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HomeMy WebLinkAbout007-200-043STEVENS,-Jean .0 RGERY L. AME 3606B ­ L k. - 1 37 9E 5 Mayfair Dr., Chico 3083P Contr:.Butte Creek Landscaping, #5 Mayfair Dr., Chico Permit #3187-78P _nsst awn sprinklers k —1e r s CONTR: Jim Lauderdale, 259 ,Rio Linda Rd. )C p -r (pew, Sin g1p. Contr: Four Counties Roofing,. Permit#1022-83B(reroof/SF) A�A 007-200-043 799 HENDERSON, MICHAEL 5 MAYFAIR DR, CHICO INALED Cont: ALLADIN ROOFING REROOF/SF �_ � _ Y-- .. __ ---� y � � � � iy i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds `I PERMIT NO. VBP041799 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/21/2004 APN: 007-200-043-000 the Business and Professions Code, and my license is in full force and effect. ���t, License Class: =�f — License Number:. L �3' y Site Address: 5 MAYFAIR DR CHI Date: Contractor:T e,..fv,44/7e,Z Map Index: Description: TEAR OFF RE -ROOF W/COMP (30 SQ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HENDERSON MICHAEL DAVID to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 5 MAYFAIR DR 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95973-0706 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: ALLADIN ROOFING such 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 improvements are sold within one P O BOX 4262 year of completion, the owner -builder will have the burden of OROVILLE, CA 95965 proving that he or she did not build or improve for the purpose of (530) 533-2934 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: ALLADIN ROOFING pursuant to the Contractors' State License Law.). O I am Exempt under Article 3 of the Business and Professions Code P 0 BOX 4262 OROVILLE, CA 95965 Date: Owner: (530) 533-2934 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 532834 ❑ 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. I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: Ik insurance carrier and policy number are: Carrier: lG l �L1 vr>� Nkrg j ► ` Total Square Ft: 0 S. F. Valuation: $0.00 • Policy #: % l 3 7 2 -d r ❑ I certify that in the performance of the work for which this permit is -person Census Code: �l 1 issued, I shall not employ any 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' compensation provisions of Section 3700 of the Labor Code, I shall l forthwith comply with those provisions. y.AppDate: ' 2 6v - licant: �D� Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 4.04,4-711f Z* I dos / O 4 - code, interest, and attorney's fees. f'3 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code ?nrver I hereby affirm that there is a construction lending agency for the Resolutions f do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) L Ca,� Date: 6 • a (, b 4 Name: By: rpt✓ PERMI PIRES ON: �P' 1 ' O 5 Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. /nom r Print Name: Signature: Date: ❑ Owner 1,14,ontractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041799 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/21/2004 APN: 007-200-043-000 the Business and Professions Code, and my license is in full force and effect. , License Class: License Number:S3.Z �y Site Address: 5 MAYFAIR DR CHI Date: 52�� Contractor: Xe -,U i'!/il%%,� Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: TEAR OFF RE -ROOF W/C.OMP (30 SQ) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HENDERSON MICHAEL DAVID to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 5 MAYFAIR DR 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95973-0706 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: ALLADIN ROOFING such 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 improvements are sold within one P O BOX 4262 year of completion, the owner -builder will have the burden of OROVILLE, CA 95965 proving that he or she did not build or improve for the purpose of sale.). (530) 533-2934 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: ALLADIN ROOFING pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code P O BOX 4262 OROVILLE, CA 95965 Date: owner: (530) 533-2934 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 532834 ❑ 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. I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer' the work for which this permit is issued. My workers' compensation insurancecarder and policy number are: Carrier:_ I4 /�P (�Lt�vrri Total Square Ft: 0. S. F. Policy #: %3 _ / 9 7 Z —C9 r Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith//comply with those provisions. Date: (n -2-1-6V Applicant:GD� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 4,06v 4-7 ( to E; l0 3 I O 4- CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code 2nrver I hereby affirm that there is a construction lending agency for the Resolutions t do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) y' (o • (. O 4 �' L� Date: a Name: BY� PERMI PIRES ON: �' 1 ' '05 Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte Countytoenter upon the above mentioned property for inspection pu oses. Print Name: moi} P - /'� �4 l<Qi� Signature: Date: 6-.1 ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION OWNER Name Address ... , City , State Zip Phone S _ Fax E-mail APPLICANT NAME CONTRACTOR Name Name a D Zip Address / State City 6o < Phone Ste Fax ._ PhoneFax � _33 3 State License Number E-mail Lic. # 3,p3 q• CI ss _ APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For offic4 use onI Zoning Flood Zone SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP x41799 BIN # LOCATION AP# Property Address t Street WORKER'S COMPENSATION Policy Number 3- -p/ 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: Sq. Footage a 17 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: �'� Amount: Bldg SRA Receipt #: Atc)4. -71 Sheriff SMIP 11 Other Date: (031/04 Oth Total KAFORMS\BUILDING F0RMS\B1doAoo1SubRamts.doc Paae 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND INIIVK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPERI ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). o 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. _ ❑ 5. 2 Engineered Tie Downs or Foundation plans. 0 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPERl ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations; with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 430-04 TCoo yE7 Grave COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. a 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAfiIDI�AND PERMIT ASSESSOR PARCEL NUMBER - 44-38-43 ZONING BUILISINd PERMIT OWNER Margery L. Ames TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS #5 Mayfair_ Chico, CA 95926 25 squ re Shake Re -Roof CONTRACTOR'S NAME Four Counties Roofing TELEPHONE 343-1416 CONTRACTOR'S MAILING ADDRESS 1060 marauder St. Chico, CA 95926 Fireplace CWWUCTION LENDER UNKNOWN Total Valuation $ -- � Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 30.00 BUILDING ADDRESS #5 Mayfair' Chico, CA 95926 PLUMBING PERMIT Filin Fee 10.00 9 Each Trap 2.00 Solar Water Heater 111e.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or v 5.00 Gas piping system 1 - utlets 5.00 USE OF STRUCTURE SF.8* Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W I 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: re—roof _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 1 0 Main service EA. ADD'L 100 AMP 2.50 NEW CONSDWELING OR ADDNST ACCLBLDGS.CCUP Hf!�21/20sqft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. Y License No. 275945 Classification C-'39 ❑ I, as the owner, or my employees with wages as their sole compen'TemDoraK sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULTI-OUT 2.50 ea NON-RESID BRANCH C ITS NEW CONSTR. POW ARATUS &\ NON.RESID. SING UTLET CIR. / Ex. Occu BAL030 P" X TS OR FIXTURES eAL930Q ED APPLNS, OR Ex. Occup. UTLETS (REBID,) Eli,,) 2.00 service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT ilingFee 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 VentiIati permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i consequence of the granting of this permit. X�. �( tti{tiro- Date 4/12/83 Signature of Applicant — Owner ❑ Contractor ❑ Agent Pq An OSHA permit is required for excavations over 5'0" deep and demolition or construct -j ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 40.00 OCCUP, GROUP I TYPE OF CONST. PARCEL PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which .DIRECTOR OF PUBLIC ! By LA �-' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS) Date L• .� i l i �'" Receipt No. "; r r WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 � � ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATI ON=ANif PERMIT PERMIT O. 0 ASSESSOR PARCEL NUMBER 44-38-43 ZONING BUILDING PERMIT OWNER Marciery L. Ames TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS #5 Mayfair Chico, CA 95926 25 squire Shake Re -Roof CONTRACTOR'S NAME Four Counties Roofing343-1416 TELEPHONE /% 4 CONTRACTOR'S MAILING ADDRESS 060 Marauder St. Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN N/A Total Valuation $ , dV 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 $ 30.00 BUILDING ADDRESS #5 Mayfair Chico, CA 95926 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater .00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or YP< 5.00 Gas piping system 1 - outlets 5.00 USE OF STRUCTURE SFkk Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Hom S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ® Describe work: re -roof _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP OR ADDNS. ACC, BLDGS. 2I/20sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 275945 Classification C-39 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUT T 2.50 ea NON.RESID, BRANCH CU ITS NEW CONSTR. I POWERRPPARATUS & NON-RESID. %SING OUTLET CIR. _ETs OR FIXTURES ¢ Ex. Occu z09ALaoC@30 P 1 XED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Tempowry service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® I have plac 'j 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 Ventilati permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against al -I liabilities, judgments, costs, and expenses which may in any way accrue against s id County in consequence of the granting of this permit. X-' Date 4/12/83 Signature of Applicant — Owner F1 Contractor ElAgent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over�33 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 40.00 OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ssuE This ermit is hereby issued under sio s fthe Butte County Code and/or w k I dic d ove for which c+ OR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORK P/� r-& DaV— LCL �� Receipt No. 0 2� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT , 'i . (" 1ptv00��e No (l✓�a�le � ��r� l COUNTY OF aUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — iOrovi Ile, California 95965 Telephone: 534-4541 APPLICAT � ' ASD PERMIT au LIIUIILC reNresentativCs oI the Luunty of tsutte to enter upon the above-mentioned property for inspection purposes. X i - I Date f ' Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. _DIRECTOR OF PUBLIC WORKS r BY �'• �Y Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor , r :� / Mailing Address -; Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty - Permit Fee %• r / �/ ��; PLUMBING No. @ FEE ff PERMIT FILING FEE $3.00 S, o U Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. �� �� ^' Cf ;' Zonin & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation - FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel I Declaration I Parcel Map 1 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans•Rec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 /,e) p NEW ADDITION UTILITIES ❑ OTHER Q Permit Fee $ .5�+ fi fl - $ .. _ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family :' Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 6 00V25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELIN. OR ADDNS. ACCLBLDGS.CCUP. S) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: NEW CONSTR MULTI.OUTL T NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. Occuo{OUTLETS OR FIXT(IRES 5 L 250 , Ex. Occup -(OUTLETS FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 --y . ��• ,_� �� ��f�,, �7� , Mobile Home Facilities 15.00 License No. ' ' 9 % Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. EJI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ au LIIUIILC reNresentativCs oI the Luunty of tsutte to enter upon the above-mentioned property for inspection purposes. X i - I Date f ' Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. _DIRECTOR OF PUBLIC WORKS r BY �'• �Y Date Building permit expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS Z(1,7 County Center Drive — Oroville, California 95965/ O�� Telephone: 534=4541 O APPLICATIN AND PERMIT �2Z. BUILDING OwnerA�� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address 2_o3 Fireplace Total Valuation YelepJW a No. 41 Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee n PLUMBING No.1 @ I FEE GL PERMIT FILING FEE $3.00 pej Each Trap 1.50 Repair drainage or vent piping 1.50 7 A. P. o. �` J Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 es -Vtf-C' .SaR� Fire Dept. FireZone Use Permit Gas piping system 1.- 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BldgPlanv-Rred Parcel A royal Plans Approval Lawn sprinkler system 2.00 -L—)p NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ , $ S t ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service e00V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADONST t DWEACCLBLDGS.LING Ccup- 4� 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW CONSTR (MUL TI.OUTL T NID BRANCH CIRCUITS 2.50ea NEW EW CONSTR. (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. 250 EX. OCcUD(OUTLETS OR FIXTIIRES BAL101 Ex. OCCU FIXED APPLNS. OR Occup.((RESID.) EA) 2.00 Temporary service 10.00 ,Qc-�E C /' 4 4/4 Brag<e p!5aPE Mobile Home Facilities 15.00 License No. X7.5-2 3JV Classification C— Z Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X � '+�"'� Date g O It— Signature of Peermmiit'ee or Agent Receipt No/ z/ e White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. RECTOR OF PUBLIC WORKS p� By Date �w permit expir e�