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Home My WebLink About026-241-01126-241-11 GEORGE McGUIREq 7667 Occidental Ave, Palermo ContR: Strang Electric (J Permit / #211-89E(replace 100 amp/elf service)SF 026-241-011 „§ 03-3246 ti.CERVANTBS,JESUS .7667 OCCIDENTAL AVE!?' t REROOF,'SIDING WINDO, It 026 ry -241-011 - •r03-3246 - a " CERVANTES, JESUS 7667 OCCIDENTAL AVE, PALERMO ;. Cont: !OWNER , RE. OWkjr, SIDING, WINDO W S r i 4 f 1 r Il r ' •r R Il COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754163-9 P�4d� (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 02G-241-011 ZONING BUILDING PERMIT OWNER CLRVACm .JESUS TELEPHONE 534-5936 SQ. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 767'1 0CCIDFNTAL AVE 95968 11 Como 660.00 CONTRACTOR'S NAME TELEPHONE est 1168.00 CONTRACTOORRSN� NG ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 43.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS � Tl � Energy Plan Checking Fee $ ' $ PERMIT FEE $ 63.W LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RTT AR (RF. ROOF) (SI>)INt':) at RM. 0 FIT WINDS Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service .OA 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: PL 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 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 forthwith comply with those provisions. r X ---,�'!�'� L�'/z• -� <'i - Date 1 (i 1 ' n _ _Signfitur6 of Applicant-l,Owner ❑'Contractor ❑ Agent '"An OSHA permit is required for excavations er 5'0" deep and demolition or construction of structures r 3 sto 'es ' he' , Main Service To i000A 46.00so NEW CONST. DWELLING UP. SO W:o OR ADDNS. ( 8 ACC. BLDS. 3.50 FT. NEW T. NONFREOSID. MULTI -OUTLET (a 7.50 POWER APPARATUS a sINGLE ovnET aR. EX. Occup. OUTLET OR FIXTURES BAL I.so Ex. Occup. oFlUTLtDTSA REs o.OE 5.00 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 FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 63.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISS This permit is ereby issued under the applicable of Butt County C e and/or Resolutions indi d ova f whi h fees have been By Date PERMIT EXPIRES ON D provisions to do work paid. / / fe v JT 7 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I I COUNTY OF BUTTE - DEPARTMENT,OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville California 95965 • Telephone (530) 538-7541 (J.3 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-241-011 ZONING BUILDING PERMIT OWNER CERVANTES JESUS TELEPHONE 534-5936 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 7673 OCCIDENTAL AVE. -95968 11 COT.TD 660.00 CONTRACTjO�`RR''SNAME TELEPHONE ' est 1168.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ 43.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy ?Ian Checking Fee $ $ PERMIT FEE $ 63.00 LAT NO. S USDNISIDNS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RFPAR (RF RnnF) (�STnTNG) R R=O FIT WINDOWS 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 Fling Fee 20.00 Main Service 20.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.P 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: 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 OCCUP. OR ADDNS. ( & ACC. BUDS. so 3.5¢FT, NNOONN.H6ID MULTI - RANCH OUTLETITS @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES :0000 820 @' 50 Ex. Occup. GTED q IESIEs p.OEq 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 forthwith comply with those provisions. ^ Date 10—rte.1-03 t�pepsl' ant - )OL Owner ❑ Contractor ❑ Agent�� OSHA rmit required for excavation er 60" deep and demolition or construction �An of structures r st 'es ' he' Receipt No. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 63.00 HAZ. D. FEES IMP FLAOD Th' permit is ereby issued under the of Butt unty C de and/or indi a d o e f whi h fees have B PERMIT EXPIRES ON CDF PARCEL PD HD ISS applicable provisions Resolutions to do work been paid. Date OI J D to WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �1. Rev. 12196) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-754 2 APPLICATION AND PERMIT cJ 20MNG BUILDING PERMIT ASSESSORPARCEL NUMBER�\ _ _V ., 1, A I T9=.59,r a2;?/ SQ. FT. OCC. I BUILDING VALUATION COMRACTORS MULING ADORE65 CONSTRUCTION LENDER LENDERS NAILING ADDRESS ARCNRECT OR ENGINEER ARCNRECr OR ENGINEERS MALLING ADDRESS BUILDING ADDRESS --) LOT NO. I SUBoWSION's NAME USEOFSTRUCTURE SF )fL. Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U6G6es ❑ Insl a1 N .PERMIT FEE PAID SRA SHERIFF OTHER WE E -L AMOUNT RECEIVED $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work DATE RECEIVED LO3 indicated above for which fees have been paid. By Date RECEIPT ## `� PERMIT EXPIRES ON (Date) __ 20.00 . CSS 20.00 Fireplace S ELECTRICAL PERMIT Total Valuation is Main Service °O' Flin Fee $ 200A TO 1000A Permit Fee $ NEW CONST. / DwELNG OOcuP. Plan Checking Fee $ d ACC. BLDS. Energy Plan Checking Fee $ 07.50 $ I D. FEES I IMP I FLOOD PERMIT FEE S PD M) PLUMBING PERMIT Fling Fee Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 1 115.00 Mobile Home I S I G I W I_ 220.00 WE E -L AMOUNT RECEIVED $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work DATE RECEIVED LO3 indicated above for which fees have been paid. By Date RECEIPT ## `� PERMIT EXPIRES ON (Date) __ 20.00 . CSS 20.00 Ex. OCCu . OUnFr OR FMAES PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service .00: oR Lrs L 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. / DwELNG OOcuP. 3.5¢ OR ADDNS. \ d ACC. BLDS. .._.. 5RILST. ( 11 1 07.50 Ex. OCCu . OUnFr OR FMAES BjL @ .so Ex. Occup. un®s 6100EA L 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mr.— wl.a.,,, 23.0D I PERMIT FEE 1 $ !.e -U AL11f-A1 MCOUIT I Rena Fee 720.0 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ --T' Tri TOTAL FEE $ 3. NAZ I D. FEES I IMP I FLOOD I CDF PARCEL PD M) RSUE O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permit' will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES W NO 0 I HAVE e HAVE NOT ❑ signed an application for a building permit for the proposed work. . I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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 SIGNED: PROPERTYOWNE \� DATE:A) NOTE: This Owner -Builder Yerii cation is required by Section 19831 and 19832 of the California Health and Safety Code. This ver )cation trust be completed and returned to our o)''ice before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner. D.B.-1 An application for a building permit has been submitted in your name listing yourself as the builder of 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 6e 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 Shale 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, mediate family, and the work Cmcluding materials and other costs) is $300 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, wo&ers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks fur you if you do not cavy out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more spamfic iformation about your obligations under Federal Law, contract the btemal 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 strvc um 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 subcont wWr, only under 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 coulracbors may be obtained by comtcarmg the C n ractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Bmlder 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. ly, A:U�_,� Mc is 1 C. Vi ira, C.B.O. er, Building Inspection NOTE: MY Owner -Bu inforrnadon is requfred by Section 19830 of the California Health and Safety Code RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: JESUS CERVANTES MARIBEL CERVANTES 7673 OCCIDENTAL AVENUE PALERMO, CA 95968 ILII ##! III I ILII I III #III #II# !# 1111! Recorded OfficialyyEf Records 1 REC FEE 10.00 TAX 44.00 i CANDACEE J GRUBBSReco I e ROSEWRY DICKSON I Assistant , I Andrew 09:0EAN 09 -Sep -2003 I Page 1 of 2 Above This Line for Recorder's Use Only A.P.N.: 026-241-011 Order No.: ORO/C Escrow No.: 214741EB GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY.00 [ X ) computed on full value of property conveyed, or E1 computed on full value less value"of liens or encumbrances remaining at time of sale, 1f` X ] unincorporated area; j ] City of PALERMO , and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, DARRELL E. SPEER and REBECCA L. SPEER, Husband and Wife as Joint Tenants hereby GRANT(S) to JESUS CERVANTES and MARIBEL CERVANTES, Husband and Wife as Joint Tenants the following described property in the IIOWMf UNINCORPORATED AREA, County of Butte State of California; SEE ATTACHED LEGAL DESCRIPTION DARRELL E. SPEER Document Date: September 4, 2003 REBECCA L. SPEER STATE OF CALIFORNIA AS COUNTY OF BUTTE ) On�F.PTF.ivtRFR 4, 2nn3 before me, T(ARv .T RTTIWRT? personally appeared TIARRFT.T. F. _ SPRFR ANDRF.RAf't^A T 4PAFR r��A�UHL—C personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that helshe/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the persons) acted, executed the instrument. WITNESS hand official seal. Signature This area for official notarial seal. h l MRYJ. 91DWEE;L in Commission #3381097 0 o- No B Pubuttelic -u U' nty My Comm. Exp. N01i.•Ofj 2006 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below 4. ► Order No, BU -2147.41-3 KB Description. :Tlie land referred to herein is situated in the State of California, County of Butte, and is- described as follows: A PORTION OF LOT 3 IN BLOCK 98, AS SHOWN ON THAT CERTAIN MAP ENTITLED, . ",SUBDIVISION NUMBER 2 OF THE PALERMO CPIRUS TRACT,,, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 8, 1888, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: '-BEGINNING AT THE NORTHWEST CORNER OF SAID LOT 3; THENCE SOUTHERLY :ALONG THE WESTERLY LINE OF SAID LOT, A DISTANCE OF 66 FEET TOA POINT. AT THE NORTHWEST CORNER OF THAT CERTAIN TRACT OF LAND HERETOFORE CONVEYED BY DEED TO WALTER E. JACOBSON, ET UX, RECORDED JANUARY 29,1949, IN BOOK 494, PAGE 99, OFFICIAL RECORDS; THENCE EASTERLY ALONG THE NORTHERLY LINE OF SAID WALTER E. JACOBSON, ET UX, LAND AND PARALLEL WITH THE NORTHERLY LINE OF SAID LOT 3 TO A POINT ON THE -EASTERLY. LINE OF THE WEST HALF OF SAID LOT 3; THENCE NORTHERLY ALONG THE EASTERLY LINE OF THE WEST HALF OF SAID LOT 3 TO ' A POINT ON THE NORTHERLY LINE OF SAID LOT 3; THENCE WESTERLY ALONG THE NORTHERLY LINE OF SAID LOT 3 TO THE POINT OF BEGINNING. APN 026-241-011-000 OCT 2 1 2003 Date: This is to certify that, if bearing the purple seal of this office, this is a'true copy of the ddutrient filed with the Butte County Clerk-Recorder's.Off ice. Candace J. Grubbs Butte County Jerk -Recorder By: `� , Deputy "• 211-8,9E -1 George McGuire 7667 Occidental Ave. Palermo d e . 1 . 4 a r . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/53.8-7541 APPLICATION.AUD PERMIT ASS7OAR PARC L �"t�B R 6 / ZONIN BUILDING PERMIT. OWN R TEL 1P,,N€,_ F�(� SQ. FT. OCC. BUILDING VALUATION OWN,ER'S MA LI G ADDRE _ f' o rrn 9 C RACTO 'S NA EP T LEP E CONT�A O M LING ADDS V Fireplace CONSTRUCTION LEND R UN N WN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ;', Penalty $ BUILDING ADDRESS /� Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 r m Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFA Duplex❑ Mobilehome❑ SPECIFY Other Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 10.00 ea J TYPE OF WORK New❑ Addition [_1 Remoel❑ Utilities In allation❑ Other Describe work: I I , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 /O 1J-v� QL(�(i� Main service 100v OR LESS 100 AMP OR LESS 10•00 Main service EA. ADD'L 100 AMP 2.50 T CONTRACTORS LICENSE LAW i I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. / Sr� A -3' Classification e_-16 EJ 1, ' as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OR ADONS. ACC. BLDGS. / ,�20sgft OCCUP.a` NEW CONSTR U TI -OUTLET NON -RE SID BRANCH CIRCUITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES SA0 0 Ex. Occup. OUTLETS FIXED P(RESID IISIS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi c. Wiring g 15.00 ece- Permit Fee $ 19 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. EJI have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor,Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application.and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building conskruction, and hereby authorize representatives of the County or Butte to enter,uponthe above-mentioned property for inspection purposes. I also agree `to save, indemnify and keep harmless the County of Butte against all liabilities, judgmehts,'costs, and expenses which may in any way accrue against said Cougty in consequence of the granting of this permit. ", , i / X �ti" 1 Date / f Signature of Applicant — Own `❑ Contractor ❑ Agent I] 4, An OSHA permit is required for yXc,ovations over 5'0" deep and demolition or construct- ion of structures o,v{er 3 stories in,{hdight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ LJv vCJ occu P. CONST*TYPI1J SCHOOL FLOOD PARCEL PD I ND D9UE This permit is hereby issued under sions of the Butte County Code and/or work indicate abov� forehich F EC�TOp O PUBLIC n/1,�� By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Com, Date //� 1- 2L.-/ - / I� Receipt No.f�� WNITC-O.P.W.. YCL-[pyy•,\9e DOR, PINK-IN9P CCTOR, GOLDCN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 Q' APPLICA'910- N A+ND PERMIT �J ASSE O PA C L =U M,B R (/ ZONIN BUILDING PER OW v SQ. FT. OCC. BUILDING VALUATION OWPR'S M I I G ADDR 0, oxrm C RAC TOR'S NAME T LEP N CON A OR M LING ADD S nx V Fireplace CONSTRUCTION L NDE UN N Total Valuation LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS V Permit fee i $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 10a te- r In Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFg Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New❑ Addition❑ Remo I❑ Utilitie In allation❑ Other' Describ work: a Pn _ f? Vj t,� _1,m, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code jand my license is in full force and effect. License No.ys EA.- / Classification Cab ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.51 ,h¢Sgft OR ADDNS. ACC. SLOGS. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS2.50 ea POWER APPARATUS S SINGLE OUTLET CIR. Ex. OCcup�OUTLETS OR FIXTURES 20050! -ALO 0 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 M*n. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �kI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabili as, judgmen osts, and expenses which may in any way accrue a id Counyy in ence of the granting of this per it. X ' Date Signature of Applicant - Owne Contractor ❑ Aye An OSHA permit is required fore c vations over 5'0" deep and demolition or construct- ion of structures over 3 stories in Ight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ O 6 OCCUP. CONST.TTPE ecNooL FLOOD PARCEL PD ND I59UE This permit is hereby issued under sions of the Butte County Code and/or work te abov for hich C R PUBLIC By-7Date—y� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ` —� ' Receipt No. WHITE-D.P.W.. TEL OW-ASSE SOK. PINK -INSPECTOR. GOLDENROD -APPLICANT i.'%ari"'R-Z'Nr^•w1; f a ks+hwe�t 't• �ify. � 7 e - COUNTY OF BUTTE - DEPARTMENT.OF'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLiY �I QRNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Ci A. P. No. _ Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ..................................... 11. Park fees paid ..................................................... 12. School District fees paid ................. - 13. Sanitation approval from Health Department ... 14. City of Chico plumbing. -permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 0-11 8. Driveway permit (construction appro al required prior to occupancy) ... 9. Pre -Inspection for - r+ C required Pre-Insg In request to a� Building Inspector (Date) 0. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. -- _ 26. Whyou issue the _permit, rocess as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at .office. Deliver w/inspector.' Other Applicant_ /. Date Copy of plans sent Health Dept., Fire Dept,, Otl�&/ Date z The following data must be submitted prior to permit issuance: (Circle new item notchecked above). 1. Index permit for above items No.. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_"rtall _ counter by date Contractor, designer, owner, was advised of above required data by—phone—mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICA11ID a-1)ND PERMIT ASS E O PARCEL NU B R _ � ZONiN ow , BUILDING PERMIT �I �F, ` TE PI /NVQ OWy€R'S M I I G ADDR C RACTO R'5 NAME SQ. FT. OCC. BUILDING VALUATION �� t T LEP NE CON A �O M LING AOD 5 t✓ C Fireplace CONSTRUCTION LENCEIR UN I N Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER Filing Fee $ 10.00 Permit Fee $ LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS j r//. .. i -A C Y Energy Plan Checking Fee $' Penalty26 Permit tee $ $ I PLUMBING PERMIT Filing Fee 10.00 e— r m LOT NO. SUBDIVISION NAME PARCEL MAP Each Trap 200 Solar or heat pump water heater WaterPip I In g 20.00 5.00 Each pas water heater or vent 5,00 USE OF STRUCTURE SF� � DuplexDuple.[]Mobilehome❑ Other TTTT��SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New[] Addition[] Remo I❑ Utilities InS,rallation❑ Other Describe work: C /� 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS10.00 CO TORS LICE SE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No.j�S'—SA 1 Classification _C -{b ❑ 1, as the owner, or my employees with wages as their sole compen-EX. sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason D. Main service EA. ADD'L 100 AMP 2,50 NEW CONST. DWELLING OCCUP.y , OR ADDNS. ACC. BLDGS. /20sgft NEW CONScRU I -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS Al SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES Z0930t e AL930 DCCUp. FIXED APPLNS. OR OUTLETS IRESID.1 EA.) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi . Wiring 15.00 . , Permit Fee $ . WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 300 Ventilation [!Permit Fee $ ontractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to.enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnjfy and keep harmless the County of Butte against all Iiabili i,es, judgmen osts, and expenses which may in any way accrue a Id Coun y in equence of the granting of this per it. X Date Signature of Applicant — Owner Contractor ❑ Age An OSHA permit is required for e c vations over 5'0" deep and demolition or construct- ion of structures over 3 stories in _ Ight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ tJ6 occUP. CONST.rYPc JSCHOOLJ FLOOD PARCEL I PO 17 ISSUE This permit is here sions of the Butte County uCode and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date rovi- esolutiiions to do fees have been paid. WORKS Date Receipt No._ WHITE-D.P.W., YEL OW-ASeE SDR, PINK -INSPECTOR, GOLDENROD -APPLICANT, t6 1) co) "2A— 4 o �J�