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Home My WebLink About065-090-001ssm 065-090-001 PERMITN96-1522 WINTRAUB, Roy 15274 Skyway, Magalia� g -Oj, Cont; Bob Jeffords Electric /' Ele Ser Ch/SF B07-1564 065-090-001 MISCELLANEOUS HVACChangeOut HVAC CHANGE OUT 15274 SKYWAY WEINTRAUB ROYD L& M, 0.1 0 Y BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds `- PROJECT INFORMATION Site Address: 15274 SKYWAY Owner: Permit No: B07-1564 APN: 065-090-001 WEINTRAUB ROYD L & M, Issued Date: 7/18/2007 By MAK Permit type: MISCELLANEOUS 15274 SKYWAY Subtype: HVAC Change Out MAGALIA, CA 95954 Expiration Date: 7!1.7/2008 Description: HVAC CHANGE OUT Occupancy: Zoning: TM5 I Contractor Applicant: Square Footage: GALLAGHER'S HEATING & AIR GALLAGHER'S HEATING &. Building Garage Remdl/Addn PO BOX 35 PO BOX 35 LOS MOLINOS, CA 96055 LOS MOLINOS, CA 96055 Other Porch/Patio Total (530)384-2444 (530)384-2444 f - FEE INFORMATION. DBM Heat Pump (Package Unit) $58.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 4/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter "UTHang with Sectio 7000) of Division 3 of the Business and Professions Code, and my license is in full rce and Affect. I 7/18/2007 Date 1"=i`�, x --':WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the Weormance of the work for which this permit is issued. VE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by tion 3700 of 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: State Fund Policy Number:713-0013855 Exp. Date:511 (This section need not a completed if the permit is or one Fun re dollars ($100) or ❑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 /'� ns. A provisioI- 7/18/2007 (t ��gnatureLj —f. Date ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING'AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip "Dotal Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B3941 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 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 penally of not more than five hundred dollars [$500]; Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: I 7/18/2007 I Owner's Signature Date I I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occup ncy of any sidewalk , street , or subsidewalk. I hereby authorize representatives of Butte County t ent r he above men tion d pro erty for insp Ilion p oses. I hereby cenify that I am the WM#A p operty o m autior,ed/ act o th grope con s ehalf. . 11l �c ,N/ I iiAU�l18/2007 Owner ❑ Contractor OR. Agent for Owner ZAgent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES 1'Is12�IIT BUILDING PERMIT APPLICATION NYS S�� 24 HOUR SPECT ONtt:O OVILLEUBMITTAL R( 30) 5388EMECH O: (530) 891-2834 `,/[>, OFFICE N: (530) 538-7541 1 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds BIN N "*PLEASE PRINT CLEARLY— i (OWNER impn[7nnnrrnAr Last Name�� First Name Minie 0 bi-A Address City Il' 1 Stale Zi� Phone Fax CONTRACTOR Name Name Addres C City C I. n Slat Zip q(DC)ES Phone2C3 r 1 t?L40 r ` ' 0 I Fax E-mail Lic. #I, --j Class i AHUH/ I LCT/ENGINEER Name H Vr4C ! Address I Subdivision Name C';;' Jlos Stale Zip Phone L Fax F-ma+I State License Number APPLICANT SIGNATURE r: Por office use only- ZoningFlood APPLICANT INFORMATION ?dame H Vr4C Address Subdivision Name CityLo5- Mu Jlos Slater I Zi Phone L Fax 'c :mail APPLICANT SIGNATURE r: Por office use only- ZoningFlood Zone SRA Yes • No i Occ. Type Const. Subdivision Name fvlap Book Page Lot # '"- er . ,inn , Oale Approved: Uvt_M r -(JK ,)1JblVll I I AL REQUIREMENTS L K:IFORMSIBUILDING FORMS181dgApplSubRgmts.doc Page 1 of 2 LOC ITA ON AP# PROJECT 0170 - 00f Property�dr s � Cross Slreel WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or S ope of Work: lI h1-JAA1),0 (1l 4_ .n n n 1 „ _ . r , I_ I , i 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 „,ill expire otic year after the date of application. In order to renew ;fiction on an application after expiration, a new application, plans and fee will he required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person N,11() paid the fee. The request must be made prior to the expiration of the permit and no construction „pork has been done. Filing fees plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: ___Bldg .SRA Receipt #: Sheriff SMTP Date: ---_._____.Other Total REV 8-12-05 F 4� _. _ ,._.. .... _..� - ..,...,,,.,,...u+';� �;�3::;i,:wu>.�.'M'a`;;+b:Si�''rtytq`t.0 :'X,J.r•-'�'x. .-..,v3,c •., ' F :, ,. �• E � 1 •; , Roy PERMIT#96-1522 waY Y, Magalia Jeffords' Electrich/SF A iVITA .r s • t� • a 1 4 1 t • Y f i �4 1 • y 'OFFICE COPY Address GAS Meter By ` - Date ELECTRIC Meter By XDat a.F „,...• COUNTY OF BUTTE- DEPARTMENT OF DEVELQPM ENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95969 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9 /S;P;;L ASSESSOR PARCEL NUMBER 65-090-001 ZONING BUILDING PERMIT OWNER '� ` ROY WINTRAUB TELEPHONE 873-4893 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 15274 SKYWAY CONTRACTOR'S NAME BOB RITORDS ELECTRIC TELEPHONE CONTRACTORS MAIUNG ADDRESS FWfrFR2414 _RD Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDERS MPJUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 15$ 15274 SKNAY PERMITFEE $ PLUMBING 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 0 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 Sf, Installation ❑ Other ❑ Describe Work: fir” F :-2,-i Es f de;) /4 Mobile Home S G FwK @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'0y0 Main Service ( E00V OR SS ) 200 E A OR ESS 00 23.00 23 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C%- P Lic. No. 3 S-) t/ S 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 OR ADON ( a ACC. BUDS. ) SO. 3.5¢ Fr. NEW CONSS T. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER (a STING E OUTLETT CSR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 ® 1.00 BAL 50 FIXED APPWS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ILINSP A3. 00 -E PERMITFEE $ Contractor ' WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. /�/� X %^i��✓i`- Date _ / 6 +'-��__�-------- — TTT___ --- Signature of Applicant - ❑ Owner � Contractor ❑ Agent f is required for excavations over 60" deep and demolition or construction An OSHA per; of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ HA2. I D. FEES I IMP I FLOOD FDF 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 l5een paid. j 7 r / / By t , �'' .% ' """ �' .' Date PERMITEXPIRESON (Date) Receipt No. 7 �i i �S E WHITE-D.D.S.. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF! DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive-"Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ��' ASSESSOR PARCEL NUMBER 65-090-001 ZONING BUILDING PERMIT OWNER ROY WINTRAUB TELEPHONE 873-4893 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 15274 SKYWAY-. CONTRACTOR'S NAME BOB JEFFORDS ELECTRIC TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIWOWN 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 ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 19% 15274 SKYWAY PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF [R 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 ❑ U ilities filf., Installation ❑ Other ❑ Describe Work:%�-��j�`' �f � — /><9&2 Mobile Home S I G I W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service ( 000V OR LESS 1 200A OR LESS / 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class c'_+' Lic. No. �!� f 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 ( a ACC. BLDS. ) SO. 3.52 F7. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 WER ( a SINGLE OUTLETTUS C R. ) Ex. Occup. (OUTLET OR FIXTURES ) BAL a 1:� FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 INSA 23-00 PERMITFEE __PRE $ 66.00 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith connwith those provisions. ,p Date 7 - Signature of lican Owner A'Contractor- ❑ Agent 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 is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated ve for which fees h ve By PERMITEXPIRESON the applicable provisions Resolutions to do work een paid. DAate ?ISZlT (Date) Receipt No.? (0 WHITE-D.D.S.-BB D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENr. OF 6ElELOPMENTSERVICES - BUILDING DIVISIO 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET c OWNER W/Ll ( o A. P. No. OK -D Proposed Building Use �AFWrA,Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans. . 4. Engineered plans and calcs, 3/4; sets, with Wet signature on plans. ............. 5. Hazardous Material Form............................................. . 6. Energy Design Compliance and supporting documentation . ................: . 7. Statement of Intent for Non-Heated and A/C Buildings. ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ....� 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ............... . ........................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ....... ...... . 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . Imo/ 20. Pre-inspection for Ei'(� required. .. to Building i�spea - (Date 21. Contractor's license information. (No., Name Style, Classification). .............. 22. Certificate of Workmans Compensation Insurance. .......................... 23. Owner-Builder Verification (Given to owner , Mail to owner _) ............ `t -24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization........................................ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use......................................... . 28: Mobilehome utility clearance.......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets*zoning area and frontage requirements. ............... 31. Existing violations/expired permits....................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation T �� Acreage Applica Date Copy of Haz-Mat form sent Health Dept. Fire Dept. r 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 _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works OWNER: LOCATION: /,so ` -5-4�e (J)d CONTRACTOR:e�� _. f i PRE-INSPECTION FOR: /tiQ,1AJ P./'I-,,' PERMIT HISTORY:Y,--4f�ONE ' [ 1AS FOLLOWS: TYPE OF OCCUPANCY: �� S ZONING: '7/r DATE TO INSPECTOR 4spector: Date: �'� BUILDING INSPECTOR'S, REPORT uilding Description: [ ] Commercial/Usage: [ ] Residential/# of Units: Mobile Home: Yes[ ] No[ ] ' [ ] Currently Occupied. [ J Abandoned/Vacant. Electric: ' [ ] Yes [ ] No Electric is currently :[ ] On [ ] Off i Condition of electrical? ` Oas: I Natural [ ] Propane[ ] None[ ] Currently On[ ] Off[ ] Obvious problems: ,sanitation: Plumbing working Yes[ ] No[ ] Well: Yes[ J No( ] Potable water: Yes[ ] No[ ] Obvious Sewage Problems: Action Recommended: [ ]Issue �oldfbr- 4spector: Date: �'�