HomeMy WebLinkAbout060-100-018)-100-018 03-1445
ZUETA, JOE
HUMBOLDT, BUT -FIE MEADOWS
7ALL NEW SERV. PANP
r I .:�:m
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive & Oroville, California 95965 9 Telephone (530) 538-7541 -
(Rev.12/96) APPLICATION AND PERMIT P#�
ASSESSOR PARCEL NUMBER
060-100-018
ZONING
L
BUILDINGPERMIT
OWNER
Unzeuta, Joe 458-4935
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
PO Box 685 Colusa CA 95932
CONTRACTOR'S NAME
owner
TELEPHONE
CONTRACTOWS MAILING ADDRESS
CONSTRUCTION LENDER
[Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER�S MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
7452 HumboldtRoad
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
LISEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
—Each Trap 1
7.001
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 13 Utilities 0 Installation 0 Other 0
Describe Work: re -tag
tree damage. elec install new sery panel -due to
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
-
Ca20.00
1 —
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20-00
600V OR LE::
Main Service .A OR .
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.
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:
0 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.
X1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO tOOOA
46.00
NEW CONST. DWELUNG OCCUP
OR ADDNS. & ACC. BLDS.
0.
FT.
NEW CONST.
NON-RESID. muLT,'OuTLET
—3.50'
97.50
OWER APPARATU
( &PSINGLE OUT. C SIR. )
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAIL @ .50
FIXED APPLNS OR
Ex. Occup. 0. EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
Pre—Inspenti on
23.00
PERMIT FEE $
66.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700ofthe Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FOE $
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 those provisions.
X Date J— 0
Sign4ate of Appliciinit -CM- Owner 11 Contractor 11 Agent I
An OSHA permit is rtq u i red for excavation trr,'O eep and demolition or construction
of structures os'ITSq il in
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 66. 00
IMP_�"OD C��J HD I ISSUE,
This permit is hereby issued under the applicable provisions
of he e unty Code and/or Resolutions to do work
t c f
indic eee�u:=e or which fees have been paid.
N
V Darte 6 /,30/0 3
P NMIT EXPIRES OF �5�
I / J (Dh)
ReceiptNo. J ID I Lo 'j I� LEW
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INVPECTOR GOLDEN ROD -APPLICANT
0
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL IN SION
7
?� G
7 County Center Drive * Oroville, California 95965 9 Telephone (530) 38.7T,54Vll 03 - 1*�5
V 121061 APPLICATION AND PERMIT
SSESSOR PARCEL NUMBEA 66�0 00 0
BUILDINGPERMIT
WHER
SO. FT. OCC. BUILDING VALUATION
AD
WNER AD
TELEPHONE
*NmAcToRs mAjuNm ADDRESS
:ONSTFtu--nON LENDER
Fireplace
ENDER -S MAJLPdG ADDRESS
Total Valuation
kAcj-4rrEC'r OR ENGINEER
UCENSE NO.
Firing Fee
20.00
Permit Fee
%RCWEcT OR ENGINEERS A&UNG ADDPZSS It,
Plan Checking Feoe
3ULDING ADDRNS A-` A
Energy Plan Chocking Fee
$ -
PERMIT FEE
Loy No.
SUBDIVISIONS NWE
-PARCEL MhP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF 0 Duplex 0 h4oblishome 0 O`th8r
SPECFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
1 S.DD�
TYPE OF WORK
New 0 Addition 0 Re ode, �13 �,M 13 Installation/ C or 0
Desner Work.
Gas piping system' I - 5 outlets
15.00
aw r
Buliding saw
I Sm
Mobile Horne IS I GI W1
@120.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20.00
R ' -5
Main Service OR
( = D LFE.s
23.OD 2�-
Wme-lic,
SIPS A
6
Ow. I
0
C.19
a no -is
Main Servire 20" TO 1006A
46.DD
NM CONST: DWEL.LM OCOU so
OR ADDNS. A A= MDS.
—3.5C
NEIN CONS]. m"TI-O
NO"I.RESID. , = 97.50
P.OM A PLP
0 =&
20
Ex. Occup. ovrLET OR FKnmEr BAL .50!
TO A= OR
Ex. Occup. 6 .) El S.D01
Temporary Service 23�()O
04_
0
�,Moblie Home Facilities 20.00
i��. Wiring (-� 23
!1111[_Z�
��2 u --o IAI>� )
Pr-Rm* FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Homo Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
ITOTAL FEE $
D. FEEs
[ImPfF��-
I
CDF WCEL
PD
HD "s -A
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 Dale
PE I RMIT EXPIRES ON Pat.)
03 - L�
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 APPLICATIQN DATA SHEET
OWNER: SESS R PARCEL NUMA-M
P pnter TechniciL Date: V-5
r6posed Building Ljs Mo 4�10
Items required inorder to apply tor a permit. All boxes MUST be checklgki�arked NA in order to apply.
0 1. Plot plans, 3 or 4 sets, signedty the preparer of the plans
0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0 4. Engineered truss details and layouts in duplicate. No faxes!
0 5. Ener ' compliance design and supporting documentation in duplicate.
gy
0 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.
0 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.
0 8. Flood Elevat I ion Certificate, wet -stamped and signed, in duplicate ................................. Date Received By
0 9. Plot plan and business license approval from the City of Biggs ....................................
0 10. Letter of intent for non-residential buildings .......................................................
0 11. Detached Accessory Building Form filled out by the owner .....................................
0 12. Hazardous Material Form ...............................................................................
0 13. Other
Remaining items needed to issue the permit. (May require additional plan
review upon receipt of the followinj items.)
0 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
0 15. Statement of Intent for Non -heated and A/C Buildings .............................................
0 16. Sanitation and plot plan approval from the Environmental Health Department in
0 17. City of Chico Plumbing permit ..........................................................................
0 18. California Department of Forestry plan approval 0 paid. Sent by: . ......................
0 19. Planning approval for (A) Use: _(B)Parking: . (C) Parcel Check:
0 20. Contact Land Development about 0 Improvements, 0 Dra .
I ' i�age,...
ak'Encr4achmentPer tfordripebay lic W rk nstruction approval prior�topccypancy).
'�o sp ) �? 9
Pre In ection for .6 _ Wub equired ................. SIP4 1W
0 23. Contractor's license information. (Number, Name Style, Classifil ion) ......................
N, 1i
0 24. Worker's Compensation Carrier and Poli�y Number ............. .... ...........................
0 25. Owner -Builder Verification (0 Given to owner, 0 Mailed to o Feer) ......................
0 26. Letter of Signature authorization ....................................................................
0 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
0 28. Manufactured home utility clearance ...............................................................
0 29. Existing violations and/or expired permits .........................................................
0 30. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from- Legal Owner, 0 Check to H.C.D. $
0 31. Other: # 4 -0 1 1 �
When issued Telephone "r-"5 5� - -7 V 5':� and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: /fl"" -,,- Date: -,5Z- A? 3
1. 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 advisled of the above data by
Plans reviewed by: -bate:
Structural reviewed by: -Date:
Note transfer by: Date:
Plan Check Letter
• phone, 0 mail, 0 counter, by _Date:
• phone, 0 mail, 0 counter, by _Date:
Plans approved by: Date:
Structural approved by: Date:_
Yellow Ruilding Divi -inn..
PRE-INSPEC. T10N UPORT
OWNEK-
LOCATION
PRE-WSPEnON
DATETO
WELDING INSPECrOWS REPORT
BuadIng Deserfpdon:
DATE: -dz9-
e�3
A.P.
C;ommard
Resi&ndaW of UnitT.
C=mdy Occupio-
Abandone&Vazant
Electric:
Yes Electir. currendy On Off
Condition of Electric
Gis:
Nararal Propane 140ne�.- currenfly On�.-- Off
Obvious Problems-
Sinlution:
Plurnbing Work ing CAel-'-'
Well woricing L"b Potable Watrr_��-D
Obvious SawageProbl
OFFICE COPY
Ad d r 5A
6AS
Meter By Date
EILECTRICU,�
I Meter By Date
HOLDFOR
L- --- - - -- - - - - - - - ---. - -- ...6
Inspector. U Wh�o Date 03
Sketch buildings on reverse and indicate location on proper
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-7541 P
v.1 2/96) APPLICATION AND PERMIT 03 - 1*�6
SSESSOR PARCEL NUMSER —019" 1 ZOPRUG BUILDINGPERMIT
joj�j �) , /016
WMER
SO. FT. 000. BUILDING VALUATION
0—)
—L/,
*MrPACTOR
TORS L"UMM ADDRESS
:DNSTALCnOW LENDER
Fireplace
ENDERS kWLING ADDRESS
Total Valuation
kAm4ffECT OR ENMINEER
ENSE MCI.
Ffing Fee
$ 20.00
Permit Fee
LqCj.ffECT OR ENGINEERS MALIMO ADDRESS f,
Plan Checking Fee
$
WLIDNO ADDZ�i A 0q
MUZ jo .
Energy Plan Checking Fee
-
.-I
PERMIT FEE
LO -F NO.
SUBDIVISIONS UWE
PLUMBING PERMIT
Firing Fee 20.DO
Each Trap
7.00
USEOFSTRUCTURE
SF 0 Duplex 0 h4oblishorne E3 Other
Solar or heat pump water healer
23.0D
Water piping
15.00
Each gas water heater or vent
1 5.D01
TYPE OF WORK
Re /0��Uffa, 0 Instafla:
-w 0 Addition 0 Odel tion/%3
NL 0
or
Des; W i, -
Gas pWng Wstern' I - 5 outlets
15.00
iWing saw
Building saw
15.0 D
Mobile Home IS I Gi W1
@2D.00
PERMIT FEE
ELECTRICAL PERMIT
Firing Fee 20.DO
OR LESS
Main Service On L SS
23.DD
EMMONS
Silk X
was*
bc.,?"+
Main SerAce 200^ TO 1000A
46.00
NEW COMY.
OR ADDNS.
FT.
@7.50
.=MAPF'=
Ex. O=up. ourn.ET OR FIXTURES 20 rq? 1.00
SAL a .50
OR
Ex. Occup. (0 .1 EA S.D0
Temporary Service 23.00
,Mobile Home Facilities 20.00
Nttiz. Wiring
4:57 U -0
PERIAft FEdE
MECHANICAL PERMIT Filing Fee .2 0. 0 0
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEL S
Mobile Home Insiallation Fee
Energy Inspection Fee
OCC
PE
CONST, rype
TOTALFEE$
MA.Z.
D. HFEEIS
IMP
FLooD
I COF WCE,
p D
HD SSIJE
—
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
Palo)