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HomeMy WebLinkAbout028-050-01528-05-15 249-91B HIETT, Don CONWAY, Thomas A. 3452E 9939 Ahart Rd, Oroville, .1�1 . 2754P (pellet stoVeIsf) 0 q 93-91 w ;C<hto�. Poncut J Is Ahart St. 7/10 mi. no. E 028-05=0-015 ' 99�0200 B' CONTR'_-_Ua__r_dinal Contractors Inc., 800 Colusa.. HIETT, Don_R.. 9939 Ahart Rd,Orovi I le" (new, 1 f Yuba City (reroof/SF) Geo'* e,Ro.ofinq lo 0 -2201663-' 06-1066 ' 0 _f -�HIETT ' DON -&PAT 9 _4 9939 AHART RD, OROVILLE Cont:I CoKLEEN AIR HVAQC/O) M_ - 15 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. BP061066 B. C. Building Permit 01-16-04 pg 1' LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/09/2006 APN: 028-020-063-000 the Business and Professions Code, and my license is in full force and effect. [gyp License Class : C-2-0 License Number: 7 0 / 7(-( Site Address: 9939 AHART RD HON Date:5_-(q-0C9 Contractor: /�.{22v�Q�a Map Index: Description: CHANGE OUT SPLIT SYSTEM HVAC OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HIETT, DONALD AND PATRICIA permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 9939 AHART RD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any 530-743-5978 violation of Section 7031.5 by any applicant for a permit subjects the 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 sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: KLEEN AIR Code: The Contractors' State License Law does not apply to an 1657 SILICA AVE owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, SACRAMENTO, CA provided that such improvements are not intended or offered for 95815 sale. If however, the building or improvements are sold within one 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 sale.). ❑ 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 Contractor: KLEEN AIR not apply to an owner of property who builds or improves thereon, 1657 SILICA AVE and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). SACRAMENTO, CA ❑ I am Exempt under Article 3 of the Business and Professions Code 95815 Date: Owner: License #: 481974 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 Architect: is issued. Engineer: I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:.%:Tg Fes,., t) Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: l 66 Z�l a `-Lac�S ❑ 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 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: - D43 Applicant: 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 her y issu d und- a applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to d or i dicated abo a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Date: Name: gy: It el PERMIT EXPIRES ON:- Address: Date) O 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 fpon the above mentioned property for inspection purposes.. Print Name: uw4x lr� I �,C.a Signature: ^�X Date: ❑ Owner ❑ Contractor ❑~ gent for Owner Agent for Contractor B. C. Building Permit 01-16-04 pg 1' VO p 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 d� , ��• **PLEASE PRINT CLEARLY** d ra_'� ' G S.. \ F- C on CONTRACTOR OWNER INFORMATION QA Last Name Hie -IT irst Name r Zi S81 Sf Pho�e�i(-) 9aa 3i�s� DoN Address 2952 A u 4 `-T ( r-) City Stat A Zip q 5'C( Phone v) %t{ 3 Sc -7 r( Fax E-mail CONTRACTOR Name Q r Addre , (�- -7 S City S� Stay Zi S81 Sf Pho�e�i(-) 9aa 3i�s� Fax Email Lic.# � Z 7 Clas i Q APPLICANT SIGNATURE X ga'. �( For office use only: ARCHITECT/ENGINEER Name { Address SRA City I No State Zip Phone Phone Fax E-mail E-mail State License Number APPLICANT SIGNATURE X ga'. �( For office use only: APPLICANT INFORMATION Name { Address SRA City I No State Zip Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE X ga'. �( For office use only: Zoning �sp��dres Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. nn BIN # PROJECT LOCATION AN �sp��dres City Cross Street WORKER'S COMPENSATION Policy Number % ("9-710- _-2 Carrier ATC ern O 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 Description or Scope of Work: HVAC Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ 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 expirations 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. Amount: `� -_/ Bldg SRA Receipt #: D Date: Sheriff SMIP Other Total Page 1 of 2 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 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 manual, (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. Building Permit Application Without Required Clearances Form ❑ 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 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\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 ., ..=.c• -•. .o:�, a .. .� tr-.w '��'w sK"-1 � 't 4., i� ai rv.:�tj•+.rb'Y,:�•<.2..N'tip-"�_l�'..;.r"?�:i{',:+:.' 028-05-0-015 99-0200 B tHIETT, Don R. '9939'Ahart Rd,Orovile.. (reroof/SF)-George Roofing COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ' 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 • Xze, 0.1 (Rev. 12/96) APPLICATION AND PERMIT n� ASSESSOR PARCEL NUMBER ^� ... 05D_ O 1 C� rVJC-1_Jl ZONING BUILDING PERMIT / l OWNER Hiett, von R. TELEPHONE 743-5974 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9939 Ahart Rd, Oroville, CA 95966 - CONTRACTOR'S NAME George i�oofinc3 TELEPHONE 533-6393 °b u" �iRSL"incoiEn Blvd, Oroville, CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ Iduu.UU ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS 9939 Apart Rd, Oroville, CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 41.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USE OF STRUCTURE SFyb' Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK r New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O� Other ❑ Describe Work: C4mc)osit<ion Shingles Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oa mss 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 fullforce and effect. —1 i C-39Lic. No. 452266 License Class i 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 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. GXI 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' ensation insurance.carrier and policX number are: Carrier vi�'iPanova c/o merican t'dLr10L Policy Number Wel 01_7015- (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 forthvAth comply with those provisio s. X/7 AfDt�_ n_ Signature o Ap licant -❑ Ow er ❑ ContiactJq Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR So OR ADDNS. ( d ACC. BLDS. 3.50NT. NEW CONST. MULTI -OUTLET NON-RESID. I @7.50 POWER APPARATUs SSINGLE OUTLET CIR. Ex. Occup. OUTLET oRFocruREs � 1 � zu sAL 50 Ex. Occup.OUTLEEDTs REESSIO.OFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 61.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ,,i .; ,x„a Date PERMIT EXPIRES ON i Date Receipt No. —7 !L?//D 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 (F;pv.12/96) APPLICATION AND PERMIT gI—4o ASSESSOR PARCEL NUMBER O I ©C o ` J ` ZONING BUILDING PERMIT OWNER Hiett, Don R. TELEPHONE 743-5974 SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 9939 Ahart Rd, Oroville, CA 95966 3000 Comp 1800-00 CONTRACTOR'S NAME George Roofing I TELEPHONE ' 533-6393 c URsLinc'M's Blvd, Oroville, CA 95966 CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9939 Ahart Rd Oroville CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE s 61.00 LOT NO. SUBDIVISION'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFXX 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 Y Other ❑ Describe Work: C-nmpn,S i t i On Shingles, 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 Main Service zoos 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 C-14, C— 3 9 Lic. No. 452266 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 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 Acc. Bins. s0 3.52FT: NEWM CTI.OU CET NON -R ES111 17.50 WER APPARATUS 8 POSINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 100 BAL@ .50 Ex. Occup.ouT.ED RESID.OEA 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. ERXI 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 Villanova c/o American Patriot Policy Number WCI 0 5 3 7 019 (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 fort ith compl wit those provisi S. X ate _at— Si ure licant - ❑ O e Co r Agent An OSHA permit is required for excavations over '0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 61 .0 0 HAZ. D. FES IMP 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 By PERMIT EX41RES ON -2— the applicable provisions Resolutions to do work been paid. Date 2z2- z29 Receipt No. 2&p/tS WHITE•D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date Fr` .� 'v, jYMT�T4f� SW((��1... + 'iF4 •rt,��'�Y.y�t � 4� •^� M, • i�:�� R ,�( 4 r -Yr '1rA�'t. ?S. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cdlifornla:�5965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 0 W_1A V Ly =20Z., ASS SS-O� _YL EL NUMBER ZONING BUILDING PERMIT OWN Him TELEPHONE 4 sa a SO. FT. OCC. BUILDING VALUATION Stlow OWNER'S MAILING ADDRESS olmer _ CONTRACTOR'S NAME TELEPHONE - CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 17.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 1y BU1,4RJ,�}�G XWi rtSR4, Oroville �jy3N Permit tee $ 27.50 PLUMBING PERMIT Fi_I.i ng. Fee 10.00 Each Trap 02.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home IsFG W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work:— Install pellet stave XPermit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 + Main service 100 AMP OR LESS 0ov OR LESS 1 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification �I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. 2/20sgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a) "SINGLE OUTLET CIR. Ex. Occup(20050e OUTLETS OR FIXTURES BAL®30 FIXED EX. Occup. OUTLETS PRESI 0.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IVirin 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of, Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation perm it Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way .accrue againstt said County in onse u nce of the granting of this permit. X�L-��I he 77 Dale �� .�Q �/ ' Signature of Applicant — Owner g pp � Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE E TOTAL FEE $ 27.50 HAz CUA PARK SCHL PAR PD HD ISSUE Thls permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. / p DIRECTOR OVPU LIC WORKS B0,2�"7/ Date1/30/91 y2 PERMIT EXPIRES D to" 1/30/922 Receipt No. 83261 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 'i•r , ,.�.T _1'. _n `�W�+y�4 , ! +^^"-TIOMW d� , i/ .I�`�iwF"w�{{"•• +'�A�; 'w•....Rry`(a( j4L.1 ' Fri •f ., ti-'�'C:.y F28-05-15 249-91B T, Don Ahart Rd, Orovllellet stove/si)xD� r e1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillp,, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. !i `'• ri ��� S ASS SSOR PARCEL NUMBER.. 8-05-15 :'_'ONIN'G BUILDING PERMIT OWNER DON HIETT TELEPHONE SQ. FT. OCC. BUILDING VALUATION .S't 1,000 OWNER'S MAILING ADDRESS owner CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 17 50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Bu1Wl AMartSR4, 0-ovi 11^ Permit fee $ 7."0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I 110-00e4 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities,❑ Installation❑ Other ❑YXPermit Describe work:__- instalr pe71e1z Stove _ Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license Is In full force and effect. License No. Classification Er"l, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ( ACC. BLDGS. , 2/z¢sgft TLET NEW CONSTRESID, RANCH CIRCUITS) NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20O BALSOQL FIXED APPLNS. Ex. Occup. OUT ETS ((RESID IREAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6Virin9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains/t aid County in��ffoonse nce of the granting of this permit. X 1i,1-�L - I,f/o Date �-' 3Q- �/ Signature of Applicant - Owner [5' Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC i CONSTTYPE TOTAL FEE $ 27 -50 HAz cuA PARK SCHL FLD PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated abov for which fees DI C R DOCK By PERMTT EXPIRES to 3,11,/92 1 the applicable provi- resolutions to do have been paid. WORKS 1/30/91 Date Receipt No. 83261 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - I)EPAFITMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilie, California 95965 - Telephone: 916'538-7541 APPLICA i IOWAND PERMIT ASS SO PARC L NUMBER ,_ ( 0 -- Q ZONING BUILDING PERMIT OWNERTELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILINGADO 55 2 CO RAC R'S TEL O L—bNTRACTORIS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 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 $ BU DING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W O.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ )Utilities ❑ Installation Cl Other Describe work: LCA S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / ACC. SLOGS. / DWELLING OCCUP.!>c\ OR ACDNS. 1 yZ¢sgft NEW CONST R. RANCH CIRCUITS) NON•R ESID BRANCH CIRC 'ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 200302 eAt.3302 Ex. Occup. OUTLETS ED ( R RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facitities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again" aid County in pDrise a ce of the granting of this permit. X ?/! � Q / Date l� 7 / Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ O� HAz I CUA PARK SCHL FUO I PAR I PO I HD t ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY the applicable provi- resolutions to do have been paid. WORKS Date De. ;e Aln -; /%, --7' e f _COUNTY OF BUTTE - Department of Public Works 7 County Center •a'iVive; Oroville, CA 95965 Phone: 916=538_754.1 OWNER -.BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and aterials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3: 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors 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 .Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the'work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number �_�'• , -�;?�� Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.