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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