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Home My WebLink About061-480-0054.9-1-i 061-480-005 01 - LEE, CHARLES ENCINA E BERRY CREEK CONT: ON M Ma -1' N PERM FND NEW SITE COUNTY, OF `BUTTE 6iwile, California . GENERAL CLAIM. CLAIMANT. ADDRESS: S .. Lf/ CITY & STATE: SC/ w G/e, DATE.OF CLAIM: INPORTAW-, SEE INSTRUCTIONS ON REVERSE SIDE SUBM/T CI -AIM e%Anno ti. ed this j�day APRIL OROVILLE .i •i. DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DE ° I OUNT . Calif, w ,711 F,,�t `ftnomwof Cakrtamt 7w : I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles spa a bo d or delivered end that t TE. =8= B - .ter, mt Dated this 3RD day of #315149, DATED 4/3/01, OWNER: CHARLES LEE. u ,>. '=-_, TOTAL;AmbuNT PAID $939.00 rtmeM ed or Dept Code 440-002 Exp. Code 4210500 FOR . 476.00 PAYABLE FROM �N ., Dept. Code -_-- RETAIN. REFUND PROCESSING. $ 25.00 PAYABLE FROM • Si�F'RT�T- Tlt+t7�`r nv�r�nrr*- rt Dept Coda . Codi PAYABLE FROMPR �_.�.."""""�"'___ + M INnT umWE DCI nw vane a we • a J,,: f RETAIN PLUMBING PERMIT FILING -FEE ', $ 20:00. TOTAL AMOUNT TO BE RETAINED. -$ 85:00 ' TOTAL,AMOUNT TO BE REFUNDED $854.00 TOTAL $854.160 , I, the undersigned, declare under as stated. g � perjury that the services or articles claimed have been perform iivend, and "S claim Ii thus enc ed this j�day APRIL OROVILLE SUB. OBJ. CLAIM NO. INV. NO. INV. DATE' of , 2C01at . Calif, w `ftnomwof Cakrtamt 7w : I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles spa a bo d or delivered end that t Budget Appropriation (j or Specific Board Approval [ j (Check one) for the same. • mt Dated this 3RD day of MAY * r . We ' OROVILLE et :Calif. ,>. '=-_, rtmeM ed or Dept Code 440-002 Exp. Code 4210500 FOR . 476.00 PAYABLE FROM �N ., Dept. Code -_-- Exp - Code PAYABLE FROM • Si�F'RT�T- Tlt+t7�`r nv�r�nrr*- rt Dept Coda . Codi PAYABLE FROMPR �_.�.."""""�"'___ + M INnT umWE DCI nw vane a we DEPT. & SUB. PROD. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE' ENCtIMB r D AMT• 777 e FOR BUILDING DIVISION USE: Receipt Information: Number: Date: . 3 0 Issued To: Amount: Fees Retained:. . Processing Fee: $ Bldg 9 Filin Fee: $�� t/ Plbg Filing Fee: $ O� v v Elec Filing s//Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Inspection Fee: $ s ,e SRA Fee: $ Total Amount Retained $ TOTAL REFUND DUE foo o�oo�l -3 CLAIMANT'S NAME MAILING ADDRESS REFUND CLAIM APPLICATION K ASSESSOR PARCEL #: RECEIPT NUMBER(S) I Request a refund of fees paid on the above receipt number(s) for the following reasons: J Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) �Bu�i�ermit Fees ( Sheriff Fees (CDF Fire Planning) ( - ) Urban Area Fees Disposition of Plans: >4 Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. (SIGNATURE DATE �z T PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �j 7 County Center Drive - Oroville/ California 95965 - Telephone (530) 538-7541 PERMIT NO. Rev.,2/gtf) APPLICATION AND PERMIT �_' ""a'0""1"cd'a""O — �(, •— ct�9, j aDM/0 O 'BUILDING PERMIT 01A"'a f S E 0- "s Y .16 so. FT. OCC. BUILDING VALUATION o>sae YANIIe AD01�iL :) / V -MI L_ C] SUN G ^ 440 f -S 6 PU 1M -10717 73 OS TIS w I �� c 533 00wTIem"Muwom uDeam YARl10 A0011Cfs IFireplace Total Valuation = AIIpfRRa0r01MlE7l ucasaMo Filin Fee S 20.00 11,CWMM 011 04MOMs YAIUM ADDRESS Permit Fee Plan Checkina Fee S eU� 0�q A0011Lte G / Co phru,62AD Energy Plan Checking Fee i _ PERMIT FEE S uff"D' PAWVL. MAO PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTUREE71—Each Trap 7.00 Solar or heat pump water heater 23.00 SF O Duplex O Mobilehome 0"Other Water i in 15.00 s°c"" Each ga3water heater or vent 15.00 TYPE OF WORK Gas I in tem t • 5 outlet 15.00 New O Addition O Remodel O Utilities O instslatlon O Otlw. O Building sewer 15.00 / Describe Work: iM d Mobile HomeI S I G I W @20.00 e PERMIT FEE S ELECTRICAL PERMIT Filing Fee '20.00 Main Service 2= o0n 23, 23.00 _ ( Main Service 20" TO 10ftA 44.00 �1 1•� co►a . DWQA0° Oecuv, 3.StSCL 011 ADONS. A ACC. Sins. rt NOWmlo. YUITI-0IIRET @7.60 POWF71 AMAMTUe i 7 O d0. Ex. Occup. ovnAT o11 FKPAEs m 1.00 SAL .b o3 A11�EX. OCCU . 5.00 -Temporary Service 23.00 Moble Home Facilities 20.00 Msc. Wirina 23.00 PERMIT FEE S *PERMIT FEE PAID MECHANICAL PERMIT Filing Fee 0.00 Heating SRA �'- Cooling SHERIFF Hood 8.50 Ventilation OTHER $ PERMIT FEt S Mobile Home Installation Fee is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ AMOUNT RECEIVED ' FEa W• x1000 CO, PAC& 'O : This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutims to do work Indicated above for which fees have been paid. l *RECEIPT NUMBER * TO BE PVT INTO COMPUTER By Date PERMIT EXPIRES ON 2rnr1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: C �.IA�,SSESSOR PARCEL NUMBER: Proposed Bolding Use: /� ,trading Inspector: Date: At time of permit application, I was advised, the following data must be submitted prior to permit processing and/oris§uance: Date Received By ❑ . All items have been submitted .--------------------------------------------=---------------------------------------- lot plans, 3/4 sets, signed by the preparer of plans. Y----------------------------------------------------- ❑3Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 6�rnginecred plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- !] S. Hazardous Material Form. -- ------------------------- data and installation in ctions including Tie Down Specifications. ------------------ 010: •Fees cf $ _ pact fees as shown on the attached schedule. ---------- ------- ------------- --- --- Wlifo-ma'Department of Forestry plan approval/fees$ -9� ^'�=-----�•�-�� -------------- =- ❑ 13. Flood elevation certificate. ----------------n--------------------------------------------------------------------------- �4. Santa ion and plot plan approval iv✓ 1 ' lv Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license>approval from the City of Biggs. 1117. Planning approval for (A) Use: (B) Parking: In 18. Contact Land Development about 0 Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- Q 19. Encroachment Permit for driveway (construction,approval prior to occupancy). -T -------------------------- E120. Pre -inspection for V required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 1122. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- �0�24. Letter of signature authorization.--------------------------------------------=-------- =------------------------ •25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 1--126. Letter of intent on building use.----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ------- ------------------------- ----------------------------------------- ❑2 .. Existing viol tris and/or ex ir'ed p --------------- ----------- }------------------------------- , K29 0433 A, Grant Deed, Cl M.H. tle, ( C�D -- --- ---- -- ❑a 30. Other: i% . �/ A r i ---n, / Where you issue ep , p�o /�S�ellows ❑ Mail to owner, /rl t)o/Go tU�cto Telephone � J�/,/ / and hold for pickup at t/� �v ce. eliver with inspector. Applicant: Date: 3 _ 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 permi: application for the above items numbered: ❑ Plan Check List 2. Additional 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: Yellow Copy - Department of Development Services, Building Division. COUNTS' OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE i OWNER PROPOSED BUILDING USE 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ �2. SCHOOL DISTRICT FEES aid at District Office) SHERIFF FEES (paid at Building Division) y Residential .................................... A"$360.00 = $ Units –� Commercial (sq. ft.) ...................... xx $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. 'SRA FIRE INSPECTION AND PLAN CHECK $39.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. DATE RECEIPT # DATE REC. r At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be chang.d during the plan checking process. APPLICANT DATE ' 3-0/ Pursuant to Government Code Section .66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9,.and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in, Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner I — (Rev. 6/00) 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 ASSESSOR PARCEL NUMBER 061-480-005 ZONING U BUILDING PERMIT OWNER LEE CHARLES 707-29-7168 TELEPHONE SO, FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 1315 PINTAIL DR. SUISUN CA 94585 CONTRACTOR'S NAME MADISON MH 2091823-1795 TELEPHONE CONTRACTORS MAILING ADDRESS 1955 W. -YOSEMITE MANTECA, CA 95336 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS y Plan Checking Fee $ PERMIT FEE $ IDT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )IP 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: NEW MH ON PERM FND NEW SITE 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 200A 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. 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 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 forthw' comply with se provisions. X Date �V Sig e o Applicant - ❑ Owner ❑ Contractor ❑ A ent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s O ADD ( ACC. 3.50FT., NS.. uBLDS. M NON RESID. @7.50 POwt3i APPARATUS a SINOLE OUTLET CIR. Ex. Occup. OUTLET OR F=REs tT� p 1 .w Ex. Occu . Gun�cTS A ILS o) A 5.00 Temporary Service 23.00 Mobile Home Facilities . 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAz.D FEES IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Buffs County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ate Receipt No. 315141 A111 nQ WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT