541 An "owner -builder" building permit has been applied for in your name and bearing ;Four 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 aill be issued until this verification is received. 1. I personally plan to provide the major labor and materials for ccnscruction of the proposed property improvement (yes or no) 2. I (have/have noc) /J/911,E signed an application for a building permit for the proposed work. 3. I have cont=acted 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 wor=k, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Coat=act,�rs License No. 5. I will provide some of the work but I have cont=acted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Z�_Aee _I_ Social Security Number ,ti T Dace zz 11 POTL: 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- micced to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �.' APPLICATION AND PERMIT PERMIT NO. 2'-77-7:3A >-40 ASSESSOR PARCEL NUMBER v D •- ZONING U BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION WNER'S MAILING ADDRESS CONTRACTOR'SNAME nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ _t5-007 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ c psi PLUMBING PERMIT Filing Fee 15.00 Each Trap 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 ❑ Duplex❑ Mobilehomea Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W 3@ 15.00 45.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Installation[] Other ❑ Describe work: MHU 3 Bedroom Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR 200A OR LESS 1 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under prOVISIOnS Of Chap t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classificatign ,® 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA) 37.50 NEW CONST. DWELLING OCCUPM OR ADDNS. ACC, BLDGS. I 3.64sq.ft. NEW CONSTFL ULTI-OUTLET NON-RESID BRANCH CIRCUITS ^ 5.00 (POWER APPARATUS el SINGLE OUTLET CIR. / EX. Occup(OUTLETS OR FIXTURESFIXED 20 76 APLNS. Ex. Occup. OUTLETS P(RESID.)REA.7 3.00 Temporary service 1 1 15.00 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 48.50 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 Filing Fee 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 accrueHAz against said County in consequence of the granting of this permit. X DatelYeV; -4 . / 1�i'Z Signature of Applicant — Owner (p� �i 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 F E 50 DFEES IMPF COF ARCEL D HD ISSUE I This permit is hereby issued under tk_e_apr1AcabIe sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date provi- resolutions to do have been paid. WORKS i Date Receipt No. 126312 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OR0'$ILS Er, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector ILD -/z,:-.) -D2D Date // 3 7r > 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. ............................. . California Department of Forestry plan approval/fees. ................. . 1 food elevation letter (100 year flood) by California EngineerA&.r-/WA.Z�E.. . 14. Sanitation and plot plan approv / 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: . ........ Contact Land Development about (A) Improvements (B) Drainage. ......... . c.� 19. Driveway permit (construction approval required prior to occupancy). ... . . Pre -Inspection request 20. Pre -inspection for required. . to Boding Inspector (Dale) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner_) . ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........... . Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 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. Fs'` Telephone and hold for pickup at �"��/ / office. Deliver with inspector. Other `� Parcel Creation�,,y,.�e ��C� J � Acreage " lie,,, 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 permit issuance: (Circle new item not checked above). 1. Index permit for above items No. Z G 2. Additional items required: Contractor, designer, o er, was advised of above required data byhone _ mail Counter b&_ Date—%1—Iy— Contractor , designer owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date/%� z Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Deoartmenc of PubL_c Jar:cs 7 County Center ,Drive, `OrovilLe, CA 95963 OWNER -BUILDER VERIFIC-MON attention Property Owner: Phone: 916- 3J,y-7541 An 'owner -builder" building permit has been applied for in your name and bearing ,our signature. Please complete and return this information at your earliest opportunity to avoid znecessiry delay in processing and issuing your building permit. No building permit rill be issued until this verification is received. 1. I personally plan to provide the major labor and materials for ccnscruction of the proposed property improvement (yes or no) S 2. I (have/have not) /-RAE— 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 wort, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. S: I will provide some of the work but I have cont=acted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner�����rr Social Security Number :5 -SA? -1-5-O9 Date 3. /-" OTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Healch and Safety Code. This verification must be completed and returned to our office before we are per- mitced to issue the permit.