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Home My WebLink About047-130-035047-130-035- �.,�FPERMIT#94-3128 ,.': A&S Ranches Inc. 2409E .. �SISK,. '50 -1 -8 -.WILSON LANDING RD .', ,' CHICO 0� 7- -035 035 - 291 pE '_,.WOODSTOVE' INSERT/SF �� yl:,: r 7-13-3 Wi+lson._Landing Rd., Chico, app, 2 mi, wEls off OEN N & S RANCHES INC. 047-130-035R4._ 02-1096 CONTR: Voaid T. Mitchell, Rt, 1, Box 129A,t (addition,remodel & repairs) Orlaxnd', 5018 WILSON LANDING RD., CHICO CONT: ARTIC AIRE A/C UNIT C/O .•naf 5-14-02 I • II 047-130-035- �.,�FPERMIT#94-3128 ,.': A&S Ranches Inc. 2409E .. �SISK,. '50 -1 -8 -.WILSON LANDING RD .', ,' CHICO 0� 7- -035 035 - 291 pE '_,.WOODSTOVE' INSERT/SF �� yl:,: r 7-13-3 Wi+lson._Landing Rd., Chico, app, 2 mi, wEls off OEN N & S RANCHES INC. 047-130-035R4._ 02-1096 CONTR: Voaid T. Mitchell, Rt, 1, Box 129A,t (addition,remodel & repairs) Orlaxnd', 5018 WILSON LANDING RD., CHICO CONT: ARTIC AIRE A/C UNIT C/O .•naf 5-14-02 11 i oOUTTFo BUTTE COUNTY PERMIT NO: o o DEPARTMENT OF DEVELOPMENT SERVICES o . o BUILDING PERMIT APPLICATION* BIN NO: °y:a, a_ o Phone: (530) 538-7601 Fax (530) 538-2140 o `- o c�UNty Website: www.buftecounty.net/dds Payment of Fees Required at Time of Application PLEASE PRINT CLEARLY PROPERtT�Y�OWNER%INFORMATIONS Last Name t S Firs ame Mailing Addres of �,a..�� 1Wb)0J - Ra, City State Zi Phone 1372 Fax Z- CA State License No. Email Cell , ,M O.NTRAMOR< 'z z Name Mailing Address, 3694> �r4or�.NT6.ii City _ State a Zip Phong, l ®��aa-tel Fax ...p Email Cell CA State License No. ,y &A) — e ) 94 License No. Q� �9 .9 Class ..-; ,-> ` �f� ARCHITECTIENOINE E 16oy gra d Name Mailing Address City State Zip Phone Fax, Email Cell CA State License No. .:PROJECT LOCATION Last Name,, ff 0 — ®.79 First Name�� 4A021 Alts- City LL: U YES U NO Mailing Address Type Construction City Stat 4--ZO w49.7 Phone._/r 5r�a Fa�� "OOVA Email Cell Covered Area: / .:PROJECT LOCATION APN oc1 7 _ 0 — ®.79 Property Address 4A021 Alts- City LL: U YES U NO Gr+lea Type Construction Location must not in city limits of Chico. Gridley. Oroville or Paradise. You may look up parcel info at htti)://sk.chicomapworks.com/ TOTAL SQ: 'WORKER'$�,COMP,,ENSATION Policy Number ,- 1 iW�033��3 moa Carrier if hiring other than a ficensed contractor, a certificate of worker's comp nation must be shown at the time of permit issuance •� KFS,. LENDING i4GENC,Ys Name Address '..x:OE$CRIPTION' OR SCOPE, F WORK Permits for work within mobile homes (other than installation, foundation utilities and non-attached structures) need to be obtained from the State. Manufactured Home Alterations and Permit Guidelines are available at http://www.hed.ca.gov/codes/mhp/HCD (916) 255-2501 e 0 CE: U YES U NO LL: U YES U NO Occupancy Type Construction Permit Tech: Date: uare,Feet:Detaih-< TOTAL SQ: Living Area: Garage: Open Area: Covered Area: LJ Structure Built without permits Proposed Change of Occupancy/Use Note previoustcurrent use: ( 'Wh6ff filed, this application. and all supp6rting material bec6mes subj6ct to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County s website for electronic access K:/Building Forms/Building Permit Application 1109 ` Zoning: Flood Zone: SRA: El YES NO NPDES U YES U NO CE: U YES U NO LL: U YES U NO Occupancy Type Construction Permit Tech: Date: ( 'Wh6ff filed, this application. and all supp6rting material bec6mes subj6ct to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County s website for electronic access K:/Building Forms/Building Permit Application 1109 ` i 047-130-035 02-1096 A & S RANCHES INC. 5018 WILSON LANDING RD., CHICO CONT: ARTIC AI.RE A/C UNIT C/O COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 M No. (Rev. 12/96) APPLICATION AND PERMIT I" 12x12 � ASSESSOR PARCEL NUMBER , ' *7U _ U ZONING BUILDING PERMIT OWNER ^ ` ` t • `` TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS UNG ADDRESS r, r t .� iL~ • C 11 CONTRAMTS NA 1 r TELEPHONE CONTRACTORS MAILING AD KESS c ✓ �. CAI;, CONSTROC ON NDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 0✓1 Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF K Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um 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 ❑ I Describe Wor �l f 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 800V UE 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. License Class � • t' 'J Lic. No.*' 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 reason Main Service zooA TO IOooA 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a ACc. BLAS. SO 3.5¢FT: T. NON RISID. ANCHOU CUT 97.50 POWER APPARATUS a SINGLE ounEr cIR. Ex. Occup. CUTLET OR FDLTURES SAL @ .w FIXED APPLNS. OR Ex. Occup. ounETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. 011 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 L- u 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ 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 1/7 Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee I $ Energy Inspection Fee $ oG� CONST. �• TOTAL FEE $ HAZ! D. FEES IMP FLOOD CDF PARCEL Po HD UE a This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dafe ReceiptNo. I 1 P WHITE-D.D.S.-B.D. CANARY -ASSESSOR i PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California. 95965 • Telephone (530) 538-7541Ay E IT, NO. (Rev. 12/96) APPLICATIbN AND PERMIT e'1h/ZT;( ASSESSOR PARCEL NUMBERI ,^ _ O ' v ZONING,n , L� 'Z BUILDING PERMIT OWNER Ci ,SQ. TELEP/HOTN FT. OCC. BUILDING VALUATION OWNER'S/ADD S 1/ 0 h CONTRA SNA L,4 t � ,r TE HONE CO RACTOR MAIUNO ESS Ale" e" • ( � 2 CONSTWJCfiON NDEA Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Q ( WIS04 � Energy Plan Checking Fee $ $ PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE n SF ?/ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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 ❑ Rem ei ❑ Utilities ❑ Installation Oth ❑ Describe Wor G V l f Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VOR LE Main Service zo.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 in full force and effect.POWEJi License Class - C 2.O Lic. No. Z34 1 1 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 reason 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. 2--p ,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 kqnd policy number are: Carrier %_%A%,,e% t) r'7 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 forthwith comply with those provisions. X Date q ' �� 2 Signature of Applicant - ❑ Owner ❑ Contractor gent ^' An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO tOooA 46.00 NEW CONST. DW ,NO OCCUR SO OR ADDNS. ( 8 ACC. S.3.50FT, 14ON-R SID. T.MULTI-OUTLET CIRCUITS @7,50 APPARArus 8 SINGLE OUTLET CR. 20 @ 1.00 EX. Occup. OUTLET OR FIXTURES . BAL Q .50 Ex. Occup. oFIxLI�EED�A Aa OR EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation 7 PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ o coNST. o TOTAL FEE $ HAZ. p. FEEs IMP I FLOOD I CDF I PARCEL PD HD 9T> This permit is hereby issued under of the Butte County Code and/or indicated above for which fees h By _d�M PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date �• Dete Receipt No. a WHITE-D.D.S.-B.D. CA RY- O. 7PK-INOPECTOR GOLDENROD -APPLICANT 047-130-035 -PERMIT#94-3128 SISK, ROBERT M. - 6 5018 WILSON LANDING RD.; CHICO WOODSTOVE INSRT/SF �J / - Z-,;-:, -95 bo k 'vj � 13 vj w COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -"*1 County Center Drive - Oroville, Cdlifornia.95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9y _ 3 /�2 y ASSESSOR PARCEL NUMBER 47-13-35 ZONING 1-4 BUILDING PERMIT OWNER y , RSERT M SISK TELEPHONE 342-9372 SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5018 WIISON LANDING Rn CHICO, 93926 TELEPHONE CONTRACTOR'S NAME UNKNOWN Ul\ 2U\ VA17 ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1,500.00 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ 018 WILSON LANDING RDEach PLUMBING PERMIT Filing Fee 1 20.00 Trap • 7.00 Solar or heat pump water heVter 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF 13, Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 TYPE OF WORK -+ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other Q1 Describe Work: INSERT 7PE qE$ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service , BOOV2ORRLESS ) 00A OLESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( a ACC. BLOS. ) O_ 3.50 FgT. NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, 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) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPWS. OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23 00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to ente( 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. ;11111. X -'! 1 ��%. % -r_: Date !; % Signature of Applicant :❑' Owner O Contractor ❑ Agent ; An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAT. I D. FEES I IMP I FLOOD CDF PARCEL I PD I HD I ISSUE hoe This permit is hereby issued under the applicable rovisions PP P of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ,�j�l�� ;;:fit ..�'" • Date _ PERMIT EXPIRES ON (Dote) -7 Receipt No. I / �3y WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION l� -7 County Center Drive - Oroville, California 55965 - Telephone (916) 538-7541 PERMITq. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 47-13-35 ZONING - A-40 BUILDING PERMIT OWNER ROBERT M. SISK TELEPHONE 342-9372 SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5018 WILSON LANDING RD* CHICO. 95926 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 1,900.00 CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ c ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ LANDING9018 WILSON PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 CHTCO Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF CK Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ElAddition ❑ Remodel ElUtilities ❑ Installation EIOther Describe Work: INSERT PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 100V OR LESS ) 23.00 2OOA OR LESS Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. , Oso - OR ADONIS. I a ACC. OLDS. ) 3.5C gFT- CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, 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) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESIO. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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, judgments, costs, and expenses which may in any way accrue against said County in consequence of t e granting of this permit. X f X. Date /"� Signature of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height.' Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CGNST. TrPE TOTAL FEE $ HAZ. I D. FEES I IMP I F100D I CDF PARCEL PD 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 AV�cllvr / ate & 9I/ PER IT EXPIRESON Z l el RecelptNo. 7 � 3 � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OE,BEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE _ 5is� 9y-3iz�, OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at 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. LX 5'.9 — I /V s 1"I'et G/17e�b Date �� Inspector C(c REV 10/92 -�s }'y1XM ^' I^•r��Y"irK%C+�.A'�!i7��/�' T"1•'-_ V'f '' ' W!� C�iT'r7T7ONim'Aiti^F'�i+T"��i+'fs,''�4 R'�7rrlril�'r :- r _ H _ COUNTYOF BUTTE - DEPARTM.ENTOF DEVELQPMENTSERVICES -BUILDING DIVISION v 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Ifo4Q4 r sit -.. • A. P. No. Y7'13 - X Proposed Building Use Building Inspector Date // / 7 r At time of permit application, I was advised the following data mush 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,�n,3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. . f .............. 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 $ ................................:4 11. Impact fees as shown on attached schedule. .............................. . 12. California Department of Forestry plan approval/fees. ... �................... . 13.1 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). ..• .. . -Preanspedion requ-eT- 20. Pre -inspection for required. .. to Building Inspector _ (Date) 21. Contractor's license information. No., Name Style, Classification . 22. Certificate of Workmans Compensation Insurance . .......................... dl 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 checklist ..................................................... . 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 �Applicanq Date �/� / q y 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 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above requireddata 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