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HomeMy WebLinkAbout007-250-054514 DONALD.& SANDRA STONER 7 as: s 3118 Johnie Lane, Chico Permit#2912-89B(reroof/SF),�� B07-0747 007-250-054 / MISCELLANEOUS Water Heater C/O REPLACE WATER HEATER 3118 JOHNNY LN CASEY MATTHEWS B08-0376 007 250 054 .< MISCELLANEOUS HVAC Change Out, INSTALL A/C PACKAGE UNITS , . i 3118,-7OHNNY,LN MATTHEWS, CASEY js , 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 Contractor Applicant: Square Footage: CONRADS PLUMBING CASEY MATTHEWS Building Garage RemdUAddn 954 E LASSEN AVE 3118 JOHNNY LANE CHICO, CA 95973 CHICO, CA 95973 (530) 893-1124 (530) 990-6154 Other Porch/Patio Total FEE INFORMATION DBP Water Heater (qty) 1 $55.00. LICENSED CONTRACTOR'S DECLARATION Contractor (Name) - State Contractors License No. / Class / Expires CONRADS PLUMBING 670692 / C36 / 05/31/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 04/10/2007 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I 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 ❑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; Carrier: State Fund Policy Number: 1442472 Exp. Date:05/01/2007 (This section need not be completed if the permit is or one hundred dollars ($100) or less. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compeAsation provisions of S%ction FOO of they Labor Code, I shallforthwith comply with those X V �V"J 04/10/2007 Signature Date WARNING: FAIL RE O SECURE W RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB T 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 Total Charged: $55.00 . Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2574 OWNER / BUILDER DECLARATION . 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 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: ❑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 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 re not intended or offered for sale. If, however, the building or improvement is sold within one ear of completion, the owner -builder will have the burden of proof that he or she did nol 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 Provessions 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.). r 0 ISM EXEMPT under Section B. & P.C. for this reason: IX Lom, %, 111 ° n-VU-4JJ 04/10/2007 Owner's tignure/Date' 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 construction, and with any and all conditions of permit. I agree to defend, indemnity, 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 useoccupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte Co ,q to en[eipe abtve mgnplo ed property for inspection purposes. I hereby certify that I am the pr own r a utr o act on a property �o%'erbep�eIlf' Q C{Sety Y, iN12I'Vlegu04/10/2007 Name f ViErnitteg [SIGN] Print Date Contractor OR: Agent for Owner Agent for Contractor FILE COPY a PROJECT INFORMATION Site Address: ,3118 JOHNNY LN Owner: Permit No: B07-0747 APN: 007-250-054 CASEY MATTHEWS Permit type: MISCELLANEOUS 3118 JOHNNY LANE Issued Date: 04/10/2007 By , KEJ Subtype: Water Heater C/O CHICO, CA 95973 Expiration Date: 04/09/2008 Description: REPLACE WATER HEATER (530) 990-6154 Occupancy: Zoning: SR Contractor Applicant: Square Footage: CONRADS PLUMBING CASEY MATTHEWS Building Garage RemdUAddn 954 E LASSEN AVE 3118 JOHNNY LANE CHICO, CA 95973 CHICO, CA 95973 (530) 893-1124 (530) 990-6154 Other Porch/Patio Total FEE INFORMATION DBP Water Heater (qty) 1 $55.00. LICENSED CONTRACTOR'S DECLARATION Contractor (Name) - State Contractors License No. / Class / Expires CONRADS PLUMBING 670692 / C36 / 05/31/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 04/10/2007 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I 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 ❑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; Carrier: State Fund Policy Number: 1442472 Exp. Date:05/01/2007 (This section need not be completed if the permit is or one hundred dollars ($100) or less. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compeAsation provisions of S%ction FOO of they Labor Code, I shallforthwith comply with those X V �V"J 04/10/2007 Signature Date WARNING: FAIL RE O SECURE W RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB T 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 Total Charged: $55.00 . Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2574 OWNER / BUILDER DECLARATION . 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 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: ❑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 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 re not intended or offered for sale. If, however, the building or improvement is sold within one ear of completion, the owner -builder will have the burden of proof that he or she did nol 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 Provessions 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.). r 0 ISM EXEMPT under Section B. & P.C. for this reason: IX Lom, %, 111 ° n-VU-4JJ 04/10/2007 Owner's tignure/Date' 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 construction, and with any and all conditions of permit. I agree to defend, indemnity, 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 useoccupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte Co ,q to en[eipe abtve mgnplo ed property for inspection purposes. I hereby certify that I am the pr own r a utr o act on a property �o%'erbep�eIlf' Q C{Sety Y, iN12I'Vlegu04/10/2007 Name f ViErnitteg [SIGN] Print Date Contractor OR: Agent for Owner Agent for Contractor FILE COPY a 04/10/2007 09:01 FAX 15308970781 RECORDING REQUESTED Std; Fidelity National The Company of Calft. rnia R®ctow No-: 07 -703519 -OLS LacAte X10-: CA"95&09S&0004.0000703519 Vft Na.: 07.70$51-. When Recorded Mail Document and Tax 5tatement To: Ms. CaseyWIFFmanhews 3118 Johnny lane Chico, CA 95973 APN: Fidelity Nat'l Title IA001/004 I Or ft, .2fle Ihis find to, of dt � ordE� r i +11i�9�M1111(a0, U Y/ 743 ice- d Aft hwdu of the (aunty of sure. State of !ife�sia. FIRUTY NATIONAL. TITIE COUNT€RPART.A GRANT DEED 7HIS LINE FOR The undersigned granter(*) declam(s) Documentary trone;%r" Is $354:80 X l Computed an full value or Property.conveyed, or [] computed on full value less ealue of fi— or encumbrances remaining at time of gale, E X ] Unincorporated Area City yq :r:lS^I QVW•:aP a, imlpt bf WhIeh is fnerebY acknourWiled, Delynn Welch, an unmarried W.0"I and Sheemal uGe ch,.an unmarried man as joint tenaflts Dofra n h by �RANT,(C) to ra-y/hLLA Matthows, an unmarried woman the following described teal,p Pe t±y I".the -Uninxrporated Area, County of ouM, '?ate Of California: SEE D(HI6IT "A" ATTACHED RERUM AND MADE A PAU HEREOF THIS UFFQ .IS EXECUTED iN .CO!lNTERPARTS, EAC" OF %InICn a$ v�'cME"u TO BE dpi ORlUl1dFIL AND SUCH PARTS T(JGETHER CONSTITUTE BUT ONE AND T"E SAM€ DOCUMENT. DATED: March 28; 2007 STATE OF CALIFORNIA-+, ) COUNTY OF .0 7 g tzoorr before me, t5 2:S ojrx O Dubuc (here insert name and tide of the officer), personally appeared a • U personaiiy known to me (or proved to me on the basis or satWacwrV evideri* to be the person(s) whose name(s) Ware sutiseribetl W the within instrument and acknowledged tD me tMt he19rie,00 executed the same In his/her/their authorized eapaciW(ies), and that by L:IS/ he:/tl:eir - nature(s) ars the insvument the petsoin(s), or the en un r,ehaK ..c � - �'•/ wmk.—half, �v. �iiiZ„ the peeson(j) aclRLJ, mrPcu_ 1 the in�Ctrur�sant- Witnoee my 112M and 4x_1,1 sui. Signature LD[Seal) n -. r e Delynn W.ICh Sherman Welch li�l11 tiLC��frAt�1 r, w e MAIL TAX FMENTS AS MFtE= ABOVEFD-213 (Rev 7/96) GRANT DEED {erarrc)(ot>atij 04/10/2007 09:0,1 FAX 15308970781 Fidelity Nat'l Title 4� 002/004 Elacmw No. Uwt6 No.: CAFNT095_8-09-58-9004000.07.03519 4S�a w.:.ol-iv53fifl E3'EL�a� if THE _LAND REFFRFfl TTi I-IFDF N Q"v�".' .5 SrL MAE� div iriE-UNINCORPORATED, AREA, COUid1Y OF BUTTE, STATE OF CA(ftd( jN AND 1S f1CCrDypCn nrtc, FOLI "Al ` Parr) d; A portion of the MQrfhwec ��3, ; ce..�... T,.... Z2 North, lienM.D.B.5C Nt. �A .... .G.. ,�.. 1 .0, I V�YIOhip , ge i ast, P7.D ,and more particularly . B kMtr n 9 a P-0 ton the Cart and uWQ. cen cr.1IP�e of said SKU0 i0, distant East 581.80 feet from the East line of the West half of 09 NQrtkwest QL,arter of said c-6C:,rl 10; t`en,"M 1 6.1T� said Po -MR Of iieginn ing and running North 000 29 West 382.74 feert: thenca last 166 j thence South n0,0e 20. Ez� 382.74 f6a to a Poi* Ori the East and West centerline of said Section 10; tfience_ along said ,ceneedine.west gAA.00 fee. to.*, pl;K t inning. Except therefrom the South 309.20 Beet. ' Parcel di: A portion of the Norlsh!t �_.a.• .tio:: 10, Township 22 i'.urui; FFaflge i east, M' -.B. & M., and more particularly s fbilo.!^r described as: An easement 57 to width hor r ;dWay unU uh � y p;;r�, aioiig wth use right of use and maintenance for said DUT0_w- , the MM04le thereof being .aesc j.►�A as R" IIC.'— Beginhing ata Int on the and wow : e^.tarline of Sald Se tion i0, d ant cast 58'1.80 feet from the East line of the Nest haft t, file . r' hw Im" 'Ct_ 1�YarW of said Clio- 10; thin a fi0m saaid point 6i �irnrhing 8hd Funning North 778 2d' West 917.43 feet, more or fess, to the a9PfPx0ate re ter!ine of S;carnor2 �•cui- Except therefrom that portion ying`within the lines of Pa cea ai ve.des_ribed ' 04/10/2007 09:01 ,FAX .16008-970781 Fidelity Nat'l Title 00V004 I99PWWG.R_FQJESTED BY: Fidelity National TiU.e Cor'•'tpany.of.Cslrf.^,rnia Escrow Ne.: 07 -703519 -BLS , Locate No.: CARM958-0958-00040000703519 I#UE iia„ 67-7635jO When Recorded me!! semont and TaxStgt�e_ment Tos Ms. Cas ey'16 Matthews 3118 Johnny lane Chico, CA 95973 APN: COUNTgRPART B .GRANT,.DEED The le��rr!d.grarr�:(e).eledla:e(v) Docamentarvtrangffs,rrLe add S_EF .COUNTERPART A X 1 comma d Qn hm val:!e.ef p wr!;^.nere-y, or computed on full value ess value of liens or encumbpvnces.f€„,air�in� attirfi@ 3�ie:, _.. e x ] Unincorooratd Ansa CRy op ..-----...., FOR A VALWAR E.69!.4SI ER,ev:v/u, ;�, Y, :oreoecl3 0o ha ,vt► eertfiowledged, Delynn Welch, an unmarried __ wo.man end Sherman welrh� an u^.ntarr6a! .^.^.an as j.^.Ini tenants D.Dr ar hereby GRANT(S) to CasWy W10, Matthew-., an unmarried woman the following d�rlbed =! pmMrty 1. tl:a UnincorPra* ted Area, County of gam, ate of Calit�rnia: SEE EjC�HIBIT A ATfi4!:t11=D HERETO AND MADE A PART HEREOF THIS DEED IS .EXECUTED IN COUNTERPARTS. EACH OF -WHICH IS DEEMED TO BE AN ORIGINAL AND SUCH PART$ T99FTHER CONSTITUTE BUT GN€ AND THE SAME DOCUMENT. DATED: March 28, 2007 STATE OF ekkfORMA /��-z mAIR ) COUNTY OF ) ONi I �. t T before me, otary Public (nen' in ,name and title of theofficer), personally ap�ared Lie va- personallY known to Me (nr proved to me on the basis of sat'Ssib'c or� evidence) to be -the peisnn(3) whose names) is/are subscribed to the within iF WUffieflt rbnd c1know1e_dge1rM thot he'shotney ekecuted-the same m h.S/her/their authorized rapacity(les), and that by his/herlthelr signatures) on the,inst umgnt the person, or the entity �g4n Qeh�!€ D$ Which the pe -son'% ) acted, exectied the instrument. Wltness my hand and ofiiclal seal. y Signature —.(Seal) De!ynn Welch Sherman Welch v.� NOTA:MMA X213 (Rev 7/96) --- MAIL T VE (9aft)(06.06) GRANT DEED n4/1n/?nn7 99:FAX 1_531018.9 71 -7-8 .1 7i.de1ity':Nat 1 Tit1e ` - y E 29P lle, 97-76 SgdgLe• LwAt* NO.:' GaiM958-0958-0004-000 Tie - 0703519 a - 97-703g19 r : EXHIBIT THE LANA REFEIRREQ TO HEREIN .BEI_OVd IS'SMA' ED IN lYE UNUL:COic PR i LD AREA, �COLiilEiri- •.0F BUM, STATE OF :r ' r CA itlt4L4 " 4�iD rg r,�ECr-eToen I r% _ Pike! 1; A portion of the Nprt±+Me-S-c+. quarter of Section 10, Township 2I- aae'u`y Range East,M.D.B. & M,, and more particularly " described as .faifaws. Beginnlrig -at A P-Oint on,the East end :West cents line of said Sin 40, di,-Mnt East 56.1.80 feet from the East .line of the r. West half of.the Northwest q.-a-rt�r-.of said motto, 10; %hence frorn -said paint o: beginning ani ni�iding North Obi° 2G` f said Sento feet; theno9 E�A405 f€ t; thence South 00' 20' East 332.74 81pet to a point, on th6 East and Wei Centerline-. Y of said Section 10; thence along said sentLriine Nest 156,00 feet to the place of beginning. EXCePt therefrom the South 309.20 feet. Parcel' 1I F A portion of the_ '__ _ tK Quarter.df'�on .10, Township 22 North; Range 1 €ast;,par ,M.D.B. & M.1,Md more ticularly �s .follows. ,. ., .. , An WafRment 6-0 fee* in width for roadway and ut.111ty purposm, along uvRh the right of 6S6 -and ma puroos s; the centerline thereof tntenanoe for sale .. .Ding -described as follo s: . Beginning @,t # point Qn the East -and West centerline of sa;d Section 10, distant East 381.80 i;�e East Brie of the West half of the Northwest Qyri@► Ef sd�sl ,crsor! 10; .thence from said point .of t:IPtining and running North G6'. 70' Wif 917.43 feet, more or less,'tq the apPMg_iMMn centerline of Sycamore Creek UCept therefrom that iaortion lying within the lines of Parcel 2 ab2 de;crltr ; =..• ,.. • - 4' - ?', _ - x. _ - Air. � • ... - t '' ' . BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name Address First Name Mailing Address t10LAI-el/ City t�bV Fax State Oal Zip 1–/7115 Phone D.. J Fax _ (Y LS E-mail Fax �q o 10 � e C'� t W „<t Ptt' ONTRACTOR Name I J ` Address City State Zip Phone Fax E-mail Lic. # UnlbbCi Class APPL/CA ARCHITECT/ENGINEER Name S� Address Address l l`0 City n� vib State Zip Phone Zip /1 I Fax E-mail Fax �q o 10 State License Number APPL/CA T INFORMATION Name S� e ws Address l l`0 I Yes No n� vib City tate Q � Zip /1 I Phone aJ Fax �q o 10 E-mail �(_ '�^s A n ^�, a APPLICANT 4IGNATiURE AP# _ 250 — rJ� Tj dh a -Le k U I V PERMIT NO. BIN # PROJECT LOCATION AP# _ 250 — rJ� Tj Property Address NN w City 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 WO K: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning I Flood Zone SRA I Yes No Occ. Type Const. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS � PERMIT NO,./� 7 County Center Drive - Oroville#Califoraia 95965 - Telephone: 916/538-7541 j( _ uuu APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER` -4T — OS YiN ZONIN BUILDING PERMIT OWNER/ //•�� SW/►\^ 1 / �% TECLE4)PHONE SO. FT. .' OCC. BUILDING VALUATION OWNER'S MA ING AD -DR SS ' CONT�RAtC�T/O�R''AS NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS i Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1-11 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ Z, ARCHITECT OR ENGINEER ' J LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS' Permit fee $ PLUMBING PERMIT Filing Fee 10.00 3k8%/��� �� /'�!�!� I �� (.� Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARC L MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF S� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 _TS Mobile Home TG W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Ate- �: _ 2 5t� ���a�•��'f/ate Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 / BOOV OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NO 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. Classification 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) ❑ I, as the owner, am exclusively contracting with licensed contract- prs. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason �� NEW CONST. / DWELLING OCCUP.61)/z¢sgft OR ACDNS. 1 ACC. BLDGS. NEW CONSTR. RATI-OUTLET 2.50 ea N.R ESID BRANCH CIRC ITS POWER APPARATUS 6 SINGLE OUTLET CIR. ) Ex. Occu zALO30 Occup(OUTLETS OR FIXTURES .20@030 FIXED APPLNS. OR EX. Occup. OUTLETS (R ESID.) EA. 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor I 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. 1 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 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. 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 in consequence of the granting of this permit. p X -���• + /! -.—Y[�ry-Q-- Date �� - (1 ' 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 $ HAz CUA PARK SCHL FLD PAR PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. p DIRECTOR OF PUBLIC WORKS (%q B �LYtLII'wvpy// � Date qO ` / y I, PERMIT EXPIRES Date �ryJ Receipt No. W WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. Galiforniti 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT i ,�PEI,411T NV ASSESSOR PARCEL RCELNUMBER O�L� ZONINGS BUILDING PERM OWNER -, ��1 ,l •v�,o SA; �1' V9 Srzw CA T LEPHONE `� SQ. FT. OCC. BUIL6+11G VALUATION 2 b — OWNER'S MAgING AD RS 6116 q 64 CONTRACTOR'S NAME ©w0-/U'Sn\ TELEPHONE I CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ /- Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 2 C9 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee i $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ .� PLUMBING PERMIT Filing Fee 10.00 3wg o*1,4,1`. L,.,, /0 � 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 USE OF STRUCTURE SFVDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00e TYPE OF WORK New❑ Addition ❑ Remodel El Utilities❑ Installation[] Other Describe work: ke— 1?,00L _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 n `J ,G �J 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 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. Classification A I,`as the owner, or my employees with wages as their sole compen- T 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- 1 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8d OR ACDNS. ACC. BLDGS. ,h¢sgft NEW CONSTR. C NO ON..ESID BRANCH C CIRRCC ITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES eZAL@AL03030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 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. Not ce to Applicant: If after making this statement, should you becomesubject 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 Coolin 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, costs, and expenses which may in any way accrue against aid County in consequence of the granting of this permit. p X„ - Date ��� —D Signature of Applicant — OwnerT& Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DI ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Z od — occ CONST TYPE TOTAL $ FEE AL E HAz CUA PARK 1 PAR PD 1 HD IssuE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees ECTOR OF PUBLIC By�Date PERMIT EXPIRES Dat the applicable provi- resolutions to do have been paid. WORKS I e� .V Receipt No.V WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD.APPLICANT COUNTY OF BUTTE - Department of -Public Works 7 County tenter .Drive; Oroville, CA '9596.5 Phone: 9.16-538=7541. OWNER -BUILDER. -VERIFICATION Attention Property Owner; An 'owner-builder".building permit has been applied for in your name and bearing your: signature. Please complete and return this information.at your earliest .opportunity to avoid" unnecessary delay in processing and" issuing your building perIDit. No building permit - will be -.issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction.of the proposed property improvement ( es r no) -2S 2. I av ave not.) flake_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. rI pian to provide portions of this work,,.but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Gontractors.Licens.e 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 Signed: �� Property Owner D o cn a a ►J 5y -PA -el- Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.