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HomeMy WebLinkAbout079-190-0011 AP - {VYNOKA HOMES STRF"501 Forestview Dr., lot 1, Orovil ermit## 3465-74B,E 'F,`n-% (new single family) -7 --- 1 � D- CaD LOT BLOCK s mv. KIM HICKS 5755 Lower Wyandotte, Croville TYPE OF PERMIT NO. PLAN NO. DATE ISSUED .,oritR: "Monte "Pratt' '- "" "" -1 REMARKS PERMIT PErmit# 477 �B(reroof /SF) G =17 B07-1077 079-190'001`• MISCELLANEOUS Electrical"; KITCHEN REMODEL -CIRCUIT UPGR!e 5755 LOWER WYANDOTTE RD _�+�• FORCINIO, PATRICIA PERMIT DESIGNATION: B—BUILDING P— PLUMBING DEPARTMENT OF T—TRAILER BUILDING AND SAFETY E — ELECTRICAL U —USE PERMIT TV—RADIO-TV ANTENNA V — VARIANCE S/W—SIDEWALK NOTICE S_ SIGN PERMIT HM—HOUSE MOVING EP—ENCROACHMENT D — DEMOLITION 600.1 PERMIT DESIGNATION: B—BUILDING P— PLUMBING DEPARTMENT OF T—TRAILER BUILDING AND SAFETY E — ELECTRICAL U —USE PERMIT TV—RADIO-TV ANTENNA V — VARIANCE S/W—SIDEWALK NOTICE S_ SIGN PERMIT HM—HOUSE MOVING EP—ENCROACHMENT D — DEMOLITION 600.1 INSPECTION RECORD BUILDING APPROVALS ~ W f (0 IL Z DESIGNATION SIG. Otl/1-• F.i< O' IL J O LL UJ w W Z W Z �- < LL O �_ F Q JJ ? O �_ F Q X JJ W O W �F W y IL O W I- I W N 1-5 X W IL W EU U D u m WJ Cl< Q O� QQU J IL W K LL < Z LL SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE 12 1 II I ivi PERMIT NUMBER: SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES & VENTS FINAL ELECTRICAL APPROVALS PERMIT NUMBER: DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL MISCELLANEOUS APPROVALS PERMIT NUMBER: DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE t ? t PERMIT NO.3465-74B,E r P E a a M NIH UTIL. PERMIT NO. _75',PERMIT EXPIRES q -3 -75- -,OWNER OWNER Wynoka Homes Inc.. `CON TR. }LOCATION (A.P. -36-57-47 ) '!a . . :. 2501 Forestview Dr., lot 1, Oroville Temp. Power Pole la Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. ' Called PG&E JOB -- E FINALED �� �� P� ' (Date) (Signature) r COUNTY OF'BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback IN Soil Piping Forms UIW 1st Floor�— Main Bldg. 2nd Floor Footings 3rd Floor Stemwal l To out —f — Slab % — — Piers Sewer— Garage Fixtures Footings — d — Stemwa I I Prov. for physically handicapped Slab — Carport Final / o`�— Footings FIREPLACE Slab Footing Patio Throat Footings Masonry Walls Reinf. Steel Bond Beam Framing '/' Stucco ':- Mesh 49��—/ Scratch Brown Finish_— Interior Lath Door DATE Firewall /� /�— Soil Piping Parapets 1st Floor�— Restroom Finish 2nd Floor Windows _ 3rd Floor Siding To out —f — Roof Sheathing i �_ Water Pi in o Roofing Sewer— Fdn. Vents Fixtures Garage Vents — % Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test ®L Temp. Gas Final / o`�— Sanitation FIREPLACE Final— Footing ELECTRICAL Throat Rou h REMARKS OR CORRECTIONS Grd. Fault Prot. Service Temp. Pole Underground Permanent Q Final 2d y_ FIRE SPRINKLERS Test Final MECHANICAL Heating Cooling O l r 2< Ducts Ventilation Final REMARKS OR CORRECTIONS Grd. Fault Prot. Service Temp. Pole Underground Permanent Q Final 2d y_ A COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Q�vy,-�ez ,�.1��-vy_J Date D % Signature of Permmi/itee or Agent Receipt No. / � G 0 G i:21 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. DIR TO OF PUBLIC WORKS By Date lBuild ngrmit s Date ............................................ �- y BUILDING Owner A .S G SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractorkit J ee-L off L Total Valuation Mailing AddressPermit Fee Plan Checking Fee&/or Penalty Telephonfe No. s Building Address/O T E Permit Fee $ PLUMBING No. @ FEE PERMIT FILING FEE J$2.00 L '- Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A A. P. No �p r Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s I W. &►i-LzLien Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 - Z- p — P T Main service incl. 1 meter 9.00 p � -2V T 7 Additional meters, each 1.00 Sub -panel (12 6�ess) (more than 12) Q Single Family Duplex ❑ Mobil Home ❑ Others ❑ Rapes Cook -top or Oven 1.00 460 Water Heater or Space Heater 1.00 Light fixtures bald io Re swi s & fix o ets 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: V Hsi, Ex. Fan or F.A. Furn. Motor 1.00 /,0() Evap. coghdfr, gar. di sp. or D.W. 1.00460 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 2_ ;7,!",O/O Classification C �0 Misc. wiring ❑ 1 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 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this ❑ piermit 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 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 building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Q�vy,-�ez ,�.1��-vy_J Date D % Signature of Permmi/itee or Agent Receipt No. / � G 0 G i:21 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. DIR TO OF PUBLIC WORKS By Date lBuild ngrmit s Date ............................................ �- y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive – Oroville, California 95965 Telephone: 534-$541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspe ion purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X Date O -3 i DI CTOR OF PUBLIC WORKS Signature of Per to or A ent By Date Receipt No. _ White-D.P.W. —.Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ullding permit expffeCDate............................................ & 91t, 5 -731*� BUILDING Owner v L. .SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor E- S O Total Valuation Mailing AddressPermit CAIZ,4 14"10 -CPI Fee an Checki ng Fee &/or Penalty Telephone No. U C L c a£,O� permit Fee $ $ Building Address /70 _&–S 4,_j PLUMBING No. @ FEE PERMIT FILING FEE $2.00 L co ✓ C^ 4=— Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. No. �� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 'P.. Rids W. . *6aff+-4etion I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans ParcelParcel Declaration Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES [jr OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 CGW C_ , Main service incl. 1 meter avco Additional meters, each 1.00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2 I deo Receps., switches & fix outlets o�2� 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: > w�>! -7;17 .S C/- 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 r License No. J Classification C O Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of Califomia. 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 orkmen's Compensation. have placed on file with the County of Butte a certificate of Zi Workmen's Compensation Insurance.' ❑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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 (� Heating Cooling C �^ O Ventilation Hood 2.00 Permit Fee $ $ �C 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 TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspe ion purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X Date O -3 i DI CTOR OF PUBLIC WORKS Signature of Per to or A ent By Date Receipt No. _ White-D.P.W. —.Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ullding permit expffeCDate............................................ & 91t, 5 -731*� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County CentePDrive — Oroville, California 95965 �/��� Telephone: 534-4'541 / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspect' n purposes. X7;e y Date Signature of Permitee or Agent 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. DIR CTOROF BLIC WORKS BY Date 1-:74 @� 39Gs-�� Building permit 9*pkes ate ............................................ BUILDING OwnerC SO. FT. OCC. BUILDING VALUATION Mailing Addrels Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checki ng Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address 0 ' PLUMBING No. @ FEE PERMIT FILING FEE $2.00 pj (� 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. 6-5­7­4-1-7Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 B I d ec Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 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) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1�0110 Light fixtures 20 P 25 )al Plo Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisio s of Chapter 9, Div. 3, of the State of California siness & r essions Code under the name style f: _ Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.�T%%� ,�Classification �_�� Misc. wiring ❑ 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 oe insured against liability for Workmen's Compensation. �I'have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspect' n purposes. X7;e y Date Signature of Permitee or Agent 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. DIR CTOROF BLIC WORKS BY Date 1-:74 @� 39Gs-�� Building permit 9*pkes ate ............................................ Q COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Oroville, California 95965 �(L/ Tel ephone: 534-4541 T v� APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentione property for inspection purposes. X Date"2 _7 S" nature of Permitee or Agent Receipt No. v o<--' 1 / c J White-D.P.W. — Yello6rsq)s@ &4 -Inspector — le&-d)plicont i 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 OP—PUBLIC WORKS BY Date c % 7 uilding permit expires Date ........ ......./...✓ �7�.... BUILDING Owner ' SQ. FT. OCC. BUILDING VALUATION " Mailing Address r .^,_ h Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 s �,� 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. .—� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 O' Each additional outlet .30 Fes Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 I n Parcel val �� Plans Approval Permit Fee $ $ NEW ADDITION F]UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .3, 06 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 ` ©— Light fixtures bai�?o Receps., switches & fix outlets 20, 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: Al +' ,/ �IV �em45 a/c. Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 ,too d� License No. Classification L7 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 0.00.$ o 0 � 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. jV1 I have placed on file with the County of Butte a certificate of Jam+ Workmen's Compensation Insurance. lecertify 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 ... D PERMIT FILING FEE $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 building construction, and hereby a�! TOTAL PERMIT FEE $ authorize representatives of the county of Butte to enter upon the above-mentione property for inspection purposes. X Date"2 _7 S" nature of Permitee or Agent Receipt No. v o<--' 1 / c J White-D.P.W. — Yello6rsq)s@ &4 -Inspector — le&-d)plicont i 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 OP—PUBLIC WORKS BY Date c % 7 uilding permit expires Date ........ ......./...✓ �7�.... ... ••; ter`.' This• set of plans MUST be kept on the job at all times and -it is unlawful to make any changes or alterations on same without written permisson from the Department of Public ` z. ss� Works, County of Butte. XD . 566 o zo ` ,r9 6LA6- 01 • L LLrre q See Master Plan on file for liuildin r Plans, i y 1 BUTTE COUNTY BUILDING DEPARTMENT PARTMENT Z)/S '4 APPROVED 146'r • �at� /'=20' Pl\\H O �4 E S 1 NICAYIN: O .: O X 16 00_ ctoei I? 1p •_533.2738 Orov i I le, Co 1: .. . �,S"O/ �/��sTdiGu� �2 aeo,•; . 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 SEARS HOME IMPROVEMENT PRODUCT 1200 DEL PASO RD # 100 SACRAMENTO, CA 95834 (916) 419-7703 SEARS HOME IMPROVEMEP Building 1200 DEL PASO RD # 100 SACRAMENTO, CA 95834 Other (916)419-7703 FEE INFORMATION DBE 15 or 20 amp (enter circui $109.80 DBOMSCF Supplemental Inspectio $109.98 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SEARS HOME IMPROVEMENT 721379 / D41 C-6 C-61 C-20 / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commenc. g with Section 7000) of Division 3 of the Business and Professions Code, and my license is in o and effect. 05/16/2007 Signature ( ) Date WORKERS' COMPENSATION DECLARATION I 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. VHAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by UUU Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier. ACE AMERICAN INSPolicy Number. WLRC44340860 Exp. Date:04/01/2007 (This section need not be competed if the permit is or one a 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 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 X 05/16/2007 Signature Date WARNING: FAILURE TO SECUR KERS' 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 rare Footage: Garage Remdl/Addn Porch/Patio Total Balance Due: $0.00 Receipt No: 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 CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: 1X 05/16/2007 IOwners Signature Date 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 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 anyway connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pr ,,,_WaLaborized to act on the property owner's behalf. /91 N01,k IAha-4UAN+I— 05/16/2007 Owner Contractor OR DAgent for Owner 2 Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 5755 LOWER WYANDOTTE RD Owner: Permit No: B074077 APN: 079-190-001 FORCINIO, PATRICIA Permit type: MISCELLANEOUS 5755 LOWER WYANDOTTE RD Issued Date: 05/16/2007 By KCG Subtype: Electrical OROVILLE, CA 95966 Expiration Date: 05/15/2008 Description: KITCHEN REMODEL -CIRCUIT UP Occupancy: Zoning: RI SEARS HOME IMPROVEMENT PRODUCT 1200 DEL PASO RD # 100 SACRAMENTO, CA 95834 (916) 419-7703 SEARS HOME IMPROVEMEP Building 1200 DEL PASO RD # 100 SACRAMENTO, CA 95834 Other (916)419-7703 FEE INFORMATION DBE 15 or 20 amp (enter circui $109.80 DBOMSCF Supplemental Inspectio $109.98 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SEARS HOME IMPROVEMENT 721379 / D41 C-6 C-61 C-20 / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commenc. g with Section 7000) of Division 3 of the Business and Professions Code, and my license is in o and effect. 05/16/2007 Signature ( ) Date WORKERS' COMPENSATION DECLARATION I 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. VHAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by UUU Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier. ACE AMERICAN INSPolicy Number. WLRC44340860 Exp. Date:04/01/2007 (This section need not be competed if the permit is or one a 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 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 X 05/16/2007 Signature Date WARNING: FAILURE TO SECUR KERS' 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 rare Footage: Garage Remdl/Addn Porch/Patio Total Balance Due: $0.00 Receipt No: 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 CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: 1X 05/16/2007 IOwners Signature Date 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 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 anyway connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pr ,,,_WaLaborized to act on the property owner's behalf. /91 N01,k IAha-4UAN+I— 05/16/2007 Owner Contractor OR DAgent for Owner 2 Agent for Contractor FILE COPY 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 APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last NameFirst,.jlame Y' F0 Gf V -) ,p I -AT I A (,I Pr Mailing Address S75 i L-0WrP- inI`/A1' ► bo7TE 121 City DCOV I LLE Stated Zip 451&0 Phone S Fax E-mail CONTRACTOR Name Address t Z06 Del Rouo 4-wo City J'Olc yeTi'1'Met11-0 State �� Zip q5134 Phon q10 416--7703 Fax E-mail Lic.# -721 ;?7' ClassC_ APPLICANT ARCHITECT/ENGINEER Name Address '�4 y) ° Vt ' 1�" /f Address ` City tec State Zip Phone E-mail Fax E-mail State License Number APPLICANT 1INFOR/M�ATIIONn ' I Name N �" c -' - c Pe", -M I Address '�4 y) ° Vt ' 1�" /f � 6t City ���/, S tec Zip 4;4,17 Phone 11 i FJ April 2007 1024 Florida Central Parkway, Longwood, FL 32750 PH: 407-551-6000 LETTER OF AUTHORIZATION I, Alfred W. Nyman, Jr., Assistant Secretary and California State Qualifier for Sears Home Improvement Products, Inc., grant permission to Corinne Paul and associate, Nola Wrought to submit permits and licenses, pick up permits and licenses, make changes to permits, licenses and plans and initial changes .made by the building department on behalf of Sears Home Improvement Products, Inc. I also grant permission to Corinne .Paul and associate, Nola Wrought to purchase permits and/or licenses with a company check, personal check, personal credit card or cash. This authorization is valid through August 13, 2007. I certifiy that the above information is true and correct. A I f r e . Nyman, Jr., Ap fs-t-a-n—t Secre a r y and California State Qualifier (721379) Sears Home Improvement Products, Inc. STATE of Florida COUNTY of Seminole i SWORN TO AND SUBSCRIBED BEFORE ME THIS 19th day of April, 2007, by Alfred W. Nyman, Jr., Assistant Secretary for Sears Home Improvement Products, Inc. and who is X_ personally know to me or has producted a valid Drivers License. Seal: NOTARY PUBLIC -STATE OF FLORIDA Deborah P. Phillips Commission # DD520380 Expires: AUG. 13, 2007 Bonded Thru Atlantic Bonding Co., Inc. F, 6AV,` Print Name: Deborah P'Phils Notary Public, State of Florida Commissin #: DD520380 MY COMMISSION EXPIRES: Aug. 13, 2007 PErmit#1477-89 K' Hicks 5755 L. Wyandott( COUNTY..OF-BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICKTION AND PERMIT / PERMIT _NO0 / ASSESSOR PARCEL NUMB R' S-7 -- ZONING BUILDING PERMIT OjW�NER Tom. I ryl 1 f^ _ � TELEPHONE SO. FT. OCC. BUILDING VALUATION --u- �j ) ( �. T'L+�Ile OWNER'S MAILING ADDRESS CONTRACTOR'S NAME T LEPHON CONTRACTOR'S M`AII�.I�N,.G, ADDRESS 1 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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�. �1../-� f/u� "�. Permit tee $ .� PLUMBING PERMIT Filing Fee 10.00 V 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 ❑ Mobi lehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W IO.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other [] Describe work: l , �►- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 100 AMP ORSLESS 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 fullforce and effect. License No. �- L/ b Classification P 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 Professjons Code for this reason NEW CONST. DWELLING OCCUP.EI OR ADDNS. ACC. BLDGS. , /22Sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRA CH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. zooaoe Ex. OCcup(OUTLETS OR FIXTURES 5AL030 FIXEDI, Ex. Occup. OUTLETSP(RESID )LNS.REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE r 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 g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that 1 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. 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. `� Date - Z �� Signature of Applicant — Owner ❑ Contractor [)I Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3^st�orries in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CON.ST.TYPL ISCHOOLIFLOODIPARCELI PD I ND 17 Thisermit is herebyissued under thea applicable rovi- sions of the Butte Cunty Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS y H !l�9� _ Date B ��` � � � � / / PERMIT EXPIRES �D'ate 5 - 4 `I", Receipt No. "7'() ! ik WHITE-D.P.W.. YELLOW-ASO(SSOK, PINK -INSPECTOR. GOLD ENROD-APPL I CANT J~� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO �- 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT AS S OR PARCE NUM _ s'( - ZONING BUILDING PERMIT [OE TELEPHONE SQ. FT. OCC. BUILDING VAL ION 0WN1ER'S!LAILIVGA``��.ADDRESS JrS; ONTRA TOR' MET LEPHON �33- CO RACT S MAI ING ' D RESS ^ ( (/A Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ t0 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 Permit fee $ PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF —Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other [� Describe work: Permit Fee $ 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/POWER and Professions Code and my license is in full force and effect. License No. _ �Slo% l� Classification l 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.M , ) Osq ft •TBl NEW CONiSTFL UCMU -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea .50 ea APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCup� OUTLETS OR FIXTURES .LO LO 30 FIXED APNS. Ex. OCCup. OUTLETS P(R ESID IREJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Uirin 15.00 9 Permit Fee $ 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. otice 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 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 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 a nst said.County in rise nce of the granting of this permit. Date 6-' 1 Z -��) 5 nature Applicant — Owner Contractor ['I 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 $ TOTAL PERMIT FEE OcCUP. CONST.TYPE SCHOOL I FLOOD PARCEL PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOF PUBLIC BY 7 P641 T EXPIRES ate the applicable provi- resolutions to do fees have been paid. WORKS 99 Date &_/,,g Receipt No. WNITC-O.P.W.. YELLOW-ASDE930R. PINK -INSPECTOR. GOLDENROD -APPLICANT