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Home My WebLink About040-490-002{ 040=`49 0 0023679 +P, E_; ,WHEELOCK,�:Vine ' 870 Oro CHico Hwy,' DUrha" _-.:-mhu Y ELEC V� .GAS COMPACTT_ON TEST REQ SUPPORT STRUCT REQ oHo -t4ao -002 . 3 1 a- _ 3 utte- OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: %%%✓l" Lc�tl� L' L C C"-/� ADDRESS: l�%�% G�/E'/`/i�ii'I-�h'�TCN ii6-4 CITY & STATE: DKZWf1i2/' T /A, 7 5-9 -', S' IMPORTANT: DATE OF CLAIM: �✓�ti�/"/sF" 2 1,LF2_ SEE INSTRUCTIONS ON REVERSE SIDE ,I \ SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID OELAY) AMOUNT Owner has decided not to do work. Permit #92-3679MHU & 92-368OMHI P#040-490-002. Receipt #126039, dated 10/16/92. (Total Permit Fees Paid For BP#92-3679------------------------- $128.50 Retain Plan Checking Fee ------------------------- $20.00 iRetain Plumbing Permit Filing Fee---------------- 15.00 ,Retain Electrical Permit Filing Fee-------------- 15.00 iotas rermiL tees xetainea------------------------------------ DU.UU TOTAL REFUND DUE ---------------------------------------------- $ 78.50 Total Permit Fees Paid For BP#92-3680------------------------- $105.00 Total Permit Fees Retained------------------------------------ 15.00 ---------------------------------------------- 90.00 i i � I I I I i I I I Total Refund Due For Both Permits TOTAL I $168!50 I, the undersigned. declare under penalty of perjury that the services or articles claimed have been performed or delivered, and hat this claim is true and correct as stated. Dated this ....... i vt............. day of Calif. �/�� ' \:�iY�..':Ji:„�'_........................ Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge. the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation L_j or Specific Board Approval 1-�:j (Check one) fo the same - Dated this ......... ull................. day of ......DIollemhet. 19....9261 Dr.a I11.1.e . Cailf. .........................«.............................._.....�ury........ Department Heed or Authorized D CodecExp. 4210500 PAYABLE FROCo t. Permits _FI YD DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DE?T. $SUB. PgOJ. SUB. OBJ. CLAIM NO. I INV. NO. INV. DATE ENCUMB. GROSS AMT. j/- 3 -C.,)_ �„- AI's D�H MR I//,t/�IN�IE��oc�C IS��Dv1�t��Nt �AyT ti�� - PokMAq, CRk,. 959,36� J rA / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-490-009 ZON?NG BUILDING PERMIT OWNER V' TELEPHONE - 4772 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1814 Durham -Dayton Hwy, Durbam 95938 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2-O.a-0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ -7-0,00 9710PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.70 Solar or heat pump water heater 20.30 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.001 USE OF STRUCTURE SF [I Duplex[] Mobilehome[] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home i S @ 15.C.0 a00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities® Installation❑ Other ❑ Describe work: MHU Permit Fee $ t 0 D Contractor ELECTRICAL PERMIT FilingFe-315.00 Main service 200V OR LESS 00AOR LESS S-72 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury fur y (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) ❑ 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 1000A1 37.57 NEW CONST.( DWELLING OCCUP.&� OR ADDNS. L.BLDGS. 3.6d sq. t. NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ S.o� (POWER APPARATUS R1 (SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 20 75 Ex. Occup. OUTLETS (RESID )REA.) 1 3.00 Temporary service 1 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 I 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 e�re DateD��ga Signature of Applicant — OwnerJX Contractor ❑ Agent ❑ An OSHAwork permit is required for excavations over 5't1" 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 $ IZ, �J HAz OFEES IMP FLO CDF PARC PD D ISSUE This permit is hereby issued under the sions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- i resolutions to do j have bee -1 paid. WORKS Date Receipt No. 126039 WHITE-D.P.W., YELLOW-ASS(SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ..�> .r.. .. • �. ...- -.., � - .. w •• .. ••�•v}. ....-.t..M1'�•v"'"+.7. •.F„C+:�y..-, ,.� v._.ti.i�lt�4:r�1'i1wi�'+.r"'��„�'Y'yR..rr,.�lµ*"b''rrlt.".r"...�. . -r �•.. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION N 7 COUNTY CENTER DRIVE - OROVILLiZ CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A. P No. oele 10 77-1 Proposed Building Use 114 h Building Inspector Date Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/o- 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 . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. . 14. Sanitation and plot plan approval('/Grp Health Department . ............. 15. City of Chico plumbing permit . ........................................ . 1f� Plot plan and business license approval from City 9f$i�g�/�ridley. ............. X17) Planning approval for (A) Use: 9 �'('j g: . . 8" ontact Land Development about (A) Improvements (B) Drainage. . 9. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for to Build' g Ins request - required. . to Build' g Inspector (Date) 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 ................................. . 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: _ V Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation -f 4 -f --LL Acreage Applicant Date % �{'�9 --2- 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: nce: (Cir new it�ot checked above).\, 1. Index permit for above items No. � 2. Additional items required: Contractor, designer,roymmr, was advised of above required data bywhone -mail Counter by Date Contractor, designer, o ner, 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 3UTTL• - Drgartmenc of PubLic Worcs 7 Councy Center Drlve,.Oroville, CA 95965 OWNER -BUILDER VERIFICkTION Attention Property Owner:, Phone : 916 - _38- 754 1 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 ccnstruction of the proposed property improvement (yes or no) Ye.S 2. I (have/have not) 11,*V ' 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 work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. 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 Wor'.t Signed: Property Owner Social Security Number Dace ove7w 3 & NOTE: This Owner -Builder Verification is sent to you as required by Sections 19821 and 19832 of the California Realch 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. ASSESSOR PARCEL NUMBER 040-490-002 ZONING M-1 BUILDING PERMIT OWNER Vine Wheelock TELEPHONE 343-4772 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1814 Durham -Dayton Hwy, Durham 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 fee $ 35.00 OrovilleChico Hwy, PLUMBING PERMIT FilingFee 115.00 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❑ MobilehomeK] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK r -Y New ❑ Addition ❑ Remodel ❑ ' U ttiiiees ❑` Installation LX Othe ❑ VhDescribe work: MHI %1 u zip_&% 3 Hdroom .01 Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 20000A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under P provisions of Cha t. 9, Div. 3 of the Business(POWER 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) ❑ 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 200ATO1000A' 37.50 NEW CONST./ DWELLING OCCUP.&\ OR ACDNS. ( ACC. BLDGS. // 3.60 sq.ft. NEW CONSTR ULT' -OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 APPARATUS &) (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 Ex. Occup. FIXED APPLES. OR E P• ouTLETs (RESID.) EA.) I 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. Or 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 FilingFee 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 accrue against said County in consequence of the granting of this permit. X ��Datea&T, /6. /90- Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHAwork 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 $70.00 Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ 105.00 HAz 1 DFEES I IMP FLOOD CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. 126039 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT "'}'Afi r-ry"Y111Rv$9f�II `. r�.1 ty y � -• w COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION ¢ � 7 COUNTY CENTER DRIVE - OROVILLE,.CALIFORNIA 95965 - TELEPHONE (916) 538-7541 ry ,, PERMIT APPLICATION DATA SHEET OWNER 4,42# 6 9; 119�-� ? A. P. o.de�1D ' 414,r7 -"q'0 ...--' Proposed Building Use IIIA I -F ( Building Inspector Date to If U& 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 . ...................... a. -Engineered truss details and layout in duplicate (required prior to plan check). ... . 9: Mobilehome data and manufacturer's installation instructions, 2 sets. . 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 Building Ins requ�- 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. .... . ..,2d. Letter of intent on building use. . ---�G 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 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. // LF 2. Additional items required: Contractor, designer, 0106r, was advised of above required data by -1--1 one _ mail Counter byate 166-2 Z Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by r Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUN'T'Y OF BUTTE - DEPARTMENT. OF, PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE', CALIFORNIA 95965 - TELEPHONE (916)53875L1 )WNER a �'51-- G /(�� ?ROPOSED BUILDING USE /Ul 17L A . P, NO. 29 J'�D — C) ?� DATE REC. : DATE REC I. School Distric Fees /(paid at District Office) y 2. Sheriff Fees (paid at Building Department) Residential ......... _/X 360 _$ unit amt. Mod Commercial(per sq.ft.) X =$ sq.ft. amt. Urban Area Fees (paid at Building Department Residential (per unit) X =$ JL units amt. Commerical(per sq.ft.) X 4 sq.ft. amt. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other kt time of permit application, I was advised the above fees are required to be paid pr :o issuance of the permit. IPPLICANT �� v� DATE �� Z COUNTY OF BUTTE - Deoartmenc of Pub L c Wo r'cs 7 County Cencer Drive,, Orovilie,.CA 93963 OWNER -BUILDER VERIFIC-MON Attention Property Owner: Phone: 916 - 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. 1. I personally plan to provide the major labor and materials for ccnscruc tion of the proposed property improvement (yes or no) 2. I (have/have not) 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 const=uccioc: Name Address City Phone Contractors 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 Contractors 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 Worst Signed: Property Owner ;5!_�� Social Security Number Dace e)d./48,f ke /6, l�92 10=.: 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- mitced to issue the permit. This se! of plans and s �,.pocificafions MUST _ kept on the job at all times and it is unlawful to ` .. '" � _ make any changes or alterations on same w� NOTE:—All Materials & Workmanship Shift BeJO � j�,=s%' written permisslon from the Department of ,. Accordance with Recognized Good Practices and -�"" '�% :Works, County of Butte:' of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes a the NationalElectrical Code. �ti+;. ' y.• Location o► s vlu( 00 191 Shown O °y_ / egWpment shall by as & clear of all easements. 1_11(v1,"qvvq 5e Cz alc s 12, 5b 86AC'0060 3 4 A C A4.. 2_ 1 C _ C111%IkP :i• o - ZA 19 Z4AC "00 l 2_ B3AC