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Home My WebLink About062-710-006Be � VandePavert 1,00'N.on pri.dr.,off Baldrock Rd.,app 1/3 mi.W.of Baldrock Rd. & Rockerfeller IRd. intersection, Berry Creek ` PPermit #276-79B,P,E,(ad, 2 bedroom, r2%bath & ut it . room/SF) Q / " N ' PERMIT#95-3083 ' ' VANDEPAVERT,' Cathy;; 1'395 -Bald Rock Rd., Berr Creek` Con;' Ar;tic"' Aire`y Replace .HVAC/SF 062 -- -at 96-2210 B VANDEPAVERT, Catherina 1395 Bald Rock Road, BC / (40 (reroof/comp)SF Ben Sparks Const BEN A. VANDEPAVERT NIS Bald Rock, app 1000' W Rockerf-elle«r Rd. r AGRICULT,URAL BUILDING EXEMPTION 2/5/82 l Be � VandePavert 1,00'N.on pri.dr.,off Baldrock Rd.,app 1/3 mi.W.of Baldrock Rd. & Rockerfeller IRd. intersection, Berry Creek ` PPermit #276-79B,P,E,(ad, 2 bedroom, r2%bath & ut it . room/SF) Q / " N ' PERMIT#95-3083 ' ' VANDEPAVERT,' Cathy;; 1'395 -Bald Rock Rd., Berr Creek` Con;' Ar;tic"' Aire`y Replace .HVAC/SF 062 -- -at 96-2210 B VANDEPAVERT, Catherina 1395 Bald Rock Road, BC / (40 (reroof/comp)SF Ben Sparks Const BEN A. VANDEPAVERT NIS Bald Rock, app 1000' W Rockerf-elle«r Rd. r AGRICULT,URAL BUILDING EXEMPTION 2/5/82 FC61 .�116 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive' = Oroville, CaWfornia 95965 Telephone: 534-4541 APPLICATION AND PERMIT - _? 9 e;'�A AAL 9-,/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature offPerrmitteee or Agent Receipt No. If J White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -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. DIRECTO"F PUBLIC WORKS By —Datey/- 7,f ;91i,ding permit expires Date BUILDING OwnefLw SO. FT. OCC. BUILDING VAI UATIO Mailing Address T q� p -( 5 Tphone No. e e�9-2 Contractor Mailing Address Fireplace Total Valuation S 3CIO Telephone No. Permit Fee -76— Building Addres' i 0 o N. Plan Checking Fee&/or Penalty Permit Fee 6 rom rkaArodc, PLUMBING No.1 @ FEE Vill/I Q bo kel, 1A PERMIT FILING FEE $3.00 , p Each Trap 7 1.50 1 Q+wC: �C 1.50r A. P. N . 3 - /450 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 ' Fs I W -,t. Sa ' ation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA P king P ns Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 d s R 'd Par proval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ e) .$ 2 6M ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3,00 Main service 00v OR LESS 100 SS 5.00 1AMP OR LE Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER fioov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. I DWELLING OCCUP a OR ADDNS. % ACC. BLDGS. 20 sq ff • 7 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: NEW CONSTR MULTI.OUTLE BRANCH CIRCUITS) 2.50ea ..NON.RESID NEW CON STR POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES g L25 Ex. Occup. ( OULETS PIRESID IFIXED APLNS.REA) 2.00 Temporary service 10.00 Mobile Home FacilitiesJE625 Lipense No. Classification Mise. Wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ 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 W rkmen'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. PERMIT FILING FEE $3.00 Heating 8_ Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 relatinq to buildinq construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ %/� '� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature offPerrmitteee or Agent Receipt No. If J White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -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. DIRECTO"F PUBLIC WORKS By —Datey/- 7,f ;91i,ding permit expires Date PERMIT NO. 276-79B,P,E PERMIT EXPIRES 1 a yl� OWNER Ben VandePavert kONTR. owner 62-23-100 LOCATION (A.P. 100'N.on pri.dr.,Gff Baldrock Rd., app. 1/3 mi.W.of Rockerfeller Rd,., Berry Creek LLi 0 Temp. Power �Pie Called PG&E Temp. Elec. Serv. Called PG&E Temp/Gas Serv. A Called PG&E 7F JO B /FINA ED ► (Date) -v/ (Si re) r r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BU,,CDI,NG _ I BUILDING (Cont'd) I PLUMBING .. Setback/ /77 / Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish --^ 2nd Floor Footings Windows -30- ? 3rd Floor StemwaII 'Siding Z To -'out O SlabRoof Sheathiri - 9' Water Pi in Piers Roofing �� , 0 Z Sewer G �-• Garage Fdn. Vents Fixtures Footing- Garage Vent Water Htr. ,l Stemwa I I Insulation Heaters Slab Carport Footings Prov. for ph sically handica a Conformance of ex. strttpture, Appliances Gas Piping & Test Z Temp. Gas Slab In I do Patio FIREPLACE Fina Footings Footing ELECTRICAL Masonry Walls Throat Rough = Reinf. Steel Final Fixtures 2-% Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels ---+ Mesh MECHANICAL Grd. Fault Pro . L / 7 Scratch Heatin g Service Brown Cooling - Temp. Pole Finish Ducts Under round Interior Lath XWLIation, 'Z Permanent Door Closer in bl / ,n C i MOBILEHOME UTILITIES ------------------ Elec- Service c. Pedestal Water Piping Sewer Gas Piping I E OME INSTALLATION - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 140 79 ,.9. C (NOTE: An entry must be made on this form each time you visit the job site.) 1 RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS (location) _T BUILDING PERMIT NO. 2--76 7r9 : L A;P. NO. ' l THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULAT ION : GLAZING: Slab Edge. Single Glazed Fdn. Walls "—' Special (Insulated) Floors -i/ CERT. & LABELED WDS. Walls -j1 & SLIDING DRS. Ceiling/Roof - 117 WEATHERSTRIPPED DRS. Ducts - BACK DAMPERED FANS Circulating Pipes INTERMITTENT IGNITION DEVICES APPROVED HEATER�,,,+-4,oCERT . APPLIANCES - APPROVED WTR.HTR.0 I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. V Insulation Applicator Name Signature of (please print) Insulation Applicator State Contractors LVZ9- nse No. General Contractor/Owner Name E� . �% . m o e t/,!�7 %e (please 'nt) Signature of General Contractor/Owne�o 6ee /to .. It11-31 7119 - State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. 062-230-100PERMIT#95-3083.,, VANDEPAVERT, Cathy 1395 Bald Rot k Rd., Berry Creek.' - Cont; Artic Aire Replace HVAC/SF *i T N, 40 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ER NO. APPLICATION AND PERMIT A- E�SS,4-P F,�NU F w ZONING BUILDING I5hMIT OWNEERL CATHY VANDEPAVERT TELEPHONE 589-3813 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5 LIALD ROCK RD, BERRY CREK CONTRACTOR'S NAME ARTIC AIRE278-4224 TELEPHONE CONTRACTORS MAILING ADDRESS 2838 MN 12. CHIM 95971 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling 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 1395 BALD ROCK RD PERMITFEE PERMITFEE $ PERMIT Filing Fee 20.00 Each Trap 7.00 LOT No. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF Cl Duplex ❑ Mobilehome ❑ Other A SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE HVAC Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMITFilin Fee 20.00 Main Service eoov oR LEss ( 2ooA OR IFS- ) 23.00 Main Service ( 200A To I000A ) 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 _ a J2 Lic. No. 9 �� 9 13 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 NEW CONST. DWELLING OCCUP. SO. OR ADDNS. ( a ACC. BLD-. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) G SINGLE OUTLET CIR. Ex. Occup. (ouTIFTOR FUTURES) zo p I.00 BAIL 50 Ex. Occup. OUTLETS (RESID.) FIXED APPUNS. ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. V+ 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 [�(Ai 1 C,�%i,�•► Policy Number ^V < 3—/,19 / (The above sections need not be completed if the per It is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' comper)9a$on provisions of section 3700 of the Labor Code, I shall _fo ith compl nth thos provisions. ' / X ` Date _�ak ' �I _ Sig re of App ican ❑. Owner ❑ Contractor gent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating 3TON 15.00 Cooling 3TON15.00 Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE,P 50.00 HAZ. 1 D. FEES I IMP I FLOOD I 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 which fees have been paid. By Date z/105, 1 �C! PERMITEXPIRESON � 7- T� (Date) /n ) Receipt No. C"f r /,~X �7 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT QF`DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 /�� ERNIT NO. APPLICATION AND PERMIT AS E SORPARCELNUMB � i2-230-100 ZONING U BUILDING MIT OWNER CATHY VAND PAVER TELEPHONE 589-3813 SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS I IQ 9 RALT) ROCK RD, BERRY CREEK CONTRACTOR'S NAME ARTIC AIRE TELEPHONE 278-4224 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 1395 BALD ROCK RD PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF f Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE HVAC Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service600v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To I000A ) 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 t, — c�— Lic. No. 3 y9 /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 NEW CONST. / DWELLING OCCUP. OR ADDNS. \ a ACC. BUDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FD(TURES) zo p I.00 ani so Ex. Occup. ( OUTLETS RESD.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 UN f C,f}" MECHANICAL PERMIT Filing Fee 20.00 Heating-,TON15.00 Cooling 15.00 Hood 6.50 Ventilation PERMITFEE $ 50.00 Contractor Policy Number S'ja, D/ 09 41- 10 (rhe above sections need not be completed if the pe It 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' California, and agree that if I should become subject to the compensation lawi5th workers' compe n provisions of section 3700 of the Labor Code, I shall ith comp) thosprovisions. Date _��' �'�0 _ Sig re of App (cant - ❑ Owner ❑ Contractor ep gent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ 50.00 HAZ. I D. FEES I IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for whi fees have By PERMITEXPIRESON st j applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I BUTTE COUNTY BUILDING DEPARTMENT 7 County Center Drive Oroville, CA. 95965 PHONE: 916-534-.4541 AGRICULTURAL BUILDING Exemption Form I, �E.� l/ jdJ% C &7r/ % , owner of the property located at (please print) p o/ leo. Ck /�.17_ o9d'D�IP �OOo � Gt%. �d C1 of f t�L L'15 ' Assessor Parcel # (O Z- 23- 10 O intend to construct a f D ' x ' Cr3✓y� 2 o o OL - 0 DG� —X09/`9 e IA/p04c) S /, %jai G- agricultural building on this property. (specify type of,/construction & siding) I declare the building will be used to house 4/0/ AI R I- FeC-1) j (specify use from definition below) which conforms to the Ag. building.definition. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, - livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it'be a place used by the public. I.understand if I change the use or occupancy of this building I will be'sub- ject to the necessary permits, inspections, and approvals from the Butte County Building Department. Signature of Property Owner Building Inspector receiving form Comments: t_ to C:P/ —Ak> 2_� Duplicate to field inspector - Date 2-� -Z 4^<a. �'ilS,�rGN'l.:THN•,.�::"'xsyvN'i:r•{'j'7�^1(^`st.f w. N`•wl�iiJRri+ °<fuTr - .. - - K 1 ^�... .:_vy��i. �.,,y.\. 1.. _ a .. �`�_�y . �:f;�ra' +w"':.iGL` f \ 062-23-0-100 ain VANDEPAVERT, Cathera BC 1395 Bald Roc SF Benoad�Sparks Const (reroof/comp) ti I I COUNTY OF BUTTE- DEPARTMENT OF 6EVI=LOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754W,20M NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 062-230-100 ZONING BUILDING PERMIT OWNER CATHERINA VANDEPAVERT TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1395 BALD RO�/C�Di+��RsD CREEK, 95916 /IB�E�RRY CONTRACTOR'S NAME BEN SPARKS COSN1RUV1lON TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is , • Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 27.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee •,4 ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 1395 BALD ROCK RD PERMITFEE $ 47.00 PLUMBING PERMIT Filing Fee 20.00 BERRY CREEK, 95916 Each Trap 7.00 LOT NO. S UBDNISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF d[ 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 v New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other •M Describe Work: REROOF W/CWPERMITFEE — Mobile Home IS I G ["W#r' 920.00 $ Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service000v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 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. Q License Class Lic. No. %O ! - WNER-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. ❑ 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 NEW CONST. DWELLING OCCUP. oR ADDNS. ( a ACC. BUDS. ) SO. 3.52 N. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( b POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL so Ex. Occup. ( OUTLETS ((REs D.OEA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Iff 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 aV policy number are: Carrier T ^ MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number -Z 7 1! -- ti (The above sections need not be completed if t e 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, 1 shall fo hwith comply With those pr isions. X , f _�Date ! Signature -61' Applicant - ❑ O er ❑ 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 $ 47.00 HAZ. 1 0. FEES I IMP I FLOOD CDF PARCEL I PO HD ISSU This permit is hereby issued under the of the Butte Count Code and/or indicate ova for which fees hp i BY PERMITEXPIRESON applicable provisions Resolutions to do work een paid. Date L /� , (Date) LU1 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF B'EVEAPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 ,8 I NO. APPLICATION AND PERMIT a/ ASSESSOR PARCEL NUMBER 062-230-100 ZONING BUILDINGPERMIT OWNER CATHERINA VANDEPAVERT TELEPHONE SO. FT. OCC. BUILDING VALUATION 60 i,oso-no OWNERS MAILING ADDRESS 1395 BALD ROCK RD BERRY CREEK, 95916 CONTRACTOR'S NAME BEN SPARKS COSNTRUCTION TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 7 Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 1395 BALD ROCK RD PERMITFEE $ 47.00 PLUMBINGPERMIT Fling Fee 20.00 BERRY CREEK, 95916 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF CJ( Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otheril Describe Work: REROOF W CO1IP — Mobile Home IS I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full fo ce and effect. Q� License Class r LIC. NO. 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 NEW CONST. DWELLING OCCUR DR ADONS. ( a ACC. BLDS. ) SD. 3.5Q Fr. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER9 (aPs rNGLE OUTLETT CSR. ) Ex. Occup. (OUTLET OR FIXTURES 2L ®I.50 � FIXEDAPPLNS.OR Ex. Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number Z- (The above sections need not be coriIpleted 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 fgthwith comply with those pr ision� -- G� -� X __ Date Signat of Applicant - ❑ O er ❑ 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 $ 47.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicate ovaWforwhicfees h BY AM PERMITEXPIRESON the applicable provisions Resolutions to do work 7ve een paid. (:?/as A6 Date y (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT