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HomeMy WebLinkAbout040-215-0110 4 ' 0 - 2 f:5'o"ii = -"­-: *' 03 0042" " *" I LoRENZRJERY, it9�86 G00bSpEED ST.'DURHA�ltC0NT4bRNORTHERN �Ajj�ELECT UPGRADE ELtCSERVICE TO 100AMP OFFICE COPY t1W Address GAS Meter By Date ELECTRIC Meter BYRC Dat e�:C) '1 14*7- El COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 / 1 ► 0'i (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMB wo +C;� 1 ��� f' ." BUILDINGPERMIT Y OWNER AL HO E aD SO. FT. OCC. BUILDING VALUATION OWNP MAI ADDRES CONI ,/CTOR'S NAME I /} • �� t�« TELEPHONE COM T MAILING ADORES$ 'L. IIS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS gA Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF,,d Duplex ❑ Mobilehome ❑ Other SPECIFY 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: ) �� ld '11 4 _� - r Yt� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A 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 in full force and effect. _ T License Class — r 1 `1 � t_ 13 (� Lic. No. _ 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 200A To 1000A 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. ( & ACC. BLDS. SO 3.50Fr, RNEW 61D MULTI -OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAS°': o FU(ED APPLNS. OR EX. Occup.ourLEls RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 �, 23-o0 Z3 p>) PERMIT FEE t , 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 i 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 forthwith,, comply with those provisions. X _ `� '� Date /-7- Signature, of Applicant - ❑Owner CI, Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing ee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ cc CONST. TYPE ( TOTAL FEE $ HAZ. D. FEES IMP 1� FLOOD COF PARCEL PD 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 l VDate / /,�/a PERMIT EXPIRES ON bF /h /Q GL / D'te / Receipt No. 3(,Q50 In 1).t 10 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Vi - <11 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT C - W ASSESSORPARCELNUM `-h(J f o i s -a i I ZONI 3 BUILDINGPERMIT OWNER .pLE Ho E 36 U SO. FT. OCC. BUILDING VALUATION .OWN I ADORES COQ7f6iACTOR' ME /'aTELEPHONE CONT R ` MAr D EA(`,/ .^ t../ CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS ^A V( VX Energy Plan Checking Fee $ $ 4)tA 11 PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF)( Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Rem^o�del❑ Utilities ❑ Installation ❑ Other ❑ 11 Describe Work: _ 1 �) C) J 0 mw aeA� !'{ o lam+ Gas piping sy2tem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service AORL�ESS 23.0023.06 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, in fullll force and effect. and my license is in License Class ` _—I V Lic. No. at 3 In OWNER -BUILDER D--YC-U—ARATION 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 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. SO 3.5QFT; NON•REOSIDT. ANCHOU CUT i ITS i 97,50 POWER APPARATUS a SINGLE o1mET CIR. EX. OCCU OUTLET OR FIXTURES 20 BAL 1 Ex. Occup..50 LNS OFlxUT`EED�A R OE., 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 - Z3.00 2.3.01) PERMIT FEE $ 01) 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) 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 if I should become subject to the workers' compens tion provisions of section 3700 of the Labor Code, I shall orthw't cc.ply i those provisions. _ w _ X — Date ! 7 Signa`!d o AppWant Apant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hep ht. Mobile Home Installation Fee $ Energy Inspection Fee $ cc 3 CONST. TYPE TOTAL FEE $ HAz. D F IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees ave been By Date PERMIT EXPIRES ON provisions to do work paid. //J0 In3, to Receipt No. .3605-01 , WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER 0440 _a l 5" V 1 1 Proposed Building Use: 1t��.lC�� Counter Technician: / Date: 1-7-0-3 Items required in order to apply for a permit. A.Il:boues MUST be checked OR marked NA in order to apply. ❑ 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. /. �'r ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line. information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other ... Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's. license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ ❑ Gran eed, ❑ Title/St4tement of tvGe tter from Legal Owner, ❑ heck to H.C.D. $ It 31. Other: fCA� -f�- a F OW YLQ ,-n When issued Telephone and hold for pickup �j' I have been info med of 'e above ite and requirements for obtaining a building permit. Applicant: - Date: 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Plan Check Letter _Date: _Date: Date:_ Date OWNER: PRE—INSPECTION REPORT LOCATION: r-n'h r A rwrnn . 11. !M4 Ih n n r,., %" 6 DATE: /---7-()D- A.P. --7_UaA.P. # ��{D -a 15 1 U 11 ZONING: I- _3 PRE-IIYB MrON FOR CLQ v 2!�. 1 d v DATE TO INSPECTORLIP O� PSAIIQI' iDb'1'OA ( () As FOLLOWS: BUI LD94G IIKSPECTOA'S ASPOAT BalW1ns Dsaartptloa: . CommaniallUtt�yec R,eaidentiaVN Of Unita OccWied v AbandonaWsew Electric: I'm NO Electric =Tently On Off Condition of Electric . C1612 /ei oil �7vt3 , v /5 IA, S•71yUlyl we -w lljal .rll Gas: / Natural Propane None Currently On t/ Off Obvious Problems: Sanitation: Plumbing Working / G > Well Wonting Potable Water Obvious Sewagepc+oblems_ //A/�»z /'�h✓D✓L'' i Cis /y' , :.vvv,� Comments: 'L% G ACTION RECOMMENDED: ISSUE: HOLD ` d_ Inspector: 47 - Date' Sketch buildings on reverse And indicate location on p'roperty. COUNTY OF BUTTE -DEPARTMENT OF DEVELOP 7 County Center Drive DEVELOPMENT SERVICES - (Rev.12/96) Oroville, California 95965 . BU0) 5 APPLICATION AND PERMIT (530) 5 8G DiVISION ASSESS ORPARCEL NUM ERMIT � OWNER �0 -a s v ZONI PE OWN ITE LEPMO 3 BUILDING ADDRES PERMIT CO CTOR' E OCC. BUILDING , VALU ATIOI CONTRA R1 M ADD E$Si TELEPHONE CONSTRUCTION LENDER • '� ^� Q `7 �r a8 LENDER'S KUNG ADDRESS ARCHITECT OR ENGINEER Fire lace ARCHITECT OR ENGINEERSMAILING ADDRESS LICENSE NO. Total valuation Filin Fee BUILDING ADDRESS �( Permit Fee $ Plan CheckinFee $ 2t Energy Plan Checking Fee $ LOTNO. SUBDNISIONS NAME $ PARCEL MAP $ USEOFS PLUMBIN PERMIT FEE $ TRUCTURE O PERMIT SF/K .Duplex ❑ MobilehomeEach Trap Fling Fee ❑ Other Solar or heat um 7.00 20.0 water heater TYPE OF WORK SPECIFY Water piping 23.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑Each as water heater or vent 15.00 Describe Work: 11 Installation C3 Other ❑ Gs fls i in stem 1 - 15.00 LO Zia Buildin 5 outlets Outlets: 15.00 C(JVL — Mobile Home S c,, W 15.00 920.00 ELECTRICAL PERMIT FEE _ LICENSED CO PERM17 I hereby affirm under penal CONTRACTOR'S DEC Main Service E00v OR I FnS Fling Fee penalty of perjury that I am licensed RATION Main Service 200q °R'Fss 20.00 9 (commencing with Section 7000) Of Division 3 Of the BUsinessef Ater ONEWR ADONS. - ( DwauNG O000A p. 46,DD 23.0 and my license is i`fullll force and effect provisions of Cha OR A D N. 2O°A TO CCU License Class and Professions Code, NEW CONST a Ac BLDS c. Lic. No, NO RES MULTI.OUTLET 3.50sO OWNER -BUILDER D C ARATION POWER APPARATUS @7.50 I hereby affirm under parson, perjury that I am exam Ex, SINGLE "1 °f er u IRLET CIR. Law for the following reason: pt from the Contractors OCCU ° WuREs ❑ I, as owner of the grope License urED ORF property, or my employees with wages as their sole Com OCCU FIXED APPLNs OR au 00 will do the work, and the structure is not intended RESID. EA .50 ❑ I, as owner of the grope or offered for sale, pensation, Tem orar Service 5.00 to construct the project am exclusively contracting with licensed contractors Mobile Home Facilities 23.00 ❑ I am exempt under Sec. Misc. Wirin reason �, Business acid professions Code for this 20.00 WORKERS' COMPENSATION DEC _� 23.00 I hereby affirm under penalty of perjury one of the followi�n RATION PERMIT FEE S Z3• o() Zj ❑ I have and will maintain a 9 declarations: MECHgNICAL compensation, as certificaor by te of consent to self -insure for PERMIT ✓ performance of the provided wh ch Sect)°n 3700 of the workers' Heating Fling Fee Labor Code, for the Coolin 20'00 ❑ 1 have and will maintain workers' coin permit is issued. 3700 of the Labor Code, for the an on insurance, as re Hood an My workers' compensation in u ance carnerfa�dk for which s Per by Section Carrier this armkisissued. Ventilation s•50 Policy number are: Policy Number (The above sections need not be completed if the permit is for work of a valuation PERMIT FEt: S ($100) or less,) Mobile Home Installation Fee I certify that in the performance of the work for which this $ not employ any person in an Energy Inspection Fee compensation laws of California, and a res permit toewo` shall kers, iG-3 NST. TYPE $ y manner so as to become subcc workers' compens tion 9 that if I should become subject to the HAZ TOTAL FEE $ orthw't c Provisions of section 3700 of the Labor Code, Ply w those provisions. I shall 1-!f F IMP DF FLOOD PARCEL X This permit is herebyPo HD Issue Signa `o App ant - ❑Owner Date — 7— Ci of the Butte Issued under the a Contractor ❑ Agent7----------------------- indicated aboveforCode and/or ppl1Qable provisions of OSHA permit r required for excavations over 5'0" dee / Resolutions of structures over 3 stories in he' ht. P and demolition or construction which fees have been Paid.to do WOfk Receipt No, Q5 By WHITE-D.D.S.-B.D. CANARY. SSESSOR IFBy P11 Date GOLDENROD -APPLICANT PERMIT EXPIRES ON —