Loading...
HomeMy WebLinkAbout072-200-0024 V c S � 4r 6 072-200-002 PERMITN95-2558 WITHERS, Robert 5677 Old Olive Hwy., Or0ile�ql� Cont; George Roofing Reroof/SFI B07-2652 072-200-002 MISCELLANEOUS Demolition DEMO OF EX SF(1246) 5677 OLD OLIVE HWY LEGG, RICHARD & SUZANNE B07-2657 072-200-002 RESIDENTIAL SFD-Custom/Model NSF(1875), GAR(600), COV(395)- EX S 5677 OLD OLIVE HWY LEGG, RICHARD & SUZANNE B08-0332 ScA>JufD. 1,.072-200-002 MISCELLANEOUS ' Remodel CONVERT LIVING TO STORAGE (40C 5677 OLD OLIVE H WY LEGG, RICHARD Mq- Cml 072.200.002 SG77 Oki D11vt Hwy, 01`00'11c' Its, Richard & Suzanne DF.mo of E X bF 02H(o) Csc onm4-J 7 2 2 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 5677 OLD OLIVE HWY Owner: Permit No: B07-2657 APN: 072-200-002 LEGG, RICHARD & SUZANNE Issued Date: 2/29/2008 By GLB Permit type: RESIDENTIAL 5766 OLD OLIVE HWY Subtype: SFD-Custom/Model OROVILLE, CA 95966 Expiration Date: 2/28/2009 Description: NSF(1875), GAR(600), COV(395)- EX (530) 589-4736 Occupancy: R-3 Zoning: FRIO Contractor Applicant: Square Footage: NORTON CONSTRUCTION LEGG, RICHARD & SUZANNI Building Garage RemdUAddn 2586 OAK KNOLL WAY 5766 OLD OLIVE HWY 1,875 600 OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 534-1840 (530) 589-4736 395 2,870 FEE INFORMATION DB R3 Dwelling -Custom, Model $1,184.14 DB R3 Dwelling -Custom, Model $1,776.20 DBEH Building Review Fee $75.70 DBFIRE Fire Inspection (SRA) $102.70 DBFIRE Fire Inspection (SRA) $102.70 DBFIRE SRA Fire Plan Review (S $102.70 DBOMSCF Fire Safe Standards Re $115.98 Total Charged: $3,474.38 Fees Paid: $3,474.38 DBSMIP Residential $14.26 1 Balance Due: $0.00 Receipt No: B6504 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License NORTON CONSTRUCTION 792109 / B / 3/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. 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 X 2/29/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section nee not be completed if the permit is or one hundred dollars ($100) oror esT- ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 2/29/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signat Date pro ' s X 2/29/2008 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 SignatureDate WARNING: FAILUR TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused 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 DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte Count enter the above mentioned property for inspection purposes. I hereby certify that I am the prop rty ner or am authorized to act on the operty owner's behalf. CONSTRUCTION LENDING AGENCY 2/29/2008 _ I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for i9ame Of Per ee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR. E]Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip 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. CONTRACTOR OWNER INFORMATION Last Namej e City C) RC-) v 1l1 Fi Na Mailing AddreLs—s _ G 7 O I w City OY aU 11� E- ail State CA Tzip ,59LL Phone � 5�9 _ 73L F -OX E-mail , e t a CONTRACTOR Name � W WE n l O ' `� Address O R i I City C) RC-) v 1l1 Stat Zip s Plf ,m 3iG-�b� ! Fax E- ail Lic. # 19 Class hwe APPLICANT INFORMATION ARCHITECT/ENGINEER Name Uira r e Address Zip City Fax State Zip Phone Fax E-mail Ste tuber APPLICANT INFORMATION Name .S0.rn� oS ow�neV' Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE 2, X orov. Elelnel W3 PROJECT LOCATION AP# D119, _ o0 — oo Property Address S L 7 7 01 d Ok 0 e h w City Ou WORKER'S COMPENSATION Policy Number Carrier 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: 61,'F- ��4 �0U C_ Sq FT- Living �5 arage G br7 Open Cov. ❑ Stru ture Buil Ithout Permits��� ❑ Prop ange of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Cost. Feat L') Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds "PERMIT APPLICATION DATA SHEET" Reference Number: B07-2657 Date: 12/26/2007 Location: 5677 OLD OLIVE HWY By: KCG Parcel Number: 072-200-002 Sub Type: SFD-Custom/Model Owner Name: LEGG, RICHARD & SUZANNE Phone: (530) 589-4736 Description: NSF(1875), GAR(600), COV(395)- EX SITE The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 0 ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 qrl E] Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 ❑ ❑ Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 E] ❑ Other: ❑ Other: "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. Signature of Property Owner: Date: 12/26/2007 FILE California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B07-2657 Date: 12/26/2007 Location: 5677 OLD OLIVE HWY By: KCG Parcel Number: 072-200-002 Sub Type: SFD-Custom/Model Owner Name: LEGG, RICHARD & SUZANNE Phone: (530) 589-4736 Description: NSF(1875), GAR(600), COV(395)- EX SITE To meet the requirements of Government Code section 51182 and. Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the' below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site All development within the Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 12/26/2007 Date Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/FireiDrevention/protplan/r)rotDIan.html Rev'd 5/7/07 FILE BUTTE COUNTY DEVELOPMENT FEE wTTF CERTIFICATION FORM • Feather River Recreation & Park District . cov Nay Assessor's Parcel.Number (s): 072-200-002 Property Owner (s): LEGG, RICHARD & SUZANNE Project Location/Address: 5677 OLD OLIVE HWY Project Description: NSF(1875), GAR(600), COV(395)- EX SII Building Permit Number: OROVILLE Type of Residential Development Permit Type: RESIDENTIAL Permit Subtype: SFD-Custom/Model Building Type: New Single Family Dwelling New/Additional Sq Ftg: 1,875 Certificate of Existing Square Footage Existing Sq Ftg: 1246 MH Replacement: No Existing Construction Type: Residential - Conventional Home Demo Permit Issued?: Yes Demo Permit Issued Date: 12/26/2007 Verified by Building Records: Verified by Assessment Records: Yes Comments: R4placement of single family dwelling. 02/27/2008 Building Departure Representative Date B07-2657 FRRPD fl ❑ CARD ❑ PRPD ❑ DRPD certifies that: L)zcrne A- )�dnayrck Caael C 301 516"ir 3C Applicant Name Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: I v .0 , Dwelling Units @ $ per unit for a total of $ Square Feet @ $ per sq foot for a total of $ Remarks: Paid by Check No: aid by Cash: Receipt No: Recreation and Park District Representative Date t- UTr� BUTTE COUNTY SCHOOL FEE CERTIFICATION FORM .�. -` (One form per Building) o e .. c0U Nty School. District: Oroville Elementary School District Building Permit Number: B07-2657 Assessor's Parcel Number (s): 072-200-002 Tax Rate Area No: 00iI (� 01'-,� Property Owner (s): LEGG, RICHARD & SUZANNE Project Location/Address: . 5677 OLD OLIVE HWY OROVILLE Project Description: NSF(1875), GAR(600), COV(395)- EX SITE Building Type:New Single Family Dwelling New/Additional Sq Ftg: 1,875 Building Department Repre entative District Indentification No. 79 UP (Street Address) Type of Development Permit Type: SFD-Custom/Model Deed Restricted Sq Ftg: 02/27/2008 Date District certifies that 6--.,,.R_ an-, (Payor) ity) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No: OS-c� (O ` �� by payment of representing square feet. AB 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # Remarks: (0 s 4 - z" 4.�:) Ci b-• 4X6 :)-- Notice: You may protest the imposition of the fees identified above by sumitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing. this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local.Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. DDS—School Fee Form rev'd 12.12.07 CERTIFICATE OF EXISTING SQUARE FOOTAGE FOrovilleementary School District Building Permit Number: B07-2657 ssessorsParcel Number (s): 072-200-002 Project Location/Address: 5677 OLD OLIVE HWY OROVILLE Existing Sq Ftg: 1246 MH Replacement: No Existing Construction Type: Residential - Conventional Home Demo Permit Issued?: Yes Demo Permit Issued Date: 12/26/2007 Verified by Building Records: Assessment Records: Yes Comments: Replacement of single family dwelling. 02/27/2008 uilding Department Rep sentative Date Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: O Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ "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. Reference Number: B07-2657 Date: 12/26/2007 Location: 5677 OLD OLIVE HWY Parcel Number: 072-200-002 Owner Name: LEGG, RICHARD & SUZANNE Phone: (530) 589-4736 Description:_ NSF(1875), GAR(600), COV(395)- EX SITE Signature of Applicant: "Tn Date: 12/26/2007 ILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-2657 Job Address: 5677 OLD OLIVE HWY Contractor: NORTON CONSTRUCTION Fee Description PO BOX 2191 OROVILLE, CA 95965 Printed: 12/26/2007 3:49 pm Account Number Fee Amount Paid Date - Pmt Amt DB R3 Dwelling -Custom, Model DBF DWLNG CSTM/MDL N Permit F( 0010-440001-4210500-1010 $1,776.20, DBF DWLNG CSTM/MDL N Plan Rvv 0010-440001-4210500-1010 $1,184.14 12/26/2007 $1,184.14 DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 12/26/2007 $75.70 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $102.70 0100-450001-4617240-1010 $102.70 12/26/2007 $102.70 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $115.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 12/26/2007 $102.70 DBSMIP Residential 1001-0-280-1011298 $14.26 Printed By: Kourtni Graham 39474.38 $19465.24 Balance Due: $2,009.14 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. ThespIees may change during the plan checking process. Signature: Date: 12/26/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). RESIDENTIAL BUILDING RECORD ADDRESS —7 --r PARCEL SHEET a OF SHEETS _ DESCRIPTION OF BUILDING LASS & SHAPE CONSTRUCTION STRUCTURAL EXTERIOR ROOF TYPE WIRING HEATING ROOM AND FINISH DETAIL j0 S .b Standard Standard Frame F L R tlGable Stucco Flar Hip Y,Coble K& T pnl.. ore _ ROOMS FLOORS FLOOR FINISH TRIM INTERIOR FINISH B 1 1 Material Gr. Walls Ceilin s Shed Conduit Wall Grov. STORIES Above•Slond. SheathingDormers 220 Floor Perim T Pico] 1 ding Poor ec. Bs.Bd Elect. DESIGN USE FOUNDATION Block Rafters Ent.Hcll in q le 1,toncrele LIGHT FIXTURES, I H. Pump Living Convene. Brick Brick ROOF PITCH Fe I lEcon. I Dining f L/ 0 ✓T/t% �j/6' Modern Brick Wood Low cd. JM.ny I JSpec. COOLING,, Family Piers Floor Joist e n 1. Aefr. Bed Multiple WINDOWS ROOF COVER PLUMBINGWall Eva Bed Reinforced Sub Floor Metol Wood in le Water Heater Roof Motel Slidin V.H. Shake _ Hillside Conc. Floor Casement Tile Sink FIREPLACE Utility INSULATION Few I JEcon. Com o. Kitchen L/ Units�kjLighi I 111,ecalCeilin Wall Man ec. Loundr Drain Bd. Material: 1611' L th Ft lash: COHSTRUCTION RECORD Permit Amount No. For NORMAL % GOOD EFF. APPR. Remain- Dote YEAR YEAR Age inf Table Lie RATING (F.A.G.) Condition Work. Storage Space % monowl Int. Ent. ship Cupbd. Closet BATH DETAIL SH FIXTURES SHOWER F1. NnFIN W W L �U n T Sj3 lLj3� • SPECIAL FEATURES V'Ovep 15G/vJiFan Intercom ✓ Ran a Disposal P 11 AW Hood r Dishwasher COMPUTATION Appifoiser and Dale tri) 0 I 1 I qln /A 3LaS 7/7-/-'?- -W,33 tl-rB-O.z 33 1 -.db -ore 3-5 S'/4 pS 33 3:d„ Urr Unit Cost Cost Unit Cost Cost Unit Cost Unit Unit Cosi Cost Cost Cost Unit Cost Cost CO Cost Cost Coll Cost ZES 24(0 ,�0 3 i�,f 7 = W/ 2515- V - 30M � o 0 0 55 619-500 d L. toy d r -7S As ks o ( TOTAL 3 00 r� ,� 7 %oo;� C.r �� r rcr,J NORMAL 'c GOOD R C L N D. `-A-( /("s Oootf'3Oac7 �e .D00 618soc7 SAE DAS AH530A 1971 ADDRESS MISCELLANEOUS BUILDING RECORD DESCRIPTION OF BUILDINGS ���-;`Ca _SHEET B/dg.Roof No Structure Size Found. Wall A' Exterior Type Cover FloorInterior ®epee/ Sw a:vrad Story or Luft Ye®r�Est TotTot. Buil? Lite Yrs CnPInj#I Ic)CZo UGK 6�0C / � ... CIAlYL.G p'er-me GI/dl1T — — � r' Cost lc'42. R.C.N. N. D. Unit Cost Cost _ % Good R.C.N L. N. D. . Unit Cost Cost — 3 ZO X ? v Con r�}[; �S ► Dr,�l ,� ��1 /SLE i �ler� Coy/c ul i,/F _ 5-111- 11- rWool �. 22-A18 22- A 1 (5 6000, TGP11617- D 2 UNr ` 4 o y B /12x1 /.,Yl\ 37i M5 /?o Y 6�k �f"dA-13u= /4Vr4 -/— l�i� .;` [>�✓�" 3o4 -0 -1S6, 0 z 5 1140 _. . �- �` ' _.. -°_. sr L -7 00 _ 1 00 3 600 q.00 *oo go 43? -6 AV`a 0 E/ / _ 1 �=_ COM PUTATION Appraiser -Date 78UP�7t✓ /l /19�. _ s --------- /l�"Ltr�� B/d No Area Unit Co t Cost % Good R.C.N. N. D. Unit Cost Cost _ % Good R.C.N L. N. D. . Unit Cost Cost °� Good R.C.N. L. N. la� Un 1P Cost r�laaf % Good .C. N. L. N. D. / 00 15, 00 _ 4-500 Z5 1 Iz .)id ar— r �.� Z 3o4 15.00 -1S6, 0 z 5 1140 _. . �- �` ' _.. -°_. sr L -7 00 _ 1 00 3 600 q.00 *oo go 43? -6 AV`a 0 E/ / _ 1 �=_ �zbv 40.._ Z 3 o 356 ,00 'Z3 � 3d 710 IY�a i97�.. yam. -._ cG_ A7sZ �Q-- r��:rr� rszly 5 Z5_'L2-o-,4.00 460 -o (�/4 T � '/! �-,4' '- oma. cJ - I�E�{: y .�� 3c� 153(0 4100 [". l 920s�'-'- 1v , 9 0 7- 0455 0455 l - 1 Total 0500 �1` _11_ U �. -.._ .,� �. /100:31 Approiser-Date 35 /o J-92mS /�33Z 19 B/dg. o. Area Un,f Cost % o . C. N. Un t Gq_s Cost '/° G_ . C. Unit C Cost, % R. C. N. N_ Unit Cost Cosf ,� % Good R. C. N. I-.300 a 35,04 ID a4 0 n,. .3000 ,S �S(�O __ ./}� v-SaD 0� _3 y-YDO7 ,� S00 ,z _ -7a oo QQ_: �oo� IF 5 (� , ,? _ y ��y ► Da�� moo 500 g _ S_ _az3��f-- �� ��:au/� —7, �so� '7So�a �.� U �� t b CU IC iT --- Toto!- ----- i DODO _ ----- 3/00 ----- J sore A 11 Z, LN O_'eR i 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 DBMSC Demolition FEE INFORMATION $58.00 `x .LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires NORTON CONSTRUCTION 792109 / B / 03/31/2007 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 force and effect. X 12/26/2007 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 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. Policy Number: Exp. Date: _ (This section need not be completed if the permit is or one hundred dollars ($100) or ZI 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 D 12/26/2007 WARNING: FAILUIZE 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 Balance Due: $0.00 Receipt No: B5793 OWNER / BUILDER DECLARATION t 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: FM I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE LOCLCOMPENSATION, 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.). E I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). RI AM EXEMPT under Section B. & P.C. for this reason: Owners 12/26/2007 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 Co ty to enter the above mentioned property for inspection purposes. I hereby certify that I am the oP owner or am authorized o act an the roperty owners behalf. eq �o.� 'a ,I I k 7_Q V% In •e 1- . 116/2007 9Owner 1:1Contractor OR: 1:1Agent for Owner Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 5677 OLD OLIVE HWY Owner: Permit No: B07-2652 APN: 072-200-002 LEGG, RICHARD & SUZANNE Permit type: MISCELLANEOUS 5766 OLD OLIVE HWY Issued Date: 12/26/2007 By KCG Subtype: Demolition OROVILLE, CA 95966 Expiration Date: 12/25/2008 Description: DEMO OF EX SF(1246) (530) 589-4736 Occupancy: Zoning: FR10 Contractor Applicant: Square Footage: NORTON CONSTRUCTION LEGG, RICHARD & SUZANN] Building Garage RemdUAddn 2586 OAK KNOLL WAY 5766 OLD OLIVE HWY OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 534-1840 (530) 589-4736 DBMSC Demolition FEE INFORMATION $58.00 `x .LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires NORTON CONSTRUCTION 792109 / B / 03/31/2007 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 force and effect. X 12/26/2007 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 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. Policy Number: Exp. Date: _ (This section need not be completed if the permit is or one hundred dollars ($100) or ZI 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 D 12/26/2007 WARNING: FAILUIZE 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 Balance Due: $0.00 Receipt No: B5793 OWNER / BUILDER DECLARATION t 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: FM I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE LOCLCOMPENSATION, 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.). E I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). RI AM EXEMPT under Section B. & P.C. for this reason: Owners 12/26/2007 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 Co ty to enter the above mentioned property for inspection purposes. I hereby certify that I am the oP owner or am authorized o act an the roperty owners behalf. eq �o.� 'a ,I I k 7_Q V% In •e 1- . 116/2007 9Owner 1:1Contractor OR: 1:1Agent for Owner Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds -: PROJECT INFORMATION Site Address: 5677 OLD OLIVE HWY Owner: Permit NO: B07-2652 APN: 072-200-002 LEGG, RICHARD & SUZANNE Issued Date: 12/26/2007 By KCG Permit type: MISCELLANEOUS 5766 OLD OLIVE HWY Subtype: Demolition OROVILLE, CA 95966 Expiration Date: 12/25/2008 Description: DEMO OF EX SF(1246) (530) 589-4736 Occupancy: Zoning: FR10 Contractor Applicant: Square Footage: NORTON CONSTRUCTION LEGG, RICHARD & SUZANN] Building Garage RemdUAddn 2586 OAK KNOLL WAY 5766 OLD OLIVE HWY OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 534-1840. (530) 589-4736 x FEE INFORMATION DBMSC Demolition $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B5793 1' LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License NORTON CONSTRUCTION 792109 / B / 03/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. 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 X 12/26/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE WORKERS' COMPENSATION DECLARATION STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE the work himself or herself or through his or her own employees, provided that such improvements AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section nee not a competed if the permit is or one hundred dollars ($100) or less. ❑IAM EXEMPT under Section B. & P.C. for this reason: ❑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' X 12/26/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 12/26/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte FEES. 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's behalf. 12/26/2007 m'. CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR E]Agent for Owner ❑Agent for Contractor ASSESSOR COPY Lenders Address City State Zip BUTTE COUNTY o�vTTF0 DEPARTMENT OF DEVELOPMENT SERVICES C ° BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 a==� =:a�_� o A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds CSU N'�y PLEASE PRINT CLEARLY PERMIT NO. E7 2C 521 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. . v -Z % __J OWNER INFORMATION Last Name [_ 6 0 Pot N me Su.Z Zip City ct. Mailing Address Zi Phone City E-ma)il- Zip StateCA U �'1 l O C? Class PhoneB_ 7 F S _ SE3O E-mail 9 1Q_ `\ e , C o Y+. . v -Z % __J APPLICANT INFORMATION CONTRACTOR Name 6 0 Addre s Zip City Fax Stat /1T Zi Phone Fax E-ma)il- Lic. # �'1 l O C? Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name e Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X ,O..vh•_ e _;f-0101 Zk h VI 4 PROJECT LOCATION AP# © o -- ooa Property Address (0 d !v c w 1 City D C -A 959 el 10 WORKER'S COMPENSATION Policy Number C7 �. Carrier 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: Zoning Flood Zone I SRA 12 21 I No Sq FT- Living Garage Open Cov , ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. I DEMOLITION PERMIT ASBESTOS NOTIFICATION STATEMENT Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this term. "19827.5 A demolition permit shall not be issued by any city, county, city and county, or state or local agency which is authorized to issue demolition permits as to any building or other structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to fart 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the Witten notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in wriling, or it may incorporate the applicant s response on the demolition permit application. Compliance with this section shall not he deemed to supersede any requirement of federal law."' Attached is a copy of the Asbestos NESHAP Notification of Demolition and Renovation form for the project located at (Address) (City) Assessor's Parcel Number. Date Signature of Applicant OR (Zip Code) I hereby declare that a written asbestos notification to the United States Environmental Agency is not applicable to this demolition project located at _51- 77 ©) O iy e i wY © r o v; e. i^',A 9,5 q (Address) (City) (Zip Code) Date Signature of Applicant ,aY V4 t J1. 72-200-002 PERMIT#95-2558 WITHERS, Robert' 5677,Old'Olive Hwy.'-Oroville' ' George Robfin Reroof/SF. COUNTY •OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive - Oroville, CalifornAa 9595 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSO�,R EL NUM BF �:l - �OU - ( o.;ii- ZONING Bl. I PERMIT OWNERER' Q O Q I tJ ; / P TELEPHONE SO' FT' OCC. BUILDING VALUATION OWNMARJNOAODRE t �iGfa 1101" j CONTRACTOR'S NAME 1 at TELEPHONE CONTRALTO S MAILING ADDRESS /` / T %_5 LJ y ceti C/O %%1c Kv if r (Y/�/v.r�/� c c� %j 1(�G�f Fireplace CONSTRUCTION LENDER 1 UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS rF ��� Gly/ i V e-/ � w � tS�J'OU� �� P (l• � �S"%G�i PERMIT FEE $ V++ PLUMBING PERMIT Filing Fee 20.00 Each Trap p. 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 4 USE OF STRUCTURE SFX Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G 1 W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 7r'ur O PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 10V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCP. OR ADDNS. ( 8 ACC. BLDS.CU) SD 3.50 FT., CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions.Ggcje and my license is in full force and effect License No. S :W-7 G tt Classification (I - r e] O I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.00000 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE _ / 1 declare under penalty of perjury (check one): :5Ti,1;r �� �' ze ❑ This permit is for $100.00 (valuation) or les§. .2 fS $ — $'UC ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ Ishall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling 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 Butte County Ordinances and California 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 alsoaagree to save, indemnify and keep harmless the County of Butte against all liabilities4,judgments, costs, and expenses which may in any way accrue against said Counnttyir 'onsequence of%the granting off;this permit. X / i4 � 't�•t�G�c/! Date 1451wlhi Signature of Applicant,'❑ Owner ❑ Contractor ,❑*Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ O HAZ O. FEES I IMP I FLOOD I cOF PARCEL Po HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated sibove for which fees have been paid. % J ByADate/ �j4ik'� P / PERMIT EXPIRES ON P (DetE`l Receipt No. 85(-161 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive - Oroville, Plitof-Aia 95965 - Telephone (916) 538-7541 l PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER nri— 0 — D(7�- ZONING BUILDIZ PERMIT OW R 0 b,ec^+ I _erS TELEPHONE 533,6633 8Q, �. OCC. BUILDING VALUATION OWNER'S MAILINQ ADDRESP ( 11_/ DG �rG` 'ei / l 4 / PO r I ( 1 /- /IY / F Yr ' �O CoLne O ♦ D - CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S NVAILING ADDRESS ��oo do C// /[/U�rI�C`4 • �s�GSP Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ .2$;p0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS �� PERMIT FEE $ PLUMBING PERMIT �/ !rl °� Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex EIMobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition ❑ Remodel O Utilities O Installation O Other 1:1 Describe Work: 7--eae – o� PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( S ACC. BLOS. ) , 3.50 gFTO. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) '5k1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and m license is in full force and effect. 2 17 /7 __317 License No. 5�.1 Classification l J I O I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .SO Ex. Occup. FIXED APPwS. Ofl p' (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE –) I declare under penalty of perjury (check one): rY/A-C FU ❑ This permit is for $100.00 (valuation) or less. 2 81 �'— :51C, O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling 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 Butte County Ordinances and California 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. also agree to save, indemnify and keep harmless the County of Butte against allliabilities, 'udgments, costs, and expenses which may in any way accrue against saidHAZ. uny Cot ' nse nce of the gran ng of his permit. // X Date /Ic7AAJ Signature of Applica Owner O QdWactor gent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ N CONST. TYPETOTAL FEE $1 D. FEESIMP FLOOD COF PARCEL PD HO ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicateLbDve for which fees have been PERMIT EXPIRES ON m&hG, IDeT provisions to do work paid. Date Receipt No. nLJ WHITE-D.D.S.-B.D. ANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • 1 i a I - I w { 't G i .i f p• 0 N,, -N � � D � I . -•-- -.-T .. .. _-__ - - - y' - - -.._ ...--____..—..`. _ _ .`�moi, q. r'�. � :i-�''t�'� - s�:: K: s $ t-'swrtA4 k�iT•' t ' �' ��t' o C m • � •r r h.0 r{-•:, ���irit a ' t _ r d '., �.� •, 1 � o r � O Ln N j ' "1 - ' - +5.' _ r Ll.. � �-far.. _- - _ • t. s 5677 cn)c.,, c�c-/vim. !•rwY CA 45966 Dy �'- �' u3 A PN o?2 - J -)o v'v .•:x rr• i � IS41. ., � 7°0q.p'a "` m o Jf In o H a N• •z • ry +'1t • 1 i a I - I w { 't G i .i f p• 0 N,, -N � � D � I . -•-- -.-T .. .. _-__ - - - y' - - -.._ ...--____..—..`. _ _ .`�moi, q. r'�. � :i-�''t�'� - s�:: K: s $ t-'swrtA4 k�iT•' t ' �' ��t' o C m • � •r r h.0 r{-•:, ���irit a ' t _ r d '., �.� •, 1 � o r � O Ln N j ' "1 - ' - +5.' _ r Ll.. � �-far.. _- - _ • t. s 5677 cn)c.,, c�c-/vim. !•rwY CA 45966 Dy �'- �' u3 A PN o?2 - J -)o � I � o • 1 i a I - I w { 't G i .i f p• 0 N,, -N � � D � I . -•-- -.-T .. .. _-__ - - - y' - - -.._ ...--____..—..`. _ _ .`�moi, q. r'�. � :i-�''t�'� - s�:: K: s $ t-'swrtA4 k�iT•' t ' �' ��t' o C m • � •r r h.0 r{-•:, ���irit a ' t _ r d '., �.� •, 1 � o r � O Ln N j ' "1 - ' - +5.' _ r Ll.. � �-far.. _- - _ • t. s 5677 cn)c.,, c�c-/vim. !•rwY CA 45966 Dy �'- �' u3 A PN o?2 - J -)o