Loading...
HomeMy WebLinkAbout040-213-00640-213 897-89E - B07-1625 040-13-006 REILLEY, Michael MISCELLANE USSR ddn- first Stry 9420 Goodspeed Rd, Durham AD O` EATEI (elec ser ch/SF) 9420 0EEl GO O ; G Y FINALED: �— L7 40-213-06 � REILLEY, Michao� Q' N ,9420 Goodspeed, Durham' (gas, -pipe & wall heater/sf) 040-21-3'=00692-0063 REILLEY, MICHAEL ' CONTR: OWNER 9420 GOODSPEED ST,'.DURHA HEATER' & UNDRGR ELEC/SF ' '040-213=006:;- . 0220860 POLLACK, DARCY !N D 9420 GOODSPEED, DURHAM �a TERMITE REPAIR, REPLACE WINDOWS, DRY -ROT REPAIR 0 040-213-006 02-0860:' POLLACK, DARCY 9420 GOODSPEED, DURHAM TERMITE REPAIR, REPLACE WINDOWS, DRY -ROT REPAIR COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Califprnia 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-0860 ASSESSOR PARR'&NUMBER t U4U-ZI3-006 ZONING BUILDING PERMIT OWNER )'oYlack Dare TELEPHONE 34-R5 . SO. FT. OCC. BUILDING VALUATION 4".W . OWNER'S MAIUNG ADDRESS 9420 Goodspeed Rd. Murham C CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ 4000.00 ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ ,.,4JOGCORREEsOsB�� Dt2rha[fl 77 lVJ �Ca� Energy Plan Checking Fee $ $ PERMIT FEE $92.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ` Describe Work: terylite repair. re_Dl^—ce wit'KUmpg • repair dry -rot as needed. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee20.00 R LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors oto construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation l of one hundred dollars ($100) or less.) ©% I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers compensation provisions of section 3700 of the Labor Code, I shall forthwi h comply with ose'pr visions. X /�- r L Date �, �" _ Signa!re of Applicant - Owner ❑ ContractorAgen An OS4 permit is required for excavations over 60"deep and de olition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.5aFT, NON•REOSID. MULTI.OUTLET @7.50 OWER APPARATUS a SINGLE OLJfLET CIR. .00 20 @ 10 Ex. OCCU OUTLET OR FIXTURES BAL @ 0 FIXED APP— OR S.00 Ex. Occup. o T. RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEES Mobile Home Installation Fee $ Energy Inspection Fee $ occ corer. TYPE TOTAL FEE $ Q2.00 FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated Bove for whh fees ve been paid. '� [�� /?j ,A By i !! Date PERMIT EXPIRES ON Date �t Receipt No. 34 Jr 7Z .00 ✓ - 4th' �'�-! I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Cali,16rnia 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICA7101"Il AND PERMIT 02-08 0 ASSESSOR PARCEL NUMBER 040-213-006 ZONING BUILDING PERMIT OWNER Pollack Darc TELEPHONE - SO. FT. OCC. BUILDING VALUATION 4000.00 . OWNER'S MAILING ADDRESS 9420 Goodspeed R Durham, CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 4000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan CheckingFee $ y��DV�+ yp s� 941LGC o"olspeed Durham Energy Plan Checking Fee $ $ PERMIT FEE $ 2.00 LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: termite repair,? lacwi n[�T..i� repair dry -rot as needed. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00e PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600VOR LE Main Service 20.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.6 License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO tOooA 46.00 NEW CONST. DWELLING OCCUP. so OR ADONS. ( 8 ACC. BLDS. 3.50FT. NON.REOSID. MULTI.OUTLET 97,50 PSINGLE OUTLET COWER APPARATUS IR. so @ ,.00 Ex. Occup. OUTLET OR FaTUREs BAL o .so Ex. Occup. ovntrAPP ESID.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall person in any manner so as to become subject to workers' aws of Calif ia, and agree that if I should become subject to the notthomply nsation pr vi ions of section 3700 of the Labor Code, I shall wit thos p visions. 411 '7 X r _ ete _ L Sign u ..T of Applicant - ner ❑ContractorAgen An O permit is required for excavations over 60' eep and demolition or construction of stru ures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ Q2. HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicJdovef or h h fes_bAvabeen paid. s��rA By Date PERMIT EXPIRES ON Date Receipt No. %7 --co WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. 13personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO 2.8E32. HAVE Jd HAVE NOT signed an application for a building permit for the proposed vm& I have contracted with the following person (firm) to provide the proposed consmwdon: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE SIGNED: PROPERTYOWNER: TYPE OF WORK V DATE: 2r Z NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry 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 pian 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 S300 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 Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract 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 their own employees, without a licensed contactor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors 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 contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I+rMv1gerC,Zuii1dtng Xfk, C.B.O. Inspection NOTE: This Owner -Builder Information is required by Section 198.10 of the California Health and Safety Coda OVER RECORDING REQUESTED BY: Fidelity National Title of California Escrow No. 207220 -JT Title Order No. 00207220 When Recorded Mail Document and Tax Statement To: Mr. & Mrs. John Power .1055 Merry Knoll Road Auburn, CA ' 95603 GRANT DEED S FOR RECORDER'S USE The undersigned grantor(s) declare(s) Documentary transfer tax is $96.80 ( X ] computed on full value of property conveyed, or ( l computed on full value less value of liens or encumbrances remaining at time of sale, ( ] Unincorporated Area . City of Durham FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Dawn J. Biegler and Michael L. Biegler, Wife and Husband hereby GRANT(S) to John F. Power and Helen Power, Trustees of the Power Family 1998 Trust and David M. Pollak and Darcy M. Pollak, husband and wife, all as Joint Tenants. the following described real property in the City of Durham County of Butte, State'of California: The Northerly 35 feet of. Lot 9 and the Southerly 1. `feet �of Lot 10 in Block 1,. as shown on that certain. Map entitled, "North Addition to The Town of Durham", filed in the Office of the County Recorder of Butte -County, California. DATED: April 9, 2002 STATE OF CALAORNIA COUNTY OF ON before me, Dawn J. +B'egler ersonally appeared �i 2 n t'l rl I/y P _ J Michael L. Biegler personally known to me (or proved to me on & basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness m d and official Signature • • •� J.TUNISON Pnn ;yA�w'? COMM. R 1234972 L, 0 NOTARY PUBUC-CAuFORNIA 0 � BUTTE COUNTY t O � _ �MY COMM. EXPIRES SEPT 18, 2003 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED . 040-21-3-006 92-0063 REILLEY, MICHAEL CONTR: OWNER 9420 GOODSPEED ST; DURHAM , HEATER & UNDRGR ELEC/SF a R ,�aOFFICE COPY Address %L p GAS �---�— Date Meter B TR M t By Date Meter By R ,�aOFFICE COPY Address %L p GAS �---�— Date Meter B TR M t By Date Meter By COUNTY OF BWTTE.- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OrdvIIle, Cal IVrnia 95965 - Telephone: 916/538-7541 ' . APPLICATION AND-RERMIT ., . „ A33E S R PARCEL NUMBER 040-213-006 ZONING R3 BUILDING PERMIT < OWNER MICHAEL REIT= TELEPHONE 342,—%77 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1033 BRYANT AVE., CHICO CA 95926 CONTRACTOR'S NAME ITELEPHONE CONTRACTOR'S MAILING ADDRE S JU 06M Im..r SEW' Fireplace CO ___NSTRUCTION LENDER UNKNOWN e Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER NOME LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9420 GOODSPEED ST., DURHAM Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 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 SF91 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 ❑ Addition ❑ Remodel ❑ Utilities [l Installation ❑ Other ❑ Describe work: D•U•U.D. WV RHF,AD TO UNDERGROUND SERVICE) Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 AND GAS PIPING AND MALI. HEATER Main service 600V OR LESS) 18.50 Main service 200A TO 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Codp and my license IS In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compbn- 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. 1 ACC. SLOGS. // 3.64 sq.ft. NEW CONSTIRULTI.OUTLET NON•RESID BRANCH CIRCUITS) @ S,OO POWER APPARATS Q (USINGLE OUTLET CIR, Ex. Occup( OUTLETS OR FIXTURES 20 s FIXED AP LNS. OR Ex. Occup. OUTLETS-: ESID,) EA.) 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.0015100 Permit Fee $30*00 - 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. f�Tl I shall not employ any person in any manner so as to become subject �h 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 WAU WATO T.—Ou— Cooling Hood 6.50 Ventilation Permit Fee $ 21.00 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 d expenses which may in any way accrue all liabilities, judgments�Wgll agaAnt id C jn of the granting of this permit. Fue X Date �` �'L Signature of Applicant — 0 ner Contractor ❑ Agent An OSHA permit is required for excavations over 5' molition or construct- ion of structures over 3 stories in height. ko Mobile Home Installation Fee S Ener Inspection Fee $ Energy P 71,00 OCC CONST TYPE TOTAL FEE $ HAz S DFEEOD IMP FLO CDF PARCEL PO HD ISS This permit is hereby issued under the sions a Butte Count ode and/ h f D L wor. in ated&4�Q In Lil:5(WIRESDate plicable provi solutions to do ave been paid. RKS Date 1/10/92 11,F / Receipt No./06112 `30.00// 1-60 WHITE-D.P.W.. YELLOW -ASSESSOR, PINI( -INSPECTOR, GOLDENROD -APPLICANT C COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538.7541 APPLICATION `AND` PERMIT Q PERMIT NO. v ASSESSOR PARCEL NUMBER 040-213-006 ZONING R3 BUILDING PERMIT _ OWNER MICHAEL REILLEY TELEPHONE 342-0477 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 1033 BRYANT AVE., CHICO CA 95926 CONTRACTOR'S NAME 17GD-4EiT�n2Cn— 7ClIrrG TELEPHONE CONTRACTOR'S MAILING ADDRESS 5$3 F89FH—P T)AT) , 9 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 9420 GOODSPEED ST., DURHAM Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFO Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 Mobile Home S I G I W 1 15.00 TYPE OF WORK New L i Addition ❑ Remodel ❑ Utilities M Installation❑ Other ❑ Describe work: D.U.U.D. (OVERHEAD TO UNDERGROUND SERVICE) Permit Fee $ 20.00 Contractor T ELECTRICAL PERMIT I Filing Fee 15.00 AND GAS PIPING AND WALL HEATER SS Main service 200V OR 00AORLESS 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): F-1NNO 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 ;Jo. Classification 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 cf, for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A1 ELLING OCCUP.tr\ NEW CONST.OR ADONS. ( AC WC. BLDGS. II 3.64 sq.ft. NEW CONSTR ULT' -OUTLET .RESID BRANCH CIRCITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES @ 761 20P 46 FIXED APLNS.❑ Ex. OCCup. OUTLETS (RESID.)REA.T I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 15.00 Permit Fee $ 30.00 — 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating WALL HEATER 6.00 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judg nts, os d expenses which may In any Way accrue again t id C s e of the granting of this permit. / Date ` L Signature of Applicant — O ner contractor ❑ Agent An OSHA ion of strucurestoverr39storaesoinehCava Ions over 5() a molition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ 71 -nn occ CONST TYPE MMM TOTAL FEES HAZ DFEES IMP FLOOD CDF PARCEL PD HD ISS This permit is hereby issued under the sions a Butte Count ode and/ wor in # ated whic#fave DI E F P B P I RES Date a plicable provi- � solutions to do been paid. KS Date 1 0 92 It I Receipt No. Q —30.00// WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT I COBU�LDNGDPT BUTTE COUNTY OF BUTTE - Depar men't- of Public Works JAN U 9 1992 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541:'. { OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) L,,,.r 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 this 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 Signed: Property Owner Social Security Number Date / o SL NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. r .. ,,, .. ;vx , a � r� ,�..'.� .. i :•w<..�....-:i• 1%;'Cr7�51r :v.i`Y�-'?Ir�4.-1 ,1,._;y�,.'-. l a� 5 - 40-213-06 897-89E REILLEY, Michael 9420 Goodspeed Rd, Durham (elec ser ch/SF) FINALED: • ` .� fns �� , ` OFFICE COPY x GAS Meter By a e EL C Mete" y COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/536-7 L APPLICATIbNAD PERMIT ASSES,F9R PARCEL NUMBER glo -- - � ZONI ° �- 3 BUILDING PERMIT OWNE151. 112111e, �� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING) ADDRESS �J /c-� T 3 T).e 'r -•7- 5'S SLG CONTRACTOR'S NAME t) LA) N C f' TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS \ Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR,"GINEER LICENSE NO. Plan Checking Fee _ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER�S`I,4AILING ADDR s (7-1 eS% Penalty $ BUILDING ADE)RESS \ \ �Permit �'S3 � fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION."ME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 SFE USF OF STRUCTURE SF �l Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New❑ Addition[] Remodelo Utilities] Installation❑ Other ❑ Describe work: e-" LN c �i.�- _ i A A.at• 't n 10,0 AAA 6 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS ' 10.00 MO-C� Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. License No. Classification IK„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.ai OR ADDNS. ( ACC. BLDGS. , /20sgft NEW CONSTR. U TI.OUTLET 2,50 ea NON.RESID BRA CH CIRC ITS APPARATUS &) (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20e50t DAL930 FIXED APPLNS. \ Ex. Occup. OUTLETS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 g i7r Q. it S Pe 4. ,v Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check o'np):, ❑ The permit is for $100.00,(valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shal I not employ\any person in, any mariner so as to become subject to the W. C. laws o •C � ,alifornia. 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 10.00 Heating Cooling Hood 3.00 Ventilation • I 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 County of Butte to enter upon the above-mentioned property fortiinspection 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 s d County in consequence of the granting of this permit. X �e __ =�” - y �,, / Y 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 stories in height. Mobile Home Installation Fee, $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 57d . r --o OCCUP. CONST.TYPC SCHOOL FLOOD PARCEL PO Ho I Issu[ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By,.J/ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r�- `� ��� Receipt No. WNITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PNO.� v - 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAVOWAND PERMIT ASSES O.R PARCEL N MBER �- ZONIN — BUILDING PERMIT OWNE TELEPHONE SQ. FT. OCC, BUILDING V 9U TION OWNER'S MAILIN ADDR SS 43 3 .c.sew —7— �d SsSLc CONTRACTOR'S NAME C1% N 2. ,rte TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARITECT OR ENGINEER• MAILING ADDRE S y © eoi e�� A Penalty $ B LDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [� Duplex❑ Mobilehome❑ Other sPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 (v9obi le Home S G W 0.00 ea TYPE OF WORK New F1Addition ❑ Remodel ❑ Utilities 4 Installation❑_// Other ❑ Describe work:i !i1'/��.✓Vf�C G� 1N4 -r. LA. P GQ p_ -P o 1 Dn .4 n.� o Permit Fee $ Contractor ELECTRICAL PERMIT FiIin Fee 10.00 Main service 1000 AMP V OR ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (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. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, El(Sr, am exclusively contracting with licensed contract- . ec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.sI ,h¢sgft OR ACDNS. ACC. BLDGS. NEW CONSTRESID,MULTI-OUTLETNCHCIRCUITS)2,50 ea NON•R ESID BRANCH CIRC TS /POWER APPARATUS &) (POWER OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES e20e30C ALO 30 FIXED APPLNS, OR Ex. OCCUp. OUTLETS (RESIO.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 5 6-'d Pr a A.) Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 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 COU i cons ue f the granting of this permit. ` X Date :?A/ Sign ure of A plicant — Owner Contractor ❑ Agent A OSHA permit is required for a cavations over 5'0" deep and demolition Or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 5a ` 0 c c u P. CONST.TYPE Scl/ool FLOOD PARCEL PD NO 1337 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which UBLIC BY 9=-.Date PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Receipt No. CO �I WHITE-D.P.W., YELLOW-A3e C33o R, PINK -INSPECTOR, GOLDENROD -APPLICANT w COUNTY OF BUTTE - DEPARTMENT OF�PUBLIC WORKS -BUILDING DIVISION At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. '7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business License approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. Driveway permit (construction approval required prior to occupancy) ... —9)f-9)-9)f<9—.Pre-Inspection for j. -e required .... •Buildingec. PreInspecto Orequest to `7 Building � (_�� (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ '24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. f/ Telephone 3112-"0y_72 and hold for pickup at L office. Other Applicant Copy of plans sent Health Dept., Fire C The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: Mai I tos e,ontractor. _.Deliver w/inspector. Date Date (Circle 9/ew item not checked above). Contractor, designer, owner, was advised of above required data by—ph o/e_-nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and marVials for construction of the proposed property improvement (yes ems} . 2. I (have/:Kvoez) 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 this 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 Signed: Property Ownerlety Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION'ANO PERMIT PERMIT NO. ASSESA PARCEL N MBER ZONIN -r _ BUILDING PERMIT OWNE TELEPHONE t Le- ez3YZ-®s'1 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILIN DDRESS 03 3 le- YA_7— s'SLC CONTRACTOR'S NAM TELEPHONE 0 Ld N e ,-- CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ AR ITECT OR ENGINEER2 MAILING ADDRE S Energy Plan Checking Fee $ y m eos eZZ-.0 Penalty $ B ILDING ADDRESS Permit fee $ N PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat ,pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF06 Duplex[] Mobllehome❑ Other Building sewer 5.00 SPECIFY Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Ilties )] Installation❑ Other ❑ Permit Fee $ Describe work: tier. 41141L. __r 5 4-w-UlzC G�.,,.�a.r. Contractor a _(A.DAr-ek.1-0- -t 0- JQQ i4.AA o ELECTRICAL PERMIT Fill Fee 10.00 Main service goo AMP OR ORSLESS 10.00 j40 ,r• -c-, Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.ry OR ADDNS. ( ACC. , /2Osgft I declare under penalty of perjury check one P Y P I y ( )• BLDGS. NEW CONSTR. I. UT'LET ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.R ESID BRANCH CIRC ITS POWER APPARATUS e1 2.50 ea and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR, License No. Classification EX. DCCl1p OUTLETS OR FIXTURES t 2A040O33 0 1, as the owner. Or my employees with wages as their sole compen- FIXED APPLNS. OR EX. Occup. OUTLETS IRESIO.) EA.) -S 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring g 15.00 5 0-'0 ❑ I am exempt under Sec. , Business and Professions Code Pr- J -*I> for this reason Permit Fee s Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling g I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 Permlt Fee... _ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County 01 Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ I also agree to save, Indemnify and keep harmless the County of Butte against occuP. CONST.TTPE sCNooL .t000 .ARCEL PD HD[T= all liabilities, judgments, costs, and expenses which may in any way accrue against sa'd Cou cons e f the granting of this permit. X k / This permit is hereby issued under the applicable provi- Date sions of the Butte County Code and/or resolutions to do Sian ure of A plicant - Owner Contractor ❑ Agent work indicated above for which fees have been paid. A OSHA permit is required fore cavati6, over S'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. By Date WNtTE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. COLD EHROD-APPLICANT PERMIT EXPIRES Date COUNTY OF BUTTE - D.FPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER . 40-213-006 ZONING R-3 BUILDING PERMIT OWNER Michael Reille ,� TELEPHONE 342-0477 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1033 Bryant Chico 95926 CONTRACTOR'S NAME - Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ - Filing Fee $ 10.00 LENDER'S MAILING ADDRESS ermit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Checking Fee $ En Pan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Pe $ BUILDING ADDRESS Pffilmit f $ UMBING PERMIT Filing Fee 10.00 9420 Goods eed, Di1rham ach Trap 2.00 Sol or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL AP ater piping 5,00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets j 1 5.00 5,00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [J Install Oth Describe work: Gas Piping a Permit Fee $ 15,00 Contractor E"""TRIdWERMIT Filing Fee 10.00 Main ser�� 100 M o !ESS 10.00 Main servic A. M.too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penal ty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Di . 3 of the Busin s and Professions Code and my license is in ( force and effe ssific ion License No. Jdh I, as the owner, or mith wages =t Fe compen- sation, will do the woucture is not in ded or'offere for sale. (Sec. 7044) with Tic sed contra - (Sec. 7044) ❑ I, as the owner, am ntBin I am exempt under Secss an rofessions Cofor this reason NEW CONST. WELLING OCCUP.& 0 ADONS. C• BLDGS. , /zOsgft NEW COfft N LTI-OUTLET NON.RE B NCH CIRCUITS 2.50 ea Po. R APPARATUS &) TINGLE OUTLET CIR. EX. Occup LETS OR FIXTURES 20@g0¢ aALO 30 X. O O ETS IRESID IREA.) 2.00 Tempo sery 10.00 bile H Faci es 15.00 Mi 6yirinors. .15.00 Pe it F $ WORKMEN'S COMPENSARAN I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or s. ❑ I have placed on file with the County of tte wilding Department a Certificate of Workmen's Compensation I ce or a Certificate / of Consent to Self -Insure. LrJ� 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. ontractor ECHANICAL PERMIT Filing Fee 10.00 Heat% Wall Ater 1 6.00 6.00 Cooling g Hood 3.00 Ventilation Permit Fee $16,00 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 conkequence of the granting of this permit. X Ll Signature of Applicant — wner ❑ Contractor ❑ Agent 0� An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL E FEE TOTAL $31.00 HAz CUA PARK PAR PD HD IssuE -This permit is hereby issued under sions of the Butte -County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 84363 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT '1. � '. j t , �' '_ � . ��. a,... COUNTY OF BUTTE - DEPARTMI41?T OF.PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, QAIFORIVIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET /n� / / / Permit No. OWNER 41 r' ��J-f (� �� `� e A. P. No. �-� 31 Proposed Building Use 1'119< 40/ a/zl Building Inspector Date At time of permit application, I was advised the ftslloaGing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................... ............ . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions. Fees of $/.................................. - 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................. . 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... ,�. 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 2. � Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. —J�5.. Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ................................... 6.�� 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other A p p I icartt Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _phone a counter b -date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916;'538-7541 APPLICATION AND PERMIT A S OR SEL NUrs�i k' prGJ �' (,,J ZONI BUILDING PERMIT OWN TELEPHOSQ. ZD OWNER' MAIL NAD R 55 FT. OCC. BUILDING VALUATION C N AC R' TELEPHONE CO RACT-OR'S MAI NG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ ((�' U BUILDING,,/rtpD E T �O Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 55,00 Each qas water heater or vent 5.00 USE OF STRUCTURE Duplex Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WOR New ❑ Addition ❑ Remodel ❑ Uti litie Installation❑ Other ❑ Describe work: Permit Fee $ 67 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;oD°1 OR o AMP ORLESS10.00 Main service EA. ADD•L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (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. License No. Classification ❑ 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.fk OR ACDNS, ( ACC. BLDGS, ,/2¢sgtt NEW CONSTR. RANI.OUTLET NON•RESIO BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES eLO 30 2AL030 Ex. Occup. OUTLETS (RESID )FIXED APLNS.REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 0i Q L Cooling g Hood 3.00 Ventilation Permit Fee $ 5 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 Countyof 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. %� 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 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE 2 TOTAL FEE $ HAZ CUA PARK SGML FLD I PAR Po HD I ISSUE Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW-ASSES30R, 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 ASSESSOR PARCEL NUMBER 0Ic, —,41 —006 — 000 ZONING _3 BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS /033 N1t Ajz, CLmcm CONTRACTOR'SNAME -F-So& Sfo FoAb' TELEPHONE 87)-'/f',;g CONTRACTOR'S MAILING ADDRESS 5,2 Y,3 FOS ert / 3)3/5Z 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 $ ARCHITECT OR ENGINEER'S MAILING AO RESS yRO k Energy Plan Checking Fee $ Penalty g BUILDING ADDRESS Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDI VISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF2' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: _ D04/2 'At��Ar l) t ClAld ff- (-co,JA)D �56-ga L0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service LESS 200AORLESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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. Classification El 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 ADONS. 1 ACG. BLOGS. // 3.6l sq.f[. NEW CONSTR. r ULTI.OUTLET NO N.RBRANCH CRC IRC�'ITS @ 5.00 / POWER APPARATUS b (POWER OUTLET CIR. ( Ex. OCCUp\OUTLETS OR FIXTURES RAO 75d FIXE Ex. OCCUp. OUTLETS FI TS IRE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 1!E;-0,-:> Permit Fee $ d� — 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Penult Fee j 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 C n in ns ce of the granting of this permit. %� m Date / of Applicant — 0/n IJr I Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE v I TOTAL FEE $ HAz I DFEES I IMP I FLOOD I COF PARCEL HO SSUE This permit is hereby issued under the of the Butte County Code and/or sionsSignature Construct— DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do WORKS Date Receipt No. 637Z7 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541. U-7NER-BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) � �.. _. )signed an application for a building permit for the proposed or . 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. 5. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors.License No. I will provide some of the work but I have contracted, (hired) the following perscns to provide the work indicated: Name Addrp Phone VJ7. R, Type f W? k Signed: Property Owner Social Securi y Number /Date G �O E: -'TTF?1s Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. # -zf�- L10 - a 1 3�- 6)6