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Home My WebLink About006-660-010' ib .. _ .r _ . .s s � � •-c.-3 asF.HWy, i ,•„ter ti�,„��,w,�+' q�� .: _ i . .�. � _�� . . � _'�C.. _-. ..�..., - // �. y Mc Troy 00&—(pW--OIZ� •'Q ~sem. o&ler Ave, app 4/10 mi - .N of Nord, • hicot #.2382-82P(solar w/h addition)SF Daybrea ;Solar,Oro1illee �;// 1:; z B08-0660.,006-660010 , MISCELL;ANBOUS' f Ir .4 F: Remodel ;. } REMODEL 750' EX HOUSE, ADDITI01 � r 13118 HOSLER AVE ;F'' ;�:,,` x. `.1 fi CRA WFORD CAMERON, COLLINS, SES + f 1�^ • F _ a i r ' s# ti ".r act :T �I CSI C.�I 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 PROACT_INF_ ORMATION Site Address: 13118 HOSLER AVE APN: 006-660-010 Owner: CRAWFORD CAMERON COLLI permit No: B08-0660 Issued Date: 06/24/2008 By AAM Permit type: MISCELLANEOUS 13118 HOSLER AVE Subtype: Remodel Description: REMODEL 750' EX HOUSE, ADDIT CHICO, CA 95973 (530) 898-1761 Expiration Date: 06/24/2009 Occupancy: Zoning: ARMH Contractor Applicant: Square Footage: MESSENGER LUCAS G CRAWFORD CAMERON COI Building Garage Remdl/Addn 13280 EGGLESTON LANE 13118 HOSLER AVE 210 750 CHICO, CA 95973 (530).521-1865 CHICO, CA 95973 (530) 898-1761 Other Porch/Patio Total 960 FEE INFORMATION DBEH Building Review Fee $78.90 DBMSC Remodel -Residential $1,024.83 DBSMIP Residential $1.37 Total Charged: $1,105.10 Fees Paid: $1,105.10 Balance Due: $0.00 Receipt No: B6980 LICENSED -CONTRACTOR'S. DECLARATION _ OWNER/ BUILDERDECLARATION x Contractor (Name) State Contractors License No. / Class / Expires MESSENGER LUCAS G 575152 / B / 10/01/2008 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, , 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. X 06/24/2008 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 permit subjects 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License 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 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 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. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as reqAby improve for the purpose of sale.). `f•--' 1, 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 per My Workers' Compensation insurance carier and policy number are; 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 YCERTIFY State Fund 7130001956 1Contractors Cartier: Policy Number: Ep. Dale:(This section nee not be completed if the permit is foris for onehundred dodollars ($100)oress.) THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS License Law.). I AM EXEMPT under Section B. 8 P.C. for this reason: \ 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' X 06/24/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro ions. wners Signature Date X 06/24/2008 —77777 I hereby certify that I have read this application and state that the above information is correct. I agree ignatufe 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, ( 1 DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. 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 arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above me ' ned property for inspection purposes. I hereby certify that I am the rop owner or amauthori ed t epropenyownersbehalf. 06/24/2008 CONSTRUCTION LENDING AGENCY - - 1 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) ame r lttee [SIGN] Pr1nt Date Owner Contractor OR; Agent for Owner Agent for Contractor • FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. ;ZA% 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 SIGNATURE X�64. U22 Am' - PROJECT LOCATION AP# 0-0 10 Property Address City C 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 DESCRIPTIONOR SCOPE OF •- • Open Cov OJO r v, I rU ■r� ■ -... . Structure - Change (Noteprevious I it OWNER INFORMATION Last Name First Name c4awyly—V 1 IvL l .l a cpair ,N1 Mailing Address AU E City OkA LU State Zip rJ Phone � Fax E-mail CCJ(a 16 kd APPLICANT SIGNATURE X�64. U22 Am' - PROJECT LOCATION AP# 0-0 10 Property Address City C 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 DESCRIPTIONOR SCOPE OF •- • Open Cov OJO r v, I rU ■r� ■ -... . Structure - Change (Noteprevious I it CONTRACTOR Name w Address Address 122 City City State Zip Phone Phone Fax E-mail E-mail State License Number Class APPLICANT SIGNATURE X�64. U22 Am' - PROJECT LOCATION AP# 0-0 10 Property Address City C 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 DESCRIPTIONOR SCOPE OF •- • Open Cov OJO r v, I rU ■r� ■ -... . Structure - Change (Noteprevious I it ARCHITECT/ENGINEER Name Address Address 122 City City State Zip Phone Phone Fax E-mail E-mail State License Number APPLICANT SIGNATURE X�64. U22 Am' - PROJECT LOCATION AP# 0-0 10 Property Address City C 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 DESCRIPTIONOR SCOPE OF •- • Open Cov OJO r v, I rU ■r� ■ -... . Structure - Change (Noteprevious I it APPLICANT INFORMATION Name 4) Address 122 5Lf-V-- City State Zip Phone 6 Fax E-mail O)c0t...L. to APPLICANT SIGNATURE X�64. U22 Am' - PROJECT LOCATION AP# 0-0 10 Property Address City C 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 DESCRIPTIONOR SCOPE OF •- • Open Cov OJO r v, I rU ■r� ■ -... . Structure - Change (Noteprevious I it .- 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 "PERMIT APPLICATION DATA SHEET" Reference Number: B08-0660 Date: 4/10/2008 Location: 13118 HOSLER AVE By: GLB Parcel Number: 006-660-010 Sub Type: Remodel Owner Name: CRAWFORD CAMERON COLLINS, SEAN Phone: (530) 898-1761 Description: REMODEL 750' EX HOUSE, ADDITION 210' The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 1:1 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 171 City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS 1:1 ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 1:1 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 211�0 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department,r3016 Sixt Street Biggs 95917 - (530) 868-5447 1 ' w Other: V 1 Other: 1 G S 0 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 E] E:] Durham Unified School District, 4920 Purvey Drive, Durham CA 959387 (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 E] E:] Oroville "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. Signature of Applicant: J"1/1 \ ) 4AA Z = Date: 4/10/2008 FILE Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 "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. Signature of Applicant: J"1/1 \ ) 4AA Z = Date: 4/10/2008 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment LESS THAN 1 ACRE Reference Number: B08-0660 Date: 4/10/2008 Location: 13118 HOSLER AVE By: GLB Parcel Number: 006-660-010 Sub Type: Remodel Owner Name: CRAWFORD CAMERON COLLINS, SEAN Phone: (530) 898-1761 i. Description: REMODEL 750' EX HOUSE, ADDITION 210' By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: 2bpn Title: FILE Date: 4/10/2008 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 NOTICE TO BUILDERS** Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. • Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. -Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ **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. Reference Number: B08-0660 Date: 4/10/2008 Location: 13118 HOSLER AVE Parcel Number: 006-660-010 Owner Name: CRAWFORD CAMERON COLLINS, SEAN Phone: (530) 898-1761 Description: REMODEL 750' EX HOUSE, ADDITION 210' Signature of Applicant: �'6DAhl\ `� AAA,----), --), Date: 4/10/2008 FILE E r WTT. Courfi Y e APP 1 2008 8"- 111CFS a �M ci lid O' N UI J ' 9 a a y: 4 0 L N t /, 1.3.2'STEP. BUTTE COUNTY APR 10 2008 DEvZLOVSMNT SERVIUS Conterminous 48 States 2003 NEHRP Seismic Design Provisions Spectral Response 'Accelerations Ss and S1 Latitude = 39.779000 Longitude = -121,P09000 Ss and S1 = Mapped Spectral Acceleration Values SiteClass B - Fa` -7 1.00, Fv = 1.00 Data are based on a 0.01 deg grid spacing. Period Sa (sec) (g) 0.2 0.615 Ss, SiteClass B 1.0 0.234 S1, SiteClass B F Conterminous 48 States 2003 NEHRP Seismic Design Provisions Spectral Response Accelerations SMs and SM1 Latitude = 39.779000 Longitude = -121.909000 SMs = FaSs and SM1 = FvS1 Site Class D - Fa = 1.31, Fv = 1.93 Data are based on a 0.01 deg grid spacing. Period Sa ' (sec) (g) 0.2 0.804 SMs, Site Class D 1.0 0.452 SM1, Site Class D Conterminous 48 States 2003 NEHRP Seismic Design Provisions Spectral Response Accelerations SDs and SD1 Latitude = 39:779000 Longitude =-121 . 909000 SDs =2/3xSMs and SD1 =2/3xSMI Site Class D - Fa = 1.31, Fv = 1.93 Data are based on a 0.01 deg grid spacing. Period Sa (sec) (g) 0.2 0.510 SDs, Site Class D 1.0 0.301 SD1, Site Class D `;.a,..-j:-�F� � ,?.�S�r ..vrv: .Y :.✓. uii.� aK. .,�yS::��r- 'S: :«7 ,`xfZ.:,;i:4'. ��y,,.�ayfi .. .�'lbtt�`itp'��1 �',C":K�..•,.C.Yi.by":iir'..'�& :. F "� �� . t� ._ ;. :` ._:�� `;.a,..-j:-�F� � ,?.�S�r ..vrv: .Y :.✓. uii.� aK. .,�yS::��r- 'S: :«7 ,`xfZ.:,;i:4'. ��y,,.�ayfi .. .�'lbtt�`itp'��1 �',C":K�..•,.C.Yi.by":iir'..'�& :. F "� �� . t� ._ / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER CT) 4 i ZONING BUILDING PERMIT O WSR F r TELEPHONE SQ. FT. OCC. BUILDING VALUATION WNEAILING ,DDRt:SS / ti -7:1 1 0 TRACTOR'S NAME 1 fo S'{ eevv1 TE PHONE V _ CONTRA:O 'S MA ING AD RES r --, t Fireplace CONSTRUCTION ENDE UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER !� / LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS '� _ Permit fee $ BUIL%ADDRESS / PLUMBING PERMIT Filing Fee 10.00 C \ N - t Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Q��Duplex❑ Mobilehome❑ Other SPECIFYI Building sewer Lawn sprinkler system 5.00 JJ 7 IF giA ,o TYPE OF WORK New❑ Addition❑ Remodel[:] �tilitiesjI stallation❑ Other Describe work: n n 1 �.t ) i a in Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.y) OR ADDNS. `ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 91 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi4sf Code andmy license is in f(�11 force and effect. License No. r 1 / &1 / Classification 16 se, - of 4 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I. u L T 2.50 ea NON-RESID RANCH CIRC ITS NEW CONSTR. I POWER APPARATUS p \ NON-RESID. SINGLE OUTLET CIR. 1 Ex. Occup OUTLETS OR FIXTURES BALe1 IXED APPLNS. OR Ex. OccupMTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ry� 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S 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 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 County in consequepce 13pthe granting of this permit. 1/This X/`"�1 Date Signature of Applicant — 0 ?tl Con/ for �9 Agent ❑ � An OSHA permit is required fgr excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISME permit is hereby issued under sions of the Butte County Code and/or work indicated above for which Iii - TO F PUBLIC o By l PERMIT EXPIRES Dat `� the applicable provi- resolutions to do fees have been paid. WORKS Da�tyey Z !l _ ER.eceipt No. �l � 'n I TE-D.P.W., Y�W-ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLICANTASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 -2— ,A, APPLICATION AND PERMIT ASSESOR P RCEL UMBER _ ZONING BUILDING PERMIT ow Rtf A —1� TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1,9�Z" ER'MAILING DDR SS TRACTOR'S N M S TEPHONE CONTRA 'S MATLING AD RES 0 Fireplace CONSTRI TIO ENDE UNKNOWN L/ Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS S TMA I PLUMBING PERMIT Filing Fee 10.00 NN Each Trap 2.00 Repair drainage or vent piping 5.00 Water. piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Z�-'Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 ( TYPE OF WORK New ❑ Addition ❑ R)�model ❑ Xilitie:,W tallation❑ Other Describe work: la�(A fJ 17 %n Permit Fee $ Q In Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 001 11 ORSLESS 5.00 Main service EA. ADD'L 1100 AMP 2.50 NEW CONST. DWELLING OCCUP.N OR ADDNS. ACC. BLOGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in f II force and effect. License No. q / 7&/� Classification ` ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR BAN'. OUTLET 2,50 ea NON-RESID BRCH CIRCUITS) NEW CONSTF;L ( POWER APPARATUS 61 NON-RESID. SINGLE OUTLET CIR, i Ex. Occup OUTLETS OR FIXTURES BAL21 00 IXED APPLNS. OR EX. QCCUp.�OUTLETS (RESID.) EA. 2.00 Temporary service. 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. , I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 again s id County in conseque ce o the granting of this permit. X Date Signature of Applicant — 0r Co ctor XC Agent ❑ An OSHA permit is required r excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ In,run OCCUP. GROUP I TYPE OF CONST. PARCEL PD I NO I IS UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which BLIC By 7M7, PERMIT EXPIRES Dat �() �: the applicable provi- resolutions to do fees have been paid. WORKS Date R -rA>J Receipt No. 72/ 7-E � 6 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT