HomeMy WebLinkAbout025-030-070//-
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;OMPLAINT GIVEN TO INSPECTOR
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025-03-0-070
PERKINS, Dean 99-0462 E
9 Oakwood Lane, Oroville
(uPgrade elec)SF
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025-030-070
SORIA, BARTOLO
9 OAKWOOD LANE, ORO05
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GAS LINE FOR APPLIANE
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025:030-070.'* '' 3-2682
SORIA,-BARTOLO
9 OAKWOOD LANE, OROVILLE
GAS LINE FOR;APPLIANES
., a:OFFICE COPY'.
Address
GAS
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Meter By
Date
1ELECTRIC
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 'a�
ASSESSOR PARCEL NUMBER
U25-030-0/0
ZONING
BUILDING PERMIT
OWNER
bartolo.soria
TELEPHONE
534-1875
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
y (316
6,f
JtMLANE9 OROMIX CA 95%5
CONTRACTOR'S NAME
owm
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
9 OAK>I�OOD IA[YE, OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDN510NS NAME
PARCEL MAP
I
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
�'
SF I3( 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 S•uJ
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other []X i
Describe Work: INSrAIL GAS LINE FOR OOOK.SIME �
WATER 11>FATM & DRY'&
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
(•,i, f./ J
I
ELECTRICAL PERMIT
Fling Fee 20.00
800V OR LESS
Main Service zoOA 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,
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:
❑ 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_ }ender Sec.f Business and Professions Code for this
reason 1177 T, ^ J a cn+ or P
Main Service 200A TO lOooA
46.00
NEW CONST. DWEWNG OCCUP.
OR ADONS. ( 8 ACC. S.
SO
3.5¢xNEW .
NON-RESID. MULTI -OUTLET CIRCUITS
QG 7.50
POWER APPARATUS
a SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FDTTURES
20 Q 1.00
BAL ® .50
Ex. Occup. GuriETS(REEsID°EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
PERMIT FEE S
. r cy
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
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._
X !r. n r Date
Signature of Applicant - `Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in eight.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Gcc
CONST. TYPE
TOTAL FEE $ ,It
HAZ.
I o FEES IMP
I FLOOD
I CDF
PARCEL
PO HD
SSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicat d above for which fees have been paid.
/ > ✓,
-a
By -41 � � D7,L/
PERMIT EXPIRES ON (�
(b, t,)
Receipt No. -' i�. L1 X, • ui -' r s I ) . J
WHITE-D.D.S.-B. . CANARY -,ASSESSOR PINK-INSPECTO GOL E ROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF 6EVEL6PMENT SERVICES - BUILDING DIVISION
. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75At �aT NO.
(Rev. 12/96) APPLICATION AND PERMIT `S_
ASSESSOR PARCEL NUMBER
025-030-070
ZONING
BUILDING PERMIT
OWNER
bartolo soria
TELEPHONE
534-1875
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
9 OAKWOOD LANE OROVILLE CA 95965
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 9 OAKWOOD LANE, OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF XK Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap7.00
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00 �S O D
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other lid
Describe Work: INSTALL GAS LINE FOR COOKSTOVE
WATER HEATER & DRYER
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home IS I GI W1
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2o.A 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,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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 exem /�1nder Sec. Business and Professions Code for this
reason/i® 1�/`•I� rlrA✓'i-
Main Service zooA To I000A
46.00
NEW CONST. OWELUNO OCCUP.
OR ADONS. d ACC. BLDS.
SO
3.5¢FT.
,,Dµpa1D MULTI.OUTLET'RCUITS
97,50
POWER AUTLET PPARATUS
8 SINGLE OCIR.
EX. OCCu OUTLET OR FIXTURES
.00
SAL @ I. 0
Ex. Occup. OFlxuTLEEOTB REQS oEn
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
PERMIT FEE $
K RS' COMP ATIO 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
Policy Number
(The above sections need not be completed I 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
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 o;t section 3700 of the Labor Code, I shall
�foim with the rovisions.
�;�'(� r, Date
Signet of Applicant - ❑ Owner ❑ Contractor ❑ Agent
OSHA permit is required for excavations over 5'0" deep and demolition r construction of structures over 3 stories in eight.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ v
HAZ.
D. FEES IMP
FLOOD
COF
PARCEL
PD HO
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
k1ndjicatdbove for which fees have been paid.
. PAn
at
VReceipt
PERMIT EXPIRES ON o
8fe
No.
WHITE-D.D.S.-B.D. CANARV SSESSOR PINK -INS E T GOL ROD -APPLICANT
^`""'r•"q'��.1-+'"'M.�LY�+`-..Ir...nr.r.-.. �.yr..,,,,.n�1:.�1Y+w.n-+r7*. �....- i.r,._-••v,"Y7.-Y"".`',rr'i^"s.'sr.7�`.rs 7.rrv'�efWr...,.w''mvr•+.-^•..�y._'w.:�"'�Yrk�i�:..:�.aiA'.r r.�...
5
'- ,COUNTY OF BUTTE-DEPARTMENT.OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-1541 Fax (530)538-2140
PERM�IIT APPLICATION DATA SHEET
10017
OWNER:
%/1�1
OWNER: vV ASSESSOR PARCEL N R Ov V y�V / V
Proposed Building Use: y Counter Technician Date:
Items required in order to pply for a permit. All boxes MUST be checked OR marked NA i order to apply.
❑ 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. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate.
❑ 7. 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.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and
returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Site plan and business license approval from the City of Biggs.: ...........
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Fire Sprinklers............................................................................................
❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 15. Other
a'y A
Remaining. items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 17. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 18. Sanitation and site plan approval from the Environmental Health Department in
❑ 19. City of Chico Plumbing permit ......................................... I...............................
❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 23. NPDES Form.............................................................................................
❑ 24. Encroachment. Permit for driveway from the Public Works Dept .................................
❑ 25. Pre -Inspection for required ................
❑ 26. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 27. Worker's Compensation Carrier and Policy Number .............................................
IE❑. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
/ft -29. Letter of Signature authorization....................................................................
❑ 30. Recorded copy of Agricultural Acknowledgment Statement....' ................................
❑ 31. Manufactured home utility clearance...............................................................
❑ 32. Existing violations and/or expired permits.........................................................
3. m Grant e , 0 H. Title/State ento Fact ❑ Letter rom eg Vtwner, ❑ Chec to H.C.D.
/En issued
- C
When issued Telephone Ad old for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: Date: 2-013-/c.23
1. Index permit a cation forthe above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, . ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data,by ❑ phone, ❑ mail, ❑ counter, by Date: ,
Plans reviewed by: Date: Plans approved by: Date: "
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
'N
�� moi•
RECORDING REQUESTED BY:
Fidelity National Title of California
Escrow No. 103906 -CC
. Title Order No. 00103906
When Recorded Mail Document
and Tax Statement To:
Bartolo Soria
9 Oakwood Lane
Oroville, Ca. 95956
•� • ��!I!1111IlfIlIII!!llllllllfflllflfl
�04y3—Q!)ito57501►
GRANT DEED
Recorded
Official
�Records
CoBIITTEOf
CANDACE J. 6RUBBS
Recorder
ROSEMARY DICKSON
Assistant
09:00AM 26 -Aug -2003
I REC FEE 13.08
1 TAX 96.25
1
1
1
1
Kathy
Page 1 of 3
The undersigned grantor(s) declare(s)
Documentary transfer tax is $96.25
[ X ) computed on full value of property conveyed, or
t I computed on full value less value of liens or encumbrances remaining at time of sale,
C I Unincorporated Area City of Oroville
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Delbert L. Perkins,
hereby GRANT(S) to Bartolo Soria. and Belia Soria, Husband and Wife, as joint tenants
the following described real property in the City of Oroville
County of Butte, State of California:
SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF
DATED: July 23, 2003
i1LfFRYl.1}NO
STATE OF C -A HFORNI Ar
COUNTY OF.
ON. Od before me,
ers ally appeared
personally known to me for proved 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 MnO and officIP deal.
Signature
MY C.ommissloq l xplrelf /���
MAIL TAX STATE/
elbert L. Perkins
`I,Irllllllf llfljf!/~���•
Jai.::.:
r. • . fl: ee..�� ik mss:.;.,.
�1v •. '`� "' tai r: d�us: `'
ITSTY'; l>l1BOVE
FD -213 (Rev 7196) GRANT Df ED
R'S USE
�aV
h
08/22/2003
11:06 FIDELITY TITLE ORMI LLE + }3015996311
STATE OF Maryland
COUNTY OF
On Aug sit 6_, 2009 before me,. Barbara J. Slacu . Notary Public
(Mame. Title of Officer)
petsonaily appeared Delbert L. Perkins
personally known to me (or proved to me on the basis, of satisfactory evidence) to be the person(s)
whose names) Ware subscribed to the within Instrument and acknowledged to me that he/she/they
executed the same in his/her/their authorized capacity(les), and that by his/her/their signatures) on the
instrument the person(s), or the entity upon behalf of which the per5011(31 acted, exacuted the
instrument.
M)t F nt�ston
DPW AW. I=&I �,
(This area for notarial s
Acro�r No. 103906-CC
Title Order No. 00103906
EXHIBIT ONE
Lot 21, as shown on that certain Map entitled, "Oak Grove Subdivision", filed in the Office of the County Recorder
of Butte County, California, on December 9, 1946, in Book 15, of Maps, at Page(s) 15.
EXCEPTING THEREFROM that portion deed to the State of California, in document recorded July 22, 1997, Instrument
No. 97-27065, of Official Records.
r BUTTE COUNTY DEVELOPMENT SERVICES
1W
Add
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Phone Number: (�f%l(� �� — A �W —,3zif�z
Other Comments:
Inspector must draw a plot plan with all building locations:
Additional Comments from Inspector:
2
025-03-0=070 99-0462 E
PERKINS, Dean ,
1 9 Oakwood Lane, Oroville
(upgrade •elec)SF. 3- �2 _2d6 4'
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COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541_ PERMIT,NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESO� �u 70
ZONING
BUILDINGPERMIT
OWNEbELEP
'AN Pall(INS
T53H3-9119
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAIUNG ADDRESS
QA 5966
CONTRACTOR'S NAME -
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAULING ADDRESS
Plan Checking Fee $
Buaoy�G LWPf D LANE. OROVILLE
``�� �1AIC
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF qX 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 ❑ OtherXX
Describe Work: UPGRADE ELEC SER TO 1001 AMP
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home ISI GI W1 @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
EOOV OR LESS
Main Service . OR LESS 23.00 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:
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
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
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.)
R 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.
rof
X ! __k "L► , ,�r ?.r .. Date S - / ? - `/
/
Signature of Applicant - ® Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. OWEWNO OCCUP. s0
OR ADDNS. ( s ACC. BWS. 3.50FT_
rNpµp�Ip, MULTI.OUTLET 97.50
OWER APPARATUS
a PSINGLE OUTLEr CIR.
Ex. Occup. OUTLET OR FIXTURES B20 Q 1.00
. 0
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 $ 43.00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
D FEES IMP
I FLOOD
CDF
PARCEL
PD
I HD
I YUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
-
By Date 3/12/99
PERMIT EXPIRES ON 312/2000
I Date
Receipt90158533
WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
BOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PE T
(Rev.12/96) APPLICATION AND PERMIT ��e2
ASSEM.TRZffE17— 70
ZONING
BUILDINGPERMIT
°W"`SEAN PERKINS
7533.9119
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAIUNG ADDRESS
()4 GROVFR LANE, DROVILLF CA- 95966
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDjGgq MOOD LANE, OROVILLE
(� lJ
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF RX 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 ❑ Otherj[X
Describe Work: UPGRADE FLEC SFR TO inn AMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W 2!!
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200A OR LESS
23.00 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.PSING
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:
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. owELLING occuP.
OR ADONS. ( a Acc. OCS.
S°
3.5¢FT:
RNEW ONST,MULT
EBIDI.OU CULT
@7,50
a OUTLET CIR. OWELER APPARATUS
Ex. Occup.OUTLET OR FIXTUREs
SAL @': 0
Ex. Occup. ouTLEEDTs A IES o.°EE
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
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.)
Y 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.
X Date 3-1-Z-40—
Signature of Appll ant - OE Owner ❑ Contractor ❑ Agent
An OSHA permit is 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 FEP_ $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
D. FEES IMP
FLOOD
COF
PARCEL
PD
HD
ISSUE
X
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for wh' h fees have been paid.
By Date 3/12/99
PERMIT EXPIRES O 3/12/2000
to
ReceiptN252 33
-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
WHITE-D.D.
' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSORPARCELNUMDER0 23--_ D 30 _ �.b2
mNNo
BUILDING PERMIT
GW"!R
TEL 4WNIE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAUHM ADDRESS
`t 4- GNo v -Pr . arm v
CONTRACTOR'S NAME
TZLEPHON!
CONIRACTOR9 MALJNG ADDRESS
CONSTRUCTION LENOV%
LENDER'S MAIL04 ADORESB
—Fireplace
Total Valuation $
ARCHITECT OR ENGINEER!
NO'
Filing Fee S 20.00
ARCHTECT OR ENOWEER'S MAJUNG ADDRESS
Permit Fee $
Plan Checkin Fee $
OUtDWO ADORESS
cf a. k o d -a v+ -e
Energy Plan Checking Fee $
c 2 ' S 1; L Y-
$
PERMIT FEE _
LOT NO.
SUBDNISION9NAAE
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF Duplex (3 Mobilehome O Other
ePeeLFr
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 O/ Remodel O Utilities O Installation O Other mr
Describe Work: C
f.( 6-1/-A :
Gas piping system i - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G W p20.00
PERMIT FEE t
ELECTRICAL PERMIT Filing( Fee 20.00
Main Service p°DOYOA OOR to 23.00
Main Service 200A TO ISA 48.00
NEW CONST. oWF11N0 OCCVP. 3.5¢
OR ADDNS. a ACC. LiLD3.
mw NON•REr1O. MULT."OU
RCUITS @D7.50
POWER APPARATUS
a sw E OUTLET an.
OUTLET OR FKTURES L o I'0°
EX. OCCU gAL yo
FD D APV M OR 5.00
Ex. OCCU OtmETB ESLD. EA
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _ �—
MECHANICAL PERMIT Fling Fee 20.00
—Heating
—Cooling
Hood 8.50
Ventilation
PERMIT FEL: $
Mobile Home Installation Fee $
Energy Inspection Fee s
D"
CONST. TYPE TOTAL FEE $ 3 �'
HAZ
0. FEES J IMP I
FLOOD
I COf
I PARCEL
I PO
HD
I -UE
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.
By Date
PERMIT EXPIRES ON
I More)
Receipt No.
WHITE•D.O.S.•B.D.. SOR PINK•INSPECTOR GOLOENROO•APPLICANT
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your si6nadue.
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. ;
1.
2.
3.
4.
I personally plan to provide the major labor and materials for construction of the proposed
property improvement : YES NO 0 =' '
I tV
HAVE NOT signed an application for a building permit for the proposed w+al$:. ontracted with the following person (firm) to provide the proposed construction: r4,
NAS:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
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 (lured) the following persons to provide
the work indicated: .•::•:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:
DATE: 37-1 Z— 7 C
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed wd
returned to our office before we are permitted to issue the permit.
OWNER BUILDER INFORMATION l
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-buildee, you are the responsible parry ofrecord on such
a permit.Buildins 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:
♦ Ifyou�employ or otherwise engage any persons other thanyour immediate family, 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:; .
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially�terious
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 contraggrs 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 Builder Verification" bn 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.
4irely,
l C. Vi ira, C.B.O.
r, Building Inspection
NOTE. This Owner-Builder.Injormation is required by Section 19830 of the California Health and Safety Code
OVER