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Home My WebLink About005-465-006 ' 1 CO�M/P�L�AI�NT TO INSPECTOR, B07-2587 005-465-006 MISCELLANEOUS Electrical MISC WIRING 2122 LAUREL ST ESTRADA, SALVADOR & MONICA MISCELLANEOUS Electric Panel SPLIT ELECTRICAL SERVICE TO TW 2122 LAUREL ST ESTRADA, SALVADOR mr-`UU5-465-00 MISCELLANEOUS b — Gas Reconnect SPLIT GAS SERVICE TO TWO METEF 2122 LAUREL ST ESTRADA, SALVADOR ::fes WHITFIELD, Maude 5718B _.149`,0 5468E i -205-6 2122 Laurel St.,_ Chico (addition) (*new detac d carport) r yS^ P '.f rr 5-465-6 �NINA DENNY - �` 2122 Laurel St, Chico Contr: Grage Electric Permit#3090-85E(ele ser ch misc wir) SF 5-465-6 4295-89 ,M WHITFIELD, Maude �� Contr : '., Do 4 U 2122 Laurel St, Chi''o' r (install wall furnace SF) 005-46-5-006 95=0063 M WHITEFIELD, Maude - 2122 Laurel St, Chico '�- t (re place heater /SF ) J & M Cons 005-465-006 PERMIT#96-1847 WIGGINS 2122 Laurel St., Chico Cont: Wally's Electric Ele Ser Ch/SF d2�� B07-1868 005-465-006 MISCELLANEOUS Re -Roof REROOF W/COMP (10) 2122 LAUREL ST ESTRADA, SALVADOR B07-2587 005-465-006 MISCELLANEOUS Electrical MISC WIRING 2122 LAUREL ST ESTRADA, SALVADOR & MONICA MISCELLANEOUS Electric Panel SPLIT ELECTRICAL SERVICE TO TW 2122 LAUREL ST ESTRADA, SALVADOR mr-`UU5-465-00 MISCELLANEOUS b — Gas Reconnect SPLIT GAS SERVICE TO TWO METEF 2122 LAUREL ST ESTRADA, SALVADOR ::fes WHITFIELD, Maude 5718B _.149`,0 5468E i -205-6 2122 Laurel St.,_ Chico (addition) (*new detac d carport) r yS^ P '.f 1:- c 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: 2122 LAUREL ST APN: 005-465-006 Owner: ESTRADA, SALVADOR Permit No: B08-1186 Issued Date: 6/20/2008 By GLB Expiration Date: 6/20/2009 Permit type: MISCELLANEOUS Subtype: Gas Reconnect P O BOX 8814 CHICO, CA 95927 Description: SPLIT GAS SERVICE TO TWO ME' (530) 570-2805 Occupancy: Zoning: AR ESTRADA, SALVADOR P O BOX 8814 CHICO, CA 95927 (530)570-2805 FEE INFORMATION DBP Gas System (enter outlets) $59.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 pf the Business and Professions Code, and my license is in full force and effect. X 6/20/2008 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑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 is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 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; X Cartier: Policy Number: Exp. Date: (Thi eEton nee not a competed if the permit is or on�3 dollars ($100) or ess. 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 Workers' i Compensation Laws of California, and agree that if I should become subject to the workers' compensatkj�pvisions of Section 3700 of the Laoor-,Code, I shall forthwith comply with those 6/20/2008 ,'jigature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Building Garage Remdl/Addn Other Porch/Patio Total Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B7749 OWNER / BUILDER DECLARATION, 1 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 peril 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a peril subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; PFIS'OlMPENSATION, check one of the following: 1 S OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's 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.). I AM EXEMPT under Section B. & P.C. for this Signature 6/20/2008 Date I hereby certify that I have read this application and state that the above information is correct. tree to comply with all City and County ordinances, rules, regulations, and State laws relating to building 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 injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte C unry to the above me tioned property for insp, n purposes. I hereby certify that I am the d pe ow er oy�m authoo, d to acton pe wners b�alf. /) r✓�.v r,/G 6/20/2008 Owner ❑ Contractor OR; Agent for Owner Agent for FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION 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. APPLICANT INFORMATION -OWNER INFORMATION Last Name 4 First Name p cY l/Q Mailing Address City City ° 6 Statee Zip GG Phone :70_ 2 Fax E-mail Lic. # APPLICANT INFORMATION CONTRACTOR Name n Y" - Address Zip City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail A`PPk4CANT SIGNATOR PROJECT LOCATION AP# Property Address pL 2Z LCct/re e e city�° C q<s�1-2 8 WORKER'S COMPENSATION Policy Number Carrier If hiring 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: Cs JIJ(ee 7c Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only. Zoning Flood Zone SRA I Yes I No Occ. Type Const. 01 �do Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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. If 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 $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. n If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal o income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PLAN TO P OVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES OP&O) 2. INOT)eXAN�4PPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME l ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: SPLIT GAS SERVICE TO TWO METERS FOR EACH RESIDENCE Reference Number: B08-1186 Applicant Name: ESTRADA, SALVADOR Owner's Name: EST �1 AP # : 005-4655-006 Signature of Property 0 wner: Date: U " 2 dS 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: 2122 LAUREL ST Owner: Permit N0: B08-1185 APN: 005-465-006 ESTRADA, SALVADOR Issued Date: By Permit type: MISCELLANEOUS P O BOX 8814 Subtype: Electric Panel CHICO, CA 95927 Expiration Date: Description: SPLIT ELECTRICAL SERVICE TO (530) 570-2805 Occupancy: Zoning: AR Contractor Applicant: Square Footage: ESTRADA, SALVADOR Building Garage RemdUAddn P O BOX 8814 CHICO, CA 95927 Other Porch/Patio Total (530)570-2805 FEE INFORMATION DBE Single Phase Service-Resid $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B7748 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 basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects Xthe applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE H COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR 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 ❑ ❑ I, As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number. Exp. Date: (This section need not a completed if the permit is oror on�llars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: BCERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' 2L= Compensation Laws of California, and agree that if I should become subject to the workers' 'o compensa ovisio sof Section 3700 of the Labor Code, Is all forthwith comply with those s Signature Date ovisi S. ,//� X v L I 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 i ufe 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 CIVIL FINES UP TO ONE injury, including death, and properly damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( 1 of t is the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Iseoccupancy to enter the above mentioned property for inspectionp oses. 1 h reby certify that I am the y r am. thorized t a on the ope s behalf. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for N O Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR; Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip Butte County Department of Development Services TIM Sl-YELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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. If 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 $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government 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 to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PLAN TOVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES O COy 2. I (HAVE VE NO Irl ED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTEDWITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY CIAZAn 0'1. PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: SPLIT ELECTRICAL SERVICE TO TWO METERS FOR EACH RESIDENCE Reference Number: B08-1185 Applicant Name: ESTRADA, SALVADOR Owner's Name: ESTRADA S �ADR AP # :O05-465-006 Signature of Property Owner: Date: Y BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2122 LAUREL ST Owner: Permit No: B07-2587 APN: 005-465-006 ESTRADA, SALVADOR & MON Issued Date: 12/19/2007 By KCG Permit type: MISCELLANEOUS P O BOX 8814 Subtype: Electrical CHICO, CA 95927 Expiration Date: 12/18/2008 Description: MISC WIRING (530) 570-7805 Occupancy: Zoning: AR Contractor Applicant: Square Footage: ESTRADA, SALVADOR Building Garage Remdl/Addn P O BOX 8814 CHICO, CA 95927 Other Porch/Patio Total (530)570-7805 FEE INFORMATION DBE Mise Residential Wiring $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B5705 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 basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 12/19/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractors Signature Date 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 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 ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR 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 ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number. Exp. Date: (This section nee not be completed if the permit is oror on�dreddodollars ($100) or less.) ❑ IAM Tun err Section B. 8 P.C. for this reason: ( CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I sh employ any person in any manner so as to become subject to the Workers' Compens ' n law of California, and agr that if I should become subject to the workers' X 12/19/2007 compe ation pr visions f Se 3700 f th)ab Code, I shall forthwith comply with those Ow s Sig4a6re Date provi ons. X 12/19/2007 I 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 Slate laws relating to building Signal tU 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 injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use ccupancy of any sidewalk, slree or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. ounty o ant the ab ve mentio pr arty for inspection purposes. I hereby certify that I am the pro o er ora authori act n the p party owners behalf. 12/19/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for NaffirldW Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR; Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip J` BUTTE COUNTY r/0 -0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION" 0 o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 c:�:a�_aa� o A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds OV N'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 CONTRACTOR Last Na City First Name Mailing Address City City G G State ,41— Zip Phon S S r-ZoOS Ft3a) g4S—lam E-mail E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail WORKER'S COMPENSATION Policy Number Carrier If hiring 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: e. 1;k1 el a- W I rd / I a . �1v Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: PROJECT LOCATION AP# — DO( Property Address 1 2 Q f( S e e City@ cc 0 c#1 2 WORKER'S COMPENSATION Policy Number Carrier If hiring 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: e. 1;k1 el a- W I rd / I a . �1v Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZo�Type SRA Yes No Occ. onst. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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. If 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 $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government 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 to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building pen -nit, 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PTO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. ( 0 OR NO) 2. 651 /HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FUM TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRES CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: MISC WIRING Reference Number: B07-2587 Applicant Name: ESTRADA, SALVADOR Owner's Name: ESTRADA DOR O CA/ AP # Signature of Property Owner: ce Date: 005-465-006 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2122 LAUREL ST Owner: Permit No: B07-1868 APN: 005-465-006 ESTRADA, SALVADOR Issued Date: 08/30/2007 By KEJ Permit type: MISCELLANEOUS P O BOX 8814 Subtype: Re -Roof CHICO, CA 95927 Expiration Date: 08/29/2008 Description: REROOF W/COMP (10) (530) 570-7805 Occupancy: Zoning: AR Contractor Applicant: Square Footage: ESTRADA, SALVADOR ESTRADA, SALVADOR Building Garage Remdl/Addn P O BOX 8814 P O BOX 8814 CHICO, CA 95927 CHICO, CA 95927 (530)570-7805 (530)570-7805 Other Porch/Patio Total FEE INFORMATION DBMSC Re -Roofing $116.00 Total Charged: $116.00 Fees Paid: $116.00 Balance Due: $0.00 Receipt No: B4464 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am exempt from the Contractor's License ESTRADA, SALVADOR OL:CRW_00338868 / / 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 08/30/2007 penalty [$500]; Please check one of the following: Contractors Signature Date AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE LU COMPENSATION, 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 ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR 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 ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or est s.) ❑IAM EXEMPT under Section B. & P.C. for this reason: 1ACERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' Qg/3Q/2 QQ compens ision of Section 37 the Labor Code, I shall forthwith comply with those Owners Signature Date Prov' ns. X �� 08/30/2007 I 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 CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S , street, or subsidewalk. I hereby authorize representatives of Butte u�wnor' FEES. rty for inspection purposes. I hereby certify that I am the Cnea�ythe to property owners behalf. CONSTRUCTION LENDING AGENCY 08/30/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for a of Perm itt[SIGN] rint Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR. Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip 'Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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. If 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 $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government 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 to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY P—< TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY L/ IMPROVEMEN%.4- n OR NO) 2. GA HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: REROOF W/COMP (10) Reference Number: B07-1868 Applicant Name: ESTRADA, SALVADOR Owner's Name: ESTRADA, SALyAD9R AP # : 005-465-006 Signature of Property Owner: / -WZ Date: BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION rn OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds BIN # "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name _/ First N Mailing Address DQ City 04,/ 4 C G G Statee Zip Phone , 2 8 D S Fax E-mail PROJECT LOCATION AP# Property Address O� 2 2 Ce vre s fec City CcQ 4a la,57 27 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: CONTRACTOR Name Address Flood Zone City Gt/ cs State Zip Phone Zip Fax E-mail Fax Lic. # Fax Class PROJECT LOCATION AP# Property Address O� 2 2 Ce vre s fec City CcQ 4a la,57 27 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: ARCHITECT/ENGINEER Name Flood Zone Address Gt/ cs City / State Zip Phone Zip Fax E-mail Fax State License Number PROJECT LOCATION AP# Property Address O� 2 2 Ce vre s fec City CcQ 4a la,57 27 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: APPLICANT INFORM ION Name Flood Zone Gt/ cs Address / City Type Const. State Zip Phone D Fax E-mail PROJECT LOCATION AP# Property Address O� 2 2 Ce vre s fec City CcQ 4a la,57 27 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: ' 20d7� Flood Zone SRA Yes I No Occ. Type Const. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): I —� For.office use only: Zoning Flood Zone SRA Yes I No Occ. Type Const. I W . OFFICE COPY �I Address -2 I ZZ,y S. A G .' t. r GAS,By Date Me ELEC,T,RIC B Meter By Date V �� 1 r / 1 f J 005-465-006r iPERMIT#96-1847 WIGGIN$ `' f 2122 -Laurel St.,"Chico' Cont: Wally's•Electric Ele Ser Ch/SF E COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 1 GPERMIT NO. APPLICATION AND PERMIT ;;z D n WSSORPARCEL.NUMBER 5-465-006 ZONING BUILDING PERMIT OWNER II J TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG b D SS - 1 CONTRACTOR'S NAME WALLYS ELECTRIC TELEPHONE 93-4242 CONTRACTORS "UNG ADDRESS 1086 VALLOMBROSA, CHICO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 2122 LAUREL _ PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 r TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Othery❑ Describe Work: CHANGE OF ELEC SERVICE Mobile Home I S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service ( e20oo0A v OR LESS OR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 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 I�_— ;J d Lic. No. �lri �?4042Ex. 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 NEW CONST. DWELLING OCCUP. OR ADDNs. ( a ACC. BLOB. ) SO. 3.5Q Fr. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER SINGLE APPARATUS ) GOUTLET CIR. Ex. Occup.( OUTLET OR FIXTURES ) 20 Q 1.00 BAL SO Occup. (ourLFrs (RESID.�E0.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 NO PRE INSP PER ORO. PERMITFEE s 43.00 Contractor WORKERS' COMPENSATION DECLARATION I 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 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) Q� 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 forthwith omply wi h those "provisions. X Date Signalruie of Applicant - ❑ Owner Contractor ❑ Agent AnjOSHA permit is required for excavations over 60" deep and demolition or construction,may of structures over 3 stories in height. Mobile Home Installation, Fee Is Energy Inspection Fee Is OCC R3 CONST. TYPE VN TOTAL FEE $ 43.00 HAZ. 1 0. FEES I IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated indicated above for which fees have been paid. By fVAMJ_J2i n Date 3 Iter PERMITEXPIRESON 9-13-9-2- 9 ReceitNo. p ZQZJ0 G WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date) Ki u COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO s, 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESSORPARCELNUMBER 005-465-006 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS ILINO D S CONTRACTOR'S NAME WALLYS ELECTRIC TELEPHONE 893-4242 CONTRACTOR'S MAILING ADDRESS 1086 VALLOMBROSA CHICO Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 2122 LAUREL PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF [A Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other X7 Describe Work: CHANGE OF ELEC SERVICE — Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( OOO200A OR LESS V OR LESS ) 23.00 23.00 Main Service ( 200A TO I000A ) 46.00 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 (' _— / P Lic. No. y�L��s�i 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 NEW CONST. DWELLING OCCUP. SO. OR ( 8 ACC. BLDS. ) 3.5¢ FT. NEW CADDNS. CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIA. Ex. Occup. ( OUTLET OR FIXTURES) �L @ 1.00 Ex. Occup. (oFIXEEDTs PESD.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION I 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 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation j of one hundred dollars ($100) or less.) feI certify that in the performance of the work for which this permit is issued, I shallR3 ` 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 rkers' c mpensation provisions of section 3700 of the Labor Code, I shall fo hwith omp y wi t os ovisions. X Date �_ -Sign ure of Applicant - ❑ O er Contractor ❑ Agent An SHA permit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE VN TOTAL FEE $ 43.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD I 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. s�3�j BY n Date do PERMITEXPIRESON R-0-93- (Date) Receipt No. 26230P WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-15411 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE - 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 notify 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. JA . A4 Date -8-1� -qb Inspector REV 10192 V=OK 0 = Not OK Not Ap = Not Ready ble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location-Test-Fall-C/0-Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 4. Water, Location-Test-Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp-Concrete 6. Carports; Windows -Doors 6. Gas; Location-Test0rap; / P'L'ft. / /Nat. or/ PL"ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; SizeSpacing-Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test-Demand-Valve-Connector 1. Setbacks -Easements 4. Electricity; MH Test-Crossovers-Breakers-Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test-Fall-Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test-Regulator-Connector 4. Elec.; Receptacles and Lighting, Distance -GR 7. Water and Sewer Connected-C/0 to Grade-HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs-Type-Installation Cert. 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date- DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card 8 - Date Card B-1 Date Card B-1 J " VIN O = Not OK = Not Applicable Not Ready RESIDENTIAL ' = Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; (Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel -Flet. Grnd.-/ I Ftg. Depth 47. Fireplace Ties or Type A Ci M, Throat clearance -------------------- r ------------- 48.--- Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ----- --- 49. Bdrm. Windows or -Exiting Doors -Sill Hgt. & Dimensions Single & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Purling -roof Brac�Truss-Shthn 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection ---------------------- ----------------- -- -- -- - - - - - - -- - 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------------------------------------------------ 19. Shower Pan: Test. First Floor -Tub Access --------- ------------------------------------- 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection --------------- ------ -------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors - ------ ------------------------------ 24. Size Boxes & No. of Conductors -Stapled -------------- -------- --------- .._._.---. 25. Romex Installed Close to Edge of Studs & C.J. ------ ---...------------------------------------------------ - ----------------- 26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water --- ------- -----------------------------------._..__-- -------- --------_. 27 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----------------------------------------------------- -- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or Al -------------------------------------------- `---------------------------------------- -- 29. Range Circ. r Y ga. Cu or AI -Oven Circ. r r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - -------------------------------- ---------_...-. .. 30. Service -Riser Conductors & Ground -Main Disconnect --------------- - - --- - - .--_.... --............ ... 31. Equip. Clearances Panels-Motors-Mech. Equip. ------------- --- - - - - -- -------- ----------- -- 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------------- ............ ................. ... 33 Smoke Detector -------------------------------- ----- ------------------ _..... .... ....... .. Date Card B-1 Date Card B-1 -------------- - - --- ---- ---------- ---------------*... ... ....... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL,(Permit) OK except #'s 34. A.C. Ducts Insulation & Support .---------------...------ --------- - - --- --- ----............ ... ... .. .... . 35. Vent Fan: Exhaust above insulation --............. .. 36. Condensate Drain & Overflow: Size & Grade 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- . .. - .. ... .-- ....... ... .. 38 Attic Access & Platform if Furnance in Attic ---- --- ------------ .. ....... .. Date Cartl B -t Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sits. Proper Material & Anchors ... ... ... ... ....... ... ... ... .. 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ...... .. ... ....... .......... ...... .. 41. Bearing Walls over Girders & Floor Nailing ... ............................... ... ... .. 42. Draft Stop in Walls (rat proof) ...... ...... ....... ..... _ .._..... ...... - ... ... 43. Fire Stops. Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing 50. Garage Fire Protection Framing ------------------------------- 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -------------- ------------- 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54, plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer --------------- ------------------------ ----- -- 56. -Stucco Mesh- Drip--Screed-Fd. Vents-Underflr. Access ---------------- - 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -------------- ---------------------------------- -- -------------------------------------------- - Date Card B-1 Date Card B-1 - - - -- --------------- ---------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------------ ------------- --------------- - 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection --------------------------- 64. Bedroom Exiting .--- --- - - -- - - --- -- - - -- - ------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels - ...----------------------------- 67. -Stags & Rails ------ ----------- ------- 68. Fireplace or Stove: Clearances -Hearth --- ----- ..---------------------------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. - ------------------------------------ 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ... .. - - ----------------------------------- - 71 Elec. Outlets & Receptacles at Kit. Counter . ... ... .... . . . . .. -------------------- ------ --- 72. Garage Fire Door: Swing -Landing -Closer - --------------- --- 73. A.C. Duct in Garage -Damper ...... .......----------- ----- -------------- ------ 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection - --------------------- -------------- ---- 75. Plb.. Elec. & Mech. Equip. Listed for Location --------------------------------------------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection - --- ------- -------------- ------------------------------- 7, Insulation -Foam -Looked in Attic ❑ Yes -------------- -------------------------------------- ----- 78. Guard Rails & Deck Construction -Post Caps - - ----------------------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ... ........._._..._.. ------------------------------------ 80. Following instld.i Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ------------------------------------------- 81. ----------------------------------- 81. Stucco: Brown -Finish ....-.. ----------------------------------------- 82 A C. Unit: Disconnect. Electrical, Plumbing ..----------------------------------- -- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - ----------------- 84 ---------------84 Water Well. Disconnect, Electrical, Plumbing . .. . .. ... ..... . .... ---------------------- -- ------------- 85 Exterior Elec. Trim: G.F.I. Receptacle -Underground .. G.F.I. - ------------------------------------ 86 Ventilation Throughout House 87 Glass Protection -- - - --------------- 88 Corrections from Previous Inspections 89 Gas Test -Meters Tagged: Gas -Electric . ... .. ........----------------------------- -------- 90 Water & Sewer Connected-CrO to Grade -HD Approval ... ------------------------------------------ 91 ------- -- ----------------------------91 Energy Compliance Certificate -Other Certificates ---- -- - ------------------- Date Card B-1 Date Card B-1 ----- ----- -------------------------------- Date Card -B- t Date Card B 1 Date Card B-1 Date Card B-1 Comments at Final: _ _ V : "5� t '•" ti .7 1 Baa:n�i', ^P:W ;e%i-•,•• nrra C it✓f "'i? .t��-r.-s.r:..- rx; �. ,. .. '77 ��-..5 Vit. .;; ..y .� ,y:.[:•. �.f i ,. �.,_: 1... 7c ` f +. Y� ' _ r �•.kt . : '� ?r ��.4 a IIT - 005 -46-5-006.*. 95-0063 M • WHITEFIELD, Maude 2122'Laurel St, Chico (replace heater/SF) J & M Const 77 N i COUNTY OF BUTTE - DEPARTMENT OF REVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Californj195965 -Telephone (916) 538-7541PERMIT.. 0. ,. APPLICATION AND PERMIT 3 llf�% ASSESSOR PARCEL NUMBER 005-465-06 ZONING AR BUILDING PERMIT OWNER MATIDE WHIMELD TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2122 LAUREL ST, CHICO CONTRACTOR'S NAME J&M C ONSTR IMON TELEPHONE 527-5087 , CONTRACTOR'S MAILING ADDRESS 615 MANAHAN Cr, RED BLU" 96WO Fireplace- L CONSTRUCTION LENDER UNKNOWN Total Valuation S LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2122 LAUREL ST CHICO PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF Q Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK , New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OthergI Describe Work: REPLACE PG&E -" HEATER PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 DEFECTIVE WALL FURNACE RECALL OR LE Main Service ( R SS ) 23.00 200AOLE Main service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP.SO OR ADONIS. ( & ACC. BLOS. ) 3.SC FT_ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and -'n -Iic nse is in full force ar�d H; f c�� License No. Classification ❑ I, as the owner, or my employees with wages a their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0`000 FIXED (RESID OR EX. OCCUp. (OUTLETS HRESID.1 R ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. J I shall not employ any person in any manner so as to become subject to the Worker's 1 Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of 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 against said Count in consequence of the granting of this permit. C X ^ Date ( — 17• / t( S ature of Applicant - ❑ b61'vner 1:1Contractor ❑ Agent 1 n OSHA permit is required for excavations over 5"0" deep and demolition or rindicated construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES 35.00 HAZ• 1 D. FEES I IMP I FLOOD CDF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. By Date PERMIT EXPIRES ON ` —ofDe er ) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF;DEVEPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541M o. APPLICATION AND PERMIT -� ! ASSESSOR PARCEL NUMBER 005-465-006 ZONING AR BUILDING PERMIT OWNERAUDE Ta'LD TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - 2122 LAUREL ST, CHICO CONTRACTOR'S NAME CONSTRUCTION TELEPHONE 527-5087 ,T&M CONTRACTOR'S MAILING ADDRESS 619 MANA11-11AN CT, RFD RIJIFF 96880 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2199 LAURIFT, ST, CHICO PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex ❑ Mobilehome El Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other l6 Describe Work: REPLACE PG&E — HEATER PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 DEFECTIVE WALL FURNACE RECALL Main Service ( III OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.5CS0. FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code no -m, Ii nse is in full force e� License No. Classification ❑ I, as the owner, or my empl 1yees with wages aftheir sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POW ER APPARATUS ) &SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Ex. Occu FIXED APPWS. E Occup. ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mise. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of 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 Count in consequence of the granting of this permit. Date Si ature of Applicant - ❑ AWner ❑ Contractor ❑ Agent ' In OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEES 35.00 HAZ• I D. FEES I IMP I FLOOD I CDF I PARCEL PD HO I 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. A By /b Date 41f.D.S.•e.0. PERMIT EXPIRES ONWHITE-D.D. 7 (Date Receipt �� CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I - T*. Duta eotitt� of J OROVILLE, CALIFORNIA ' GENERAL CLAIM CLAIMANT: Drage Electric ADDRESS: P.O. Box 3667 CITY & STATE: Chico, CA 95927 IMPORTANT: January 29, 1986- SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVINr: r:nnnt nQ tFAvfrce DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT _ Q3ia-e�h a -S - d_e.-c dad --_:n o.t_ t o_ d_o _.work . - (Bldg-- P.e r m i t..._A p..p.l-n--__._ #3090-85E, Receipt #47871, AP #5-465-6). Owner: Nina Denny I i-- - --- Total fees paid ------------------------- $50.00 Retain filing fee -------- $10.00 Retain pre -inspection fee$15.00 Amount retains --------------------- TOTAL REFUND DUE ---------------- L ------------------ $25.00 $25 00 TOTAL $25 00 t, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or deliv claim is true and correct as stated. n r i Dated this..) ,day of V ii r 19,5J„'�, eL....L..J�..i..�.l....... Calif. ........ .............. UUU Signetur of Clotm t 1, the undersigned, hereby certify that, to the beat of my knowledge, the services or articles specifi abov he been p livered and that there Is{{,,a Budget Appropriations or SpecificBoardApprovalO (Check one) for a sa Dated this ............. .7.0 F.1. ..... day of .14.Ia.u.ax Y9.....$ 6e 0 V and that this ed or de- .. ................... p rtment Head or Authorized a..ut.. Dept. Esp. Code............................................ Code ................................................PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. 6�;6..e . �� /—e79-9/, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. — • 7 County Center Drive - Oroville, CaliforniaQ;95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOa, PARCE NUMBER S 16 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILI ADDRESS C CONR TO 'S NAME YTELEPHONE CONTR TO 'S ILINr ADDRESS GU Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 1000 LEND R'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHI C OR E INEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 X4 C4 6 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PA CEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: . � 7, awelicz 6&"g £ _ .r.�f�Gl �� SG, G�,'i! i✓4 ermit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 6 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y I y (check One): I am licensed under provisions Of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. �—/ D License No. �� if% Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. .(ti , OR ADDNS. (DWELLING OCCUPACC. SLOGS. /2Osgft NEW CONSTR. ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. / x. ccup(OUTLETS OR FIXTURES 20030Q EOeALaao IIIED PR Ex. Occup. OUT LETS (RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring zrl IL Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, co and expenses which may in any way accrue against said ty in co a nce of the granting of this permit. %� Date �� Si notur of Ap nt — Owner Contractor Agent An O$ Ape is required For exc tions over Sdeep and demolition or construct- ion of struct s o�ver/3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Oc"P. CONST.TYPEJ FLOOD PARCEL PD HD ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PER)4T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date`��(�� /��S Vim/ O Receipt No. `? ,/ f 7Z WNITE-D.P.W.. YELLOW-A58C390R, PINK -INSPECTOR, GOLDENROD -APPLICANT 'iJCOUNTY OF BUTTE - DEPARTMENT "OF PUBLIC WORKS - BUILDING DIVISION / T f �� r 7 COUNTY CENTER DRIVE - OROVILLE,�fl41FflRNIA 95965 - TELEPHONE: 91 534 541 PERMIT'APPOCOION DATA SHEET Permit No. OWNER �(/ I it/Cr .,��(/ A. P. No. J Proposed Building Use Permit Fee Based Upon: Complete Contract, Price DPW Valuation Ot a (Explain) Y Building Inspector"-1211KDate/-a- At time of permit application, I was advise following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . .. . . . . . . •f 2., Plot plans in duplicate/triplicate.,..„..,,•.-.r....-,` . 3. Complete plans in duplicate/triplicate. . . . . . 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . .. . . . . 7 Statement of Intent for Non -Heated and AC Buildings.- . 8. Fees of $ I.- . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanit tion approval from Health Dept. Klanning approval for (A) Use: (B) Parking: .2. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to ownerE]) 15. Improvements may be required. . . . . . . . . . . . Mobilehome Installation Data. . . . . . �/ C G 7 SFK Ci;�JC�� Required. Pre Inspec. request,fo (Date) Pre -Inspection for q Building Inspector•' 18. Recorded copy of Agricultural Acknowledgment Statement . � ' 19. Other Driveway permit & const. approval peguired prb r to occupancy When you issue the permit, process as follows: Mail to owner.ail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other 1, Appl i Date- Copy ate Copy of plans sent Health Dept., Fire Dept., _�Oth/,/ Date During the plan checking process, the following data must -t a submitted prior to permit issuance: (For required items not checked above at time of application, circa item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By Date Plans checked by Date Plans approved by Date Other Copy—DPW Other COUNTY OF BUTTE - DEPL&I11MENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSO�k PARCNUMBER S .__ E ZONING BUILDING PERMIT OWNER / TELEPHONE SO. FT. OCC.1 BUILDING VALUATION v OWNER'S MAILI A DRE CONR TO 'S NAME TELE HONE Z-7 jr CONTR TO S ILIN ADDRESS 2 .' Z .34 2 C K G,U Ems- '. Fireplace CONSTRUCTION LENDER UNKNOWN' Total- Valuation $ - Filing Fee $ 10.00 ' LENDER'S MAILING ADDRESS { - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHI C OR E INEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 "L Each Trap 2,00 orrSolar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PA CEL M Water piping 5.00 Each go yvater heater or vent 5.00 USE OF STRUCTURE` SF Duplex❑ Mobilehome❑ Other SPEC, FY JfVobi;gHome Gas p' g system 1 - 5 outlets 5.00 B ding sewer 5.00 I'S I G JW 0.00 ea TYPE OF WORK New❑ Addition[]Remodel[]Utilities❑ - Install n❑ Oth` Describe work: Gr•/, C ahtFee $ { tr for LECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 I declare under penalty of perjury (check one): CONTRACTORS LICENSE Lghfull I am licensed under pro�iTsions of Chapt. 3 of the Business and Professions Code and my license is /f force and effect. License No. �5^5 >- i 5-465-6 4295-89P,M WKTFIELD, , Maude Conti : Do ' 4 U _ 2122 Laurel St, Chico '.r (install wall furnace SF) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OrovilleyCali#orni8 95965 - Telephone: 9,16/538-7541. // APPLICATION AND PERMIT —f F ASSESSOR PARCEL NUMBER r., ..- 71 "OWNER�/ ZONIN ` BUILDING PERMIT /��J) _ ; wV )qi_ 6:0JZ }EPHONE ^ (7U S0. FT. OCC. BUILDING VALUATION _ _ OWNS ILING ADDRESS�� S /v) CONT TOR'S NAM TELEPHO N ACTOR'S MAILING ADDR � � ��— Fireplace C NSTRUCTION LEN ER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS � � � � /-' � \J Permit fee„ $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP -Water piping 5.00 Each qas water heater or vent 5.006-- USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets g y 5.00 C-� Building sewer 5.00 Mobile Home I S TGTWT 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Util'iit'iies/f❑ Inst ation❑ Other Describe work: � GG !�N�QC� _ Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare de r enalt of perjury p y p l y (check one): I am licensed under provisions of Chapt. 9, Div. 3 of ther8usinesS and Professions Code and my license is in full force and effect. �/ ,2 Y //�7 License No.� 7 e1_3 Classification C -ZO ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. 2h2sgft NEW CONSTR. MULT I -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS el SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®SO¢ eAL030 FIXED Ex. OCCUp. OUTLETS P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 anymannerso 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 .r Coolin g Hood 3.00 Ventilation permit Fee $ y+ 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, aid expenses which may in any way accrue against said ounty in conseq�c'e of the granting of this permit. X _ Y%GG�I �G.G/if� Date __/Z �1 sions 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ALL E HAz CUA PARK PAR PD HD s E This permit is hereby issued under of the Butte County Code and/or work indicated above for which fees 14 IRECTOR Ot= PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS �jr Date 1 G --ZD lZ - Receipt No. 7� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. V"?e ASSESSOR PARCEL NUMBER s ZONIN P. BUILDING PERMIT OWNERAw /��)^�+ /!�1 a Au_— EL-P--aq- 6") Ilie..J SQ. FT. OCC, BUILDING VALUATION OWNE (LING ADDRESS 1 v CONT TORS NAM TELEPHONE N ACTOR'S MAILING A Ok 42WC . — Fireplace C NSTRUCTION LEN ER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /f 9 G� r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 y USE OF STRUCTURE SF [� Duplex❑ Mobilehome❑ Other v' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Inst ation ❑ Otheh Describe work: � �� CC _ Permit Fee $ -� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare r penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions Code and my license is in full force and effect. U50Q License No. -,y--5_/2 �j Classification C Cl�'l El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr OR ADDNS. ( ACC. BLDGS. , /2dsgft NEW CONS Ft. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES e2AL@30 FIXED APPLNS. Ex. Occup. OUTLETS IRE SID)RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): permit is for $100.00 (valuation) or less. 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ l 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, ereby thorize representatives of the County of Butte to enter upon the bove-mentione property for inspection purposes. I also agree to save, ndemnify and ep harmless the County of Butte against all liabilities, judgm nts, costs, d expenses which may in any way accrue against said ounty i conse u e of the granting of this permit. Date. /Z Zp �% Signature of Applicant — Owner ❑ Contractor ❑ Agent El— An OSHA permit is required for excavations over 5'0" deep and demolition or construct.A�IROTO ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee .$ Occ CONST TYPE Uzi TOTAL FEE $ HAZ CUA PARK SCHL FLD PAR PD HD s E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date (Z-� �1p �Z ` Receipt No. �7' /� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT