HomeMy WebLinkAbout068-120-006068-12-0-006 C 96_1725 E
CUNNINGHAM, ,C:'
105 Glen Cr Dr, or
upgrade ele)SF'Webster Ele
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PRMI No.
APPLICATION AND PERMIT �G_
ASSESSOR PARCEL NUMBER 068-120-006
ZONING
BUILDING PERMIT
OWNER �}�jT�1/7M
C. C. W( 1��L,1�1�!(\�Vl1llS-1
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
(/�� t7^�T T �} (fit
OWNERS MAILING ADDRESS 138 EDICNOOD DR OROVILU� 95966
•7*FQCG7
CONTRACTOR'S NAME wpb E EMIL
Fi�1.�CNHIGRI�
TELEPHONE
CONTRACTORS MAILING ADDRES!1633 CAN DR OROVIMr 95966
Fireplace
CONSTRUCTION LENDER
UNXNOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
1
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 105 GIM CIR LE DR
PERMITFEE
$
PLUMBINGPERMIT
Filing Fee 20.00
OROVILLE
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
t
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF b Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
0
New ❑ Addition ❑ Remodel ❑ Utilities -0 Installation ❑ Other ❑
Describe Work: MRADE ELCTRIC SERVICE
—
Mobile Home S G W
@20.00
PERMITFEE
s
Contractor
ELECTRICAL PERMIT
Filinq Fee
Main Service ( E2OOV00A OR LESS OR LESS )
ngq20.'00
23
23.00 -00
Main Service ( .200A TO 1000A )
46.00
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 forceand effect. �7 G
License Class (, - I Lic. No. 3
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
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
SO.
3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
(aPs NGLE OUTLETWERT IC R. )
Ex. Occup. (OUTLET OR FIXTURES )
20 Q 1.00
aAL 50
FIXED APPWS. OR
Ex. Occup. (OUTLETS (RESID.) EA )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE INSPECTION
23,00
PERMITFEE
$ 66.00
Contractor
WORKERS' COMPENSATION DECLARATION
I 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
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
S
Contractor '
Policy Number
(The above sections need not be completed if the pe(mit'is for work of a valuation
of,one hundred dollars ($100) or less.) L
L#,'I certify that in the performance of the work foi.which`-this permit is issued, ,F'shallTOTAL
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
----��t---
X".e ,(J�y `` Date �� V^ gG —
—•�=-- .
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
FEE $ 66.OO
HAZ'
I D. FEES
IMP FLOOD
CDF
PARCEL
PD
HD
ISSUE
✓
This permit is hereby issued under the
of the Butte County Code and/or
indicatedlabove for which fees have
By -_ �,�
r�
PERMITEXPIRESON 1'
I
applicable provisions
Resolutions to do work
been paid.
Date 9 31 /fir
r'
3�'/
(Date)
Receipt No. LVL J. JV
WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville,Xal'rfomia 95965 - Telephone (916) 538-7541/^ P RM NO
APPLICATION AND PERMIT (� /!
ASSESSOR PARCEL NUMBER 068-120-006
ZONING
BUILDING PERMIT
OWNER C.C. CUNNINGHAM
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 138 EDGEWOOD DR OROVILLE, 95966
CONTRACTORS NAME WEBSTER ELECTRIC
TELEPHONE
CONTRACTORS MAILING ADDRESs363 CANYON HIGHLANDS DR OROVILLE, 95966
j
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation Is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS 105 GLEN CIRCLE DR
PERMITFEE
$
OROVILLE
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF Q Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities b Installation ❑ Other ❑
Describe Work: UPGRADE ELCTRIC SERVICE
Mobile Home S I G W 1
920.00
PERMITFEE
S
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main Service ( 200AORLLEESS )
23.00 23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I( 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 ^ /y Lic. No. 7
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
NEW CONST. DWELLING OCCUP.
OR ( 8 ACC. BLDS. )
SD.
3.5¢ FT.
CNS.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES)
2e ®I oe
e°L s°
EX. Occup. ( OUTLETS (R S D.OEA )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring.
23.00
PRE INSPECTION
23.00
PERMITFEE
$ 66,00
Contractor
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
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
0" -one hundred dollars ($100) or less.)
f—1 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 0— __ Date =� �� %�6 _
_
Si ature of Applicant - ❑ Owner ontractor ❑ 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 $ 66.00
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF PARCEL
I PD HD
I!/SE
This permit is hereby issued under the applicable provisions
of the Butte CountCode and/or Resolutions to do work
Indic above for hich fees have been paid.
Date
By 7-3Z—
PERMITEXPIRESON `" 3 — �7
I (Date)
Receipt No. 202190
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
0�/ �- 9 - �'�9�
CHR(27)+'(sOpl6.67hOT'
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER e C,_✓` A er ko P o. 81-. -00
Proposed Building Use v Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
1. All items have been submitted.
2. Plot plans, 3/4 sets, signed by preparer of plans.
3. Complete plans, 3/4 sets, signed by preparer of plans.
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans.
5. Hazardous Material Form.
6. Energy Design Compliance and supporting documentation.
7. Statement of Intent for Non -Heated and A/C Buildings.
8. Engineered truss details and layout in duplicate (required prior to plan check).
9. Mobilehome data and manufacturer's installation instructions, 2 sets.
10. Fees of $
11. Impact fees as shown on attached schedule.
12. California Department of Forestry plan approval/fees.
13. Flood elevation letter (100 year flood) by California Engineer.
14. Sanitation and plot plan approval Health Department.
15. City of Chico plumbing permit.
16. Plot plan and business license approval from City of Biggs/Gridley.
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage.
19. Driveway permit (construction aproval required prior to occupancy).
20. Pre -inspection for e XC- C -� y- 1 L__ required.
21. Contractor's license information. (No., Name Style, Classification).
22. Certificate of Workmans Compensation Insurance.
23. Owner -Builder Verification (Given to owner , Mail to owner �.
24. Recorded copy of Agricultural Acknowledgement Statement.
25. Letter of signature authorization.
26. Copy of recorded deed of parcel creation and 60 right of way to a public road.
27. Letter of intent on building use.
28. Mobilehome utility clearance.
29. Documentation of legal access.
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements.
31. Existing violations/expired permits.
32. Plan check list.
33.
34.
When you issue the permit, process as follows: Mail to owner
Telephone and hold for pickup at
Other
Mail to contractor.
office. Deliver with inspector.
Applicant Date
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew
action on an application after expiration, a new application; plans and fees will be required.
FEE REFUNDS
Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from .
the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued
permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked
and other department costs are not refundable.
Original - Applicant
�-. . .y-�':..,7�-ni17� � .. '-r•!!Y�„r..r.�rr ..•-��.'SC�i.<•ti.. �. �.�,... .r .• �.a, ie_»•�.-..rw.. r-•r�.,; ..rL: to � _.�
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"'TTT CO�,,UNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
11
PERMIT APPLICATION DATA SHEET
OWNER C, OV C/ P o.
Proposed Building Use v 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.
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.
All items have been submitted . ........................................
Plot plan's; 3/41sets, signed by preparer of plans . ..........................
Complete plans, /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 ap roval equired prior to occupancy). ..
� Fre-Inspection.roqu..e-fa
Pre -inspection for 61C- C` f^ ! L, required. . to Building 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 . ...............
I
31. Existing violations/expired permits . ......................................
32. Plan checklist ...................................................... r
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor. s
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant 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;,,