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Home My WebLink About047-060-022r M ' 047-06-M22 00-1516 YUHNKE,MARYLOU 15265 YUHNKE LN., CHICO CONT: FOUR SEASONS ROOF REROOF 047-060-022 05-1241 YUHNKE, WAYNE 15265 YUHNKE LN. CHICO Cont-. BARBARA ENT NEW PANEUELEC WRNG 3 � --Z COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN?_ (VISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5V-7541 PSE- IM)T O. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER G q7 w OCP ,^ �j 7� ZONING BUILDINGPERMIT OWNER % .� TELEPHONE ,y{., SQ. FT. OCC. BUILDING VALUATION OWNER M%AIUNG AD - • /�/� •�3 - . CONTRALTO 'S: NAME 7�10,TELEPHONE n � r CONTRACTORSfe� �DIs�1�.Ma'�` 44 l CONSTRI ICTION LENDER f Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS !,)� / Energy Plan Checking Fee $ PERMIT FEE $ �} KLOT,NO. ASUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 Each Trap 7.00 µ ; USEOFSTRUCTURE a, SF�' Duplex'❑ Mobilehome ❑ Other sPECIFv Solar or heat pump water heater 23.00 Water pI ing piping 15.00 Each gas water heater or vent 15.00 TYPE OF`WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1.11 �j" � ('aj r Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 v OR Main Service 200AORLESS 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 f fce and effect. �rI nh License Class ( "` Lic. No. !V / 7.f r`Ex. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L'aw 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. ❑ 'I am exempt under Sec. ; Business and"Professions Code for this reason Main Service TO 46.00 CCU000A WEE200A NEW CONST. DWELLING OCCUP. oR ADDNS. ( a ACC. BUDS. SO 3.5QFT: Np R.IOT. MULTI.OLRLET @7.50 POWER APPARATUS a SINGLE DurLET CIR. Occup. OUTLET OR FIXTURES BAL ®I .50 Ex. Occup. pUTIEETS R=.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 }" "` �pERMIT FEE •'S 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section = 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier I� / Policy Num br ' 1 i f' (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 � �+�,�' Zf %.� Date !s'" , _ Sig at3r of Applicant'- ❑ Owner `❑ Contract r L 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 $ &9 HA2. p. FEES IMF FLOOD CDF PARCEL I PO HD ISSUE This permit is hereby issued under in the Butte County Code end/or indicated above for which fees have 1 By _ �`' l.t%.... PIRES r^ PERMIT EXPIRES ON the applicable provisions beentp id to do work been paid. Dat (Date) Receipt No. WHITE-D.D.S.=B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BPO51241 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 Issued Date: 05/10/2005 APN:O47-060-022-000 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. Site Address: 15265 YUHNKE LN CHI License Class : License Number: Map Index: Date: Contractor: Description: NEW ELECTRICAL SERVICE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the PANEL(UP-GRADE), AND MISC. Contractors' State License Law for the following reason (Sec. 7031.5 ELECTRICAL WIRING. Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of Owner: YUHNKE WAYNE W &MARY LOU FAMILY the Contractor's State License Law (Chapter 9 commencing with Section TRUST 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any YUHNKE WAYNE W & MARY LOU violation of Section 7031.5 by any applicant for a permit subjects the TRUSTEES applicant to a civil penalty of not more than five hundred dollars (8500).): DBA YUHNKE WAYNE &MARY FAMILY ❑ I, as owner of the property, or my employees with wages as their TRST-AG P sole compensation, will do the work, and -the structure is not 15365 YUHNKE LN 95973 intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of Applicant: YUHNKE WAYNE W &MARY LOU FAMILY proving that he or she did not build or improve for the purpose of sale.). TRUST 1, as owner of the property, am exclusively contracting with YUHNKE JOHN R & MARY LOU TRUSTEES licensed contractors. to construct the project (Sec. 7044, Business DBA YUHNKE JOHN & MARY FAMILY and Professions Code. The Contractors' State License Law does TRST-AG P not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 15365 YUHNKE LN 95973 pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: S �) 0 - �Owner: Contractor: BARBARA ENTERPRISES 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 12583 DOE MILL ROAD workers' compensation, as provided for by Section 3700 of the P.O. BOX 366 Labor Code, for the performance of the work for which this permit is issued. FOREST RANCH CA 95942-0366 ❑ I have and will maintain workers' compensation insurance, as (530) 345-5729 CELL (530) 521-1376 required by Section 3700 the Labor Code, for the performance of doemill1@att.net the work for which this permit is issued. My workers' compensation License #: insurance carrier and policy number are: - Carrier: Architect: Policy #: Engineer: I 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 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. Total Square Ft: 0 S. F. Date: S = I 0 - cS Valuation: $0.00 Census Code: Applicant: r� WARNING: Failure 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 is he by issued under t pplicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the ReSol ut'ons to4 work indicated ov for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: a Date: Address: PERMIT EXPIRES ON: 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 1D827.5 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 authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: Date: - I d ^ O S� Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor r . 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" OWNER Last Name, V N4�� First Name off Address �52�� y� ��V,6 LN City C ` "o State Zip 9!5-? –1 3 PhoneFax 3y-z-38sy Phone -729 Sys-��Z9 E-mail CONTRACTOR Name g � RSP+ �A E N'Tc�P n ISCS Address (z 5'9 3 V O C M I t - c RD, City FoRn i XANcll State cA Zip 9S9 Y2 Phone -729 Sys-��Z9 Zip E-mail Lic. c I o M 1 Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property ddress !S z(.s' YQ jj NkE LO Flood Zone Cross Street Nw SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. ce_ ) BIN # LOCATION AP# / — Property ddress !S z(.s' YQ jj NkE LO City c:H�cc� Cross Street Nw WORKER'S COMPENSATION Policy Number Carrier 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 Scope of Work: , �C W I (Le— be�II Sel✓(&�e_•�olrle Sq. Footage 0 o 0 ❑ 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 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. I I Received by:—e Amount: �[ ob Bldg K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 �j SRA Receipt #: 'J/8 dh O � Sheriff SMIP Other Date ` Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS W 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 inst, (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, Detached Accessory Building Form filled out by the owner (if required). ❑ 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 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 KIFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING IV 7 County Center DriveA- Oroville, California 95965 - Telephone (530) 53 -7541 T O. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER / 1 &O — 0 � 9, ZONING BUILDIN TE ��C OWNER //j/j`J® T "j SQ. FT. OCC. B ILDI ATION OWNER 90 MAW E r _ ^�� /HONE CONTRACT ME TE ~® CONTRACTOR ri5l CONSTRUCTION LENDER f Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRES /j_ , / , n TGL �'� e Energy ec EPlan Checking Fee $ $ PERMIT FEE $ , LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFef Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK -laytioonn ❑ Other ❑ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Describe Work: �� (�()�W/v/ f� 2L/�A 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 600VOR LESS Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is ' fullrce and effect. �n�,9^ License Class Lic. No. 73 (, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO ,000A 46.00 NEW CONST. DWELLING OCCUR OR ADONIS.( a ACC. 9LOS. SO 3.50FT: ,,GµR6,. MULTI -OUTLET CUITS @7,50 POWER APPARATUS a SINGLE OUREr CIR. EX. Occup. OUTLET OR FIXTURES 20 SAL @ I. 0 RusS Ex. Occup. OFIx�LE�osA 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co pensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f hwith comply with those r vision . n X Date '"N Signet a of App ican - ❑ caner ❑ ontrac or ent 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 S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOT L FEE $ HAZ. p. FEES M FLOOD I COF pVp& Po I 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 hich fees have been paid. - /) Dat;52 1� PERMIT EXPIRES ON 3 a ^o Dare ReceiptNo. O WHITE-D.D.S.- CANARY -A SSOR PINK -INSPECTOR GOLDENROD -APPLICANT