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Home My WebLink About058-560-01958-56-19 4190-90B'E. ee SPENCE, BurwIIell Iv�. 3892 Pinkston Canyon Rd, Oroville (mh add. living room) Cll ka'7z� ` I i i 58-56-19 4190-90B'E. ee SPENCE, BurwIIell Iv�. 3892 Pinkston Canyon Rd, Oroville (mh add. living room) Cll ka'7z� ` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMLT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 / 4 �/) APPLICATION ANII PERMIT (J ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER Bup7660. TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3892 Pinkgron Canyon Rd-, Ornville, CA 99965 CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace , CONSTRUCTION LENDER UNKNOWN Total Valuation $ O LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER Nonp LICENSE NO. Plan Checking Fee �41 50 $ 34-50— ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 15 00 Penalty $ BUILDING ADDRESS 1899 Pinkstan Canyon Rd Permit fee PLUMB G PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or h/at pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water p' ing 5,00 ' Each . as water heater or vent 5,00 USE OF STRUCT RE SF ❑ Duplex❑ Mobilehome6a Other SPECIFY Gas iping system 1 - 5 outlets 5.00 B ilding sewer 5.00 obile Home. S G JW I10.00e TYPE OF WORK New ❑ Addition ❑x Remodel ❑ Utilities ❑ \lnsllationE] Other Describe work: living xoom Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (checkone p y ur p I y . ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of t e Bu iness and Professions Code and my license is in full forc and a ect. License No. Classification I, as the owner, or my employees with wages as th r Sole Compen- sation, will do the work,and the structure Is not in ended or offered for sale. (Sec. 7044) ❑ I am exempt under Sec. , Business not/ ❑ I, as the owner, am exclusively contracting wit licensed contract- ors. (Sec. 7044) Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST.DWELLING OCCUP. // & OR ADDNS. 1 ACC. BLOGS. 2hQsgft 4.80 NON.RESIO NEW R BRANCH CIRCTITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 20@50t eAL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 bile Home Facilities 15.00 Mis . Wiring g 15.00 Permit ftqe $ WORKMEN'S COMPENSATION INS ANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or le s. ❑ I have placed on file with the County o Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. F-1 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. o ce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHA ICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agsaid County in conse e e of the granting of this per it. aiDate Date f 7z �- ?� Signature of Applicant — Her "ConrrO E] Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 occ CONST TYPE TOTAL FEE $ 178.55 HAZ I CUA PARK I SCHL I FLD I PAR PD HD I ISSUE This permit is Hereby issued under or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 8 587 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT f zt� COUNTY OF BUTTE - DEPARTMENT OF. UIBLIC WORKS - BUILDING DIVISION OF. 7 COUNTY CENTER DRIVE - OROVILLE, &'ALIFOR161A 95965 TELEPHONE: 916/538-7541 i' PERMIT APPLICATION DATA SHEET ,(� Permit No. OWNER -6 G f,/ A. P. No. Proposed Building Use �&)T,) rn Building Inspector Date �� S At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ................................. �2- Plot plans in dua' ate/triplicate, signed by preparer of plans......... Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ................� 8. Engineered truss details and layout in duplicate (required prior to plan cherKl) 9. Mobilehome installation data including manufacturer's installation instructions....... ................. 10. Fees of $ �..................................... �.... . 11. Chi90 Urban Area fees p\ d ............................. / ....... —,A'2Park fees paid 13. UN Ns Schoo istrict fees paid ........... . Sanitation approval from Health/ Department 15. City of Chico plumbing permit ...................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification, ... ,,�Certificate of Workmans Compensation Insurance ............... Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization...................................r 26. .27.. , When ou issue the�ermit, rocess as follows: Mail to�j er. Mail to contractor. Telephone .::> 33 OR and hold for pickup at 0/office. Deliver w./inspector Other c z � (C Applicant .Date Copy of Haz-Mat form sent l Health Dept. Fire Dept. -fir Pollution Date Copy of plans sent -----Health Dept. _Fire Dept. Other Date By. The following data must be submitted prior to permit.,issuarM (Ci7tellwwitem not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by ..date Contractor, designer, ;7P was advised of above required data by—phone —ma ll—counter by date Plans checked by Date ZI Plans approved by Date _ Sets of plans on hold in File cabinet AP folder Copy—DPW u COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916=538-754.1. OTMR-BUILDER VERIFICATION 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 eDor no) 2. I(hav /have not) for t e proposed work. signed an application for a building permit. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work. indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date I NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California.Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.