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HomeMy WebLinkAbout040-300-045AP 40-30-45 traughan i «..• ST E�S-Jones Aa rx. -6001 off Midway, Durham l CONTR: Owner Permit No. 385-69B (addition single -- - - _t LOT BLOCK SUBDI V. NEW OWNER V4-30-45 IIyy DUR�1 TYPE OF PERMIT NO. PLAN NO. DATE IS MORRIS RANT PERMIT Jones Ave. , (off Midway) 11th. house on left. Contr: All Seasons Heating - Permit #k941-76P,M(A/C & htg) SF I 040-300-0.45 PERMIT#98-2603 PAGANINI, Jeff 10114 Jones Ave., Durham Cont: Butte Roofing'Co., Inc. � of /SF I" B07-1973 040-300-045 MISCELLANEOUS Electrical RELOCATE ELECT. SERVICE 10114 JONES AVE RICHARDSON, DANIEL PERMIT DESIGNATION: B—BUILDING E—ELECTRICAL U—USE PERMIT DEPARTMENT OF P—PLUMBING TV—RADIO-TV ANTENNA V—VARIANCE ` BUILDING AND SAFETY T—TRAILER S/W—SIDEWALK NOTICE S_ SIGN PERMIT REMARKS HM —HOUSE MOVING EP—ENCROACHMENT D — DEMOLITION 600.1 te 2 C T m y r a m y m C m m p D � r D• Z n m N z c Q = Z v z 3 i Z c i m m � OZ m to Q Z D O Z N Q m A 3 i c 3 tD m A fA D O O m DN Q m D O A �; NUMBER D m D i 1 3 D D 4 1, m m m i m N i y Ol N i m i vi Q I Z Q i Q i Q D i Q D i D to m Z C D Q 3 Q p Q Q m i m m m m m m m m m m m N Q i m m m m Q I Z D to O i N i D m N i Q m to O N D i Q O m Q D Q O i m FOUNDATION I m � m m I Q I O D i in m � I I I STEEL in m te 2 C T m y r a m y m C m m p D � r D• Z n m N z c Q = Z v z 3 i Z c i m m � fA D O m DN Q m C O A �; NUMBER D m D Q 1 3 D D 4 1, m m 2 i m N i y g N i m i vi Z I Z Q i Q i Q D i Q D i D to m Z C D i Q 3 Q p Q Q m m m m m m m m m m m Q i m m m m I Z D to i N i m N LOCATION, Q to O D i O m Q Q O m FOUNDATION I � m D m> D O m DN Z$ m C A �; NUMBER D m D Q D 3 D D m 1, m m 2 i N D y g N D m i vi Z Q Z Q i Z i Q D i Q D i Q to m Z C D i Q 3 Q p Q Q m m m m m m m m m m m m z m m m m Z to N i LOCATION, to Q O -Di m FOUNDATION I � Q I I D i m � I I I STEEL m I I Q I FRAMING s 1 I v Z D i m y Q INTERIOR i I O i LATH m Ul Q DI I m LATH PERMIT NUMBER D N D D N D N D N y N D y g N D i Q i Q i Q i Q i Q D i Q D i Q D i i Q D i Q D i Q i Q m m m m m m m m m m m m LOCATION, FORMS, FOUNDATION REINFORCING STEEL FRAMING s 1 I INTERIOR i I LATH I EXTERIOR LATH INTERIOR PLASTER EXTERIOR PLASTER CONCRETE BLOCK GARAGE FIREWALL FIREPLACE FINAL 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: 10114 JONES AVE APN: 040-300-045 Owner: RICHARDSON, DANIEL Permit N0: B07-1973 Issued Date: 09/18/2007 By TMP Permit type: MISCELLANEOUS 10114 JONES AVE Subtype: Electrical Description: RELOCATE ELECT. SERVICE DURHAM, CA 95938 (530) 864-2148 Expiration Date: 09/17/2008 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: SNYDER ELECTRIC SNYDER ELECTRIC Building Garage Remdl/Addn 15041 SYNDER ELECTRIC 15041 SYNDER ELECTRIC CHICO, CA 95973 (530) 520-9110 CHICO, CA 95973 (530) 520-9110 Other Porch/Patio Total FEE INFORMATION DBE Single Phase Service-Resid $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B4669 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SNYDER ELECTRIC C815126 / C 10 / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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 pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 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 peril subjects the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full f rce d effect. X 09/18/2007 Contract f'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 Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the 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 ❑ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: rQy CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS L/H__1,SSUED, 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 09/18/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Owner's Signature Date X09/18/2007 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 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 injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the propert Herm or am uthorized to act on the property owners behalf. 09/18/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Kamd of Perm ittger N] Print Date ❑ Owner ❑ Contractor OR; Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT INFORMATION OWNER INFORMATION Last Name d Fi Name Mailing ddres e City �� S � State Zip P o 0 r Fax Fax E-mail Lic. # 915,12 APPLICANT INFORMATION CONTRACTOR Name d Address S` CC - .G S � Zip S9 -) 3k � `C �!Q Fax E-mail Lic. # 915,12 Class C APPLICANT INFORMATION ARCHITECT/ENGINEER Name City (C v Address Zip S77 City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address arria�LU City (C v State )V-- Zip S77 Pho Fax E-mail Be -e dei c . eah1 APPLICANT SIGNATURE X PROJECT LOCATION AP# �za Property Address City PERMIT NO. f `� 6c 1 I/} BIN # 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: tl SC r, l// G -e Jreln O use ci4t oL W..e-4/m h ,-7% tea( ell j. 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 No Occ. Type Const. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS . 7 County Center Drive Oroville, California 95965 Tel epllbne_: -5314-4541' APPLICATION AND PERMIT ,00 auinonze representatives or the county or tsutte to enter upon me above-mentioned property for inspection purposes. X Date 7 Signature of ermitee or Agent ; Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By o Date P 6 9 permit expires Date 3z3z!�77 BUILDING Owner. - aI SQ. FT. OCC. BUILDING VALUATION Mailing Address CA 9-593 *01154 Fireplace Contractor C Total Valuation Mai I ing Address Igo Permit Fee Plan Checking Fee &/or Penalty Telephone No. _ q9 Permit Fee Building Address PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 (� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Vb Zoning &Planning Gas piping system 1 - 5 outlets 1.50 1,50 Each additional outlet .30 F Sa ' ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 n ec Parcel Approval Plans Approval Permit Fee $ $ 'NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 2] ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or -Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures '_2_02 bSI Receps., switches &. fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 License No. aZloO S/ Classification C -.;?D Temp. Power Pole 5.00 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California'Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that 'in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to.becorne subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 3, oo Heating Cooling -7,,To Ventilation Hood. 2.00 Permit Fee $ d $ l I certify that I have read this application and state that the above" information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ ! D O auinonze representatives or the county or tsutte to enter upon me above-mentioned property for inspection purposes. X Date 7 Signature of ermitee or Agent ; Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By o Date P 6 9 permit expires Date 3z3z!�77 V. i- � Y r �...-' _. .-. _ .. •.�'�- ,. 1' .�.. +.n.• �.;+y...,,.. ',.��+.,+-3"!w-"t;;� --i«'�. ....t .-.E.'"'d... a!A.-... _. � , ,YR�S�.: COUNTY OF BUTTE DEPARTMENT' -OF PUBLIC 'WORKS,` I� 7 County Center Drive OrovilIe, California 95965- r , Tel ephon4: 534-4,541 ,{ APPLICATION AND PERMIT auurunce reprebentnuves or tne.uounty or outte to enter upon the This permit is hereby issued under the applicable provisions of above=mentioned;prop.erty for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid.• % X f,r? !`IiJ /i �-is1 : .�'�1/iii DIRECTOR OF PUBLIC WORKS Date Signature aPer mitee or Agent Ir - By ,,;.l."'��J 'y,t.:r„z,, pate /,r r'� //j / ?... 4 r Receipt No, W!�ite-D.P W _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant. Building permit expires Date ?•/ BUILDI'NG;j rr �. Owner ' . !.r SQ. FT. OCC. BUILDING VALUATION Mailing Address „%, re r^i.+�vi. (. /•� I. Telephon_N oS -�`J 15�; Fireplace Contractor j ��r'ir i`i ` ., fi' ,U %C' Total Valuation y , r Mailing Address -/'t_0 Permit Fee Pian Checki Fee&/or Penalty' 'ng i f't -Ac � /. Telephone:No:'' : ! 4 Permit Fee Buildin Address 11 PLUMBING' No. @" FEE. PERMIT FILING FEE $3.0019 %) i r!_t r7{i ,- A Each Trap 1.50 Repair drainage or vent piping .1.50 `Water piping 1.50 Each gas water heater or vent -1.50 A. P. No. ,� [� -� �� Zoning & Planning Gas piping' system `1 - 5 outlets 1.50 , ' , Each additional outlet 30 s Fees ­W�C�' U Sani4at'i,on _ Fire Dept. Fire.Zone Use Permit r Building sewer 5.00 EQA, Parking Plans ParcelLawn , Declaration Parcel,Map 60' R/W Improvements sprinkler system. 2.00' . I �BIdg3Plcm Rec'd� Parcel Approval Plans Approval Permit Fee $ +. ! NEW.❑ ADDITION ❑, UTILITIES❑- BOTHER ,Q ELECTRICAL ` NO. @ FEE 4 PERMIT FILING FEE $3.00 ,','. 7: at•; �,a,n �, y r/. ~. s �~ i , ,'r ' Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) .. r . 9 - SingleFamily Duplex ❑ "-' Mobil Home ❑ Others, Range, Cook -top or Oven 1.00 { Water Heater or Space Heater 1.00 Light fixtures b 1%102 l ,P Receps., switches & fix outlets p. CONTRACTORS LICENSE LAW I am licensed under the, provisions of Chapter 9, Div. 3, of the .State of California Business &tProfessions Code under, the name style of: /7 f 1 a�a r+.r t+•�, . a�/ r.n �'•v. �� r. •;. x.r !/.r Hood, Ex. Fan or F.A. Furn. Motor 1.00: Evap. cooler, gar. disp. or D.,W. •-, 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.`!nG �/ t' , Classification Misc. wiring'' 4 - ❑,I am exempt fiom.the Contractors License �Laws of.the State of California. Permit Fee '. WORKMEN'S COMPENSATION INSURANCE l -_ - I am,aware of the provisions of Sectiori3700 of the California Labor Code•which requires every employer to be insured against liability for Workmen's,Compensation. 't ❑I have placed on file with the County of Butte a certificate of ' Workmen's Compensation Insurance. ❑ I, certify 'that in the performance of the work for which this .permit ,is issued I shall not employ any person in any manner so as,to become, subject to the Workmen's Compensation Laws of California MECHANICAL ' No. .d @ FEE , PERMIT FILING FEE $3.00 Heating..- 11C), -()n0 Cooling 0!/ ,p T! I '%, �'o. . Ventilation Hood 2.00 Permit Fee $ I.certify that Ihave read this application and state that the above •information is,correct. I agree to comply to all, County Ordinances - and State:Laws° relating to building construction, and hereby. TOTAL PERMIT ,FEE $ >20 +�C� auurunce reprebentnuves or tne.uounty or outte to enter upon the This permit is hereby issued under the applicable provisions of above=mentioned;prop.erty for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid.• % X f,r? !`IiJ /i �-is1 : .�'�1/iii DIRECTOR OF PUBLIC WORKS Date Signature aPer mitee or Agent Ir - By ,,;.l."'��J 'y,t.:r„z,, pate /,r r'� //j / ?... 4 r Receipt No, W!�ite-D.P W _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant. Building permit expires Date ?•/ s o? -7- 7J j!:;.g S//a 1-11*114 k/ 4A— -Nl,!-­ ~- -, `^ - ----- 10114 Jones Ave.', Durham Cont: Butte Roofing Co., Inc ' . / � ` . �.� � ' . . , - � � � COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, 'California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NU BERw_ 300 04 ZONING BUILDINGPERMIT OWNE 11 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S ADDR SS CO TOR'S ME LTE EPHONE CO RACTO ILING ADDRESS r 2;5x Is It I CONSTRUCTION LENDER Fireplace LENDER'S MPJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ O® ARCHITECT OR ENGINEER'S MAILe ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ ir+ " PERMIT FEE $ LOT NO,,., _ S UBDNISION'iNAMEMAP PARCEL PLUMBING PERMIT Fling Fee 2000 Each Trap 7.00 USEbFSTRUCTURE SF Duplex ❑ Mobilehome ❑ 4Other. 4 SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 • TYPE OF WORK t New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( zoon oR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.�r License Class � Lic. No.,, /o OWNER -BUILDER DECLARA ION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under -Sec. -Business .and+Professions -Code for this - reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' c mpensation insurance carrier and policy number are: Carrier G 2� /'h— 4. k1�er,eY Policy Number_ ( 0412:11 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X l4- Date' _ 1— ---- Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent " An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. S. SO 3.50FT; NON EW RESNCST. =O RCL TS @a 7.50 P OWER APPARATUS a SINGLE OUTLET CIR. 20 @ 100 Ex. Occup. OUTLET OR FD(TURES BAL @ .50 ALNI Ex. Occup. ouiLEET. A o.oE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ FEES IMP FLOOD CDF PARC PD HD ISsu This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By j* &Ak PERMIT EXPIRES ONvLi��1�1� the applicable provisions Resolutions to do work been paid. Date D.W ReceiptNo. WHITE-D.D.S.-B. D. CAN ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT d COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT oG ASSESSOR PARCEL NUMBER 54 0 300 tO ZONING BUILDING PERMIT OWNE , q5 3 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS VJG ADDR S JAII• CO OR's NAME TE EPHONE ' CO RACTO IUNG ADDRESS se CONSTRUCTION LENDER AiIA Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 4l! ARCHITECT OR ENGINEERS MAI G ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ v» PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [�, Describe Work: / _ Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oR mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class r Lic. No. (� ��n OWNER -BUILDER DECLARA ION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' c mpensatio^n insurance c mer and policy number are: Carrier L�Yi�rl1:. insurance Main Service Zoog TO ,000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. 8 ACC. B.S. SO 3.5¢FT, NEW CONST.MULTI-OUTLET NON-RESID. ANCH CIRCUITS @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1'00 SAL @ .50 UNIS Ex. Occup. ouTLEEDTs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number '7 g=1i 2&& (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wit. those provisions. r Xt _ /'K� 2�f.�Date /� Signature of pplicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP FLOOD COF PARC PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BYAL &4#ej PERMIT EXPIRES ON I 1 the applicable provisions Resolutions to do work been paid. Date .l 10,te Receipt No. WHITE-D.D.S.•B.D. CAN -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY, OF BUTTE r - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT Permittee Owner 1,4 10 A. R. No. EXTERIOR Mailing Address % �� ` - �� % �� !�'t- ZoningSanitation-) Width at Bottom Contractor -v�"'�t-- Pl�atts -:?F R.W. PLATE (Sill) s .. W.C. SPAN Mailing Address _ Planning. joists - 1st Floor I D.P.W. BLDG. Address Joists- 2nd Floor Joists - Ceiling NEW (ADDITION Others Single USE OF STRUCTURE Family Others REPAIRS OTHER Multi Duplex 'Dwelling SQ. FT. OCC. BUILDING VALUATION Total Valuation Permit Fee Plan Checking Fee &/or Penalty FOUNDATION MATERIAL EXTERIOR PIERS Width at Top Width at Bottom Depth in Ground •. R.W. PLATE (Sill) SIZES SPACING SPAN Girders _ joists - 1st Floor Joists- 2nd Floor Joists - Ceiling Exterior Sttids Interior Studs Roof Rafters Total Permit Fee I c1/ r?, �-1 I Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................ License No. Classification ............................................... and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed 'contractors. '(Sec. 7044). Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis,, if any, for other statutory exemption.................................................................................................................................................................. .................................................................................................................................................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 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. This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS X.............................................................................. Date ................................ SIGNATURE OF PERMITTEE OR AGENT By Date Receipt No. ......... _.......................................................................................... Permit Expires Date s z \ e� _ COUNTY EDF ,BUTTE 3,63—P y DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phones 533-1230, Ext. 259 APPLICATION 1AND PLUM BIN0 PERMIT Permittee Owner F-�r�'� �S'ZeA U G,e1AlJ/A. P. No. f-/ (— Mailing Address /P-� c &-3 I . �G✓tia•---�. Contractor VAf Mailing Address BLDG. Address Czf —jo''.f AL, -e— DESCRIPTION OF WORK No. @ Fee $2.00 oZ &—c-3 NEW ADDITION REPAIRS F-� PERMIT FILING FEE Each fixture or trap or set of fixtures on one trap 1.50 7 J OTHERS:, -� sem'' Repair ori alteration drainage ��� or vent piping ­aj.. , ?A, Remarks �" \' r Installation or.repair �a waterpLpin, / 1 .- l� V 1.50 Each gas water - heater or •.ri- heater vent n I. �, USE 0F�:,:STR,UCT,URE. �� gas ; _ o ^� �� Gaspiping system 1� 5, outlets �I 50 , -� Single, Multi.: RESIDENTIAL Family ©� Duplex Dwelling Gas piping 6 or more - Each .30 House Sewer j Lawn Sprinkler system 2.00 OTHERS: Remarks: �� �a TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS C0M,P*E-T-E-THEF.0L,L,0WIHG: I am licensed under the provisions of Chapter 9, Div. 31 o'f Che State of Califrnia Business &Professions Code under .the name styleof .................................. ................................................................................................ .............................................................................................................. . License No. Classification,,,,,,,,,,,,,,,, and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). ��I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption.................................................................................................................................................................: .............................. I .................... ................................... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply with 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 urposes.,- Xr......1./...y......................................................................Date...................................... SIGNATURE OF PERMIT_T/EE OR AGENT Receipt No. 2 r ( f 0 ...................................... This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. %DIRECTOR OF PUBLIC WORKS BY..^✓..: >~ �1 y^..................................................Dote .�3..`........ • . t3. �oo;r t 'f r/ COUNTY 09 BUTTE 390 T= i DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 PHONE: 533-1230, Ext. 259 APPLICATION' --AND ELECTRICAL PERMIT Permittee Ownet �4 L-7 a A) - A. P. No. Mailing Address /Z �, '3 a +c IS -3 9 . �a✓h�✓�_ Contractor Mailing Address BLDG. Address F� DESCRIPTION OF WORK No. Fee �-- NEW A-DDITION METER SERVICE PERMIT FILING FEE $2.00 Supplementary Filing Fee 1.00 Main Service r OTHERS: `. Range, Dryer Water Heater Each 1.00 Remarks: Oven. -Cook -Top or Space Heater: Each .50 Light Fixtures' --� 3 trsc 20 Each Additional .10 Receptacles::, Switches & Fixture Outlets / � b First 20 .20 Each Additional . 10 �- / 4 .tv USE ' OF STRUCTURE Hood, Exhaust Fan or F.A.F n, Motor 2 Each .50 Evap. Cooler, Gar. Disp. or Dishwasher Each .50 Single Mdd f]F I Duplex Dwelling Air Conditioner or Heat Pump Water Pump OTHERS: - •i Misc. Wiring Min. 3.50 �S Remarks: j I TOTAL FEE //,/0 CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof......................................................................................................................................................................................._..................................................... License No .............................. Classification .............................................. , and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I gun exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property. and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption.................................................................................................................................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above informationis,.correct, and agree -to comply to all County c� J -.. ordinances and�State^`Laws relat� to building construction. }t / I D to ............. ......................... rSIGNATURE OF PERMI,TT`EE�OR'AGENT Receipt No. 77, 7.. d ................... APPROVED .......................... ..... This ELECTRICAL PERMIT is hereby issued under the appli- cable provisions of County Ordinance 887. DIRECTORp OF PUBLIC WORKS vo .. Date - .� G a , e n PERMIT NUMBER _ B 385-69B _ P COUNTY OF BUTTE Department of Public Works BUILDING INSPECTION RECORD Gy / Zoning Setback Forms Foundation /!�' ��, Piers &Girders Fireplace 60 �� Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test ��Found. Vents Framing Plmg. Topout Rough Elec. 1- Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS -- 1