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HomeMy WebLinkAbout042-130-02042-13-20 (C)L4/ 2L4 2 _ O IRA ISHAI`1 Fazi S -/aa I gq ( J 2611 Oak Way, -Chico Permit #1379-88E(ele ser change/SF) 042=130-020 PERMIT#98-0778 ISHAM' Ira 2611 Oak Way, Chico • „"/��p� .r' Cont: Reliance' Propane Install Gas Stove/SF r: ; B08-0673' .042-130-020 MISCELLANEOUS' Electrical INSTALL ELEC POWER POLE, 2611 OAK WAY SHANKS, CLARENCE M & C LILLIAN C' 1 ,r11 . 13118=1609.. - MISCELLANEOUS `' r Electrical ELECTRICAL; METER MAIN & SUB P i 2611 OAK WAY SHANKS, CLARENCE M & C LILLI � � «.� 4 � �'.� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2611 OAK WAY Owner: Permit No: B08-1609 APN: 042-130-020 SHANKS, CLARENCE M & C LI Issued Date: 08/11/2008 By TMP Permit type: MISCELLANEOUS 9800 COHASSET RD Subtype: Electrical CHICO, CA 95973 Expiration Date: 08/11/2009 Description: ELECTRICAL, METER MAIN & Si Occupancy: Zoning: A5 Contractor Applicant: Square Footage: BARKER ELECTRIC BARKER ELECTRIC Building Garage RemdUAddn 2935 RODEO AVENUE 2935 RODEO AVENUE CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530) 342-4806 (530) 342-4806 FEE INFORMATION DBE Single Phase Service-Resid $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8227 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 BARKER ELECTRIC 626363 / C10 / 08/31/2009 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 S ( g ) of Divisio 3 of the Busin and Professions Code, and my license pursuant to the provisions of the Contractofs License Law [Chapter 9 (commencing with Section 7000) an effect. of Division 3 of the Business and Professions Code or that he or she is exempt therefrom and the 1 P basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 08/11/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ntf tor'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 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 WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractofs License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100)—or-Fes—s.) ❑IAM EXEMPT under Section B. 8 P.C. for this reason: THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS cCERTIFY 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 08/11/2008 compensation provisions of Section 3700 of the Labor Cod , I shall forthwith comply with those Owner's Signature Date provisions. X 08/11/2008 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 Sig tore Date WALING FAILURE TO ECU WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. 1 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 EM OYER 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 owner or am authorijPcd tc ct on the property ownefs behalf. . � 08/11/2008 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner it Contractor OR. DAgent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip 042-130-020 PEkMI'T#98-0776\-. ISHAM, Ira 2611 Oak Way, Chico Cont: Reliance Propane Install Gas Stove/SF���/9 Add,es'. Oppice co - �—' Py GAs A4eter eY MetesC-LeC7. 13Y 1C De Da to if 11 A".f 'Y' 042-130-020 PEkMI'T#98-0776\-. ISHAM, Ira 2611 Oak Way, Chico Cont: Reliance Propane Install Gas Stove/SF���/9 Add,es'. Oppice co - �—' Py GAs A4eter eY MetesC-LeC7. 13Y 1C De Da to 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 �g ASSESSOR PARCEL NUMBEAo ZONING BSI DING PERMIT OWNERTELEPHONE - _-5877 SO. FT. OCC. BUILDING VALUATION OWNEA'S MAILING ADDRESS // .11 CONTRACTOR'S NAM ' rb c,nlf" TELEPHONE 72 -7;Y40 CONTRACTOR'S MAILING ADDRESS i CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS �n �l �%CG (Nn• 11 "C' Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE 1 SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other -0 Describe Work: /� l�M �+t�✓� �F�`� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $3-5-41 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 Qforce and effect. License Class Q Lic. No. 73'l -318 { OWNER -BUILDER DECLARATION lFIXED 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I ❑ Ns 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 licensedi contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason •J Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BLD.. s0 3.5QFT. MANE CONST. NCH CIRCUI NOTS @7,50 POWER APPARATUS & SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 Q 1.00 o .50 APPWS. OR Ex. Occup. ourLETs RESIo. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 1), PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will` maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the perfdrmance of the work for which this permit is issued. 00"l 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' compensategqn insurance carrier and policy number are: Carrier 5 rc� ! ><un a MECHANICAL PERMIT Filing Fee 20.00 Heating / �-+ Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (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. Iq � X__ _ Date _��/ 2 �'i1 �___ Signature of Applicant - ❑.G evyfi r ❑ Contractor ❑ AgentT An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ NAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By GO, PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dw ReceiptNo. �IA`%►/ WHITE-D.D.S.-B.D. C NARY -AS SS R PINK -INSPECTOR GOLDENROD•APPLICANT ,&" ham• .:�,�►.\ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 8@:1-2751, 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Please contact this office immediately. f�y/IfiIV C4.' CIAS Date 1(,;-Z-6- i65 Inspector REV 10/92 S Date 1(,;-Z-6- i65 Inspector REV 10/92 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN/DIION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 53PERMIT o. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 1� 1 ZONING BU DING PERMIT OWNER .404.1 TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ` ADDRESS 2- 6I D�IL I/✓R (!/!/�D Gi S�L G CONTRACTOR'S NAMy l l n C e Pr-0Dqne_972 TELEPHONE ' - 77 IO CONTRACTORS MAILING ADDRESS 5 k 4,-z c1ls CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2 0 `0 VL/,?k; e -o il$ Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISIONS 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: _1n5�� %,/ G'c15rjTat/e �F%S Gas piping system 1 - 5 outlets 15.00 rj cc Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ion oa 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.POWER License Class B Lic. No. 7 -3y -3/ 8 OWNER -BUILDER DECLARATION 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. S. SO 3•5¢FT. NEW CONST. MULTI -OUTLET NON•RESID. ANC C @7.50 APPARATUS 8 SINGLE OUTLET CI R. Ex. OCCU ourtFroR FIXTURES BA� p 1. o Ex. Occup. OUTELETSR OR EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. ll 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' compensatigqn insurance parrier and policy number are: Carrier 'StR-re Fun Gr MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number ?!19 'S (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 forthwi ply with ose pr ions. q X ^ Date _� Z /_� Signature of Applicant - ❑ ner ❑ 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 c4 TOTAL FEE $ 7(j— HAZ. D. FEES IMP FLOOD CDF pggCq pp HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Dale Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT V �• •' COUNTY OF BUTTE .� DEPARTMENT OF PUBLIC WORKS r 196 Memorial Way, Chico — Phone: 891-2754 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER `" 7 PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed.1f you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �f Inspector Date Y: �'t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ,i 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE T "N O. A routine in ection indicates that the following violations of County Ordinance exist at Ye above address and should be corrected. Please notify this office when c rection of work is completed. If you have any question pertaining to this matt , or need additional explanation, please contact this office immediately. Inspector Da ' ,�.,,.•��3f�jte'�i.A� ..,-moi..` i'�.w"�+ice•. .y rin_`'r•,!'., ',+.'-�r-,a .�'y. ,G x �!J; l:.l:�..� � +r:_.tit� + � r^� � �.�. '`*`I F ''" ..Y-. �•�� fY, ., f.+iF,! ti: r.•..4 r .�'I � - -•) ` 1?s; •�>tit- �t x �r •'j �+..� -! 1�. + . ' COUNTY OF BUTTEa- DEPARTMENT OF PUBLIC WORKS \ . PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 t '"-7 tV ' APPLICATION AND PERMIT �� t f ASSESSOR PARCEL NUMBER �? I ZONING BUILDING PERMIT OWNER C�,, �.�/r� TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'S - AI LI N'G ADDRESS r —Z-O—NTRACTOR'S NAME _ TELEPHONE ." " ��•�/ �'� /f CONTRACTOR'S'MAILI Q. ADDRESS x �.� Fireplace CONSTRUCTION LENDER ; ;� • .,\ �. `Z.• .�� • UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESr__,—;:-^— '----'-- '- Permit Fee $ ARCHI.TEE/CT) OR ENGINEER _ LICENSE NO. Plan Checking Fee $ Energy Plan Checking'Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS � 1 Penalty $ BUILDING ADDRESS 0- _- ti . , ., ', j 'i Permit fee $ + ' PLUMBING'PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.—) SUBDIVISION NAME"'—" N l-�Y ,, i PARCEL MAPWater piping •---•-M-• •Y 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home SG W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel''C❑, Utilities ❑ Installation[] #Other ❑ ��� f��://1J2 Describe work: �-r���'�r�'-��� � � Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee. 10.00 0V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW S I declare under penalty of perjury (Check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business// and Professions Code and my license Is In full force and effect. License No. Classification 0- 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 Codei for this reason NEW CONST. / DWELLING OCCUP.81) +/20sgft OR ACDNS. ACC. BLDGS. l NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) POWER APPARATUS e 1SINGLE OUTLET CIR. Ex. OccupOUTLETS OR FIXTURES NL930 Ex. OCCup. OUTLETS FIXED APP(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 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 penult 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 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 permit. X — �'�' = --' -.-� �--- bate - %� Signature of Applicant— Owner❑ 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 Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P, CONST.TYPL SCHOOL FLOOD PANCLL PD I HO I33IrE 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 B ��i� Dater Gi- / 15 y _ PERMIT EXPIRES Date 77 -7 Receipt oP WO, WHITE-ASSlSS011, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASS SOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER cc TELEPHONE SQ. FT. OCC, BUILDING VAL TION OWNER'S AI I ADD CONTRACTOR' NAME TELEPHONE CONTRACTOR' MAILING ADDRESS Fireplace CONS RU ENDER 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 O ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 2lv/� 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 S4 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ RemodeY g UJ iIIties ❑ Ipstallation❑ Other ❑ Describe work: F �L�6C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 j Main service aoov OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'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 Business and Professions Code and my license is in full force and effect. 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y ,/:¢sgft OR ACDNS. ACC, BLDGS. NEW CONST R.MULTI-OUTLET 2,50 ea NON.R ESID .BRA C CIRC ITS POWER APPARATUS tr SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES eAL990 FIXED APLISIS Ex. Occup. OUTLETS P(RESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 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. e—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 Fi ling Fee 10.00 Heating Cooling g 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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 County " c nseque a of the granting of this permit. o� _ �d Signature of Applicant - Owner El 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 Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ rIs OCCUP, CONST.TYPE SCHOOL I F1.00D PARCEL PD ND E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which BY �ECTPR,9112 PUBLIC PERMIT EXPIRES Date =_ the applicable provi- resolutions to do fees have been paid. WORKS Date !!5-- Receipt No. �.� 77 / WHITE-O.P.W.. YELLOW-ASOCe OOR, PINK -INSPECTOR. GOLDENROD -APPLICANT - � 1N,.-.yw... •r'7y�`'t..lil"a:•.V1't^}a^°9w+�.'i!r`F`f.z-:.r..w..•-crn.-v+-��r-..�.. .:,Y..t - vw COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,ACALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNERA. P. No. (/-) - Proposed Building Use ���!— l%%�7/� Building Inspector a�/%M` Date At time of permit application, I was advisedzthe following, data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . ... . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . . . , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑•) _15. Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation D�.Sa. . . . . . . . Pre-Inspec. request to �` (Date) 7. Pre -Inspection for �Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. 4. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector. Other Applicant Date - Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not "I above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_m` ail counter by date Contractor, designer, owner, was advised of above required data by_phone_mail_counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (.yes or no) 2. I (have/have not) signed an app ication for a building permit for the proposed wor . 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address r----- City Phone ^�_ Contractors License No, 4. I plan to provide portions of this work, but I.have hired the following person to coordinate, supervise, and provide the major work: Name `�— Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following .persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date ?R 1 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY'OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ' APPLICATION AND PERMIT PERMIT NO. ASSLSS H PARCtL NUMB rt - ZONING - BUILDING PERMIT • OWNER• TELEPHC• Ems% SO. FT. OCC. BUILDING VALUATION 2.50 NEW CONST. ( DWELLING OCCUP.Ei) OR ADDrJS. 1 ACC. SLOGS. OWN MAILING ADDRESS LE NON-RESID NEW CONSTR SRANCHMULTIO GTRLTITS) 2.50 ea OCCUP.1 CONST.ItYptl ISCHOOLIFUT575 CONTRACTOR'S NAPE TEL PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUC T/ONI`!E t1-� 7 UNKNOWN Total Valuation Is Filing Fee $ 10.00 • LENDER'S MA'LING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILOING 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 gas water heater or vent 5.00 - USE OF STRUCTURE SIF , Duplex❑ Motilehome❑ Other ' SPECIFY Gas piping system 1 - 5 outlets- 5.00 Building sewer 5.00 Mobile Home I S I G'J W I 50.00ea TYPE OF WORK New ❑ Addition ❑ Remodels. Utilities ❑ Installation❑ Other ❑ Describe work: C z-2zl - I Z�7� CONTRACTORS LICENSE -LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business ,and Professions Code and my license is in _full force and effect. License No. Classification' 0—T, as the owner, or my employees with wage's 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 contractj'ng with licensed contract- ors. (Sec. 7044) _ ❑ I am exempt under Sec. , Business_ -and Professions Code for this reason POWER APPARATUS 0 1 SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.) EA.) Temporary service Mobile Home Facilities o_ - Mist: Wiring Permit Fee WORKMEN'S COMPENSATION,INSLtRANCE I declare under penalty of perjury (check or,e):' ❑ The permit is for $100.00 (valuation) or less. ' ❑ I have placed on f' a with the County of Butte Building Department . Cerlificate of to of w6 kmen's Compensation1 Insurance or a Certificates ® 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. Contractor Permit Fee Vii' $ Contractor, Cooling ' _ EL_E_C_ _TRICAL PERMIT Mllln auIVICu ?"",11111 i ras 00 AMOR LL'Ss Filing Fee 10.00 10.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.Ei) OR ADDrJS. 1 ACC. SLOGS. t�Z¢Sgft LE NON-RESID NEW CONSTR SRANCHMULTIO GTRLTITS) 2.50 ea POWER APPARATUS 0 1 SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.) EA.) Temporary service Mobile Home Facilities o_ - Mist: Wiring Permit Fee WORKMEN'S COMPENSATION,INSLtRANCE I declare under penalty of perjury (check or,e):' ❑ The permit is for $100.00 (valuation) or less. ' ❑ I have placed on f' a with the County of Butte Building Department . Cerlificate of to of w6 kmen's Compensation1 Insurance or a Certificates ® 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. Contractor MECHANICAL PERMIT Heating l Cooling ' Hood , Ventilation pefmit'Fee Contractor i 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 i to building construction, and hereby authorize representatives of the Countyot i Butte to enter upon the above-mentioned property for inspection purposes. j I also agree to save, indemnify and keep harmless the County of Butte against Mobile Home In§tallation Fee Energy Inspection Fee TOTAL PERMIT FEE OCCUP.1 CONST.ItYptl ISCHOOLIFUT575 ! all liabilities, judgments, costs, and expenses which may in any way accrue against sa9� County in cosseque a of the granting of this permit. i .. ,. X _.tart-C�i_— �% 4�/ • unto _.✓ .h �'__ - -- S,gnuture of Applicant — Owner jvj Contractor LJ `Agent j—J An OSHA Dermit is required for excavations o•.e• .''0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. 1 WHITE-O.P.W.. YELLOW -As 8 ES sO S $ $ 4 ARCELr PD HD Issu This permit is hereby Issued under the applicable provi- Mons ul tho rluttn Cnunly Cndn rind/or resolutions to do work Indicated above for which fuua havu buun paid. DIRECTOR OF PUBLIC WORKS Bv_ PERMIT EXPIRES Date Date 'PA O� h1�