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HomeMy WebLinkAbout064-650-008c 64-65-8 Larry R. Whitaker NIS Nimshew Rd., app.300'E.of Humbug Rd., Magalia Permit 1k 02-79B,P,E,M(new single" -' family) 064-650-008 00-2612 WHITTAKER, LARRY 14803 NIMSHEW RD.-MAAGALIA RCONTR'.' GREENE/SON ROOFING RE,ROOF SHAKE TO COMP SHINGLE ; 064-650-008 06-2085 WHITAKER, LARRY 14803 NIMSHEW RD, MAGALIA Cont: T DOWNING CONST ROOF STRi CTITRF, cfl� � cc, � • ' � CDF/BUTTE CDUN INCIDENT NUMBER DATE 8/12/2006 EVENT NUMBER 4 . REPORT TIME ' _ 19:13 � LOCAL FIRE NUMBER STATE FIRE NUMBER CASE NUMBER LOCATION 14803 NIMSHEW RD _ 9266' 10008' LOGGED BY JT RO G.MORRISIII ! 425 ' + aF► - rw r F+m BI ! 147 B MEDICS+ 1 PRA V21 ECC ❑ - RP i LINDSAY PHONE NUMBER 408-417-0602 ; REPORT METHO jSEVEN DIGIT EME ; WILDLAND FIRES ❑ ESTIMATED ACRES FIRE INFORMATION STRUCTURE FIRE IRESIDENTIAL - _� FIRE INFO SENT HOW i` EMAIL j BY JT TO STA17 j OTHER FIRE �- _ • 7 -DAY LOGGED © INITIALS MEDICAL AIDS INCIDENT NAME j NIMSHEW ` PSA/OTHER START DATE- ! ~ _,8112/200c� START TIME 18_301 HAZ MAT DIAMOND #. 1.1-18 Billable Incident ❑ CAUSE EQUIPMENT I COMMENTS LAND USE j DOMESTIC j THREAT TO ! ACRES 0 TYPE OF ACRES VEG DIAMOND 6 ONLY $ DAMAGE TYPE 1 DOLLAR DAMAGE 60000.00 SAVEFF- 326000.00' JINJURIES/FATALITIES ❑ # CIVILIAN INJURIES 0,1 # CIVILIAN FATALITIES 0� EMD ❑ OES ❑ Interesting Event # FF INJURIES 0 # FF FATALITIES ;� 0 .- FC -40 INFORMATION ¢ ♦ New Incident FC -00 ❑ DATE OF FC -40 INC r AGENCY INC # j INC P# + FC -40 COMP DATE , - - _j FC -40 COMP BY County Notifications ❑,/ EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP062085 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter T(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SL. �6 3 License Class: License Number: d �' Date: Z/ Contractor: 1 2uW'^` OWNER -BUILDER DECLARATION I hereby affirm under penally 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 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 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.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. lDr' I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: q�L� Policy #: ❑ 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 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: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Issued Date: 08/29/2006 APN: 064-650-008-000 Site Address: 14803 NIMSHEW RD MAG Map Index: Description: ROOF STRUCTURE REPLACEMENT & FIRE DAMAGE REPAIRS Owner: WHITAKER LARRY R & DONNA L 14803 NIMSHEW RD MAGALIA, CA 95954 Applicant: T DOWNING CONSTRUCTION 1351 E 9TH ST CHICO, CA 95928 (530)894-3473 Contractor: T DOWNING CONSTRUCTION 1351 E 9TH ST CHICO, CA 95928 (530) 894-3473 License #: 803263 Architect: Engineer: otal Square Ft: 0 S. F. Valuation: $0.00 Census Code: s hereby issued" er the applicable provisions of the Butte County Code and/or to do workindi to above for which fees have been paid. �y I -)f / Date: /} -a% PERMIT EXPIRES ON: Address: I (ware/ ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling. and use of hazardous materials. Cl Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pur �— Print Name: ! / L�� f Signature: Date: ❑ Owner Co tractor Agent for Owner ❑ Agent for Contractor o. t . w. -W rcnnn ­ w yy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY* OWNER INFORMATION Last Name ` ,W 11 t r irst Name Address 11-1903 p ✓ City VC, //� StatVeylS� zip w5s -c� l Phone Z$ �� Fax E-mail CONTRACTOR Name -DOY-� -:R I l_ Address -� J� 1 � City W, C o State Zip Phone ?c�-�3 Fax E-mail L~ 60 Uc. # �� Z6 ClassR� APPLICANT S/GNA For office use onl . ARCHITECT/ENGINEER Name SRA I Yes I No Address WORKER'S COMPENSATION City Subdivision Name State Zip Phone ` q � •' l Fax E-mail Date Approved: State License Number APPLICANT S/GNA For office use onl . APPLICANT INFORMATION Name SRA I Yes I No Address WORKER'S COMPENSATION City Subdivision Name State Zip Phone ` q � •' l Fax E-mail Date Approved: APPLICANT S/GNA For office use onl . �Floodone Zoning SRA I Yes I No Occ• WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K WORMSWILDING FORMS\BldgApplSubRgmts.doc PENT u-26 BIN # PROJECT LOCATION AP# l94— _ C)W Property Address I'1'! Ci Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 De caption or Scope of Work: `�DOs Sq FT- Living Ga age 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 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: Amount: • ��- ildg Receipt #: l aM ?q Date: '3 2 G / SRA Sheriff SMIP Other y, ;__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 IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No 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 may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ 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 Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K1FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 : I 4-a up acJrs c. 00 %-- N -a w 5\j �i�3LbING DEPT. COPY NNCA- 5 CA -ptL)L,,l0,-j Uav\, 1\1-11 — ®/'-I WA A wwrA- -tl Duu�WLGO&, (21 t i WAAA fz- 3 o r 'I � .-- H o � � — -6� gva� c- mew -T� -PAu - *'-- z5, 0 � BUTTE COUNTY BUILDING DIVISION APPROVED UN 0 L -1 -e E 1 � CV s � � w VN ell - W — c�- -u Z r 0,00 C h J3 C)�� v� r � r _:, 3D' 1 7-y 07` A Fn 2, t,& rc L^ A ops �� DSC. Ic fill /1 %I 1 z ,X6 tiSGic', J NTY VISION 'ED eiLQCW-4 HC, •" P W'TE S TV D'S • G. I ' I - I � 211 SOL 11;7 I r - ;Z" SAO L_ r L:J IG L��C 1� gLOCKING�\ I. I/- FLOO 0, Jomr5 E I&*o-r- - I -HOUR FIRE CON.TRUCT -2 J OIST 4"p PLGTES '(� 2 r ^IPPLF-S (S 1Com''O•C V ICi' A N C w l IP-. P- J -- ,� r -------- ---(-TY P I C A L ALL 3 TOP OF aARpGIS IILO I " CUFY't� C FITVISN F L-roR Z r. r- N AT :J fa. i. L P" L.0 E / -p-- i Of:,T �e1� SrCT IOC IIS COLLnvti T, F- a 4 f o c. Y, IN THE UPPOlz, I I -b OF TC=PLJPLIL-r rJ 5 TNRUSI �� GGK, I'' 41' g F,ac 411 F-t>rx,ACGS C-0 p,G, 21 L_ C> C K I N C� I�� a� o //� I r•: , A Iv C. L_ - "r fo'' G ..l. 1 1Co" o �-• 't Le.,4'PLnTle —2 V ,c4" -L Te 7) ED - r) d W / - 202-79B,P,E,M r ,'PEEWIT NO. 3 h PERMIT EXPIRES 1 l4n&8 OWNER Larry R. -Whitaker 2Y& owner ,CONTR. LOCATION (A.P. 64-65-8 NIS Nim,/s�hew Rd., app.300'E.of Humbug Rd., 1 �/U/ �,� /",u�i2i W9 -v Maga 1 is fl4 J� 1, t't s U . faJ C� ,nry ,i Temp. Power Pole r `L 6 Had PG&E � 79 Te Elea Serv. Called PG&EZ Temp. Gas Serv. Celled PG&E JOB FINALEDN 3 (Date) (Signaturel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING- INSPECT110 RE=CORD BUILDING BUILDING (Cont'd) PLPMBING Setback Firewall Soli Plolno j . „t Forms Parapets - 1st Floor`s Main Bldg. I Restroom Finish 2nd Floor Footings Windows Z— 3rd Floor StemwaII d Siding v? To out Slab Roof Sheathing 61Q6 Water PI In Piers Rooting ® Sewer Garage Fdn. Vents 4TI NJ ) x.- Fixtures Footings Garage Vents- _ Water Htr. ' StemwaI I Insulation Heaters Slab Carport Footings hndiar eh ddec Conformance of ex. structure Appliances Gas Piping 1 Tem . Gas Slab Final Sanitatl Patio j FIREPLACE Final ootin a Z % Footin 1 Masonry Wells Throat Z —1 ) Rou h Relnf. Steel Final 02- Fixtures Bond Bearh t FIRE SPRINKLERS Motors Fremin 1 ` Test C " Water Htr. Stucco Final Subanels Mesh MECHANICAL Grd. Fault Prol Scratch Heatina Service Brown Cooling f' Jam/ Temp. Pole Door -closer - Final 7 c4- 1 Final MON ILEHOME UTILITIES . • .. • • ..... • • • • - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping TALLQC • • • • . Support Elec. Continuity Water Piping Drainage Gas Piping DATE RE ARK�ORRECT NS A",/& 'A. f% fo/d /2oah ',V fOl2-zon- . T 4-4 /d> 'e lrCo cvc 6"' ;;e (NOTE: An entry must be made on this form each time you visit the job site.) 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 AT `'TArL T2. UM -7. W M-,S.Hr--vJ 10. (1.6cation) BUILDING PERMIT NO. 7; 3O —:79 A.. P . NO. �� "'�S`-rj THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. WA Fdn. Walls Floors i< Walls Ceiling/Roof X Ducts x Circulating'Pipes WA APPROVED HEATER X APPROVED WTR.HTR.>_ GLAZING: Single Glazed WA Special (Insulated)_ CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION_ DEVICES A CERT. APPLIANCES 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. Insulation Applicator Name ! n2anrolo Signature of � (plea a print) � Insulation Applicator :Zan -V�Qrin State Contractors —.�icense No. General Contractor/Owner Name 01 11-anclAte-)/1+N Wein ;�KZ1f- (plea a print) Signature of General Contractor/Owner Date U C' State Contractors License No. a Ia9 �:R THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. W ll COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,,--, ,Opoville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING 111 Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address . I RJ ..71 reC 64— Telephone No. -1 C(t U 6 �d Contractor 44-" Mailing Address Fireplace Total Valuation Telephone No. Permit Fee p0 Building Address Plan Checking Fee&/or Penalty Permit Fee 34ro` PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 p Each Trap M 1.50 Repair drainage or vent piping 1.50 A. P. No. L �- A A '" Zoningl & Plon I Water piping 1.50 aSa Each gas water heater or vent 1.50 /, ,Tb FA41s SID ionj Fire Dept. Fire Zone Use Pen/it Gas piping system 1 - 5 outlets 1.50 1#,S_0 EQA Parking Parcel Plans Declaration y' Ircel ap 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 � Bldg. Picok-Fieo'd orcelroyal Plo Ap royal Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ a7, % QO ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 pp Main service so0v OR LESS ESS 5•Q 100 AMP OR L0 Single Family Duplex ❑ Mobil Home E] Others ❑ Main service EA. ADD•L 100 AMP 2.50` Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 OR ADDNST ACC LBLDGS 04 20sq ft , CONTRACTORS LICENSE LAW State of California Business & Professions Code under the name style of: ±� NEW RESID.CO BRANCH NON -RE BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .& . Ex. OCCUD(OUTLETS OR FIXTIIRES 5CT� EOFIXED APPLNS. OR Ex. CCUp• 2.00 OUTLETS (RESID.) EA� Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. \ ertify 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3•0d> Heating t47_ Cooling Ventilation Hood 2.00 A100 Permit Fee $ 11,,s- $ 767-1-1 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 Land Development Fee .2 ism $ 26-, ov TOTALPERMIT FEE $ cy aZ7 u aumurizu representatives or the vounty of tsutte to enter upon the above-mentioned property for inspection purposes. ru _a_L a ` tit; f -12 -?9 Signature op, eerrmiQtee or Agent 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 ��Uling permit expires Date � I 064-650-008 0 1 0-2612 WHITTAKER, LARRY 14803 NIMSHEW RD. NIAAGALIA: RE ROOF SHAKE TO COW SHINGLE ... .. .�,. .- a ..4^ •tea-.gy�.,..+ep �r.-.rF �a-_f�*.*,.i�+...�pw, �•.se. �, r,.n-.�z...v-•. i�v�r�v�R>R COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N—% (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER / ` e /, , /�/'� 6 C(J /!///� ZONING BUILDING PERMIT ,v OWNER TELEPHONE_ SO. FT. OCC. BUILDING VALUATION � OWNERS MAILING ADDRESS l CONT OR'S NAME TELEPHONE CONT TORS MAIUNG ADDRESS t CONSTRUCTION LENDER Fireplace LENDER'S MAILING Total Valuation $ ARCHITECT OR ENGINEER �.�....-- � LICENSE No. Filing Fee $ 20.00 Permit Fee ARCHITECT OR ENGINEER'S.MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ iPERMIT FEE $ ?, r LOT NO. SUBdIVISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPT Each Trap 7.0023.00 Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Oth Describe Work: t��r#Ie t S �✓ Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service .DA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in f Il force and effect. License Class _ 7 L � Lic. No. / f1 Q �!% OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 CCU000A NEW CONST. DWELLMIG OCCUP. DWE200ALLING OR ADDNS. ( & ACC. BLDS. SO 3.50F7. HEOSINEW D MULTI -OUTLET 97,50 POWER APPARATUS 8 SWGLE OUTLET CIR. RES EX. OCCU OURETORFD(TLOR" zo @ i.00 BAL .w FUCED APPRM.) R Ex. Occup.ourLETs RESID. EA. 5,00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number _ — (The above sections need nof be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X L Date �� v_ Signature of Applicant - ❑ OwnerContractor ❑ Agent An OSHA permit is required for excays ions over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $?, j HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE V This permit is hereby issued under the applicable provisions of the Butte Coi my Code and/or Resolutions to do work indicated abovt for which fees have been paid. / By /- Date PERMIT EXPIRES ON" I Date ReceiptNo. If WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT d,' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT OD 709�dZ ASSESSOR PARCEL NUMBER /.� /' _ �f „� l//74V. 71v ZONING BUILDING PERMIT OWNER TF,LEPHON= O 8 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING AD ESS I / / r V - ' COMR'S NAME 73 3 COM TORS MAILING ADDRESS / 6 7,11916 2 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADt]RG .� Total Valuation $ . ARCHITECT OR ENGINE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGIN ADDRESS Plan Checking Fee $ BUILDINGADDR S / LJ Energy Plan Checking Fee $ $ PERMIT FEE $ /,^v LAT NO. SLISMWSIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK / New ❑ Addition ❑ Remodel ❑ Utilities ❑' Installation ❑ Oth Describe Work:-/�-�G �p� j4 �Q I D �� / \ t Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service p A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in Jyll force and effect. �I License Class"3 Lic. No. do 0 �%' 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 Main Service 200A TO I000A 46.00NEW CONST. DwEI CNG OCCUP. OR ADDNS. ( 8 ACC. BLAS. SO 3.5QFT. NON N-RESIDT MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES SAL p'.0 Ex. Occup. pPUT�7g gL.lp°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 1 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. ave 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 -nsura a carrier and policy number are: Carrier & Policy Number — 0 d (The above sections need nof 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 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 /eP ;�� -%919 Signature of Applicant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep 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 $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $, 60not HAZ. p. FEES IMP FLOOD COF PARCEL Pp HD ISSUE This permit is her. by issued under of the Butte my Code and/or indicated o for which fees ~ By PERMIT EXPIRES O t. the applicable provisions Resolutions to do work a been paid. Date U - 2 - Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSES R PINK -INSPECTOR GOLDENROD -APPLICANT F-- WA a 4 I i i i yi I 4F s f _ 1