HomeMy WebLinkAbout025-240-023=ERD
01-1340
Gl D., OROVILLE
f l ARETAKER & AG
f uilding codewiolation,30 day'- 2'7--zI
0
v
Tn�RIGHT, Bob 467ft
_ 3z4.0p.
3980E-4250F.�--
n/w .corner.- Palermo Rd-.. & Lone Tree Rd,: , Or(
CONTR: J.S. Layton & Sons, Rt. 2, -Box 27fF9,
(new single family) Orovi]
r
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 Count Center Drive •
County Oroville, California 95965 • Telephone (530) 538.
d(RevS) APPLICATION AND PERMIT -754 PERMIT N0.
� ASSESESSOA ORPARCEL NU _
:O~
OWNER_ —O� _Z BUILDINGPERMIT
OWNER'S 53 SQ. SO �• OCC. BUILDING VALUATION
����
COM CTOR'S NAME �.�
TELEPHONE ..
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S WAILING ADDRESS
Fire Ince
ARCHITECT OR ENGINEER Total Valuation E
LICENSE NO.
3
ARCHLTECT OR ENGINEERS MAILING Fee No ADDRESS 20.00
Permit Fee $
SUCOw 1IDRESS Plan Checking Fee $
y Energy Plan Checking Fee E
a
Lor No. sueavisloNSNAhE .� PARCEL �L� ►uP, PERMIT FEE i
PLUMBING PERMIT Fling Fee 20.00
I USEOFSTRUCTURE I Each Tra 7.00
SF Duplex ❑ Mobilehome ❑ Other J Solar or heat pum water heater 23.00
Water I in 15.00
rd' SPECIFY
TYPE OF WORK Each as water heater or vent 15.00
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Gas 1 in stem 1 - 5 outlets 15.00
Buildin sewer 15.00
Describe Work: ! Mobile Home S G W
CIA 020.00
*PERMIT FEE PAID
SRA --
SHERIFF
OTHER
AMOVNT RECEIVED
*RECEIPT NUMBER o��O
* TO k PVT INTO COMPUTER
PERMIT FEE I t
ELECTRICAL PERMIT
Main Service
000V OR LESS
200A OR LESS
Main Service
200A TO 1000A
NEW CONST.
OR AODNS.
DWELu NG OCCUP.
0
i ACC SLD9
NON-RESID.
MuLTFounzr
POWER APPARATUS
8 SWGLE OUTLET CI0.
Ex. Occup.
OUTLET OR FW MES
. Ex. Occup,
FO(ED APMES16 OR
I
OLlTLE�S ESID. EA
1 Temporary Service
i
Mobile Home Facilities
MisC. Wiring
fMECHANICAL p
CoHeaingtling
n Fee 20.00
23.00 (x
46.00
3.5¢F°'
@7.50
0 ® 1.00
e0
5.00
23.00
20.00
23.00
1 Fee 1 20.00
13.50
V tilation
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $
! OCc - CONST. TYPE
j TOTAL FEE $ , 6; v
I KAZ 0. FEES imp I RMO CDF PMC4 PD ND BS JE
This permit is hereby issued under the applicable provisions
i of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
i
By Date
PERMIT EXPIRES ON
s
a vpYv✓
7, c
c 0
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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 APPLICATION DATA SHEET
OWNER: anc= ASSESSOR PARCEL NUMBER:
Proposed Building Use: Building Inspector: ty Date:
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All iiems have been submitted --------------------------------------------------------------------------------------
02. 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! ---------
❑ 6. Energy Design Compliance and supporting documentation. -------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------
❑ 8. Hazardous Material Form.---------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications ----------
0 10. Fees of $----------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -------
❑ 12. California Department of Forestry plan approval/fees.
❑ 13. Flood elevation certificate. -------------------------------
❑ 14. Sanitation and plot plan approval Health Department.
Ell 5. 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.
V9. Encroachment Permit for drivewa construction approval prior to occupancy) ---------------------
0. Pre -inspection for required.. Request to Building Inspector on
112 1. Contractor's license information. (Number, Name Style, Classification). -------------------- -------
El 22. Workers' Compensation carrier and policy number. ---------------------
E123. Owner -Budder Verification (Given to owner ❑, Mailed to owner ❑).
❑ 24. Letter of signature authorization. ------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. -----------
1126. Letter of intent on building use. --------------------------------------------
027. Manufactured Home utility clearance. -------------------------------------
028. Existing violations and/or expired permits. -------------------------------
0 29. 1143 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
When you issue the permit, process as
to contractor. % a
(Date)
❑Telephone and hold for pickup at �offiiccee.. ❑ Deliver 'th mspector.
Applicant` /' ! /�/- Date: � 6S
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution D 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, o Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, o 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, o Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in o Plan Cabinet, 11A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
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.
C*1. I personally plan to provide the major labor and materials for construction of the
proposed property improvement: YES[A NO[ ].
2. I HAVE] <] HAVE NOT[' ] signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO. -
4. I plan to provide portions of this work, but I have hired the following person -to
coordinate, supervise, and provide the major work:
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 WORK
SOCIAL SECURITY NUMBER:
o DATE: /`A`le�
NOTE: This owner -Builder Verification is required by'Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before .
we are permitted to issue the permit.
OVER
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 -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself you may protect
yourself from possible liability if that person applies for the proper permit in his or her name. -
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials -and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 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.
0 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 "ownerbuilder"
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 1020 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 buildir g permit will not be issued until the verification is returned.
%_&rel
Michadl C. Vieiia, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
COUNTY OF BUTTE
DEPARTMENT 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
A.P. No _ 025-240-023 _ _ _
SCHUL'2;
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 __01-/340
ASSESSOR PARCEL NUMBER
025-240-023
025-240-023
ZONING
AR 2 1/2
PERMIT
OWNERSCHULZ BOB
'534 HOBO
SQ. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
122 -OD CIRCLE, OROVILLE, CA 95965
CONTRACTORSHONE
�7I�7�Nplily NAME
OWNER
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 1355 PALERMO RD., OROVILLE, CA 95966
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF)7 Duplex ❑ Mobilehome ❑ Other
sPEC1ry
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
Work:
Describe ICE ZR(
Gas piping system t - 5 outlets
15.00
Building sewer
15.00
Mobile Home
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Feel 20.00
Main Service p q 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 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.)
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 rovis
X , Date / —
Signature of Applicant -;W Ow6dr ❑ 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 To 46. 001
CCU000A
WEE200A
NEW CONST. DWELLING Occup. 3.5¢so.
so
OR ADDNS. ( & ACC. UDS. Fr.
NC.REEG-IDT' MULTI.OUTLET
@7,50
PSowFR
8 INGLE OUiLEr APPARATLs
CTR.
Ex. Occu OUTLET OR FExTURES SAL p' 50
Ex. Occup.°FIx�eED�A Aa oEA,
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEi: $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAz.
I D. FEES IMP
I FLOOD
I CDF
PARCEL
PD
HD
ISSUE
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
ate
ReceiptNo. + 9 06
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
;.iA ..�� .� � �r�. ,R„ ,, � ,,•' F'-•'.rrrr r r s ; `} r �•, �T7,+,.,r�,ty, � Y`Siu t. 4 'l t
i 5 '�L '4� s fry 'L ltfi' w `'?�R''l�i.' - 'ti11rR"'ts'�'�'«+-+• nl�i-r'Y . - •yti,.. _- —a•
':. iCOUOTY OF BUTTE - DEPARTMENT OFbDEVELOPMENT SERVICES — BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) It APPLICATION AND PERMIT OL/340
ASSESSOR PARCEL NUMBER
—O
ZONING
AR212
BUILDING PERMIT
OWNER
SCHIM2 BOB
TELEPHONE
534-3080
SO. FT. OCC. BUILDING VALUATION
-
. OWNERS MAILING ADDRESS
CA 95965
CONTRACTORS
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 KWUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 1355 PALERMO RD., OROVILLE, CA 95966
Ener Plan Checking
9y g Fee
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF)p 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 1
Describe Work: SPT.TT SF'RVTCF. C'.ARF:TAKF:R &AC,
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I G I W
920.00
PERMIT FEE
:
ELECTRICAL PERMIT
Fling Feel 20.00
600VOR LESS
Main Service zo.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 (cT.
ommencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
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
I 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.)
[u7 • 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 thoseprovisions.
X ��� Date
Signature of Applicant - ,fid Ow 'r ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mein Service TO 46.00
WEE200A
CCU000A
NEW CONST. DWELLING LDS. SO
OR ( a ACC. BLns. 3.5¢Fr:
'U05W
ppµpESID muLTI.OUTLET @7,50
OWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occu OUTLET OR FIXTURES 2L °' 00
BA L O .SO
Ex. Occup.DfluiiFTs R= of 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.001,
.
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAZ
p PEES IMP
I FLOOD
I COF
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.
Date
Date
Receipt No. 13 Q d
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
W- _ � �, i � ,�,' j.. y,tin,,.,�y„� hRAirY,_,'�,�5,•
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
ASSESSOR PARCEL NUMBER
025"240-023
ZONING
Alt 2 1/2
BUILDING PERMIT
OWNER - r
SCHULZ BOB
TELEPHONE
534=3OB0
SO. FT , OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
127 =MNW00D CIRCLE, OROVII,", CA 9 65
CONTRACTORS TORR'yNAME
ER
OWER
TELEPHONE
k
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
t
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan CheckingFee
$ .,
��'��,,y` hh�� D ��'y�' ��vv �A (� (�
BUILDINGADDRESS _.`. 1355 PALERMO RD., MINI=, CA 95966
Ener Plan Checking
Energy g Fee .
$ .
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF)p Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
1 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)
Describe Work: SP[,TT SF.RVICF: CARFTAKFR R,Afs
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I WF-
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing'Fee 20.00
600VOR LE
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,
and my license is in full force and effect.PSIN
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 exempt under Sec. Business and Professions Code for this
reason
Main Service TO
46.
WEE200A
CCU000A
NEW CONST. DWELLING OCCUR
OR ADONS. a ACC. BLDS.
SO
SOX
3.5¢FT_
NpµREO5I0 MULTI.OUTLET
@7,50
a GLE OUn.Ei CIR.OWER APPARATUS
OUTLET OR FIXTURES
Ex. Occup.BAA_
20 @ 100
@ ,50
Ex. Occup...FI E% RLNs oRR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc: Wiring
.23.00 ,
PERMIT FEE
S
Lt 'WORKERS' COMPENSATION DECLARATION
1 heieby affirm under penalty of perjury one of the following declarations:
❑ I 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 pf 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 permitis 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 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���'--'``'"%7
rN Date _
Signature of Appilcant - ,q 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
Filing Fee 20.00
Heating
Cooling'
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES
IMP
I 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.
Date
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
-,.
t
025-240-023 01-1340
SCHULZ, BOB
1355 PALERMO RD., OROVILLE
CONTR: OWNER
SPLIT SERVICE CARETAKER & AG
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COUWTY 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
ASSESSOR PARCEL NUMBER
025-240-023
ZONING
AR 2 112
BUILDING PERMIT
OWNERp��T� �r I��(�
SCi1.2 >cia
T� °N
.. J4-.�08C3
SD. FT. OCC. BUILDING VALUATION
OWNERS MAULING ADDRESS
ORMIUs CA 95365
CONTRACTOR'S NAME
TELEPHONE
CONTRAICTO�LING ADDRESS
CONSTRUCTION LENDER
t
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flirt Fee
$ 20.00
Permit Fee
$ •T
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ ,
BUILDING ADDRESS 1355 CAMW RD -s ORVYLLUt CA ;J �7
Plan Checking Fee
Energy gy g
.
$
$
PERMIT FEE
$
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Feel 20.00
USEOFSTRUCTURE
SF)p 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 YU
Describe Work: SP 'IT SMyrCE CARF TAKER W'
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W
(!?20.00
PERMIT FEE
$ '
ELECTRICAL PERMIT
Fling Fee .20.00
RUE
Main Service zo.A OR IESS
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.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
s7 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
r I;heietiy affirm under penalty of perjury one of the following declarations:
❑' I 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 pf 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 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.
,-, ,*, , r,,'" .- /I"I ,t
X r,'-•' .M.. �e ,r.:.'- Date A rA r _
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.
x
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP, SO
OR ADDNS. ( 8 ACC. BLDS. 3.5¢FT,
=RESID MULTI -OUTLET
@7,50
OWER APPARATU
8 SINGLE OUTLET R.
Ex. Occup. OUTLET OR FIXTURES BAL °p ':I.
11XI
Ex. Occup.pU7�7g R LNS p,OEp
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HA2.
p. FEES IMP
I 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
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
(Date)
ReceiptNo. '3 C)(11/19.3 4e/1, 06
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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01-1340
025-240-023
SCHULZ, BOB OROVILLE
1355 PALERMO RD"
GONTR> OWNER TAKER & AG
SPLIT SERVICE CARE _ .
025-240-023 01-1340
j
SCHULZ, BOB
1355 PALERMO RD., OROVILLE ;
CONTR: OWNER
SPLIT SERVICE CARETAKER & AG
a
LOCATION:
CONTRACTOR:
n
PRE-INSPETION
PRE -INSPECTION REPORT
DATE TO INSPECTOR: '� ' PERMIT HISTORY:( ) NONE
Building Description:
DATE:
A.P. #..
ZONING:
( ) AS FOLLOWS:
BUILDING INSPEC'TOR'S REPORT
Residential/# of Units: �S
Currently Occupied
AbandonedNacant
Electric:
Yes No Electric currently On Off
Condition of Electric
Gas:,
Natural F
Obvious Problems:
Sanitation:
Plumbing Working
Well Working
Obvious SewageProblems
None
Currently On�ff
Potable Water
ACTION RECOMMENDED: ISSUE: HOLD FOR � I J
Inspector. Date
Sketch buildings on reverse and indicate location on property
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
'2/�P APPLICATIONAND PERMIT PERMIT ^
ASSESSOR ARCQ NU
OWNER
af ZO" _ 2//2- BUILDING PERMIT
T ° SO. FT. OCC.
OWNERS —,. BUILDING VALUATION
COM TOR'9 NAME �fJ
TlltP►gNE
CONTRACTORS MAIING ADORE98 J
CONSTRUCTION LENDEA
LENOER'S MAILING ADDRESS
Fire Ince
ARCHITECT OR ENGINEER Total ValuatlOn E
LICENSE NO.
S
ARCHITECT OR ENOwMA
EER9 0.1NG ADDRESS Filing Fee 20.0c
Permit Fee L
euwwoAooREss Plan Checkin Fee 3
�S Energy Plan Checking Fee E
LOT NO. I sUBMMON'9NAAE
USEOFSTRUCTURE
SF � Duplex ❑ Mobilehome ❑ Other
BPECiV
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Lrdwes ❑ lnftg tion❑ Other
Describe Work: _4 (/l.(A
*PERMIT FEE PAID
SRA --
SHERIFF
OTHER
AMOUNT RECEIVED
*RECEIPT NUMBER
* TO BE PVT INTO COMPUTER
qPPERM'T
PLUMBING Each Tra
Solar or heat umWater i In
Each ns water heGas piping system
Building sews
Mobile Home
PERMIT FEE I t
ELECTRICAL PERMIT
°ter
OR LESS
tow OR LESS
Main Service
Main Service 200A TO 1000A
NEW CONST. DWELLING OCCUP,
OR ADDNS. A ACC. BUDS.
NEW
OMULTFOUTLET
NON-RESID.
TUS
BPSwGLE O CIR
I Ex. OCCU OUTLET OR FDRURES
FDCEO APPLN9. OR
i Ex. OCCU Ops ESLD. �
I Tem orar Service
Mobile Home Facilities
PERMIT FEE t
MECHANICAL PERMIT
7.00
23.0o
15.00
15.00
15.00
15.00
020.00
23.00
46.00
3.5¢RG
23.00
20.00
20.00
20.00 1
20.00
6.50
P
tion
PERMIT FEt _
Home Installation Fee $
Inspection Fee E CONST. TYPE
1 TOTAL FEES 11�-
This
NAL D. FEES IMP FLOOD CDF PARCEL PD
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
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FIRE DACE REPORT
OWNER:
LOCATION: e4, Lo s�
CONTRACTOR: &l &_n4x
DATE TOf INSPECTOR: PERMIT HISTORY:( ) NONE
,-0-
DATE:
d
Building Description:
Electric:
Gas:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
AbandonedNacant
Yes No.
Condition of Electric
DATE:
A.P. # p0-s-zi, q-0 0j3
ZONING:
(WAIS FOLLOWS: V '�
BUILDING INSPECTOR'S REPORT
Electric currently On Off ! /
Natural Propane None
Obvious Problems:
Currently On Off.
Sanitation:
Plumbing Working
Well Working Potable Water
Obvious SewageProblems
Description of Damaged Area:
Estimate Valuation of Damaged Area: , (9 00 /Za
Condition of Foundation:
rpm�C9M/
Mobile Home: Condition of Utilities:
Inspect r. Date v
T
Sketch buildng on reverse and indicate area of damage.
July 27, 2001
Bob Schuly
122 Cottonwood Cir.
Oroville CA 95965
RE: Building Code Violation
1355 Palermo Rd., Oroville CA 95966
AP: 025-240-023
Dear: Mr. Schuly:
BEAUTY
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530)538-2140
This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the
above -referenced location.
Failure to obtain the required permits, inspections and approvals from this office for the
installation of a mobile home, and using a travel trailer as living space.
Since permits and inspections are required for the above work, please submit three (3) complete sets of
plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits
are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made
until the existing work is inspected and approved.
It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should
be advised that Butte County has an active Code Enforcement Program which provides an effective means
of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance
of citations, fines and the recording of a Notice of Violation including a description of the action necessary
to abate the violation.
You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan
for abatement or corrective actions to be taken by you. Should you have any questions concerning this
matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number
listed above.
S* cerely,
�L
Mich el Vieira
Manager, Building Inspection
MCV:tp
cc: Assessor