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Home My WebLink About030-462-001AP Kipley Hol oa 20th St. , Oroville- r ' CONTR: TML Inc., Oroville Permit •5037-77B, P,'E,M_(new •SF) - - -' i 4--• PERMIT#95 1751' ' DEGROOT Oland O % 1996 20th"St., roville./�j�� Cont ; IZen 'Rash r Siding & Insulate/SF. ' 030-46-2-001 00-0914', DEGROOT, OLAND' 1996 207 ST., OROVILLE • •, ' CONT: KEITH ORMAN �� r REROOF... ' , 1,�tllj B06-2467. MISCELLANEOUS 030-462-001 NEW ROOF MO HVAC Change Out T HVAC, 1 1996 20TH ST T _ DEGR001' A l . , OLND E & SIEGLINDE t W �Y •i . .Y;.: I rCFF�fl ' ., v COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIV SION 7 County Center Drive - Oroville, e:sl`IfoF7tia 95965 - Telephone (916) 538- 41 PERMIT No. APPLICATION AND PERMIT 5 - ASSESSOR PARCEL NUMBER 030-46-2-001 ZONINGILDING AR PERMIT OWNER OLAI�?D DEGROOT TELEPHONE SO• Ff• OCC. BUILDING VALUATION EST 7, 400 OWNERS MAILING ADDRESS 1996 20TH ST OROVILLE CONTRACTOR'S NAME KEN RASH TELEPHONE 891-4569 CONTRACTORS MAILING ADDRESS 1829 SKYWAY PARADISE Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1996 20TH ST OROVILLE PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBONISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑X)Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPT ACF. MASONITF SIDING & INSULATION (F R) Mobile Home TTFG W @20.00 PERMITFEE J$ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main ServiceEOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 ' LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. 2 S'�/ �, 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 NEW CONST. DWELLING OCCUP.SO. OR ADONS. ( & ACC. BUDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER SINGLEAOPUTLET PARATUS ) 8 CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 Q I•50 BAL so EX. Occup. (OUTLETS RESID.OEA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) Qty I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date �= Z S �� Sign of Applicant - ❑ Owner ontractor ❑ Agent An HA 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 $ DCC CONST. TYPE TOTAL FEE $ 1 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 7/25/95 BY Date PERMITEXPIRESON 25/96 (Date) Receipt No. 180740 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT , J7WR r eFNiti'."t.$:1•?;Ye�°!,sr F� 030=462•-001 PERMIT#95-1751 DEGROOT,"•Oland 1996 20th-St,,Orovilld` x' Cont; Ken -Rash" Siding & Insulate/SF � F r yl I J a l' ' • r i • f �bs �"S • S i % P/t fdv�-LIQ° r,(` { t r • � y • t r ' COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916)538- i 41 PERMIT NO. APPLICATION AND PERMIT Z2S � I ASSESSOORP_ ARCELN-2—Ml .�]7lCJ��`/i Zo"' ILDING PERMIT OWNER GLAND DEGROOT TELEPHONE SO. FT, OCC. BUILDING VALUATION FST 7,400 OWNERS MAIUNG ADDRESS 1996 20TH ST OROVILLE CONTRACTOR'S NAME KEN RASH TELEPHONE 991-4569 CONTRACTORS MAIUNG ADDRESS 1829 SKXWAY PARADISE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 99.00 ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS • I Penalty $ BUILDINGADDRESS 1996 20TH ST OROVILLE PERMITFEE $ 119.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCE MAP I Solar or heat pump water heater 23.00 Water piping 15.00 USE OF STRUCTURE 1 SF OMuplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK -�... New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: REPLACE MASONITE SIDING & INSULATrm (FLR ri Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 EOOV OR LESS Main Service ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 ems.. .,yam 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 09 Lic.. No. Z 3 S S./ 1- .- — OWNER -BUILDER DECLARATION �----. `� 1 hereby affirm under penalty of perjury that I am exempt from the Contractors Lice -se Law for the following reason: _ ..; O ],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,aontractors to construct the project. -^.. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( a ACC. BLOS. ) SO. 3.5Q FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) B20 @ 1:00 FIXED APPWS. OR Ex. Occup. p• ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor 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.) t7 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. /J X / ii Date _2 S 1, .. Signa U�pplicant - ❑ Owner 93,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 $ 119.00 HA2. I D. FEES J IMP I FLOOD I COF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 7/25/95 By Date 01 .5/96 PERMITEXPIRESON (Date) Receipt No. 180740 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OL o- PERMIT NO. 5037-77 B,P,E,M PERMIT EXPIRES! ,'OWNER Kipley Holbrook aCONTR. TML Inc.,. Oroville LOCATION (A.P. 30-037-16 �. 1996 20th St. Oroville x r q 7 V A n . i nr Temp. Power Pole Called PG&E Temp. Elea. Serv. Called PG&E jjoeTmp. Gas Serv.Called PG&E B FINALED _ o� (Date) (Si ture) THIS IS TO. CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA,' IN THE BUILDING LOCATED AT: 07 Street Lot Number Tract No. EXTERIOR WALLS Manufacturer �f/� Thickness/Type R Value. CEILINGS Batts: Manufacturer s Thickness R Value Blown: ManufactThickness No. Bags Wt./Bag Sq.'Ft. Covered R Value l FLOORS � f ManufacturerThickness/Type t- -- R Value SLAB ON GRADE Manufacturer Thickness/Type R Value ' Width of Insulation ;►,rhes FOUNDATION WALLS Manufacturer Thickness/Type` R Value G ERAL CONTRACTO LICENSE No. BY TITLE 16 e Cs Qtr 4 DATE 2 2 9 18' INKLMAP,ON CONTRA R: HAWKINS INSULATION CO. . LICENSE N . 2155-925 O�i�.DATE— BY TITLE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Motors est Mesh MECHANICAL Grd. Fault Prot. a / Scratch Heating, 77 z Service Brown Cooling Temp. Pole Finish Ducts a Underground 11-11 Interior Lath Ventilation / Permanent Z/ Door Closer Final :2i 1` Final OBILEHOMEUTILITIES------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 916EHOME INSTALLATION - - - - • - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORK CTIONS 61 .�� oollp 2� (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING BUILDING (Cont'd) PLUMBING Setback ZP -20 -77 KV-- Firewall Soil Piping Forms Parapets 1st Floor- p7 Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaI1 Siding To out Slab Roof Sheathing .4:7-1117-0" Water Piping Piers ka -ZO-7 AQV Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwallInsulation Garage Vents .3oZ Water Ii Heaters Slab Carport Footings ,� 7 Prov. for physically. handicapped Conformance of ex. structure . /A Appliances Gas Piping &Test l O Temp. Gas Slab Final Sanitation Patio FIREPLACE Final ZZ Footings Footing , ELECTRJOAX Motors est Mesh MECHANICAL Grd. Fault Prot. a / Scratch Heating, 77 z Service Brown Cooling Temp. Pole Finish Ducts a Underground 11-11 Interior Lath Ventilation / Permanent Z/ Door Closer Final :2i 1` Final OBILEHOMEUTILITIES------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 916EHOME INSTALLATION - - - - • - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORK CTIONS 61 .�� oollp 2� (NOTE: An entry must be made on this form each time you visit the job site.) " COUNTY OF BI-1TTE r DIEPARTMENTF«P PUBLIC U LIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Tel phone: 534-4541 APPLICATION AND PERMIT Owner t10 kiC7 o0 Mailing Address Telephone No. Contractor ^ f1/) L �� I Mai I i ng Address 1 i ng Address ,� v � tti lle t Telephone No. �-O o� Building Address O Q A0 k �, {�C Zontng VaRric ion Only A. P. No. 3 _7, 7 — r t Fes S on FireDeet. Fire Zone Use Permit Parking Parcel EQA Plans Declara' n Par( ap 60' R/W Improvements Bldg. Plans Recd arce pproval PIa proval NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family Duplex ❑ Mobil Home ❑ Others ❑ 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: License No. a 3 C C d� ClassificationA-1 6—OZ 7 —7 7 _ BUILDING SQ. FT. OCC. I BUILDING VALUATION !47 Fireplace Total Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD•L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. / DWELLING OQC ap ei H CIRCUITS %PPARATUS & )UTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURE. EX. OCCU FIXED APPLNS. OR P• OUTLETS (RESIO.) EA Temporary service Mobile Home Facilities Misc. Wiring U I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating_ 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. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1��, o X Date �' .2 0 — 7% 61 Signature of Perrmmiitee or Agent Receipt No. 116 �7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Coolin 13.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 @ FEE $3.00 5.00 2.50 25.00 1.00 20sgft 2.50ea $1 �11 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work 0 @ 25¢ 3AL@109 2.00 10.00 15.00 6.25 Building permit expires Date $313%406W L @ FEE $3.00 3.19 Ventilation Hood 2.00 0-0 Permit Fee $ $ 6 -0 a 11 ID.0 --A _I- rTOTAL TOTALPERMIT FEE $1 �11 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. DI ECTO F PUB IC WORKS By 4�' Date - Building permit expires Date RES IDENT IAI, PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. Permit�k o % �� OWNER, � \ o i^0 � A. P. cZp — p,? 7 2 — G, A. GENERAL Zo 'ng requirements (sideyards and parking). aluation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN ,1! Complete parcel size and dimensions. Setback.5, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8 Light fixtures, switches, receptacles, an exterior receptacles for maintenance of c anica qui me 9. -ons of ,,..�a�g & cooling equipment o}'�^r__________ _Y o__ Garage firewall, door 1.- 3'0"' exterior exit ireplace location. 7 Smoke detectors'(Sec. size, and closer (Sec. 503(d)(4)). door (Sec. 3303d). 1413). D. STPUeTURAL DETAILS Foundation plan complete enough to construct building. Fri:,, ; construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. !!4! Roof construction details complete enough to construct building. .Fireplace construction details and calcs if over one-story in height. CSufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR �! .CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716): Brick or stone veneer (Chapter 30). xterior plaster --weep screeds (Sec. 4706 & 4708). Proper roof pitch -for roof covering (Chapter 32). fter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. 0Living area over garage - complete 1 -hour separation required including supporting 1 walls and posts, etc. 1 Two (2) exits on three-story dwellings (Sec. 3302). THERMALITO IRRIGATION DISTRICT �, 4"lO'GRAND AVENUE I OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: -yf r Date: /J � 14 77 Address: ""' �L-,z-*.-. Acct. No: A. P. No.: 3 / -3 % i f Phone: 3 3 P No. Units: Applicant/Agent: Agents Proof: I1, Address: Fees: Phone: Application Arrearage Preliminary Review By: •U -^� �� i Date: Z - CSA 26 Remarks: SC -OR 1st mo. S.C. Other Total Fees ' � Collected By: -�-- Date: Field Review By: Date: Remarks: J MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). Q, 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TIO, YELLOW - APPLICANT, PINK - DPW. GOLDENROD - DPW to TID THERMALITO IRRIGATION DISTRICT 11�0,% 410 GRAND AVENUE +v OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date: =' Address:. Acct. No: A.P. No. -� r -�. Phone: r '~ �- No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: = Date: "' -2 CSA 26 Remarks: SC -OR 1st mo. S.C. Other Total Fees Collected By: Date: i 1, o ��- Field Review By:.—}i_,�-�...�-%f�>c_ r�;/�.a__ , - Date: -7 -P Remarks: j . -7 MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ri, 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes 1 first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID ;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 PROJECT INFORMATION Site Address: 1996 20TH ST Owner: Permit NO: B06-2467 APN: 030-462-001 DEGROOT, OLAND E & SIEGL Issued Date: 10/18/2006 By KEJ Permit type: MISCELLANEOUS 1996 20TH ST Subtype: HVAC Change Out OROVILLE, CA 95965 Expiration Date: 10/18/2007 Description: NEW ROOF MOUNT HVAC Occupancy: Zoning: AR Contractor Applicant: Square Footage: WAIBEL AIR CONDITIONING INC WAIBEL AIR CONDITIONIN( Building Garage . Remdl/Addn 1650 FEATHER RIVER BLVD 1650 FEATHER RIVER BLVD OROVILLE, CA 95965 OROVILLE, CA 95965 Other Porch/Patio Total (530)533-8128 (530)533-8128 FEE INFORMATION Heat Pump (Package Unit) $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires WAIBEL AIR CONDITIONING Ib CSLB-267743 / C20 / 11/30/2007 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 f and effect. X 10/18/2006 Contractors Si nature 1J 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. E AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by SeAVction 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; Carrier: State Fund Policy Number: 713-0014744 Exp. Date:10/01/2007 (This section need not be completed if the permit is for 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 the 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. X2 �& 10/18/2006 Signature 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) Lender's Address City State Zip Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B568 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 notintended 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.). EI, 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 property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this Ix 10/18/2006 Owner's Signature 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 acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property own r or am authorized to act o the prope owner's behalf. � { �L, 10/18/2006 Print I n.re Owner ❑ Contractor Old; Agent for Owner ent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX C (530) 538-2140 A FEE WLLL BE REQUIRED AT TIME OFAPPLICATION Website: www.buffecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name �U irst Name Mailing Add s �, T City State Zip Phone Fax E-mail f . '=. CONTRACTOR Name t L 4Q -/ /L_ I dC- Address ! L City � Stateeq Zi r , Phone �- ' Fax E-mail Lic. # CWss APPLICANT INFORMATION ARCHITECT/ENGINEER Name State Address Phone City E-mail State Zip Phone Page Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE 41X For office use only: AP# D3&. ;—ftyo Zoning Flood Zone SRA I Yes No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJECTLOCATION AP# D3&. ;—ftyo Property Address City Cross Street 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 ') F U O Address (,d U s 0 6 ✓1 Description or Scope of Work: c.Tc.__� — l Sq FT- Living�"?Garage Open Cov Cu ❑ 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 #: Sheriff SMIP Date �b � �� other Total __'._ _-__-_ �~~~~.-^__ - ~.~ ' ' ^ � � �� ~ - '^ v^-�" ' � - `� - �� ` '' ' ` ' k \ ' ' \~ �� ' ~ ` ,'- ' � �� \ � , ` �- ' ` ~ ^ . \- � � ' \ .`. � � . ^�' `. ._ � , . ' � ^. . COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING 01 SIGN { ' 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBZONING qt a -o BUILDING PERMIT OWNER I TELEPHONE SO. FT.OCC. BUILDING VALUATION / OWNER'S MAIJNDDRESST/f! r /... tom.I _r CONTRACTOR'S NAME TELEPHON e r CONTRACTOR'S MAILING ADDRESS - /• r Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS --- Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT ORENGINEERS MnxJNG ADDRESS Penalty $ BUILDING ADDRESS^^ % j PERMITFEE S PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ENDuplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK ! New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other b o L' r00 Describe Work: — Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service500v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 3 License Class r Lic. No. �� ;/ O �f 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. Cl� I am exempt under Sec. Business and Professions Code for this reason lJr / , r NEW CONST. DWELLING OCCUR So. OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) BAL O1.00 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _, X ��%' • _ Date, Signature of Applicant - ❑ Owner ❑ Contractor �07Agent An OSHA permit is required for excavations over 5'0" dee and demolition or construction of structurs over 3 stories in height. p Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 5 �, • ' HA2. I D. FEES I IMP I FLOOD I CDF PARCEL PD I HD ISSUE This permit is hereby issued under tie applicable provisions of the Butte County Code and/or Resolutions to do work indicatedabovefor which fees have been paid. r ,�� i By/ �t,.%-"• ' Date PERMITEXPIRESON /I /..- / (Date) Receipt No. 6uyl 40 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING SION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 5 -7541 APPLICATION AND PERMIT (/ / ASSESSORPARCELNUMO,30_ R PSQ. ZONING BUILDING PERMIT OWNER f' _?E7 sy� FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS92- D v1,&C C4 7,5-9w/ s CONTRA DR'S NA c,'tr TELEPHO 07 G -yi/5l CONTRACTORS MALLI ADDRESS (J %j �e/�" G int y S SS Fireplace CONSTRUCTION LENDER UNINOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS �— Penalty $ BUILDING AD KESS l .20 � v. 'L { �'i� 5 PERMITFEE $ o PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP ,Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF,KSPECIFY Duplex ❑ Mobilehome ❑ Other ,, `` Each 'gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other U'DO Describe Work: ! Mobile Home S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 000V OR LESS ( 2000A OR LESS ) 23.00 Main Service (,. 2OoA TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full f e and effect. *� p- License Class Lic. No. J O 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. I am exempt under Sec. Business and Professions Code for this reason AM Py!'110/e✓_ti NEW CONST. DWELLING OCCUP. OR ( 8 ACC. OLDS. ) sO. 3.5¢ FT. CNS. NEW CONST. MULTI -OUTLET NON-RESIO. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIA. ) Ex. Occup. (OUTLET OR FIXTURES BAL Q I:50 Ex. Occup. (oFIXEt-Drs PESIuj RR..a) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' OM NSATION 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 Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation III of one hundred dollars ($100) or less.) P< I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X_ _____ Date �d_—_ dgrk2Signature of Applicant - ❑ Owner ❑ Contractorgent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 5Y. Vo HAZ. 1 0. FEES I IMP I FLOOD I CDF PARCEL PO HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees ave been paid. a BY11 A41J ate 1!�;/, 40 ON (Date) Receipt No.PERMITEXPIRES WHITE-D.D.S.-B. D. -CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OF'Arz 1-6t&:� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.netldds Permit No: B06-2467 Issued: 10/18/2006 Address: 1996 20TH ST O1E;E APN: 030-462-001 Permit Subtype: HVAC Change Owner: DEGROOT, OLAND E & SIEGLINDE Applicant: WAIBEL AIR CONDITIONING INC Description: NEW ROOF MOUNT HVAC MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Ins ection Type IVR INSP DATE Set acs 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 PERMITS BECOME NULL AND V`OID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy P � t�: r•.u,) i ; � � ','i a Y' ' i Jnr rdi ,. , i J !'<[.� { , gy, � � i � ,< s sw4 � i .q � 4� �'ar � ti is ��4 M `�'S n iY�S �Sk 0 -y � i 0 �L',a •.1 � '� LT '. { S rt r w tff'. : it �,t P Y ?a• yr: r ^5 ft I FI t I I� HI 1--1 I.-1 t q M y a Ilf l t .. AS p �f, eI+i�W��''� '�� 9 :�i� �" p ��,7,',i