HomeMy WebLinkAbout024-281-01024-2817-10
GEORGE DEANER DEANER 1642B
261 Obermeyer Road, G ' ridley 1285P
Contr: Servamatic Solar System
Permit#94-85P(solar water heater & gas
7"rm"
"wtr htr/SF) Fa -;40d Lot 2, Obermeyer Ave. west of Gi s rap,
Country Homes Sub. 1, Gridley
024281-010CONTR: Wilmr Homes, 1403 Franklin Road
'DEANER'' Yuba Cit
261 ObermeyerAvI Ave:; yy,
Cont: Doubio J -Ro9fing
Reroof/SF
B07-0167 024-281-010
MISCELLANEOUS HVAC Change Out
CHANGE OUT HVACA14 VCT WO
261 OBERMEYER AV=- '7 -?-V1
ALCANTAR, RICHARD C & KACEY R
Z -.R -i
BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT. SERVICES 1
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B07-0167 Issued: 01/29/2007
Address: 261 OBERMEYER AVE Area: GRIDLEY
Owner: ALCANTAR, RICHARD (ApN: 024-281-010
Applicant: ALL ABOUT PERMITS Map Page:
Permit Type: HVAC Change Out
Description: CHANGE OUT HVAC AND DUCT WORK
r
Flood Zone: None SRA Area: No
SETBACKS
Front Setback: Side Setback:
Rear Setback: Other Setback:
Minimum Setback From Centerline of Street:
ALL PLAN REVISIONS MUST BE APPROVE) BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Set acs
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test House
404
Gas Test Yard
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Holdowns/Straps
122
Shearwall/B.W.P.-Interior
135
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test . •
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
802
Mobile Home Final
802
Fil ai
Inspection Type I
IVR I INSP DATE
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool ElecBonding/Light Nitch
502
Pool Fencing/Alarms/Barriers
503
Pre -Plaster
507
Manufactured Homes
Setbacks
132
Blocking/Underpining
612
Tiedown/Foundation System
611
Site Utilities/Trench Insp.
137
Gas Test Yard
404
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Public Works Fina
538-7681
Fire Department/CDF
538-7111
Env. Health Final
538-7281
Sewer District Final
94
RCT FINAL
801 , ,q"
-rrolect rmai is a t,ernucate of uccupancy for (ttesfaennai only)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
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: 261 OBERMEYER AVE Owner: "'.• Pelmlt NO: B07-0167
- APN: 024-281-010 ALCANTAR, RICHARD C & KAII
Permit type: MISCELLANEOUS 261 OBERMEYER AVE Issued Date: 01/29/2007 By KEJ
Subtype: HVAC Change Out GRIDLEY, CA 95.948 Expiration Date: 01/29/2008
Description: CHANGE OUT HVAC AND DUCT V Occupancy: Zoning: A5
Contractor Applicant: Square Footage: - -
GALLAGHER'S HEATING & AIR' ALL ABOUT PERMITS Building Garage Remdl/Addn
PO BOX 35 3083 WHISTLER WAY, ,
LOS MOLINOS, CA 96055 CHICO, CA 95973 Other Porch/Patio Total
(530)384-2444 (530)680-7619
FEE INFORMATION
DBM Heat Pump (Package Unit) $55.00
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 04/30/2008
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Sectpn 7000) of Division 3 of the Business and Professions Code, and my license
01/29/2007
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.
4]J�FIAVE 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;
Cartier: State Fund Policy Number: 713-0013855 Exp, Date:05/01/2007
(This section need not a completed if the permit is or ons a 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'
mpensation provisions o Section 3700 of the Labor Code, I shall forthwith comply with those
ro 'sions. .. .
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
Balance Due: $0.00 Receipt No: B1646
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 Contractors 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 Provessions Code:
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
❑ I AM EXEMPT under Section B. 8 P.C. for this reason:
X 01/29/2007
Owner's Signature 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, 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 occupan any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
unty tb inler ,above mentioned property for inspection purposes. I hereby certify that I am the
Owner 1:1 Contractor OR ElAgent for Owner 2egent for
FILE COPY
:_; .. Q
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES PERMIT
BUILDING PERMIT APPLICATION N
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPEC'TIONIt: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541 BP
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds BIN a
"PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Namd\ r f
Address
Z tP 1 0 6e4- e ev- 'f v
Cily/' rti Slate_.557- p ZiP I �-
Phone 8 `I � O5-, 3 Fax Cil J
E-mail
APPLICANT SIGNATURE
F6r office use only:
ARCHITECT/ENGINEER
Name
Address
hei5 H VAC
City
• No
State
Zip
Phone
Zi
Fax
E-mail
Fax
State License Number
APPLICANT SIGNATURE
F6r office use only:
APPLICANT INFORMATION
Name Go 1
hei5 H VAC
Address
• No
City
'`
State A
Zi
Phone
/
Fax
,ail
APPLICANT SIGNATURE
F6r office use only:
Zoning
SRA
Yes
• No
Occ.nst.
Subdivision Name 7Map
Page
Lot #
Plannerpproved:
vv cr\ rum OUMVII I I HL KtUUINEMENTS
K:\FORMS\BUILDING FORMS\BldgAnnlSubRgmts.doc Page 1 of
Ktv 5-12-05
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION,-'
7 County Center Drive - Oroville, Californ�% 95965 - Telephone (916) 538-754 _ PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 24-281-10-10 '
ZONING
B - DING PERMIT
OWNER MRS. DEANER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS28
261 OBERPlEYER AVE GRIDLE'Y
Rt7
CONTRACTOR'S NAME
DOUBLE J ROOFING
I TELEPHONE
877--2791
CONTRACTOR'S MAILING ADDRE!1729 BILLE RD PARADISE, CA
1
CONSTRUCTION LENDER
LENDERS MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 9.60
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
r,
Energy Plan Checking Fee
$
261 -r S- AWE
rTl
$
PERMIT FEE
$ J
LOT NO.
SUBONIS ION'SNAM
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REROOF
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
COOV OR LESS,
Main Service ( 2oonoRLE..)23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing vAh,Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class = .00 Lic. No. 5,6(` 7dr
OWNER -BUILDER DECLARATION
I herebyaffirm under enal of. erL that I am exempt from the Contractors License
p ty p f ry p
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 structure1is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service ( 200A To I000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( d ADC. BUDS.
so
3.5¢FT,
N.r.RESIDT ANLTI.00UTcLuTs
97.50
PowER APPARATUS
3 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20
BAL @',50
Ex. Occup. FI%ED APPLNs.OR
p• ouTLETs RESID. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I 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 �Jlnsuranoe carrier and policy number are:
Carrier �fi `G( Cl
Policy Number 6,f4vp f,? l/.✓/f .7
(The above sections need notlbe completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X iC.I �.(/'�-•-�--- Date
Signature of App i 10 Owner q Contractor ❑ Agent -----
.r
An OSHA permit is required for excavations over 60" deep and demolition or construction`
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 59.00
HAZ.
D. FEES
IMP
I FLOOD
I CDF
PARCEL
I PO
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By /1 �.
� .,
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
/ �J C�
r Date / 7
I^
y /
Date
Receipt No. LYtstSC4
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO
7 County Center Drive - Oroville, CgR{ornij -95965 - Telephone (916) 538-754 PERMIT NO.
(Rev. 12'/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 24-281-10 '
ZONING
B DING PERMIT
OWNER MRS. DEANER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
28 1,680.00
OWNER'S MAILING ADDRESS
261 OBERMEYER AVE GRIDLEY
CONTRACTOR'S NAME
DOUBLE J ROOFING
TELEPHONE
877-2791
CONTRACTOR'S MAILING ADDRESS
1729 BILLE RD PARADISE, CA
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 39,00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
261 OBER?4EYER AVE
Energy Plan Checking Fee $
$
PERMIT FEE '$
IAT NO.
SUBDNIs10
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REROOF
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
OOOVMain Service 20OA OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class 3Q Lic. No. 5�� �'
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I 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' compensationy� suran�ga carrier and policy number are:
Carrier !'u/iiCl
Main Service ( 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUR SO
OR ADDNS. ( a AlC. B.S. 3.5¢FT;
NON -RES DT NEWMAULCTI-OCIRCL TS 97,50
APPARATUS
a SINGLE OUTLET CIR.
zo 1.00
EX. OCCU @ OUTLET OR FIXTURES BAL @ .50
Ex. Occup. ouTEL R S D.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number !.f.�(IO -1 *7.7 uAnr .2 3
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
hwith comply with t e provisions.
X I� __ Date __—---
Sig a of Ap Icant - Owner W Contractor ❑ Agent
An O A permit is required for excavations over 5'0" deep and demolition or construction
of st uctures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 59.00
HAZ,
I D. FEES
IMP
I FLOOD
FDF[PARCEL
PD
HD
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.
By Date C�
PERMIT EXPIRES ON L4
Dete
Receipt No. 218824
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
J
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 -.Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/961 APPLICATI'ON 4ND PERMIT
ASSESSOR PARCEL NUMBER •--ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAX00 ADDRESS �I LLQ
: "@RACrOR•STELEPHONE
m v
CONTAACTORIS MAILING ADDRESS
7X7. 61L.Lf; 12(O YJ�42A s
Fireplace
LENDER'S MAILING ADDRESS
'
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee S
20.00
Permit Fee $
p
ARCHITECT OR ENcmms YAAJNG ADDRESS
Plan Checkin Fee $
SUILOWG ADDRESS
4,441
Energy Plan Checking Fee $
$
PERMIT FEE S
`
- iDt NO.
SUBDIVISIONS NAME
PARCEL YAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
svEelFv
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
1S.00
TYPE OF WORK
New ❑ Addition ❑ Rem el ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5•outlets
15.00
Building sewer
15.00
Mobile Home I S G W
@20.00
PERMIT FEE ( S
ELECTRICAL PERMIT
Filingas 20.00
Main Service 8.0 0.v oA Lss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70CC) cf Civisiar: 3 c! the Business and Professions Code,
and my license is in full force and effect��
License Class' Lic. No.
•Ex.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for. the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the -work, and the structure is not intended or offered for sale.
❑ I, as owner of the property; am exclusively contracting with licensed contractors "
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Q I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0' deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
Main
46.00
CONS;, DWELLING occvP, s�
OR ADONS. ( a Arc. &.OS. 3.5¢x' Il
,NEE';�CONS MULTI.OUTLET �7 c0
APPAAATus
a SINGLE OXET CIA. ,
OCCU . OUTLET OR FDMAES B20 & 1.00
.00
FIXED APPLNs. OR
Ex. • Occup, ovnETs REs10.1 EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S "
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONSPE
TOTAL FEE $
ES IMP
FLOOD
I COF
PARCEL PO
HD ISSUE
This permit is hereby Issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
IoI
Receipt No.
WHITE •D.D.S.•B. CA AR •A ESS R PINK -INSPECTOR GOLDENROD•APPLICANT
Permit#94-85P
George Deaner
261 Obermeyer Rd.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
• , t r ['1- -' ��,
TELEPHONE
(� r ,
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTO R'S NAME
TELEPHONE.
CONTRACTOR'S MAILING ADDRESS
.%A :I ii. ..tt_ f- G J C t( (,
Fireplace
CONSTRUCTION LENDER
'1.
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
I t l i
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00 `
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00 r
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home JSJGJWJ10.00
e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: ` ' t I - ' AJ '�� '' �' r,� —
r' 1 t
IGS
Permit Fee
$ -2
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
NEW CONST. DWELLING OCCUP.&
OR ACDNS. ACC. BLDGS.
2t/20sgit
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. �!, `� r Classification -; f1
❑ 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.OUTLET
NO N.RESID BRANCH CIRC ITS
2,50 ea
NEW CONSTFL ! POWER APPARATUS &1
NON.RESID. \SINGLE OUTLET CIR. /
Ex. Occu zo@s0c
P�ouTLETs OR FIXTURES BAL@30
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.) 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.
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
FiIingFee 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 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 said County in consequence of'the granting of this permit.
X �- Date ��)
Signature of Applicant — Owner❑ Contractor❑ Agent F-1work
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 $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST,
I
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
in above for which
DIRECTOR OF PUBLIC
_
BY '� `��
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
/`T' . I/ A
Receipt No. GAG
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
x
S E RVAMAT I C
SOLAR SYSTEMS, INC..
Dear Servamatic Customer:
We would like to ask that you complete the enclosed
card and mail it back to us as soon as possible.
It is imperative that your Servamatic unit pass final
inspection before the. expiration date on your permit. .
You will not be able to qualify for the tax credits without
the final inspection.
When your installa i has e n comp ase
call the un , ity
building inspection department atey_��5�//
and make arrangements to have your final inspection..
PLEASE RETURN THE ENCLOSED CARD UPON
COMPLETION OF YOUR FINAL INSPECTION.
Thank you,
Installation Secretary
1
10 Williamsburg Lane, suite B Chico, CA 95926-2288 (916) 893-8871
FORM No. 5017 (5184 — 250 CHICO)
pir-olh.
u�
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
0�_;, 4nI
ZONING
BUILDING PERMIT
OWNER yy��
�,:_0P_<,-E '�
T,ELEPHONE�j
.[
G;��
SQ, FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
?-f-1
CONTRACTOR'SNAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
(� ► l ,�-L&t 5o f7" Wte
Fireplace
CONSTRUCTION LENDER
r
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filin Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00 `-
Water piping
5.00
LOT NO.
SUBDIVISION NAME 771PARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
r'
SF LJ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New F-1 Addition Remodel❑ utilities E:1 installation[] Other
Describe work: i *�: IF_Ag—N=ice B -�J� _
Permit Fee
$ o
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
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
1 2t/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
[Tam licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions
�y Code
t -and my license is in full force and effect.
License No.5gnf ets Classification C 36
❑ 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 CON TPULTI.OUTLET 2,50 ea
NON R
ON•R ESI D, BRANCH CIRC ITS
NEW CONSTR ( POWER APPARATUS & 1
NON RES,D. SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES BA @3oc
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.) 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):
El ZFie permit is for $100.00 (valuation) or less.
or 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
FiIingFee 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 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 liabil'ti s, judgments, costs, and expenses which may in any way accrue
against s id C conse a `"' of the granting of this permit.
%� Date J` ter;
Signature f plicant'— Owner❑ Contractor ❑ Agent [�
An OSHA permit is required for excavations over 5'0" deep and demolition or Construct -&OR
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 12.C:7_ $"
OCCUP. cROUP
TYPE OF CONST.
I PARCEL
PD
I HF
I550E
Thi rmit is hereby issued under
si ns f the Butte County Code and/or
rkrldbove for which
OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date ��/(IPS^
-I•/N
Receipt NO. �f�Z
WHITE-D.P.W., YELLOW -ASSESSOR, PINK-I1,15PECTOR. GOLDENROD -APPLICANT