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HomeMy WebLinkAbout029-143-005AP 29-143-05 HERBERT ROLD corner of 2nd & Main St., Richuale conte Sierra hoot & Acoustics, Chico �(�1,,�� Permit# 4486-74B (reroof)3' 29-143-05 233 Rice Ave, Richvale ontr: Todd hemstalk fa ermit#2095-87B(reroof & re as�`age) 029-143-005 PERMIT#97-2068 ROLD FAMILY TRUST 1233'Rice Ave.,-Richvale Cont:" A & B_ Roofing /a•1 ' q,(�®h� Reroof/SF ✓��� I B07-2151 029-143-005 MISCELLANEOUS Re-Roof RE-ROOF (3 SQ), 1233 RICE AVE ROLD, FAMILY SURVIVING TRUST rc�� r an i 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: 1233 RICE AVE Owner: Permit NO: B07-2151 APN: 029-143-005 ROLD, FAMILY SURVIVING T Issued Date: 10/16/2007 By KCG Permit type: MISCELLANEOUS P O BOX 27 Subtype: Re -Roof RICHVALE, CA 95974 Expiration Date: 10/15/2008 Description: RE -ROOF (3 SQ) (530) 882-4373 Occupancy: Zoning: ARAN Contractor Applicant: Square Footage: BAIRD ROOFING CO Building Garage RemdUAddn 11025 MIDWAY CHICO, CA 95928 Other Porch/Patio Total (530)342-1631 FEE INFORMATION DBMSC Re -Roofing $116.00 Total Charged: $116.00 Fees Paid: $116.00 Balance Due: $0.00 Receipt No: B5005 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 Di w ' n 3 of the usiness and Professions Code, and my license Pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in fZorand effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/16/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: COntracto ignature 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 Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION - I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by � ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number. Exp. Date: (This section need not a completed if the permit is for one hundreddollars ($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 s uld begine subject to the workers' X 10/16/2007 compensati n provisions of Section 3700 of the Labor de, all forthwith comply with those Owner's Signature Date provisions X 10/16/2007 I&A I hereby certify that I have read this application and state that the above information is correct. I agree Si atwy Date to comply with all City and County ordinances, rules, regulations, and State laws relating to building WARNING: FAIL 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 injury, including death, and property damage caused arising out or in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of thispermit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned roperty for inspection purposes. I hereby certify that I am the pro erty owner or am auth ze to a on the property owners ehal� w 10/16/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ' Of ermitte GN] Y Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR: Agent for Owner�Agent for Contractor FILE COPY 'Ydif' 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 REO UIRED AT TIIYIE OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** LWF AMA, I^ - . 1".k. AP# f0 Property Address City i OCA TION PERMIT NO. x21S BIN # WORKER'S COMPENSATION Policy Number C23 Carrier If hiring anyWe other than license contractors, a certificate of worker's compensation must tie shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WO L Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): , For office use only: OWNER INFORMATION Last Name ,✓ Z46 First e Mailing Address FO 7cf Ax/a7 City/ Staten V StatepA Zip Phone /► ncJ Fax E-mail Lic. # LWF AMA, I^ - . 1".k. AP# f0 Property Address City i OCA TION PERMIT NO. x21S BIN # WORKER'S COMPENSATION Policy Number C23 Carrier If hiring anyWe other than license contractors, a certificate of worker's compensation must tie shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WO L Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): , For office use only: CONTRACTOR Name ,✓ Z46 Address 11Q.212 City I No Staten V Zip y Phone Fax E-mail Lic. # Class LWF AMA, I^ - . 1".k. AP# f0 Property Address City i OCA TION PERMIT NO. x21S BIN # WORKER'S COMPENSATION Policy Number C23 Carrier If hiring anyWe other than license contractors, a certificate of worker's compensation must tie shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WO L Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): , For office use only: ARCHITECT/ENGINEER Name Flood Zone Address — ,n City I No to Zip Phone ��� J/ Fax E-mail State Licen Number LWF AMA, I^ - . 1".k. AP# f0 Property Address City i OCA TION PERMIT NO. x21S BIN # WORKER'S COMPENSATION Policy Number C23 Carrier If hiring anyWe other than license contractors, a certificate of worker's compensation must tie shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WO L Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): , For office use only: APPLICANT INFORMATION Name Flood Zone Address — ,n City I No State Zi Phone ��� J/ Fax L/ O E-mail LWF AMA, I^ - . 1".k. AP# f0 Property Address City i OCA TION PERMIT NO. x21S BIN # WORKER'S COMPENSATION Policy Number C23 Carrier If hiring anyWe other than license contractors, a certificate of worker's compensation must tie shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WO L Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): , For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. i'717`�r�w'��`'i`'p+� µ•i-��f�����"'�i��CF7i7"mAc�r•.4�KK `^�'y-•pr�aw' c:s.*p :.., .�.:-.::j�--{sr���idirsx" �c"'p�y���rx=',14��;,�,':�-ia mY COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI W� 7 County Center Drive - Oroville, California 't5965 - Telephone (916) 538-7 PERMIT N (Rev. 12/96) APPLICATION AND PERMIT `� "' - �Z, ASSESS�EIj_-005 ZONJ�' BU DING PERMIT OWNER LD FAMILY 'TRUST TELEPHONE SO. FT. OCC. BUILDING VALUATION 22 1320 OWNER. NjZ%E17, RICHVALE 95974 CONTRACT ORAS„ {JaMEB ROOFING T°-020 CONTRAC�TQF��e'MV%TssAENUVE, OROVILLE CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHMECT OR ENGINEER LICEN i NO. Fee $ 20.00 —Filing Permit Fee $ 33.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING1ATJS RICE AVENUE, RICHVALE 0'.27 I Energy Plan Checking Fee $ f $ PERMIT FEE $ 53,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE v 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 Q,+ Describe Work: REROOF/COMP Gas piping s stemt : 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 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,N- and my license is,P f f0 Ce and effect.POWGL License Class i� Lic. No. /.�/i _? OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service z TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. E OR ADDNS. ( a ACC. etas. SO 3.5QFT: gESNpT' R ULT'-OUTLETgS @7,50 ER APPARATUS a SINE OLlrLET CIR. Ex. Occup. OUTLET OR FIXTURES BA2L @.010 L 50 Ex. Occup. ouiiErs RES D.°EA 1 5.00 Temporary Service 23.00 Mobile Homo 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 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.) Ci 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 � 'i.1 4 p ,r / Z..e-Q.GDate _�_— rh �_? � %_ Signature of Applicant'1❑ Owner'F:kContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionaa of structures over 3 stories in height. 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 $ HAZ. D. FEES IMP FLOOD COF PARCEL Po HD IS E - This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. G By IQ--, pDate 7� 3p'C/'% PERMIT EXPIRES ON 7 ` Date Receipt No. L. `+ w WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive - Oroville,• California 95965 - Telephone (916) 538-75 ERMIT N (Rev. 12/96) APPUcATbN AND PERMIT _ ASSEss j°E'!`�"+_ 005 ZONATMH BULLDINGPERMIT OWNER OLD FAMILY TRUST TELEPHONE SO. FT. OCC. BUILDING VALUATION pWNER�MAdVyES�7, RICHVALE 95974 22 1320 CONTRA�TOt11 m"B ROOFING T ` °N 020 CONT ].TJ7rIbNd] SAVENUE, OROVILLE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Fills Fee $ 20.00 Permit Fee $ 33.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1233 RICE AVENUE, RICHVALE Energy Plan Checking Fee $ $ PERMIT FEE $ 53.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0X6uplex ❑ 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 IK Describe Work: _ REROOFLCOMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oa 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_io fuJ f0 , e and effect.P License Class Lic. No. �Z/ :3s'0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. OLDS. so 3.5¢Fr. NEW CONST. MULTI.OUTLET NON-RESID. ANC c @7.50 OWERAPPARATUS B SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAL @ 1.50 Ex. Occup. p Ej g q ,p,OE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE 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 rovisions. a X Date d_� Signature of Applica wn r 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 $ 53.00 HAZ. p, FEES IMP I FLOOD I CDF PARCEL PD I HD I ISSXE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES N the applicable provisions Resolutions to do work been paid. G Date 7 9— -L _ 47 a Date Receipt No. 224624 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Permit#2095-87.' HERBERT ROLD 1233 Rice Ave, Richvale _ ..._ - -r �r•ve?..�+-ur•F; s��K.,c'�•".!�=;,��'}ts%�.w4;r�+h+:,z�,�w�'��� N� �;��"{�'.•-• 'i����1�„', .-.>:i•e"..�r: 3 � • 4" L COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERM IT NO. 7 County Center Drive - Orovillek Cali•for-nia 95965 - Telephone: 916/538-7541 APPLICATION'AND PERMIT ASS ESS O, jARCE,Ly UMBE1 1)R r,TELEPHONE ZONING BUILDING PERMIT O SO. FT. OCC. BUILDING.VALUATION AILING AIDD ESS . 3vaR 00WNER'S A,c/dpi 'S •N AME TEONE RACTOR•S MAILIN ADDRESS Fireplace CONSTRUCTION LENDER 1, UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS (. ` (•-. Permit Fee $ ARCHITECT OR ENGINEER 1 •,f/ 1 (t• r r -)s •. , , r • a ` �" '.•`.'. ' LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'SMAILING ADDRESS Penalty $ BUILDING ADDRESS -Ave ' Permit fee $ j� } PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 va le Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME , PARCEL MAP 1 Water piping . 5.00 Each qas water heater or vent 5.00. USE OF STRUCTURE C,-)12�Gl I SFX Duplex❑ Mobilehome❑ Other SPECT( v Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New❑ Addition❑ Re odel❑ Utilit••es❑ Instalration❑ Ot er® Describe work:11r,'A t 140 r �'S t � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 �• y+ �1 100V OR LESS 10.00 Main SefVICe 100 AMP OR LESS Main Service EA. ADD•L 100 AMP 2.50 _ CONTRACTORS LICENSE LAW Y I declare and r penalty of perjury (check -one): ❑NON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code an my license IS In full fOFG and effect. License No. Classification El 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. ( DWELLING OCCUP.N) y20sgft OR AODNS. \ ACC• BLDGS. NEW CONSTR. UL -TI -OUTLET 2.50 ea BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) 20®60t Ex. Occup(OUTLETS OR FIXTURES MAL@S0 FIXED APPLNS. O R Ex. Occup. OUTLETS (REST D.1 EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. r-;1_.,.I�1 ave placed on file with the County of Butte Building Department u_ a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I y- ❑ 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 Filing Fee 10.00 Heating Cooling Hood I 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against al.I-Iabilities.,�judgments, costs, and expenses which may in any way accrue I said County in,`consequence of the granting of this pesmi . Xi -' i �l ..,-�.• // '' Date �.- Signature of Applicant — Owner ❑ Contractor ®--"`Agent' 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 $ TOTAL PERMIT FEE $ occuP. CONST.TYPE I FlAoo PARCEL PD HD ssuE 1.• :. • - ; This permit is hereby issued under the applicable provi- sions of,the Butte County. Code and/or resolutions to do work indicated aboveforwhich fees have been paid. r / , 11_An ` DIRECTO'R/�OF, PULIC WOR7V44- (y%� �I� 7 1+���1'A �C7 By ,/tel/Date %` PERMIT EXPIRES Date - r-// 7 Receipt No. iS l WHITE-D.P.W.. YELLOW-ASSF 330A, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California X5965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ERM T NO. ASS;PAR/SE N MBER J (j� ZONING BUILDING PERMIT OWN r 1^� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW 'S MAILING DRESS n ` tG Va. j6L- co A TO 'S AMET EPHO E CO C OR//S 'M'AIL N ADDRESS /C�^ L�(/r�j �i v�Ya��l/jti Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PY/ fill �E Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ` V Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 0 Duplex❑ Mobilehome❑ Other l 0 sPECI r Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition Re odel ❑ Ili s ❑ I tal tion❑ 0 er ® De ribe work: / © enribe wor©>^ C4__S t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR LESS 100 OROR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 .CONTRACTORS LICENSE LAW I declare un nalty of perjury (check.one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions a my license is in full f and effect. License No. lassification License ❑ 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. DWELLING OCCUP.8 , ft New CONSTR.( A B hltsga ULTI OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200501 1.20050t Ex. Occup. our OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Theit is for $100.00 (valuation) or less. ave 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of 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 'udgments, costs, and expenses which may in any way a rue t said Cou in consequence of the granting of this pe mi . X Date Signature of App Icanr — Owner ❑ Contractor ge OSHA permit is required for excavations over 5" ., deep and demolition or construct- ion of structures oveerrr33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ So OCCUP, CONST.TYPEJ I IFLOODIPARCE:L.1 PD HD IS9UE ., This permit is hereby issued under sions of the Butte County.Code and/or work Zindited above or which R OF PU y P MIT EXPIRES Date the applicable provi- resolutions to do f s have been paid.An WORKS D to 6 Receipt No. b� WHITE-D.P.W., TELLOW-ASSE33OR, PINK -INSPECTOR, GOLDENROD -APPLICANT FI RE I TOW ! NSHIP[pNl- RIG, KGJ , �R. El �2,pw FIRE N1 REPORT ll� R I . I R. . FC -18 (3/86) T CDF4OCA GOVT CONTRACd. /7N ORIGIN i LOCATION I ij�l I. MISC. AND OTHER, • <9� ASSIST CITY CONTRACT 'CO ILiIOTHERJ1;! L;,' AA SEC. I TOW ! NSHIP[pNl- RANGE I URE 1. El �2,pw INCIDENT TYPE FIRE FALSE ALARM—GO TO BLOCK 10 f ZPER,.NUMBER INCIDENT NO. START MO. DATE YEAR COUNTY L _1z �3 A2 A T BER It TiFIRE NAME: NO thru J -0— i . : AM — -!V L 9 9 " MILES DIRECTIONNATIONAL FROM El IN. FOREST, FIRE DIST—CITYA STREET No., 8 �VEG 'TYPE ACRES BURNED,.; GRIC. IPROD. TC. ll� lc- e - U L 3.Rc k P, 4;jNlCDFj ACRES OF VEGETATION BURNED nzgag .2 -n ................ j�!.. DIRECT RESPONSIBILITY J A 4A naR STATE -H*�TATUTO­ RY WILDLAND BURNED OR THREAJENED RES N PO SIBI'LITY 2 CDF LOCAL: GOVT.' CONTRACT i �3 > > 0 UNPROTECTED i ' F ' ! STATE n ASSIST OTHER AGENCY (Not City) L6' CAL ZONE' E3 6S.F.S., AGENCY CDF R �` - OTHER TOTALJ] �'PROTECTION A CRWBURNE6 I 8 �VEG 'TYPE ACRES BURNED,.; GRIC. IPROD. ... ll� .11 'TIMBER 4;jNlCDFj T CDF4OCA GOVT CONTRACd. ?V 1 1 7 I. MISC. AND OTHER, • <9� ASSIST CITY CONTRACT 'CO ILiIOTHERJ1;! L;,' AA WOOD 'LAND, I. .1 M:lA 25 iA lit, !! I !:Ij t. PROD BRUSH (Other, thon T � &,Y G) RESPON. ACFITS�l BURNED� .9,t C 'OF!'I" 1 G Y''El B't%26`a. TS!1IN i1ONLiN)j' 11 'l; I CAUSE (STAR 5�' OR 8 .51; C 10-99STATE 0 LIGHTNING :IRE' 0 ;.DEBRIS CAMPFIRE' ❑ AR tc 2 SCIII4 T, SMOKING ❑ EQ N 1A G :HN '©SPLAY Y W" j I' 'M MISC.! . ;.CA F1 SMOKING , 1AND, USE, (ST4RTSpiNtI -tffl OR MIOR RE B. DOMESTIC IEST INDlIISTRYI� 0 R.' 11 X. E] OF T RANCH - FARM EECREATION!�-4- OTHER � FED. i DUMP 10 THiR INDUSTRY-COMRCL. Kx El ROAD ILDLAND fr '6TH OTHER ❑ UTILITY': RAILROAD ON WILDLAND El UTILITY" ELECTRIC TOTAL 0 OTHER DAMAGE It 61 62 '65 OR 68 ONLY) Z177 =17,7 5 9'CDF116CACG6Vt �'CONTRAtT �>, 1 . I I � 6 0 lRA6EN&'(Noi City ;,C:1'ASSiiT THE ):,! " ! 1: C] 6THER:FE'DERAL it GRIC. IPROD. ... I, 1; 64 FEDERAL 1 1 EJ "OTHER JCI AGENCYASSitT-FED!i(!!N'ot Mil 8 B 4;jNlCDFj T CDF4OCA GOVT CONTRACd. SIZE 7 I. MISC. AND OTHER, • <9� ASSIST CITY CONTRACT 'CO ILiIOTHERJ1;! L;,' AA 1 I. .1 M:lA 25 iA RESPON. ACFITS�l BURNED� .9,t C 'OF!'I" 1 G Y''El B't%26`a. TS!1IN i1ONLiN)j' 11 'l; I CAUSE (STAR 5�' OR 8 .51; C 10-99STATE 0 LIGHTNING :IRE' 0 ;.DEBRIS CAMPFIRE' ❑ AR tc 2 SCIII4 T, SMOKING ❑ EQ N 1A G :HN '©SPLAY Y W" j I' 'M MISC.! . ;.CA F1 SMOKING , 1AND, USE, (ST4RTSpiNtI -tffl OR MIOR RE B. DOMESTIC IEST INDlIISTRYI� 0 R.' 11 X. E] OF T RANCH - FARM EECREATION!�-4- OTHER � FED. i DUMP 10 THiR INDUSTRY-COMRCL. Kx El ROAD ILDLAND fr '6TH OTHER ❑ UTILITY': RAILROAD ON WILDLAND El UTILITY" ELECTRIC TOTAL 0 OTHER DAMAGE It 61 62 '65 OR 68 ONLY) Z177 =17,7 GRASS I . I Number. 'f o.l '. ; GRIC. IPROD. if TIMBER! &/ORW41i�� T. 4;jNlCDFj J� 7 TOTAL (Ofhe� 6anTG) AGRICULTURAL PROD RESPON. ACFITS�l BURNED� .9,t C 'OF!'I" 1 G Y''El B't%26`a. TS!1IN i1ONLiN)j' 11 'l; I CAUSE (STAR 5�' OR 8 .51; C 10-99STATE 0 LIGHTNING :IRE' 0 ;.DEBRIS CAMPFIRE' ❑ AR tc 2 SCIII4 T, SMOKING ❑ EQ N 1A G :HN '©SPLAY Y W" j I' 'M MISC.! . ;.CA F1 SMOKING , 1AND, USE, (ST4RTSpiNtI -tffl OR MIOR RE B. DOMESTIC IEST INDlIISTRYI� 0 R.' 11 X. E] OF T RANCH - FARM EECREATION!�-4- OTHER � FED. i DUMP 10 THiR INDUSTRY-COMRCL. Kx El ROAD ILDLAND fr '6TH OTHER ❑ UTILITY': RAILROAD ON WILDLAND El UTILITY" ELECTRIC TOTAL 0 OTHER DAMAGE It 61 62 '65 OR 68 ONLY) Z177 =17,7 L" -i -i4, S DAMAGE A ..nd ff to Nearest f100 I Number. 'f o.l '. ; 102 &/or 8 < 5 � if TIMBER! &/ORW41i�� T. - YOUNG GROWTH;, 7 WILDLAND'VEGETATION ` 'k,Y (Ofhe� 6anTG) AGRICULTURAL PROD (Other, thon T � &,Y G) DWELLINGS &/OR CONTENTS OTHER STRUCTURES &/OR. CONTENTS VEHICLES & CONTENTS OTHER TOTAL N 10 ESI 1ONLY) 0 ARRIVAL (0 VEGETATION FIRES 90 SIZE DISTANCE (Orfdin'cio-heodfy.f pi[, AC FEET WEATHER (ESTIMATE AT !SCENE) :WIND SPEED (M.P.H.) DIRECTION (FROM) I TEMPERATURE!IVF) 5, 10 OVER PLEASE CDF7S40,11 3o -o I I a 86 39852 VRVGR IVV/Y1DCR =, REG. R.U. INCIDENT NO. YEAR ' I � mor. DrrnDn �r d� p I DA E TIME I I OUTSIDE O �oOR' 8 DATE INTI. DATE FIRE STARTED Enter 1ST. CD Dis atcli CDF STATE 6 LOCAL GOVT. CONTRACT .i INSIDE O O05 OR 8 AIRCRAFT CDF STATE & LOCAL; GOVT: CONTRACT ORGAN- PERSON AIRCRAFT CREW NAME , �n, HOURS FLT. HRS. CREW'NAME �1? IZATION HOURS FLT. HRS. FIRE DISCOVERED , } FIRST REPORT 4 /_ � l SECOND REPORT FIRST ATTACK BY CDF FIRE CONTAINED 4 i L I t n CREW /nvFDNFen Dr-rnm GO TO 12 !!*' /y7 LOOKOUT: If 1ST. o ` 4♦ SITE NAME: SITE NAME: ;v:., ,1 .4 . �Irrrl� �Irr�nn r1 COMMENTS Ills , MAP IS: ONE SECTION ❑ FOUR SECTIONS ❑ MAP ATTACHED R, &IFN iw " O► ! � i t b IJPnL flu u & C Sal e. , d /1 ORIGINAL REPORT BY: M .a..^ on — 14 SIGNATURE TITLE DATE INTI. DATE CDF STATE 6 LOCAL GOVT. CONTRACT ORGAN- PERSON AIRCRAFT CDF STATE & LOCAL; GOVT: CONTRACT ORGAN- PERSON AIRCRAFT CREW NAME , RATION HOURS FLT. HRS. CREW'NAME �1? IZATION HOURS FLT. HRS. IST. ATK , } CDF CREW L f, v 'f Vf1�ft/o L l C r RtcIvALe—h A c G.� a Le 0 P7) �. 3 1 I CDF OVERHEAD TOTAL ' a ON 1 2 FIRES. ENTER TOTALS BELOW .} <;, ``: ?£>:;€>:•:.:,•}}:•z}}';; < • ::¢:#:::>:s'sE%s 1 U.S.F.S. (Incl.' Overhead) TOTAL OTHER FEDERAL (Incl. Overhead) TOTAL FIRE DIST. &OTHER LOCAL ,TOTAL PAID HOURLY (E.F.F.) TOTAL z w:'s::w•t:;Ez VOLUNTEERS (Unpaid) TOTAL i 4 tw ?:`s?::>:#:•.':>>zz:• ❑ FC -18B (Additional crew activity) ATTACHED �Irrrl� �Irr�nn r1 COMMENTS Ills , MAP IS: ONE SECTION ❑ FOUR SECTIONS ❑ MAP ATTACHED R, &IFN iw " O► ! � i t b IJPnL flu u & C Sal e. , d /1 ORIGINAL REPORT BY: M .a..^ on — 14 SIGNATURE TITLE DATE INTI. DATE I- 'O a i PERMIT NO. 4486-74B t. P E M MH UTIL. PERMIT NO. PERMIT EXPIRES—�� —/ ,OWNER Herbert Rold CONTR. Sierra Roof & Acoustics, .Cilico LOCATION (A.P. 29-143-05 ) a corner of 2nd & Main St., Richvale Temp. ower Pole Called &E Temp. Elec: Serv. Called PG&E Temp. Gas Serv. Called PG&E VJ013 FINALED ,,:3 (Dat ignature) Setb For BI g. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Wall! Reinf. Stee Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidinci To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structur Gas Piping & Test Temp. Gas Fin �$ Sanitation FIREPLACE Final Footing ELECTRICAL Throat Rough Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 0 KS 7 County Center Drive — OroviIIe California 95965 . Telep.one: 534-4541 V/46(C/�/ APPLICATION AND PERMIT auurunce reNreseniauves of the county of Butte to enter upon the above-mentioned property for inspection purposes. l ate Signature of Permitee or Agent J/ 611 �l �/ Receipt No. / a Cv4 3 0> y J -J Cn / 1-/ !i (} White-D.P.W. — YellovM-Ass�—A� Inspector — G Atro icant 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. DIR TO_R_ OF P UBLIC WORKS ByDate Building permit expires Date....../ . BUIL IN Owner Herbert Rold SQ. FT. OCC. BUILDING VALUATION Mailing Address P.O. Box 27 corner of 2nd & Main) Richvale Calif. Telephone No. Fireplace Contractor Sierra Roof and Acoustics Total Valuation Mailing Address P.O.Box 252 Permit Fee 11.00 r Penalty Ca. TelephoneChico, 342-1863 Permit Fee $ $ Building Address corner of 2nd and Main St., Richvals PLUMBING No• @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 4�7 13 -0,5" % Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es Sanitation FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ( ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 reroof (apply new cap sheet 90 lb. Main service incl. 1 meter Additional meters, each 1.00 Single Family X❑ Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or fess): ($ore than 12) Range,: C0,61( -top or Oven 1.00 Water Heater or -Space Heater 1.00 Light fixtures balp610 Receps., switches & fix outlets20 L bla 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 248732 Classification C-39 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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. MECHANICAL No. @ FEE 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 ARt a TOTAL PERMIT FEE $ auurunce reNreseniauves of the county of Butte to enter upon the above-mentioned property for inspection purposes. l ate Signature of Permitee or Agent J/ 611 �l �/ Receipt No. / a Cv4 3 0> y J -J Cn / 1-/ !i (} White-D.P.W. — YellovM-Ass�—A� Inspector — G Atro icant 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. DIR TO_R_ OF P UBLIC WORKS ByDate Building permit expires Date....../ .