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HomeMy WebLinkAbout079-190-033i j SALLY J. WALKER l 6131�`S !� •;�`A 15 Monte Vista Avenue, Oroville ,' v Servamatic Solar Sys .t �F912-85P(install solar wtr htr/SF) C� MOUNTAIN DEVELOPMENT CO. 2717-72B,P,E, i I B07-1882 079-190-033 y(•ZO,—�33 MISCELLANEOUS Room Addn-First Stry `. YN -ADDITION(416), FIRE DAMAGE REPE,. 2515 Monte Vista, Oroville '2515 MONTE VISTA AVE.' (new single family) /9/79 GLAUDE,'SALLY WALKER , i B07-2329,., _. tfi �;•r 079-190-033 MISCELLANEOUS' r Wood Deck OPEN DECK 302 SQ.FT • 2515 MONTE VISTA 'AVE' � , J'; • :� � ' , �, � GLAUDE,SALL-Y­-4. "^� 33 { • BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2515 MONTE VISTA AVE Owner: Permit No: B07-1882 APN: 079-190-033 GLAUDE, SALLY WALKER Issued Date: 09/24/2007 By KCG Permit type: MISCELLANEOUS 2515 MONTE VISTA AVE Subtype: Room Addn-First Stry OROVILLE, CA 95966 Expiration Date: 09/23/2008 Description: ADDITION(416), FIRE DAMAGE RI (530) 990-5487 Occupancy: Zoning: R-1 Contractor Applicant: Square Footage: GLAUDE, SALLY WALKER Building Garage RemdUAddn 2515 MONTE VISTA AVE 416 OROVILLE, CA 95966 Other Porch/Patio Total (530)990-5487 416 FEE INFORMATION DBF Room Addition - First Stor $279.95 DBFIRE Fire Inspection (SRA) $102.70 DBFIRE Fire Inspection (SRA) $102.70 DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Room Add -1st Story 250sf $419.93 DBOMSCF Fire Safe Standards Re $115.98 DBSMIP Residential $2.70 Total Charged: $1,126.66 Fees Paid: $1,126.66 Balance Due: $0.00 Receipt No: B4719 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of than five hundred dollars 09/24/2007 penalty not more [$500]; Please check one of the following: Contractor's 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 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 WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR ❑ are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ Section 3700 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 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; 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.). Carrier: Policy Number: Exp. Dale: (This section nee not a comp etad if the permit is or oned dollars ($100) or less.) F-1 I EMPT under Section B. & P.C. for this reason: ISI I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS �] I71 SSUED, 1 shall not employ any person in any manner so as to become subject to the Workers' Comp nsalion laws of California, and agree that if I should become subject to the workers' 09/24/2007 comp sation provisions of Sectio 3700 of the Labor Code, I shall forthwith comply with those pro signs. Owners Signature Date X 09/24/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, g atur Date WA : FAILURE SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless gutta County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJEC AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the use c occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Cou to enter the above mentioned property for inspection purposes. I hereby certify that I am the pr ora aul rized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY Vag p LV 09/24/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for a ofP rmittee [SIGN] rint Date the performance of the work for which this permit is issued. (3097 civ, code) ® Owner ❑ Contractor OR; E]Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1882 Location: 2515 MONTE VISTA AVE Date: 09/04/2007 By: KCG Parcel Number: 079-190-033 Sub Type: Room Addn-First Str Owner Name: GLAUDE, SALLY WALKER Phone: (530) 990-5487 Description: ADDITION(416), FIRE DAMAGE REPAIR: ROOF, DECK, STEPS, SIDING The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No ❑ ❑ ❑ ❑ ■ ■ R ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner FILE I Date: 09/04/2007 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) ` k School District No*" lit (A111 r , Building Department No. JTax Rate Area No. A.P. Number Jurisdiction: MCI CIO Cit Count y y - Property Owner _' 1f'1� 1!4! VVQ�K('� • �jf(����-� 1 Property Location/AddressCj� ��� 1�t� ��)P np'n1�� ��f► r�N Subdivision Lot No. Residential Development QELISq. 0 Footage(() No of Living Mobile Home *Supplemental to (Group R) - Units Installation Cbnversion Permit # Cr. Demo - ( ) .......................:........................................................................... *(No foundation inspection) existing sq. ft. see attached Net total sq. ft. .4 r Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q ' New Addition District Identification No. 00024 (Street Sq. Footage (Including Exterior Roofed Areas) A-14 - o!z Date School District certifies that (Payor) (City) - (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution 'No.yC—:�Ci by payment of $ representing ',A square feet. IA13 2926 $ y FULL MITIGATION $ School District Representative ' Date Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dm7 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-1882 Job Address: 2515 MONTE VISTA AVE Contractor: Printed: 09/04/2007 2:20 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBFIRE Fire Inspection (SRA). 0100-450001-4617240-1010 $102.70 09/04/2007 $102.70 0100-450001-4617240-1010 $102.70 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $115.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 09/04/2007 $102.70 DBMSC Room Add -1st Story 250sf 0010-440001-4210500-1010 $419.93 DBF Room Addition - First Stor 0010-440001-4210500-1010 $279.95 09/04/2007 $279.95 DBSMIP Residential Printed By: Kourtni Graham At the time of permit. ThesV Signature: 1001-0-280-1011298 $2.70 19126.66 $485.35 Balance Due: $641.31 application, I was advised the above fees are required prior to issuance of the the pldn ch�cking process. /--)/" n A i Date: 09/04/2007 Pursuant to Government code SVtion 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). ,o y. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. .° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONAL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEME : (YES R NO) 2. I HAV VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO_ 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: ADDITION(416), FIRE DAMAGE REPAIR: ROOF, DECK, STEPS, SIDING Reference Number: B07-1882 Applicant Name: GLAUDE, SA LY WALKER S Owner's Name: GLAUDE, S L Y LKER AP 4:079-190-033 Signature of Property Owner: Date: `" � 07 Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone , (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment (LESS THAN 1 ACRE 1 Reference Number: B07-1882 Location: 2515 MONTE VISTA AVE Parcel Number: 079-190-033 Date: 09/04/2007 By: KCG Sub Type: Room Addn-First Str Owner Name: GLAUDE, SALLY WALKER Phone: (530) 990-5487 Description: ADDITION(416), FIRE DAMAGE REPAIR: ROOF, DECK, STEPS, SIDING By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore; do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed Title: FILE Date: 09/04/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municit)alcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1882 Location: 2515 MONTE VISTA AVE Parcel Number: 079-190-033 Date: 09/04/2007 Owner Name: GLAUDE, SALL WALKER Phone: (530) 990-5487 Description: ADDITION(41 , FIRE DAMAGE REPAIR: ROOF, DECK, STEPS, SIDING Signature of Property Owner: a-1— Date: 09/04/2007 FILE California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B07-1882 Date: 09/04/2007 Location: 2515 MONTE VISTA AVE By: KCG Parcel Number: 079-190-033 Sub Type: Room Addn-First Str. Owner Name: GLAUDE, SALLY WALKER Phone: (530) 990-5487 Description: ADDITION(416), FIRE DAMAGE REPAIR: ROOF, DECK, STEPS, SIDING To meet the requirements of Government' Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within'the State Responsibility Area (SRA) of Butte County SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓, California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County. Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site All development within the Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on, enter the extension number). - For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection 09/04/2007 Date All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/FireDrevention/protplan/protDIan.html Rev'd 5/7/07 FILE �V T BUTTE COUNTY 0 o DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION. o. 11 o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 c -a�-• o A FEE WILL BE REQUIRED AT TWE OF APPLICATION Website: w. rw.buttecounty.net/dds SUN **PLEASE PRINT CLEARLY** APPLICANT INFORMATION OWNER INFORMATION Last Name City Firs e Name �sTQ � Mailing Address City City DAv/ & State zip Phone �. y0 Fax E-mail Lic. # APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCH/TECTIENGI NEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name' Address City State Zip Phone Fax E-mail � c,r �L PERMIT NO. j�� UIJI" BIN # PROJECT LOCATION AP# )72 —1?e - e33 Property Address City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address <. DESCR/PT/ON.OR-SCOPE-OF•WORK: !G l Sq FT- Living/P// GaragOpen Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office u ly: Zoning Flood Zone SRA q Yes No Occ. Type onst. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2515 MONTE VISTA AVE Owner: Permit NO: B07-2329 APN: 079-190-033 GLAUDE, SALLY Issued Date: 11/14/2007 By TMP Permit type: MISCELLANEOUS 2515 MONTE VISTA AVE Subtype: Wood Deck OROVILLE, CA 95966 Expiration Date: 11/13/2008 Description: OPEN DECK 302 SQ.FT. Occupancy: Zoning: R1 Contractor Applicant: Square Footage: STEVEN GLAUDE Building Garage Remdl/Addn 2515 MONTE VISTA AVE OROVILLE, CA 95966 Other Porch/Patio Total (530)532-7921 . 302 302 FEE INFORMATION DBMSC Deck -Open (Wood) $159.00 Total Charged: $159.00 Fees Paid: $159.00 Balance Due: $0.00 Receipt No: B5306 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 11/14/2007 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 LLLc] 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 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Cartier: Policy Number: Exp. Date: (This section nee not a completed if the permit is or one hundred 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' 11/14/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi ions. er's Signature Date 11/14/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused 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 property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property ow ers behalf. CONSTRUCTION LENDING AGENCY j U ;6_= 11/14/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR.gent for Owner ElAgent for Contractor FILE COPY Lender's Address City State Zip n BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION. OFFICE *4:(5330)538-7541 FAX #: (530) 538-2140 A FEE WILL BE-REOUIRED AT TIME OF.APPLICA TION Website: w. tw.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name First Name Mailing Address 'Ve . /AF City State,,4p ZP. PhonFaxes/ State E-mail APPLICANT INFORMATION CONTRACTOR Name City Address -- City • Fax State Zip Phone Fax . E-mail . Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION ' Names Address as/S—STi9 City Stat Zip Phone 1UP k� 3 9!102 egrl 3 0 0 g219 Fax E-mail APPLICANT SIGNATURE X PERMIT NO. . BIN # PROJECT LOCATION AP# 7 - l C(0-63,3 Property Address - o1✓rc IIS71 city I'•' WORKER'S COMPENSATION . Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of pennit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 30 s Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone x SRA � No Occ. r Type Const. P/V Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: O Make sure your application is complete. O Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municinalcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-2329 Date: 11/14/2007 Location: 2515 MONTE VISTA AVE Parcel Number: 079-190-033 Owner Name: GLAUDE, SALLY Phone: Description: OPEN DECD 302 SQ.FT. Signature of Applicant: FILE Date: 11/14/2007 Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds crc :;*"-*o National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment (LESS THAN 1 ACRE 1 Reference Number: B07-2329 Date: 11/14/2007 Location: 2515 MONTE VISTA AVE By: TMP Parcel Number: 079-190-033 Sub Type: Wood Deck Owner Name: GLAUDE, SALLY Phone: Description: OPEN DECK 302 SQ.FT. . By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed. Title: FILE Date: 11/14/2007 11/14/2007 11:46 5305335821 PAGE 02/02 Nov .14 U'/ '1 I : 41;A P. e ]Butte County Department of Development Services ou TIM.SNGLLINIGS, DiRECTOR PETE CALARCO. ASSISTANT DIRii>CTOR 7 County Center DriveOroville, Cn 95965(530) 539-7601 Telephone(530) 538-2140 Fax www.litittccounty.net/dds OWNER-BUILIDER INFORMATION An application for a building permit has been snhmined in your name listing youncif as the builder of the property Improveratnu specified. For your prnteetion ,you should be aware that ea `owner -builder" you ere clic responsible party of record on such a permit. Building perrnitq arc not required to tic signed by property owners lmloss May ere personally performing dmcir own work. Wyour work is being pertbrmad by Romcone. other than yourcclf, you may protect yourself from pnstiMet lizhility if that. ,:,,icon npptics for the proper permit in Ilia or her nmee. Controctors on required by Inv, to he liednsud and bonded by die State of Callfotnia and to have n huainesc license from the city or county. They aro also required try law to put their Ileense number nn all pcnnitR .for which Iltey apply. if Voll plan to do your own work, with doe exocption of various trades tint you plan to subcontract, you should he aware of rtlm following information for your bencfir and proreotion: _ ° If you employ or otherwise cngoge any persons other than your immedinle lbmily, trill ere work (including materials and other costs) is 5500 or more for the entire project and ouch persons ate not licensed seq contractors or subcontractors, then you may be a,t employer. ° If you are air employer, you mast regloar with the stoic and federal government as an employer Nerd you are subject to several obligations including srnre and fckral ° income tea withholding, federal social security faxes. wofkors/ compensation insuronx, disabiluy insurance costs, and unemployment cotnpensntion contributions. There may he f nancicl risks to you if you do not tarty out these obligations, and these risks are especially serious with respect to workers' compensation insursttce. ° For more specific information about your obligatlons tinder federal law, Conan the Illremol Revenue Service (and, if you wish, Ne U.S. Small business Administration). For mare specitie information about your nbligations under scam low, eonttet the Department of Benefit Payments and the Division of Industrial Accidents. If die atructurc is intended for sato, properV owners who are not licensed contractors are allowed to pertbrm their work personally or throuph tiller own cmpinvccA. without a 1•twue contractor or subcontractor,. only under limited conditions. A Request practice of unlleemed persons prokssing in be controat"r is to secure nn "owssa►•huilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits in not required to be signed by property owners unless they are perfnrming their own work personally. tnlermatinn about licenced contractors may be obtained by contacting the Contracrnrs' State License Hotud's Nutomatcd tclephoue information system tit 1-900-321 -CLSB (2752) or by accessing thio wehsite est www.CSLI3.cn.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM 1 THAT YOU ARE AWARI- OF THESE MATTERS. THS SUILDING PERMIT WILL NOT BE ISSUED UNTII;t,THr; VTRIFICATION IS RETURNED. OWIVER 11111LDER VVItIF1CATI.ON PLEASE COMPI FTE THIS FORM AS REQUIRPI) BY THE STATH OF CALIFORNIa (SENA-M- BILL NO, 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL T141S VERIFICATION IS RECEM-33. • 1. 1 PFRSONALLYIrPPLL,.� TO PROVIDE THE MAJOR LABOR AND MATERIALS TOR CONSTRUCTION OF THE PROPOS61) PROPERTY o t PROvE i S OR NO) 7 2. } VR RIOT CIGNFrj AN APPLICATION FOR A BUII..D tCe PF.RMtT FOR THE PROPOSED WORK —j 3. 1 HAVE CONTRA T D WITH THE pOLLOWING PERSON (FIRM) TO PROVIDi THE PROPOSED 0.114 rR.I.ICTION: NAMF ADDRESS CITY„ PHONE CONTRA.CFOP,S LICENSE NO --� 4. 1 PLAN TO PROVIDE PORTIONS OF TNG WORK BUT I HAVE HIRED THE FOLLOWINQ PERSON T6 COORDINATL•. SUPERVISE. AND PROVIDP. THE MAJOR WORK: NAME II_ ADDR.r... ESS Crry PHONE CONIRACTORS IACENSE NO �-� 5.1 WILL PROVIDE SOMN Or THE WORK BUT 1 HAVE CONTRACT -ED (HIRED) THE FOLLOWINO PERSONS TO PROVIDE THE WORK INDICATED: .N.AMF. .1 1 „ A"IMEM PH.gg. DTE -9-r• WK Description: OPEN DECK 302 SQ.FT. Referencc Number: B07-2329 Applicant Name: STEVEN G1,. DE (Twncr's Nruric: . CLAUD.E, S y � AP 4: 079-190--033 Signature of Property Owner.,_ % Date: -.... Re:. 1 Permit#912-85P Sally Walker 2515 Monte Vista Avenin r 1 Permit#912-85P Sally Walker 2515 Monte Vista Avenin COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATeON AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER I _ TELEPHONE SQ, FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS ,r CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS i, • • , J,/ • Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 WaterP•P 9 i in 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑+ - Describe work: / J'� 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 NEW CONST. (/ DWELLING OCCUP.& OR ADDNS. 1 ACC. BLDGS. 2/20sgff 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. r "' License No. Classification �+ � El 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 CONSTR ULTI.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS &)l NEW .CONSTR. POWER APPARATUS . 1 NONRESID. SINGLE OUTLET CIR Ex20e50e . Occu_ p(OUTLETS OR FIXTURES 9ALe 30 EX. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ' - X '` Date �� 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD Ho IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By - PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J`COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone 916/534-4541 APPLICATION AD PERMIT PERMIT N ASSESSOft F3ARCEL NW JjJZ ZONING ZONING , BUILDING PERMIT 71 O WNERr�-• L ./1 TE; EPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI NG ADDRESS V( .... 0 reraGr Cr, CONTRACTOR'S NAMEJTEr �L/EPHpONE J CO ACTOR'S M ICING ADPR S 1� 7� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LEN'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 `51 r £• Each Trap 2.00 Solar Water Heater 20.00 &9p Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G JW 1 10.00 e TYPE OF WORK New ❑ Additio Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: f/ ozaue eA�7EsL _ JJJ �, Permit Fee $ CJ ontractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. SLOGS. I 2/20sgIt CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. y License No. Classification ^G� 6 �I, as the owne , r mm� ployees 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(MULTI-OUT NON -RES D R BRANCH CIRCTITS 2.50 ea NEW CONSTR.POWER APPARATUS & NON.RESI D. ( SINGLE OUTLET CIR. 20®50t Ex. Occup(ouTLETs OR FIXTURES BAL®30 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities judgments, costs, and expenses which may in any way accrue aga ity i conse pence of the granting of this permit. r Date J� 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 3stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD 11 SSDE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. CTOR OF PUBLIC WORKS 7, _�� c�7 Dat( U� �� ;. PE MIT EX ES Date_Z—'— G/ Receipt No. -;01 p WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT z e , v Lu � Z 0 c ©eve. O' . ................. 149=) o � of h y � 44 lei °.r)o rA', O' . ................. 149=) o � of h y � 44 lei °.r)o t 0 Al FA Q. 4 �� i