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HomeMy WebLinkAbout042-290-013X BUILDING 'CODE VIOLATION • LETTER'30 DAY ~`�• 42-29 DANIEL -.HEAL 12290 Meridian Rd,, Chico Contr: Butte Rfg Permit#2873-86B(reroof/SF)- : CHANDLER, Teryl _-_ 59-67B. . 42-29-13 - e/s Meridian 17001 so. of Hwy.; ( new detac d stora a shed), , ■ r� f o ! � Ifj . tI . 7 ' : CHANDLER, Teryl _-_ 59-67B. . 42-29-13 - e/s Meridian 17001 so. of Hwy.; ( new detac d stora a shed), , ■ r� f 4 ,ems COUNTY OF BUTTE 4059081 'OFFICIAL I)3EC; IPT ---- '"' OFFICE R DEPARTMENT ISSUING RECEIPT � ✓��f...-' ' 1Received f8'®9n �- - - 6_ moi_.. �'�.a�`L..% �.✓� O"�� t� � -- r^ nes OfZL�ea Received:..,J J '� t J ��7t~I�Received BYi ei✓ CASH • - ® Title I (:HECK By VCO BUSINESS FORMS • (530) 743-8511 . Form 75702 At COUNTY OF BUTTE 405908 jdFFi1C'IAL RE IPT .—� OFFICED DEPXRTMQNT ISSUING RECEIPT Received from jr, ille Sumeof 62z,/4 Xoi For tZ Received: 049 , / ��� Received CASH ❑ /. CHECK'` / ! DAVCO BUSINESS FORMS • (530) 743-8511 Form 75702 Title _ By I Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING September 16, 2004 Daniel C. and Clhristine H. Heal 12206 Meridian. Rd. Chico, Ca. 95926 RE: Building Code Violation Location: 1.2290 Meridian Rd. Chico AP#: 042-290-013 Dear: Daniel C. and Christine H. Heal This is a courtesy notice to notify you that you are in violation of the Butte County Code,,at the above -referenced} location; -as: -follows;-= Failure to obtain the required permits, inspections and approvals from this office for the construction of an addition to single-family residence. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. .Ir You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Michael Vieira in this office at the address or telephone number listed above. 4ul]d .ieira fficial BB: ms cc: Assessor 7 RECUEST FOR INSPECTION Per it No. d Location: •LAG nno a edL Owner: Contractor: Call a--, Phone: BLDG. Date: PLUMB/MECH ELECTRIC M.H.I./M.H.U.P - INSPECTION Form Rough Rough Fnd/Ftg I Frame/Underfloor Top Out Temp. Service Job Status Stucco Lath Gas PipinglTest Main Service Corrections Permit Renewal Stucco Brown Temp. Gas Underground Final Verify Utilities Woodstove Sewer Piping Well Circuit 'Ex Mobile Site Brace Panel Water Piping POOL Insulation Shower Pan Nailing Gunite Demo Bonding Light Niche Corrections Corrections Corrections Final Final Final Corrections Ready for 9 ' Final Inspec. on: 6—SO-1— Comment: 6UTTl� 00 Butte County Department of Development Services O O p Building Division c�UNty REFUND CLAIM APPLICATION REQUEST FOR REFUND Refunds can only be made upon written request by the person who paid the fee(s). The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if^ construction work has been done. Filing fees, plan check fees for work plan checked are not refundable. Fees paid too er qounty Departments are not cove ed by this claim. [Butte County Code section 3-41(t)] CLAIMANT'S NAME: MAILING ADDRESS: % ZZ ASSESSOR'S PARCEL #:,2 BUILDING PERMIT #: RECEIPT NUMBER(S): A request for refund of fees paid on the above receipt number(s) is for the following reasons: ff Please refund any applicable fees in the following categories: (Check those fees which you wish to have refunded.) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Other (specify): Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address ( ) Please dispose of plans Signature Date A COUNTY OF BUTTE GENERAL CLAIM FORM WILL BE MAILED TO YOU FOR SIGNATURE AFTER REVIEW BY BUILDING OFFICIAL. J:\My Documents\REFUND CLAIM APPLICATION.doc 12/17/02 FOR BUILDING DIVISION USE ONLY: Receipt Information: Number: Date: Issued To: Ambunt: Fees Retained: BP# Processing Fee: $ Bldg Filing Fee: $ Plbg Filing Fee: $ Elec Filing Fee: $ Mech_ Filing Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Inspection Fee: $ SRA P/C Fee: $ Other: $ Total Amount Retained: $ TOTAL REFUND DUE:$ Amount from 440-001 $ Amount from $ BP# Processing Fee: $ Bldg Filing Fee: $ Plbg Filing Fee: $ Elec Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Inspection Fee: $ SRA P/C Fee: $ Other: $ Amount from $ Amount from $ J:\A4y Documents\REFUND CLAIM APPLICATION.doc 12/17/02 BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION /�1 �-� l.q 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891.2834 (CHICO) C-� OFFICE #: (530) 538-7541 ---- -- 0/ w C-50 O19, APN: 1 ZONING: NEAREST CR STREET: .- TR4CIII /LOT#: SITE ADDRESS: 2,90 , It CITY, ZIP: OWNER NAME:? 7 PHO E STREET ADORESS: ! CITY 71P- P' 4 a APPLICANT NAM CONTRACTOR NAME: ARCHITECT/ENGINEER NAME: DESCRIPTION OR SCOPE OF WORK: OT Structure Milt without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be re wired. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only Notes:14wC��kzt ►2 o �i�i 495,6-"- Application Received by: I Receipt number: 9ae asc/oe? C Date: jp - Amount Receiv • B. C. Building Permit 01-23-04 112 42-29-13 Ff � DANIEL HEAL 12290 Meridian Rd, Chico Contr : Butte Rfg /z)j/;t jQ7 Permit#2873-86B(reroof/SF) 41 CHANDLER, Teryl 59-67B �;2—�9 e/s Meridian 1700' so. of Hwyc (new detac d storage shed)2,1 .i' 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\dd6 PERMIT NO. BP041927 LICENSED CONTRACTORS 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 Issued Date: 06/30/2004 APN: 042-290-013-000 the Business and Professions Code, and my license is in full force and` effect. License Class: < � 3 3� Li rise umber: Site Address: 12290 MERIDIAN RD CHI '� Date: rContractor: Map Index: Description: SUPPLEMENTAL INSPECTION FEE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HEAL DANIEL C & CHRISTINE H . to its issuance, also requires the applicant for such permit to file'a 12206.MERIDIAN RD signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section CHICO, CA a 7000), of Division 3 of the Business and Professions Code) or that he or 95926 she. is exempt therefrom and the basis for the alleged. exemption. Any, _ violation of Section -7031.5 by any applicant fora permit subjects the applicant to a civil penalty,of not more than five hundred dollars ($500).): ❑ 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 Contractors State License Law does not apply to an' """" `Applicant: HEAL DANIEL C'& C owner of property who builds or improves thereon, and who does such work himself or. herself or through his or her own employees, provided that such improvements are not intended or 'offered ,for sale. If however; the building or improvements are soldwithin one000, year of completion, the owner -builder will have the burden of G " proving that he or she did not build or improve for the purpose of sale.). O V WOE I,„as,�ownef,-of_the.,property,; am, exclusively contracting„with/V% - 1� licensed contractors to construct the project (Sec. 7044, Business „ . and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). " ❑ I am Exempt under Article 3 of the Business and Professions Code 1 Date Owner: A License #: k WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: VVt ❑ 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 Architect: is issued. I have and will maintain`workers"compensation'insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance arriertand policy nr are: Carrier: _ C_.�,•��/l� , Total Square Ft: 0 S.F. 17-3 ITT " O 3 Policy #: Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: 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' compensation provisions of Section 3700 of the Labor Code, I shall � forthwith comply with those provisions.. ''� � j U Date: (7 f }�'1'/Gv rn PP cqur� : $ Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolufons to o work indicated abq6or which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: PERMIT EXPIRES ON: tJ Date Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. 13 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the own r or a duly authorized agent of the owner. I gree to comply with to all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substan of a y official form or docu nt of utte Cou ty. I authorize representatives of Bufte County to enter upongabove ment� ned property for inspection pure es. � Q �Q- Print Name: •lam Signature: Date: u T V ❑ Owner 13 Contractor 0 Agent for Owner 0 Agent for Contractor 11 BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT. SERVICES BUILDING PERMIT BP041927 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecouhty.netldds ­ ' LICENSED CONTRACTORS 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 a4- effect. rl�d - effect. J de N 3/�3l b License Class: Sp Li nse umber: 7 Issued Date: 06/30/2004 APN: 042-290413400 , I Site Address: 12290 MERIDIAN RD CHI Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: SUPPLEMENTAL INSPECTION FEE Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior . Owner: HEAL DANIEL C & CHRISTINE H -. to its issuance, also requires the applicant for such permit to file".2 1220.6.MERIDIAN RD signed statement that he or she is licensed pursuant to the, provisions of the 'Conlractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000), of Division 3 of- the Business and Professions Code) or that he or 95926 she is exempt therefrom'and the basis.for the alleged exemption. Any. violation of Section -7031.5 by any applicant for a permit subjects the. applicant tq a civil penalty,of not more than five hundred dollars ($500).):.•' ❑ 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 ��,,..,..,. �..,,::.....:.....>:::...... C"ode: The Contractors' State License Law does not apply to an ....,,.w -..A licant: HEAL DANIEL C._.& CHRISTINE,,H.,.,:..:..:.....:.:..,...-...,.....,s.- pp owner of property who. builds or improves thereon, and,who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offeredryfor sale. If howevef; the building or improvements are sold'within one year of completion, the owner -builder will have the burden of "proving that.he or she did not build or improve for the purpose of sale.). the....property,, @M..:excIusiyeJIy. contracting„with... licensed contractors to construct the project (Sec. 7044, Business -and Professions Code. - The Contractors' State License Law does not apply to an owner of property, who builds or improves thereon, Contractor: and who.contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.), . ❑.. I am Exempt under Article 3 of the Business and.Profe.ssions Code• Date: Owner: WORKERS' COMPENSATION DECLARATION, I.hereby,affirm under penalty of perjury one of the following declarations: 131 have and will, maintain a certificate of consent to self -insure for workers' compensation, as provided for by. Section 3700 ofAhe Labor Code, for the performance of the work for which this permit is issued. I have acid will maintain "workers"'cdmpensatioh lhsurance, as required by Section 3700 the Labor. Code, for the performance of the work for which this permit is issued: My workers' compensation insuran�arrier��y nu are: • Carrier: License #: Architect: Engineer: ........:.. .......... � -- Total Square Ft: Policy #: 2-3�s `7 Fr 2 O Valuation: ❑ I certify that in the performance of the work for which this permit is Census Code: 0 S. F. $0.00 ,_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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.. 1t 1��PL p, ��✓1�` Date: _ ° C Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, -and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: /-TrrtLU0 t°PF0Q1. q ltd-. i rby issued undedthe pplicable provisions of the Butte County Code and/orwork indicated (or which fees have been paid. Date: PERMIT EXPIRES ON: ((,1 ❑ - ' 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the own r or a duly authorized agent of the owner. I gree to comply with all county and state laws relating to building construction. f acknowledge it, is unlawful to alter the substan of a y official form or docu nt of utte Cou ty. I hereby authorize representatives of Butte County to enter upon SSSh above menljpned property for inspection purp es. Print Name: ALJ Q � \, ` ` �Q- Il Signature: Date: V u T ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY' DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds' ' PERMIT NO. BP041927 LICENSED CONTRACTORS 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 Issued Date: 06/30/2004 APN: 042-290-013400 , s the Business and Professions Code, and my license is in full force arid` effect. �c- License Class: % 10 Li nse umber: 3 /e ?11 Site Address: 12290 MERIDIAN RD CHI Date: K) .contractor: Map Index: OWNER -BUILDER DECLARATION . I hereby affirm under penalty of perjury that I am exempt from the Description: SUPPLEMENTAL INSPECTION FEE Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior .• Owner: HEAL DANIEL C & CHRISTINE H. - to its issuance, ..also requires the applicant for such permit to file a 1220.6.MERIDIAN RD signed statement that he or she is licensed pursuant to the, provisions of the'Contractors State License Law (Chapter 9 commencing with Section CHICO, CA 7000)..of Division 3 of the Business and Professions Code) or that he or 95926 she is exempt therefrom- and the basis. for the alleged• exemption. Any. violation of Section -7031.5 by any applicant fora permit subjects the. applicant,to,a civil penalty,of not more than five hundred dollars ($500).):..' ❑ 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 Contractors' Sate License Law`does nof`appty to'ari` " '• "'"'• Applicant: HEAL DANIEL C''& CHRISTINE°H' •' ..."•..... owner of property who builds or improves thereon, and,who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offeredJor sale. If however; the building or improvements are sold within one year of completion, the owner -builder will have the burden of 'proving that. he or she did not build or improve for the purpose of sale.). O I„ as ownef,:of..,the.,.propertyv ,am exclusively, , contracI g•,with licensed contractors to construct the project (Sec. 7044, Business ..and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who.contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). . ❑.. I am Exempt under Article 3 of the Business and _Professions Code Date: Owner: 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 performance of the work for which this permit is issued. I have and will maihtain workers' 'comperi'satioh "ihsurance, as required by Section 3700 the Labor. Code, for the performance of the work for which this permit is issued: My workers' compensation insur�arrier��y n�r are: ' Carrier: (�t•t�l) Policy #: Z3 ITT `7 TF 2 v o 3 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. . Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawfril,.and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: Contractor: License #: Architect: Engineer:. .......... ..:., ..... ...::.:.....:..........., ., .:..: .... Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: This permit is hereby issued undedthe Resolut'ons to o work indicated aBy. PERMIT EXPIRES ON: icable provisions of the Butte County Code and/or . which fees have been paid. /'� Date: l` ^ -0—V ❑ - 'I hereby certify that the use of this facility shelf comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the own r or a duly authorized agent of the owner. I gree to comply with all county and state laws relating to building construction. f acknowledge it. is unlawful to alter the substan of a y official form or docu nt of uIt e Cou ty. I hereby authorize representatives of Butte County to enter upon above mentjpned property for inspection purp es. ~ Print Name: Q 1l� 2 W QiQ I ` Signature: Date: V T ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 DATE: /_ ` D� AM: �7�({ ,_G,(/�J} NEARESTCRT TREET ; ! ^ `-� / 1 J SITE ADDRESS:/2 , CITY, ZIP: A � 4 Q% OWNER NAME: STREET ADDRESS: 17 7,elee CITY, ZIP: , APPLICANT NAME. _ CONTRACTOR NAME: STREET ADDRESS: CITY, ZIP: LICENSE NUMBER ARCHITECT/ENGINEER NAME: PERMIT NO. 4%z'.-n,d7 DESCRIPTION OR SCOPE OF WORK: 0 Structure B ilt without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, Plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: 1�I Application Received by: Date: /'t� - '30-- G� Receipt number: Amount Receiv • B. C. Building Permit 01-23-04 Pg 2 .•COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �\ APPLICATION A*ND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT ' OWNER "- TELEPHONE ,SQ, FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS +•L - :• r�_'x'.. - fa '.h 1.11 - L, _J '.r . 1•, - 790:1 on CONTRACTOR'S NAME . 1' r f i .t l 11 TELEPHONE 1• .. CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ill ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSP ermit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECI FV Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 1W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: r.!r_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 1' .Il;•rl Classification r'._? ^ El 1, 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 OR ADDNS. ACC. SLOGS. f OCCUP.hd`` ( �Z Qsq It NEW CONSTR ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS (POWER APPARATUS e) SINGLE OUTLET CIR. 20050c - Ex. Occup(OUTLETS OR FIXTURESeAL030 FIXED APLNS Ex. Occup. OUTLETS P(RESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X -f Date i /'' 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 $ ^ •,{, OccUP. CONST.TYP! IFLOODIPARCELI PD [7SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC ' Bye PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. / / /, WNIT!-D.P.W., YELLOW-AS8E330 R, PINR-INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATI& AND PERMIT - ER 1 � ASSESS Rj�ARC BE /��'' ZONING BUILDING PERMIT ' OWNER Daniel Heal TELEPHONE 345-21142' SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Rte 6 Box 32-2 Meriaian Road Chico Calif 2.0 s ares 2000..00 CONTRACTOR'S NAME Butte Roofing Company TELEPHONE 342-6553 CONTRACTOR'S MAILING ADDRESS P. 0. Box -557 Chico Calif 95927 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 32.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Rte 6 Box 322 Chico Cal 95 26 Permit fee PLUMBING PERMIT Filing Fee 10.00 11�;?W Ynorjia.41Each 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 SFS] Duplex❑ Mobilehome❑ OtherBuilding - SPECIFY Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home JSJGJWJ 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: reroof--built up Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 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. }76$5g Classification C -3 g El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.s: , Oft ACDNS. ACC. BLDGS. h¢sga NEWR MULTI -OUTLET NON.CONSTR RESID BRANCH CIRCUITS2.50 ea (POWER APPARATUS h1 SINGLE OUTLET CIR. / e200SOt< Ex. Occup( OR FIXTURES ALO 30 FIXED APLNS\ EX. Occup. OUTLETS (RESID )REA.) 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 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. 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 County of Butte to enter upon the above-mentioned propeity'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 said County in conse a ce oI h nting of this permit. X(Date 9/.22/86 y(% 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 $ 42.50 occu P. CONST.TYPE FLooD PARCEL PO ND SSUE This permit is hereby issued under sions of the Butte Count Code and/or work indic d above for which IREC PUB BYL PERMIT XPIRES Date the applicable provi- resolutions to do fees have been paid. RKS Date ��J Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �t. 9�6` � �, �� ��o ��,8�d �S�p9 ��:���