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HomeMy WebLinkAbout062-350-017I 99-1469. DILL, -Gene 168_668# 062-350-0171. 53288 HATFIELD, Lorraine Creek 135-66E* 4119P 6 Sugar Pine Drive, Berry 5 Contr:, Owner / % h Re Roof'.; Lot 64, Ponderosa . Pines . , il l �� ,- new single family) Sub BerryCreek -^ *additional footage o i 062=35=0 017:992517 P�,-. n deck) :. HATFIELD Lorraine " ` ugarpine Dr,;BerrY Cree,k .=,�4�s 1 (gas :plpin:a`'arid'wtr htr)SF.. k r 1 17 w I i ' a i { l r _ l j .f R Urm I MI'm Ica B -. :Y^;�.• `illr�.�"7Y<�"•cY,7l a;?'R,'*rN ta. C.,y �.,.-r.. . ti. —W±.r.lt,`g-7v-'vN tz'—W.%t 7:4xY'rXr'%% ']r i'11a,'F,3.M4. Hi.:F'e.a+•� �� F 062-35-0=01799-2517• P r HATFIELD, Lorraine 6 Sugarpine Dr, Berry Creek. (gas piping and wt htr)SF - i r e jFAddress OFFICE COPY Date*� � LRIC •� 1 �? i d f �. �-.--.,..,...,�,r..`..�.wr-�..- sK"W�'''v'."v"!F/`.+"'v�+'��6+w+.rv�.�,,;,^,..Ar'y..��7-RTd'k'�ai+A✓'i+"'-'reP6+F+:+��`�}++l a�'v^"'."`h-cra<^-:a+-:fi •rr'+� t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NQ. (Rev 12/96) APPLICATION AND PERMIT —�,I ASSESTPLCEL4Hu=U 017 Z°"'"° BUILDING PERMIT OWNER lorratne hatf i.eld TELEPHONE 5lj4908 SO FT. OCC. BUILDING VALUATION ADDRESSpine drive, berry creek ce 95916 �j'(� . OWNER'SnMAsugar n CONTRACTOR'S NAME owner TELEPHONE CONTRACTORS MAIUN° ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. +1 —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAWNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS ],• ?7, Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY_+ AW Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 5, 00 TYPE OF WORKGas New. ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑;.J Describe Work: GAS PIPING AND VrR REAT'Fd2 �'; piping sy2tern 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 50.00 - ELECTRICAL PERMIT Fling Fee 20.00 OR LE S Main Service . AOR LESS 23.00 JIM0V 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 Profe's`sions Code, effect.' . "' ' s and my license is in full force and _d .� �• TM- ' License Class ' Lic.' No.. OWNER -BUILDER : DECLARATION j +• I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: L I ❑ 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. P,C I, as owner of the property, am exclusively contracting with licensed' contractors to construct the project. i ❑ 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 200A To 46.00so CCU000A NEW CONST. DwELLINo occuP. 3.5Qso. OR ADDNS. ( a ACC. S.FT. NEW CONST MULTI.OUTLET NON•RESID. CU @7.50 POWER APPARATUS a SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BALD 30 FIXED APPLNS. OR 5.00 Ex. Occup.ouTLETs RESIo. EA 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 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 (Rd 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'HAL. 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. 1 .—, (., l � J X�1�` r+'/f .'• r .1 / ' I ! /f1., . `4 f Da1,e1-_/:-ii, /?, r/� • �. / f Signature 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. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE 50.00 TOTAL FEE $ VThipermit o FEES IMP FLOOD CDF PARCEL PD HD ISSUE 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. �,.H� By Date Jgg�r� PERMIT EXPIRES ON #A U I r Daie ReceiptNo. ;2�� �7 � Fj WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t COUNTY OF BUTTE i s BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA 91 (530) 891-2751 - 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER PERMIT 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, please contact this office immediately. l : L Date Inspector) /lye REV 10/92 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 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, please contact this office immediately. /3 / A . A) _-t--n / i r it Date �2 Z , Inspector REV 10/92 • i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERM eN (Rev. 12/96) APPLICATION AND PERMIT ASSESSIC6AgCEntI3�j, 017 VV LL .Ji..77 �lJl ZONING BUILDING PERMIT OWNER lorraine hatfield TELEPHONE 589-4908 SQ. FT. OCC. BUILDING VALUATION . OWNER MAIUNG ADDRESS Spine drive, berry creek ca 95916 CONTRACTOR'S NAME owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other 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 ❑ Installation ❑ Other EY Describe Work: GAS PIPING AND WTR HEATER Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S 50.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service A 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 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. COC, 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 200A TO 1000A 46.00 NEW CONST. DW NG ff. 3 5QS0. OR ADDNS. ( NEW CONST. MUEwIC-0u�TLS. NON-RESID. CU @7.50 APPARATUS 8 SINGLE OUTLET CIR. EX. Occu OUTLET OR FIXTUREs sA0 @ 1.00 UTED OR FD(LNS UR.50 OR Ex. Occup. ounETs RESID. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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.) 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 rkers' compensation provisions of section 3700 of the Labor Code, I shall fo with comply with those rovisions. X, Da �(� �P� / _ -��� Sig.ature of Applican - ❑ ner Co tractor Agent An OSHA permit is required for excavation over 60" deep and demolition or construction 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 FLOOD COF PARCEL I 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 ate PERMIT EXPIRES ON D e Receipt No. (� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • ; 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC 2/96) APPLICATION AND PERMIT -- g -5/7 Ex. OCCU NSESSOR►ARenNUMeeI Z ` v 6 r Men BUILDING PERMIT Service owNa / / ! Teur► 7 c O © I lit�c PiE-e( SO. FT. OCC. BUILDING VALUATION 20.00 MnMRV MAAING AD011lSf �C• 23.00 CONTRACTOR'S NAME TELEPHItINE CONTMACTOR'S MAKOO ADDRESS CONETRUC}10N Umat LENDER'! MIvu+G ADDRESS Fire lets Total Valuation i ��� OR �� ucENSE No. FGn Fee $ 20.00 ARCWECT OR ENGINEER'S MAILING ADDRESS Permit Fee $ Plan Chackina Fee S LDIHOAESS � � ^ Energy Plan Checking Fee $ �' ' i PERMIT FEE t �TNa •ueoNeaNSNAIIe PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SS>d,Duplex O Mobilehome O Other Water piping 15.00 SPEasv TYPE OF WORK Each as water heater or vent 15.00 1 ,0 6 Gas piping system 1 - 5 outlets 15.00 S.Gv New ❑ Addition O Remodel O Uti7 Inst ktion O Other ❑ Building sewer 15.00 / Describe Work: �`�• ,r ��� � GrJQT � � �_ Mobile Home S G W @20.00 PERMIT FEE S e0 ELECTRICAL PERMIT Filing Fee 20.00 Main Service o0 OOR � 23.00 Main Service 200A TO IOWA 48.00 NEW CONST. OR ADONIS.( o a Arc. 3.5Q�. NO*AESID. ( NEW CONST. MULTFOtrTLET \ BRANCH C @7.50 pCl1R'9 I tx. rjccu ounEr OR FomAE9SAL 3 —50 . Ex. OCCU Ov O A" o °REQ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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��TOTAL'FEE SD I CDF I PARCEL I PO I NO 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 PERMIT EXPIRES ON Date +`A�,'�i�w,«"t^g37'Y6kYM4':�.. Fi'r'�,.'R"t'.`��, V'� �.:.`�.'i'i �- s /,`R ��••R4 a ��"Iri„-CL :FJ.'Tl+'. i r'f., [ } Qt�'. r%;,,.7p-.`�.:.�v+�ry ,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: p YiAa7aa�/ &e &F ASSESSOR PARCEL NUMBER: (7 6 Z --3.S0 -n / "7 Proposed Building Use: _O 4 .,,�., Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans.---------------------------------------------------- 03. --------------------------------------------------- ❑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. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --'•- ❑ 8. 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). --------------------- ❑ 20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- El 22. Workers' Compensation carrier and policy number. ------------------------------------------- E123. Owner-Builder -----------------------------------------❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------- E124. --------------------❑24. Letter of signature authorization. --------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------- ❑26. Letter of intent on building use.-----------------------------------------------------------------• ❑27. Manufactured Home utility clearance. ---------------------------------------------------------- 028. Existing violations and/or expired permits. ----------------------------------------------------- 029.433 A, El Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $------- 04TO. Other: Sr When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. []Telephone and hold for pickup at office. ❑ Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: Date: By: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: (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: 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. �OS l cs3o� 7S7-13/0 ,..-.-.-,...�...... .....ren--rc wp,.,-•:.,G".,.cac.�m!�-,�..s-+,r�slr'.i'ti—�Y>h+n..:t+'N "T.`w:; r'a'3.�:"T�7%h'K�wt,F.r ^J.c+..+^�:r^-•�f�„'�v-s i..�, q`.w.l'aq,.p;[r•..«.(.+�r.•—., t i FSugar'Pine ` 99-1469 Lorraine Drive, BerryCreek r Re Roof } F t { I V t f �1 COUNTY OF BUTTE - DEPARTMENT OF" DEVEI,, PMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 216r P MIT No. (Rev.12/96) -11111- _+ APPLICATION AND PERMIT 2= ASSESSOR PARCEL NUMBER 062-350-01 y ZONING BUILDING PERMIT OWNER � LJVRiI�LL M lrMD TElFDL10NE SO. FT. OCC. BUILDING VALUN A _O 780 OWNERS MAILING ADDRESS SUGAR PINE PINE DRIVE. BERRY CREEK 99p�59116 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 780 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6 SUGAR PINE DRIVE# BERRY CREEKgy Ener Plan Checking Fee $ g $ PERMIT FEE $ 4n nn LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE I SF Y'4.Duplex ❑ Mobilehome ❑ Other SPECIFY l Solar or heat pump water heater 23.00 Water piping15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: RE RME 13 SO M"Al. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service '..A 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 perj W that I am exempt from the Contractors license Law jor the following reason: t 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 contrsbting with licensed 'contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason , Main Service TO 46.00so CCU000A WEL200A NEW CONST. DWELLING OCCUP. SG OR ADONS. ( a ACC. lams. 3.50FT: NEW T. NONFp6Ip, MULTI -OUTLET @7.50 POWPARAT 6 ER US SWOLE APOUTLET CIR. OUTLET Ex. Occup. aA� �o� Ex. Occup. ouTuaTs RESID. EA 5.00 Temporary Service 23.00 mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s WORKERS' COMPENSATION DECLARATION I hereby af*m under penalty of perjury one of;the following declarations: ❑ 1 have and will maintain a certificates''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.) /l 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' ; , --'U q� l� cJ �. i > ..( Date /. gnature 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. MECHANICAL PERMITFiling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 41.00!„_, MAZ. D. FEES IM FLOOD CDP PAR 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. 1 Bit f Date PERMIT EXPIRES ON 7` Date Receipt No. 273273/$41.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t r' 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION Z 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) ' APPLICATION AND PERMIT e?-- 9 ASSESSOR PARCEL NUMBER 062-350-017 ZONING BUILDING PERMIT OWNER LORRAINE HATFIELD TELEPHONE SO. FT. OCC. BUILDING VALUATION 780 OWNER'S MAILING ADDRESS 6 SUGAR PINE DRIVE, BERRY CREEK 95916 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $780 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 2100 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 6 SUGAR PINE DRIVE, BERRY CREEKgy Ener Plan Checking Fee $ g $ PERMIT FEE _ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF [R 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 ❑ Ufilifies ❑ Installation ❑ Other EX Describe Work: RE RGOE 13 SQ METAL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LES Main Service A 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: Id I, as owner of the property, or my employees with wages astheir 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: O 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 20QA TO 1000A 46.00 NEW CONST. DWELLING OCCUR so OR ADDNS. a ACC. UDS. 3.5¢FT; T. NOµpE°SID. MULTI•oUTLET @7,50 POWER APPARATUS 8 SINGLE 011rLET CIR. 20Q1•0° Ex. Occup. OUTLET oRFaruREs BAL @ .50 Ex. Occup. OLIT1EiAPPD,°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) 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 f hwith comply with those provisions. X % Date c Q Ignature of Applicant - ❑ wnee ❑ ntractor ❑g t An OSHA permit is required for excavatio over 60" dee"Ad demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee I $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 41.00,---, HAZ. I D FEES IM FLOOD I CDF PAR PD I H 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 0& !j 4 74- PERMIT EXPIRES ON / —`7 —���� Date ReceiptNo. 97,1 f41 no WHITE-D.D.S.-B. D. CANARY-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT -D.D.S.-B. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .47 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 ��— PERMIT NO. (Rev. 12196) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER� ZONING BUILDING PERMIT OWNER , TE NONE re SO. FT, OCC. �7BUUIIL6ING VALUATION owrjEAB MAQNG ADDRESS CONTRACTOR'S NAME CONTRACTORS MAILING MAUNG ADDRESS CONSTRUCTION LENDER tENDEA'S MAKING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGWEEA S MARINO ADDRESS SULDWGADDRESS a LAT NO. I SUBDIVISION'S NAME USEOFSTRUCTURE SF iL Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UGI" s ❑ Installation ❑ Other Describe Work: NO. MAP Total Valuation Is Flirt Fee $ 20.00 Permit Fee $ Main Service Plan Checking Fee $ Energy Plan Checking Fee $ Main Service 206A TO IOCDA S NEW CONST. PERMIT FEE $ OR AODNS. PLUMBING PERMIT 3.5¢so. FT. FilingF6el 20.00 Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W I I @20.00 Ex. OCCU . OUTLET OR FDnURES t CN I.W BAL O .SO EX. OCCU 70 APPLIG OR OUREiS ESLD. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ ' , MECHANICAL PERMIT Fling Fee 1 20.00 6.50 PERMIT FES I t Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST -11 TOTAL FEE $ IIAZ. 0. FEES I IMP I FLOOD I CDF I PARCEL I PO I HOISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ; By Date PERMIT EXPIRES ON PERMIT FEE t ELECTRICAL PERMIT I Fling Fee 20.00 Main Service LESS Z). OR LESS 23.00 Main Service 206A TO IOCDA 46.00 NEW CONST. DWELLING OCCUR OR AODNS. 8 ACC. BIDS. 3.5¢so. FT. NEW UuNb 1. ( NON•RESID. MULTI -OUTLET , BRANCH CIRCLVTC @7.50 Ex. OCCU . OUTLET OR FDnURES t CN I.W BAL O .SO EX. OCCU 70 APPLIG OR OUREiS ESLD. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ ' , MECHANICAL PERMIT Fling Fee 1 20.00 6.50 PERMIT FES I t Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST -11 TOTAL FEE $ IIAZ. 0. FEES I IMP I FLOOD I CDF I PARCEL I PO I HOISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ; By Date PERMIT EXPIRES ON •h4, r, �,. .-qtr Tfit�,.ra �••�. -1� sypi l+c�-Y'i�',k7:r,X�9+yw(ytk;s..4'`ui �r�i �^^ ��; `�+ �i �.1�""' ni= , I �COUVTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION M ' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT"PLICA TION DATA SHEET OWNER: ASSESSOR PARCEL ER: O - Proposed Building UsJ3_ Building Inspector: Date: 42 At time of permit application, I w s advised the following data must be submitted prior to permit re s ing d/or issuance: Date Received By 111. All items have been submitted. 02. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 115. 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. ------------------------------------------------ ❑ 8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- 0 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). -- 1120. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number. ----------------------- ❑ Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- 24. Letter of signature authorization. ------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------- ❑26. Letter of intent on building use. ----------------------------------------------. ❑27. Manufactured Home utility clearance. --------------------------------------- 028. Existing violations and/or expired permits- ---------------------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: Wh n you issue the ermit, process as follows ❑ Mail to owner, ❑Mail to contractor. Tele and hold for pickup at office. ❑ Deliver with (Date) Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: ] Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: ] 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 0 Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: