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HomeMy WebLinkAbout030-101-029030-101-029 02-1192 SNOW, PATRICIA 1748 18""' ST., OROVILLE CONT: ARTIAIRE HVAC C/O 030-101-029 SNOW, PATRICIA OS -3184 1748 18TH ST, OROVILLE Cont: RELIANCE PROPANE GAS B07-2375 030-101-029y 'MISCELLANEOUS Electric Panel ELE SER CHANGE 1748 18TH ST SNOW, PATRICIA MAE REV TRU 4 , B08-0189 030-101-029 MISCELLANEOUS Re -Roof RE -ROOF (32 SQ) 1748 18TH ST SNOW, PATRICIA MAE REV TRU 30 -,/a Vv 2' COGGINS,. Jerry 478-71B 680-71P 450-71P 593-71E(s) - IE .�1 1748 18th St., Oroville. -101-271 CONTR: Holiday Poo s, 1170 E.Lassen, Chico (swimming ng Pool) % 1 o 0 -- 4 30-101-29 50-91< ENGELBRECHT, Charles 1748 18th St, Oroville Ag Exem tion Permit _ 2. (store feed, farm eq pment) } du, ,. : `- . f 101-029 02-1192 W, PATRICIA 18n -i ST., OROVILLE T: ARTIC AIRE C C/O { COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 p _/P76T o. (Rev.12/96) APPLICATION AND PERMIT ASSESSORPARCEL NUMBER 030 —101 0M ZONING tz_ BUILDING PERMIT OWNER �� •d TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS.JUNG DRESS 4 CONTRA • R'S E • ly TELEP ONE +� J CO RAC5 MAID ADD. ESS • �w /G IicJ L CONSTRU6noWLENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS i Plan Checking Fee $ BUILDING ADDRESS - • • Energy. Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP 1 PLUMBING PERMIT ,. Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE 1 SF Duplex ❑ Mobilehome ❑ Other ! SPECIFY ! 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 (WJOther ❑ All' Describe Work: (i+,T�r�v,L✓0' �7 1! (A Gas piping system 1 - 5 outlets ;15.00 Buildingsewer p15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoo, oa .ss 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 ry ,� -- w.-. License Class 1 �, • ( _ •'7 - Lic. No. 'k -�. - t •� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure ,is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. S. SO 3.50FT. NEW ReSID. CIRCUITS 97,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FUTURES 20 p 1.00 BAL @ .50 APPLNS OR Ex. Occup. oUT)E RES 6.1 EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. 0•''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,numtier are: Carrier t..cA .�+� },I�., ��.� MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling �E Hood 6.50 Ventilation PERMIT FEE $ Policy Number r-1,^ i ':' :IIt- (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) k ❑ 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. 1 .. — J X _/^titi_�) `5 .,....• Date = rf / ��! ' •_ Signature of Applicant - ❑ Owner ❑ Contractor ❑-Agent f 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 $ cc r. Tv n �' TOTAL FEE $ V HAZ. I D. FEES IMP FLOOD I CDF I PARCEL PD HD UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date ✓ PERMIT EXPIRES ON 0,? Date Receipt No. V Qva WHITE-D.D.S.-B.D. CA AR -A SESSOR 4 9INK-IWSPECTOR GOLDENROD -APPLICANT rJ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-7541 o ,/7RTo• (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCELNUMBER©-7o _' /J\ I 0� V(( U ZONING � — BUILDINGPERMIT OWNER Vv 1��� TELEPHO SO. FT. OCC. BUILDING VALUATION .OWNERS UNG R SS t 1 COM R'S TE ONE 7)^ U cou AD ss r I'(. J ;Lr`G CONSTRU TION LENDER Fireplace LENDER'S MAKING ADDRESS 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 $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFtoDuplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ _tr' Describe Work: �,✓`W� G 1� CAA I' 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 200AORLESS 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.POWER License Class - C 20-G� Lic. No.q ,13 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. BSI 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 insurnce carrier and policy number are: Carrier L_ LA `Mlrv�ia` Policy Number �S r-hA lept 241 -00 (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 shallc=F.A]T 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 com I with those provisions. X Date Signature of Applicant - (3Owner ff Contractor [ �f (gent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. 14 Main Service 200A TO 1000A 46.00 NEW CONST. DwEwNc OCCUP. 3.5QF°; OR ADDNS.NEW CONST. MUL�TCou�TLS. NON-RESID.ET U 97.50 APPARATus 8 BINDLE OUTLET CIR. EX. OCCU OUTLET OR FVWRES fiAL 1 .00 SAL Ex. Occup. oFuTLEEDTs AEEsID.) EA 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 $ fio Mobile Home Installation Fee $ Energy Inspection Fee $ . TOTAL FEE $ Q D. FEES IMP I FLOOD I CDF PARCEL PD HD U 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. C ' 0r V ByL4VDate ^^ J 1 PERMIT EXPIRES ON Date Receipt No. Opo WHITE-D.D.S.-B.D. CA AR - S SOR YINK-INSPECTOR GOLDENROD -APPLICANT Name JENGELBRECHT CHARLES &SHARON FAM Addr1 JENGELBRECHT CHARLES & SHARON TRUS Addr2 174818TH ST Addr3 10ROVILLE CA 95965 Addr4 Comments 13010102900 CONVERTED 09/08/88 Creaking D oc# 1982R 2759585 Dake Current D oc# 1994R 39130 D ate 09/19}199 Killing Doo# D ate Asmk D esc 174818TH ST S uplCnk Zoning JAR D well Acres 1 0.00 N /C 030 Asmt # 030-101-029-000 Fee # 030-101-029-000 Status ACTIVE Status Date Tax FO -O0 INORMALOWNERSHIP TRA 1104-010 Situs 11748 18TH ST ORO Base D k I- Land Structure Fixtures Growing Total L&I Fix. RF MH PP 24,540 98,238 0 0 122,778 0 0 0 E xemptl 7,000 Net 1 115,778 R /C# T/R Dk RIC S kat i'a PHY I OWN I EXP I TAX I H O N I ATT I all T I APR. I PCL I r<I -`I P.I mI, Find AgPres E tal N okes B onds Multi Situs Flag1 Flagg F Asmk PP Pen Tax PP Pen r Appeal Pending Split Pending Land Structure Fixtures Growing Total L&I Fix. RF MH PP 24,540 98,238 0 0 122,778 0 0 0 E xemptl 7,000 Net 1 115,778 R /C# T/R Dk RIC S kat i'a PHY I OWN I EXP I TAX I H O N I ATT I all T I APR. I PCL I r<I -`I P.I mI, Find COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS '-n 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT/NO.. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place. used by the public. ASSESSOR PARCEL NO. OJQ — 161— 02 ZONING A , lJ OWNER,4r/es 46-1vazrz1,3 ^5-C A, 7_ PHONE NO. OWNER'S ADDRESS' z 9 ! U O (2^ >� X LOCATION OF BUILDING1-1210, � G S>C5,eo C USE OF BUILDING 3ro�114 f SIZE OF STRUCTURE D 0 . X - SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAM' E V STEEL CONCRETE OTHER (Specify) TYPE OF SIDING W00.0 ROOF COVERING CO FLOOR TYPE C6/ve . ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows- G J FRONT M- SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date �/— Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. 10 0 FLOOD PARCEL P.D. ROOFING ISSUE Receipt No. ���Y�9 so Director of Public Wo r By Da White - DPW, Yellow - Assessor, Pink - B. L, Goldenrod - Applicant ,. �. ,Cir: •.,Ya.r�,-:-*W'�i•" .Yt i.�i Till COUNTY 'y;t`r"�vv�:r�Y""'. rr3r M�'+,:::.(�wl ,y+'2S'"'�n9lt"#i':r r�`r9.a`'"�,i''�r'tewT+ 3 `r= 1'tfT�`�•1t �TiYF` 3(7,1_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET 1 r___ Y" Permit No. OWNER �lQ%�le s IV6? L�%I,C 1,/ A. P. No. 0?Q — lO�—QzC% Proposed Building Use��r C 9 Building Inspector.�� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: � DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed'by preparer. of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form. .... ... ........*.................... T 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation .instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ........................................ 12. Park fees paid ....................:............................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for -(A) Use: (B) Parking: .. 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. (Date) When you Issue the permit, process as follows: Mail to owner. . Mail to contractor. _Telephone S.3Z--Oq and hold for pickup at 6a-6 office. Deliver w/inspector. Other __7 Appl ica Date! 1�--9J — Copy of Haz-Mat form sent Health Dept. —'Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items'No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date a 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 FEE INFORMATION DBE Single Phase Service-Resid $58.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires UNKNOWN / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 11/20/2007 Contractor's Signature Date , WORKERS' COMPENSATION DECLARATION I 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 WORKER'S COMPENSATION INSURANCE, as required by 1 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: _ (This section need not be completed if the permit is or one ehundredllars ($100) or CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 3SUED, I shall notemploy any person in any manner so as to become subject to the Workers' :ompens3' aws of California, and agree th I should become subject to the workers' X ompe sn etion pr isions of Section 3700 oft bor Code, I shall forthwith comply with those rovisions. Owners Signature $58.00 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) 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 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: ❑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 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the properly who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). under Section 4 / B. & P.C. for this reason: 11/20/2007 zlgnature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip 11/20/2007 Date I 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 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 injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowle5ye that issuance of this permit does not authorize the us��anany lk, street, or psidewalk. I hereby authorize representatives of Butte Counioed prop y for inspection purposes. I hereby certify that I am the groped to act o e property ow r's behalf. 11/20/2007 Owner El Contractor OR. Agent for Owner Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 1748 18TH ST Owner: Permit No: B07-2375 APN: 030-101-029 SNOW, PATRICIA MAE REV T Permit .type: MISCELLANEOUS 1748 18TH ST Issued Date: 11/20/2007 By AAM Subtype: Electric Panel OROVILLE, CA 95965 Expiration Date: 11/19/2008 Description: ELE SER CHANGE (530) 533-3434 Occupancy: Zoning: AR Contractor Applicant: Square Footage: UNKNOWN SNOW, PATRICIA MAE REV Building Garage Remdl/Addn 1748 18TH ST OROVILLE, CA 95965 Other Porch/Patio Total (530)533-3434 FEE INFORMATION DBE Single Phase Service-Resid $58.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires UNKNOWN / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 11/20/2007 Contractor's Signature Date , WORKERS' COMPENSATION DECLARATION I 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 WORKER'S COMPENSATION INSURANCE, as required by 1 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: _ (This section need not be completed if the permit is or one ehundredllars ($100) or CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 3SUED, I shall notemploy any person in any manner so as to become subject to the Workers' :ompens3' aws of California, and agree th I should become subject to the workers' X ompe sn etion pr isions of Section 3700 oft bor Code, I shall forthwith comply with those rovisions. Owners Signature $58.00 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) 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 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: ❑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 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the properly who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). under Section 4 / B. & P.C. for this reason: 11/20/2007 zlgnature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip 11/20/2007 Date I 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 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 injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowle5ye that issuance of this permit does not authorize the us��anany lk, street, or psidewalk. I hereby authorize representatives of Butte Counioed prop y for inspection purposes. I hereby certify that I am the groped to act o e property ow r's behalf. 11/20/2007 Owner El Contractor OR. Agent for Owner Agent for Contractor FILE COPY IA% 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 APPLICA TION Website:www.buttecounty.net/cIds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name J Name FirsYNa e e / Mailing Address/? L /F City 20 V / LG Stated_ Zip �)� Phone 5-33 Fax E-mail Fax d CONTRACTOR Name City Address City/2oV/G City State Zip Zip Phone3 7o Phone Fax Fax E-mail Open Cov Lic. # Class d APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail Open Cov State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION AP# 036- Property 6 Property Address City l PERMIT NO. j7 -PO BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: / 7LD BUD - /1p4_0 SRA Yes No Occ. Scl FT- Living Garage Open Cov O Structure Built without Permits El Proposed Change of Occupancy (Note previous use): For office use only: Zoning Floodn�TypeConst. SRA Yes No Occ. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP053184'' PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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 in full force and effect. License Class : License Number. Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which 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 pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of iha'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 the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ 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' State License Law does not apply to an owner of property who builds or improves thereon, and who.does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 1 sale.). ,10 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' to License Law.). ❑ I )am Exempt under rticle 3 of a siness andPAfessio ode Date:/�- —2 -o O ���/ ' / 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Issued Date: 12/02/2005 APN: 030-101-029-000 Site Address: 1748 18TH ST ORO Map Index: Description: 1 gas insert, 1 gas free standing stove Owner: SNOW PATRICIA MAE REV TRUST SNOW PATRICIA MAE TRUSTEE 1748 18TH ST OROVILLE, CA 95965-3004 Applicant: RELIANCE PROPANE 6426 SKYWAY PARADISE, CA 95969 530-872-9200 x206 Contractor: RELIANCE PROPANE 6426 SKYWAY PARADISE, CA 95969 530-872-9200 x206 License #: 734318 Architect: Engineer: Carrier: Policy #: Total Square Ft: 0 S. F. (C J Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: 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' `lam l compensation provisions of Section 3700 of the Labor Code, I shall m // forthwith comply with those provisions.IQ C U Date: Appli v\ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 1\ code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit Is eby issued under --the pl" ble prov' ions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolution o do work indicated a e f whlch fe have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: Name: ) Address: PERMIT EXPIRES O ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I gree to comply with all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substa o an fficial form or document of Butte C ty. I hereby authorize repres/eeptt9ves of Butte County to enter upon the above mentionedpropertyfor inspection p rposes. Print Name; _ r':/r(C ��i �j/j/d Imo/ Signatu Date: / Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION "PLEASE PRINT CLEARLY*" PERMIT NO. BP6 3/ 8 BIN # CONTRACTOR Name jA /e7j- /74e.Lf % J .e__ Address Flood Zone Stat Fiplf s Phone j 7 o Fax E-mail Lic. # Class ARCHITECT/ENGINEER Name Address City State Zip Phone Fax E-mail State License Number APPLIGANT NAME Name Address J Flood Zone City D 2D WLely StateG,� Z''11 / Phones�33— 3L13 Fax E-mail Subdivision Name Map APPLICANT SIGNATU XI For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved:. OVER FOR SUBMITTAL REQUIREMENTS WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 6A--5 52L%=-P6tL r' //v SLn2 Sq. Footage / 64--> ❑ Structure Built without Permits S 7-D 1/ ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received bby�i� Amount v Bldg v _ / SRA Receipt #:' ©� / Sheriff q q SMIP Date- Other ) 2�2 �` __Total SUBMIT'T'AL ISEQUIREMENT'S The:following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if'required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. o 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site°plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: o 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect'for truss design review. o 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). o 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in . triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. . ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like addi'tio'nal information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-i ' 6-04 6 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: 1748 18TH ST Owner: Permit No: B08-0189 APN: 030-101-029 SNOW, PATRICIA MAE REV T Issued Date: 02/05/2008 By KCG Permit type: MISCELLANEOUS 1748 18TH ST Subtype: Re -Roof OROVILLE, CA 95965 Expiration Date: 02/04/2009 Description: RE -ROOF (32 SQ) Occupancy: Zoning: AR Contractor Applicant: Square Footage: SNYDER CONSTRUCTION SNYDER CONSTRUCTION Building Garage Remdl/Addn 6337 CUSTER LANE 6337 CUSTER LANE OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 534-8862 (530) 534-8862 FEE INFORMATION DBMSC Re -Roofing $204.50 Total Charged: $204.50 Fees Paid: $204.50 Balance Due: $0.00 Receipt No: B6267 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires ,, / res I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SNYDER CONSTRUCTION 890962 / B / 02/28/2009 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 I9 ��jj FIR, /UNDER PENALTY OF PERJURYdhat I am licensed under provisions of Chapter 9 (command 9 with Seq'on 7000) of Division 3 of -the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full fo ceand off o. 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 02/05/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The 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: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I 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 peril 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 nee no a competed if the permit is or one hundred dollars ($100) or ess. IN ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: I CERTIFY T HE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 02/05/2008 ISSUED, I s all n� employ any pernn in any manner so as to become subject to the Workers' Compens ion)aws of Califomia, nd agree that if I should become subject to the workers' X Compens do 'provisions of Se ion 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisio X- 02/05/2008 1 hereby certify that I have read this application and state that tfffjjp above information is correct. I agree to comply with all City and County ordinances, rules, regula d,, and State laws relating to building Signaatture Date WARNING: FAILURE O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND construoion, and with any and all conditions of permit. I agfe� to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from a y nd all claims and liability for personal SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND injury, including death, and property damage ce e tgat i, arising out of, a in any way connectediz with the issuance of this permit. I hereby acknowledge tFtat i$guance of this peril does not authorize the ATTORNEY'S use or occupancy of any sidewalk, street, or subsi vlk. I hereby authorize representatives of Butte FEES. County to enter the above mentioned property for r}spection purposes. I hereby certify that I am the property owner or am authorized to act on the pr arty o ers b If. CONSTRUCTION LENDING AGENCY Sco 5 /C�p ,- 02/05/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee ISIGNI Print Date the performance of the work for which this permit is issued. (3097 civ. code) 11 Owner Contractor OR: Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip Y it r 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 PERMIT NO. _ BIN # 19 "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name C° Name First Name Mailing Address i / L, City �/� City State Zip Phone S27- -3"(3'-/ Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Address 277 tr` City 06 rk Zip State Zip S ld Phone '. Fax E-mail Lic. # 9 Z Class 63 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION AN _ Property Address f1t, S` City OrOA. . a- I WORKER'S COMPENSATION I Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of I worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. 7co/ Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const.