HomeMy WebLinkAboutB17-1767 030-230-062X
IN
PERMIT NO: FORM NO i
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� Butte County Department of Development Services- �U_ DBP -1
PERMIT CENTER
BIN NO:
7 County Center Drive, Oroville, CA 95965
Main Phone 530.538.7601 Fax 530.538.7785
www.buttecounty.net/dds
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Is this a Manufactured/Mobile Home (circle one) Yes No
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Is this a Manufactured/Mobile Home (circle one) Yes No
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`" ` z `y PROJECgT LOCATION
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City Location must not be in the city limits of Chico, Gridley, Oroville or Paradise,
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Policy Number
Carrier
If hiring other than a licensed contractor, a certificate of worker's
compensation must be shown at the time of permit issuance
Is this a Manufactured/Mobile Home (circle one) Yes No
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Mobile Home permits (other than installation, foundation, utilities & non-attached
structures) are issued by the State. Tell staff if this permit is for a Mobile Home. Click
below to see Manufactured Home Alterations and Permit Guidelines at:
http:/Aqww.hcd.ca.gov/codes/mhp/HCD Phon 16 255-2501
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Is this a Manufactured/Mobile Home (circle one) Yes No
JOB VALUATION (Enter va `e of°IaborincludJngffi
non contract plus materials charge) . ; may,
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(Living Are
Garage:
Open Area:
Covered Area:
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r Proposed Change of Occupancy/Use -"Note previous/current use below:
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Zoning: Flood Zone:
SRA: IYESU IN003 NPOES YES U NO ❑
Code Enf: YES 0 NO ❑ Legal Lot: YES ❑ NO ❑
(Occupancy Type Construction
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IDate:,
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'When filed, this application and all supporting material bec s subject to the California Public Records Act..All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
Revised 12.19.2016 0��7
Page I of I
Department of Development Services
Tim Snellings, Director
Pete Calarco, Assistant Director
7 County Center Drive T: 530.538.7601 Buttecounty.net/dds
Oroville, California 95965 F: 530.538.7785
Building Permit Checklist
Name: BOELMAN, CHERI LEYANE & CARL
Location: 3009 GRAND AVE, OROVILLE
Assessor's Parcel Number: 030-230-062
Permit Number: B17-1767
1. 3 copies site plan
2. 3 sets building plans
-3. 1 set energy calcs (if applicable)
4. 1 set truss calcs (if applicable)
5. 1 set structural calcs (if applicable)
_ L -6. Intake Packet
,,,z a. signed permit application
-�4 b. owner builder (if applicable)
,_c. notice to builders
d. fee summary
e. fire handout
f. NPDES form
g. data sheet
,1 h. PW Notification for 26-12
i. Hazardous Material Form (commercial)
�j. Accessibility Worksheet (commercial)
k. Plan Check Sq Ftg Verification
7. Flood Certificates (if applicable)
8.
9.
10.
Completed by: Date: IC7