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Home My WebLink About068-346-022COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754P IT NO. 1 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUME.-R 068-346-02.2 ZONING BUILDING PERMIT OWNER MBE, ROBERT TELEPHONE 934-4119 SO. FT. OCC. BUILDING VALUATION 560 U 10 080.00 . OWNERS MAILING ADDRESS 4090 HIIAAI-E AVE. OROVE-LE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 10,08 .00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ al BLIILDI G �EsHIIDAJ-E AVE. OROV11 T.F. (� _QQ Energy Plan Checking Fee $ $ PERMIT FEE $ 997 QO LOT NO. SUEIDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DET azl) GARAGE Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00' R LESS Main Service 2o0A OR LESS23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 71 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 Main Service TO 46.00 NEW CONST. DWEW EE CU NG OCCUP. SO OR ADONS. ( a ACC. 6LDS. 3•5¢n. 19.60 NoµRESIDT' MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 @ 1.00 OUTLET OR FIXTURES Ex. Occu SAL @ .50 Ex. Occup. DFtr. Aa DRQ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $62.60 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith com I ith those provisions. X 'f Date Signature of Applica - ❑ Owner ❑ Contractor ❑ Agefit An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee Is oc ST. TYPE N TOTAL FEE $ 29C. 5.0 jqA! D I FLo cDF P c PD HD 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. 6 By l� J Dat J PERMIT EXPIRES ON Dale FReceipt No. 343697 $290- 5n WHITE-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 (530) 538-7541ER�,��lo %v 12/96) APPLICATION AND PERMIT _ A:S-- s nP Fp . N:2, lltfll�� (7V^' '/ ZGNIN P_ TELEPHONE BUILDINGPERMIT SO. FT. OCC. BUILDING VALUATION 100 DcK �. de COUC�TL]OOR''1SS NN -AME i TELEPHONE COrRRACTCRS MAILING ADDRESS CO ;ST RUCTION LENDER -- - ' Fireplace <F r+O EN 5 MAJUNG ADDRESS Total Valuation Is (7 �. (o AACHffEGT OR ENGINEER UC ENSE NO Fling Fee I $ 20.0 C I Permit Fee b �� c0� i Plan Checking Fee S _ D I Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS SUI Lolt, �Aqe�� I ale /j_ , _ ,� c�`� / _ ^� �t� PERMIT FEE $ rLZ%. D - LATNO. SUBDIVISIONS NAME i PARCEL MAP PLUMBING PERMIT Filing Feel 20.CO — I -- 7.j Each Trap 00 USEOFSTRUCT`JRE 001 AC_ SF ❑ Duplex ❑ Mobilehome O Other SPEcIFv - Solar or heat pump water heater 23.001 Water piping 15.00'• Each gas water heater or vent 15.001. TYPE OF WORK New ❑ AddRion O Remodel ❑ Utilit O Installation O Other O Describe Work: n / � e � Gas piping system 1 - 5 outlets 15. Building sewer I 15.00. Mobile Home I S I G I W ( @20.00' PERMIT FEE $ ELECTRICAL PERMIT I Filing Fee; 20.0E 00011OR LESS F Main Service ( .0A OR LESS I 23.00 u JJ v 1 9 2 [ 0 . —' � *PEP.MXT FEE PAZ (a') SHERIFF s OPERMIT . �^ �• � � AA0VW RECEWEO : _ 11 wR �2 q 3 �/� TO iE PUT ZNTO CO �AK1TERl / Main Service ZOOA TO IOOOA I 46,00 i NEW T. ( DWELLING BOCCSUP. OR ADONS.a 0 3.5CFT NEW CONST. MULT.OUTLET I @7.50; NO N�RESID. II I POWER APPARATUS I i 6 SINGLE OUTLET CIR.____ OUTLET OR FIXTURES C9' :� 1 I Ex. Occup. aAL IIXEO APPINS. OR 5.D0 i Ex. Occup. (OUTLETS (REBID.) EA � 1 1 -- Temporary Service I 23.00! _ Mobile Home Facilities ! 20.00; _ Misc. Wiring 23.00 i FEE $ Z . 0 MECHANICAL PERMIT Filing Fee 1 20_00 Heating j Cooling Hood 6.501 Ventilation PERMIT FEE S _ Mobile Home Installation Fee $ Energy Inspection Fee $ ocp CONS . n' TO AL FEE $ "1H-0 INAZ.0. =ES I %1 0� /XJ COF LEL This permit is hereby issued under the applicable provisicns of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ra ReceiptNo. WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ' `�` f ASSESSOR PARCEL NUMBER O �� I �� ZZ Proposed Building Use: Iia Counter Technician: 1 Date: I Items required in order to apply for a permit. A-11 boxes MUST be checked OR marked NA in order to apply. Plot plans, 3 or 4 sets, signed by the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. A3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Engineered truss details and layouts in duplicate. No faxes! Energy compliance design and supporting documentation in duplicate. . Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. . Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings.......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ...................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other ••.• Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) O 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... evStatement of Intent for Non -heated and A/C Buildings.....................................Sanitation and plot plan approval from the Environmental Health Department in V �� VCao—City of Chico Plumbing permit .................::<...�..�. .................. f� . .. I' California Department of Forestry plan approval C5'paid. Sent by: �I3/ .......... ❑1� Planning approval for (A) Use: (B)Parking: (C) Parcel Check: 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑2�Worker's Compensation Carrier and Policy Number .............. ®:.............................. 5. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: 011r:1 i When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. 41. 02 Applicant WDatel?14 -a 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by _ Contractor, designer, oTMOT dvised of theabove data by El phone, El mail, ❑ count_eI, b Plans reviewed by: Date: p�'Q� Plans approved by: PI-- Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Plan Check Letter _Date: _Date: Date: 5 Date: x. ' . , E.H. USE ONLY Plot Aan Attachod F2osjftn Attachad sent to G.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ' Owner Location AP# * Plan Approved for: Sewage Dispossah_ Water Supply: Public-�,_ Private Well Clearance for dwelling. Other f Hold final for: Final clearance O.K. for: NOTE: W U4A5 Environmental Health Specialist Date 8/96 '� OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE n I -1 A.P.It - l � s DATE 1 RECEIPT #' DATE REC. PROPOSED BUILDING USE eflt" &,vtre,--,Qe BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ ` A --Additional Fees Due' ............................................ $ --Revised Plan Checking Fee .........................::...... $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division)' Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. r Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. ' 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES / $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK _ b $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) f 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These'fees may be changed during the plan checking process. r APPLICAN 4 %/ DAT Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned. items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). 1 4 Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) PROJECT PROCESSING RECORD Applicant: Owner: A.P. #: Permit #: Work Description: Date Description of Step or Status 67 - �,- 606CJL� ell 51/ 3- 3 y - _ O.B.-J 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. personally plan to provide the ajorI labor and materials for construction of the proposed property imp vement : YES NO 0 2. I HAVE HAVE NOT E3 signed an application for a building permit for the proposed WO& 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: , ADDRESS: CITY: PHONE. CONTRACTOR'S 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: CONTRACTOR'S 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 r SIGNED: PROPERTYOWNER: X jg�vl DATE: el-� NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must 'be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an emplover, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 1 rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection /VOTE: Tris Owner-BuWer Information is required by Sectlon 19830 of the Californla Health and Safely Code - OVER