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HomeMy WebLinkAbout078-040-012RICK PORTER 62.-90 Lincoln Blvd., Oroville '(reroof-SF-w/o permits) —36 291 ' Permit #3248-85B(reroof/SF) 1307-1703 078-040-012 MISCELLANEOUS Re -Roof REROOF WITH COMP 18 SQ 6290 LINCOLN BLVD FLORES; DELFINA J b 0-7g-. 040-00- 11 o E i k . RICK PORTER 62.-90 Lincoln Blvd., Oroville '(reroof-SF-w/o permits) —36 291 ' Permit #3248-85B(reroof/SF) 1307-1703 078-040-012 MISCELLANEOUS Re -Roof REROOF WITH COMP 18 SQ 6290 LINCOLN BLVD FLORES; DELFINA J b 0-7g-. 040-00- 11 � �°'"� Q' 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: 6290 LINCOLN BLVD Owner: Permit N0: B07-1703 APN: 078-040-012 FLORES, DELFINA Issued Date: 8/8/2007 By GLB Permit type: MISCELLANEOUS 6290 LINCOLN BLVD Subtype: Re -Roof OROVILLE, CA 95966 Expiration Date: 8/7/2008 Description: REROOF WITH COMP 18 SQ (530) 533-0181 Occupancy: Zoning: M1 Contractor Applicant: Square Footage: FLORES, DELFINA Building Garage Remdl/Addn 6290 LINCOLN BLVD OROVILLE, CA 95966 Other Porch/Patio Total (530)533-0181 FEE INFORMATION DBMSC Re -Roofing $116.00 Total Charged: $116.00 Fees Paid: $116.00 Balance Due: $0.00 Receipt No: B4151 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 I / 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 8/8/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date E71 I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE J2iJ COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION - - -- 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 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 (See. 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 Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section nee not be competed if the permit is or one hundred dollars ($100) or ess. ❑ 1 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 California, and agree that if I should become subject to the workers' X 8/8/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 8/8/2007 .. 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, 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 injury, including death, and property damage caused arising out of, 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 thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S 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 owners behalf. CONSTRUCTION LENDING AGENCY 8/8/2007 I 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 1:1 Contractor OR;Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip X07 BUTTE COUNTY 0 1 0 DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION. o. o OFFICE #: (530) 533-7541 FAX #: (530) 533-2140 o -. '�-a��•f c A FEE WILL BE REQUIRED AT TIME OFAPPLICATION r .� Website: w. Tw.buttecounty.net/dds �N� **PLEASE PRINT CLEARLY** . OWNER INFORMATION Last Name. Name First Naml S -ca Zip City Mail' n Address,G R 1 \1d b'( ►1 Sete 5 66 530 -018 Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name' Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PERMIT NO. \1 BIN # 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: Re�bviid a r .o • I Sq FT- Living Garage Open ov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use o y: PROJECT LOCATION AP# OR ' o4c) ` Ol Pr pert Address a2 Li' Cd J City i l 1e, CA 9 556 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: Re�bviid a r .o • I Sq FT- Living Garage Open ov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use o y: Zoning Flood Zane SRA Yes No Occ. Type Const. 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 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 suc-i 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 carry 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 under state law, contact the Department of Benefit 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 Heir work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing 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 required 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 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SG 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 PLAUJO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCT -ON OF THE PROPOSED PROPERTY IMPROVEMENT. S OR NO) 2. I AV 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 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING ?ERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: REROOF WITH COMP 18 SQ - Reference Number: B07-1703 Applicant Name: FLORES, DELFINA Owner's Name: FLORES, DELFINA AP # : 078-040-612 Signature of Property Owner: o&t"itok zm?jD' Eate: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER(� f TELEPHONE . SO. FT. OCC. BUILDING VALUATION sf /?G�C�. C,<) OWNER'S MAILING ADDRESS S'i/Cor CONTRACTOR'S NAME �r (.t IKPAhftP% - N TELEPHONE F!' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1,20(j. OU Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ x,.10 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS permit fee $ 30.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF1 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Re r04re U, I tN e0^1 n . _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS and Professions Code and my license is in full force and effect. License No. Classification El 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8d` OR ADONS. ACC. BLDGS. / 1/22sq ft NEW CONSTR. U TI.OUTLET NON-RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS el SINGLE OUTLET CIR. I Ex. OCCup(OUTLETS OR FIXTURES eALO 30 FIXED APLNS. Ex. DCCUp. OUTTS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 1 ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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-' againstsaidCounty in consequence of the granting of this permit. %� ° "'�" %r� ��� Date Signature of Applicant — Owner Y 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 3O, 50 OC cup. CONST.TYPE FLOOD PARCEL I PD 1 ND 1 ISSUE. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By. 1 +_.�_ PERMIT EXPIRES Date_ the applicable provi- resolutions to do have been paid. WORKS Date / - - //^L ai- Receipt No. 'T ,3�,�� WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 1' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 3� l APPLICATION" AND PERMIT ev - - ASSESSOR PARCEL NUMBER — 33 ZONING BUILDING BUILDING PERMIT owNe TELEPHONE FT. OCC. BU LDING VALUATION i�s7 I Oo• 06 OWNER'S MAILING ADDRESS svc03 2 S z CONTRACTOR'S NAME yJ �v TELEPHONE , CONTRACT R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1,200, ap Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Co c�v �I o w/ I 1 Permit fee $ 30.50 PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ Re. coos- U, L+i\ C0"NIQ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS 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 CONST. DWELLING OCCUP.N , OR ADDNS. ACC. BLOGS. /20sq ft NEW CONSTR.ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS POWER APPARATUS 6 SINGLE OUTLET CIR. EX. Occup�OUTLETS OR FIXTURES 20®50Q 200030 \\ Ex. Occup. OUTLETS FIXED P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the= -,County of Butte against all liabilities, judgments, costs, and expensesrwhich may` In any way accrue against d County in consequence f thntirrgFgf this per 't. X '7;;:✓; f�� . Datae+ r Signature of Applicant — OwnerX Contractor ElAgent l 'raj -,, tkk:+ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $3 0, _50 OCCUP. CONST.TYPE FLOOOJPARCELJ PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR O PUBLIC f By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 4/_ 1'(-B_ Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE = Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. , Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) = eav 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following pe.r.son'(firm) to provide the proposed construction,: -�,—m �.� C" �cc�� Name L9. .Address P� D.' L3 e- " lfj City Phone i 3 r2 -G / Contractors License No. 4. I clan to provide s of this work, but I have hired the following person to coordinate, sup vvi e, and provide the major work: Name Address City -Phone Contractors License No. 5. I will prov de some of the work but I have contracted (hired) the following persons to provide the -work indicated: Name Address Phone Type of Work Signed Property Owner Social,Security Number Date '7�%/�-r✓ a _ ea VI NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832.of the California Health and Safety Code. This verification must be completed and returned -to ouroffice before we are per- mit=ed to issue the permit. ulle court= o� OF 0©v b,-B5 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Permit Fee Based Upon: Complete Contract Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing andlor issuance: . Permit No. A. P. No. C�� -c>*991 DPW Valuation 1. All items have been submitted. 2. Plot plans in duplicate/triplicate. 3. Complete plans in duplicate/triplicate. 4. Complete engineered plans and calcs. 5. Plans with Energy Design Compliance Statement. 6. CU'SD ''Fees Paid ' Stamp on Floor Plan. 7. Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9. Letter of signature authorization. 10. Sanitation approval from Health Dept. 11. Rlanning approval for (A) Use: (B) Parking: 1 . Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑ , Mail to owner❑. 15. Improvements may be required. Contact Land Dev. Sec. of D.P.W. (see address below). 16. Mobi lehome Installation Data. 17. Pre -inspection for required. 18. Recorded copy of Agricultural Acknowledgment Statement . . . 19. Other Driveway permit & const. approval required prior to occupancy. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date GENERAL INFORMATION BUILDING DEPARTMENT OFFICES HEALTH DEPARTMENT OFFICES Chico . . . . 196 Memorial Way Chico . . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - 9:30 a.m. OroviIle . . . 7 County Center Drive Oroville . . . 7 County Center Drive Phone: 534-4541 Phone: 534-4281 Hours: 8:00 a.m. - 5:00 p.m. Hours: 8:00 a.m. - 9:30 a.m. Paradise. . . 747 Elliott Road Paradise. . . 747 Elliott Road Phone: 872-2961, Ext. 57 Phone: 872-2961, Ext. 58 Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - 9:30 a.m. PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 916/534-4601 CALIFORNIA ENERGY COMMISSION — 1516 - 9th Street, Sacramento — Phone: 916/324-3000 LAND DEVELOPMENT SECTION DEPARTMENT PUBLIC WORKS — 7 County Center Drive, Oroville — Phone: 916/534-4339 Orig inal—Applicant COUNTY OF BUTTE - DEPARTMENT OFPUBLIC WORKS -BUILDING DIVISION :. 7 COUNTY CENTER DRIVE - OROVILLE C IF'0 �IA 95965 - TELEPHONE: 916/534.-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER % A. P. No. -�9� a Proposed BuilJing Use Permit Fee Based Upon: Complete Contract ce DPW Valuation Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1, All, items have been submitted. . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CLSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Sta.ement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sa-iitation approval from Health Dept. . . 11. jPlanning approval for (A) Use: (B) Parking: . 1 . CErtificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Informa/fron (no., name style, classif.) 14. Owner -Builder Verificati.onGiven to owner❑, Mail to owner ❑ ) 15. Improvements may beirequired. . . . . . . . . . . . 16. Mobilehome Instarlation Data. . . . . . . . . . Pre-Insprequest to17. Pre -inspection for Required- Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement . . . 19. Other Driveway permit & const. approval required prior to occupancy. When y_ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Diel Aer w/inspector. Other. x `P y Applicant rDate IF Copy of plans sent Hea,I vDet., Faing®epY)!,'r �Othl ;� 4 e % During the plan checkin�,prb sfrthe 4°ltg data-r� st ' sup ml t d prior to permit issuance: (For require ite s of ch ck d Bove a. •t of-alipIII tion, circle item_.) 1. Index permit for abov(0ItemMoV' 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By date Plans chec.(ed by Date Plans approved by Date Other: Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC'WORKS 7 County Center Drive, Oroville, CA 95965 Rick Porter 5463 Bader Rd. Santa Roea*4fi -95.405 With reference to the above subject: PHONE: 916-534-4541 DATE November 1, 1985 RE' Building Permit Application for Reroof A.P. # _36-291=33 X Attached is: _X Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr.' Calcs Typical Plan Sheet X Owner -Builder Verification Form List of Codes Enforced OTHER L]LL We need the following information: X Permit.application signed and completed where indicated with all copies returned. X Fees,of $ 30.50 payable to Butte County Treasurer. X Certificate of Workmen's Compensation Insurance or check exemption statement. X Contractor's License Law.,information or check exemption statement.' Complete plans in ', including plot plans. Plot pians in Structural details in nomplete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes, marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for X Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Please complete the attached forms where indicated an return to this office along with your check for $30.50, Thank you. Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works .F, Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilte, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ _ ZONING BUILDING PERMIT OWN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS syco QC1 CONTRACTOR'S NAME TELEPHONE CONTRACT R'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1;200, ov Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,So ARCHITECT OR ENGINEER ` LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Cv oma. I Permit fee $ 3or 5v PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Ike cC,0-ry W`kfti L.OmIQ- _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty perjury p y of p erjy (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER 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 CONST. / DWELLING OCCUP.N\ Ys¢sgft OR ADONS. ACC. BLDGS. / NEW OUTLET 2.50.8 NON•R RESIESIDD. BRANCH CIRC 1 S APPARATUS e SINGLE OUTLET CIR. EX. OCCUp�OUTLETS OR FIXTURES eAL930 \ EX. Occup. OUTLETS P(RESID,)REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I.declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. MECHANICAL PERMIT FilirgFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ A� OSHA permit is required For eacovations over 5'0'' deep and demolition or construct-. structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP, EONST.TYPII .Loon PARCEL PD ND ISSUE This. permit is hereby issued under sions of the'Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date rReceipt No. -D.P.W.. YELLOWN1Se Ee SOR, PINK -INSPECTOR, GOLOEHROO-AP►U CANT Ls- e File No. cam.' (For Action 1• 2, 3r COUNTY ✓ ,BUTTE (For Information t Public `Narks DeP ' Director pep, Dir. Sec. Rd. & Br: Mtce. Shop & Yards Bldg. InsP. Admin• Design Eng(• Bridge Eng'. Consirl.Engr , Surveys Mopping ' T ran sP.- Land DPv- Orng• /S-1- " Sub. & Pcl. Maes Permits Addr• LAND OF NATURAL WEALTH AND BEAU ITY DEPARTMENT OF PUBLIC WORKS. 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (Fill) CHEFF Director October 24, 1985 Richard Porter RE: Building Permit 5463 Bader Road A.P. # 36-291-33 Santa Rosa, CA 95405 Dear Mr. Porter: With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you.are doing as follows: RE-roofed;a dwelling.on your property located at 6290 Lincoln Boulevard, Oroville.! Since permits and.inspections are required by both State and County laws, please contact this office within ten (10) days of the date of this"•letter, submit two j (2) complete sets of plans., apply for`.the required permits-, and 'pay the appropriate fees,r including penalty fees. All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation.in resolving this matter would certainly be appreciated. Should you have .any questions concerning this matter, please contact.this office.. JFG:aj cc Building Inspector - Oroville Yours very truly, William Cheff Director of Public Works Original signed by J. F. Gland J.F. Glander Chief Building Inspector ❑Comp,I�aint-Date El'tAfier . ' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS' _ SPECIAL INSPECTION REPORT ZONING Owner: �G� �Mr�-ej- A.P. # Address:Date of Inspection �o Tenant: U,Aj Inspector Building Location: �o O �• N��� �jv , Type of Inspection requested: 1. Housing / / 2. Financing / / 3. Change --44. Work W/O Permit / / Other ;(specify) Present use of building: A. Sanitation Sanitation (Housing) 1. Water closet: 2. Lavatory: t B. C. of Occupancy to 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerances,Handrails) 15. Comments: Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: IM E. F. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: _ 4. Comments: Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy: 7. Comments: Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description) : t,, 2. What action taken (give complete description): T//gid 4-� n.lt_t Ceti. 44 DW7V x- ram -'P J:j � esu P--A- 3. rt 3. What action recommended: A. Information only - file. DB. Hold for ten days, then write letter. %% C. Write letter. / /'D. Other: