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HomeMy WebLinkAbout079-070-039n6 Ln nn Walter Burge 2985 Foothill Blvd., Oroville Perm't #3375-76B(add pat /SF) All" � 436 36 6"- .. . , ... 04-0282 BARKELY, JASON & DEANA ' ' 2985 FOOTHILL BLVD_ .; OROVILLE CONT: CD CONST: , t .ADDITION'& REMODEL s „` a 39 0i 0"7 D- 03?- � r r i� } r a 39 0i 0"7 D- 03?- � r r r r Lc'I ; 1\ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive • Oroville, Paliforrbia 95965 • Telephone (530) 538-7541 (Rev. 12/0-6) APPLICATION AND PERMIT ((( ►►► ASSESSOR PARCEL NUMBER 036-430-039 ZONING AR BU I LD I NG P ERM IT OWNER BARKLEY JASON AND DEANNA TELEPHONE 532-1018 SO. FT. OCC. BUILDING VALUATION . OWNERS "UNG ADDRESS 2985 FOOTHILL BLVD OROVILLE CA 95966 1126 R 60 804.00 COCDCTCONSOR'SMTRUCTION 589-2220 TELEPHONE NT 96 000.00 CONTRACTORS MAULING ADDRESS 43 EXECUTIVE AVE OROVILLE CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MaUNG ADDRESS Total Valuation $ 156 804.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 839.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $545-39 BUILDING ADDRESS 2985 FOOTHILL BLVD ORO Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ LAT NO. SUBONISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 42.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15. 00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADDITION- FAMILY ROOM REMODEL Gas piping system 1 - 5 outlets 15.00 -00 Building sewer 15.00 Mobile Home IS I G1 W 0@20.00 PERMIT FEE S1 Q7 Q0 ELECTRICAL PERMIT Fling Fee 20.00 a00VOR LE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 1I Lic. No. ,��fi OWNER -BUILDER ECLARATION D 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed it the permit is for work of a valuation of one hundred dollars ($100) or less.) 01 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 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �� X (�.�,,�j/Y�-..� ! i� ..,� Date / Signature of Applic�- ❑ Owner ConTractor ❑ Ag nt An OSHA permit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. �.� Main Service zooA TO 1000A 46.00 NEW CONST. OW .NG OCCUP. SO OR ADDNS. ( a ACC. sLDs. 3.5¢Fr; 39-40 NEW CONST . MULTI.OUTLET NON-RESID. 97.50 OWER AP a PSINGLE OUTLETPARATUS CIR. .00 EX. Occup. OUTLET OR FIXTURES BAL p I .50 Ex. Occup. GFuc°S R�ID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 20 00 Cooling 25.00 Hood 6.50 Ventilation PERMIT FEt S 76.00 Mobile Home Installation Fee $ Energy Inspection Fee J$46.00 Occ CONST. TYPE TOTAL FEE $ 1738.75 HA2. .D IMP CDF p C HD SU This permit is here y issued under the applicable provisions of the Butte Counly Code and/or Resolutions to do work inWatee!�Wch fees have been paid. ate �C�of BIf PERMIT EXPIRES ON ate Receipt No. WHITE-D.D.S.-B.D. R AS INK- SP T -APPLICANT 67-38_7541 _. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION �. ____ 7 County Center Drive • Oroville, Califorrfia 95965 • Telephone (530) 5p 13MI�NU>1 Rev.12/g� APPLICATION AND PERMIT � �� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER / / Dj j // n E .1p,811 S OK. B IL N IO LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAKING ADDRESS BUILDING ADDRESS -nz 1772 -- LOT NO. I SUBDNISION'S NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New ❑ Addition ❑ Rak' nI El Other ,/ 4 —C lace LICENSE NO. Fee $ —Filing $ EX. OCCU OUTLET OR FDMAES Permit Fee Plan Checking Fee $ Ex. Occup. ouTiErs 6I0 °RFJL Energy Plan Checking Fee $ $ i 23.00 PERMIT FEE $ PARCEL PLUMBING PERMIT Misc. Wiring Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent / I1 Gas piping stem 1 - 5 outlets Building sewer Mobile Home I S I G I W PERMIT FEE PAID $ lam_ SRA SHERIFF $ OTHER $ AMOUNT RECEIVED $ DATE RECEIVED RECEIPT PERMIT FEE $ ELECTRICAL PERMIT 600V OR LESS Main Service 2o0A OR LESS Main Service 200A TO 1000A NEW CONST. DWELLING OCCUP. OR ADDNS. & ACC. BLDS. 20.00 iling Feel 20.00 7.00 z- 23.00 ff��" 15.00 15.00 15.00 15.00 t @20.00 —7— _ Sling Fee 20.00 23.00 46.00 3.UNQ _ POWER APPARATUS 8 SWGLE 011n.ET CI0. ' EX. OCCU OUTLET OR FDMAES 20 ® 1.00 BAL @ .50 Ex. Occup. ouTiErs 6I0 °RFJL 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 70— Cooling it Z�57- Hnnd 6.50 6 _ PERMIT FEE $ Mobile Home Installation Fee $ Enerav Insoection Fee $ /) — % w ISMW" ' NE NVA1541WEIRON This permit Is hereby lssuedlunder the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON era �-, w r .�ra,'W'r .-"'V�'v .,n�: ,:_h., r.-..v�+J{,�: rs ^r,.-yti,.:-�L�'";,,9�i-�`�ra'�'� � .c� a "r� __�� •__ ., _ COUNTY OF BUTTE -DEPARTMENT • F DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:41JJA(_,1-ASSESSOR PARCEL NUMB - �- - �1,3 OJ �j� ��l r Proposed Building Use: I��/G' /LG i��t o nter Technician:Ml Date: / - n terns required in order to apply for a permit. All boxes MUST be checked OR marked NA i order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. :2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. �",.3'Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. V"v 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie�iown or fnd plans, all in duplicate. ` ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans.and talcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ,p 14. Hazardous Material Form 1�, 1�,•� 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico g16roville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) V❑ 17. Fire Sprinklers............................................................................................ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by OIC ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit....................................................................... 23. California Department of Forestry plan approval paid. Sent by: ......... I... 2''r - . ❑ 24. Planning approval (A) User i"- (B)Parking: (C) Parcel Check: 25. Contact Land Development about _ Improvements, _ Drainage ......................... (lT/ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ` ❑ 32. Letter of Signature authorization ...................................... :............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone C_- and hold for pickup. . I have been informed of the above items and requirements for obtaining a building permit. E �r Applicant: ddDate: 1. Index permit application for the above items numbered Plan Chec Letter 2. AdI al items required ntrac esigner, owner, was advised of the above data by ❑ e, C3mail, ❑ counter, by ate: y esigner, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: / Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division emt 2 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 BUILDING USE SCHEDULE OF RECEIPT OF FEES if r /n A.P. # (Y 1130 -6 3 -eq DATE -D . RECEIPT # DATE RE C. 1. BUILDING PERMIT FEES --- Balance Due ..............`....... $ --- Additional Fees Due........... $ ioqo.a --- Revised Plan Checking Fee.... 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 = Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ _ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES A//�� $510.00 (paid at Building Division) K SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER AWN 5/1 o/o4- At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT c=/i���/ ,�i.��:,s DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) E.H. us E CiNLY Piot Plan Attached FloorPlan Atft slt®d SA San�Ztan®.D.17 �/ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public ! Private Well Clearance for dwelling. Other 86620arv? A&5moa,EG .9,v,6 c0l>71-)a 72-F& 1eVV— I Hold final for: Final clearance O.K. for: NOTE: /1 /1 Environmental Heal 8/96 cialist e44 �cre- Date National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs I acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: �o , BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One forip per.Barllding) r 4 �.- School District U t .. (� r t 1 Building Department No. A.P. NumberC06 —4,30-0 3? Jurisdiction: City LE�County Property Owner ,' KM�n a Property Location/Address Subdivision Lot No. Residential Development d Sq. Footage I Q� No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection) :.......................................................................1....................... _... i Com merciai/Industrial — New Addition Building Department Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) lJ Date District Identification No. in S g Qy' d'J \'p- e. i" School District certifies that (Applicant) S (Street Address) (Phone Number) O, acv q -s-c� b L (City) (State) (Zip Code) L has complied with the requirements of Resolution No. 6 by payment of $ `i representing square feet. JAB 2926 $ FULL MMGATION $ School District Representative Date Paid by Check # -") Remarks: O 3 6 - 4 �;'l No* : You may protest the Imposition of the hes Identified above by submitting a wrtttsn protest to the District, In compliance with Govenwrant Code Section 66020(a), within 90 days from the date hes ave paid. Failure to submit a timely written protest wlll'prohlblt you from challenging the Imposition of the hes in any court action. N, subsequent to the School District Repraentadw sighing this Butte County schools Impact Fee Certification Form, to school 101 .1 In nottll- by the applicable Local Planning Agency tial this project Is being revlo wd under the California EnWnxwnenrfei Quality Act (CEQA] tris project may be subject to additional school fees to fully nddgde.tis impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xb 00/03)dmm w ,k • • _ 'PERMIT N0. 3375-76B -4 PERMIT EXPIRES OWNER Walter Burge I! CONTR. owner ' LOCATION (A.P. 36-43-39 2985 Foothill Blvd., Orovilb h t s. t , c Temp. Power Pole Ca 11 PG&E Tem?Elec. Serv. ailed PG&E T mp. Gas Serv. Called PG&E JOB FINALED t' (Date) • r ( ign ure) Setback Forms Main BI Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footi nas Bond Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTmiENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing. Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov, for phsically handica ed - Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Final Sanitation _ FIREPLACE Final Footing ELECTRICAL Throat Rough Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final REMARKS CORRECTIONS r (NOTE: An entry must be made on this form each time you visit the job site.) r J' COUNTY OF BUTTE. — _bEPAVIRTMENT OF PUBLIC WORKS 7 County Center Drive., - ,OroviIIe, California 95965 ^ Telephone: 534-4541 APPLICATION AND PERMIT ,3075--76 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ,V f,4— Date 1r Signature of Perrmitee or Agent 14,49 Receipt No. 97 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 bee Id. DIRECTOR OF FIUBLIC WORKS �..'!%7��= Date- ming permit expires Date i BUILDING OwnerSQ. .qL Ter �- G FT. OCC. BUILDING VALUATION 5`(00-d'-Pp,o .-z D• 00 Mailing Address IF/ ©✓®L) Telephone No. 533 6-6/ Fireplace Contractor Total Valuation 2, Zy o . O Mailing Address Permit Fee ,x 00 Checking Fee&/or Penalty Telephone No.Plan Telephone No. Permit Fee $ r 00 OG Building Address �% �O o%r�r L L �LVol PLUMBING No. @ FEE PERMIT FILING FEE J$3.001 s Each Trap 1 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N �o - �/�-- 9 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe C. Sa ion Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Pllans�Declaration Parcel Parcel a M P 60' R/W Im proveme s Lawn sprinkler system 2.00 Bldg. Plans�'d Parcel A royal Plans Approvol Permit Fee $ $ NEW PC ADDITION UTILITIES ❑ OTHER [:]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 A %X 2, Main service OR LESSo 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 60 Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 22sgft NEW CONST R. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS & NON -RES,D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL21 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ �+ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ,V f,4— Date 1r Signature of Perrmitee or Agent 14,49 Receipt No. 97 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 bee Id. 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