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HomeMy WebLinkAbout005-403-005JAMES K. LAWLER � `�, 868 Virginia S Chic A� Permit ¢#4442-77E (ele ser ch) SF 005-403-005 02-2412 a•. SHADD, REBECCAM 860 VIRGINIA ST., CHICO FOUNDATION FOR EX HOUSE * ;I - - 03-2849 005-403-00' .SHADD, REBECCA INALED 860 VIRGINIA ST' CHICO q��'�b3 Cont: F GEORGE SUMAHIT� i RELOCATE GAS HEATER B08-1688 005-403-005• MISCELLANEOUS Demolition DEMOLITION OF GARAGE CONY. & 860 VIRGINIA ST SHADD, REBECCA TRUST i 61!r �, M BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 860 VIRGINIA ST Owner: Permit NO: B08-1688 APN: 005-403-005 SHADD, REBECCA TRUST Issued Date: 08/19/2008 By TMP Permit type: MISCELLANEOUS 4023 KAKINI RD Subtype: Demolition OROVILLE, CA 95965 Expiration Date: 08/19/2009 Description: DEMOLITION OF GARAGE CONV. (530) 538-6498 Occupancy: Zoning: AR Contractor Applicant: Square Footage: RICHARD CURRENT Building Garage Remdl/Addn 1115 SISKIYOU OROVILLE, CA 95965 Other Porch/Patio Total (530)370-6440 FEE INFORMATION DBMSC Demolition $59.00' Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8315 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 08/19/2008 penalty [$500]; Please check one of the following: Contractors Signature Date L>I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE SLCOMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR 1:1I are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ Section 3700 ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Cartier: Policy Number. Exp. Date: (This section nee not be completed if the permit is for one hundred dollars ($100) or less. ❑IAM EXEMPT under Section B. 8 P.C. for this reason: l� I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS L,04SSUED, 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'X � �— 08/19/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. Xi / 08/19/2008 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and properly damage caused arising out of, in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property authorized ton the property CONSTRUCTION LENDING AGENCY / 08/19/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) rtn Owner Contractor OR I �gAgent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. / BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name -.420 VL First Name Mailing Address Z / O/, t'& 4 City f� C G StateC Zip Phone 3 Z 6 [� c, Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City op G Address I Zip G 5 6 7 City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City op G Address I Zip G 5 6 7 City Fax State Zip Phone Fax E mail State License Number APPLICANT INFORMATION Name Address City op G State c f I Zip G 5 6 7 Phone 37e' 6 yt//'O Fax E-mail APPLICANT SIGNATURE X .� C4 a,,/ W PROJECTLOCATION AN 00,- -- y03— (J 0 r Property Address &6,f ;A Se City WORKER'S COMPENSATION Policy Number Carrier Hhiring anyone other than licensed 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: 1 0- Ar -e Scl FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning T Flood Zone SRA I Yes I No Occ. Type Const. r 08/19/2008 08:59 5303426498 SLINKARD Butte County Department of Development Services TIM SNEVVINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRI;c:TOR 7 County. Center Alive OrOville. CA 95965 (530)538.7601 Telephone (530)538-2(40 Fax Www. bltttecounty, net'/dds PAGE 01/01 P.2 OWNER -BUILDER INFORM.A,TION An Pppflcntion for a buitding trctrtdt has been sbbMined to your rhlnte listing yourself as the builder of the Property hnprovc1ne11I9 specVfled. For ynnr protedon yMh should be aware that as "owner -builder" ytrit aro the responsibh party of record on each n permit Building permits arc not requlred to be slgrred by Ptrpeny Damara unless troy arc perkmnlly par(brmIng their own work. lt'your work Li being performed by someone ulster frau yottrBe{f you may Protect yourself horn posefhie liability if that person app)h:s for dtc proper permit its hiam e m het rum Contraotom are requite) by law to he ncenscd and bonded by dto State of California and to curve n ITUMIM license horn Bho clty or county. They sac also required by law to put trxh licenxe number on all permitj for which they apply. If Plait de your awn work with the exception Protection:cetion: of various trndes tau you plan to subeontraor. yotl should he Aware Of the following informnrion (or your hcneftt and Protection: ° If 14v employ or otherwise en nr gagc rY persons othertmol than your immatiarr family, and tbo work (inetudiag mnterlal► and other costo) is E900 m Otgre in, the entre prpieG tend Ruch petvanS arc'lot licensed se contmotors err subcontrklury, then you may be an employer, o If you aro ;m employer, you must registor with the stoic and federal govomtttont as an employer and you are subject 10 scverol Obligations Including state and fadernl ° ineonte tax wit,halding, tadcral •'•eoial soeu►ity tams. worktxn/ campemtmlon insurance, disability inswv aw wsats, and unenhpltryntrnr compensation eOrttftbutions. ror m re s e i fnnneial NtkS to you If you do not emry out these obligations, and thea risks arc especially evimts wide "llemir to workers' conrpansatioe inrwanea ° For more specific or more spt'llecific cificOW'yow atiigattons undo tldernl low, contact the Internal Revenue Serviou (anti, if you wieb, the IJ.S. Small btninetS Administration). For more spceific iofOtmatitM about your ohl*tions under state law. oontil tic OCpnnmenl' of Benefit Paytncnn and the Division OfIndustrial Aocidmt;. !f the Sam cte it intended for Este, property owns who tut oar tit rnsed contrnctwa aro ollowod to perform their Wolk personally Or th=13)) thier own emPloym, w{thaut a llcauo CDRRaCtet of 6Uhepltlaetpl, only „eller limited condltlons. A frcgnent practice of nnliwneed perrons ptrofec.inp M bo contractor is to secure en "Owner -builder, Mdlding permit, oftancousty implying that the property owner is pmvi(ling his at her own labor and m.'nerial personally. Building permits oro 001 rcgpired to b¢ signed by properly owners unless they aro pertbrming their own work pennnally. laratmatien about licensed contractors may be obtained by concocting the Contractors' State o Board's autom;ned tel phone information system at t-Rnp.321 •CLSB (2752) of by accessing thier website at %,mv.CSLe.t:o.gov. Litens PLJ,ASF COMpLET7; AND tiLTI1RN THE ENCLOSED OWNFR_HUILnl?.R VERIPICATtON FORM SO THAT' WP CAN CONFIRM THAT YOII ARE AWARE.. OF THi;$F MATTER$. THE HUR,1>'No PERMr" WIU- NOT BE ISSUED UNTR,L THE VCR1FtCAT'lON 1S RE'TURNrl). OWNER BUILDER VFRMCATION PL'FASE COMPLETE THIS FORM AS REQUIRED BY THE STATE; OF CALIFORNIA MENA1rfi BILL NO. 831 EFFPCTIVE JULY 1, 19110). NO BUILDING %^PCR -W')' WILL PP I=JED UNTIL THIS Vl ,RWICATION IS RECP...IVCD. At. UI PERSONALLY PLAN'f0 PROVIDE THE MAIOR IASDR AND MATERIALS FOR CONSTRUCTION OF TT{E PROPOSL'D PROPERTY IMPROVPMLNT. (YES OR NO) �9 2. 1(HAVE E NOT) SIGNPID AN APPLICATION FOR A RUII.DINr PERMIT FOR 1I9E PRAPc?OCD WORK, 3. 1 HAVE CON CTE WITH {E ' L.LOW NG PERSON (FIRM) TO PROVIDE'" -IE PROPOSED CONSTRUCTION: NAME_ t AODR1 SS_/f1. _S_cv, v,y.. CttY_�`%�„ y S �O PHONL NTRACTORS LICENSE NO y"r (fr S a. l PLAN TO PROVIDE PORTIONS OF'fl{E WORK, Bt JT I HAVE HIREI)'ME FOLLOWING A6RSON TO C,OORl)MATE, SUPERVISE. AND PROVIDE THF MAtOR WORK: NAME ADDRESS ' — Cn-Y PHONE_ _C,oNTRACTORS LICI'N$C NO_—�— S. 1 w11A. PROVIDE. 3t1ME OF THE WORK AUT 1 HAVE CONTRACTED (HW. 'U) THE FOLLOWING PERSONS TO PROVrc2E'114C WORK INDICATED: tL� 9[1121{1] -- 1'HONF T.y,Piff wM Dcscriplit,n: DEMOLITION OF GARAGE CONV. Bc REMODEL RC908-0107 .Reference Ntunber: .608-1688 Applicant Name: RICHARD CURRI?NT Owner's N,vne: SHADD, REBECCA TRUST AP 005 -403 -OGS -.1 Signature of Properly Owner:-AQEC� �� iDare: ��9 2 0p 6 Sd fr ���;.?�;ylw) ✓^�.�y��•���w�ii94isi-(�Ytir..::.+...w.*2y':At.Y(}7"�:R,,':�. .'-T:. ..t �.-,_-�,�-ti-'ii .�.: ��•' FVIRGINIA 03-2849' BECCA ST, CHICO RGE SUMAHIT GAS HEATER OFFICE COPY Address GAS Z L O Meter By Dat ELECTRIC Meter By Date 03 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75411914- q. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 005-403-005 ZONING BUILDING PERMIT OWNER SHAMREBEOCA TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4023 KAKINI RD OROVIW 95%5 CONTRACTOR'S NAME F GEORGE SUMMrr TELEPHONE 534--%89 CONTRACTORS MAILING ADDRESS 'p/� pp���� ` PO WX 54"0 OWaLK 95%6 CONSTRUCTION LENDER , LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS MO VIRGINIA ST. (7141M Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ 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 ❑ Other ❑ Describe Work: RELMATE GIAS FURNACE- WATING Gas piping system 1 - 5 outlets 15.00 15,00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 ORLE Main Service oAo,, LESS 23.00 :4 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 inVI II force and effect./�0 / I License Class Lic. No. L/ 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT: =RES.. MULTI -OUTLET C.U. 97.50 POWER APPARATUS a SINGLE oUn.ET CI R. OUTLET OR FIXTURES Ex. Occup.BAL 20 @ 1.00 @ .50 Ex. Occup. oLITtEEDrsARES 6.) " EIJ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 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.) /❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers'fcompensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �. J.'�� nM Date 9'��'�%. Signature of Applicant '- ❑ Owner `Q Contractor ❑ Agent An OSHA permit is required for excavatio ' ver 60" deep and demolition or construction of structures over in sigh MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ 0 CONST. TYPE ' TOTAL FEE $ 35.0p HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSyE iT4 ermit is -hereby issued under the applicable provisions of th6 'utt u ty C e and/or Resolutions to do work indicat d ab v f r hi fees have been paid. ,1 2 / UJ By % i` Date PERMIT EXPIRES ON ate Receipt No. J 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 (530) 538-7541 0:3XY (Rev. 12/96) ~. APPLICATION AND PERMIT 4q ASSESSOR PARCl/. NUMBER 005-403-005 ZONING BUILDING PERMIT OWNER SHARD REBECCA TELEPHONE Sp. Fr, OCC. BUILDING VALUATION . OWNER'S MAIUNG ADDRESS 4023 KAKINI RD OR CONTRACTOR'S NAME F GEORGE SUMAHIT TELEPHONE 534-368 CONTRACTORS MAILING ADDRESS PO BOX 5444, OROVIILE 95966 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 860 V-TRGINTA ST, CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ 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 ❑ Other ❑ Describe Work: RELOCATE GAS FURNACE- HEATING Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I s I G w 920.00 PERMIT FEE $ 35,00 ELECTRICAL PERMIT Filing Fee 20.00 LE Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in II force and effect. License Class Lic. No. / (B 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 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.) 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 W rkers' compensation rovisions of section 3700 of the Labor Code, I shall f hwit omply with os provisions. 1 SQ X o Date J �l 'd� Signature of Ap licant ❑ Owner*ConTtractor 11 Agent An OSHA permit is requ' ed for excavaver 60" deep and demolition or construction of structures over in Main Service z TO LuooA 46.00so NEW CONST. OWEWNG UP. EU OR ADDNS. ( a acc. eros. SO 3.5¢FT: NON-RESID MULTI -O11 TLETU@7,50 C. a R A PSINGOUTLET OWELEPPARATUCIR.S 20 @'•0° Ex. Occup. OUTLET OR FIXTURES e„L @ .50 ED Ex. Occup. o. RM .) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 $ 35.00 HAZ D FEES IMP FLOOD I CDF PARCEL Po HD ISS Th ermit is hereby issued under the of the u u ty C e and/or indicat d b wi 1_rvjW fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. V Date I Dete Receipt No. WHITE-D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-AFPLICANT 005403-005 i,. 02-2412 §HADD, REBECCA t 860 VIRGINIA ST., Cilco FOUNDATION FOR EX HOUSE C) ri COUNTY OF. BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541�^� PM (!iev.12/96) APPLICATION AND PERMIT (( ASSESSOR PARCEL NUMBER 005-403-005 ZONING BUILDING PERMIT OWNER S'nadd Rebecca TELEPHONE 533-7254 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4023 KAKI14I Road Oroville 95%5 42 Q 10 420.00 CONTRACTOR'S NAME owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation 1$420.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2-1.00 BUILDINGADDRESS b60 Virginia Street Chico Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Other ❑ Describe Work: Concrete Foundation for ex hawse Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W F @20.00 PERMIT FEE $ ELECTRICAL PERMIT • Filing Fee 20.00 Main Service ".A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business.and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION. I hereby affirm under penalty of perjury that I am exempt fro mx' la ntractors License Law for the following reason: 0' 1, as owner of the property, or my employees with wages as their sole compensation, ,�,�r will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 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 forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations ov r 60" deep and demolition or construction of structures over 3 stories in height. Main Service zow� TO 46.00So CCU000A NEW CONST. DWELLING OCCUP. SO OR ADONS. ( MING BLOs. 3.5¢Fr: NON•RESID.' =ULT 0XLET @7.50 8 PSINGLE OUTLET CIR.OWER APPARATUS Ex. Occup. OUTLET ORFIXTURES 20 @ ,.� BAL so FIXED APPLNS. OR 5.00 Ex. Occup. O.REBID. EA 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 $ 58.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HO .,� .... .. ISS „� This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have s By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date Date Receipt No. '?7b l U .J WHITE-D.D.S.-B.D. CANARY -ASSESSOR I PINKANSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 MainStreet - Chico, CA - (530) 891-2751 E 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE I a. OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. It you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE r N_ - y� OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when. correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. (VIiZCIVYI „r_„ IV,VIC COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-75410 �TZ �(Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 005-403-005 ZONING BUILDING PERMIT OWNER Shadd Rebecca TELEPHONE 533-7254 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAIUNG ADDRESS 4023 KAKINI Road OrovHle 95965 42 @ 1 420.00 CONTRACTOR'S NAME owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $420.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 2-3-00 BUILDING ADDRESS 860 Virginia Street Chico Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: concrete Foundation for ex house Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION IOR 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 Lic. No. 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, 5 will do the work, and the structure is not intended or offered for sale. o�00I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO tOooA 46.00 NEW CONST. DWELLING OCCUP. ADDNS. 3.5Qso UACS. NEW CONST. MC. �L ET NON-RESID. c @7.50 POWER APPARATUS 8 SINGLE OUTLET CR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .so Ex. Occup. OFIx�IE�OSA _CR EESSSDOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 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. ❑ 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) 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 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 �)orthwith comply with those provisions. Date 7 3 02- Sig4nu reof icant - ❑ Owner ❑ Contractor ❑ Ag nt An OSHA permit is required for excavations ov r 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 8. 00 �HAZ.J D. FEES IMP I FLOOD CDF PARCEL PO HD ISS E This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By4VV4— PERMIT EXPIRES ON I Iefe the applicable provisions Resolutions to do work been paid. Date dZ 4 b 3 Receipt No. 77 ELTIT17, C77C73 WHITE-D.D.S.-B.D. CANARY -ASSESSOR I PIN f4SP CTOR GOLDENROD -APPLICANT i COUNTY OF -BUTTE — DEPARTMENT -OF PUBLIC WORKS 7 County Center D — Oroville, California 95965 Tel ephone: ,534-4541 APPLICATION AND PERMIT autnorize representatives or ine uouniy or tsuiie to enter upon the above-mentioned property for inspection purposes. X 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. DIRECTOR OF PUBLIC WORKS By Date r Building permit expires Date BUILDING / .., J f.'1 � � ,.' . .J : i..� � =, � Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address _. Telephone No. , (4� Fireplace Contractor Total Valuation •�; ��l c. Mailing Address A Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee BuildingAddress !� ) �� '���� �i PLUMBING No. @ FEE PERMIT FILING FEE $3.00 / Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 t ,. f •r _ ri , . e • / r . Each gas water heater or vent 1.50 A. P. No. /jr ; , -S Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees I W.C: Sanitation FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Rec'd I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL NO. @ FEE PERMIT FILING FEE $3.00 Main service 610v OR LESS 5.00 ; 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 OVR 600V Main service 100E EAMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGLING OCCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)BAL 21a FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑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 J$3.00 Heating Cooling Ventilation Hood 2.00 Permit 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 TOTAL PERMIT FEE $ �4 autnorize representatives or ine uouniy or tsuiie to enter upon the above-mentioned property for inspection purposes. X 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. DIRECTOR OF PUBLIC WORKS By Date r Building permit expires Date N COUNTY OFpBUTTE — DEPARTMENT OF PUBLIC WORKS :< 7 County Center Drive — Orovle, California 95965 Telephone:%•534-4541 APPLICATION AND PERMIT UU U iUI'cV 1VV100011L0UVCJ UI UIC lwUnly UI DULLU N CIILCI UpUrl lfl@ above-mentioned property for inspection purposes. XX DateIT Signature of Permitee or Agent Receipt No. / l2 P L442 U 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. DIRECTOR OF PUBLIC WORKS ��Hcdrimg=permit Date �/ - 7 =Dpir�esDate F- 7/— 7 BUILDING Owner � SO. FT. OCC. BUILDING VALUATION'' ' • • • Mai I i ng Address ey, t Tele hone No. Fireplace ' Contractor on Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap * 1.50 Cv Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A P-' �r�jT�� Zoning & Planning y� Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fl./es Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 B Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 C/ /V 100v OR LESS Main service t00 AMP OR LESS 5•00 Main service EA. ADD•L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100EAMP oR LESS 25.00 Main service EA. ADD'L too AMP 1.00 • NEW OR ADDNS. ( ACCLBLDGS.LING CCUP. &) 20syft . NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 11 NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under thename - st le of: y Ex. Occup(OUTLETS OR FIXTURES) @�C BAL@1 Ex. Occu FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 F:I ' VI I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. (JA I certify that in the performance of the work for which this "" permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fe@ $ $ 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 TOTAL PERMIT FEE $ /771 UU U iUI'cV 1VV100011L0UVCJ UI UIC lwUnly UI DULLU N CIILCI UpUrl lfl@ above-mentioned property for inspection purposes. XX DateIT Signature of Permitee or Agent Receipt No. / l2 P L442 U 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. DIRECTOR OF PUBLIC WORKS ��Hcdrimg=permit Date �/ - 7 =Dpir�esDate F- 7/— 7 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sib, Please complete and return this information at your earliest opportunity to avoid M- po essary d day in processing and issuing your building permit. No building permit will be issued until this verification is received. 2-P ersoaally plan to provide the major labor and materials for construction of the proposed property improvement: YES gr NO O QI HAVES HAVE NOT C3 signed an application for a building permit for the proposed WO& 3. I have contracted with the following person (firm) to provide the proposed construction: 4 NAME: ADDRESS: CITY; PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, supervise, and provide the major work: NAME: ADDRESS: but I have hired the following person to coordinate, CITY: PHONLE: CONTRACTOR'S 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 SIG PERTYOWNER:_ NOTE: This Owner -Builder Verification is required by Section 19831 and 19831 gfde California Health and Safety Code. This verification must be completed sold returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORiti1ATION Del: Procerty A ; T- , An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. V your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. ' If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. 1 I f you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Servlet (and, if You wish, the U.S. Small Business Administration). For more specific information about your obligations under Sace Law, contact ;he Department of Benefit Payments and the Division of Industrial Accidents. If the stricnze is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or dsough their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. IINtzerui1cing rely, eC. Vi iC.B.O. Inspection NOTE: This Owner -Builder Information is required by Section 19810 ojthe Cali '(0 Xeclth and Sajery Cods OVER ��� ° V I R�1:N A ST, 9 /03/c��. I PC, CA" CONCRETE.STEM 'WALL fl.. MOIST SCAUL imom t4-74 IF t 3 c i t 3 13 ova ,4 T2�L lk so" oar WlTala—= 44 104 6 Im Fk c w SCAU: Y4 PR SPARED 8 ar,,^ej\l-r _--