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HomeMy WebLinkAbout040-260-0404,40 20- 092=2135: B .. MIXON°; Cr.stne I 9378 'Lott Rd `Durham contra David Mixon . �6 reroof/sf d O _ a �f O {�a •,-�'`+`f'e.'t �+,�=k''y��`�"'�''Itap..�.rr+Wsp.];rnF�y.:st;vp��v ;..s-�y,•:c�...-_.,.�,��r*,�,•'r,y,5°,ki+a�'+.7�`.y�tf7' uL �3�'+�"r�'+y��.'Z� �:'�' •'+ ' �s 'e�-'��••'c`�'�r'"!'.i"`':ra7.erv. i Y 40-26=40 92-2135 B MIXON, Cristine 9378 Lott Rd, Durham contr: David Mixon reroof/sf , '+.. �•'T�+.-: aa''"+r�r-'..1._r `f�.�.r ,+'rsrl�r���'�'�'>` 'tr*y,�a(-t.,, .�;' ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovIII%, California 95965 - Telephone: 918/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 040-260-040 ZONING A—S ; BUILDING PERMIT OWNER Cristine Mixon TE E NONE 343-7733 SQ. FT. OCC. BUILDING VALUATION L OWNER'S MAILING ADDRESS 9378 Lott Rd., Durham 95938 CONTRACTOR'S NAME David Mixon TELEPHONE 343-2320 CONTRACTOR'S MAILING ADDRESS 2185 Mulberry St., Chico Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1. $00,00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $34.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $49.50 PLUMBING PERMIT Filing Fee 15.00 9378 Lott Rd. 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 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 ❑ Installation El Other ® Describe work: New Con Roof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A, 37.50 CONTRACTORS LICENSE LAW I deFlare under penalty of perjury (check one): Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profe§sions Code and my license Is in full force and effect. License Ao.A,� Iflu Classification ��r' ❑ 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.tr 3.64sq.ft. OR ACDNS. ( ACC. BLDGS. NEW CONSTR. ULTI.OUTLET @ 5.00 NON.RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. 20 764 Ex. Occup(OUTLETS OR FIXTURES \\ Ex. Occup. our ETS (RESID )KEA./ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. 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. © 1 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 1 15.00 Heating Coolin 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. ]j X �' �-� Date �'"- �1S' 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 $49 SO HAz I DFEES I IMP I FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butt�Couny Code and/or resolutions to do work indicc3:1 oa or which fees have been paid. / R OF PUBLIC WORKS By `rs�- CyGDate PERM EXPIRES Date 4 Z. `S Receipt No. 126927 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.536-7541 APPLICATIOW AND PERMIT -9 _;V PERMIT NO. .n ASSESSORARCEL UMB R 040-260-040 ZONING A BUILDING PERMIT OWNER Cristine Mixon .5 TELEPHONE 343-7733 SO. FT. OCC, BUILDING VALUATION 30 0 1,800.00 OWNER'S MAILING ADDRESS 9378 Lott Rd., Durham 95938 CONTRACTOR'S NAME David Mixon TELEPHONE 343-2320 CONTRACTOR'S MAILING ADDRESS 2185 Mulberry St., Chico Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1.800.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $34.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $49.50 PLUMBING PERMIT Filing Fee 15.00 8 Lott Rd., 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 SF ® Duplex] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK New F, Addition Remodel ED Utilities❑ Installation[] OtherX❑ Describe work: New Comp Roof _ i I I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 _ Main service 20GATO1000A) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): IrJ�( I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess' s Code and my license is in II force and effect. License A I Classification FlI, 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.(�` OR ADDNS. ACC. BLDGS. I _37.50 3.64sq.ft. NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 760 RA FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. 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 FiIingFee 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 ainst said C my in co sequence of the granting of this permit. X Date �`�'� (IS Z .Signature of Applicant — 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 $49.50 HAz I DFEES I IMP FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the But Cou y Code and/or resolutions to do work indic or which fees have been paid. R OF PUBLIC WORKS By Date�i PER EXPIRES Date Z " Receipt NO. 116927 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT • - . - �.::'. ...,-+-v-�`ttt•�....r,.>r'�'"'-�i;,�'''r�°ti.JiC'C'i'i.r�.-'�"�". ;�•�.Y.'�.. «-, '� „ti. -. ,. , y -r^..,,. , . \. CUNTY OF BUTTE - DEPARTMENT O.FxP BLIG ORKS - BUILDING DIVISION �-. 7ICOUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-754 fi / PERMIT PLICATION DATA SHEET Y OWNER +-'" O A. P. -2 Proposed Building Use IF=- Building Inspector Date Zi At time o 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. ......................... . dam• 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). .... 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 to Bui ding Ins requ� i 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 wa. to a public road. .... . 27. Letter of intent on building use. .............. y 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 (9 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 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 - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARC '- jJUMB R _Q ZONIN — BUILDING PERMIT ow;ER r , ` �' TEL( E S0. FT. OCC. BUILDIING VALUATION OWNER'S MAILING ADORr. 1 `\ V V ONTRACTO 'S t.A E L n TELEPHONE 2 CONTRACTOR MAI ING 'a L DRESS (� J _ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 1 00 Permit Fee $ 3cl/ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 7 9 co Permit fee n t PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF [I 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 7, Addition❑ Remodel[] Utilities[:] Installation[] Other [t� Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20CIA OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of check one): p y perjury 1ur Y ( ) ['I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and ProfessionsCodeCodne and my license Is In full force and effect. License No. 1c k(I 0 Classification F]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 Main service 20CATO1000A1 37.50 NEW CONST. DWELLING OCCUP.61 3.64 aq.tt. OR ACDNS. ACC. BLDGS. / NEW CONSTR UL LOUT LET NO N.RESID BRANCH CIRC ITS @ 5.00 APPARATUS e� SINGLE OUTLET CIR. 20 76d EX. OCCUp(OUTLETS OR FIXTURESFIXED Ex. OCCUp. OUT ETS PIRE5ID IREAT 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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 Pe nnit 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 ainst said Co ty i co sequence of the granting of this/permit. X --ate (� signature of Applicant — 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 $ I HAz I D FEESI IMP I FLOOD CDF PAR EL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By DatePERMIT EXPIRES Date Receipt No. WHITE-O.P.W.. YELLOW- ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT