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HomeMy WebLinkAbout043-730-017. `GARRISON & CROW'-' 'KENNICOTT CONST. 60. 8c)O- 19 Ranchita-Way, Chico 915-69P-- Evap.Cooler- 224-70E 964-69E6 73_'0-017 jtqBROCK, Duane Ranchita Gardens), Chi19 Ranchita, Chico (new single family) -,57- 1-70 ' J e .. ..-} -_ - } r I.... iT� .'� '�7Y`1"Y-T•`r'In- • "� Rj S}l.. r- -VT*-, COUNTY OF BUTTE DE�PARTMENT OF PUBLICWORKS ! ' 7 County Center Drive - Oroville, CalifornT ia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 043-730-0 ZONING R-1 BUILDING PERMIT OWNER C. Duane Brack TELEPHONE,„ 896-09311. SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 19 Rauchita Way. Chico 95926 CONTRACTOR'S NAME - Otmer TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace I A I 19500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS - Permit fee $45.00 PLUMBING PERMIT FilingFee 15.00 10 rbltA W `j C. Each Trap 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 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mob le Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition [ Remodel ❑ Uti lities ❑ Installation ❑ Other [ Describe work: New WoodBtoye Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service OR LESS 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 I, as the owner, or my employees with wages as their SOIe 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 1000AI 37..50 OCCUP.g\ 3.6dsq.ft. NEW CONST. / DWELLING OR ADDNS. ACC. BLDGS. I) 1 NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp( OUTLETS OR FIXTURES 20 @ 76d FIXED S, OR \ Ex. DCCUp. OUTLETS TS (R(RESID,) EA.) I 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. 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 FilingFee 15.00 Heating Cooling Hood 6.50 Ventilation perrnit 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 said County in consequence of the granting of this permit. X Date' ". Signature of Applicant — Owner V ' Contractor ❑ Agent ❑ An OSHA permit is requiiad for excavations over 5'0" deep and demolition or construct- ion of structures over.3 stories in height. . `. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $45 HAZ 1 1) FEES I IMP I FLOOD I CDF I PARCEL PD FHD ISSUE This permit is hereby issued under the applicable provi- Bions of the Butte Count Code and/or resolutions to do I ,j- - work indicated above for which fees have been paid. &6R/ A I/RECTOR�&,PUBLIC WORKS BY /4/ Date /u- 26-,041 PERMIT EXPIRES Date /0 - Le, - .91. <t- Receipt No. 126073 WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �.e� '.^};E - ;%;,,,• .�y=.:'";.Farr. ,�' . z..-�'. �•_ 47" s Y,'. r'. '�`. .^ .. ;� v }. - „ r r�•�� -{ r o_. ..'.. , . �. '�: .!~i^* . -G `4 �'�Y t� • , .'ti , ..a,� 0 I. 73 0-017 0 Duane. 9273769B 19 Ranchita, Chico woodstove/sf 0 K- r� /*,�. �/, i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orov Ile, California 95965 - Telephone: 916/538-7541 _ APPLICATION AND PERMIT Al ASSESSOR PARCEL NUMBER 043-730-017 ZONING RBUILDING PERMIT OWNER Duane Brocka TELEPHONE _ SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 19 Rac lta Way, Chico 95926 CONTRACTOR'S NA ME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace I A 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit tee $45.00 PLUMBING PERMIT Filing Fee 15.00 19 Ranchita Way, Chico Each Trap 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 n Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other M Describe work: New Woodstove Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 Main service 200A TO 1000A) 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 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 CONST. DWELLING OCCUPM 3.64sq.ft. OR ADONS. ACC. BLDGS. // NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCU ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.I EA.) I 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. ftp, I shall not employ any person in any manner so as to become subject 4� 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 said County in conseque ce of the "anting of this permit. =� ��� Date b Q11, Signature of Applicant — OwnerIP C yorma' ❑ Agent Li An OSHA permit is required For excavationss nover 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 $45.00 HAz I DFEES I IMP I FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte Count Code and/or resolutions to do work indi d a v which fees have been paid. I C OF PUBLIC WORKS By Date /(2. 2G— P EXPIRES Date /O - Ka- !Z-7 Receipt No. 126073 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t Yl '�� ' ,y.l• COUNTY OF BUTTE - DEPARTMENT --OF PUBLIC WORKS - BUILDING ISIQN 4� 7 COUNTY CENTER DRIVE - OROVIL<LE; CALIFORNIA 95965 -TELEPHONE�538-7 PERMIT APPLICATION DATA SHEET OWNER � m/f/61-�� ' A. P. • oO �73 O�� Proposed Building Use Building Inspector Date 3 Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 4Z 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signedkby preparer of plans. ! ......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ....................... 4. Engineered plans and talcs, 3/4 sets, with wet signature on plans. ............ . 5. Hazardous Material Form. i ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 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 Pre -Inspection requ� p required. . . to Building Inspector (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, process as follows: r Mail to owner Telephone and hold for pickup at Other Parcel Creation Acreage Applicant Mail to contractor. - office. Deliver with inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not ch 1. Index permit for above items No. 2. Additional items required: above). 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 --73Q —t� % ZONING l� — BUILDING PERMIT OWNER TELEPHONE q SO,FT. OCC. BUILDiNG VALUATION OW—c NER'S MAILING ADDRESS-\}• / /�J� CONTRACTOR'S NAME TELEPHONE CONTRA TOR'S MAILING ADDRESS Fireplace I/ 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 ENGIN^ER'S MAILING ADDRESS Penalty g BUILDING A DRESS n LL / Permit tee $ L PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 1 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 SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ �1Addiittio'n,j ! Remodel❑ Utilities/❑ installation[] Other -m et _ Describe vto/giw/��V 0 OD Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 18.50 200A OR LESS Main service 200ATO1000AI 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 CONST. / DWELLING OCCUP.7}\ 3.6d sq.ft. OR ADONS. 1 ACG. BLDGS. // NEW CONSTR. ULTI-OUTLET NON.RESID BRANCH CIRCUITS) @ 5.00 /POWER APPARATUS &) \SINGLE OUTLET CIR. EX. Occup( OUTLETS OR FIXTURES 20 W 76d FIXED Ex. DCCUp. OUTLETS PRESID IREA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring . 9 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 FiIingFee 15.00 Heating Coolin 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 ac rue again�st`—said County in consequence of th granting of this peniY C� Date r Signature of Applicant — Owner [2�0 Contractor ❑II 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 $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ SV) HAz 0FEES IMP FLOOD CDF PARCEL PD H D 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. �% % �� WHITE-D.P.W.. TEL LOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF 3UT':L - Department o i Pub tic L;o r;:{s 7 County Center Drive, Oroville, CA 95963 Phone: 916-;3,8_75,41 OWNER -BUILDER VERIFIC.MON Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for ccnscruction of the proposed property improvement (yes or no) 2. I (have/have noc) GkV-R,, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractzrs License Na. 5. I will provide some of the wort but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of work Signed: z) Property Owner 6, " Social Secur'ty Number , Data ZSD.Zzl)cii� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- micced to issue the permit. c ? / 7 -7 7- . tK4,d& Aj-&44--,,,t4k &Alm, &, •'-0 - 7-33T�- �10-0-17 92-3118 B',P` GARRISON &'CROW 19,Ranchita Way, Chico tile shower/sf v ,pn.sr r -n - COUNTY;OF BUTTE - D,EPARTMDft OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND` PERMIT ASSESSOR PARCEL NUMBER A4,2369 ZONING R-1 I BUILDIN-G'PEFIMIT OWNER Mark Garrison & Gary.Crow, TELEPHONE S0. FT. OCC. BUILDING VALUATION Contr 500.00 OWNER'S MAILING ADDRESS c/o 1237 Mangrove Ave., Chico 95926 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 500.00 Filing.Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee •$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $ 30.(0 PLUMBING PERMIT Filing Fee 0 15.0 - _- ' 19 Ranchita Way, Chico Each Trap 1 5.00 515.0 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 7.00 USE OF, STRUCTURE SF [� Duplex❑—Mobilehome❑ Other 4 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer - 15.00 Mobile.Home is G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: - Add Shower to Master 'Bath f— (Tile Shower Stall Built- w/o Permits) •- ` Permit Fee $ 27.00 Contractor_._. ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Mai -n Service 200ATO1000AIU "- t '37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1( am licensed under provisions of Chapt. 9, Div. 3 of the BusinessNON.RESID 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. 704-4) Flor 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 CONST. ( DWELLING OCCUP.61 OR ACDNS, ACC, BLDGS. / 3.64sq.ft. NEW CONSTR. MULTI -OUTLET BRANCH CIRCUITS) @ 5.00 ` (POWER APPARATUS &1 SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d A Ex. Occup. OUTLETS P(RESID )LNS REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): f 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 Heating Coolin 9 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.OCC I also agree to save, iid'emnify and keep harmless the County of Butte against all liab IitieWjudgmen/s, costs, -and expenses which may in any way accrue against auf ounty i'. consequence of the granting of this permit. XDate •Z--�j 'jam nature of A liciirit - Owner �y g pp ❑ Contractor ❑ Agent I YI ' 7" An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ CONST TYPE TOTAL FEE $57.00 HAz OFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do t work indicated above for which fees have been paid. i --,,,DIRECTOR OF PUBLIC WORKS By Date 9• y-91?`I PERMIT EXPIRES Date f= Receipt No. 122733 WHITE-D.P.W., YELLOW-A53C330R, PINK -INSPECTOR, GOLDENROD -APPLICANT / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER --•� 94@�—���`© ZONIN^�-^ R-1 BUILDING PERMIT OWNER Mark Garrison &Gary Crow TELEPHONE SQ, FT. OCC. BUILDING V ION^-' OWNER'S MAILING ADDRESS c/o 1237 Mangrove Ave., Chico 95926 Contr 500.00 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 500,00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 30.00 PLUMBING PERMIT Filing Fee 15.00 19 Ranchita Way,Chico Each Trap 1 5.00 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME -7 ARCEL MAP Water piping 1 7.00 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 S I G W @ 1 5.00 TYPE OF WORK New❑ Addition❑ Remodel[] Utilities❑ Installation El Other© Describe work: Add Shower to Master Bath (Tile Shower Stall Built w/o Permits) Permit Fee $ 27,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR OR LESS 18.50 Main service 200ATO1Oo9A, 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 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 CONST.( DWELLING OCCUP.&1 OR ADDNS. ACC. BLDGS. / 3.6Qsq.ft. NEW CONSTR. ULT' -OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 764 FIXED APLNS Ex. OCCup. OUT ETS PRESID )REA.1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 '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 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. save, i mnify and keep harmless the County of Butte against all Iiajudg s, costs, and expenses which may in any way accrue I also qA— againsounty I consequence of the granting of this permit. Q X Date q'Z— / Z si nature of Applicant - owner g pp ❑ 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $57.00 HAz DFEES IMP FLOOD cDF PARCEL PD Ho ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indiv or which fees I OF PUBLIC By EXPIRES Date 9 applicable provi- resolutions to do have been paid. WORKS 9_ y 9Z DatePERMIT y- 93 Receipt No. 122733 WNITE•D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1R(SFA-.-r7�L/i�'w1'ff�•.�.^la�lrr�l+-:�.�,y„��jrM1�JF��I�Qr�Yr�FA�t'7fV'F!"1����{ i" TaH`xj'.�� ,^e�. �'t'"-'�(jyti'yt'i.'� �� �, ., �j`'F` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ,OROVfi1'E, CAtt-TORNIA 95965 - TELEPHONE (916) 538-7541 r N K PERMITwAPPLICATION DATA SHEET OWNER I &, (1C- A. P. No. Proposed Building Use 5Ir- �;,V54-all Sl 0-je- Sia/%Building Inspector Date At time Xermit application, I was advised the following data"must be submitted prior`ato permit processing and/or issuance: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. >..: 33. 34. IDATE RECEIVED BY All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans. .........�:�........... . Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. . Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof$ .......................................... Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer .................. . Sanitation and plot plan approval y* Health Department . ............. City of Chico plumbing permit. ...... ........................... . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage ............ . Driveway permit (construction approval required prior to occupancy). . . Pre -Inspection reque� Pre -inspection for required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner _). .......... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ Existing violations/expired permits . ...................................... Plan check list . ..................................................... u issue the permit, process as follows: Mai to owner. Mail to contractor. Telephone 3q 3 -72- 51- and hold for pickup at �= � � c o office. Deliver with inspector. Other Parcel Creation Acreage _ Applicant Date 2 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. T Fire Dept. Other 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 7 County Center Drive - Orovllle, California 95965 - Telephone: 918.'538.7541 APPLICATION AND PERMIT PERMIT NO. A3893S R P'AF1C9L NUMSILA- Ql) C9 BUILDING PERMIT OWN ERL6PMONE SO, FT. OCC. BUILDING VALUATION j 0 -V V ; OWER'3 MAILING ADORES 0_10 In x. MWGPVr_ A✓� C ` �o g � � z � j CONTRACTOR -3 NAM "*S TELEPHONE j I i CONTRAMAILING ADDRESS Fireplace I j CONSTRUCTION LENDER UNKNOWN Total Valuation is p c"9 1 Filing Fee $ 155,00 LENDER -3 MAILING ADORE33 - Permit Fee $ , e --a j ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ j Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS . _ Permit fee $ PLUMBING PERMIT Filin9Fee 15.00 j j q n ( NG I k �� �` `'� Each Trap Solar or heat pump water heater 5.00( 5 .0­1�, I 20.00 i L © LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each aas water heater or vent 7.00 USE OF STRUCTURE SF [� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 j Building sewer 15.00 j Mobile Home S G I W @ 15.001. 1 TYPE OF WORK New.❑ Addition E] Remodel❑ Utilities[] Installation❑ Other ❑ Describe work: APP TO yV1tA3VfW 6]aTbQ r �Yt t {- 5 I I1 Permit Fee $ a-7 Contractor 1 ELECTRICAL PERMIT Filing Fee 15.00 T � � � S � o � � r � „� � i �• 1 Main service 00OR LESS 200AA OR LESS 2 ,50 18 i Main service 20CATO1000Ai 1 37.501 1 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (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 LJ 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 CONST. DWELLING OCCUP.a I OR AODNS. ( ACC. SLOGS. 3.6aso.ft. NEW CONSTP- 'AUL:I.OUTLET VDN.Re510. BRANCH rlRc'trs ` 5'001 POWER APPARATUS e SINGLE OUTLET CIR. ) �- Ex. OCCUO(OUTLE;TS OR FIXTURES 120@ 764 RA r@ 46A LN 5 OR Ex. Occuo. OUTL TS IPRESI0.I EA.) I 3.001 1 Temporary service 15.00 I Mobile Home Facilities 15.00 Misc. Wiring 15.00 ! Permit Fee $ 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. fJ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating ; Cooling I• Hood 6.501 i Ventilation. j 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 Countyor 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 Iiatliti jud ents. costs, and expenses which may in any way accrue agalnstts Couyy in consequence of the granting of this permit. Mobile Home Installation Fee $ Ener Inspection Fee $ L Energy occ I CONST TYPE TOTAL FEES 7 O�t7 nAZ 0FEES i I IMP FLOOD COF PARCEL Po HO ISSUE 1 X.�U/i1��., /.lit1_ Date q rZ " l 2— Signature of Applicant — Owner L Contractor G Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct. :on of structures over 3 stores In height. Receipt N0. r a a.-7 3 3 —759 n„ITC-O.P.W.. TELLOW-A3eE330e. PI41%-145PECTOM. GOLD EMMOa-A/PL ICAMT 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