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HomeMy WebLinkAbout026-080-081�iS C7 Oa � NAVA SMITH '!/ AP 26 - • Y OND 2,651 Messina Ave. , Pa ermod� " Permit# 4.18-75B,P,E,M(conv. stor. -to single family dwelling) 26-08-01 84Ee.le� ser ch) SFJ, �� 26-08 m tall gas line)SF E 1 G A.LINA �'dLI'�1La.?1:.Ni(Y E:RSTrNTG'EIOUSF 0 ��t J .rte � �"' �'�`,3.� � ��-� y Permit#799-84P Nina Smith 2651 Messina Palermo OFFICE COPY Address I n. l} GAS i Meter By Date{ ELECTRIC j Meter By Date -s �9 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT AS PARCEL NUMBER •��" ZONING BUILDING PERMIT OWNER lif I Ina C .0461% ,A 'A TELEPHONE r�,�►c SO, FT. OCC, BUILDING VALUATION OWNQAE�R's MAILING AD//DRESS R1 I/■� C_ 1 M 1 fes.C_ C� 1 1A -M J Al e2 , CONTRACTOR'S NAME r' ➢ t 07 :1 10 k— ' 'TELEPHONE CONTRACTOR'S MAILING ADDRESS ` '" ` Fireplace CONSTRUCTION LENDER ii UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS. Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS- Permit fee $ BUILDING ADDRESS 1 f A � �1 PLUMBING PERMIT Filin Fee 10.00 9 Each Trap 2.00 – — -- Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 A--ApN USE OF STRUCTURE SF D�Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e —r TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: T-�+R+ f �' 1 �^ Permit Fee $ br� 1r, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. 2'hQSgft 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 't 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 CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS 9 NON•RESID. SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES SAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor Mobile Home Installation Fee $ 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[—I against said County in consequence of,the granting of this permit. 1 , X %� Date ' Signature of Applicant — Owner D*—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. TOTAL PERMIT FEE $ OCCUP. OROuP I TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which r0IRECTOFt OF PUBLIC By ( ! � M . ,� PERMIT EXPIRES Date��- the applicable provi- resolutions to do fees have been paid. WORKS Date7 Receipt No. IC/n Ind WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Permit #523-84. Nina Smith OFFICE COPY Address GAS - Meter. -By _= = -� -: - Date WRY Date y2 �""�- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT)ON AND PERMIT ASSESSOR PARCEL NUMBER ' ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONEI CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER r J UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER it 1 °� �� LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS �1 I PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Fj" Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other Describe work: j per' / r' �' ^�'U--< 1 ,.,\, I rC ,,� C], nK � 10 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 service 600V OR LESS Main 100 AMP OR LESS . 1000 �N-r. / Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP,&\ OR ADDNS. ACC. BLDGS. // 2'h2sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness 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 CONSTR ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &\\ NON.RESID. SINGLE OUTLET CIR. 1 EX. OCCUp(OUTLETS OR FIXTURES 9AL0300 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ". "' V_ ~ Permit Fee I $ -: I-7% Contractor MECHANICAL PERMIT Filing Fee 10.00 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. 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 against said County in consequence of the granting of this permit. X Date 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 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE oP CONST. PARCEL PD ND I99UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above fcr which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .�_ A COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or nyed additional explanation, please contact this office immediately. . v � vy_ .Z Inspectv;j v--����-" Date v' ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751, 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE op IT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or.need additional explanation, please contact this office immediately. InspecorC'' Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIDN, AND PERMIT PERMIT NO. ASSESSOR ARCEL MBER ,..BUILDING ZONING PERMIT OWNER ^ \ TELEPHONE SQ. FT. OCC. BUILDING VALUA ION OWNEFPS M ILING AD ESS e- toff W1 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S 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 $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 WD Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 , USE OF STRUCTURE �—, SF P/ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel lities ❑ I Installation ❑ Other []� Describe work: _S /�S t�l h P Permit Fee $ t 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 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 2/20sq ft 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 m license is in full force and effect. y 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) El 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) r_1I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &' NON -R ESID. SINGLE OUTLET CIR. Ex. Occu 20®500 P�OUTLETS OR FIXTURES BAL030 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. 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 nd expenses which may in any way accrue aga'nst s id County in consequ a of the ra i g of this permit. X3��d_ l�a� Date Signature of Applicant — Owner i 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 $ TOTAL PERMIT FEE $ OCCUP, GROUP I TYPE OF CONST, PARCEL PD HD ISSUE This 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 paid. DI OF PUBLIC WORKS By Dat PERMIT EXPIRES D to e� *"'��� Receipt No. I l 020 � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT (PERMIT NO. U �-3— k ASSESSO PAR(y UMBER :22"— ZONING IF I BUILDING PERMIT OWNER i V TELEPHONE SQ. FT. OCC. BUILDING VALUA I N OWNE 'S MAILING DRESS CONTRACTOR'S NAME a r T LEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRIETS Permit fee $ BUILDING ADDRESS s OS � le PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF L[ e Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W �_00 TYPE OF WORK New ❑ Addition ❑ Remod'eI ❑ tilities Install a ' n❑ Other De cribe work: Permit Fee $ Contractor ELECTRICAL PERMIT Fi1ingFee 10.00 Main service 8011 OR LESS 100 AMP OR LESS 10.00 COD Main service EA. ADD'L 100 AMP 2.50 r NEW CONST. (/ DWELLING OCCUP.&` OR AODNS. l ACC. BLDGS. / 1 2/20sgft 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) EI 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 CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS. 2,50 ea &' NEW CONSTR.NON•R ESID. SINGLE POWER APPARATUS .&') ( OUTLET CIR Ex. Occup(o OR FIXTURES 2/@50a SAL®30 FIXED A PLINIS Ex. Occup. OUTLETS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mis . Wiring 15.00 /J S .. S 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. P�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 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. 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 ag inst §aid County in nsequ�nce the granting of this permit. _ G� �_ �yf %� Date Signature of Applicant — Owner Contractor ❑ Agent L An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PO HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIREC OR OF LIC c BY /' PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date c�0� Receipt No. 13 e mo WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OP .EdUTTE - DEPARATMENT OF PUBLIC WORKS. 7 County Cente� Dl-ive - Oroville, Calilornia 95965 - Telephone 916/534-4541 APPLICA 1 ICN 'AND PERMIT PERMIT NO: ASSESSOF PA—E UMBER �� �l L.OWNi„ , w BUILDING PERNMI _ OyyygR TELEPHONE I O\YNER'SMAILING AJ]DRESS SO. FT. OCC. BUILDING VALUATION — -- CONTRACTOR'S AMF_- - - --- �fA% L, Q. T _LEPHONE — — — - ----- CONTRACTOR'S MAILING ADDRESS .- -- Fireplace _ r C.JNSTRLIC TION LENDER n — UNKNO'rVk Total Valuation $ j Filing Fee $ . 10.00 —.-------• Permit Fee — $ r— Plan Checking Fee $ Penalty tjj�� LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICEr,s NO. •— -_--�--_-- ARCHITECT OR ENGINEERS MAi LING ADD E S ' • •— ---------.-----=-•— - Permit fee - —••�' , - w 'aUILDING' r /i - .._..-:..�...�.. £ _�OM�i1Pd�i PERMIT PLUMBING - -T Fifir;gF�l 10.00 Each Trap GC Sn!ar Water Heater 20.00 LOT NO. jJ�O'BIVi:i1ON NAME PARCVL MAP - Water piping ---.. s_GO Each vias water heater or vent J_5.00 I ,_ - Gas piping system. 1 5 outlets 5.00 `-- _ •"— � _ USE OF STRUCTURE ..i -- ----- ;F' �Juplex[_ bSobilehome❑ Otller SPEC! r•v.� — T Building sewer J _ Ltoh I Home G W � �_I Ii0A0- -�--- ( ..-_• TYPE CII= WORK Permit Fee $ New F] Addition LJ Remodel U l)tilities '' Installatia,n!zither�Contractor work:� F'�r3—�•'�'�^ -= - •'•J —...- --- - f ' Y;E EEiC�TJ Main service C tS 10AMP OLESS C— fllai,l Service EA. ADO'!.. 100 PMP Fl:ln170F,J6Ut 2.50 -igtJ J�0.�Descrlbtt • ?'' i t1'N ECONST. (C•WELi..l f1G OCCUP.&I OR ADDNS. L ?CC. BL_OGS. , CONT S LICENSE LAIN I dec'are ll, t of pe I check One): i am Iicensl under provisions of Ghapt. D, Div. 3 of the {�usiness and Profess d m, license is in full force ;1.!d effect. License No. Classification � I, as the owner, or my employees with wages as their sole compen- cation, will do the work, and the .struclure is riot intended r,r offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with iir.4ns is rc'ntract-- ' ors.(Sec. 7044) 1 j I am exempt under Sec. Business and Profe> i;ns rode for this reason NEW CONST R. MULT I - U i LE NON_RESI'D `r RAI•ICf_ C1 T C_� 5�— 2•`7G" NEW COFI ST R. r POWER APPARATUS & 1 N0 14 RES I D. LSINGI_E C•UTL.ET C!R. I "�------j 1 Ex. Occup(OUTLE-r5 or. FIi:TURES 20.1gy. 9ALs3•i — - FIXED APP!_NS.C•:R--• EX. Occup. OUI LETS ((RESID•) EA.) 2.00 ---i - --•---- iG.00 - -_ � __ Temporary service Mobile Home Facilities 15.00 Misc. Wiring 1 .0� !) ---q- _ P � t Fee _Contractor WORKMEN'S COMPENSATION INSURANCE _- _ -- MECHANICAL. PERMIT I:ingF10.00 I declare under p>analty of perjury (check one): Heating 1 Tile permit is for $100.00 (valuation) or ler-3. I have placed on file with the County of BLQa Building Di-partment a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to becorre subject Cooling —_ Hood _ 3.00 _ Ventilation 1 to the W. C. laws of California. Notice to Applicant: If after making 'this statement, should you becn-ee suLj(-ct } to the W. C. provisions of the Labor Code, you must forthwith comply with such ! provisions or this permit shall be deemed revoked. — --r..�.._.,—. _--� ��~ � 1 1 certify that I have read this application and state that Zile accve ir';ormationis correct. I agree to comply to all County Ordinances and State !_aw, relating s to building construction, and hereby au hor!ze representatives of the ;ountyot Butte to enter upon the above-mentioned property for inspacti•nn purpo,,es. �e17111't Feb 5 � Contractor 'trichite Boma lnsfaiiation Fee $� ---- —� —'— TOTAL PERMIT FEE $ 1 also agree to save, indemnify and keep harmless the County of RLI(:3 against all liabilities, judgmPilts, costs, and expenses which may n any atccrue occur: c�ouP TYPE OF CONST. _ PARCEL Pa ,la ISSUE against §aid County. in--onsequenc loft the granting of this permit. t /`�yl�, �,y �' __ •� `�•., 7: X1-?. -_ _�_ — -_.. _ Da-iie ;_ __._._._ (- Signature of Applicant — t7wnar Con!ractor ❑ Ager.t J This 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 paid. An OSHA permit is required for excavations over 5'0•' deep and Jemol0ion of CanslrUCr- ion of structures/ over 3 stories in height. DIRECTOR OF PUBLIC WORKS ByDate— — PERMIT EXPIRES Gate+_ Receipt <-+' — ---�_ No. 'f/ WHITE-O.P.W., ♦ELLO-ASSLSSO,t, PI,1'F.-�NSPEC70R. GOLDENP,00-APPLICANT P May: '12,,.1976 Nina Smith, REt Building Permit #418-75 1651 Messina Ave: Palermo, CA. .95968 Dear Me. Smith: With reference to the above subject and the storage building that you are converting to a dwelling, please be advised that your permit hAd"eXPireA and is subject to renewal. Our field inspector has advised this office thdi'you'have done a considerable amount of work without the necessary inspections and theit­yd'u"have numerous code violations that must be corrected.; Please complete the attached permit -application where indicated and return all copies. to this office with fees it the amount of $14.00 and then make arrangements for an Inspection to clarify what must be done to complete the project. Shouldyou have any questions concerning this mattet' ple I see contact us. Yours very truly, May Castleberry 'Director of Public Works J.F. Glander JFC;:dd Assistant Director lds Attachnent I • .6 FILE NO. yl. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information&/) Director Dep. Dir. Sec. Rd. & Br. Mtce. W Bldgs. & Grds. Bldg. Insp. Admin. D & C/Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Mapping Drng./Permits Sub. Checking Right of Way x.• w t I I • .6 FILE NO. yl. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information&/) Director Dep. Dir. Sec. Rd. & Br. Mtce. W Bldgs. & Grds. Bldg. Insp. Admin. D & C/Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Mapping Drng./Permits Sub. Checking Right of Way IV MISCELLANEOUS ' BUILDING RECORD %R. C. N. Unit Good L' IV. n Cost Cost R. C. N. 0 • . PARCEL '•� -- — SHEET OF SHEETS DESCRIPTION OF BUILDINGS ,la9 Structure No. Size FW Found. o/•l Q Exterior Roof Floor 8 Interior De/oi/ Second Story Year Est. Tot. Type Cover or Loft Built Life Yrs / --- 9�0 I COMPUTA TION 0 5 4pDrviser-Dote �B 3�3 3-i� 1991 �'c 36 8 I/o 19grj .ill. -5 '1 1��0� SFP f D9M. v rola/ o2osdc� H -s of` ZA-199 25,000 I pproiser- Dale 19/9 /9 I 19 8109 Area UCostnit Cost % C. UnIf Cost CostI� WA %R. C. N. Unit Good L' IV. n Cost Cost R. C. N. N Total rola/ o2osdc� H -s of` ZA-199 25,000 I pproiser- Dale 19/9 /9 I 19 8109 Area UCostnit Cost % C. UnIf Cost CostI� %nit Cost %R. C. N. Unit Good L' IV. n Cost Cost R. C. N. N Total 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. P050507 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: 02/23/2005 APN: 026-080-081-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 2651 MESSINA AVE PAL Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the . Description: demo ex house Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code- Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: DAWKINS, G A MD 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 the Contractor's State License Law (Chapter 9 commencing with Section 10389 SUNSET VIEW CT. 7000) of Division 3 of the Business and Professions Code) or that he or GRASS VALLEY, CA. 95949 she is exempt therefrom and the basis for the alleged exemption. Any 530-268-6878 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 Code: The Contractors' State License Law does not apply to an Applicant: DAWKINS, G A MD owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 10389 SUNSET VIEW CT. provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one GRASS VALLEY, CA. 95949 year of completion, the owner -builder will have the burden of 530-268-6878 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 Pfofessions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon. Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Lf d� - Date: Own s.G�`-J✓ License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: 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: otal Square Ft: 0 S.F. Policy #: Valuation: $0.00 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 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: �/ 2 Ve S' p / �7 . �/1 I C� 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 r t applic ble provisions of the Butte County Code and/or This permit is ereby issuedred I hereby affirm that there is a construction lending agency for the Resolution o do work iridicab*e for ch fees have been paid. n 2 �3r-b performance of the work for which this permit is issued (Sec 3097 Civ.) By: Dat/e� Name: Address: PERMI RES ON: Date ❑ 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 1 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. —' LU�`�� Print Name: /�/' Signature: Dale: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 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 OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Lastt,,,�1Iame wle- �, S Cir. %} irst Name Addr D ll_SSG7Z* C State ,5;,� Zil 3;rf� e? C� Fax E-mail APPLICANT SIGNATURE For office use only: CONTRACTOR Name U IV/L,A)6i1/ Address SRA City No State Zip Phone Book Fax E mail Planner Lic. # Class APPLICANT SIGNATURE For office use only: ARCHITECT/ENGINEER Name 0-4,,v ^JL_ Address SRA City No State Zip Phone Book Fax E-mail Planner State License Number APPLICANT SIGNATURE For office use only: APPLICANT NAME Name 0-4,,v ^JL_ Address SRA City No State Zip Phone Book Fax E-mail Planner APPLICANT SIGNATURE For office use only: Zoning Flood Zone Pr eay Address SRA ves No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP BIN # Description or Scope of Work: ��►'� o Ft�SL� Sq. Footage ❑ 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 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. OVER FOR SUBMITTAL REQUIREMENTS L K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Amount: 6�� Receipt #: Date: //L3/b-S_ V11 IGI Total REV 7-27-04 LOCATION/ Pr eay Address Cros Street h 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 Description or Scope of Work: ��►'� o Ft�SL� Sq. Footage ❑ 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 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. OVER FOR SUBMITTAL REQUIREMENTS L K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Amount: 6�� Receipt #: Date: //L3/b-S_ V11 IGI Total REV 7-27-04 k SUBMITTAL & PERMIT REQUIREMENTS .10 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. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and 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). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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 7-27-04 iPERMIT NO. 4.18-7-5B,P,E,M ( P E M b I } QMH UTIL. PERMIT NO. PERMIT EXPIRES. OWNER Nina Smith CONTR. LOCATION (A.P. 26-08-74 ) 2651 Messina Ave., Palermo Temp. Power Pole_ Called PG&E Temp. Elec. Serv._ Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Foems Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS r 3d Q.a�o COUNTY OF BUTTE — ' DEPAfITMENT OF PUBLIC W 7 County Center Drive — Oroville, California 95965 1h LJ Telephone: 534-4541 APPLICATION AND PERMIT vricoc i.oiivoa vi mE in ,vuiy ui ouue W enier upon me above mentioned property for inspection purposes. 1 " K X Date-/- 3 % v 7,s Signature off Permitteeeror Agent Receipt No. /.:2 ,/ 4� 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 been aid. DIRECTOR 0 UBLIC WORKS BY Date L1-7(0 ullding permit expires Date .................... .�(.................... BUILDINJi Owner y� SQ. FT. OCC. BUILDING VALUATION S d� Mailing Address �� ES+ �+�..01 E/l433—� Telephone No. Fireplace Contractor Total Valuation , Q Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee .$ P 16� Di Building Address �j S./ - PLUMBING No. FEE PERMIT FILING FEE r CJ Each Trap 1.50 d Repair drainage or vent piping 1.50 Water piping 1.50 SQ Each gas wat ater or vent 1.50 5_0 A P ..� aniTi'g r -Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W Sa ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parki g{ D� a ' arcel Map Plarg 60' R/W Improve ents Lawn sprinkler system 2.00 s 761 Parcel Approval Plan Approval Permit Fee $ DC7 3 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ,® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ® Sub -panel 02 or s (more than 12) StJ Range, Cook -top or Oven 1.00 U� S%Q� ��% c) Water Heater or Space Heater 1.00 Light fixtures20 Q(j bold?0 a58,fix ou s Z2 25 R .00" SWitC4, baftm S :10 CONTRACTORS,/6 CENSE 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: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 0$102, 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. ❑ I have 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 d6 Heating ©0 pp Cooling Ventilation Hood 2.00 Permit Fee $ d $ C 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 .ti TOTAL PERMIT FEE vricoc i.oiivoa vi mE in ,vuiy ui ouue W enier upon me above mentioned property for inspection purposes. 1 " K X Date-/- 3 % v 7,s Signature off Permitteeeror Agent Receipt No. /.:2 ,/ 4� 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 been aid. DIRECTOR 0 UBLIC WORKS BY Date L1-7(0 ullding permit expires Date .................... .�(.................... --This -set-"of-plans-and-s-pPcWcr—tiins-MUST be kept on the iob at all times and it is unlawful to mnlee any cknnges or alterations on same without written permission from the Department of Public I S� Works, County of Butte. . /r Al Lf NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Goad Prnc:tices and of a quality. prescribed for the Spec=fled use in the Unifarm Building, Plumbing & Machanical Codes and q the National Electrical Code. BUTTE COUNTY" 1�1 RUILDING DEPARTMENT APPROVED "�w Septa Ing c quffe 11ie' le the. si a maxi MM and location of build - stub -out to be as per my Health Dept. Re. .-tback shall be 5 ft. from perty line and 50 ft. from ie of the road, permitting of a 2 ft. eave overhang. �l � APP. /= �l � ,,. . 1 ►. . . . IBUTTE COUNTY .____._.BUILDING DEPARThA�Nl' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT UUlhoIize representatives UI the bounty 01 Butte to enter upon the above-mentioned property for inspection purposes. ^ , Date Signature of Permitee or Agent Receipt No. _ 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 been paid. By DIRECTOR OF PUBLIC WORKS Date Building permit expires Date _-1� BUILDING Owner SQ. FT. OCC BUILDING VALUA_!ON Mailing Addr& ,5-/ /4 ��) Telephone No. Fireplace Contractor e-(l[j-y2 Z Total Valuation Mailing Address Permit Fee Plan Checki ng Fee &/or Penal ty Telephone No. Permit Fee C t % 1 0 /--� �� Building Address PLLIMB1 G No. @ FEE PERMIT FILING FEE 1$3.001 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ' = Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet30 Fees C. &enittttftlff Fire Dept. FI re Zone Use Permit Building sewer 5.00 EQA Parking plans Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTIL IES ❑ OTHER �, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 G —� Main service 600100 V ora LESS — AMP OR LESS 5.00 Main service EA. .ADD•L 100 AMP 2.50 — Single Family Duple)'c`❑ Mobil Home ❑ Others ❑ Main service OVER COC -v100 AMP OR LESS 125.00 Main service EA. AeD•L 100 AMP 1.00 NEW CONST.(OWELLiNG CCUP. OR ADDS. O ACC. BLDGS. ) 2VSaft N & NEW CONSTR ((MULTI.OUTLF_T NON.RESID, i aRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS R NO RES I D. \SINGLE OUTLET CIP.. 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. Ex. Occup(OUTLETS ORFIXTURES) F `S' aAL01a Occup. (OUTLD TS (RES!O. REA) 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 $ p 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. J I certify that in the performance of the work for which this J ❑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• FEEPERMIT FILING FEE S3.00 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 s OC UUlhoIize representatives UI the bounty 01 Butte to enter upon the above-mentioned property for inspection purposes. ^ , Date Signature of Permitee or Agent Receipt No. _ 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 been paid. By DIRECTOR OF PUBLIC WORKS Date Building permit expires Date _-1� DECLARATION I EGARDR G LOTS OR PARCELS I certify that as owner of the property acquired by deed in Volume Page Official Records of Butte County, (AP. p,9-0._,07 y-0 ), 1 ern requesting permission to build or install an additional living unit on this property. • I will not divide the aforL- mentioned property for sale, lease, rent, or financing unless all applicable -land -division -Ia;;s-arid-:map---requirements-,are--complied-with, . Y I am conversant with the present zoning regulations affecting the I aforementioned property, and declare that I shall not violate same, I ' represent that the proposed use of the additional living unit is dl L 'and -that' 'further I -shall --not change L-his -proposed- use 'of -the--additional 3 living unit unless and until'I receive written approval therefor from the County of Butte. , S fully understand that pursuant to Chapter 20 of the Butte* County Code and §11535 et seq of the Business and Professions Code that if I, in the future, sell,'lease, or finance the area on or adiacent to said mpx-ovenent without ful; complying with the applicable laws and.. ordinances, that I shall be-guilty of a misdemeanor and therefore, subj ect to the aforesaid penalties and_imprisonment pursuant to laN. Further, `-this statement - shall -be-•properly -acknowledged and recorded at the request r of.,...the_County__of..-Butte. OFFI'IAL RD, DS •_ BUTTE CCU'!TY-Cm.IF _-- ` _ r• • flvG�: 0 J .TLC APR Z 129'AM 1975 OwnYr. ;s LOUIS K, t?UE(i ` i" '. COUNTY PEC 6 � .'_._� �. � � ��%.Gz�, ,�-./L FEE 'Arens ResusiduuntninnsuiirsnNnmu�duiisHtf�upl!'�G•f/�,�''�D'� lJv;�. .' g BARBARA M. GRIMM y� NOTARY PUBLIC 0\LIFOIZN1A � ✓z PRIhCIP,\L O6FICE IN. BUTTE COUNTY. 25684. Date My commission Wires •Seof4wA Ar 9,3977 STtiT_ or CAL iFORNII_ti--- ccu�;� of ss, Butte On this 2nd day of April , . 1975 before iie, the undersigned a 14o a ry Pub 1 iC in and for Z:he I.O.L:.: ! Oi State of California, residing therein, duly co,amissionec� an scorn, personally appeared Nina Smith ':noJ, to .me to be the person ;,,nose na;,,e is ,,u:�scrzb d to E-he within instrunent and aclnowled)-ea to ne that—, s Ila executed the same. TSI W%T:Ii�SS.4J;I EOF I ha��e hereunto set my hand and affixed ray ficial seal in t!>.e County or" Butte the LtaV aP.d year ill this cc r--_i::1C;lC2 first al)O'l-e y-I.1C.i.cil. • - ., 7 CoU FPj I�`�pUUOCe�OF r . RkS APR �1 195 �i8,��ri1o1� •^ �I�y