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043-290-123
- 2 3 - A.P TURNER, Ted /s Bidwell Rd. no. h� c� of Rose Ave. , Chico �j Permit-458-72B(fire damage) 043-290-128 03-1189 TURNER, MURIEL 1602 BIDWELL AVE., CHICO Cont: BUILD RITE FIRE REPAIR/SF (N -04T-29-6-4237- ----- --- - 03-3108' -- TURNER, MURIEL ( D 1602 BIDWELL AVE, CHIC Cont:. ALLADIN ROOFING f% / D RE ROOF "N 043-290-123 04-0094 TURNER, MURIEL 1602 BIDWELL AVE, CHICO CONT: BUILD RITE NEW. LP FIREPLACE 19 TURNER, MURIEL 1602 BINEAVE, CHICO Cont: OWNER RE -ROOF 6 SQ � � h � \\ :ate � �� �� � . : � . : ; \ \� � o /�� (>- � � . � \ � '�� \ < r � NOTES RESIDENTIAL : PERMIT NO.43 290-123 05-0638 TURNER, MURIEL 1602 BIDWELL AVE, CHICO Cont: OWNER j RE -ROOF 6 SQ r s , F SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 0 JOB FINALED (I, a,3 Signature BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT .. 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 89172834 (CH190) • OFFICE #: (530) 538-7541 PERMIT NO. BPO50638 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. I 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 and effect. License Class.: License Number: Date: • Contractor: 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 to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 01 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' Stale License Law does not apply to an 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 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.). ❑ I, as owner of the property, am exclusively 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, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 ofsfr0 Bu4*ss and Professions Code Date: a . y Owner:,;" ' `e WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Ca Policy #: 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: J 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.) Name: Address: Issued Date: 03/09/2005 APN: 043-290-123-000 Site Address: 1602 BIDWELL AVE CHI Map Index: Description: RE -ROOF 6 SQ.'S COMP Owner: TURNER MURIEL ETAL 498 E SACRAMENTO AVE CHICO, CA 95926 Applicant: TURNER MURIEL ETAL - 498 E SACRAMENTO AVE CHICO, CA 95926 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Aneont Gi�o 1 / This permit is -hereby issued under ths applicable provisions of the Butte County Code and/or Resolutions tollo work indicated qv for which fees have been paid. By:_ (- Date:,3—*65 PERMIT EXPIRES ON: ❑ 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 & Safely 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 owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or docum t of Butte County. I hereby authorize representatives of Butte County to enter upon_t�e-above mentioned property for inspection purposes. r _( / (, . Signature: y �Gl �i!/'✓%///�✓ Print Name: � �'/ i � � �-�-�� g , Date: IQ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor tt. c. tswiaing vermn u i- io-uv pp J=OK 0 = Not OK.. . = NotReadyable • MOBILE HOMES T Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test-Wrap;-/ P' L'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 . Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 • W MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 . Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable s = Not Ready RESIDENTIAL (Single &. Duplex) Date UNDERFLOOR (Plans) OK except #'s . 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 57. Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Glazing Area -Glass Protection -Skylights -Plastic 24. Fixture & Transformer Clearance -Ins. Protection Shear Walls; Nailing -Bolts 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 64. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 65. 32. Service -Riser Conductors & Ground Main Disconnect 66. 33. Equip. Clearances Panels-Motors-Mech. Equip. 67. 34. Clothes Closet Light -Shower Light -Spa Light 68. 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 78. Card B-1 Date Card B-1 Date 79. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Insulation -Foam -Looked in Attic 41. Sills Proper Materials & Anchors Guard Rails & Deck Construction -Post Caps 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 43. Bearing Walls over Girders & Floor Nailing Clearance Looked under Floor ❑ Yes 44. Draft Stop in Walls (rat proof) Following Instld./Drive O Yes ❑ No/Walks O Yes ❑ No/Planters ❑ Yes ❑ No 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Stucco Brown -Finish 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes ❑ No/Walks O Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHI(;O) OFFICE #: (530) 538-7541 PERMIT NO. BP050638 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 03/09/2005 APN: 043-290-123-000 the Business and Professions Code, and my license is in full force and effect. License Class; License Number: Site Address: 1602 BIDWELL AVE CHI Date: Contractor: Map Index: Description: RE -ROOF 6 SQ.'S COMP 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 Owner: TURNER MURIEL ETAL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 498 E SACRAMENTO AVE signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 95926 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 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 Applicant: TURNER MURIEL ETAL Code: The Contractors' State License Law does not apply to an 498 E SACRAMENTO AVE owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, CHICO, CA provided that such improvements are not intended or offered for 95926 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.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: 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 Expe pt under Article 3 of h( BB ' ss and Professions Code Date: � l k4Owners l License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: 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: ^�l 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.�._L.1 v (d Amf, CONSTRUCTION LENDING AGENCY This permit is hereby issued under applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to o work indicated ov for which fees have been paid. performance of the work for which this permit is issued (Sec 3097.Civ.)�� Name: BY Date: PERMIT EXPIRES ON: Address: Date ❑ 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 owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or dm t of Butte County. I hereby authorize representatives of Butte County to enter uponyye-above mentioned property for inspection purposes. +lig /`� Signature: a-• %/'✓v' Print Name: (J �/t�/ t �i��✓ ! `'✓ Date: % �i Q Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pq 1 V" �vO TTFo DEPARTMENT DE E UNTY oOF LO MENT'SERVICES o o BUILDING PERMIT APPLICATION O o AND SUBMITTAL REQUIREMENTS o ___• = = O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 0.` - �-`0 OFFICE #: (530) 538-7541 C' y A FEE WILL BE REQUIRED AT TIME OF APPLICATION OV N� Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY" OWNER CONTRACTOR Last Name Fi t Name - Address rl/�� `� , City Sta (a �U Zi Phone a ()Igo Tao Fax Fax E-mail �\"eA l APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Lot # Fax E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Lot # Fax E-mail State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. 05-6 BP BIN # LOCATION AP#Cll, - — /;�� Property Addres C Cross Street ' WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built withdut 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 fee 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. OVER FOR SUBMIT I AL KtUUIKtIVItIV 1 J L K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 � GU Received by.. --e- Amount: t Bldg /,, SRA Receipt #:�tl�—� Sheriff 07 SMIP Date:3^ q-65 Other Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. " INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. 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 no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K1FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE jT, NO. (Rev. 12/96) APPLICATION AND PERMIT 0 y0 ASSESSOR PARCEL NUMBER 043-290-123 ZONING OPUD BUILDING PERMIT OWNER MURIEL TURNER , TELEPHONE SO. FT. OCC. BUILDING VALUATION . OW ER'S MAILING ADDRESS X98 E SACRAMENTO CHICO CA 95926 EST 5,000.00 CBUILD RITTE 891-0333 ONTRACTOR'S NAME TELEPHONE DRESS °1R00E MAILING CHICO CA 95928 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 46.80s ub 1gUTTINELL AVE CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 138.80 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW GAS FIREPLACE CHIMNEY CHASE NEW F00TI1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 IC Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VOR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.( License Class {� Lic. No. �7oo to97--3s 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 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. ❑ 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' corn ensakon insjaance ca�rfier and policy number are: Carrier '}GLt G �Z�r^G Policy Number :c? -7 / —0"7_ (The above sections nee not a 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp) wft those provisions. X Date f� _OZf Signature of A plica ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DIN ELLNG OCCUP. SO OR ADONS. ( a ACC. S.3.50FT. NON-RESID. MULTI.OUTLET @7,50 APPARATUS a SINGLE OUTLET CR. .00 OR FURES z @ .50 Ex. OCCu . OUTLETORSAL Ex. Occup. °uTE,t°Ts" Ra D,°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation -GAS FIREPTACE 15 00 PERMIT FEE S 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOT L FEE $173.80 HAZ. 0. FEES IMP FLOOD COF PARC PD ND _ M:S This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been ate PERMIT EXPIRES ON Del provisions to do work paid. T V Receipt No. WHITE-D.D.S.-B.D. CAN/CRY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERV PIG DIVISION PERMIT NO. 7 County Center Drive • Oroville, California 95965 • Telephone 38-7541,/, O�� ev.,2/96) APPLICATION AND PERMIT `t' ©� `'�' �� 6 � } � ZONING � � h BUILDINGPERMIT SESSORPARCEINUMBE3i `'1' TELEPHONE SO. FT. 000, BUILDING VALUATION NEn ADtr42 TELEPHONE RS NiRACTORS MA UNG Ns anON LENDER Fireplace LENDER'S NARJNG ADDRESS Total Valuation $ LICENSE N0. 20.00 Frin Fee $ ARCNQTECT OR ENGINEER Firing Permit Fee $ /oZ ARCNTECT OR ENGINEERS MAILING ADOREss Plan CheckingFee $ SURDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ ` PARCEL ""'P PLUMBING PERMIT Firing Fee 20.00 LOT NO. SUBDNISIDNS NAME Each Tr 7.00 USEOFSTRUCTURE Solar or heat um water heater 23.00 Water piping 15.00 SF gCDuplex ❑ Mobilehome ❑ Other sir, Each gas mater heater or vent 15.00 TYPE OF WORK Gas fin stem 1 -5 outlets 15.00 15.00 New ❑ Addiction ❑ Remodel b Utilities ❑ In tion_ ❑ Other ❑ Building sewer S G W �@20-00 Mobile Home Describe Work: PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service = on tFs�s 23.00 Main Service 200w TO Nom+ 46.D0 CONST. OwELu�G oxuP. 3.5¢ OR ADDNS. a ACO. MDS. NEAF cIRM . MULT> °un ET @7.50 PERMIT FEE PAID $ - �� �� APPARAM a swGLE ovnET aR --9-@ ,.00 Ex- Occup.OUTLET OR MURES SAL @ .50 Ex. Occup. vnEts 6 °ERa 5.00 SRA $ Temporary ServiceMS Rid Mobile Home Facflities Wisc. Wiring SHERIFF $ PERMIT MECHANICAL PERMIT20.00 OHeating OTHER $ Cooling Hood 6.50 $ Ventilation ERAAIT FEL: S 3 Mob a Home installation Fee $ I$ -2, Energy Inspection Fee �{ ccc DONsr.Ty' TOT L FEE $�1 /3 FEES P FLOOD COF 'r /a - HD ISSUE _, HAZ. 4 ` v . AMOUNT RECEIVED $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work '� L indicated above for which fees have been paid. DATE RECEIVED J / By Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: I V ` b 1' �Y' �- ASSESSOR PARCEL NUMBER o - Proposed Building Use: �'e }�`� ' Counter Technician: Date: I v G Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order apply. A' 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. - 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in du licate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestr plan approval ❑ paid. Sent by: ❑ 24. Planning approval (A) Use:C>(B)Parking: (C) Parcel Check:- ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of tqe above items and requirements for obtaining a building permit. Applicant: .Date: 1. Index per�ipoation for �eo�itemsmbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: 4 Date Structural reviewed b Date: Structural approved by: , Date: Note transfer by: Date .2 - V Yellow: Building Division COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Calif6rnia 95965 • Telephone (530) 538-7541 MIT No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 043-290-123 ZONING PUD BU I LD I NG P ER M IT OWNER Muriel Turner TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 498 E Sacramento Ave Chico cont 51 052.00 CONTRACTOR'S NAME Build Rite CleanRite 891-0343 TELEPHONE CONTRACTORS MAILING ADDRESS 1200 West East Ave Chico CA 95926 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation S51-092.00 ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ 423.5 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 275-2 BUILDING ADDRESS 1602 Bidwell Ave Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.0049.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ r Describe Work: E3 -)'e il�mab¢p Repairs `' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fee 20.00 RLESSFiling 800VMain Service 200A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No � cl a- 3 G O OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. BLD S. s0-80.50 3.5¢FT. NN µ,gESID MULTI.OUTLET 97,50 APPARATUS a SINGLE OUTLET CIR. E(, QCCU OUTIET OR FDRURES aq20 L 1. 0 Ex. Occu .OFIxU E�DSAA D OR, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 12-3.90 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. ❑ 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 carrier and policy number are: Carrier W MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 1 i_ a-�i - (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 ith ly with those provisions. _ Date 4�?s{�n3 (cant - ❑ Owner ❑ Contractor $Agent —� An OSHA a it is required for excavations over 5'0" ddep'. nd demolition or construction of structu es o er 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ q11 -28 �HAZ. T_ D. FE IMP --- D COF PARCF� PD HD ISSUE This permit is hereby issued under Of County Code and/or in cate a oc ch fees have By P. RMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. vp D7e, "V Date Receipt No. -3 �Jc 3�- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -IN ECTOR GOLDENROD -APPLICANT Line Item Total 33,236.76 Material Sales Tax,@ 7.250% 13,432.90 973.88 Subtotal 34,210.64 Overhead @ 10.00% 34,210.64 3,421.06 Profit 10.00% 34,210.64 3,421.06 F . �, ur, • � p x/U ' • 510'505 William Jones TURNER PERMIT 06/06/2003 Page: 13 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P T NO lRev. 12/96) APPLICATION AND PERMIT ()8 ASSESSOR PARCEL NUMBER _ ZONING P. V 1J I� BUILDING PERMIT OWNER L urh�� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S�MQUNG gip C 1 �4Ue G PCSCONTRA ! ' TELEPHONE _ ev„v t S/ 0 2 CONTRACTORS N0,/IBq„RE56 UU ) CONSTRUCTION LENDER Fireplace Z LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ O 1/ . ARCHRECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee / 6 a" BUILDING ADDRESS A a �lC / `/ Energy Plan Checking Fee $ PERMIT FEE LDT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 h Trap 7.00 USE OF STRUCTURE SF O Duplex ❑ Mobilehome O Other sP"c`~ Solaro teump water heater 23.00 Water piping 15.00 Each gas water heater or ve 1 5.00 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities ❑ Install, O Other O Describe Work: ( Gas piping system' 1 - 5 outlets 15.001 Building sewer 00 Mobile Home I S G W @20.0 - PERMIT FEE = G%•O-c> ELECTRICAL PERMIT Fling Fee 20.00 800V SS Main Service 2D.O011 R LESS 23.00 1�6 (/ �L� ✓ J V V S'S A Srow.; f T O 4 4-% mom 1 ✓ Main Service 20M To 1000A 46.00 NEW OMS T: ( DW LL BI.DSUP. I sD. 3. S0 S� CONS MULTFOUTLET NON•RESID. @7.50 POWER APPARATUS .%MOVRET 010. EX. Occup. OUTLET OR FDRURES 20 � I.00 9AL O soFIXE, EX. OCCU OUTLETS RE.SID.APPLNS.OEA. 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Wisc. Wiring 23.00 PERMIT FEE _ /,;? 13, SG> MECHANICAL PERMIT Fling Fee 20.00 ting Coolin rHood 6.501 Ventilation PERMIT FES Mobile Home Installation Fee $ Energy Inspection Fee $ t OCC CONST. TYPE TOTAL FEE $ IMP I FLOOD I CDF PARCEL PD HD 165UE Ab bC.,?L&+ W1-6 Nkw� cAr+r�c�, This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date _ 0 l�f Psi J W .2 �. i•�'ryY+� .- .• - .... �i� ..Y..-^"K'•�_..iV+r'i�K �t �ti.,.yJ�'r�l',.S�n�r.F%�... �yv,.��r'i4 ---�^i+'rr��ar,-�..Wy.-Ia.%r�/wArv1. Y'�N.. ... � .v . ' COUNTY OF BUTTE -DEPARTMENT OF'DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 6o o e burr I . L ASSESSOR PARCEL NUMBER C1/3 r�"! (/ _ In 0 1.1 �%e :`(�, Proposed Building Use: I (t% YVI�1 Counter Technician: $ Date: Items required in order to apply fort permit. All boxes MUST be checked OR marked NA in order to apply. 0 ( L. Plot plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he en ig neer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan 'review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet............S...� 9. 8 15. Statement of Intent for Non -heated and A/C Buildings ............................................. 16. Sanitation and plot plan approval from the Environmental Health Department in 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... 3 ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 3 they: amt?o4e _ G'c- qp en issued Telephone .SIt and hold for pickup. I have ant: been in x ed J the above items and requirements for obtaining a building permit. AppCcDate: &i o 1. Index permit applica 'on for the above items numbered: A&.1 1 C -A Wir lie, S Plan Check Letter 2. Additional ite s uired 31 / n racto esigner, owner, was advised of the above data by phond,` a' , t , by Date: Con -tractor, designer, owner, was advised of the abovp d to by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: AA Date: I, Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division FIRE DAMAGE REPORT OWNER: tiAt-," LOCATION: CONTRACTOR: DATE TO INSPECTOR: 0 l3 PERMIT HISTORY:( ) NONE Building Description: Electric: Gas: BUILDING INSPECTOR'S AS DATE: V� A.P. #c3-0c/0--/� ZONING: PUT) - Commercial/Usage: } Residential/# of Units:_ Obvious Problems: Sanitation: Plumbing Working Well Working Obvious SewageProblems, S //✓/L Potable Water 16 *al %2W ; ✓ln—. - t ' 6 Description of Damaged Area: A& l/���fZ G' (' e-UG1�IfC�6 /7Z�"c3N lz(-"�u ✓ev ' wl rR /}Le- w(n'At-, ) - i Estimate Valuation of Damaged Area: Condition of Foundation: fiZ61-t OC17 iliG (( Lr iL 5 Mobile Home: C tion of Utilities: Inspector: 9 Sketch building on reverse and indk area of damage. OTDF/BUTTE COUNTY FIRE INCIDENT LO DATE 02/15/2003 INCIDENT NUMBER 1760 LOGGED BY R 0122 REPORT TIME 17:53 LOCAL FIRE NUMBER 1 1 aN 1 eral Firo RO STATE FIRE NUMBER 1 a> t cram Firo BI _j E ' CASE NUMBER _� MEDICS � LOCATION1 002 BIDWELL 4VE PRA IM33 ECC ❑ RP CHI PHONE NUMBER' I REPORT METHOD ISEVEN DIGIT EME WILDLAND FIRES ❑ ESTIMATED ACRES MO FIRE INFORMATION STRUCTURE FIRE RESIDENTIAL I FIRE INFO SENT HOW EMAIL .BY JRB TO STA 44 OTHER FIRE- I 7 -DAY LOGGED INITIALS MB MEDICAL AIDS INCIDENT NAME MILLET PSA/OTHER ( START DATE 0211512003' START TIME' 17:30 HAZ MAT DIAMOND # 5.0 COMMENTS CAUSE ELECTRICAL POWER TWO LAND USE DOMESTIC STORY ACRES r0 TYPE OF ACRES DIAMOND 5 ONLY $ DAMAGE TYPE ALL OTHER I DOLLAR DAMAGE - 100P00.001' SAVE 100000.00 ' �'' � TINJURIESIFATALITIES~ ❑ # CIVILIAN INJURIES -01 1 # CIVILIAN FATALITIES 1 EMD ❑ OES # FF INJURIES # FF FATALITIES 0� FC -40 INFORMATION New Incident FC -40 ❑ DATE OF FC -40 INC AGENCY INC # INC P# FC -30 COMP DATE I FC -40 COMP BY County Notifications ® EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ t, t PERMIT NUMBER B 458-72B P RNxia E 420-72E PERMIT EXPIRES. OWNER Ted Turner CONTR: Owner 729- LOCATION (A.P. 43-29-72 n/s Bidwell Rd. north of the end of Rose Ave., Chico C' m '�h. •- COUNTY OF BUTTE '= DEPARTMENT OF PUBLIC WORKS s' 7 County Center Drive - OroviIle, California 95965 ` PHONE: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT Permittee Owner A. P. No. Mailing Address Mailing Address BLDG. Address DESCRIPTION OF WORK NEW 0 ADDITION F] METER SERVICE 0 OTHERS: Remarks: �1 PERMIT FILING FEE Supplementary Filing Fee + Sub -Panel (12 or (more than less) Range, Dryer or Water Heater Oven, Cook -Top or Space Heater Light Fixtures USE OF STRUCTURE Single Multi- Family ult •Family 0 Duplex .0 Dwelling 0 OTHERS: Remarks: No. Fee $2.00 1.00 Each Each L00 Each ...50 First 2D .20 Misc. TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof......................................................................................................................................................................................._....................................._..........__ . License No Classification .............................................. . and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check ones I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). �] I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis, if any, fo,&other statutory exemption....................................................................................................._.._...._............_ ......_._.. _. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and This ELECTRICAL PERMIT is hereby issued unlet the a li- State Laws relating to building construction, and hereby authorize repre- Y PP sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection purposes. DIRECTOR OF PUBLIC WORKS X .......... .............. ..................... ...... .......... Date ........................................ ...... ...... ..... ........ SIGNATURE OF PERMITTEE OR AGENT By.......................................................................... Date ........................ Receipt No ......................... First 20.20 Receptacles., Switches & Fixture Outlets Each Additional . 10 Hood, Exhaust Fan or F.A. Furor Motor Each .50 Evap. Cooler, Gar. Disp. or Dishwasher Each .50 Air Conditioner or Heat Pump Misc. TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof......................................................................................................................................................................................._....................................._..........__ . License No Classification .............................................. . and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check ones I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). �] I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis, if any, fo,&other statutory exemption....................................................................................................._.._...._............_ ......_._.. _. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and This ELECTRICAL PERMIT is hereby issued unlet the a li- State Laws relating to building construction, and hereby authorize repre- Y PP sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection purposes. DIRECTOR OF PUBLIC WORKS X .......... .............. ..................... ...... .......... Date ........................................ ...... ...... ..... ........ SIGNATURE OF PERMITTEE OR AGENT By.......................................................................... Date ........................ Receipt No ......................... i J. r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 2 �� >' 7 County Center Drive - Orovi Ile, California 95965 ✓✓ Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x, r> % «., —Date-/' S Signature of Permiteeeor Agent Receipt No. 9 3 v � 6:, - White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF^PUBLIC WORKS 1 By �' Date y-/ 7L i r ✓Building Permit Expires Date BUILDING Owner��- �`— SO. FT. OCC. BUILDING VALUATION / 5-0v Mai I i ng Address G U Fireplace Contractor (,v �/� Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ Building Address S Lt✓G �� / PLUMBING No. @ FEE PERMIT FILING FEE 1$2.00 -� G uh e-1 n O v Cf. . Each Trap 1.50 / /t Repair drainage or vent piping 1.50 Water piping `1.50 Each gas water heater,,or vent/ 1.50 A. P. No. 3 ' Z % Zoning Gas piping system 1 - 5 tlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation` Planning Building sewer/ I 5.00 � Plans Y Fees C w -e. fR/W Encroachment Lawn sprinkler system 2.710- / NEW ❑ ADDITION ❑ OTHER Permit Fee $ $ C n/�� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 / Main service incl. 1 meter Additional meters, each 1.00 / Sub -panel (12 or•le,ss) (more than 12) USE OF STRUCTURE Single Family X Duplex ❑ Others ❑ Range, dryer or water heater X1100 Oven, Cook -top or space heater / 1.00 Light fixtures \ / Receps., switches & fix outlets9 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn.' Aoto� 1.00 Eva p. cooler, gar. disp. or D.W. \ 1.00 Air conditioner or,heat pump Water pump / Misc. wiring' License No. Classification i N 0 i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ \ MECHANICAL No. @ FEES WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑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 Workmen's Compensation Laws of California.Per PERMIT FILING FEE $3.00' Heating Cooling /\ \ Ventilation/ -\ / \ mit Fee $ N $ 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 relatino to building construction, and hereby tote Fee for Strpng Motion $0.07/$1000 Evaluation s rumentation Program $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x, r> % «., —Date-/' S Signature of Permiteeeor Agent Receipt No. 9 3 v � 6:, - White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF^PUBLIC WORKS 1 By �' Date y-/ 7L i r ✓Building Permit Expires Date GOUNTY OF BUTTE, - Department +of Pub -tic Works BUILDING INSPECTION RECORD Zoning Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing _ Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace ; Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS - z4 -? 2- /< /C -1:,p- S G r• r t d r r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR _ 7 County Center Drive — Oroville, California 95965 1 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Xw�/7 � f ��r�� �.z�i Date Signature of Permitee or Agent/ Receipt No. 93 Z���o White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFnPUBLIC WORKS :�'I�B�wlding Date��— 77Permit Expires Date`1-1?-77 BUILDING OwnerSO. FT. OCC. BUILDING VALUATION Oct U Mailing Address z D Fireplace Contractor Total Valuation Mailing Address Permit Fee >' , Plan Checking Fee &/or Penalty Permit Fee $ $ , Building Address PLUMBING No. @ FEE PE IT FILING FEE $2.00 G Each Ttap 1.50 Repair drai a or vent piping 1 Water piping 1.50 Each gas water heat or vent 1.50 A. P. No. — 2— 9— % Zoning Gas piping system 1 - 5 o ets 1.50 Each additional outlArl, .50 Fire Zone Fire Dept. Sanitation Planning Building sewer -'-+,_5.00 L___2. Plans Fees R/W Encroachment Lawn spr' ler system NEW ❑ ADDITION ❑ OTHER P6rmit Fee $ _ ^G ELECTRICAL No. @ FEE PE IT FILING FEE $3.00 Main se Ipe incl. 1 meter Additional ters, each 1.00 Sub -panel (12 or ss) (more than 12) USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or wat heater .00 Oven, Cook -top or spac heater 1.00 Light fixtures20025. Receps., switches & fix outl b CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Fur . Moto 1.00 Evap.cooler, gar. disp rD.W. 1.00 Air conditioner or eat pump Water pump Misc. wirin License No. Classification i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of Cal i forn i a. MECHANICAL No. @ PER FILING FEE $ Heating Cooling Ventilatio ermit Fee $ $ 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 ion Inst ute mento� o�tr a am $0.07/$1000 Evaluation Is ,f TOTAL PERMIT FEE $ o-, ` authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Xw�/7 � f ��r�� �.z�i Date Signature of Permitee or Agent/ Receipt No. 93 Z���o White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFnPUBLIC WORKS :�'I�B�wlding Date��— 77Permit Expires Date`1-1?-77 A COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 PHONE: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT Permittee Owner ��� �Af%Jc� A P No4-3-2- (�–7— / 2— Mailing Address Q Contractor Mailing Address BLDG. Address G DESCRIPTION OF WORK NEW F-1 ADDITION F-1 METER SERVICE `_� OTHERS: ��),C/ Remarks: PERMIT FILING FEE No. Fee $2.00 ZJ Supplementary Filing Fee 1.00 Main Service Sub -panel (12 or (more than Is.12) Each Range, Dryer or Water Heater Each L00 Oven, Cook -Top or Space Heater Each ..50 Light Fixtures g First 20. .20 Each Additional 10 USE OF STRUCTURE Single Multi Family Duplex Dwelling 0 OTHERS: Receptacles, Switches & Figure Outlets First 20 .20 Each Additional :101 Hood, Exhaust Fan or F.A. Furn. Motor Each .50 Evap. Cooler, Gar. Disp. or Dishwasher Each .50 Air Conditioner or Heat Pum Water Pum Misc. Wiring Remarks: TOTAL FEE p Ci CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions`Code under the name styleof.............................................................................._..........................................................................»..........................._.................................................»» . License No .............................. Classificationand certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER 8. OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check ones 0 I am the owner of theabove property and I will contract to have all of the above work performed'by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, focother statutory exemption....................................................................................................._........_..... ..... »....».» ». » .WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection purposes. 5DIRECTOR OF PUBLIC WORKS SIGNA URE OF PERMITTEE OR AGENT eol�) By.....`.!�..:./........................................... Dote Receipt No No. .. 3 ..2. v .......................... ........ 043=290=123' 03=3-1 TURNER, NIMEL~ `, 1602 BIDWELL ''AVE, CHICO Cont: ALLADIN-ROOFING RE ROOF s iAa COUNTY OF BUTTE - DEPARTMENT OF DEVEkOPMENT SERVICES - BUILDING DIVISION _ 7 County Center Drive • Oroville, Clallfornia 95965 • Telephone (530) 538-7541+yIT' 0 4! (Rev.12/96) APPLICATION AND PERMIT�J/ i ZONING BUILDING PERMIT GwMRNER, MURIEL TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWyEp MAE SA R(RAMTSM AVE CHICO CONTRACTOR'S NAME AL LADIN ROOFING 533-2934 TELEPHONE CONTRACTORS MAILING ADDRESS 11595 MIUER PEAK RD OROVME.� CONSTRUCTION LENDER r Fireplace LENDER'S MAILING ADDRESS Total Valuation $ b • ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $39.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1 B Energy Plan Checking Fee $ $ PERMIT FEE S 59.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RF' --RMF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service A OR LPSS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in,full force and effect. License Class �7 7 Lic. No. S _ 7� �� 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 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. ❑ 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 carrier and policy number are: Carrier \ 7�f, fi ��_. , r/ Policy Number -7,t Z - /4' -7 (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. n�!^� X _, �/ / USC C Date / U _ -�� Signature ,of Applicant - ❑ Owner ®;Contractor ❑ Agent An OSHA permit is required for excavata s over '0" deep and demolition or. constructior. of structures ova t Vii' efg'FTt. Main Service 200A TO 1000A 46.00 NEW CONST. DW LING OCS. so OR ADONS. ( 8 ACC. BLD S. 3.50FT. NOµpESID MULTI-OUTLEr @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. .00 EX. Occup.OUTLET OR FIXTURES SAL Q I. 0 FLXED ALNS. OR Ex. Occup. PP5.00 ounErs RESID. EA Temporary Service 23.00 Mobile Home Facilities �- 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coruT. TYPE TOTAL FEE $ 59.00 HAZ. D. FEES IMP FLOOD .'r-" .CD PARCEL PD HD ISSyE •/ This permit is h Eby issued under of 14 Butte County Code and/or o indicated ab `e ich es have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. / Date/ F /�� pBtl Receipt No. J WHITE-D.D.S.-B.D. CANARY -ASSESSOR . PINK -INSPECTOR GOLDENROD -APPLICANT i M t f Rev.12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVE O MENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Califor�ia�' 95965 - Telephone (530) 538-7541 4IT APPLICATION AND PERMIT �3-�i AS VF ZONING BUILDING PERMIT GOER' MURIEL TELEPHONE SO. FT. OCC. BUILDING VALUATION 28 Q 1680-00 MAILING ADDRESS E D % AVE CHICO CONTRACTOR'S NAME ALLADIN ROOFING 533-2934 TELEPHONE CONTRACTOR'S MAILING ADDRESS 11595 MILLER CONSTRUCTION LENDER Fireplace LENDER'S MALUNG ADDRESS Total Valuation $ 0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $39.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1602 B Energy Plan Checking Fee $ PERMIT FEE $ 59.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RF. -RODE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 EDOV OR LESS Main Service 2D.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in 11 force and effect. License Class - Lic. No. ���0�8'.3 �� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To I000A 46.00so WEE200A NEW CONST. DWELLING UP. OR ADDNS. ( 8 ACC. LiI DS. SO 3.50FT. p10µq°p MULTI -OUTLET 97.50 GwER APPARILTUS 8 PSINGLE AP= CIR. TL EX. Occup. OUTLET OR FDRURES 20 .00 BAL Q I. 0 Ex. Occup. ouTELEDrsA RF=.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. ❑ 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' ompe__nsation insurance carrier and policy number are: Carrier fli/C Policy Number _�— ��7TIt (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.Tht X _Date 1/00—f-6) _ Signature/6f Applicant - ❑ Owner f�Contractor ❑ Agent . An OSHA permit is required for excav - LL s over '0" deep and demolition or construction of structures t MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 59. QQ 2. D. FEES IMP FLOOD Com, Po HD ISS permit is he by issued under the of a ButCode and/or indica dab e o ich es have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. ate/ (J O (/ De Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT