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HomeMy WebLinkAbout061-340-008B67-0062 061-340-008 MISCELLANEOUS Electric Panel CHANGE AND REPAIR ELEC FROM 1 13206 ORO QUINCY HWY WITHAM, RICHARD H 1`8 AP 61-34-8 Robert Burch s/s private road approx. 700' E/of Oro -Quincy Hwy. approx. 1 mi. N/of Brush Creek i { I WOT� wo1N a NO �2a w r TQM g Mot _ _o N G �— �w)—ci•ois �3� I � ~ n yG` l Ata I� 1 Oc !1 4 a2 �,''-•a�' k,� to Aim �ZN ,c�N/n� • 377/AO&O T i v arh �o M n 6aOaA.c 0 aZ'7 a, �O �fia$ nna�oa� ^ON:r �'as ���yy3yy'°'°nap'y ns rh to v N v arh �o M n a O'ie1FeER'S CERTIFICATE riYx+. .t D ldNi.U0143 . ag•01tAAT b ;! D nAe!R! yuSa T641 Q60 !IJC''YN Cf0. DAG4eO._R _ rr • I—An nl .,, 0w atlD , fa•r •rwut aFr m 1 ¢uEpr" TCit•r.: TA4+ 7UM:liE Ib., Crl•! FE 30'. 3 tC,E t La6t-3-ft6ti°FY GDA CL—I"LP. rJ Ye:D LAI!' 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RAT114G (F.A.G.) «! l�1ll• BATH DETAIL I�+iaa�!!�r�T!!e!■r•�11[�ralwpm. ■■■��■■■■■��■■■■■■■■�■■■s■■■■■■■■■■■� �OWN— =_moo©�■■��■■■■��■■��■■■�■■■■� SPECIAL _�.�■iCOMPUTATION •' •�• ■ SBE-DAS.AH-530A 1971 r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 13206 OROHWY UINCY Q Owner: Permit No: B07-0062 APN: 061-340-008 WITHAM, RICHARD H Issued Date: 01/11/2007 By KEJ Permit type: MISCELLANEOUS 8814 CASELMAN RD Subtype: Electric Panel SACRAMENTO, CA 95828 Expiration Date: 01/11/2008 Description: CHANGE AND REPAIR ELEC FRO Occupancy: . Zoning: U Contractor Applicant: Square Footage: SUMMIT ELECTRIC SUMMIT ELECTRIC Building Garage Remdl/Addn PO BOX 130 PO BOX 130 BERRY CREEK, CA 95916 BERRY CREEK, CA 95916 Other Porch/Patio Total (530) 589-4530 (530) 589-4530 FEE INFORMATION Single Phase Service - Res $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1469 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SUMMIT ELECTRIC 452834 / C10 / 02/29/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X Ilk 01/11/2007 the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: Contractor's Signature U Date 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 (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number. Exp. Date: (This section nee not be competed if the permit is or one hundred dollars ($100) or less. I AM EXEMPT under Section B. & P.C. for this reason: 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 the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 01/11/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 64,01/11/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorizeq to act on the property owners behalf. CONSTRUCTION LENDING AGENCY f e -1<,t 01/11/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of PermitteelSIGNI Print Date the performance of the work for which this permit is issued. (3097 civ, code) 11 Owner © Contractor OR E]Agent for Owner ElAgent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* APPLICANT INFORMATI OWNER INFORMATION Last Name Name First Name v Y \ Address � Cc1.s e1 Y'no\,r City 1�.er�a State C1 Zip Phone City Fax E-mail TT1p­_qSql6 APPLICANT INFORMATI CONTRACTOR Name Name Address Zip City _ - st c State Address Phone Map Book City E mail State TT1p­_qSql6 LENDING AGENCY Name Address Pho Fax r5 S �,�� E-mail Lic. # Class APPLICANT INFORMATI ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E mail Planner State License Number APPLICANT INFORMATI Name c� a Address City State Zip Phone Fax E-mail / APPLICANT SIGNATURE X For office use only: Zoning AP# O G Flood Zone Property Address 13 SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP BIN # De cription or Scope of Work: J Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Received by: Amount: J15 Bldg I I Receipt #: Sheriff Date: ther Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 8-12-05 PROJECT LOCATION AP# O G 1 3'-1 400 4� Property Address 13 o ro . q u 10 c I; V I City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address De cription or Scope of Work: J Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Received by: Amount: J15 Bldg I I Receipt #: Sheriff Date: ther Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 8-12-05 .01, . SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan; (D) Tie down -or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the.Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 .�• .14. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP DATE:APN•k 0613LO000 ZONING: OWNER'S LAST NAME: OWNER'S FIRST NAME: PHONE: i i ba,m I R i chard STREET ADDRESS: l 1 C G7. eA ih &\-%RAs FAX: CITY, ZIP: c c1 rn e,h ,c, ca, 9.5 its a ` s 5' l 4 E-MAIL: SITE ADDRESS- 3 10 Ora g U1,hC Nw y CITY, ZIP: NEAREST CROSS STREET: TRACT/LOT #: APPLICANT NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: S 3oF STREET ADDRESS: - CITY, ZIP: E-MAIL: LICENSE NUMBER: Ll LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: Date: Receipt number: Amount Received: Master application 3-4-04 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive., Oroville, CA. 95965 PHONE: 916-534-4541 .RobertBurch DATE July 14,1981 Star Route, Box 37C4 Brush Creek, CA. 95916 RE; ELECTRICAL PERMIT APPLICATION Dear Mr. -Burch: A.P. # 61-34-8 With reference to the above subject: iffX Attached is: XXX Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Labor Code Information List of Codes Enforced OTHER Owner' -Builder Information Sheet and Owner -Builder Verification Form jCXX/ We need the following information: XXX Permit application signed and completed where indicated with all copies returned. XXX Fees of $ 26.00 payable to Butte County Treasurer. XXX Certificate of Workmen's Compensation Insurance or check exemption statement. + XXX Contractors License Law information or check exemption statement. Letter authorizing signature of Complete plans in including plot plans. Plot plans in Structural details in Complete plans in prepared by registered civil engineer or architect: Engr. calcs. sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Copy of recorded parcel declaration. _Recorded copy of deed showing $XX/ OTHER Please read the Owner -Builder Information Sheet, complete the Owner -Builder Verification Form and return together with the permit application and fees. Should you have any questions concerning the above, please contact this office. 4 jFG : dd (ls) Attachments Yours very truly, Clay Castleberry Director of Publi Works Glan er Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 1VORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ' N APPLICATION APJD PERMIT ASSESSOR PARCEL NUMBER � L ZONING BUILDING PERMIT OWNER TELEPHONE SO. C i I Qvv. BUILDING VALUATION ( OWNER'S AILING ADDRESS CONTR CTO '5 NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER IUNY.NO a Total _ a 'I tion Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. 1 Plan Checking Fee $ Penalty_ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING DDRES -a oo t Ci PLWASING PERMIT Filing Fee 10.00 • Each Trap 2.00 Repair drainage or vent piping 5.00 J �.s Water piping LO - W. SUBDIVISION NAME PARCEL MAP �. (� Each pas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Niobilehome❑ Other_ -0- t6 SP�CI Y Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition [I RemodelUtilities El Install ion❑ Other Describe work: 7 ��' Permit Fee $ Contractor i✓LECTR9rAL PER�,91T Filing Fee 10.0(5 OLE Main service tOOOO AMP ORSLESS 5.00 :5 ':'i2;n service EA.. ADD'L 100 AM .P 2.550 C91 Sf*7 NEM,' CONST. DWELLING OCCUP.Iy) OR ADONS. ACC. BLOGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NE' -Y CONSTF2., ULTI.OUTLET 2.50 ea . NON•P.ESID- BRANCH CIRC ITS arcs-. (Po'n'ER DAPPARATUS Q1 p NON-RESI. SINGLE OUTLET CIR. / 'Ex. Occup( OUTLETS, OR FIXTURES raj IS BALPIk x_a APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.; 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 P:1iSo. Wiring 7.50 Permit t=ee $ Contractor NiEICHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare 6n er penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice 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. Heating Cooling .Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the.above information is correct. I agree to comply to alI*County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of 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 against said County in consequence of the granting of this permit. Y. Date )--Signature of Applicant — Owner ❑ ❑ - `Contractor ❑ 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 $ TOTAL PERMIT FEE $ OCcu P. GROUP TYPE O� CONST. PARCEL PD No I 453uE This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By C PERMIT EXPIRES Date the applicable provi-. resolutions to do fees habeen aid. ve n p WORKS Date Receipt No. v/NIrE-O.P.W., YELLOW-A59E9so Ti, Pis X-INSPECTa9, COLD ENPOD-APPI.I CANT Fv i I I I. I. I I i +I See 4tUSA 0 SUPPLEMEN �ARY USA t I i Map04 O •!`. V /20 ac AI i 22 .moo Ac • 93 94 96 y 10 101 ®! 95 � ' ' USA ,I I ' ' / 7 78 77 i I 8J -- — /O I/0 Ac O IAc . /O AC. 81 I 92 6 55 I 53 54 j Assessor's Map No. 6/-02 OJr NOTE -ASSESSOR'S PARCEL BLOCK 1rLf� & LOT NUMBERS SHOWN. �r {f'ICOUlIt of Butte, Calif.„} . <;r;` ";�.Y IN CIRCLES .=, f !-moi /L , 1957 toot, Qj I PC v9g/ '7Z .09 OD 91 a yd OZO/ eze v 10