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HomeMy WebLinkAbout078-070-015C&mkAINT1 To.JN4� 7-' 1 ' I& PECTOW, .4;� ----------------- :�— 027 586 ATKli-4SON, CARL �0 643 8 UPPER PALERMO'), OROV (EDWARDS, D.P. Jr. CONT: CAA 3,(�0-072- .5027B. REPLACE WALL HEATER 05-2065 6438 Upper P lermo Rd.,. Orov Ile AfKISON, KATHRYN 6438 UPPER PALERMO RD, OROVILLE, (addition) Cont: OWNER REPAIRS(MISC), -7D-,C)jS- 0 o -O 0 14,11d ; a !mks ;+c�•�".c ... c2� a s� a, � t^2.r i i.�t, i 3 <.-�' !� `�?�- �P• �' Gi eis � �.. F,c�' ��°*ii, ;,,+ F l? G� �' �i10�'"� p./r L � �� a.- BUTTE COUNTY BUILDING DIVISION APP OV9%( S Ft /. G ,iT . -� ,.o-<,�s-ie NOTES: 1. F00 77NGS TO BE EXCA VA TED IN TO UNDISTURBED SOIL TO DEPTH D ANCHOR BOL TS SHALL BE PER UBC SEC. 2907 (f) J. STEM HEIGHT OVER 32" REQUIRES REINFORCING (SEE STD 12.3)- 4. SEE UBC SEC 2404 (f) 2 FOR CONCRETE' BLOCK STEM WALL AM 0 5 Zog FLOORS B D TW ONE 12" 12" 6" TWO 15" 18" 8" FLOORS REFERS TO NUMBER OF FLOORS PER UBC TABLE 29—A, FOOTNOTE J. BUTTE COUNTY BUILDING DIVISION APPROVED REDWOOD OR JOIST P. T. SILL G IRDER 18" MIN 6" MIN 32" AX TW (NOTE 3) 12" MIN D - 6" MIN ril T 6" 7" B RAISED FLOOR FOO TING L,5 o� 1)pA 03&- 306"04 SLAB ON GRADE FUU IINU TYPICAL RESIDENTIAL FOUNDA TION DETAILS BUTTE COUNTY BUILDING DEPARTMENT N(av 1995 AB scam. J/4:r=o' DATE. 4/92 DWG: STDFTGI I STD 12.1 9.12 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052065 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS 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 Issued Date: 08/03/2005 APN: 036-300-088-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 6438 UPPER PALERMO RD ORO License Class : License Number: Map Index: Date: Contractor: Description: RE ROOF 20 SQ'S COMP, FOUNDATION OWNER -BUILDER DECLARATION' I hereby affirm under penalty of perjury that I am exempt from the TERMITE REPAIRS(MINOR), Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a BATHROOM REPAIRS, MISC. ELECTRICAL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of Owner: ATKISON KATHRYN A the Contractor's State License Law (Chapter 9 commencing with Section COX RUBY (LE) 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 6438 UPPER PALERMO RD violation of Section 7031.5 by any applicant for a permit subjects the OROVILLE, CA 95966 applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property,'or my employees with wages as their t sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: ATKISON KATHRYN A provided that such improvements are not intended or offered for COX RUBY (LE) sale. If however, the building or improvements are sold within one 6438 UPPER PALERMO RD year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of OROVILLE, CA 95966 sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Prof sions Code 9 Date: Owner WORKERS' COMP SATION LARATION 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 License #: 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 Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 0 S. F. R/ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the 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. Date: PZ3 Ap , Q� Applican . WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under th plicable provisions of the utte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do ork indicated a ve Jbr which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Date: Name: BY PERMI EXPIRES ON: Address: (Dat6) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes: Print Name: U An47'/Z lJ A. Signator �� Date: ®`Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 IfCXG� i^Q�v;C(�lllt'7G^P1lfG �=GU ���. ,11a ,elo 7b w VO?z U j(� CI(� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds '-'*PLEASE PRINT CLEARLY* * OWNER L Namp irs ame` T Address ,r2 Cit St hne _ Fax E-mail APPLICANT NAME CONTRACTOR Name CitVle Address Zi City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name CitVle Address Zi City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Z/ Name/12 �j Address Ad �i rn CitVle Sta Zi P ne r bg� Fax E-mail,, l APPLICANT SIGNATURE X For office use only: Zoning Property Address Flood Zone Cross reet Y SRA I Yes N Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT 05- 2, BIN # LOCATION AP#� 3 _ 30D _O W-000 Property Address Cit O til Cross reet Y WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 M Sq. Footage Description or Scope of Work: ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by� Amount: �. Bldg SRA Receipt #:41 84e?, o Sheriff C-K SMIP Date: �Other �'3 T� C �c�4 - C` 4� Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a perr t. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 1. Site plan�,or 4 sets, signed by the preparer of the plans. No graph paper! 2. Complete planC3 dr 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. -Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire 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. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 71R � ,y�ia•.jyy,:vr 036-300-088`02=0586 ATKINSON, CARL-', 6438 UPPER PALERMO, OROV CONT:. CAA ; J REPLACE WALL HEATER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-0586 ASSESSOR PARCEL NUMBER C}:: b--SUO•UB:i ZONING BUILDING PERMIT owN& R• TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN LINCpAD RESS 6 8 r Palermo ka Oroville 534-6682 CONTRACTOR'S NAME CAA TELEPHONE CONTRACTOR5 MAI NG ADDRESS 2640 ' Si:h Avenue Oroville CA CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6458 Palwic, Rd Oroville CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISION5 NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF X.] Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other til Describe Work: re lace Wall heater Gas i in stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 EF PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800V OR LE S Main Service( .AORLEN 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is ' full f rce 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO ,000A 46.00 W:L200A NEW coNsr. owEUING occuP. OR ADDNS. ( DW: Acc. stns. so 3.5¢FT; NEW RC -0 . MULTI.OUTLET @7,50 PowER APPARArus a SINGLE OUTLET US Fes, Occup. OUTLET OR FDRURES a20 ° 1.00 FUCED APPLNS. Ex. Occu ounETs REBID. OR Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. 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 insuran a carrier and policy number are: Carrier 1 ! A�r�r~V 2Nr- Policy Number *_C4 ! [_tee I (The above sections need not be completed d the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 �_+._ ✓ ate -^ r �2 _ Signature of Applicant - ❑,Owjjw--WContractor ❑ Agent '` An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ • 00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE ZTIMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have J By . �- � PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. D to 08 to Receipt No. WHITE-D.D.S.-B.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-0586 ASSESSOR PARCEL NUMBER 036-300-088 ZONING BUILDING PERMIT OWNER CARL ATKINSON TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6438 Upper Palermo Rd Oroville 534-6682 CONTRACTOR'S NAME CAA TELEPHONE CONTRACTORS MAILING ADDRESS 2640 S:: 5th Avenue Oroville CA CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6438 Upper Palermo Rd Oroville CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF )CI Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or hest um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IQ Describe Work: replace wall heater Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 E00V OR LESS Main Service 200" OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is ' full f rce and effect. Class Lic. No. Z17 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 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. KI 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' corppensation insurance carrier and policy number are: Carrier C/to _ Spey 7e -V<- Policy Number J lt'4 !9 q / c (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 provisions. /� r�� X Date ( ure of Applicant - OeTwe=ontractor ❑ Agent ['An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height, Main Service TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. SO DWE200ALLING OR ADONS. a ACC. BLos. 3.5¢FT: ," NRD�IDT MULTI.OUTLET @7,50 OWE.RoUPRARSINcI.License 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL Q .50 Ex. Occup. OFI'LAa oEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 15.0 Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD COF PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ' y , 7i� PERMIT EXPIRES ON Det ReceiptNo.`C WHITE-D.D.S.-B.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the public!!!!!!! DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: _ Address: Phone Number: The above information is not available to the public! ! ! 111 F .y 036-300-088 02- 586 ATKINSON, CARL Jt VIA 11 6438 UPPER PALERMO, OROV 1 - CONT: CAA + REPLACE WALL HEATER r EDWARDS, D.P. Jr. 5027E 3C= -3b, 6438 Opoer .P lermo Nd., Orovi e (addition) i