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HomeMy WebLinkAbout065-173-010_o ♦ - (repair -main el"ecgser ris ) Tri County Electric,' er 7 41 : -;i 1 2 3 4 511 011 7 8 9 10 11 12 13 14. 15 16 17 18 19 20 21 22 23 24 25 26 27 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. I am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On June 26, 2006, I served the foregoing Code Enforcement Citation #0233 on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Mark Stephen Matthes 14668 Holmwood Drive Magalia, CA 95954 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed ori June 26, 2006, at Oroville, California. 4. tl� Alise Foots Office Assistant •' �� � i ! .. � � •',i T / �` ) v-.tr._ rti M cifir#nc"sS'x3,y� Ste, fir• {t.r• r y r rte; t; qp-Y �2 r scyvw r:�c- * 1y* yr r<y*,�r �•+ COUNTY OF BUT,,T�.- DEPARTMENT -OF PUBLIC WORKS PERRITnN'�O.A{�J/ 7 County Center Drive--0rovilIe; California 95965 -.Telephone: 916/538-7541 APPLICATIONANDRIERMIT" ! ASSESSOR PARCEL NUMBER:...,, 65-173-10 ZONING:;, RT 1'A BUILDING PERMIT OWNER' RUDY L D SM©RE T8Y3 ;�O 5 SQ. FT.' _ Ott, BUILDING VALUATION OWNER'S MAILING ADDRESS _1.500 14668 HOLMWOOD MAGALIA ,, I CONTRACTOR'S NAME SATILE ROOFING Qy T8%2r&Ii r CONTRACTOR'S MAILING ADDRESS P.O. BOX 901 MAGALIA • ,' Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ DO FilingFee G $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 25.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14668 HOLMWOOD Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r Solar or heat pump water heater 20.00 LOT NO. 372FIR NAME HAVEN StJDDIVISION =Ni PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 r� USE OF STRUCTURE SF [J Duplex❑" Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: RE—ROOF COIfPI e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ' I am licensed under provisions of Chapt. 9, Div. 3 of the BuSIneSS and Profession Code and my license is in full force and effect. ` License No. O� Classification. C-3`1 ❑- I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec: 7044) ❑ I, as the owner, am exclusivelyEcontracting with licensed contract- ors. (Sec. 7044) 1 ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST, ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. , /20sgft NEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR, Ex. Occu 20050` p(D Ts OR FIXTURES 9ALO 30 FIXED Ex. Occup. OUTLETS P(RESID.)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): j ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall.not employ any person in any manner so as to become subject to the W. C. laws of California.Ventilation Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. , MECHANICAL PERMIT Filing Fee 10.00 ` Heating Cooling Hood 3.00 Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said`County in Co equence of -the -granting of this permit. g'_2- g- X ZIPDatesions Signature of Applicant — Owner g pp ❑ Contractor, Agent ❑ An OSHA permit is required for excavations over, 5'0" deep and demolition or construct- ion of structures ove�r^'3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST TYPE TOTAL FEE $ 35•(' FHAZ. cuA_ PARK .1""' scHL FLD coF PAR Po i HD. q, SS P, This permit is hereby issued unser the applicable provi- of the Butte County. Code and/or resolutions to do work indicated above for which fees have been aid. / p �) /R OF PUBLIC WORKS By /- '"�_ Date'?—/61-1/ PERMIT EXPIRES Date .`I— /()— A "g' Receipt NO. QW 2 a � WHITE-O.r.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLD ENROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Californi-a 95965 - Telephone: 916/538-7541 • APPLICA_TIDN'AND PERMIT _ ASSESSOR PARCEL NUMBER ZONING RT 1 A. BUILDING PERMIT OWNER RUDY L D SMORE TELEPHONE 873-3215 sQ. FT. OCC. BUILDING VALUATIO 25 SQ COME 1,500 OWNER'S MAILING ADDRESS 14668 HOLMWOOD MAGALIA CONTRACTOR'S NAME VERSATILE ROOFING TELEPHONE 873-6131 CONTRACTOR'S MAILING ADDRESS P.O. BOX 901 MAGALIA Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 25.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14668 HOLMWOOD Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. N2 372 SUBDIVISION NAME FIR HAVEN SUBDIVISION PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF g Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: RE—ROOF COMP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L. 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professionp Code /, and my license is in full force and effect. License No. 6 God Classification. C=-3 ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8 OR ADDNS. ACC. BLOGS. , iosgft NEW CONSTR. ULTI.OUT LET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 120 @.20@090 FIXED APLNS. Ex. OCCup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation ----- Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co equence of the granting of this permit. e�J X �� Date —2' g— �/ Signature of Applicant — Owner ❑ Contractors Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 35.00 HAz. CUA- PARK scHL FLD EDF PAR PD ) HD• ISS This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indic d above for which fees have been paid. DI R OF PUBLIC WORKS By PERMIT EXPIRES Date L�/vim CrT-110-11 q ,)Dapte T-110-11WHITE-D.P.W., Receipt No. 9&2- D %:I YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT -Of PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE'; AEII•ORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �. Permit No. r OWNER Xjd to AO"51,414) A. P. No. �' X73 - /(L Proposed Building Use 1Ze /loaf 5/� Building Inspector C -s^/ Date &A -151t At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... >>, . Plot plans in duplicate/triplicate, signed by preparer of plans........ •. 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .. _ 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data includi'ng manufacturer's installation instructions........................................................ . 10. Fees of $ 11. Chico Urban Area fees paid ........................................ 12. Park fees paid .................................................... 13• School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 1. - 17. Planning approval for -(A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21 ontractor's license information (No., Name Style, Classifications ... 2. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .... ............................. 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other �t Applicant .Date 8 29--Tt Copy of !-laz-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: V 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—mall—counter by date Plans checked by Date Plans approved by \ Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 G APPLICATIUKAND PERMIT ASSESSOR PARCEL NUMBER " �S- ���_ p ZOy, ING /(fm 0. BUILDING PERMIT OWNER �. L_ (R�ey TLELEPHONE . Zig SO, FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS f"5 S'11 CONTRACTOR'S NAME �Sq Of TELEPHONE 7 3 . CONTRACTOR'S Mr ADDRESS C q ,`q . Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee _ Penalty _ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS Permit fee !$ $ PLUMBING PERMIT FllingFee 10.00 �/' / (OLh`G✓ �� Each Trap 2.00 Solar or heat pump water heater 20.00 1p ir NO. ,1/ 'L SUBDIVISION NAME ,/L i/�✓W J PARCEL MAP Water piping - 5.00 Each pas water heater or'vent 5.00 ,- ,� USE OF STRUCTURE , SF � Duplex❑ Mobilehome❑ Other �" _ [ SPECIFY Gas piping system - 5 outlets 5.00 Building sewe 5.00 Mobile HoZ< S I G JW 1 10.00 ea TYPE OF WORK New Addition❑ Remodel❑ Utilities Installation❑ Other Describe work: �e—�or� /C nl^� ! __ Pern#f Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Ode-7r(and my license Is In full force and effect. `-' 3 —3 9 License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. , 2/20sgft NEW CONSTR. MU T"OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS 61 SINGLE OUTLET CIIRR. / EX. Occup OUTLETS OR FI TURES 20@50 sAL@ 301 FIXED APP S. OR Ex. Occup. OUTLETS ESID.I EA.) 2.00 Temporary servicez 10.00 Mobile Home Fa ilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood % 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s Coun y in conse , ence of the granting of this permit. D 'dd�8 X .w' �'�-��/� Date Signature of Applicant — Owner❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Inst Ilation Fee $ Energy Inspection Fee $ _ occ CONST TYPE TOTAL FEE $ HAZ. I CUA I PARK I sCHL I FLD I COF I PAR PD I HD. ISSUE This permit is hereby issued under the applicable provi- slops of the Butte County, Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt NO. / t�L WHITE-D.P.W.. YELLOW-AeeE300R. PINK -INSPECTOR, GOLDENROD -APPLICANT r`+�,i... 7.•,..ry�+G .. s• .. n v� ,r.. �rs,gc -s'„qw..�,. .:,r,..�. ,,�.-. r :17'r:'•(4. •w..r.. a: !. �-. rw. .. A- { 065-17-3-010 00-0442 E 1 IATHIS , Mark 14468 Holmwood,Magalia (repair main elec ser riser) Tri County Electric F ' J", 1S 1 f. 1 1 f 7 t COUNTY OF BUTTE - DEPARTMENT OF DIEVEL-aPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California • 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96), APPLICATION AND PERMIT ASSESSORPARC B t1b0�/M-01Q ZONING C BUILDING PERMIT OWNER'WZY MAT't4fIS TELEPHO;E 3-161- �] j SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS tit, M K` 1 CONTRACTOR'S NAME - rMT rY)TTMW FT.PrTRT . TELEPHONE CONTRACTORS MAILING ADDRESS AACTMOS r h _ 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(1%6b MAW), MAC:ALIA - � �(�� Energy Plan Checking g Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling 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 t New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPAIR MAIN ELEC SER RISF�R Gas piping system 1 - 5 outlets 15.00 Building sewer15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service zoOA OR LESS 23.00 7 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.POWEfiIN �/ License Class iJ Lic. No. •� '7 3� 3 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: i ❑ 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. I © 1 am exempt under Sec. Business and Professions Code for this reasons N 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 TG Main Service TO 46.00 NEW CONST. DWELLOCCUCUP. EE OR ADDNS. ( & ACC. BLDS. SO 3.50FT. =Ralp T.OUTLET @7,50 APPARATUS 8 SGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 Q 1.00 p .50 Ex. Occup. OuTtEEDrsARa16.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP 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 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 / X I -: \ /,e.-. ^11,[.Q rd,-- Date 3 / X 4,M Signature of Applican� ❑ Owner ❑ Contractor ❑ Agent I " dee and demolition or construction An OSHA ermit is re wired for excavations over 60 P p q of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP I FLOOD I COF PARCEL I PO I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON V the applicable provisions Resolutions to do work been paid. Date ate Receipt No. 7A -,TAA WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 COUNTY OF BUTTE - DEPARTMENWF G4_i/EL0IPMENT SERVICES - BUILDING D VISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 - 541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT Ad-- 9 ASSESSo6U�;Ei� e�—010 ZONING BUILDING PERMIT OWNER MARK MATTHIS TELE 1H 3=163 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TRI CnIINTY ELECTRIC TELEPHONE 891-5891 CONTRACTORS MAILING ADDRESS 9554 CIMING-S ROAD, DURNAM 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 14668 HOLMWOOD, MAGALIA Energy Pian Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ XDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um 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 It Describe Work: REPAIR MAIN ELEC SER RISER Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA 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.P License Class C� —� W Lic. No. L Z OWNER -BUILDER DECLARATION 1 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. Sr I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP.SO OR ADDNS. ( a ACC. BLDS. 3.50FT. ,.gyp REME' MULTI -OUTLET 97.50 OWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. ourLEr OR FIXTURES BAS O I. 0 R. Ex. Occup. oFlxunDs Aa 1 E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP I 23.0 PERMIT FEE $ 66-JO-0 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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.) V/ 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 foh comply with those provisions. X Q Date— Signature o p Icon ❑ Owner ❑ Contractor [3 Agent An OSHA per 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 Is occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP I FLOOD I CDF 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 whi fees have been paid. By Date3'q—e-o PERMIT EXPIRES ON "- �l — 01 ate Receipt No. WHITE-D.D.S.-B.D. CRNA OR 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 APPLICATION DATA SHEET OWNER: $ ASSESSOR PARCEL NUMBER:% 3 U Proposed Building Use: J_ Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit p ess' and/or issuance: Date Received By ❑ 1. 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. ----------------------------------------------------- 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 ------------------- El10. 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: -------------------------- V9nact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- oachment Permit for driveway (construction approval prior to occupancy). ---------------------------- nspection for G l�" required Request to Building Inspector on( k"94' ate �� ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- El 2.3. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0') - -------------------------------------- ❑24. Letter of signature authorization.-------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement.-------------------------------------------------- E126. -------------------------------------------------❑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 $ . --------------- 030. Other: --------------❑30.Other: you issue the permit, process as follows A<ail to owner, []Mail to contractor. elephone and hold for pickup at office. -D Deliver withinsP ector. Applici Date: 7 -,ow Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution / ate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: v ate: By. 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: f 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, #as advised of the above required data by ❑ phone, ❑ mail, b 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, 11 A.P. folder. Note transfer by: Date: r. COUNTY OF BUTTE - DEPARTMENT} F QFVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 40 " ASSESSOR PARCEL NUMBER .- ZONING BUILDING PERMIT OWNERTELEPHONE a 80, Fr. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4 NAM C I f- TELEPHONE 9'7/DR'S CONTRACTORS MAILING ADDRESS ' S i .T12-0 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 $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 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 ❑ Utilities ❑ Installation ❑ Other Fd Describe Work: kv!� n e, /yy%CI i ALJ Olee fS'e` V /, C —� r /` S_ Gas piping stem 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 Main Service zoOA OR LESS 23.00 . oa Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. F°. OR ADDNS. ( 6 ACC. BUDS. 3.5¢ NEW NS MULTI.OUTI.Ei NON-RCOESID. . @7.50 POWER APPARATUS 8 SINGLE OUTLEr CI R. OUTLET OR FDRURES 20 ® 1.00 EX, OCCU BAL 0 .w LNSEx. Occup. OMD APP°Ek 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 H s 23, PO PERMIT FEE MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ FEES IMP I FLOOD I CDF PARCEL I 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. i By Date PERMIT EXPIRES ON (Date) P -INSPECTION I.R.EP ORT OWNER: l a LOCATION: to O CONTRACTOR: PRE-INSPETION FORAe„/0,0; �— �S�r Ula c -P DATE TO INSPECTOR: %ij Q PERMIT HISTORY:( ) NONE Building Description: Electric: Gas: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant DATE: AQ A. P. #__(,:2 5 73 -6 / Z) ZONING: V4 FOLLOWS: BUILDING INSPECTOR'S REPORT Yes No Electric currently On Off Condition of Electric Natural Propane None Obvious Problems: Sanitation: Plumbing Working Currently On Off Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: MOLD FOR Inspector: Date Sketch buildings on reverse and indicate location on property. (Re .12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER.--. s� V zONING BUILDING PERMIT OWNER TELEPHONE L SO. FT.. OCC. BUILDING VALUATION OWNER'S MARLING ADDRESS a a CO01 f, / R 9 W W i CJ TELEPHONE51 .?- CONTRACTOR'S MIUUNO ADDRESS ZL1,i it CONSTRUCTION LENDER Fireplace LENDER'S AWUNO ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHMECT OR ENGINEERS MAOING ADDRESS Plan Checking Fee $ BUILDING ADDRESS u Energy Plan Checking Fee $ S PERMIT FEE $ LAT NO. SUBONEIION'SHAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFDuplex ❑ 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 ❑ Describe Work: lel- V i� C -� r �` S / Other Fd Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W @20.00 PERMIT FEE f ELECTRICAL PERMIT Fling Fee 20.00 LES Main Service 2o0A OR IES: 23.00 Cfl /r v Main Service 200A TO 1000A 46.00 NEW CONST. DWELLNO OCCUP. x.5¢50. OR ADDNS. ( 8 ACC. BLOS. FT. NEW CONS MULTI.OUTL,ET NON•RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET ORFOLTURES 2O ® I'00 SAL @ .SO EX. OCCU FOXED APPLM OR OIRLETS RESIO. EA S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t N� MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEt i Mobile Home Installation Fee $ 1 Energy Inspection Fee $ OCC CONST. TMPD TOTAL FEE $ HA2. 1 0. FEES I IMP I FLOOD I COF PARCEL I PO HO 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 PERMIT EXPIRES ON Dela I of; . w nni