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HomeMy WebLinkAbout030-350-10630-35-106 ED PHILLIPSy�� 1458 14th st , Oroville ontr:• Rick Mauldin o Permit#1729-88P(relocate gas meter)SF 030-35-0-106 00-2207 SCHULMAN, SCOTT 1458 14''; STREET, OROVILLE CONTR: OWNER RE ROOF�� B07-0024 030-350-106 MISCELLANEOUS Room Addn-First Stry ADDITION - MASTER BDRM AND BA 1458 14TH ST JEANNE COX B07-0076 030-350-106 MISCELLANEOUS Electric Panel ELECT. SERV. UP GRADE 1458 14TH ST JEANNE COX i WEST, Everett - 5332B �3l FIS 0- 1458 14th St., Oroville 3 35 r; convert carport to storage). Lrl) Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done, 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return CLAIMANT'S NAME: �x MAILING ADDRESS: ��-- (61S _0 PHONE: ASSESSOR'S PARCEL NO.: 0 ' 35 0 [Please use one claim form per permit.] BLDG PERMIT NO.: - d o 2 Receipt No. 1 Receipt No. 2 Receipt No. 3 RECEIPT NO.: RECEIPT DATE:-rf"r%26a RECEIPT AMOUNT: REASON FOR REFUND REQUEST: Check those fees which you wish to have considered for refund: tC:5�uilding Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning) =Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Re uest for Refund. If you want the plans,you may ick them u prior to that time. Signature [ / K:/Forms/Refund Application 082203 Date BUTTE COUNTY MAR 0 7 2007 DEVtLOPMENT SERVICES = 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: 1458 14TH ST Owner: Permit No: B07-0076 APN: 030-350-106 JEANNE COX Issued Date: 01/12/2007 By TMP Permit type: MISCELLANEOUS 207 SONORA DR Subtype: Electric Panel SAN MATEO, CA 94402 Expiration Date: 01/12/2008 Description: ELECT. SERV. UP GRADE (650) 458-8030 Occupancy: Zoning: AR 0' Contractor Applicant: Square Footage: out to bid JEANNE COX Building Garage Remdl/Addn 207 SONORA DR SAN MATEO, CA 94402 Other Porch/Patio Total (650)458-8030 FEE INFORMATION Single Phase Service - Res $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1496 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 out to bid / / 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 than five hundred dollars 01/12/2007 penalty more [$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 WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does I HAVE AND WILL MAINTAIN the work himself or herself or through his or her own employees, provided that such improvements 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 Section 3700 ,, �� � /I I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED L/�S,`I CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 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; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier. Policy Number: Exp. Date: (This section need not be competed if the permit is or one hundreddollars ($100) or less.) // ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ZI CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, 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'X 01/12/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X01/12/2007 I hereby certify that I have read this application and state that the above information is cored. I agree to comply with all City and County ordinances, rules, regulations, and Slate 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 HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. 1 hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro rty owner or amquthorized to act on t e property owner's behalf. CONSTRUCTION LENDING AGENCY /i' ��ct 01/12/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame o Permitta [SI N] riot Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR; gent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OFbDEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buftecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name © irst e Mailing Address 'I'D So r v 'rL CityState 0 Address Zipl Da Phone S13 ^ , cQ 0 Fax E-mail J£/�Yt 1✓jF_ . �'p �CA) .CpYk For office use only: CONTRACTOR Name Flood Zone Address Address City I No State Zip Phone City Fax E-mail Zips Lic. # Class For office use only: ARCHITECT/ENGINEER Name Flood Zone Address Address City I No State Zip Phone City Fax E-mail Zips State License Number For office use only: APPLICANT INFORMATION Name Flood Zone FE Address xA I No Occ. o Subdivision Name City 10A0 State Zips Phone O _ _ Fax E-mail A i�l rl' , 0-V x 2 C'c/ � co � For office use only: Zoning AN. D Flood Zone Property Address / SSS SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: 0 PERMIT NO. BIN # D scription or Scope of Work: Sq FT- Living Gbrage Open Cov ❑ Structure Built without Permits ❑ 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 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 by: Amount: PROJECT LOCATION AN. D /Dlv Property Address / SSS l �s Cit 73 tel -17 . Cross Street )i d � 1 Other Date: 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 D scription or Scope of Work: Sq FT- Living Gbrage Open Cov ❑ Structure Built without Permits ❑ 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 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 by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date: Total Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). 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. (YES OR NO) 2. I (HAVE/HAVE NOT) 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 THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: 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 Description: ELECT. SERV. UP GRADE Reference Number: B07-0076 Applicant Name: JEANNE COX Signature of Property Owner: Date: Jan 12 07 02:26p nmador 4088483402 p.1 F� ' FAX ND. :6504588161 Jan:12 2007 10:45AM P1 Jeanne Cox 207 Sonora Drive Sio Mateo..CA 94402 January 12,2W7 To Whom it May Comm. • RE: E Y, Jeanne Cox, owner of 1458 14`t Street, 0mv lle, t^,A 95965, by way of this letter and attached copy of Ccant Dead. do kwby give permission to Brian Brauden to pull permits for an dccuxW box uppadc for the above stated property. t Thank you for your assiamaacc. Si dy, /-,==�COX4 Jan 12 07 02:25p Rmador FROM . ti REMDM RIQUES M SY: Old Republic M4.0 -m$ eV ORDER #: 0621002363ASR6 APN +f: 030-350-106.000 ` WHEN RECORD® KAIL TO FAX PD. :6504588161 Jeanne COX 207 Sorwra Drive San MMD, CA 94402 2.308 Z5� –34 6 7. 4088483402 Jan. 12 2897 10:46AM P2 i ��NI�[�IM�IiN 2006-0065112 tlecarded IIB fff tAN Officiallhewds I1Afi >is3.9 O04 of DmIM i'iN CAN* Ci J I low i rr6 I ppa flap 1 of P SPAM ABBE 7M UNE FOR RSODMDM USE The tutdw*ned grartta(s)dad (S, ( T �.r 9 R. 806Hws = K ooatranoy transfer teat is $161st �rpe ad Chum (ii) =nputDed at AS value of property Co Nee, Na % lMnpLftd onfult�value lm4f Sens endenatmbowmes remaining at tine of sale. .. . tom. T M UnWcxpwzftd area: () city of Ocdst.8enttn nroffino sae an door wL FOR A VALUABLE CONSICERATION, receipt of witch Is hereby atknowle 94 Amador Leat, a married men, as ifs sole and separaee property howeby GRAKRS) to 3erarme CDx, a single .roman that property in uWn0XPW2Wd anew of Butte.COunty, Stele of QWbrm, da=bed as follows: See " Wdbm a attached hereto and a+ade a part hereof Mail Tax 513terr wit m Grantee at address above t 0 ,, =��� �r pit--� .',•T LE - -Z Persm,hr known to me par proved to me an the bass of =UdKbW einem) to be the persbi�S) vdtwe BwWs) Mare subsofted. to the white inStrumre anndd adamAtoWd �.r 9 R. 806Hws = K o0- me that he/d*/#W OMCAW the same in Wherffly& authorimd COMM. NO. 1074477r, i nrorrrw+truertc-GWrCteW PFU*K es), and that by hIsI hMAI'mir sowhj (s) on the ft&mw* the powKs), or the erAly upon bluff of width r S VMCkAPACOti N = Com f]fEtEiF iu flXrttl: the PersmKs) acted, em ited the imowy eat TAX WATEMr M ^S 1 Vv, Jan 12 07 02:25p Amador 4088483402 p.2 FROM FAX ND. :6504588161 Jan. 12 2007 10:46AM P3 ad�xtloEo:0403-IS13i87 EXHIBIT aq" s LEGAL DESCRIPTION Real PW* in the wwaoMmted area of the CoMty Of BuUk Stale Of O fOndk desoMW a$ foNows: PARCEL 3, AS SHOWN ON THAT COMM PARCH. MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF WT'TT~ STATE OF CAIIFORNTA, ON MARCH 11, 1981, IN mm 82 OF MAPS, AT PAGE(S)1. APR: 030-35Q-106-0 Mid VaW 7Xb & Esmw CooWo y jw 030-35-0-106 00m2107 SCHULMAN, SCOTT 1458 147 STREET, OROVMLE - CONTR: OWNER RE ROOF N COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION -AND PERMIT 00=22&._ ASSESSOR PARCEL NUMBER 030-35-0-106 ZONING BUILDING PERMIT OWNER SCOTT SCHULMAN TELEPHONE 343-4973 SO. FT. OCC. BUILDING VALUATION 9 540 OWNERS MAILING ADDRESS 8858 TROXEL ROADO CRCO 95928 CONTRACTOR'S NAME OAR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 17.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1458 14TH STREET. OROVILU Energy Plan Checking Fee $ $ PERMIT FEE S11 J1111 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF] Duplex ❑ Mobilehome ❑ Other sPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE ROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600V 0 R LESS Main Service zo..OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law Jir the following reason: NW 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. s0 OR AODNS. ( & ACC. BWS. 3.50F7. NONq�T. Ip, MULTI.OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FDTTUREs BAL ®1. 0 Ex. Occup. OUTLEEOTS Ra ,OE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700- of the Labor Code, for the performance of the work for which this permit. is. issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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) ❑ 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 works' compens tion provisi sof section 3700 of ;the Lab r Code, I shallfo hwith com ly i tho pro Isions. X Date �� Signature f Applicant- An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 37.00 HAz. D FEEs IMP FLOOD CDF PARCEL Fo ND SSUE .00 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ve for which fees have been paid. y Date I(" / 0 PERMIT EXPIRES ON Date Iluv Receipt No. ' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IM COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • CiAPPLICATION California 95965 • Telephone (530) 538-7541 ;�1611T NO. (Rev.12/96) ZT '% APPLICATION AND PERMIT' 00-2207 ASSESSOR PARCEL NUMBER 030-35-0-106 ZONING BUILDINGPERMIT - OWNER SCOTT SCHULMAN TELEPHONE 343-4973 SO. FT. OCC. BUILDING VALUATION 9 @60 540 .OWNERS MAILING ADDRESS 8858 TROXEL ROAD, CHICO 95928 CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 540 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1458 14TH STREET, OROVILLE Energy g Fee $ Ener Plan Checking $ PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF P 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 ❑ Describe Work: RE ROOF Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800V OR LESS Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I Hereby affirm under penalty of perjury that I am exempt from the Contractors License LawJbr the following reason: >�7 I, as owner of the property, or my employees with wages as their sole compensation, I will do the work, and the structure is not intended or offered for sale. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00SO WEE200A CCU000A NEW CONST. DWELLING occuP. AD NS. ( ACC. 3.5¢F°. ro, M uBUDSST NON -REBID. @7.50 PowERNGLE OUTLET APPARATus a SI CTR. Ex. Occu OUTLET OR FIXTURES 20 p L.00 BAL @ .so Ex. Occup. o�ilTLEETS R D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 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.) ❑ 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' comp tion laws of California, and agree that if I should become subject to the wor rs' compens tion provis' s of section 3700 of the Lab r Code. I shall fo with com ly i tho pro Isions. X Date Signature "f Applicant - wner Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction 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 $ 37.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ve fo fees have been paid. B ate I L3 PERMIT EXPIRES ON Date Receipt No. 302889 / $37.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.- APPLICATION AND PERMIT Rev.12/96) :.... T ASSESSOR PARCEL NUMBER /v 7o ! ZONING BUILDINGPERMIT OWNER /�T✓�`''I7J% T LEPMONE SQ. Fr. OCC. BUILDING VALUATION COMM OR'S TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER , Fireplace LENDER'S MAILING ADDRESS Total Valuation b ARCHITECT OR ENGINEER LICENSE NO. Filing Fee b 20.00 Permit Fee b ARCHITECT OR ENGINEERS MAILING ADDRESS I Plan Checking Fee b BUILDINGADDRESS ! -•5_ O t Energy Plan Checking Fee b b PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SI; O 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 ❑ Rem el ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE b ELECTRICAL PERMIT Fling Fee 20.00 OOOV LESS Main Service 400AOOR R.S3 23.00 RECEIPT # �J� SRA $ SHERW $ v TOTAL - Receipt No. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BIDS. 3.50so NEW CONS . MULTFOUTL NON REsio. ET 97.50 PSO APPAMTUS 8 SINGLE OUTLET CI, 20 EX. OCCU . OUTLET OR FDCTURES O t.DO BAL_ .SO Ex. Occup. o rsAPPEsIo°EEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee b Energy Inspection Fee b occ CONST. TYPE� TOTAL FEE $ FEES IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Data WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _. . 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 budding permit aril . be issued until this verification is received. �---1. I personally plan to provide the major 131510"r and materials for construction of the m rovementProposed prop rtyiYES" N9[ ]. _...- _ ....... , . .. l Z. I HAVE HAVE NOT[ ]signed an application' for a buiilding permit for the proposed work .. 3. I have contracted with the following person (firm)' -to' provide. -the -proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following4mimns to provide the work indicated: NATNIE ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of . property improvements specified.:. For your protection, you should be aware that as "owner -builder" you are the responsible party od iecord on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yoursel& you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your awn work, with. the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work"(mcluding materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you.are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. . 0 There may be financial risks'for you if you do not carry out these obligations,'and these risks are.especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Inteinal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are.allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" 1,buildingpermit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael -C. Vieira, C.B.O. ivianager, Building Inspection NOTE: This &.a -.ie, --Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 ��...-�;,.'ir-^'�i'+'•k`i':*1IiiY"`rY'�i�✓'�..-++�-�'`"'n.t'i':"']1��-�'"`''�t+y+�,"�^,(1../�h^�""rs-+"b�"i�'ti�r�r�v.,.f4+ ,rK-��r-.*Qy.r..-o...,..+S4ti � �� � � � r _ ` . .. .. �� �� ,, f �� �j . - i � � f, ,, ,___ �. z f i ,7 �' 1. d s f' ��G�'��. � �� �` } ., � �� y 4h �Ar COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone:J916/538-7541% (/l APPLICATHA ANUTERMIT ASSESSOR PAR EL NUMBER ZONING BUILDING PERMIT OWNER f t ` TELEPHONE OW74.ikANG)V7E#5S� SQ. FT. OCC. BUILDING VALUATION COI CTO�S NAME T,E�E P,H� NES_ Y, 4Y/ CONTRACT//OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 re V ` 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 SFf) Duplex❑ Mobilehome❑ Other 3 SPECIFY 1 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 1 G 1 W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remode�,lr❑ 1 Utiliti ❑ Itallation� ther [ Describe work: IAF 1r, r GI -( r-)0100�' I� AlU Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 60OV OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �(L]`I am licensed under provisions of Chapt. 9, Div. 3 of the�Business and Professions Code and my license is in full force KaI]d effect. (f(�V0 f 76 $f License No. Classifications El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ! ❑ I, as the owner, am exclusively contracting with licensed; contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST ( DWELLING OCCUP.a) OR ADDNS. ACC. BLDGS. +/zQsgft NEW CONSTR. MULTI -OUTLET 2.50 ea NON-RESID .BRA CH IRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcupOUTLETS OR FIXTURES ALeso (8AL030 FIXED PR Ex. Occup. OUTLETS (RESID )EA.Y 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. 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 shal I 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 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 authonze'representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities,,,judgments, costs,. and expenses which may in any way accrue against said,County in consequence of the granting of this permit. Date /��/ 7 ` ❑ Signature of Applicant — Owner ❑ Contracto 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 $ TOTAL PERMIT FEE $ OCCU P. CONST.TYPE ISCHOOLrLOODIPARrrLI P11 I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. i DIRECTOR# OF PUBLIC WORKS ` Bye /' Date PERMIT EXPIRES Date Receipt No. / / / WHITE-D.P.W., YELLOW-ASe E330R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-27'51 • 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872.-6307 CORRECTION NOTICE - -00 MIT NO. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. st row 4�1.4-. (�n,���e {a ✓N�^4C'rr+i�na s Inspector I� Date (,d 3Lge COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATI'ON"AND PERMIT INVON'A V2,00 ASSE OR PAR EL NUMB ZONING BUILDING PERMIT o 7 / � 7 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNS M G 3 CON/R'S NAME CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 I Permit feet' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ro tl 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 SFS� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JWF 10.00ea. TYPE OF WORK New ❑ Addition ❑ Remode Utilitie#,s❑ l Atallation -/ether [K, Describe work: 16) o �' P / fd F� Al/IVr Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 11100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): 0-1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force a d effect. License No. � Classifications 3� '� ❑ 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.a` , OR ADDNS. ( ACC. BLDGS. I /20sgft NEW CONSTR TI.OUTLET 2,50 ea NO N.RESID BRANCH CIRCUITS) POWER APPARATUS .&) (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES eAL@30 Ex. Occup. OUTLETS FIXED P(RESI0.) ,RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Penult Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 9I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C.•laws of California. Notice to Applicant: If after making this statement, .should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee s 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 Iia s ments, costs and expenses which may in any way accrue again s u t in copse en of the granting of this perm't. X Date Sign ,ure Applicant— Owner E] Contract-A_Agent An OSH 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.TY scNooLJ FLOODJ PARCEL I PD FD 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or IRECRKS work Ind i d abkK52 By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. - Receipt No. �� Y / WNITE-O.P.W., YELLOW-ASeESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT