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HomeMy WebLinkAbout078-240-002-- - __ - - --- -�O;Z' 2511-90B i o 2�0-oc2 I U Z LIO - 00 2. MUTO, James l -5505 Autrey,,.Oroville I (reroof/sf) .-3 1• J 936=666-662 077.2y0 -M„ 03-0869 MUTO, JAMES 5505.AUTREY, OROVILLE E Conf: ARTIC AIRF C/O HEATING UNIT ONLY 03 B07-0201 078-240-002 f MISCELLANEOUS Electrical ELECTRICAL SERVICE UPGRADE ` Iy 5505 AUTREY MUTO, FRANK A & LISA A ET — �l r r r ®a i r r f y 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: 5505 AUTREY APN: 078-240-002 Owner: MUTO, FRANK A & LISA A ET Permit No: B07-0201 Issued Date: 02/02/2007 By KCG Permit type: MISCELLANEOUS 18896 RED BANK RD Subtype: Electrical Description: ELECTRICAL SERVICE UPGRADE RED BLUFF, CA 96080 (530) 529-2400 Expiration Date: 02/02/2008 Occupancy: Zoning: R1 Contractor Applicant: Square Footage: WHAT CHEER COMPANY WHAT CHEER COMPANY Building Garage Remdl/Addn 139 PINEDALE AVENUE 139 PINEDALE AVENUE OROVILLE, CA 95966 (530) 533-4453 OROVILLE, CA 95966 (530) 533-4453 Other Porch/Patio Total FEE INFORMATION DBE Single Phase Service-Resid $55.00 I c Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1705 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires WHAT CHEER COMPANY 610519 C1 O / 09/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects I HEREBY AFFIRM UNDER PENALTY OF that I m licensed under provisions of Chapter 9 (commencing with Section 7000) of Divi ' n 3 o Busin ss and Professions Code, and my license is in full for ffe Gy�e� yJ -.:// / 102/02/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: %<6ntractoes_Signature--r 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 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance varier and policy number are; ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Cartier: Policy Number. Exp. Date: (This section nee not be completed if the permit is or one hundred dollars ($100) or ess. ❑ IAM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner to become subject to the Workers' 4— Compensation laws of California, and afire at if I ould b come subject to the workers'X 02/02/2007 compensation provisions of Section 37 of t e La r Cod , I shall forthwith comply with those provisio Owner's Signature Date /X� 02/02/2007 I hereby certify that I have read this application and state that the above information is correct I gree to comply with all City and County ordinances, rules, regulations, and State laws relating to b i ing construction, and with any and all conditions of permit. I agree to defend, indemnify, and hot armless Butte County, its officers, agents and employees from any and all claims and liability for pe at injury, including death, and property damage caused by, arising out of, or in a way conn ed with the issuance of this permit. I hereby acknowledge that issuance of this pe ' oes not a orize the use or occupancy of any sidewalk, street, or subsidewelk. Ihe byyy author' senta ' as of Butte County enter the above mentioned property for inspa io reby ce i at I am the prop one ora aut orize to act n the prop o er ^ 1 11G � �^9o\(a- 02/0 2007 ' gnature_ J ' Date r— WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency f the performance of the work for which this permit is issued. (3097 civ. code) Name of Permittee [SIGN] `Print ---e Date El-Owner , ontractor OR; Agent for Owner Agent for Contractor r FILE COPY Lender's Address City State Zip BUTTE.COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name � � First Name�r��N Mailing Address `SOel_ 6 r-fi-- /D )<- <-City1Qog--1�1 C i 'y )0- og-- 1�az-4 r,C::� State Zpf Phone .52 q ` 2 �( p Fax E-mail CONTRACTOR ARCHITECT/ENGINEER Address/3,e,7 ipI ti e 4 City 0 State Zip Phone ,,-3 j y�3 Fax E-mail Lic. # 6 16 J—` q. Class [' APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail XPA PROJECT LOCATION AP# +'1 Property Address i� C 0 city w n PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ • Structure Built without Permits . ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. � "� -'t: a� rr .'.r .,���__.� I.�.+, ...+, .- c � }{:..1.''/,�M,r , +'-`y{`. .. , r t ..,.._ ... -.. .. • �is.....vrro'� ., s.� .+ `fv.RA•yr �....�� -...- n_. re....�^s,-. v� .-.. li 036-660-002 03-0869 ;R MUTO JAMES 5505 AUTREY, OROVILLE Cont: ARTIC AIRE C/O HEATING UNIT ONLY .q �� /+.sem, /�►¢"/ 1, t•�� ~�� � �•�" r 0 a. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -'BUIL NG DIVISION r, 7 County Center Drive • Oroville, California 95965 • Telephone (530 538-7541 �2rPRGI (Rev. 12/96) APPLICATION AND PERMIT J ASSESSOR PARCEL NUMBER ,Ina irn ZONING BUILDING PERMIT OWNER va v.w vv— ' TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNGAD 'ESS 2409 LAS PUNkSAVE.OROVILLE CA 95956 CONTRACTOR'S NAME ARTIG AIRF TELEPHONE 895-3330 CONTRACTORS MAILING ADDRESS 7_r CA 95928 CONSTRUCTION LENDER i LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5rd) 5 1 (1 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - 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: C/O HEATING UI4IT ONLY j Gas i in system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT J Filing Fee 20.00 600V OR LE S Main Service AORSS 23.00 LE 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.P License Class 13 _ Ir 20 c .L Lic. No. I OWNER -BUILDER DECLARATION 1 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'sa�l`e.. ❑ I, as owner of the property, am exclusively contracting with licens -ontractors to construct the project. `j ❑ 1 am exempt under Sec. Business and Professio"Coa for this reason .i * ,a _ WORKERS' COMPENSATION DECLARATIONMECHANICAL 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self! ure.•for orkers' compensation, as provided for by section 3700 of the Laboi`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 insurance carrier and policy number are: Carrier L_kW'V%kr- 1nAM113 �(Y1tJ��/ __, Policy Number ON IV..11,CO ?'Sq- O! (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 forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor GoAgent An OSHA permit is required for excavations over 5'0" deep and demolition or constructionof structures ove�3 storiesjin height�r Main Service 200A TO 1000A 46.00 NEW CONST. DWELLIG OCCUP. SO OR ADONS. ( a ACC. elns. 3.5¢FT: p'J .RERIp MULTI. -.IR. 97,50 OWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDrrURES BAA 9'.550 Ex. Occup. DuuTTLEE'A RESI6.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ ?5,p0 HAZ. D. FEES IMP FLOOD CE PARCEL pD HD ISSUE V This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ab;ve for which fees have been pai . By N ill/ (Jff6h*tr1Date PERMIT EXPIRES ON Date Receipt No. 7 7,77971 i I 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, California 95965 • Telephone (530) 538-7541 po tl (Rev. 12,1,/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036 669TELEPHONE ZONING BUILDING PERMIT OWNER SO. FT. OCC. BUILDING VALUATION .OWNER 74D "' CA 95966A CONTRACTOR'S NAME TELEPHONE ARTIC AIH Q95-3330 CONTRACTORS MAILING ADDRESS 2150 PARK AVE., CHICO, CA 95928 - CONSTRUCTION LENDER LENDER'S MAILING ADDRESS —Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 55Q9 AITFR'FV, T F Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling 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: C/O HEATING UNIT ONLY Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 RLESS 600VMain Service 20 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 force and effect.FOWER License Class a �'-aO e *- Lic. No. ? � 1 OWNER-BUILDER-DECLARATfON 1 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 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. ❑ 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 workers' compensation insurance carrier and policy number are: Carrier !—CA N -V '11 Y -^M ^MIA:-Nfh Policy Number "S (yl�1(� ?'3.4 01 (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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date "' Signature of Applicant - ❑Owner 13 Contractor gent An OSHA permit is required for excav 'ons over 5'0" deep and demolition or construction of structures over 3 stori in igh Main Service 200A TO 1000A 46.00 NEW CONST. DW !NG OCCUP. SO OR ADDNS. ( a Acc. BLAS. 3.5QFT: CONST Np 61DMULTI.OUTLET 97,50 APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FD=RES BAL p x.50 Ex. Occup. oFF EEDTSAalo°FR,p 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAz. o. FEES IMP ROOD CDF PARCEL PD HD ISS This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions in I ed 6,chfees have been By Da PERMIT EXPIRES ON provisions to do work pai . %� ©� P ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Artic Aire 2350 Park Avenue Chico, CA 95928 (530)895-3330 Fax (530)892-9930 Permits To Be Pulled 11�2s PeLrr�'t l�nfr tion l Job Name: Job Address: Phone Number: 53 City & Zip Code: ---nI Type Of Job: hange O Type Of Equipment: Lt ag UnitOnly Heat Pump Split System Equipment Size: BTU Cooling: BTU Heating: Type Of Permit Required: Mechanics Location: Lic. B -C20 -C2 #234913 Worker's Compensation: Lumberman Mutual #5BA1 65241 -00 Cut — In Move Unit Split System A/C Only Heat Pump Package Unit Plumbing Roof Attic Closet Hall Notes: Electrical Ground Basement Ak-h r - _ cry. '�i `� �.is�'R�e1r�4s..'1�0f:;��t�."._!�4�'�..�"1:!�",:t'�;; yi .'Mr. ".��.��"�. �� :�. ' � � t - � ' ; .. .� � } •i � !� 7 tr�j�+�i""��t�;-�'%f`'�"+��+ai�`�1,,��r�����'�'��' �?.^;�`wi+.,F �. 6���'.+t'ary��".i'k�`+ffe � '�'j.�r •��'lr:�", r G'OUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS, PERMIT NO. 7 -County Center Drive - Oroville,-California 95965 - Telephone: 916/538-7541 =,qrt Jif /- q APPLICATION AND PERMIT `i A556SSO�t PARCEL NUMBER 3 ��},Q��„ ZONING r BUILDING PERMIT OWNER James Muto , - TELEPHONE 534-0241 SQ. FT. OCC.1 BUILDING VALUATION 0 sq. 600 01409 SLas MAILING ADDRESS Ave; , Or* 95965 CONTRACTOR'S NAME 'a Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 13.00 ,ARCHITECT OR ENGINEER LICENSE NO. s Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 23.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. i SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑Other E] Describe work: reroof ll� _ ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 t Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 I declare under penalty of perjury (check one): +� ❑ 1 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 Irl 1, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) k, I F] 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 /EA. LIN OCCUP.Bd\ oR T C DWELG / ADONS 2+/20sgft NEW CONSTR ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2.SOea (POWER APPARATUS IL) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20®SO¢ BAL030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 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. .. I - • 11, f 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 1 certify that I have read this application and state that.the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �— --,a r/r� = / Date 'work �.'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 $ 23+ 00 FAZ CUA PARK SCHL FLD PAR PD HD Iss This permit is hereby issued under sions of the Butte County Code and/or indicated above for which fees DI}i C OR OF U IC /' By �'ERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS J� Date i ff Receipt No. 70 / G7 WNITC-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASS SSOR PARCEL NUMBER 3�-66-02 ZONING BUILDING PERMIT OWNER James Muto TELEPHONE 534-0241 SO. FT. OCC. BUILDING VALUATION //77 10 `S `1• 600 OWN ER'S MAILING ADDRESS 2409 Las Plumas Ave, Oro 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 13.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 23,00 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 S 10.008 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: reroof _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING OCCUP.N OR ADDNS. ACC. BLOGS. Yz¢sgft NEW CONSTFt ULTI-OUTLET2,50 NON.RESID BRANCH CIRC ITS ea /POWER APPARATUS el (SINGLE OUTLET CIS. / Ex. Occu p�OUTLETS OR FIXTURES 1.20050t eAL030 FIXED APPLNS. OR Ex. Occup_. OUTLETS (RESID.) EA.) 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. Idl I shall not employ any person in any manner so as to become subject }�1 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in n ce of th granting of this permit. X Date I ure of Applicant — Owngr Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct -DI ion of structures over 3 stories in height.Receipt Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 23.00 HAZ I CUA I PARK I SCHL I FLD I PAR IPDIHDI 1 This permit is hereby issued under sions of the Butte County Code and/or aiicated above for which fees R OF U IC IRES Date the applicable provi- resolutions to do have been paid. WORKS No. 70I to% WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 1. APPLICATION AND PERMIT %SSESSOR PAR -C L JOUMBEF{ _— OO OWNER //'> l/�� (/j/_ �������� D WNER'S MAIL NG A DRESS dr o CONTRACTOR'S N CONTRA T R'S MAILING A 'RESS CONSTRUCTION LENDER (UNKNOWN LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEERLICENSE N ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS_ — I— I T NO. I SUBDIVISION NAME I PARCEL MA USE OF STRUCTURE SF,$ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK PERMIT NO. BUILDING PERMIT - FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Permit fee of PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S I G JW New ❑ Addition ❑ ❑ (ties ❑ Installation[] Other ❑ Permit Fee ,/Remodel r Describe work: e- J^)0- Contractor JFilingFeej 10.00 Heating ELECTRICAL PERMIT eoov oss Hood Main service 100 AMR P ORLELESS Venti Iation Main service EA. ADD'L 100 AMP $ CONTRACTORS LICENSE LAW NEW CONST. / DWELLING OCCUP.E\ OR ADDNS. l ACC. BLOGS. 1 declare under penalty of perjury (check one): NEW CONSTRULTI.OUTLET NON-RESID BRANCH CIRC ITS ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business LET CiR (SPOWER INGLE APPARATUS.&) and Professions Code and my license is in full force and effect. Ex. Occup(OUTLETS OR FIXTURES License NO. Classification FIXED ARPLNS. OR Ex. Occup. OUTLETS IRESIO.) EA.) ❑ 1, as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure Is not intended or offered Temporary service for sale. (Sec. 7044) Mobile Home Facilities ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (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 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 Energy Inspection Fee -$ to building construction, and hereby authorize representatives of the Countyot occ CONST TYPE r Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE $ I also agree to save, indemnify and keep harmless the County of Butte against HAz I CUA PARK SCHL I FLo I PAR I PD HD ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. This permit is Hereby issued under the applicable provi- X Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner❑ Contractor [I Agent Agenf work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. By Date Receipt No. PERMIT EXPIRES Date 10. S $ $ Filing Fee 10.00 10.00 2E5O '/2 2.50 ea 2.00 10.00 15.00 15.00 Permit Fee S Contractor MECHANICAL PERMIT JFilingFeej 10.00 Heating Cooling Hood 3.00 Venti Iation Permit Fee $ Contractor Mobile Home Installation Fee $ j COUNTY OV BUTTE - -Dd artment 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 i.n 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. V1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �• Y2. .I (have/have not) .4 C signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address _ City 'iV Phone Contractors License o. 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: Name Address Phone Type of Work Signed: y Property Owner Social Security,_,,tuber Date % — Z O ' �i9 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the'California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.