HomeMy WebLinkAbout042-040-00242-04-2
G. S. HULL ('�' n
708 Henshaw, Chico /�
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Contr: Sierra Roofing ry,Q/W
Permit#1007-84B(reroof & smoke det)SF
B07-1068 042-040-002
MISCELLANEOUS Room Addn-First Stry
ADDITION/ REMODEL TO SF(831), C(
708 HENSHAW AVE
HANSON,TED
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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: 708 HENSHAW AVE
Owner:
Permit No: B07-1068
APN: 042-040-002
HANSON, TED
Issued Date: 6/20/2007 By GLB
Permit type: MISCELLANEOUS
708 HENSHAW AVE
Subtype: Room Addn-First Stry
CHICO, CA 95973
Expiration Date: 6/19/2008
Description: ADDITION/ REMODEL TO SF(831).
(530) 345-0751
Occupancy: Zoning: SR -1
Contractor
Applicant:
Square Footage:
HANSON CONSTRUCTION
HANSON, TED
Building Garage Remdl/Addn
5 BARONI DRIVE
708 HENSHAW AVE
831
CHICO, CA 959284314
CHICO, CA 95973
Other Porch/Patio Total
(530)345-1294
(530)345-0751
131 962
FEE INFORMATION
DBEH Building Review Fee $75.70
DBF Room Addition - First Stor $428.92
DBMSC Room Addition -First Stor $643.39
DBSMIP Residential $5.61
PW DRAINAGE $267.53
Total Charged: $1,421.15 Fees Paid: $1,421.15
Balance Due: $0.00 Receipt No: B3588
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
HANSON CONSTRUCTION 555648 / B / 1/31/2007
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 6/20/2007
the applicant to a civil penalty of not more than five hundred dollars ($500];
Please check one of the following:
Co actor's fnature 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
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE
the work himself or herself or through his or her own employees, provided that such improvements
❑I 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.).
rM I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
E]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 Contractors 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
Carrier: State Fund Policy Number: 1405627 Exp. Date:4/1/2007
Contractor's License Law.).
(This section need not a competed if the permit is or 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 6/20/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 6/20/2007
I hereby certify that I have read this application and state that the above information iscorrect. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
fe Date
Si:g:
W LNG: FAIL E 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
property owne or am auth i d to act on the property owners behalf.
6/20/2007
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
N Of Pe ittee I N] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
NOwner 1:1 Contractor OR. Agent for Owner ❑Agent 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) 538-7785 Facsimile
www.buttecounty.net/dds
www.buttegeneralplan.net
REQUIRED SWIMMING POOL SAFETY UPGRADES (EFFECTIVE JANUARY 1, 2007)
TO: All Single Family Residential Remodel and Modification Permit Applicants
FROM: Scott Rutherford
Manager, Building Division
RE: Correction of Pool & Spa Hazards, Assembly Bill 2977 (Mullin) Chapter 478, Statutes of 2006
California Health and Safety Code Section 115928
DATE: February 28, 2007
To eliminate safety hazards on existing pools and spas, Assembly Bill 2977 (Chapter 478, Statutes of 2006), effective January 1, 2007,
requires the installation of pool anti -entrapment covers whenever a building permit is issued for the remodel or modification of a
single family home. The permit shall require that the suction outlet of the existing swimming pool, toddler pool, or spa be upgraded so
as to be equipped with an anti -entrapment cover meeting current standards of the American Society for Testing and Materials (ASTM)
or the American Society of Mechanical Engineers (ASME), ASME/ANSI Standard A 112.19.8.
DECLARATION
The property located at -70'9 iq&)SNA AME - CA I GO has: (Check all that apply)
❑ a swimming pool ❑ a spa ❑ a wading /toddler pool K does not have a swimming pool, spa, or wading/toddler pool
If there is an existing swimming pool, spa, or wading/toddler pool, I understand that a pool anti -entrapment device is required at the
above address in conjunction with my permit. I also understand that if a pool anti -entrapment device is required, the completed
Installation Certification below must be received by the building inspector at final inspection. Please note that permits cannot receive
final inspection approval without this certification.
1 acknowledge that I have read and understand the requirements of AB 2977 and that the above is true and correct.
nature Print Napoe — Date
Relationship to Project (please check one):
❑ Owner ❑ Agent for Owner ❑ Licensed Contractor ❑ Agent for Licensed Contractor
Company Name Contractor's State License Number
INSTALLATION CERTIFICATION
For the property located at
I hereby certify that an anti -entrapment cover meeting the current standards of the American Society for Testing and Materials, or
the American Society of Mechanical Engineers is installed in the ❑ swimming pool ❑ spa ❑ wading /toddler pool
Signature
Print Name
Relationship to Project (please check one):
❑ Owner ❑ Agent for Owner ❑ Licensed Contractor
❑ Other:
Date
❑ Agent for Licensed Contractor
If "Licensed Contractor' or "Agent for Licensed Contractor" is checked, please complete the following:
Company Name
Contractors State License Number
K: Forms/Building Forms/Swimming Pool Affidavit Anti -Entrapment
Updated: 6/20/2007
BUTTE COUNTY PERMIT
DEPARTMENT OF DEVELOPMENT SERVICES NO.
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 7 106
A FEE WILL BEREQUIRED"AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds BIN #
**PLEASE PRINT CLEARLY** �i�
OWNER INFORMATION
Last NameHAA1sO AI
First N!r 2
Mailing Address 0 9 MEA2514AAVE
City U
State CA
I Zipls•
Phone 31f5 _O X0
Fax
E-mail h j eAc*1 , C
u
CONTRACTOR
Name
/USQ 0
Address 0g. e/tCHAt.0 A UC
-
City • �,
State C:
Zip
Phone.
Fax.:.,
E-mail
tri u� CA C-14 e - C-0 I✓vI
Lic. #555- µ Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
a4L Tv.
=Addtess!3493-
- _ O . _ .
City
U` ` ro
StateCA
No
Phone
K / T , ! ,.,5-7I
Fax
E-mail
St to Licepse Nu be
APPLICANT INFORMATION
Name s
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
a
PROJECT LOCATION
API
Property Address ZOE IYANSHluiduz
City
WORKER'S COMPENSATION
Policy Number
Carrier STA frE FL/ A/ b .
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.
/Vl(� D T OPV
Sq FT- Living 3 ( Garage Open Cov j
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning,
Flood Zone
SRA
I Yes
No
Occ.
Type onst.
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:
B07-1068
Date:
05/15/2007
Location:
708 HENSHAW AVE
By:
KCG
Parcel Number:
042-040-002
Sub Type:
Room Addn-First Str
Owner Name:
HANSON, TED
Phone:
(530) 345-0751
Description:
ADDITION/ REMODEL TO SF(831), COV(131)
❑
Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
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
Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675
City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
❑
Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723
PARKS & RECREATION DISTRICTS
Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000
Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
❑
Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921
0
❑
Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011
❑
Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393
Signature of Property Owner: 7Date: 05/15/2007
FILE
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
1:1
❑
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
E
Other:
Other:
Other:
Signature of Property Owner: 7Date: 05/15/2007
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: B07-1068
Job Address: 708 HENSHAW AVE
Contractor: HANSON CONSTRUCTION
5 BARONI DRIVE CHICO, CA 959284314
Fee Description Account Number Fee Am,
PW DRAINAGE
Printed: 05/15/2007
4:10 pm
'�O' �- '"22
Paid Date Pmt Amt
CSD 775 - SUDAD Ditch 1821-0-280-1011975
DBEH Building Review Fee
0021-540013-4614901-1010 $75.70 05/15/2007 $75.70
DBMSC Room Addition -First Stor
0010-440001-4210500-1010 $643.39
DBF Room Addition - First Stor
0010-440001-4210500-1010 $428.92 05/15/2007 $428.92
DBSMIP Residential
1001-0-280-1011298 $5.61
Printed By: Kourtni Graham
19153.62 $504.62
Balance Due: $649.00
At the time of permit application, I was advised the above fees are required prior to issuance of the
permit. These feesma c ge during the plan checking process.
Signature: Date: 05/15/2007
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).
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
NOTICE TO BUILDERS
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
O Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications
(not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are
for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of
$54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration
of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any
refund amount) to determine no work was done.,
Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/
Reference Number: B07-1068
Location: 708 HENSHAW AVE
Parcel Number: 042-040-002
Date: 05/15/2007
Owner Name: HANSON, TED Phone: (530) 345-0751
Description: ADDITION/ REMODEL TO SF(831), COV(131)
Signature of Property Owner: Date: 05/15/2007
FILE
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
i
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National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
[LESS THAN 1 ACRE 1
Reference Number:
B07-1068
Date:
05/15/2007
Location:
708 HENSHAW AVE
By:
KCG
Parcel Number:
042-040-002
Sub Type:
Room Addn-First Str
Owner Name:
HANSON, TED
Phone:
(530)'345-0751
Description:
ADDITION/ REMODEL TO SF(831), COV(131)
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed:
Title: e '
FILE
Date: 05/15/2007
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District /q k -L 0 rp Building Department No.
Tax Rate Area No.
A.P. Number Jurisdiction: = City nCounty
Property Owner `i"�
i
Property Location/Address �% ��_) Lq cz, h
Subdivision Lot No.
Residential Development
Q
...................................................................................................
M Sq. Footage
No of Living
Mobile Home
Addition/ 'Supplemental to (Group R)
Units
Installation
Conversion Permit # Cr. Demo - ( )
'(No foundation inspection) existin s ft. see attached
................................................................................................. 9 q•
I
Net total sq. ft.
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/Industrial 0
Q
Sq. Footage
New
Addition
(Including Exterior
Roofed Areas)
k
An ���7
Building eRartrr?ent epresentative
Date
District Identification No.
School District certifies that ��� u doff A( fn
l(Payor)
9o� `�1..AnAh it r.� /,,-:p1 �cr �. � �
(Street Address) (City) (State) (Zip Code) (Phone Number)
r/ shas complied with the requirements of Resolution No. Gf J by payment of $
representing
School District
square feet.
Paid by Check # / �� Remarks:
AB 2926 $
FULL MITIGATION $
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm
BRACED WALL PANELS,
lO MET 5/6' GOX PLY MM P. Wed'• • 6', 12'0f-.
OvY MIN. THICK GYP. BD. (4 IT. SMTSJ Mo5d
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• O 7/0• CEMENT PLASTER NTH METAL LATHE PASTEMEO
• 6.04. • ALL SUPPORTS MYTH APPROVED -
FASTENERS.
OHET 3/0- THICK MARDBOARD PAIL SIVENS MYTH
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BRACE MYTH NO. 16 6A. BA -V. STAPLES NTN
1A6' CROMN AMO 1 1/4' LEGS • 3, 6. 04.
STAPLES SMALL BE INSTALLED MYTH CPONR9 PARALLEL
TO PRAMS MEMBER, TO HYGM IT IS ATTACHED.
1. SILL HAILMS AT BRACW MALL PANELS SMALL Be
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2. PANEL SMALL SPA/ THREE STUD BAYS. Be 4'-0'
MYNA NDE. AND HAVE ALL ED6B5 BLACKED.
1. HERE JOISTS ARE PERPENDICULAR TO BRAGS MALL
LUES ABOVE. 51 IX SMALL Be PROVIDED DOER
AND IN UNE MYTH BRACED MALL PANELS.
WILL PLATES SMALL BE PA5TEMED
NTH IYLTI' KBJI 12-234 SLEEVE ANCHORS OR 15OUVA.ENT
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2. NAILS SHALL BE C4H40N MAILS. TYP. Vox
S. ALL PLYMOOD PANELS SMALL HAVE ALL COOM BLOCKED.
&ENERAL NOTES;
1. THE ABBREBATE AREA OF PU.NMBRNS VENTS SMALL BE
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TOTAL LIVING AREA.
D
2060 PI i • Fix
$
(E) GARAGE AREA:
(W GARAGE AREA,
503 5F.
-4 5F.
DAVID S.
I
499 SF.
07-1111
(E) PORCH AREA:
A
COV' PORCH
(W PORCH AREA:
•131 S.F.
(s) (1U 2656 DJl
I I
VAIL�
GONG
I I I
e.
y (3) 2656 P.M. I
(E) PATIO/STOR. AREA. h5 SF.
(W PATIO AREA:
2.9'
TOTAL PATIO AREA:
146 S.F.
' PNo
�
i
i
t
j`
l
HEM KALK
M. OOR PLAN
t
GPT.
62Z2660
PANT.W
W W �
CPT
(E) 6A E
GL6.
16060 METAL SAR, DR.
(3) 2610 P17� - ABOVE
0 sTVCGO RE HERE -
c
W W �
O
In
W
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w�z
F •�Ny o d
U)
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OAW
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No. C117B3
s
REN. 7/07
H
HANSOM
ADDITION
AREA GALG5.:
REMODEL
(W LIVING AREA:
831 S.F.
(EJ LIVING AREA:
•1606 SF.
5/15/01
TOTAL LIVING AREA.
2439 5F.
$
(E) GARAGE AREA:
(W GARAGE AREA,
503 5F.
-4 5F.
DAVID S.
TOTAL GAR AREA:
499 SF.
07-1111
(E) PORCH AREA:
4 SF.
(W PORCH AREA:
•131 S.F.
TOTAL PORCH AREA.
135 S.F.
(E) PATIO/STOR. AREA. h5 SF.
(W PATIO AREA:
-27 5F.
TOTAL PATIO AREA:
146 S.F.
' PNo
r
w
L
I
�) COUNTY OF BUTTE - DEPAAT.MENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville,,Cahiof' a 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
ll , —S . Ho -L..
TELEPHONE
SQ. FT. OCC, BUILDING VALUATION
I Y> >q / k" ^- 40
OWNER'S MAILING ADDRESS
.l;,( :_5q 9--.b 110
le -17. 6 le
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
,e(L (,J4/ QC c,�,/!�0
Fireplace
CONSTRUCTION LENDER
UNKNOWN
yam, i
Total Valuation $ 1 �'f VC__1
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 7_.S1C 1
ARCHITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ �� 4/^�
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
o,ivl (-'n
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF'[Z Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑,
Describe work: ���� /��"/�-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
0V OR L
Main service 100 AMP ORSLESS
10.00
Main service EA. ADD•L 100 AMP
2.50
NEW CONST. // DWELLING OCCUP.&
OR ADONS. l ACC. BLDGS.
21/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
2�c7n��[/ y _ij
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI.OUTLET 2,50 ea
NON-RESID BRANCH CIRCUITS)
NEW CONSTF;L POWER APPARATUS &')
NON-RESID, SINGLE OUTLET CIR,
Ex. Occup( B20 ALmsom
P�o Ts OR FIXTURES BAL®30
FIXED
Ex. OCCUp- OUTLETS P(RESID.)REA.) 2.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
0 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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
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 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.
/i j jn�/
X + '' ' Date
Signature of Applicant — Owner ❑ Contractor Q, Agent ❑ '
ion of structures over 3 stories in height.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -By
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ -a.
OCCUP. GROUP
I TYPE of CONST.
PARCEL
PD
I ND
I ISSUE
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 paid.
DIRECTOR OF PUBLIC WORKS
/
LPY/r►��t�/,LrGI�t�A ,Date-- I^�I
PERMIT EXPIRESDate
Receipt No.
WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
fJ
ASSESSOR PARCEL NUMBER
Z
ZONING
BUILDING PERMIT
OWNER
. O)J-
TELEPHONE
S0. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS G
CONTRACTOR'SNAME (J�
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
%AL
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
CAI
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SFV Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: / /g s, r!%i /lam
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
BOOV OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
t
2h2sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
��(
j1rJ-y I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and ProfessionsCode arid m license is in full force and effect.
License No. _g ` 9 V� y __19
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 CONSTR MULTI -OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. (POWER APPARATUS &')
NON-RESID, \SINGLE OUTLET CIR. /
20e50C
Ex. Occup(o OR FIXTURES BAL030
IXEDTS
Ex. OCCUp- OUTLETS P(RESID.)LINIS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
q� I have placed on file with the County of Butte Building Department
4� 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.
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.
X I t;Date 9
Signature of Applicant — wner ❑ Contractor X Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over33, stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
U.
By �
PERMIT E IRE Date --
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. /1; 7 7
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT