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HomeMy WebLinkAbout078-240-02136-66,0 ZYC� 2 JACK B�TTOM 2410 /as Plumas, Oroville Contr: Fox Electric PErAi.t #37-79E (n w ele ser &r miscNwiring) SF n / 3tlr 36-66-21 3442-90,E,M BOTTOMS, Jack 2410 Las Plumas Ave, Oroville Contr: Tod.Tracey ,7.q. ( repair fire damage/sf) % '? 036-660-021 04-1293 WILSON, PHILLIP 2420 LAS PLUMAS AVE, OROVILLE Cont: OWNER ELEC REPAIR B07-0240 078-240-021 MISCELLANEOUS Gas Reconnect GAS LINE REPAIR 2420 LAS PLUMAS AVE 9.9 .-0 7 WILSON, PHILLIP L SS 0 41j _ � �� ! � -h BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636, (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0240 Issued: 2/8/2007 Address: 2420 LAS PLUMAS AVE Area: OROVILLE Owner: WILSON, PHILLIP L SS APN: 078-240-021 Applicant: 'WILSON, PHILLIP L Map Page: Permit Type: Gas Reconnect Description: GAS LINE REPAIR Flood Zone: None SRA Area: No SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 11.1o, 124 Gas Test House 404 jlr Z - Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 ShearwallB.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 .Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilitier'-T-n-an!-t^mn Gas Test T Manometer Continuity 1 Address Skirting/Ste j ManufactuAS re GMeter By J Date of Mal ELECTRIC Model Nati Meter By Serial Num Length x1&___.. OFFICE COPY N 1 — 2 Date I Date Insignia: r•,�r 4 �G r" �� lt,f ' :r: �C,- �V_,..• 1! `� +:���3 II, Un f1111N•••I•I.Ty rM.1 But mg Ftna 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 I "PROJECT FINAL ;/ 1 801 IA.;;-( I ——` eject 1'i�is a ertilica� Occupancy for esidentia n y PERMITS BECOME NULL: AND VOID 1 YEAR FROM. THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy 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: 2420 LAS PLUMAS AVE Owner: Permit No: B07-0240 APN: 078-240-021 WILSON, PHILLIP L SS Issued Date: 02/08/2007 By KCG Permit type: MISCELLANEOUS 2010 FEATHER RIVER BLVD Subtype: Gas Reconnect OROVILLE, CA 95965 Expiration Date: 02/08/2008 Description: GAS LINE REPAIR (530) 534-7368 Occupancy: Zoning: R1 0( Contractor Applicant: Square Footage: WILSON, PHILLIP L Building Garage Remdl/Addn 2010 FEATHER RIVER BLVD OROVILLE, CA 95965 Other Porch/Patio Total (530)534-7368 FEE INFORMATION DBP Gas System (enter outlets) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1774 LICENSE_ D 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 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 02/08/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; one of the following: Contractors Signature Date 6PIrseck WNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE ENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS'COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The 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 Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section nee not be competed if the permit is or ons a hundred dollars ($100) or fess. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: � 111 I -I Z RTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS L#&IISSUED, I shall not employ any person in any manner so as to become subject to the Workers' 7 Compensation laws of California, and agree that if I should become subject to the workers' X 02/08/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provis' s X 02/08/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE O 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 SU13JE 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 $100,000, 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 above mentioned property for inspection purposes. I hereby certify that I am the or a authorized to act n the property caner behalf. fl- property e, 02/08/2007 ime CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) caner [:] Contractor OR;Agent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip .Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WELL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY P 0 PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMEN . (YE R NO) I /HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: GAS LINE REPAIR Reference Number: B07-0240 Applicant Name: WILSON, PHILLIP L Owner's Name: WILSON, PH14LJP L SS AP # : 078-240-021 Signature of Property Owner: Date: '—Q 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" APPLICANT SIGNATURE X LCL/ PERMIT NO. BIN # PROJECT LOCATION AP# d% ` Q —6,Z1 6Z, Property Address �241',116' City t15/'G U X111 -02 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: q Sq FT- Living Garage Open Cov ❑ • Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: OWNER INFORMATION Last Name d Fi me Mailing Mdr6s,2, State City rove Phone Stat Zi Phone ZI Fax 74 2-L E-mail Class APPLICANT SIGNATURE X LCL/ PERMIT NO. BIN # PROJECT LOCATION AP# d% ` Q —6,Z1 6Z, Property Address �241',116' City t15/'G U X111 -02 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: q Sq FT- Living Garage Open Cov ❑ • Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name Address AO oA 1,01Z City SRA State Zip Phone Zip Fax E-mail Fax Lic. # Class APPLICANT SIGNATURE X LCL/ PERMIT NO. BIN # PROJECT LOCATION AP# d% ` Q —6,Z1 6Z, Property Address �241',116' City t15/'G U X111 -02 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: q Sq FT- Living Garage Open Cov ❑ • Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name AO oA 1,01Z .Address .. SRA City t State Zip Phone 7, Fax E-mail State License Number APPLICANT SIGNATURE X LCL/ PERMIT NO. BIN # PROJECT LOCATION AP# d% ` Q —6,Z1 6Z, Property Address �241',116' City t15/'G U X111 -02 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: q Sq FT- Living Garage Open Cov ❑ • Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name j °1. AO oA 1,01Z Address �� SRA City O t Stated. Zi Phone 7, Fax 1L� J E-mail APPLICANT SIGNATURE X LCL/ PERMIT NO. BIN # PROJECT LOCATION AP# d% ` Q —6,Z1 6Z, Property Address �241',116' City t15/'G U X111 -02 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: q Sq FT- Living Garage Open Cov ❑ • Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZone SRA Yes ,lo Occ. Type Const. N 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. BP041293 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: 05/11/2004 APN: 036-660-021-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2420 LAS PLUMAS AVE ORO Date: Contractor: Map Index: OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ELEC SERVICE REPAIRS & RE -TAG Contractors' State License Law for the following reason (Sec. 7031.5 SERVICE 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 Owner•' WILSON PHILLIP L SS signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 2010 FEATHER RIVER BLVD 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 95965 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).): W, 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 1 t Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: WILSON PHILLIP L SS 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 T 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 ❑ I, as owner of the property, am exclusively contracting with s licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does t not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). O , I am Exempt under Article 3 of the Businessand Professions Code Date: Oy Owner: WORKERS' COMPENSATIO DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 'f I have and will maintain a certificate of consent to self -insure for ` workers' compensation, as provided for by Section 3700 of the ! I Labor Code, for the performance of the work for which this permit 1 is issued. Architect: O I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: F, the work for which this permit is issued. My workers' compensation II' insurance carrier and policy number are: li Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: certify that in the performance of the work for which this permit is issued, 1 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. Date: w 14_ � Applicant: WARNING: Failure to se a 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. r' . CONSTRUCTION LENDING AGENCY This permit is hereby is'su`ed under the applicable provisions of the Buffe County Coda anevor I hereby affirm that there is a construction lending agency for the Resolution to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)' •- 5- I i , 04 BY Date: Name: PER EXPIRES ON: '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 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 official form or document of Butte County. I hereby authorize representives of Butte County to enter upon the above mentioned property for inspection purpos !'/ I Print Name: All ` W fl Oxn Signature: Date:d4Z weer ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor 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 off DATE: _ / , o 4 -;�)VfJ ��(V 6 ^0'?/ -016 - OWNER'S -L -A -ST -NAME: OWNS 'S FIRST NAME: 67 PHONE F-01)WfLdA) � 42 STREET ADORES n /A ^�A�^ r c ^ .n "- I F % 3 CITY. ZIP:Oro Ll;, e `�� J- - - - SITE ADDRESS* Av t CITY. ZIP: //�A " NEAREST CROSS STREET: ` C- 't TRACT/LOT g APPLICANT NAME: 16IM17 // L/ PHONE CITY. ZIP: Ono v % Ile Q - - PHONE: CONTRACTOR NAME:— / r LICENSE NUMBER LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY ZIP: LICENSE NUMBER E-MAIL: DESCRIPTION OR/SCOPE OF WORK: ❑ 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: � i j Receipt number: j Amount Received: I COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 �r PERMIT APPLICATION DATA SHEET OWNER: 1 \ `l,C ASSESSOR PARCEL NUMBER Proposed Building Use: Q Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. 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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. O / 27. Encroachment PermitAr ¢}ivewqy_from/the Public Works Dept ........................... O� 28. Pre -Inspection for O v required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ......................................:.. ... ........................ ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. - Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division .'S 0+) REQUEST FOR INSPECTION Permit No. ,-)-2 Loca on: • Owner: Sb Contractor: Call Phone: V 1 BLDG. PLUMB CH ELECTRIC M.H.I./M.H.U. PRE - INSPECTION Form Rough Rough Fnd/Ftg Frame/Underfloor Top Out Temp. Service Job Status Stucco Lath Gas Pipinglrest Main Service Corrections Permit Renewal Stucco Brown Woodstove Brace Panel Temp. Gas Sewer Piping Water Piping Underground Well Circuit (/ Final Verify Utilities Ex Mobile Site Insulation Nailing Shower Pan A� Gun Demo Bondin Corrections Corrections Corrections Light Niche Ready for Final Final Final Corrections Final Inspec. on: A 1 PRE -INSPECTION REPORT �� ll OWNER: 1L LOCATION: Q Q) LGIGJ _Pw`rnc1S CONTRACTOR: OrI REASON FOR PRE -INSPECTION y DATE TO INSPECTOR: PERMIT HISTORY ( ) NONE DATE: ' A.P. #6�3C0- ZONING: SEE ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: Mobile home # of Units: Currently Occupied ( ) Yes ( ) No Abandoned/Vacant: c Electric: Electric Currently ( ) On ( ) Off Condition of Electric Gas: Currently ( ) On ( ) Off Condition Sanitation: { Plumbing Working ( ) Yes ( ) No Obvious Sewage Problems ( ) Yes ( ) No ACTION RECOMMENDED: ISSUE(.` i Yes ( ) No Hold for permits or verify: c3 _ e .vice Inspector• a —C! Datec.do D TTTTT TTwTA^40 lIAT 711-t7-ff7"0T 'A IkTT% TXT711rl-1 A TT T d -%d- A TTl1AT d -%XT 7)T 11T)TT TT7 36 -66 �l,r I JACK�TTOM 2480 as Plumas, Oroville Contr: Fox Electric PEr t #37-79E (n w elje ser j misc wiring) SF. j , ( d-31 On 36-66-21 34_ 42- 0 ,E,M BOTTOMS, Jack 2410 Las Plumas Ave, Oroville Contr: Tod Tracey q ( repair fire damage/sf) i . r . 1 , e 1 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: 7636 ( 938-7541) (530) 891-2834 (CHICO) OFFICE #: PERMIT NO. BP DATE: / L, A' V�G7 ^ P (L/ 6 - �-?/ --r-a6 ,. �/ ^ � PHONE. OWNER'S LAST NAME: OWNE 'S .FIRST NAME: F �. STREETADD D t r l� T6 E-MAIL' CITY, ZIP: � � �� • �� P_ SITE ADDRESS• . .4 � CrrY. ZIP: /moi e54 APPLICANT NAME: FlG • L 1 z �. �� -3 STREET ADDRESS: FAX :TTY, ZIP: CONTRACTOR NAME:,� / STREET ADDRESS: CITY. LP: LICENSE NUMBER ARCH ITECTIENGINEER NAME: DESCRIPTION OR SCOPE OF WORK: --/' I ❑ 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: l Omni int Raraivari. ' I .BUTTE COUNTY .DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041293 LICENSED CONTRACTORS DECLARATION I. hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/11/2004 APN'' 036-660-021-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2420 LAS PLUMAS AVE ORO Date: Contractor: Map Index: Description: ELEC SERVICE REPAIRS & RE -TAG 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 SERVICE 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 Owner'' WILSON PHILLIP L SS signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 2010 FEATHER RIVER BLVD 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 95965 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: WILSON PHILLIP L SS 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 Contractor' pursuant to the Contractors' State License Law.). / O I am Exempt under Article 3 of the Business and Professions Code �f �y Owner: m;� Date: OFFICE COPY WORKERS' COMPENSATIO DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #' Address ❑ 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. Architect: IwaElate -- ❑ 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 Engineer: ELECTRIC Meter By--4dDa insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Policy#: 191<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. Date: — �c Applicant: w WARNING: Failure to se a 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. c - CONSTRUCTION LENDING AGENCY -Thin pe.^it is hereby issued under the applicable provisions of the Butte County Coda 2nrUor I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: Name: PERMIT EXPIRES ON: 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 8 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 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 official form or document of Butte County. I hereby iveesof Butte County to enter upon the above mentioned property for inspection purpos authorize repreX&1-40 Print Name:wG, o Signature: Date: caner 13 Contractor ❑. Agent for Owner ❑ Agent for Contractor US t: r; COUNTY OF BUTTE = BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA (530) 89172751 ` 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. n /% 3g4-z io COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. Calittorg,�65 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 3?6-66-21 ZONING BUILDING PERMIT J�+ r BOTTOMS TELEPHONE SQ. FT. OCC. BUILDING VALUATION 24A&'h;U*I_d_?ht1AbfSRMeV Onnttle CONTRACTOR'S NAME Tod Trace TELEPHONE 343-3490 CONTRACTOR'S MAILING ADDRESS 2711 B r Avenue, i Fireplace CONSTRUCTIO LENDER UNKNOWN /�/� Total Valuation $ 3 000 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 38.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2410 Las Plumas Ave Oroville Permit fee $ 48.50 PLUMBING PERMIT Filing Fee 10.0 ' 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 r�Y�yt fire repair SFP- Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation Other nn Des ribe w rk' Replace studs, sheetrock, wtrhtr vent, m�sc i2ring, replace door Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service aoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury p I y (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business ' and Professions Code and my license Is In full I rcc nd/effect. License No. S_S-S~ O t 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.Ik OR ADDNS. ( ACC. BLDGS. 2/20sgIt NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUT LE TS OR FIXTURES 120 @ 50C AL@ 30 SAL@30 0. EX. Occup. OUTLETS IFIXED PRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 i Misc. Wiring g 15.00 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 F:::::3::.10 Ventilation replace htr ve t Permit Fee $ 13.00 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 Iiabilittes judgments, costs, and expenses which may in any way accrue agai/n]s�t sGaild fou ty in ConsequeAQpL9f the granting of this permit. X f 1. r Date/0"� ` Signature o A licant — Owner g pp ❑ 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 - O(� TOTAL FEE $ 86.5 Q HAZ CLIA SCHL FLD PAR PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work dicated Rfor whi h f s have been aid. p R OF P B WORKS PIP k- Me V41 Date 10/2/90 PERMIT EXPIRES Date /2/91 Receipt No. * �� WNIT[•D.P.W., •EL LOW-A55[$30R PINK-INSPEC1o. GOLDENROD -APPLICANT COUNTY OF BUTTE iy DEPARTMENT OF PUBLIC WORKS f 196 Memorial Way, Chico — Phone: 891-2751 I 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 3wz -Sa OWER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r Date �+ S'Sa Inspector 1 r COUNTY OF BUTTE • • • . DEPARTMENT OF PUBLIC'WORKS, 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile —,Vhone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE,-- r zgl� OWNER \ PERMIT NO A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date Inspector/ n COUNTY, OF BUTTE ' DEPARTMENT F PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ' 7 County Center Drive, Oroville — PPne: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE �ell) /1) OWNEA;� PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date A`N/(�)Inspector COUNTY OF BUTTE -0IEARTMENT OF PUBLIC WORKS 7 County Center Drive - Orville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 36-66-21 ZONING BUILDING PERMIT JAff BOTTOMS TELEPHONE SQ. FT. OCC. BUILDING VALUATION I g ,Oroville CONTRACTOR'S NAME Tod Trace KS TELEPHONE 1343-3490 CONTRACTORMAILING ADDRESS Fireplace CONSTRUC TIO LENDER UNKNOWN Total Valuation $ 3,000 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ .50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2410 Las Plumas Ave Oroville Permit fee $ 48.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE fire repair SF ®X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Replace studs, sheetrock, wtr htr vent, misc wiring, replace door Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV 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 Business and Professions 'Codec and my license Is In full force nd ffect. 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.8d OR ADONS. ( ACC. BLOGS. ,/2Osgft NEW CONSTR. ULTI-OUTLET NO N.RESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS e� (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES aAL@90 FIXED PK Ex. Occup. OUTLETS IRESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 . Q Permit Fee $ 25. WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. off I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation replace htr vent 3. Permit Fee $ 13.00 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 a ree to save, indemnify and keep harmless the County of Butte against all Iia liti s judgments, costs, and expenses which may in any way accrue again sa' ou in consequ the granting of this permit. X Ile Date 100-2— Sig ature 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 86.50 TOTAL FEE $ HA2 CUA PARK SCHL FLo PAR PD HDJ ISSUE Th;s permit is nereby issued under sions of the Butte County Code and/or work i dicated above for which f R OF P L PERMIT EXPIRES Date /2/91 the applicable provi- resolutions to do s have been paid. WORKS Date 10/2/90 Receipt No. WNITC-D.P.W., TELCO -AS 990 1 - N O . GO D Oa -APPLICANT �'1titi�.�'.v'f',f' r ti .� {,, r'• 'Z -':�- 3F•',F. Y.y ..� �, �'yYl'i� .Y,yn l�z. �' i.T`'�'i'�'-. �r�� _ .7K`tir,.. . COUNTY OF BUTTE - Wjb DEPART 6F PUBLIC WORKS - BUILDING DIVISION V* 7,00LINTY CENTER DRIVE- OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER `40< . A.: tYra'-4 q A. P. No. '51K Z f Proposed Building Use �"p�� �z����S Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED _ 1. All items have been submitted . ..................................... _ 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . _ 4. Complete engineered plans and calcs, with wet signature on plans .. _ 5. Hazardous Material Form ......................................... . _ 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... _ 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... _ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... _ 13. School District fees paid .............. _ 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) _ 17. Planning approval for (A) Use: (B) Parking: ...... _ 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. 21. Pre -Inspection for required . Pre-Inspec. request to Building Inspector Contractor's license information (No., Name Style, Classifications ... (Date) -22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment'Statement ......... -25. Letter of signature authorization ................................... -26. -27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other ' Applicant X V VV Date 10 —1- ` Q V Copy of Haz-Mat form sent Health Dept. Fire Dept. fir Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone _mall—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE—,4}EP�4F�TMENT.OF'PUBLIC WORKS . 7.County Center Drive - Orovilie, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER © d "/� �7 TELEPHONE SQ. FT. OCC. BUILDING VALUATION j o o. e, 1 OWNER'S MAILING ADDRESS f/i� 2—q,(-0 �� rM �— J�v UW_ CONTRACTOR'S IYAME TELEPHONE CONTRACTOR'S MAILING ODRESS D /' N !J — /Ci9 lc2 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 / S �� 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 pas water heater or vent 5.00 USE OF STRUCTURE //�� n SF [:1Duplex❑ Mobilehome❑ Other Z-7 &2— �C SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ed TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: _W26r S �.�� S S.s/t�Yat2G��' i wr4 ilk Sc w�,e�-�S y /c/ ,Cor�G SA"J4 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 �e/t OO Main service 1101 OR LESS 10.00 100 AMP OR LESS 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 Business and Professions 'Code and my license is in full force and effect. 6rf 50! 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.e) /x¢sgft OR ADDNS. ( ACC. BLDGS. NEW CONSTRMULTI-OUTLET 2.50 ea, NON•RESID BRANCH CIRC ITS POWER APPARATUS a (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 3°¢ °ALoao R ESID,)EA.) 1 2.00 Ex. Occup. OUTLETS ED ( R Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring. 15.00 / O p Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation je_ A Ce -, 3,o0 permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 1 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. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excovations over 5'0" deep and demolition or construct- rctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ S HAz I CUA PARK scHL Fro I PAR PD HD IssuE This permit is hereby issued under the applicable provi- sions or 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 ipt No. S 76 S r.ICTIf�-S.tl'.W.. .7ELLOW-ASSESSOR, PINK-INSP OR. GOLDENROD -APPLICANT 0, PRE-TNQPECTION _Y OWNER: 3c�'I�T/Ll r DATE LOCATION: r ��/ b A_,4-5- yG� AVUL A. P. # CONTRACTOR: ZONING ------------------------------ PRE–INSPECTION FOR: DATE TO INSPECTOR PERMIT HISTORY: 1:j NONE El AS FOLLOWS: a TYPE OF OCCUPANCY ------=------------------------------------------------------------------------------ ------------------------------------------------------------------------------------- FIELD – INFORMATION BUILDING USAGE: TENNANT: [� OCCUPIED HAS ELECTRIC F-1 HAS GAS Q HAS SANITATION FACILITIES Q HEATED–COOLED PERSON CONTACTED OTHER COMMENTS: re in— ACTION RECOMMENDED: 0 ISSUE HOLD FOR OTHER: BY DATE %O / l )l? D JAait-\SffrTo M ,Z qZ-0 /,4s aoMAS `FIWA 37 99 _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ,7 County Center Drivf — ®roville, California 95965 �l Telephone: 534-4541 APPLICATION AND PERMIT Owner b^ 1. Mailing Address L#C) ✓•L/ i Contractor /-� o Mai I i ng Address ,j Building Address Telephone No. �= L L L / Telephone No. r/ ��" •i J ? � � A. P. No.(� nn Zon n eiCPlanning 1. Feed W4E Saai-tatWn Fire Dept. Fire Zone Use Permit EQA Parking I Parcel Parcel Ma 60' R/W Improvements Plans Declaration p p Bldg. Plans Recd Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER BUILDING FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE Permit Fee % ea I $3.00 5.00 2.50 25.00 1.00 !0 sq ft 2.00 10.00 15.00 6.25 $3.00 FEE 'JO .Jo 0 J$ /=f [.X 5` LJermI certify that In the performance of the work for which this Ventilation pit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of 1 Hood 2.00 California. Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe tion pyrposes. X Date� 1177 Signature of Permi�tje or;A,eff / Receipt No.//, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTQ�,,OFIPUBLIC WORKS By Date ' Building permit expires Date ELECTRICAL ' PERMIT FILING FEE Main service 600v OR LESS 100 AMP OR LESS _ Single Family Er Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP Main service OVERe00 100 AMP OvR LESS Main service EA. ADD'L 100 AMP NEW CONST. DWELLING OCCUP. S OR A DNS. ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Y T e- 77e, ! 2/ A) NEW CONSTR. �MULTI.OU L NON-RESID. BRANCH CIRCUITS NEW CONSTR. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. OCcuo(OUTLETS OR FIXTI1RE1 Ex. Occup IXED APPLNS. OR p•�OUTLETS (RESID.) EA Temporary service Mobile Home Facilities License No.3os 36 Classification C' U Misc. Wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL 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. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. PERMIT FILING FEE Heating Cooling $3.00 5.00 2.50 25.00 1.00 !0 sq ft 2.00 10.00 15.00 6.25 $3.00 FEE 'JO .Jo 0 J$ /=f [.X 5` LJermI certify that In the performance of the work for which this Ventilation pit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of 1 Hood 2.00 California. Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe tion pyrposes. X Date� 1177 Signature of Permi�tje or;A,eff / Receipt No.//, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTQ�,,OFIPUBLIC WORKS By Date ' Building permit expires Date r . w COUNTY OF BUTTE —1 DEPARTMENT OF PUBLIC WORKS 1 7 County Center Drive Or=, Oreille, California 95965 J �� Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe 'on p oses. X Date / Signature of Per�mipe or gge t Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTQB QrFIPUBLIC WORKS By Date /-, -7 Zilding permit expires Date / J — O BUILDING Ownerv ACkOo TtoM SQ. FT. OCC. BUILDING VALUATION Mailing Address `, fC 1-0 0 OFp 1/, ,r! E Telephone No. Contractor O C ,[ C �"' r ` _ 3 y � Mai I i ng Address / Fireplace Total Valuation r Tel hon No. Permit Fee Building Addressd Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 3 '' G�Zonn fanning Water piping 1.50 Each gas water heater or vent 1.50 s Seni"Mn- Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel Approyal I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL N0.1 @ I FEE PERMIT FILING FEE $3.00 j ;.® 0 800V OR LESS 0 Main service 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e0ovPOR LESS 25.00 V AM Main service EA. ADD'L 100 AMP 1,00 NEW CONST. DWELLING CCUP. 5i 2�Sgft OR ADDNS. ACC. BLOGS. 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: /� /SOX 6-4crp72,C ?AJ NEW CONSTR /MULTI.OUTL T NON.RESID (BRAN CIRCUITS 2.5oea NEWCONSTR./POWER APPARATUS e, NON •RESID, (SINGLE OUTLET CR. Ex. Occup{OUTLETS OR FIXTIiRES _B �@1 Ex. Occup.(OUTLETSP(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.30.r:?6S Classification �` Misc. Wiring 6.25 e ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,� $ MECHANICAL NO -1 @ I 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 W kmen's Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to buildinq construction• and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe 'on p oses. X Date / Signature of Per�mipe or gge t Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTQB QrFIPUBLIC WORKS By Date /-, -7 Zilding permit expires Date / J — O