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HomeMy WebLinkAbout078-260-045-65-r=i7' r 2828-'89P r ,WORLEY, .Kimberley" A.. 3197.0r,o Bangor Hwy, Orovill Conti: dorfman .Const: w n (repair ga`s line)SF I �q Buts -1630 078-260-045 MISCELLANEOUS - v emod'el MISC REPAIR: RE -ROOF, ELECT, DR` 3197 ORO BANGOR HWY KRAWCHUCK, ISABELL ESTATE OF c) --N- D-foO- OZ.S ( BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 3197 ORO BANGOR HWY Owner: Permit No: B08-1630 APN: 078-260-045 KRAWCHUCK, ISABELL ESTA Issued Date: 08/12/2008 By KCG Permit type: MISCELLANEOUS PO BOX 6057 Subtype: Remodel OROVILLE, CA 95966 Expiration Date: 08/12/2009 Description: MISC REPAIR: RE -ROOF, ELECT, (530) 282-9574 Occupancy: Zoning: AR Contractor Applicant: Square Footage: SHARON SUE STRAWS Building Garage Remdl/Addn PO BOX 6057 OROVILLE, CA 95966 Other Porch/Patio Total (530)282-9574 FEE INFORMATION DBMSC Remodel -Residential $784.87 Total Charged: $784.87 Fees Paid: $784,87 Balance Due: $0.00 Receipt No: B8260 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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 IHEREBY AFFIRM UNDER PENALTY OF PERJUR� that I am licensed under provisions of Chapter9 (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 08/12/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date 1911, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are 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 ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED INSURANCE, as required by ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions 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 need not be competed if the permit is or one hundreddoollars ($100) or less.) ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS if'NISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers'X 08/12/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 08/12/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $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 pro owner or am au orized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY aw 08/12/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR. DAgent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o --_: A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.nettdds col ,; PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All related to this application is subject to public inspection and will be posted on the County's website for electronic access. PROJECT LOCATION AN Property Address . city 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 OWNER INFORMATION Last Name, CONTRACTOR First Nam 1 Mailing Address ` City City 0 b Address State Zip Phone s City C )OZ�t Fax E-mail u A 1,0— PROJECT LOCATION AN Property Address . city 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 ARCHITECTIENGINEER Name CONTRACTOR Name 7 N City %o -*A Address M Phone s 7/ City C )OZ�t E-mail �1� COD State License Number Sate �6 Phone ,q _ 9S Fax E-mail Lic. # �. CI ss PROJECT LOCATION AN Property Address . city 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 ARCHITECTIENGINEER Name .� Address 7 N City %o -*A State 71p Phone s 7/ Fax E-mail �1� COD State License Number PROJECT LOCATION AN Property Address . city 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 APPLICANT SIGNATURE X DESCRIPTION OR SCOPE OF WORK: APPLICANT INFORMATION Name A4 Address , 7 N City 6 e %o -*A State Zi Phone s 7/ Fax E-mail, ruhilim �1� COD APPLICANT SIGNATURE X DESCRIPTION OR SCOPE OF WORK: ?� b A4 "Ier bkaa L' ­i :2 SIG o . %o -*A &. <% �cc Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone TsRA I Yes No Occ. Type Const. I%m6`r<, Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds www.buttegeneralplan.net SCOPE OF WORK MEMORANDUM SITE APN: PERMIT NO:. SITE ADDRESS: ' -5 l`1. I 644,0 DETAILED SCOPE OF WORK: �I PREPARED BY: DATE RECEIVED: Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER-BULLDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. OR NO) 2. I (HAVEED SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS PHONE CONTRACTORS LICENSE CITY 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: MISC REPAIR: RE -ROOF, ELECT, DRYROT, REPLACE WINDOWS Reference Number: B08-1630 Applicant Name: SHARON SUE STRAWS Owner's Name: KRAWCHUCK ISABELL ESTA TE OF AP # : 078-260-045 Signature of Property Owner: Date: 6A /fie Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds **PERMIT APPLICATION DATA SHEET** Reference Number: B08-1630 Date: 08/12/2008 Location: 3197 ORO BANGOR HWY By: KCG Parcel Number: 078-260-045 Sub Type: Remodel Owner Name: KRAWCHUCK, ISABELL ESTATE OF Phone: (530) 282-9574 Description: MISC REPAIR: RE -ROOF, ELECT, DRYROT, REPLACE WINDOWS The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 0 0 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions �``{-❑\11 City of Biggs Planning Department, 3016 Sixth Street Biggs C 95917 - (530) 868-5447 T • f Other: j^ Q Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this appl' tion is sub'ect to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: Date: 08/12/2008 FILE •-...-,..�.^r"F,��;3P"✓�.-q.� _.�.. �. f� .; .-.. ' .... ... � rA ., � e�r�f�� 7..p,:.cv.^_ ,^Y� �''is�•�:••: •r.,}-' o �aa<- �' -w .... f. .- -M.> - . 36-081-1.7 ,. 282 89P WORLEY, Kimberley A. -31,97 Oro Bangor Hwy, Oroville ' Contr: dorfman Const., co (repair gas line)SF , . may\ �` i��' t _ , , L.,ti • ; _ ► • 1 4 y�'. n '".K S:? ''F r'!i� .7q'�.7r►s.•;v�q•rrp+.S►^(',. �. -.-.. .zp ., �a COUNTY OF BUTTE - DEPAR11VNT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PE9MIT NO, 12.dY` ASSESSOR PARCEL NUMBERZONING ?6-081' BUILDING PERMIT 4N0WER tOWNER'S TELE HONE_ SO.FT. OCC. BUILDING VALUATION MAILING AD ESS I 47 7 QJ -0 CONTRA TOR'5 NAME t.ti (r TELEPHONE t, CONTRACTOR'S MAILING ADDRESS 3/ 91 Oro w1 (le '' { Fireplace CONSTRUCTION LENDER J 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 O B✓ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 J t 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 SFCP�— Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 tf, U V Building sewer 5.00 Mobile Home is G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: t �$ �r—h G�r�l� ¢ n _ r Permit Fee $ dQ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 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 Code and my license is in full fo e_and effect. License No. &2 9 SI 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.-d OR ACDNS. ACC. BLDGS. h2sgft NEW CONSTR RANCH NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS �SINGLEOUTLETCIR. ) Ex. Occu FIXTURES p�OUXED 20 0 50e eAL930 A R EX. OCCup, OUTLETS PRESID ILNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 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. 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 Appticant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked., MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the, above-mentioned property for inspection purposes. I also agree. to save,: indemnify and keep harmless the County of Butte against all liabilities, judgments„costs, and expenses which may in any way accrue against said Count ,in' consequenceofthe granting of this permit. �, rr X _ C/� -.�/ /<. �.�c4.i Date / `Owner\ Signature/of Applicant — ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 Stoorries in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FE $ .ZJ�• Oct E E HA2 CUA PARK SCHL PAR PD HD Is u This permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees 4 TO4 OF PUBLIC On BY A, PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. p WORK Date {�[� /^/ " F./ Receipt No. 7 WHITE-D.P.W., YELLOW -ASST SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DDEPA,RTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 11 !?&09T17 ZONING BUILDING PERMIT , oW ER t TELE HONE SO. FT. OCC. BUILDING V UATION OWNER'S MAILING ADD ESS F. 31 '17 O O CONTRACTOR'S NAME 1/L TE•L�EPHONE V CONTRACTOR'S MAILING ADDRESS ,3/ 81 Oro o w , 116 g5LeZ6,6 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 r dw Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF�Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 00 Building sewer 5.00 Mobile Home S I G I W 1 1 110.006 TYPE OF WORK New ❑ Addition /❑ Remodel[:] Utilities ❑ Installation❑ Other ® Describe work: /;P,- I z S Jr 1, % ge41AI e- I IPJA 0. id Permit Fee $ 2—.5r mb Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 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): 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.- ,161- 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 con ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ei OR ADDNS. ( ACC. BLDGS. 21/2 Os ft NEW CONSTIRMULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS el (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 90FIXED @090 Ex. Occup. OUTLETS (RESID )RE A.) 2.00 Temporary service 10.00 Home Facilities Mobile Hotract- 15.00 Misc. 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 0_11__ 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 FiIingFee 10.00 Heating Cooling g 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 here author ze representatives of the County of Butte -to enter upon the above -m coned property for inspection purposes. I jalso agree -to save, in emnif and keep harmless the County of Butte against all li bilities, judgm co ts, and expenses which may in any way accrue a� st said County ' conseq a of the granting of this p mit. Date S Sig 6ture f p i•cont – OWner❑ Contractor ❑ Agent f 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 $ �•.� �o HAZ CUA PARK SCHL FLD PAR JPDJHCJ Is u This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees IR T OF PUBLIC BY PER IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORK r �� Date 6 Receipt No. WHITE-D.P.W., •ELL W-A5SfSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT August 25, 1989 Butte County Building Department 7 County Center Drive Oroville,,CA 95965 RE: Villa Verona Sewer Project Building Permit — Repair of Gas Line Gentlemen: This is to advise you that John Bird, Arnold Zwankhuze and Joyce Hutchins are authorized to sign for Dorfman Construction Company, Contractor's License No. 162981. Very truly yours, G. E. Dorfman Vice President/ GED: jh Address reply to: 3181. Oro Bangor Highway, Oroville, CA 95966 Dorfman Construction Company, Inc. 5525 Oakdale Avenue, Suite 150 Woodland Hills, California 91364 (818) 702-9731 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATIVE PERMIT FOR TEMPORARY TRAVEL TRAILER Name: S CLAM O� (�S cW*Z� ®150.1 Mailing Address: Assessor's Parcel Number for Site: Q7pg a60 10V j Street Address of Site: b tmo E-mail Address: C�3V A, 1( +-1V,At ZAP_i'I; (GV I Phone #: of U - 1 Building Permit Receipt Number: (Show copy of signed permit) �CQ�� Y✓ Date Sewage Disposal Permit Issued: (Show copy of signed permit) I certify that the above information is correct and that I have read Butte County Code Section 24-300-C (on tV4verse siAe Vf this application.) Applicant's Signature: Date: ,'5— �3_ O TO BE FILLED IN BY PLANNING DIVISION Date Application Received: -5/ Z,3/67 Zoning: �' Verified by: Permits Reviewed by dDy,11 Associated Building Permit # �dS A I C, of pe_✓M.+ w,' L L di1 s aDpv�ti� f, Associated Building Permit # Administrative Permit # /Tv/q Og-- 0006. Planning Approval by Date Approved: h-, Date revised: July 19, 2006 K:\Planning\FORMS\APPLICATIONSWDM_Temp Travel Trailer.doc (over) The approved Administrative Permit is subject to Chapter 24 of the Butte County Code 24-300 C. Temporary uses in zones permitting a residential use: 1. Temporary travel trailer as a dwelling unit during construction of a single family residence or the rehabilitation of a single family residence that has been damaged by fire, earthquake, tornado, other acts of nature, or has been deemed condemned or uninhabitable by the County, subject to the following requirements: A. The travel trailer may be placed for a period not to exceed one (1) year from the date of issuance of the Administrative Permit; provided however, the Planning Manager may extend such Administrative Permit for one six (6) month period. Such extension by the Planning Manager shall be done only upon a showing of physical or financial hardship by the applicant. B. That the occupant has secured a building permit for a residence. C. That the occupant has secured a sewage disposal permit from the Butte County Environmental Health Division. D. That before six (6) months have elapsed from the date of the issuance of the building permit, the occupant shall have completed the foundation, rough plumbing, framing and the roof of the proposed residence; and E. That the house must be completed within the one-year period and the trailer dwelling must be abandoned. F. The applicant must obtain the necessary permits from the Butte County Building Division and Environmental Health Division for the travel trailer installation.