Loading...
HomeMy WebLinkAbout068-350-013r 68-35 0 RACHEL KLING 936 Hi1ld�le, Oroville . Contr: George 'Roofing Y"� Perntit��2657-86B(reroof/SF) /U_��'-9Z .-687351, ,13 2494-89B Yt .r KLING,. Rachel "•3936 Hi_ldale Ave..;-. Oroville ;Contr AMRE (vinyl •'siding/sf) f068 13--.4, ,i602 05 9 -j 1,�G � 'TIMMONS WILMAM< x3936 HILDALE AVE;OROILLE, CONT 'ARTIC. AIRFC�4�a!'1'I�A OS -3236 "* ` ;068-3507013 , TIMMONS,`.WILLIAM v \ ',3936 HILDALE AVE, OROVILLE Cont: GEORGE ROOFING �yRE ROOF I' # r' f� ,tis,, �l _�;a:�ri"v*.+.,?•.. �r+W;. Vii, - C o 0 0 o �o o tM j it ! w BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (630) 538-7541 PERMIT NO. BP053236 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 penally 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 Issued Date: 12/08/2005 APN: 068-350-013-000 effect. License Class: C -3q License Number: Site Address: 3936 HILDALE AVE ORO Date: la -7--0 Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: RE -ROOF (4.5 SQ) 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 Owner: TIMMONS to its issuance, also requires the applicant for such permit to file a WILLIAM J signed statement that he or she is licensed pursuant to the provisions of 3936 HILDALE AVE the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 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 95966 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).): ❑ 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' Slate License Law does not apply to an Applicant: GEORGE ROOFING pp 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 6810 LINCOLN BLVD sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA 95966 proving that he or she did not build or improve for the purpose of (530) 533-6393 sale.). O 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 Contractor: GEORGE ROOFING pursuant to the Contractors' Slate License Law.). O 1 am Exempt under Article 3 of the Business and Professions Code 6810 LINCOLN BLVD OROVILLE, CA 95966 Date: owner: (530) 533-6393 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License M 452266 O 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. AI have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: :. //L/S — Policy#: 222-S91- Total Square Ft: 0 S. F. Valuation: $0.00 O 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 Census Code: 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 100 forthwith comply with those provisions. Date. Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), 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 This permit is hereby issued under the applicable provisions of the Butte County Code and/or at there Is a construction lending agency for the Resolutl n to do work indicated boNe for which fees have been paid, e work for which this permit is issued (Sec 3097 Civ.) FName: J I t Date: BY lz Address: PERMIT XPIRES ON: Date O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage. handling and use of hazardous materials. O • Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. O 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 Bulli County to enlor upon IMM 0@0 MOMNanFq PI`P1§ r1V 10f IHMg04110 j1NfPIARM Print Name: S,* QZ—A4-- Signature: Date: CIOwner 0 Contractor J'f, Agent for Owner 0 Agent for Contractor w o � COQ DEC 0.8 200 DEVELOPMENT SERVICES BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT SIGNATURE X Shirley Trew - Agent for George Roofing For office use only: OWNER Name William Timmons Address 3936 Hildale Ave. . City Oroville State CA Zip 95966 Phone 534-5326 Fax E-mail Lic.# APPLICANT SIGNATURE X Shirley Trew - Agent for George Roofing For office use only: CONTRACTOR Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530) 533-6393 Fax (530)533-0287 E-mail dan@abcgc.com Lic.# Class dan@abcgc.com 452266 1 C39 APPLICANT SIGNATURE X Shirley Trew - Agent for George Roofing For office use only: ARCHITECT/ENGINEER Name N/A Address 6810 Linocln Blvd City Oroville State CA Zip Phone (530) 533-6393 Fax E-mail dan@abcgc.com State License Number APPLICANT SIGNATURE X Shirley Trew - Agent for George Roofing For office use only: APPLICANT NAME Name GEORGE ROOFING Address 6810 Linocln Blvd City Oroville State CA Zip 95966 Phone (530) 533-6393 Fax (530)533-0287 E-mail dan@abcgc.com APPLICANT SIGNATURE X Shirley Trew - Agent for George Roofing For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. NO. BP BIN # LOCATION Property Address 3936 Hildale Ave. Oroville, Ca. 95966 ' • , - rj70S`SStreet WORKER'S COMPENSATION Policy Number 272-596-02 Carrier STATE FUND If hiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work Reroof - Patio - Rolled Roofing Sq. Footage 4.5 Squares ❑ 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 atter the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: KR Amount: 7f Bldg Receipt #: SRA Sheriff SMIP Other Date: j21- 05 $ I o Vv Total REV: George Roofing � •R�n � �.. �...J. a N� — J_ - _ - r. ... : t .-T . «. --a • 1 f. .. ` _ .. -. m.�....y,T: irk!. _t , ,:!' r < ♦ � �.M,Yi^I!oa . :�:,♦A.�YW.•".�+6K V,c ,i 6.� i ��' 068-350-01.3 r TIMMONS 02-0593 ,:WILLIAM 3936 HILDALE AVE t OROVILLE _ ; y CONT: ARTIC AIS C��-N YAC . ♦ i J Sr .. , 1 r tkf F' , `r _� -, .,.-.. rov., r.arf,..:.. .--y�..o..d-+wr�ti2ewt fv....wy-,.-,,,, w., --�:1� w•F4,c �1n�rx .,v,,,,�, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER IT rro. � (Rev. 12/96) APPLICATION AND PERMIT 02-0593 ASSESSOR PARCEL NUMBER 068-350-013 AR ZONING BUILDING PERMIT OWNER 1IMMONS, WILLIAM TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME r TELEPHONE M CONTRACTORS MAILING ADDRESS 2350 PARK AVENUE CHIM CA 95928 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. I Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 39,36 HILDALF AVE -9 OROVILLE CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARC +MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK t New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: HVAC CHAWE OUT ( HUT ONLY) i Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Ca20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 RLESS 600VMain Service 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 ' in full force and effect.WER License Class , Lic. No. :A� (� 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. ❑ 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: ❑ 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. 111,-ihave 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 carry',er and policy number are: Carrier ` N\ � N'1 ". 11 a_ Main Service Zoog To 46.00 NEW CONST. DWELLING OCCUCCUP. OR AODNS. ( & ACC. BLDS. SO 3.50FT. NO...ID MULTI.OUTLET 97.50 APPARATUS 8 SPOINGLE OUTLET CIR. CUTLETR FDD R (�(, OCCU OUTLET OR FIXTURES ®1 SAL FIXED Ex. Occup. ounETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating 25.0 Cooling Hood 6.50 Ventilation PERMIT FEE S • Policy Number -,","A II - D (The above sections need not 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 �i ��--.--�- Date - �' _ Signature of Applicant - ❑ Owner ❑ Contractor MIOAgent An OSHA permit is required for excavations over 60" deep and demolition or construction3019 of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 45.00 HAZ.D. FEES IMP FLOOD CDF PARCEL PD HO 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. - 200 By rl�01 41 Y". (, Date PERMIT EXPIRES ON3-19-200rwReceiptNo. Date 343560 $ 45.00 HI.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 02-0593 ASSESSOR PARCEL NUMBER 068-350-013 AR ZONING BUILDING PERMIT OWNER T TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE . CONTRACTORS MAILING ADDRESS 2350 PARK AVENTIE C-141120 CA 95928 F CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS -3936 HIT -DATE AVE OR011111F CA Energy Plan Checking Fee $ $ , PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um 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: HVAC CHANGE OUT (HEAT ONLY) Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 "OOVOR LE Main Service zo.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 -a* in full force and effect.POWER License Class 1 - CaO -Cl Lic. No. 2 �Q ll3 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 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 rformance 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 car�& and policy number are: Carrier %&)Ov Y'V)%K1 Q✓ Policy Number �" _ I (The above sections need not be completed 0 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. Q X ' Date 3 - / f -. Z�®2 Signature of Applicant - ❑ Owner ❑ Contractor gent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO IDDDA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.5QFT. NON-REOSIOT MULTI.Ol1TLE7 97.50 APPARATUS .11N. SINGLE OURET CR. 20 .00 EX. Occup. OUTLET OR FDRURES BAL 1. 0 Ex. Occup. OurLEEDTSA REBID°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 25.0( Cooling Hood 6.50 Ventilation PERMIT FEE $ 45.0( Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 45.00 HAZ. D. FEES IMP FLOOD CDF PARCEL I 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 ab ve for which f es h ve been paid. By A"j�aDate 3-19-2002 PERMIT EXPIRES ON 3-19-2003 (Date) rR7eceipto. 343560 45.00 .D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .y ,Permit#2657-86B Rachel Kling 3639 Hilldele Ave, Oro COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR1PARCE,L.NUMBER ;'_ � - `� j' -' N ZONING A; 1.\1 BUILDING PERMIT � OWNERI I Klin? ONE TELEPH(%50 r^ 5' 3 .. ' � 5 o S0. FT. OCC. BUILDING VALUATION 7�( OWNER'S ADDRESS 3936 Tlilldale Orovi1le CONTRACTOR'S NAMETELEPHONE reorae Ronfino 5�� 393 CONTRACTOR'S MAILING ADDRESS 3523 Olive Hwy. Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ �'.7 4 `. ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ - Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3931; Hilldale Croville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFE] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S TG FW 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[a Installation ❑ Other ® Describe work: Roof ina / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions ^^C^odl!ef and my license is in full force and effect. License No. 45221; 1, Classification C-39 ❑ 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 of ADDNSCONST. DACELING CLBLDGOCCUP.&� Yz2sgft I NEW CONSTR.MULTI-OUT LET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SA090 Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. na I have placed on file with the County of Butte Building Department 4 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 subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. t?_2—bil'; X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent Q An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.I Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ oCCUP. CONST,TYPEJ I IFLOODIPARCELI PD ND 1990E 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. /DIRECTOR OF PUBLIC WORKS .0 /� By; :.'.i */�:T..l^JDate PERMIT'EXPIRES Date Receipt No. (r, / �1�) WHITE-D.F.W.. YELLOW-ASD[9Sa R. PINK -INSPECTOR. GOLDENROD -APPLICANT fq COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. , 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ��7✓ �/ APPLICATION AND PERMIT ASSESIO PA E UMB ,; ZO h�tN BUILDING PERMIT OWN a� Lp Mrs. Klin TELEPHONE 533-8950 ' SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3936 Hilldale Oroville CONTRACTOR'S NAME Geore ROofin TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS 3923 Olive Hwy. Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 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 3936 Hilldale Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF f] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitjes Installation❑ Other ® Describe work: Roofing Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 452266 Classification C-39 Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N , OR ADDNS. ( ACC. BLDGS. /20sgft NEW CONSTR. MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS 2 SINGLE OUTLET CIR. ) Ex. DCCup(OUTLETS OR FIXTURES 120 0 200030 Ex. Occup. OUTLETS FIXED P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 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. n I have placed on file with the County of Butte Building Department 4 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 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 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said.County in consequence of the granting of this permit. X , - Date 9_2_86 Signature of Applicant — Owner ❑ Contractor ❑ Agent ® AAn OSHA permit is required for excavations over 5'0" deep and demolition or construct- n of structures over stories r excavations ht. Mobile Home Installation `Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE I I FLOOD PARCEL I PO ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indic ed above for which 1REC PUBLI BY PE IT XPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS Date Receipt No. WHITE -O. W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT OCU�N.., CYC,, U&A �TT�. SEp _ � .1986 r y^ _.i- -+L4 i 116 , rr�`r.ts. w.,.vy,•y,r w9tr, s.'i!KK^.r«f... l�h:F"„rq-«rc7�.a-.,+...`s.n.--". t.r. ••`1-� to COUNTY OF BUTTE - DEPARI 11 N YOF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE ;,OROVILLE, CALIFORNIA.95965 - TELEPHONE: 916/538-7541 PERMIT APPbC`*_AT1.0N DATA SHEET Permit No.�- OWNER ` Ll A. P Proposed Building Use Building Inspector C/ . Date — eK o � 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 . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing. permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. ec Pre -Ins tion for required .. , Pre-Inspec. request to Pre -Inspection q Building Inspector (Date) 20. Contractor's licdnse information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22.Owner-Builder Verification (Given to owner ❑, Mail to owner a) ......... Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. 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 Applicant Date Copy of plans sent Health Dept., Fire -Dept., Other Date - 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—mall—counter by date Plans checked Sets of plans on hold ih D Copy—DPW `0 t� Date Plans approved by i le cabinet i AP folder Date }I,-r:in�`�,1�.'! W":.� - �"�, n('�"t•,`:cd7:%j1. vj �^5,�; �f �_'e`�F.�';�,'�,�f�?'•«2 . '{ � + icy 1a^ ..rte ;+�[ ^.{: �: j•..�� . , ,,,�-t.�. . - ��i�• �y'`✓;'rr!'41�,J"`•-+Lf.. _ i►� . =i1'`.r.. -y.,,A': • r 68-35-13 2494-89B J, r ..KLING,-rachel y 3936 Hildale Ave, Oroville - a. ContR: AMRE `Ya (viriyl siding)SF COUNTY OF BUTTE - DEfARkIENT OF PUBLIC WORKS, 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESS ARCEL NUMBERZONING 3 S 13 BUILDING PERMIT OWNER' Pel C4 C ..,r - TELEPHONE 5 311166 SQ.FT. OCC. BUILDING I r -1 r.{ l, VALUATION OWNER'S MAILING ADDR S �� r . o CO TR C OR,S NAME tl'/ W v TELEPHONE f,/ y -7 -L CO TRACT�O°R_ 'S MAILING ADDR I , I 00TKI i < 7 r �./. C ;a C1q/ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fj LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ S^_ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS L't Permit fee $ PLUMBING PERMIT Filing Fee 10.00 5G 1, j 1 f Each Trap 2.00 f o(!4 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 �-,// USE OF STRUCTURE SF(� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition1❑/ + Remodel ❑ UPities ❑ Instal lation9;-Other ❑ Describe work: - V `1 �� Irl C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROOV OR LESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare -under penalty of perjury (check one): © I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Codeandmy license is in full force and effect. License No. �1-7 C/ `,? Classification F1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N ,/x¢sgft OR ADDNS. ACC. BLDGS. NEW CONSTR MULTI -CUTLET 2.50 ea NON.RESID BRA CH CIRC ITS) POWER APPARATUS N SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES eALO 30 FIXED APLNS. Ex. Occup. OUTLETS P(RESID.)REA.Y 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑he permit is for $100.00 (valuation) or less. L1 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 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 Fi ling Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 Id ounty.in"consequence of the granting of this permit. X�� -' Date � / ` �--�/ Signatufesof Applicant — Owner ❑ Contractor ❑ Agent 9 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 $ /` TOTAL PERMIT FEE $ v OCCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW-A36ESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT i% COUNTY OF BUTTE - DEPRTMENT OF PUBLIC WORKS 7 County Center Drive - OrdvilIJ, 0, lifo nib 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ERMIT NO. ASS ES S9� RCEL NUMBER (� -- 3 S'_ /__ ZONING BUILDING PERMIT O WNE / - G�C4 Glet TELE PH ONE _ SO. FT. UCC. BUILDI VALUA N m OWNER'S MAILING ADDR 5 w AV CO TR R S NAME TELEPHONE CO RnA nTOO •S MAILING ADDR � qq /� C1%Rl Fireplace CONSTRUCTION LE E� NKNOWN Total Valuation $ Filing Fee $ 110,00 LENDER'S MAILING ADDRESS Permit Fee $v_-__._ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3 q-3 a Permlt tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 (� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 �,// USE OF STRUCTURE SFJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition [:1 Rem/gdel ❑ - U i lilies ❑ Installation Other ❑ Ail Describe work: V, �f ✓ �/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OOV OR 00 AMP ORLESS10.00 Main service 1 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 de la nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N , OR ADDNS. ( ACC. BLDGS. hQsgit NEW CONSTR U TI.OUT LET NON:RESID .BRA C CIRC TS 2.50 ea /POWER APPARATUS 6 (SINGLE OUTLET CIR. ) EX. OCcU OUTLETS OR FIXTURES 20050t p 5AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n -he 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: It 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 10.00 Heating Cooling 9 Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 id/ya,�_y consequence of the granting of this permit. %� Date --3 _ Signatu a of 'pplicant - Owner ❑ Contro r ❑ Agent An OSHA permit is required for excovat•o o '0" deep and demolition or construct- ion of structures over 3 stories i heig Mobile Home Installation Fee $ Energy Inspection Fee $ �l TOTAL PERMIT FEE $ v OCCUP. CONST.T!P SCN OOL FLOOD PARCEL PD [�SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI it ' R OF PUBLIC By �' P MIT EXPIRES ate the applicable provi- resolutions to do fees have been paid. WORKS not. Receipt No. 1� WNITL-D.P.W.. •LL LOW -A9 eESSo R, P -INSPECTOR. 'OLD ENROD-APPLICANT