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
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