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Home My WebLink About041-300-00303 INALED 041-300-00 02 -IT 5 N41NERAL ESO 1342 CHEROKEE ROVIQL NEW ELECTRIC SERVICE B07-0158 410-003 COMMERCI Vr, oach OFFICE (MHI 24X60) 1342 CHEROKEE RD MRLLC, INVESTORS LP 31 56- W%7 1 4 .... ., .,;W'•.��r . vol res* ..��.yav �...��. /V � •-` V 041-300-003 02-1775 MINERAL RESOURCES 1342 CHEROKEE RD., OROVILLE NEW ELECTRIC SERVICE OFFICE COPY Address Me�By �'— ELECTRIC Meter By Date i V-1" �-lltaew COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ' ASSESSOR PAfiCEL NUMBER VMS—lMN3 ZONING BUILDING PERMIT OWNER MINERAL RESOURCES TELEPHONE 5 9 A1; So. FT. 'OCC. BUILDING VALUATION OWNERS DRESS 2775 FEATEIER RIVER BLVD. 0R0VTTJF, CA 9599% CONTRACTOR'S NAME BRINIM OWNER TELEPHONE 1 1 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS - Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS 4 Plan Checking Fee $ BUILDING ADDRESS 1342 CEIf~ROKEE ROAD OROVILLE S Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL' MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap ; 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other annaa VFSol,; SPECIFY s' : Solar'or heat um water heater 23.00 Water piping 15.00 . Each gas water heater or vent 15.00 TYPE OF WORK 4. New ❑ Addition ❑ Remodel ❑ Utilities O Installation ❑ Other ❑ Describe Work: NEW 2#000 AMP OXC SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 000V OLES Main Service 200A ORR LESSS 23.00 i 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: 0, 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 reasonFEE reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: (11 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. insura ce carrier and policy number are: My workers' Sy Carrier Sy A" A. Policy Number _jl�•6I — if'y (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) f7. 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. f'• 7 2,�� —— -� `X ' `_.0 L i Datey / y' �=- Signature'of Applicant - ❑ Owner ❑ ContractorOfAgent An,OSHA permit is required forexcavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 42.00 1 NEW CONST. DWELUNG OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.5aFT: N CONS MULTI -OUTLET NpµRE51D. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 OUTLEr OR FD(TURES @ 1'50 EX. OCCU BAL 00 FIXED APPLNS. OR Ex. OUTLETS RESID. EA 5.00 Occup. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 $ 1• MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 112.00 HAZ IMP FLOOD COF PARCEL I PD HD ISS This permit is hereby issued under the of the Butte County Code and/or indicated alcove r which fees have By PERMIT EXPIRES ON 1 9oats applicable provisions Resolutions to do work been paid. �f Date, Receipt No. CD y1.61-JrXX-2 , C%a WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Fir COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .+, 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-75 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT 17 Wit- -,177 5' ASSESSOR PARCEL NUMBER 041-300-003 ZONING BUILDING PERMIT OWNER MINERAL RESOURCES TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 2775 FEATHER RIVER BLVD, OROVITTE, CA 99%5 �CONTRACTOR'S7 NAME L1L1YYY1lYY1]A OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1342 CHEROKEE ROAD Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other COMMERCIAL 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 N Installation ❑ Other ❑ Describe Work: 1\109 2,000 AMP ELEC SERVICE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 1 920.00 PERMIT FEE S - ELECTRICAL PERMIT Fling Fee 20.00 a00R LESS Main Service 20.VA ORlESS 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.POSINGLE License Class 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 46.0092,00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT: REOSINEW D. MULTI.OUT UT @7.50 a OUTLET CIR.WER APPARATUS Ex. Occup. oun.EroRFDcruREs 20 @'.0° BAL @ .50 Ex. Occup. DFUTIETS Ra D °Ep 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 112.00 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. ❑ 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'comp iati� nsurepce carrier and policy number are: Carrier S� to*c WA Policy Number _Ii %a Z :7 7 b f (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 pection 3700 of the Labor Code, I shall forthwith comply with those provisions.' T X _ to �J v U� tSPHAre of Applicant - ❑ Owner ❑ Contractor $(Agent permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in he' ht. MECHANICAL PERMIT Fling Fee 20.00 Heating Coolie Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 112.00 IMP FLOOD CDF ARCEL PD H IS This permit is hereby issued under the of the Butte County Code and/or indicated a ove r which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Dat ate Receipt No. WHITE-D.D.S.-B.D. CANA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OFBUTTE-DEPARTMENT OF•DEVELOPMENT SERVICES -BUILDING DIVISION 3' `> 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER�(�� 0 /0'� 0 �3 1 Proposed Building Use: A"'1" j Melt -_244t � ao O Counter Technician: \5(`(' Date: ( 5 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 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,6ompliance design and supporting documentation in duplicate. ❑ 6'j Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. i ❑ 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.th se 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. k Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ...................:..:............ 049. 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. Haiardous Material Form............................................................................... ; ❑ W. Other r`l 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 ............................................. _ ❑ 161 Sanitation and plot plan approval from the Environmental Health Department in — ❑. 17. City of Chico Plumbing permit........................................................................ _ [:Iv18. • California Department of Forestry plan approval ❑ paid. Sent by: ...................... _ �*19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: — 020. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... _ '❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 2. 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.................................................................... _ O 27. Recorded copy of Agricultural Acknowledgment Statement .................................... _ U! '28: Manufactured home utility clearance............................................................... ❑ 29.1 Existing violations and/or expired permits.......................................................... _ 0.30 . .30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: _ When issued Telephone and hold for pickup. I.have been informed of the above items 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: Dater -, Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: .; Yellow: Building Division Plan Check Letter _Date: _Date: Date:_ Date: .v C. O`VNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sigaaum Please complete and return this information at your earliest opportunity to avoid uoneoaar-r dehy 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 construction of the proposed property improvement: YES NO 13 TI HAVE' HAVE NOT 0 signed an application for a building permit for the proposed orotic. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTR-kCTOR'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: CM: 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 . ADDRESS PHONE TYPE OF WORK NOTE: This Owner -Builder Verification is required by Section 198.31 and 19831 oVdw California Health and Safety Code. This verification must be eompIded and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Cezr ?roper^, 0w -c7: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder' you are the responsible parry 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 acme. 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 S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ I f you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations includin,-'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 for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if You wish, the U.S. Small Business Administration). For more specific information about your obligations under Scale Law, contac: the Department of Benefit Payments and the Division of Industrial Accidents. If the stricture is intended for sale, property owners who are not licensed contractors are allowed to perforin their work personally or trrouglh their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors 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 contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely, otic el C. Vi iia, C.B.O. bt ger, Building Inspection NOTE: Tris 0w►rer-Builder, information is required by Section 19830 of the Californla Health and Safety Coda OVER FRO(^•• M I NERAL RESOUCES LLC FAX NO. : 530-534-9564 Jul. 05 2002 09:58AM P1 To: Butte County Building Dept Dp6 Wuney Fax 538-2140 / From: Mineral Resources, LLC Jim Prouty, Contraot Manager Date- July 5, 2002 Subject: John Fowler has the authority to sign all Butte County documents related to acquiring the proper building permits, which includes electrical for Mineral Resources, LLC. Our current Workers' Compensation Policy with State Fund is 41568777-01