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HomeMy WebLinkAbout069-300-0372 49-30- Oro Ridge Properties 6237 Jack Hill Dr., lot 400, 1KR#4C,Oro, contr: Better Blars. Const., Oroville Permit #6150- i3B,PE,M(raa single family) 31a � NEW OWNER (�9.3or 37 CRAI OX 6237 Jack Hill Driv,.7/ ' /f� Contr: Jack Frost ' Oroville Permit��957-81P(lawLandscaping, Chico n sprinkler sys)SF 69-30-37 Contr: Better "Builders lle PermitO 062=82B(install wood, 069-3007037 04-0974 SIMCOX, JUDY FALCO CT, OROVILLE is N CONST O REROOF W/EAR OFF 0 37' 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.netWds PERMIT NO. BP040974 LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/08/2004 APN: 069-300-037-000 the Business and Professions Code, and my license is in full force and effect. %� License CIaS . kEg Zr License Number: � Site dress: a Q d Date: �`` �"`Di Contractor: Cs Map IndeX: Description: REROOF W/TEAR OFF 20 s Descri p q) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: SIMCOX, JUDY 6237 JACK HILL DR �Q he is licensed the signed statement that or she pursuant to provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SIMCOX, JUDY pP Code: The Contractors' State License Law'does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of propertX&ho builds or improves thereon, Contractor: PIERSON CONSTRUCTION and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 2455 MAPLE AVE.. ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-533-8910 Date: Owner: License #: 685929 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 Architect: �r is issued. I have and will maintain workers' compensation insurance, as ArEnineer: 9 required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation ^V/ insurance carrier and policy number are: Carrier. Si%M /IC;�w n Total Square Ft: 0 S. F. U\ Policy #:2 2 9 —! x'65 y Valuation: $0.00 Census Code: ❑ 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' R\ compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: TV- Applicant:411-11 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of I Q compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 115 4 29 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permil is here y issued under the applicable provisions of the Butte County Code and/or Resoluti d ork indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: PERMIT EXPIRESON: Address: Date O I 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. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form o ument of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: �'ff���L's i% ��5� Signatur Date: 44 ❑ Owner /contractor ❑ Agent for Owner ❑ Agent for Contractor 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 PERMIT NO. BP040974 LICENSED CONTRACTORS 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 Issued Date: 04/08/2004 APN: 069-300-037-000 the Business and Professions Code, and my license is in full force and effect.%j License ClarSS: j6 f✓ 2-7 License Number: �f�3y<� Site Address: Date: •g`4 % Contractor. Cs� Map Index: tion: REROOF W/TEAR OFF Descrl p (20 s q) OWNER-BUILDERDECLARATION I hereby affirm under penaltyenaltyoffperjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SIMCOX, JUDY to its issuance, also -requires the applicant for such permit to file a 6237 JACKIL 6237 JACK HILL DR signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SIMCOX, JUDY Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: PIERSON CONSTRUCTION and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 2455 MAPLE AVE. ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-533-8910 Date: Owner: License #: 685929 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 Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Cartier: Total Square Ft: 0 S. F. Pony #: 2- 2 p - ! R;0 -t Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: 4/1-1-7 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of Q compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY -I hereby affirm that there is a construction lending agency for the. This permil is here y issued under the applicable provisions of the Butte County Code and/or ResoIut d ork indicated above for which fees have been paid. . performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY: Date: PERMIT EXPIRES ON: Date Address: ❑ 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. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form o ument of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: /'�1W! �S // / ��eso y Signatur Date: 41 —at—QX ❑ Owner /contractor ❑ Agent for Owner 13 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 DATE: APN: V LQ1 . -15G6,6- '31 ZONING: OWNS SLS NAME: OWNER'S FIRST NAME: PHONE CITY, ZIP: E-MAIL: SITE ADDRESS: CITY, ZIP: PERMIT NO. BP Oq v 9-7 NEAREST CROSS STREET: TRACTILOT P APPLICANT NAME - .,Zl PHONE 5 3 -lv STREET ADDRESS: FAX ZIP. E-MAILCITY, CONTRACTOR NAME: �� PHONE STREETADDRESS: f f� l li FAX CITY. ZIP: E-MAIL: LICENSE NUMBS • � 2 LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR.SCOPE OF WORK: en Y ❑ Structure Built without permit ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees 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. For office use only: Notes: Application Received by: Date: / Receipt number: �S 3 . Amount eceived: �l6 .. .,_._ r ._.... � , ,. r.r... .._—_•• _ `-P„as v•1---�• -�w--�r--�-� •�na.y-v�rv+�YA�.pr..s^.�....511-,r.—.wc.,.4'„�F"�r�r�•«.w..,.....�ft►"y ' Permit#3062-82B K Craig Simcox -,, A. P, 69-30-37 • U-7 ot-0 PA-L- Alk SPACAt, �c A c-7uA 4 ►s° 33 a i { i i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION A?JD PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 0" ZONING BUILDING PERMIT OWNER C e-, k- , l`-, J /A 'CC, �� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACT?R'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS r vI/ C_ Fireplace CONSTRUCTION LENDERUNKNOWN /��� L✓ Total Valuation Is /p.o-a- o -v Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 4- LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS v0C4 fl /1- L W_ /i/ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 G&Z d C L Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Q.. p ex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other P- Describe work: �Nsrf�< < LUOn/.) V Permit Fee $ -Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.5J) OR ADDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): Q 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 NEW CONSTR 1.ou L T 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. IPOWER APPARATUS 61 NON-RESID. `SINGLE OUTLET CIR. SO a 251 Ex. Occup OUTLETS OR FIXTURES BAL�1 Ex. QCCUp.(OUFIXEI T ETS P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. —60 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. ,� 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. Heating Cooling Hood 3.00 Ventilation permit Fee S 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. `` 1 X = •- Date / ' . Signature of Applicant — 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. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 1S !L") OCCUP. GROUP I TYPE OF CONST, PARCEL PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which " ��`:RECIOR OF PUBLIC V /�/� By �� "a PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date to 1 I/ b L- it /� Receipt No. �7 t;AV WHITE-D.P.W., YELLOW-ASGESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, Califorr)t 95965 - Telephone 916/534-4541 APPLICATI' WAND PERMIT A SSESSO Rg AIC E NUMBER - jo -j ZONING BUILDING PERMIT OWI/ S '�x Il. TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CORA; Wm 6a/Cbff- S dvVs 7, CONTRACTOR'S MAILING AgRESS /Y& R�ViIIWAe,77�1 & Fireplace CONSTRUCTION LENDER UNKNOWN , Total Valuation $ Filing Fee _ $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /.5--o-0 ARCHITECT OR ENGINEER//LICENSE No. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER• MAILING ADDRESS Permit fee $ BUILDING ADDRESS VgC4 Z) VE PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other 1 SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal latio Other Describe work: �O[J7� �Cj VVV Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.pi\ OR ADDNS. 1 ACC. BLDGS. 2¢ sq ft - CONTRACTORS LICENSE LAW lar I decunder 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 Classification ��OA�fl I1/ ❑ 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 CONSTR. OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &I NON-RESID. SINGLE OUTLET CIR. / EX. OCCUp OUTLETS OR FIXTURES BAL@1 IXED APPLNS. OR EX. QCCUp.�OUT LETS (RESID) EA: 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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 �f Consent to Self -Insure. u 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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 Coun in consequence of the granting of this permit. X �/ Date %4'/3�'8� Signature Applican — Owner ❑ Contractor L� Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -R ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $-Ud OCCUP. GROUP TYPE OF CONST. ' I PARCEL PD I ND I ISSUE This per 't is hereby issued under sions a But a Co my Code and/or work iWatbov rorwhich, OF PUBLIC By -Date PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville4alifornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER .. - 4 - 9 _ ZONING -'j-_ , BUILDING PERMIT O NER Y,I Q f TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S �ILIN� ADDR ESS ,I�,'f, r7 VV 1 1.CONT AC OR'S NAME, _k' F s c�fo r�D TELEPHONE CONTRAC rOR'WILING ADDRESS 3s ,o f Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER �'M Q LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS +/{'..-� ^ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 ro Water piping LOT NO. SUBDIVISION NAME ,./ .' ( /_:, „ 4. f PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE �--' SFL'� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other Describe work: In C 47k i h}C Pil S U 0 Q," f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 NEW CONST. ( DWELLING OCCUP.01) 22 sq ft OR ADDNS. ACC. BLDGS. I 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. �� � 7- Classification License No, _ �+ �� ❑ 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 NON-RESID R BRANCH CIRCTITS 2.50 ea NEW CONSTR.POWER APPARATUS D NON-RESID. (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BALai (FIXED APPLNS, OR Ex. Occup. OUTLETS- (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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 subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 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_Iiabilities, judgments, costs, and(expenses which may in any way accrue against said County in con equence.o..`Mhe granting of this permit. X r�'t (/✓ �- 3—Z.3--�' Date Signe of Applicant — Owner Contractor Agent ❑ �An OSHA permit is required for excavations over 5'0" deep and demolition Or construct- stories in height. ion of structures over 3st� Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE 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. DIRECTO 'OF PUBLIC WORKS r ^' BY Date a',r�•1 PERMIT EXPIRES Date�- 3� Receipt No��/ �l WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 41 - ��j APPLICATION AND PERMIT ASSESSOR PAROEL NUMBER 13 4- D- ZONING T- BUILDING PERMIT o N r 1 TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OW ER'S MAILI AD RESS 11 �l CONT CTO 'S NA J IS �� n TELEPHONE 89s - C TRAC=OR'S LIN ADDRESS 33c1r Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 4N LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. Q U SUBDIVISION NAMEPARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex ❑" Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 T_ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other Describe work: aZtit71n SIDa-I In C�i►� S� S�ei�-� Permit Fee $ Qrj Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DooV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.al OR ADONS. ACC. BLDGS. 20 sq ft 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. -37 ?i S� Classification C`2% ❑ 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 N.i.RESID R BRA CH GIRCTITS 2.50 ea NEW CONSTR. ( POWER APPARATUS e� NON.RESID. SINGLE OUTLET CIR. S OR FI. Ex. Occup OUTLETS OR FIXTURES BAL@1 ITLE OR Ex. QCCUp.�OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor 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. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee S 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 al iabilities, judgments, costs, and expenses which may in any way accrue ai st said ounty inequence a granting of this permit. 3��/ Date Sig a re of Applicant — Owner '�' Contractor & Agent ❑ n 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 $ TOTAL PERMIT FEE $ occuP. GROUP I TYPE OF CONST. PARCEL PD ND ssuE .his This permit is hereby issued under the applicable provi- of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D CTO OF PUBLIC WORKS / rye — rl PERMIT EXPIRES ate _ :5 —.;1,3 J �V Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t�r .. w... .rel,°.,r-=.'1-•=-,cs•s--'.�.... „ 6150-78B,P,E,M ' "?ER_MIT NO. 3PERMIT EXPIRES 1 IOWNER Oro Ridge Properties ,bONTR. Better Bldrs .Const . , Orov il]e LOCATION (A.P. 34-90-37 1 6237 Jack Hill Dr., lot 400, KRAC', Oroville L I R i f� Temp. Power Pole Called PG&E f2' Temp. Elec: Serv. i Caped PG&E t' Tern, Gas Serv. alled PG&E B INALED (Date) 40jyz��. u r' �. (Signature) t i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION`RECORD Water Piping.. Sewer Gas Piping MOBILEHOME INSTALLATION Support Elec. Continuity Water Piping f Drainage Gas Piping DATE �` — % REMARKS OR CORRECTIONS Ivo ?1-r4NS ok D65 QA2® 1-&t- PLad. I j�—a,7 ,1 V 44F1 -,`MP ` 7, A PLC/ � 1 �aP 4aooGv � f�G i7 � lCi 2 d S� tfPS?7 ll" PG 42>G_ b�e���� TL0 (NOTE: An entry must be made on this form each time you vislt the job site.) RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Y60 Daoui//E e, (location) BUILDING PERMIT NO. 4yf6 -7R A.P. NO. �y-9D •37 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. �n Fdn. Walls Floors Walls Ceiling/Roof Ducts Circulating Pipes ,moo APPROVED HEATER rll� APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS, WEATHERSTRIPPED DRS. ✓ BACK DA11PERED FANS l� INTERMITTENT IGNITION DEVICES /vo CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE SUBMITTED. Insulation Applicator Name Cn Signature of ( lea r t Insulation Applicator Sta a Contractors License No. s63a�R General Contractor/Owner Name 14p RR Signature of (please print) General Contractor/Owner Date 3 ;j 3 ',79 State Contractors License No. 3�23a?R6, THIS -CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION w rrH Ta THF nWFT.T. Tar: _ e COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone:"534-4541 APPLICATION AND PERMIT ��/ _;f? . nq / authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X •' J 4 Date lel -A& V ature/o ermitteee'orr Agent Receipt No. �4 n ep_ ' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR,QF PUBLIC WORKS ByDate)/— 16 B ding permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION t .0O Mailing Address 06 J 3 03r -n 0 e e hone No. C,(5 - �j j1;0� D O -390 780. o Contractor Mailing Address Fireplace 04 5100t 0 Total Valuation 0 / - Tel hon N j Permit Fee 00 Buil 'ng Address 4 3 Plan Checking Fee&/or Penalty Permit Fee $ 7.00 s 7aCTR PLUMBING No. @ FEE PERMIT FILING FEE $3.00 -00 Each Trap 1.50 00 © C_ Repair drainage or vent piping 1.50 A. P. No. `� (�>c T3 7 l �/ • G„S on g & Planning Water piping 1.50 /11-0 Each gas water heater or vent / 1.50—fj F Asl W.C. �n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 0 EOA Parking Parcel Plans Declaration 60' R/W Improv ents Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parce p royal plans pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ x5'.5,0$ ELECTRICAL No. @ FEE w PERMIT FILING FEE $3.00 1.00 i Main service 600V OR LESS 100 AMP OR LESS 5.00 Sin le Family Du lex Mobil Home 9 y IvJ P ❑ ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPP OR LESS O 25.00 Main service EA. ADD'L 100 AMP 1.00 ` OR ADONS. ACCLBLOGS. JU �1 20sgft 14 ' CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �F/11r12 �Jurl�ERs C.oaS/ .OUTL) NEW CONSTR MULTIT NON-RESID ( BRANCH CIRCUITS 2.50ea NEWCONSTR. /POWER APPARATUS a NON -RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES g L 1W Ex. OCCUp ( FIXED APPLNS. OR • OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. _3o?3ai:I�Classification EQ Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 32 C WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this El permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 Heating r QQ .0 Cooling Ventilation Hood 2.00 R.00 Permit Fee $ .00 $ 00 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ -,�'5-.00 TOTAL TOTAL PERMIT FEE $` y� authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X •' J 4 Date lel -A& V ature/o ermitteee'orr Agent Receipt No. �4 n ep_ ' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR,QF PUBLIC WORKS ByDate)/— 16 B ding permit expires Date