Loading...
HomeMy WebLinkAbout078-130-005q7 .WYNOKA HOMES, INC.Pjr^/4p�Mf* 5746 Vista Del Cerr, 12t 4* Vista Del Cerro #1, Oroville Permit. #21-78B(new S/F.,&.__garage 036-720005 05-0492 rOAKL , MICHEAL 5746 VIS DEL CERRO, OROVILLE 'C I AL CERRO, M DEL ROOF Cont: GREE 'ROOFING GREE W REPALCE WIN W AND DOOR I DOTI. 1307-03.33 07 -13 0-005 MISCELLANEOUS indow/Glass Door REPLACE 8 WINDOWS & I DOOR 5746 VISTA DEL CERRO SMILEY, VICTORIA & MATTHE B07-2212 68-130-005, MISCELLANEOUS Remodel GARAGE CONVERSION TO LIVING 4 5746 VISTA DEL CERRO SMILEY, VICTORIA &.MATTHEW I 11-S F"A- 11 �:` 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: 5746 VISTA DEL CERRO APN: 078-130-005 Owner: SMILEY, VICTORIA & MATTH Permit No: B07-2212 Issued Date: 11/08/2007 By KCG Permit type: MISCELLANEOUS 5746 VISTA DEL CERRO Subtype: Remodel Description: GARAGE CONVERSION TO LIVIN OROVILLE, CA 95966 (530) 403-9550 Expiration Date: 11/07/2008 Occupancy: Zoning: R1 Contractor Applicant: Square Footage: SMILEY, VICTORIA & MATTHEW SMILEY, VICTORIA & MATT Building Garage RemdUAddn 5746 VISTA DEL CERRO 5746 VISTA DEL CERRO 400 OROVILLE, CA 95966 (530)403-9550 OROVILLE, CA 95966 (530)403-9550 Other Porch/Patio Total 400 FEE INFORMATION DBMSC Remodel -Residential $759.87 Total Charged: $759.87 Fees Paid: $759.87 Balance Due: $0.00 Receipt No: B5102 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SMILEY, VICTORIA & MATTHEI / / 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: 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 is in full force and effect. X 11/08/2007 Contractor's Signature Date -A 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 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 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 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 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 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; ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's 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 be competed if the permitis or onhundred dollars ($100) or Te—ss—T- ess❑ 1 AM EXEMPT under Section B. & P.C. for this reason: 11 I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, that if ould become subject to the workers'X11/08/2007 compensation provision f Secti0 of th bor Code, I shall forthwith comply with those provisions. ig:7agree t Owner's Signature Date X 11/08/2007 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 SE KERS' 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, ( 1 DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. 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 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 use or occupancy of any sidewalk reel, or subsidewalk. I hereby authorize representatives of Butte roperty for' spa ion pu oses. I hereby certify that I am the props drh ed to ope wnefs ehalfed to ope wng�s ehalf. County to ente me '�act J 11/08/2007 CONSTRUCTION LENDING AGENCY 1 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) Name rmitt a [SI ] "Print Date Owner Contractor OR; 1:1Agent 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 APPLICA TION Website: www.buttecountynet/dds **PLEASE PRINT CLEARLY** CONTRACTOR WNER INFORMATION Last Name 6fi4llaw City First Nam Mailing Address Phone City E-mail State %��., Zip Phone i/t'%3 _ gds C� '] Fax E-mail CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class A PLICANT INFORMATION ARCHITECT/ENGINEER Name City 0fcU Address State City Phone 403 _ 9�� Q `( State Zip Phone Fax E-mail State License Number A PLICANT INFORMATION Name &�6 L6M( ' e Address i /' _ T- f D (•�G City 0fcU Type Const. State Zip ��� / / �f7 Phone 403 _ 9�� Q `( Fax E-mail /%KU1WK11121 "a �. n' PROJECT LOCATION API 0q g_ 13D_�S Property Address 57,q6 City ��'aU t Qi Q • ���% PERMIT NO. �6�,zzti 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: Scl FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZone SRA Yes 40 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 PERMIT APPLICATION DATA SHEET Reference Number: B07-2212 Date: 10/24/2007 Location: 5746 VISTA DEL CERRO By: TMP Parcel Number: 078-130-005 Sub Type: Remodel Owner Name: SMILEY, VICTORIA & MATTHEW Phone: (530) 403-9550 Description: GARAGE CONVERSION TO LIVING 400 SOFT. 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 FEINKE 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, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 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 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 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 Other: Other: Other: Signature of Property Owner: FILE Date: 10/24/2007- FILE 0/24/2007 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District ��/f/ , %i/���„� Building Department No. Tax Rate Area No. A.P. Number Jurisdiction: = City F;;'J'County Property Owner Property Location/Address Subdivision Lot No. Residential Development F—T-1 Q No of Living Mobile Home Commercial/Industrial Units Installation 0 0 New Addition District Identification No. O .......................................................................................-......... EET 0 Addition/ 'Supplemental to Conversion Permit # *(No foundation inspection) r7- �2 Sq. Footage //ff (Group R) Cr. Demo - t existing sq. ft. see attached Net total sq. ft. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) Date �YQY' Ile U h1 Dry School District certifies that .. _ (Payor) -J (Street Address) eey,ro Orov")V I (City) (State) has complied with the requirements of Resolution No. _ L) representing � OZ) square feet. District (Zip Code) by payment of $ (Phone Number) B 2926 $ FULL MITIGATION $ Date Paid by Check # Remarks: V h Ali y 5D D Notice: You may protest the imposition of the fees identified above by submitting 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. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm 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 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 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 their 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 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 PLATO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. R NO) 2. I HAV /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 — I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: GARAGE CONVERSION TO LIVING 400 SQ.FT. Reference Number: B07-2212 Applicant Name: SMILEY, VICTORIA & ATTHEW Owner's Name: SMILEY, VICTO E AP ; Signature of Property Owner: Date :078-130-07 078-130-0 5 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: 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 hgp:Hmunicipalcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-2212 Date: 10/24/2007 Location: 5746 VISTA DEL CERRO Parcel Number: 078-130-005 Owner Name: SMILEY, VICTORIA & MATTHEW Phone: (530) 403-9550 Description: GARAGE CONVERSION TO LIVING,400 SQ.FT. Signature of Applicant: Aogiia Date: 10/24/2007 FILE , BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE' 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 ,Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0333 Issued: 02/21/2007, Address: 5746 VISTA DEL CERROArea: OROVILLE Owner: SMILEY, VICTORIA L &APN: 078-130-005 Applicant: SELIG CONSTRUCTIONMap Page: Permit Type: Window/Glass Door 1 Description: REPLACE 8 WINDOWS & I DOOR AREA 1 Flood Zone: None SRA Area: No SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING , i Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 .1r Grade Beams 114 . Eufer Ground 216 . Forms/Steel/Holdowns 122, Do Not Pour Concrete,Until Above are Signed _ Pre -Slab 124 Gas Test House 404 Gas Test Yard " 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 . Shear Transfer. 136 Under Floor Plumbing pv. . 412 Under Slab Plumbing i 411 Gas Piping • 1 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 _ Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 - Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final t 802 Mobile Home Final 802 =I Inspection T e 1 IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 801 1— *Project Final is a Certiticate of Occupancy tor es, enh n y PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy 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 PROJECT INFORMATION Site Address: 5746 VISTA DEL CERRO Owner: Permit No: B07-0333 APN: 078-130-005 SMILEY, VICTORIA L & MATT Issued Date: 02/21/2007 By TMP Permit type: MISCELLANEOUS 5746 VISTA DEL CERRO Subtype: Window/Glass Door OROVILLE, CA 95966 Expiration Date: 02/21/2008 Description: REPLACE 8 WINDOWS & I DOOR Occupancy: Zoning: R1 Contractor Applicant: Square Footage: SELIG CONSTRUCTION CORPORATION SELIG CONSTRUCTION COP Building Garage RemdUAddn 337 BUSS DRIVE 337 HUSS DRIVE CHICO, CA 95928 CHICO, CA 95928 Other Porch/Patio Total (800) 886-5897 (800) 886-5897 FEE INFORMATION DBMSC Window/Sldng GIs Dr-Repl $220.00 Total Charged: $220.00 Fees Paid: $220.00 Balance Due: $0.00 Receipt No: B1917 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 SELIG CONSTRUCTION CORP, 711042 / B C 47 / 08/31/2007 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 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 t� basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 02/21/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractors Signature Date -11, 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 WORKERS' COMPENSATION DECLARATION - 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: 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 notintended 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 E]I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED INSURANCE, as required by 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 Carrier. VIRGINIA SURETY Cpolicy Number. 006-00026261 Exp. Dale:01/0612007 Contractors License Law.). (This section nee not a competed if the permit is for one a hdollars ($100) or less. IAM EXEMPT under Section B. & P.C. for this reason: r_1 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' X 02/21/2007 compensation provisions 'on 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X v� �g ic, -02/21/2007 - I hereby certify that I have read this application and state that the above information is coned. 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, o,o in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( 1 the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the t is a 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 abo mentioned property for inspection purposes. I hereby certify that I am the pTE_eq ofner or am au orized to act on the property owners behalf. CONSTRUCTION LENDING AGENCY 02/21/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame of -Permittee SI I Print Date the performance of the work for which this permit is issued. (3097 civ, code) Owner E] Contractor OR: Agent for Owner Agent for Contractor FILE COPY Lenders Address City State zip `PERMIT NO. 21-78B PERMIT EXPIRES OWNER WYNOKA HOMES INC _ CONTR. owner LOCATION (A.P. 36-65-49 .15746 Vista. Del Cerr, to#12, Vista Del - Cerro unit #1, Oroville 4 ' ,V 7 1 . 'I ,F G. Temp. Power Pole 1, Called PG&E i ;r Tempa Elec. Serv. p ' Z ' -7 ailed PG&E emp. Gas Serv. �� Z /eV== Called PG&E JOB FINALED Ir W,�, (Date) (Si natu ) COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets list Floor. Main Bldg. Restroom Finish 2nd Floor Footin s 3-A Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing S-_9 -2 Water PI in Piers Roofing Sewer - Garage Fdn. Vents A Fixtures Footings - % - 7 Garage Vents Water Htr. Stemwall Insulation Heaters Slab Carport Footings Prov. for physic Ily handica e. Conformance of ex. structure A ilances Gas Piping & Test -2� — Temp. Gas Ad Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELIXTRICAL Masonry Walls Throat 7 Rough 5 777 lil— Reinf. Steel Final Fixtures Bond Beam FIREYSPRINKLERS Motors Stucco 1 7 Final aSubpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating - Service Brown - $/e Cooling Temp. Pole Finish Ducts A Under roun Interior Lath Ventilation i Pennanen Door Closer Final Final MOBILEHOME UTILITIES -----------------• Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBIL HOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS / � , 7V �171�r. (NOTE: An entry must be made on this form each time you visit the job site.) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE. BUILDING LOCATED AT: Lot 12 Street Lot Number Tract No. EXTERIOR WALLS Manufacturer Certainteed Thickness/Type A" R Value 11 CEILINGS Batts: Manufacture t Thickness R Value Blown: Manufacturer Certainteed Thickness 8 3/4" No. Bags 20 Wt./Bag Sq. Ft. Covered 981 R Value 19 FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL C jJA O Mon 10444 LICENSE No. Z d 2 S BY ' ° TITLE — DATE 7 INSULATION CONTRACTOR: HAWKINS INSULATION CO., INC. LICENSE No. 215-925 TITLE Owner DATE September 6, 1978 zer /Z COUNTY OF BUTTE_ +- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives of the county or t3utte to enter upon the above-mentioned property for inspection purposes. ZX Date `- 3'70 ignature ermitee or Ag nt Receipt No. 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 0 P LIC WORKS By Date7F Building permit expires Date /—//•-- 7 y: BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mai l i ng Address�iSl�dg, Ne. �. ©, i�OX Telephone No. R Firepl e t Contractor phone.533-2738 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address Y, PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,j Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 nl `- � {� (� 0 Each gas water heater or vent 1.50 F - —% Zon of Gas piping system 1 - 5 outlets 1.510 Each additional outlet .30 Fees W. . WAto FireDept. FireZone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma 60' R/W Imrove is p Lawn sprinkler system 2.00 44 Id Plansc d 4 P.rel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OROR SLESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Main service OVER a O 25.00 100 AMP OR LESS Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP j 1.00 NEW CONST. DWELING OR ADDNS. ( ACC`B DGS CCUP. &) 2¢sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS .&) D. (SINGLE OUTLET CIR, NON-RESI R CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California B +s• ss�+�` Pr essions Code under the name of: +i�a,'�C�",['� ®��� P_ 0 Rox4 16021 Croville, Calif. 95969 Ex. OccU P(OUTLETS OR FIXTURES) BA@LL➢2S¢1 FIXED Astyle Ex. Occup. ( OUTLETS P(RESID.)LNS REA) 2.1010 Temporary service 10.00 Mobile Home Facilities 15.00 t'�l j1 License No. �2���z'o I���SYrleati�v Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. rVP I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F -1I 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 California. 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 $� autnorize representatives of the county or t3utte to enter upon the above-mentioned property for inspection purposes. ZX Date `- 3'70 ignature ermitee or Ag nt Receipt No. 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 0 P LIC WORKS By Date7F Building permit expires Date /—//•-- 7 y: 9 NOTE:—All Materials & Workmanship Shall Be,, in Accor of ci.-m ality r)�escribPrl' for the Specified use in the Unifor Buildinq, Plu'+inq &- Machanical Codes and the N ional Electrical Code. kept ow -the job at all times and it is unlawful to make any changes or alterations on same without written permisson from the Department of Publk Works, County of Butte. I T�o Pte, -7to, A \ -tip -- The Bldg. Setback shall be 5 ft. from the side property line and 50 ft. from the i centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. / POD Wit✓► ZloAI� N 2 614.9 20 98/ A /l(d FMISN FtA 265.2 -2,f See play s er PI n on file for building A/ 5 -ret,- 9 8 I B TTE COUNTY GoUl TNG DEPARTMENT Vq PROVED 1 1 401 Flo / 0 OM41,r I SUBDIVISION Piet SEWER /A Vl9 ELECTRI V 1tiT4 p� 1011,40 CITY COUNTY LOT NO. 916.533.2736 JOB NO. HOMES, INC. P.O. BOX IS SCALE OROVILLE, CAL. 96985 JCOUNTY OF BUTTE -, DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X CIZr Date )InPture of PPermiittee or—Agent Receipt No. 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 PU IC WORKS � y By ` le'. Date �J - m"ermit expires Date _� III BUILDING 9 Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address • Telephone No. Fireplace Contractor 'PtTotal Valuation Mailin2 Address Tn Permit Fee Plan Checking Fee &/or Penalty Telephone o. Permit Fee $ Building Address l—�'r eO PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 1 0, ,#- — Z Each gas water heater or vent 1.50 A. P. No. C. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s FireDept. FI re Zone Use Permit Building sewer 5.00 EQA arking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service io00V OR o AMP OR1-5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ 60 Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNSCONST ( ACCLBLDGS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State o alif rnia Business & Professions Code the name st le Y Ex. Occup(OUTLETS OR FIXTURES)@'5¢ BAL@1 FIXED APPLES. OR EX. OCCUp. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 v 3�� 2rJ License No._�33 `� % � Classification Misc. Wiring 6.25s/ ❑ I am 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. Is I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this 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.1 @ I FEEPERMIT FILING FEE $3.00 Heating''— Cooling �r Ventilation Hood 1 1 2.00 Permit Fee $ t00$ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X CIZr Date )InPture of PPermiittee or—Agent Receipt No. 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 PU IC WORKS � y By ` le'. Date �J - m"ermit expires Date _� III v COUNTY �. U Y OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �- L v Receipt .W. „ 'F expires I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant permit ex fires Date �� BUILDING Owner u no SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor 11 Total Valuation Mailing AddressPermit Fee Plan Checking Fee &/or Penalty Tel hone ) Permit Fee $ Building Address11-TIA $ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 _V Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 2 Each gas water heater or vent 1.50 A. P. No. 3 --�5— L 9 Zoning & Planning Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 F - s Sergi-tziierr Fire Dept. Fire Zone Use Permit Building sewer 5.00 S;co EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 c Parcel Approval Plans Approval Permit Fee $ ,0_0 $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 913 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVERAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING CCUP. &) 20sgft NEW CONSTR. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. 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 . y. ✓ Ex. Occup(OUTLETS OR FIXTURES) BAL 25 Ex. Occu FIXED APPLS. OR OUTLETS (RESID.) EA) 2.00 P•(N Temporary service 10.00 Mobile Home Facilities 15.00 License No,�,�„51/ Classification Misc. Wiring 6.25 ❑ I am 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 r n's Compensation. ;�Iohaeplaced on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI 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 California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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. X Date / Signature of1ermi 1 gent 11-771 � TOTAL PERMIT FEE $ 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. t •ECT OF PU LIC WORKS `,� / B Date / [ �- L v Receipt .W. „ 'F expires I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant permit ex fires Date �� COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned roperty for inspectio purposes. s X Date S2 8 ature of P rmitee ignJA n Receipt No. 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. — /0TRECTOR OF PUBLIC WORKS BY (1Date Builth" permit expi es Date �% — BUILDING OwnerWnoka Homes SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Fox Electric Total Valuation Mailing Address 3995 Olive Hwa Permit Fee Fee Plan Checking ng Fee&/or Penalty Oroville CA. 95965 Tele hone No. 53�-2730 Permit Fee $ Building Address 5746 Vista Del Cerro, lot #12,PLUMBING No. @ FEE PERMIT FILING FEE $3.00 VDC#l, Oroville Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ^^ dJ I Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Oaten I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W m r Improvements— p ovements Lawn sprinkler system 2.00 I V9. Po s Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 Elec. for BPlk21-78 Main service 100 AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100AMP1.00 NEW CONST. DWEL-ING O OR ADDNS. ( ACCLBLDGSCJ}j� &) 20sgft 27.60 NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of ;Califor is Business & Professions Code under the name style of: ,C .C� Ex. Occup(OUTLETS OR FIXTURES) BA50 L� Ex. Occu FIXED APPLNS. OR P- OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. -1 Classification C ld Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 30.60 $ 7-5q—.60 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 forkmen's Compensation. ave placed on file with the County of Butte a certificate of 7�1'.Compensation Insurance. certify that in the performance of the work for which this permitI 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 $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned roperty for inspectio purposes. s X Date S2 8 ature of P rmitee ignJA n Receipt No. 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. — /0TRECTOR OF PUBLIC WORKS BY (1Date Builth" permit expi es Date �% —