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Home My WebLink About058-200-011-DI f -J-4- 058-200-011"/ P RMIT LEE, James 'ot- T46-22 Backache Rd, Oroville Ele Ser for Well & Lot Devel. 1o11�379s COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION - . 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541/� PERMIT NO. APPLICATION AND PERMIT 538-7541QPERMIT ASSESSOR PARCEL NUMBER 053-200-011 FP, 5 ZONING BUILDING PERMIT OWNER JAI'iES LEE ELTEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1795 LEST HUFFAXER RENO,NV. 39511 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIWOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS BACKACHE RD PERMITFEE S OROVILLE PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15.0 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UGIities ❑ Installation ❑ Other ❑ Describe Work: ELEC FOR FUTURE LOT DLV. Mobile Home S G Ew7 @20.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 • Main Service OOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO ,000A ) 46.00 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 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 NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BLDS. ) SO. 3.5Q FT. NEW CNS. CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 2L a I.00 BAL 50 Ex. Occup. (oFIXEt-Drs PES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECITON 23.00 23.00 PERMITFEE $ 66.00 Contractor 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' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 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 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 th a provisions. _ Date -� —---.�-- � Signatur of Appf ant - Owner ❑ Contractor ❑ Agent An O A permit is required for excavations over 60" deep and demolition or construction of s ctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 101.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD 55UE This permit is hereby issued under the Butte County Code and/or in, indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) 1/,/eceiptNo. 206460 HITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ��"�".�' "`►v'�}'��t.' �\i'}�..s�Sa��++s��+o�'tr'•lA�� .yrs•i►.r..FyYx'fiy'1ii�j^[��,�.t�„ryj�,,,try„�.i<'it�Fn: ,.! _;r.�,..��it�. ,� .-..r. trra�V ,. t. -•t a3'L , y'i in ,�. E- DEPARTMENT OF DEVELOPMENTSERVICES -BUI DINGD DIVISION COUNTYOFBUTTL IVI �_ 7 County Center Drive-';Oroville, California 95965 - Telephone (916) 538-7541 PERMIT No. APOLI.CATION AND PERMIT "-- , - ASSESSOR FARDEL NUMBER058-200i- ='0i11 ZONING FR 5 BUILDINGPERMIT OWNER JAMES LEE TELEPHONE SO. FT. OCC. BUILDING.VALUATION OWNERS MAILING ADDR179S WEST HUFFAKER. RENO,NV. 89511 CONTRACTOR'S NAME 7. 5• TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNIG40WN .$ Total Valuation11 Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ - ARCHITECT OR ENGINEER J LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee '1 $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUIL DING ADDRESS BACKACHE RD OROVILLE ,� � PERMITFEE $ T PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 " LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other $ SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELEC FOR FUTURE LOT DEV. —, Mobile Home IS I G1 W @20.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filinq Fee 20.700• • Main Service 000V OR LESS M ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 '• ' 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 Lic. No. OWNER -BUILDER 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. ❑ 1, 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. ) SD. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 us ( POWER•APPARATCI ) a SINGLE OUTLET CIR. Ex. Occup. (ourIFT OR FUTURES ) 20 Q 00 L. 1.SO tic. Occup. I FIXEEDrs (FEN of R ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin g 23.00 PRE INSPECITON 23.00 2.00 `- PERMITFEE $ 66.00 Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation 4 PERMITFEE $ 1 Contractor 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.) 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 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 tho a provisions. xJ\ pcx Date_ of Applies- M' Owner ❑ Contractor ❑Agent SignatrApermit An OS is required for excavations over 5'0"deep and demolition orconstruction of s s over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE C TOTAL FEE $ 101.00 HAZ. 1 D. FEES t IMP I FLOOD J.CDF I PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/o, indicated above for which fees have By PERMIT EXPIRES ON I applicable provisions Resolutions `to do work been ,paid. 1' Date (Date) eceiptNo. 206460 %WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT —" . � lw � '*M""r'`�,...,.r•r/w�'•.�+twan!rr...�s!�gi7c+yp:. Y. _ ��.Irr-w-+7'�"-+v,,��.s,i"-,..s.,.»..-•. !� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT .910. ASSESSOR PARCEL NUMBER 058-200^iZ1 -.. ZONING FR 5 BUILDING PERMITS z OWNER . - t JAMES LEE, TELEPHONE , SQ. FT. OCC. BUILDING XALUATION OWNER'S MAILING ADDRESS � 1705 WEST IRWAM RENO,NV. 89511 CONTRACTOR'S NAME * TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS BACRACiiE RD �' PERMITFEE $ OROVILLE PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 15.0( Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: ELEC FOR FUTURE LOT DEV. -. Mobile Home S G W @20.00 i PERMITFEE $ 3 5 .0V0 Contractor V ELECTRICAL PERMIT Filino Fee 20:00 Main Service eoov oR LEss ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: N 1, as owner of the property, or my employees with wages as their sole compensation, f 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 NEW CONST. DWELLING OCCUR OR NS. ( 8 ACC. BLOS. ) SO. 3.50 Fr. NEW CONST ULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) BA2L 0 I•50 L .30 Ex. Occup. FIXED PES D.OEA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ` PRE INSPECTION 23.00 23.00 PERMITFEE $ 66.00 1 Contractor 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' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) �I certify that in the performance of the work for which this permit is issued, I shall ll - 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 tho a provisions. Date �indicated Ci6natu_r6)',;fM_.ppIiOwner ❑Contractor ❑Agent _/ An OS14A permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ ,; 101,00 HAZ. I D. FEES I IMP I FLOOD CRF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/o, Resolutions to do work above for which fees have been paid.�- 3 By Date PERMITEXPIRESON ". (Date) Receipt No. 206460 pWHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 058-200=011 PERMIT#96-2295 LEE, 'James Backache Rd,"Or'oville ,. - - - --''= Ele Ser for Well &. Lot Devel. A tLT t COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 01,-z), z �q,4 ASSESSOR PARCEL NUMBER 058-200-011 ZONING FR 5 BUILDING PERMIT OWNER v JAMES LEE TELEPHONE SQ. FT. OCC. BUILDING VALUATION ., OWNERS MAILING ADDRY,S95 WW lRWAM3M0911Y • 89511 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS ' Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS BACKAC PERMITFEE $ ORt3Vii.i.E PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOTNO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 • USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 'C FOR FUTURE LOT DEV. —. Mobile Home S G W @20.00 PERMITFEE $ 3,QU Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service E00V OR LESS ( 2.OA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Coltractors License Law for the following reason: O 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. ❑ 1, 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 NEW CONST. DWELLING OCCURS OR ACDNS. ( 8 ACC. BLOS. ) O. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( & SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL50 EX. Occup. (oFIXEEDTs PLNS. OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 FRE l:1• W 45. UUi PERMITFEE $ s Contractor 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' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ ' Contractor 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.) 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 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 I forthwith comply with those provisions. X _�s�C.—.— Date(�� ------- `-3-1 ---- Signatu/ of AppliLent - gOwner ❑Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is ; Energy Inspection Fee $ Occ CONST. TYPE lA7 +lL1 TOTAL FEE $ 101 00 HAZ. I D. FEES I IMP I FLOOD COF PARCEL PD NO 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. , f BY Date PERMITEXPIRESON t s, (Date) Receipt No. 20b4bU WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'g�.F!yy�:•1"��I';''r.3F4"�`a...r .'i.`l v+s,'.''":iYaibb: ^7";S^S3G',T. eSriW�Fk.a;Ft_�.lii.ra.'r"'Qy""`-si -�'"'q .rr.- :.,•.rrr-z--+.rz-�--a �ii..ri COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER V t -- P. No.(J Proposed Building Use 11"I IyV� Building Inspector Date 6 v i�iu At time of permplieatie`,A,Cr was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1 Alt- ms 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 . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and 11 Ut in dtpftc to (required prior to plan check). .... 9. Mobilehome dat , r�ia�a�rfaG ur r -s instal �U n in�tf"uctions, 2 sets. ......... . 10. Fees of $ f � M t � .. r 7 ..... I ......................... . 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 p v��mer�xt KQQ 7[(AYTrrr '" ovements (B) Drainage. ......... . 19. r1 1E per it+(. hstruction approval required prior to occupancy). . . -� �.�, 4 �j� Pre4nspecuonreque - 20..Pr rn ectionr• ��fq% t / � � F T� / � required. . . to Building Inspector (Date) 21. /Go � tractor'4(lic�ense°information. (No., Name Style, Classification) . .............. r^ , 22. Ee ificate 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 lister y 33. ,-....... ,r vX /`1*e*' r�c� . . 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 576I Acreage Applican Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. 9 er Date By The following data must be submitted prior to permit issuan 1. Index permit for above items No. 2. Additional items required: rcle new item not checked 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 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 construction of the proposed property improvement: YES 2. I HAVE((] signed an application fora .building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME IADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUM R --�/ DATE: C� i NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER a 058-200-011 PERMIT#96-2295 LEE, James Rnckache Rd, Oroville for Well & Lot Devel. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card In a safe conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. 058=200-011_...-- PERMIT#96-2295 f FLEE, James [ Backache Rd;—Orovill(E. - C�Ele,"Ser...for Well_&_Lot.Devel._.._._:f PERMITTEE MUST CALL FOR INSPECTIONS Piers Underground Conduit Pre-Gunite 'Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Rough Plumbing Rough Electrical Rough Mechanical Framing Shower Pan nsuiation piace rooung place Throat Stucco Latn I I Scratch and Brown Sewer Service Water Service Pool Final Plumbing final Electrical Final Mechanical Final Buildina or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY .......... :.............:::.:.Informatio24.:Hr:.(ns Oroville 7 County Center Dr. 538-7541 538-7636 Chico IMIMIallma.891-2751 891-2834 1 L Revised 7/94 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT mNjr O i BUILDING PERMIT C /� __ .SESSOR PARCEL NUMBER Com' I — /t C' `>'P _ TELEPHONE SO, FT. OCC. BUILDING VALUATION WNER !'iL' G TELEPHONE ONTRACTOR'S NAME aNnucTORs� ADDRESS Fireplace UNMOWN Total Valuation b �NSTRUCnQN LENDAR Fling Fee $ 20.00 Permit Fee b EwEs•s MAiuNo ADOREss b =UCENSE -Plan Checking Fee gRCNiTECT OR ENGINEER Energy Plan Checking Fee $ Penalty b ARCHr,CT OR ENGINEERS MAILING ADDRESS _ PERMITFEE S BuUNGADORESSi�!- �C r -/'� �,J�_ _ PLUMBING PERMIT Fling Fee 20.00 C(7 l Ole, c/ I (_( Ir Each Trap 7.00 PARCEL MAP Solar or heat pump water heater 23.00 c LOT NO. SueDNBON9 NAME Water piping 15.00 I USEOFSTRUCTURE Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 SF ❑ Duplex ❑ Mobilehome ❑ Other svECIF, Building sewer 15.00 TYPE OF WORK Mobile Home S G I W @20.00 S New E3. Addition E3 Remodel ❑ Utilities E3Installation ❑ Other ❑PERMITFEEc., f l �-"(,' KTa L•�i%Y Contractor Describe Work: / ' r _20.00 5 _ ELECTRICALPERMIT Flin Fee 1 OOov OR LESS Main Service ( 2o OR LESS ) 23.00 �3 Main Service ( 200A TO 1000A 46.00 OWEWNG OCCUP.SO. NEw CONST. ( A ACC. BU7S. % 3.5C FT. 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 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: or my employees with wages as their sole compensation, ❑ I, as owner of the property, 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 —• Business and Professions Coda for this ❑ 1 am exempt under Sec. reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain certificate sect on 3700 of (Labor Code. for for workers the compensation, as provided for performance of the work for which this permit is issued. Section ❑ I have and will maintain workers' erforompensation insurance, as mance of work for which this permuired tis issued. 3700 of the Labor Code, for the p My workers' compensation 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 ($t00) or less.)is issued, I shall ❑ I certify that in the person man errce of the rso°as toobecomersuibject to workers' not employ any if compensation laws of Cnlifornia. andi ofgree sect section of should thebecome Labor Code. I shall compensation provisions forthwith comply with those provisions. Date X . _ -- Signature of Applicant - ❑ Owner O Contractor O Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. BRANCH CIRCUITS d SINGLE OUTLET CIT. Ex. Occup. ( OUTLET OR FOrTURES Ex. OCCU . OUTLETS (RESI0..)OR EA Temporary Service Mobile Home Facilities MisQ, Wiring L•I _, _I . �Y. Contractor CA Heating Cooling Hood Ventilation PERMITFEE S PERMITFEE $ '.50 i I Loo i 5.00 3.00 0.00 3.00 L �__, Fee 20.00 6.50 Contractor - Mobile Home Installation Fee $ Energy Inspection Fee b L= occ CONST. TYPE TOTAL FEE $ I FLOOD I NAZ O FEES I IMP CDF PARCEL PD NO "UE I 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 MIT EXPIRES ON Receipt No. f i• • - L,ae, Date COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT 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 Z'0-�- 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, Date Inspector REV 1019 Date Inspector REV 10/92 COUNTY OF BUTTE fi BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 Co7-- 7 ou"nty Center Drive, Oroville,'CA - (916) 538-7541 ,z 747, Elliott Road, Paradise, CA - (916) 872-6307 "'CGRRECTION NOTICE 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,'. A • is completed. If you have any questions pertaining to this matter, or.need additional explanati6 i - please con -,"t thii'office immediately. 1 P 1, �I V 77 oo Date Inspector REV 10/92 ,z i - Date Inspector REV 10/92 COUNTYOI TTE- DEPARTMENT OFDEVELOPMENT SERVICES - BUILDING DIVISION 7 Coin ` enter Drive - Oroville, California 95965 - Telephone (916) 538-7541?/", 38-7541 PERMIT NO. 1 APPLICATION AND PERMIT ?= ASSESSOR PARCEL NUMBER 058-2 11 ZONING FP 5 T�IiONE BUILDING PERMIT OWNER.TAI''lES LEE' SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1795 %BEST HUFFAKER REND , NV . ' 89511 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOYOWN Total Valuation is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESs BACKACHE RD PERMITFEE $ PLUMBINGPERMIT Fling Fee 20.00 OROVILLE Each Trap 7.00 LOT NO. SUBDIVISIONS NAME - PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15.0 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ _ Describe Work: ELEC FOR FUTURE LOT DEV. Mobile Home I S I GI W 1 920.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Serviced00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: '�Q 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 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 - NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BUDS. ) s0. 3.5¢ FT. . NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIA. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ I•00 BAL .50 Ex. Occup. ( OUTLEE-Drs RES D.)EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRL INSPECITON 23.00 23.00 PERMITFEE $ 66.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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 tho a provisions. \ l Dat e{� Signatur of Appl' ant - Owner ❑ Contractor ❑Agent An O A permit is required for excavations over 60" deep and demolition or construction of s ctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 101.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) [HceiptNo. 206460 ITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ---•--� - ---7 • •.�vuvo JCL%a1VJ1� 1 OWNER: I/JL4_�-12�-4 ' LOCATION: _ DATE: /O A.P.#: ZONING: S — CONTR.ACTOFL PRE -INSPECTION FOR - DATE TO INSPECTOR PERMIT HISTORY: [VOONE [ JAS FOLLOWS: TYPE OF OCCUPANCY. BUJILDING INSPECTOR'S REPORT vDescri tion: ` 1.7 P �- Commercial/Usage: [ ] Mobile Home: Yes[ J No[ ] [ ] ResidentialN of Units: [ ] Currently Occupied. [ ] Abandoned Vacant. [ ] Yes [ ] No Electric is currently : [ ] On [ J Off Condition of electrical? :aS: Natural[ ] Propane[ ] None[ ] Cti:-rently On[ ] 041 ] Obvious problems: >anitation: Plumbing working Yes[ ] No[ ] Well: Yes[ ] No[ J Potable water: Yes[ ] No[ ] Obvious Sewage Problems: ion Recommended: [ ]Issue [ ]Hold for: ector: #u— /$I—k— . t,�Nsuy� of-' 2,Ca�l" �c�.,-��-ly; ,� � oars, c��+�C��i fir► �CI o �Jer^ �° ! .. � [ / `�Q•btJ q vo�S Q�vt_p�f' r `_ s �! �r �C x C p LAND DEVELOPMENT A " � BUILDING / ENVIRONMENTAL HEALTH,' PERMIT CLEARANCE But/ding Permit No. OWNERS I A.P. NAME: NUMBER: 05-z 2on—C-i I PRINT LAST NAME FIRST COUNTY ZONING DESIGNATION: r� FLOOD ZONE: FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS r/ OR MAP DEED INFORMATION: 17 DATE OF CREATION: p� -1 v z S �9S"�QDEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL A C S REQ COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: NO COMMENTS/COND 109d MAP INFORMATION: DATE OF RECORDING /f YES NO V BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT DINANCE REQUIhED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK.SPECIAL CONDITIONS W H APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. _ 1. Maintain a 50 f .building setback from centerline of road. — 2. Maintain ft:building setback from right-of-way/centerline of 3. Maintain a 100 ft. leachfield setback from all existing wells. 4. Maintain a ft. leachfield setback from — 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. — 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. — 7. Connect to a public water supply. — 8. Connect to a public sewer system. — 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 130, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. — 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ — 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) — 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ ` as stated in the Oroville Area Traffic Mitigation Fee Agreement. Peynxw to be made to dw PAw&Abg Dh skn. _ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 18. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 20.- 21. 22. 23. 24 25. 'Ala WIS AININ0 � AdNnO0 5661 9 1 130 433AI303H LD 9/95 - CAWP51\FORMS.K\BLDGPERM.CLR ❑ B.I.N. REQUEST FOR 1 Location:ldljjN b 0 - Owner Complaint 8. r- / " V , ContractororTenant: BLDG. CILUM MECH M.H.I./M.H.U. PRE - Form Rough Rough INSPECTION Frame/Underfloor Stucco Lath Top Out Gas Piping/Test Temp. Service Service Corrections Housing Stucco Brown Fireplace Temp. Gas Sewer Underground Final Job Status Permit Renewal Bond Beam Piping Water Piping Well Circuit Light Niche Verity Utilities , OTHER Insulation Nailing S ower Pan %l_A (2-b Corrections Corrections Corrections Final Final Final READY FOR A.M. INSPEC.ON P.M. t Dab: Time: Nae: NOV-07-95 TUE 10:06 LAKESHORE LiDDGE 702 832 7188 P.01 I lw'R .!corde: at ftquest of C"1PjK,F3?, A. ',MGI` jul. 23, 1959 at ItN F,11, Book %I* of Patents, page 395, Pecorde; A/— OUNIT71 RECCIRD R D, Posl-itl Fax Note 7671 Date 0581155 TO To e-1 F JL� r '4 It. MILLAZID ALI. COJD41't. Piiorie +! C Ph THE UNUEP STA' -;T:37 OP Fax # 7G ALI, rpE;SE,, ]in Ca1ir'nr-'148J` 11-1,9 been issued shoving them, r payr.WO has beell 'r'vsj'j by the cj.ajprj-,t it AVIR; GOOK 'Iur=,LLr6it to the A - Of tht. tlet r)f Collurers 1� 938 (52 -St-s t . 60)) , entitled oAv, A, 'te D 11r 01 h'A e of ;public lands iff.r hz'rr.e. al)(I 'b to r, ovide fo� L -he -aCta GUPPjFMCM,2thorL3F,o e 3,., r b ed 1wid! T. 221't,, R. 4 Sen 26, The .!.rea .-Cscribed COntaills 5.00 acren, kjjngtd tile ()f,i,4aj plat of the St.' of t<e9 an,1d LSi4t oil filo 04' Lnnd 3Iajjaget,,i�j)t, -f7,,,Tna'; the U) M��-D-KAATM 0�-r AXZRVOIA, ill cor�sidlcra'�n ol' the Prs%jS1mC,, Ell:' in c.cnfor,-1.,',l t,ha W-ft-I'Al Acts rf ronr hSlloCash made pild P'ArYdr., HA-, zl k,, r-iby ti erso j,,reE;enfr, �joj; C�Sil7v.,nl` and tb thc- h.9 !Y5 Of ra",4 Clair T.-aCL - -1 a!--,!,vq TO HOLD tile �2q.me, t,�g�ther wj�h ail the rights, MO) wl I s, vri p belong 31 'Ir! &f1d Ar�slgnu of the ZAd -?!a -3,q1,3 d.simant wid to vhf, hr irvint, fo e -c, r IL IIY'q vestcd arj lits for mtj).jkjpj' Yltrdwylter rig, or oWher plZi"wo,13, aril �4&1t,2 to dUtches arta re2c_v_,i -s riig" 2-eccg-nC-0 and, by loca-1 IIWA, ond ds,,,Jdjcns of'C.Ourts; and t1jel-c is res et red from te lnnt7is her4by Cran,.ed, a -re, on for ditc!les or ,15 Ccri7-1104,( by the Alltharity c.f the j: Tr.,) j rr C-er"irg, a 'l, -,he urL t- S ec f'xC'2,Dt_'nf, and to j�,ed State 511 c11, 986 iaml Other mi.rjera) in I'ho land With ,'he riRlit) to pro8p54, for, ro.iq, r 5 i-.. -jv t),' X 0 S `0 a0co7ding to the provi.iinnn of &210, Act of Tunri 193A. subjeot to a right iii ,Vey Il')'; Q;eOc��dirrs 33 fsst, In wi6'th, for :,orkrjw,.jv znd Pr.ti311c113111 i..t e.0 Pku'pc"ses'to'Le looat'�Li 01=3 the north .eary - kf 11 1.1 i,and. Till TEST'11--t)'•Jy 'di r?Lri 1:"IrIP-rSigr-ed aiithor the L"zeau of Latid M-11m.90ment., ill 4he P-rO`i Sion 8 of the W� of junn 17, 194.8(6;, 476), hnp in the naria of the T,,t-L, ,,ed hesc J,�-_J;tlors MS'29 Patent, and. the ssaj o.f t en ki ed he gUt-ehu to be hemu.1to Affixed, Lmder -rv'hP',r)d, " the DiStrict Of Coluibia the twenty"Oighty day of )46�r in the �9111' our Llm'.18'qn' n jord one no hUndi'ed Of the Inde pondo i third. inoe of 0".0 Urated StW�as 010 . no buridr(,Ad and p ighty- '4 V *o'• of FOr thQ 'Directoer' a 6 M,,, r4 Len _v 77atent Uu-mber 1, 5976 o B"r nos AIC h E m. BULL", - I L hief) patents Section. tO 9 881T Sc8 St�i 3aQOJ 3?ON2�:i.�J �[+: Dt• 31;T �k?-i�Z-+JON : bxcor. fl 6i � s 658q * 4 �¢.i.Ys,.eq 10 als< ho0g ,I4.Y G.fst �a f�Pi �� .Itti, t�;m! .A �iIhJ►'.rQ 20 ✓ raeupos t:e .R�R'tC.IILR� tY'''V• r,7 G.+lt :. 1 ,.�.�.� � it , s�Yrtluyo'► P.QA�;�CiR ,.•...,rQ� tdt a \�` ,�`�'�,� �� L.� voCl":� is:,.Sz ^.,? 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Yca wo '.•o :Do{ Aril rr} 'VIM 1a vb 1;3dgtO—One: / COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION Z--t y a 7 County Center Drive, Oroville Ca 95965 Phone: 916-538-7541 JAMES LEE 1795 WEST HUFFAKER RENO, NV 89511 RE: PERMIT APPLICATION FOR UTILITIES A.P. # 058-200-011 With reference to the above subject: Attached is: X2L_Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm DATE: 8/22/96 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: __Permit application signed and completed where indicated with all copies returned. XX Plot plans, 3/fKsets, 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. Mobilehome data and manufacturer's installation instructions, 2 sets. XX Fees of S 255.00 payable to Butte County Treasurer. Impact fees paid. XX California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. XX Sanitation and plot plan approval OROVILLE Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Lard Develcpment (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style. Class) or exemption statement. Certificate of WCr mans Compensatio. Insurance. XX Owner -Builder Verification Form. _XT—Recorded _ary cf Agricultural Acknowledgement Letter of signature authorization. Copy of recorded deed of parcel creation and 60' rignt 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 resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Other: Should you have any questions concerning the above, please contact AT.TCR MFFFORD of this office. MCV:ahb Y rs very trly, Mic ael C. ieira, C.B.O. Man ger, Building Inspection 4 1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION "'?"County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER JAMES LEE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDD�R�ESS NV 89511 1795 1 v CONTRACTOR'S NAM TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ RAMI LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking. Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILOINGADDRESS PERMITFEE S PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 IDT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome [XX Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities YX Installation ❑ Other ❑ Describe Work: ]?ARK MODE1 MOBU R Mobile Home ROTXW @20.00 60.00 PERMITFEE g $�. Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service600v OR LESS ( 200A OR LESS ) 23.00 23. 00 Main Service ( 200A TO 1000A ) I 46.00 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 Lic. No. OWNER -BUILDER DECLARATION I ereby affirm under penalty of perjury that I am exempt from the Contractors License 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) S SINGLE 011fLtT CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 P I. SAL .350 0 Ex. Occup. ( OUITXED LETS(RES PLNS.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ (,i -no Contractor 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' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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. Date @a—ture 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. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 166.00 HAZ. D. FEES IMP FLOOD X CDF PARCEL PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER .TAMPS LEE I A. P. No. 058-200-011 Proposed Building Use UTIL FOR PARK MODEL MOBILE Building Inspector AAM Date 8/22/96 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. Xy 2. Plot plans, 3/XtXsets, signed by pre parer 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. 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. XX 10. Fees of $ A FEE = 255.00 11. Impact fees as shown on a Cached schedule. XX 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flooOROVIL I� rnia Engineer. XX 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 required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. XX 23. Owner -Builder Verification (Given to owner , Mail to owner XX XX 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. XX 33. gTr_v PERMIT 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 Applicant EXPIRATION OF APPLICATION Date Applications for which a permit has not been issued, will expire by limitation 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. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one year 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 checking fees for work plan checked and other department costs are not refundable. Original - Applicant