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HomeMy WebLinkAbout025-030-070//- 4P i-0� ;OMPLAINT GIVEN TO INSPECTOR yd 025-03-0-070 PERKINS, Dean 99-0462 E 9 Oakwood Lane, Oroville (uPgrade elec)SF f.; -/ 3jz 9/y5 025-030-070 SORIA, BARTOLO 9 OAKWOOD LANE, ORO05 I D GAS LINE FOR APPLIANE �f 3j �0 :::.y'.'�S`.g� �'r•u:t G: �+� q+tis,{ rmK�.vn+ratFvC>'��+'•Y1 025:030-070.'* '' 3-2682 SORIA,-BARTOLO 9 OAKWOOD LANE, OROVILLE GAS LINE FOR;APPLIANES ., a:OFFICE COPY'. Address GAS ;� /,��,� Meter By Date 1ELECTRIC . Meter By •' t ' Date i -p 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 F/ 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' i �r iK 1, t t f l • t • �f d e` r W' 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