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HomeMy WebLinkAbout035-214-003AP 35=214-3 Lawrence Seek ; r; 4535 Baggett-Marysville-Rd., Oroville Permit 3556-77E . N (service change for dryer/sf) 35-214-3 Permit #911-77B(install plywood siding n existi g S ) 1A* r 035-214-003 04-1693 SEEK, ELLEN 4535 BAGGETT RD, OROV DIALED Cont: PIERSON CO 1-1Z RE-ROOF 16 SQ rT ' B07-2111. ,`;` 035=214-003 ,r-- MISCELLANEOUS , Window/Glas's'Doo i r� 1 ' . ., REPLACE'WIIVDOWS(10)':SIDING(11: t 4535 BAGGETT MARYSVILLE RD''' PIERSON, CHARLES 0 w- 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: 4535 BAGGETT MARYSVILLE RD Owner: Pern11t No: B07-2111 APN: 035-214-003 PIERSON, CHARLES Issued Date: 10/10/2007 By KCG Permit type: MISCELLANEOUS 2455 MAPLE AVE Subtype: Window/Glass Door OROVILLE, CA 95966 Expiration Date: 10/09/2008 Description: REPLACE WINDOWS(10), SIDING( (530) 533-8910 Occupancy: Zoning: RN Contractor Applicant: Square Footage: PIERSON CONSTRUCTION PIERSON, CHARLES Building Garage Remdl/Addn 2455 MAPLE AVE 2455 MAPLE AVE OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 533-8910 (530) 533-8910 FEE INFORMATION DBMSC Stucco/Siding-StoneBric $116.00 DBMSC Window/Sldng GIs Dr -Rept $232.00 Total Charged: $348.00 Fees Paid: $348.00 Balance Due: $0.00 Receipt No: B4929 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 PIERSON CONSTRUCTION 685929 / B / 03/31/2008 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 basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/10/2007 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 WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATIONCOMPENSATION, I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued, improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section nee not be competed if the permit is or one hundred dollars ($100) or ess. F1 I AM EXEMPT under Section B. & P.C. for this reason: rM I ^ I I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS Q 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'10/10/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. wners Signature Date X 10/10/2007 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 Ignature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused 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. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the ar!�bove mentioned property for inspection purposes. I hereby certify that I am the props authorized to act on the property owners behalf. CONSTRUCTION LENDING AGENCY 10/10/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for a of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) PPP��� Owner V I� Contractor OR E]Agent for Owner Agent for Contractor �I FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name;Q Address.,,,5,,- Mailing Address Cityo, v�/ StateL;,,r_ z,,�,57Ag Phog5) ,; cz 3 4� cf,�� l Fax E-mail CONTRACTOR ,vV 60 Address.,,,5,,- City M&41 LZ/ State, < Zi Ph Fax233 _Y��U E-mail Lic. # �Z�I Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City o/ e�_ Address Zi S City I No State Zip Phone Fax E mail State License Number APPLICANT INFORMATION Name Addres,�, City o/ e�_ StateCtpr Zi S Pho I No E-mail rZ 01_�;5 A 14--00_ PERMIT NO. BIN # '9_11 PROJECT LOCATION Property Address City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must tie shown at the time of permit issuance. LENDING AGENCY Name Address TION OR SCOPE OF WORK: N6,,' 4V Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ` ❑ Proposed Change of Occupancy (Note previous use): , For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. A BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041693 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 Issued Date: 06/10/2004 APN: 035-214-003-000 the Business and Professions Code, and my license is in full force and effect. License Class: .3 License Number:.,/. �SZ� Site Address:4535 BAGGETT RD ORO Date: 0/ Contractor: 4 Map Index: Description: tearoff reroof W/comp 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 Owner: SEEK ELLEN F ETAL ESTATE OF 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 DOBIS CHRISTINE C the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 4535 BAGGETT RD she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE CA 95966-6701 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).): ❑ 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 Applicant: SEEK ELLEN F ETAL ESTATE OF 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 • sale.). ❑ 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 i 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' State License Law.). Contractor' PIERSON'CONSTRUCTION ❑ 1 am Exempt under Article 3 of the Business and Professions Code 2455 MAPLE AVE. Date: Owner: OROVILLE, CA 95966 530-533-8910 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #: 685929 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 Architect:' the work for which this permit is issued. My workers' compensation Engineer'' insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 0 S. F. I certify that in the performance of the work for which this permit is Valuation'' $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forth/with comply with those provisions. Date: Applicant: �',����-%�Oo✓ Failure to coverage is WARNING: secure workers' compensation 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 l code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issped under the applicable provisions of the Birtte County Coda anrUor Resolutions t o ndicated above fo ich fees have been paid. I hereby affirm that there is a construction lending agency for the the work for which this is issued.(Sec 3097 Civ.) performance of permit Date- ate:Name: By' Name:- h PERMIT EXPIRES O Address: Date ❑ I 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 agwecif the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form cument of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. ��a�i/ Signatur Print Name: Ci G7�7�L` J Date: `> V ❑ Owner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor 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 PERMIT NO. BP041693 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 Issued Date: 06/10/2004 APN: 035-214-003-000 the Business and Professions Code, and my license is in full force and effect./ �p /3 �S Z� License Class: License Number: d. / Site Address: 4535 BAGGETT RD ORO Date: —D�'l Contractor. a,: �-, '-; �--e "C Map Index: Description: tearoff reroof W/comp 5� 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 Owner: SEEK ELLEN F ETAL ESTATE OF 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 DOBIS CHRISTINE C 7000) of Division 3 of the Business and Professions Code) or that he or 4535 BAGGETT RD she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE CA 95966-6701 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).): ❑ 1, 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 Applicant: SEEK ELLEN F ETAL ESTATE OF 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 sale.). ❑ 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' State License Law.). Contractor: PIERSON CONSTRUCTION ❑ I am Exempt under Article 3 of the Business and Professions Code 2455 MAPLE AVE. Date: Owner: OROVILLE, CA 95966 530-533-8910 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 License #: 685929 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: 9 insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 0 S. F. I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: 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. Date: l Applicant: G"6f/.Gs��fLSOof WARNING: Failure to secure workers compensation coverage is l unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars in addition the cost of providedfor 0 compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Cade 2nNor I hereby affirm that there is a construction lending agency for the Resolutions t o ndicated above fo ich fees have been paid. ,- performance of the work for which this permit is issued (Sec 3097 Civ.) �. a Name: Date:: j By: 10-6 b V — v Address: PERMIT EXPIRES 0 Date ❑ I 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 agenirof the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form ument of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. �i 7/ G �d� Print Name: L7��L G Signatur Date: `� y ❑ Owner 13 Contractor ❑ Agent for Owner 0 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 OF APPLICATION OWNER N — J oe L/ Address &-7-4 4,eWf ,/l'C L IV City 0 �,f StateZip /qOC Phonej-3 Fax E-mail CONTRACTOR Name �--- ��� Address Citycw,//�I� Statr,� Zipzf igw,c. Fax Phone5-33 wev —37 E-mail Lic.45. 2 q, I Class APPLICANT NAME ARCHITECT/ENGINEER Name City Q,t V/ Z jt Address 3V"6 City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Addres .2-4 ��- ��� ,—lw� City Q,t V/ Z jt State��Til%' 3V"6 Phone-�©.-� f�r3 o Fax E-mail AP NT SIGNATURE X or 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 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP. BIN # LOCATION Property Addresszp; 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 Address Descr tion or Scope of Work: - Sq. Footage it, S62 s' ❑ Structure Built without Permits . ❑ Proposed Change of Occupancy (Note previous use): Page 1 of 2 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 S SRA RRecceipt Sheriff SMIR Other Date: r ) [ C) —� Total REV 4-30-04 011 SUBMITTAL REQUIREMENTS 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 ININK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ L' 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! _ ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 .Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. 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. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. 0 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: ❑ 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!). r ❑ 4. Letter from Engineer or Architect for truss design review.. ❑ 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). ❑ 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 additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. ` OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 (' 911-77B PERMIT NO. t PERMIT EXPIRES a OWNER Lawrence Seek CONTR. owner LOCATION (A.P. 35-214-3 4535 Baggett-Marysville Rd., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E T 'mp. Gas Serv. Called PG&E JOB / FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st. Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathin Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Prov. for physically Appliances handicapped Carport Conformance Gas Piping & Test i Footings structure Temp. Gas Slab Final % Sanitation Patio FIREPLACE Final Footings Footina ELEC R?ICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE RJNKLERS Motors Framing Test Water Mr. Stucco Final y Subpanels j Mesh MEC NICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer i Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping !V Sewer Gas Piping MOBILEMOBILEW NSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE —RE!MAARK_6 OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 4" 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aUU{UI Z ICIJICJCIIl4LI VCD UI III: LUUnIy UI 6Ul-lC 1U enter UPun 1ne above-mentioned property for inspection purposes. X „ .i. , r" : t ; N Date Signature of Permitee or Agent , Receipt No. J .< % _:7 J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTORk� OF PUBLIC WORKS — By ;)"� ; 1✓ .-. Date •� _ L r#?' 7 7 Building permit expires Date A BUILDING Owner �!/��15�^f s� f �(/ SQ. FT. OCC. BUILDING VALUATION VIA— Mailing Address / f //e- 12a%oz%i /e- / l Telephone No. -s3'?— "3 Fireplace Contractor Total Valuation ,a'Fw J Mai I i ng Address L�,v�' G �" Permit Fee " Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 J Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ,� ,71d/w Tr l� ?g % Each gas water heater or vent 1.50 A. P. No. J .�%� ,i/!� 3 Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W?C.. Sanitation I FI re Dept. F, re Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg..RIans.Rec.d I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 1FX/ S 7iNjr' 00V OR L Main service 100 AMP ORSLESS 5.00 Main service -EA. ADD'L 100 AMP 2.50 ' Single Family Q Duplex ❑ Mobil Home ❑ Others ❑ Main service 10 ERs 0 AMP OOR LESS 25.00 10 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ODWELING R ADDNS. ( ACCLBLDGS.CCUP. &) 20sgft i NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea ' NEW CONSTR. POWER APPARATUS & NON.RESI D. (SINGLE OUTLET CIR. 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 st le of: y • Ex. Occup(OUTLETS OR FIXTURES)NL25C BAL@1 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 V I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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. MECHANICAL No. @ FEE ' PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ -7 -V aUU{UI Z ICIJICJCIIl4LI VCD UI III: LUUnIy UI 6Ul-lC 1U enter UPun 1ne above-mentioned property for inspection purposes. X „ .i. , r" : t ; N Date Signature of Permitee or Agent , Receipt No. J .< % _:7 J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTORk� OF PUBLIC WORKS — By ;)"� ; 1✓ .-. Date •� _ L r#?' 7 7 Building permit expires Date A 9 91 19 COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 Telephone: 53'4-4541 APPLICATION AND PERMIT 1' BUILDING `•"' Owner 0 �),�-0 W �}^ 0.�t� P SQ. FT. OCC. BUILDING VALUATION J Mailing Address )v 7 -.r A r, CI, (. V 1`�.,�% Telephone No. 'S "3�-Q�l/ ' Fireplace Contractor ,� t 1, n /, Total Valuation Mailing Address t + Permit Fee Plan Checking Fee &/or Penalty M1 Telephone No. Permit Fee $ Building Address ? '3J <t �iG G PLUMBING No• @ FEE PERMIT FILING FEE $3.00 �p ! y1r1 +�'!_ Sf) 11G t\ Cl. Each Trap 1.50 / /I� DrvV / Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �� �%� 3 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 J"IFees W.C. _Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Parcel Ma Declaration p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg-Plons'Rec'd"' I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER.E] ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00..x' .— tea.. . I�-� %ir~� 1��Jy�s Main service 100 AMP ORSLESS 5.00 15. V'7 l 1 C t )r47(,41 �� J Q V %4 .a V Main service EA. ADD•L 100 AMP 2.50 Main service OVER s 25.00 100 AMP OR LESS O - r - Single Family ❑x Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DACCLBLDGOCCUP: &\ I 22sq ft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS)2.50ea e r 7 " NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES) BA@L@129C FIXED APP LNS. OR 1 Ex. OCCup.(OUTLETS (RESID1 .) EA) 2.00 y /G 'V) Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 f0 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ /(%• c510 $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ® I certify that in the performance of the work for which this rrr 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ fC .11 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X A Date 6- f% % Signature of Permitee or Ag`erit,A Receipt No. ltl /-5'h / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS By L ) %�. �_� Date 7- >.-> Building permit expires Date ,7 -Z COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — UroviIle, California 959651 �� —7 Tel ephont: 534-441 / r 6 APPLICATION AND PERMIT AI,LI -Fa 11— vca vi MV �Uuniy UI ouitc IIICIIICI UlJUII LIIC above-mentioned property for inspection purposes. ,_Za- 64d4e cl � * Date $ignotu—re of Permitee or gent Receipt No. 140�1 / y��/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 be aid. DIRECTOR CIF PUBLIC WORKS BY Date�� -7 Z ilding permit expires Date %�'Z-s` ?� BUILDING Owner Jew SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address q — SU t Ile - eD �- ` 0 Te eph e N 3 Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address S35, Aq IQ 9—PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Q Each Trap 1.50 Now Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 34 �% -- 3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee W. . n Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 e I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 010 DO Main service 600V OR LESS100 AMP OR LESS 5.00 5i 0o kir O circt Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mo it Home ❑ Others ❑ Main service OVER 600V 100 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST.DWELLING OCCUP. & OR ADDNS. ( ACC. BLOGS. ) 22sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 12.50ea • ' NEWCONSTSL POWER APPARATUS & NON -RESID. (SINGLE OUTLET CIR: 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: Ex. Occup(OUTLETS OR FIXTURES) BAL@104 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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. MECHANICAL No. @ `FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ 70U� -Fa 11— vca vi MV �Uuniy UI ouitc IIICIIICI UlJUII LIIC above-mentioned property for inspection purposes. ,_Za- 64d4e cl � * Date $ignotu—re of Permitee or gent Receipt No. 140�1 / y��/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 be aid. DIRECTOR CIF PUBLIC WORKS BY Date�� -7 Z ilding permit expires Date %�'Z-s` ?� Owner Mailing Address G �l Contractor Mailing Address Building Address Jeo '1,- 0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING ' // SO. FT. OCC. BUILDING VALUATION ­- .11r lephone No. Telleephone No. A. P. No. `% — e7 ,3 Zoning & Planning F W. SanTMfon Fire Dept. Fire Zone Use Permit EOA Parking I Parcel Parcel Ma 60' R/W Im r Plans Declaration P p ovements B� P_�� Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ 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. ( OR ADDNS. DWELLING OCCUP. 8 ACC. BLOGS. NEW CONSTR. /MULTI.OUTLET Il] $3.00 5.00 2.50 25.00 1:00 '.0sq ft FEE FEE 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: Ex. Occup(OUTLETS OR FIXTURES)50 @75Q BAL@1 FIXED APPLNS, OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 �( I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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. X X Date E ignatJe of//P''ermmitee or99Agent Receipt No. /(��X — White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant r - TOTAL PERMIT FEE $ 7 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 be paid. DIRECTOR F UBLIC WORKS BY Date Z —',P— -7 �77 Bilding permit expires Date L- �'7 d OWNER Zoning PERMIT APPLICATION WORK SHEET Permit No. A. P. No. - x/41- A 3 Use Proposed Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitte71. 'r to permit processing and/or issuance: Date Received All items have been submitted. ------------------------------ - 2. Plot plans in duplicate/triplicate.------------------------- 3. Complete plans in duplicate/triplicate. --------------------- 4. Complete engineered plans and cales. ------------------------ 5. Fees of $ ------------------------ 6. Letter of signature authorization. -------------------------- 7. Sanitation approval. ---------------------------------------- 8. Planning approval for 9. Workmen's Compensation Insurance Certificate. --------------- 10. Contractors license information. ---------------------------- 11. Parcel declaration, recorded copy. -------------------------- 12. Access declaration. -----------------= _----- 13. Aunt Minnie information. ------------------------------------ 14. Deed of access, recorded copy. ------------------------------ 15. Deed of parcel creation, recorded copy. --------------------- 16. Parcel map, recording data. --------------------------------- 17. Pre -inspection request for 18. Improvements - plans required & DPW approval. --------------- 19 . Othqr By. Bldg. Ins )wring plan checking process, the following data )r information must be submitted prior to permit Cssuance: L. Index permit for items above and in addition the following: Applicant advised by Telephone Mail Other Plans checked by Date Plans approved by Date 'hen pe is issued, ..process as follows:, 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other %-2 Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir. Health Plans Seat A. Sanitation B. Restaurant C. Other 4. Public Works Plans Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use.Permit B. Variance C. Other 6. Other Agencies Plans Sent A..Fire Dept. B. Other