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005-434-014
L 005-434-014 99-0933 JONES, Phil 956 East 16th Strcet, Contr: Owner Upgrade elccLric 005-434-014 99-1755 JONES, PHIL 856 E. 16"' STREET, CHICO CONTR: OWNER GAS LINE & SHEETROCK GARAGE 005-43`1-014 JONES, PHILIP & LSSA 856 E. 16TIl ST., CHICO RE -ROOF 9 005-434-014 02-2811 JONES, PHILIP & LESA 856 E. 16" ST., CHICO RE -ROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ; 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NOI APPLICATION AN ERM �� V/ ASSESSOR (Rev. 12/96) /1��LI�P^91 I®� AND�Gf31d9�� �' IVSSE) PARCEL N�UMBER ' i ZONING BUILDING PERMIT OWNER P ,.J 0V1 e �) �- TELEPHONE SO. FT. OCC. BUILDING VALUATION 1 Q Sig of . OWNER'S MAIU/NG,, ADDRE(S�S.• t O '] / `/•'7(��.".'.�1/�'�� (J�% � 5 ��rt � 1 i' CONT�RNAyC(TORp'SNAM�JE y 4-/ Il6L/ TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ (,� ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 15 ,( �.. Energy Plan Checking Fee $ (� Fzff PERMIT FEE $ 1 -15 Od LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑J' Describe Work: 4e r- tJ y�, n I l i Al v �l l li 1 � (� -Nkliyi o, -e 7Z, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service '.."A' R mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A 1000A 46.00 TOING NEW CONST. DWELLING SO EE OCCUCU OR ADDNS. ( 6 ACC. BLDS. 3.50FT. NON -REBID. BRANCMULTH CIRCUITS@7,50 POWER APPARATUS d SINGLE OUTLET CIR. .00 EX. Occup. OUTLET OR FI TURES BAL @ 150 FIXED ED APOR Ex. Occup. OUTLETS NS OR EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers'. compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars, ($100) or less.) , q' I certify that in the performance of the work for which this permit ishissued, I shall not employ any person in any manner so as to become subject to workers compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those'pro4i'sions. �. (� yv P X /�_ _,• f� ___ Date + � a f _ Signature ofNipplicant` - 'O, Owner 10 'Contractor ❑ Agent / errmit is . t. Cfor�excavations over 5'0 An OSHA p s requuedt"deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ - oo HAZ.. I D. FEES IMP I FLOOD I CDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicatedabove for which fees have been paid. ;_. J . BY / Date PERMIT EXPIRES ON ! �� Date Receipt No. "x�Q� °` � OVi5 ` Vi WHITE-D.D.S.'-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �7� qo0 (Rev. 12/96) APPLICATION AND PERMIT fi (/0611 ASSES O6115NUMBq r T I ZONING BUILDINGPERMIT OWNER O r TELEPHONE SQ. FT. OCC. BUI ING VALUATION l." .OWN rILII ADORF�• I 1 iL, C` ✓�.�/y IVY � 9 ✓ /Y CONTF}8C[U NAME _ /- TELEPHONE CONTRARAC/TTOORRSre/AM1IILL`INGG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ - uo ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ,LJ' ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ' / - /1 L� Energy Plan Checking Fee $ J $ �— / PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome ❑ Other Water piping 15.00 SPECIFY Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 lilie New ❑ Addition ❑ Remodel ❑ s ❑ Installation ❑ Other ❑ Buildingsewer 15.00 hci.IS 4A -,d Q Mobile Home S G W 920.00 Describe Work: F- )- lU J r (AI PERMIT FEE S ELECTRICAL PERMIT Fee 20.00 RLE SFiling 800VMain Service 200A OR LESS 23.00 Main Service 200A TO 46.00 LICENSED CONTRACTOR'S DECLARATION OOU000A NEW CONST. / DWELLING OCCUP. SO 3.5¢x: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter OR ADDNS. \ a ACC. sLos. 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, N CON NON•RES DT MULTI. cuR, @7,50 and my license is in full force and effect. POWER APPARATUS License Class Lic. No. 8 SINGLE OUTLET CIR. 20 @ I.o0 OWNER -BUILDER DECLARATION Ex. Occup. OUTLET OR FIXTURES BAL Q .50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Ex. Occu .OFixuTLEEDTS R DOE'A 5.00 Law for the following reason: Temporary Service 23.00 I, as owner of the property, or my employees with wages as their sole compensation, Mobile Home Facilities 20.00 will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors Misc. Wiring 23.00 to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this PERMIT FEE $ reason WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Fling Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating ❑ I have and will maintain a certificate of consent to self -insure for workers' Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Hood 6.50 ❑ 1 have and will maintain workers' compensation insurance, as required by Section Ventilation 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier PERMIT FEE $ Policy Number Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee $ of one hundred dollars ($100) or less.) Occ CONST. TYPE TOTAL FEE $ OD I certify that in the performance of the work for which this permit is issued, I shall - not employ any person in any manner so as to become subject to workers' HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE compensation laws of California, and agree that if I should become subject to the I I of section 3700 of the Labor Code, I shall wor compensation4pr hwi comply with tns. This permit is hereby issued under the applicable provisions /b • -7 - (7� [ of the Butte County Code and/or Resolutions to do work X ___ Date _ indicIteave for w I h f es have been paid. Si nature I' ontractor ❑ Agent I An Spe is requ for excavations over 5'0" deep and demolition or construction (� of structures over 3 stories in height. By Date Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY•ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Da te n•r •' i {dw- ..................... ..•y� •'k 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESP NO 0 2. I HAVE C3 . HAVE NOT,'9 signed an application for a building permit for the proposed work. . I have con cted with the following rson (firm) to provide the proposed construction: NAME: 7 ADDRESS: /6 /Z CITY: 1�40f PHONEv `d 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: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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. WORT{ SIGNED: PROPERTYOWNER: ER: DATE: 27Z�-E7 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification roust be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORItiIATION Dear Property Owner: 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-buiidee, you are the responsible patty of record on such. a permit. Building permits are nor 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: e If you employ or otherwise engage any persons other than your immediate fam. ly,' and'the work including materials and other costs) is 5300 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 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. 4 There may be financial risks for you if you do not carry 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 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 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 contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder 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. r rely, Mic el C. Vi ira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 198.10 of the Callfornla Health and Safety Coda OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.12/96)t �. APPLICATION AND PERMIT ?� ASSESSOR PARCEL NU Eo FS G`\f r 43Lf ZONING _ BUILDINGPERMIT OWNER �� • n TELEPHONE 3 SO FT OCC. BUILDING VALUATION OWNER'S MAILING AD�1R ss Rao - CONTRACTOR'S NAME TELEPHONE e.� o 0 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 7,00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15'- SPlan ARCHITECT OR ENGINEER'S MAIUNG ADDRESS PlanChecking Fee $ BUILDING ADDRESS (_ (Q Energy Plan Checking Fee $ $ PERMIT FEE $ -35. LOT NO. • SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF,K Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: Ds'a F14114AL.L Gas piping system 1- 5 outlets 15.00 j Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ j. I R 910A )R q A S 1,JF ¢ �(?Ca'AiCA 1 C%rJ Jp ELECTRICAL PERMIT Filing Fee 20.00 ess LE Main Service ( 2ooAoov oR oR LESs 23.00 A3, M LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. ( 8 ACC. BUDS. SO 3.5QF' NON-RESNDT MULTI.OUTLUI BRANC CIRCUITS @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES zo @ 1.00 BAL O .50 Ex. Occup. ourLEEDrs (.PlLE .OEn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 M sc. Wiring 23.00 3. IL_ t2 o 3.60 0 60 PERMIT FEE $ 0q , WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date JJ o poi an 0 er Contractor ❑ Agen tf�itAp rmit s required excavations over 60" deep and demolition or construction strucres r 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ c TYPE IPTAL FEE $ HAZ. p. IMP FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dale ReceiptNo 244f 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPE T R GOLDENROD -APPLICANT 5 ' �_...�.. .n-�,Yl.li�.---�/`�. !.. . Zr'Y r. •n-I'�•�- C •^.-•1r" r ,�'�Y-� �Af""�-..R�.J ,.r r ...1-"'-- �" 'yf" 1 �'i-r'"..�-.r,t'�^�y"^:`f'i:+`n.^• A' cf�""-`Yy1-,fYY-i`...1'•,r,n��J"4 - .,max COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION Al 7 County. Center Drive - Orovviilllee, California.�g/95916']5-®TpellepThone (916) 538-7541 /P�ERRMIT NO. (Rev.12/96) APPLICATION /11V®Ir"EIlldll 1 ASSESSOR PARCEL NUMBERZONING od J- 4314en 19 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING Cs7 Y b VALUATION O Q 1 OWNER'S MAILING�`R�S w li �,i� - --+ _ '�� 1 R J�%4. � IIJ-✓i.NJ�..' / �� { / '�j 14 CWMO`^--rf/` CONTRACTOR'S NAME i (J�'� TELEPHONE 1` - - CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER `* Fireplace ! LENDER'S MAIUNG ADDRESS Total Valuation $ '1 00 ARCHRECT OR ENGINEER LICENSE NQ Filing Fee $ 20.00 Permit Fee $ ts. ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Plan Checking Fee $ BUILDING,ADDRESS ` Energy Plan Checking Fee $ PERMIT FEE $ ��- LOTNO. SUBDIVISION'S NAME PARCELtMAP t' PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF )9, Duplex ❑ Mobilehome ❑ Other '4, SPECIFY Each Trap 7.00 Solar:or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New l�ddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other © Describe Work: (J cn osr)A'r 7;31� A 0 0 a*L IRREVA'L Gas piping system 1 - 5 outlets 15.00 J j' Building sewer 15.00 Mobile Home, S G W @20.00 PERMIT FEE $ 5. PA IAS 2 A 5 ) I J s ezle«-AIcAr Q cJeArl -1P ELECTRICAL PERMIT Filing Fee 20.00 { 600v OR LESS Main Service. ( 200A OR LESS ' 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license is in full force and effect.POW License Class Lic. No. OWNER -BUILDER DECLARATION I hereb affirm under penalty of perjury that I am exempt from the Contractors License y p ty p l y p Law for the following reason: 4014 as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I,\Ias owner of the property, am exclusively contracting with licensed contractors to, construct the project. ❑ I am exempt under Sea :'Business and Professions Code for this reason \ Main Service ( 200A TO);000n 46.00 NEW CONST. DWELLING OCCUP.SQ OR ADDNS. ( & ACC. BUDS. 3.50FT NEW CONST. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS @7.50 ER APPARATUS & SINE ET CIR. GLOUTL - Ex. Occup. OUTLET OR FIXTURES P• 20 @ 1.00 BAL @ .so Ex. Occup. FIXED APPWS.OR p. ouTLETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home. Facilities 20.00 Misc. Wiring 23.00 rc- i—dlAo PERMIT FEE WORKERS' COMPENSATION DECLARATION I hereby affirrri''under penalty -of perjury one;of the following declarations: ❑ 1 have and will maintain,-a\certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for whichis permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insura'n'ce carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ r• Policy Number (The above°sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) o 1 .O 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manrier so as to become subject to workers' compensation laws of'California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ---,? .� /_/ 1 \. \ Date s{�-7�%� /X (Sign'ai6re"'of Appli(5ant`- O"Owner\❑)Co_ntractor ❑ Agent- , An OSHA permit�is required'fo excavatio for over,5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC _ —CONST. TYPE '�„' VOTAL FEE $ HAZ. D. FEES' IMP v FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have a By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date) ��y s�� ReceiptNo. L VV 3� [-<-' . 60 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 7 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION PERMIT NO. 7 Comity e e'n'ter Drive - Croville, California 95965 - Telephone (916) 538-7541 J J. .e- eel —7 _7 (Rev. 1 2/961A;1 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB pEb,5- 4 3q —0 19 7 ZONING BUILDING PERMIT OWNER P W TELEPHONE ,I (, - q, ) SO- IFT. OCC. BUILDING VALUATION 00 OWNER'S MAIUN1G ADORES ,� V 41 1 . 151 CONTRACTOR'S NAME - TELEPHONE 1— CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ '100 � ARCIIrrECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00' Permit Fee $ 1.7 - ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5 to E I (c, 1b, S+t Energy Plan Checking Fee $ PERMIT FEE $ 3S LOT NO. SUBDIVISION'SNAME �PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFR Duplex 0 Mobilehome 0 Other SPECIFY Each Trap 7.00 Solar, or.,heat,pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK .New O Addition 0 Remodel 0 Utilities 0 Installation 0 Other ti41 Describe Work: J09 n )�(_r is riv FlCtWALL Gas piping system I - 5 outlets 15._00 Building sewer 15.00 Mobile Home IS G W 920.00 PERMIT FEE $ r 9 PA #A' C, A S 1,J9 It -e ''R06 C le,4 rJ ELECTRICAL PERMIT I Filing Feel 20-00 0VOR LESS Main Service 20000A OR LESS ( d 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby,under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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. 0 1,\as owner of the property, am exclusively contracting with licensed contractors to. construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO1000 't 46,00 NEW CONST, DWELLING G O.� GCUP. OR ADDNS. & so 3.50FT. NEW UTLET @7.50 —N.N_RESCONDST, &POWER APPALRATTUS SINE . E IR. Ex. Occup. OUTLET OR FIXTURES 20 4 1.00 BAIL, @ .50 XAPP NS R"I ..Faffirm Occup. TLETEDS (RLES'D., 5.00)0E —Ex. Temporary Service 23.00 Mobile Home Facilities 20.00 Mi-sc. Wirinq 23.00 2.3. a 5 du � 6D PERMIT FEE WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty -of perjury one of the following declarations: 0 1 have and will maintain,a certificate of consent to self -insure for workers' compensation, as proviclecl`for by section 3700 of the Labor Code, for the performance of the work for which, this permit is issued. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700ofthe Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier rPERMIT MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling --- Hood 6.50 Ventilation FEE $ Policy Number (The above sections need not be c6mpleted if the permit is for work of a valuation. or of one hundred dollars ($100) or Ie6 ' ss.) .3 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to theHAZ workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X, Date SigrTtdre of Applidani—fl' Owher\Q) Contractor 0 Agent' I I I _._1 - , AwOSHA permit is required*for excavations over 60" deep and demolition or construction of structures\over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ (1-3 — —C111T TYPE ITOTAL FEE $ AL 11 FEES IMP I FLOOD � C!!�� HO I This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I _n the applicable provisions Resolutions to do work been paid. Date aa ReceiptN.. 7_1, q 4 3 c/ 11'6n6, WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT, , 005-434-0.14 99-0933 ?ONES, Phil s j 856 East 16th Street, Chico j Contr:Owner j Upgrade electric �I m COUNTY OF BUTTE DE"ARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. A. P. No. 5- - q_3 U / 4{ Owner J on)ES Contractor OWW eR Permit No. q9 ` 0733 Expires PERMITTEE MUST CALL FOR INSPECTIONS Footings Piers Underground Conduit Pre-Gunite unaernoor riumoing Underfloor Electrical Underfloor Mechanical Underfloor Framing Do.';Not Install Floor ur Slab:::Until Above Signed Rough Plumbing Rough Electrical Rough Mechanical Framing Shower Pan Do Not Insulate UntilAbove Signed Insulation Do Not CoverUntil Above Signed Fireplace Footing Fireplace Throat Do Not Continue Fireplace.:Until Above Sinned Stucco Lam Scratch and Brown Do ;Not Cover. Until Above Signed Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses Information 24-Nr;;lns Oroville 7 County Center Dr. 538-7541 538-7636 Chico 1469 Humboldt Rd. 891-2751 891-2834 devised 7/94 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 1 2/96f APPLICATION AND PERMIT - ASSESSOR PARCEL NUM !� 4 3q -0 114 ZONING BUILDING PERMIT OWNER P Ka TELEPHONE !'1,0-37 5 1:11, SQ. Fr. OCC.- BUILDING VALUATION ,OWNER'S MAILING ADDRESS Rd CONTRACTOR'S TELEPHONE CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'? MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5?E (o S* Energy Plan Checking Fee $ PERMIT FEE LOT NO. SUBDIVISION'S NAME IPARCEL MAP PLUMBING PERMIT Filing Fee 20.00 LISEOF§TRUCTURE SF,19, Duplex 0 Mobilehome 11 Other SPECIFY Each Trap f 7.00 . solar....or,heai pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other Describe Work: d LO piping system I - 5 outlets — 15.00 15' —Gas Building sewer . 15.00 Mobile Home S G W @20.00 PERMIT FEE $ i. ?A 1A A C )eA ELECTRICAL PERMIT Filing Fee 20-00 -Main Service '..'�v, o,R� LEss 21.00 00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project.My 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000 ) - .46.001 NEW CONST. DWELLING OCCUP. OR ADDNS. & ACC. BUDS . SQ 3.5,0FT. N1w,,_;cEsNI ST MULTI -OUTLET @7.50 L@7.50 &PONW.ELREOUTLET E T IR. EOOUTLET OR FIXTURES EX. 20 @ 1.00 RAL @ .50 APS R Ex. Occup. OFITYLEO' ET :PLNS, 6.)OEA, S (RE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 X3. c - 1. 11a -p 3. Ift) ou 61) PERMIT FEE WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating - - Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall c not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. fti X. Date D a Signai-Dre of'Appli6ani 2'0w'ner`,,E1) Contractor 0 Agent- -An'OSHA permit is requirecNdr excavations over 60" deep and demolition or construction '� of structures over 3 stories in height. 1// Mobile Home Installation Fee $ Energy Inspection Fee $ occ R-, -1 3 —CONSTt TYPE T E $ kj1L ,OTALFE HAZ. D. FEES IMP Mi � FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. A Date (Date) ReceiptNo. (.....r,,44 (* 3 f--1 tr'(eb, otj WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CO.UNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT'APPLICATION DATA SHEET' OWNER: ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector: ate:y�_4 At time of permit app lica ion, f was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By Q . All items have been submitted-------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ El 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C 2 Buildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form.----------------------------------------------------------------------------�- - I G ( '1 Q' J ❑ -- 9. Manufactured Home data and installation instructions including Tie Down Specifications.— -- U I � V ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approvaUfees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use.- (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑ 20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number. ----------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - 1:124. Letter of signature authorization. -------------------------------------------- 1125. Recorded copy of Agricultural Acknowledgment Statement. ------------- ❑26. Letter of intent on building use. ---------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------- ❑28. Existing violations and/or expired permits. ----------------------------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, El heck to H.C.D $ b 3 0. Other: P� — T K.Q.o r" � ��f?J►+eQ When you issue the permit, process as follows F9,Mail to owner, ❑Mail to contractor. (Date) ❑Telephone and hold for pickup at office. ❑ Deliver with inspector. -Applicant: Z Dater/ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department ❑ A rf'flution `-Date / By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: Index permit application for the above items numbered: 2. Additional items required: ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in 11 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: sp" a •€71, Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your side. Please comlew and return this information at your earliest opportunity to avoid dt}agr in processing and issuing your building permit No building permit will be issued until dais verification is received 1. I personally pl.o provide the�jorabor and materials for construction of the proposed property im vement : YES NO C32. I HAVE HAVE NOT O signed an application for a building permit for the proposed w & 3. I have contracted with the following parson (fine) to provide the proposed oan;' NAME: .... .,:.... ADDRE_ SS: GETY.. PHONE: CONTRACTOR'S LICENSE NO. �;.. 4. I plan to. provide portions of this work,' but I have hired the following parson to coor ; supervise, andpr�6 "vide the major work: t NAME: . ADDRESS: QTY: PHONE:' CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to-pr9vide the work indicated: NAME ADDRESS PHONE TYPE OF WORK = SIGNED: )�, PRO SOCIAL .KDATE• --9 N TE: This Owner -Builder Ver flcation Is required by Section 198.31 and 19831 of tAe T California ,!Health and Safety Code. This verification must be -compldted gird returned to our office before we are permitted to issue the permit C 'H3AO 7POO kaIVSPUV IRWH o1wOIIIVO a+Plo Orl6l aolraaS dq pailnbai n v011Dw10lul•lapling--fauMO 37111 -310N u0133adsul Sulpling 'ia8yq '0'9': •M to ':) lauem •paum3a1 st uolwgl*► oq3 Ipun pons aq jou 11.3^_" 31tu ad SulPllnq oU •snuvw asa3p jo a mit am noA 3sg3 mtguoo use am rM of uuoj stg3 jo apts auaAal aq3 vo «nOIXDgIDA JM!ng JDU+0»-mol old . *VI 9S6 'V:)'03uaute3oeS `3aOAS H OZO1 31 10 Alwwini6 jW m pig amooYl amS sicn 3uo0 otp Supmuoo Al pau.mW aq Asm u6os13uoo pasuaotl 3nogs uopsmjojul •;C1lettomd 3poM uMo 1tag3 SutuuojM &m "q3 sralan uauMo Avadwd Aq pauSls aq o3 pajlnbal 3oti aie sn wad Smpltttg •141suos3ad I�.m= pus logsl uMo -,aq 10 qq 8ulplwold sl 1a mo Avadoid otp 3stp Suutldun d4st3oauova'3muod �Ipiing . npilnq sanmo„ ue amoas o3 st `s3ovwuoo oq m futmjoid suos»d pasuaoilun jo a3tiotid 3uanbaJJrr`= 'su�IP� pa3 m( iapun AIw '1o3m=, oogns 10 1o"muoo pasnaotl it 3nogilm 'saa4oldwo uMo nag3 g3nonp 10 AIlwuospd 3Noti► na4mj6j.:ad o3 pamolls an vo3oei3uoo pastwil Sou ase o" slaumo Avadwd 'alas 1oj poptmtq st amtot= njl •s3taaptwy ltatast3pu13o uolsu+IQ atp pue sluau Avd 3gouag jo mawvada,Q otp 3oe3voo'n►s�I ams xtpun suops8pgo moA 3noge uo33tnm•tojm ogtoads alow 10 j •(uo.t=s!mwpd notisng IInuS 'S7l mA Num W ji `Pm) Q1UaS WMAVH Mumul atp 3oa uuoo `e+s7 IwaW3 l llgo 1noA 3noge uot3ewlOx ou!" atom 103 •aouwnm uoplesnadwoo s;ja4i6m o3 ioadsa3 qnM snou 'Ampada an s3ls}3 asag3 pus'suops8rigo asag3 mo Aueo Sou op na(3t no�C 1oj qW pai mug aq A alatl•1• 'suoptq�voo vopatuodwoo 3uawAoldmatm put `svoo aoussnsut Ai!I!gwP `a0u¢msm vopssvadwoo ua oM lsoiM AWnms teles t*mM ImPIoqtpM+ m suwM Islapaj Pas am llmpnlam suoingllgo ltala,as o3 =afgns an TiOA put xwColdt33a us st s3tatuwmoo InP?3 put vmS atp ip!m.1aw.d1w 3mw noA '1aAoldtu im m not jI •1akoldma ve aq Awtu not ua p 'sio3=uoagns JO sao tagttoo ss pas wq Sou an suouad q*m pus '3oafo/d wpm a p wj alow 10 001S sl (s:0* btpo pue R31 tu *WR*ul) 4mm xA pus '/IIung wWomM snort vett 1at3o swuad Am a8ttSua asytimpo 10 Aoldma naCdl ! ~•'. .• :vopmwd pvs 3gavaq mOA 1oj uopnwoJul SuI&OIIoJ MP JO a MM11 aq pl mw na �otsstao*gns o3 usld not 3ttg3 cape v snousa jo nopdam aq3 tptm Vom mmo lnoA op o3 uqd nat jI •Aldde AM tlottlM 1oj s3!mnd lle uo jaqu3nu asuaatl natp and o3 M8l Xq pamnbai osle ale �Caq•I• •tiunoa 10 /it* atp wog asuaoq sntgsnq s aAsq o3 pus stwojtls:) jo aimS atp Aq papuoq Pus pasuaall aq o3 Mel Aq paltnbal an uo3muo, •atusu Jag 10 stg v! 3tuvad ladold ag3 joj satldde uouad 3Mj! titltg81l alglssod wog jlaunoA 3oa3o1d Asw noA •jlaunoA ustp iatpo auoawos Aq p2uuo3lad Sulaq it 31ioM inok ji WOM UMO 1Iog3 Supwojlad /41tr 3ouad an A2g3 ssalun siaumo duadoid Aq pouSts aq rn pMnbai Sou a1s,s3! uad Stnpling •3tuuad 5 Batts to poaa3 sd jo duslgtsuodsa3 ata an nod,.japltnq-jvumo„ sw 3eg3 omme aq Plnogs no�t'uoumoidmo�Clod •pagluds f300W*Aoldun ktsdoid jo lopllnq otp sw jlaunoA Supsll outsu 1eoA in pa33lwgns uaaq ssg 3twlad Sutpltnq s 1oj uopsotldde vd :la"o Auad0ld MDC AIou v'IN2i0 iNi u3aim a s 3.NT,MO a OWNER: LOCATION: 25-(o C 16o -!:L CONTRACTOR: scu)% _ PRE -INSPECTION FOR: PERMrr HISTORY: [ ]NONE [ ]AS FOLLOWS: _ TYPE OF OCCUPANCY: J DATE: 5 —6—q J A.P.#: COS --q3(4-01(1 ZONING: DATE TO INSPECTOR: BUILDING INSPECTOR'S REPORT ilding Description: [ ] C �rcial/LJsage: [ - Residential/# of Units: Mobile Home: Yes[ ] No[ ] [ ] Currently Occupied. [ ) AbandonedNacant. I ctric: [ �Yes[ ] No Electric is currently : [ ] On [ ] Off Condition of electrical? Natural [ Propane[ ] None[ ] Obvious problems: itation: Plumbing working Yes[ Well: Yes[ ] No( -f,-, Currently On[ ] Off[ ] Potable water: Yes[-] No[ ] MA . �'MW1 I E Obvious Sewage Problems: n Recommended: [ ]Issue [ old for:.i lryLto, l�1f12.t/�'L� l9/Yl C.0 a inspector: U - Date: J - 9 May 1995 4.7 0 I '^ X005-434-014 -- -- 99.1755 (JONES, Phil .856E. 16"'Street, Chico Contr: Owner Gas line & sheetrock garage side c ► ay` FFIICCE qPY — — Address 1(04r GAS Meter By Date ELECTRIC 3 p(� Meter By Dat �� // �� g COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive v Oroville'Californiia 95965 o Telephone (530) 538-7541 _ PERMIT NO. (Rev. 12/96) APPLICATIONAiVDPERMIT' - 1 �� /7 'ASSESSOR PARCEL NUMBEfi� ' /��]� // , �(�(/�-f\ V ZONING BUILDINGPERMIT i�(V( OWNER r � i.DRE CTELEPHONE Q 3 15 -D S/0�.FT. OCC. BUILDING �6�V F .L ✓�4 �C- O VALUATION . [Ji l Sll� . OWNER'S MAIUNG f 5-1 9L tit t2c .e. OZc(J %� � .c tre •9 '60 , CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS " CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS i I Total Valuation$ /, �/' jam. (off ARCHITECT OR ENGINEER UCEN 4E N0. Filing Fee ° $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS �'^1� J , A,. i LLFF ..ii::/l(�f '•�V, � � Ener Plan CheckingFee Energy $ $ t PERMIT FEE $ 4 y > t j LOT NO. SUBDIVISIONS NAME _ PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE F dd' SF O° Duplex ❑ Mobilehome ❑'� Other 1 SPECIFY ' ' Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE,OF WORK ; X New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ other X e j u e f n Describe Work: 11..Q.17(d>ri alsoIsfsa �� d.� ffJL r o Gas piping system 1 - 5 outlets I 15.00, �. Buildin sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE 4 r Li a7. D1 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos o s 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions'of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ' License Class Lic. No. OWNER -BUILDER DECLARATION i 1 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason`. .. 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR ( OR ADDNS. ( a ACC. BLDS. SO 3.50: NEW CONST. MULTI -OUTLET NON-RESID. ANCH , c ITs @7.50 PowER APPARATUS & SINGLE OUTLET U' Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 FIXED APPLNS. OR Ex. Occup. ouTLETs RESID. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carr der Policy Number t (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those.provisions. _Date X � — Si4riature- of"-pplica'nt -'ETO�ner/ ❑ Contra°ctor ❑ Agent Ari OSHA permitis required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ ,3 CONST.., PE .- TOTAL FEE $ (10 HAZ. D. FEES IMP ,� V FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions in the Blob County Code and/or beentp id to do work indicated above for which fees have been aid. By dQ,r�Date cp- .9-99, PERMIT EXPIRES ON Date Receipt No. �" 3A T`? WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT X COUNTY OF BUTTE -DEPARTMENT aF.DE*' ELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 o Telephone (530) 538-7541 PERMIT _0. (Rev. 12/96) APPLICATION AND PERMIT i ASSESSOR PARCEL NUMBF$ _ .^ /� I / /`'/�✓( (-J ZONING BUILDING PERMIT OWNER TELEPHONE EKJql& 3 T5 -8 S.O.FT. OCC. BUILDING VALUATION . OWNER'Sao N%G /ADDRESS /(� /nnL�.//^ ^ '- L-y^�' �j L / ' CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHRECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 1911. Ob Plan Checking Fee $ BUILDING ADDRESS Q ,. o Energy Plan Checking Fee $ $ PERMIT FEE $ / LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF K Duplex ❑ Mobilehome ❑ Other Water piping 15.00 SPECIFY Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Building sewer 15.00 Mobile Home I S I G I W 920.00 Descri e Work: T �-- O'n PERMIT FEE $ �13� ELECTRICAL PERMIT Fling Fee 20.00 1�, Main Service A OR LESS 23.00 Main Service 200A TO 1000A 46.00 LICENSED CONTRACTOR'S DECLARATION NEW CONST. DWELLING OCCUP. SO I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter OR ADDNS. ( a ACC. BLDs. 3.5¢FT: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, -.CONST. MUCH R CCUTNESDS @7.50 and my license is in full force and effect.PSINGLE —NTN OWER APPARATUS License Class LIC. No. & OUTLET CIR. 20 @ t.00 OWNER -BUILDER DECLARATION Ex. Occup. OUTLET OR FIXTURES I BAL @ .50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Ex. Occup. OUTELETS RESID.oERA 5.00 Law for the following reason: Temporary Service 23.00 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. Mobile Home Facilities 20.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors Misc. Wiring 23.00 to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this PERMIT FEE $ reason WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Fling Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers' Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Hood 6.50 ❑ 1 have and will maintain workers' compensation insurance, as required by Section Ventilation 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier PERMIT FEE S Policy Number Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee $ of one hundred dollars ($100) or less.) �' I certify that in the performance of the work for which this permit is issued, I shall Occ*vPE -� TOTAL FEE $' ` not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the HAZ. D. FE IMP FLOOD ` CDF PARCEL PD HD ISSUE workers' compensation provisions of section 3700 of the Labor Code, I shall fophit comply with th ovision This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work X _ Date P indicate above for which fees have been paid. Si at p At - n ❑ C V ctor ❑ Age A OS per ' ' required for excavations over 5'0" deep and demolition or construction of ctures over 3 stories in height. By or Date Receipt No. �' ry PERMIT EXPIRES ON /' 0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date