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HomeMy WebLinkAbout071-290-044FSIkLE FAMILY WITHOUT PERMITS- MAX & SHARYL LHECKER 71-29-0-044 1 10 Hecker Wa Y, Oroville_ r 071-290-044��- PERMIT#96-0521 HECKER,"Max & 'Sharyl 10.Hecker Way,'0roville t Deho'�"Cov &.Open Decks/SF' ' `• ' . �• '� moi. i i rr4 r-F( CSI 17. 5 �tr��c wov`�` Department of Public Works C o u n t y o f B u t t e J. Michael Crump, Director LAND DEVELOPMENT DIVISION 7 County Center Drive Shawn H. O'Brien, Assistant Director Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 March 6, 2006 David S. & Marcia L. Messenger P.O. Box 612, Penn Valley CA 95946-0612 Re: Certificate of Compliance AP 071-290-042 Dear Mr. & Mrs. Messenger: Enclosed please find the Certificate of Compliance that was issued by the Butte County Planning Commission and recorded on December 30, 2005, under Serial Number 2005-0079051, in the office of the Butte County Recorder. . If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 P.M. .Sincerely, I i Stuart Ede I Manager, Land Development Division SE/kp Enclosure cc: �nvironmental Health Department *Building Department Planning Division (DET 05-11) GIS, A1TN: Larry 0 7 AFTER RECORDING RETURN TO Butte County Public Works Dept. LAND DEVELOPMENT- DIVISION 7 County Center Dr. Oroville, CA 95965 CERTIFICATE OF COMPLIANCE Assessor's Parcel Number: Recorded I REC FEE 10.00 Official Records I County of I But I CFMACE J. GRUBBS I County Clerk-Recorderl I I MP 09:225AM 30 -Dec -2W 1 Page 1 of 2 071-290-042 This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division that created the parcel of property identified below, complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. Issued to: David S. & Marcia L. Messenger - P.O. Box 612, Penn Valley, CA 95946-0612 Property Location: East side of Chinook Way, approximately 940 feet south from its intersection with Craig Recreation Access Road. Craig Recreation area. Description:. All that certain property located in the County of Butte, State of California, more particularly described in attached EXHIBIT "A". This certificate relates only to issues of compliance or noncompliance with the Subdivision Map Act and local ordinances enacted pursuant thereto. The parcel described herein may be sold, leased, or financed without further compliance with the Subdivision Map Act or any local ordinance enacted pursuant thereto. Development of the parcel may require issuance of a permit or permits, or other grant or grants of approval. Issuance of this Certificate is conditional upon .the following condition(s) which have been imposed pursuant to the Butte County Code Chapter 20-166 and Government Code, Section 66499.35 (b), to. protect the public health and public safety: NONE State of California, County of Butte, on December 29, 2005 , before me, Thomas L. Blixt, Notary Public, personally appeared, Stuart Edell, personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. THOMAS L. BLIXT, NOTARY PUBLIC rltot,�as c. Biacr _Commission 9 1371740 Notary Public - CaOfamla Butts County j j @MyCmtar E*i w Aug 2i;ti County of Butte STUART EDELL, DEPUTY COUNTY SURVEYOR CERTIFICATE OF COMPLIANCE - Page 2 David S. & Marcia L. Messenger AP 071-290-042 "EXHIBIT "A" All that certain real property situate in the County of Butte, State of California, described as follows: The north half of the west 355 feet of the east 1065 feet of the north half of the southwest quarter of the northeast quarter of Section 36, Township 20 North, Range 5 East, M.D.B. &' M. RESERVING and TOGETHER WITH a right of way for road and public utility purposes over a strip of land 60 feet in width lying 30 feet on each side of the following'described line: BEGINNING at the southeast corner of the north half of the southwest quarter of the northeast quarter of said Section 36; THENCE west along the south line of said north half of the southwest quarter of the northeast quarter of said Section a distance of 1065 feet; THENCE north and parallel with said east line a distance of 660 feet, more or less, to the south line of the northwest quarter of the northeast quarter of said Section 36; THENCE east along said south line a distance of 90 feet; THENCE north and parallel with the east line of said northwest quarter of the northeast quarter 700 feet, more or less, to the southerly line of that certain road known as Craig Park Road, as described in Deed to the State of California, dated May 17, 1968, and recorded July 30, 1969 in Book 1576 of Butte County Official Records, at page 432 and the end of said line. ALSO TOGETHER WITH a .right of way for road and public utility purposes over a strip of land 60 feet in width lying 30 feet on each side of the following described line: BEGINNING at a point on the south line of said northwest quarter of the northeast quarter of said Section 36, from which the southeast corner thereof bears east, 335 feet distant; THENCE from said POINT OF BEGINNING, north and parallel with the east line of said northwest quarter of the northeast quarter a distance of 950 feet, more or less, to the south line of that certain road known as Craig Park Road, as described in Deed to the State of California, dated May 17, 1968, and recorded July 30, 1969 in Book 1576 of Butte County Official Records, at page 432 and the end of said line. ALSO TOGETHER WITH that nonexclusive easement for ingress and egress, over, through and across that existing unimproved road, commonly referred to as "Craig Recreation Access Road" as Granted by the State of California in that Director's Easement Deed recorded February 9, 1993, as instrument number 93-005745, Official Records of Butte County. NOTE: All new structures must meet Fire Safe Regulations of the Butte County Code and Public Resources Code 4290 and 4291. END OF DOCUMENT 071-290=044 PERMIT#96-0521 • _ HECKER, Max.& Sharyl 10 Hecker Way, Oroville. Demo Cov & Open Decks/SF 3/�a /9 Zj I� i ! 3 b o tt x i f i 4 ! COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, Califioirnia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT z/ 7/O' ASSESSOR PARCEL NUMBER 071-29-0-044 ZONNG FR5 BUILDING PERMIT QWN R ;rp MID SHARYL HECKER TELEPHONE 589-$549 SQ. FT. OCC. BUILDING VALUATION EST 500 OWNER'S MAILING ADDRESS 10 HECKER WAY OROVTLLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS , Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 10 IMOR TRAY OROMME PERMITFEE $ 35.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other COV & OPEN DECKING SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New L] Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other C] Describe Work: DFM — Mobile Home IS I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO ,000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. OWELLING OCCUP. OR ADON ( a ) SO. 3.Sa FT. LTI- UTLEBLDS NEW CONST. MULTI -OUTLET S NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CSR. ) Ex. Occup. (OUTLET OR FIXTURES ) BAL 00 I: 0 Ex. Occup. (OUTLETSFIXAPPLN D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation 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 comply with those provisions. n �/ /( �✓� Date _� - /�-1,/ !e X ���;� -- -- Signature o 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 I TOTAL FEE $ 35.00 HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL I PD HD 2SUE This permit is hereby issued under the in the Butte County Code and/or indica bove for which fees ha ,� PERMITEXPIRESON applicable provisions Resolutionsito do work a een aid. 3/12/96 Date 3112/07 (Date) Receipt No. 194756 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT To �/� Dat O �� it ' PM WHIL YOU 1� %OUT M of Phone ) Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU LJRGENT RETURNED YOUR CALL Mesa e t� a� N / t _ Operator - E A S T M A N 4C200 �® crY✓�iC.� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 -County Center Drive - Oroville-Califdmia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 071-29-0-044 ZONING FR5 BU I LD I NEP ERM IT OWNER MAX AND SHARYL HECKER TELEPHONE 589-5549 SQ. FT. OCC. BUILDING VALUATION EST 500 OWNERS MAILING ADDRESS 10 HECKER WAY OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER NONE UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 10 HECKER WAY PERMITFEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other COV & OPEN DECKING SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other It Describe Work: DEMO Mobile Home S I G W 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20:00 a00 Main Service V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: :, 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURSO. OR ADDNS. ( a ACC. BWS. ) 3.50 FT. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 SAL 0 .50 EX. Occup. FIXEDAPPLNo.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 comply with those provisions. 3 — /� / Date __/ 97—Applicant - ❑ Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction3/12/96 of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is occ CONST- TYPE TOTAL FEE $ 35.00 HA2. I D. FEES IMP FLOOD COF PARCEL PO HD ISSUE X This permit is hereby issued under of the Butte County Code and/or indica boveEforwhifeeZen Y PERMITEXPIRESON I the applicable provisions Resolutions to do work paid. Date (Date) Receipt No. 194756 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 : YESK 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: 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: NA' -1E ADDRESS PHOvE TYPE OF WORK SIGNED: PROPERTY OWNER: �• SOCIAL SECURITY NUMBER: DATE: 3 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 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 party 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, 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. 0 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. 0 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 "ownerbuiider' building permit, erroneously irnplying 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. 95314. 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. Sincerely, Michadl C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owncr-Builder Information is required by Section 19330 of the California Health and Safety Code. OVER �' sk • I DESCRIPTION EXHIBIT "A" All that certain real property situate in the County of Butte, State of Califcrnia, described as follows: The Cast 355 feet of the North half of the Southwest quarter of the Northeast quarter of Section 36. Township 20 North, Range 5 East, M.D.B.' & M. TOGETHER WITH a right of way for road and public utility purposes over the North 60 feet of the West 10 feet of the East 365 feet of the'*N Orth half of the Southwest quarter of the Northeast quarter of saidSection 36. A I -SO TOGETIiER WITH a. right of way 1,or road and public utility purposes over a strip of land 60 feet in width, lying 30 feet on each side 'of the following described line: BEGINNING at a point on the South line of said Nortlaiest quarter�of the Northeast quarter of said Section 36, from which the Southeast corner thereof bears East 335 feet distant; thence from said point -of beginning, North and parallel with .the East lincc of said Northwest quarter of the Northeast quarter a distance of 950 feet, more ur lu-izs, to the South line of that certain road known 'as Craig Park Road, as described in Deed to the State of California, dated May 17,1968 and -"recorded July �30, 1969- in Took 1A of Official Records, at page 432, records of Butte County, California, and. t he end of said line. 0 RECORDING REQUESTED BY: BUTTE COUNTY CODE ENFORCEMENT AND WHEN RECORDED MAIL TO: BUTTE COUNTY CODE ENFORCEMENT 7 County -Center Drive oroville, California 95965 PROPERTY AFFECTED: 96-0371-53 1 Rec Totalee 1 Recorded 1 Official RecordB County Of 1 Butte Candace J. Grubbs I Recorder 1' 9;o3a1n 3 -Oct -96 1 COMS Butte County Code Enforcement NOTICE OF VIOLATION Pursuant to Butte County Code; Chapter 41, Section 41-7 Assessor's Parcel No.: Street Address or Location: Legal Description COURT ACTION:' 071-290-044 10 Hecker Way, Oroville Butte County, CA 95966 See Exhibit "A" attached. South Butte County Municipal Court Defendant: Max E. & Sharyl J. Hecker. Case No.: CR -75441 Conviction Date: September 9, 1996 Conviction Of: BCC 26-1 - U.B.C. 301(a); and, BCC 26-1 - U.B.C. 305(a); and BCC 26-1 - U.B.C. 305(d) OWNER(S) OF RECORD as of the date of Conviction: Max E. & Sharyl J. Hecker, 10 Hecker Way, Oroville, California 95966 DESCRIPTION OF VIOLATION: XX N _ - Failure to obtain required permits for construction of a single family residence. Upon all work to abate the violation being completed and approved by the affected department,) payment of all fines imposed as to said violation and payment of a fee of $300.00, a Notice of Completion shall be submitted to the Recorder of Butte County for recordation pursuant to Butte County Code Sec. 41-9. ACTION NEEDED TO CLEAR VIOLATION: Obtain required permits and inspections for the construction of a single family residence. Pursuant to Butte County' Code Sec. 41-10, no county permits, licenses or other entitlements shall be issued when there is an outstanding code violation involving the premises to which the application therefore pertains, unless all required work to abate the violation has been completed and approved by the affected department or a waiver is obtained from the director of the affect7nt.� a Signed by: Date: Ga own Butte County Code Enforcement Officer ................................................................ State of California County of Butte On Wednesday, October 2, 1996, before me, Jill Broderson, personally appeared Gary Brown personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged- to me that he executed' the same in his authorized capacity, and that by his signature on the Instrument the person, or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand d official seal. Signature �t-' �1C i�.11 j� 2 Jill Broderson U 0 • Comm. #1074945 NOTARY PUBLIC - CALIFORNIA^O BUTTE COUNTY n Comm. Exp. Oct. 9, 1999 -A 1 r 1 S Ef-= n� �,o�/rq VIOLATION CHECK LIST A.P. # 071-29-0-044 Address 10 Hecker Way. Oroville 95966 Owner MAX E & SHARYL�1HECKER Owner's Address. same Owner's Phone No. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. 1 Built'SF in 1988 w/o permits Assessor shows 816 sq ft year 1988 Specific Plot Plan with C/V Noted _des no Penalties Required 1st. Notice Sent 2nd. Notice Sent ate Date Comments and/or Determination Owner in concerning corr notice. Said they had permit, but had no proof Anne Brandel looked throug�llog books from 1986 through 1990 and could find_ nothing. i Disposition For Citation Citation Date (Date) Department Recommendation to Court Court Action- . Notice of -Violation Recorded (Date) -falz� 11) t-464� - �8e 6,606v 3 rw A vk- t�ut A40'44e4l wt) e ,w�'► . z. a,a-L) a. �`7 / /vf 'i",011 ' i 'i. •41 f �11zg4�� ^e^ zi AA zi y 6 IF WMA MA FRA f �11zg4�� ^e^ zi AA zi y 2 oGr 5:ci O �ecw& J7- -o I649-7 ?1;? li1N A)/It /eCCO E AIa Tim ©� . yio rio�cl �?Sqy o 2 7V"v 4 Baa G �1{ Y�A%A" J ��1�t1 . �s ��•1?sia\ 1�ti. �'S�1 `a :1�IA A�j :i'uJ�'.+.ia���'a? "°st ;)y��l�'��\�j�y�'V�� \1�. � �Z�tJ:��� 1c.\ \��,�i••v"'1-,�Y .l�L��•, -'V" �1, `Y it ..>`abSaw �� ?*��} ���5.`s�;•�?�i�. t�*���' � �1 �.Vi`.S3�o� ��?C�'i��K.T�, �s '-,T�iTI;\;�j `vT�,,T� l�Jv�iv�vs l{' ^���i_ ,'3��ay'•5�.:.��iw� �i':�._ Z�J?3Shii�aS?� �.�",��, ��''�Si�. �u.T� t��;..:y.ti'�'S�tit�1.Y+���u� �� c�J'•k.Tv-�-, �.,�a1 •1:.;�.-'j.Ql�� '�TS�S?�.'�".r't'�1F� �1�lia �.��•.��_ c;J.)Su`�1�.5� �11w� ��1!41�c`.�..':� �a.2JL. — J t 1 -•i r'sSZ�j:v,� ���. �. � ,T3`�.�� i'��, ,�; �t���� x � V\\ �i-a:�� ,.� �•; �'S,'?��` ���:13���.i i � �3 s °sr,i�;.��1 ILI A�j :i'uJ�'.+.ia���'a? "°st ;)y��l�'��\�j�y�'V�� \1�. � �Z�tJ:��� 1c.\ \��,�i••v"'1-,�Y .l�L��•, -'V" �1, `Y it ..>`abSaw �� ?*��} ���5.`s�;•�?�i�. t�*���' � �1 �.Vi`.S3�o� ��?C�'i��K.T�, �s '-,T�iTI;\;�j `vT�,,T� l�Jv�iv�vs l{' ^���i_ ,'3��ay'•5�.:.��iw� �i':�._ Z�J?3Shii�aS?� �.�",��, ��''�Si�. �u.T� t��;..:y.ti'�'S�tit�1.Y+���u� �� c�J'•k.Tv-�-, �.,�a1 •1:.;�.-'j.Ql�� '�TS�S?�.'�".r't'�1F� �1�lia �.��•.��_ c;J.)Su`�1�.5� �11w� ��1!41�c`.�..':� �a.2JL. — J t 1 ILI \VVZ3 JNZ3�J-^ �x a e•tser ill Ra t C re vr� c® boU� AloT A-PPt - NoT ro u.o� K - CODE PieocE-55 �S COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSES 11�RC�LNUM:� 9 D . O ` O`) ZONl"GF BUILDING PERMIT OWNS _ c � TELEPHONE $9 SS 9 SO. FT. I OCC. BUILDING VALUATION OWNER'S MAKING AD S ,, & r ^,1 ) n !I 1.ro v ; (/ ` CONE DR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRU ON LENDER n e UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECTENGINEER O LICENSE NO. Plan Checking Fee $ 4 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS /0 r a PERMITFEE $ 6,5#, 44S PLUMBING PERMIT Fling Fee 20.00 In t/ I Each Trap 7.00 9 LAT NO. SUBONISION'S NAME PARCEL MAP Solar Or heat pump Water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ,0 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 / TYPE OF WORK New [X Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: / Mobile Home S G W 920.00 Ph OL 1- PERMITFEE g to Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service a0OV OR LESS ( 200A OR LESS23.00 Main Service ( 200A TO IDooA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Co` tractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING CCLOCUP. OR ADDNS. ( & ACC. BB. ) SD. (y,s 3.5¢ FT. D NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIA. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 @ I Da BAL al .50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 En IDS %o PERMITFEE $ 1 Lt �S— Contractor ^ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 �, S V wi.lehi n)p /L j PERMITFEE $ Contractor 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.) 111 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46,00 OCC CONST. TYPE ^ TOTAL FEE $ d ` P I , do —'- HAz. o. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under tt)e of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Dare) J Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 36 x 5 = 19�Lq 8!6 /108- P60 O (O (J ICDA/P N� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BU I LD I NG P ER M IT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNW40WN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: - Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service OOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( 8 ACC. BLDS. ) SO. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97. 0 @7.50 POWER APPARATUS ( & SINGLE OUTLET CIR. / Ex. Occup. (OUTLET OR FIXTURES ) zo p I.Ib BAL 0 .ee Ex. Occup. (oFIXEEDrs PES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HA2. I D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 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 (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER - TELEPHONE SO. FT. OCC. BhIILp,1, f.G,;�,VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace ' CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service e00V OR LESS ( 200A OR LESS )_ 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full 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: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BLDS. ) SO. 3.5Q FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 P OWER APPARATUS ( a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL .50 Ex. Occup. (oFIXED RES D.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or ,indicated above for which fees have BY PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 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 (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BI�L+Q,IIG. VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 . Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: — Mobile Home 79 G W 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main ServiceE00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No.FIXED OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADON ( a ACC. BLOB. ) SD. 3.52 Fr. T. ULTI-OUTLET NEW CONST. NON-RESID. ( BMRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 0 .50 ETS(RESD.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUII#4�J49,VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace -' CONSTRUCTION ENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: - Mobile Home I S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main ServiceOOOV OR ESS ( 200A OR ESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( a ACC. ) SO. 3.50T. NEW CONST. MULTI-OUUTLENS. TLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER ( 8 STING E OUTLETTUS C R. ) EX. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL Q .SO Ex. Occup. FIXEDAPPLNo.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Defe) Receipt No. 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 APPLICATION DATASHEET OWNER J'lCZ C%rIy I RiLc oy- A. P. o. Q I_C)90_01 Proposed Building Use s3 ZF Building Inspector Date - -- _Q1 h 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. P VT 19. Driveway permit (construction 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 contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application; plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one yearfrom the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION .- 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER •.' fir/Q x �IlAr, ( (_Y G�G��✓' Ao. Proposed Building Use La UJ Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED 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 Intentfor 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 $ .......................................... VVVV 11. Impact fees as shown on attached schedule. . 12. California Department of Forestry plan approval/fees........................ . 13. Flood elevation letter (100 year floc ) by California Engineer . ................. . 14. Sanitation and plot plan approval (UJ N V i Q- 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. .......... . P VT 19. Driveway permit (construction approval required prior to occupancy). ... Pre Iprequ�- 20. Pre -inspection for required. . . to Bunsildinectig Ion nspector (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 contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans'sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy' Department of Public Works OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 q PROPOSED BUILDING USE --,,eL V— A.P. -# DATE Q /c REC. # DATE REC SCHOOL DISTRICT FEES Oro l n ; o n (� J (paid at District Office) C3 SHERIFF FEES (paid at Building Division) j �{ Residential.... .. x cl C— unit amt. Commercial (sq.ft.). x =$ C�JLt It f +D 1 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.). x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) _Z6. S INSPECTION AND -PLAN CHECK 89.0 (paid at -Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District oro A.P.Number �'iJ-- g����/� Property Owner max 0!, ; t3✓►. / 1 s Building Department No. Jurisdiction: 0 City [ County 0 r U4CAer Property Location/Address CCI r, w oy Oro v ! P Subdivison Lot No. Residential Development Q Sq. Footage No. of Living MHI Addition (Group R) Units Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior RoofedAreas) 6,6,�Izadi Building Department R re entative Date (Floor Plans reviewed by School District Personnel) District I ntific`attii`on No. �� School District certifies that (Applicant) (Street Address) (Phone Number) t C k (City) (State) (Zip Co4e) has complied with the, requirements of Resolution No. ID V by payment of $ representing square feet.' AB 2926 $ FULL MITIGATION $ Date Paid by Check # Remarks: Bank Number Paid by Cash x If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkf (f f/94)dmm A t And when recorded mail to: Building Division #7 Countv Center Drive Oroville, Ca. 95965 , M AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT t Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared. -to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte. State of California. described as follows: Date: PROPERTY OWNERS: State of California ) County of ) On before me, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature Seal: A.P.# 7 NOTE TO RECORDER: DO NOT RECORD THIS SIDE A.A. Instructions for recording Agricultural Statement of Acknowledgement: 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. ( The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $6.00 - 1st. 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Q ► s .- ? "x y iu.o ro 1i Nq 711 Fv'SAy s'� 'n J r.. ;c •y .__,..., .,-+..- •. flair �_ i 4 rt • l ,.d: r -A e n np4r� ! C J5 o 6)w 4Y7 V37J i"6 • • Y ^ Q ► s .- ? "x y iu.o ro 1i Nq 711 Fv'SAy s'� 'n J r.. ;c •y .__,..., .,-+..- •. flair �_ • l ,.d: CAP • l ,.d: . •tit Ll'., %k `t +�k• Max E. & Sharyl J., Hecker 10 Hecker Way Oroville, Ca. 95966. Ap.# 071.-29-0-044 Phone ( 916) 589-5355 Nov. 22,, 1994 B:utt.e County. Building Dept. Building Division. Michael C. V eira, C.a..O. 7'County Center Drive Oroville, Ca. 95965-3397 Dear Mr. Vieira: This letter is to dispute Your letter dated Nov., 15, 1,994 that we are in violation of Butte County Building Code for. failure to, ob>tain permits. In 1.982 we obtained a Butte County Code for. Owner -Built Dwellings in. a Designated Rural Area, also kn.own.as Ordinance 231.1 Chapter 28 1 -13 - Sincerely, �al'( 'F1&ate W1 7, Z A0N U169 4o Ai Nnba �k.e Caw " .0 ltz�� 40 9c e- hldq� wao K-aoobL wed' 43' bc.� 4,-L �m �e Z/ am cel(.Pe/ 601 kac,4-4 40 7A k' �.Eatte Count LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 RE: Building Permit # Expiration Pate: A.P. # 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. [ ] 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 you have any questions concerning this matter, please contact the office. Thank you for your prompt attention concerning this matter. Yours very truly, Mic el 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 Max & Sharyl. Hecker 10 Hecker Way,. Oroville,, Ca. 95966, Eounty of. Butte- Buildin8 Division. Michael C. Vieira C:B.O." 7 :County Center Drive Oroville„ Ga. 95965-3397 COUNTY OF,BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 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 CORRECTION NOTICE 65 PERMIT 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 is completed. If you have any questions pertaining to this matter, or need additional explanation, please �ontap this office immediately. Date -z (llnspector REV 10/92 • - - - �— /— ^ 6utte co (a) Section 301(a) Permits Required (b) Section 305(a) Inspections Required (c) Section 305(d) Inspection Approval Required before Use or Occupancy The above violation(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This •is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE- - OROVILLE, CALIFORNIA 95965-3397 • TELEPHONE: (916) 536-7541 FAX: (916) 538-2140 PROOF OF SERVICE January 17, 1996 Max E. & Sharyl J. Hecker - 10 Hecker Way Oroville, CA 95966 RE:' Building Code Violations A:P.#071-29-0-044 10 Hecker Way, Oroville Dear Mr. and Mrs. Hecker: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated November 15, 1994 notifying you that you are in violation of the BCC at the above -referenced location. As of this date, the following violations still exist: " Failure to obtain the required permits, inspections and approvals from this office for construction of a single family residence and garage in violation of the 1982 Uniform Building Code as adopted by Section 26-1 of the Butte County Code as follows: (a) Section 301(a) Permits Required (b) Section 305(a) Inspections Required (c) Section 305(d) Inspection Approval Required before Use or Occupancy The above violation(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This •is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 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 CORRECTION NOTICE 6 -ZS'Q -11:� PERMIT 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 is completed. If you have any questions pertaining to this matter, or need additional explanation, please q0Tff-aq this office immediately. . �7 e Letter to Max E. & Sharyl J. Hecker.RE: Code Violations A.P..#071-29-0-044 Page ,.2 - January 17, 1996 Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description.of-the premises -the violation concerns, a description of the violation, the date of your' conviction and the action necessary to corrector abate the violation(s). . Should you- have .any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in! this office'at the -address or telephone number listed -'above. Sincerely, MCV:dms Mic ael C. Vieira, C.B.O. Manager, Building Inspection 1 2 3 4 a . 8 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 23 26 PROOF OF SERVICE BY MAIL. I.. am -.-over the _age of -18 and ngt a party to, this . cause. I am a resident of and employed in the county where the mailing occured...My business address is Building Division Department of Development Services 7 County Center Drive Oroville, CA 95965 I served the foregoingSECOND.NOThCE'_VIOLATION.LETTER (A. P..:.#071_29-0-044) by enclosing. -a. true copy in a sealed envelope and depositing said envelope in the United States mail with postage fully prepaid on 17th. of January 19 96 and addressed as follows: Max E. & Sharyl J. Hecker 10 Hecker Way Oroville; CA.95966 I declare under penalty of perjury under the laws of the State of Calififornia that the foregoing is true and correct and that this declaration was executed on 1/17/96 at Oroville California. Donna Sperling J Office Assistant III Max E. & Sharyl J. Hecker 10 Hecker Way Oroville, CA 95966 RE: Building Code Violation 10 Hecker Way, Oroville Dear Mr. and Mrs. Hecker: sutte Count BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 November 15, 1994 A.P. #071-29-0-044 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for construction of a single family residence. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number.listed above. Si cerely, MCV: dms MiL Mic lael C. Vieira, C.B.O. Manager, Building Inspection cc: Assessor 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 ASSESSORP CELNU_BE, D ©� L ZONl g BUILDING PERMIT owNEq,nCFJI a ^ �7�1r,"i53,NE�-� K D 7� SO. FT. f OCC. BUILDING VALUATION OWN/,s WUNG ADY--SS CONTi�ACTOR'S NAME Y_ TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCny LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDE MAILING ADDRESS Permit Fee $ 34 ARCHITECT O ENGINEER <) k, e- LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ at,r9� BUILDING ADDRESS PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 r© V Each Trap 7.00 LOT NO. SUBDNISIOWS NAME PARCEL MAP Solar or heat pump water heater 23,00 Water piping 15.00 USEOFSTRUCTU SF ❑ Duplex ❑ Mobilehome ❑ Other a f^ SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New y-1 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: i a Mobile Home IS1G W 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filino Fee 20.00 •/[ - ] w 10 m; �� ^ ( ( �J` l Main ServiceEOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BLDS. ) SO. 3.50 FT. CNS. NEW CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) BAL 20 ®I FIXED APPWS. OR Ex. Occup. ( OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 _ Mobile Home Facilities 20.00 Misc. Wiring A It 23.00 f 11PERMITFEE $ IGD o Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling — Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ I D. FEES I IMP I FLOOD COF PARCEL PD HD 9 -SUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Ove) Receipt No. 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 (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 IAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Mobile Home I S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( a. ACC. BLAS. ) SO. 3.SQ FT. NEW CONST, MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00 BAL .50 Ex. Occup. ( OUFIXED TLETS(R SESE . OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT HtijL"+��..ri•»4^1��,..:.^a:144:"' ••�-aa�e'ti� .,"e,,,'rf�"a".rr+�oyv�wlr�167; y d c . COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER rI ft ZONING. BUILDING PERMIT OWNER L; TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublibes ❑ Installation ❑ Other ❑ Describe Work: - Mobile Home S G FW @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service / 500V OR LESS 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( 8 ACC. ) SO. 3.50T. CONST. MULTI.OUTLENS. TLE NEW CT NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( & POWER APPARATUS ) SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES ) 209 1.00 BAL 0 .50 EX. Occup. (oFIXEEDTs RESID.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the Of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON' applicable provisions Resolutions to do work been paid. Date (Date) rReceipt No. 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 (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: — Mobile Home I S I G1 W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service 000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full 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: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( a ACC. BUD ) SO. 3.52 Fr. NEW CCONST. MULTI-OUTLENS. UTLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 I.00 BAL .00 Ex. Occup. FIXEDAPPLNo.0Ea) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation 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 comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP FLOOD 1 CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 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 (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDINGPERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTORS NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNIDJOWN Total Valuation $ Filing Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: — Mobile Home S I G I W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a oR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full 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: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR NS. ( 8 ACC. ) SO. 3.Sa N. NEW CCONST. / MULTI-OUUTLETLE T NON-RESID. \ BRANCH CIRCUITS ) 97.50 POWER APPARATUS (s SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 fiAL 0 .50 Ex. Occup. ( OunFDrs PLNS..ORR_A) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES I IMP I FLOO I CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 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 APPLICATION DATA SHEET OWNER AQ (54ccr v l H&d<(:L)- A. P. No. Proposed Building Use a Building Inspector 0A Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 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 Applicant EXPIRATION OF APPLICATION Date Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant 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. 10. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. 14. Flood elevation letter (100 year flood) by C fornia Engineer. 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 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 contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Applicant EXPIRATION OF APPLICATION Date Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant ti s e COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 raPERMITAPPLICATION DATA SHEET OWNER /' / Gt )C SkA r C-drl- 0- Y� A. P. o. 0 � � C� T `D Proposed Building Use JVLA tj ba IrQ Q Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ....................................... . Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by C )fornia Engineer ................... Sanitation and plot plan approval QrDvIja� Health Department . ............ City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: Contact Land Development about (A) Improvements (B) Drainage. ........... Drivewaermit (construction approval required prior to occupancy) f Y P . . . .PrednspecGon requesl Pre -inspection for required. .. to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner _). ........... Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access. ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ... . ........... Existing violations/expired permits . ...................................... Plan check list . ..................................................... 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 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 $