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HomeMy WebLinkAbout061-640-002061-640-002 99-2850 COOK, JOE 9651 ORO QUINCY HWY., ORO 00 CONTR: STRANG ELECTRIC V ELECTRIC SERVICE UPGRADE" (Y P'a 061-640-002 99-2850 COOK, JOE 9651 ORO QUINCY HWY., ORO CONTR: STRANG ELECTRIC ELECTRIC SERVICE UPGRADE i t r y� . r _ � • v.. ._ r ' .+'*\tet .-..ib.s -max COUNTY40F BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ,,7,68ur4ty Center Drive Oroville, California 95965 •Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT /SSESSMCEI.N{fMB�i ��� .:lf ZONING BUILDING PERMIT OWNER JOE COOK TELEPHONE SO. FT, OCC.. BUILDING VALUATION . OWNERS4ob_5T A�QRESS QUINCY 151Y, oxovlLL E COMAS i�lltfj tYts[jjj((((E))L[E�Cl!' TELEPHONE °ONrRAJ'57%nAT114 of WT,'E AVE, OROVILLE 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 1 Plan Checking Fee $ BUILDING. OgESS V S1 ORO QUINCY F WY, OROVILLE = Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP 1 PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE i `f SF ❑Duplex ❑ Mobilehome ❑ Other - 1 —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 t New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other b Describe Work: FLEC SFR 11", ADE 100 AMR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LES Main Service 20 AOR IESS 23=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. , _ 'I may" License Class C — / J Lic. No. 4S . w A 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: D I, as owner of the property, am exclusively contracting with licensed� qcontractors to construct the project. *I'r ❑ 1 am exempt under Sec. Business and Professions Code for this reason 4 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. S° OR ADDNS. ( & ACC. BLDS. 3.5¢FT. NEW CONS MULTI.OUTLET NO RESID. C @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. �(, QCCU OUTLET OR FIXTURES�L @ 1:00 Ex. Occup. ouTrMED APP Ro .OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 23.00 PRE INSP 23.00 PERMIT FEE $ ` WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I ❑ 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. ❑ I 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) not employ any person in,any manner so as to become subject to workers'HAz. 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 5Date /Z — 7 Signature of Applican - ❑ Owner Q Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE Sy .00 D FEES IMP FLOOD COF PARCEL PD HD 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 Z�f PERMIT EXPIRES ON Date Receipt No. 281161 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 S CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleas contact this office immediately. C lr t1�A/ r/ P., . oo ee ' r Date Z 2— Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN ISION J County -Center Drive • Oroville, Calif0l;►1ia,9S965 • Telephone (530) -7541 PERMIT NO. (Rev.12/96) - APPLICATION AND PERMIT assEssq@pA@c-TCB&O02 IJOE ZONING BUILDING PERMIT OWNER JOE CO COOK TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER`SJT. T AMS QUINCY RTY, OROVILLE CONTRAMAV EELEC TELEPHONE CONT' TpA��nly��gp TE AVE, OROVILLE /LENDt1ERR Ll1AL CONSTRUCTION Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING�DDRES3 ORO QUINCY HWY, OROVILLE Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑XDuplex ❑ 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 ❑ Utilities ❑ Installation ❑ Other 11 Describe Work: ETEC SER UPGRADE 100 AMP 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 Filing Fee 20.00 000OR LESS Main Service 200A OR LESS 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 - 111 Lic. No. 5 . 5 CJ S� 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 Main Service TO 46. 00 CCU000A WEE200A NEW CONST. DWELLING OCCUP. oNS_ ( BBLDSST so 3.5Q�, n14 MULACC. NON-RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLEr clR. Ex. Occup.OUTLET OR Fixrums 20 p 1.00 BAL o .50 Ex. Occup. ounces ao .oE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PRE INSP 23.00 PERMIT FEE $ $9.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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. �• 9-9-4 •,c/ � Date I2 —� /- �r Signature of Applican ❑ Owner 43 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 89.00 HAZ. D. FEES IMP FLOOD F F PARCEL PD HD 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. B Date PERMIT EXPIRES ON Z ate Receipt No. 281161 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT TV COUN.PY OF BUTTE - DEPARTMENT OF DE4VE9L -PMENT SERVICES - BUILD G DIVISION ` '7'COUNTY CENTER DRIVE - OROVILLE, C�iLW@ IA 95965 -TELEPHONE (5 538-7541 PERMIT APPLICATION DATA SIIEE Cr/ OWNER: r !� L ASSESSOR PARCEL ^ERi (/� Proposed B ding User �� Building Inspector: <'� Date: At time of permit application, I was advised the following data must be bmitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted-----------------------------------------------------------------------7-------------- i 1:12. Plot plans, 3/4 sets, signed by the preparer of plans. ----------t------------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. 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. --------------------------------------------------------- El 8. --------------------------------------------------------❑8. Hazardous Material Form. ---------=;------------------------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .----------------- y, � d r ❑ 10. Fees of $ -------------------- ---------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. -------- --------------------------------------- 0 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, 0 Legal Parcel. ----------------------- ❑ 19. croachment Permit for driveway construction approval prior to occupancy) - -------- .IY ( PP P P Y)�---------------- -- - LTZ0. Pre -inspection for „�„ r t./) � ,�,�. Request to Building Inspector on - '"'(Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. -------L--------------------------------------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 11) - -------------------------------------- 1124. Letter of signature iuthorization- -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. 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 $ .--------------- 1130. -------------- ❑30. Other:------- Whnyou issue the permit, process as follows ❑ Mail to owner, 0IVlai1 to ntractor. U Telephone S� 3 - �-- S'� � and hold for pickup at 612 J office. ❑ Deliver with inspector. Applicant: ' Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution ate: 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. 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 13Plan Cabinet, ❑.&, . folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. ;l f "'r wigs E vF a,crCLVrmtN I bbMVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMrr N (Rev. j / wssssoaP Mu,�e� `' b O`Z� D0"M BUILDING PERMIT owwn / — `r0� �o-lam "�MONs SO. FT. OCC. BUILDING VALUATION owlasls WAM ('7 =L-5-1 ooMrRncTORs MW' TL1sIgN �J L.'�• COMflUGTOR MALS0 d' e CONSTRUCT10N Uft L1DOMUNwo ADOPEN nre Ines Total Valuation S w1c►1rt>:er ON �M ucE�e NO. S SU 5 F Firing Fee S 20.00 ARC14necr OR DIONEM-2 WAJMo ADORM Permit Fee i suaara AooRExs Plan Checking Fee S Energy Plan Checking Fee i i 10TMO. sueolveLxnMue PARCEL wv PERMIT FEE S PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat Pump water heater 23.00 . SF C7 Ouplex D Mobilehome D Other Water piping 15.00 aPECln1 TYPE OF WORK Each gas water heater or vent 15.00 Now D AddRbn D Remodel D Utlilbs D tnstalation D Other Gas iinstem 1 - 5 outlets 15.00 Building sewer 15.00 Describe Work: _ ��z�� C C.(,y'� y a � Nbbiie Home I S G tN @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service = 001.1 LESS_ ......... _ _..---.—.-- =ooa 1,131 23.00 2� Mnin Service 2 TO IOOOA 48.00 MEW C014T. OR MoD". o`a aoo OOCftD8P• 3.5CR 2- 4 YULTLOVFLU Q7.50 POWER APPw1cm a s�Le o Ex. OCCU . OUTILU OR FIXTURES 20 0 1'00 eu .w Ex. Occu o m"�°� OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. W1 in 23.00 r 3� � P RMIT FEE TFiling MECHANICAL PERMIT eo 20.00 Heatin r Cooling H \\ Hoodd 8.50 Ventilation \ PERMIT FEt S \ Mobile Home Installation Fee S LEncecgyn Inspection Fee S COMST. TYPE TOTAL FEE $ t MA Z. 0. iEE3 IMP n=O COP Py10E1 PO 10 165E perit 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 rD•ul .,I J PRE -INSPECTION REPORT OWNER: J �� LOCATION: CONTRACTOR:. Z X7`7t1 PRE-INSPETION FOR: /�7 erZ_-T— DATE TO INSPECTOR: Z PERMIT Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: DATE: /'2- A.P. `ZA.P. #- 7o ZONING: ( ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT Yes No Electric currently On Off Condition of Electric Gas: Natural Propane None Currendy On Off Obvious Problems: Sanitation: Plumbing Working r, Well Working Potable Water Obvious SewageProblems Comments: 0 101/�' ACTION RECOMMENDED: Inspector. 73. / T ISSUE: HOLD FOR . , Date L,?= 7 / 2 r Sketch buildings on reverse and indicate location on.property. (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95§65 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSQ✓O C �JMBUi W �`JJ �J—l/lJL ZONING BUILDINGPERMIT OWNER JOE COOK O TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERsjtl�TA60ff QUINCY HWY, OROVILLE "AJIKM ELEC TELEPHONE `GM`A`1V-r' - aWTE AVE, OROVILLE CONSTRUCTION LENDER Fireplace LENDER's MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGC51s ORO QUINCY HWY, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE 't LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑XDuplex ❑ Mobilehome ❑ Other SPT Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other X] Describe Work: FIRC SFR UPGRADE 100 AMP 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 ng Fee 20.00 Main Service zoo. ooa mss 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 C't – / li Lic. No. �S �' Cl -� � 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 forthwith comply with those provisions. Date /,X —� /L- J`�f' Signature of Applicantu ❑ Owner 43 Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service To 46.00 F@7.50 NEW CONST. DWELLING OCCUP. SO DWE200ALLING U OR ADONS. ( 8 ACC. BIDS. 3.50T. NoµR61D. - MULTI.OIJTLET POWER APPARATUS 8 SWGLE OUTLET CIR. zo p 1.00 Ex. Occup. OUTLET OR FD=REs BAu @ .w IXED S.00 Ex. Occup. oLm ..F Temporary Service23.00 Mobile Home Facili20.00 Misc.•Wirin 23.00 23.00 PRE INSP 23.00 89.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE $9.00 TOTAL FEE $ „AZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON I Pa provisions to do work paid. Te ReceiptNo. 281161 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r riLAP C> � � , T.�y.:. �._ -..- . �,�..a�,��-11:. .r=ter .p•. r,�a�-�:- -.r -•K _ ,•�,,-.,..:.' _.. � .,,.. vt '��..z • , ... � 061-640-002 99-2865 t COOK, JOE 9651 ORO QUINCY HWY., ORO CONTR: OWNER PLUMBING t` • Z, 1 COUNTY OF BUTTE - DEPARTMENT OF 6EVELOPMENT SERVICES - BUILDING DIVISION ;r 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 elfP�. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 061--640-002 ZONING BUILDING PERMIT OWNER COOK, JOB TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS P.O. BOX 1109, OROVILLE 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 9651 ORO QUINCY HWY.., OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF �C] Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 1 15.0015,00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PLIMING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S 50.00 c• ELECTRICAL PERMIT Filing Fee 20.00 LESS Main Service zoOA oa 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.PSING 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: r l7 I, as owner of the property, army 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 Main Service To 46.00so WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADONS. ( d ACC. BUDS. SO 3.50FT. Na RESID. MULTI.OUTLETS @7,50 OWELEPPARATUS 8 R AOUTLET CIR. Ex. Occup. OUTLET OR FDCrURES 20 @ 1.00 BAL .50 O11XED APPLNS. OR Ex. Occup. RESIo. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 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' compensatioe insurance, as required by Section 3700 of the Labor Code, for the performance ofwork for which this permit is issued. My workers' compensation insurance carper and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number L i / (The above sections need not be completed if the"permit is for work of a valuation of one hundred dollars ($100)'or less.) /\ A I certify that in the performances�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!" V- — X 4"e -n Date f l/ Signature of Applicant - ❑ Owner 01 -Contractor.. -13' Agent An OSHA permit is required for excavations over 60" deep and demolition or construction��(2)aA4 of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 50.00 HAz. ` D. FEES IMP FLDOD 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. rV// ,, � Z By+�GrGtX Date l PERMIT EXPIRES ON L Date Receipt No. CbYYCtb M.00 t WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a COUNTY OF BUTTE - DEPARTMENT OF DEVELOOMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P IT N (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 061-640-002' ZONING BUILDING PERMIT OWNER COOK, JOE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P.O. BOX 1109, OROVILLE 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 9651 ORO QUINCY HWY., OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF )p Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 19 -on TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PLUMBING Gas piping system i - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 50,00 ELECTRICAL PERMIT Filing Fee 20.00 a00V OR LESS Main Service 200AORLESS 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 hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: 14 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. ❑ 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. ❑ I 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith, comply with those provisions. CDate JL % Signature of App Ican - ❑ Owner ontractor 0 Agent An OSHA permit is required for excav ' ns over 5'0" eep and demolition or construction of structures over 3 stories in height. Main Service To 46.00 9CU000A WEU200A NEW CONST. DWEwNG occuP. 3.52sFTo. NEW CONST. MUALCTIC��� NON-RESID. I @7.50 8 POWER APPARATUS SI NGLE OUTLET CIR.20 @ , �, Ex. Occu ourLEr OR ParuREs BAL @ .50 FIXI Ex. Occup. OUTIETSRa OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 + Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 50.00 HAZ. D PEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w ich fees have been paid. By Date "Z— PERMIT EXPIRES ON / � 3® f Date ReceiptNo. 281178 50.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ------•• .. --• --,- .. a- vcr-mn i mcm I vr UCvtLUFMtN IF SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone' (5301 538-7541 (Rev.12/96) APPLICAinOkAND PERMIT lq_ �6% N NflpORAMICeL NUIlOI ;_,c, BUILDING PERMITIgN.PO.PJ���D�� 0,c0�SD. Fr. OCC. BUILDING awtasts .wna AooRas S = S i i 20.00 Filing Fee 20.00 Each Trap 11 -I's ES Ek 7.00 Solar or heat pump water heater Service COMMACTOR'L PALM AOOAM Water piping15.00 20.00 r OO1,11ITf1UCTICN UDOOt 23.00 15.00 Gas piping system 1 - 5 outlets LMOM t4AM00 ADDREp 15.00 Building sewer AACNrrECT OR ZIIGURM Mobile Home IEEE @20.00 ARCI'C= OR OMWOR7 MWNO ADDAM .ULOMADCAM ( -� J / - D LA NP. I stADO"animM! USEOFSTRUCTURE SF Duplex O Mobilehome 0 Other - .veesv TYPE OF WORK New 0 Addition O Remodel 0 LNUes 0 Installation 0 Other Describe Work:_ - 1 061-640-002 99-2865 COOK, JOE I 9651 ORO QUINCY HWY., ORO CONTR: OWNER ' PLUMBING Firing Fee Permit Fee Plan Checkina Fee Energy Plan Checking Fee PERMIT FEE PLUMBING PERMIT S = S i i 20.00 Filing Fee 20.00 Each Trap 11 -I's ES Ek 7.00 Solar or heat pump water heater Service 23.00 . Water piping15.00 20.00 r Each gas water heater or vent 23.00 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IEEE @20.00 PERMIT FEE ! ELECTRICAL PERMIT Flin ee 20.00 Main Service 6`0`08 on 23.00 Main .Service "" TO IOWA 46.00 MEW CONST. OR ACDNS. °N� � Occup. 3.5CR NEW COWL NOKAES10.UFOtm ` MU•""N CNCil,eT}'! � 97.50 EX. OCCU D. !!w oA Fmwm esFDCEO eA� .so Ex. Occup., 11 -I's ES Ek 5.00 Temporary Service 23,00 Moble Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE I S 6% MECHANICAL PERMIT I Filing F"I 20.00 Coolin 6.50 PERMIT FEE I S Mobile Home Installation Fee I $ Energy Inspection Fee S occ coNsr. r' TOTAL FEES IIAZ. 0. FEES IMO I noon I cor - AACEL I oo Ito I GS' E 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 PERMIT EXPIRES ON Date tvM 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: V5tf ASSESSORPARCEL ER: C�Z-- Proposed Bur ding Use: Building Inspector: Date: At time of permit application, I was advised the following data must be su miffed prior to permit processing and/or issuance: Date Received By ❑ 1. All hems have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------ 03. Complete. plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet sign1ture on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ----------------- ------------------------------------------------------------------- El 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). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on - (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22.kers' Compensation carrier and policy number. ------------------- --------9--------- ------------------- 23. Owner -Builder Verification (Given to owner 11, Mailed to owner ). ---Ig-- --------- 024. Letter of signature authorization ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ---------------------------------- ❑26. 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: Wheny ou issue-the_p9mit,process as follows 11Mail to owner, ❑Mail to ntractor. s�sl° El Telephone and hold for pickup at office. ❑ Deliver with inspector. Applicant: 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. 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. 4*z�z Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. �. I personally plan to provide the major labor and materials for construction of the . proposed p,roerty improvement: YES(] NO[ ]. I HAVE[ X 1 HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction:el D- NAME: /1.4m . S / f L—�P e �', ADDRESS: 3 F-7 7 -- CTTY: vii u` �d PHONE: 5' 3 7 - - CONTRACTOR'S LICENSE NO.S� 4. I plan to provide portions of this work, but I have hired the following .person to coordinate, supervise, and provide the major work: NAME: - ,"'ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following.fersons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: t�4PROPERTY OWNER: SOCLXL SECURITY NUMBER: )<�bATE: oZ 3 — j JVW NOTE: This owner -Builder. Verification is required by Section 19831 and 19832 of the California Health -and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 N. �. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible patty of record . on such a permit. Building' peimits' are not required to be signed by property owners, unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may -protect yourself from possible liability if that person applies for the proper permit in his or her name. , Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. a 1 . If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be a- •wc of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work. (including materials and other costs) -is $300 or more for the entire'project, and such persons are not licensed'as contractors or subcontractors, then you may be an employer. . 0 If you are an employer, you must register with the State and Fede*Ad'dovernments as an employer and you. are subjecvto several obligations including state and federal: incdmejax withholding, federal social. security' ..taxes, workers compensation insurance, disability insurance costs, and unemploymerii;compensation contributions. 0 There may be financial risks*for you if you do not carry out these obligations,'and'these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about -your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial C Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1.0.20,N,Street,.,Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters: The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. M Manager,�Building Inspection NOTE: This ONrner-Builder Information is required by Section 19830 of the California Health and Safety Code, May 1995 2.27 '.; 3•