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Home My WebLink About064-570-025' � LEROY HAYES j 230 Racine Circle, Lot 146, P.P.# 10 Permit1183-73B,P,E,M r (new single family)—a6— f T A.P. .6'y-'S7-aS l r230 E ROY HAYES r Racine Circle, PP#1V83=- 64-57-25 ermit 1239-74B (RENEW7.3)_G��` 3153-91B HAYES, Eileen .-14182 -Racine -Cr, Magalia O� cont: Stilwell Roofing ��- (partial reroof/sf) r E 064-570-025 06-1183 HAYES 14182 RACINE CIR, MAGALIA Cont: OWNER*. + RE ROOF b- =07 F r i I t 0 o6 -lm 00- 183 E HAYES r ; /I IN O T E S -14182 RACINE C_IR, MAGALIA Cont: OWNER RE ROOF F ' ' � I _ � '� _ _ _ - -. is - • _ ._ _. _-_.. _ :� RESIDENTIAL APN: Permit No. i Owner. 4 1 - Site Address: 4 f{ Contractor. !� Type of Permit • • S4r CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB.FINALED: SIGNATURE: = OK o = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE Lj PERMANENT FOUNDATION Lj SOFT -SET DATE DECKS -COVERS -CARPORTS `GARAGE S 1 Zoning -Setbacks -Easements 1 Zoning -Setbacks -Easements z 2 Soils; Special MH Support Sketch 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel ` 3 Sewer; Loctn-Test; FaIUC/O-Concrete 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg 6 Yard Gas; Loctn-Test-Wrap . Nat O or LPO Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 7 Blckng; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-DIrncs 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr & Sewer Connected -00 to Grade 10 Roof; Shthg-Roofing 12 Gas and Electricity Tagged 11 Ext; Steps -Doors -Landings 13 Tie Downs O Foundation O 12 Braced Wall pnls 14 Exits 15 Cert of Occupancy ' 40' s` a` 16 HUD LabelAnsignia Numbers Serial Numbers ° o� 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance -GR 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries Terminals -Listed 7 Elec Bonding; Metal w/5-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w15' Crcltng Eqp-Pool lghtg Bokes-EncisrsTrilboards-Insults to Main Conduit 9 Health Dept Apprvi 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide o'er a dr �a� Drawing d s` 0 s` o'er o` 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance -GR 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries Terminals -Listed 7 Elec Bonding; Metal w/5-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w15' Crcltng Eqp-Pool lghtg Bokes-EncisrsTrilboards-Insults to Main Conduit 9 Health Dept Apprvi 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide o'er a dr �a� Drawing OK Not OK RESIDENTIAL (SIngla & Duplex)," UAit (UNDERFLOOR DATE IPLUMBING 1 ZoningSetbacks-Easements-Flood-Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Opth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth ' 56 Shwr Pan; Test, First f1r-Tub Acc 5 Stemwalls Main; Steel-Btockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 61 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic Ftg-Steel 9 DWV; Fall-Fitting-Test-2-wayCIO-Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test lie 1.t Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE JM E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insulin & Support 14 Girders-Sills-Anchr Bolt"oists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16• Insulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic . �. off• �s o'`• o� d o. DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & BrwcP-Plates-Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Waits over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-DIrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFl & Bath Fxtrs & Tub Ar-cSpa 24 Ceiling .foist-Rftr Ties-Purlin-Roof Brac TrussShthg 71 GFl Arc Fault 25 Frpic Ties or Type A Flue-Frplc Throat Clmc 72 Elec Tran & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, GuardlHandrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frpic or Stove, Clmc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty tine Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Cime 30 Ext Doors -One V -Check Garage 3rd Story, 2 Exits T7 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clncc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc Mech Prtctn; LPG Appince Undr House 3' drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFl) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn Walls -Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Dmge Planters DYes ONO m� m 87 Stucco Brown -Finish o'`• o'• 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Pimb-Appinc-Frpic-Clmc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Tmsfnnr Cimc4ns Prtctn 91 Ext Elec Trim, GFI Rcptd-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Gmd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-DIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑CU or DAL 98 Address Posted AC Wire Sz 9 OCU or DAL 99 Fire Sprinkler 48 Range Circ CU or AL 'Oven Circ ga OCU or DAL Insulated Neutral DYes ONO o` o� o,• .� e` 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clmcs pnls-Motors-Mech Eqp ' 51 Clothes Closet Lt-Shwr U -Spa Lt 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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).): ❑ I, as owner of the properly, 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 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� 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.). O lam Exempt under Article 3 of the Busines and Professions Code Date: fkt-D(O Owner: WORKERS' COMPENSATION DECLA ATION 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 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: Policy #: Id I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should . become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure w rkers' 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. PERMIT NO. BP061183 Issued Date: 05/18/2006 APN: 064-570-025-000 Site Address: 14182 RACINE CIR MAG Map Index: Description: RE -ROOF OF SF & GARAGE (25 SQ) Owner: HAYES MICHAEL WAYNE & LANI K P O BOX 340 MAGALIA, CA 95954-0340 Applicant: HAYES MICHAEL WAYNE & LANI K 14182 RACINE CR MAGALIA, CA 95954-0340 (530) 873-0627 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: J ►3-7- 50 ��15b5q I A — CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. y T1 performance of the work for which this permit is issued (Sec 3097 Civ.) B . & 117h A , X � Dater (� 0 lS/ Name: � _h PERMIT EXPIRES ON Address: O 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: VYN V_E H0k_?1_ S Signature: i el— Date: ' y9' Ole Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor 13. L;. rsuuaing verma uI-io-ua pg .I 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 OFAPPLICA TION' Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last NameL t first Name V`V\ ,— Address j 4 � g L iP A G t&_YZ C,) 7" City m Pr(�,P(UtA State �,tF Zip Cv5iq sLf Phone S� _,gj 3 _ Ulo 2.-1 Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City YY)w>)(,PP Vt,P� Address Zip City Fax State Zip Phone Lot # Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City YY)w>)(,PP Vt,P� Address Zip City Fax State Zip Phone Lot # Fax E-mail State License Number APPLICANT INFORMATION Name VYl , �Lr to r-,, {vS Address or p2 City YY)w>)(,PP Vt,P� State 6Ztf Zip Phone 53-o -g l 3 - 4 b -L -j Fax E-mail tk f_6 %coo 1-9 H 6c-- :S -6c 1 , ne APPLICANT SIGNATURE X ti� For office use only: Zoning Flood Zone . SRA Yes No Occ., Type Const. ' Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K TORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 PROJECT LOCATION AP# Cod _ �_7n- n") C PERMIT NO. Property Address City iU ►42 KAC_ GQ . Yb\AGRU A Cross Street UJ,�Cj__x WORKER'S COMPENSATION Policy Number Carrier N 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: 6%R- 2- &e P–GF+ r1� G�t�IC-�tt Sit Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and 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. Received by: Receipt #: q 505Q %K# 3ggq Date: 5 I �--Gco Amount: Bldg SRA Sheriff SMIP Other 137.5 Total REV 8-12-05 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 /N 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 faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (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. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items maybe 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or -would like additional information regarding this process, please contact a Permit 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 l 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 K:\FORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 OWNER -BUILDER 'VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES.[ ] NO [ X ]. 2. I HAVE HAVE NOT [ ) signed an application for a building permit for the proposed -work.. 3. I have- contracted with the following person (firm) to provide the proposed construction: NAhM: i1N0QT0UN?Jg-D ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and -provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER- DATE: WNER DATE: 15_r9_ NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. Thic vPrifr_atinn must be com.nleted and returned to our office before we are permitted to issue the Butte County Department, of Development Services ,�3TT� ADMINISTRATION `BUILDING GIS PLANNING o o p � p oo 7 County Center Drive � Oroville, CA 95965 0 '`-` �� p (530) 538-7541 Telephone (530) 538-2140 Facsimile CSU µ� OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. X For your protection you should be aware that as "owner -builder' you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply: If you plan to do your own work, with the exception of various trades that your plan to subcontract you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so .that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and, Safety Code. C COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 7 County Center Drlve - Oroviller Callfornla 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 64-57-25 ZONING RT -1 BUILDING PERMIT OWNER EILF.EN HAYES T LEP5HONE , SO. FT. BUILDING VALUATION �yOyCCC. 7a lAll`tl" 420 OWNER'S MAILING ADDRESS 14182 RACINE CR. MAGALIA 4eg MOP 400 CONTRACTOR'S NAME MLWELL ROOFING TELEPHONE 872-2849 CONTRACTOR'S MAILING ADDRESS P.O. BOX 1052 MAGALIA Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 820 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 16.00 ARCHITECT OR ENGINEER 1_7 LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING "14182 RACINE CR MAGALIA Permit fee ; 26.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT N46 1 SUBDIVISION NAME P7 . PP. __ PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE' SF [ Duplex❑. Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE`OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: PORTION REROOF i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V 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 R l am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full /force 2and effect. License No. -� •�� r CIaSSIflCatlOn.— _ 4 — Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.el) OR ADDNS. 1 ACC. BLDGS. , /20Sgft NEW CONSTR. ULTI.OUTLET NON•RES'D BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) EX. OCCUp(OUTLETS OR FIXTURES e20 0 50t A @30 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6yirin g 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. ® Ishall 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 subjectpermit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned 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 cons quence of th ranting of this permit. X Date 51-5-171 Signa a of A plicant — Owner ❑ Contractorg Agent ❑ An SHA 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 $ occ CONST TYPE — TOTAL FEE $ 26.00 HAz. CUA PARK SCHL I FLD EDF PAR PD i HD.ISS This permit is hereby issued unser the applicable provi- sions of a Butte County. Code and/or resolutions to do work in is ted above for which f s have been paid. D) 1i OF P WORKS B Date 91 PERMIT EXPIRES Date Receipt No. % Q WNITC-D.P.W.. TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. A ASSESSOR PARCEL NUMBER 64-57-25 s ZO1IING BUILDING PERMIT V/ OWNER EILEEN HAYES TELEPHONE 873-0185 ,SQ, FT. OCG`, BUILDING VALUATION 7s COMP 420 OWNER'S MAILING ADDRESS 14182 RACINE CR. MAGALIA 4sq MOP 400 CONTRACTOR'S NAME STILWELL ROOFING TELEPHONE 872-2849 CONTRACTOR'S MAILING ADDRESS P.O. BOX 1052 MAGALIA Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 820 Filing Fee $ 1Q,QQ LENDER'S MAILING ADDRESS Permit Fee $ 16.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14182 RACINE CR MAGALIA Permit tee $ 26.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 - Solar or heat pump water heater 20.00 LOT NO.SUBDI 146 VISION NAME P.P. UNIT 10 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [X] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other U Describe work: PORTION REROOF Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 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. S�37S' 3 License No. Classification. C^ ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.m) OR ADDNS. ACC. BLDGS. 1 '/zQsgft NEW CONSTR U TI -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®800 eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in cons quence of the ranting of this permit. X �• Date Signet a of A plicant — Owner El Contractorg Agent ❑ An SHA 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 $ occ CONST TYPE TOTAL FEE $ 26.00 HAz. CUA- PARK SCHL FLD CDF PAR PD 1 HD. ISSU . This permit is hereby issued unoer the applicable provi- sions of a Butte County.Code and/or resolutions to do work is ted above for which f s have been paid. DI OF P L WORKS ^ B Date PERMIT EXPIRES Date Receipt No. % WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENTi00 PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL CA,LIWRNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. t� / OWNER A_'t L it C J kh Yl- j L A. P. No. Proposed Bui Iding'Use aor\ S� Building Inspector Gs� Date At time permit ar pplication, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ +` 3. Complete plans in duplicate triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ... 1 ...................................... 6. Energy Design Compliance and supporting documentation ......... T;Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation • instructions.......................................................�� ,10. Fees of $ . 11. Chico Urban Area fees paid ............................. :.. r'r12. Park fees paid .......................................... ....... 1 l 13•• School District fees paid .......... 14. Sanitation approy al from Health Department - 15. City of Chico plumbing permit ....................................... 16. Plot plan and business license approval from City of t (see City for other requirements) 17. Planning approval for (A) Use: - (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) ' 20. Pre -Inspection for required Pre-Inspec.request to ! t�Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ............. 23. Owner -Builder Verification (Given to owner ❑, Mail to owAr ❑) .... . 24. Recorded copy of Agricultural Acknowledgment Statement ° 25. Letter of signature authorization ................. ........ \ ....... 26. 27. When you issue the permit, process as follows: Mail to owner. LINail to contractor. - Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant e Date Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date / Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance:(Circle .new item not checked above). 1. Index permit for above items No. 2. Additional items required: } Contractor, designer, owner, was advised of above required data by_phone---nail_counter by ..date Contractor, designer, owner, was advised of above required data by' phone_mall_counter by 'date . Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BU I I I_ - ULI'nit I Ivlciv t vl. r ""' ••�,. 7 County Center Drive - Oroville, California 95965 - 1 ele phone: 916/536-7541 APPLICATION AND PERMIT ASSESSon PARCE N MBER 2 - zoNlNy BUILDING PERMIT SO, FT. OCC. BUILDING VALUATION OWNER ri c. Ef'.� 1�.e y�'s— J TEL PHONE � 33- w q Coh z-,) OWNE 'S MAILING ADDRESS LI A4e_11VC C2. I19�e��.��C� 9 RACNAME TELEPHONE CO3gzI- oo/_- Z_CORACMAILING ADDRESS p . igok- / 0 _� Z J - VNKHOWN CONSTRUCTION LENDER I L f �^ '7V 4/0 7 Fire lace p Total Valuation r� $ LO � Filing Fee $ 10.00 LENDER'S MAILING ADDRESS, Permit Fee t / � _♦ 6 ARCII _E 0OR ENGINEER _ __ I�CENSE No. L l Plan Checking Fee i _ Energy Plan Checking Fee $ $ _ 2 6_ R'S AILING ADDRESS ARCHITECT OR ENGINE EM -- Penaltyi Permit lee suit oHJc ADonEss PLUMBING PERMIT Filing Fee 10.00 l ly/ 4a /q, lvf 6A Each Trap _ 2.00 14462Ljl;;� I C-4 _-- - Solar or heat pump water heater _ 20.00 5.00 - Water piping LOT NO. A�6 SUBDIVISION NAME �, � �st/� r % PARCEL MAP Each qas water heater or vent Gas piping system 1 - 5 outlet _ _ 5.00 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer _ _5.00 Mobile Home S G 10.00ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: iw IT o l Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 7°Dv OR LESS 00 AMP OR LESS 10.00 Malrl service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW nder penalty of perjury (check One): I de71Uand IICeI1Sed under provisions of Cllapt• 9, Div. 3 01 file BUSIreS$ and Professions C�jod/e7 aJr dd my license Is In full force and effect. License No. Sg3 / S ( Classi li cation. C ^- ❑EX. I, as the owner, or my employees with wages as their sole compen- salion, will do the work,and the structure is not intended or offered for sale. (Sec. 7044)Mobile 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. ( OWELLING OCCUP.h OR ADDNS. ACC. BLDGS. H2V2TsqI1� NEW CONSTR �6CTI OUJ'LET NON.RESID BRANCH C,IRClLITS� 2.50 ea (PO11FR AP SINGLE OUT LETTCIR.K� EX. Occup OUTLETS OR FIXTURES _ 20 �,nr, IIALP 301 Fix�n nP'P I.HS. 0r+ DCCUp. OUTLETS (R - ID.t EA.1 2.00 Temporary service— _ tU.00 Home Facilit s 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. 1 have placed on file with file County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. rshall not employ any person In any manner so as to become subject V( I YC'r to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become sub)ect 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 Healing — Cooling _ Hood 3.00 Ventilation -Pull Fee_ _ _ _____ _ Contractor Mobile Home Installation Fee $ I certify that I have read this application and slate that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County or 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 ranting of this permit. CiRr.5_ X Date !! lI Sign ure of A plicant — Owner ❑ Contractors Agent 0work An OSHA permit is required for excavations ever 5'0” deep and demolition or construct- ion of structures over 3 stories in height. -Energy Inspection Fee - ' $ occ cor+si TVPF / TOTAL FEE [r„rn rn„N sclN. j rCo car j run TI'D II 115 slue I This permit Is hereby Issued unser tyle applicable provi- slorls of the Butte County Code and/or resolutions to do Indicated above for which lees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date 1� Receipt No. 7 wunt•e. ►. w.. YELLOW-ASSE330M. PINK -INSPECTOR. GOLDENROD -APPLICANT 6/ :xr• , PERMIT NUMBER - B 1183-73BP,E,M P r 4 E PERMIT EXPIRES OWNER LeRoy Hayes CONTR:. owner LOCATION (A.P. 57-95-25 230 Racine Circle, Lot 146, P.P.#10, Magalia I COUNTY 00 BUTTE Department of Public Works BUILDING -INSPECTION REVCORD Zoning Setback/2-23 W, Far.. Foundation -7.;' Piers & Girders Fireplace Rgh. Plumbing er Bond Beam 2 3 Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing . - I/- Pl.g. Topout 3..Rough Elec. Wtr. Htr. �-��—1 Furnace Kitchen Vent Firewall Garage Vent; Sanitation & Watelp,/-11�11 —1 ELECTRIC GAS BUILDING Temporary .1-2-f-7.3 Temporary Cert. of Occup. Final Final Final _2 DATE REMARKS OR CORRECTIONS -i- ti 7 -3 Fl,(4 /ia 7, 'r 5T 41416, NO AM'? e0z 77 y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Owner Mailing Address ie/�Gi/Ld a-�.cL1C Contractor Mai I ing Address Building Address AP L C( t Telephone 7.7 , Telephone No. A. P. No. -5— /— 17 r 2 , I Zoninq & Plannin F s VM. I &9Ri4Q4@i;,-J FireDept. I FireZone. I Use Pennit EQA Parking I Parcel Parcel Ma 60' R/W Improvements Plans Declaration P provements Bldg. Plans Recd Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family Duplex ❑ Mobil Home ❑ Others ❑ 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: License No. Classification I am exempt from the Contractors License Laws of the State of California. 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 California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ""W 1-7 ' Date Signature of rmiteeeor AAnt Receipt No. X11/7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant BUILDING FT. %C. �BUILDING VALUATION sl Die —/, Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wirina Permit Fee MECHANICAL PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee FEE $2.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 2.00 FEE TOTAL PERMIT FEE ,sv 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 UBLIC WORKS BY . . .1 Date q— '2' 3 — -7 7 Building permit expires Date ..?/ _:��-- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of er tee orAge-d7 Receipt No. d 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. DIREC;VOR OF PUBLIC WORKS -Ba4dirtg permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 8 � Telephone Fireplace CQ4ractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address 0 PLUMBING No. @ FEE PERMIT FILING FEE $2.00 L ' Each Trap 1.50 lop Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. S' z� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F,e,!Is— I W. S n FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ NEW -ErADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE — $3.00 �- Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (morethon 12) Range, Cook -top or ven 1.00 ater Heate r Space Heater 1.00 Light fixturesbal2 Receps., switches & fix outl:ts:::H,,_,(@l, 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: oo x. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.- Classification Misc. wiring 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. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 94 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. 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 MECHANICAL No.1 @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE is L authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of er tee orAge-d7 Receipt No. d 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. DIREC;VOR OF PUBLIC WORKS -Ba4dirtg permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorze representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X - Date Signature o ermitee orgent Receipt No. 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. DIRECTOR OF PUBLIC WORKS BY Date`7� Building permit expires afe .e-�,?Y—,� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION =- Mailing Address . .Z R- • Y Telephone No. G Fireplace Contractor Total Valuation Z9 .19 Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee v Building Addr s PLUMBING No.1 @ FEE PERMIT FILING FEE —1$2.00 y / 1�2.ye� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Ill -If -10 Each gas water heater or vent 1.50 .S"v �,a.� A. P. No. J -2 Zoning &Planning Gas piping system 1 - 5 outlets a- 1.50 / s� Each additional outlet .30 R&e W. an i n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plall.-11ec'd Parcel ACpruwe Pla proval Permit Fee CJ„Uo C NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE "$3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 ores) (more.*on 12) yam" Range, Cook*<or Oven 1.00 a" Water Heater or Space Heater 1.00 Light fixtures bol @20 �•?� R ., sw' s & fix od y fa 11@10 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the nameit style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 conditioner r heat pump _ /� Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification �'� Misc. wiring IRI am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3d S 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. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. OU a I certify that in the performance of the work for which this VN 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. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 ,7 .� Heating �+ Cooling ..� Ventilation Hood 1-1 2.00 Permit 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 TOTAL PERMIT FEE authorze representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X - Date Signature o ermitee orgent Receipt No. 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. DIRECTOR OF PUBLIC WORKS BY Date`7� Building permit expires afe .e-�,?Y—,� a y -�4,-� ��