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HomeMy WebLinkAbout072-340-016k .� 7c2--.3 WILLIAM CALLAHAN e/s Black Bart Rd. —�� mi no Fire Camp Rd: Hurelton .. Permit 1299773B,P,E;M (new single family_) A.P. 37-89-27 WILLIAM CALLAHAN- , E/S Black.8art Rd:, 4 -mi. N. of Fire Camp Rd., Hurlet( Permit 14"41-74B�� � (�W 1299-73). [EIS -72-34-16 ul Jones � Black Bar Rdapp 4 mi. N: of Fire mp--Rd-;.37( ;�rou-11e..._._ . ...._ .. Permit #1746-iM(remod/rep.lace 4 windoo repair int & ext siding)SF contr:. Quality Const, Oroville B06-2293 072-340-616 MISCELLANEOUS Private Garage/Shop! DETACHED GARAGE (672) 536 BLACK BART RD --- WILLIAMS; WILLIAM M & THERESA ,:I t� r r � i 4 k .� 7c2--.3 WILLIAM CALLAHAN e/s Black Bart Rd. —�� mi no Fire Camp Rd: Hurelton .. Permit 1299773B,P,E;M (new single family_) A.P. 37-89-27 WILLIAM CALLAHAN- , E/S Black.8art Rd:, 4 -mi. N. of Fire Camp Rd., Hurlet( Permit 14"41-74B�� � (�W 1299-73). [EIS -72-34-16 ul Jones � Black Bar Rdapp 4 mi. N: of Fire mp--Rd-;.37( ;�rou-11e..._._ . ...._ .. Permit #1746-iM(remod/rep.lace 4 windoo repair int & ext siding)SF contr:. Quality Const, Oroville B06-2293 072-340-616 MISCELLANEOUS Private Garage/Shop! DETACHED GARAGE (672) 536 BLACK BART RD --- WILLIAMS; WILLIAM M & THERESA ,:I -- raft cw M�M= I BUTTE COUNTY _ . DEPARTMENT OF DEVELOPMENT SERVICES f 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: 536 BLACK BART RD Owner: Permit NO: B06-2293 APN: 072-340-016 WILLIAMS, WILLIAM M & THI Issued Date: 11/09/2006 By KCG Permit type: MISCELLANEOUS 536 BLACK BART RD Subtype: Private Garage/Shop OROVILLE, CA 95966 Expiration Date: 11/09/2007 Description: DETACHED GARAGE (672) (530) 589-3053 Occupancy: Zoning: MR Contractor Applicant: Square Footage: WILLIAMS, WILLIAM M & T Building Garage Remdl/Addn 536 BLACK BART RD 672 OROVILLE, CA 95966 Other Porch/Patio Total (530) 589-3053 672 FEE INFORMATION Fire Ping Appl Fee (SRA) -Bldg $109.98 Fire Ping Appl Fee (SRA) -Fire- $95.00 Garage - Wood Frame $329.94 Garage - Wood Frame Plan Check $219.96 SMIP - Residential $1.61 Total Charged: $756.49 Fees Paid: $756.49 Balance Due: $0.00 Receipt No: B819 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 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 1 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 Contractors 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 X 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 11/09/2006 [$500); Please check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE ® COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL MAINTAIN the work himself or herself or through his or her own employees, provided that such improvements ❑I 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 E] ❑ 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. My Workers' Compensation insurance carrier and policy number are; The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not a completed if the permits or one hundred dollars ($100) or less.) ❑ I AM 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 Califomia, and agree that if I should become subject to the workers' X11/09/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. r 11/09/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE 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 HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, 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 County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am au hod ed act on the property owners behalf. Name of Permt ee [SIGN] Print a e 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) ��,,±±,, (0 Owner 1:1 Contractor OR; Agent for Owner Agent for Contractor bb`"'cc'r FILE COPY Lender's Address City State Zip BUTTE COUNTY p _ DEPARTMENT OF DEVELOPMENT SERVICES O BUILDING PERMIT APPLICATION O AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION -..---.-------------Website:-www..buffecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION L as Mailing Address --- t -- h - — _ VIE City City Fax Ph n Fax._. E-mail APPLICANT INFORMATION CONTRACTRR _ Name City Address Zip City Fax State Zip Phone t Zip Fax E-mail Lot # Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER =- --- - Name City Address Zip Phone Fax City Type Const. State Zip Map Book Page Lot # Planner Phone Date Approved: Fax t E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X V) �` R For office use only: Zoning Cit I Flood -Zone - - SRA Yes —No Occ. If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Type Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: PERMIT NO.!7--�� 'L3 .BIN # -- --- PROJECT LOCATION Proper s � -- _ Cit Cross Street WORKER'S -COMPENSATION Policy Number Carrier If hiring anyone other than license 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: Sq FT- Living _ _ Garagel Open Cov ❑ 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 after 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: Amount: - Receipt Date:' yj 1 Sheriff SMIP Other Total Butte County. Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds S Q40 w �` National pollutant Disharche Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B06-2293 Date: 09/26/2006 Location: 536 BLACK BART RD By: KEJ Parcel Number: 072-340-016 Sub Type: Private Garage/Shop Owner Name: WILLIAMS, WILLIAM M & THERESA Phone: (530) 589-3053 Description: DETACHED GARAGE (672) By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. + u -- 1 -4 -- Title: FILE Date: 09/26/2006 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 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: 0 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 hqp://municit)alcodes.lexisnexis.com/codes/butteco/ Reference Number: B06-2293 Date: 09/26/2006 Location: 536 BLACK BART RD Parcel Number: 072-340-016 Owner Name: WILLIAMS, WILLIAM M & THERESA Phone: (530) 589-3053 Description: DETACHED GARAGE (672) c Signature of Property Owner: La k a Uva t A Date: 09/26/2006 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES OR NO) 2. I (HAVE/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE_ _ CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED 01IRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: DETACHED GARAGE (672) Reference Number: B06-2293 Applicant Name: WILLIAMS, WILLIAM M & THERESA Signature of Property Owner: , ' W uj Date: BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B06-2293 Job Address: 536 BLACK BART RD Contractor: Printed: 09/26/2006 9:18 am Fee Description Account Number Fee Amount Paid Date Pmt Amt Fire Ping Appl Fee (SRA) -Fire - Fire Ping Appl Fee (SRA) -Bldg 0100 -450001-4617240-1010 $95.00 09/26/2006 $95.00 Garage - Wood Frame 0010-440001-4210500-1010 $109.98 Garage - Wood Frame Plan Check 0010-440001-4210500-1010 $329.94 SMIP - Residential 0010-440001-4210500-1010 $219.96 09/26/2006 $219.96 1001-0-280-1011298 $1.61 756.49 $314.96 Printed By: Karen Jones Balance Due: $441.53 At the time of permit application, I was advised the above fees are required prior ro issuance of the permit. These fees may be changed during the plan checking process. Signature:„ Date: 09/26/2006 Pursuant to Government code Section 66020, you are herby notified those items listed above may 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). �.,rr, ,� . .. UPON (�I::� y1R2i.T:`L°1:+!%'�i1�tsa'Tnyp�,-i:qy�.�... s..,,�b1+Fs�f:h'V��v-; .+wa.•v-t+�erxp: r-�i.o+' , rr.�....a...y.....�ca ..r-arra.�.+rf.+..+w :is...��v.evn -.w ,.-. ... ... ,. ......,-. ,....dA�' t 1 %SCG j. x � ,� 16ax,,1,1;#, � E COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ILI ASS7SOR PAR EL NUMBER 2- 3, -- f ZONING BUILDING PERMIT OWNER _ Vi /` �T � __:5 TELEPHONE .FTSOCC. BUILDING VALUATION SO(/ 0-6A �/� L•o A`/ OWNER'S MAILING ADDRESS CONTRACTOR'S NFAME /� ��/ /�•-�CTI�/V �/ PHONE, TC/RAA' TOR'S MAILING AQD/REESA r .�,. CO3S ir%,4,11,gl tl /{/G. Fireplace CONSTRUCTION LENDER � UNKNOWN 2yL/JL- /� Total Valuation $ lavo-co Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER/ LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Z5 OU BUILDING ADDRESS S &1-)r—T,�(�, %!�l �(,�/, /(,�, PLUMBING PERMIT Filing Fee 10.00 --l1 eE n 4 Ci"p P v. ! / Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5,170 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [}"'Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel 5]' 6ti lities ❑ Instal lation ❑ Other p' Describe work: y W�WSi Lf"f'f��� 1W. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR0V OR LESS5.00 / ( Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCuP.W\ 20 sq ft OR ADDNS. \ ACC. SLOGS. _ / CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): [�!<�`am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full fgrce and effect. License No. '47/R C-7 07 Classification r ❑ 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) ❑ 1, 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 U LET 2,50 ea NON.RESID. BRANCH CIRC TS NEW CONSTF POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR, EX. OCCUp OUTLETS OR FIXTURES BAL21 FIXED APPLNS. OR Ex. Occup.(0UTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said?County in consequence of the granting of this permit. X cf�I�ir✓tia+ - Date—� — —of Appl'icant Owner❑ Contractor pppp//+5� Agent❑ Signal re An OSHA permit is required for excavations over 0" eep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ '2 Cid OCCUP, GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of•the Butte County Code and/or resolutions to do work i diated abfor fhbaid. �'cove or wfees have been p YQhRECTO'R OF PUBLIC WORKS / By �` Date( PERMIT EXPIRES Date �'/•.- 3 Receipt NO.y. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS t 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. ASS7SOR PA EL N Z;ER GTT�J�jJ 3'/' •—/1/O_ ZONING ' BUILDING PERMIT DW R �L , ,4L�L Sti��. TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING {�ADDRESS ° CO / /(�.✓/ / E// f1 E PSV CO T Aii�TOR•S,Q,A,ILJy�G� ARES f / / L o�(J16tII5 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is oO•aa Filing Fee $ 10.00 LENDER'S MAILING A15DRESS Permit Fee $ ,010 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty ,$' ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $�jr 0(� INA� S�Z SA� OIL PLUMBING PERMIT Filin Fee 10.00 g n "P �, Y (�J 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 l� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel L tilities ❑ Installation ❑ Other Describe work: �� 7� ��5� ��P��%L ��1 /(/�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service tOO AMP 00V OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2;50 NEW CONS. DWELING OR ADDNST (ACCLBLDGS.CCUP.pI\ / 2d sq ft CONTRACTORS LICENSE LAW I declare un r 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 f rce and effect. License No._3 Sia 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.( -OU LET NON.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. ( POWER APPARATUS 61 NON-RESID. SINGLE OUTLET CIR. / Ex. Occup o Ts DR FIXTURES s0 @ 28¢ BAL@1 FIXED Ex. Occup.(OUT ETS P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 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 $ 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 liabiliti judgment §, costs, and expenses which may in any way accrue against sai Cou y i equence of the granting of this permit. °� X Date t'o oZ J�� Signet re of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 0" eep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 'j .Ob OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD I ISSUE Thi( -Poe mit is hereby issued under si he tte County Code and/or w rk i d abo a for which E 1Ii OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Da 6 Z �� Receipt No. l 052 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT D PERMIT NUMBER _ g 1299=I3B,-P,E,M I � M F P ` E t �S - " PERMIT EXPIRES � DOWNER_ William Callahan �,e CONTR: owner ;.LOCATION (A.P. 37-89-27 a r-. e/s Black Bart Rd. -! mi no. Fire. Camp Rd.. `. Hurelton ,1 r - O_ w T _f 1 D PERMIT NUMBER _ g 1299=I3B,-P,E,M I � M F P ` E t �S - " PERMIT EXPIRES � DOWNER_ William Callahan �,e CONTR: owner ;.LOCATION (A.P. 37-89-27 a r-. e/s Black Bart Rd. -! mi no. Fire. Camp Rd.. `. Hurelton ,1 r - O_ w T _f • COUNTY��O'F" B.U•TTE Department of 'Public, Works BUILDING INS-P,ECTI•QN' RECORD Zoning. q Setback 3 Forms Foundationy '— Piers & Girders �yo `�� Fireplace Rgh. Plumbing �� `r� Bond Beam Lath & Plaster Rein. Steel. Gas Piping& Test Found. Vents Framing o2 Plmg. Topout 'moo —�3 Rough Elec. oTa75 E Wtr. Htr. Q�� Furnace '� Kitchen Vent r Firewall " + Garage Vents Sanitation & Water ELECTRIC 'GAS BUILDING Temporary Temporary Cert. of Occup. Final ` Final Final 'DATE REMARKS OR CORRECTIONS ' COUNTY OF BUTTE — DWPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telepho6e: 534.4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. `)( L�,/4GGcclr ��-'`" S� Date `'? P Signature of Permitee%or Agent Receipt No. ` A©�- 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 OF RUBLIC WORKS BY Date v - v 4zlrilding perm=xpir�esDat�e.........��.%.T:�. BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Ad ss �® /J Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/ rPenalty Telephone No. Permit Fee $ QO, 5� �D Building Address 5' PLUM NG No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �� Q_ A. P. No. / / Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 San4a Tion Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg-f++ans-f�C^d Parcel Approval Plans Approval Permit Fee $ NE ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bai Flo Receps., switches & fix outlets 20 25 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Lice se No. Classification Misc. wiring j(Rlam exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 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 W/orkmen's Compensation Insurance. �() ❑�I certify that in the performance of the work for which this .Y 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 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ate authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. `)( L�,/4GGcclr ��-'`" S� Date `'? P Signature of Permitee%or Agent Receipt No. ` A©�- 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 OF RUBLIC WORKS BY Date v - v 4zlrilding perm=xpir�esDat�e.........��.%.T:�. THE METHOD OF DIVISION OF PROPERTY IN THIS AREA IS.BEING REFERRED TO THE BOARD OF SUPERVISORS FOR POSSIBLE SUBMISSION TO THE DISTRICT ATTORNEY AND STATE REAL ESTATE COMMISSION FOR REVIEW AND APPROPRIATE ACTION. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK _ 7 County Center Drive — Oroville, California 95965 / 7� Tel ephr4ne: 534►4541 APPLICATION AND PERMIT auinurtce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. IN x �v�fi�t c--- �.6_6�4 ate Signature of Permitee or�gent Receipt No. /R 2 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 OF PUBLIC WORKS By �'Y���C�—� Date -Y .X0 --7 Building permit expires Date �`� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION 7 O� Mai I i ng Address Telephone No. - Fireplace Od Contractor Total Valuation Permit Fee r p(' Mailing Address Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ D' Building Address' ��lc <� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 C Each Trap 1.50 C` Repair drainage or vent piping 1.50 Water piping 1.50 f Each gas water heater or vent 1.50 A. P. N — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 '- Each additional outlet .30 Fees W.C. Sani tion Fire Dept. Fire Zone Use Pen -nit Building sewer 5.00 EQA Parking Plans Parcel DeclarationP Parcel Ma 60' R/W m provements Improvements— Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ fz NEW ADDITION ❑ UTILITIES ❑ OTHER [_]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Oo Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 of-�re`ss) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b0(@25 10 Loo Rees., switches & fix blutlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the IN State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 j Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump 5' Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ., am exempt from the Contractors License Laws of the State of California. Permit Fee $ $: oc 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. 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 Workmen's Compensation Laws of Cal i forni a. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 JOd Heating Cooling Ventilation Hood 2.00 _ Q Permit Fee $ $ TOTAL PERMIT FEE I $ / 2 13 auinurtce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. IN x �v�fi�t c--- �.6_6�4 ate Signature of Permitee or�gent Receipt No. /R 2 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. 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