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Home My WebLink About040-160-069r •y r V' - _. � 'rte * � .. .. 7040 16-0 069 �e GORE Frank - " ;92� 3214B 331-70B GORE;, Al" s z - t:822 '„' }' a ,' - 329-'70P r Cummings Ln- contr� Gus `Gore ` &`` h`:'"{ + l� - 361-2OE.. aSons 0-16- • reroof/sfxs.f+, �f, ? � n/s Cummings Rd. 2.50 w. of Lott"*s� s z" (new single family). !, - - CONTR: s •Gore & Soi�s, P.O. Box 6, Durham F ` I on 'ter. f7 t• r t � �, b �Yl � t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION, AND.,PERMIT PERMIT NO. Z— �� ASSESSOR PARCEL NUMBER ZONING if g 040-160-069 SR -1 BUILDING PERMIT OWNER TELEPHONE SQ.FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 24 @ 60 1,440.00 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS P.O. Box 2 Durham 95938 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ —1.44.0.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 1822 Cummings Lane. Durham 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 Gas piping system 1 - 5 outlets 5.00 SF ❑X Duplex❑ Mobilehome❑ Other Building sewer 15.00 SPECIFY Mobile Home JTFG FW 615.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other® Permit Fee $ Describe work: Reroof w./Comp- _ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.&\ 3.6Q sq.ft. I declare under penalty of perjury (check one): OR ADDNS. ACG. BLDGS. II I am licensed under provisions of Chapt. 9, Div. 3 of the Business NEW CONSTR. ULTI.OUTLET NO N•R ESID BRANCH CIRCU ITS @ 5.00 and Professions Code and my license is in full force and effect. POWER APPARATUS &\ SINGLE OUTLET CIR. / License NsL,Z2ei ��,� Classification � '° %- Ex. Occup OUTLETS OR FIXTURES 20 76 i, as the owner, or my employees with wages as their sole compen- FIXED APLNS.F-1 EX. Occup. OUTLETS P(RESID )REA.) I 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 1 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating �/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. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save, indemnify and kee harmless the County of Butte against TOTAL FEE $ 45.00 all liabilities, jud ments, costs, and penses which may in any way accrue HAz DFEES IMP FLOOD CDF PARCEL PO HD ISSUE a ainst sai my n nsequ c the granting of this permit. I I I I Xto -%l/ fa SignatureXr g icant — Own Contractor gent ❑ i This permit is hereby issued under the applicable provi sions of the Butte Count Code and/or resolutions to do ren An OSHA is required for excavations over 5'0" deep and demolition or construct- work indicate bov r which fees have been paid. ion of str uresover stories in height. OF PUBLIC WORKS Receipt No. 122773 By �— Date PERMIT EXPIRES Date �f b;'7 Q'1 WNITE-D.P.W.. YELLOW-AS5E930R, PINK -INSPECTOR. GOLDENROD -APPLICANT �i�'�..a Sa+. r � ,r�,�•-4"+�P"" �� .T..: a - t ` �.,�,'�R'1"'IP1R�.it-?�v+'pG'�ti•,�ti",V�� * >r~ l COUNTY OF BUTTE - DEPARTMENT O`FUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE 538-7541V� - (916) K -- PERMIT PERMIT APPLICATIONDATA SHEET W W I e-" 6 O GL G/A. 046 -4/0 / OWNER P. Proposed Building Use Building Inspector Date /q At time of permit application; I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY r 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 talcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Cofiipliance 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). .. ... . required. .. to ee;,a;�9 Inspector 20. Pre -inspection for to sui, °ea'°" re tw (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. Deli r with inspector. Other Parcel Creation /(I Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. it 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 PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 APPLICATION AND .HERMIT ASSESSOR PARCEL NMBEf�� ZONING B r// BUILDING PERMIT TELEPHONE OWNER/e-- SO. F C. BUILDING VALUATION LIDOWNER'S MAILING ADDRESS C�/ / 2 CONTRACT9iJ'S NAME �Q 'I T LEPMONE CON;4 A CTOR6 MAI LIr.. ADOR ESS o� & r* 171� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filin Fee g $ 15.00 LENDER'S MAILING ADD S Permit Fee $ To, ao ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER S MAILING ADDRESS Penalty $ BUILDING ADDRESS .�� c•o� Ulm Permit fee $ r v - 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 5Building S1X1 Duplex❑ Mobilehome❑ Other EEE X SPECIFY Gas piping system 1 - 5 outlets 5.00 sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK 1�—,/ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ OtherlXl ? o-1 - d �d/!�� /�� Describe work: s/pG/�j T� T—�•�' —' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20011 OR LESS 00AOR LESS 18.50 Main service 200ATO1000A1 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) 1, 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.01� OR ADDNS. ( ACC. BLDGS. 3.60 sq.ft. NON.RESIDCO N ST R. BRANCH CIRCT ITS 5.00 POWER APPARATUS e\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APNS. Ex. OCCup. OUTLETS 4RESID )KEA./ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin 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 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 a enses which may in any way accrue against sai Gount n consequ a he granting of this permit. X Date, Signeture,,p,f Applicant — Own 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 $�Q� HAz 11 FEES IMP FLOOD COF PARCEL PO HD 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.7-3) WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT