HomeMy WebLinkAbout042-170-050e,a-aa�oy—
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WATSON, Lewis G. 178-68B. _
r 42-17-50 A _ 162-6SP� � �=
�rRUSSELL ARCING 143_68E ,
1 Grp. a Way & Meridian Rd, Chico �TaFnChi
ermit#32-83B(' stall wood stove/SF)
- n/s Grape Way just eas of Merin•
42-17-50 �/®9knew single family) (�-�7-6
f� ;
Pe #461-84B(lst renewal/32-83)
n
98- 69
DARLING, RFU SS�L�cT
3540 GRAPE WAY, OR 0
UNKNOWN ❑
REROOF SF & GARAGE
042=170-050 03AG20,
• 042-170-050 05-0423VAIVL;AAN,'ALLEN ° & JANELa
'• '
VANLAAN, ALLEN 3540 GRAPE WAY, CHICO ''.
3540 GRAPE WAY, CHICO AG. BLDG
CONT: OWNER
NEW ELEC SRV
ApPo9p,
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FEDERAL EMERGENCY MANAGEMENT AGENCY
O.M.B. No. 3067-0264
gee the Attached
STANDARD FLOOD HAZARD DETERMINATION
Instructions
I
Expires October 31, 2001
SECTION 1- LOAN INFORMATION
1. lander Name and Address 2. Collateral (Building/Mobile Home/Parsonal Property) Property Address
(Legal Description may be attached)
Access Real Estate Lending Van Laan
2540 Espanade 3540 Grape Way
Chico CA 95973 Chico CA 95973
Attn: Cindi
3. Lander ID No. 4. Loan Identifier 6. Amount of Flood Insurance Required
SECTION 11
A. National Flood Insurance Progrom.,(NFIP).Communitl Jurisdiction
NFIP Community'
County(ies)
State
NFIP Community
Name
Number
BUTTE COUNTY
Butte
CA
060017
B. National Flood Insurance Program F[P) Date Affecting Building/Mobile Home
NFIP Map Number or community -Panel Number
NFIP Map Panel Effective/
LOMCILOMR
Flood Zone
No
(Cornmunity Name if not the some as "A"
Revised Date
NFIP Me
06007CO485C
06/08/1998
N/A
X
C. Federal Flood Insurance Availability Check All That Apply)
❑X Federal Flood Insurance is available (community participates•in NFIP) CZ Regular Program ❑ Emergency Program
❑ Federal Flood Insurance is not available because community is not participating in the NFIP
❑ Building/Mobile Home is in a Coastal Barrier Resource Area (OBRA) or Otherwise Protected Area (OPA), Federal Flood Insurance may
not be available. CBRAIOPA designation data:
D. Datarmination
Is Building/Mobile Home in a Special Flood Hazard Area
(Zones Containing the Letters "A" or "V")? ❑ YES NO
If yes, flood insurance IS required by the Flood Disaster Protection Act of 1973.
If no, flood insurance Ig NOT required by the Flood Disaster Protection Act of 1973.
E. Comments (Optional)
Zone X: Areas with moderate or minimal exposure to hazard from the principle source of flood in the area.
Flood Inaurance IS available In participating corrfiuniclea, but Is not required by requlatlon.
Comments: Redetermination due to additional research and/or information.
State Code: 6 Count FIPS: 7 MSA: 1620 Census Tract: 0014.00
This determination is basad on mmmWing the NFIP map, any Federal Emergency Management Agency ravisions to it, and any other information needed
to locate the bufthqftoble home on the A IFIP mop.
F. Preparers Information
Name, Address i Telephone Number (if other then lender)
Date of Determination
Stewart Mortgage Information
1980 Post Oak Blvd. 3rd Floor
04/10/2001
Houston TX 17056
SMI -2048615
(713) 892-8989 (800) 667-4394 (800) 667-4395 (fax)
Life of Loan
--
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errs
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
--- ounty Center Dri e • Oroville, California 95965 • Telephone (530) 538-754 E IT o.
(Rev. 12/96) �APPLICATION AND PERMIT g
ASSESSOR PARCEL NUMBER
ZONM V I
BUILDING PERMIT
OWNERI
TEELEPHHON $
SO. FT. OCC. BUILDING VALUATION
0.00
.OWNERS MAIU `iJADDR2S D ✓_��
�
CONTRACTOR'S NAME TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ cu
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
!31,00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS 1:9O
Energy Plan Checking Fee
$
PERMIT FEE
$ Q
LOT NO.
SUBDNIS IONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF K 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 ❑ Unities 13Installation E3Other
Describe Work: / l Q / LO4, a' u
A
Gas piping system 1 - 5 outlev
15.00
Building sewer If
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ".*A 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
hereby affirm under penalty of perjury that I am exempt from the Contractors License
L1w ;or 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:
❑ 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
Main Service TO
46.00so
WEE200A
CCU000A
NEW coNsr. DWELLING occuP.
ADDNS. ( & ACCO
3.5aFo;
NOR
EW CONST. REr
NON-RESID.TH'
97.50
POWER APPARAT
S SINGLE OUTLET 01R.
EX. OCCU ounEr OR FEs
20 � ' °°
BAL @ .50
FIXI
Ex. Occup. OUTIEDTS RES ,oEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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
w ars' compen n provisions of section 3700 of the Labor Code, I shall
ort with comply ith ose rovisions.
X Date /0-2—
pplican - Owner ❑ ontractor ❑ Ag ntfor
SigtOSA
Anpermit is required for ex vation over 5'0" deep and demolition or construction
of es over 3 stories in hei ht.
Mobile Home Installation Fee $
Energy Inspection Fee $
c3
ca� TOTAL FEE $ �9, OC)
HA2. I D. FEES IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate above for which fees have been paid.
By Date GP -2 'yR
PERMIT EXPIRES ON
Date
ReceiptNo. S–
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An `owner -builder" building permit has been applied for in your name and bearing your sigastura,
Please complete and return this information at your earliest opportunity to avoid unnecessary May
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 propoaod
property improvement: YESod, NO 0
2. I HAVE A HAVE NOT O signed an application for a building permit for the proposed wow.
3. I have contracted with the following person (firm) to provide the proposed consWiction:.
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 coordhate;
supervise, and provide the major work:
NAME:
ADDRESS: CITY: -;
PHONE: CONTRACTOR'S LICENSE NO.
S. I will provide some of the work but I have contracted (hired) the following persons to prpvide
the work indicated:
NAME ADDRESS PHONE TYPE OF -WORK'-
SIGNED:
WORK-
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY ER:
DATE: O `�
NOTE: This Owner -Builder Verification is required by Section 198.31 and 19832 of 11is
California Health and Safety Code. This verification must he completed and
returned to our office before we are permitted to issue the permit
OVER
OWNER BUILDER INFORMATION I
01
Dear Property Owner:
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-buildee, 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 5300 or more for the entire project, and such persons are not licensed as eontractod or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you pan
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 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
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 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 contrac!prs may be obtained by contracting the Contractors State License Board in your
community or at 1020 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.
IMrely,
el C. Vi iter, C.B.O. 64-1
ger, Building inspection
NOTE. This Owner-Builder.Injormation is required by Section 198.10 of the Calylornia Health and Safety Cod`
OVER
...ax
COUNTY OF BUTTE- DEPARTMENT OFD,,. ELOPMENTSERVICES-
7 County Center Drive - Oroville, Cal rnia 95965 - Telephone
(Rev. 12/96) APPLICATIQ'. AND PERMIT
BUILDING DIVISION
(916) 538-7541. PERMIT NO.
ASSESSOR PARCEL NUMBER 045_412-104
zc.
—1
BUILDING PERMIT
OWNER RUSSELL& PATRICIA DARLING
° 488
SO. FT. OCC. BUILDING VALUATION
OWNERS "'NUESsGRAPE WAY CHICO 99963
V .�
5th rengwal
CONTRACTOR'S NAME
TE ONE '
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
'
Total Valuation Is
ARCHRECT OR ENGINEER
ENO.
Filing Fee
$ 20.00
Permit Fee
$ 516-75
ARCHRECT OR ENGINEERS MAILING ADDRESS
?
Plan Checking Fee
$
BUILDINGADDRESS 10 OAK MANOR Y
`l
Energy Plan Checking Fee
S
PERMIT FEE
_
LOT No.
su80NISaAM
SUBDIVISIONS .
P
`""AP
PLUMBING PERMIT
Filing Fee 20.0.0
Each Trap
7.00
USEOFSTRUCTURE
Y
SF 14 Duplex ❑ Mobilehome. ❑ Other
SPECIFY
Solar or hea4' um water heater
23.00 • ."
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 1
Describe Work: 5th RENEWAL .
4th—97--217.3rd 351 '
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Hom@•. S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
ti
Main Service zoos oa LESS
23.00
+;
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisi. of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Pro sions Code,
and my license is i l force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contr tors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole` mpensation,
will do the work, and the structure is not intended or offered for* e.
❑ I, as owner of the property, am exclusively contracting with licen" contractors
to construct. the project.
❑ 1 am exempt under Sec. Business and Profession ode for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declaration.
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labors de, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as requ by Section
3700 of the Labor Code, for the performance of work for which this ` mit is issued.
My workers' compensation insurance carrier and policy number. e:
Carrier
Policy Number
(The above sections need not be completed if the permit is for wo f a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit I sued, I shall
not employ any person in any manner so as to become sub to workers'
compensation laws of California, and agree that f I should becom ubject to the
wo rs' compensat Provisions of section 3700 of the Lab ode, I shall
f ith comply w' .topr
An OS permit is required fore ovations o r 5'0" deep and the
X _ Date "�" _
Signat re of Applicant - ❑ Owne Con actor ❑ Agent "
construction
of struct es over 3 stories in hei
Main Service 200A TO 1000A 48.00
NEWMa CONST. DWELLING occas. so
OR ADONs. a ACC. BIDS. 3.5¢x:
Ijpµgalp. ANCHOU CUrI 97.50
POWER APPARATUS
6 SINGLE OVn ET CI0.
EX. OCCU ouTuErORFU�TURES a 0 "00
.50
Ex. Occu .7D REslo. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling`
Hood 6.50
Ventilation
-
PERMIT FEt i
Mobile Home Installation Fee $
Energy Inspection Fee $
c
�°"�` TOTAL FEES 556.75
o. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby Issued under
of the Butte County Code and/or
indicated above for which fees have
By hh
PERMIT EXPIRES ON d `
the applicable provisions
Resolutions to do work
been paid.
/;Date p� q y�
7 - /
Da/e
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN D APPLICANT
SW1
BUTTE (:VUN l Y ULVLLUrmmo i acxvit.ca
Complainant:.
Address:
Phone Number:
Other Comments:
Inspector must draw a plot plan with all building locations: - ` �-
Additional comments from Inspector: --
ra
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Nes " :.{ �F EAsmt#�.X�
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F`ee #{ 042 1 70 050 000
StdEACtThfE I
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Addr1 354F0 GRAPEWAY,N�� F,
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Tax OQO N®RMALNOW,NERSHIP TRA 062 022
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Addr2 CHIGO�CA^95973��t
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Srtus 3540 GRAFEAWAY JCHICO h A ' Y,
Addr3�,
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Base � a
Dt111812001�
Land 117300 �TPP
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Comments 4217005000 CO NUE R T E D 09/08188E
Fixtures €0
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,C eating Doc# 1989 R26381s56� g ate u � E E`
okh§
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illy rent Doc# 200180002274 � Date 1{118/2001x
1Y
.Notes ..•
TotalL&I 21`9300F
r ;Bonds � _ � �
Fix OF
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Killing Doc# T ; *,Date ,
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WATSON, Lewis G. 178-68B
42-17-50 162-68P
RUSSEL RLING f'
1l�3-68E
NE rner
e Way & Meridian Rd, Chico -17-
us ' stall wood ove/SF) -' n�s Grape Way just eas of Meri ian, Chi
422""-I7=4i/1%%�
new single family) (�- %-G
Per - #461-84B(lst renewal/32-83)
0- �7 98- 69
DARLING, USS L - T
3540-GRAPE WAY, CHICO
UNKNOWN
REROOF SF & GARAGE x f
s
�" � ;.� ��s g�� �. `�-, r } :.`i �� rt i��.- «�..��'��r}4��d �`5r z2'' �,mcfi• � � '4 � 'a
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COUNTY OF BUTTE
----------
DEPARTMENT
-_-_..- DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • 530) 891-2751
7 County Center Drive • Oroville, CA x,(530) 538-7541
CORRECTION NOTICE
ZA
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed., If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
041
b
L
'1 .-7
• L O G I X
814 Pacific Street Placerville, CA 95667, Voice 800-984-6277 • 530-626-0793 Fax 800-347-3941 e 530-642-4269
rat Hazard Disclosure Report
NO - Special, Flood Hazard Area:
Certificate M 20001212-34434 . "Date: December 12, 2000 Escrow #: 204224
Property Address: 3540 GRAPE WAY, CHICO, CA 95973-9636
APN: 042-170-050-000
County: BUTTE COUNTY
Page. 3 of 8
Subject Property IS 'NOT -in :a,Special Flood. Hazard;Area:{$,FHA) as ;determined by the Director of
the Federal Emergency Management:Agency.:(FEMA),and as published,in �the.�Fl.00d Insurance
Rate'.Map (FIRM) or the'Floocf Hazard Boundary Map.(FHBM) ofas in some cases, no.map is_
published and the community is all in one zone.
SFHAs are shown as. "A" or "V" Zones on these'maps. An "A" or`"V". zone is defined as A6 100 -year flood. plain meaning
that there is�aAl percent cliance. in'a iy given year of a flood reaching the outer boundaries of the SFHA. Flooding may
,,occurmore frequently in the interiors of these zones as the property can'be,deeper in the flood plain than those on the
edges: TIoodi6j can and often does'occur'.outside SFHAs and* therefore' this determination is made'only. with `reference
to FEMA's current maps and is not an opinion as to the subject property's susceptibility to flooding.
If you want -to. know more about floodplain management and flood conditions:in, your area, you should contact your., local
community. official. and/or you can order a `Flood Certification" from GeoLogix at 1-800-NHD-MAPS.. A flood Certification
is prepared for the. "structure". and provides.. more. information including whether or not your community participates in the
flood_ in ,the. National Flood Insurance program thereby making insurance available. Your community official might be
~someone:e.ither.in your city or your county government, depending on your area. Additional flood insurance information can
be found at the. FEMA web site at http://www.fema.gov/nfip/
For,more information about Flooq Insurance, contact the
Federal Emergency'Management Agency :FEMA) direct at 1-800-368-7720.
,- ...r, �, .-.--.- �TM —_. -_ � • -- .• --...-�� mow, .--�� -.�-w. . v ..,..`.� %_ �,. ��.-r,���+-r-..-rr.-r' •....-+�;..,.t,.ww..-.,�--x �.•..-....-.w+�- •.....r.vrrr•+� -. -�---� +•--__-�,...
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE – OROVILLE, CALIFORNIA 95965 – TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. ()/ �� I� a _ ,0G D
ZONING V j�
OWNER 0 QOL r
t I em V J - -+JOine, L
PHONE NO5,66) --7S I Z
OWNER'S ADDRESS � �y �
LOCATION OF BUILDING
USE OF i U DING ) on)e-kvg
cam!
GOat> chi ` ... -10--'Qu`, �n� fe-4
SIZE O S CTURE S
X SO. FT.
TYPE OF CONSTRUCTI .
WOOD FRAME STEEL
CONCRETE OTHER (Specify)
TYPE OF SIDING
rf� i VjOC�
ROOF VERING(�_
FLOOR TYPE I/ cQ+
/
ESTIMATED COST OF CONSTRUCTION
$ • 0M .
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:
FRONT SIDES REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date Signature f _-- —
g e o Owner
Permit Fee - $60,,0 qjrq
Receipt No.�
lJ
White — DPW, Yellow —Assessor, Pink — B. I., Goldenrod — Applicant
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BPO50423
B. C. Building Permit 01-16-04 pq 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 02/11/2005 APN: 042-170-050-000
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.
Site Address: 3540 GRAPE WAY CHI
License Class License Number:
:
Map Index:
Date: Contractor:
Description: ELE SER CHANGE
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: VANLAAN ALLEN W & JANE L
permit to construct, alter, improve, demolish, or repair any structure, prior
3540 GRAPE WAY
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
CHICO, CA
the Contractor's State License Law (Chapter 9 commencing with Section
95973
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the 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 ($500).):
❑ 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 (Sec. 7044, Business and Professions
Applicant: VANLAAN ALLEN W & JANE L
Code: The Contractors' State License Law does not apply to an
3540 GRAPE WAY
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
CHICO, CA
provided that such improvements are not intended or offered for
95973
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
X_ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Eempt under Ar�theB Professions Code
Date: 21 ('i Iris Own
License #:
WORKERS' COMPENSATION DECLARATION
I 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
Architect:
is issued.
Engineer:
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
Policy #:
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 the workers' compensation laws of California,
and agree that if I should become subject to the workers'
� �/Y
compensation provisions of Section 3700 of the Labor Code, I shall
ClL J
19U
l forthwith com lly with those provisions.
Date: U
`
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby Issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutio b do work indi ated a e for Nch fees have been paid.
-V /Os
performance of the work for which this permit is issued (Sec 3097 Civ.)
Date:
Name:
r
Address:
PERMIT EXPIRES ON:
rDatefl
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance Aany official form or document of Butte County. I hereby
authorize representatives of Butte County to&enter upon the above mentioned property for inspection purpoRL—ve—
Print Name: 1(1��( `r '—" "� Signature:
°2 14 l �5
Date:
Downer ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pq 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
APPLICANT NAME
OWNER
Last Name
first Name Il�,v1
1
Address
3 r r
l�
City
/� 1 \�
Ste C�.
Zip 15173
Phone
3 `��' rJ
Fax
E-mail
Lic. #
APPLICANT NAME
CONTRACTOR
Name
kcv\
Address
fir_
City
Fax
StateCo
Zip
Phone
Type Const ,
Fax
E-mail
Map Book
Lic. #
T. Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Type Const ,
Fax
E-mail
Map Book
State License Number
APPLICANT NAME
Name
OSN`Q,-
Address
City
State
Zip
Phone
Fax
E-mail
rh APPLICANT SIGNATURE
X � KL__1'4='_
For office use only:
%LOCATION 77��
Zoning
Cit
Flood Zone
Cross Street �^
SRA
Yes
No
Occ.
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
Type Const ,
Subdivision Name
Address
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
BP 6' d
BIN #
Description or Scope of W rk:
%LOCATION 77��
Property Address
364 G
Cit
�a
Cross Street �^
❑ Proposed Change of Occupancy
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 W rk:
C`` � e��e.�r�ctil �2ir-Jict t�t�w. 0 a
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
Page 1 of 2
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: Bldg
SRA
Receipt #: Sheriff
SMIP
Other
I I
Date:
REV 7-27-04
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit.
INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑
1.
Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑
2.
Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑
3.
Engineered truss details and layouts in duplicate (if required). No faxes!
❑
4.
Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑
5.
Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑
6.
Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
❑
7.
Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑
8.
Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑
9.
Site 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 (if required).
❑
12.
Hazardous Material Form (for Commercial Buildings only).
❑
13.
Sanitation and site plan approval from the Environmental Health Department.
Remaining
items needed to issue the permit. Additional items may be required after Plan Check and Planning
review
(May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538.7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
i
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i
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"
COUNTY -OF -BUTTE -IDEPAk —T NT OF PUBLIC WORKS PERMIT NO.
Caiiii�kor�a
7 County Center Drllve - Orovi.hle, la X965 - Telephone 916/534-4541
PERMIT
ASSESSOR PARCEL NUMBER --
-Z _-rN 114 0-�-�
_ l p
- - i
BUILDING PERMIT
OWNER
SO. FT. OCC. BUILDING VALUATION
WER'S-I G A DRESSONT+
rC
V
'C„T�` NA7 E i -
ELEPHONE
I
'CONTRACTOR'S
ON RACTOR'S MAILING ADDRESS
Fireplace, h .4 1 1
CONSTRUCTION LENDER ',/•
! r`
UNKNOWN
Total Val Ion $
G
Filing Fee-
$ 10.00
LENDER'S MAILING ADDRESS ' /
Permit Fee
$ ,
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Penalty
$
ARC ITECT OR ENGINEER'S MAILING ADDRESS.
�._
Permit fee
$
BUILDING •DDRESS/
�'��,�,fsC
PLUMBING PERMIT
FilinqFee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAV I`
1 �
PARCEL MAP
Each qas water heater ofinent
5.00
Gas piping system 1 -5 outlets
5.00
USE OF STRUCTU�`RE'il
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
- A
TYPE OF WORK
New [_1 Addition' RReemod/el❑/ /Utilities❑ Installation❑ Other
Describe r.�l.� ��✓rrsr,� S�li�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1100V OR LESS
100 AMP OR LESS
10.00
Main Service, EA, ADb'L 100 AMP
2.50
NEWgfQNST. ( DWELL,ING OCCUP,&\
OR AF9Q.NS. l ACC. B'DG S. l
'Z��y QSQft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business200s0s
and Professions Code and m license is in full force and effect.
y
satLicense No. Classification X
I,as the owner, or my employees with wages as their sole compen-
ion, 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
NON-RESID R ®R(ANNC-OUH CT LE
IRCTITS 2.50 ea
NEW CO�.(PowER APPARATUS �
NON-F2EsrSI11)NGLE OUTLET CIR.
Ex. Oc ETS OR FIXTURES
IJNOUTL9ALO 30Q
FIXED APPLNSIR
Ex. OCCUp. E A.1
\\
12.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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
f Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
.> to the W. C. laws of Ca(ifornia.
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.
Heating
Cooling
Hood
3.00
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
I 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
i all Iiabi ,i� % judgments,- costs, and expenses which may in any way accrue
aga'n sai County i onsequenc of the granting of this permit.
j 2
X Date /' ,
tractor ❑ Agent ❑
I Signat a of Applicant — Owner (on/over
An OSHA permit is required for a caval 5'0" deep and demolition or construct-
ion of structuresover 3 in height
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCcUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
RECTOR OF PUBLIC
By
PERMIT EXPIRE&—Date-
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date,,) `
— •/�
stories
Receipt No. / 40 7f I
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N .
f0
ASSESSOR PARCEL NU BER ZONING
4_.)_1 �r-5O A— to
BUILDING PERMIT
TELEPHONE
SQ. FT.OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
T $r7 OJICO
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit FeekAV 4A- &37Z;" $ 71 15,C
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUI DING ADDRESS �A�
G
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
CkAk CC)
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other'[]
7cribework:
�-�Main
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
service 600v DR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
t
2hdsq ft
CONTRACTORS LICENSE LAW
I declare under penIty of perjury (check cne):
❑ 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 ason
NEW CONSTR ULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS &)
NON.RESID. SINGLE OUTLET CIR.
Ex. Occup 20050Q
P�o OR FIXTURES aALO 30
FIXED
FIXED APPLNS. OR
A
EX. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
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, indem 'fy and keep harmless the County of Butte against
all liabilit'es, judgmen ,cos s, and expenses which may in any way accr e
&aganst i Countyinconsequ nce the granting of this permit.
Date _sions
ature f Applicant — Owner Con actor ❑ Agent ❑
An OSHA permit is required for a cavatio s o er 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
Occup. GROUP
TYPE OF CONST.
PARCEL
PD
ND
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
work indicated above for which
(RECTOR OF PUBLIC
BY
PERMIT EXPIRES ate
the applicable provi-
resolutions to do
fees have been paid.
WORKS
��07
Date r
Receipt No. J3777
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
01
COUNTY OF BUTTE - DEPARTM NT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT
S.V—
ASSESSOR PARCEL NUMBER
_ D
z00LING
_ / 0
BUILDING PERMIT
OWNEN
rt/
TELEPHONE
'
SQ. FT. OCC. BUILDING VALUATION
OWNER'S DRESS
CONT ACTSO R'S NAME
ELEPH ONE
420".1 RACTOR'S MAILING ADDRESS
Fireplace app ,.,
CONSTRUCTION LENDER
UNKNOWN
Total Val Ion $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ : pp
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
AMPAlr
ITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING DRESS /
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New Additionl:;� RReemodel /Utilities❑ Installation❑ Other
Describe work: /l/�/��� Ii.r2�L'd C -.fat Lf; �
Pormit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. / DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2h¢sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (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
X1, 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 c0SR ULTI.OUTLET 2,50 ea
NO N.RESNTID. BRANCH CIRC ITS
NEW CONSTR. // POWER APPARATUS &)
NON.R ESID. 1 SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 9A @30Q
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 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.
XI 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.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
J 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 liabi ' le , judgmen osts, and expenses which may in any way accrue
again sai County i cons quenc of the granting of this permit.
X Date �` J ^
I Signat a of Applicant — Owner o tractor ❑ Agent ❑
An OSHA permit is required fora caval on over 5'0" deep and demolition or construct -E
ion of structures over 3 stories in height
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ O
occuP. GROUP
I TYPEoP CONST.
PARCEL
PD 1
ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work ?icatedRabove for which
OR OF PUBLIC
BY
PERMIT EXPIRE e
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.����
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
S
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT* OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
14-? zi�iti -
PERMIT NO.
A routine Inspection Indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this. office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
+ Assessor Inquiry i JGn3l200-3-02.-37pm
Name VANLAAN ALLEN W & JANE L
At # Fee # 042-170-050.000
StatusACTIVE Status Date
Addr-I 3540 GRAPE WAY
Tax 000 NORMAL.OWNERSHIP. , TRA, 062-022 ,
Addr2 I CHICO CA 95973
Situs 13540 GRARE WAY CHICO
Addr3l
Base Dt 01!18!2001
Addr4
-- Land 117,300
rPreservez Structure 102,0es.
FixturesComments
4217005000 CONVERTED 09!08188
[Bonds
Creating Doc# 198182638158 Date
sGrowing
Total L&I 219,300
Current Doc# 200180002274 Date 01!18!2001
`Fix. R
J Multi Situs
Kiling.Doc# ' Date
J =Flag! „ MH PP
Asmt Desc 3540 GRAPE WAY I SuplCnt 1
J FIag2PP
Zoning A10 Dwell 1
J 910 MH Exempt 7,000
Acres/Sq Ft 2.5 N!C 042
Asmt PP Pen Net
J Tax PP Pen R!C# t
JAppeal Pending' T!R Dt
J Split Pending RIC Stat
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