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HomeMy WebLinkAbout043-720-034X72.::0'='034' `HODGMS'j--, J. t* i 186 Bidwell, Chico cont,r: Jessee H&AC gas.heaters/sf 043-720-034 Q�,V, 00-2581 MR. & NIRS RADERkW,//-.5�- 1866 BIDWELL AVE. CHICO CONTR: FOUR COUNTIES ROOFING RE ROOF EXISTING ROOF W/CONM 0 0 HILL, A. 0. 779. I L 0 72� -off. i Bidwell Avenue aprox. 1/2, mi past Oak Chico AN ✓`�f'41h('�;•GsL'�C.T•F%{y�*^'vYT. .. -rel-j,�..:. •<..k•-.... _ a .--e..vy.sv, dtc,^`r n .. r•.yq[�'•'-'A:'+�1R R.r.tr"."M.,kw;.�•;l�'"R�WK��w'^'rt"'wiy�•w1 j A % 043-720-034 00-2581 MR. & MRS RADER 1866 BIDWELL AVE. CHICO CONTR: FOUR COUNTIES ROOFING RE ROOF EXISTING ROOF W/COMP • 1 \\\ t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Calilbrnia 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER s,}�,/j� /{.►yr ZONING BUILDINGPERMIT OWNER • TELEPHONE A 4— , 711 SO. FT, OCC. BUILDING VALUATION p Rereoi ei-i—sting roof w com osit OWNERS MAILING ADDRESS - 1866 Bidwell Avenue Chico CA 95926 shingles cOMRAVourNAME Counties Rootin T43H-1416 ONE 38 squares $50.00 $10980.00 CONTRACTORS MAILING ADDRESS 3 Crusader Court Chico CA 95978 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1.980. 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1866 Bidwell Avenue Energy Plan Checking Fee $ PERMIT FEE S65.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: rAr00f existing rOOiN w1eomeoaition ahin�lAl� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Is I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 'ORMain Service 200A 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.P License Class C-99 Lic. No. 774554 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 reason4. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( s ACC. BLDS. 3.5QFT: Nq=REENDT' MULTI.OUTLET @7.50 I OWEAPPARATUS B SINOOUTLET CIR. Ex. Occu • oUTLErORFDRURES 20@''00 BAL @ .50 Ex. Occup. ofluXTlEtOrsA NS OR. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. I 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. Myworkers' com ensation insurance carrier and policy number are: Carrier Vil�anova Policy Number WC4-09836705 (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 workers' compensation provisions of section 3700 of the Labor Code,- I shall forthwith comply with those provisions. / X _ ii t tCl_t '"Ag -,ate 10/1!100 _ SignatuPe of Applicant - ❑ Owner ❑Contractor 16 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20,00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 65.00 HA2. D. FEFS IMP FLOOD CDF PARCELPD HD ISSUE This permit is 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 ' `/�� ! ,f,/ Date PERMIT EXPIRES ON 11 (Da te ReceiptNo. q �� - WHITE-D.D.S.-B.D. CANARY-ASSESSOR'r PINK-fNSPECTOR GOLDENROD -APPLICANT 1 .on COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION •' 7 County Center Drive Oroville, California' 95965 • Telephone (530) 538-7541 PERMIT N0. (Rev.1V96) APPLICATION AND PERMIT ASSESSOR PARCELNUMBER ZONING BUILDING PERMIT OWNERpO-- Mrs. Rader TELEPHONE - SO. FT. OCC. BUILDING VALUATION Reroof exisl;ing roof w com osit .3290 OWNERS MAILING ADDRESS SS 1866 Bidwell Avenue Chico CA 95926 shingles cDMRAFourECounties Roofin 3431416 33 s u res 60.00 = $1,980.00 CONTRACTORS MAILING ADDRESS 3 Crusader Court Chico CA 95973 CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 1 980 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1866 Bidwell Avenue Energy Plan Checking Fee $ $ PERMIT FEE $ 65.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: re=of existing roof w/com? nsiti on shingles Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200, 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.8 License Class C-39 Lic. No. 774554 OWN WILDER DECLARATION 1 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 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 is issued. I 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 `lillanova Policy Number WU4-09836tb (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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. i X ___ QAte 10.118.100 SignatA f' ofof Appli�ner ❑Contractor 411 Agent An OSWAW permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADDNS. & ACC. S.3.50FT. RESID. MULTI•oUTLET @7.50 WELER APUTLETPARATUCIR.S SPOINGO 20@'.00 Ex. Occup. OUTLET OR FIXTURES BAL_ o .50 Ex. Occup. .LINED p'.Ip,OFRA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring '(' 23.00 <TCR FEE $ MECHANI ERMIT (ling Fee 20.00 Heating CoolingO ZS Hood 6.50 Ventilation L PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 65.00 D SEs IMP FLOOD CDF PARCEL 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 indicated above for which fees have been paid. By 67PO4- ate 5 Q� PERMIT EXPIRES ON �� �✓� Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK-IFNSPECTOR GOLDENROD -APPLICANT on + • 1. 1 " - 043-72-0-034 HODGES, Jackie 92-3613P,E,M C 1866 Bidwe11�' Chico contr: Jessee H&AC gas heaters/sf S 1 t i I • � �� ,2i a S� ` �,�� 62' J Geo -'`�"� OFFICE COPY Address 'cTD GAS Meter By Date) ELECTRIC Meter By a e /0 �r1 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS . PERMIT NO. , -4I 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 043-720-034 ZONING ASR ` BUILDING PERMIT OWNER ,. Jacki Hodges TELEPHONE 345-4811 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 1866 Bidwell Ave. Chico 95926 CONTRACTOR'S NAME Jessee Heating & Air Conditioning, in TELEPHONE . 891-4926 CONTRACTOR'S MAILING ADDRESS 3025 South ate lane Chico 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 1866 Bidwell Ave.. Chico Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7.00 Each qas water heater or vent 2 7.00 14.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY ,7, Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ '.ther [ Describe work: Replace Heat Pump with Gas ater &.2 Water Heaters, Permit Fee $ 36' 00 • Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service ZOOAORLESS 18.50 CONTRACTORS LICENSE LAW l I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. 405411 Classification (1-21 4$ ElI, 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) j ❑ 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 200ATO1000AI 37.50 NEW CONST. ( DWELLING OCCUP.&) 3.6Qsq.ft. OR ADDNS. ACC. SLOGS. NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76o M Ex. Occup. OUTLETS FIXED APP(RESID IREA.) 1I 3.00 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 18.1)0 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 LP 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 Feel 15.00 Heating 1 V.00 Split Cooling `On 1 • .5 9 Hood t6*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 aga,Lnst said County in conse uence of the granting of this permit. �X at,_� �l--r! �"p', � Date /ii—/�'�7 r*21❑ Signature of Applicant — Owner❑ Contractor Agent �A0SHA permit is required for excavations over 5'0" deep and demolition or construct-. •on of structures over 3 stories in height., Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE$94.50 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- I sions of the Butte County Co°de and/or resolutions to do � work indicatet�bove for which fees have been paid. W 1/ �DIRECTOAFOF PUBLIC WORKS By ,�{r%y' / f,-, Date, e2. 139 PERMIT EXPIRES Date %CJ -7�„ 9g Receipt No. 126013 WHITE•D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT --" COUNTY OF BUTTE Y . DEPARTMENT OF PUBLIC WORKS 1469 Humboldt TRoad, Chico, CA - (916),891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO - A routine inspection indicates that the following violations of Butte County Ordinances existat the above address and should be corrected. Please notify 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. I ==wiifd Lrd way,fmif iiiiiiiiiiiiiiiiij Date Z Inspector REV 11/91 - COUNTY OF BUTTE ; ' ' ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNEW PERMIT NO. 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. rY\ � rl , 5 Ric,6 - r) 'r " V ° t) r,-�, , . - r- fzo A A Ti -, Date � �'� �� Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT A PERMIT NO. 01-3 All ASSESSOR PARCEL NUMBER 043-720-034 ZO,tJING ' ASR BUILDING PERMIT OWNER Jacki Hodges TELEPHONE 345-4811 SO, FT, OCC, BUILDING VALUATION ' OWNER'S MAILING ADDRESS 1866 Bidwell Ave. Chico 95926 CONTRACTOR'SNAME TELEPHONE Jessee Heating & Air Conditionin Ind. 891-4926 CONTRACTOR'S MAILING ADDRESS 3025 Southgate Lane Chico 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 1866 Bidwell Ave., Chico Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7,00 Each pas water heater or vent 2 7.00 14.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF® Duplex❑ Mobilehome❑ Other Mobile Home S I G I W @ 15.00 SPECIFY TYPE OF WORK New Addition ❑ Remodel❑ Utilities❑ Installation❑ Other® PerrnitFee $36.00 Describe work: Replace Heat Pump with Gas Heater Contractor & 2 Water Heaters ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18,50 Main service 200A TO t000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnes$ and Professions Code and my license is in full force and effect. License No. 405411 Classification cf-gn, 1-3 NEW CONST. DWELLING OCCUP.&` OR ADONS. ( ACC. BLDGS. I NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 3.6dsq.ft. @ 5.00 20 760 ❑ I, as the owner, or my employees with wages as their sole compen- Ex. OCCUp. OUTLETS FIXED P(RESID IREA.� I 3.0O 3.00 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) Temporary service Mobile Home Facilities Misc. byirin g 1 15.00 15.00 '15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $18.00 WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 1 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating 0.00 19.00 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. S lit Cooling 32 Ton 1 6.50 16.50 ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 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. Ventilation perrnit Fee Contractor $ 40.50 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 a ee to save, indemnify and keep harmless the County of Butte against al Iiab i ies, judgments sts, and expenses which may in any way accrue ag st id Cou in c nse ence of the g anting of this permit. Mobile Home Installation Fee S Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 94.50 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE Date /�—%o� �%�% This permit is hereby issued under the applicable provi- � si nar re of A licant - owner g pp ❑ Contractor � Agent ❑ An SHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. Receipt NO. 126013 Bions of the Butte County, a and/or resolutions to do j Work indica ab ve r hick fees have been paid. R F PUBLIC WORKS BY Date -O- - PERMITEXPIRES Date WHITE-D.P.W., •ELLOW-ASSESSOR, PINK•INSPECTOR, GOLDENROD -APPLICANT �r{1+Y`�1v�'F;!'+9i'S7'q�/4�Tfhi'�'�' ' �i'l�~^��"_}�z. ''..T�/Y11�.�,�,''",.�.�Ld ^"�if'�F�f7cslv��vS 71"+q. 1frr��M1�i .��„y(••�•,a�' COUNTY OF BUTTE i DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,,;�ALIFORNIA 95955 , TELEPHONE (916) 538-7541 , PERMIT APPLICATION DATA SHEET OWNER 1� D D CD S A. P. o. 4 3-72D Proposed Building Use Building Inspector Date At time of perm i 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.........k..... ............................... 6. Energy Design Compliance and supporting documentation�r� ................ 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). . . IS44Aspection request 20. Pre -inspection for required. . to Building Inspector (Dale) 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, process as follows: Mail to owner. _ _ Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage ApV ficant Date Copy of Haz-Mat form sent Health Dept. Fire d`ept_.,. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. r 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 P RCEL NUMBER ZO„5- BUILDING PERMIT o NE wEL v ro PHo SO. FT. OCC. BUILDING VALUATION O R'S IL NG ODRESS� �' CON A 'S NAr• i� TELEPHONE CO ACTOR'S MAILI AOORESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15,00 LENDER'S MAILING AOORESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL 1 G 0RESS G Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 O Each pas water heater or vent 7.00 UQ USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other FV Gas piping system 1 - 5 outlets 5.0 'Building sewer 15.001SPECT Mob le Home S G W 1 615.001 TYPE OF WORK New ❑ Addition ❑ Remodel C Utilities ❑ Instal latio ❑ 0th r ❑ Describe work: �. Permit Fee $ r Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 18.50. 200A OR LESS Main service 20CATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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 conlsT.( DWELLING OCCUP.b+ 3.6dsq.ft. OR AO NS. AGC. SLOGS. II NEW CONSTR. ULTI.OUTLET la 5.00 NON-RESID BRANCH CIRCUITS) POWER APPARATUS b (SINGLE OUTLET CIR. ( Ex, OCCUp\OUTLETS OR FIXTURES 20 76d AL Ex. Occup. OUTLETS IIFIXEO RESID 1REJ I 3.00 r Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ e Contractor 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. MECHANICAL PERMIT Filing Fee 15.00 Heating r Cooling I Hood 6.50 I 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in anyway crue against said County in consequence of the granting of this permit X Date 7/ Signature of Applicant — Owner L7 Contractor E] Agent ❑ An OSHA permit is required for excavations over 5'0" deep and de olition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES r HAz 0FEES IMP FLOOD CDF PARCEL PO 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 /1 Receipt No. I �D 32 .� WNITC-O.P.W., TCLLOw-A9eC3lOR, PINK -INSPECTOR. GOLDENA00•APPLiCA04T