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Home My WebLink About043-580-020" P, I t)"" 0 43-2 9-73 ROBERT BRITTON 616 Bidwell Ave, Chico C0ntr: Four Counties Roofing g /3 P rmit#3275-87B(reroof/SF) r 4 41: 041-290-073 PERMIT4 9 7-' 1342", MEURER, Carol y-1616 Bidwell Ave., Chico Cont: Air Art Hte VAC Change Out fffA-C/SF 043-2§--b-073 -99-087-4-,BP-E U MEURER�, Carol,, 1616, Bidwell" Ave, G co 9 p E1--gy— 4 1 c r!.m garage cony w/ 01 36� MEURER, CAROL INALE 1616 BIDWELL AVE, CHIC Cont CRANE CONST RER60F/SF 043-290'073 04-2990 MEURER, CAROL 1616 BIDWELL AVE, CHICO Cont: RELIANCE GAS INSERT 4 V � �� t��c�,. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO./ BP042990 � 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: 10/12/2004 APN: 043-290-073-000 the Business and Professions Code, andmy license is in full force and Z � effect. License Class:73'-/3/f License Number: IS Site Address: 1616 BIDWELL AVE CHI Date: Cal Contractor. %•�i��; P—T Map Index: Description: GAS INSERT OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 ) Business and Professions Code: Any city or county which requires a Owner: MEURER CAROL L FAMILY TRUST 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 MEURER CAROL L TRUSTEE 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 l 1616 BIDWELL AVE she is exempt therefrom and the basis for the alleged exemption. Any CHICO, CA 95926 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 Code: The Contractors' State License Law does not apply to an Applicant: MEURER CAROL L FAMILY TRUST 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.). O I, as owner of the property, am exclusively contracting with I 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 to the Contractors' State License Law.). pursuant Contractor: RELIANCE PROPANE ❑ I am Exempt under Article 3 of the Business and Professions Code w 6426 SKYWAY Date: Owner: PARADISE, CA 95969 t 530-872-9200 x206 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 License #: 734318 workers' compensation, as provided for by Section 3700 of the 7 Labor Code, for the performance of the work for which this permit 1 is ssued. ave and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of f r %� / /✓ Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: ( / S Total Square Ft. o S.F. Policy#: Z Z ❑ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to .1 become subject to the workers' compensation laws of California, Census Code: 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: t z 0 Applicant: I I 0 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. I /J. { ` �j�� / 2T--- `�j `�, f� ✓ CONSTRUCTION LENDING AGENCY This permi i� reb issued under the applicable provisions of the Butte County Code ?nrt/or I hereby affirm that there is a construction lending agency for the Resolulio •tom rk indi /t�edJabov�e for which fees have been paid. / I performance of the work for which this permit is issued (Sec 3097 Civ.) B ✓`�`—� Date: `� - ✓, �IJZ_ Name: y' -s PERMIT EXPIRES ON: Address: Date ❑ I 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 document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. �7 e r,t ' Print Name: � Si gnature: Date: Zo—hZ A ❑ Owner ❑ Contractor ❑ Agent for Owner en r Contractor `COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754/ / \Rev.12/96) APPLICATION AND PERMIT j 10 SES SORPARCELNUMBER • ZONING BUILDING PERMIT OWNE TELWIt6NE SO. FT. OCC. BUILDING VALUATION 9660 OWNERS MAUkG ADDRESS 1616 RTDWEII, AVE CHICO 95Q26 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 76.00 BUILDING ADDRESS ' Energy Plan Checking Fee $ 1616 1311JNL�LL E, CHICU $ PERMIT FEE $ 236.05 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF)p Duplex ❑ Mobilehome ❑ Other SPECIFI Each Trap 7.00 7,00 Solar or heaVpump water heater 23.00 Water piping 115.00ir� no Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑Y Utilities ❑ Installation ❑ Other ❑ 'Describe Work: GARAGE CONV W/O PERMITS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 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 (commencingwith 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. 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 OCCUR OR ADDNS. ( a ACC. BLDS. SO 3.50FT. NEW CONST. MULTI -OUTLET NON-RESID. ANC C @7.50 APPARATUS b SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAIL @ .50 Ex. Occup. OUIx A LISIS oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 r Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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. X Date -21- 9 Signat e oAp Icant -ii qA&W ❑ ContractorAgent An OSHA ermit is required f r xcavations over 5'0" d p and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ 46.0 OCC CONST. TYPE TOTAL FEE $ 369.95 HA2. D. FEES IM FLOOD I CDF PAR L JD f. I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 264602 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ".i''��.�t��%1:�.�ir.,��'',"•��4;`x�ti�(�'r�`'�F�.;.$�''�':E'!.:>.*��5�'"'��"i�ti�.'it'�^llf'Mtt�+F��Y��'��'"'s7'►�t"il�'M'1��L't�f� 5 t'r"r^. ,:', COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT"PLICA TION DATA SHEET F OWNER: ASSESSOR PARCEL NUMBER: q 3 ' q0 - (`� 3 Proposed Building Use: Building Inspector: Date: A—/ - _3 9 q �/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------- 02. Plot plans, 3/4 sets,.signed by the preparer of plans. ------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ❑4. En • eered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. ngineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- . Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- E] 10. Fees of $---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------------------------------------------ ----------------------- El 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ ; 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ------------------------------------------------------------------------- ❑ 15. City of Chico plumbing permrt.---------- s,r..,;,� •, ❑ 16.. Plot plan and business license approval frothe City of Biggs. ---------------------------------------------- .. LP 7. Planning approval for (A) Use: �, , (B) Parking: --------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22 orkers' Compensation carrier and policy numb�ail ---------------------------------=------------------- yawner -Builder Verification (Given to owner ' ,o owner 0) - -------------------------------------- 24. Letter of signature authorization, -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. -------------------------------------------- ------------- E128. Existing violations and/or expired permits. ----------- —-------------------------- ------------------------------- ❑29. ❑433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ , --------------- 1-130. Other: (Date) A_ When you issue the permit, process as follows ❑ Mail to owner, ❑ ail to contractor. ❑ Telephone 3 y 3 ` G O 0 and hold for pickup at = office. ❑ Deliver with inspector. ')(Applicant: a- Date: Y- z 7 I Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air P uta • n D, te: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered (Q ❑ Plan Check List ') Additi 1 tem_ aired r 7� on r req Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, 0 mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: -- Carol L. Meurer 1616 Bidwell Avenue Chico, CA 95926 530-343-6808 April 29, 1999 0 TO: Butte County Building Department FROM: Carol L. Meurer I certify that I have given my niece, Merry M. Murphy, permission to sign for me in my absence. Thank you for your consideration. 11 ...-.Y.- - .. y.. .y- _ ..--�,,.rx�;+.+-�- �k+-d•,E--Ynrro�+..�r-...v�.--�•,.r�7r.i.-ir�.r-'.-...;rr` �-�---�'1+Z..-... COUNTY OF BUTTE. ..... BUILDING DIVISION DEPARTMENT OF DEVELOPMENTS .8 411 Main Street • Chico,¢CA 3A 891- 51 7 County Center Drive Oroville, CA • (530) 538-7541 CORRECTION NOTICE R6; 9'7-1382, OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. riu/G� V -\Ike /gyp M4 /6V J (- //Z( /-,O< /4 I- SNA L L,2,117111Al WA' '7';v Date /2 j 7 G� Inspector REV 10/92 PERMIT#97 -71342 `� -MEURER, Carol 1'616"Bidwell Ave., Chico •Cont: Air Art Htg & AC Change Out, HVAC/SF, j" cle�� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County'Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ��! ASSESSOR PARCEL NUMBERZONING '3 — ��1G ' 0-7 3 : J/c BOLDING PERMIT OWNER U L 1'''t L. u /t t TELEPHONE 3` j- 6W6P SO, Fr, OCC. BUILDING VALUATION µµµ��'/aU/-pE2� '1 OWNERS �j� Y / (Q , vf~` /4 ", CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRES�3� w, /'j , V CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee k $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CFieckin Fee $ BUILDING ADDRESS 16 /_1 , Z A&IC" - Energy Plan Checking Fee $ PERMIT FEE _ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF •O''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 �,r- New ❑ Addition [I Remodel /❑ UBlities ❑ Installation ❑ Other c Describe Work: �"i f;/ ! T L_ C Q u Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 Main Service zo n oa LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C -2 4 Lic. No. M S 3 O Z. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I.. I ❑ 1, 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. BLDS. SO 3.5QFT: NEW NON-RESIDT MUI�LTI-CUTILEITS 97.50 I POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES 20 @ 1.00 BAL @ .so Ex. Occup. ouTEL REESSID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier S 7 : ( �� 1J d MECHANICAL PERMIT Filing Fee 20.00 Heating ao' Cooling -- Hood 6.50 Ventilation PERMIT FEE $ Policy Number Z-� 2 - in o c; o 4 J (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 vkh those pttovisions. X Date �o ' Z �_� 7 _ Signature of Applicant - ❑ Owner - 49, Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which, fees have B J PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. �� /Date (✓ ( — �J( Date Receipt No. ;e� �{ WHITE-D.D.S.-O.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f6 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\dds PERMIT NO. BP042990 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: 10/12/2004 APN: 043-290-073-000 the Business and Professions Code, andmy licen se is in full force and m effect. License Class: `� � Gr License Number: � Site Address: 1616 BIDE WLL AVEAVEHI � Date:U /t Contractor: � ,/�,,,,�&92�9= Map Index: Description: GAS INSERT OWNER43UILDER 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: MEURER CAROL L FAMILY TRUST 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 MEURER CAROL L TRUSTEE 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 1616 BIDWELL AVE she is exempt therefrom and the basis for the alleged exemption. Any CHICO, CA 95926 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 Code: The Contractors' State License Law does not apply to an Applicant: MEURER CAROL L FAMILY TRUST 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.). Contractor: RELIANCE PROPANE ❑ 1 am Exempt under Article 3 of the Business and Professions Code 6426 SKYWAY Date: Owner: PARADISE, CA 95969 530-872-9200 X206 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #: 734318 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ssued. ave and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: �'► Total Square Ft: 0 S. F. 7n Policy #: %in/ / � ZZ oZ ❑ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: 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: /L Applicant:4-4z AtLl 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 attomey's fees. J % �� _dam „�j ✓ fpertni CONSTRUCTION LENDING AGENCY affirm I hereby arm that there is a construction lending agency for the Thiiss .” h reb issued under the applicable provisions of the Butte County Code and/or Resolutio owbrk indic ted above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) � l Name: BY Date: U� a} Address: PERMIT EXPIRES ON: 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 document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes . / Print Name: 1 / ey1 t ' "`\ Signature: i Date: �U /e, f ❑ Owner ❑ Contractor ❑ Agent for OwnerA,�A �en r Contractor Lr— .>d M BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-75.41 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION PLICANT SIGNATURE X l For office use only: CONTRACTOR OWNER Name City PARADISE, SRA Address A CoA g Ave- Je- City City Ch I( E-mail Stat Zip S Phone State License Number Fax E-mail PLICANT SIGNATURE X l For office use only: CONTRACTOR Name_.... Address 5wn e %cum City PARADISE, SRA State Zip PhoneFax 872_9200 Zip E-mail Fax Lic. # 734-11 Class PLICANT SIGNATURE X l For office use only: ARCHITECT/ENGINEER Nameh— 5wn e %cum Address SRA City I No State Zip Phone Map Book Fax E-mail Planner State License Number PLICANT SIGNATURE X l For office use only: APPLICANT NAME Name 5wn e %cum Address SRA City I No State Zip Phone Map Book Fax E-mail Planner PLICANT SIGNATURE X l For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING F0RMS\131dgApp1SubRgmts.doc PERMIT NO. BP' 2jop BIN # LOCATION AP# 6 � .I o - Cil Property Address /(o Al ' g,. j"ePI Aae (k i re [C;S_Sstreet WORKER'S COMPENSATION Policy Number Ar'o 7 7 2--2— Carrier. -2Carrier-.. -e- 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: T,,-6-Fg11 R.S (A -11(r-) dieSer'- Sq. Footage O Structure Built without Permits O 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 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 I I ReceiVegby: , Amount: 5 9 Bldg I I Page 1 of 2 Receipt #: Sheriff 13� �3(12_G SMTP I I Date 1b' 101"; e;��- "---I Total I f REV 4-30-04 BUTTE COUNTY DEPARTMENT OF,,DEVE° . OPMENT SERVICES, BUILDING ERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891=2834 (CHICO) 'OFFICE #: (530) 538-7541 FAX#: (530)538-2.140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed• under" provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ratessions Code, and my license is in full force and effect License Class : Z Lic a Number: ?O Datek —2 3 —0 q Contractor: OWNER-BUILDE DECLARATION I hereby affirm under penalty of perjury that 1 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 Fie 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..givil penalty of not more than five hundred dollars ($500).);. . ❑ I, as ownerof 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 i, owner.of property who builds or improves thereon, and who does. such work himself or herself or through his or tier own employee `s, provided that such improvements are not intended or offered for sale: If however,`tthe 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.., p.r.gperty, .. 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.). ❑. . 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;: ❑ 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. ❑ I' have and will' maintain NWorkeW 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. PERMIT NO. BP041836 Issued Date: 06/23/2004 APN: 043-290-073-000 Site Address: 1616 BIDWELL AVE CHI Map Index: Description: RE ROOF SHAKE TO COMP 31 SQ. Owner: MEURER CAROL;L FAMILY TRUST MEURER CAROL L TRUSTEE 1616 BIDWELL AVE I CHICO` ;`CA 95926 f Applicant:' MEURER CAROL L FAMILY TRUST Contractor: CRANE CONSTRUCTION COMPANY CRANE; JAMES S 740 BIDWELL.DRIVE... CHICO, CA 95926 530-345-0555 License #: 619246 Architect: Engineer: Policy #: 1 certify that in the performance of the work for which this permit is Total Square Ft: 0 S F. V issued, I shall not employ any person in any manner so as to , become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' I compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith comply with those provisions. I Date: ` Z OLS( Applicant: C SO WARNING: ailuro 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 appli provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio 5 to d ork indicated apove fo hic fees have been paid. / l performs a fie work for h hi ermit i issu�r�L Sec 3097 Civ.) L� �J Name: ��/�4//N //� l�/. BY Date: Address: I �to Q 1 d W e L 1 AuAZ L_/'1 I L C7 PERMIT EXPIRES ON: (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 any.official form or7dument of Butte County. 1 hereby authorize representatives of Butte /County Ato enter upon the above mentioned property for inspection purpo .e . Print Name: Signature: Date: `o — 23 ' O 7 �/ ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor 6..Z(4, -.JL4 c Ut)/, wqcr5 koLve LJ2Gi� � 62-1. d), F- ap ex r� 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\dds PERMIT NO. BP041836 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: 06/23/2004 APN: 043-290-073-000 the Business and &ssions Code, and my license is in full force and Z License Class : Lic a Number: 1O Site Address: 1616 BIDWELL AVE CHI Dater Z3-0contractor: Map Index: Description: RE ROOF SHAKE TO COMP 31 SQ. p OWNER -BUILDS ECLARATION 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: MEURER CAROL L FAMILY TRUST" to its issuance; -also requires the applicant for such permit to file -6 signed statement that he or she is licensed -pursuant to the•provisions of; the Contractor's Stateticense Law (Chapter 9 commencing with Section MEURER CAROL L TRUSTEE } 7000)'6f Division 3 of the Business and Professions Code) or that lie'or, _ r;.1616 BIDWELL AVE 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 `' CHICO,' CA 95926' applicant to. ?,civil penalty,of not more than five hundred dollars ($50o).):_ ❑ I,'as owner. of the property, or my employees with wages as their »� ..ra..�w, F• -Q sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions "'""`Code:"`The Contraclo�s; State License¢Law does not apply o an ` '"•""�"�"'"��'T`""'"�<'""""'"•`�""'"`""""`"""�"•=-"""""' owner"of property who builds or improves thereon, and.who does. " Applicant: MEURER CAROL L FAMILY TRUST such work him_ self 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.). O . ,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 orimproves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). - Contractor: CRANE CONSTRUCTION COMPANY �^ 13, ..I am Exempt under Article 3 of the Business and. Professions Code-. CRANE,JAMES' Date: owner: i 740 BIDWELL,DRIVE_.. CHIC OCA 95926 a ,.•...: WORKERS,cOMPENSATION.DECLARATION I hereby. affirm,und. p ,penalty of perjury one of the following declarations 530-345-0555 ❑ I have and will. maintain a certificate of consent to self -insure for r•, workers' comperisation, as provided for by Section 3700 of. the Labor Code, for the performance of the work for which this permit License #: 619246 is issued. ❑°"I'have' -and will `rhaintain`"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 Architect: insurance carrier and policy number are: Engineer: Carrier. Total Square Ft: 0 S. F. Policy #: r .o, I eertify'thaI in the performance of the work for which this permit is issued, .l shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to, the workers' Census Code: " compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant-. :i:. •. • _ / �y WARNING: ailure'' 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 ho, aby issued under the appli provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio(§7dork indicated a�ove forhic fees have been paid. performa¢¢��ee,ii��f,S�a work fort h hid Permit i issue Sec 3097 Civ.) �l/�/ i d Name: LtCZA �p l� �1i (� . By: Date: U� PERMIT EXPIRES ON: / Address: 1 I )to JB I a W e h % _2 yt I r� Date "❑' "1 hereby'ceitify that the use of this facility shall comply witf Sections 25505, 25533, and 25534 of the Califomia 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 ani/ state laws relating to building construction. I acknowledge it unlawful to alter the substance any official form or d umenI of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpo e . M F5 L`/'� AN P' AN 16-2-3-0 Print Name: /` 6 — �3 r- Date: 7 0 Owner a Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION, AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT NAME OWNER Name R 1\1 E C� , Address 1(01(> l l�%6jL. L WE _ City CAi co State Zip Phone Pho Fax E-mail E-mail APPLICANT NAME CONTRACTOR Name CXAtJE R 1\1 E C� , Address F , - / Ri W& O� City L State Zip Pho Fax E-mail State License Number C. # ssc— APPLICANT NAME ARCHITECT/ENGINEER Name City Address F City Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Name Address City State F Phone Fax E-mail ri pmawo office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. O.0- 3-3 BP BIN # --_� nnATION-- 0? API Property Address Cross Street WORKER'S COMPENSATION Policy Number CAS `- 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: 24mIR) 59AKE EEMoVIAL, -5 - Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 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 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. fi Received by: Amount: `d Bldg SRA Receipt #� Sheriff SMIP Date: 1 0� Other Total REV 4-30-04 SUBMITTAL REQUIREMENTS ; w 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. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans; signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. - Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmLs.doc Page 2 of 2 REV 4-30-04 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVIS 7 County Center Drive - Oroville, Ca iforni;a 95965 - Telephone (916) 538-7 1 PERM No. (Rev.12/96) APPLICATION AID PERMIT ASSESSOR PARCEL NUMBER aq3--2-4ir6 -073 ZONING s,L LDING PERMIT OWNER C�Lo L- tK �2�C,lp� TELEPHONE 3 yA3��=a SO. FT. OCC. BUILDING VALUATION OWNER'S7V7?; AD ?; /Tv ` �1 / !/ / CONTRACTOR'S / MJF _VVV/J` TELEPH ' CONTRACT,noR}-s,711 ADDRES�e �� 14,(C O �f CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS e ` Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF uplex ❑ 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 I� Describe Work: V fT�_. C (,'f %}� Q �.0 %— Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 RLESS 600VMain 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 i�ny full force and effect. License Class `-Z0 LIC. NO. � S 3 O Z 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insuran a carrier and policy number are: Carrier S7,* -m F-ld "17 Main Service ( 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADDNS. ( & ACC. BLDS. 3.50FT. I. rNO RESIDT MURANCH CIRCUTITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 p I.00 50 BAO .50 Ex. Occup. OUTLETSREESSIFIXED D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring' 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Coolingr— Hood 6.50 Ventilation PERMIT FEE $ Policy Number 2-!72-- 'oo 00 c(7 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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' comperAation pr9visions of section 3700 of the Labor Code, I shall forthwi ith those p o ns. Date to ' Z s 9 / Signature of Applicant - ❑ Owner V, Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE /Q HA2. D. FE Es IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for whi fees have been paid. BDate 6 PERMIT EXPIRES ON �Te Receipt No. WHITE.D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, QaliforWa 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUM801 73 Dq ZONING f BUILDINGPERMIT OWNER CARoL- M6uR.E TELEI"ONE 343-G808 SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 1l01 -Z l OwELL AVEC441 ca CONTRACTOR'S NAME I R - A 2T 4 -rs. 4-A TEUUMNE 84S - / 4zo CONTRACTORS "UNG ADDRESS /y07 ALMGrNO S -r CJ4 Ice Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS �3140WELL AVC PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBONISX)NS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF $6 Duplex ❑ Mobilehome ❑ Other - SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK .New ❑ Addition ❑ Remodel ❑ Utilities bL Installation ❑ Other ❑ Describe Work: FkR/.tACE 4"0 Alk CO-J0171614100R. CAPit`tG6- OUT Mobile Home IS I GI W1 @20.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service OOOV OR LESS ( 20oA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C- Zy Lic. No. 33 S3 o Z OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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. I have and will maintain workers' compensation insurance, as required by Section. 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE li-L{a0 NEW CONST. DWELLING OCCUR OR ( a ACC. BLDS. ) SO. 3.50 FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CAR. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL .SO EX. Occup. (url�s (RESID.�EA) o 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor MECHANICAL PERMIT Filing 9 Fee 20.00 Heating ,. Cooling2_0 Hood 6.50 Ventilation PERMITFEE $ ^-- Contractor Policy Number 27-4— oo0o q7 (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 cc ly with th a pr visions. X L9 _ Date � - ZS' -C17 Signature of Applicant - ❑ Owne Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ -� HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL PD NO ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t Vi / O AAS �L > Acl--2oolooe—, " oal ,ix&ot�f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION A D PERMIT ASSESSOR PARCEL NUMBER r 1 ZVNING / \ BUILDING PERMIT OWNER ' '..` �: �:• �1, TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME rr TELEPHONE CONTRACTOR'S MAILING ADDRESS Cit it z.: _ Ct. 1.11 _ CO t r_*_ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 4t'j Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 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 EJ Duplex ❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov 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. t r :'f,•- Classification C--�y. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N OR ADONIS. ACC. BLDGS. , /2¢sq ft NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS /POWER APPARATUS e( (SINGLE OUTLET CIR. / Ex. OCCU OUTLETS OR FIXTURES ZAL@3 t p eAL030 FIXED APPLNS. \ Ex. Occup. OUTLETS (RESID )REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to 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. 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. I CONST.TYPE FLOOD PARCEL 1 PD MD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which % DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. r WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATII�N ;AND PERMIT PERMIT NO L� ASSESS RCE �UMB ZD"I" BUILDING PERMIT OWNER Robert Britton ELEPHON SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS . 1616 Bidwell Ave. Chico, CA 31 sq. S a e CONTRACTOR'S NAME Four Counties Roofing TELEPHONE 343-1416 CONTRACTOR'S MAILING ADDRESS #3 Crusader Ct. Chico, CA Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 60.50 PLUMBING PERMIT Filing Fee 10.00 1616 Bidwell Ave. Chico, CA 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 ER Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Re=roof —11 Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 8001 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. 499246 Classification C-39 ❑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 OCCUR.& , DR ACDNS. ACC. BLDGS. h¢sgft NEW CONST R.MULTI-OUTLET 2.50ea NON.R SID, BRANCH CIRC ITS (POWER APPARATUS 6\ (SINGLE OUTLET CIR. I Ex. OCcup(OUTLETS OR FIXTURES 2C eALOALe30 Ex. Occup. our OUTLETS PR (RESID 1EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 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. a 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 LaborCode, 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 authonze,representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai st said Count in copse ue ��e o th gran Ing of this permit. X �� MU�9-28-87 �� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent Q 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 $ 60.50 OCCu P. CONST.TYPC FLOOD PARCEL PO NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work Z'ed above for which OF V P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date}VC 2-( Receipt NO.B WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT