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Home My WebLink About035-223-011~` y 35;-;323-11 � v. .� . Contr: Rex Plumbing � � ' Permit #27-50-76L ngl--s . . . . - � . , � | | ` ^ F. ° t N it Ar 1 ;I. BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0539 Issued: 03/28/2007 Address: 4956 LINCOLN BLVD Area: OROVILLE Owner: VEZINAW, MICHAEL & APN: 035-223-011 Applicant: VEZINAW, MICHAEL &Map Page: Permit Type: Electric Panel Description: MISC ELEC Flood Zone: None SRA Area: No SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: um Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdovrns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbkig 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Flocr Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Ir.:terior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 B Ins ection Type I IVR I INSP I DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 , Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 _ _ _Swimming Pools Set ac s d Pool Plan+ . t" . _ OFFICE -COPY Gas Test r. Pre-Gunu.: Address Pool Elee Pool Fenj ' GAS ' �' -r; F_ _ Pre-Plastj� Meter By- + Date .k ELECTRIC �_ ) Set ac sl • "Meter,By_ Ing/ - 'D6te3_ Blocking_ Tiedown/Foundation System —61-1—! Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: 1\11Finals a Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL '801 AJ -rro,ecr rrnar is a t-eruncate of occupancy ror txesraenuar unry/ PERMITS BECOME NULL AND VOID 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 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 5384636 (OROVILLE) (530) 891-2834 (CHICO) ' OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 4956 LINCOLN BLVD Owner: Permit NO: B07 -0C39 APN: 035-223-011 VEZINAW, MICHAEL & ASHLE Issued Date: 03/28/2007 By KEJ Permit type: MISCELLANEOUS PO BOX 6168 Subtype: Electric Panel OROVILLE, CA 95966 Expiration Date: 03/27/2008 Description: MISC ELEC (530) 591-2013 Occupancy: Zoning: RN Contractor Applicant: Square Footage: VEZINAW, MICHAEL & ASHLEY VEZINAW, MICHAEL & ASH Building Garage Remdl/Addn PO BOX 6168 PO BOX 6168 OROVILLE, CA 95966 OROVILLE, CA 95966 (530)591-2013 (530)591-2013 Other Porch/Patio Total FEE INFORMATION DBE Single Phase Service-Resid $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2392 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 VEZINAW, MICHAEL & ASHLE` OL:CRW 00369823 / / 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, 03/28/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE 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 ❑❑ 1, 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 a competed if the permit is or one hundredollars ($100) or ass. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: Ii�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' X 03/28/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners SignatulIV Date provisions. X 03/28/2007 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 Signature Date WARNING: FAILURE O 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 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 each, a injury, including death, and property damage caused arising out of, in any way connected with' HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) t is the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that 1 am the property owner or am authorized to act on the property owners behalf. CONSTRUCTION LENDING AGENCY -tlA_03/28/2007 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) Name of Permitt IGNI Print Date nAgent Elffowner r-1 Contractor OR: for Owner Agent for Contractor FILE COPY Lenders Address City State Zip 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 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 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 FORMAS 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. 1 PERSONALLY PL&N TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. OR NO) 2. 140 /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: NAME 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: MISC ELEC Reference Number: B07-0639 Applicant Name: VEZINAW, MICHAEL & ASHLEY Owner's Name: VEZINAW, MICHAEL & ASHLEY AP #: 035-223-011 e Signature of Property Own : Date:. -4 5a �' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last NameVN irst Name Mailing Address &sK City Stated Zip g �� Phoney 5a t_ �l 2 J Fax E-mail APPLICANT INFORMATION CONTRACTOR Name 0 t.0\r\2v✓ City Address Zip City Fax State Zip Phone Book Fax E-mail Planner l.ic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE For office use only: Zoning Property Address u, nC'Ovy\ tea. Flood ZoneSRA Cross Street WORKER'S COMPENSATION Yes No Occ, Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. 1.60 BIN # PROJECT LOCATION AP# 6'59-ac�-;- —611 Property Address u, nC'Ovy\ tea. City o rDv, 4e - 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 Description or Scope of Work: Sq FT- Living Garage 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 I Date: Other Total ., U it..:7;• ,?Qr. ' ,,. S i' ap: � .. .��.-. ��+''�?��••--� � . r-�,—... _. y. `. ��c�.na�•-a;• r w - � y' � ii r�. i • 4 { I r y t w I OFFICE COPY ` f Address • 'Meter y Date ELECTRIC By Da d /3 Meter COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION -AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 035-223-011 ZONING 1 BUILDING PERMIT OWNER William Logan TELEPHONE 534-3717 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1952 20th St., Oroville 95966 CONTRACTOR'S NAME Ames Com an TELEPHONE CONTRACTOR'S MAILING ADDRESS 115 Melrose Dr., Oroville 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 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 15.00 056 UncolnBlvd Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New:-- ewru Addition;_; Remodel ❑ Utilities ❑ InstallationF— Other ❑ Describe work: Replace Service Electrical Panel 100 AMP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 18.50 Main service 20GATO I000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): OJ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. r I Classification I /t- - � L 'EX. LJ 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.�\ OR ADDNS. ( ACC. BLDGS. I 3.66 sq.ft. NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e (POWER OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76d OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 1 15.001 15.00 Permit Fee $ 48.50 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. E] -'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 FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X _ Date - ? ? Signature pp ❑ Contractor � Agent ❑ nature of Applicant — Owner 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 S Energy Inspection Fee $ occ CONST TYPE50 TOTAL FEE $ 4$' HAz I DFEES I IMP FLOOD I CDF I PARCEL PD HD I ISSUE This permit is hereby issued under the sions sions of the Butte County Code and/or work indicated above for which fees 'PUBLIC RE TOR'OF,� By PERMIT EXPIRES -D"ate applicable provi- resolutions to do have been paid. WORKS / i Date Td' 4 Receipt No. WHITE-D.P.W.. YELLOW-ASSE350R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICAT N ASID PERMIT PERMLT NO. 1. ASSESSOR PARCEL NUMBER 035-223-011 ZONING 1 BUILDING PERMIT:� OWNER William Lo an TELEPHONE 534-3717 SO. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADORE S 1952 20th St., Oroville 95966 CONTRACTOR'S NAME Ames Com an TELEPHONE CONTRACTOR'S MAI LI G ADDRESS 115 Melrose Dr., Oroville 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 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 15.00 4996 Lincoln Blvd-, Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New 1 11 Addition 71 Remodel C Utilities ❑ InstallationE Other ❑ Describe work: - Replace Service Electrical Panel 100 AMP Permit Fee $ Contractor ELECTRICAL PERMIT 1 Filing Fee 15.00 Main service 200A OR LESS 1 18.50 18.50 Main service 20CATO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare riderpenalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions J Code and my license is in full force and effect. License Ao. c\ �Z�A I Classification 2 - C fo -'� 3L ❑ 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) F -1I, as the owner, am exclusively contracting with licensed con ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& ( I ADDNS. ACC. BLDGS.der 3.64sq.ft. NEW CONSTR ULTI.OUT LET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 , FIXED APLNS. Ex. Occup. OUTLETS PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00tract- Misc. Wiring 1 15.00 15.00 Permit Fee $ 48,50 — 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 oJ. Consent to Self -Insure. 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Coolin g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I 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. X a Of Applicant -� _ �� /,',I- � Date Si not — Owner❑ Contractor Ka"'Agent g ❑ 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 48.50 HAz I OFEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees BLIC ByM:7p PEFIMIT EXPIRES -15W applicable provi- resolutions to do have been paid. WORKS to Receipt No. 143190 WNITE•D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone. 916 538-7541 APPLICATION AND PERMIT JI - ASSESSOR PARCEL NUMBER •735 —Q // ZONING I BUILDING PERMIT OWNER (,L ZL�� L6G A„ r '6�✓vO TELEPHONE /� /.7 4' S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING AODRER '�]`f � CONTRACTOR'S NAME w� TELEPHONE CONTRACTOR'S MAILING ADDRESS 6 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 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 1 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W 615.00 TYPE OF WORK New Addition _ Remodel . Utilities ❑ Installation[`�ther ❑ Describe work: RL`-PLIrCE S:M)�re� ELS. tPi4/iJ�L, 1406141)%P Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1.5.00 Main service 600V OR LESS 200A OR LESS Main service 200A TO IOOOAI 18,50 o 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one):. El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License ;Jo. Classification 17I, 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.") OR ADDNS. l ACC. BLDGS. 3.66 sq.ft. NEW CONST R.MULTI-OUTLET NO N.RESID BRANCH C12C ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 X 76/j FIXED APPLNS. Ex. DCCUp. OUTLETS iRESID )REA.1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 90 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I 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. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3/sstories inheight. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOL FEE $ 7/� TA gSO HAz I DFEES I IMP I FLOOD EFF PARCEL PD I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date 7 Receipt No. I 3/ /U WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT ._ t lz., RJ ,��R�~....7 �.. �..`.�y' (ice-5�• � ,'•,` . . .. ` . � � �, G � ,'.' t' �1�9� 4" a. HT1 = � �� ` .. r t, � � - � y ��.�� !. _ �� , � - /�I/ � I/ V Vl/�i .;�. ,% c� � � i 1 y , t� j ,`r�� f 4 1 .�� .F ��' -� k ,, fe � � � `'. � y� . .�� N f _ o _i r � i- , r t Y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965V Tel epUpne: 534-4541 APPLICATION AND PERMIT �.. �+�a..acnauu vco ui anc VUurlly UI .Ull6 IV cI1lC1 UPUII IIIc above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 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 s BY Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. I Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma p 60' R/W Improvements p ovements Lawn sprinkler system 2.00 Bldg. Plans Rec'd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 21tsgft NEW CONSTR. (MULTI -OUTLET NON-RESID• 1 BRANCH CIRCUITS) 2.50ea 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: Y Ex. Occup(OUTLETS OR FIXTURES)0251 BALC�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. @ 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$ �.. �+�a..acnauu vco ui anc VUurlly UI .Ull6 IV cI1lC1 UPUII IIIc above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 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 s BY Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 CoWty Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATMA AND PERMIT WORKS WSignature t—F.v, ayx Date of Permitee or Agent zz Receipt No. �(2(2��—/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Qf PUBLIC WORKS % By v1 Date ` ! , a= permit expires Date BUILDING Owner h SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor j A4 I AC e r, V/ C Total Valuation Mailing Address Z r5 'A Permit Fee Plan Checking Fee&/or Penalty V1 / �-' Telephone No. -3 -p22) Permit Fee $ Building AddressPLUMBING IN C04 N V2. No. @ FEE PERMIT FILING FEE $3.00 3,p Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Z / / 3S _- d2 3 - Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. n I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans DePa a ion IBI Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 ane ec d Parcel Approval Plans Approval Permit Fee $ ,S 0 $ NEW ❑ ADDITION,❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 S A/ G Main service 100 AMP OR00V OR SLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ry Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW CONST. DWELLNG & IOCCUP. OR A.D.S. ( ACC. BL•DGS. ) 2¢sgft NEW CONST R MULTI -OUTLET NON.RESI D, (MULTI CIRCUITS) 2.50ea 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 C I rnia BuPiss & Professions Code under the name style of: _ Ex. Occup(ouTLErs OR FIXTURES) �� BAL2T Ex. OCCU FIXED TS (RE S. OR P•(OUTLETS (RESID.) EA) 2�0� 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 $ $ 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 au toTrieepresentatives of the County of Butte to enter upon the ah s .e F.. ...,. Co TOTAL PERMIT FEE $ J L This permit is hereby issued under the applicable Drovisions of WSignature t—F.v, ayx Date of Permitee or Agent zz Receipt No. �(2(2��—/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Qf PUBLIC WORKS % By v1 Date ` ! , a= permit expires Date