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HomeMy WebLinkAbout068-350-00668-35-06 3874 Hiildale, Oroville fU6:A W7 G'7 p 06,' 91 Vii. KARK0S_K-I';s DAN l EL7 •L �" CONTR ';. =K,I,SSEE, COY 3874 ,H I,LL�DALE ' OROV I'LLE .,41SID I NG"'&y�W I NDOWS/SFS-a' f .s L,jVY' '`�' � '+r �����jaaRj 9 d 4 •� CY, 's ,,a v l ,�r� MISCELLANEOUS k a Re Roof a REROOF„W/ COMP.24 SQ_'f. .r 3§74'HILDALE AVE; s v OLSON DEAN A &`SHEILA•D'LJ �:,• r' o I f .�'i'.• i,.A �' `. ...... 1 �'�rf. �nlr�-Y•�-'9^�Q$Y �-xr�I!!r'�f.+�2.��t I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www. buttecounty.net\dds CONNELLY'S PROFESSIONAL SERVI 5490 DEBBIE AVENUE OROVILLE, CA 95966 (530)533-1516 CONNELLY'S PROFESSIONA 5490 DEBBIE AVENUE OROVILLE, CA 95966 (530)533-1516 FEE INFORMATION DBMSC Re -Roofing $147.50 1, LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires CONNELLY'S PROFESSIONAL 601524 / B C39 / 8/31/2008 . I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full forceand effec ��— 7/29/2008 Contractor's Signature Date 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. ZHAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by UUU Section 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.. 17290'6 Exp. Date:1/1/2009 (This section need not be completed if the permit is or one hundred dollars ($100) orT ❑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. 7/29/2008 Signature Date WARNING: 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 Building Garage , RemdUAddn'l Other Porch/Patio Total 6 Balance Due: $0.00 Receipt No: 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 penalty 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 Professions 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 Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Owner's Signature 7/29/2008 Date 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 occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner behalf. IIA 7/29/2008 ❑ Owner El Contractor OR. ElAgent for Owner Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 3874 HILDALE AVE Owner: Permit No: B08-1458 APN: 068-350-006 OLSON, DEAN A & SHEILA D Permit type: MISCELLANEOUS 3874 HILDALE AVE Issued Date: 7/29/2008 By GLB Subtype: Re -Roof OROVILLE, CA 95966 Expiration *Date: 7/29/2009 Description: REROOF W/ COMP 24 SQ (530) 533-7174 Occupancy: Zoning: AR CONNELLY'S PROFESSIONAL SERVI 5490 DEBBIE AVENUE OROVILLE, CA 95966 (530)533-1516 CONNELLY'S PROFESSIONA 5490 DEBBIE AVENUE OROVILLE, CA 95966 (530)533-1516 FEE INFORMATION DBMSC Re -Roofing $147.50 1, LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires CONNELLY'S PROFESSIONAL 601524 / B C39 / 8/31/2008 . I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full forceand effec ��— 7/29/2008 Contractor's Signature Date 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. ZHAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by UUU Section 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.. 17290'6 Exp. Date:1/1/2009 (This section need not be completed if the permit is or one hundred dollars ($100) orT ❑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. 7/29/2008 Signature Date WARNING: 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 Building Garage , RemdUAddn'l Other Porch/Patio Total 6 Balance Due: $0.00 Receipt No: 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 penalty 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 Professions 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 Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Owner's Signature 7/29/2008 Date 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 occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner behalf. IIA 7/29/2008 ❑ Owner El Contractor OR. ElAgent for Owner Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name O xn First Name Mailing Address �-� 14J 06,1 e - City �2 State Zip 9s4& Phone,,533— L Fax E-mail CONTRACTOR Name c�✓i I ,,� 1 Address -,,q, e Aj e_ CityaDovi�1e- L State( Zip gSgG Phone.3.3—) Fax E-mail Lic. # 1 ZLI Class [-�)4 C_ -:n APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail Open '_CT v� State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail AP LICANT SIGNATURE X PROJECT LOCATION API a (0 % ' 2> �Q Property Address .: $S_2 H City nrrnii l kc WORKER'S COMPENSATION Policy Number On T--i'1e- Carrier �_fie F-� If hiring anyone other than licensed 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: lam oW 4 Ze.— W 2L C SRA Yes No Occ. Type Const: Sq FT- Living Garage • Structure Built without Permits O Proposed Change of Occupancy (Note previous use): Open '_CT v� WIA For office use only: Zoning FloodZone SRA Yes No Occ. Type Const: ,'�,,•'�j'�i"�'i`:':9c:`.._ .. ., 7'�.¢a°"disF�R;w�"..:r 4.w_ -,r F::ir:€•r x -,i3 •.=::1�"i'3:?'.:� .ycv.r,. '>':,1�'r?):'v1. a'a.:.+'G'�w•+:/.7',�a,rt'.y��� 068-35-0-006 91.=,3721l,'J .` KARKOSK I , DANIEL �y };,„..-s' CONTR: KISSEE, COY- 3874 OY 3874 H I LLDALE, OROV I LLE . t 1 SIDING & WINDOWS/SF ' • 1 1 •I ' 1 • f { 1 I, ti COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller Californla 95965 - Telephone: 916/538-7541 APPLICATION`AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBR 68-35-06 ZONING _ A R BUILDING PERMIT OWNER DANIEL 1CARICOSYI TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3874 HILLDALE OROVILLE ONT ERT 11000 CONTRACTOR'SAME LLff//IIJJ\\N VVKISSIS TELEP t NE s/y� CONTRACTOR'S MAILING ADDRESS 6986 LINCOLN SPACE 12 C ORDMIE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is I ow LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 3874 HILLDALE OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME 7 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [J Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other® Describe work: SIDING AND REPLACE THREE EXISTING WINDOWS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [ � am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License.de.Fn275"/L� Classification ❑ I, 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 Main service 200A TO IOOOA1 37.50 DWELLING OCCUPM 3.6asq.ft. NEW CONST.OR ADDNS. l / ACC. BLDGS. // NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCUITS) I @ 5.00 POWER APPARATUS &) OUTLET CIR. Ex.Occup(OUTLETSOR FIXTURES 20 764 EX. OCCUp. OUTLETS FIXED PIRESIO.IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 9 Permit Fee $ — 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 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. 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 granting of this permit. X ?�� I �� �y '✓11 1 Date Signature of'Wpplicant — Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. g Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 37 50 • HAz 1 11 F11 I IMP I FLOOD I CDF I PARCEL I PD I HD I IS This permit is hereby issued under the applicable provi- sions of the Butte County Code and/.or resolutions to do -- �/ work indicated above for which fees have been paid. A i �� DIREU6bk OF PUBLIC WORKS ij/ B1�t}.r.,.;Date+/ PERMITEXPIRES Date ,'; �i.� J Recei t No. 101442 Receipt WNITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT / PERMIT NO. ASSESSPR PARCEL NUMBER 68-35-06 ZOINING A R BUILDING PERMIT OWNER DANIEL KARKOSKI TELEPHONE SO. FT. OCC. BUILDING VALUATION CONT EST 1,000 OWNER'S MAILING ADDRESS 3874 HILLDALE OROVILLE CONTRACTOR'S NAME COY KISSEE TELEPHONE S 3-qlv CONTRACTOR'S MAILING ADDRESS 6986 LINCOLN SPACE 12 C OROVILLE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1,000 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3874 HILLDALE OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP WaterP� 9 1 In P 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ® Describe work: SIDING AND REPLACE THRFF FXTSTTNG WTNDOWS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200ATO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ©�am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code an my license is in full force and effect. License No. _6 2 /L/ �Classification _B —FIXED ❑ I, 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.a+\ OR ADDNS. l ACC. BLDGS. 3.64 sq.ft. NON•RESID CO R BRANCH CIRCTITS @ 5.00 /POWER APPARATUS tri \SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76 APLNS. Ex. Occup. OUTLETS P(RESID,)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. 21**�I 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. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood 6.50 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. 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 again said Count consequence of the gr ting of this permit. XPJ _ Date _/O—/7—?/ Signature o pplicant — Owner ❑ Contractor e-- Agent ❑ An OSHA 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 I CONST TYPE TOTAL FEE $ 37.50 HAz I DFEES I IMP I FLODD CDF PARCEL I PD I HD Issu This permit is hereby issued under the Bions of the Butte County Code and work � iC ted aJ for whic. f DI F P By PEXPIRES Date applicable provi- or resolutions to do s have been paid. WORKS Dat Receipt No. 101442 WHITE-D.P.W., YELLOW-ASSFSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cali,�prnia 95965 - Telephone: 916538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER I + TELEPHON SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AAC/D-DRE-55 / /�,�/� �//�///'/p/ 1 r"I6Ci V 5 i� L / CONTRAC R'S NAME e� TELEPHONE CONTRACTOcR�' MAILING ADDRESS �i /� G�L'G�' [ t /-Cc /N �t/fCC lZ C Q�() (J fo Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 1,0 O b LENDER'S MAILING ADDRESS Filing Fee $ 115,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS C�i/ ^7 / % //' permit fee $ PLUMBING PERMIT Filing Fee15.00 Each Trap 5.00 Solar or heat pump water healer 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFqF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S 1 G JWI@ 15.00 TYPE OF WORK New❑ Addition Remodel❑`�Utilities❑ Installation[] Other Describe work: �041, -A/61 e 1�AllJ5 ��67- 64J,�iU�(r � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 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. License No. Classification I, 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 Main service 200A TO 1o00A1 37.50 NEW CONST. ( DWELLING OCCUP"g) OR ACDNS. ACC. SLOGS. I 3.54 sq.ft. NewCON5TR '•ULTI-OUTLET NON .RESIO. BRANCH CIRC U ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES RAO 75d FIXE❑AP LN Ex. Occup. OUT D TS PRESID PEA.) 1 3.001 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — 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. ❑ I 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 subjectermit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooiing Hood 6.50 Ventilation pFee $ 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 consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ElAgent ❑ An OSHA 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz 1 0FEES IMP FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. I 0 �`� Z WHITE-O.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT November 17, 1989. William R. Christal--= - -TR; Special Snspectiori x`64-89 3874 Hildale Ave. - A.P; #68-35-06, Oroville, CA 95956 1 i Dear Mr. Christal: 4 _ With reference to the above subject and your request for inspection of. the garage conversion to afamily room -constructed by a previous owner at 3874 Hildale Ave.,, Oroville,� CA 95966, the inspection eras �msde'on November 17, 1989. , The conversion was constructed without permits and inspections, from this office, so we were not 'able to perform the required inspections during con- struction. We therefore made a reasonable visual inspection without going on••the roof, under the floor, or in the attic, and found the conversion appears to conform to the intent of•the code, except for the following item`s which must be done or resolved.€t ' ` Verify seiaage disposal system meets Health Department requirements. f Verify wood burning appliance installed per approved listing. 34 Verifycombustion air supply for water heater. ; rovide.GFI protection and weatherproof outlet),covers on 'exterior eYectrical outlets.: w ' This,inspection by the County of Butte does.not act as a guarantee or warranty as to -the internal soundness of this'. -garage conversion. r; It is now in order. for you to submit accurate plot -plans and floor^plans, . apply for the required permits; and'•pay the appropriate fees. The permits must be obtained and above listed items completed within thirty days of the date of this -letter. Y File No. BUTTE COUNTY A ion 1, 2, 3) Public Works Dept, (For Information Director ✓ ) Dep, Dir, Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr, Constr. Engr. Surveys Mapping Tran sp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. Letter to William R. Christal (RE: Special Inspection #64-89, A.P. #68--35-06) Page 2 November 17, 1939 Should you have any questions concerning this matter, please contact Rod Taylor at ((16) 538-7541. a JFG:ahb cc: Assessor Health Department - Oroville Yours very truly, William Cheff Director of Public Works J.F. Glander Chief Building Inspector ❑ Complaint -Date ❑ Other -Date l0.'00 /6"4 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ()A. -A 5-6 ZONING 14 Z - Owner : 1.l,1 to-tAI&I I� C. R SA. P. �� "U Address:_ E'q4 L L(C-CA �-V i� ©QZ.e.� �l l(o.G, Date of Inspection G//� Tenant: '5;AL*K4'7J Inspector 7 �,U-) Building Location: SiLi Type of Inspection requested: 1. Housing 2. Financing 3. Change of Occupancy to a 4• Work W/O Permit L/ 5. Other (specify) Present use of building: `D.u�tc`ruv CoticyA&2P0w A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: ✓ 4. Kitchen sink: ��- 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: --- 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: — 12. Connection to water supply: — 13. Rubbish and garbage facilities: — 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerances,Handrails) 15. Communis: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: o_r_. 4. Ceiling and roof construction: ro Zg14--0, C- 5. 5. Fireplaces : Wo 0• S V -O !J VV 6. Comments: '�j y9,LuMGi" 10 [fes C. Electrical 1. Service and ground: 2. Receptacles: -/ 3. Fusing: �r 4. Comments: �;li� D. Plumbing 1. Fixtures connected and vented: --� 2. Gas water heater: 3. Gas heating vents 4. Comments: �s�s cU-nor�ri �P�G����tii 4, vS .r7 E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:: 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description); 3. What action recommended: f_( A. Information only - file. B. Hold for ten days, then write letter. C. Write letter. L_4.D. Other: { l M-1 X, X Y' l�aa'iT"' !�'R F�tl.� .rV�. l ` .rs .,7 > ,fir �1 _1 - FRET .K.:. :.�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _ f 7 County Center Drive,,Oroville,. California 95965 Telephone:'J ; 538-7541 APPLICATION'FOR SPECIAL INSPECTIONrs Owner C,fJ 1 r, C P t r ► A. P. No. Mailing Address C/o VLA' . Telephone No.. 59 corn V,1lc� Applicant (S yyi (! Telephone No. Address Building Location C I hereby request a special inspection of the following building: Dwelling (if only a portion, specify) f Apartment,House (if only a portion,.specify) 1 i Commercial, (specify present occupancy) A Other (specify) I am requesting a special inspection for the purpose of: 1. Moving the building. - 2. 3. 4. Financing (specify agency). Change of occupancy to Other (specify) Case No. I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- tion, to comply with 'building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above- mentioned property for inspection purposes. Date . �1��J l 07 Signature of Owner Fee Paid $ 5-6 ©D Receipt No. LL (0 1st-DPW/2nd-Inspector/3rd-Applicant COUNTY OF BUTTE tDEPART MENT OF PUBLIC WORKS - BUILDING DIVISION < 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 61 d PERMIT APPLICATION DATA SHEET ' $ Permit No. t D� OWNER t � A. P. No. Proposed Building Use Building Inspector. Date ,,t/ At time of permit application, 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. ©yte �........................ L 2. Plot plans in dut�G plicate pjicate Glgned,by preparer of plans.......... 3. Com.pJ.ete Paa.cis L�pfieate ri•P '1�-s+g-by`pi'epareT-of ptans. In- � �I 4. Complete engineered plans and�ca%lcs, with wet signature on plans .. 5. Hazardous Material Form.. � .............................�° 6. Energy Design n Com liance and supporting y Compliance pporting documentatiom�:........ 7. Statement of Intent•for.N&Heated and AC Buildings .r '........... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....-�............................ ........... v 10. Fees of $ ....................... a 11. Chico Urbari'Area fees paid....................................... 12. Park feesipaid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning apprbval 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 -f r required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No�,,Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance,*... ............... 23. Owner -Builder -Verification (Given to owner ❑, IVlail to -owner ❑) .... . ��,1.lPry r v ' 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. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other �- 2`ils; Applicant Dat If-- Copy of plans sent F�ealtn.;Dept.�F�tr�e Dept., Other Date The following data must be submitted prior to pe.rr6itissuance: (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 —mal l—counter by date Plans checked by Date Plans approved by tx Date Sets of plans on hold in . File cabir.net <<v� AP -folder/ 'A+' Copy—DPW NOTE; These parcels are for assessment purposes only and may not constilule legal -parcels. QGescnptions, Pcrcel Mops or Records of Surrey iaentify erroneous• or overtopping. boundaries �- n cs• �p 14 o i 119 \ / 3 262 o`r 25� >s h •I� C) /1 2�ess X99 S jam•: - 2 20 PM 102-2 \! .—/110 oh Z37AC 0 a ` \ Joe 03 6 97 `OWI a� l 'o C ,Q `2 _ 5-3 �. ar 60 � 4.,*� • 61 v� ,S• J`i'?� vim' 2 6.84 v.AC.� a/ 42; ? 8 Oi .C' u t e COUR CD. _ z a so' w �o p a W` IF i r r r � ` 4 rt I a f G 0 o, G r� rp i f so' w �o p a 4 " X. %' wrvpaw Q5 1N V-kFa �`. V It ci to Cl �y _� \ t� �..� cq{� p '•, +`� ra 5 T , r�L � to � '• i ,• �' ❑So 1 IW IONAL FOREST, FIRE DIST., CITY a STREET NO., B'L'.!' ���1wDAt. 421 TIMBER &/OR .` `YOUkG, GROWTH WILDIAWD VEGETATION Other thin. -T.& Y O ,4 F `REPORT RE Other than T a Y G + . �Fc-te•t��ael' DWELLINGS %_% ORIGIN LOCATION ELTOWNSHIPnNRANGEE �' ❑So 1 IW MILES DIRECTION FROM ' n IN, O� � 4 t fir• IONAL FOREST, FIRE DIST., CITY a STREET NO., B'L'.!' ���1wDAt. 421 3 INCIDENT TYPE ` FIRE D FALSE ALARM—GO' TO '•,;'•iIOCK�tO' 4A RESPONSIBILITY 4B OJ STATE ZONE STATUTORY �® WIlD1AND BURNED OR THREATENED RESPONSIBILITY CDP LOCAL GOVT. CONTRACT ( I AT ORIGIN) O UNPROTECTED Q STATE ❑„ ASSIST OTHER AGENCY (Not City) [J U•S•F.S, LOCAL ZONE B.L.M. ©6 ❑ CDF LOCAL GOVT, .CONTRACT B.I.A. O ❑ ASSIST OTHER AGENCY (Not City) ❑ OTHER FEDERAL FEDERAL ZONE Q OTHER ®❑ ASSIST FED. AGENCY (Not MIIJ ❑ CDP LOCAL GOVT. CONTRACT ' MISC. AND OTHER ClASSIST C11Y, CONTRACT CO., MIL, OTHER ik �.AUSE (STARTS IN OR 8 ONLY) S LIGHTNING DEBRIS PL! 4 ❑ CAMPFIRE ARSON 't OTI ACRES OF .VEGETATION BURNED I LJ SMOKING LJ EQUIPMENT b LAND USE (STARTS IN 1 2 OR 48ONLY)? ) 4 DOMESTIC ❑ FOREST INDUSTRY ❑ RANCH -FARM !� [] RECREATION` ❑ OTHER INDUSTRY•COMRCL. ❑ ROAD 4-0 WILDLAND ❑ UTILITY, RAILROAD _ [] NON-WILDLAND �� ❑ UTILITY, ELECTRIC ❑ OTHER DAMAGE (1 oR ONLY) ON ARRIVAL.,( 1 VEGETATION FIRES ONLY) 9" SIZE DISTANCE (Origin to head) ACRES WEATHER ESTIMATE AT SCENE WIND SPEED (M.P.H.) DIRECTION (FROM) TEMPERATURE (°F) OVER PLEASE t p, 75JL0wf9 01113. � i 7� �. r � r �k � ,, , •ea svess 44 1 DAMAGE Number,' • 1 1 TIMBER &/OR .` `YOUkG, GROWTH WILDIAWD VEGETATION Other thin. -T.& Y O AORICULTURAL."PROD Other than T a Y G + DWELLINGS VOR CONTENTS' ,OTHER STRUCTURES - 6 OR CONTENTS FHICLES tt CONTENTS OTHER Ew,' f 'aur. TO1Alsl ON ARRIVAL.,( 1 VEGETATION FIRES ONLY) 9" SIZE DISTANCE (Origin to head) ACRES WEATHER ESTIMATE AT SCENE WIND SPEED (M.P.H.) DIRECTION (FROM) TEMPERATURE (°F) OVER PLEASE t p, 75JL0wf9 01113. � i 7� �. r � r �k � ,, , •ea svess 44 , •A . r A r C r— y, :r r -A 1' . I -t r S .. h.' �.• �T CV;71 ' , 1 I I v!. t .J •1!C .�. 'r.. ,,y - � ;• ,.L.. 1 �� � V!'ll:~ I Di y y., I \:. t' :7 1 ,r1 � .. } .I C- �.a' �� `Q _ . . , It 1 r. ;; EG R.U.I -INCIDENT N0. 0YEEAR • /'\ IDC d�r`nan m CREW/OVERHEAD RECORD S 1 00 TO J , LOOKOUT: I4 1 ST, or 2ND. re ort made b Lookout �L+ SITE, ` 1 NAM11SITE \ NAME: E STATE:t LOCAL GOVT. CONTRACT CREW NAME ORGAN• PERSON AIRCRAFT CDF STATE & LOCAL GOVT, CONTRACT OUTSIDE 1 OREnter PERSON AIRCRAFT FOISCOVEREID 1ST, CD HOURS FLT. HRS. INSIDE1 OR, IZATION HOURS FLT. HRS. rCDCDF ATK YiY FIRST REPORT CREW ff� SECOND REPORT K BY CDFINED a j, �' �► CREW/OVERHEAD RECORD S 1 00 TO J , LOOKOUT: I4 1 ST, or 2ND. re ort made b Lookout �L+ SITE, ` 1 NAM11SITE \ NAME: E STATE:t LOCAL GOVT. CONTRACT CREW NAME ORGAN• PERSON AIRCRAFT CDF STATE & LOCAL GOVT, CONTRACT ORGAN• PERSON AIRCRAFT IZATION HOURS FLT. HRS. CREW NAME IZATION HOURS FLT. HRS. rCDCDF ATK CREW ff� j, figagy LDFERHEAD TOTAL �( FIRES, ENTER TOTALS BELOW ) U,S,F.S. (Incl. Overhead) TOTALr. f: OTHER FEDERAL (Incl. Overhead) TOTAL !, FIRE DIST, 8 OTHER LOCAL TOTAL' ; PAID HOURLY (E,F.F,) TOTAL 'VOLUNTEERS (Unpaid) TOTAL Q FC•166 (Additional crew activity) ATTACHED ' ` 14 ORIO NAL REPORT BY: SIGN TUR �. rj APPROVED BY: DA t. DATE u0�j d2 - - TO Building Department z �� r2 4 FROM: Environmental Health SUBJECT: Sanitation Clearance f Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Clearance for bedroom mobile home. NOTE*** Water Stpply Other a (I 19 /t�A - Sanitarian ate