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Home My WebLink About029-141-009M ''029-14-.1-( ,92'-3577P 'POOLER �.124r6:1Rice.. kVPy "RichFvale = . (sf/repair`s gas leak) / D 029-141-004 PERMIT#;96-0259 POOLER, Te_r'r.y & 'Jennifer '1246;'Rice AVe. , Richvale Cont : Vinyl Siding/SF B07-1984 029-141-009 MISCELLANEOUS Room Addn-First Stry ADDITION, MSIR BED/BATH, LAUNI 1246 RICE AVE •s LANDON, HAROLD F C)zq -)/-A i E 0 0 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: 1246 RICE AVE Owner: Permit No: B07-1984 APN: 029-141-009 LANDON, HAROLD Issued Date: 11/27/2007 By TMP Permit type: MISCELLANEOUS PO BOX 274 Subtype: Room Addn-First Stry RICHVALE, CA 95974 Expiration Date: 11/26/2008 Description: ADDITION, MSTR BED/BATH, LAI (530) 882-4302 Occupancy: Zoning: A -R Contractor Applicant: Square Footage: LANDON, HAROLD Building Garage Remdl/Addn PO BOX 274 901 RICHVALE, CA 95974 Other Porch/Patio Total (530) 882-4302 170 1,071 FEE INFORMATION DBEH Building Review Fee $75.70 DBF Room Addition - First Stor $466.32 DBMSC Room Add -1st Story 250sf $699.48 DBSMIP Residential $5.86 Total Charged: $19247.36 Fees Paid: $1,247.36 Balance Due: $0.00 Receipt No: B5418 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 of not more than five hundred dollars 11/27/2007 penalty [$500]; Please check one of the following: Contractor's 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: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ Section ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and number The Contractor's License Law dows not apply to an owner of the property who builds or improves policy are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number. Exp. Date: (This section nee not be completed if the permit is or ons a hundred dollars ($100) or less. I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 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'11/27/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signat a Date provisions. X 11/27/2007 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building 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 ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property, owner or am authoriz d to act on the property owner's behalf. AL 11/27/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of ermittee [ SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) 9/wner Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lender's 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 OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name 1 anc+a ,--i -W "' - L MailingAddress�, X a --7 d "' f Cf �' U e- n to Zzio PhoneT Fax E-mail r APP ICANT SIGNATURE . X PROJECT LOCATION AP# U Property Address City V PERMIT N0�1 _ INk BIN # WORKER'S COMPENSATION Policy Number Carrier 4i jgoh!bozpof !pd f sld bo!t9 off !dpotabdLpd -Wdf sqg w !p* Pd f Eft! cion of of btjpo!n vt dcf k i px o!bdui f !qn f WEnjdjttvbocgA LENDING AGENCY Name v+u Address dZVp 'I3ro �d S�. Z /aor C-1; r 1 DESCRIPTION OR SCOPE OF WORK: P6M CUi O E EJ Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office u e CONTRACTOR Name TO Const. Address ? a� City C4-"X� State Zip Phone Fax _ Fax E-mail Lic. # Class APP ICANT SIGNATURE . X PROJECT LOCATION AP# U Property Address City V PERMIT N0�1 _ INk BIN # WORKER'S COMPENSATION Policy Number Carrier 4i jgoh!bozpof !pd f sld bo!t9 off !dpotabdLpd -Wdf sqg w !p* Pd f Eft! cion of of btjpo!n vt dcf k i px o!bdui f !qn f WEnjdjttvbocgA LENDING AGENCY Name v+u Address dZVp 'I3ro �d S�. Z /aor C-1; r 1 DESCRIPTION OR SCOPE OF WORK: P6M CUi O E EJ Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office u e ARCHITECTIENGINEER Name TO Const. Address ? a� City C4-"X� State Zip Phone Fax _ Fax E-mail State License Number APP ICANT SIGNATURE . X PROJECT LOCATION AP# U Property Address City V PERMIT N0�1 _ INk BIN # WORKER'S COMPENSATION Policy Number Carrier 4i jgoh!bozpof !pd f sld bo!t9 off !dpotabdLpd -Wdf sqg w !p* Pd f Eft! cion of of btjpo!n vt dcf k i px o!bdui f !qn f WEnjdjttvbocgA LENDING AGENCY Name v+u Address dZVp 'I3ro �d S�. Z /aor C-1; r 1 DESCRIPTION OR SCOPE OF WORK: P6M CUi O E EJ Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office u e APPLICANT INFORMATION Name TO Const. Address,O ? a� City R j C4-"X� StateC,a Zip -7 Phg Fax _ E-mail _ APP ICANT SIGNATURE . X PROJECT LOCATION AP# U Property Address City V PERMIT N0�1 _ INk BIN # WORKER'S COMPENSATION Policy Number Carrier 4i jgoh!bozpof !pd f sld bo!t9 off !dpotabdLpd -Wdf sqg w !p* Pd f Eft! cion of of btjpo!n vt dcf k i px o!bdui f !qn f WEnjdjttvbocgA LENDING AGENCY Name v+u Address dZVp 'I3ro �d S�. Z /aor C-1; r 1 DESCRIPTION OR SCOPE OF WORK: P6M CUi O E EJ Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office u e Zoning Flood Zone I & I SRA I YesNo Occ. TO Const. IT 04, (SS -7. Np'�_ 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 C 019 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: B07-1984 Location: 1246 RICE AVE Parcel Number: 029-141-009 Date: 9/19/2007 By: GLB Sub Type: Room Addn-First Str Owner Name: LANDON, HAROLD Phone: (530) 882-4302 Description: ADDITION, MSTR BED/BATH, LAUNDRY AND KITCHEN 901' 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:,.AM�- (�/ Title: FILE Date: 9/19/2007 Butte County Department of Devefopment 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. D 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://municit)alcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1984 Location: 1246 RICE AVE Parcel Number: 029-141-009 Date: 9/19/2007 Owner Name: LANDON, HAROLD Phone: (530) 882-4302 Description: ADDITION, MSTR BED/BATH, LAUNDRY AND KITCHEN 901' Signature of Property Ow r:,4 Date: 9/19/2007 FILE BUTTE COUNTY I'EE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-1984 Job Address: 1246 RICE AVE Contractor: Printed: 9/19/2007 9:42 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 9/19/2007 $75.70 DBMSC Room Add -1st Story 250sf 0010-440001-4210500-1010 $699.48 DBF Room Addition - First Stor 0010-440001-4210500-1010 $466.32 9/19/2007 $466.32 DBSMIP Residential Printed By: Gwyn Benedict 1001-0-280-1011298 $5.86 19247.36 $542.02 Balance Due: $705.34 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Date: 9/19/2007 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 PERMIT APPLICATION DATA SHEET Reference Number: B07-1984 Date: 9/19/2007 Location: 1246 RICE AVE Parcel Number: 029-141-009 Owner Name: LANDOM HAROLD By: GLB Sub Type: Room Addn-First Str Phone: (530)882-4302 Description: ADDITION, MSTR BED/BATH, LAUNDRY AND KITCHEN 901' 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 ❑ ❑ ❑ ❑ lyl ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 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 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 Own ADate: 9/19/2007 FILE BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District ) P Building Department No. Tax Rate Area No. A.P. Number AA ceN Jurisdiction: City r O"County Property Ownerf�(j'�y Property Location/Address ' Q� (�Q__,� ✓�( 0 'f Subdivision Lot No. ................................................................................................ Residential Development Q 0 Sq. Footage No of Living Mobile Home €�� dditio *Supplemental to (Group ' R ) Units Installation Conversion Permit # Cr. Demo - ( ) :... *(No foundationinspection) existing sq. ft. See attached f Net total sq. ft. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Building Department &Ne,,,Addition ntativ Sq. Footage (Including Exterior Roofed Areas) l o • a�f • � Date District Identification No. o6 T CO— School ;District certifies that C�-Jra ( d �- C� CA J U L-A (Payor) l oLk4 UP 6; (Street Address) (City) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. 0 I by payment of $ 11361 ' 6 ,.. -_�.= ;.-•�,.-,-.:�__ ; ..--._� ,-.-_,-. ,.. Tom_. _�:,-.�; - -- - - -- - representing t� square'-fee' quare feet. i R B 2926 $ FULL MITIGATION $ 1 School District Representative Paid by Check # I v & � Remarks: Date 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 '029-141'-004 PERMIT#96-0259..— POOLER, Terry & Jennifer 1246 Rice Ave., Richvale Cont: ANRE Vinyl Siding/SF 7 10 k I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES = BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT g�'` a ASSESSOR PARCEL NUMBER QZ —TELEPHONE-_ ZONING BUILDING PERMIT OWNER TERRY P. RNNIFER P007 ER SO. FT. OCC. BUILDING VALUATION 14,607.00 OWNER'S MAILING ADDRESS MATE, TW74 CONTRACTOR'S NAME ARE TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRU:TION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 162.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS RICE PERMITFEE $ OU 182.1246 RTr.WAI -E 95974 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. - SUBDIVISION'S NAME PARCEL MAP ,Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF 01 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK v New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: VINYL SIDING — i Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 ' Main Service a v oR LESS ( zooA OR LESS ) 23.00 Main Service ( zooA To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 1P Lic. No. `% 73 L y� 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 isnot intended or offered for sale. ❑ I, 'is owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( a SINGLE OUTLET CIR. ) Ex. Occu OUTLET OR FIXTURES p ( ) 20 @ 1•00 ALL FIXEDAPPLNS. OR Ex. Occup. ( OUTLETS (RESID.I EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the ��performance of the work for which this permit is issued. 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 �, , 4 r., !; • i - / [_)r-�c: � )%I /, 1. ' MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number !c_ r "?, a- s*,_.J 5-C z " (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 Labori Code, I shall forthwith comply with those provisions. ,+ �, i .,�. Dat(11 _ �� /� L6lgnature of Applicant - ❑ Owner ❑ Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in h//eight. Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ In') r%n HA2. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicatedAbove for which fees have 01ADate Xv, A/V `y PERMITEXPIRESON I the applicable provisions Resolutions to do work been paid. , (Date) Receipt No.' 0t / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF [79VEL6PMENT SERVICES -BUILDING DIVISIO 7 .County Center Drive - Oroville,. Califo,nia 95965 - Telephone (916) 538-75 /I.� PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 02 ZONING BUILDING PERMIT OWNER O TELEPHONE SO. FT. OCC. BUILDING VALUATION 14,607.00 OWNERS MAILING ADDRESS nION '141 1♦ CONTRACTOR'S NAME AMR17 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER I UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 1246 RICE PERMITFEE $ p74 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: VINYL SIDING — Mobile Home S GI W1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main ServiceE00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. U t! License Class B Lic. No. / 713 O 7 a� 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 NEW CONST. DWELLING OCCUR so. OR ADDNS. ( 8 ACC. BLDS. ) 3.50- .5¢FTNEW NEWCONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 5° EX. Occup. ( OUTLETS (RES D.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 insuJance carrier andpolicynumber are: Carrier e7e„�yry�i'gl 0-0-C4( 6. cU MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 14je LS.2S038' (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �? 06nature of Applic t - ❑ Owner ❑ ContractorJAgent An OSHA permit is required for excavations over 5'0" eep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ o HAZ. D. FEES IMP FLOOD CDF PARC HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ove for which fees have been paid. �y (� o l Y r7kAV D tel- - P MITEXPIRESON I1 1 (Date) Receipt No. 0 (J 1 WHITE-D.D.S.-BA) CANARY -A SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Rodd7chico, CA - (916) 891-2751. 7 County Center Drive, Croville, CA (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 90 0 (-e J- 941 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. I{ d �lvt/ % 1N ' 4- �DQrr-L dfd-e A .air S C r- e e -�✓ /ham ice✓ Date �— �� Inspector REV 10/92 z Date �— �� Inspector REV 10/92 .,�.�,,w,�jiid+I.'+c1✓a:!T�:�1r�w�¢pl�_�"K'..rT.l*'[ili�tii!y�.'-. . .�+ i�.1'y, 7Ir'C.i`T."Z_r"��`�:T.®([�'�'�1+5:��1� l.:•s'Srtlli- 029-14-1-004 r 92-3577P C I POOLER, Terry 1246 Rice Ave, Richvale ' (sf/repair gas leak) /0-is"y2" ;� �><�c.,� o{• w�� k war rfo ReMvac Old y of fv plan- 0 ce ` Foy �j OFFICE COPY I Address GAS Meter By j Q�� Dates RIC c f D, t -� t• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 7-3 ;j _57 APPLICATION AND PERMIT - �/ ASSESSOR PARCEL NUMBER 029-141-004 ZONING ARM BUILDING PERMIT OWNER TERRY POOLER TELEPHONE 882-4211 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 341 RICRVALE 95974 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BU246GRICEESS AVE RICUALE 95974 Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ['�] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5,00 Building sewer 15.00 Mobile Home S I G W 615.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities[—] Installation❑ Other Describe work: REPAIR GAS LF,AK Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE 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. 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 CONST.( ACC. BLDGS. DWELLING OCCUP.&) 3.64sq.ft. NEW CONSTR ULTI.OUTLET NON -RES' - BRANCH CIRC ITS S.00 (POWER APPARATUS e� I SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76c{ Ex. Occup. OUED R TLETS ((RESID )EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. 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 n 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 15.00 Heating Cooling g Hood 6.50 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs,ta expenses which may in any way accrue against-said'County in consequence -of the granting of this permit. i X � rl" j Date / 1_' g Signa ure of Applicant — Owner Contractor E] Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE 20.00 I TOTAL FEE $ HAz 0FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By %,�., '. 1( If J PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date,`.; `�. '7_. 126121 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIOI*AND PERMIT PERMIT NO. SSESSOR PARCEL NUMBER ON'ING 029-141-004 ilijMH BUILDING PERMIT ' OWNER TERRY POOLER TELEPHONE 882-4211 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 341 RICHVALE 95974 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1246 RICE AVE RICHVALE 95974 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.001 5,00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: REPAIR CAS TEAK _ Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE 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. Classification !!l 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 Main service 200ATO1000A) _37.50 NEW CONST. ( DWELLING OCCUP.&) 3.6Q sq.ft OR ADDNS. 1 ACC, BLDGS. . NEW CONSTR. ULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS 6� SINGLE OUTLET CIR. EX. OCCU 20 75 Occup(OUTLETS OR FIXTURES Ex. Occup. OUTLETS FIXED P(RESID )REA./ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. 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. 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 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliti judgments, costs, expenses which may in any way accrue again County in consequ ce f granting of this permit. X Date LD�g-5Z An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 20.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indica �ed Bove for which fees have been paid. CTPR OF PUBLIC WORKS BY Date — 1V PER IT EXPI ES Date ,� Receipt No. 126121 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 APPLICATION'VIIND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER L9201-11-11 -001Y 7.10 N„NG W /00; m BUILDING PERMIT OWNER ' TELEPHONE �Z-yZII SQ. FT. OCC. BUILDING VALUATION OWNE 'S AILING ADDRESS 59� sa 52(1 CONTRACTOR'S NAME WN TELEPHONE CONT ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS lei Energy Plan Checking Fee, $ Penalty $ BUILDING ADDRESS Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFDuplex[]Mobilehome❑ Other L SPECIFY Gas piping system 1 - 5 outlets 5.00 S-, p-' Building sewer 15.001 Mob le Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other bP Describe work: [96(e %Z 94-25 L 14IL- _ Permit Fee $ z Q o0 Contractor ELECTRICAL PERMITFiling Fee 15.00 Main service OR LESS 2000AORLESS 18.50 CONTRACTORS LICENSE 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. Classification 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000At37.50 NEW CONST, ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. 3.54 sq.ft. NEW CONSTRULT'.OUTLET NON-RESID BRANCH CIRC ITS @ 5•00 ( PO ER APPARATUS & SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 75d 1 464 FIXED APLNS.❑ EX. Occup. OUTLETS PI RESID )RE 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 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—i I have placed on file with the County of Butte Building Department LJ 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 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in -any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor C Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ HAz 1 DFEES IMP FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 2 1 WNITC-O.P.W., YELLOW -A99 C990 R, PINK -INSPECTOR, GOLDEN ADD -APPLICANT COUNTY OF BUTTE - Zewartment of Public Works 7 County Center Dries, Oroville, CA 95965 Phone: 916.538-7541 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. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement � or no) �S 2. I Ctay.&?have.not) h,+ V -L signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this 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 I have contracted (hired) the following persons to provide the work indicated: -Name Address . Phone Type of Work Signed: Property Owner Social Security Nu r ,Date /9 - & - NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. WEEP -M -M •Oyuvl OPOIN Pm zzB:S%SNMO -A!J L i yy pp SS qq��j55yyib[ a i Lf r t •• i .1 j a L 0 �l • r i _ • 0 Y ■ O � O C O • • I - o IZ o ` J a3� - o IZ