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Home My WebLink About068-210-057068-21-0-057 92-3237E WO, -Chr' s' 73 Arbol Ave, Oroville contr: Webster Electric .��. elec. sery/sf- - 068=210-057 PERMIT#94-3389 HARD, CHRIS 73 ARBOL AVE., OROVILLE / CONT: ELY ROOFING INC. 9 5 REROOF/SF m T!068-210-057 PERMIT#94.=3389 HARD, CHRIS 73 ARBOL AVE., OROVILLE CONT: ELY ROOFING INC. REROOF/SF /2 /29/Q� ' r 1 4 e r j „w— Kn ^01 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 —P T No. APPLICATION AND PERMIT 91 3 V O ( aR4 iNU b S / ZONING BUILDAG PERMIT OWNER unri5 Karo TELEPHONE t UOv PLJIG SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 014 L111culn t-iy yuhurn C"A 9�)bU3 CONTRACTOR'S NAME L L y "IUUYi.1� Il1C TEI.E� QNE 3 �"JUu,i CONTRACTOR'S MAILWG ADDRESS L36y1 v011trL1CCO1:6 UC l:ti2C0 CHS97-)Z6 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 $ BUILYIN; ADHRrES0 O U r u v i 113 PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 ' Solar or heat pump water heater 23.00 .LOT NO. SUBDIVISION'SNAME••�"e..'r PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 UIE OF STRUCTURE Y ,w r r —SF"Duplex ❑ T Mobilehome Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ElUtilities ❑ Installation ❑ Other [J• Describe Work: L@Ii3UVtXl3i111;' tOOflJliry & re:placl� PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 W l U }» Lump — ZJ o CI L3 Main Service ( 2'ov OR LESS ODA OR LESS ) 23.00 Main Service I 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 FSTO,, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) d I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code a� my license is in full force and effect, V U ! L) U V `-.� 7 License No. Classification O 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) O 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.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) d SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. so Ex. Occu FIXED APPWS. OR p' ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. 6 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. ❑ 1 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 MECHANI AL PERMIT Filing Fee 20.00 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 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 Countyinconsegpence of the granting of this permit. Date 1 4 J SignaturC of Applicant - ❑ Owner Contractor ❑ Agent An OSHA 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 FEES J 4. I1 V HAZ. I D. FEES I IMP I F)_OOD CDF PARCEL I PO 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. / By E.� `'�? / Date .� ,i 1 F' / PERMIT EXPIRES ON Ic:'! lDetel �— Receipt ! 0-r ! WHITE-DS.-B.D.If .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive - Oroville, California,95965 - Telephone (916) 538-7541 P RMIT NO. APPLICATION AND PERMIT �- 3 ASSESSOR PARCEL NUMBER 068-210-057 ZONING BUILDAG PERMIT OWNER Chris Haro TELEPHONE 885-5104 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 812 Lincoln Wy Auburn CA 95603 2000 1 �% `-' O O CONTRACTOR'S NAME Ely Roofing Inc TELEPHONE 343-7663 CONTRACTOR'S MAILING ADDRESS 91 Contractors Dr Chico CA 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 29.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 73 Arbol - Oroville PERMIT FEE S 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 SF MDuplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W ` 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CX Describe Work: remov*Xisting roofing & replace PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 W/20 yr Comp - 20 ss `i g Main Service ( OOOV OR LESS 2OOAORLESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLDS. ) SO, 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) �! I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and license is in full force and effect. License No. 607399 Classification C-39 ❑ 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 CIN. Ex. Occup. ( OUTLET OR FIXTURES ) B20@1.00 Ex. Occup.FIXED APPLNS. OR (OUTLETS PPLNS'.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. 3 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. ❑ 1 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 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 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 County in consequence of t19 planting of this permit. X Date 12-28-94 Signatu a of Applicant - ❑ Owner M Contractor ❑ Agent An OSHA 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 $ 49.00 HAZ- I D. FEES IMP I FLOOD I COF 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. Date o2 17407fl— PERMIT EXPIRES ON ete ReceiptNo. ��`BY WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT in COUNTY OF BUTTE BUILDING DEPT Ut C � 9 1994 ,1;�;7.i�¢w .w+ti�. , ..;:�� " •�,`��K?(`i�i'7_s3?Y9�¢n"*�r+e'.�w°v : ,�: r'.;,ifn`Y.� T. firi�7•;�vR'S<. Y `068-21-0-057 92-3237E HARD, Chris 73 Arbol Ave,•oroville contra Webster Electric elect- sery/sf ., , OFFICE COPY Address 93 -- Me 3 � rJ' Me er y ELECTRIC le5 / Meter By l ' Date �,•yalcaC`. 0A �lr COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT ERMIT NO. z-�--2�7 ASSESSOR PARCEL NUMBER 068-210-057 ZONING II C BUILDING PERMIT OWNER CHRIS HARD TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 812 LINCOLN WAY AUBURN CONTRACTOR'S NAME I+/E85TER ELECTRIC TELEPHONE 533-3522 CONTRACTOR'S MAILING ADDRESS 363 CANYON IIIGHUNDS DRIVE OROVILLE 95966 Fireplace CONSTRUCTION LENDERUNKNOWN 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 3ARBOL AVE OROVILIE' 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 7 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF n Duplex❑ Mobilehome❑ Other SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [n InstallationC Other ❑ Describe work: ELFT SERVICE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 18•� CONTRACTORS LICENSE LAW I declare order penalty OfNEW y 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.'s+ i /' Classification 1 fJli FlI, 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) _37.50 NEW CONST. ( DWELLING OCCUP.&) 3.64 sq.ft. OR ADONS. ACC. BLDGS. // CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 760 FIXED Ex. Occup. OUTLETS PIR ESID,IREA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 • PRE INSP• Permit Fee $ b8•50 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 .onsent to Self -Insure. 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 FiIirig Fee 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 96.,,? •c-, eo /�.d ��. Date '�'�/ _ ? 7,�.-�""�� 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 Installation Fee S Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE $ 68-50 ttAz 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;Code and/or resolutions to do work indicated abgwe fo-r which fees have been paid. D/ TSR OF PUBLIC WORKS _ BY %l % Date 9'Z PERMIT EXPIRES ES Date :;-f - / 123239 Receipt No. WNITE-O.P.W., 1ELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PRE -INSPECTION OWNER: C/�- l/ / ` DATE LOCATION: 7 -3 l/ A. P. CONTRACTOR: l/[ --y ZONING /7' C� PRE -INSPECTION FOR: �- DATE TO INSPECTOR PERMIT HISTORY: � ONE F-1 AS - FOLLOWS: TYPE OF OCCUPANCY I FIELD - INF:ORMATION BUILDING USAGE: TENNANT: C2kOCCUPIED [] HAS ELECTRIC 5D FAS GAS Q HAS SANITATION FACILITIES Q HEATED -COOLED PERSON CONTACTED i OTHER COMMENTS: ACTION RECOMMENDED: j ISSUE Q HOLD FOR OTHER: i I BY �M . ti DATE 2 , - . 7 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 068-210-057 ZONING H C BUILDING PERMIT OWNER CHRIS HARD TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 812 LINCOLN WAY AUBURN CONTRACTOR'S NAME WEBSTER ELECTRIC TELEPHONE 533-8522 CONTRACTOR'S MAILING ADDRESS 363 CANYON HIGHLANDS DRIVE OROVILLE 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3 ARBOL AVE OROVILLE 95966 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 -7-Each PARCEL MAP Water piping 7.00 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 I G I W @ 15.00 TYPE OF WORK� New Addition❑ Remodel E] Utilitiesy, l_I Installation❑ Other ❑ Describe work: ELECT SERVICE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 18.50 Main service 20GATO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare er penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession od n my license is in full force effect. License No. Classification �/ FJI, 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) F1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.81 OR AODNS. 1 ACC. BLDGS. II 3.66sq.ft. NEWCONSTR "UL -OUTLET _NON .RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(0UTLETS OR FIXTURES A20 76 FIXED EX. Occup. OUTLETS PRESID.)APLNS.REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.420.00 Misc. bVirin g 15.15.00 PRE INSP Permit Fee $ 68.50 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 nsent to Self -Insure. 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 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. XQA1��/�� J G' /f Z 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 Installation Fee S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ 68.50 HAz 1 0FEES IMP I FLOOD I COF I PARCEL PD I HD ISSUE This permit is hereby issued under the sions of the Butte Conn ode and/or work indicat b which fees OF PUBLIC By PERMIT EXPIRES Date 9—/5' applicable provi- � resolutions to do have been paid. WORKS Da Receipt No. 123239 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - &PARTMENT OF PUBLIC WORID - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 OWNER Q__ Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector Date -6j" 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. Driveway permit (con,�Jructi n approval required prior to occupancy). 20. Pre -inspection for 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. Mail to con!!L_6eliver Telephone and hold for pickup at office. with inspector. Other p Applicant Date / S 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 issuance -for 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 i / rA COUNTY OF BUTTEPARTMENT OF�PUBLIC WO - BUILDING D4V_-ISION� ^ 7 COUNTY CENTER DRIVE - OROVILLEFCALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER �/ 1 � 1�--� 6 No.��/!I Proposed Building Use Building Inspect o 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. 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. .......... . � 9. Driveway permit (co?,M pproval required prior to occupancy). .. ... . L/ 20. Pre -inspection for to Building `e for � regUlred. . to Building Inspector (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 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 contract r. Telephone and hold for pickup at office. �eliverith 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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916.'538-7541 APPLICATION -AND PERMIT ASSESSOR PARCEL NUMBER QS 20NING 14 BUILDING PERMIT O ER Crt/z r M TELEPHONE SQ.FT. OCC. BUILDING VALUATION WN 'S MAI NG AD RESS Z G D L ftumll/./ Com} C UNTRAC TOF3.LS 11 AME—F TELEP/ r 6_339 � ,w CONT C L 'S MAILING ADDRESS CfT/U`�Dir� /f /6f�C�/✓OS ��1, C 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 ADD S� - ^� �^ 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 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE_ SF Duplex❑ Mobdehome❑ . 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 WOR New Addition El �Rpe'mo/deI Utilitie% Installation❑ Other C Describe work: s,��i/`V t G e Permit Fee $ - Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service LESS 200A OR LESS 18.50 , CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Codeand my license is in full force and effect. 3�2�G G �� License No. ClassificationAL ElI, 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 1000AI 37.50 OCCUP.&) 3.6Q sq.ft. NEW CONST. / DWELLING OR AODNS. ACC. BLDGS. / 1 NEW CONSTR ULTI.OUT LET @ 5.00 NON•RESID BRANCH CIRC ITS POWER APPARATUS 8 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d 4rA FIXED Ex. OCCup. OUTLETS (RESIO.)APLISISREA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 , 9 ipzz�,. 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-9persent to Self -Insure. 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 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 y way accrue against said County in consequence of the granting of this perm t. X Date Signature of Applicant — Owner[] Contractor E]Agent An OSHAwork 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 $ , HAz 0FEES IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 3 WNIT[-D.P.W., YCLLOW- ASSES 3011, PINK -INSPECTOR. GOLDENROD -APPLICANT ELY ROOFING INC. 13291 CONTRACTORS DR CHICO, CA 95926 Yrt# r. LAN D OF NA i URAL WHA!. i H AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 11/06/95 RE: Building Permit # 94-3389 Expiration Date: 12/.29/95 A.P. # 068-210-057 With reference to the above subject, - our• -records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days -of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [XX] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should Oyou have any questions concerning this matter, please contact the office. Thank you for your prompt attention concerning this matter. Yours very truly, Micb1ael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307