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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)