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HomeMy WebLinkAbout040-390-010INSTALLED FURNACE W/O PERMITS 4/7/87I -L e Q V2 () io /&1 y-- y'- 9"?-- e rT 40-39-10 1dUFUS RUCKER /239 Estates Dr Chico �UCKER, Dr. Rufus 434-688 Contr: Artic Aire of Chico 61L, -68E 3=C38E ,.P.ermit#1320-86M(repince existing fur-- - 40 - # -39-1 -_ - nace /SF) - _ 239 Estates Dr., Chico ' 40-39-10 7' CONTR: Fred Unfried, 5 Pine Oaks Rd.;Oroville Contr: Butte Roofing �( (new single f amily�), GZ -/ f -G PErmit#2262-87B(reroof/SF) B07-2448 040-390-010 MISCELLANEOUS HVAC Change Out CHANGE OUT HVAC 239 ESTATES DR FERNLUND, PHYLLIS 4 {•* k� � FDy .Tat, i 1 � CM . 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: 239 ESTATES DR Owner: Permit N0: B07-2448 APN: 040-390-010 FERNLUND, PHYLLIS Issued Date: 12/03/2007 By KEJ Permit type: MISCELLANEOUS 239 ESTATES DR Subtype: HVAC Change Out CHICO, CA 95928 Expiration Date: 12/02/2008 Description: CHANGE OUT HVAC (530) 345-3045 Occupancy: Zoning: RI Contractor Applicant: Square Footage: AIR -ART HEATING & AIR CONDITIO AIR -ART HEATING & AIR C( Building Garage Remdl/Addn 1407 ALMOND STREET 1407 ALMOND STREET CHICO, CA 95928 CHICO, CA 95928 Other Porch/Patio Total (530)895-1420 (530)895-1420 FEE INFORMATION DBM Heat Pump (Package Unit) $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B5486 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 AIR -ART HEATING & AIR CONE 335302 / C20 C43 110/31 /2009 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 0) 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) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the 7ivision is in f II r effect. ismMbasis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X +( 12/03/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date -11, 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. 1 improve for the purpose of sale.). I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required byILL"JJJ Section 3700 for CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of the Labor Code, 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 .10/01/2008 000097 10/01/2008 Cartier. State Fund Policy Number: 272-0Exp. Date Date- Contractor's License Law.). section need not be completed if the permitis for one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 12/03/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date X provi ns. Pj 12/03/2007 I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building I 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, 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,its including death, and property damage caused by, arising out of, or in any way connected with o,o 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 ab o mentioned property for inspection purposes. I hereby certify that I am the y, wrier r a h 'zed to act on the property owner' behalf. CONSTRUCTION LENDING AGENCY 1 ,10 e (r 12/03/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permitt6e [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION_ OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 J A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.budee6unty net/dds BIN # **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name To - V -A0 "J Firs t~Na I J6 tS I Mailing Address ? �'I ; ,-_ D0 City C� ALU State CA Zip s g Phone;�iJ — 7bo"il) Fax 3 3�,' 95 E -mail APPLICANT INFORMATION CONTRACTOR n Name ! \fie - AST b YG 4 kl(- Address IqD -� A\�� S7, City NI Cu Fax State 01\ Zip IS a 9-) Phone S15-- ILt2U Fax 3.),_q5 -j j E-mail A\�_-ASRT Si,,GGI-06ALn Pe --e Lic. # Class Ca0 CSI APPLICANT INFORMATION ARCHITECT/ENGINEER Name City U _ \ Address Zip q�3 �)j(u City Fax State Flip Phone Fax E-mail State License Number APPLICANT INFORMATION Name \ _ \' -� �I,,C , U, CTA Address qo- ✓� I, l\ v--���� City U _ \ Stat tA Zip q�3 �)j(u Phone O p Cy z ,I U Fax E-mail AM/CANT SIGNATURE "�M ) kX PRO LOCATION AP# O!Ao ,o Property Address City WORKER'S COMPENSATION Policy Number 7�_ 0 0 b D T 7- 0 7 Carrier S Tt rupo Vv ) o - If hiring anyone other than license contractors, a c r ' ate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: R \A -C + V-A 0ve S 5"(e . 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. - � r- ....-�,.,� � - ..�,-�.._.r..rr v - —1,;n... �y....... � .1 ,....- ,>... „_arr..b..,..+ �... {...r+.�+.r�^--.---•...•n -..� �. ��.: h....r-.�-rt,. �.'—..�....,,.....Y i La c.JLsvK COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS. PERMIT NO. „ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIONANO PERMIT ASSESSOR PARCEL NUMBER -A- t � rl . I l ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS .` CONTRACTOR'SNAME / TELEPHONE CONTRACTOR'S MAILING ADDRESS ` t '0 t t ". 11 t 1 %, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF t'' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: I I" ! f r I r" f f _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L. 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): QUI am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. License No.- ' LG I- Classification l� '.. �.f 'Ex. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.A ,/Z�SQft OR ADDNS. ( ACC. BLDGS. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea APPARATUS &) / (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FI%TURES ;� a3o Occup. FIXED PLNS ORR TLETS (RESID ) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities r 15.00 Misc. �yirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F] The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department [E"a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice.to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation j y ', 11 permit Fee ( $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X "z "�.-l• /I I Date Signature of Applicant — Owner ❑ Contractor [fl-rAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE I I FLOOD PARCEL PD ND I ISSUE ' This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC ' By " PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date - Receipt No. .� + WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT r F COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT O. —� ASSESSOR PARCEL N MBER_ ZONING BUILDING PERMIT -, OWNER r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S J4A-LLI NG ADDRESS CONTRAC�SC_ C Chi (0 ' CONTRACTpOAILIN ADDRESS -IM (� Fireplace _r) CONSTRUCTION LEND R UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS �— Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS "—� Penalty $ BUILDING ADDRESS•, `J Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 ,T,� USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other LSI SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S TG7W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other LJ Describe work:a6bnQContractor Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare Ader penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and ProfessCode and my license is in full force and effect. License No.ions 13 Classification(N?�: El I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- El I, ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N) yzQsgft OR ADDNS. ACC. BLDGS. NEW CONSTR. U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. OccupOUTLETS OR FIXTURES eL0 A" L50'@0 FIXED Ex. Occup. OUTLETS (PR RESID )EA.) 2.00 Temporary service 10.00 1 Home Facilities 5.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 HeatingCZ@ 1 oca ciao Cooling Hood 3.00 Uefl ' D Permit Fee �. ;T' $ Contractor ` I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this per it. �w/�l ` X 'r J�,�^- Date _ Signature of Applicant — Owner g pp ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Igstatlation Fee, $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, CONST.TYPEJ IFLOODIPARCELI PD No 159UE This permit is hereby issued under sions of the Butte Count Code and/or work in ted above for which DIR T OF Pur PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date 1 9 /n Receipt No. -4(L WNITC-D.P.W., YELLOW-ASSE3SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT File No. BUTTE COUNTY (For Action 1, 2, 3) e. Public Works Dept. '(F*' Information t/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mopping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr May 7, 1986 Artie Aire Heating & A/C RE: Building Permit 2838 Highway 32 A.P. #40-39-10 Chico, CA 95926 Gentlemen: With* reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: Installed a pulse type furnace at the Rufus Rucker residence, 239 Estates Drive, Chico. Since permits and inspections are required, by both State and County laws, please contact this office within ten days of the date of this letter, submit two complete sets of plans, apply for the required permits, and pay the appropriate -fees, including penalty fees: All work must stop until you obtain these permits and are authorized .by our field inspector to proceed. This field authorization cannot be made until.the existing work.is inspected and approved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. JFG:ahb cc: Building inspector - Chico I Assessor rj 116 196 1, /JD of r ce, V //Oct 10 P f- toJ Cty (#-6 Yours very truly, William Cheff Director of Public Works Original signed by J: F. Glander J.F. Glander Chief Building Inspector pr;c-t �e4Q--afoo. Owne zk . • Z tAx, �-,,e4- BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT A. P. # -90-3 9-/O U Address:1=s�a r- ��� Date of Inspection 'v 2 %nant : tui ,Ung Location:. Inspector(�P,,__ -lWe of Inspection requested: I / 1. Houeing / J 2. Financing 3. Change of Occupancy to 4. Other (specify) fi Present use of building: i�, Sanitation (Housing) 1. Water closet: 2. Lavatory.- 3. avatory:3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6: Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: .g. Structural 1. Piers and footings: 2. Floor -construction: 3. Wall construction: 4. Ceiling and roof -construction:" 5. Fireplaces 6. Comments: G. Electrical 1. Service andground• 2. Receptacles: 3. Fusing: 4. Cu ents• �. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments• - E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: ' 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Coiuents- G. Field Problems or Violations 1. Problem or violation (give complete. description) : w�SeJ' , elf'Al�i 2. What action taken (give c4ompletedes/crition): 3. What Action recot ended: 7-1 A Information only - file. B. Hold for ten (10) days, then write letter. C. Write letter. ' 77D. Other: •. . 0 io V, vcker z�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Calijorni 95965 - Telephone 916/534-4541 • z,. APPLICATION AND PERMIT ' ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER ," !I TELEPHONE y.L SO. FT. OCC. BUILDING VALUATION "4J - ♦.... ' OWNER'S MAILING ADDRESS ,Z. ---, q &FK r s �a-� �� 9 CONTRACTOR'S NAME i � /.•I .� /l /- - / ( �� Kms`""" � �TELEPHONE r iT� ' n.i .i �' CONTRACTOR'S MAILING ADDRESS �.L7 Fireplace ;✓ CONSTRUCTION LENDER UNKNOWN ..,��fr�_ Total Valuation $ 1< JA / .y - v Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 4 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ., Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 L:E'C%— -riEE t/C- + Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[9 Duplex❑ Mobilehome❑ Other J' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JWI0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other © Describe work: k)!A.*r,1 "" � -�� - X �!'� ��• H Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 _ C 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty u p y of perjury y (check one): �- I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS i and Professions Code and my license is in full force and effect. f J G •••-'j� License No. -4;Z 44 Q Classification ' �' 'r ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and.the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) yzQsgft OR ACDNS. l ACC. BLDGS. NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS b (SINGLE OUTLET CIR. Ex. OCCUp�OUTLETS OR FIXTURES 200801 eALO 0 Ex. Occup. OUTLETS FIXED PRESID IREA.) + 2.00 Temporary service 10.00 Mobile Home Facilities i 15.00 Misc. Wiring 15.00 Permit Fee +, $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. a I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. .. r X J �.. fi.1 1!X� �-.. -- Date -�-, Z Signature of Applicant - ` Owner g pp ❑ Contractor ❑ Agent ` An OSHA permit is required for excavations over 5'0" deep andsdemolition or construct- ion of structures over 3/stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE I FLOOD PARCEL PO ND ssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. p DIRECTOR OF PUBL'IC`WORKS �f MJ �- B .//.>... ! ! BC4.f_tDateReceipt yj]�� y PERMIT EXPIRES Date J/•` 7 ��I� I No. WHITE-D.P.W., YELLOW-ASS(SSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATiONAD PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER tif)_ ZONING BUILDING PERMIT OWNER US g UG TELEPHONE - z SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS XL= r s D it CONTR_ACTOR'S NAM 1TELEPHONE CONTRACTOR'S MAILING ADD SS JF S—t?j-_V,)._7Fireplace 4 QO 0 C NSTRUCTION LENDER UNKNOWN of Total Valuation $ Of Filing Fee $ 10.00 LENDER'S MAILING ADDR SS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAI ING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFXDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities [J Installation[] Other X Describe work: ,LLQ (� Q iE,/�tl�►— /_' if Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnes$ and Professions Code and my license is in full force and effect. I License No. `%� Q Classification � � � ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.S+) 1/z¢sgft OR ADDNS. 1 ACC. BLDGS. NEW CONSTFMULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS 61 SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20050Q SAL090 FIXED APPLNS. OR Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sal County in co sece of the granting of this permit. gue X/,i^ .� - — J� c, Date�7 Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep anddemolition or construct- ion of structures over 3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ acc7 CONST.TT P! JFLOOOJPARCELJ PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRECT PUB BY PERMIT EXPIRES Date the applicable provi- resolutions to do fee have been aid. p ORKS ate Receipt No. ��lo WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT y El T" to ip "loll R,� 0 V1. fr lz, T" to ip . V-:. ,Y:_ WorkmansbtP .� E � .� _. -- - _ . IU Nott, _ _ �.� I�.�S L , . zed Gooc! Practices and a sect ca�totis UST 6e This sef c$ fans n P - P -._ _ ,.?, t _ _ _.n- .. 3 -4 = tiff a use in the _ .� the S e e , • + 3. itisunt , n the o� at ai} ,iirtes an _.��..�;-:-:-�.-.Y- 3 } o es ,and cx, i�,t:chantcai. C d s e'an s an same a can es or attrra+ton e m:x�e QiL�! � Lj }� • of Pillai. from frsstrt. thee Department'of 3COCLE' `�p _ y • perWrRi mission t o� Butts, Works,.:oun y COOU - - - NG �EPARY M—N:T -- F tz h4 r _ _ APPR F F-- v 5j e lf�o3-1 --3I 1 ro.n ` 1 _ _ .. - , f .. � , , , ^., w.' yr,• +J' ; v,-. 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