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Home My WebLink About042-130-05642-13-56 �f�.1 • EVERETT SHAW SHAW, Everett E. 3373B NIS Oak Wsy, 6001W Sandy Gulch; Chico ` -f ' 3471E ° � Contr: Resource Electric ?j3/97__ 2� Q ermit�k1801--86E.(e1e ser ch/S) �2 4✓ Oak Way, Chico 042-130-056 PERMIT#94-2756 (screened-in patio), SHAW, EVERETT &CLARA 2506 OAK'WAY, CHICO . CONT: HARWARD &'CO- REPLACE WINDOWS/SF' /l" SHAW, E. - 437-69 042-130-056 PERMIT#97-0346 f r: r SHAW, Evertt & DEAN, Naoma i' + 2506 Oak Way, Chico n/s Oak Way 900' w. of Sandy .Gulc , co Cont: Ely Roofing Inc ./Q8 CONTR: Ralph Wood, 2211 Floral Ave. , Chico 4 Reroof/SF ` (reroof) 6 —io i • . X510 • r 042-130-056 PERMIT#97-0346 SHAW, Evertt 2506 Oak Way, Chico Cont: Ely Roofing Inc. x Reroof/SF c e2Z t t a 4 � 9 +�1 Z _ l t' a pppppp--- COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, `' lif&n_ is 95965 - Telephone (916) 538-754 P RMIT NO. APPLICATION AND PERMIT A:. �_ ASSESSOR PARCEL NUMBER 04i-130—�)5u ZONING BUILDING PERMIT OWNER bvereLL Shaw c/o Naonla Jean TELEPHONE ,SO. iiA. j593 FT. OCC. BUILDING VALUATION �,�U ll• .++ OWN 5 MAIUNG ADDRESS 3�Uc i'i1cf1ael i.ay Chico Cry 95973 CONTRACTOR'S NAME :1y ttoaiinp, Inc TELEPHONE 34J -7(y63 CONTRACTOR'S MAIUNG ADDRESS - 13c:)1 UUfltraCLOL5 I;C Chico i;A 95973 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 17 . U U ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /-505 0ati t,la - Cnico PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 „-.... r, . , a��,..:.,, • � • .,,...: _ ♦.,.k... �• :._�.a,aca_., s»..�•�.-..,.. :�:,�u:�.:.�, • ..<�.. �,.,:,..�u ..tach T.�apa.,•. ;�+- - L.OTNO. SUBONISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 M , ' SEOFSTRUCTURE SF ❑ Duplex, O .�Mobilehome ❑', Ofher - . �+ ti•, SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ID ,- Describe Work: overiay rooiing '025 yr•areh — 1 U Sy S Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service e00v OR LEss \ ( 200A OR LESS J 23.00 Main Service ( 200A TO 1000A ) 46.00 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 for,ce,and effect. License Class 1, ' 14 1 4- J i Lic. No. IJ 0 7 3 t1! OWNER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason— WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O 1 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' compensation insurance carrierand policy number are: Carrier t,A a L l U n i o ii r i k e NEW CONST. DWELLING OCCUR OR ADONS. ( a ) SO. 3.5Q Fr. TI.OUTLETLE T NEW CONST. MULTI- NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) ES Ex. Occup. ( OUTLET OR FIXTURES 20 @ 1.00 aALEX. -BUILDER FIXED APP WS. OR Occup. ( OUTLETSPPEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ ;,,,,C.nnttactor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 0 L 41 J �j L (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. 11-.. )) 0 X )i ) ! U_a � Date _2_`'U `1 %> Signaturg of Applicant - ❑ Owner 0 Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" dee and demolition or construction of structurs over 3 stories in height. P Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE j t) o TOTAL FEE $ HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HO ISSUE y This permit is hereby issued under the of the Butte County Code and/or indicated Bove for which fees have / � % By'- / ! -.,� !�1/ t PERMITEXPIRESONHITE-D.D.S. applicable provisions Resolutions to do work been paid. Date _7 S -y / / r(Date) I rwReceiptNo.o 05 B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISI 7 County Center Drive - Oroville, G lifo'rnia 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT r7- ASSESSOR PARCEL NUMBER 042-130-056 ZONING BUILDING PERMIT ' °W verett Shaw c/o Naoma Dean 342E 3593 SO. FT. OCC. BUILDING VALUATION 1000 600 °W s T1Nael Way Chico CA 95973 °O 1 y R'! o f f i n g Inc TELEPHONE 1343-7663 CoR�O s�( IUNG ADDRESS �1 Contractors Dr Chico CA 95973 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 17.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 2506 Oak Way - Chico PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT No. SUBDNIS IONS NAME PARCEL MAP ,Volar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IR Describe Work: overlay roofing w/25 yr arch 10 sq s Mobile Home S G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filin Fee 20.'00 Main Service OoOV OR LESS ( 2ooA OR LESS ) 23.00 Main -Service (_?, 20oA`Ton000A ;) 46:'00. 4 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 in fL�II fo ce d effect. License Class 6 —14 —� Lic. No. 6 0 7 3 8 6 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 DWELLING OCCUP.; OR ('; a - �,;; So^ 3 5Q FT': .CONSDDN& MULTACCI-OUTLET NEW.CONST. MULTI-AUTLET NOWRESID. ( BRANCH CIRCUITS ) ' z@7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) B20 O 1.00 FIXED APPLNS. OR Ex. Occup. p' ( OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ] I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Natl Union Fire MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 13241 112. (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 th se provisions. Date 2-20-97 Signatu of Applicant - ❑ Owner IXContractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction�cof structures over 3 storiessiin height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 3 7.00 HAZ. I D. FEES IMP FLOOD CDF PARCEL PO HD x S This permit is hereby issued under of the Butte County Code and/or indicated ova for whickfTeeshn B PERMIT EXPIRES ON�J the applicable provisions Resolutions to do work eenpaid. Da sReceiptNo. (Date) �00� WHITE-D.D.S.-Y.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ri..,.��y`n�'i's�'': Y-'„�.. �:. .�,!Si;r ,i.i i :•,. . _.. .... }: 'T.: i 4 a c , 'c.:.au'•r.:19'r gt�..r.r' r ... d.. ....r .,f 042-130-056 PERMIT#94-2756 SHAW, E.VERETT &.CLARA 2506, -OAK WAY:, CHICO CONT: HARWARD &'CO REPLACE WINDOWS/SF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND .PERMIT �'— Z,s A0156.056 ZONING BUILDING PERMIT OWNER EVERM & MARA SHAW TELEPHONE 342-0407 SO, Fr, OCC. BUILDING VALUATION D 25"06 OAR WAY, CHICO 95926 cma 6-7-44 CONTRACTOR'S NAME HARWARD & CO TELEPHONE 893-5898 CONTRACTOR'S MAILING ADDRESS 3851 MORROW LN 017 CHICO 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2506 OAR WAY, CROO PERMIT FEE $ lin.on PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE S SF t] Duplex O Mobilehome O Other sPECIFr Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ElInstallation ElOther TA Describe Work: REPLACE WINDOWS I ! PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( LEI �A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. I g0, 3.5C 0 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions bode and my license is in full force and effect. License No. ! r Classification ❑ I, as the owner, of m'enliployees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POW ER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 2001.00 BAL. 0 .50 Ex. Occup.FIxED APPLNS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 th ' granting of this permit. _( - X l- ! / /, i., Date C 1 (�/ Signat�i�pplicant - 0 Owner ❑ Contr ctor O Agent An OSHA I)Permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories In height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 110.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abov6 for w -kc- h fees have been paid. BY Date , , PERMIT EXPIRES ON 43 A, f - Detel k _�,1 '?� Receipt No. (jJ V I3 WHITE-D.D.S.-B.D. CAN PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County_ Center Drive - Oroville, California S5965 - Telephone (916) 538-7541 `PERMIT NO. APPLICATION -AND PERMIT 042-130PARCEL-056 UMBER 2OA5 NING BUILDING PERMIT OWNER EVERETT & CLARA SHAW TELEPHONE 342-0407 SO. FT- OCC. BUILDING VALUATION OWN ERS MAILING ADDRESS ti 2506 OAK WAY CHICO 95926 CONT- 6934 CONTRACTOR'S & CO 893-5898 CONTRACTOR'S MAILING ADDRESS 3851 MORROW LN #7 CHICO 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 90.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2506 OAK WAY, CHICO PERMIT FEE $ 1 10.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF d Duplex D Mobilehome ClOther SPECIFY TYPE OF WORK New D Addition ❑ Remodel ❑ Utilities ❑ Installation ElOther Describe Work: REPLACE WINDOWS Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. OLDS. ) 3.5C FgT0,, NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I e re under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and rofessions ode and m license is in full force and effect. License No. Classification D I, as the own r, o m e loyees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) D 1 am exempt under Sec. Business and Professions Code forthis reason ( POW ER APPARATUS ) 8 SINGLE OUTLET CIA. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPwS. OR ( OUTLETS IAESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): /)❑ T s permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, r `Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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, indemni y nd keep harmless the County of Butte against all liabilities, judgments, co t , a penises which may in any way accrue against said County in consequence the anting of this permit. X \ Date (� / Signat re plicant ❑ Owner O Contra for D Agent An SHA permit is required for excavatio s over 5"0" deep and demolition or cons uctio' of structures over 3 stories in h P. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TrPE TOTAL FEE$ 110.00 HA2 D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is reby issued under the applicable of the a Co my Code and/or Resolutions indicat d abov for w fees have been BYDate4qV PERMIT EXPIRES ON etel provisions to do work paid. Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' a - c c FEB-22-1??4 '` 10:06 GFAIIITE III?L IFAIICE 1 ?15 ?c- _ ,n-• PRODUCER G.•L. Anderson Insurance Serv. 11031tSunnSentereDr.,.#130 Rancho Cor ova, CA 95670 916-853-2500 CSR CM 02 23J94_ THIt CERTIFICATE IS ISSUED AS A MATTER OF INFORt1AT ON (WILY AfID CONFERS 110 RIGHTS UPON TIIE CERTIFICATE HOLDER. TNI': CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER TIIE COVERAGE AFFORAD 9.1 THE -POLICIES BELOW. ---------------------------------------------------- --------------------- COMPANIES AFFORDING COVERAGE PHONE -------- -------- ------------------------------------------ --------------------------- --------------------- - - -------- - INSURED COMPA►IY LETTER A Superior National -------------------------•----------------------------- - -- - - - --- -- . .. --- -- - Harwalyd & Company COMPANY LETTER E! Valley Insurance Company Don H a rw rd COMPANY LETTER C ---------- --------------------- ------ 3291 Monfer Circle --_•-------------------_------- - - ------ Ragcho- Corddva CA ---------------------------- - ---- 95670 COMPANY LETTER D ------------ --------------------- COMPANY LETTER E S COVERAGE TM!SERA ES TO CERTIFY t1tAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 11ISURED NAMED ABOVE TOR TIDE rOLICY PER16D INDICATED. NOTWITHSTAND1Nd ANY REQUIREMENT, TERM OR CONDITION OF ANY CIS 5�J9JE:T T7 ONiRACi OR otltER bOCUHENT W)tH RESPECT r0 UHICH THIS CERTIFICATE MAY. BE ISSUED OR MAY PERTAIN, TIIE MSURANCE AFFORDED BY THE POLICIES DESr.RIRED 'IEREI►t ALL TERMS, EXCLUSIONS, AND CONDITIONS OF SUCII POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID -CLAIMS _ - - -- ------------------------ ---------------------------- ------------------------------------------------ POLICY TYPE OF 1115URA1ICE POLICY NUMBER POLICY EFF POLICY EXP LIMITS DATE ----DATE -TR-------....-----� c-------------- ---- -- --- ------------------------ ---- EItERA AG,t f,AIF 2,000,00C GENERAL. LIABILITY BI BI A 00 COMMERCIAL GEtI LIABILITY ( I CLAIMS MADE I X1 OCC. OuttERs's It CONTRACTOR'S PROTECTIVE AUTOMOBILE LIAB ( I ANY AUTO ( I ALL OWNED AUTOS O scHEDULED AUTOS Qd HIRED AUTOS . 00 IION-OWNED AUTOS O GARAGE LIABILITY I) --------------------------- EXCESS LIABILITY ( I UMBRELLA FORM ( 1 OTHER THAN UMBRELLA FORM WORKERRSS' COMP EMPLOYERS'. LIAR ----------------- OTHER CP013281--01 CP013281-01 ------------------ 06WCP60377—B 09/01/9309/01/94 09/01/93 PROD-COMP/01 AGS --------------- 2,000,00C ------------------ PERS. ` ADV. INJURY -------------- 1,000,00C EACH OCCURRENCE 1,000,000 FIRE DAItAGF. (ANY orm rIRE) 50,000 MED. EXPENSE (ANY ONE PERSON) 5,000 COMB. -SINGLE LIIIIT 1,000,00 BODILY IIIJURY (PER PERSOtl) BODILY IIIJURY (PER ACCIDEIIT) PROPERTY DAMAGE EACH OCCURFENCE AGGREGATE ISTATUTOFY LIMITS EACH ACCIDENT 1,000100( DISEASE -rot. LIMIT 1,000,00( DISEASE-EA(M EMP. 1,000,00C _ ---•-------------- DESCRIPTIOt1 OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS- RE S ALL CALIFORNIA OPERATIONS > CERTIFICATE HOLDER <--_-_�__=__===_= CANCELLATION «---=------- -----=----------------------.. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANtELLEo.AErm Ill EX- PIRATION DATE THEREOF, 111E ISSUING COMPANY VILL jtt01ftYM MAI'- 10 COUNTY OF BUTTEDAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NANED TO 1115 LEt T, ) DEPT. OFF DEVELOPMENT SERVICES sisll t f: ► to rafcwt FAX $538-2140W"Eqx y7 COUNTY CENTER DRIVE --------------------- ---- •--------- ---------------- -------- nAOVILLE CA z AUIHORIIED QEPRES TAT- p G.L. Ande o n rFb_-_. _ .-,/�-/ 7 ff jFI 17,-11- f. I.OMVANY l This is to certify that Joanie Kearne_4z has authorization to sign for all permits needed at the Coiunty of Butte for Harward & Company,Inc. License # 529109 Class B Superior National # 06WCP60377-A Diana Harward VP/sem J 1 3291 Monler Or. # 1 • Rancho Cordova, CA 95670 • CA: Ucense #529109 • Phone: (916) 638-5898 r wZ. J - S6 4 Po 6 11' �s 1 _ C7 `" + F OFFICE COPY n 3 N I Address } v I GAS Date Meter By f ELECTRIC Date j + Meter By t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ,,[j 7 _ j �., ��_ ZQNINGr A , BUILDING PERMIT OWNER �--.. TELEPHONE 2- JyU' SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS , 1 T � f1.�u K�� {.,• - CONTRACTOR'SNAME' - C_r TELEPHONE y'+ 70 SNG ADDRESS CONTRATOR'L /14 c.3 #— Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ FilingFee $ 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 1:t 1, Each Trap 2.00 f r ` Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME . 17 yi PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 1 USE OF STRUCTURE SF ❑v °Duple�i0 Mobilehome❑ a Other 1 - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S TG W 10.00 ea TYPE OF WORK New ❑ Addition ❑ • Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: f ( - _( 'Ii -%i\ Ll,_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 t 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 p y p l y (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and ProfessionsCodeCode and my license is in full force and effect. License No. , 7 t ",y Classification `- f �� - ❑ 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 OC.CUP.6 2/,z¢sgft OR ADDNS. ( ACC. BLDGS. NEW CONSTR MULTI.OUTLC. 2.50 ea NON.RESID BRANCH CIRC ITS /POWER APPARATUS e) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES520@090 FIXED \\ Ex. Occup. OUTLETS P(RESID)KEA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 i5' �l -4 —r , <- , 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. Arl shall not employ any person in any manner so as to become subject N 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 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. I also agree to save„indemnify and keep harmless the County of Butte against all liabilities, judgments,; costs, apd expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date -7 1J Signature of Applicant — Owner ❑ Contractor I 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 $ fo, occu P. CO. S1.T7 I IFLOO.IPARCELI PD I ND I ISSUE . / V This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �-BY Date"FvFR�= - I? eceipt No. �'n `y -;I 3 TE-D.P.W.. YELLOW-ASSt SSOR• PINK -INSPECTOR. GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calitnrnia 95,965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMI N0. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER [TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDRESS If z CONTR CTOR'S NAME s 1-5 eAlag TE,yLA.�EPH NNE 743 CONT CTOR'S AILING ADDRESS .5 �- Fireplace CONSTRUCTION LENDER 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 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 fill y (2c. ' Each Trap 2.00 A". Solar or heat pump water heater 20.00 LOT NO. suFBOIVTsiON NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFg_Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ r� Describe work: �'ll.o.r' � Jxic t, s'e� 4—n -A.— _ %f]d Permit Fee $ Contractor ELECTRICAL PERMIT Filin Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 a, OJ Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I de lar 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 fug force and effect. L{yzs-30 a (C) 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 CONST. DWELLING OCCUP.N S. , NEW CONSTR.0 ACC. � �2¢sgft TBI -OU LET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. 1 ( Ex. QCCUp\OUTLETS OR FIXTURES 20@50t SALO 30 Ex. QCCUp. OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 IS-, Oa �.,A , W Permit Fee $ d,.6� Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save nify and keep harmless the County of Butte against all liabilitie jud ents costs, a expenses which may in any way accrue against sai oun in nsequen f the granting of this perm' . -7 X Date Signature of Ipplicant — 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 $ yo do occu P. CONST.TYPc FLOOD PARCEL PO HD IV This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRECTgR OF PUBLIC PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / ate -7- 2��b [ -z-/,` Receipt No. S8 q -X3By WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION t1 7 COUNTY CENTER DRIVE - OROVILLE,;jC!• 1ftd WA 95965 - TELEPHONE: 916/5311 16/5 t. ,a 4��54;1 , PERMIT APPLICATION DATA SHEET J Permit No. OWNER S Cre.,-H " rS- A. P. No. y 3 56 Proposed Building Use fer-'tL Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector O Date At time of permit application, I was advised the 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. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. .. . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "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. . . . . . . . . . . . 1 Mobilehome Installation Data. Pre -Ins ection for S �_ •Fre-Inspec. request to p Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. z _ 19. Other Dr eway permit (Const. ppprovaL required prior ro occu nc When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at—yam office. Deliver w/inspector. Other_ / Z1 In / During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: % (Contractor, Designer, Owner) was advised of above required data by By Plans checked by. Plans approved by Other Copy—DPW lephone Mail Other Date Date Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT1HAD PERMIT PERMIT NO. ASSESSOR PARCELNUMBER 4 2 —1,13 -_ G. ZONING I AS BUILDING PERMIT OWNS e -,A+ 5 kCLt14,, TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDRESS CONTR CTOR'S NAME TELEPHONE Q - t CONTRACTOR'S MAILING ADDRESS / "_ < �_ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICE Ev SE NO. Plan Checking Fee $ AR C:-IITECT OR ENGINEER'S MAILING ADDRESS Ener Plan Checking —Energy g Fee $ Penalty $ BUILDING ADDRESS �✓ � Permit fee $ IV �-. C7 ,c (c- W� l�n�.�. C� a u � ��-- PLUMBING PERMIT Filing Fee 10.00 Each Trap 200 Solar or heat pump water heater20.00 LOT N !71 S DI SION NAME PARCEL MAP _ Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF�Duplex❑ Mobilehome❑ Other 9Q4clFv TYPE OF WORK . New ❑ Addition ❑ Remodel ❑ Uti s ❑Jllin�sallation❑ er 'ED] Describe work: �r� G piping system 1 - 5 outlets 5.00 wilding sewer 5.00 Mobile HomeS G W 10.00 ea Permit Fee $ Contractor lbo n I CONTRACTORS LICENS V I de la under penalty of perjury (check one): r 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. License No. `�1 S 3u Classification C 10 ❑FIXED 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) El I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code I for this reason ELECTRICAL PERMIT Filing Fee 10.00 Main service B0000vAMP ORSLESS 10.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST.DWELLING OCCUP.& I OR ADONS. ( ACC. BLOCS. 2h2sgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCITS 2.50 ea (POWER APPARATUS &� SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES aAL@L030 a30 APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 BuildingtDepartment a Certificate of Workmen's Compensation Insurance or a Certificate t 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. Contractor MECHANICAL PERMIT Filing Fee 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 savenify and keep harmless the County of Butte against all liabilities jud ants costs, a expenses which may in any way accrue against sai / own in nsequen f the granting of this perm . I X IThis Signature o4 pplicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ To, <s o occuP, cow 9T.r.Pe FLo 7=M7�� 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.�o ¢i WRITC-D.P.W., 7ELLOW-A9eC930R, PINM•IR9PLC MRaa-AoPLICANT