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HomeMy WebLinkAbout078-310-001o -934-IG�r2 PERMIT#95-3010 LANE, Willard 2517 V-6 Rd., Oroville Cont; C & G Plbg Install Wall Furnace & Gas Line/SF A P 36 BURNICE COGGIN 2517 V-6 Rd., Oroville Permit 1362-72B (new detached strage shed); .Willard? Lane ,,x.,2517,Qroville e3rcp.. 'i3 2k. AGRICULTURAL BUILDING EKEMFT:,� N PERM -IT 99-2442 LANE, BILL& EMILY 2517 V-6, OROVILLE, CA 95966 CONTR: KEITH OR AN ROOFING RE ROOF _,h-dlrv, , lu -00 B07-0699 079-310-001 MISCELLANEOUS HVAC Change Out CHANGE OUT HVAC 2517 V-6 RD TAYLOR, EMILY J* FTAL AND WHEN RECORDED MAIL TO: BUTTE COUNTY DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 II I) IIIIIIIIIIIIIIIII�IIIII IIII I IIIIII 2015-0030599 Recorded I REC FEE 22.00 Official Records I County of I CONFORMED COPY 1.00 CANDACEu�. GRUBBS I County Clerk-Recorderl I SA 03:51PM 25 -Aug -2015 I Page 1 of 3 DECLARATION ACKNOWLEDGING RIGHT TO FARM Section 35-8 of the Butte County Code requires this declaration of acknowledgement to be recorded prior to the issuance of a building permit. The undersigned do hereby certify to be the owner(s) of certain real property located in Butte County, California, and more particularly described in Exhibit "A", attached hereto and incorporated herein by this reference ("the subject property"). The undersigned do hereby acknowledge that the subject property is located on or adjacent to agricultural land, as defined in the Butte County Right to Farm Ordinance (Butte County Code, Chapter 35). The undersigned do hereby further acknowledge that the County of Butte permits the operation of properly conducted agricultural operations on agricultural land within the unincorporated area of Butte County and has declared it County policy in the Butte County Right to Farm Ordinance to conserve, protect, enhance, and encourage such operations. The undersigned do hereby further acknowledge that if the subject property is located near an agricultural operation on agricultural land, residents or users of subject property may at times be subject to inconvenience or discomfort arising form the operations, including, without limitation, noise, odors, fumes, dust, smoke, insects, operation of machinery during any time of day or night, storage and disposal of manure, and ground or aerial application of fertilizers, soil amendments, seeds, and pesticides. The undersigned do hereby further acknowledge that one or more of these inconveniences or discomforts may occur as a result of any properly conducted agricultural operation on agricultural land. The undersigned do hereby further acknowledge that the 'County of Butte has determine in the Butte County Right to Farm Ordinance that inconveniences or discomfort arising from a properly conducted agricultural operation on agricultural land will not be considered a nuisance for purposes of the Butte County Code or County regulations, and that residents or users of nearby property should be prepared to accept such inconveniences or discomfort as a normal and necessary aspect of living in a county with a strong rural character and an active agricultural sector. This Declaration shall run with the subject property in perpetuity and shall be binding upon the undersigned and the undersigned's heirs, personal representatives, lessees, executors, successors, and assigns. This Declaration and the acknowledgements contained herein shall be disclosed to prospective transferees of any interest in the subject property, including, without limitation, a leasehold interest, prior to any such transfer. IN WITNESS WHEREOF, the undersigned has/have executed this Declaration this 0day of F%U S-i—96g: a- o 1 S DECLARANT(S) Signa �e-r' yivr� �'V`VS�'8C Date Signature Assessor's Parcel Number: rr7'1'?-310, opt Date NOTE: ACKNOWLEDGMENTS MUST BE ATTACHED FOR ALL SIGNATORIES BUTTE COUNTY SEP 2 2 P, . DEVELOPMENT SERVICES r ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of On q'0 It 9 before me, �`(S` r-r� W1 puq �Ui7U (L , - (insert name and title of the officer) personally appeared who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the'instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify,under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. C..COSTA r Commission # 1997944 WITNESS my hand and official seal. Notary'Public - California c Butte .County _ M Comm:fkOires Ndv Lt. 2016+ Signature i(Seal) T 6 N r t T 6 N vt �f LEGAL DESCRIPTION AP NO.: 078-310-001 THE REAL PROPERTY IN THE UNINCORPORATED AREA OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, MORE PARTICULARLY DESCRIBED AS THE SOUTH HALF OF LOT 1, BLOCK 23, AS SHOWN ON THAT CERTAIN MAP ENTITLED "MAP OF BILLA VERONA, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE Y OF CALIFORNIA, ON JANUARY 17, 1889. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMITN Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.�— .0 G J OW ERI PHONE NO. V) p� �" V OWNER'S ADDRESS — b LOCATION OF BUILDING 6-17 USE OF BUILDUsIP :o .4 SIZE OF STRUCTURE 'X 3 = SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SI ING ROO CO RIND cr7J FLOOR TIE ES (MATED COST OF CONSTRUCTION. $ _ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows- tr S f FRONT S� SIDES REAR - AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building.. • AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome,'and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of -Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. t Date �� 4i Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. V 26D Director of Public Works By Date e/ -z, — 7—/7 �— White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant PERMIT APPLICATION WORK SHEET OWNER Zoning Permit fee Permit No. .� /1r�,0� A. P. No.� Use Proposed Approved Not approved based upon: .1. Complete contract price. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 1. All items have been submitted. -------------------------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs. -------------------- 5. Fees of $ -------------------- 6. Letter of -signature authorization. ---------------------- 7. Sanitation approval. ------------------------- ----------- 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ----------- ----------- 12. Access declaration. -------------------- ----------------- 13. Aunt Minnie information. -=----------------- 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for'. -- 18. Improvements - plans required & DPW approval. ----------- 19. a ---- - - 2C_7 By_0 Date ldg. Inspecto 5 During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date I p it is issued, process as rollows:. 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection.. 4. Telephone and hold., for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent ,A, Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C: Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other ,�,?� y� r•e1.:� , ,,,st:.� _ F .-'e:.r._M1?i�T•y.. :tii" Y'�P-.'rl'�,`..:;a"t�Y7Y,reg,�_F�-�,:�"�!�n,�iT�J'!►h4ia.F+ary�ytw�i-^. 036-101-022 99-2442 t LANE, BILL & EMILY 2517 V-6, OROVILLE, CA 95966 CONTR: KEIT_ H bRIMAN ROOFING y RE ROOF � 1 /Vtl- 1 i ' r 1 t ` f L.-.. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT-'iT ASSESSOR PARCEL NUMBER O 3 � Q' „0 � � `�' ZONING � BUILDING PERMIT OWNER /�- -t TELEPHONE 3 - 05M, SQ. FT. OCC. BUILDING VALUATION 40./ U OWNERS MAILING ADDRESS •- / rO �♦ �/� .1 ; h S/P _ CONTRACTOR'S NAME, ,�'' L► Q G H �2Ua TELEPHONE CONTRACTORS MAILING ADDRESS / r /" Q, c / fJ H�' �+ I' //. �✓ dlJ //� ( � /% /CSS' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ f Q Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER �^ LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MATING ADDRESS ---- Penalty $ BUIIAING ADDRESSI`j .. ©d f1 a✓� �,� / .`� / / C ! Al/ (� f� PERMITFEE $ / Qd PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF P� ,Duplex ❑ Mobilehome 11 Other " SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK ) New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ "'Jo Describe Work: — Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main ServiceIOUV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1I00A ) 46.00 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 ull fore and effect. // (� License Class C- Lic. No. /D / /.i OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. am exempt -under Sec. r Business and Professions Code for this reason DO ye) f A . r- e -,*7V/0 ve e5 WORKERS' COMPENSATION 'DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 NEW CONST. DWELLING OCCUR SO. OR ADONS. ( a ACC. BUDS. ) 3.5¢ FT. NEW CONST. MULTI.OUTLET NOWRESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) aA0 O 1:00 Ex. Occup. ( OUTLEEDTS (R SESE ID.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation ' PERMITFEE $ Contractor Policy Number " (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',1com compensation provisions of section 3700 of the Labor Code, I shall p forthwithf comply with those provisions. 1 ^of X ,N/ L� ../tti•: - Date _ i ! /�/ Signature of Applicant - ❑ Owner E(Contractor ❑ Agent ` An OSHA permit is required for excavations over 50" deep and demolition or construction♦ of structures over 3 stories in height. i Mobile Home Installation Fee $, Energy Inspection Fee Is Occ CONST. TYPE ,.. TOTAL FEE $ �� Q{i HAZ. D. FEES IMP FLOOD GDF PARCEL PD HD 'ISSUE wR` This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. in _ '•'9 B f % L"--� Date ��' �%.� - ^ PERMITEXPIRESON / i) 1 '-�V (Date) ~ � Receipt k� u r WHITE-D.D.S.4b. ` CA ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 1W_L PERM T NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0 3 _, Q' a /� ZONING � l� p BUILDING PERMIT OWNER TELEPHONq SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS_ b. Oat G �L e J �� ✓S CONTRACT O 'S NAM/F lea TELEPHONE CONTRACTORS MAILING ADDRESS 41 a` t i �®U 'Ile � /� ��Y Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I$ 0 Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER '-- UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEERS MAILING ADDRESS �-- Penalty $ BUILDINGADDRESS j /'7 11'- �✓ova` PERMITFEE $ :o© PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ;KDuplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: — Mobile Home I S I GI W I @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service OOOV OR LESS ( z00A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 ull fo ce and effect. � License Class Lic. No. (/> ���� 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 sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempunder Sec. Business and Professions Code for this reason bO AW Y / G eve ✓C eS NEW CONST. DWELLING OCCUR OR ( a ACC. BLOS. ) SO. 3.SQ FT. NEW CADDNS. CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ER (apoSINGLE OUTLETTus C R. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL .50 Ex. Occup. (ounEED PES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DEC ARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed 4 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 fo hwit co ly with those provisions. X ate- �d _ Signature of Applicant - ❑ Owner( Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ op / HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have PERMITEXPIRESON / 0 ^ applicable provisions Resolutions to do work been paid. -- (Date) p Receipt No. �n q z n WHITE-D.D.S.--9.0.—CA ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 5965 - Telephone (916) 538-754495-301(o PERMIT NO. APPLICATION AND PERMIT ` 3O /fo ASSESSOR PARCEL NUMBER 036-101-"022 ZONING ar BUILDING PERMIT OWNER WILLA" LANE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2517 V-6 RD OROVILLE, 95966 CONTRACTOR'S NAME C & G PLUMBING T 543-7696 CONTRACTORS MAILING ADDRESS201112111 Sl OROVIM, 959d5 Fireplace CONSTRUCTION LENDER UN104OWN Total Valuation Is LENDER'S MAILING ADDRESS ''t� -. '1 i Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 2517 V—b RD PERMITFEE $ OROVILLE, 95966 j PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDN510NS NAME PARCEL MAP Solar or heat pump w er 23,00 USEOFSTRUCTURE SF dv Duplex ❑ Mobilehome ❑ Other SPECIFY Water - • Ing 15.00 ch gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.001.')-UU Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O. Other ❑ Describe Work: INSTALL WALL FURNACE. INSTALL GAS LINE AND YARD GAS LINE LPG Mobile Home IS I GI W1 920.00 PERMITFEE S .35. 00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 t Main. Service ( :61.000A OR LEss ) 23.00 Main, Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATIONOR ' 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 inrfull force and effect. 6w e 5 G -) License Class C — 3 G Lic. No. " OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I ❑ 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 NEW CONST. DWELLING OCCUP. ADDNS. ( s ACC. BUDS. ) SO. 3.5¢ FT. NEW CONST.MULTI-OUTLET - NON-RESID. ( BRANCH CIRCUITS ) 97.50 :. ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDCTURES P• ( ) 20 @ 1.00 aAL .50 Ex. Occup. FIXED APPLNS. OR (OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are:. Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating WALL FURN. Cooling Hood 6.50 Ventilation PERMITFEE $ J-1). Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. /%/ _ X/111,._✓1%/ � -- _ Date w Signature of Applicant - ❑ Owner jC Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE I TOTAL FEE $ 70.00 HAZ. I D. FEES I IMP I FLOOD I COF PARCEL I PO HO ISSUE 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. y - B U� DateIX-11-1`F5 PERMITEXPIRESON /`Z -- lam. 7_ V a - (Oat-) -` 9W80 \ i - Receipt No. 1 \ —WR 'fTE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �';�.•-..Y'�.,i�.yr _P•�-/v,r'si:.,�`F.Tg`��;wti"r''�'Y.'h')S'�`'t°"'+..�.. �,_� � a ...-�;,i.-.,r' l -r :,.,-,M..:Y,ta�L"'�'•`z+:�9`""'t�:lY'k�'..:.�c-'�:r,. %�!.`-,--v�1.j '"`i�,r•...i,,.� o=�..j =�y�-k a%-<:+�;'Yr:lyi�r-"r�'Xr-ak;.z.��:a,,;4�y.;;Sit1�`.;r: i^` /�� t ` Y---,_�_ _ �"�� � - `'` � "'-•-• Wil' I COUNTY OF BUTTE -DEPARTMENT OF DEV&OPMENT SERVICES -BUILDING DIVISI 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-754 PERMIT No. APPLICATtON AND PERMIT _ Q /0 ASSESSOR PARCEL NUMBER 036-101-022 ZONING ar BU 5PMGPERMIT OWNER WILLARD LANE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2517 V-6 RD OROVILLE, 95966 CONTRACTOR'S NAME C & G PLUMBING T 533 -7696 CONTRACTORS MAILING ADDRESS 2011 12TH ST OROVILLE, 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 2517 V-6 RD PERMITFEE $ OROVILLE, 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDN510N'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF CK Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation dA Other ❑ Describe Work: INSTALL WALL FURNACE. INSTALL GAS LINE AND YARD GAS LINE LPG Mobile Home I S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 i full force and effect. ` License Class — 3 Lic. No. �� & - OWNER -BUILDER DECLARATIONEX. 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 NEW CONST. DWELLING OCCUR OR NS. ( a ACC. ) s0. 3.5¢ FT. NEW CONST. MULTI-OUUTLETLE T C NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER ( US ) a SINGLE APPARATOUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) Occup. ( OUTLEEDTS ((RRESIO.GEA ) r Temporary Service Mobile Home Facilities Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL Filing Fee 20.00 9 Heating WALL FURNACE 15. Cooling Hood 0 Ventilation PERMIT Contractor Policy Number above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall 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. XIVIJof _��- _ Date JC/V�j _ *nature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee(The Energy Inspection Fee OCC CONST. TYPE TOTAL00not HAZ. D. FEES IMP FLOPD HD ISSUE This permit is hereby issued under the the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESO applicable provisions Resolutions to do work been paid. Date [f Z' Z.D.S.-B.D. (Date) rR7eceiptNo. 19038'6 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 ' GALLAGHER'S HEATING & AIR, GALLAGHER'S HEATING &. Building Garage Remdl/Addn PO BOX 35 PO BOX 35. LOS MOLINOS, CA 96055 LOS MOLINOS, CA 96055 (530) 384-2444 (530) 384-2444 Other Porch/Patio Total FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 LICENSED_ CONTRACTOR'S DECLARATION' Contractor (Name) State Contractors License No. / Class / Expires GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 04/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Sgction 7000) of Division 3 of the Business and Professions Code, and my license 04/04/2007 Date WORKERS' COMPENSATION DECLARATION 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 performance of the work for which this permit is issued. a rota► Charged: $55.00 Fees -Paid: $55.00 Balance Due: $0.00 Receipt No: B2493 OWNER / BUILDER DECLARATION 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 the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: ❑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 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 year of completion, the owner -builder will have the burden of proof 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 I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by - 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 State Fund 713-0073855 05/01/2007 Contractors License Law.). Cartier: Policy Number. Exp. Date: (This section neo not a completed if the permit is or one un re Exp. ($100) or ess. I AM 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 so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X - 04/04/2007 compensation proisions of Section 3700 of the Labor Code, I shall forthwith comply with those /-"provisions, 1 A A Owner's Signature Date 04/04/2007 &9ature Date WARNING: F LURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE 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 for the performance of the work for which this permit is issued. (3097 civ, code) Lender's Address City State Zip I hereby certify that 1 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 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 injury,including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupant of any sidewalk, street, or subsidewalk. I hereby authorize representatives'of Butte County.lo ¢nter above mentioned property for inspection purposes. I hereby certify that I am the property trer am authorized to act on the arooertv owo behalf, 04/04/2007 ,name of rermluee fawn) rnnt t uate Owner Contractor OR. Agent for Owner 12Agent for Contractor FILE COPY I PROJECT INFORMATION Site Address: 2517 V-6 RD Owner: Permit NO: B07-0699 APN: 078-310-001 TAYLOR, EMILY J* ETAL Permit type: MISCELLANEOUS 2517 V 6 RD Issued Date: 04/04/2007 By KCG Subtype: HVAC Change Out OROVILLE, CA 95966 Expiration Date: 04/03/2008 Description: CHANGE OUT HVAC (530) 534-0597 Occupancy: Zoning: AR GALLAGHER'S HEATING & AIR, GALLAGHER'S HEATING &. Building Garage Remdl/Addn PO BOX 35 PO BOX 35. LOS MOLINOS, CA 96055 LOS MOLINOS, CA 96055 (530) 384-2444 (530) 384-2444 Other Porch/Patio Total FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 LICENSED_ CONTRACTOR'S DECLARATION' Contractor (Name) State Contractors License No. / Class / Expires GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 04/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Sgction 7000) of Division 3 of the Business and Professions Code, and my license 04/04/2007 Date WORKERS' COMPENSATION DECLARATION 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 performance of the work for which this permit is issued. a rota► Charged: $55.00 Fees -Paid: $55.00 Balance Due: $0.00 Receipt No: B2493 OWNER / BUILDER DECLARATION 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 the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: ❑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 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 year of completion, the owner -builder will have the burden of proof 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 I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by - 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 State Fund 713-0073855 05/01/2007 Contractors License Law.). Cartier: Policy Number. Exp. Date: (This section neo not a completed if the permit is or one un re Exp. ($100) or ess. I AM 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 so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X - 04/04/2007 compensation proisions of Section 3700 of the Labor Code, I shall forthwith comply with those /-"provisions, 1 A A Owner's Signature Date 04/04/2007 &9ature Date WARNING: F LURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE 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 for the performance of the work for which this permit is issued. (3097 civ, code) Lender's Address City State Zip I hereby certify that 1 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 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 injury,including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupant of any sidewalk, street, or subsidewalk. I hereby authorize representatives'of Butte County.lo ¢nter above mentioned property for inspection purposes. I hereby certify that I am the property trer am authorized to act on the arooertv owo behalf, 04/04/2007 ,name of rermluee fawn) rnnt t uate Owner Contractor OR. Agent for Owner 12Agent for Contractor FILE COPY I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" OWNER Last Name La GAY l first Na e Address ZS Vc ""Oro U Il e . State G Zip Phone �r 22 7 Fax E-mail i �Ju /lam ��' For office use nl CONTRACTOR Nami 4 Address D 06N City - State Zip I jb -Phone e'. , -Fax E-mail Lic. # 3 Class 3 i �Ju /lam ��' For office use nl ARCHITECT/ENGINEER Name • Address Map Book City Lot # State Zip Phone e'. , Fax E-mail State License Number i �Ju /lam ��' For office use nl APPLICANTNAME Occ. • Subdivision Name Map Book Page Lot # Planner Date Approved: —Name e'. , i �Ju /lam ��' For office use nl Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # LOCATION Q� i AP# O l t� D `3 I UN— Pr2opA-7 ress ity , 1 11 -e - Cross Street WORKER'S COMPENSATION Policy Number , 00 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 OVER FOR SUBMITTAL REQUIREMENTS U K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: 0 0 C� Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: -� 6 Receipt #: 62ta 3 Date: zf _ 4 -b<7 Amount: �� Bldg SRA Sheriff SMIP Other Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper.!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 1.3 Sanitation_andsite-pJan_approvaIJTomAhe-Envir_onmentaLdealth-Depadment. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable._ OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 •, , •PERMIT NUMBER — B 1362-72B a ! P r i ;j E i� PERMIT EXPIRES ` OWNER, Burni ce Coggin y, i •�. . CONTR'• owner LOCATION (A. P. 36-101-22 � 2517 v-6 Rca d, Orovi ll e f r 71 • r'j„ . 7 `K AY fi i • r COUNTY,OF BUTTE Deportment 'of Public. Works BUILDING 'INSPECTION- RECORD Zoning Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Loth & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing PI mg. Topout Rough Elec. Wtr. Htr. - Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of_Occup. Final Final Final DATE REMARKS .OR CORRECTIONS i • r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 0/ Telephone: 533-1230, Ext. 259 r APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. y r X ���ac��Lt 7 Signature of P. rmitee or Agent Receipt White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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. DIRECTOR OF PUBLIC WORKS By '� Date 7--7-7 -1—_ 7—%— Building Permit Expires Date -77)_ BUILDING OwnerSO. FT. OCC. BUILDING VALUATION Mailing Address O(5 Z Fireplace Contractor Total Valuation Mailing Address Permit Fee 0,00 PI an Checki ng Fee &/or Penalty Permit Fee $ ap,00 $ , Building Address /� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �D —� Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 PI s Fees W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW V1 ADDITI ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures bal L@101 Receps., switches & fix outlets _Lal 0101 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp.or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification n i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Wor en's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 $Permit Inst ute mentotio,trf�� sarn $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $p2Q / r authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. y r X ���ac��Lt 7 Signature of P. rmitee or Agent Receipt White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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. DIRECTOR OF PUBLIC WORKS By '� Date 7--7-7 -1—_ 7—%— Building Permit Expires Date -77)_ NOTE: --AN Materials & Workmanship Shall [>. :r, :.Accordance with Recognized Good Practices_yan:d , >f a quality prescribed- for the Specified use in the Jr-tiform Building Code, Uniform Plumbing Code, and she National Electrical Code-. chis set of plans and specifications MUST be n q kept on the job at all times and it is unlawful to j C H /l make any changes or alterations on same without written permisson from the Department of Public Works, County of Butte. P X LE% //Y hr,0,c e HE Tv D ,O� �'X fFi I? e., 810C1�' oUTTE COUNTY WILDING DEPARTMENT APPROVED l "X Y" L C - T ity s �-A c C C) gnus C"vr p.'