HomeMy WebLinkAbout040-280-06240-28-62
ARLENE ROOT
W/S Midway, app z mi. N of Hanlon
Rd, Durham ` 1't ql qj v
ntr: All Seasons Htg & AC, Chic
�pc
ermit #3886-78P,M(AC) SF �r
040-280-062 05-2788
HARRIS, LORI ELLEN n
4' -144 MIDWAY, DURHAM X�b
` 3? Cont: WATKNS PLUMBING �1(.,
REPAIRS(PLUMBING C/O); ��
9
B07-1291 040-280-062
MISCELLANEOUS Window/Glass Door.
CHANGE OUT 9 WINDOWS
9137 MIDWAY
WALTERS, BRANDON
B07-'1343-` 040=280-062
MISCELLANEOUS Siding/Stucco
VINYL SIDING (701.f)
9137 MIDWAY.
WALTERS, BRANDON
- Z.,m �4 Mw, -, PsF� I � =�—mlwff
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: 9137 MIDWAY
Owner:
Permit No: B07-1343
APN: 040-280-062
WALTERS, BRANDON
Issued Date: 06/20/2007 By TMP
Permit type: MISCELLANEOUS
9137 MIDWAY
Subtype: Siding/Stucco
DURHAM, CA 95938
Expiration Date: 06/19/2008
Description: VINYL SIDING (70 I.E)
Occupancy: Zoning: SRI
Contractor
Applicant:
Square Footage:
SEARS HOME IMPROVEMENT PRODUCT
SEARS HOME IMPROVEMEP
Building Garage RemdUAddn
1200 DEL PASO RD # 100
1200 DEL PASO RD # 100
SACRAMENTO, CA 95834
SACRAMENTO, CA 95834
Other Porch/Patio Total
(916)419-7703
(916)419-7703
FEE INFORMATION
DBMSC Stucco/Siding-StoneBric $116.00
Total Charged: $116.00 Fees Paid: $116.00
Balance Due: $0.00 Receipt No: B3583
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
SEARS HOME IMPROVEMENT 721379 / D41 C-6 C-61 C-20 /
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 Se ion 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 a
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
06/20/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor s 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
WORKERS' COMPENSATION DECLARATION
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
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE 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
��ITI
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
l Section 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
ACE AMERICAN INS WLRC44340860 04/01/2007
Carrier: Policy Number: Exp. Dale:
Contractor's License Law.).
(This section need not be competed if the permit is or once human red 2ollars ($100) or less.)
ElI AM EXEMPT under Section B. & P.C. for this reason:
aI 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'
'on
06/20/2007
compensation rovisions of Se 3700 of the Labor Code, I shall forthwith comply with those
wner's Signature Date
provisions.
f 06/20/2007
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 TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of peril. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused arising out 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 peril does not authorize the
is a riz
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 I am the
property owner or am authorized to act on the property owner's behalf.
CONSTRUCTION LENDING AGENCY
06/20/2007
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this peril is issued. (3097 civ. code)
Owner 1:1 Contractor OR: Agent for Owner PAgent for Contractor
FILE COPY
Lender's Address City State zip
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
PERMIT APPLICATION DATA SHEET
Reference Number: B07-1343 Date: 06/19/2007
Location: 9137 MIDWAY
By: KCG
Parcel Number: 040-280-062 Sub Type: Siding/Stucco
Owner Name: WALTERS, BRANDON Phone:
Description: VINYL SIDING (7011.)
The above permit application has the following Clearances required prior to permit issuance. Please contact each department
indicated below regarding specific requirements pertaining to your permit application.
Yes
No
DRAINAGE DISTRICTS
❑
❑
Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740
❑
❑
LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000
❑
❑
City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
PARKS & RECREATION DISTRICTS
❑
❑
Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
❑
❑
Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921
❑
❑
Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011
■ ■
WON
❑■
■❑
Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393
SCHOOL DISTRICTS
Biggs Unified School District, 300 B Street, Biggs CA 95917-' (530) 868-1281
Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006
Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675
Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723
Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000
Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105
Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
OTHER
Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
❑ ❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
❑ Other: Q n Of S
❑ Other: 11 aril.a -Dn
❑ ❑ Other:
Signature of Property Owner: ` , $ Date: 06/19/2007
FILE
BUTTE COUNTY FEE SUMMARY
7 County Center Drive
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 - Fax (530) 538-2140
Permit Number: B07-1343
Job Address: 9137 MIDWAY
Contractor: SEARS HOME IMPROVEMENT PRODUCT
1200 DEL PASO RD # 100 SACRAMENTO, CA 95834
Printed: 06/19/2007
3:42 pm
Fee Description Account Number Fee Amount Paid Date Pmt Amt
DBMSC Stucco/Siding-Stone/Bric
0010-440001-4210500-1010 $116.00
116.00
$0.00
Printed By: Kourtni Graham Balance Due: $116.00
At. the time of permit application, I was advised the above fees are required prior to issuance of the
permit. These fees may change during the plan checking process.
Signature:
Date: 06/19/2007
Pursuant to Government code Section 66020, you are hereby notified those items listed above may have 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).
June 20, 2007
Butte County
Attention: Permit Tech
To Whom It May Concern:
Dmitry Tarasyuk has his own company for pulling permits and he pulls permits for
Sears Home Improvement Products and our license # is 721379.
Thank You,
Brent Davis
Metrto Installation Manager
916-830-3414
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Name
First Name
Mailing Address W
Cit �� State P
l •/-►
Zi p3
l
Phone Fax
E-mail
CONTRACTOR
Name jAA_S
Address
City S
State
Zip 3
Phone .3
Fax
E-mail 2l
Lic. #
Class
APPL14C,ANTSIGNATURE
X e,....�
PROJECT LOCATION
AP# a _ — 01col
Property Address
City D
uMayn OA
PERMIT
NO.
BIN H.
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:
F 16' Zw i.
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
ARCHITECT/ENGINEER
Name
SRA
Address
I No
City
Type Const.
State
Zip
Phone
Fax
E-mail
State License Number
APPL14C,ANTSIGNATURE
X e,....�
PROJECT LOCATION
AP# a _ — 01col
Property Address
City D
uMayn OA
PERMIT
NO.
BIN H.
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:
F 16' Zw i.
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
APPLICANT INFORMATION
Name
SRA
Address
I No
City
Type Const.
State
Zip
Phone
Fax
E-mail
APPL14C,ANTSIGNATURE
X e,....�
PROJECT LOCATION
AP# a _ — 01col
Property Address
City D
uMayn OA
PERMIT
NO.
BIN H.
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:
F 16' Zw i.
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning Flood Zone
SRA
I Yes
I No
Occ.
Type Const.
- C 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: 9137 MIDWAY
Owner:
Permit No: B07-1291
APN: 040-280-062
WALTERS,
BRANDON
Issued Date: 06/13/2007 By KEJ
Permit type: MISCELLANEOUS
9137 MIDWAY
Subtype: Window/Glass Door
DURHAM, CA 95938
Expiration Date: 06/12/2008
Description: CHANGE OUT 9 WINDOWS
(530) 899-8429
Occupancy: Zoning: SRI
Contractor
Applicant:
Square Footage:
WALTERS, BRANDON
WALTERS, BRANDON
Building Garage RemdUAddn
9137 MIDWAY
9137 MIDWAY
DURHAM, CA 95938
DURHAM, CA 95938
Other Porch/Patio Total
(530) 899-8429
(530) 899-8429
FEE INFORMATION
DBMSC Window/Sldng GIs Dr -Rept $232.00
Total Charged: $232.00 Fees Paid: $232.00
Balance Due: $0.00 Receipt No: B3490
LICENSED CONTRACTOR'S DECLARATION
OWNER %;BUILDER, DECLARATIONS
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
WALTERS, BRANDON OL:CRW_00373807 / /
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 06/13/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's Signature Date
I�IJ!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
WORKERS' COMPENSATION DECLARATION
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
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE AND WILL
the work himself or herself or through his or her own employees, provided that such improvements
❑I 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.).
AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ Section
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The 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
Contractors License Law.).
Cartier: Policy Number: Exp. Date:
(This section nee not a completed if the permit is oror once hundred dodollars ($100) or less.)
❑ I AM EXEMPT under Section B. & P.C. for this reason:
rldCERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
�V 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 06/13/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 06/13/2007
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 TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
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 I am the
pro erty owner or am authorized to act on the property owner's behalf.
06/13/2007
CONSTRUCTION LENDING AGENCY
1 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 Permittee [SIGN] Print Date
8N-�� 0- s
Owner 1:1 Contractor OR. Agent for Owner Agent for Contractor
FILE COPY
Lenders Address City Stat eZip
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 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.
c 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
n 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 FORM AS 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.
I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. (0E OR NO)
2. I (00HAVE 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
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: CHANGE OUT 9 WINDOWS
Reference Number: B07-1291
Applicant Name: WALTERS, BRANDON
Owner's Name: WALTERS, BRANDON q AP # : 040-280-062
Signature of Property Owner: 1p�- df �` :VVaxtf*_3 Date: (D-13-07
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BERE_OUIRED AT TI1111E OF APPLICATION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
CONTRACTOR
OWNER INFORMATION
Last Name
City
F' Naame
Ad
Mailing Address
011'3-7
1t3-7 M t o(w 1t
City DuN
�'i
State CA
Zippl593
Phone
3 y2q
Fax
E-mail 10YAmDO-79 hUtvy)0.1 I . C..Om
CONTRACTOR
Name
Address
City
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
Address 90
1 O 4
Address
City D XXW, h
City
rzip
0 5a3
State
Zip
Phone
kd+m CL . l'. �►�'1
Fax
E-mail
Open Cov
State License Number
APPLICANT INFORMATION
Namej tr O.rtGl6t'1
a
Address 90
1 O 4
W d
City D XXW, h
State CA
rzip
0 5a3
Phone Sq C1 (a 429
Fax
E-mail b q_,gid0879 P
kd+m CL . l'. �►�'1
APPLICANT SIGNATURE
PERMIT
NO.
bl - OR
BIN # .
PROJECT LOCATION
AP#
Property Address f ,1
City C W1ff Ou ►'Y`T C C ► bot B
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:
Y?AQ) CIL" VVI Yldft'16
FloodZone
SRA
Yes
No
Occ.
Type Const.
I
Sq FT- Living Garage
Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
'
For office use only:
Zoning
FloodZone
SRA
Yes
No
Occ.
Type Const.
I
1
t
Butte County Department of Development Services. a°TrE, aAEn
N O T E S 7 County Center Drive, Oroville, CA 95965
(530) 538-7601—.bggQcounty neydds •ec�OMty•
RESIDENTIAL
AM:
Permit No.
Owner:
040-280-062
-
_ _0_5-278_8
HARRIS, LORI ELLEN r
Site Address:
1014 MIDWAY, DURHAM _
Cont: WATKINS PLUMBING
Contractor. !
REPAIRS(PLUMBING C/O)-- - — — -
Type of Permit.
CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
DATE JOB FINALED: j In, n-5
SIGNATURE: Vd 2464 A
1
.=OK
0 = Not OK
RESIDENTIAL (Single & Duplex)
DATE JUNDERFLOOR
DATE PLUMBING
1 ZoningSetbacks-Easements-FloodSlope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dpth.
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
56 Shwr Pan; Test, First fir -Tub Ace
5 Stemwalls Main; Steel-Blockouts-Wrapped
57 Test Tub & Shwr, 2nd fir - Tub Ace
6 Stemwalls Garage; Steel-Blockouts-Wrapped
58 Gas Pipe; Sz & Anchrs
6a Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way C/O -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
DATE IMECHANICAL
12 Elec Undrgrnd
61 AC Ducts Insultn & Support
13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn
14 Girders-Sills-Anchr Bolts-Joists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insultn
15 Ace & Vntltn
63 Condensate Drain & Ovrflw, Sz & Grade
16 Insulation
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Ace & Pltfrm if Furnace in attic
0
DATE IFRAMING
17 Sills Proper Materials & Anchrs
DATE IFINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & fir Nailing
67 Smoke Detector
20 Draft Stop in Walls (rat proof)
68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
In Garage; abv-flr-Ducts-Meeh Prtctn
22 Headers & Beams-Sz & Bearing
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnctns
70 GFI & Bath Fxtrs & Tub AccSpa
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
71 GFI Arc Fault
25 Frplc Ties or Type A Flue-Frplc Throat Cirnc
72 Elec Trim & Subpnl, Breaker Szs & Labels
26 Attic Ace; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
73 Stairs, Guard/Handrails
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
74 Frplc or Stove, Cirnc-Hearth
28 Garage Fire Prtctn Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall & Opngs
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc
30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits
77 Elec Outlets & Rcptcls at Ktchn Counter
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
78 Garage Fire Door; Swing -Landing -Closure
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
79 AC Duct in Garage -Damper
33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace
Mech Prtctn; LPG Appince Undr House 3" drain
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
81 Plmb; Elec & Mech Eqp Listed for Loctn
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
37 Brace Int/Ext Wall pnls
83 Insultn-Foam-Looked in Attic
38 Insultn-Walls-Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Cirnc Drnge Planters QYes []No
87 Stucco Brown -Finish
e� o'" �s
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Cirnc-Ins Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 Vntltn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Inspctns
44 Eqp Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
45 Grndng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
97 Energy Cmpinc Cert -Other Certs
47 Subfeed Wire Sz ga ❑ CU or [:I AL
98 Address Posted
AC Wire Sz ga ❑ CU or Q AL
99 Fire Sprinkler
48 Range Circ ga ❑CU or El AL
Oven Circ ga Q CU or Q AL
Insulated Neutral ❑ Yes Q No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
41
+=OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE Lj PERMANENT FOUNDATION SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat O or LPO
Inch Sz Ft Lngth
7 Blckng; SzSpacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs O Foundation O
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
DATE ID E C K S'C O V E R S'C A R P O R T S'G A R A G E S
1 Zoning -Setbacks -Easements
2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
°� °mss 91
DATE IPOOLS
1. Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Bdxes-Encisrs-pniboards-Insultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr; Fencing -Alarms
13 Bonding, Diving board or Slide
m
Pool Drawing
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #. '(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP052788
R r R„ilriinn Parmit 01-18-04 na 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 10/10/2005 APN: 040-280-062-000
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.
Site Address: 1014 MIDWAY DUR
License Class : 6_369 License Number: 72- 79(o Z
Map Index:
Date: / O - ) O- OS Contractor:
Description: repair / replace plumbing
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: LORI ELLEN HARRIS
permit to construct, alter, improve, demolish, or repair any structure, prior
9137 MIDWAY
to its issuance, also requires the applicant for such permit to file a
DURHAM, CA
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
95938
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
Applicant: WATKINS PLUMBING
pp
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
50 BUTTE GLEN DR
owner of property who builds or improves thereon, and who does
OROVILLE, CA
such work himself or herself or through his or her own employees,
95966
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
530-534-7773
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor: WATKINS PLUMBING
not apply to an owner of property who builds or improves thereon,
50 BUTTE GLEN DR
and who contracts for such projects with a contractor(s) licensed
OROVILLE, CA
pursuant to the Contractors' State License Law.).
95966
❑ I am Exempt under Article 3 of the Business and Professions Code
530-534-7773
Date: Owner:
License #: 727962
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Architect:
Labor Code, for the performance of the work for which this permit
Engineer:
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
✓,
Carrier: EmPcoYLr.`s co
Total Square Ft: 0 S. F.
/a3 z3 s 9 o z
Valuation: $0.00
Policy #:
❑ I certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
I V
forthwith comply with those provisions.
D
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
of the Butte County Code and/or
This permit is reby issue e�!�-
I hereby affirm that there is a construction lending agency for the
the work for whichthis is issued (Sec 3097 Civ.)
Resolutions o do work i at abeen paid. �I�
�j �
performance of permit
By:Date: v
y
Name:
PERMIT EXPIR S ON:
Address:
ate
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes
y/J
Print Name: �LGI�A.c /�.4TiCL-�- Signature:
Date:
Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
R r R„ilriinn Parmit 01-18-04 na 1
BUTTE
(o " %JTr�0 DEPARTMENT OF DEVELOPMENT COUNTY
SERVICES
0 0 BUILDING PERMIT APPLICATION
0 0 AND SUBMITTAL REQUIREMENTS
o 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
o - o OFFICE #: (530) 538-7541
U R A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
"PLEASE PRINT CLEARLY"
OWNER
Last Name
irst Name
Address
9 137 m Lo w,e
City DI L,
State Ll
Zip qs q38
Phone, 93 _ 9 335
Fax .
E-mail
CONTRACTOR
Name
Address�:-
City
City0/e0-r
Stat CA
ZipQ
L`e
State
9t0(o
Phonesay-777.3
Fax .6-33-SY/'7
E-mail
Lic.#
Cla�
Gc�A�'.eu�1Pa3� G�S��-
7Z79mZ
3,
APPLICANT NAME '
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phorie
Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME '
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property Address
91.37
Flood Zone
Cross Str r--
%Z6,.V.1 Atl e.
SRA
I Yes
No
Occ.
Type Const.'
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BPd5-27
BIN #
LOCATION
AP# O y Or 260
Property Address
91.37
City
bUje-/fjq,r,
Cross Str r--
%Z6,.V.1 Atl e.
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:
PA-112t/el
Sq. Footage
❑ 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.
OVER FOR SUBMITTAL REQUIREMtN 15 11
K:\FORMS\BUILDING FORMS\BldgAppiSubRgmts.doc Page 1 of 2
Received r Amount:
Receipt #: 04
O
Date. I D V
SRA
Sheriff
SMIP
Total
REV 6-16-04
3j4/6
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER!
OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to
mobile or modular homes.)
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 8. Sanitation and site plan approval from the Environmental Health Department.
❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation (if required).
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
❑ 9. Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04
10/03/2005 16:51 5308986034 PAGE 02
L) -t-03-05 09:ZfiA Culligan Water 899 1771 P-02
Culligan Water Coudkionjug
21771vvitimm - CWcoCAR5929
Ouebel 3. 2005
Mr. Allen
9137 Midwav
Durham Cal 1)593R
Ph()ne 8919-5046
Dear %1r. Allen:
I tested the water at 1) 137 Midway for coffos:on. The water teqc(l as 1611OWS'
PH - 6.5
Lon - Zero
Hardness - 400 porn
rozal, dissolved salts - 427 Pp."
The,water is corrosive to copper or Galvanized plumbing. I rewrnmejj�j tht: howe
ht: piumbed with plastic (pex. cpvc, or equivalent) plumbing ioprevent cormsion
If vou have arty qkwilion,% please don't hesitate to call.
Rex Munroe
Grade 1- Operator
M; IA: C.i..-MNV:r1CfAL. :-'41.,1)S:H,A; WA(Frl Tr-rATMrW
CUL P 11 vn IV?' 1)
1624111.1 -e -
A
1
COUNTY'OF BUTTE' -' DEP�.RTMENT OF PUBLIC.WORKS.
�7 County Center Drit,,? •,.-10roville, California 95965 i
� Telephone: 534-4541 - r
APPLICATION AND PERMIT
Owner t::. `rlaric ;1L it
Mailing Address Rt. I uCtt 729
Telephone No.
f1+Irl�nn �_ j4y..Il�� i
Contractor All Soasono Hoatinn and Air Cor+L .
Mailing Address 2838 Huy 32
Telephone No.
Chico. Ca. 9592.6
Building Address fit. I Box 729
Durham, Co.
&115 �: r d r,�Jc y , a D j9 r% ry, I✓ .
1 —
A. P. No. Zoning & Planning
Fees W!C.' Sanitation' Fire Dept. Fire Zone Use Permit
EOA Parking Parcel Parcel Ma 60' R/W Improvements
Plans Declaration P
Bldg:-Plons.Rec;d_ Parcel Approval Plans Approval _
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q
Single Family Q Duplex ❑ Mobil Home ❑ Others ❑
CONTRACTORS LICENSE LAW
.I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of: All Soasons Heating and Air Cond
License No. 260447 Classification C-120
_ BUILDING
SQ. FT.7 OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trao
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
@ FEE
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
Permit Fee
$
A4 1;�n
ELECTRICAL
No.1 @
FEE
PERMIT FILING FEE
$3.00
0V OR
Main service 100 AMP ORSL _
5.00
.�
Main service EA. ADD'L 100 AMP
2.50
Main service OVER 600V
100 AMP OR LESS
25.00
.R�
Main service EA. AOD'L 100 AMP
(` 0� •A
NEW CONS. I DWELLING O
OR ADDNST %ACC. BLDGS CCUP. 41
'2PSq ftNEW
CONST
NON-REBID R. BRANCH CI;RCUIT;S
2.50ea 1A
NEW CONSTR. POWER APPARATusl- A
NON-RESID. SINGLE -OUT LET.-+CIR. A
/
Ex. Occur) (OUTLETS ORVFIXTIIRES
0Q
I(BAL�@1FIXED
ALNS.
Ex. OCcup.(OUTLETSP(RESID )REA) ,2.00'
Temporary service
/ 10:00
Mobile Home Facilities L
15.00
Misc. Wirina
6.25
❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee
WORKMEN'S COMPENSATION INSURANCE MECHANICAL
PERMIT FILING FEE
I am aware of the provisions of Section3700 of the California Labor Heating /,y f7.11T f
Code which requires every employer to be insured against liability
for Workmen's Compensation.
�® 1 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 1 1, i J
"4't L Lx kt—n Date 6-9-7P
" Signature of Permitee or Agent
Receipt No. )719S�X7y
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Coo I i
$3.0013.00
i -on a -nn
Ventilation
Hood 1 1 2.00
Permit Fee $ 14.50 $ 1 4 • : `V
Land Development Fee $
TOTAL PERMIT FEE $ 8—
This permit is hereby issued under the applicable provisions�of)D
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
/3DIREC,TOR OF PUBLIC WORKS
By i !Cl r%Date
.Building permit expires Date A :wt -7/ 1
0
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS y
7 County Center Drive--tOroviyle, California 95965 Or,)
Telephone: 534-4541
APPLICATION AND PERMIT
o,gnorure or rernrlree or r - -
��sns pq BY Date
Receipt No. p' ��p�,�:,�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Buide�i�g permit expir s Date
BUILDING
Owner Mrs.Arlene Root
SQ. FT. OCC. BUILDING VALUATION
Mailing Address Rt. 1 Box 729
Telephone No.
343-8261
Contractor All Seasons * Heatin and Air Cond.
Mailing Address 2838 Hwy32
Fireplace
Total Valuation
Chico Ca 95926
Telephone No.
3 _
Permit Fee
Building Address
BRt. 1 Box 729
Plan Checking Fee&/or Penalty
Permit Fee
Durham, Ca.
-PLUMBING No. @ FEE
Al
PERMIT FILING FEE $3.00DI �� Q
Each Trap 1.50
ap v
Repair drainage or vent piping 1.50
�c1
A. P. No. — 6 Z
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fteef
W'
S
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Deciaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NE ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
5
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5•00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD•L 100 AMP
NEW CONST.DWELLING OCCUP. S
OR ADDNS. V ACC. BLDGS. Sq ft
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:
All Seasons Heating and Air Cond
NEW RESID,CO N MBRANCULTI-OUTLET
NON-RESID � BRANCH C RCUIT .50eak
NEW CONSTR. POWER AP A A 5
NON-RESID. SINGLE L
Ex. Occup{OUTLETS O I S
FUIXED APPL S.Ex. QCCUP•TLETS (RESI O
1 EA •0
Temporary service 1 .00
Mobile Home Facilities 15.00
260447 C-120
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
I am aware of the provisions of Sectio63700 of the California Labor
Code which requires every employer to be insured against liabilityWJA118TO
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
r -1I 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
-nn 4 -nn
—4
Cooling 3 /
Ventilation
Hood 2.00
Permit Fee $14.50$
14.10—
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
authorize repr gntatives of the County of Butte to enter upon the
ab `e -m do property for•inspection purposes.
Irk
j
XDyAE�CZQR.OF
V �'L r Date 6—"-78
Land Development Fee
$
TOTAL PERMIT FEE
$
This permit is hereby issued under the applicable provisiof��j
the Butte County Code and/or resolutions to do work indila is
above for which fees have been paid.
PUBLIC WORKS
A o
l % `]J�[
o,gnorure or rernrlree or r - -
��sns pq BY Date
Receipt No. p' ��p�,�:,�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Buide�i�g permit expir s Date