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Home My WebLink About042-450-015D - -X/1910 AGRICULTURAL STATEMEN' OF ACKNOWLEDGMENT Li5,-0 -- 013 , 0 1 -1 COUNTY OF BUTTE Oroville, Califomia GENERAL CLAIM CLAIMANT: PERFECTION POOLS, & SPAS, INC. ADDRESS: 897 E 20TH ST., SUITE B CITY & STATE: CHICO, CA 95928 DATE OF CLAIM: APRIL 19, 2000 IMPORTANT. SEE INSTRUCTIONS SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ON RFV1=9zc= cin= DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT CLERICAL ERROR PROPERTY IN CITY OF CHICO. AP#042-450-015 BP#00-063 RECEIPT #285793, DATED 03/29/00, OWNER: RON & KATHY LININGER.) TOTAL AMOUNT PAID $326.00 TOTAL AMOUNT TO BE RETAINED $ 0.00 TOTAL AMOUNT TO BE REFUNDED $326.00 i TOTAL $326. 00 I, the undersigned, declare under penalty of perjury that the services or articles claim have been peormed or delivered, and that this claim is true and correct as stated. bated this day of , 20_, at ,Calif. Si nature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services articles specifi abovehave been performed or delivered and that there Is a Budget Appropriation I I or Specific Board Approval I I (Check one) for the sa , Dated this 19TH day of APR�p OCbt OROVILLE Calif. Deghrtment Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 PAYABL FROM_ CONSTRUCTION PERMITS Dept. Code Exp. Code PAYABLE FROM Dept Code ExD. Code PAYABLE FROM FUND FUND FUND DO NOT WRITE BELOW THIS UNE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT Rev 1.2196) APPUCATI-ON AND PERMIT ASS ESSO A PARCEL NUMBER .. 1 O " � Zi ZONING BUILDING PERMIT :"`� MRn q O � 1lL.tw TELEPHONE .3 2 --64 SO. FT. OCC. BUILDING VALUATION —.. NER'S "UNO [Nron,S E TELEPHONE CONTRACTOR'S MAIUNG,*DDRESS >0 T La �f rem f' • �o _ I CONSTRUCTION LENDER i Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHRECT OR ENGINEER LICENSE NO. Filing Fee I $ 20.00 Permit Fee. $ qq. In V ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 03,00 SUILDINO ADDRESS Energy Plan Checking Fee $ $ I PERMIT FEE S LOT NO. SUBONIS10N'SNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF Duplex ❑ Mobilehome ❑ Other Water piping 15.00 5, Each gas water heater or vent 15.00 SPECFy TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.001 New ❑ Addition ❑ Re el ❑ Utilities ❑ Installation ❑ Other ❑ 5(J Mobile Home Tii G W 020.00 Describe Work: CJ -O PERMIT FEE f 3�j • O Q ELECTRICAL PERMIT Fling Feel 20.00 LESS Main Service 200A OR USS 23.00 Main Service TO 1000A 46.00 i±� NEW CONST. DWELLING OCCUP. t 3,5¢sO.i OR ADDNS. 6 ACC. BUDS. FT.: NEW CONS MULTI- OUTLET 1 � 7.501 NON -R ESLD. j POWER APPARATUS l OUTLET CIR. 8 SINGLEA 2L yp 1.001 1 EX. OCCU OUTLET OR FIXTURESBAL yo I Ex. Occup. OtlTLETS RESID.OEA ) 5.001 Temporary Service I 23.001 Mobile Home Facilities 20.00 I sc. Wiring23.001 30.Ob PERMIT FEE S 5 - Ob MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling I Hood 6.50 Ventilation PERMIT FEE , S Mobile Home Installation Fee I $ Energy Inspection Fee $ DLC •'-Otis' "'PE TOTAL FEE S nA: , 0 FEES TMP I FLOOD COF ; PARCEL PO ^0 ISSLE i This permits 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 ,('oral I i I k i .� _ 1 COUNTY OF BUTTE = DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 6D - loir�1 ASSESSOR PARCEL NUMBER 20NING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS 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 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNLS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublifies ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 UE Main Service zo.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.r 6-?/ %/ License Class 0 �Lic. No. _/CJ (t7 ll IFJ� 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 TO 46.00So WEE200A NEW CONST. DWEWNG OCCUP. CCU ( ACC. NEA 3.S¢F°; cDNS. M MET, NDN RESID.LTI- 10 50 R APPARATUS 8 PSINGOWELE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20@'.00 BAL o .sa Ex. Occup. ouTElt°Ts RESIp.OEA 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.) ❑ 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 ars' compensation provisions of section 3700 of the Labor Code, I shall Orth ith comply with those provisions. X dof _ DateO 0 ,Signatur of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excav ions over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT FOR BUILDING DIVISION USE: Receipt Information: Number: Date: Issued To: Amount: Fees Retained: Processing Fee: $ �^ Bldg Filing Fee: $ Plbg Filing Feer $ Elec Filing Fee: $ Mech Filing Fee: $ - Energy P/C Fee: $ - Plan Check Fee: $ Inspection Fee: $ SRA Fee: - $ Total Amount Retained $ TOTAL REFUND DUE $ :a.F _ REFUND CLAIM APPLICATION CLAIMANT'S NAME MAILING ADDRESS ASSESSOR PARCEL #: RECEIPT NUMBER(S) Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those. categories which you wish -to have refunded.) - (-) Building Permit Fees ( ) Sheriff Fees . ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of Plans: - (—) Plans returned to me at counter (-) Please mail plans to me at above address. (-) Please dispose of plans'. = SIGNATURE DATE PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. REFUND CLAIM APPLICATION CLAIMANT'S NAME_ �2 (CiE: MAILING ADDRESS c. a ASSESSOR PARCEL # 042 - 0`70 — 12-- PERMIT # RECEIPT NUMBER (S) Request a..,refund,.of fees paid on the" above receipt-number(s) for the following reasons: in LnC iO110W1n� catecories: (Check those categories which pou.wish to have refunded.) [ Building Permit Fees [ ] Sheriff Fees [ ] SRA Fee (CDF Fire Planning) [ ] Urban Area•Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address. [/] Please dispose of plans. SIGNATURE DATE FOR BUILDING DIVISION USE: Receipt Information: Number.:.-. Date: Issued To: ree6- Retained: Processing Fee: Bldg Filing Fee .- Plbg Filing Fee Elec Filing Fee Mech Filing Fee Energy P/C Fee Plan Check Fee Inspection Fee Total Amount Retaini4 TOTAL REFUND DUE _.$ . r .. .. ,. . -W. COUNTY OF BUTTE Oroville, Califomia GENERAL CLAIM CLAIMANT: •T � V— A= iE- ADDRESS: 9 "1 E . CITY & STATE: DATE OF CLAIM:-- IMPORTANT. LAIM:_IMPORTANT: SUBMIT CLAIM. -TO DEPARTMENT RECEIVING GOODS OR SERVICES SEE INSTRUCTIONS CSN RF\/F0sc cines DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT TOTAL I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated thisN day of , ZOBo, Calif. L Ocuel�neI� C 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 delivered and that there is a Budget Appropriation I j or Specific Board Approval I j (Check one) for the same. ' Dated this day of 20_, at Calif. Department Head or Authorized Deputy Dept. Code Exp. Code PAYABLE FROM FUND Dept. Code Exp. Code PAYABLE FROM FUND De t Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. J INSTRUCTIONS TO CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, description and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the Department head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. � h COUNTY OF BUTTE - DEPARTMENT OF"DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET �� z _ C/ 50-- p- OWNER: ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector: Date: 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. 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete 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 .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. --------------------- ❑ 12. California Department of Forestry plan approval/fees--------------- ❑13�ood elevation certificate. --------------------------------------------- 214. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. -----------------------------------. ❑ 16. Plot plan and business license approval from the City of Biggs. :117. Planning approval for (A) Use: (B) Parking:. :118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- 0 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 0 20. Pre -inspection for required Request to Building Inspector on q❑21�gat"ractor's license information. (Number, Name Style, Classification). ----------------------------- 2. Workers' Compensation carrier and policy number. ----------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------ 1124. Letter of signature authorization. -------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- 026. Letter of intent on building use. ---------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------- E29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------- F-30. ------- G30. Other: (Date) A -h you issue the permit, process as follows ❑ Mail to owne1000 !Applicant: ail to contractor.ZTelephone ��' n y 3'' and hold for pickup a o$-rce. eliver with inspector. Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Depa, ❑ Air ' ollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Cc ntractor, 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, ❑ Building Division counter, by Date: Pians reviewed by: 'Date: Plans approved by: Date: Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: