Loading...
HomeMy WebLinkAbout068-130-071M • p u :;068-1-3=0-071 � : g `92-.3543E `yWIXOM,'..LYn '�-- �,�,' `;_ < { i� ' ..• F +` P-RICE,-Geor-ge - - 395 x-1,19 Palermo Dr, Oroville II f r 1� 34-07-71 b,elee wiring/sfo (n 1 t cU �f. L Palermo Drive off Plumas Drive 06 068=13-0-071 "' ;; 93-2732 P_ W-7, Oroville WIXOM, 'LYNN ', 119 PALERMO •DR,;,,OROVILLE . 9 `.PROPANE; & HVAC/,SF �' W RICE, -George George C . 5620B } r 5386E Z { 4-07-7 119 Palermo .,• Oroville n 1 (addition) t ° J 9 _ •i 1Y I 0 t r I i ' 1 t i•, t. i F i Y r¢� 1 Ip { t .1 � 1 r r r f 0 1. r t J i , M • p u :;068-1-3=0-071 � : g `92-.3543E `yWIXOM,'..LYn '�-- �,�,' `;_ < { i� ' ..• F +` P-RICE,-Geor-ge - - 395 x-1,19 Palermo Dr, Oroville II f r 1� 34-07-71 b,elee wiring/sfo (n 1 t cU �f. L Palermo Drive off Plumas Drive 06 068=13-0-071 "' ;; 93-2732 P_ W-7, Oroville WIXOM, 'LYNN ', 119 PALERMO •DR,;,,OROVILLE . 9 `.PROPANE; & HVAC/,SF �' W RICE, -George George C . 5620B } r 5386E Z { 4-07-7 119 Palermo .,• Oroville n 1 (addition) t ° J 9 _ •i 1Y I 0 0 .7 .. . ..... .... - 068-13-0-071,'493-2732 P, M "WIXOM,' LYNN 4:1 119 PALERMO DR, ORbVILLE PROPANE & HVAC/SF 'Plo'oFia 60ov- s j oA? GAS Meter t e�r By m6ter B y ate i lw� I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT`��Z ASSESSOR PARCEL NUMBER 068--130-071 ZONING AR -1 BUILDING PERMIT OWNER L n Wixom TELEPHONE 589-1393 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 63 Solana Dr., Oroville 95966 CONTRACTOR'S NAME Omer TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN 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 ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 119 Palermo DT., Oroville PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFY@ Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 • Building sewer 15.00 Mobile HomeS G W ` 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Ey HVAC & Propane Describe Work: ' PERMIT FEE $ 35.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 620 OV OR LESS ) 20OA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 FSD.T. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1111 I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 1 20 BAL. @ 1.50 Ex. Occup.FIXED APPS. OR (OW UTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 2 Wall Heaters 2 R5.00 30.00 Cooling Swamp Roof 15.00 Hood 6.50 Ventilation PERMIT FEE $ 65,00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 Couro in consequence ;f the granting of this permit. X Date'����� Signat of Ap licantOwner ClContractor ❑ Agent An OS permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 1� . 00 HAZ D. FEES I IMP I FLOOD I CDF I 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. DIRECTO-RQF PUBLIC WORKS By frl t/!Y %, 1` +r Date � 'r/ ��. 5 : i S PERMIT EXPIRES ON O (Dote) ReceiptNo. I/ ' WHITE-D.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. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-130-071 ZONING AR -1 BUILDING PERMIT OWNER Lynn Wixom TELEPHONE 589-1393 SQ. FT. OCC. BUILDING VALU (0 OWNER'S MAILING ADDRESS 63 Solana Dr., Oroville 95966 CONTRACTOR'S NAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 119 Palermo Dr . , Oroville PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFX) Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 15.00 5. Building sewer 15.00 Mobile Home S G W @2'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Cl Installation 1:1 Other CX Describe Work: HVAC & Propane PERMIT FEE 35.00 $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8, ACC. BLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification i� I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-fleslD. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 Ex. Occup.FIXED APPLNS. Ofl ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 2 Wall Heaters 2 115.00 30.00 Cooling Roof 15 .00 Hood Ventilation E650 PERMIT FEE S 65 •00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 Couro in consequence of the granting of this permit. P L Date Signat of Ap licant - Owner ❑ Contractor 1:1Agent An O permit is required for excavations over 5"0" deep and demolition or An constru tion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES 100.00 HAZ. I D. FEES I IMP I FLOOD I CDF I PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or above for which fees have DIRECTO UBLIC BY J� PERMIT EXPIRES ON __ jh the applicable provisions Resolutions to do work been paid. WORKS Aa Date � / /3 44 (De tel Receipt No. V/5-0 �0 WHITE-D.D.S.-B D CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ^.�,?`,w�L%y-'�}`�.`r�"�'?,°ti�'�!'r"�}\.:'y�'+J"��a�+i �-:-r�n'�`°�'r... ..� •�.. _ ^'►'�eyS'�"a�,�i�'..' -i X40 COUNTYOF BUTTE - DEPARTMENTOF D .VELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER 4. Proposed Building Use /r//XD A No. "� Building Inspector Date At time of permit - ication, I was advised the following data must be submitted prior to permit processing and/or issuance: 7DATE RECEIVED BY 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 . .s 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 approval required prior to occupancy). .. .... 20. Pre -inspection for required. .. o e .1d 9 �specto�- (Date) 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 signatureAauthorization......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on- building use . .......................................... 2g. 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. .. r ................................................ . 33. .34. 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 Applicant 'Ij l�J 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 - COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES -7 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307' r CORRECTION NOTICE OWNER PERMIT NO. y=; A routine inspection indicates that the following violations of Butte County Ordinances exist at` the above address and should be corrected. Please notify this office when correction of work' i is comp ed. If you have any questions pertaining to this matter, or need additional explanation, rV plea contact this office immediately. .rte- �1ynIts- %!L�� K; 41 L Date Inspector REV 10/ 2 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone " Contractors License No. 4: I plan to provide portions of this work, but I have hired -the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors Lidense Nd. 5. I will provide some of the work,but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Nu r Date 9 - V9 —IT -77 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. :ia'""' �7.,, �-r, � i«•�/'_ A '.fAw F«'.. _ +%. ,�� u ,; ',� •-� i;. • w J. '+-. r:.. � t r x ft '� t xe''S.. 4r =071 �9'2- n 3543E mo Dr, Orov Wiring/. i11e 101919,3 r {OFFICE:COPY 'Address' GAS+ ,. �`• '�, ' Meter t�LCT MeterNa �-•, •fi a '_.. LOW --lc COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 Pounty Center Drive - Oroville, California 95965 - Telephone: 916;538-7541 �- �� / APPLICATION AND PERMIT c ' �/ ASSESSOR P 'CEL NUMBER 068-130-071 ZONING AR 1 BUILDING PERMIT OWNER LYN JdWWWixom TELEPHONE 589-1393 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 63 SOLANA DRIVE OROVILLE 95966 CONTRACTrO�RT'SS NAME 0111 L R TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS j Filing Fee $ 1.55,00 Permit Fee $ ARCHITECT OR ENGINEER LICE E NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 119 PALERMO DRIVR, 0ROVILLE 95966 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARC �cL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF n Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition El Remodel ❑ Utilities A Installation❑ Other ❑ Describe work: P SC WIRING FOR SERVICE 111AT CTAS BEEN _ PREVIOUSLY TURNED OFF. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 20GATO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business(POWER and Professions Code and my license is in full force and effect. 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.h 3.60 sq.ft. OR ACDNS. (ACC. BLDGS. ) NEW CONST R. MULTI.OU TLET NON-RESID BRANCH CIRC ITS @ 5.00 CIRCUITS) APPARATUS SINGLE OUTLET CIR. ) 20 760 Ex. Occup(OUTLETS OR FIXTURES dAL ARA f Ex. Occup. OUTLETS PRESID IREA.) ! 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 9 15-00 ? :: • Permit Fee V $ 50.00 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 suchprovisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Fee $ ret actor 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 Countyot 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 Cour}ty in cpnseque,Ffce of t granting of this permit. . f : � Date �_ X�" J .���G ' ,� Sig re of Applicant — _ Owne Contractor ❑ Agent ❑ A 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 5C' 00 HAz I DFEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County C_0�e and/or resolutions to do Work indicate - oveAor lch fees have been paid. If#ECTdR Or PUBLIC WORKS By Date P RMIT EXPIRES Date 125996 Receipt No. WHITE-D.P.W., •EL LOW- ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Laliforn a 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 9 2- as(/�, A ESSOR PARCEL NUMBER 068* -130-071 ZONING AR 1 BUILDING PERMIT OWNER LYN .' blit )(OWI TELEPHONE 589-1393 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 63 SOLANA DRIVE OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 119 PALERMO DRIVE OROVILLE 95966 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water9 P PI In 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities[n Installation[] Other ❑ Describe work: MISC WIRING FOR SERVICE THAT HAS BEEN PREVIOUSLY TURNED OFF. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 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 Code and my license is in full force and effect. 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 Main service 200A TO 1000A) NEW CONST.OR ADDNS. / (ACC, BLDGS. DWELLING OCCUR.&) _37.50 3.6asq.ft. NEW CONSTR ULT' -OUTLET NO N.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities Misc. byirin g 15.00 420.00 Permit Fee $ 50.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. kIRrI 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 15.00 Heating Cooling Hood 6.50 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 auth -' a representatives of the Countyot perror inspection purposes. Butte to enter upon the above-mentionVepharmleys's I also agree to save, indemnify and the County of Butte against all liabilities, judgments, costs, nnses which may in any way accrue agai s d Coun in c nseque of t granting of this permit. Date ��— ' Sign re of Applicant — Owne Contractor ❑ Agent ❑ _ 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 50.00 HAz 1 0FEES IMP FLOOD I CDF I PARCEL I PO HD ISSUE This permit is hereby issued under the sions of the Butte County C de and/or work indicate bove ich fees PUBLIC BY P MI EXPIRES Date /Q— applicable provi- resolutions to do have been paid. WORKS Date X4-8 9 g— 9 L Receipt No. 125996 Receipt WNITE•D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT . �! rYrf h..,Y'+S-..,��r •r t 14 ex y `• + COUNTY OF BUTTE-4AEPARTMENT bF �,OBLIC W01 .::.= BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAL�FORN A 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER / DA k / n,A..� P. No. 6 Cog- / 30 --G7 Proposed Building Use 1jC % 1'N Building Inspector DateZ- 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 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 (co'n�s truction approval required prior to occupancy). . . 20. Pre -inspection for VeYil6i (/�-r'/iii required. .. o`'80di�9i�spenor /U_- �yZ- (Date) 21. Contractor's license infor ation. (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.-,, Mail to co actor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation�/0- Acreage Ap I•cant Date Copy of Haz-Mat form sent Health Dept. Fire De 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 n COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,'Oroville, CA 95965 Phone: 916-538-7541 014NER-BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has. been applied for -in -your name and bearing your signature. Please complete and return this information at your earliest opportunity.to avoid unnecessary delay in processing and issuing your building -permit. No building permit will be issued until this verification is received'. 1. I personally plan to provide the major labor and materials for construction of the.proposed property improvement (yes or no) - 2. I (have/have not)za_4It_Q_ signed an app ication for a building permit for the proposed.work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this. work, but I have hired the following person. to coordinate, supervise, and provide the major work:. Name 'Address City. . Phone' Contractors License"No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owne Social Sec�ar Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER QAC ZONING ( BUILDING PERMIT OWNER /1/ TELEPHONE S - 13R3 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS -SMIAA10, 01K 090 CONTRACTOR 'SN ME I'l TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Q ( le MO (rl'D 1 V Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE to SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities V! Installation❑ Other ❑ Describe work: GR srirot c- _ c�jj /«,tJ / F' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 00V OR LESS Main service 200AOR LESS 18.50 CONTRACTORS LICENSE LAW I declare under enalt of p y p er lur y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 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 Main service 200ATO1000A1 37.50 NEW CONST. ( DWELLING OCCUP.�\ 3.6a sq.ft. OR ADONS. l ACC. BLOGS. r NEW CONSTR ULTI.OUTLET _NON •RESID BRANCH CIRC ITS I @ 5.00 (POWER APPARATUS 61 SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 76d A FIXED APLNS Ex. Occup. OUTLETS PIRESID.IREA.T 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 /5.00 20.©p Permit Fee $ as© o® 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 FiIingFee 1 15.00 Heating Cooling g Hood 6.50 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 Countyot 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 consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHApermit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE pp TOTAL FEE $ �Q HAz I DFEES IMP I FLOOD COF I PARCEL PO HE ISSUE This permit is hereby issued under the applicable provi- sions 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 ie Receipt No. [ R J 1q6 WNITC•D. P. W., YELLOW-Ag9[990R, PINK -INSPECTOR. GOLDENROD -APPLICANT 0 N PRE-IDiSPECTION -:.OWNER : DATE �L1$F LOCATION:- of -pmvo w oleo A.P. 130- G'7/ CONTRACTOR: Ocr),(I(�,� ZONING --------------------------------------------------------------------------------- PRE-INSPECTION FOR (fie(-(. EX�s on/ P19c C(e W i+k Z Exp sr-i/31S /Kefeg S.1, ONe /ue+ept ii -s b�,rAv'(Uru�dl 0 f luD &,+ti 1n ousPs iLoC� S��tucie by dNc A/Ie�e2NELU aw�'`�- e�k''t's��Thcsh�t of N1G�fPe,'ivnNecE' ��ck DATE TO INSPECTOR /CY.� 2_ hAU2 O/`i PERMIT HISTORY: E-1 NONE -CH;-AS FOLLOWS: QJC- t40o 3-5e ' -N,4ie4 (J44A,P4 kous� TYPE OF OCCUPANCY. FIELD - INFORMATION BUILDING USAGE: TENNANT: [� OCCUPIED HAS ELECTRIC HAS GAS Q HAS SANITATION FACILITIES [� HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: ACTION COMMENDED: ISSUE CJ OTHER: -BY HOLD FOR DATE Fo oM Ve eNe /12���� s ev ,/� Sel() "C le Obi ,Pe rAJ: -t &1 ck 7 A J