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HomeMy WebLinkAbout079-370-075T Of _.,_.� ._ _,►.......__� _.._...,.__..-rte. _,...� ,�..u._., -- — . .�._E ..__:..�_ _ ..__._ _ __ . _.....,._. __ �.-u_�. _ _ P. A. Laws D� �.... —3 70- 5197 0-5197 Wyandotte ners Ranch Rd., Oroville Permit #5997-76B,P \M(new sin _ e family) 'ermit-#111 5-79B( t. & 2nd. renew 1/5897-76) SF a Perm' #7159-79B(3rd renewal/ i 58 7-76) 04-1052 SCALES, RAY `1�+^eeze 1_7 , OR VILLE Cont: �GREENE ROLFING__ ELECTRIC ,r -s- i JB0:7-1472 - 079-370-076 MISCELLANEOUS Ag Exemp17 t i"OLLOW STORE & REPAIR TRACT(. LN —SCALES,. RAY � - min i I i 1� ; CnI 1� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES AGRICULTURAL BUILDING EXEMPTION 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: 204 BREEZE HOLLOW LN Owner: Permit NO: B07-1472 APN: 079-370-076 SCALES, RAY Issued Date: 09/10/2007 • By AAM Permit type: MISCELLANEOUS 55 WHISPERING OAKS Subtype: Ag Exempt OROVILLE, CA 95966 Expiration Date: 09/09/2008 Description: AG BLDG: STORE TRACTORS (2,4' (530) 370-7625. Occupancy: U-3 Zoning: AR -5 Contractor Applicant: Square Footage: SCALES; RAY Building Garage Remdl/Addn 55 WHISPERING OAKS 2,400 OROVILLE, CA 95966 Other Porch/Patio Total (530) 370-7625 2,400 FEE INFORMATION DBEH Building Review Fee $75.70 DBOMSCF Ag Exemption Permit $115.98 r Total Charged: $191.68 Fees Paid: $191.68 Balance Due: $0.00 Receipt No: B3799 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 not more than five hundred dollars 09/10/2007 penally [$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: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are notintended 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. Date: (This section need not a completed if the permit is oror onhundred dodollars ($100) or less.) ,gyp ❑ I AM EXEMPT under Section B. & P.C. for this reason: ]y LCERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 1L J ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensal' s of California, and ree th I should become subject to the workers' X 09/10/2007 compen ion pro isions of Sectio 3 00 oft a La or Code, I shall forthwith comply with those wner's Signature Date provisi s. V/10/2007 V"e-AI 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 ignature Date WARNING: FAILU O 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 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, personal injury, including death, and property damage caused by, 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 that issuance of this permit does not authorize the 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 owner's behalf. CONSTRUCTION LENDING AGENCY 09/10/2007 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.Agent for Owner DAgent for Contractor FILE COPY Lender's Address City State Zip 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 AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies. InitialAG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initia s AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, feet from a manufactured home, and 23 feet from a commercial/industrial buildings Initials Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a residence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 204 BREEZE HOLLOW LN Permit No: B07-1472 APN: 079-370-076 Square Footage: 2,400 Permit Type: MISCELLANEOUS Occupancy: U-3 Permit Subtype: Ag Exempt Zoning: AR -5 Description: AG BLDG: STORE TRACTORS (2,400) Required Setbacks: Applicant: SCALES, RAY Front: Side: 10 Rear: 10 55 WHISPERING OAKS Type of Construction: OROVILLECA95966 (530) 370-7625 Type of Siding: Metal Owner: SCALES, RAY Est. Const. Cost: $ 20,000.00 55 WHISPERING OAKS Roof Covering: Metal OROVILLE, CA 95966 (530) 370-7625 Floor Type: Concrete I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Divi ' and ob ain the necessary permits, inspections and approvals to comply with the requirements in effect t time a pri to ccupa Signature of owner (--� Date: 07/09/2007 I 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: w, ,w.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name C �p Firsteh �T Ll Maili e1z a s L�L O � cityopo 3Co f , LP tate C P_ F� zip 99C� / /_' ( 0V b PbuAe Fa rL O� E-mail -_�i AMA, , We, - PERMIT NO. 601-H BIN # PROJECT LOCATION API 6 - 3 �0 -- '7 Property Address Y Ir 0 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 DESCRIPTION OR SCOPE OFWORK: 07 A- 146 r� r K Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name VCS Address SRAes City No State Zip Phone Fax E-mail tic. # Class -_�i AMA, , We, - PERMIT NO. 601-H BIN # PROJECT LOCATION API 6 - 3 �0 -- '7 Property Address Y Ir 0 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 DESCRIPTION OR SCOPE OFWORK: 07 A- 146 r� r K Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name VCS Address SRAes City No State Zip Phone Fax E-mail State License Number -_�i AMA, , We, - PERMIT NO. 601-H BIN # PROJECT LOCATION API 6 - 3 �0 -- '7 Property Address Y Ir 0 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 DESCRIPTION OR SCOPE OFWORK: 07 A- 146 r� r K Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name VCS Address SRAes City No State Zip Phone Fax E-mail -_�i AMA, , We, - PERMIT NO. 601-H BIN # PROJECT LOCATION API 6 - 3 �0 -- '7 Property Address Y Ir 0 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 DESCRIPTION OR SCOPE OFWORK: 07 A- 146 r� r K Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRAes No Occ. U Type Const. RECORDLNG REQUESTED BY MID VALLEY TI'T'LE & ESCROW CO. AND WHEN RECORDED MAIL TO: 'j RAY SCALES 55 WHISPERING OAKS OROVILLE, CA 95966 r=1aaar= Recorded I REC FEE 10.00 official I TAX 176.75 yyRecords C4BUT I TEOi CANDACE J. GR61BS I Recorder. ROSEMARY DICKSON 1 Assistant , I Shauna 09:00AN 17 -Dec -2002 I Page 1 of 2 Above This Line for Recorder's Use Only A.P.N.: 036-230-054 Order No.: ORO/C Escrow NO.:194917KB GRANT MED C�-' TIS UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY 5178.75 X ] computed on full value of property conveyed, or computed on full valueless value of hens or encumbrances remaining at time of sale, ] unincorporated area;,[ ] City of OROVILLE , and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, PECILLIIPPE A: LAYS, AKA PFIML= AITMONY LAWS, AS MS SOLI; AND SEPARATE PROPERTY hereby GRANT(S) to RAY SCALES, an Unmarried Man the following described property in the City of UNINCORPORATED AREA, County of Butte State of California; SEE ATTACHED LEGAL DESCYR.➢P'Y'IION . 'PHILLIPPE A. EAWS Document Date: December 16, 2002 STATE OF CAL RNIA )SS COUNTX OF V `f`lr� ) On 2 (y beforeme, %46 3", 12 l personally appeared t l [ IT S . personally known tome (or proveJ to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my band a d official seal. Signature This area for official notarial seal. COMMISSiorr #1381097n 1o18ry® bung linn41allitatreia couMy Comm. Exp. NOV. 08, 2ON618 Mail Tax Statements to. SAME AS ABOVE. or Address Noted Below Order No. BU -194917-3 KB Description The land referred toyherein is situated in the State -of California, County of Butte, and is described as follows:' PARCEL I: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER. OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 29,'l 976, IN BOOK 59 OF MAPS, AT PAGE(S) 94 AND 95. AFN 036-230-054-000 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://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1472 Location: BREEZE HOLLOW LN Parcel Number Owner Name: 079-370-076 SCALES, RAY Description: AG BLDG: STORE & REPAIR TRACTORS Signature of Property Owner: APPLICANT Date: 07/09/2007 Phone: (530) 370-7625 Date: 07/09/2007 BUTTE BOUNTY DEPARTMENT OF DEVELOPME T SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7836 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-75'41 FAX#: (530)538-2140 WEBSITE: www.liuttecounty.netlidds I PERMIT NO. BP041052 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under F provisions of Chapter 9 (commencing with Section 7000) of Division 3 of ySUed Date' 05/20/2004 APN:036-230-054-000 ' the Business and Professions Code, and my license is in full force and effect. License Class : • License Number: Site Address: 176 BREEZE HOLLOW LN ORO Date: Contractor: i Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ELECTRIC FOR WELL ONLY Contractors' Stale License Law for the following reason (Sec. 7031.5 t Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SCALES RAY to its issuance, also requires the applicant, for such permit to file a 55 WHISPERING OAKS signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966-8269 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).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not y intended or offered for sale (Sec. 7044, Business and Professions Applicant: SCALES RAY Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does y such 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 improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I i ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does DETACH FOR SERVING UTILITY not apply to an owner of property who builds or improves thereon, Contractor:. I P-do"J and who contracts for such projects with a contractor(s) licensed Address 176 pursuant to the Contractors' State License Law.). -' OS -1 3 6 • 210- �a ❑ 1 am Exempt under Article 3 of the Business and Professions Code GAS Date: Owner: Meter By Date ELECTRIC . cense #: -0y - Date WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: =Meter ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:0 �j ) Total Square Ft: S. F. Policy#: Valuation: $0.00 1 LllOd' I certify that in the performance of the work for which this permit is Census Code: 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 provisions. ( / Date: ( J `� �' J! Q G o o Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Cods anrvor I hereby affirm that there is a construction lending agency for the Resolutions 10 o wprk indicated bove fo hi fees have been paid. performance of the work for wt%lch this permit is issued (Sec 3097 Civ.) /1 5160 Name: By: Date: v S ^� - Address: PERMIT EXPIRES ON, Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or y authorize age of t e owner. I agree to comply with a mfficial all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance any f doc ant f Butte County. I hereby authorize represe ti es of Butte County to enter upon the above mentioned property for inspection purpos Print Name: ` Signature: — C Date: 4)Wner 0 Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPEG'TION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041052 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date'' 05/20/2004 APN: 036-230-054-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 176 BREEZE HOLLOW LN ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ELECTRIC FOR WELL ONLY Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner', SCALES RAY to its issuance, also requires the applicant for such permit to file a 55 WHISPERING OAKS signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966-8269 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 to a civil penalty of not more than five hundred dollars ($500).): �applicant Leet 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 Applicant: SCALES RAY Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such 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 improvements are sold within one year of completion, the owner -builder will have the burden of proving 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 Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 0 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of pert'ury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: 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 provisions. © `E��, MS Date: J D D D Applicant: o WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte Cnunty Coda enrt/or I hereby affirm that there is a construction lending agency for the Resolutions o o w I indicated bove f hi fees have been paid. - -- - - — performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By Date: PERMIT EXPIRES ON: S Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or a my authorize age of t e owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance any icial f doc ent f Butte County. I hereby ti authorize represe es of Butte County to enter upon the above mentioned property for inspection purpos Print Name: t0 Signature: C r Date: weer ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 'PE T APPLICATION DATA SHEET k e / I OWNER: (%` -w� ASSESSOR PARCEL NUMBER G O UI Proposed Building Use: �v t^/._ Counter Technician: Date Q� Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. J ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑/ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: 0 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form.............................................................:............................... ❑ 27. Encroachment Permit for d iveway from t b Public W-or}�s De 't .......................... 28.�Pre:lnspection for W KV, I r qui e,.. .. ❑ 29.Contrractor's license information. (Numbe Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... _ ❑ 32. Letter of Signature authorization......................................:............................. _ ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ...:............................. _ ❑ 34. Manufactured home utility clearance............................................................... _ ❑ '35. Existing violations and/or expired permits......................................................... _ ❑ 36. Deed Restriction......................................................................................... _ ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: _ ❑ 39. Other: _ When issued Telephone and hold for pickup. I have been infopte'dlof the a�oyve itegr's ajd requirements for obtaining a building permit. Applicant: " u 1. Index permit a licat' ort a above items numbered: 2. Additional items required Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division t1 /6. - Plan Check Letter Date: Date: Date Date: 041 O.B.- I OWNER -]BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 4 IJpersonally plan to provide the major labor and materials for construction of the proposed roperty improvement: YES �1, NO ❑ HAVE 13 HAVE NOT t4igned an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but. I have hired the following person to coordinate, supervise, and provide the major work: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 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 SIGNED: PROPERTYOWNER: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety .Code: Y s verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner: O.B.- I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments 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 for you if you do not cagy out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the h temal 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 their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors 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 in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner guilder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, lvlic 1 C. Vi ira, C.B.O. ger, Building Inspection NOTE: 71:1s Owner-BuilderlrifonnadOn is required by Section 19830 of the California Health and Safety Code. OVER REQUEST FOR Location: 0 Owner---�LSE ) Contractor: C Call L] Phone BLDG. PLUMB/ME H ELECTRIC VGI M. Form Rough Rough g Frame/Underfloor Top Out Temp. Service Stucco Lath Gas Pipingffest Main Service tions Cal Stucco Brown Temp. Gas Underground Woodstove Sewer Piping W I Circuit Brace Panel Water Piping n / Insulation Shower n Nailing �. LGuniteL Demo Correc Correcti C r Light Niche Final Final j in I Corrections Final PION Job Status Per enewal er' ies x e Site 1 'PRE -INSPECTION REPORT OWNER: c� L DATE: U LOCATION: C' �J� 1 A.P. # CONTRACTOR: C r4 ZONING: REASON FOR PRE -INS ECTION k&t:i ', ,�, DATE TO INSPECTOR: PERMIT HISTORY ( ) ONE ( )SEE ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Comme-rcial/Usage: R Residential # of Units: Mobile home # of Units: Currently,Occupied ( ) Yes ( ) No Abandoned/Vacant: j Electric: ' Electric Currently ( ) On ( ) Off Condition of Electric Gas: Currently ( ) On ( ) Off Condition Sanitation: Plumbing Worldng ( ) Yes ( ) No Obvious Sewage Problems ( ) Yes ( ) No ACTION RECOMN[ENDED: ISSUE ( ) Yes ( ) No Hold for permits or verify: M,•�y Inspector. Date: CKFTCff RTT1KIDTNGS ON REVERSE AND INDICATE LOCATION ON PROPERTY: TI( S ✓ (- PERMtT NO. 5897-76B,P,E,M i. PERMIT EXPIRES -7 OWNER P. A. Laws CONTR. owner LOCATION (A.P. 36-23-+4-po-r-t. 5197 Wyandotte Minters Ranch Rd., Oroville 4% Temp. Power Pole a Called PG&E Temp. Elec. Serv. Called PG&Ef /A7 3w Temp. Gas-Serv. Called PG&E JOB I FINALED—%5 //-3/ (Date) 4 vx?n��� - (Sign re) 00 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �. BUILDING INSPECTION RECORD ,� DATE_ REMARKS OR CORRECTIONS S Mew r�,�_ 57.41oq, s o i F1 T !� d 0 M L% O C--, 11/7 C4 LI- F>f-17r 1D? 10,4 k L 57772 4— (NOTE: An entry must be made on this form each time you visit the job site.) ®P 7-0 Roc < 441, �i) u 7` /, boc-, 1/ Z f TO Bu.ildi r ; DepF, men FRo"-M Envirorimental Heid t,i i':E: Set•;age and/or '.'ater Clearance zpoS v/ r lke-rs A,W"dl - 3 - s `f LCC r.TION .� � A -p# Has. been approved fmy SE:.'tivE, DISFCSAL . TER S US PLY D �� r Sanitarian Date CIS RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLEDIN CONFORMANCE WI7H CURRENT ENERGY CO ER TIO GULATIONS AT 5_ / location �� - Z 3� . N0. 5--� BUILDING PERMIT NO. 5 !f%7- G A: THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:. (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls Floors Z-7 Walls Ceiling/Roof - o Ducts Circulating Pipes APPROVED HEATER rifrl� APPROVED WTR.HTR.c GLAZING: Single Glazed Special (Insulated) CERT. &•LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION VICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO. THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of - (please print) Insulation Applicator State Contractors License No./ General Contractor/Owner Namerf�i�/G L /,PPE d. . '4=1'a (pleas rint) Signature of � General Contractor/Own Date State Contractor License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE' —_p E_PARTMENT OF PUBLIC WORKS 7 County Center Drive -- Uroville, California 95965 ' Telephone: 534-4541, . , 7,76 9 APPLICATION AND PERMIT ••�r•���••••-•••�� a,w vvaa ,ay — uu tv cntc, uNvn uic above-mentioned property for inspection purposes. f Date Signature of Per mi ttee or Agent Receipt No. J7 6 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date � T�3/ ' 2 BUILDING Owner �%, z lt/ j SQ. FT. OCC. BUILDING VALUATION �o8y a600.o D Mailing Address iv u d oTrG X11 A/z✓5 Jp4vch lai 3 3-S' T , o 0 LL 1Telephone No. 53— 4 a5 O 44 S Fireplace 710- v O Contractor Total Valuation 70 Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ /5100 ( QC Building Address —1Cj °] 1✓ �Ndu%Te M P -y S PLUMBING No. @ FEE PERMIT FILING FEE $3.00 2. 0U RA NG PtA Each Trap 1.50 13: j Repair drainage or vent piping 1.50 Water piping 1.50 I's -0 © li,—pv r L G &q•mg Verification Only Each gas water heater or vent 1.50 A. P. No. p �j�gvT AQ— 3Co — — O� Zonin anning Gas piping system 1 - 5 outlets 1.50 1.50 _tach additional outlet .30 Building sewer 5.00 Fs n FireDept. FireZo Use Permit EQA Parking Plans Parcel Declaratio���c �ie"I i 0' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd o/Par" cel/Approval Plans Approval Permit Fee $ .6 � � �L NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 3,00 Main service soov OR LESS 5.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 Single Family,® Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING O pq& OR ADDNS. ACC. BLDGS /✓-� 20sgft O. 2© NEW CONSTR. MULTI.OUTL T NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. 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: ' Ex. Occup(OUTLETS OR FIXTURES)@� BAL@1 09 Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 7�, a O $ 7 / ;ix 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. ❑ I have placed on file with the County of Butte a certificate of ZIrkmen's Compensation Insurance. certify that in the performance of the work for which this d I permit is issueshall 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 �,00 Heating Cooling Ventilation K�/q,, T F4 LIS Z zov ef,a� Hood I 1 2.001 Zt.vo Permit Fee $ 100 $ 9C 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 I TOTAL PERMIT FEE $o7b1076 ••�r•���••••-•••�� a,w vvaa ,ay — uu tv cntc, uNvn uic above-mentioned property for inspection purposes. f Date Signature of Per mi ttee or Agent Receipt No. J7 6 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date � T�3/ ' 2 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive _ Uroville, California 95965 � Telephone: 534-4541 - APPLICATION AND PERMIT -- - - ..y upon, MV above-mentioned property for inspection purposes. /f Ccs F fi h it �CL c �i-� Date Signature of Permitee or Agent Receipt No. /�37©! F 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. E TO OF P C WORKS BY Date Building permit expires Date-!/— BUILDING Owner � o SQ. FT. OCC. BUILDING VALUATION Mailing Address 5-c77 Cot rFireplace Telephone No. Contractor Total Valuatio Mailing Address w7vvuPermit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ _ Building Address PLUMING No. @ FEE PERMIT FILING FEE 1.$3.00 ., Each Trap 1.50 Repair drainage or -vent piping 1,50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 -Gas Zonin Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F14S Fire Dept. Fire Zone Use Pen -nit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 ane ec Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Ste./- Main service 1000V OR 0 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER Main service 00 AMP OR LESS 25.00 Main service EA. ADD -L. 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLOGS. OCCUP. &) 22sgft NEW NON.RESID R. ( BRANCH CIRCUITS) 2.50ea NEW CON ST R. POWER APPARATUS&J NON.RESID. (SINGLE OUTLET CIR, 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: Ex. Occup(OUTLETS OR FIXTURES)�� BAL@1 Ex. Occu FIXED APPLNS. OR P'(OUTLETS (RESID.) EA) 2,00 Temporary'service 10,00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. ❑ 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.1 @ 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 c� $ v 7 -- - - ..y upon, MV above-mentioned property for inspection purposes. /f Ccs F fi h it �CL c �i-� Date Signature of Permitee or Agent Receipt No. /�37©! F 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. E TO OF P C WORKS BY Date Building permit expires Date-!/— f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Dri,ve - Oroville, California 95965 Telephone: 534-4541 . APPLICATION AND PERMIT dq BUILDING Owner R, 1 SQ. FT. OCC. BUILDING VALUATION Mai Iing Address 9*aA �, A-4 Telephone No. 42w__ tmalft Contractor sw4 - a-7 -3 Mai I i ng Address Fireplace Total Valuation Telephone No. Permit Fee Building Address '� g Plan Checking Fee&/or Penalty Permit Fee S, ' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No.� '" 'S /��2tZoni Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F e VleSani Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BI Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER a Permit Fee $ _ S of 7-7 6 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•�0 Single Family ®. Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 l Main service OVER 100100 AMPsoov OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW CONST. I DWELLING OCCUP. 9 OR ADDNS. % ACC. BLDGS. 20sgft �� 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: NEW CONSTR MULTI -OU IR T ) NON •RESI T BRANCH CIRCUITS 12.50ea NEW CONST R. (POWER APPARATUS —& NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES) I5 L@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of 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 Land Development Fee $ TOTAL PERMIT FEE .$7 _ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspect: n purposes. 7 ,�,21&zov - 55� Date Signa r of Permitee orr.Agent Receipt No. 25;), 7 `7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the But County Code and/or resolutions to do work indicated abov o which fees have been paid. RE TR OF UBLIC WORKS B Date �(- 74 Building permit expires Di6e. ��--- �k,/ ITE PLAN TM:............ ............ ................................ . ................. .. _ b) L 11 ......... - • ��_.- 6 n �u CD .-..... -..........•............ Assassoes Furcal Number: 0 io Owner Name o. Addre-ss / Phone No. Site .Location Contact Name rn- n r� '��1� 10 .L1. -.off Phone FOR OFFICE USE ONLY Zoning: Gerueral Plan sig: Size, Ams _ PROVIDE FOR ALL - ADJACENT PARCELS SIZE (AC): ZOMNG: GEN PLAN: U,5ES: - ...... SITE ®LAS ---- .-- :_.. __ ._... ... . .. ... . .. ...----._.......__ • _. • __ . _...: _. •......- _ .. TIR _ . sT"'p 491 �o -� r� 0 - . ..... . ..... 7 Assassoes Parcel Number D ; � r. Scale: 1" Omer Name �QN �, 4/ .Add7—e ss / PhonNO. ' Site Location.? c�/, �� I d,;�t :�- S+�avn� ��., Wil( `�1 _ ------------ -____.___-__-_- '7547: 1D� X195 FOR OFFICE U8E ONLY honing: General Plan Des5g_ Size, Ams . -rz� PROVIDE FOR ALL AWAA.CENT PARCELS SIZE (AC): ZOMNG: GEN PLAN: Us5-ES. . 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