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HomeMy WebLinkAbout043-690-015-- _ -~-- ' -------- '=_' -- ~ ' --~- -- - 'r---=~~=--�'-� ~ ~— — -------=—=-- | ~0�^S Rose Avenue, Chi!c,-O 043-690-015 06-1939 ' � ~ BILL 1738 OAK PARK AVE,CBlCO Cont: DURHAM ELECTRIC ` ' ~ ! � . � 0 v ° ~_. � ~~ ' ' NOTES 043-690-015 06-1939�R HILL 1738 OAK PARK AVE,_CHICO Cont: DURHAM ELECTRIC ;,,M,�• ELECT SERV C/O RESIDENTIAL, APN: Permit No. Owner. Site Address: Contractor. Type of Perntit: CHECKED BY ❑ SRA Q FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRiNKLERS REQUIRED Q SPECIAL INSPECTION ITEMS Q USE PERMIT CONDITIONS Q SUBSTANDARD HOUSING_LETTER M OFFICE COPY M Address IIP,) GAS Meter By Date ELECT I Meter By Date Uv (%��cc DATE JOB FINALED: SIGNATURE BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP061939 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/11/2006 APN: 043-690-015-000 the Business and Professions Code, and my license is in full force and effect. License Class: / 0 License Number. Site Address: 1738 OAK PARK AVE CHI Dater Contractor. wpm �s�. / '1"��ta^ Map Index: Description: CHANGE OUT EXISTING 100 AMP SERVICE 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 permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HILL MARGARET E to its issuance, also requires the applicant for such permit to file a HILL MACK W & DOROTHY J LE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section PO BOX 3661 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA 95927-3661 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 Code: The Contractors' State License Law does not apply to an Applicant: DURHAM ELECTRIC owner of property who builds or improves thereon, and who does 7 COMMERCE #130 such work himself or herself or through his or her own employees, CHICO, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95928 year of completion, the owner -builder will have the burden of 530-342-1884 proving that he or she did not build or improve for the purpose of sale.). ❑ 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 not apply to an owner of property who builds or improves thereon, Contractor: DURHAM ELECTRIG and who contracts for such projects with a contractor(s) licensed 7 COMMERCE #130 pursuant to the Contractors' State License Law.). CHICO, CA ❑ 1 am Exempt under Article 3 of the Business and Professions Code 95928 530-342-1884 Date: Owner: License #: 427656 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: 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:—�'+'�e%� 'l3' 6 otal Square Ft: 0 S. F. �,y,/� Policy#: 5 wr Valuation: $0.00 B : I certify that in the performance of the work for which this permit is Census Code: 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant:.,- WARNING�Faffl tosecure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (5100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 1 code, interest, and attorney's fees. C� rrunder CONSTRUCTION LENDING AGENCY This permit is hereby issulo the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the for this is issued (Sec 3097 Civ.) Resowiions to (!o rk i icated ab vG for which fees have been paid. (�n \ - I performance of the work which permit By. Date: Name: PERMIT EXPIRES ON: Address: Date ❑ 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 of any official form or document of Butte County. I hereby i authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. �. � /�Z //✓�� Signature: � v Print Name.: �(� i� Date: c✓�Q ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor D. %,. Dwiumg renmiv1-iu- Ny +=OK o = Nat OK MANUFACTURED HOMES MISCELLANEOUS - DATE I Li PERMANENT FOUNDATION +SOFT -SET '--.—DATE D E C K S•C O V E R S -CA R P O R TS -GA R A G E S 1 ZoningSetbadcs-Easements 1 ZoningSetbadts-Easements 2 Soils; Special MH Support Sketch 2 Ftgs; SoilsSz-DpthSpacing-CnndrsSteel 3 Sewer; Lorin Test; FaIUC/0-Concrete 3 Decks, GirderslJoists-Dcking-Brcing 4 Wtr, Loctn Test -Easement Needed -Regulator Stairs-Cua"Miandralls 5 Elec Loctn-CIrncs-Gmd 'Amp -Concrete 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. 6 Yard Gas; Loctn Test Wrap Nat ❑ or LP❑ Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSpllce-Decal-Enclsrs 7 Blckng; SzSpacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test -Demand Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 8 Fnng; Sills-AnchrsStads4Wks Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing-VengerStucco-Lath 11 Wtr & Sewer Connected -:l0 to Grade 10 Roof; Shthg-Roofing 12 Gas and Electiicity Tagged 11 EXt; Steps-Doors-Landrtgs 13 Tie Downs ❑ Foundation ❑ 12 Braced Wali pnls 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability) 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptds/Lting; Distance -GR 5 Elec pool LApg; 15 volts-GFI 6 Elec.Enclsrs; Conduit Entries-Terminals4 fisted 7 Elec Bonding; Metal wIT-Crdtng Egp-Htr 8 Elec GrndnT, Eqp wIT Crdtng Eqp-Pool Ightg . Saxe rs-Enclsrs-ppMoards4nsuitn to Main Conduit 9 Health Dept AppM . 10 •Plmb; Cir Test--Wtr Supply Test 11 Lt Niche , 12 Endsr, Fencing -Alarms 13 Bonding, Diving board or Slide die �� d$ Sys Drawing RESIDENTIAL (Sin UArE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Gmd Ftp Dpth 3 Ftg Garage; SoilsSteel-Elec Gmd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Fig Dpth 5 Stemwalis (Main; Steel-Blockouts-Wrapped 6 Stemwalis Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frple Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12- Elec Undrgrnd 13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn 14 GirdersSills-SillsBoltsJoists Vnts-Cripples 15 Ace & VntItn 16 Insulation o'er m`a o'er 0. i DATE 15RAMING • • --y 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders,& .Pr Nailing 20 Draft Stop In Walls (rat proof)' 21 Fire Stops; Furred CeflingsStairs-Chasers Tubs 22 Headers & BeamsSi &'Bearing' 23 Hangers-Post'Caps-Anchrs-Cinnctns 24 Ceiling Joist-Rftr Tjes-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue=Fr•' Ic Throat Cimc 26 Attic Ace-, Si &:Binzrtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill "t & Dimensions 28 Garage Fire Prtctri Framing -RC Channel 29 Prprty Line Firewall & Opnq!V . 30 Ext Doors One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Piywd on Roof Ovrhng Attic Vnts-RItr Outrgrs 33 Siding -Nailing Veneer - 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Are PrtetnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace IntJExt Wall pnls 38 1 nsultn-Walls-Ceilings 39 Infiltration Walls Wndws DATE JELECfRICAL 40 Fxtr & Trnsfrmr Cimc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz n Q CU or Q AL AC Wire Szy, Q CU or Q AL 48 Range Circ - Q CU or Q AL Oven Circ Q, Q CU or ❑AL Insulated Neutral Oyes ON. 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrnes pnls-Motors-Meth Eqp 51 Clothes Closet LtShwr Lt -Spa Lt 52 Smoke Detector o•• a?s' v' 0.� le & Duple uAiC PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tub '& Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE MECHANICAL 61 AC Ducts Insulin & Support 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Are & Pltfrin if Furnace in attic DATE FINAL 66 Ext Steps -Door & SLdeLi Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFl 8 Bath Fxtrs & Tub Ace-Spa 71 GFl Arc Fault 72 Elee Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pni, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Cimc 77 Elec Outlets & Rcptcls ai Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Pimb; Elec & Mech. Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFl) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrcbt-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters Q Yes Q No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, PImb.Appinc-Frple-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFl Rcptcl-Undrgmd 92 VnUtn thru House 93 Glass Prtctn 94 Corrections from previous Itispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Mer Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BP061939 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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 Issued Date: 08/11/2006 APN: 043-690-015-000 the Business and Professions Code, and my license is in full force and effect. License Class : / D License Nu/ber: Site Address: 1738 OAK PARK AVE CHI Datel Pj� Contractor: - I� ^ Map Index: Description: CHANGE OUT EXISTING 100 AMP SERVICE 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 permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HILL MARGARET E to its issuance, also requires the applicant for such permit to file a HILL MACK W & DOROTHY J LE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section PO BOX 3661 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA 95927-3661 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 Code: The Contractors' State License Law does not apply to an Applicant: DURHAM ELECTRIC owner of property who builds or improves thereon, and who does 7 COMMERCE #130 such work himself or herself or through his or her own employees, CHICO, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95928 year of completion, the owner -builder will have the burden of 530-342-1884 proving that he or she did not build or improve for the purpose of sale.). ❑ 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 not apply to an owner of property who builds or improves thereon, Contractor: DURHAM ELECTRIC and who contracts for such projects with a contractor(s) licensed 7 COMMERCE #130 pursuant to the Contractors' State License Law.). CHICO, CA ❑ 1 am Exempt under Article 3 of the Business and Professions Code 95928 530-342-1884 Date: Owner: License M 427656 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: 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:-C� /[ otal Square Ft: 0 S.F. ,,y� Policy#: 5W Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 11 6 Date: Applicant: WARNING: Failz 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 iunder the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to o rk i dicated ab ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By Date: l Name: PERMIT EXPIRES ON: Address: Date ❑ I 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 of any official form or document of tte County. I hereby authorize representatives of Butte County to enter up/on the above mentioned property for inspection purposes. Signature: Print Name:V(9 {� Z/r�/^ Date: ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit U1 -1b -U4 pg 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 OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last Name City on i G Lirs a I� Address Phone City , 1i a Stat TLS/'o Phone IV Fax Fax E-mail State License Number CONTRACTOR Name Address City on i G Stat ZisZ� Phone Fax Email Lic. # .;Z ' �y } TLS/'o APPLICANT SIGNA,,' For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City I No State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNA,,' For office use only: APPLICANT INFORMATION Name Flood Zone Address SRA City I No State Zip Phone Map Book Fax E-mail Planner APPLICANT SIGNA,,' For office use only: Zoning API :.`6/ ,3 Flood Zone Properttx�ddress tI��S SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. . -37 BIN # Description or cope of Work: C Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): 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 required. 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. LOCATION API :.`6/ ,3 /P�RGO}JEC,eTy l0 /V V 1s &60 Properttx�ddress tI��S SRA City G� Cross Street SMIP Date: j � O� WORKER'S COMPENSATION Policy Number „ Total Carrier sail,& 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 cope of Work: C Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): 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 required. 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. Page 1 of 2 REV 5-12-05 Amount: Y :77 Bldg SRA Receipt M Sheriff SMIP Date: j � O� —� Other 1 Total Page 1 of 2 REV 5-12-05 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. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) -Installation manual, (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. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit 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 FORMS\BldgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 �-- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE t/ 'W L/ 7 /OL110� 1L. /-, \ - BUILDING OR PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector 2W Date / COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County 'Center Drive, Oroville— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE /e "f.4 y //' „ i n /_ - BUILDRVG OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. e I nspecto Date `�'� „�,,,., r ♦ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. t 7 County Center Drive - Oroville, California 95965 - Telepho*e,916/534-4541 _7 ��` J - _✓ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 4„1" r7CJ-., /,5' ZONING f/1'- / BUILDING PERMIT OWNER Alj�frlTELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S M., LING ADDRESS CONTRACTOR'S NAME C e TELEPHONE I i CONTRACTOR -`S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER A4,0.1 A UNKNOWN Total Valuation is Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER J,,:) / X LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AD RES�S /7 .�' ��� PLUMBING PERMIT Filin Fee 10.00 9 / r ��2 rf /moi/f- Each Trap 2.00 Repair drainage or vent piping 5.00 i Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑/ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0, Descri be work: tC .fdi�'s Tf%rw.�r.s Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST./ DWELLING OCCUP.y) OR ADDNS. ( ACC. BLDGS. 22 sq ft 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 Q` 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) ElI, 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 NON•RESID R. BRANCH C.IRCTITS 2.50 ea NEW CONSTR. ( POWER APPARATUS e) NON•RESID. SINGLE OUTLET CIR. Ex @ Ps¢ Ex. OCCUp OUTLETS OR FIXTURES 100 Ex. Occup.( OUTLETS FIXED P(RESID )LISIS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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. ❑ 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. Heating Cooling Hood 3.00 Ventilation permit Fee S 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, kand expenses which may in any way accrue against sai/doCoounnty'i'nn consequence '1:" tlhe granting of this permit%. X / �r�r ,l A ►/ Date / r t� / r �,n Signature of Applicant — Owner RI Contractor ElAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition Or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By / .�. f PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ; ;.t Date 'Y4 J Receipt No. t-1 % g -� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT T 11 �GG u a.' F'-..�M..y �,,.y—. '•vr' t. �. ..--` 's-T� _ F _ .. -. .. ...- .y._ .. 11 ..w r. . �.-Y - _. �-.�... �.:. ,, ..ti _.. .. ... .. iv�� ����-$0 - ��GC1� �/,� - - .. , _ COUNTY OF BUTTE 'DEPARTMENT OF PUBLIC WORKS 7 County Center'Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPARCEL NUMBER q,,Ir_ �7() _ — ZONING _T�'_ BUILDING PERMIT OWNER O TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Q / A eoJy(S CONTRACTOR'S NAME TELEPHONE CONTRACTOR' MAILING ADDRESS Fireplace CONSTRUCTION LENDER ,DDRESS UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILINGG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER .I//lam LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ) / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF R --.'Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation❑ Other [ Describe work: 7l1( r�'f..c�r%:«� ��/i�P .uc f=:.,! �+ /iv !. �ArU / Jfr ��7 „� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 e00V OR LESS M 'n service 100 AMP OR LESS 5.00 M!t service EA. ADD'L 100 AMP 2.50 R ADDN5, l ACC. BLDGS. W CONST. ( DWELLING OCCUP.DIULT� 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business f and Professions Code and m license is in full force and effect. Y License No. Classification ® I, as the owner, or my employees with wages as their sole compen- j 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 CONSTR. - U L r 2,50 ea NON•RESID BRANCH CIRCUITS) NEW CONSTR I ( POWER APPARATUS &) NON-RESID. -SINGLE OUTLET CIR, / Ex. Occup OUTLETS OR FIXTURES AL@1 B IXED AP LNS. OR Ex. Occup.(ouTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mist. Wiring X7:50 /U, OU .7U. !JU Permit Fee $ f tn, I'ltil Contractor MECHANICAL PERMIT FiIingFee 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. 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. 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 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 liabilities,1judgments, costs, and{expenses wh'ch may in any way accrue against,said'County In consequenicet'of the/ g�aritti%iri Vof this perriiit. / ��' ��' [` L' / X Date Signature of Applicant — Owner ' "Contractor 1:1 Agent Q.5� G GC. 1 Cf�1i+n�ili��sti An OSHA permit Is required for excavations over 5'0" deep and demolition or Constru t-4,D1REC7TOF ion of structures over 3 stories in height.//Receipt Mobile Home Installation Fee $ TOTAL PERMIT FEE $ CfQ, 100 OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD I ISSUE This permit is hereby issued under sions of tke Butte County Code and/or 3Work�'fndioated above for which /1 OFWORKS BY� _ � „ PERMI ;EXPIRES Date the applicable provi- resolutions to do fees have been paid. Date y �- n No. --1 �-1 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 916/534-454 — APPLICATION AD PERMIT ASSESSOR PARCEL NUMBER ZONING 5/e_ / BUILDING PERMIT OWN2ffi TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER$ MA NG ADDRESS /� Z 7 CONTRACTOR'SNA E TELEPHONE CONTRACTOR' MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING VESS �.� G �' O G (,// PLUMBING PERMIT Fee Filin Fee 10.00 Filing Each Trap 2:00 Repair drainage or vent piping 5.00 C/7 L Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal I tion ❑ Other Describe work: rC� .� ` ctJ %d .� t yrj - !s C� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 BOOV OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2-.50 NEW CONST. DWELLING OCCUP.y� OR ACDNS- ACC, BLDGS. 20 sq ft 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 NEW OUTLET 2,50 ea NON-R.S'RESI.. BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS IN NON-RESID, %SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES BAL@1 FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 MiW. Wiring O, oo :MaOO 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Noti a 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 S 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 ,re resentatives of the County of Butte to enter upon the above-mentioned propert for inspection purposes. I also a to save, indemnify and ke a ess t County of Butte against all 1' il' ' judgments, costs, xpe s may in any way accrue a rist ai n c rise n 1~the anti f this p it. X Date Signature of Appli r - Owne Contractor ❑ Agent An OSHA permit Is required for excavations over 5'0" deep and demo) i n a As rV-- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0o OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under County Code and/or ions of :ted wor ndi ated above for which DIRECTO O PUBLIC By PERM XPFRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date (Lf —� F1 Receipt No. 1-)42D / & WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r To Whom It May Concern:. This is to certify that.Margaret E. Hill has my permission,. y to transact business in my name. Sincerely, , MACK W . • H L r j - f ' rt .352 Vallombrosa P 9161891.1531 Chico, California 95926 45 North Valley PlazaMall •, 916/891,6262. t 0 COUNTY OF BUTTE - DFPAR-VMENT OF PUBLIC WORKS PERMIT NO „ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 - �� j APPLICATION AND PERMIT A•SSESSOR,PARCEL NUMBER �— ©r ZONIN BUILDING PERMIT OWN R TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S LINYDDR SS %,}/{t / V CONTRACTOR'S NA E ELEPHONE CONTRACTO MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Flling Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER _ LICENSE NO. Plan Checking Fee .$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL IN AD RESS /a% C PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets / USE OF STRUCTURE SF [? Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodelo Utilities ❑ Installation❑ Other Describe work: G -V-1 GAAr, S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.N) OR ADDNS. ACC. SLOGS. / 20 sq ft 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 NE WCO 1OUT LE NON -RESIT R BRANCH CIRCTITS 2.50 ea NEw CONSTR. (POWER APPARATUS e) NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES BAL@j 00 IXED APPLNS. OR Ex. Occup. (o UTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 73-6 Permit Fee $ (J 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. 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. Heating Cooling Hood 3.00 Ventilation permit Fee S 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 a ree to save, I dem if an keep harmless the County of Butte against alI labs 'ties, jtenses which may in any way accrue ments,,Wseque against Cou in cogranting of this per it. Date J �t Signature of Applicant — Ownarx Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR OR UBLIC By. PERMIT EXPIRES Date the applicable provi-X resolutions to do fees have been paid. WORKS Date s Receipt No. 7 �L ,,Q WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT