The URL can be used to link to this page

Home My WebLink About064-610-007... ,. �, j -+ '•_-_ ... : w.... -♦ i+.�' ,rk , .1"µi'., k � PE� -BRITSCHGI ' .Walter `J. 678--- m.�.. • 064-610 007* t' RMIT#97 0717 - 272- ° SIEDLE:`Stari 0 ty�"1%`1M`'s"`S:;-- _ 3 - 7B - — 7: 11 g 6 227 67E , ., - :14970 Centervil'le"Rd , � Ma ali IN f ;Cont "Illumination `Elect" ZWP ' Relocate;Ele Ser'oriPumphouse e�s .Humbug Rd:. app. -'100 from: Nuns e Magalia r (new detached garage) ( Cover for mobile -home) • r r• t ` F t r U n tr�1 1, . f . i ti cfli � cfli � �-y 064-610-007 SIEDLE, Stan _ 0., 14970 Centerville `&;,., Cont: Illuminations Relocate `Ele `Ser c r _ - 0 OFtb,CE COPY ' Address a .GAS Meter �y Dated ELECTRI ' i Meter By �J Date t C , t 1 � ppp- COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION •'' 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT q? -<071 ^7 If ASS ESSOR PARCEL NUMBER ,� ZONING BUILDING PERMIT OWNER v QT U C. F F TELEPHONE f l7 —0122 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 14-r-90 1?MAGALIA CONTRACTOR'S NAME N, TT TELEPHONE CONTRACTORS MAILING ADDRESS r- CONSTRUCTIONLENDER Fireplace LENDER'SMAKING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkiri Fee $ BUILDING ADDRESS 4"90 CENTERVITLE RD. M-AGALIA Energy Plan Checking Fee $ $ 14 Qq PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CQ', Other ' SPECIFY 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 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW ELECTRIC SERVICE LOCATED ON ?"HOUSE + Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoo, oa Ess 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Q License Class % �� Lic. No. �� 0�/ G1 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 vtorkers' 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.) +.If 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 pr visions. }►f- X _�% Date , _ Signs uire of Applicant ❑ Owner ,lContractor ❑ Agent 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 I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.50FT. NEW CONST.9 NON -RES D. MUFILCTI-OCIR UT @7.50 Pow ER APPARATUS a SINGLE OUTLET CIR. 20 Q 1.00 Ex. Occup. OUTLET OR FIXTURES SAL @ .50 Ex. Occup. ourLEELNS T RES D.OEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinq 1 23.001 23.00' PRE INSP. 1 23.001 11WIN PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 89.00 NAZ. D. FEES IMP I FLOOD I COF PARCEL PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have /L i� f By �_ PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. / Date / / I 1 I Date Receipt No. L iad 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 (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 64-61 002 ZONING 11 F4 BUILDING PERMIT OWNER STAN 0 SIE171I TELEPHONE 873-0122 SO. FT, OCC. BUILDING VALUATION -,E OWNER'S MAILING ADDRESS 14 590 CENTERVILLE RD, MAGAT-TA CONTRACTOR'S NAME T1 I IIMTNATION ELECT TELEPHONE ' CONTRACTOR'S MAILING ADDRESS 141590 121RUTER11TI IF RD 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 Energy Plan Checking Fee $ i 1 r $ PERMIT FEE $ UOTNO. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX 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 ❑ Describe Work: NEW ELECTRIC SERVICE LOCATED ON PUMPHOUSE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 500VOR LESS Main Service 200A OR LESS 23.00 2= 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 i full force and effect.D G/ License Class �U LIC. No.49 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 Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC, BUDS. SO 3.5QFT: NEW CO. NON -RES ST MULCTI-OCUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES BAL O I.50 Ex. Occup. ourEi Ts RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.0 PRE INSP. 1 23.00 SAY( PERMIT FEE $ 89.00 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 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 o e 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 forth ith comply wit those pr vivisi�ons. ��`� J`�`/ _______ Date � _ 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 $ occ CONST. TYPE TOTAL FEE $ 89.00 HAZ. D. FEES IMP FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By 4 ) PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date / %Q Date Receipt No. 210158 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER: S ( E $ C DATE:/ - /v —,9 ,9 LOCATION: CE'VC zElzU" 6 C 4- AP.#: CONTRACTOR: (< L 11 M t,,/ /I r (,9i✓ ZONING: PRE -INSPECTION FOR: 8 c c FL , c s L/ PERMIT HISTORY: [ VNONE [ JAS FOLLOWS: TYPE OF OCCUPANCY: DATE TO INSPECTOR BUILDING INSPECTOR'S REPORT 2g Description: [ ]-Commercial/Usage: esidential/# of Units: 1 [ ] Currently Occupied. [ ] AbandonedNacant. c: Yes [ ] No Electric is currently:[ ] On [ ] Off Condition of electrical? • Natural [ ] Propane[ None[ ] Obvious problems: anitation: Plumbing working Yes[ 7Nol J LTJ' Mobile Home: Yes[ Currently On[ , Well: Yes[ No[ ] Potable water: Yes i No[ ] No[ ] Obvious Sewage Problems - Action Recommended: [ ssue [ ]Hold for: i Inspector: p � Date: 40b X�37 COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER S ( 2 8Cl- A. P. No. 6 ei _6 (- %O Proposed Building Use & ,� C T (L - e_ 5E (Lyc f4-, Building Inspector Q13 el, 0n11r Date 2-2 -tet y 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. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ....................................... . Plot plans, 3/4 sets, signed by preparer of plans . ............................ Complete plans, 3/4 sets, signed by preparer of plans . ..................... . Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ ........................................... Impact fees as shown on attached schedule . ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit. .............. Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ......... Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction a�ypproval required prior to occupancy). ..... C E C T f� l G ?re ASA ecGon reque-ts Pre -inspection for required. .. to suilding Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner _)............. Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ . Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ............:........:................. . Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plancheck list ....................................................... When you'issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage , Applica V Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date - Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date - Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works