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Home My WebLink About043-252-024� . ' | � ' � ` 04 4 :4PQ0qp 14 ' E �a.os t 93'0272t 52=024` ` � KACKERT., Tom 615 Bidwell Dr, Chico (shower pan/sf) CONTR: Richard Naughn tI t COUNTY OF BUTTE - DEPARTMENT 'OF PUBLIC WORKS PERMIT NO. �\ 7 Count Center Drive - Oroville; California 95965 - Telephone: 916/538-7541'. li3 � �i 'N APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - 043-252-024 ZONING BUILDING PERMIT OWNER, Tom Kackert _ TELEPHONE 872-3140 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS t 4$1 Tiger Tail, Paradise 95969 CONTRACTOR'S NAME Richard Vaughn TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER -- LICENSE NO. Plan Checking Fee $ ARCHITECT'OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 615 Bidwell Dr., CHico PLUMBING PERMIT Filing Fee 15.00 Each Trap 11 5.00 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCE ; MAP i Water piping 7.00 Each qas water heater or vent 7.00 rUSE OF STRUCTURE SFU' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 'ti 15.00 Mobile Home S G W '� @ 15.00 TYPE OF WORK New EJ Addition❑ Remodel❑ Utilities❑.. Installation❑ Other® Describe work: Shower pari 1P i Permit Fee $10.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 ' Main service 200A OR LESS 18.50 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 `` ",` ' ❑ as the owner,- or myJ employees with wa"ges`%�as their sole compen- sation, will do the work,and the structure is.not intended or'offered for sale. (Sec. 7044) �-• .- `\ , f ' , I, as the owner, am 'exclusively contracting with licensed contract- /r ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason t! Main service 200A TO IOOOA) 37.50 NEW CONST. ( DWELLING OCCUP.EI� 3.64 sq.ft. OR ADDNS. ACC. SLOGS. NEW CONSTR ULTI.OUTLET NON •RESID BRANCH CRCI S @ 5.00 (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS OUIED PRESID ILNS KEA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g -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 Heat'jng I ;s .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 County of 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 liabiillties, judgments, costs, and expenses which may in any way accrue a 44L.$Ls Id County in co sequen a of the granting of this permit. X `�') /p� Date Signature of Applicants—J owner Contractor ❑ Agent ❑ -An OSHA permit is required for excavations over 5'0" deep and demalition'or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $20.E HAz DFEES IMP FLOOD CDF PARCEL PD HD IssUE— •'P"' f This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do i work indicated above for which fees have been paid. DIREC OR 1F PUBLIC WORKS By ..�` �. Date Z PER " EXPIRES Date 2 - y - Receipt No. t WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ` PERMIT NO. 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538- 54 I _ APPLICATION AND PERMIT 1-11 ASSESSOR PARCEL NUMBER 043-252-024 ZONING BUILDING PERMIT OWNER Tom Kackert TELEPHONE 872-3140 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 481 Tiger Tail, Paradise 95969 CONTRACTOR'SNAME Richard Vaughn TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ 155,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 615 Bidwell Dr. �Hico PLUMBING PERMIT Filing Fee 15.00 Each Trap 11 5.00 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 EI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ® Describe work: Shower Pan Permit Fee $20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 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 FlFIXED 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 200ATOI000A, 37.50 NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. / 3.64 sq.ft. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Not ce 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 FiIingFee 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 liabi 'ties, judgments, costs, nd expenses which may in any way accrue a ai id County in co sequen of the granting of this permit. X Date signature of Applicant owner contractor ❑ Agent ❑ An OSHA permit is required for a ovations over 5'0" 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 $ 20.00 HA2 OFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees �p,� —C R PUBLIC By PEr EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Z—.ri ?_,7 Receipt No. 135207 WHITE -D. P.W„ YELLOW-AS8C990R, PINK-IN9PECTOR, GOLDENROD -APPLICANT ��w�Ti'-��R f'��7IYi`�r"v .iY"^'T�r.'L}� T�+ L� "t"Tl��•,Alf'-�'a.L ^: �TY'i'� :�,,«.>,,,y n,y� . COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - ING DIVISION t 7COUNTY CENTER DRIVE -OROVILLE, CALIFORNIA 95965-TELEPHON (916)538-7541 7. ;) PERMIT APPLICATION DATA SHEET ) OWNER S m kA r- A. P. No. 3 2 �- Z- - V-1 Proposed Building Use Fa pla-1 - Building Inspector Date Z S� At time o 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 . ...................... 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 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 required. .. to Build Building (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. ..... 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, Otocess as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. I et ver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. `fAir Pollution Date Copy of plans sent Health Dept:\ Fire Dept. Other 41 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. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, 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 BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916;'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER "j Z Z ZONING I BUILDING PERMIT O ^ D ��iC� TELEPHONE / _ 3o SO. FT. OCC. BUILDING VALUATION O EMAILIN r �41-T/&PEJ� )yT/` PteR,41--I✓�E COTR ACTOR'S NyME p TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace C ONSTRUC TIO,[_ LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS —Cc�— Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee a Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS '�,lS' A WALL Permit fee $ PLUMBING PERMIT FiIingFee 15.00 cf- CU I Each Trap f I 5.00 Solar or heat pump water heater 1 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❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: IS YO LJ e-&— 4,QC J - Permit Fee $ Z� — Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 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 ❑ 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 37.50 NEW CONST. / DWELLING OCCUPM OR AODNS. ACC. SLOGS. 3.6QsQ.ft. 1 NEW.CONSTR '.OUTLET RESID BRANCH CIRCITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 @ 76d q EX. OCCUp. OUTTS IPRESID 1FIXED APNSRI EA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Vyirin g '15.00 Permit Fee S 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. ❑ 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 FiIingFee 15.00 Heating Cooling g 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 bid County in co . e ence of the granting of this pe mit.c� X Date 2 / Signature of Applicant — Owner Contractor E] Agent ❑ An OSHA ion of structurestover r3Qstories oin height. excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ DCC CONST TYPE TOTAL FEES 2 — HAz 1 0FEES I IMP 700 1 CDF PARCEL PO I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 13Sa 07 WHITE-O.P.W.. YELLOW-A$eE»OR. PINK -INSPECTOR. GOLDENROD -APPLICANT