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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 � _.� +" r_. ,<�.7r.,,,-y. ... �.^ �,rJ`a ti�trTy .-ir'w•. .1 'ti-,�.�.fr, . ..,.r "'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;,,