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Home My WebLink About026-230-013j 026-230-013 99-2010 STAGGS, MARGARET , 7460 PALERMO HONCUT HWY., ORO CONTR: A& B ROOFING /� RE ROOF �� 17 l%�`/� 1307-1142 ♦ i026-230-013 MISCELLANEOUS Room Addn-First Stry ADDITION TO SF(536) 7460 PALERMO HONCUT HWY GARCIA, MARIA 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: 7460 PALERMO HONCUT HWY Owner: Permit No: B07-1142 APN: 026-230-013 GARCIA, MARIA Issued Date: 6/22/2007 By GLB Permit type: MISCELLANEOUS 7460 PALERMO HONCUT HWY Subtype: Room Addn-First Stry OROVILLE, CA 95966 Expiration Date: 6/21/2008 Description: ADDITION TO SF(536) (530) 403-7880 Occupancy: Zoning: AR -1 Contractor Applicant: Square Footage: GARCIA, MARIA Building Garage RemdUAddn 7460 PALERMO HONCUT HY 536 OROVILLE, CA 95966 Other Porch/Patio Total (530)403-7880 536 FEE INFORMATION DBEH Building Review Fee $75.70 DBF Room Addition - First Stor $428.92 DBMSC Room Addition -First Stor $643.39 DBSMIP Residential $3.48 Total Charged: $1,151.49 Fees Paid: $1,151.49 Balance Due: $0.00 Receipt No: B3615 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 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 Contractor's 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 penalty of not more than five hundred dollars ($500]; 6/22/2007 Please check one of the following: Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR 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 WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE the work himself or herself or through his or her own employees, provided that such improvements AND 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. mprove for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED to CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number: Exp. Date: (This section nee not be completed if the permit is or one a hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑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' X 6/22/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners -ti -9 -nature Date provisions. 6/22/2007 I hereby certify that I have read this application and state that the above information is cored. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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 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, 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 DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prop owner or amauthoriz act theropy ertyowners behalf. �kJ t,�- 6/22/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ameOf-Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ, code) Owner ❑ Contractor OR Agent for Owner Agent for Contractor FILE COPY Lenders Address City State zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last NpQamm�e�� First N�� 'fC 1 M City , mv, `--il � State Zip PhoneJr..' _� Fax E-mail _ C.On'l ARCI-fl TECTIENGI NEER CONTRACTOR Name Fax Address State License Number City Fax State Zip Phone Fax E-mail Lic. # Class ARCI-fl TECTIENGI NEER Name - \ a Addles ,�O city CV6 n`(1 „ State/'1 Zig Phone � pr;_ ` � II Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE PERMIT NO. PROJECT LOCATION AP# - ; I-�) Property Address 7/1-n 1 --pa I c'ty !- City BIN # . 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. I LENDING AGENCY I Name Address J. D` >SCR/PT/ON OR SCOPE OF WORK. 310 ti - CY-) -/C) Sq FT- Living� Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning — Flood Zone SRA I Yes No Occ. Type Const. I School District ..v •..,-., ;,�yy,,,yv '� •-v^r,-...•yr�v+tl.k- •- r,..vcyit�F•y�r.y�...,,y �F::yigi?:','�",1ri .S tr�yry, 'f'. '-� ro...pa:eh,:t.•S� s•.eA ; "`m z,r,-i i 7 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. Tax Rate Area No. A.P. NumbJ6, O ��Jurisdiction: = City JCounty Property Owner kA(a) C%-- Property Location/Address `-t lJ `J�i��Q.f nn1A Subdivision Lot No. Residential Development _...................................................................., ...........4AAddiion,/ Sq. Footage No of Living Mobile Home 'Supplemental to (Group R) Y. Units Installation �ersieermit # Cr. Demo - ( ) *(No foundation inspection) existing sq. ft. _........... ...................................................................................... a see trached Net total sq. ft. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 0 �ti Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Represent tiv. Date District'IdentificationNo. -7 0901 School District certifies that 3 (Payor) -I Ll (Street Address) (City) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. . l �S q d by payment of $ representing square feet. B 2926 $ FULL MITIGATION $ School Distnc epresentative Date t Paid by Check # Remarks: �c t,-\ O Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1142 Date: 05/24/2007 Location: 7460 PALERMO HONCUT HWY By: KCG Parcel Number: 026-230-013 Sub Type: Room Addn-First Str Owner Name: GARCIA, MARIA Phone: (530) 403-7880 Description: ADDITION TO SF(536) The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ■�0-1 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: Date: 05/24/2007 / 007 FILE City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 ■�0-1 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: Date: 05/24/2007 / 007 FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-1142 Job Address: 7460 PALERMO HONCUT HWY Contractor: Printed: 05/24/2007 12:28 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 05/24/2007 $75.70 DBMSC Room Addition -First Stor 0010-440001-4210500-1010 $643.39 DBF Room Addition - First Stor 0010-440001-4210500-1010 $428.92 05/24/2007 $428.92 DBSMIP Residential 1001-0-280-1011298 $3.48 Printed By: Kourtni Graham 19151.49 $504.62 Balance Due: $646.87 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fee may change during the plan checking process. Signature: Date: 05/24/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds 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. n 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 n 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 P VIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES O O) 2. I HAVE VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. 1 HAVE CONT CT D WITH THF FO LOWING PERSON IRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME- �_S) r(Ll Y\= 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 CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT 1 HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: ADDITION TO SF(536) Reference Number: B07-1142 Applicant Name: GARCIA, MARIA Owner's Name: GARCIA, MARIA AP # : 026-230-013 Signature of Property Owner: 0 Juu,_ Date: l� Iy� Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds O O O O O ' + �lC O National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-1142 Location: 7460 PALERMO HONCUT HWY Parcel Number: 026-230-013 Owner Name: GARCIA, MARIA Description: ADDITION TO SF(536) Date: 05/24/2007 By: KCG Sub Type: Room Addn-First Str Phone: (530) 403-7880 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: t,�l 0K9J9— FILE Date: 05/24/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-1142 Date: 05/24/2007 Location: 7460 PALERMO HONCUT HWY Parcel Number: 026-230-013 Owner Name: GARCIA, MARIA Phone: (530) 403-7880 Description: ADDITION TO SF(536) Signature of Property Owner: U) w_J � K-01 Date: 05/24/2007 FILE Department of .Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under building permit application number: at the location of llotoO Pa l 4 km O qts�yy -kk+ 6� Assessor's Parcel Number: Ualo.- 1930— 0[? for the construction of ani addition for ! ta— � I does not equal or exceed the definition of "Substantial Improvement*" I am aware the building site is in a flood plain area, even though I am not required to comply with the flood plain management criteria. Owner:Property l i • _ Address: . , Phone Number: 1,�3Q ,53 q -'W or Vo` % O �eLU) Signature: .3da,, Q. Date: 5� * Substantial improvement is defined as follows: Any repair, reconstruction, or improvement of a structure, the cost equals or exceeds 50% of the market value of the structure either, (a) before improvement or repair is started or (b) if the structure has been damaged, and is being restored, before damage occurred. Note: If improvement percentage equals or exceeds 40%, an appraisal is required on the existing building. Submit appraisal documents prepared by a certified appraiser. A new improvement percentage will be calculated. If improvement percentage exceeds 50%, a substantial improvement exists. NORTH MCd AMMI M7d PALERMO-HONCUT HWY. S ( TE. 7L G 0 sA'd K l - i� 026-2307013 ` 99-2010 STAGGS, MARGARET 7460 PALERMO HONCUT HWY., ORO CONTR: A & B ROOFING RE ROOF �' � �'4:--- � '� `�A � ��i1'��),�' `.`a....-gym.•®.� �f �' � �'4:--- � '� `�A � ��i1'��),�' `.`a....-gym.•®.� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N (Rev. 12/96) APPLICATION AND PERMIT 447- PERMIT al ASSESSOR PARCEL NUMBER n --nl q ZONING BUILDING PERMIT OWNER MAP-11AREr STAWC TELEPHONE SO. FT. OCC. BUILDING VALUATION } �) , OWNER'S MAILING ADDRESS n RA1,E_n--"0vrTr"In, nnv t c CONTRACTOR'S NAME - - - - - - - - R Flyr. I TELEPHONE CONTRACTORS MAILING ADDRESS -. 1134 T? I1 7 D CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ii.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7460 PALERMO 11011ICTIT HWY, OROVILLrgy Ener g Plan Checking Fee $ $ PERMIT FEE $ 37.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF 6 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Others Describe Work: RPRO OF(PATTIAL) 1n SO romp Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A 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. �j License Class % _x Lic. No. LL 1.4 � !.. �._�c. 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 .y 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.) 1`l I certify that in the performance of the work for which this permit is issued, I shall 1� 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 i' % _ Signature of Applicants- ❑ Owner 17- Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 NEW CONST. OWELEE DWELLING OCCUP. SO DWCU OR ADDNS. 6 ACC. BLDS. 3.50FT. NONREOSID.' MOLT 0.OUTLET @7,50 POWER APPAFATUs 8 SINGLE OUTLR CIR. OUTLET OR FO(TURES 20 @ 1.00 Ex. Occu BAL @ .so INIS1 Ex. Occup. OUTLETS AEs of 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 FEPE $ Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE 37.00 HAZ. tFEEr IMP I MOOD I COF PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B Md4,/ PERMIT EXPIRES ON ( the applicable provisions Resolutions to do work been paid. 9/30/99 Date 9//n Date Receipt No. r WHITE-D.D.S.-B.D. CANARY -A SESSOR 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 (Rev. 12/96) APPLICATION•AND PERMIT �� 2 0 ASSESSOR PARCEL NUMBER 026-230 013 ZONING BUILDINGPERMIT OWNER TELEPHONE SO. FT, OCC. BUILDING VALUATION 0' .OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS 1134 DODGE AVE., OROV11.1.9CA 95965 CONSTRUCTION LENDER, Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ 17.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee $ BUILDING ADDRESS 7460 PALERMO—HONCUT WY, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 37.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF E Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherYa Describe Work: REROOF( A_P RTIAL)10 SQ COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 500V OR Main Service 200" 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. '/ /� �J License Class ( �/ Lic. No. y' �/ ��v OWNER -BUILDER DECLARATION 1 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. DWELLING OCC OR ADONIS.( 6 ACC, g�UP. S. SO 3.5¢FT: NEW ROSID. MULTI.OUTLEr @7,50 POWER APPARATUS a SINGLE OVRET CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 Q 1.00 @ .50 Ex. Occup. oviEis Ra .) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ 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 _�_D —� Pignature of Applica- ❑ Owner �' Contractor [3Agent An OSHA permit is req red for excavations 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 $ 37.00 HAz. D FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have BJ PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 8/30/99 8/30/00 Date Receipt No. WHITE-D.D.S.-B.D. CANARY•A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, (alifor0ia 95965 - Telephone (530) 538-7541 PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER QL� BUILDING PERMIT ' OWNER SO. FT. OCC. BUILDING VALUATION � Rg NO ADOMS l Ile CO NA►IEit TELEPHONE CONSTRUCTION LENDER LFi,,lace LENDER'S MWUNG ADORESB Total Valuation S ARCHITECT OR ENGINEEPL LICENSE NO. Filing Fee $ 20.00 Permit Fee S ARCWrECT OR EWINEER9 HALING ADDRESS Plan Checking Fee S eUILDWGADORESS Energy Plan Checking Fee S S PERMIT FEE f LOT NO. SUSD"IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF A Duplex ❑ Mobilehome ❑ Other aP�"r Each Trap 7.00 Solar or heat pump 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 Woi 0 A L&aD Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service pa oa LEss 23.00 _ _ ......... ----- — — -- Mein Service Loa► TO IOOOA 48.00 NEW CONST. OwEUJW OCCUR so OR AODNS. ( a ACC. Bins. 3.50 NEW CONS 1. NON•RES D. MULTFOUTItT @7.50 a SWGLE OUTLET CIR TURES ®t.50 EX. OCCU OUTLET OR FUGAL .00 Ex. Occup. O R ETSAPP ES'6 °EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt: $ Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ ?, HAZ. O. FEES IMP I FLOOD I COF PARCEL I PO 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. By PERMIT EXPIRES ON Date _