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Home My WebLink About061-190-040061490-040 99-1110 MARCOTTE, Kenneth M. 300 George Cameron Drive, Berry Crk Contr: Unknow Electric upgrade EMARC'04 061 190-:040 99-1110 �T-. OTTE, Kenneth M. 300 George Cameron Drive, Berry Crk Contr: Unknow Electric upgrade 7 '? OFFICE COPY Address ELECTRIC Meter By Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT l-11-11140 ASSESSOR PARCEL NUMBER 061-190-040 ZONING FR 20 BUILDING PERMIT OWNER or* *a IARCOM m-sll rt. TEfdl�Ieig88 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P.0. BOX 962, BERRY CREEK, CA 95916 CONTRACTOR'S NAME LI111U1ot7IY 71Y TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 300 GEORGE CIMMON DRIVE, BERRY CRR Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Q; Duplex ❑ Mobilehome ❑ Other L SPECIFY 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 f2i Installation ❑ Other ❑ Describe Work: EL=IC UPGAADE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 4 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 8 A OR IES: 23.00 Z J • 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.POWER 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 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. ❑ f 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 forthwith comply with those provisions. X �� „ .n1s( l Date r %J, . LI 0-,r' ---- 'Sig tura 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. Main Service PDA TO 1000A 46.00 NEW CONST. DWELOCCUP. LING SO CCU OR ADDNS. ( 8 ACC. S. 3.5QFr: T. E . MULTI -OUTLET 97,50 NON-RO'SID APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BA @ I. 0 LNS Ex. Occup. ouriE s R D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. W 23.00 irin 1 5 • PERMIT FEE $ 66,00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ bG.00 HAz D FEES IMP FLooO CDF PARCEL PO 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 J , PERMIT EXPIRES ON % I Date Receipt No. L07 49/�>00•UU WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 541 PERI NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 06190-040 ZONING FR 20 UILDING PERMIT OWNER MARCOTTE, KENNETH M. T711888 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS P.O. BOX 962, BERRY CREEK, CA 95916 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 300 GEORGE CAMERON DRIVE, BERRY CRK Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IN 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 ❑ Ulilities It Installation ❑ Other ❑ Describe Work: ELECTRIC UPGRADE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service "OOA OR 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License w 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. 1 Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. B. SO NEW R OESIIDD MULTI-0 CIi=11 @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 9AL Q 1.30 Ex. Occup. OuTEED ,='.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION 3.00 PERMIT FEE S 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 work rs' compensation provisions of section 3700 of the Labor Code, I shall fo with comply with those provisions. pplicant - ❑Owner [3 Contractor ❑ Agent [An f Date ",tLf S_T, is required for excavations over 5'0" deep and demolition or construction er 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 D FEES IMP I FLOOD I CDF PARCEL PD I HD UE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B Y PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. rp Q (y ate / / De Receipt No. 265149/$66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERW Nc (Rev.1W6) APPLICATION AND PERMIT ""p MFA &MMM 1 l» b Doo �� 2 BUILDING PERMIT owNCR Na SO. FT. OCC. BUILDING VALUATION 00 s wwno aooRos Cot mum MA" �� W ►'\ Tft M wa,►a Aon. OOMTIalCnON lflDO1 L&COM wnHo AoRess Fireplace Total Valuation = .RaurEcroaaava<an Emil NQ Firina Fee i 20:Oo Permit Fee i aRasraa oR 0+0*11eRs WAA00 ADDAns Plan Checking Fee i euapa �ooaEss cf l -f i _ ,0 o2, o C` 11"(11 Energy Plan Checking Fee t i PERMIT PERMIT FEE _ uorw. susonror�swwe rRrncn MAP PERMIT Fling Fee 20A0 USEOFSTRUCTURE SF Duplex 0 Mobiilehome 0 Other Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 New 0 Addition 0 Remodel 0 Describe Work: TYPE OF WORK tA1lf**XI,- I1atfon 0 _Ss/ w� Other 0 // 0/ , _ Gas piping system 1 - S outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT. FM Fee 20.00 Main Service' =o°a= 23.00 c�!tj / Main' Service . 20" To ,000A 46.00 NEW CONST. own3t+q ooan. 9.StR oR Aooru. a Acc. eros. NONR®ro. ' M,1,i% er @7.50 rower avvARrus as Ex. Occup. OU ET oR weuRv ew a �:w MD AWL14. oR 5.00 Ex. Occup. ountn aro. u Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 r - PERMIT FEE _ MECHANICAL PERMIT Filing Fee 2000 Heating Cooling Hood 0.50 Ventilation PERMIT FEt i Mobile Home Installation Fee = Energy .Inspectlon Fee S occ o016FTfOTALLIFEE$ NAZ 0 1 COi pApCQ I PO This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do r•orlc indicated above for which fees have been paid. By Date �— ReceiptNo_ sf'n�l �� oo I PERMIT EXPIRES ON PRE—INSPECTION OWNER: G� r C DATE O� LOCATION: A. P. # r) l0O 'q CONTRACTOR: ZONING F — PRE—INSPECTION.FOR: PERMIT HISTORY: NONE AS FOLLOWS: TYPE OF OCCUPANCY BUILDING USAGE: TENNANT: Q OCCUPIED TED—COOLED OTHER COMMENTS: DATE TO I FIELD — INFORMATION I'M HAS ELECTRIC FIRS GAS S SANITATION FACILITIES E]- PERSON CONTACTED ACTION RECOMMENDED: ISSUE HOLD FOR ' OTHER: BY DATE/' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N (Rev.12nfi) APPLICATION AND PERMIT BUILDING PERMIT ,�E N r7-,- S Sg - �neF SO. FT. OCC. BUILDING VALUATION .wuw AoOMS w as wwaL/U � Ta�o►aea coRMAcrairs wuw ADOWN OOMTaucT10N uTDeat u wore MAR" AWADS ireE1,,, Total Valuation = ARCH"CT OR F1+01NM uCENie q0. Fifina Fee i 20.0 MICN"= OR 04MUMs PALM ADOIKas Permit Fee i Plan Checking Fee i ILI o Aooxsa y Energy Plan Checking Fee t t PERMIT FEE _ LOT N& sueaveoYerwe PARCEL YA► PLUMBING PERMIT Filing Fee 200.01 USEOFSTRUCTURE SF Duplex O Moblehome O Other " WVV Each Trap 7.00 Solar or heat pump water heater 23.00 Water plping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O UtltitlosXP-11i1atakdon O Other O Describe Work: �„ Gas pIpIng system 1 - 5 outlets 15.00 Building sewer 15.00 Moble Home S G W @20.00 PERMIT FEE ELECTRICAL PERMIT FiCn Fee 201.0, Main Service iooA a0"" uL'g 23.00 ;k3 6A ' Main Service —To 1- 48.00 ►1tw c Ov a .0 a AOCoccur. 3.StiT 011 ADONa. . ews. IAKRfatp. NW • YVITFOYRLT ®7.50 POMPM APPAPArA as Ex. Occup. OunaT 0" Fo ew • '19*6 Ex. Oceu %0 AW114 o" 5.00 OlI1lETa 8b. U Temporary Service 23.00 Mobile Home Facilities 20.00 Wsc. Wiring 29.00 r - J1 PERMIT FEE _ MECHANICAL PERMIT FI'1ng Fee 20 0 Heating Cooling Hood 11.50 Ventilation PERMIT FEI! S Mobile Home Installation Fee i Energy Inspection Fee = occ co"' " TOTAL FEE $ 1M2. 1 0. FEET W► I &WO I c0o, ftom b This permit is hereby Issued under the applicable proviswr of the Butte County Code and/or Resolutions to do Y401 indicated above for which fees have been paid. By Date PERMIT EXPIRES ON --------- ReceiptNo. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT APPLICA TION DA TA SHEET OWNER: ASSESSOR PARCq NUMBER: D (p - ---n TD Proposed Building Use: - Building Inspector: Date: noLLIQq At time of permit application, 1-w- as a"ea the following data must be submitted prior to permit roce sing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- El8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- Vd & Pre -inspection for D d mo i(./ required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- ❑ 22. Workers' Compensation carrier and policy number. ---------------------------------------------------- 023. Owner -Budder Verification (Given to owner ❑, Mailed to owner EI) - ------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- 026. Letter of intent on building use. ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . -------- 030. Other: (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to co tractor. BTelephone 5 0 9 - 6 0 � and hold for pickup at 1 1,�Q ' fce. El Deliver with inspector. Applican: alt rc4.W L%ll,/,1lr,JGd Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2.mAdditional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: VPllnvl ('A- - T1-orF-f ..fTlo.,ol ,....,o. t Ce,... a n..:A.t: