The URL can be used to link to this page

Home My WebLink About000-000-000COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) ' APPLICATION AND PERMIT -,42, - �W ,.,q? ASSESSOR PARCELNUMBER SEE ATTACHED ZONING J BUILDING PERMIT OWNER COMCAST COMMUNICATIONS TELEPHONE SO. FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 4350 PELL DR SACRAMENTO CA 95838 CONTRACTOR'S NAME WESTCOAST 343-2472 TELEPHONE CONTRACTORS MAILING ADDRESS 140 g=S ST CHICO CA 95828 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checkin Fee $ 1ILTU A �ILLE LOCATIONS (SEE ATTACHED) Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPEclry 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 ❑ Ulilifies ❑ Installation ❑ Other ❑ Describe Work: PLACE CATV POWER SUPPLY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 10 23.00 230.0 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 i In fu I force and effect. �j// License Class ` 0 Lic. No. / (.o S q to OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 1 46.00NEW CONST. DWELLING OCCUP. OR ( MULCTco� SO 3.5¢FT: oaf NEW NON RESID. @7.50 PGWNC APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDRURES B20 @ L.000 Ex. Occup. ouT AEsili.oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 250.00 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 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 forth I comp it os provisions. i _ `-7 -o,3 X Date 1• L. Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations o er 60" 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 $ 250.00 HAz. o FEES IMP I FLOOD I CDF I PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated bove for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. a OZ / o2- Ave Receipt No. WHITE-D.D.S.-B. -AS E K ECTOR GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive o Oroville, California 9596.5 • Telephone (530) 538-7 1 PERMIT NO. . (Rev.12/96) APPLICATION AND PERMIT ' ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT SEE ATTACHED OWNER COMCAST TIO S TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS IL190 3. DR,, sAcmm MLO, CA 95838 CONTRACTOR'S NAME wmwoAsT CATIONS VCI TELEPHONE 343-2473 D FEB LMP CONTRACTORS MAILING ADDRESS 95928 I COP I PARCEL CONSTRUCTION LENDER I HD LENDER'S MAILING ADDRESS Fireplace Total V aluatJon $ ARCHITECT OR ENGINEER LICENSE NO. $ 'Firing Fee 20.00 Permit Fee • $ ARCHITECT OR ENGINEERS "UNG ADDRESS -- - - Plan Checking Fee $ BUILDING ADDRESS (f I Energy Pian Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME -' PARCEL MAP PLUMBING PERMIT Feng Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ t4obilehome ❑ 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 13 Addition 13 Remodel 13 Utilities 13 Installation Other ❑ Describe Work: Gas i in stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S i G I W@20.00 PERMIT FEE $ ELECTRICAL PERMIT FMg Fee 20.00 Main Service you oa LM 23.00 _ ^ .PERMIT: FEE PAID $ s SRA $ s ,I SHERIFF $T OTHER $ $ I ir Main Service ' 200A To IOWA 46.00 taw CDNST DWE LNG OCCLP. OR ADONS. a ACC. VTLE rrZ+" c° LeuLiT'°LmFr N @7.50 POWER MPARATUS a srNGLE oLmEr eot Ex. Occu . ovnEr OR FIXTURES m @ L.OD BAL. Ex.. Occup. un® 6fo DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 N6sc. Wiring23.00 PERMIT FEE S oZS V MECHANICAL PERMIT Feng Feef 2 0. 00 Heating.. Coots Hood 6.50 VentLlation PERMIT FEft S Mobile Home Installation Fee $ Enerov Inseection Fee is 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. DATE RECEIVED By Date 3g3g4-5 09 =C CONST. TYPE TOTAL FEE $ d HAZ D FEB LMP FLDOD I COP I PARCEL I PD I HD ISSUE •I s�A11®1'f� �CrEldlcir� � � c/�-/ 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. DATE RECEIVED By Date 3g3g4-5 09 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev.12/96) APPLICATION AND PERMIT ASSESSORP C UMBER ` J ��A� ZONING BUILDING PERMIT OWNER rrr�_ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE ta. /5�rCj�s��U��tiEEESSSC��4/��%��bi�S 530`['3 -24.73 CON i T`Ftl C'�l.C� � nT C4W-3 q� 1 Z8 PERMIT NO. CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS LOT NO. I SUBDNISIOWSNAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑01 CA -TV Installation �❑ Other 0 �/ Describe WOrk:�L \� C � 1 �l R) w'E- � 1 1 (— / PERMIT FEE PAID $ SRA $ SHERIFF $ OTHER $ Plan Checking Fee $ Main Service Energy Plan Checking Fee AMOUNT RECEIVED $ RECEIPT 3.5Q: NUMBER TO BE PUT INTO COMPUTER Fireplace Total Valuation 1$ 1 Filing Fee $ 20.00 Permit Fee $ Main Service Plan Checking Fee $ Main Service Energy Plan Checking Fee $ NEW CONST. OR ADDNS. DWELLING OCCUP. 8 ACC. BLDS. 3.5Q: NEW CONS NDN ResID. PERMIT FEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 20 @ 1.00 BAL O .50 7.Ob Solar or heat pump.water heater 5.00 23.00 Water piping Mobile Home Facilities 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating I I f Hood 1 6.50 Ventilation PERMIT FES 1 $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I CDP I PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2�o A OR LLEESS 23.00 Main Service 200A TO I..A 46.00 NEW CONST. OR ADDNS. DWELLING OCCUP. 8 ACC. BLDS. 3.5Q: NEW CONS NDN ResID. MULTI.OMLET @7.50 POWER APPARATUS 8 SINGLE OUTLET. EX. OCCU OUTLET OR FIXTURES 20 @ 1.00 BAL O .50 Ex. Occup. oUnETs,FsioLNS°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating I I f Hood 1 6.50 Ventilation PERMIT FES 1 $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I CDP I PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON AVAIF® AW ® AurAwAff VCI Telcom, Inc. A. Subsidiary of Quanta Services, Inc. July 29, 2003 Butte County Department of Public Works 7 Court Center Drive Oroville, CA 95965 Re: Authorized Signer To Whom It May .Concern: Please accept this letter as a request to designate project manager, Bill Green of VCI TELCOM, INC. d/b/a Delaware VCI Telcom, Inc. as an authorized signer for all permits and forms pertaining to VCI's business in all areas of Butte County. Should you need further information or clarification, please feel free to contact my office at (909) 949-1350 extension 1.17. Thank you, 1921 W. 11th Street, Upland, CA 91786 (909) 946-0905 • Fax (909) 946-0924 California State License 765716 �A.D:NEW=_�"�"" 07� PRODUCER JOHN L. V+IORTHAM &SON, LL.P. TH1¢ CEIMMATE IS MMED AS A [NATTER OF fFORW 7Mi ONLY AND COBS NO FJGKM UPON THE C6IflWATE HOLDER. TRIS COMICATE DOES NOT AMM, EXTEND OR P.O. BOX 1388 ALTER THE COVERAGE AFFOMW BY THE POUCIES BELOW. HOUSTON, TEXAS 77251-1388 CONNPANMMS ASG COVERAGE COMPANY 0715%-0009E-2OObA-OOOS92 SMVECB 1/1 A OLD MAMIC IM MAHCE COMMy M1Sm® VCI TELCON, INC. oOLVIVINY B ASSOC. ELECTRIC i GINS IMS. SERVICES LIMITED 1921 WEST 11TH. STREET COMPANY wum, CA 91706 C cowfHY i IN 1111D THIS IS TO CERTIFY THAT THE POLICES OF R1OMAMM LISTED BELOW HAVE BEM MM TO THE VIMU EO MMM ABOVE FOA THE POLICY PERM WDICATm. NOTwffmmmm ANY REDUIRE1mIT. TEm OR commoN OF ANY comma OR oTm DOCUINENT WITH RESPECT To WHICH THIS CERT LATE MAY BE 159 OR MAY PERTAIL THE MAMURANM AFFONOM BY "M POLIMS DEED MM IS SUBJECT TO ALL PIE TERMS, EXCLUSIONS MW COfMIOM OF SUCH POL>Cte6. LM11QS SHOWN MAY HAVE III f&DIUM BY PAR) CLMIAS. CID TYFfOF1II11UR111NC! FOIJCYNUYMBH Imm own" OUMM SB IfM18 A GB IBUILUABRITY M7155M 03/01/M 00/01/M GENERAL AMMATE • 1 750 OWO PRODUCTS-COMPIOPA O • 11750,0006 x camme cmisD RALuAHTHurY CLAM MADE nxx OCCUR SELF-INSLMW RETEM ON S25O,0M PERSONAL a ADV KRIRY S 750 OW EACH OCCURFMCE s 750 000• OMNeYs R caMxACTMIM PROT FIHEOAMAGE WwarNod • 750 000 OF SELF-IMSLRED II Mm EV Ww am i 1 t E= I ED RETENTION AUTOMOBILE AUTOMOE LWAM V ANY AUTO MIJt IM7 03/01/2003 03/01/2006 -, SINGLE LMT 1,000,000 , so aa� X ALL OWNED AUTOS SCHEDULED AUTOS DIDDL , X HIRED AUTOS X NON -OWN® AUTOS FFOPBQV DAMAGE t GARAGE "AM a AMID ONLY -CAACCME T • ANY AUTO OTHER THAN AUTO ONE- > x" EACH ACC/OEiT AGGREGATE i ODOM UASRM CLAINS MADE REM DATE O9/Ot/2002 EACH OxURRINCe o 5,000, 000 AGSFMATE • 5.000.000 eUaeeEHAPORM x2MlA03 09/01/2003 O M12006 x onRRaR THFAN urreiRatw Po1rt� A Mf010[ERS COMFBlOAT10NAND MYC108554 00 03/01/2003 00/01/2005 X I STATUroHY LIMITS EACH ACCMKMT • 1000 000 EMKOV W UAI DOWASE - POUCY Mar IS 1 000 000 THE PROPRIETOR/ x NCL DISEASE - EACH MMWVEE 14 1,000,00D OffRU 3 ARE: EKCL OTHER oEa.RIPrHOH1 Trere SEE ATTACHED sm" ANY OF THE ABOVE oewmw POUM RHE CANCRM M30 THE SAM M OM 7861BDP. THE MUM COMAIN MRL BNEAVOR TO YAM BUTTE COUNTY 3_ DA7s ms i mm'm THE c®rsirm Imm 1HAA® To THE UHT. DEPT. OF PUBLIC MMM MHT FALM TO MALL SIGN NOTICE SNAIL awooe NO 01 OR HIAM M 7 COURT CENTER DR. OF ANY oo UMMTHE OOWMI na OROVIILE, CA 99961 AOR /11EP+EReFTAMM- O� oC. TM�cor�gapn�ns%�O vC.aC. i ATTACNUIENT TO CERTIFICATE OF INSURANCE NO. 071555-00090.2004A•000492 SM/ECB 1/1 CERTIFICATE HOLDER: INSURED: BUTTE COUNTY YCI TELCON, INC. f GENERAL LIABILITY POLICY INCLUDES CERTIFICATE HOLDER AS AN ADDITIONAL INSURED WHEN REQUIRED BY WRITTEN CONTRACT BUT ONLY AS RESPECTS LIABILITY ARISING OUT OF NANED INSURED'S WORK FOR ADDITIONAL INSURED. AUTO LIABILITY POLICYJIMCLUDES CERTIFICATE HOLDER AS AN ADDITIONAL INSURED WHEN REQUIRED BY {MITTEN CONTRACT.