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Home My WebLink About079-190-0357,40,' � 'TON, 'ELOJ VWES i, -S E , .. I- I " CO'NTRIC , UNKNOWN 570 1 5 •LOWE I R'WYANDOT7E, tb ILLE, REROOP/--S'F' 1�-130$_ 079ml-9(Y-035' .;MISCELLANEQtJ§' Water Heater C/O • WATER HEATER'REPLACEMENT' 5705 LOWERVYANDOTTE RD -WESTON ELOISE M, KENNICOTT ]CONSTRUCTION CO. 271-70B] (cooler)- 278-70E 566-70E 3�0-70P 9`7 0 5705 Lower Wyandotte #!,..Orovil'le LOT ll';; (new single family) opic? 19 D— 0 �6 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 5705 LOWER WYANDOTTE RD Owner: Permit NO: B0$-1619 APN: 079-190-035 WESTON ELOISE M, Issued Date: 08/11/2008 BY TMP Permit type: MISCELLANEOUS 5705 LOWER WYANDOTTE RD Subtype: Water Heater C/O OROVILLE, CA 95966 Expiration Date: 08/11/2009 Description: WATER HEATER REPLACEMENT (530) 693-8808 Occupancy: Zoning: R1 Contractor Applicant: Square Footage: COMMUNITY ACTION AGENCY OF BUT COMMUNITY ACTION AGED Building Garage Remdl/Addn 2255 DEL ORO AVENUE 2255 DEL ORO AVENUE OROVILLE, CA 95965 OROVILLE, CA 95965 Other Porch/Patio Total (530)538-7559 (530)538-7559 FEE INFORMATION DBP Water Heater (qty) $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8237 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 COMMUNITY ACTION AGENCY 617201 / B / 04/30/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 08/11/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ 1, 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.). HAVE AND WILL MAINTAIN WORKER'S ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ❑I COMPENSATION 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 Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the CARE WEST INSURE W10612000380 12/11/2008 Carcier. Policy Number: Exp. Date: Contractors License Law.). (This section need not be completed if the permit is or once con rimed dollars ($100) or less. ❑ 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 08/11/2008 compensation provisions of Section 370 the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 08/11/2008 ' 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 S' ure Date WARNING: FAILURE T SECU 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 by, 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 that 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 any for inspection purposes. I hereby certify that I am the props or am a n eK&perty owners behalf. CONSTRUCTION LENDING AGENCY 08/11/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ams of Permittee [S rlt Date the performance of the work for which this permit is issued. (3097 civ. code) Owner V6Contractor OR E]Agent for Owner RAgent 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 A FEE WILL BE REQUIRED AT TIME OF APPLICATION We6site: www.buttecounty.net/dds "PLEASE PRINT CLEARLY** APPLICANT INFORMATION OWNER INFORMATION Name Last Name t ` / W ® First Name — � o Mailing Address 2640 So / CityQ State Zip Zip95965 Pge� Fax D Ca E-mail Ph �30 APPLICANT INFORMATION CONTRACTOR Name 2640 So 5Th AVE Suit #5 community Action Agency of Butt Address Oroville 2640 So 5Th AVE Suit #5 City Fax Fax State Zip95965 Oroville State License Number Ca Ph �30 Fax 538-7534 E-mail Lic. #Class 61 7201 B APPLICANT INFORMATION ARCHITECT/ENGINEER Name 2640 So 5Th AVE Suit #5 Address State City Oroville State Zip Phone Fax Fax Fax E-mail State License Number APPLICANT INFORMATION Namgommunit Action'Agency of butte Address 2640 So 5Th AVE Suit #5 City. State Zip Oroville C 95965 Ph 538-7534 Fax Fax E-mail APPLICANT SIGNATURE X PERMIT NO. BIN # PROJECT LOCATION API Property Address . D { 0 City WORKER'S COMPENSATION Policy Number W-10612000380 Carrier Care West If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Water Heater Replacement Sq FT- Living Garage Open Cov ❑ . Structure Built without Permits -O Proposed Change of Occupancy (Note previous use): For office use only: Zoning I Flood Zone .1 I.SRA I Yes I No Occ. IType Const. 9 G� LTL +, \ ,� �\ ♦;� :. �� t- i ,a, ..� •- �,,+r~ .. 1' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. _ . ASSESSOR PARCEL NUMBER 035-570-036 ZONING R 1 BUILDING PERMIT OWNER WISH WFMN TELEPHONE 532-9237 SO. FT. OCC. BUILDING VALUATION 25 ag COMP 115 00 OWNER'S MAILING ADDRESS 5705 LOWEIR WAND= OWVIUE CONTRACTOR'S NAME IWIOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 30.M ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5705 IDWER 14YANDNM Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[) Other ❑ Describe work: REROOF WITH COMP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) [ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ACDNS. 1 ACC. BLOGS. / 3.64 sq.ft. NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 5.00 (POWER APPARATUS e� SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 76a L.R 46 Ex. Occup. OUTLETS ED APP(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 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. ❑ 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. E4 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 15.00 Heating Cooling Hood 6.50 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. K A" ' r 1! < <' �. Date 1/- 4 f� Signature of Applicant — Owner Contractor Agent An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 45.00 HAz DFEES I IMP I FLOOD I CDF PARCEL I PD I HD I ISSU This permit is hereby issued under the applicable provi- sions of the. utte County Code and/or resolutions to do work i.rtidic ted ab f r'which fees O've been paid. // ! + DIRE F P BLI WORKS / By Date///x PERMIT E IRES Date % Receipt No. 103239 WHITE-D.P.W., YELLOW-ASe(3SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT w COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT 0. ASSESSOR PARCEL NUMBER 036-570-036 ZONING R.1 - - BUILDING PERMIT OWNER SON ELOISOWNER'S TELEPHONE 532-9237 SO. FT. OCC. BUILDING VALUATION 25 sq COMP 1,500 AILING DDDRE 5705 LOWER T CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 30,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 5705 LOWER WYANDOTTE Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W 5.0 @ 10 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: RFROOF WITH COMP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200ATO1000A1 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 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. OR ACDNS. 1 ( DWELLING OCCUP.&ACC. BLDGS. / ) _37.50 3.6Q sq.ft. NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 20 761FIXED APPLNS.1 Ex. OCCUp. OUTLETS ((RESIO IREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g -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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 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 again ""said Countqconsequenceof the granting of this permit.X,,, —CJ A_,f Date Signature of Applicant — Owner'L Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 45.00 HAz OFEES IMP FLOOD CDF PARCEL PD HD ISS This permit is hereby issued under the sions of utte County Code and/o work ' dic ed ab f which fe IR P BLI By AEWPIRtti PER Date applicable provi- r olutions to do ve beienpaid. RK$Receipt Dat No.103239 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT