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Home My WebLink About025-020-030025-020-030 PERMIT#96-2-434 BURKS, - Thomas H. - 3455 Hwy 70, Oroville Ele Ser Ch/SF 025-620-030 #98-1862 CONWAY, JANA & KEN 3455"HWY 70, OROVILLE OWNER ELECT RETAG 1 J 36 i - 025-020-030 99-1890 CONWAY, KENNETH& JANA - TP 3455 HWY. 70, ORO LE CONTR: OWNER INSTALL GAS FIREPLACE BURKS.. -Thomas 296-72B-, w�s Hwy. YO first house so. of Pae 0 CONTR: Foo thills Const. Chico (r�eroof) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 3455 HWY 70 Owner: Permit No: B08-2193 APN: 025-020-030 CONWAY KENNETH D & J, Issued Date: 10/27/2008 By GLB Permit type: MISCELLANEOUS P O BOX 836 Subtype: Electric Panel PALERMO, CA 95968 Expiration Date: 10/27/2009 Description: REPLACE ELECTRICAL SERVICE (530) 534-0234 Occupancy: Zoning: U 00 Contractor Applicant: Square Footage: WHAT CHEER COMPANY CONWAY KENNETH D & J, Building Garage Remdl/Addn 139 PINEDALE AVENUE P O BOX 836 OROVILLE, CA 95966 PALERMO, CA 95968 (530)533-4453 (530)534-0234 Other Porch/Patio Total FEE INFORMATION DBE Single Phase Service-Resid $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 - Receipt No: B8964 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License WHAT CHEER COMPANY 610519 / C10 / 9/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 10/27/2008 penalty [$500]; Please check one of the following: Contractors Signature Date OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE L -M COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ Section 3700 I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: 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; 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.). Carrier: Policy Number: Exp. Date: (This section need not be competed if the permit is or one hundred dollars ($100) or ass. ❑ I AM EXEMPT under Section B. & P.C. for this reason: i CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS LKJ ISSUED, I shall not employ any person in any manner so as to become subject to the Workers's Compensation Laws of California, and agree that if I should become subject to the workers' C -10/27/2008 X compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Ow Si nature Date pr s. 10/27/2008 I . reb 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 Date WA ING: FAILURE TO SECURE WORKERS' CO PE ATION COVERAGE IS UNLAWFUL, J AN SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE 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 H NDR�D THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the D GES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to ,6r the above mentioned pr party for inspection purposes. I hereby certify that I am the property o r a au o' e j5 ae propert o ers behal 10/27/2008 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Nla 6dfte JWG N rint Date the performance of the work for which this permit is issued. (3097 civ. code) wner Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last imeC00'F bl Name ti n e f�/ Ti l Mailing Address f3OX Ci �(e (-) State Phone30 633-q yS Phones -5 Fax E-mail 1 CONTRACTOR Name v eor e DUi (\C (_J Address City State Zip Phone30 633-q yS Fax E-mail Lic. # 5 Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Cit ��%/I'I U Address Zip S City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name 0orl u� Address Cit ��%/I'I U State Zip S Phone �� , / `1 Fax E-mail PROJECT LOCATION Property Address 3 SS ' ` % !] City l� WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address. DESCRIPTION OR SCOPE OF WORK.- Sq ORK.Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupanc /1 (Note previous use): 1�7 For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. Butte e6unty Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES O NO) 2. I VE VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS Cl PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: REPLACE ELECTRICAL SERVICE Reference Number: B08-2193 Applicant Name: CONWAY KENNETH D & J, Owner's Name: CONWAY NETH D AP # : 025-020-030 1� �8 Signature of Property Owne : I/ Date: ��47 r E t 99-1890 NETH & JANA ROVILLERIREPLACE r :> c1 d I 1 a t 001- t, 01-, a -�- ; o . r f COUNTY OF BUTTE - DEPARTMEN-116F DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 + Telephone (530) 538-7541 PE�M,I,T, O. (Rev. 12/96) APPLICATION AND PERMIT �"` ASSESSOR PARCEL NUMBER 025-020-030 ZONIA1 BUILDING PERMIT OWNER KEEN TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS P,,O. BOX 836 FALERMv 95968 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. 4 Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS F Plan Checking Fee $ BUILDING ADDRESS 3455 HWY 70, OROVILLEE Energy Plan Checking Fee $ $ r PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE I SF G) Duplex ❑ Mobilehome ❑ Other b 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: INSTALL GAS FIRETUCE INSER & GAS LINE Gas piping sy2tem 1 - 5 outlets 15.00 15.00 • Buildingsewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ 35.04 ELECTRICAL PERMIT Fling Fee 20.00 "OV OR UE Main Service OAORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: IY 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 Main Service zooA To ,000A 46.00 NEW CONST. DW %NG OCCUP. SO OR ADDNS. ( s ACC. stns. 3.50FT. NO" N.ROSIID MULTI -OUTLET 97,50 POWEPPARATUS 8 SINGLER AOURET CIR. .00 EX. Occup. OUTLET OR FIXTURES BAL Q �.50 FIXED APPLNs. OR Ex. Occup. ounETs RESID, EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) O� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. a_, r��^ X / /t (A+� i1 /�/ Date // / 7 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. MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation AA PERMIT FEt $ + Mobile Home Installation Fee $ Energy Inspection Fee $ ~A+ Occ CONST. TYPE v TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL I Po 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. G By A �..._ Date PERMIT EXPIRES ON b ki Date ReceiptNO.� �4 5 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOP@MNT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P I �O. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 025-020-030 t1 ZONI &1 BUILDINGPERMIT OWNER KENNETH & JANA CONWAY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P.O. BOX 836 PALERMO, CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 3455 HWY 70, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF X 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 O Remodel O Utilities O Installation O Other O Describe Work: INSTALL GAS FIREPLACE INSER & GAS LINE Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 600OR LESS Main Service A 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.PSING License Class Lic. No. OWNER -BUILDER DECLARATION 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 Main Service 200A TO 1000A 46.00 NEW CONST. DwEwNG OCCUP. so OR ADDNS. ( a ACC. S.3.5QFT: Np qal.. T.MULTI.OUTLET 97,50 a R A OUTLET CIR. OWELEPPARATUS 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES SAL @ .50 FIXEI Ex. Occup. OUTLETS R� ) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall Irthw,ith compl with ose provisions. Date Signal r of A ica - ❑ Owner ❑ ntractor O Agent OS A ofis required for excavatio over 5'0" deep and demolition or construction f str tures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PD HD ;SUE 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 PERMIT EXPI ES N 6 QQ Del) ReceiptNo. 2 WHITE-D.D.S.-B. Cr. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 0 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PE IT D (Rev.12/96) APPLICATION AND PERMIT �E' E ll ASSESSORPARCELNUMSER (f�)Z,:!; ._�a� _03�j 107 BUILDING PERMIT owwER f� N SO. FT. OCC. BUILDING VALUATION OWNERS NG ADORES 94C e, OONTRACTOR'S NAME too TEU9H0NE CONTRACTOR'S UNUNG ADDRESS CONSTRUCTION LEICER LENDERS MNUNG ADORESS Fireplace Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee S 20.00 Permit Fee S ARCHTECT OR ENGNEERS MAEJNG ADDRESS Plan Checking Fee $ BURDNOADDRESS,3 -1S� / C� t 70 Energy Plan Checking Fee $ D r S PERMIT FEE _ LOT NO. SUSONSKMSMUC PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 16 -,Duplex O Mobilehome ❑ Other SPEC" 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 ❑ U6GBes 6Instalation ❑ Other ❑ C— Describe Work: !ij G� Q S' f�—� c Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 -PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 Main Service °p00,Av OR LIES: 23.00 Main Service aooA TO I000A 48.00 NEW CONST. OWELUNG Occup. 3.SC So. OR ADDNS. i ACC. AS. BI NEW .MULTI. NONJ.RESID. OIJTI.ET 97.50 POWER APPARATUS i SVXI E OUTLET dR. EX. OCCU . OURET OR FUTURES 10 0 1.00 SAI .50 Ex. Occup. OMD T . �,o,°E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 HeatingpS� ov Cooling Hood 6.50 Ventilation PERMIT FEF: S �. v Mobile Home Installation Fee $ Energy Inspection Fee $ O" COKST TYPE TOTAL FEES 7c) MAL D. FEES IMP I F1007FRI PARCEL PO HD I BSUE 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 PERMIT EXPIRES ON Date • "�d"`.m.. .:.a..,v .. -..._ �. ..-�...�_-n" o ...g,.x... ., ., -,-c—- `n --ter. -.-. ..- 1 025-020-030 `#98-1862 CONWAY, JANA & KEN 3455 HWY 70, OROVILLE OWNER ELECT RETAG t � - r. t ' " IIS i i . i } OFFICE COPY Address • , GAS Dated Meter BY. _ ELECTRIC Dat Meter BY I" I I .,- � .� : �, .,-. � .. � •• ��. r :,"--•"--« .-`_"'y"�"-'_-'--" �kr4�i:ii'!` zvj�•7, y�g1R�T'.�`-...--.--.• • �v--. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PTMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSfOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER JANA &RENWKWAY TYA:b234 SO. FT. OCC. BUILDING VALUATION R1 OWNERS MAT&D61ES$ S j]�/d 836 PALtiRt7l/ CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADCRESS 3455 1114Y 70 Energy Plan Checking Fee $ $ OROVIUZ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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: E= WAG Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI WF I @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 a00VOR UE VU Main Service 2o0A 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. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: .Q --J, 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. will ❑ 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 1000A 46.00 NEW CONST. DWELLING OCCUP. sD OR ADDNS. ( a ACC. BUDS. 3.50 FT. ppµgeSlp BRANCH MULTI CIRCUIOUTLETS 97.50 POWER APPARATUS S SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup. BAL o I.50 Ex. Occup. Oun D Pg=-.DeA 5.00 Temporary Service 23.00 Home Facilities 20.00 Misc. Wirinp 23.00 FRE INSPI I ZJ*VV 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) ;pi I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. l ( X r /!�, l //i.[��1� Date /' • l/ "Signature of Applicant - ❑ Owner/'❑/Contractor ❑ Agent An OSHA permit is required for excavatiofTs over 60" deep and demolition or construction of structures over 3 stories in height.✓ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD [HD LX 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. _ y _ �/ j% By T i'�. ` Date PERMIT EXPIRES ON 7S�ii / ate Receipt No. 24q `4 WHITE-D.D.S.-B.D. CANARYSSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IJ / CbUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT AaBE980RPARCELNu►eER 0 24F O ZQ O ZONIM BUILDING PERMIT OWNlRQ no_ T fes. ,, Tera"°"e�.Z C� SO. FT. OCC. BUILDING VALUATION OWNIMS NO AOOMMS CONTRACTOR'S NMI! Twig -HOME CONTRACTOR'S MAU►w ADM WAS COMTRUcnom u met LENDER'S MARIIG ADORM Fife IACs Total Valuation $ ARCNfITCT OR ENOUEER 5R --E N0. Finn Fee $ 20.00 ARCWMCr OR ENONEM S WiINO ADORFSB Permit Fee $ Pian Checking Fee $ SULDW00 ADOPMS ` 345 Energy Plan Checking Fee $ Oro(tPERMIT (� s _ FEE LCT NO. susav®IONawwe P""ca kUP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SF Duplex O Mobilehome O Other Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New O Addition O Remodel LUIes O Insisintion O Other O Building sewer 15.00 `O Describe Work: Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service aAa"vo 2= 23.00 LICENSED CONTRACTOR'S DECLARATION Service ¢ooA TD 000" 48.00 I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter taw C NEW coNs .DwEurq OCCURso. OR ADS• O=RDS. etas. 3.50ET. 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,NowaEsm.' N1LhO T @7,50 and my license Is In full force and effect. Rowes„ License Class Lie. No. G===11 oLm� as OWNER -BUILDER DECLARATION Ex. Oxu • OtMZrORFwnx $ ew 0 Iw I hereby affirm under penaltyof perjury rythat I am exempt from the Contractors License Ex. Occup. . 5.00 Law for the following reason: Temporary Service 23.00 O 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. Mobile Home Facilities 20.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors Misc. Wiring. 23.00 to construct the project l y1CJ O 1 am exempt under Sec., Business and Professions Code for this reason PERMIT FEE WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Fling Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating O 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 Coolin performance of the work for which this permit is Issued. Hood 8.50 O 1 have and will maintain workers' compensation Insurance, as required by Section Ventilation 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 PERMIT FEPE S Policy Number Mobile Home Installation Fee $ (The above sections need not be completed If the permit is for work of a valuation Energy Inspection Fee $ of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is Issued, I shall OFCC TYPE TOTAL FEE $ not employ any person In any manner so as to become subject to workers' E, compensation laws of California, and agree that if I should become subject to the D REm RHP FLOOD I ror PARCEL PO Io astir workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions tD do work X Date indicated above for which fees have been paid. Signature of Applicant - ❑ Owner O Contractor O Agent An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height By Date Receipt No. PERMIT EXPIRES ON WHITE-O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ro COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA •- (530) 538-7541 CORRECTION NOTICE C'oe11GvA OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. /U '6 w �47�,e Pi e'9'2"j1y& P'q REV 10/92 OWNER: PRE -INSPECTION LOCATION: _3QI ,5 s i DATE A. P. #-D 25 -CO CONTRACTOR: ZONING ------- PRE-INSPECTION FOR: DATE TO INSPECTOR PERMIT HISTORY: J NONE AS FOLIOWS: Cr �XJ o� 9 `7 a— TYPE OF OCCUPANCY BUILDING USAGE: TENNANT: [� OCCUPIED [] CJ HEATED -COOLED OTHER COMMENTS: FIELD - INFORMATION HAS ELECTRIC p HAS GAS PERSON CONTACTED ACTI RECOMMENDED: ISSUE Q HOLD FOR OTHER: 0 HAS SANITATION FACILITIES. tl COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541SM5NO. (Rev.12/9$) APPLICATION AND PERMIT dd-- ASSESSOR PARCEL NUMBER pas -0.)0_030 ZONING BUILDING PERMIT OWNER JANA &KEN CONWAY TE�jL}IpN1.234 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILIPPIC"DpF$.S•� 836 PALERMO }�J� CONTRACTOR'S NAME TELEPHONE TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 3455 HWY 70 Energy Plan Checking Fee $ $ OROVILLE PERMIT FEE S LAT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF JX Duplex ❑ Mobilehome ❑ Other SPECIFY 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: ELECT RETAG Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR CESS 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. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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' 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.) -- I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall th comp h those provisions. Date J� Applic n-❑ Owner Contractor ❑ Agent Inmit is required for exca ti s over 5'0"deep and demolition or construction over 3 stories in heigh tReceiptNo.241q9--�)(,_,/ Main Service TO 46.00 VV:A CCU000A NEW CONST. owELLINo Occup. 3.5QF°; OR ADDNS. ( NEW CONST. MULTI OUTLET NON-RESID. @7.50 POWER APPARATUS a SINGLE ourLEr cIR. EX. OCCU CUTLET OR FIXTURES .00 BAL @ I.50 FIXED APPLNS. OR 5.00 Ex. Occup. ovrLETs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. I D. FEES IMP I FLOOD I CDF I PARCEL I PD HD ISSU 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 oZ PERMIT EXPIRES ON.D. Date 4 CANARY SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER b Z5 l D -D _0,:5 O —(n ZONING BUILDING PERMIT owNERM /�CiV �- a- + r , 'n TEL®NONI�� SQ OCC. BUILDING VALUATION OWNERS ND ADDRESS CONTRACTOR'S NAY! TELEPHONE CONTRACTORS MAJUNG ADDRESS CONSTRUCTION LENDER LENDERS MMUNG ADDRESS Fireplace Total Valuation 3 ARCHITECT OR ENGINEER ucENsE No. Filin Fee $ 20.00 ARCWTECT OR ENGINEERS WH1NG ADDRESS Permit Fee $ Plan Checkin Fee $ EANanwGAooREss�S 70 Energy Plan Checking Fee $ �^(� $ `,p PERMIT FEE $ LOT NO. SLDDNISIONSNAYE PARCEL YAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat p mp water heater 23.00 SF `Duplex O Mobilehome O Other Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK Gas lin 1 - 5 outlets 15.00 New O Addition O Remodel utilities 0 Installation O Other Cl Building sower 15.00 {O Describe Work: 1r \ L�iT r� � Mobile Home S I G I W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service =OR= 23.00 _72, Ce - LICENSED CONTRACTOR'S DECLARATION Main Service 200A TO IOWA 48.00NEW hereby affirm under penalty of perjury that I am licensed under provisions of Chapter CONST. pN gL�NG Opp OR ADDNS. +ACC. EROS. SOLI 3.5CFT. 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, NDNRESID.' YuL71,0C T @7 50 and my license Is in full force and effect PowaR APPARAnNe License Gass �, No. + SNGLE OUnET aIL OWNER -BUILDER DECLARATION Ex. Occup. ovnEr OR FKruREs BAL0'.50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Ex. Occup. EA 5.00 Law for the following reason: Temporary Service 23.00 O 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. Mobile Home Facilities 20.00 O 1, as owner of the property, am exclusively contracting with licensed contractors Misc. Wiring. 23.00 to construct the project ) ro >� O 1 am exempt under Sec. , Business and Professions Code for this reason PERMIT FEE WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Fling Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating 0 1 have and will maintain a certificate of consent to seff-insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the Coolin performance of the work for which this pennit is Issued. Hood 8.50 O 1 have and will maintain workers' compensation Insurance, as required by Section Ventilation 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 PERMIT FEt t Policy Number Mobile Home Installation Fee $ (The above sections need not be completed If the permit is for work of a valuation Energy Inspection Fee $ of one hundred dollars ($100) or less.) O 1 certify that in the performance of the work for which this permit is Issued, I shall TYPE TOTALFEESnot employ any person In any manner so as to become subject to workers'►IAL EocOONNST. compensation laws of California, and agree that if I should become subject to the D. g WP I 8000 I COF PARCEL PO HD 6sUE workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions tD do work X Date indicated above for which fees have been paid. Signature of Applicant - 0 Owner O Contractor O Agent An OSHA permit is required for excavations over 50• deep and demolition or construction of structures over 3 stories In height By Date rRecel%tNo. PERMIT EXPIRES ON HITE.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT No i OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder' building permit has been applied for in your name and bearing your si Please complete and return this information at your earliest opportunity to avoid annec essary deiey in processing and issuing your building permit. 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: YES NO O 2. 1 HAVE HAVE NOT 13 signed an application fora building permit for the proposed Wedo 3. I have con ted with the following person (firm) to provide the proposed constr actions _ _:. -� NAME: - — - - - ' - • -- ADDRESS: 'CITY:�,^� . . PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the.following person to . supervise, and provide the major work: NAME: �? ADDRESS: CITY, PHONE: CON'TRACTOR'S LICENSE NO. - 5. I will provide some of the work but I have contracted (hired) the following persons to the work indicated: 1 NAME ADDRESS PHONE TYPE OF WOBiC� SIGNED: PRO SOCIAL SECURITY Ni DATE: NOTE: - -This Owner -Builder Verification is required by Section I98.II anti 79UZ_gJ- e California Health and Safety Code. This verification must be completed osd returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder ofpropecry improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on sttch . a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible" liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply - If . If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: v .r ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (iachiding matalals and other costs) is 3300 or more for the entire project, and such persons are not licensed as contractors°or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, .;• Workers compensation insurance, disability insurance costs, and unemployment compensation contn'butions '.,r - ♦ There may be financial risks for you if you do not carry out these obligations; and these risks are' ecial Wily,'*` ;''ious J esp ser with respect to worker's compensation insurance.. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service: (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only undef limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder•' building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. - Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your . community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned 4icy, —/(' &11-1 l C.Vi ira, C.B.O. r, Building Inspection NOTE: This Owner-Builder•Informatlon is required by Sectlon 19830 of the California Healtk and Safety Cod& COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ' Y wu.Q ASSESSOR PARCEL ER: L Proposed Building Use: Building Inspector: Date: At time of permit application, I advised the following data must be submitted prior to permit prokessi4g and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------- ❑ 15. City of Chico plumbing permit. ---------------------------------------------------------- ❑ 16., Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑— .9Pcroachment Permit for driveway (construction approval prior to occupancy)- ---------- ------------------ Je-nspection for A �� :Q required. Request to Building Inspector on a2/ (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. --------------------------------------------------- ------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits. --------------------------------------------------------------------- ❑29. 1143 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- 1130. other: When you issue the permit, process as follows ITMail to owner, ❑Mail to contractor. ❑ Telephone and hold for pickup at Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: office.~B-0,efiver with inspector. 1. Index permit application for the above items numbered: v ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVI N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 -75 --PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 025-02-0-01) ZONING AR -1 BU DING PERMIT OWNER THOMAS BURKS 916 TELEPHONE 533-2284 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3459 MJY 70, OROVTLLE 95965 CONTRACTOR'S NAME 010TER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ Bu'u`1IQ s$nJ,V 70, OROVILLE 3LL}}�� jj��v 1 PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.SUBONISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ "Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑YX Describe Work: ELEC SERVICE 125 AMP — Mobile Home I S I G W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( eOov200A OR ORIELESS SS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: jai I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( & ACC. BUDS. ) SO. 3.5Q FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) EX. Occup. ( OUTLET OR FIXTURES) Ex. Occup. FIXED ID.) r23.00 Temporary Service Mobile Home Facilities Misc. Wiring 23.00 PERMITFEE $ 43,00 Contractor 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) N I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the work r ' compensa on visions of section 3700 of the Labor Code, I shall fo om i t s provi ns. A,4— X Date A,4— Signa re of Appli nt - Owner ❑ on ra r.. O Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ 1 CONST. TYPE TOTAL FEE $ 43.00 HA2. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date10/ 17 /96 10/17/97 (Date) Receipt No. 206708 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT n . J:r��!: �.;`ryr�*yeeC.g:, �.+,y�'.,dxtfXk,%¢.�TM.��•7k.;t �{:-•`i'r`F�we'a a� ... f �:. S 5 2 f { 3 ' • ' is r� o t x { of t OFFICE COPY Address ' GAS Date Meter 'By r ELECTRIC d —Dat t COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive'- Oroville, California 95965 - Telephone (916) 538-75�1� at PERMIT NO.. APPLICATION ANb PERMIT%�/ T ASSESSOR °ARCEL NUMBER ,% ZONING AR -1 B,U I LD I NG P ER M I T OWNER 91( TELEPHONE 533-2284 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS U_55 Im 70. OROVILIN, 95965 w CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDIN D3Sr# 70, OROVIM PERMITFEE S PLUMBINGPERMIT Filing Fee 20.00 Each Trap 1 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump Water heater 23.00 Watei piping 15.00 USEOFSTRUCTURE SF ❑ 11Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑n Describe Work: ELEC,SERVICE 125 AMP — Mobile Home S I G W @20.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filinq Fee 20.00 • Main Service ( OOO200A OR LESS V OR LESS ) '23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: JO 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURSO. OR ADDNS. ( a ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00 SAL .00 Ex. Occup. ( OUTLEEDTs PLNS OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 13.00 Contractor 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 insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those'provisions. � X _. — Date / G Signature of Applicant -`� Owner ❑ Confractor ❑ Agent I An OSHA permit is required for excavations over 60" deep and demolition or constructionBy` of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE , 43.00'C TOTAL FEE $ HA2. I D. FEES I IMP FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. r� Date10/17/96 PERMITEXPIRESON ! 10/1797 (Dete) 206708 Receipt No. WHITE-D.D.S.-3.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT :x -,COUNTY OF BUTTE BUILDING DIVISION 4 DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 a. 7 County Center Drive, Aroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE &.rk) aV3 OWNER - PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. :x Date - c! Inspector REV 10/92 I4WI Numo0lot Hoad, Chwo, CA - (916) 891-2751 - 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 •i CORRECTION NOTICE OWNER PERMIT NO. A r u irjejrrskc!�n indicates that the following violations of Butte Countyr antes exist at the above address and should be corrected. Please notify this office wh rre of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1 0^/ I..J0.-f QY / .vim _L Date REV 10/92 iri�ln�g I t CE e o. Inspector a-11 hG -Ae 'J'o O "L( -/ v^—, I ) f2