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HomeMy WebLinkAbout040-370-032r i RI v+ i x , .y ' 1' �, •. 040-370-032 01-2303 - . � - f 0 • - KNOX, GRANVILLE V'te, r f CD. C D • . 14A & 14B ' + • OROVILLE ' CONY CARPORT_ TO GARAGE + . ' 040-370-032 03-2550 ANDERSON, WARREN 14 GREENVIEW CIR, CHICO ` \ FOUR COUNTIES - REROOF/ B07-1534 040-370-032 MISCELLANEOUS Patio Cover/Cvd Pch COVERED PORCH & PATIO DOOR (3(, _ 14 GREENVIEW CIR #A & B' - ANDERSON, WARREN BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 • WEBSITE: www.buttecounty.net\dds PROJECT INFORM_ ATION ' Site Address: 14 GREENVIEW CIR #A & B Owner: Permit NO: B07-1534 APN: 040-370-032 t ANDERSON, WARREN Issued Date: 08/06/2007 By KCG Permit type: •MISCELLANEOUS 14 B GREENVIEW CIR Subtype: Patio Cover/Cvd Pch CHICO, CA 95928 Expiration Date: 08/05/2008 ' Description: COVERED PORCH & PATIO DOOI (530) 892-0916 Occupancy: Zoning: R-2 Contractor Applicant: Square Footage: ANDERSON, WARREN Building Garage Remdl/Addn 14 B GREENVIEW CIR V CHICO, CA 95928 Other Porch/Patio Total (530)892-0916 300 300 FEE INFORMATION , DBEH Building Review Fee $75.70 DBMSC Patio Cover/Covered Porc $159.00 DBSMIP Residential $0.50 ' Total Charged: $235.20 Fees Paid: $235.20 Balance Due: $0.00 Receipt No: B3898 ,LICENSED. CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 08/06/2007 [$500]; , Please the a of the following: Contractors Signature Date S 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 (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does .WORKERS' COMPENSATION DECLARATION �` I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). + ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section nee not be competed if the permit is or one hundreddollars ($100) or less.) ❑ I AM EXEMP under Section B. 8 P.C. for this reason: ERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall no employ any person in any manner so as to become subject to the Workers' Compensation I sof California, and a3gree that if I should become subject to the workers' 'o X 08/06/2007 compens ovisions of Sec'o63700 of the Labor Code, I shall forthwith comply with those O et Date provisio S. ' 08/06/2007 - t I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Si at . Date WARNING: FAILURE TO SECURE WORKEiS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. ereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of s' ew_Ik, street, or subsidewalk. I hereby authorize representatives of Butte Coun enter t ab mentioned property for inspection purposes. I hereby certify that I am the pr a horized act on the pro rty ers behalf. CONSTRUCTION LENDING AGENCY _. 08/06/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR. ElAgent for Owner DAgent for Contractor FILE COPY Lenders Address City State Zip e BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last � e Address F' Mailing Add / Zip City State,_/4 Zip�pj_p Phone 7. v� v' Fax <Q:,2ll��j6V E-mail lav Foca . CIS CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class ARCHITECT/ENGINEER Name Sl /,n �z l�J /,, ((l , , Address 113,6 � G� ,, City Sta?-,� Zi PhoneFax . E-mail State License Number APP ANT S NATURE X PERMIT NO. BIN tl PROJECT LOCATION API Nn, a Property Address U f a� tt7 City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Ope Co ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLiCAIYT INFORMATION Name '" 2/ Address L City Stgta. Phon Fac_ E-mail APP ANT S NATURE X PERMIT NO. BIN tl PROJECT LOCATION API Nn, a Property Address U f a� tt7 City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Ope Co ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning I I Flood Zone JAF I SRA I Yes I No Occ. Type Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: fly Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municii)alcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-1534 Date: 07/16/2007 Location: 14 GREENVIEW CIR #A & B Parcel Number: 040-370-032 Owner Name: ANDERSON, WARREN Phone: (530) 892-0916 Description: COVERED PORCH & PATIO DOOR SAN a Signature of Property Owner: FILE Date: 07/16/2007 Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville; CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-1534 I I I Date: ' 07/16/2007 Location: 14 GREENVIEW CIR #A & B Parcel Number: 040-370-032 Owner Name: ANDERSON, WARREN Description: COVERED PORCH & PATIO DOOR (300) By: I KCG Sub Type: Patio Cover/Cvd Pch Phone: 1(530) 892-0916 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore; do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or -other santions provided by law. Signed: Date: 07/16/2007 Title: FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY P PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMEN . (YE NO) (K(HAVE NOT) 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: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 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 Description: COVERED PORCH & PATIO DOOR (300) Reference Number: B07-1534 Applicant Name: ANDERSON, W EN Owner's Name: ANDERSOEN AP # :040-370-0 2 Signature of Property Owner. Date: % +� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 r I (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER /�_ ?�ny ZONING BUILDINGPERMIT OWNER Warren Anderson TELEPHONE 892-0916 SO, FT, OCC. BUILDING VALUATION 20 s . of built u roofing .OWNER'S MAILING ADDRESS P.O. Box 9011 Chico CA 95927 @ 130.00 per square CONTRACTOR'S NAME Four Counties Roofing TELEPHONE 343-1416 CONTRACTORS MAILING ADDRESS 3 Crusader Court Chico CA 95973 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 2-60 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 14 Greenview, Chico Energy Plan Checking Fee $ PERMIT FEE $ 74 . 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: reroof existing roof W/built up roof system. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service p A600V 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. License Class C-39 Lic. No. 774554 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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. Ya I 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 State CO Main Service CoA TO 46. 00 NEW CONST. DWENG OCCUP. W CCU OR ADDNS. a Acc. BLnS. SO so 3.50 Fr., =.ESID.T CLT' -0 MUUTLET 97.50 P.O, APPARATUS BSINGLE OUTLET CR. OUTLET OR FIXTURES Ex. Occup.BAL I'� @ .so Ex. Occup. ouTLEEDrsA RM.GEEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number -7 7 (The above sections need not be completed 0 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' compensation provisions of section 3700 of the Labor Code, I shall fo hwith comply with those provisions. ` X L• Date 908.403 of A pli t - ❑ Owner ❑ Contractor RAgent' SiggSA Anermit is required for excavations over 5'0" deep and demolition or construction s ov 77 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSES OR PINK -INSPECTOR GOLDENROD -APPLICANT Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74..00 HAZ. D FEES IMP FLOOD CDF PARCEL I PO HD ISSAE This permit is hereby issued under the applicable provisions of the Butte Ggynty Code and/or Resolutions to do work indic d abo or hich lees have been paid. By D� $of PERMIT EXPIRES ON De 2- r -TTU.-CD.I< c6z--BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 C my Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/9% APPLICATION AND PERMIT 1-2303 ASSESSOR PARCEL NUMBER 040-370-032 ZONING R2 BUILDING PERMIT OWNER GRANVILLE KNOX 805-682-2833 TELEPHONE SO. FT. OCC. BUILDING VALUATION CONT 4 000.00 . OWNERS MAILING ADDRESS 1045 VERONICA SPRINGS RD SANTA.BARBARA 93105 CONTRACTOR'S NAME CONT: JOHN PARKER TELEPHONE 891-6381 CONTRACTORS MAILING ADDRESS . 565 EAST AVE CHICO 95926 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 40.95 BUILDING ADDRESS If Energy Plan Checking Fee $ $ PERMIT FEE $ 123.95 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 ❑ Remodel OR Utilities ❑ Installation ❑ Other ❑ Describe Work: CONVERT CARPORT TO GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I GI W 11Q2o.00 PERMIT FEE S ELECTRICAL PERMIT Fling Feel 20.00 Main Service zoOA 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. License Class Lic. No. OWNER -BUILDER DECLARATION 1 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 OCCUP. OR ADONS. ( a ACC. SWS. s0 3.5aFT: T. NiOON-REOSID r . MULTI.OUT,un @7.50 POWER APPARATUS 8 SINO.OunET CIR. Ex. Occup. OUTLET OR FDCTUREs SAL @':0050 Ex. Occup.DP"uTELErs�R�) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 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 'rf I should become subject to the workers' compensation pro) of section 3700 of the Labor Code, I shall fo with mply with th provIs' s. S' 'at re of Applicant - Owner ❑ Contractor dent no HA permit is required for excavations over 5'0" deep and demolition or const/ ction ructures over 3 toin height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL F $123.95 HAZ __ D FEES IMP _ _ PLOO CDF —X PARCEL PO X ND ISSUE X This permit is hereby issued under of the Butte County Code and/or indicated abov for which fees have Byot: PERMIT EXPIRES the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 712180/$123.95 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V. t 23'4F) asaswarAReelwra wN01 wars AOORM —- I I e - utrrAm t mr-N I OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County lqenter Drive • Oroville California 95965 - Telephone (530) 538-7541 APPLICATION AND PERMIT ERMIT NO. q�i i37P__, BUILDIN:R:11151rumen FT OCC. _-- - �' ■ ' 3NaTRUCTWN wars 14MM AOORlas �ZGT ON INGMUPs waJNO ADDAUS 1IGNO .TNo. susave="mmolm Total Valustlo Permit Fee Plan Checking Fee PLUMBI USEOFSIRUCTURE nEachgas ❑ Duplex O Mobilehome O Other svecsY TYPE OF WORK 9w O Addition O Remodel ` Gas piping s Udifies O Installation O O Building sewer ascribe Work: Other Mobile Home - "PERMIT FEE PAID SRA • . SHERIFF OTHER AAk6UNT RECEIVEt, *RECEIPT NV"ER T�l 0 * TO 8E PVT INTO COMPUTER aM1T FEE MIT heater or vent mt-5WtIA-1 i t � t Fling Fee 7.00 23.00 . 0 15.00 15.00 PERMIT FEE I = ELECTRICAL PERMIT Main Service sO°" I `mss 200A OR tEss Main Service 20M TO 1006A NEW COMT. OWELLM OocuP. °" ADD"$• A AM otos. NOKRts�O. ttUL8RAhCTl•OtrTLET •owH1 APPAMTUs a1 O pR Ex. Occup. ouTLer OR nmxta Ex. O�H=EeFa D ""L�' OM1 t ounET's tsro. EA 1 Tem rvice Mobile ' ' es 15.00 @20.00 20.00 20.00 ng Fee 20.00 23.00 48.00 3am .5t" 23.00 20.00 23.00 PERMIT FEE ti MECHANICAL PERMITFeng Fw 20.00 IPERMIT FES _ Mobile Home Installation Fee Is 11Energy Inspection Fee Ii oce 60NC1. TMpe TOTAL FEE _ , �A�IPHQ�Q_4 -77-L 0. R!e W► 1400 00/ PARC 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 Date PERMIT EXPIRES ON r4 vi, �14� f Kf`tt ikrr''ih�9 '11 f ` COUNTYrBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 / /PERMIT APPLICATION DATA SHEET OWNER: [ 1, MaESSOR PARC - ER: L Proposed Buil / s . ding Inspector Date: r At time of perm' applicatio , I was advised the flowing data muzit be i4ibinitted prior to permit processing and/or issuance: Date Received By 111. All items have been submitted .------------------------------------------------------------------------------------- R2. Plot plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------------------- A��_ omplete plans, 3/4 sets, signed by the preparer of plans. -------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation.---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------- ----------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ 1110. -----❑10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- Ell 3. -------------------------------------------------------- ❑13. Flood elevation certificate. ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. ------------------I-------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ' 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number. ----------------------- aE123. .Owner -Builder Verification (Given to owner El, Mailed to owner ❑). -- . Letter of signature authorization. -------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use. --------------------------------- 027. Manufactured Home utility clearance. -------------------------- ❑28. E i ing violations and/or expired permits. -------------------- ❑ 433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ er: 01."4 4_. /.GI,PRG+C'J►1FN�" eneP you is e e t,�gdes�as follows 01 Ma' 7 Telephone b 1�, and h'9• pickup at C6- S/ of •- & to; Copy of Haz-Mat form sent ❑ Health DepartmKe6je Fv Copy of plans sent ❑ Health Department, ❑ Fir with inspector. Date: By: Date: By: (Date) 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Build' i Sion counter, by Da : Plans reviewed by: Date: Plans approved by:Date: f Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: r,._.. >1 t john parker 530 891 0530 p.1 0. 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. i. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO C3. 2. 1 HAVE HAVE NOT CI signed an application for a building permit for the proposed work. 3. 1 have c6utracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide.some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME [�:ADDDREESS PHONE. : TYPE 'OF WORK �01-1 n1 Pn4R- Kt?,r-P, ���"=li T /� g�` SIGNED: "o SOCIAL SECURITY NUMBER:- DATE:-- GI z��/ �G NOTE: This Owner Builder Ver cation is required by Section 19831 and 19832 of the Calljornla Health. and.Safety Code. This. verification must be -completed and return to our off office before we are permitted to issue the permit- : N OVER yy bb t • ry r. v i..y 7 t tY. � .. i.� �. f 7, ..., ...... �.5' 6 , t C • • 0 0 1, T!? i AN -5 k& -40411-C-14 6PX44/4 ,s "*V,�6�e- *.rte yAs A, -)(I P��iss,o��l To - /n/?o AA/ /4<,P6EWV� r To S'�Gd v�e� ,tea s��,� THS ISV14&71 v� /4A Af/z) &7/ f i sh C"(4t.L e� G x,/a7-7 '47- 1:0'-4 00- X tly 49deJ- 770, 45 . LA �m ©'S`� - 37 b -cp3 Zz i 03 VEST FOR INSPECTION Permit No. (0 / �� Location: / 7 e&t1C,& • Owner: 16--fxx / Contractor: Comment: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. PRE - INSPECTION Form Rough Rough Fnd/Ftg Frame/Underfloor Top Out Temp. Service tus Stucco Lath Gas Piping/Te Main Service rrecRenew 'JE Stucco Brown Temp. Ga Underground inaltilitie Woodstove S e ping Well Cir it ile S e Brace Panel r Piping *0' Insulation o er Pan Nailing Gunite Demo Bonding ht Niche C ions Corre t' s Corr cti mal Final Fi I Co ectionsfor Fi a Inspec. on: V v Date: Call Phone: ii �� _ - IF II T h.,.� ,�� II �° � n p� r �� C� h ��,,.# ?t ��23G3 II" :moi- �Qa ���-„z �,.uz w r� '"` 6.s`a"`c �� tl i' ;i #} t, ,{ ;. ;� f� �' �' i �i 1, 14 1 ;' t Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under building permit application number:47-'1j at the location of Assessor's Parcel Number: for the construction of an addition for does not equal or exceed the definition of "Substantial Improvement*". I am aware the building site is in a flood plain area, even though I am not required to comply with the flood plain management criteria. Property Owner: Address: / y f-5" / -�'-' �'' 1 Gt-- " Phone Nun Signature: Date: * Substantial improvement is defined as follows: Any repair, reconstruction, or improvement of a structure, the cost equals or exceeds 50% of the market value of the structure either, (a) before improvement or repair is started or (b) if the structure has been damaged, and is being restored, before damage occurred. Note: If improvement percentage equals or exceeds 40%, an appraisal is required on the existing building. Submit appraisal documents prepared by a certified appraiser. A new improvement percentage will be calculated. If improvement percentage exceeds 50%, a substantial improvement exists. 4 A41c fz•- '74- t_ . r, o r-- �_�P�D��'jFiN-1\ 4)< jo I S I to, c- ' I E— t =� h�- i t IZI PLI i3t-1 L. P TI L- IT`S /A a' 57 i 1 I(jj _ GR�1�Nvie GI RCI - IS j I T E P L A iJ tie 3 fI �I I ' I�� G�at,•I � T i � -ice- ��1 t°•#� 4°_ � ---- i E i r . Ia1- Grp 12Dr.�' ? _ f I I: �� • ±I I OGS C G9 ��� - �E� il11-4 1 kJ 6-:i l 1 1 I T�-t?-h' pfd. -••K. �1-�t Gr 1 ; E ; �� s I ! r. � • � 11, " o . � . a I I � L I'�� ,,, � � i `� _ _. __ _ Plan 4 G.d f4e- . ; _ 2x4,- I I'_ ( ; Pan oh k rti Gi 1--I� Stc� P izJ� Tv p I h-1 (Do ' � ! 14 CR � � 00 od of St�ctu s O • . y+, � 1 �� � (' i''8 i � G-� ro not IS I J f� 2�&-41 i � a IN - i i I 1 f ; f 1�In 1 7 Provide SMOKE DETECTORS/ALARMS As required by CBC 310.9 �F THE 2001 CBC, GMC, CPC, 2004 CEC, AND 2005 __-. � �. DBY THE A ENERr.Y STANDARDS SAFETY GLAZING AS AMENDED REQUIRED r IZ C?(",i�" JURISDICTION APPLY TO THIS HAZARDOUS LOCATIONS PROJECT CBC SEC. 2406.4 �rgt1 r APPROVED PERMIT PLANS AND Tf I I� 1 •— 4 r 4 A41c fz•- '74- t_ . r, o r-- �_�P�D��'jFiN-1\ 4)< jo I S I to, c- ' I E— t =� h�- i t IZI PLI i3t-1 L. P TI L- IT`S /A a' 57 i 1 I(jj _ GR�1�Nvie GI RCI - IS j I T E P L A iJ tie 3 fI �I I ' I�� G�at,•I � T i � -ice- ��1 t°•#� 4°_ � ---- i E i r . Ia1- Grp 12Dr.�' ? _ f I I: �� • ±I I OGS C G9 ��� - �E� il11-4 1 kJ 6-:i l 1 1 I T�-t?-h' pfd. -••K. �1-�t Gr 1 ; E ; �� s I ! r. � • � 11, " o . � . a I I � L I'�� ,,, � � i `� _ _. __ _ Plan 4 G.d f4e- . ; _ 2x4,- I I'_ ( ; Pan oh k rti Gi 1--I� Stc� P izJ� Tv p I h-1 (Do ' � ! 14 CR � � 00 od of St�ctu s O • . y+, � 1 �� � (' i''8 i � G-� ro not IS I J f� 2�&-41 i � a IN - i i I 1 f ; f 1�In 1 7 Provide SMOKE DETECTORS/ALARMS As required by CBC 310.9 �F THE 2001 CBC, GMC, CPC, 2004 CEC, AND 2005 __-. � �. DBY THE A ENERr.Y STANDARDS SAFETY GLAZING AS AMENDED REQUIRED r IZ C?(",i�" JURISDICTION APPLY TO THIS HAZARDOUS LOCATIONS PROJECT CBC SEC. 2406.4 �rgt1 r APPROVED PERMIT PLANS AND Tf I I� 1 •— 4 T-1. Ll STOCKDRAFTING FORM NO. 101.54 SHALL BE ON SITE FOR ALL INFECTIONS j � p CA ^J BUILDING©� , '� 3H PERMIT#__— ASSESSOR' N _ 0 - 3 ��J 031/ PARCEL# - _ 6. • 9 d REVISIONS BY W N U � 01% g th Oil L1 ." ! J d� r L t{,,rr DATE V`Y 00 SCALE A-:_5 I`11 DRAWN L� , JOB SHEET JOF 014(T,, SHEETS OWNER A APN 0 -2,00 --R33=_ E3P#v:ty-3q