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HomeMy WebLinkAbout078-200-007Donald R. Thompson 5608 Farley St. , Oroville contr: Leisure Time Pools, Paradise Permit #4071-76B,E(new private swimming pool) aEN STEIDLEY � n , V 5608 Farley, Oroville o Contr: George Roofing QQO��O Permit#2805-85B(reroof/SF) 91-3961 STEIDLEY, KEN CONTR: OWNER 5608 FARLEY ST, OROVILLE- CONV GAR TO STG l/,/;� '�`-- 04-0133 STEIDLEY, KENNETH 5608 FARLEY ST, OROVILL WALED Cont: G&R ROOFING 15 TEAR OFF RE ROOF - - 04-11 STEIDLEY, KENNETH 5608 FARLEY ST, OROVIL CONT: AMBIENT ELECT REINSTALL COOLER/EL T 7.30, - STEIDLEY, KENNETH o 5608 FARLEY ST, OROVILL c CONT: AMBIENT ELECTRI ELE SER CH/SF .: FRENCH, Mr. S°. L . --`-`� 20Z.. 5808 Farley Street 34 Oroville V/ 7-;:�_6Y� (vc .- elL..t.- IJc. r o� 007 I J,4 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.netldds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. License Class: License Number: 'Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, -or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Bus' . eps and Professions Code Date: J� rpt"Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. O 1 have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code,.for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Carrier. Policy fl: 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith compl with those provisions. Date: 2 b c Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest, and attorney's fees. PERMIT NO. BP041124 Issued Date: 04/23/2004 APN: 036-370-007-000 Site Address: 5608 FARLEY ST ORO Map Index: Description: Reinstall evap cooler W/impr to elec Owner: STEIDLEY KENNETH LYMAN & DEBORAH JO JT 5608 FARLEY ST OROVILLE, CA 95966 'Applicant: STEIDLEY KENNETH LYMAN & DEBORAH JO JT Contractor: )�n�0i P..( G -d PC -4- i c License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: D * _sEf_lpollr_ AJA .4r - CONSTRUCTION LENDING AGENCY This permit Is ere byj" suea una I hereby affirm that there Is a construction lending agency for the Resolulio o k Indicated performance of the work for which this peril Is issued (Sec 3097 Civ.) By Name: PERMIT EXPIRES IS: Address: which fees have been paid. O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any off ial form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. Print Name: L� Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER V PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. I n 'p, Date'- Jam— ! — Inspector REV 10/92 OUNTY OF BUTTE OFFICIAL REC I 3 6 2 ` n 't O ICE OR DE `A TM NT ISSU It ECE(PT j Received from -�� The Sum of s _ 6)D For • Received: GJ{ � � Received By CASH Q` C ��,,,, Title CHECK ' J By DAVCO BUSINESS FORMS - (530)743-8511 Form 75702 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.netldds PERMIT NO. BP041124 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of ' Issued Date: 04/23/2004 APN: 036-370-007-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 5608 FARLEY ST ORO Date: Contractor. Map Index: Description: Reinstall evap Cooler w/impr to elec OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, -or repair any structure, prior Owner: STEIDLEY KENNETH LYMAN &DEBORAH to its Issuance, also requires the applicant for such permit to file a JO JT signed statement that he or she Is licensed pursuant to the provisions of 5608 FARLEY ST the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966. violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does .STEIDLEY KENNETH LYMAN 8r DEBORAH Applicant. such work himself or herself or through his or her own employees, JO JT provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving (hat he or she did not build or Improve for the purpose of sale.). 16— I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). pp Contractor: X�10-)e-� ❑ 1 am Exempt under Article 3 of the Bus' , e)Ss and Professions Code r� Date:44 1 Owner: — " v Y C— I ORKERS' COMPENSA N DECLARATION \ I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the � (fin %l C,2aU `i- Q— 1 Labor Code, for the performance of the work for which this permit I d- y is issued. O 1 have and will maintain workers' compensation insurance, • as Architect: required by Section 3700 the Labor Code,.for the performance of the work for which this permit Is Issued. My workers' compensation Engineer'' Insurance carrier and policy number are: Carrier. Policy #: Total Square Ft: 0 S. F. 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 Valuation: $0.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith compI with those provisions. Date: Z Applicant: WARNING: Failure to secure workers' compensation coverage is n _� unlawful, and shall subject an employer to criminal penalties and one ('J hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest, and attorney's fees.%/„�� CONSTRUCTION LENDING AGENCY This permit is qerebyJAsued under the applicable provisions of the Butte Counl Code and/or 1 hereby affirm that there Is a construction lending agency for the Resolutio o c indicated above for which fees have been paid. performance of the work for which this permit Is issued (Sec 3097 Clv.) BY Date: 6 Name: O PERMIT EXPIRES O : Address: Date El I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any off' al form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. Print Name: AL, Signature: Date: Owner ❑' Contractor • ❑ Agent for Owner 0 Agent for Contractor i\ \ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP a�( 4 DATE: APN: /1 /� / ZONING: OWNER'S LAST NAME: OWNER'S FIRST NAME- PHONE 7V 531- 568 STREET ADDRE�,Sr 'd UA FAX CITY, ZIP: � /� -/ E-MAIL: SITE ADDRESS: CITY, ZIP: S NEAREST CROSS STREET: � � TRACT/LOT ik. APPLICANT NAME: PHONE: STREET ADDRESS: FAX: CRY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: l Y3 do77r� S CT F J - J� CRY. ZIP: / rr (' E-MAIL: I l i e GOS LICENSE NUMERO 8�� 2 LICENSE TYPE: O ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CRY, ZIP: LICENSE NUMBER: E-MAIL:- DESCRIPTION OR SCOPE OF WORK: cv�77- . ❑ 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 fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: Date: Receipt number: Amount Received: K� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Datev Inspector REV 1 /92 OUNTY. OF BUTTE 395692 'OFFIC AL REC OFFICV,qR D EPA TMEN 1SS RECE PT � 2 Received from Ae Sum of s For r �% Received: r Received By _ CASH Title CHECK (� � �i By DAVCO BUSINESS FORMS • (530) 743-8511 Form 75702 To ❑ URGENT A.M. Date Time P.M. WHILE YOU WERE OUT From of Phone Area Code Number Ext. Fax Area Code Number Telephoned Please Call Came to see you Wants to see you Returned your call Will call again Message Signed Quill Corporation 1-800-789-1331 #7-92001 Reorder No. Ambient Electric 143 Cutty Sark Ct. Oroville, Ca 95965 Lit. # 820992 530.532.9198 Fax.530.534.1855 NOTICE OF RIGHT TO CANCEL NOTICE OF CANCELLATION �L 11 . Zmoeel (enter date of transa 'on) You may cancel this transaction, without any penalty or obligation, within'three business days from the above date. If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instrument executed by you will be returned within 10 days following the receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be canceled. If you cancel, you must make available to the seller at your residence, in substaritially as good condition as when received, any goods delivered to you under this contract or sale, or you may, if you wish, comply with the instructions of seller regarding the return shipment of goods at sellers expense and risk. If you make the goods available to the seller and the seller does not pick them up within 20 days of the date of your notice of cancellation, you may retain or dispose of the goods without any further obligation. s If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so, then you remain liable for the performance of all obligations under the contract. To cancel this transaction, Mail or deliver a signed and dated copy of this cancellation notice, or any other written notice, or send telegram to: Ambient Electric 143 Cutty Sark Ct. Oroville, CA 95965 Or Fax To: 530.534.1855 No later`than midnight of (date) I hereby cancel this transaction (date) (buyer s signature Notice " Contractors are required by law -to be licensed and regulated by the Contractors State Licensing Board. Any questions concerning a contractor may be referred to the Registrar. Contractors State License Board, P.O. Box 26000 Sacramento, California 95826." 0 DID I f Ambient Electric 143 Cutty Sark Ct. Oroville, CA 95966 Lic #820992 530.532.9198 Bill To Ken Stidley 5608 Farley Rd. Oroville, CA 95966 Invoice Date Invoice # 4/21/2004 86 Description . Amount Install new 4500 CFM evaporative cooler to be set on existing roof boot supplied by Customer. Rewire unit for 720.00 High/Low switching and install in line thermostat. Holes will be required in interior plaster walls to install new wire to run thermostat and High/Low switching. Customer to Repair Holes in Plaster. 4500 CFM Evaporative Cooler with Motor and Pump. 18.5' x 19.5"x 24" Replacement Duct. New Ceiling 900.00T Louvers, wire, Switch, Thermostat, Stand and Misc. Materials. All Materials Less Water feed to Cooler. Customer to Supply all required Permits for new Cooler Installation. Sales Tax 65.25 4 Please review and reply to be scheduled for above mentioned work. Thank You. Total $1,685.25 PROPOSAL From: Ambient Electric 143 Cutty Sark Court. Oroville, CA 95965 530.532.9198 To: Ken Stidley 5608 Farley Rd. Oroville, CA 95966 530.534.7568 We herby submit.specifications and a estimate for work to be completed at: .5.608.Farley Rd. Orovill6XA 95965 _ Specifications: See attached Estimate for Specifications. We herby propose to fumish labor and materials to complete in accordance with the above specifications, for the sum of One Thousand Six Hundred and Eighty Five & 25/100 ($ 1685.25 ) With payments to be made as follows: 10% Deposit ( $ 160.00) required at Exception of bid. 1' Payment of $ 805.25) due on I" day of work Commenced at review of materials Delivered.. Remaining balance of ($720.00) Due on completion of project. ' All work to be completed in a workmanlike manner according to standard practices. Any alteration from the above. specifications involving extra costs,. will only be executed upon written orders, and will be an extra charge over and above the agreements. All work contingent upon accidents or delays beyond our control. All workmanship shall be warrantied for one year from completion of work. All materials shall be warrantied'for 90 Days. By excepting this bid you herby authorize Ambient Electric to place a lean towards said property. at any time until all Amounts are paid in full. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are hereby accepted. You are authorized to do all work as specified. Payments will be made as outlined above. ACCEPTED: SIGNATURE: / DATE: 7/,0 C'/ SIGNATURE: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. on I Date C.j/� �)%(Inspector REV 10192 Ambient Electric ` 143 Cutty Sark Ct. Oroville, CA 95966 Lic #820992 530.532.9198 � Bill To Ken Stidley 5608 Farley Rd. Oroville, CA 95966 Invoice Date Invoice # 4/21/2004 86 Description Amount Install new 4500 CFM evaporative cooler to be set on existing roof boot supplied by Customer. Rewire unit for 720.00 High/Low switching and install in line thermostat. Holes will be required in interior plaster walls to install new wire to run thermostat and High/Low switching. Customer to Repair Holes in Plaster. 4500 CFM Evaporative Cooler with Motor and Pump. 18.5" x 19.5"x 24" Replacement Duct. New Ceiling 900.00T Louvers, wire, Switch, Thermostat, Stand and Misc. Materials. All Materials Less Water feed to Cooler. Customer to Supply all required Permits for new Cooler Installation. Sales Tax � �1 /� 1 v 65.25 c Please review and reply to be scheduled for above mentioned work. Thank You. „` Total $1,685.25 - Okmbient Electric 143 Cutty Sark Ct. Oroville, CA 95966 Lic #820992 530.532.9198 Name / Address Ken Stidley 5608 Farley Rd. Oroville, CA 95966 r Estimate Date Estimate # 3/30/2004 37 Project Description aty Rate Total Install new 4500 CFM evaporative cooler to be set on 720.00 720.00 existing roof boot supplied by Customer. Rewire unit for High/Low switching and install in line thermostat. Holes will be required in interior plaster walls to install new wire to run thermostat and High/Low switching. Customer to Repair Holes in Plaster. 4500 CFM Evaporative Cooler with Motor and Pump. 900.00 900.00T 18.5' x 19.5"x 24' Replacement Duct. New Ceiling Louvers, wire, Switch, Thermostat, Stand and Misc. Materials. All Materials Less Water feed to Cooler. Customer to Supply all required Permits for new Cooler Installation. i r Please review and reply to be scheduled for above mentioned work. Thank You. Subtotal $1,620.00 Sales Tax (7.25%) $65.25 Total S 1,685.25 Ambient Electric 143 Cutty Sark Ct. Oroville, CA 95966 Lic #820992 530.532.9198 Name i Address Ken Stidley 5608 Farley Rd. Oroville, CA 95966 Estimate Date Estimate # 5/31/2004 53 Project Description Qty Rate Total Install New 125 Amp. Service and Service feeds. Install new 8 '80.00 .---640.00 Grounding Electrode System.Replace all existing Breakers. Attach to existing Sub feed. Butte County Permit 1 105.00 105.00 Materials to complete above mentioned service. 350.00 350.00T . N ti.. Please review and reply to be scheduled for above mentioned work. Thank You. Subtotal $1,095.00 Sales Tax (7.25%) - $25.38 Total $1,120.38 PROPOSAL From: Ambient Electric 143 Cutty Sark Court. Oroville, CA 95965 530.532.9198 To: Ken Stidley 5608 Farley Rd. Oroville, CA 95966 530.534.7568 We herby submit specifications and a estimate for work to be completed at: 5608 Farley Rd. Oroville-CA 95965 Specifications: See attached Estimate for Specifications. We herby propose to furnish labor and materials to complete in accordance with the above specifications, for the sum of One Thousand Six Hundred and Eighty Five & 25/100 ($ 1685.25 ) With payments to be made as follows: 10% Deposit ( $ 160.00) required at Exception of bid.ls` Payment of ($ 805.25) due on 1st day of work Commenced at review of materials Delivered.. Remaining balance of ($720.00) Due on completion of project • r All work to be completed in a workmanlike manner according to standard practices. Any alteration from the above specifications involving extra costs, will only be executed upon written orders, and will be an extra charge over and above the agreements. All work contingent upon accidents or delays beyond our control. All workmanship shall be warrantied for one year from completion of work. All materials shall. be warrantied for 90 Days. By excepting this bid you herby authorize Ambient Electric to place a lean towards said property at any time until all Amounts are paid in full_ ' ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are hereby accepted. You are authorized to do all work as specified. Payments will be made as outlined above. ACCEPTED: DATE: SIGNATURE: t� SIGNATURE: r V1 OAmbient Electric 143 Cutty Sark Ct. Oroville, CA 95966 Lic #820992 530.532.9198 Name i Address Ken Stidley 5608 Farley Rd. - Oroville, CA 95966 Estimate Date Estimate # 5/31/2004 53 Project Description pty _ --Rate - __..._I._ ---- -.--'Total"'-"-"_ Install New 125 Amp. Service and Service feeds. Install new -8 80.00 Grounding Electrode System.Replace all existing Breakers. Attach to existing Sub feed. j L Butte County. Permit,_____ ' 105.00 Materials to complete above mentioned service.. j . i 350.00 Run Additional 20 Amp. Circuit via Conduit to Swamp Cooler.(No 0.00 Charge) 640.00 4 _..._.._..___.. -105.00 i 0.00 Please review and reply to be scheduled for above mentioned work. Thank You. Subtotal i $1,095.00 1 +r ;Sales Tax (7.25%) $25.38 1120:38 AMBIENT ELECTRIC 143 Cutty Sark Ct. Oroville, Ca 95965 Lic. # 820992 530.532.9198 Fax.530.534.1855 NOTICE OF RIGHT TO CANCEL NOTICE OF CANCELLATION tz- (enteifdate of ransaction) You may cancel this transaction, without any penalty or obligation, within three business days from the above date. " If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instrument executed by you will be returned within 10 days following the receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be canceled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this contract or sale, or you may, if you wish, comply with the instructions of seller regarding the return shipment of goods at sellers expense and risk. If you make the goods available to the seller and the seller does not pick them up within 20 days of the date of your notice of cancellation, you may retain or dispose of the. goods without any further obligation.' If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so, then you remain liable for the performance of all obligations under the contract. To cancel this transaction, Mailf or deliver a signed and dated copy of this cancellation notice, or any other written notice; or send telegram to: Ambient Electric 143 Cutty Sark Ct. Oroville, CA 95965 Or Fax To: - 530.534.1855 No later than midnight of (date) I hereby cancel this transaction (date) (buyer s signature '4 5 BUTTE OUNT't' DEPARTMENT OF DEVELOPIV;e` .-r m = ,`- RVICES BUILDING PERMI f - 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (�;-30) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netlidds PERMIT NO. BP041872 LICENSED CONTRACTORS DECLARATION j I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/25/2004 APN: 036-370-007-000 the Business and Professions Code, and my license is in full force and P , effect. License Class : G \ License Number: Site Address: 5608 PARLEY ST ORO Date: Contractor: Aim P3 I e r3-1 6 LC: C- �-10 I C_ � Map Index: l Description: SERVICE PANEL CHANGE OUT OWNER43UILDER DECLARATION • I hereby affirm under penalty of perjury that I am exempt from Jhe Contractors' State License Law for the following reason (Sec. 7031.5 , Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 4 Owner: STEIDLEY KENNETH LYMAN & DEBORAH to its issuance, also requires the applicant for such permit to file a JO JT signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 5608 FARLEY ST 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Y intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: AMBIENT ELECTRIC such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 143 CUTTY SARK CT year of completion, the owner -builder will have the burden of OROVILLE, CA 95965 proving that he or she did not build or improve for the purpose of (530) 864-6342 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, { and who contracts for such projects with a contractor(s) licensed ' Contractor• AMBIENT ELECTRIC pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 143 CUTTY SARK CT ' OROVILLE, CA 95965 Date: owner: (530) 864-6342 �WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 8; — — — — _ — — O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the OFFICE COPY Labor Code, for the performance of the work for which this permit �/'�issued. Architect: Address��l� L7 I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: i i e the work for which this permit is issued. My workers' compensation i insurance carrier and policy number are: GAS 1� i Meter By Date Carrier: E LECTIR L Policy #: � 1 r U 1 .Z t �� G Total Square Ft: Meter By Date � Valuation: ❑ 1 certify that in the performance of the work for which this permit is _ _ , Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: eo _Z,� Applicant. 73 J L N .-F L� r 1 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one �. hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 4---':>ro 53 4- $55.^ /b4 code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code anrUor I hereby affirm that there is a construction lending agency for the Resolutions t do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Lam, L r � Date: Name: By: PER PIRES ON: �S .06 ' Address: Date . ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner a duly a thorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substanc of any offici form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purp R') t 0 '\ is L Print Name: Signature: I �- -5 (O 11 Date: l D 1 0 Owner ontmctor ❑ Agent for Owner 0 Agent for Contractor F COUNTY OF BUTTE BUILDING DIVISION -' DEPARTMENT OF DEVELOPMENT SERVICES �r 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 53877541 CORRECTION NOTICE -� OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. AA f'D Cs Date y L) `' Insvector REV 10/92 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041872 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' 06/25/2004 APN• 036-370-007-000 ' the Business and Professions Code, and my license is in full force and effect. G \ 026 f Z License Class: License Number: Site Address: 5608 FARLEY ST ORO Date: (OLIh D Contractor. A FM P, VC G're Map Index: Description: SERVICE PANEL CHANGE OUT OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: STEIDLEY KENNETH LYMAN & DEBORAH to its issuance, also requires the applicant for such permit to file a JO JT signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 5608 FARLEY ST 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant' AMBIENT ELECTRIC such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 143 CUTTY SARK CT year of completion, the owner -builder will have the burden of OROVILLE, CA 95965 proving that he or she did not build or improve for the purpose of (530) 864$342 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: AMBIENT ELECTRIC pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 143 CUM SARK CT OROVILLE, CA 95965 Date: Owner: (530) 864-6342 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 820992 O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit /.�issued. Architect: a I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: �f' 1J 9 C J Carrier: Total Square Ft: 0 S. F. ^S'iF}� 7 Policy #: ` Iy o I -z- 1 ✓ o Valuation: $0.00 ❑ 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 Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r Date: l0 1 —`' LO 1 Applicant: 1 L 1y T i.0 C--(- ! C WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 53 4- $55.— code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodA ?nrt/pr I hereby affirm that there is a construction lending agency for the Resolutions t do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) u� (� , �5 Name: By: Date: PER PIRES ON: /C - -75 - OS Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner a duly thorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substanc of any offici form o document of Butte County. I hereby authorize representatives of Butte Countytoenter upon the above mentioned property for inspection purp -P'R J k o %S P 4 1- a Print Name: Signature: 1-2- 5 10 H Date: (O 13 Owner ontractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name �\ irst Name Address b �� s i City c,�v1L State G, Zip S� Phone 5 3 k_j -7 5 $ Fax E-mail CONTRACTOR Name &M3 tc-,IJ 1 rr✓bo—c7-I2 7 L Address I Li 3 C U TT y 5 4 r— k- C I CitYjLav i L L e State CA Zip S,579( S Phone 5-2) L g t g B Fax S3" i 815 5 E-mail Lic. #gZG qS2 I 5LPs� v GAINT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address C U ,t 1 `1 5h 4K- Q City I No State Zip Phone f ` Fax E-mail Planner State License Number GAINT SIGNATURE X For office use only: APPLICANT NAME Name Flood Zone Address i Li 3 C U ,t 1 `1 5h 4K- Q City 04ov ( LLe I No State C Zip Phone C� 3 Z `i f ` Fax S' 3 `' _ l (a S E-mail Planner GAINT SIGNATURE X For office use only: Zoning Property Address 5 feG 8 F7'Ar2 L_r—_ Flood Zone Cross Street SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP 04-10-7 BIN # LOCATION AP# -3-7 O — 0b Property Address 5 feG 8 F7'Ar2 L_r—_ city Cross Street WORKER'S COMPENSATION Policy Number 11 1 3 •- a 0 I •Z 1 S g Carrier S A -TO f-0 fl) D 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: k- C- r3 a �T (Oo jd too Sq. Footage ❑ 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 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. OVER FOR SUBMITTAL REQUIREMENTS IL KAFORMSMILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Amount: 55 Bldg SRA Receipt #: �{—d� 3�i - Sheriff Date: 5 - SMIP Other 55 _ Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. . ❑ 3. 2 Engineered truss -details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 11 06-370-007 04-0133 STEIDLEY" KENNETH 5608 FARLEY ST, OROVILLE Cont: G&R ROOFING TEAR OFF RE ROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California -95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 04-01 _11 ASSESSOR PARCELNUMB UJb-3 /U-UU / ZONING R-1 BUILDING PERMIT OWNER 5'1 UDLEY KENNETH TELEPHONE SO. FT. OCC. BUILDING VALUATION °5608 IFARLEY ST, ORWILLE 95965 17 so 1020.00 CONTRACTOR'S NAME R ROOFING TELEPHONE 894-6537 CONTRACTORS NORD AVE. CHICO 95973 CONSTRUCTION LENDER Fireplace 1020.00 LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 27 /00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5608 FARLEr ST. OROVILLE Energy Plan Checking Fee $ PERMIT FEE $ 47.0n LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: TEAR O - RF RMV W1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full,force and effect. f License Class C, JA Lic. No. ! l8 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. so OR ADDNS. ( a ACC. BLDS. 3.50FT. NON.R°SIOT' MULTI.OUTLET 97,50 POWER APPARATUS SINGLE OUrLET CIR. Ex, OCCU OUTLET OR FDCTURES BA0 @ I,00 Ex. Occup. o ED Arsio.°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insuranc carrier and policy number are: Carrier ) TZ -),-f. 1 ," Policy Number -1 1',-1- V f, . x i-? U' (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f forthwith comply with those provisions. (L' f /m ' / r (� o X t ( yl ((. Date Signature of Applicant - ❑ Owner ❑ Contractor ❑Agent I An OSHA permit is required for excavations over 60" deep and demolition or construction/ of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 47.00 HA2. D. FE6 IMPFLooD COF PARCEL --- PD HD -- - IS E 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. / .4e Date ` PERM T EXPIRES - 2N 1 ' ) I • C� Date Receipt No. �ti �) `I2 % H"] I �D WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, Cr,:liforn`ia 95965 •Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 04-0133 ASSESSOR PARCEL NUMBER 036-370-007 ZONING R-1 BUILDING PERMIT OWNER STEiDLEY KENNETH TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 5608 FARLEY ST. OROVILLE 95966 17 so 1020.00 CONTRACTOR'S NAME G & R ROOFING TELEPHONE 894-6537 - CONTRACTORS MAILING ADDRESS 2587 NORD AVE. CHICO 95973 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace 1020.00 Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 27.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5 Energy Plan Checking Fee $ $ PERMIT FEE $ 47.0 LOT NO. SUBDNLSIO SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ F / Describe Work:Tlaa�. AR OFF RE ROOF W�C�1�' --P�.. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service eoov OR LEss zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 'n l force and effect. License Class (l Lic. No. 7oiI �� WNER-BUILDER D CLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46,00 NEW CONST. DY:"NG OCCUP. OR ADDNS. 8 ACC. S. SO 3.5¢FT. NEW ID. T. BRANCH MULTI -OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FDRUREs 20@''0O BAL @ .50 Ex. Occup. GurLEE°>s RE�SID.OEA 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the Aargirformance of the work for which this permit is issued. &,""I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My worker m�tiory .nsurancep carrier and policy number are: Carrier -r %//I/,, Policy Number I (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the labor Code, I shall with comply w'KthoM provisions. X _ Date Signature of Applicant - ❑ Owner ❑ Contractor gent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 47.00 HAz. --- o FEES IMP — --- —-- FLOOD -- COF --- PARCEL PD ---- -- HD — s This permit is hereby issued under of the Butte County Code and/or indicated ab a for which fees have By PERMI EXPIRES N / the applicable provisions Resolutions to do work been paid. Date G - :;L' ' Ci� Date Receipt No. ✓q 9 9v I Ln0� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I J rl I —.� `t�`",.rYh�v'�'tr Y 'i1 •r r .'t; , i' -•:r,. ' fl.hl� w "TS'...,+ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-370-007 ZONING' - BUILDING PERMIT OWNER KEN STEIDLBY TELEPHONE SQ. FT. OCC. BUILDING VALUATION C OWNER'S MAILING ADDRESS 08 56FARLEY ST. OROVILLE CA 95%6 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Ener Plan Checking 9Y g Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5508 FARLEY ST, OROVILLE Permit fee $ 30.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF RX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New Addition E:1 Remodel❑ utilities installation[] Other( Describe work: I'RA,�IE IN GARAGE DOOR TO CONVERT GARAGE . TO STORAGE (WORK DONE BY PREVIOUS OWNER) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO t000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .JO. 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 OCCUPM OR ACDNS• ACC. BLDGS. / 3.64 sq.ft. NEW CONST R. ULTI.OUTLET NON•R ESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS y\ SINGLE OUTLET CIR. EX. Occu Occup(OUTLETS OR FIXTURES 20 76 FIXED APLNS. EX. Occup. OUTLETS P(RESID )'EJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. IVirin g 15.00 Permit Fee $ - 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 �I Consent to Self -Insure. 2 'shall not employ any person in any manner,so as to become subject to the W. C. laws of California. I 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 FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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, Wdgments, costs, and expenses which may in any way accrue against said County in consequence f the gra i g of this permi X Date �� 8 ' Signature of Applicant — Owner Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overstories in height./DIRE Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 30. HAz 1 OFEES I IMP I FLOOD I CDF PARCEL PD 1 HD 1 ISSU This permit is hereby issued under the sions of the Butte County Code and/or work indic ed above for hich fee r CI�OF 'O.r(¢U LIC By i PERIUII EXPIRES Date applicable provi- resolutions to do �t �qve been paid. RKS V Date 11/8/91 / 92 r3 Receipt No. 1� l?.'? WHITE-D.P.W.. YELLOW-ASSr3SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERM 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIbk AND PERMIT ASSESSOR PARCEL NUMBER 036-370-007 ZONING BUILDING PERMIT OWNER KEN STEIDLEY TELEPHONE SO. FT. OCC. BUILDING VALUATION �1 J500 OWNER'S MAILING ADDRESS 5608 FARLEY ST., OROVILLE, CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWNONE N Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5608 LEY ST., OROVILLE Permit fee $ 30.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ER Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: FRAME IN GARAGE DOOR TO CONVERT GARAGE TO STORAGE (WORK DONE BY PREVIOUS OWNER) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect.SINGLE 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.9 OR ADONIS. \ ACC, BLDGS. // 3.64 sq.ft. NEW CONSTR. ULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 OUTLET CIR. EX. OCCII p OUTLETS OR FIXTURES 20 760 Ex. Occup. OUTLETS PIRESID I EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — 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 onsent 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 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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, dgments, costs, and expenses which may in any way accrue against said unty in consequence fthe grani g of this permi XPThis Date Signature of Applicant — Owner &rContractor 0 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 30.00 HAz DFEES IMP FLOOD COF PARCEL PD HD ISSU i permit is hereby issued under the sions of the Butte County Code and/or worVic�ed abo f r ich feeWKS REC O U LIC By PER MIT -EXPIRES Date applicable provi- re olutions to do ebeen paid. ate 11/8/91 11 8 92 �© pv� Receipt No. I5� WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSES PARCEL N MBER� (�,J((/p (//J(/`/J ZONING ' BUILDING PERMIT OWN R 'te TELEPHONE SQ. FT. OCC. BUILDING VALUATION l/ OW AER'S MAILING DDR 55 '66,O �' �� v ; o 4s X16 CO RACTOR'5 NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace I I CONS R CTION LENDER UNKNOWN Total Valuation Is Filing Fee ,Qy� LENDER'S MAILING ADDRESS Permit Fee $ ARC TECT�`/''�OOR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AFESS �-, �` �5 r G� V Penalt fee $ Q,� PLUMBING PERMIT FilingFee 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,X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JWJ .00 ea TYPE OF WORK New❑ Addition[] 'Remodel❑ Wilities Installationo Aerx Describe work: ' ins r >^ 66C a j'©�� C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 800V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 C NTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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.a OR ACDNS. ( ACC. SLOGS. , 2/2csgIt NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES zo®ec¢ eAL930¢ FIXED APPLNS. Ex. Occup. OUTLETS ((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. ❑ 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 LHood 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 against said County in consequence of the granting of this permit. Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr TYPE TOTAL FEE $ v�- vl/ HAz I CUA I PARK I JCHL I fLD I coF I PAR Po I; HC• ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date Receipt No. NHITE•O.P.W.. YELLOW-ASDE330R. PINK -INSPECTOR. GOLOENROO-APPLI CANT GSD-oliL -��� 0 S .a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 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 I S I G JWIE110-0�0ea. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 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): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 01I, 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.ei OR ACDNS. ACC. BLDGS. 2/2¢sgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 20 eAL®a30SG¢ EX. Occup. OUTLETS IIRESI0 FIXED APPLNS* IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin g 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. I 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 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 ❑ 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 $ occ CONST TYPE TOTAL FEE $ HAz CUA I PARK sCHL I FLo I cDF I PAR PD ; Ho. ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-O.P.W.. TELLOW-AeeESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT oar i :1 _ - � i � .a. r• � � ;�� �� ti. a'" : f � t � f r . 1 = � �- ... t t i � • . � :� t � .J � .:1} ,, A � ' �. - `. . • � i. COUNTY OF BUTTE = Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541', 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 o) 2. I 0avehavenot) signed an application for abuilding permit 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 this.work,'.but I have hired the following person to coordinate, supervise, and provide the major work: Name Address 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: c ' • - Name: Address Phone Type of Work Signed: Property Owner, Social Security N m er Date // 4jp? ' 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 retuined.to our office before we are per- mitted to issue the permit. , Permit#2805-8,5B Ken Steidley 5608 Farley, Oro. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, �aliforga 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 14 _ 1!�)' f/ ZONING BUILDING PERMIT OWNER f TC,t:k„t o r71 �, TELEPHONE �-4 A- n r 1 n ,SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS !I;nR F. t^1 Fv Oroy J 1 Jim C'A CONTRACTOR'S NAME TELEPHONE r:ca rn of rr CONTRACTOR'S MAILING ADDRESS 14 7Fireplace CONSTRUCTION LENDER-` UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS t Penalty $ .BUILDING ADDRESS tir.nR Far? Fav orniri i ie rn Permit fee $ ( i PLUMBING PERMIT Filing Fee 10.00 - Each Trap 2.00 1 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 0, Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 110.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other 0 Describe work: PoofInrr �f f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 � Main service 100 OR LESS 10.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under perjury penalty of p l y (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. 452266 Classification C--39 ❑ 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. (enalt DWELLING OCCUP.N) h2sgft OR ACDNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET N O N•RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. 20 a 50e Ex. Occup(OUTLETS OR FIXTURES eALO 30 Ex. Occup. OUTLETS FIXED PRESID.ILNS 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. X] 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 expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date 9-24-85 Signature of Applicant — Owner ❑ Contractor ElAgent[k] 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 $ OCCUP. CONST.TYPE I IFLOODIPARCELI PD HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBL'ICtWORKS yl� % �i G !J`f ltr.:'/Jl Date G��r PERMIT EXPIRES Date t1 Receipt No. �-i-'/ 7 16Bye.•-I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, (;�AIiforiLa 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. d 6�cs� ASSESS �_ AR E NU ER , _ ZONING BUILDING PERMIT OWNER Ken St 1534-0610 TELEPHONE SQ. FT. OCC. BUILDING VALU TON OWNER'S MAILING AD RESS 5608 Farle Oroville A. CONTRACTOR'S NA E TELEPHONE CONTRA TOR'SMAILING DDR ESS 2 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5608 Farley Oroville, CA- Permit fee $ Sn 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 [R Duplex F-1 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❑ OtherR] Describe work: Roofing _ 11 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eDOV 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. 452266 C-39 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 LIN OCCUPM yz¢sgft oR ADDNST DDWEACCLG S./ NEW CONSTR.MULTI-OUTLET NON -R ESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS R1 SINGLE OUTLET CIR. 1 EX, Occup( OR FIXTURES 2AL SOI aALeao \% Ex. Occup. OUT ETS (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 sub1ect 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 FiIingFee 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 0! to enter upoA the above -,mentioned property for inspection purposes. I 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, ounty inconsequence of the granting of this permit. Signature of Applicant — Owner ❑ Contractor ❑ Agent ® An OSHA permit is required for excavations over 5'0" deep and demolition or construct-MFPU ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ SO— OCCUP. CONST.TYPEJ FLOOD PARCEL PO ND 199UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRE By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. YIORKS j Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT A 58619 z d3S si►.3e3o� a ,n0Lt4n I 4071-76B,E JPGRMIT NO.. t7 PERMIT EXPIRES OWNER Donald R. Thompson CONTR.' Leisure Time Pools Inc., Paradise LOCATION (A.P. 36-37-7 ► 5608 Farley St., Oraville 19 I Temp. Power Pole Called PG&E Temp. Elec. Serv.z Called PG 'a I led P Temp. Gas rv. rv.- Call PG&E J 0 0 L F /ALED— (Date) (Signa re) L ' COUNTY -OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback ZL^ Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure. Appliances' Gas PipingTest Temp. Gas _ Slab Final Sanitation Patio FIREPLACE Final Footings Footing - ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final % DATE REMARKS OR CORRECTIONS r � v (NOTE: An entry must be made on this form each time you visit the job site.) J COUNTY OF BUTTE - OEPARTMENT OF PUBLIC WORKS 7 County Center Dri4e...— Oroville, California 95965 Telephone: 534-4541 APPLICATION, AND PERMIT LkRs Signature, BUILDING tee or A Owner ® A/ Ig .7�Q,4,e <, AJ SQ. FT. OCC. BUILDING VALUATION Receipt No. Mailing Address 5-'/ OS" F�JJ- E White-D.P.W. — Yellow-Assesso ©�d V1//C /� Telephone No. -d% S4 Fireplace ©QQ Contractor �s �rvC.- Total Valuation ' Mailing Address Permit Fee ao Plan Checking Fee &/or Penalty Telephone No. 9 77._Z 6 Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 _ ,tn 49 5 % Each Trap 1.50 ©Ice v/ L ��CA Repair drainage or vent piping 1.50 ~ Water piping 1.50 ^� ()AdiT' J z7 , �' Each gas water heater or vent 1.50 A. P. N . Q 3 6 — 3 %•- O -- d O •- O Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees C. _ Sanitation OD re Dept. FireZone Use Permit Building sewer 5.00 EQA I Parking Parcel Declaration parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 /���Pla�ns BI rPl'a�s�R 7dn` �� Parcel 1Cpproval Plans A� v a I Permit Fee NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OU Main service 1000V OR 0 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ® Main service 10 0 AMP VER OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 M �`� OO L NEW OR ADDNST ACCDWELBLDGS.LING 0 CCUP. &\ 2¢Sq ft NEW CONSTR. (MULTI BRANCH CIRCUITS)/2.50ea NON.RESID 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: a4? r` tjKP 4;7! �w 4S -,2:;a Ex. Occup(OUTLETS OR FIXTURES) BAL@1 Ex. Occup. ( FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 9 77� � � Classification Misc. Wirin-p0Ltoe—,ytl ,5 6.25 6. g ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ©I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this 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 ting to bui Iding construction, and hereby "Ilklyt or)ze res fives of the County of Butte to enter upon the a t' ne operty for inspection purposes. TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated ahnvP fnr which faac havo hoon nnirt LkRs Signature, =-- .Date --16-' 4 rnt tee or A /o Receipt No. White-D.P.W. — Yellow-Assesso Pink -Inspector — Goldenrod -Applicant DIRECTOR OF P LIC WORKS BY Date B ding permit expires Date '? —z3 - 7�