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HomeMy WebLinkAbout059-087-006059-087-006 02-1958 BRANUM, DAVID & CONNIE 17193 MANZANITA ST., STIRLING CITY REPLACE ELECTRIC SERVICE 059-087.006 02.2001 RRANUM, DAVID & CONNIE 17193 MANZANITA WAY, STIRLING CITY DECK REPAIRS(NEW W I NDOWSA VOODSTOV E 1' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-2001 ASSESSOR PARCEL NUMBER 059-087-006 ZONING BUILDING PERMIT OWNER david and Connie branum TE�p�IQNE p �ijj �i 33 1758 SO. FT. OCC. BUILDING VALUATION 250 0 1750.00 .�INJ�JERJ{1l�IIJNS�/,�DD0.ETIRLING CITY, 95978 CONT 3000.00 R'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace A 1500.00 LENDER'S MAILING ADDRESS Total Valuation $ 6250.00 ARCHITECT OR ENGINEER LICENSE NO. -Filing Fee $ 20.00 Permit Fee $ 90.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 17193 MANZANITA WAY, STIRLING CIT Energy Plan Checking Fee $ $ PERMIT FEE $ 110.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 6 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DECK REPAIRS (NOT AWNING) DRY ROT (FOUNDATION), NEW WINDOWS, SEPTIC LINES, WOODSTOVE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZDDA GR 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.P 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 Main Service 200A TO 46.00 NEW CONST. DW CCU ING CUP. SO ELLOC OR ADDNS. ( a ACC. S.3.5QFr; NDµgD�,pT' MULTI-OUTLFICEITST @7.50 OWER APPARATUS a SINGLE OUTLET CIR. 20 @° 1.00 Ex. OCCU OUTLET OR FIXTURES SAL @ .50 Ex. Occup. DuTiE,sgES,p.DEA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 43.00 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 f I should become subject to the workers' comp sation provisions of section 3700 of the Labor Code, I shall cc ly ith those provisions. X Date e of Ap lica t - ❑ wner ❑ 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 $ 188.00 HAZ. D FEES IMP FLOOD CDF PARCEL PD HD ISSUE X This permit is hereby issued under the applicable provisions of the Bu a County Code and/or Resolutions to do work Indic ed Ove for which fees have been paid. �J By Date f PERMIT EXPIRE '_7'4X-0 ate ReceiptNo. 360650/$188.00 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 (530) 538-7541 PERMIT NC (Rev. 12/96) APPLICATION AND PERMIT oa -a,6g ASSESSOR PARCEL NU 0 G V �,CP :°"MO BUILDING PERMIT OWNER SQ. �j� �/� .�•/1 SQ. FT. OCC. BUILDING VALUATION 1r ` ► Gr 1 � , " 1 UI D L LfDMON 1 r OWNERS r�ac 6 �o°3 �/ ,l S0,11i a CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAW ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace 7T,G ARCHITECT OR ENGINEER LICENSE NO. Total Valuation S d Filing Fee 20.0 ARCHITECT OR ENGINEERS MAAINO ADDRESS Permit Fee $ _ BUILDING ADDRESS Plan Checkin Fee S Y) Y Energy Plan Checking Fee S . a �Y^ PERMIT FEE S LAT NO. SUBDIVISION'S NAME EL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SF'XX Duplex ❑ Mobilehome ❑ Other Water piping15.00 SPEC" TYPE OF WORK Each gas water heater or vent 15.001 :�-H Gas p1ping stem 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel Utirrties ❑ Installs' ❑ Oth ❑ Building sewer j 15.00 Describe Work: Mobile Home S G W @20.00 PERMIT FEE S U S hlob ELECTRICAL PERMIT Fling Feel 20.00 Main Service 800V OR LESS 200A OR LESS 23.00 Main Service 200A TO I000A I 46.00 NEW CONST: OR ADDNS. d A ACCCGS. 3.5¢sF°. NEW ONS . MULTI.OUTLEr { NOFiR610 g7.501 POWER APPARATUS 8 SINGLE OUTLET CIF. Ex. Occup. OvrLET OR F0mlREs 200 1.001 SAL @ .50 . �EX. OCCU FIXEAP oU'rLETs RESID . OERA � 5.00 Temporary Service 23.00 • e Mobile Home Facilities 20.001 S}� Misc. Wiring 23.00 -•-� SORA0 PERMIT FEE S MECHANICAL PERMIT Fling Fee 1 20.00 Heating O 4+%c y- Coolin i Hood 1 ( 6.50 Ventilation PERMIT FES S I C ......... � Mobile Home Installation Fee $ Energy Inspection Fee $ �t/� i occ CONST. TYPE TOTAL FEE $ { 0�i RAZ. 0. FEES IMP FL COF PARCEL I PD HD ( ISSUE This ermit is hereby ��� �� -1Y4 indicated P y issue under the applicable provisions 4b 6C.,of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON i"`K„e1�b"�"'.�'�e''Y�r�*�:�}dle�t7eb��'�{{M�.�`�i("'+. T'�'.r�efl�^1R���ii�1`A�i:�N�iS:'i'�"'"�'`��'�hi�,aid'IfG�t`i���'��'-.r+�4r"�i%�rYrtJ/•f�''��' 4'9"'�'Sb COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET(`) J\ OWNER: c),r V� Y ' �_ ASSESSOR PARCEL NUMBER yr �� v Proposed Building Use: _ Counter Technician: Date: / �v Items required in order to a ply fora permit. All boxes MUST be checked OR m ked NA in order to apply. -,S 1. -Plot plans, 3 or 4 sets, signedity the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ �. ❑ 9. Plot 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................... 16. Sanitation and plot plan approval from the Environmental Health Department in 17. City of Chico Plumbing permit........................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: . (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ' ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have beeninfo ed of the above items and requirements for obtaining a building permit. Applicant:,�� Date: 1. Index Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: - ❑ phone, ❑ mail, ❑ counter, by ❑ phone,. ❑ mail, ❑ counter, by _ Plans approved by: _Structural approved by: Yellow RuildinP nivicinn Plan Check Letter _Date: _Date: Date:_ Date 7 ! S Man z 0oh v, \ C' �' �l a s v � U � � S c �, � � s i , c e � � � h J i r, n m v%_ tnnn nn rvr 4"x V te— FRMd G. r -- z CTUAPWAIL j4"MAX. DECKIWG PRECAST ` PIER 7midl 14%1 "MIN. FOOT I N6 D3 2' x 12" S7. TAIR RINGER. 4B'o.c,. MAX. PIES -Top VIEW HAI,IDQAIL NOT SHOWN FOR CLARITY. 3/gl 60I T 1— w MOBILE HbME �r OR DECK M a i . MAX. MTL. FRmVJ CLIP (EA. DE 9'Mli\ y 4!,,V 4"x 4' POST 2' x 12' '< "2DF _ a lzoz 2',4" PRESSURE" TRIATt'r oR Y GIRDER 8"i�1IN. DOLTS RFD WOOD PIA7F. o 4.9141, POST - AVEQUATE DIA6 0NA L RACING. TYPICAL RESIDE -M71-111- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville. California 95965 Tnlmhnnn• .. •. .. ,r i . 1—m "V I�.. T(G PLYWOOD CC EXT. oc oCLI Ty. 12' PIVS Z4v,,V"DF*2 /—'2"itt; DECKING (ALT) GIRDERS —� . , , , • T , i �. � i. I.- A A A I- , T 7 z CTUARDRAIL E j4'MAX,. 2")(4• - MOBILE HDME OR DECK-� 4'x4' POST N I2, . "2DF DECKIUG GIRDER 4'X9" POST AVrQUATF DIAC,0NA1. FT— nG•,.I BRACING. YD It MIN. FOOT I N6 2' x 12" STAIR STRINGER. 48 a.c. MAX. -TOP VIEW HALIDRAIL NOT SHOWN FOR CLNIZITY. 1 3/81 60LT ' X b Z 2',c4" PRESSURE �TVATCD GR RFD WOOD Pl..A7F- a 'M 'I zz ,011 rive — Oroville• C nnhnnn• -� # , 6 -/2 -?o COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 MIT (Rev. 12/96) APPLICATION AND PERMIT ®A" f 577 ASSESSOR PARCEL NUMBER 059-087-006 ZONING 1 BUILDING PERMIT OWNER TELEPHONE C� SO. FT. OCC. BUILDING VALUATION . OWNER'S MAIUNG AD ESS CONTRACTOR'S NAME 9 QWNFR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAULING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1171 Q1 MM7.AAITA •�STIPJzING CITY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF bl Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump 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 ❑ Describe Work: REPLACE EI.EMIC, SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0AORLESr, 23.00 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.PSING 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: 4& 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 Main Service 200A TO 1000A 46.00NEW CONST. DW NG OCCUP. OR ADONS. ( a ACC. S. SO 3.5¢FT_ NON-REOSIU. MULTI -OUTLET @7.50 a OUTLET R. OWELER APPARATUS Ex. Occu ourLEr OR F°cruREs 20 @ 1.00 BAL 9 ,50 Ex. Occup. GFIxuTEI Ra 1 EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP 23.00 PERMIT FEE $ 599 66.00 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 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 fo with comply with those provisions. D Date z��_ nature 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 Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAz. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE XX This permit is hereby issued under of the Butte County Code and/or indica d ova for which tees have By PERMIT XPIR S the applicable provisions Resolutions to do work been paid. •'�,,� �/� Date � V ' �Q '( Deta Receipt No. 3609 X66 (1(1 WHITE-D.D.S.-B.D. CANAR-ASSE�OR PINK -INSPECTOR GOLDENROD -APPLICANT _ I PRE -INSPECTION REPORT LOCATION: Y) amu' i�2 �1 � Vj �� r 1 CONTRACTOR: D PRE-INSPETION DATE TO INSPECTOR: Building Description: Electric: Gas: CommerciaUUsage: ResidentialM of Units: DATE:9 Ci aP. #. D cL -cz2 z.co( ZONING: PERMIT HISTORY:( VfNONE ( ) AS FOLLOWS:. BUILDING INSPECTOR'S RBPORT Currently Occupied N "" Abandoned/Vacant Yes 9 No Electric currently On Off Condition of Electric Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTI?y RECOMMENDED: MUE: HOLD FOR Inspector. M Date Sketch buildings on reverse and indicate location on p'ropert. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC tRe�i.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Q 0,59 _ Qg ZONING BUILDING PERMIT OWNER TELtPIgNESO. F.-T-0CC. BUILDING VALUATION RACTOR'S NAPE TELEPHONE fLkA— 1,k) O RACTORS MARJNO ADDRESS CONSTRUCTION LENDER LENDER•s MAILING ADDRESS Fireplace — Total Valustlon S ARCNffECT OR ENGINEER LICENSE NO. Filing Fee I S 20.00 ARCHITECT OR ENGINEERS MA4JNG ADDRESS Permit Fee $ Plan Checking Fee b eUILOINGADORESS 1 _ �^ Energy Plan Checking Fee E `` E LAT NO. SUBDIVISIONS NAME ARCEL PERMIT FEE S PLUMBING PERMIT 7— Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 SF X Duplex ❑ Mobilehome ❑ Solar or heat pump water heater 23.00" Other Water piping15.00 6PECFv TYPE OF WORK Each gas water heater or vent 15.00 New ❑ Addition ❑ Remod❑ Utilities Installation ❑ Other Gas piping system 1 - so itlets 1 5.00 Building sewer 15.00 Describe Work: Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Feel 20.00 Main Service =RLEss zo'OR Lr;:: 23.00 Main Service 21!L TG IOOIA 46.00 • NEW CONST: I OR ADONS. Ot � &DSUP. I 3.Sci°: NGaRONlSo. MUM -OUTLET @7.50 POWER APPARATUS ' 6 SINGLE OUTLET C10. EX. Occup.OUTLEOR FIXTURES S 20 O I.0T ' ASAL X. OCCU FIXEDAPPU6.OR OUTLETS [RES 10.EA a .SO 5.00 jTemp6rary Service 23.00 ;�' _ Mobile Home Facilities 20.00 isc. Wiring 23.00 S'R �1 _a3_ PERMIT FEE _ MECHANICAL PERMIT , Fling Fee 20.00 �_}ieating O�� --Hood � 1 6.501 Ventilation I ..,Iv • f (kSO� Nt� 'iv IoL�u� 'nn�a PERMIT FEE S Mobile Home Installation Fee b Energy Inspection Fee $ oc` NST. TYPE TOTAL FEE $ HA2. 1 D. FEES IMP I FLOOD I COF I PARCEL I PO I NO I 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 PERMIT EXPIRES ON Date f' COUNTY OF BUTTE "= BUILDING DIVISION <5 DEPARTMENT OF DEVELOPMENT SERVICES - 411 -Main Strt?et •,;Chico,•CA • (530) 891-2751 7 County Center Drive • Oroville; CA (530):538-7541 kN -CORRECTION NOTICE x µ r 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, i3y . please contact this office immediately. ^.c '-4 Y; C? � r�- +c ••yr Date Inspector REV 10/92 Y ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT c (Rev. 12/96) APPLICATION AND PERMIT ©a- / ASSESSORPARCEL NUMBER 05 �Q�` 00 zoFaroo BUILDINGPERMIT OWNER C� TlLIPNON!SO. FT. I OCC. I BUILDING Vel I JATlna t'i ` TELEPHONE .,. TTR...Tows MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS ) --) I /"I --z U I 1 .n I _ --') /a I - I _ r—, LOT NO. I SUBDIVISIONS NAME USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remod ❑ Utilities Installation ❑ Other Describe Work: Fireplace Total Valuation $ Filing Fee I $ 20.0C Permit Fee $ p ®I'0° BAL .SO Plan Checking Fee Energy Plan Checking Fee $ $ Main Service°0OV ORR LESS sow oLEss 23.00 Main Service PERMIT FEE $ NEW CONST: ( OR ADDRS• PLUMBING PERMIT SO I 3.5cFT. Fling Fee 20.00 Each Trap 1 07.501 7.00 Solar or heat pump water heater 23.00 Water piping 15.001 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 1 -15.00-- 5.00Mobile MobileHome SIG W @20.00 EX. Occup. PERMIT FEE S p ®I'0° BAL .SO ELECTRICAL PERMIT Fling Feel 20.00 Main Service°0OV ORR LESS sow oLEss 23.00 Main Service zow To IoaoA 46.00 NEW CONST: ( OR ADDRS• OVVEILINO OCCUP. i ACC. eLDS. SO I 3.5cFT. NEw GUNST. NON-R61D. 1BRANCH MULTFOUTLET CIRCUITS I 1 07.501 EX. Occup. OUn.ET OR FDrrURES p ®I'0° BAL .SO EX. OCCU FILED APPIM. OR OUTIETS ESID.) EA. 5.001 Tem2orary Service 23.00 Mobile Home Facilities 20.001 isc. Wiring23.00 PERMIT FEE ,$ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood i 6.501 Ventilation _ I PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ ac' 11T. TOTAL FEE $ NAZ. 1 0. FEES IMP FLOOD CDF PARCEL I Pp HD I 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 Date PERMIT EXPIRES ON •rry'�?!1,�''cNE'�•.giiPtr«.r irY�`ti►r•�''M1•r,•�ir +nr.. .---1u.:•¢r.^. "y: f, r. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET %� OWNER: IGL 1.1 ��. ASSESSOR PARCEL NUMBER 059' (SZ j� v O Proposed Building Use: S Counter Technician: qop__Date:lord. 0d� Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in to apply. ❑ 1. Plot plans, 3 or 4 sets, signedty the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he en ig neer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot 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 ................... :................. ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Date Received By --------------- Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 2 Encroachment Permit f driveway from the P blic Works Dept. (construction approval prior to occupancy). 22. Pre -Inspection required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ...... ........:....................... ....... ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone 1UT3- and hold for pickup. I have been infor ed of the above items and requirements for obtaining a building permit. Applicant: �J Date: �/� Z�6 �` 1. Index permit application for the above items numbered 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow RuildinP Divkinn Plan Check Letter Date: _Date: Date: Date_ ONVNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sig;lsum Please complete and return this information at your earliest opportunity to avoid unaeoessaty 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 NO O 2 I HAVE)6 HAVE NOT O signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed eonsQuedon: NAME: ADDRESS: CITY: PHONE: CONTRkCTOR'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: NAILNlE: 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 ADDRESS PHONE TYPE OF WORK SIG. ED: PROPERTYOYVkR: S 1 DATE: �1�ZZ - PVOTE: This Owner -Builder Verification is required by Section 198.31 and 198314VAW California Health and Safety Code. This verification must be eotrtpkted atd returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORIti1ATION -1 , Dea: P ocerr/ Oµ L An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property, owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from posstble liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work. with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ if you employ or otherwise engage any persons other than your immediate family, and the worst (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ [f you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including'state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Intemal Revenue Service (and, if You wish, the L.S. Small Business Administration). For more specific information about your obligations under State Law, contac: the Department of Benefit Payments and the Division of Industrial Accidents. If the snvcn:re is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or throu&, their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street. Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely, NEC el C. Vi ira, C.B.O. 1Ll ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19810 of Me California Health acrd Sajery Cods OVER