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Home My WebLink About039-210-1044542-80B.,P,E,M PERMIT NO. 41 PERMIT EXPIRES- /10 OWNER Dean Grissom. CONTR. Gus Gore.& Sons, Inc., Durham ASSESSOR PARCEL 39-21-1 LOCATION SE corner of & Hegan Ln., Chico t Wt. Temp.* Power Pole Called PG&E Temp. Elec. Service - Called PG&E - Temp. Gas Service Called7G&E JOB FINALE[ S5 ature J = OK 0 Not OK Not Applicable MOBILEHOMES ' MISCELLAN'E01S r = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI - Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1, Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6, Elec.; Enclosures; Conduit Entries—Terminals—Listed 7• Water and Sewer Connected—C/O to Grade—HD Approval k 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged I 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = 0K O = Not OK i. - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready t i i Date UNDE LOOK Plans OK exce t1f's Date FRAMIV (Continued) on'ng requiremen -Setbacks-Easements ro t? Line Firewall & Openings', lo"Ftg., Main; S-SsteelElee. rnd.- / /" Ftg. Depth 4 x!, Roors-One 3' -Check Garage -3rd story, 2 exits g., Garage; Soils -Steel- / L /" Ftg. Depth' s; Width -Headroom -Rise -Run -Landing -Fire Protection 4. tg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 1 ly d on Roof Overhang -Attic Vents -Rafter Outriggers m IIs, Main; Steel-Blo s-Wrappod-&Ie! (ding -Nailing -Veneer - Z emwalls, Garage; Steel-Blockouts-Wrapped-Slab Drip Screed-Fdn. Vents-Underflr. Access 4�_Fireplace Ftg.-Steel razing Area -Glass Protection -Skylights -Plastic : Fall -Fittings -Test -2 way C/O -Sewer Test Walls; Nailing -Bolts 1 s Pipe; Size -Anchors er Pipe; Test -Anchors -Regulator -Service Test 1 ; Undergro 12 PI s & Du Cle uarance-Mat al -Su rt -I ers-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Date7. Card BI Card -BI Date Card -BI Date f Date Card -BI Date Card -BI Date Card -BI Date Date FIN ans) OK except N's Card -BI Dat% 80 Card -BI Date Date t UMBING (Permit) q' Water H en Ac ss -Co ustion Air xt. ps-Door & Sidelight Protection -Landings oke Detector urnace; Ve ts-Clearance-Comb. Air -Connector - In ra ,•Above Floor -Ducts -Meth. Protection B om x'i ath F ur & Tub Access Tri I` Br aker Sizes -Labels W r Pipe; e " & A ro tion V.; T -F An o Nair o hower Pan; Test, First Floor -Tub 1 es & Shower, 2nd Floor -Tub Access 1 as Pipe; Size & Anchors tIWFjpOplace irs &Rail r Cle ances-Hearth lec. is at Wood Panel; Int. & Ext. Card -B Datel Card -BI DateF 6 . & A Iiance; Grnd.-Air Ga -Cooking Clearance E utlets & Receptacles at Kit. Counter Card -BI Date Z Card -BI Date Date ELEC ICAL Permit OK except q's 6 G ge Fire Door; Swing -Landing -Closer 6 A . Duct in Garage -Damper . 2 F" ure & Transformer Clearance -Ins. Protection 6 tr. g Vents -Clearance -Comb. Air-Connector-P.R.V.- I arae; Above Floor -Meth. Protection EI ": Receptacles Spacing -Lights & Switches at Doors i 'Boxes & No. of Conductors -Stapled �Elec. & Mech. Equip. Listed for Location L1�E . Receptacles in Garage; (G.F.I.)-Ro z Protec. om Installed Close to Edge of Studs & C.J. 2 q Ground made up w/Mech. Fasteners -Bond Gas & Water 7t, -"0'u ation-Foam-Looked in Attic es Gard'flei+s-&-Besk-GonsEruction- Post ILGefs Appliance Circuits in Kitchen & Conductor Size"'F:dn ire Size / / ga. Cu or AI-A.C. Wire Size / ga. u r AI Vents & Crawl Hole D rainage & Wood -Earth Clearance Lo under Floor es nge'C7rr T— -ja. Cu or Al -Oven Circ. //0/ ga Cu or At, Insu ed Neutral 0 Yes 7& --Following instld.: Drive es ❑ No; Walks ❑ Yes EA -Nd' Pla ters ❑ Yes 0 elGl;-Riser Conductors & Ground -Main Disconnect 7 7 own -Finish , nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet a ove Roof; Plbg.-Appliance-Firepl.-_Clearance to Opngs. a ell; Disconnect, Electrical, Plumbing _ x or Elec. Trim; G.F.I. Receptacle -Underground 'tA!Egt�Iearances; Pane ls-Motors2Mech. Equip. 3 lothes-f,•IeseF.L ht-Show&.-C`Gght Card B -I Date Card -BI Date g e ' ation throughout House Card B -I Date Card -BI Date GI s Protection Date ECH CAL (Permit) OK except H's rrections from Previous Ins ections Gaest-Meters agge ; Gas Ele" " A.C. Ducts; Insulation & Support er &Sewer Co d -C/O to Grade -HO Approval 3 e Fan; Exhaust above Insulation 4jr Energy Compliance Certificate -Other Certificates Co ensate Drain & Overflow; Size & Grade rnace-Vent; Access -Comb. Air -Return Air Vent -1)5 outlet _1InWAttic Access & Platform if Furnace in Attic,4 320XM Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Dat Card -BI Date Card -BI Date J Card -BI Date Card -BI Date / Card -BI Date Date FRAMI Plans) OK except p's Comments a Final: 3 ills; Proper Material & Anchors _ V. W ; Studs -Nailing, Spacing & Bracing -Plates -Sound Bear' Walls over Girders & Floor Nailing _ aft Stop in Walls (ra ro ) _ ire Stops; Furre Bilin s T eader & Beam -Size & Bearing ers-Post Caps -Anchors -Connectors 4 Cing. Joist-Rftr. Ties - Purl in - �Brac.-Truss-Shthng.-Rfng. 4 it ce Ties o pe A Flu r place Throat _ _ ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ _ 4 drm. Windows or Exiting Doors -Sill Hgt. &Dimensions 4 arage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County'Cenfer Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORREC ION NOTICE V v+ BUILdING R PROI�6E Y ADDR SS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of ork is completed. If you have any question pertaining to this matter, or nee additional -.ex a ation, pie a nt c th's office immediately. /� ` - � off®,�� .�.��.,� i�P / �v✓�� 4- �� /4 Inspector(/ale' Date / / C C / COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist -at the above -address -and should -be corrected. -Please notUy,this_offi_ce when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 851-2751 7 Couniy Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUTT -DING OR PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this. matter, or need additional explanation, 'please contact this office immediately. Inspector li�. lei / "/ "C.f� Date-3-2-7- A atel -2 1 . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 196 Memorial Way, Chico — Phone: 891-2 751 • 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION �0TICE BUILDIr OR PFtOPERT,YADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspect4:::Z� Date Z/��/�j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERM,I>T O. 7 County Center Drive - Oroville, California 95965 -Telephone 916/53 -454 ��RMI �� APPLICATION AND PERMIT ASSES O�PARCEL Ny MBER ' —'Z -I — l ZO ING �(� PILl AJJ BUILDING PER IT lOAXV OWNERTELEPHONE D�/1 1 / RIS'S^OM /" /DRESS SO. FTOCC. BUILDING VALUATION Z_ SO' 3Sw OWNER'S MAILING AAD M� 3 5 -72 --co TOR'S NAM %% c AIS+ /� O4r l �C�� Cf�� J (�Q� T � / NI�JV ^j J3 -/I'S � �D V / Q�i �JJS��O,VJ CC/PTb . DS MAILING A DRV��C,� CONSTRUCTION LXENDE(/RfJ_ UNK o Fireplace qS � 22-5-0, oo Total Valuation Is O0 LENDER'S MAILING ADDRESS Permit Fee $ .�-j ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ •SAO Penalty $ ARCHITECT OR E GINEER'S MAILING ADDRESS Permit fee $ BUIL ING ADD��EMMSS ,r $ E (� C� // . �/l�Q — PLUMBING PERMIT Filing Fee �OCr �f r t / �--` n (�/�/, _ q /, Each Trap /.S 2.00 Q, Repair drainage or vent piping 2.00 d 14-1 co Water piping S-00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2 g,@Q- /0, C7(, Gas piping system 1 - 5 outlets 7 00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Jr. 0C9 Lawn sprinkler system 2.00 TYPE OF WORK New Addition❑ Remodel EJ Utilities❑ Installation❑ Other Describe work: Permit Fee $ .00 Contractor ELECTRICAL PERMIT Filing Fee /0.00 Main service &DOV OR LESS 100 AMP OR LESS 5.00 �0 Main service EA. ADD'L 100 AMP 2,50 2,570 NEW CONST. DWELLING O l� OR ADDNS. ACC. BLDGS. / 20 sq It 83• S CONTRACTORS LICENSE LAW I "declare under penalty of perjury p y p I y (check one): 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. / No�Classification r0-� te ❑ 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) ElI, 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 CONSTR ULTI-OUTLET NON.RESID BRANCH CIRC ITs 2.50 ea NEW CONSTR® (SINGLE APPARATUS &� NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETs OR FIXTURES 50@ZSC BAL@1OC APPLNS FIXED OR ccup Ex. OUTLETS (RESID,) EA,) 2.]]License Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring. 6.25 Permit Fee $ 019, Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee /000 Heat' O Oad QQQ /0.00 5 PL -1T Cooling 15'% 7 50 Hood Q-61& 0d Ventilation Permit Fee $ 0 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 sa indemnify and kee rmless the County of Butte against all liabilities, ments, costs, and x nses which may in any way accrue against said o ty in onsequ ce f e granting of this permit X�` Date Signature o Applicant — Owner Contractor Agent An OSH permit is required for excavations o e ;',veep and demolition or construct- ion of structures over 3 tories in height. Mobile Home Installation Fee $ Land Development Fee $ �. TOTAL PERMIT FEE $ 1(22 oCCUP. ('.ROUP s�./^ 3 aYPE o1CONST. �. PARCEk ✓ PD MD SsyE _1�/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR CTOR OF LIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. —�' WHITE-D.P.W., FELLOW -ASSESSOR, PINK- NSPE TOR, GOLDENROD -APPLICANT September 24.1930 Dear S _.r , I am vritns to let you know our 'lens for our existing house on parcel #.39-21-1. Vle are living in the house on this rron- erty and :.rill 3o so until our na-,v Nome is completed. At hat tiule, vje want to turn the old 'House into our ranch office. We iould use it for storing our records, for restroom facilities for our, workers, for bL :.placE:;fo.r--"ihefn-to-,:;k.eep their lunches, and for my office. Pie would also like to use some of the other rooms for storage of material that need to be locked uo..! ' Thank. you, Dean Grissom owner C �, OD mac® SI% ® c 'o Rl % r; o G d� VI I do W A 0 •rC.Tt ml RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE • THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Hegan Ln:, Chico to tion BUILDING PERMIT NO. Z�-. A. P. N0. 7F7f '-- THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: '(Check each item or write N/A if not applicable) INSULATION: GLAZING: J� Slab Edge /' Single Glazed d(/ Fdn. Walls 4JJA Special (Insulated) Floors N/A' I CERT. & LABELED WDS. Walls R19 & SLIDING DRS. Ceiling/Roof R3 WEATHERSTRIPPED DRS. Ducts BACK DAMPERED FANS 1 Circulating Pipes INTERMITTENT IGNITION DEVICES APPROVED HEATER / i CERT. APPPLIANCES APPROVED I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name NICHOLSON INSULATION INC - ( NC. (p�ease_print) Signature of Insulation Applicator___ General Contractor/Owner Name Signature of \ General Contractor/Owner 1 /State Contractors_ License No. 212461 'So/ -C / pleaseOnt) Date ;;,'- / State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. r 0 r Fxvirocgaental S -ul a r. ita t i on a na n Ile Cm for: p 1Y Sul"; op -ay addivion of Note Data BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARL) 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: B06-2673 Issued: 12/18/2006 Address: 3719 HEGAN LN CHICO APN: 039-210-104 Permit Subtype: Private Pool Owner: MOONEY, STEVEN J & LISA M Applicantf3 HOLIDAY POOLS jTe(.- Description: IN -GROUND POOL: MASTER #01-523 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 Inspection Type IVR INSP DATE Setbacks 132 - Foundations / Footings 111 Z 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 lnspi•cfion Type 0 1FRNTA 10 M _ —_— Final 801 DC- (o�8•CJ] PERMITS BECOME NULL AND VOID 1 YEAR FltO COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 MYS PRIOR TO EXPIRATION Inspector Copy COUNTY OF BUTTE• . BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE " OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. 'Sr l(nE rla-ti Q o l ulM« aon,-n .., rNarN f.�n1r� EF-A10F All (IST �r- CcfiTrll) 1� l riII-L.) U114 JI / C 1- U/< I IN' 51T-C7mm C Date �%> �Inspector\�LL4(,�KfEmToz- REV 4/05Phone # .\ — r 0 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 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: 3719 HEGAN LN Owner: permit No: B06-2673 APN: 039-210-104 MOONEY, STEVEN J & LISA M Issued Date: 12/18/2006 By GLB Permit type: MISCELLANEOUS 3719 HEGAN LANE Subtype: Private Pool CHICO, CA 95928 Expiration Date: 12/18/2007 Description: IN -GROUND POOL: MASTER #01-° Occupancy: Zoning: Contractor Applicant: Square Footage: HOLIDAY POOLS HOLIDAY POOLS Building Garage Remdl/Addn 2990 HWY 32 STE 300 2990 HWY 32 STE 300 CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530)894-1467 (530)894-1467 FEE INFORMATION EH Building Review Fee $70.00 Swim Pool -Master Plan Coord $70.00 Swim Pool -Master Plan Coord $397.42 Total Charged: $537.42 Fees Paid: $537.42 Balance Due: $0.00 Receipt No: B899 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 HOLIDAY POOLS 532127 / C53 / 06/30/2008 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 Busipess and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 12/18/2006 penalty ($500]; Please check one of the following: Contractor' Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' MP NS TI N DECLARATION �ZRZEBY AFFIRM UNDER PEA OF PERJUAY one of the following declarations: HAVE AND WILL MAINTAIN the work himself or herself or through his or her own employees, provided that such improvements A CERTIFICATE OF CONSENT TO SELF -INSURE FOR E]I 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: action 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's 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 State Fund 713-0009545 ExpDate: 10/01/2007 Policy olicy Number: . Contractors License Law.). (This section nee not be completed if the permit is or one hum re dollars ($100) or Fess. I AM EXEMPT under Section B. & P.C. for this reason: ❑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 12/18/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X / 12/18/2006 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 Sig attire Date RS' CO PENSATION COVERAGE IS UNLAWFUL, ARNIN .FAILURE TO SVNSECTION 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 LL SUBJECT ANCRIMIN PENALTIES AND CIVIL FINES UP TO ONE H RED THOUSAND DO IN DITION TO THE COST OF COMPENSATION, 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 DAMAGES AS PROVIDED 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the ab9ove mentioned property for inspection purposes. I hereby certify that I am the o ® ized to act on the pzm;;k�2/18/2006 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for N e Of P Itte IGN] tint Date the performance of the work for which this permit is issued. (3097 civ. code) r ontractor QR. Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip l 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 OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name�� Address irst4554 rj Mailing Address (� City Stat Zi Phone Fax E-mail Fax CONPMRM Name 22 2 Q��, Address City �v tat Zi 6- 7/ Phone 9�� Fax G� S88 / E-mail Lic539 3912 925 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City 6 State I Zi@�_7 Jv6l Phone Page Fax E-mail Date Approved: State License Number APPLICANT INFORMATION Name OL � Address City State Zip Phone Fax E-mail APPLICANT SIGNATUR X llZ�ice use only: Zoning - Flood Zone SRA Yes No 4 Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJECTLOCATION Property Address City Cross Street O� ORKER'S COMPENSATION Policy Number Carrier �s 2, If hiring anyone other than license contr,adtors, a certificate of worker's compensation must be shown at the t' a of permit issuance. LENDING AGENCY Name Address Description or.Scope of Work: s11 ff Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION _Applic_ations_for which.a_nermir.line.+ f.I-----issued will expire one B06-2673 039-210-104 . i renew action on an MISCELLANEOUS ` Private Pool Plans and fee will be 1N -GROUND POOL: MASTER#01-523 3719 HEGAN LN ;t by the person who MOONEY, STEVEN) & LISA M the expiration of the r_ ....... .. .. 1..113.,M;«un wurK nas peen done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. j42tj44'19cr7,92 Received by: �, Amount: Bldg Receipt #: I MSO Date: rl 1-16-06 -1W-06 SRA Sheriff SMIP E.P. 07 "1Q , Total BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B06-2673 Job Address: 3719 HEGAN LN Contractor: HOLIDAY POOLS 2990 HWY 32 STE 300 CHICO, CA 95973 Fee Description Printed: 11/16/2006 3:33 pm Account Number Fee Amount Paid Date Pmt Amt EH Building Review Fee 0021-540013-4614901-1010 $70.00 11/16/2006 $70.00 Swim Pool -Master Plan Coord 0010-440001-4210500-1010 $70.00 0010-440001-4210500-1010 $397.42 11/16/2006 $397.42 537.42 $467.42 Printed By: Kourtni Graham Balance Due: $70.00 At the time of permit application, I was advised the above fees are required prior ro issuance of the permit. These fees may be changed during the plan checking process. Signature: Date: 11/16/2006 Pursuant to Government code Section 66020, you are herby notified those items listed above may been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). I .' �; �. 4� r 1 � � i ` -0 Q 0.0: )i it ly f ij i low T., 0 t it ,'I It I I'll t f it ]!I I If , I, f, 1 11 1 . 1 l';'4,, �;� '' �I, I. , , , ,, ,, I I , , If I ,�, I I, , j", , I, I "' '' � � 11 1 , II . I I'll, - I � " q I I I �t'r, lf� i , ''11, 1 1 - I, I , I I f , I '' 1; " , I I I l r , , iI " , It I Ili If" i� 1 1, I� It , j it' �I' x t, I Tiff; it li fill, if f If ij,! fill" 1 "j, lf wan kv ji 7i If. �i� if 7, C- i t Till t It )l Ji , , 1 _�,j Iii ]I `� , 11 1 , , '' '' �, i, , , �� ;, , l 1 11, Ili:, I ". 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