The URL can be used to link to this page

Home My WebLink About068-200-0161 X.3 s<' 068-200-016 00- 7 �'iI �nC✓ ANGLIN, RON 2586 ORO QUINCY Y., OROVILLE CONTR: OWN 7•/�oG NEW MAIN MISC. WIRING 068-200-6W 03-3035 ANGLIN, RON 2586 ORO QUINCY HWY, OROVILLE Cont: SAM ARNOLD ¢ RE ROOF B07-2185 068-200-016 MISCELLANEOUS Window/Glass Door SIDING (76 LF) WINDOWS (8) 2586 ORO QUINCY HWY ANGLIN RONALD W & CA, 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: 2586 OROUINCY HWY QANGLIN Owner: Permit No: 807-2185 APN: 068-200-016 RONALD W & CA, Issued Date: 10/22/2007 By KEJ Permit type: MISCELLANEOUS 2586 ORO QUINCY RD Subtype: Window/Glass Door OROVILLE, CA 95966 Expiration Date: 10/21/2008 Description: SIDING (76 LF) WINDOWS (8) Occupancy: Zoning: AR Contractor Applicant: Square Footage: DAN HILL CONSTRUCTION DAN HILL CONSTRUCTION Building Garage Remdl/Addn 125 HART LANE 125 HART LANE OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530)589-3316 (530)589-3316 FEE INFORMATION DBMSC Window/Sldng GIs Dr -Rept $232.00 Total Charged: $232.00 Fees Paid: $232.00 Balance Due: $0.00 Receipt No: B5057 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License DAN HILL CONSTRUCTION 771092 / B / 11/30/2007 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (Comm en ' with Section 7 00Thf Divis' n 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full rce nd effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 10/22/2007 penalty [$500]; Please check one of the following: Contractor's Signature Date 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 License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ section 3700 ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; The Contractors 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.). Cartier: Policy Number: Exp. Date: (This section need not be completed if the permit is for one hundred dollars ($100) or less.) _I ❑ I AM EXEMPT under Section B. & P.C. for this reason: 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' X 10/22/2007 compensation provisions of Secti 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date pro X 10/22/2007 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 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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 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, injury, including death, and property damage caused arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Co to enter e o e entioned property for inspection purposes. I hereby certify that I am the Pre owns r ut orize to ton he propa�(w?!e behalf. CONSTRUCTION LENDING AGENCY /()� (� 10/22/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for NaRne of P rmitte [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ontractor OR. Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY O�UTTF0 DEPARTMENT OF DEVELOPMENT SERVICES 0 o BUILDING PERMIT APPLICATION 0 0 OFFICE #: (530)538-754l FAX #: (530) 538-2140 0-- -o 0--='>.-�- 0 A FEE WILL BEREQUIREDAT TLVE OFAPPLICATION C J i Website: www.buttecounty.net/dds 01N**PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name figa 11 First N en �a 1 �V Mailing Address 2 d_gle ©dO 0-t4ttQ,CJ City ©"Ofly StateG Zip 4-f 7 Phone Fax E-mail CONTRACTOR Name rj a -L C'01/u 5C �V Address zS 11 /I T- w City DMvl�/f? State Zipfo&(o Phone5�o� 3q Fax E-mail 14, /' @ ho+wtc6 /, Lic. # 7 of Class k 5" APPLICANT INFORMATION ARCHITECT/ENGINE Name City Address Zip City Fax State Zip Phone Fax E-mail Open Cov State License Number APPLICANT INFORMATION Name sab1fi.2 �� f✓1D Address City State Zip Phone Fax E-mail APPLIPANTSjfzNATURE X PROJECT LOCATION API 2 00 — ©/( Property Address z7 City 0►%Ile PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carder If hiring anyone other than license contractors, a certificate of worker's compensation must tie shown at the time of permit issuance. LENDING AGENCY Name - Address DESCRIPTION OR SCOPE OF WORK: JWtJ 541"Ok 50 e4 s`de_ 4 SRA C. �. No Occ. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): , — For office use only: Zoning Flood!tTLyp_eC_onst. SRA Yes No Occ. J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541��_ (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068 200-016 ZONING BUILDING PERMIT OWNER TELEPHONE .OWNER'S 01 SS M4 533-7949 NeY CONfRAC 8 M i 9 7 HONE GIRCI 47C.0 CONTRAC s CONSTRU T N 9 t'' 7 eA 95966 SO. FT. OCC. BUILDING VALUATION SCIS 960 I Fireplace LENDER'S MAILING ADDRESS Total Valuation $ QCRQ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 258,6 • y GROVILLE Energy Plan Checking Fee $ $ PERMIT FEE _ LAT NO. SUBDIVISIONS 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 ❑ Other ❑ Describe Work: RR—RnnF Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VMain Service 200. 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 full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 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 Mein Service zooA To I000A 46.00 NEW CONST. D ,NG OCCUP. OR( S. CO_ 3 SQSO. Fr. cDNS. MUL�TIi t.IOt}RESID, C @7.50 POWEPPARATUS 6 SINGLER AOUTLET CIR. Ex. Occup. OUTLET OR FIXTURES j 20 @'50 BAL @ .SD FIXE1 Ex. Occup. OUTLETS PL.16.OEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ 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 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 'rf I should become subject to the workers' ompensation provisi s of section 3700 of the Labor Code, I shall fort Ith omply those pro sions. X _ Date 00 er ❑ Contractor ❑ Agent Signature f Applicant - ❑ JecavatiorAbver An OSHA permit is required for5'0" deep and demolition or constructionof structures o t 'e in 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 $ 45. 00 HAZ. D. F CDF PD HD IS E This permit is hereby issued under the of Butte ty Code And/or indicat a"ON( Byte PERMIT E applicable provisions Resolutions to do work n paid. / !/ Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7541„%` APPLICATI�N�4ND PERI�IIIIT (Rev.12/96) asSESSORPARCELNUMBEA „ r. O -f ZONING BUILDING PERMIT OWNER /T7EU9HONw n SQ. FT. OCC. BUILDING VALUATION OWNERS•/i_/ 61,1 ✓1/�fi� 9LO LI 1, -/ /,% LENDER'S MAIUNG ADDRESS Fireplace FDD APPLNS. OR Ex. Occup. OUTLETS ESID. EA 5.00 Total Valuation is 23.00 ARCHrrECT OR ENGINEER LICENSE NO. / ilinci Fee $ 20.00 Permit Fee $ "a ARCHITECT OR ENGINEERS MA UNG ADDRESS Plan Checking Fee $ PARCEL BUDDING ADDRESS ,- Energy Plan Checking Fee $ $ Ale- a PERMIT FEE-PI S "� LOT No. SLIBDNISIONS NAME PARCEL PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ em el ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: C �r ��iYJ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 .PERMIT FEE PAID SRA SHERIFF OTHER S S S S AMOUNT RECEIVED $ DATE RECEIVED 161�10 3 RECEIPT# ��IY'./� PERMIT FEE $ ELECTRICAL PERMIT 600V OR LESS Main Service .0A OR LESS Main Service -- -,—A ) g Fee 20.00 23.00 46.00 so. s.5¢FT. X7.50 Ex OCCU . OLMET OR FDRURES aAL .50 FDD APPLNS. OR Ex. Occup. OUTLETS ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wisc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 1 2 0. 00 I Hood 6.50 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Dare) PERMIT FEL 3 Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE TOTAL FEE $ - HAZ D. FEES IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Dare) 068 -200 -*0 16 090-1667 0 A L NGUFNN, RON 2 8 7' ? . �V 586 ORO,,QUINCY JqWN' OROVILL�E T '�y (IN CONTR: OWNER NEW R F MAIN &IMISC. Wl,.ING - OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Date7//A, a) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California' 95969 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ter" 01 ASSESSOR PARCEL NUMBER 068-200-016 ZONING BUILDING PERMIT OWNER RON ANGLIN T 533 -7949 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2586 ORO QUINCY HWY. , ORO 95966 CONTRACTOR'S NAME R.B. STRANG TELEPHONE CONTRACTORS MAILING ADD3577 HILLDALE, OROVILLE 95966 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2586 ORO QUINCY, ORO Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ I Describe Work: NEW MAIN & MISC WIRING I 1 Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOV R LE Main Service zooA oOR LEssSS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class -I-/b Lic. No. -1/ '1, `� tJ �, _EX. OWNER -BUILDER DECLARATION 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 h reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( SO . NO 420"D.. MULTI.OUT . 97.50 POWER APPARATUS d SINOIE OVILET CIR. Occup. OUTLET OR FIXTURES BAL 20 ®1 .00 ,50 FIXI Ex. Occup. OUT R6 OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 INSPECTION 1 23.00 23.00 PERMIT FEE $ RU WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: (I I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) 13' 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 11 /,,. /i .., f 7 .,, �_� pate Signature of Applicant --❑ Owner ❑ .Contractor /❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 89.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By I/ Date PERMIT EXPIRES ON efe provisions to do work paid. Ii Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PRE -INSPECTION REPORT OWNER:�D/-7 4nall, p , LOCATION: 0 JO A& CONTRACTOR: 9, a PRE-INSPETION FOR; UOG%��T O v DATE TO INSPECTOR: Building Description: Commercial/U Residential/# of Units:— Currently Occupied AbandonedNacant Electric: Yes No Condition of Electric Gas: w DATE: - /2 A. P. #- ZONING: PERMIT HLSTORY:KNONE ( ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT Electric currently On Off Natural_ Propane None Currently On Off_ Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems r Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspect Date Sketch buildings on reverse and indicate locafion on property. Jr COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING q1VISION 7 County Center Drive • Oroville, Cal'lfornia 95965 • Telephone (530) 53�-41y!!�o PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-200-016 ZONING BUILDING PERMIT OWNER RON ANGLIN TELEPHONE 533-7949 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2586 ORO QUINCY HWY. , ORO 95966 CONTRACTORS NAME R.B. STRANG TELEPHONE CONTRACTORS MAILING A0D3577 HILLDALE, OROVILLE 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2586 ORO QUINCY, ORO Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW MAIN & MISC WIRING Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G WF_ @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 OO Main Service 200AORWOR LElESSSS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �sr l License Class rt -1 G Lic. No. � � � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 TO Main Service TO 46.00 NEW CONST. DCCU WE OCCUR OR ADDNS. ( SO Fr, NEW OUTLET CIRCUITS @7,50 gESID. MULTI. POWER APPARATUS a SINGLE OUTLET CIR. Ex, OCCU OUTLET OR FocTUREs aA� p I.w Ex. Occup. OFIx�E�D�A as oR. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 —INSPECTION 1 23.00 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ 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.) (j 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. �te Sig ature of Applic n� t - ❑ whir ❑ on actor ❑ gent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD COF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been ByW/6,Date PERMIT EXPIRES ON ate provisions to do work paid. Receipt No. WHITE-D.D.S.-B.D. C NARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF OEVEZOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. 2/96) APPLICATION AND PERMIT a- e7 SsORPNtCELNUM801 b/_Q /s,,Q� UU//oy0�/ ZONNG BUILDINGPERMIT rao„ONc SO. FT. OCC. BUILDING VALUATION 'R,=R'f INME IjTEUD'NONE -q�CTpR7 ►Mi1N0 IDORESf RRUCTION IfNDFA Fireplace Ins MNUNo aooRESE Total Valuation = ,rricT OR ENGINEIM LICENSE NO. Filing Fee $ 20.00 Permit' Fee L �cr oR ENOINEMI LUNG ADDPZSS Plan Checking Fee $ �ao�DOREss iry�O u j �/ r Energy Plan Checking Fee i PERMIT FEE _ z7 --F'700- IVIS ION'S KAME FAACEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trn 7.00 USEOFSTRUCTURE ❑ Duplex O Mobilehome ❑ Other $P�'Fr Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK w O Addition O`` Remodel O Utilities ❑ `instaliaticr.. ❑ Other O (scribe Work:S(! Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service = 00.11 LE s 23.00 g5,06 W- 1 t f Main SerNST. 200A TO I000A 48.00 NEWa CONST. DWBLNOOCCUP. oR nDDNs. a a SO 3.5eFT. T. MULTI-CUnLME NON•RES10. U 97.50 POAPPANATUB aR WERnEr EX. OCCU ovTU7 ORFncrwls SAL O 1.00 Ex. Occup. OVTIPTS (SID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 , Jr Q l AY -40 PERMIT FEE _ MECHANICAL PERMIT Fling Fee . 20.00 Heating 3o6 -Z) ac83 6.50 Ventilation Mobile Home Installation Fee I t Energy Inspection Fee S occ CONS' TrnE TOTAL FEE _ gel, C40 11112 10. FEES 1 WI 1 FLOOD I COI I PMCEI I PD I NO WI U, permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which tees have been paid. By Date +- DFOUIT FYDIOFC AAI -M AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTERDRIVE OROVILLE, CA 95965 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, prunm& and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date State of California County of On PROPERTY OWNERS: before me, personally appearedpersonally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose names) is/are subscribed to the within instrument and acknowledged to me that be/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the - instrument. WITNESS my hand and official seal Signature A.P. # Seal: