Loading...
HomeMy WebLinkAbout069-380-012~93 - -37 3B' -270,,RIVERVIEW' 'DR; OROVILLE RERWF/SF # 7 380-012kTfl- MMITIT 7 23-6- " 1-' MC ELH64VY ,age s t 0 ovil V' e r v t :Cont ._,Cu g rge;; 7 e- Rb' truc itir & & M s '-069-380-,012., .01, 3 ALED RA, BEN .o 0-03 D 0 i-RiVERVIEW DR - MIKE HURSFEL' ELEC:SERViCHNG - S.; } �t� X69 •-X380- rl ti � o 4 o ~93 - -37 3B' -270,,RIVERVIEW' 'DR; OROVILLE RERWF/SF # 7 380-012kTfl- MMITIT 7 23-6- " 1-' MC ELH64VY ,age s t 0 ovil V' e r v t :Cont ._,Cu g rge;; 7 e- Rb' truc itir & & M s '-069-380-,012., .01, 3 ALED RA, BEN .o 0-03 D 0 i-RiVERVIEW DR - MIKE HURSFEL' ELEC:SERViCHNG - 012- BECERRA -" '' !.' , � 03AG226, BENL�IN <270 RIVERVIEW-bR, 01 E�' RO -C qpt:,,OWNER N.1 N=,��B IEW R 7Kj3&iLblNG n ap S.; } �t� X69 •-X380- 012- BECERRA -" '' !.' , � 03AG226, BENL�IN <270 RIVERVIEW-bR, 01 E�' RO -C qpt:,,OWNER N.1 N=,��B IEW R 7Kj3&iLblNG n ap rr_ �4s --w %,�=M BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and c ructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PAM j� , 6 )� �J / ZONING A V��J OWNER- .• . 16 M) �_ Y-� PH N qQe OW DIJRE f(ew\161 LOCATION OF BUILDING 0—C Z) kI r�y USE OF BUILDING SIZE OF STRUCTURE %v X = %� SQ. FT. TYPE OF CONSTRZTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDIN ROOF�'V&1^10 FLO P EST�PJJATEf CO UON TION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: .�yyyy�� FRONT— �// hSIDES / REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. n Date �T `� Signature nature of Owner Permit F .00 The above described AG Building is exempt from a boding ding pe it. KD PA�RQt=L P. ROO G I SReceipt No. �/ Manager Building Division �/ By Date -1" �11(14? White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant ,.,, . .... ,,.�...,�„ z 1.:_cYs?r7.",:�Xr' a t:.. �.a,.��rr „ _ ;x z. � �: �..�^ -ra . , . ,. ► ;, •, �, �. ,, - H � �'(�`:S� ' :a�� � ` � J ,. � � o . - 9 • y t • - .l F • - � i } - � ' s �. t r � a - � � :� .� � . ,�. r - - � ,` r — � - .' . .� r - �' moi`}' � ' 't . � � a � _ ` � J -� � • y t • - .l �• ' • + . � . � f/1 GVH n . �► l 7/� i � t, J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 iTERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01-3128 ASSESSOR PARCEL NUMBER 069-380-012 ZONING 1 BUILDING PERMIT OWNER BECERRA TELEPHONE Sp, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 270 RTVF.RVTP.W DR. ORMIJ,E CONTRACTOR'S NAME TELEPHONE -ma-5330 CONTRACTORS MAILING ADDRESS 15 OAMREM DR ORM11-1,17 95066 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS R Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCELMAP 1 PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 8 Installation ❑ Other ❑ Describe Work: ELECTRICAL SERVICE CHANGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S I ELECTRICAL PERMIT Fling Fee 20.00 800V OR ES Main Service zo.AORLESS 23.00 9 • 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 i/nu II f/ore and effect. r� �r License Class C.-/0 Lic. No. ..1.1 rg6 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 astheir 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. I ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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.) certify that in the performance of the work for which this permit is issued, I shall 7 ` 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. �' k-®` X Date Signature of Applicant - O Owner I, Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service Zoog To 46.00so CCU000A NEW CONST. DW JUNG occuP. so OR ADDNS. 8 ACC. BLOS. 3.5¢FT. NON-R61p. ' MULTI -OUTLET P7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FD(TURES BAL @';5500 Ex. Occup. oFMUTETS RRESIo.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 66.00I TOTAL FEE $ HAZ. D. FEES IMP FLOOD I CDF PARCEL I PD I HD ISs This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. in Date /���i�'�J /�"'L' ` ,�F d / BY � � PERMIT EXPIRES ON (Date) Receipt No. '� tid` WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'w (Rev.-' 2/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT 01-3128 PERMIT NO. ASSESSOR PARCEL NUMBER 069-380-012 ZONING BUILDING PERMIT OWNER B TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 270 RTVERVTEW DR, DROVILLF 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF [X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 ] TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities 5 Installation ❑ Other ❑ Describe Work: ELECTRICAL SERVICE CHANGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G w @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A OR IESS 23.00 23.00 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 II f e and effect.l 7 License Class — � Lic. No. � �� l OWNER -BUILDER DECLARATIONOUTLET 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. ❑ I am exempt under Sec. Business and Professions Code for this reason 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 Main Service 200A TO 1000A 46.00 NEW CONST. DW EWNO OCCUP. SO OR ADONS. ( 8 ACC. S.3.50FT, ,�µRESID. MULTI-OBRANCH UTLEITS T 97,50 POWER APPARATUS 6 SINGLE OUTLET CIR. 20 Q 1.00 OR FOCTURES Ex. Occup. BA L .so Ex. Occup. O�xuT rs RI%.OEA_ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION 23.00 PERMIT FEE $ 66.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 coml?lv with those provisions. `of X Date Z ^ 2�®� Signature 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 Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PO HD ISS This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By4hJOZ�to / D PERMIT EXPIRES ON "61-11 D2 I k Dere ReceiptNo. 337376/$66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT s3"1'k�^�lil:1►�..FaI1LY7' s. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION a~� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: i"Zkc e cr RO606) -3� O _ 0 t Z E Proposed Building Use: 2 %J •B'aA0hg Inspector: Date: 1.2 , t? • 11. 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 the preparer of plans............................................................................ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans................................................................... ❑ 4. Engineered plans and calculations, 3/4 sets, with wet signature on plans. ./t All engineering must be shown on plans............................................................................................. ❑ 5. Engineered truss details and layout in duplicate (required prior to plpn review) No faxes! ............... ❑ 6. Energy Design Compliance and supporting documentation................................................................ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings...................................................................... ❑ 8. Hazardous Material Form.................................................................................................................... ❑ 9. Manufactured Home Data and Installation Instructions including Tie Down Specifications .............. ❑ 10. Fees of $.......................................................................................................... ❑ 11. Impact Fees as shown on the attached schedule.................................................................................. ❑ 12. California Department of Forestry Plan Approval/Fees...................................................................... ❑ 13. Flood Elevation Certificate . ............................................ ..................................................................... ❑ 14. Sanitation and Plot Plan Approval Environmental Health Department.......... ❑ 15. City of Chico Plumbing Permit............................................................................................................ ❑ 16. Plot Plan and Business License Approval from the City of Biggs ....................................................... ❑ 17. Planning Approval for (A) Use: (B) Parking: ........... ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel ........................... ❑ 19. Encroachment Permit for Driveway (construction approval prior to occupancy) ............................... 20. Pre -Inspection for E: I ec , '7e ✓y , C(-- -;5 %_N required. Request to Building Inspector (Date) ❑ 21. Contractor's License Information (Number, Name Style, Classification) ........................................... ❑ 22. Workers' Compensation carrier and policy number.............................................................................. ❑ 23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) ............................................. ❑ 24. Letter of Signature Authorization........................................................................................................ ❑ 25. Recorded Copy of Agricultural Acknowledgment Statement.............................................................. ❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................ ❑ 27. Manufactured Home Utility Clearance . .............. :............................................................. ................... ❑ 28. Existing violations and/or expired permits......'.................................................................................... ❑ 29. ❑ 433 A, ❑ Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D. $ ..................... ❑ 30. Other Whe ou issue the permit, rocess as follows: Ll Mail to Owner, C] Mail to Contractor. relephone Z and hold for pickup atoffice. ❑ Deliver with Inspector. Applicant: .A Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: f Copy of Plans sent ❑ Health Department, ❑ Fire Department, ❑ Other 1. Index permit Application for the above items numbered: 2. Additional items required: Date: By: ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Plans reviewed by: Date: Plans reviewed by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Date: Date: Date: Date: Yellow Copy - Department of Development Services - Building Division COUNTY OF- BUTTE Oroville, California GENERAL CLAIM CLAIMANT: F. GEORGE SUMAHIT ADDRESS: PO BOX 5444 CITY & STATE: OROVILLE, CA 95966-5444 DATE OF CLAIM: 10/22/97 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER DECIDED NOT TO BUILD. (A.P. #069-380-012, B.P. #97-2163, RECEIPT #224804, DATED 10/6/97, OWNER: JAMES MCELREAVY. TOTAL AMOUNT PAID.<:.. .............................. RETAIN REFUND PROCESSING FEE.................$25.00 RETAIN BUILDING PERMIT FILING FEE ............ $20.00 RETAIN ELECTRICAL FILING FEE.................$20.00 TOTAL AMOUNT TO BE RETAINED ..................$65.00 TOTAL AMOUNT TO BE REFUNDED ........................$146.50 TOTAL 146. 150 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been p rf or delivered, and that this claim is true and correct as stated. —//17 -- day of �/ 19-U, at t?r,00;1 � Dated this,Calif. s a re o laimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles s�p cified above hav een pe formed or delivered and that there is a Budget Appropriation I j or Specific Board Approval [ I (Check one) for the s m . Dated this 22ND day of OCT. , 19 97at OROVILLE , Calif. Departnient Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND j Dept. Code Exp. Code PAYABLE FROM FUND Dept Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: Receipt Information: Number: Date: Issued To: Amount: Fees Retained: Processing Fee ✓ Bldg Filing Fee: Plbg. Filing Fee d Elec Filing Fee Mech Filing Fee: Energy P/C Fee. Plan Check Fee Inspection Fee SRA Fee: Total Amount Retained TOTAL REFUND DUE REFUND CLAIM APPLICATION CLAIMANT'S NAME C CS J 1 MAILING ADDRESS ASSESSOR PARCEL #: 0t99— Sed- 0/ o?, RECEIPT NUMBER(S) � a4 Request a refund of fees paid on the above receipt number(s) for the following reasons: d Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) (� Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE DATE PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, ..California 95965 - Telephone (916) 538-754 ,q PE�MI 0. (Rev. 12/96) APPLICATION AND PERMIT ff ((�� ASSESSOR PARCEL NUMBER 069-380-012 , ZONING ARI BUILDING PERMIT OWNER JAMES MC ELREAVY TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 128 RIVERVIEW DR OROVILLE 95966 rnNT 6,400-00 CONTRACTOR'S NAME CUSTOM BLDG BY GEORGE TELEPHONE ' 534-3689 CONTRACTOR'S MAILING ADDRESS PO BOX 5444 OROVILLE 95966 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ _ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 90-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 919-90 BUILDING ADDRESS 270 RIVERVIEW DR Energy Plan Checking Fee $ OROVILLE $ PERMIT FEE $ 168-50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IS 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 IK Describe Work: CHANGE ROOF STRUCTURE & MISC ELEC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoov oR Less 2ooA oR Less 23.00 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 ftAforce and effect. • / License Class Lic. NO. C� 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. SO : 3.50NEW CONST. NON•RESID. MULcTI.OUTLET 97,50 S POINGWERLEAPPARATUCIR. 8 SOUTLET Ex. Occup. OUTLET OR FOCTUREs 20 Q 100 BAL o .50 Ex. Occup. ourrs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 43.00 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' comps sation laws of California, and' agree that if I should become subject to the orker compensatio visions of sect' n 3700 of the Labor Code, I shall rthwit comply with ose provisions. a X Date_ - pplicant O ner Contractor ❑ Agent An OSHA permit is requir f r io s over 5'0" 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 $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 211.50 HA2. 1 D. FEES IMP I FLOOD I COF 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 Date PERMIT EXPIRES ON ate Receipt No. 224804 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916)538-7541---- PERMIT 916)538-7541---- PERMIT APPLICATION DATA SHEET OWNER PAC,M t�Y No. D (C 7" O -O I D Proposed Building Use Building Inspector Date V 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 signatur 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 approval required prior to occupancy). .. . . 20. Pre -inspection for t. 4- speclon reque t required. . . to Building Inspector 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. Whe you issue theergit, grPss as follows: Mail o owner. Mail to contractor. Telephone �a and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applica Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Poll+n D; Copy of plans sent Health Dept. Fire Dept. Other Date 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: M 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 ' ` .. `' .. ,a,`�`;"�...sc_,.,wr:-:,1^^�c.� ^rny_663�:•y-^"" �"R: .-•'a•, ;+.w,.:.f. n�a�.�.'-a.j;�sr�,•ri•a,7�IL-�. �1!5'.`w�7adw�1-v..�XR►y(!•.rgl 069-38-0-012 93-373B •LIROU, AL . ; 270 RIVERVIEW DR, OROVILLE. k. 4, REROOF/SF 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 Q— ZONING AR -1 BUILDING PERMIT OWNER Al Hroit TELEPHONE 589-2fl95 SO. FT. DCCT. BUILDING VALUATION OWNER'S MAILING ADDRESS 270 ew Drive Oroville 95965 22 2860.00 CONTRACT OR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER KNOWN UN Total Valuation $ 2,860.W LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 660.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE I SF a Duplex ❑ Mobi lehome ❑ Other SPECIFY I 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 ❑ Uti lities ❑ Installation ❑ Other ] Describe work: Reroof Built up � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury p y p l y (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlness and Professions Code and my license Is In full force and effect. License No. Classification lir 1, 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 200ATO1000A) 37.50 NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft. OR ACDNS. ACC, SLOGS. II NEW CONSTR. U TI.OUTLET NON .RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS, OR EX. Occup. OUTLETS (RESID.) EAJ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 Certifricate 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 15.00 Heating Cooling Hood 6.50 Ventilation Pernit 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 �inncconsequence of the granting of this permit. X — �'�`" ?`'r' '� �'`'�-� Date -1 - /� - " Signature PP Contractor Agent Si nature of Applicant - Owner ❑ ❑ 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 TOTAL FEE $60.00 HAz I DFEES I IMP I FOOD I CD F PARCEL PD HD IssuE This permit is hereby issued under the applicable provi- sions of thi Butte County Code and/or resolutions to do I r work indic,bted above for which fee$ have been paid. X // DI TO .OF PUBLIC WORKS By / ^ �// . �.% Date I� f 19 PERMIT -EXPIRES Date 1:35433 Receipt No. WMITC-D.P.W., TELLOW-ASeC330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTt - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 069-380-012 ZONING AR -1 BUILDING PERMIT::�J OWNEAt Li R rou TELEPHONE 589-2095 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS . erview Drive. Oroville 95965 270 1 22 2,860.00 CONTRACTOR'S NAME nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ 2,860.00 LENDER'S MAILING ADDRESS Filing Fee $ 1.55,00 Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 60.00 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 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF [J Duplex[] Mobilehome❑ Other SPECT FY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other] Describe work: Reroof Built up Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the BU and Professions Code and my license is in full force and effect. License No. Classification IRrFIXED 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) El 1, 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 $7,50 NEW CONST./ DWELLING OCCUP.&) OR ADDNS, ( AGC. BLDGS. 3.60 sq.f[. NEW CONSTR ULTI.OUT LET NON •RESID BRANCH CIRCITS @ 5.00SIneSs POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES20 @ 764 APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) .3.00 Temporary service 1 5.00 Mobile Home Facilities 1 5.00 Misc. Wiring -15.00 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 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 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 any way accrue against said County in ansequence of the granting of this permit. 2 X � � Date �` �� " 7 Signature of Applicant — Owner 6 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 $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 60.00 HAz 1 DFEES I IMP I FLOOD I CDF = I ISsu This permit is hereby issued under the sions Of t Butte Count Code and/or work I i ted which a DI F UB BY PE PI. S Date applicable provi- esolutions to do ave been aid. ORKS Dat Receipt No. 135433 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT y O 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 es or no) 2. I (hay./have not) signed an application for a building.permit for`"�he proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. .1 place 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 Owner Social Security Number/> Date � — / � �.� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of -the Califor---nia- 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`S DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Dri\Fa - Oroville, California 95965 - Telephone: 916/"538-7541 APPLICATION AND PERMIT ASSESSOR, PARCEL NUMBER ' 24,0 — U % ZONING BUILDING PERMIT OWNS �//(`�'' TELEPHONE SQ. FT. OCC. BUILDING VALUATION ) �''� OWNER'S MAILING ADDRESS IL `4) V � V A— V CO�gITR AC T,Ojt• N ME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ C7 (9 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS " r V Permit fee $ At- Z9 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❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mob le Home I S I GJWJ @ 15.00 TYPE OF WORK New❑ Addition ED Remode10 Utilities❑ Instal lation❑ Oth/�jr❑ Describe work: E�0 F wy LALT— U Y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 00V OR LESS Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under enact of penalty perjury lur y (check one): ❑ 1 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO t000A1 37.501 NEW CONST. ( DWELLING OCCUP. &\ OR ADONS, l ACC. BLDGS. 3.6d sd.ft. NEWCONSTR ULTI.OUT LET NON.R ESI. BRANCH CIR_" ITS @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. / EX. OCCUp( OUTLETS OR FIXTURES 76 RAL 20 d (a 4fidL. Ex. Occup. OUTLETS PaESID IREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities FT 15.00 Misc. Wiring 15.00 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 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 15.00 Heating Cooling I 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 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 inny way accrue against said County in consequence of the granting of this per It. X Date �­ � I 1 --72 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 TOTAL FEE $ do,O r O C7 HAz 0FEES IMP fL000 CDF =PARCEL HD ISSUE j This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. �.3 (I 3� wMITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT