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Home My WebLink About028-130-032"32 COMPLAINT TO INSPECTOR 28-13-32 EdwaZdd Simmons /S/S Woodvine Lane, app.600; 0A Ptubteh Rd Bangor PDQ, r• k C a O Permit #2118-79B,P,E,M(new single fam.) 28-13-32 Permit #4088-•79B.{bonve- garage to play room) SF 28-13-32 / /J - 0 Permit #46`16-80B(lst renewal for 4 permi66118-79) 028-130-032.. t' 03-3604 KELLY;GENE 45 WOODVINE LN, BANGOR Cont: GREENE & SON ROOFING RE ROOF :a%%/o.y� .. ` 028-130-032 03-3724 COTTMAN, GEORGIA 45 WOODVINE DR, OROVILLE Cont: ANTHONY ROOFING RE ROOF' ,Z3.o�% d II M, jJ� { 1 i a I 028-130-'032- 63-3724 COTTMAN, 6EORG'IA;t 45 WOODVINE DR, QR9lyILLE Cont: ANTHONY ROOFING RE ROOF f 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 n1-3724 ASSESSOR PARCEL NUMBER ZONING A-5 BUILDING PERMIT OWNER R CottmAn 13i lmah TELEPHONE Sp. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 45 Woor'vine Ln 'tar sville 1-15901 a +' ` • CONTRACTOR'S NAME AnthonyRoofing TELEPHONE 973-4497 CONTRACTOR'S MAILING ADDRESS P 0 Fox 775 Ma aiia 95954 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR EN31NEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 41 • , ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 61 CW LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ® Duplex ❑ Mobilehome ❑ Other X 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 .0 Describe Work: fir Tear of f And re—rocif w/ramn Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zooA oA mss 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. A License Class C-3 �' Lic. No. /` ;' ) `, ; f 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 TO i 46.00 NEW CONST. DWEWNG OCCUP. DWE200ALLING U ORADDNS. ( �rLS. 3,5QSO. FT. MULACC. NDN REs10. 97.50 PoNGU APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ ' o0 BAL Q .50 Ex. Occup. o ED q Ip,OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 61.00 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. IVI 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 _y ;, r,. MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEE S 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 _ r Signature of Applicant - [3Owner ❑ Contractor 0 Agent .- An OSHA permit is required for excavations over 5'0" deep and demolition or construction/' of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ ',-1 • C!0 FEES IMP I FLOOD I CDF PARCEL Po I HD I ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work ind gated ove for which fees have been paid. B " `f' Date PERMIT EXPIRES ON Date Receipt No. !.1 / / ' ' WHITE-D.D.S.-B.D. CANARY -ASSESSOR 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 01-1794 ASSESSOR PARCEL NUMBER 028-130-032 ZONING A-5 BUILDING PERMIT OWNER Cottman Nilmah TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 45 Woodvine Ln. Marysville 95901 30 sq 0 1800. 09 CONTRACTOR'S NAME AnthonyRoofin5z TELEPHONE 873-4487 CONTRACTORS MAILING ADDRESS D 0 Box 775 Magalia 95954 CONSTRUCTION LENDER [Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 41.0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 61.01 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other S' 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 X Describe Work: _f{ Je � ar off �nrl re -roof w/cc�m._ Gas piping system 1 - 5 outlets 15.00 -Building sewer 15.00 Mobile Home S G W @20.00 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. �jp License Class �'^ 3 Lic. NO. / /Q �� / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the erformance 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' �C mmpp�sati0 insurance carrier and policy number are: Carrier s%9/Z- _�(%/�/© Policy Number g B "0 (The above sections need not be completed if the permit is for work of a valuation 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 nner so as to become subject to workers' compensati ws of Ca' mi d agree that if I should become subject to the workers' ensatiO pro si s of section 3700 of the Labor Code, I shall fc it c ply with o r is' s.._ /Z _ �y�� _ Date O Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO t000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( a ACC. BLAS. 3.5QFT: pE°S1. MULTI -OUTLET @7,50 POWER APPARATS a SINGLE OUTLET CIR. L OuET OR FIXTURES .00 EX. Occup.rL BAL@ .SO MLNS Ex. Occup. ouTEis AEsID.°En 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 61.00 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 $ 61.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISS This permit is hereby issued under of the B County Code and/or indi .ated a ove for which fees have PE MI PIRES 0;�)_ the applicable provisions Resolutions to do work been paid. Date % 0- V Date Receipt No. 393975/$61.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • COU �OF BUTTE - BUIL DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 ` 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER -PER+AIT 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, pleas. contact this office immediately. 0 ?-G t Z� QW r9 PLT/ rC C L,' -j 1,T-4F�Av�'r r1CY 1V/OC � 28-13-32 Edd Simmons /S/S dvine Lane, app.600;orebi�h �Rd., Bang, Permit #211 9B,P,E,M(new single fam.) -_ - 28-13-32 Permit #4088-79B y nve garage o play room) SF 28-13-32 1/ a Permit 6-80B(lst renewal for perm...' " 2118-79) 028-130-032 03-3604 KELLY,GENE 45 WOODVINE IN, BANGOR Cont: GREENE & SON ROOFING RE ROOF 3I Al • • I PERMIT NO. P,E,M 4 PERMIT EXPIRES Edward Simmons ';OWNER - CONTR. owner LOCATION (A.P. 98-11-39 )r f 1, S/S Woodvine Lane, app.600' of kyh; Bangor vnZ/vv c" � V {V r r A(� jot i ij T -+, Temp.Poewer Pole d CallPG&E tie - Temp. Elec. Serv. Calked PG&E Temp. Gas Serv. Called PG&E f JOB 1 FIN LED `— (Da e (Sig ture �k r I PERMIT NO. P,E,M 4 PERMIT EXPIRES Edward Simmons ';OWNER - CONTR. owner LOCATION (A.P. 98-11-39 )r f 1, S/S Woodvine Lane, app.600' of kyh; Bangor vnZ/vv c" � V {V r r A(� jot i ij T -+, Temp.Poewer Pole d CallPG&E tie - Temp. Elec. Serv. Calked PG&E Temp. Gas Serv. Called PG&E f JOB 1 FIN LED `— (Da e (Sig ture �k COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Interlor Lath Ventilation V` Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOJILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping 1' OR • • 91 CA) i �o, . , �► _,,� .•�; �, ' Y / BUILDING BUILDING (Cont'd) PLUMBING Setback cp Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor 'StemwaII Siding - To out - - Slab Piers Roof Sheathin /y Roofing Water Pi n Sewer -79 Garage Fdn. Vents qAFFixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. forsical y handica e Conformance of ex. structure Appliances Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings ELECTRICAL Masonry Walls Throat Rou h - :x- _ Reinf. Steel Final — Fixtures w ramic- Bond Beam FIRE SPRINKLERS Motors Framing — Test Water Htr. Stucco V Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling ,. Temp. Pole Finish Ducts Underarnund Interlor Lath Ventilation V` Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOJILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping 1' OR • • 91 CA) i �o, . , �► _,,� .•�; �, ' Y / m RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE - a THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH PURRENT ENERGY CONSERVATION REGULATIONS AT %3� &A /R,3 &,167 SIJ / �`�T IZ- i3 (location) BU ILD ING PERMIT NO. _4 � (k A P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge /t//% Fdn. Walls A//L Floors A/ Walls / Ceiling/Roof Ducts v Circulating Pipes APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed A"Iq- Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES ✓' I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of (please print) Insulation Applicator State Contractors License No. General Contractor/Name �Gl cuQ.� Si!�©mss Signature of (please print) � � General Contractor/ e �~� Date State Contractors License No. THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR P CEL NUMBER Z0;419 (=/LIA)BUIL I PERMIT °NW1,%�E%R��,/��D �UM�f'r^ SO. 1(JVS�t FT. OCC. BUILDING VALUATION ,��Q C�/s�/� 'TELEPHO[� MAILING O / Z G.-a� / c ADDRESS / . SA�vIV �/u + l.la7 L.(/ V r �TY /SIJ Sff CONTRACTOR'S NAME / ��%t� O/ V V F— TELEPHONE 57- /1/ �"iV CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee Ity $ CJ P - ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ $ ARCHITECT ORPenalty ENGINEER'S MAILING ADDRESS Permit fee $ BUI DING ADDj�ESS I/ A' - / S S GUS( I,116 LgA19 PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 &N Q� Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each gas water heater or vent 2,00 Gas piping system 1 - 5 outlets � USE OF STRUCTURE SF --� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstawationD Other Describe wofkr ��L✓�� 0 �Pto9 S-77 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000 AMP OR011 OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADDNS. ( ACCLBLOGS.CCUP,&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. f License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI -OUTLET 2.50 ea NON.R ESID BRANCH CR,:" RC ITS NEW CONSTR. POWER APPARATUS 9 NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@ @1 BAL0C FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor 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. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against 1 County I con quence wf the granting of this permit. X �/L/_ Date �� Signature of Applicant — Owner Lr Contractor ElAgent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 sto ies in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST.PARCEL PD HD ssOE This permit is hereby issued under sions the Butte County Code and/or wor i icated bove for which C fDR OF PUBLIC By i� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Gam, Date - Receipt No. Q WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT { ' COUNTY OF BUTTE — 'bEPANTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,'Califorrria 95965 Telephone: 534-4541 APPLICATION AND PERMIT 1 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ` Date Signature of Permitee or Agent Receipt No. c& ,>> 71 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOR -OF PUBLIC WORKS By Date l> ,P' ? l` B ilding permit expires Date S�� BUILDING Owner r �r SO. FT. OCC. BUILDING VALUAT N 0 i Mailing Address -" %ten' Telephone�NNo. Contractor Mai l i ng Address Fireplace 1606 00 Total Valuation Telephone No. Permit Fee Building Address 5 `� Plan Checking Fee &/or Penalty Permit Fee -O PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 UD Repair drainage or vent piping 1.50 A. P. No. ng anning Water piping 1.50 -� - Each gas water heater or vent 1.50 F64s' I V .q SqWon I FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans arcel Declaration — P r e ap 60'-R/W Improve ents Each additional outlet .30 Building sewer 5.00 Bldg. P ns Rec'd Parcel Approval Plans A provol Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 -Q. Main service 10000 AMP ORV OR SLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACC`B P k) 22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTRESID, (MULTI- U L T NON.RESID (BRANCH CIRCUITS/ 2.50ea NEW CON ST R. (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. Occui3(OUTLETS OR FIXTI-RES)g L@; FIXED ALNS Ex. Occup. ( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 Or_ & © I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 13 9 , $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ®1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 X_XtO Heating"-� E ` Cooling746 Ventilation Hood 2.00 p Permit Fee $ SM $ 7 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 Land Development Fee $ TOTAL PERMIT FEE 3 �'(; authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ` Date Signature of Permitee or Agent Receipt No. c& ,>> 71 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOR -OF PUBLIC WORKS By Date l> ,P' ? l` B ilding permit expires Date S�� A. GE . RAL Zoning requirements _12� Valuation. ,o, Signature by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F., .DUPLEX, & MIS'C. ONLY) (sideyards and parking). or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. Setbackq, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Bldg. A. P. Permit # 119"79 # =2 &--I- i.7-.3 2. 62- Zu—. C. FLOOR PLAN Complete to scale plan with dimensions. ,30 Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per.State law). , e Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). 8. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 11. 11- 3'0" exterior exit door (Sec. 3303d). 12. Fireplace location. 13. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS 1' Foundation plan complete enough to construct building. 2 Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details"and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS TTEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. • Stairway details (Sec. 3305). Guardrail details (Sec. 1716). • Brick or stone veneer (Chapter 30). Exterior plaster -weep screeds (Sec. 4706 & 4708). fie. Proper roof pitch'for roof covering (Chapter 32). Rafter ties or bearing ridge beam. -.800' Garage door or porch header sizes. Adequate bracing. Living area oycr garage - complete"1-hour separation required including supporting walls and posts, etc. 1. ,Two (2) exits on three-story dwellings (Sec. 3302). , ,Z2,z "o .4 y- y' ti COUNTY OF BUTTE - 13`'t?fARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, California 95965_ � Telephone: 534-4541 Oy / APPLICATION AND PERMIT I BUILDING Owner SQ. FT. OCC. BUILDING VALUATI N Mailing Address 0=0Cc 54 z1 Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee'Vol m Building Address ' Plan Checking Fee &/or Penalty Permit Fee O =0C Z p _417 1 PLUMBING No.1 @ FEE r K PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. �;Zl — /• 6Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fks 4-1.4r f n Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W Improve ents Each additional outlet .30 Building sewer 5.00 � Bldg. Pis Rec'd ro Parcel A yal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AOR S MP ORLESS 5.00 Single Family 10 Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 ) (=r•�(� G 100 AMP O 25.00 Main service OVER P OR LESS Main service EA. ADD'L 100 AMP 1.00 �7 v.0 — G NEW CONS. I DWELING OR ADDNST % ACCLBLOGS.CCUP. 51 22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTI.OUTL T NON -REBID BRANCH CIRCUITS 2.50ea NEW CON ST R. (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES 5 L�j Ex. Occup. (FIXED APLNS.OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 Land Development Fee $ TOTAL PERMIT FEE $ BC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 X Date Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTO PUBLIC WORKS By ,� Date 7—/o- 29 Building permit expires Date %—/ y -en NOTE:—All Materials & Workmanship Shall Be in Accordance with Recoani-xod Good Practices and of a quality prescribed for the Snecified use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. -&I pL,LvgtND0W GS SUM— G LASC eJWVAJ + CdA -0t fhis set of plans and specifications MUST be kept on the job at all times and it is- unlawful to make any changes or alterations on same without written permisson from the Department of Public Works, .County of Butte. The Bldg. Setback shall be 5 ft. from the side properly line and 50 ft. from the centerline of the road, pernii-i•ting a maxi- rnurn of a 2 ft. eave overhang but entirely . out of all casements. uh'd C44FOeM -)) TL leo-`Fri � I=r4sm 50 13p` 211R--Iq- BUTTE COUNTY BUILDI G DEPARTMENT PROVED '7-10_71 f County of Butte Oroville, Califomia GENERAL CLAIM CLAIMANT: Greene & Son Roofing ADDRESS: P.O.Box 2467 CITY & STATE: Paradise, CA 95967 DATE OF CLAIM: 01/15/04 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE , DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 028-130-032 Permit No.. 028-130-032 63 -_WOq PAID FETAINED REFUND Development Services $ 61.00 $ 25.00 $ 36.00 SRA $ - $ - $ - Sheriff $ - $ - $ - Other: $ - $ - $ - TOTAL $ 61.00 $ 25.00 $ 36.00 ............................................... ............. ............................................... ............. ............................................... ::::::::::::::: ................................................ ................................................ :BR)f✓A1Kii0WNc ::: ............... ............... BUDGE E : ............... .............. .............................. .............. .............................. :ACCOUNT::::AMOUN-T .............. ............... ............... .............. : Development Services 440-001 4210500 $ 36.00 SRA 0100 4617240 $ Sheriff 280 1011811 $ - Other $ - TOTAL 77 $ 36.00 $ 36.00 I, the undersigned, declare undeir penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this�'�� day of _, 2004, at , Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check oqa1i same. Dated this day of 2004, at Oroville C Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. X Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued - if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Develo ment Services for payment processing. CLAIMANT'S NAME: , �� yg�F}d; �e 939!0 MAILING ADDRESS:0 ('41'3o ) - X90 PHONE: ASSESSOR'S PARCEL NO.: �� ' .L �c [Please use one claim form per permit.] BLDG PERMIT NO.: Receipt No. 1 Receipt No. 2 Receipt No. 3 31� O 7 � oZ RECEIPT NO.: RECEIPT DATE: RECEIPT AMOUNT: lP - REASON FOR REFUND REQUEST: Check those fees which you wish to have considered for refund: []Building Permit Fees OSheriff Fees ]SRA Fees (CDF Fire Planning) DOther (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. Signature g Date K:/Forms/Refund Application 082203 -4nt1l e-/ 0 y Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING January 15, 2004 Greene & Son Roofing P.O. Box 2467 Paradise, CA 95967 RE: Permit No. 03-3604 APN4028-130-032 Owner: Gene Kelly On 11/24/03, a deposit was made in the amount of $61.00, of which $25.00 was retained. The remaining fees will be reimbursed to you. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $36.00. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-6869. Sincerely, Diane Lewellen , OA III Administrative Division enclosure 0 3-3604.1tr County of Butte Oroville, California GENERAL CLAIM ZLAIMANT: Greene & Son Roofing ADDRESS: P.O.Box 2467 CITY & STATE: Paradise, CA 95967 neTl= r)P rl AM- n111 r./fld SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 028-130-032 Permit No.: 028-130-032 PAID RETAINED REFUND .Development Services $ 61.00 $ 25.00 $ 36.00 SRA $ - $ - $ - Sheriff $ - $ - $ - Other: $ - $ - $ - TOTAL $ 61.00 $ 25.00 $ 36.00 ..o...... : »...... o.;.;..;.:. BADGEFACCO NT::�:AMOI�T: :BREAiOWET: Development Services 440-001 4210500 $ 36.00 SRA 0100 4617240 $ Sheriff 280 1011811 $ - Other $ - TOTAL $ 36.00 $ 36.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have oeen pertormea or oeuverea, ana Gnat rms claim is true and correct as stated. Dated this day of 2004, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, tfie services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2004, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. 1: REFUND CALCULATION SHEET I Greene & Son Roofing P.O.Box 2467 & STATE: Paradise, CA 95967 OF CLAIM: 12/09/03 APN: 028-130-032 RECEIPT INFORMATION NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT #: PRIOR REFUNDS: FEES VERIFIED 390772 11/24/2003 Greene & Son Roofing 2029 $61.00 028-130-032 Yes No Yes No Yes No x x REFUND BREAKDOWN DETAIL PAID RETAIN REFUND BLDG 440-001 4210500 SRA 0100 4617240 SHERIFF 280 1011811 BLDG .............. ............................ .............. .............. ............................ .............. ............................ .............. .............. ............................ .............. ............................ ...... ....... ....................... ....... ............................ .............. .............................. .............. ............................ .............. ............................ .............. ............................ .............. ............................ .............. ............... .............. ............................ .............. ............................ .............. ............... .............. ............................ .............. ......................... .............. ................. .............. ............................ .............. ............... .............. ............................ .............. ............................ .............. ............... .............. ............................ .............. ............................ .............. .............. ............................ .............. ............................ .............. ............................ .............. ...................... ................ .............. ............................ .............. ............................ ............................ .............. ............................ .............. ....................... .............. ............................ .............. ............................ .............. ............................ .............. ............................ .............. ............................ .............. ............................ .............. ............................ ............. ........................... :: . . . . . . . . . . . . . .......................... ................ .......................... .......................... ................ .......................... .......................... ............ .............. ............ .............. .............. .............. .............. .............. ........... ................ .............. .............. ........... ................ .............. .............. .. ...... .............. ........... ................ .............. .............. ........... ................ .............. .............. .............. .............. .......................... .......................... ..... .......................... .......................... .......................... .................................... .......................... .......................... .......................... ..................................... .......................... .............. .............. .............. ....... . . . ........... .............. ......... .............. ........ ...... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... . ........... .................. ........... ........... ........... ........... ........... ........... ......... ... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ....... ........... '-*-'-'-*-*-'-'-'-'-'- ........... ........... ........... ........... ........... ........... . FILING FEES Building 20.00 20.00 20.00 Plumbing Electric . Mechanical PLAN CHECK Plan Check Energy INSPECTION Energy SRA -BLDG Building $46 PERMIT FEES Building Plumbing Electric Mechanical 41.00 41.00 41.00 . ............... OTHER BLDG Overcharge . REFUND PROCESS FEE 25.00 -25.00 -25.00: BUILDING TOTAL 61.00 25.00 36.00 36.00 SRA - FIRE Fire $43 ......... .............. .............. .............. SRA - FIRE SHERIFF - $360 Sheriff ........................... ............... ........................ ..................... SHERIFF ........... .... ........... ........... OTHER NON -BLDG ............................ ....... ......................... ...................................... ........................................... ........................................... ........................................... ........................................... .............. ...... ...... OTHER $ 61.00 $ 25.00 $ 36.00 $ $ - $ 30.UU BLDG SRA SHERIFF 440-001 0100 280 4210500 4617240 1011811 CHECK: $36.00 DIFFERENCE: (Should be blank) APPROVAL Date Reviewed 41 XtIX03 Michael Vieira Building Manager ` COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION , NOTICE Post'this job card in'a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. A.P. No. QZ, ' i3 0 63 •Owner Contractor r N Dy EX Permit No. _ Expires PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Piers Conduit Pre-Gunite Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Rough Electrical Rough Mechanical Framing Shower Pan .............................. > Do: insulation >Di Fireplace Footings Fireplace Throat Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildina or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY ......................... ....... ........ fnf..or..m..t_ Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7194 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 24 HOUR INSPECTION'REQUEST SERVICE PLEASE USE THIS SERVICE FOR ALL INSPECTION BEQUESTS Please give the following information: (Without this information the inspection CANNOT be made) Building Permit # " 3 �0 Owner's Name kt 1 AJ Job Location Type of Inspection Wanted ALL inspection requests made after 7:30am WILL be made the next working day. OROVILLE INSPECTION LINE..... CHICO INSPECTION LINE...:...... (Line WILL be OUT of SERVICE 7:30am to 8:00am) For other business contact: Oroville Office ... 538-7541 (Mon. - Fri. 8:00am to 4:00pm) Chico Office .....891-2751 (Mon. - Fri. 8:00am to 12:00 am & 1:00 to NAME ADDRE UTTE Ilv C0UNTYa4*3&v1 CONSPICUOUS PLACE AND VISIBLE FRAM THS Rapp. 12/2/90 R A 0 ffvh 0 1/ r PLEASE POST THIS IDENTIFICATION CARD IN A AM COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-750 _Ry No. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER D& 02/�✓/(' ZONING BUILDING PERMIT OWNER v/ !� T��{y "u-7 f/p-G/ SO. FT. OCC. B DING V TION .OWN NG RE ,,*Y' ✓" ✓/ ,- - - '"GI, S ( J`l!7 Cay 1/2 _o CONE CTOgS NAME 44- '�V/(�/r TORv C 1 AD S o CONSTRUCTION UENMER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ •�OFD ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 5f_6 / l^� 1 t � n / '_ �� (..v�/ V , !.� (,/lII Energy Plan Checking Fee $ PERMIT FEE $ LAT 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 ❑ Udlifies ❑ Installation ❑ Other ❑ Describ Work: j� `N'' ' - ( Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE t I ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoOV OR LESS 2o0A OR LESS 23.00 LICENSED CONTRACTORS 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 i full fce and effect. License Class —, Lic. No. �� -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 46.00NEW CONST. OWEW"G OCCUP. OR ADDNS. ( a A.C. BUDS. SO 3.5¢Fr. NEW s,D NON•REcSID. . MULTI.OUTItT 97.50 a OVILEr PSINGLE OWER APPARATU°IR.S Ex. Occu . OUTLET OR FIXTURES a20 @';00 OWNER Ex. Occup. OUTLETS AFIXED ASI°.°EA. 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' co en on finance carrier and policy number are: Carrier iP W MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Policy Number 57Mobile (The above sections need not be competed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wi those provisions. X .�-- _ Date 1 �'�.3 Signature of App (cant - ❑ Owner R -Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ I HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under Ofte County Code and/or uttov di into abe for ch f es have By I r f PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date /' I Date Receipt No. - WHITE-D.D.S.-B.D. CANAR •ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. I! l ASSESSOR f RCELNUMBER ItV / ZONING BUILDING PERMIT OWNERTELEPHONE if / ` ,~ Z , • t"7-7 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS I ' , -- , ( r, lr CONTRACTOR'S NAME`S CI ' / TELEPHONE - CONTRACTORS MAILING ADDRESS /l CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ / $ 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �/ --4 l ( t ( I Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service .OA OR LESS 23.00 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 C ' -•> 'f Lic. No. � U / 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 Mein Service TO 200ALICENSED 46.00 NEW CONST. owEwNG oCCUcuP. WEE OR (NEW 3.5QFT. CONST. MumouBUDS. NON•RESID. 07.50 APPARATUS 8 POWER SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES j 20 @ I'50 9AL Q .50 Ex. Occup. ..x" AE�sID,oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 -7 f• / MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number �1' 115 ;51 / Y.Z..--- (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date %i ,�' "✓ _ Signature of Applicant - ❑ Owner,a❑ Contractor ❑ 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 $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have I .i By ! PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date / Date Receipt No. / %l �• WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENR00-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 7� _- SPE VT O• Co (Rev.12/96) APPLICATION AND PERMIT � ASSESSOP•PARCELNUMBER / ^� I ,1 ,y {% /l• iAJ v J(wI ZONING - BUILDING PERMIT OWNER ` C-7 �� TELEPIjONE (��'7 �SQ.(yFT. OCC. BUILDIVALUATION rNG ` 4, �v• C OWNERS MAIUNG,ADORE �� I /� [, CSS �/� CONTRACTOR'S NAME r TELEPHONE CONrRAC IRS MAILING ADDRESS' J /!! / � / / �; � '�,�\�rl �J /l^� CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ / Q c5 , U ( ARCHITECT OR ENGINEER LICENSE No. —Filing Fee $ 20.00 Permit Fee $ <) , ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESSj55 -,� / �) �.. �✓- $ Energy Plan Checking Fee $ PERMIT FEE $ / 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describ Work: e ( jG� r � 4 f` l �L t 1 l Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S i ( ELECTRICAL PERMIT Filing Fee 20.00 i Main Service 'ODA 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./q License Class 6 — � ! Lic. No. 1�? r 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, em 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier ,1.0` , l� Policy, umberX 7__ (The above sections need ot be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��_ �" X _� �'� ,7 ' �i t�f:--s�L--� Date T l�� Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. S.3.5QFT, =ROSID MULTI.OUTLET @7.50 POWER APPARATUS a SINOLE OUTLET CIR. Ex. Occup. OUTLET OR FDRUREs 20 @''00 BAL @ .50 Ex. Occup. OflxuT�is A DE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ J k-) HAZ. I D FEES IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the -Butte County Code and/or Resolutions to do work indicated above for which ees have been paid. 'l / J �. By Date PERMIT EXPIRES ON Date Receipt No. i t `) •uu I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 028-130-032 03-3604 KELLY, GENE 45 WOODVINE IN, BANGOR & SON ROOFING Cont: GREENS RE ROOF . - I , .c i , ,�� k". , - , 'u"I Z,3%`?A1,�,1!K1.�_ -� P, ,,0", - I` - - - -7 ,1 " - P , �, ., -4, ,44,64�-,;,WW4 At""', .3 I , -�� - P 11 - �""�L #.h:. - . ,0,4 ,%jI..A,�.'1.j:j;.1 v, ! . - . .kC�',;. .1 I,!, I.. 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