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Home My WebLink About078-220-019:� - 03-1321 JACKSON, ROBERT 9 LAS PLUMASWAY, OROg LED Cont: CONNELLY RE ROOF 078-220-019 B07-1456 MISCELLANEOUS HVAC Change Out HVAC C14ANGEOUT 9 LAS PLUMAS WAY )ACKSON,ROBERT -- I JACKSON, Robert F. 516-70B 449-70P 886--70E_(s)509--70E 9 Las Plumas Way, Oroville (add family room &.living room) 0'78 ;LP -0- 01 -3-7/ U." 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: 9 LAS PLUMAS WAY Owner: permit No: B07-1456 APN: 078-220-019 JACKSON, ROBERT Issued Date: 7/5/2007 By GLB Permit type: MISCELLANEOUS 9 LAS PLUMAS WAY Subtype: HVAC Change Out OROVILLE, CA 95966 Expiration Date: 7/4/2008 Description: HVAC CHANGEOUT (530) 533-9696 Occupancy: Zoning: R1 Contractor Applicant: Square Footage: SECO HEATING AND AIR SECO HEATING AND AIR Building Garage Remdl/Addn 4320 ANTHONY CT, SUITE 1 4320 ANTHONY CT, SUITE 1 ROCKLIN, CA 95677 ROCKLIN, CA 95677 Other Porch/Patio Total (916)652-6755 (916)652-6755 FEE INFORMATION DBM Heat Pump (Package Unit) $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B3772 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 SECO HEATING AND AIR 788807 / C20 C38 / 12/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect, of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the r- basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X e 7/5/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). rV I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ElI, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: UUP&!! Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: PREFERRED EMPL(palicy Number: WKN1275722 Exp. Date:5/1/2007 's ContractorLicense Law.). (This section need not be completed if the permit is for one hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if 1 should become subject to the workers' X 7/5/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. r X A CA e, 7/5/2007 I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building v 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, or in any way connected with HUNDRED THOUSAND DOLLARS 5100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the Pbove mentioned property for inspection purposes. I hereby certify that I am the P operty owner or authorized to act on the property owner 9half. 7/5/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permitt[SIGN] P int Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner 1:1 Contractor OR. Agent for Owner RIAgent for Contractor FILE COPY Lender's Address City State Zip 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 Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" ' OWNER INFORMATION Last C.Y Nam Addres n - , v 1 City St e City Phon Fax E-mail APPLICANT INFORMATION ARCHITECT/ENGINEER Name Flood Zone Address Pho11 ( f _ City E-mail State Zip Phone iiia tie>L•1�� Fax �� . � �; . Planner State License Number _ APPLICANT INFORMATION ARCHITECT/ENGINEER Name Flood Zone Address Pho11 ( f _ City E-mail State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address] / City Flood Zone �) Pho11 ( f _ Faxes _1 r E-mail APPLICANT SIGNATURE X For office u n Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: vvr-K rurc SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApp1SubRgmts.doc PROJECT LOCATION AP# o ��-220-r111 Cross Street I WORKER'S COMPENSATION Policy Number r�, _ , , _ , �t SB' PERMIT NO. BP�)) BIN it Carrier 1 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 Page 1 of Desc iption or Scope of Work: i Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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. REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The folloiNing drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (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. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's (if required). ❑ 2. .office Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 o m COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NQ (Rev. 12/96) APPLICATION AND PERMIT 03-1321 4 ASSESSOR PARCEL NUMBER n ZONING 'R —20 BUILDING PERMIT i OWNER '� ROBERT JACKSON TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 22 S CONTRACTOR'S NAME OONNEUY"S PROSSIONAL SERVICE TELEPHONE ? CONTRACTORS MAILING ADDRESS 5490 DEBBIE AVE., OROV1111, CA 9596C CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1020. ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 33.00 Plan Checking Fee $ BUILDINGADDR& PLLlr.JA.S WAY OJMLI. E Energy Plan Checking Fee $ PERMIT FEE $ 53.00 LOT NO. SUBDNIS IONS NAME 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE ROOF 00W Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home sG W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service woR LEss 20ov0A 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.�� License Class �- _3 2 Lic. No. fS-f7 OWN WILDER DECLARATIONOccup. 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: .. ❑ 1, 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. V I have and will maintain workers' compensation insurance, as required by Section V 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insuranc arrier and policy number are: Carrier _',M-owre- Policy Number ! ��= (The above sections not a completedrf 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 forthwith comply with 4�those ovisions. >' X Date -- {�'(; _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. / Main Service 46.00 NEW CONST. DWFLEE DWELTO LING OCCU CUP. SO OR ADDNS. ( & ACC. BLDS. 3.5QFT. =ICONS MULTI.OUTLET ESIDT 97,50 POWER APPARATUS a SINGLE OUTLET CIR. OUTLET OR FIXTURES 20Q1•00 BAL Q .50 FIXED APPLNS. OR Ex. Occup. Du1tErs RESIp. EA. 5.00 -Teruporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 53.00 HAZ. D. FEES IMP FLooD CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have �l r ,yy �,} f/ By �' it/�� lii'y�((,�/ PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. rl 5 3. WHITE-D.D.S.- . . CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI DING DIVISION : 7 County Center Drive • Oroville, California 95965 • Telephone (53 ) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 03-1321 ASSESSOR PARCEL NUMBER ZONING TM -20 BUILDING PERMIT OWNER ROBERT JACKSON TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 9 TAS PTITMASWAY nRMiTI_1_,E 22 Sq. 1,320-00 CONTRACTOR'S NAMETELEPHONE CONNELLY"S PROSSIONAL SERVICE -1916 CONTRACTOR'S MAILING ADDRESS 5490 DEBBIE CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1 320.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 33.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGEiLSS DDT EAS PLUMAS WAY OROVILLE CA l� Energy Plan Checking Fee $ PERMIT FEE $ 53.00 LAT NO. SUBDNISIOWS NAME 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE ROOF COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600VOR LE Main Service 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 in full fo ce and effect./�� -` License Class �'-- Lic. No. C/( O NER-BUILDER DECLARATIO 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 46.00 NEW CONST. DWE r occuP. so OR ADDNS. a Acc. BLDs. 3.50FT NON-RES'NEW D . MULTI.OUTLET 97,50 POWEPPARATUS a sINOLE R AoLm Er aR. Ex. Occup. OUTLET OR FWTURES 20 @ ''50 BAL @ .SO Ex. Occup. oFlxuTtEEo�A A� OR 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 Performance of the work for which this permit is issued. 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 [) Policy Number -�( -- ^:5 (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 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 forthwit comply with those ovisions. X Date o&—m_ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent 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 $ 53.00 HAZ. D. FEES IMP FLAOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Conad/oresolutions to do work indicated ab ve for whicbeen paid. //� By Date S'tC5:, LJ J PERMIT EXPIRES ON (Date) Receipt No. t 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT