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HomeMy WebLinkAbout025-360-025t Tom ers E/S Lone a Rd., m.S.ofPower p O_O House Hill Rd., oville r ( Permit #6528-76B,P,E,' single ' family) I ' Q J U =5-3— -5 Everett Smith 2802 Lone Tree Rd., Oroville' y. contr: Holmes Mobile Home Serv., pro. ` Permit #13. 7-79B(ad sere nedoo �/SF) • 1 -036 —,0<029- 00=1.988 ROSS, 1ni 119 LONE TREE ROAD; OROYII:LE CONTR: WAIBEL INSTALL A/C UNITI �(WG W6=530=025= 00=20712'7 ROSS JIM .119 LONE TREE RD.OROVILLE CONTR. A=Z PLUMBING GAS -WATER I E R &,LINE -- OIA 035-5 00-2608 ROSS, JIM ` •. "119 LONE TREE RD. OROVILLE � =; CONTR' OWNER . MISC WIRING�li/f,6, /6/�/0 `��( Com] � � `� M ' tfll �� ...T.,.�,.Y;.-y,<.'.amc�^.w.�ay..i���e.a^wti'VA✓�"':.^+� ." "•°4++. ... Fj[�ary�A•1rt%�4I'^�^" 1 036-530-025 00-2608 ROSS, JIM 119 LONE TREE RD. OROVILLE CONTR:OWNER ' MSC WIRING m 000 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIOJY 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75441 , AgMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 44 . ASSESSOR PARCEL NUMBER 036-5530,,.025 �7�J3ii�N6J ZONING BUILDING PERMIT OWNER JI. -T ROM TELEPHONE 534--8017 SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS A CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCT,ON 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 $ BUILDING jI€S .j. �, OROVlW 85965 �J Ener Plan Checking Fee $ gr g $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑)(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 EX Describe Work: MISC WIRING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 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 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. ❑ 1, 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. ❑ I 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 Main Service 200A TO tOooA 46.00 NEW CONST. DWELLMq OCCUP. SO OR ADDNS. ( 6 ACC. BLDS. 3.5¢FT. pjpp}REW 61D. MULTI.OUTLET @7.50 POWER APPARATUS a swGLE ovrLtt cIR. 20 O I.50 Ex. Occup.OUTLET OR FIXTURES BAL Ex. Occup. ouT�is RM .oFRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 • PRE INSPECTION—• PERMIT FEE 66.0131 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ 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.) IS 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 pr visions. —_ r / X .� ,R -C. R�� Date �� '" � 7 '-490in0 �Slgnature 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. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE s:;•i�ti TOTAL FEE $ HAz. D. FEES IMP FLooD CDF PARCEL PD HD 4SSUE 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- r I9u 'D'ato/ ) PERMIT EXPIRES ON//) eta Receipt No. �l1aX>OUtlt]• WHITE-D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 -,0_�P4T NO. (Rev. 12/96) APPLICATION AND PERMIT [ ASSESSOR PARCEL NUMBER 036-530-025 ZONING BUILDING PERMIT OWNER JIM ROSS TELEPHONE 534-8017 SO. FT. OCC. BUILDING VALUATION • OWNERS MAILING ADDRESS 119 LONE TRFF RD, OROVTLLE 95Q69 CONTRACTOR'S NAME OWNER 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 MAILING ADDRESS Plan Checking Fee $ BUILDIN'ffIsSLONE TREE RD, OROVILLE 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ XDuplex ❑ 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 ❑X Describe Work: MISC WIRING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service ioon op mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,Njpp}q�lp, 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 10 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 rthwi. comply with those visions. �v �� nO Date V —!/ Vgnatureof Applicant - 11, 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 PDA TO 46.00so CCU000A NEW CONST. OWEWNG OCCUP. SO OR ADONS. ( a ACC. BIDS. 3.5QFT: MNST ULTI.OUTLET 97,50 POWER APPARATUS a swGLE ourLEr cIR. .00 EX. Occup. OUTLET OR FIXTURES EAL @x.,50 FIXOR Ex. Occup. ouT>Fis .n.1.a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PRE INSPECTION 23.00 -PERMIT FEE $ 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 66.00 HAZ. D.. FEES IMP I FLOOD I CDF PARCEL I PD HD SUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for w ' fees have been PERMIT EXPIRES OItl provisions to do work paid. �— v e ReceiptNo. 308860/$66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�� PERS o' (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER O ^S -S V c ZONING BUILDING PERMIT OWNER 1 ^ ,� TELEPHONE 3 X01 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS �� 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 MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ ly PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE `� SF �9, Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Describe Work: ie\\SC Other lk, Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service z'.00ao."s: 23.00 Receipt No. Main Service 200A TO ,oDDA 46.00 NEW CONST. DWELLING OCCUP.35Q0. . s OR ADDNS. ( b ACC. BLDS. FT. NEW CONST. MULTI 0cI;Z,T NON-RESID. 97.50 FOWER APPARATUS 8 SINGLE OUTLET CIR. 20 Ex. Occup. OUTLET OR FDTTURES RAL F ED APP Ex. Occup. INS. OR 5.00 OUTLETS RESID. E0. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 A3,CP a3� � PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYK" TOTAL FEE $ HOZ. D. FEES IMP I FLOOD CDF PARCEL PO ND LSSUE 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 Dela WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 budding permit vM be issued until this verification is received. 11. I personally plan to provide the major labor and materials for construction of the proposed property improvement . YES( NO[ ]. 2. I HAVE[ ] HAVE NOT[ ]signed an. application' foc a budding pemut for the proposed (work ... :...... _ ..... , 3. I have contracted with the following persod (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 followipS pe6ons to provide the work indicated: - NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCL-kL SECURITY NUTNIBER: DATE: A - 2V -O. D 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. May 1995 2.26 t . . r' - 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 5300 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 con_ tnbutions. .. 0 There may be financial risks for you if you do not carry out these obligations,Aand 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 propertyowners 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 building permit will not be issued until the verification is returned. . Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Oxne.-Builder Information is required by Section 19830 of the California Health and Safety Code. Mav 1995 2.27 r 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 o° -102od`% ASSESSOR PARCEL NUMBER 036-53-0-025 ZONING BUILDING PERMIT OWNER JIM ROSS TE534 -8017 SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 119 LONE ROAD, OROVILLE c%3 A.C.REE CONTRACTOR'S NAME WAIBEL CTELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 119 LONE TREE.' DROVIT.I.E. Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CK Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MISC WIRING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W PC&1"20.00 PERMIT FEE $ ELECTRICAL. PERMIT Fling Fee 20.00 800VMain Service 20.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 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. ❑ 1, 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 f 46.00 NEW CONST. DWELLING OCCUP. DWE200ALLING U OR ADDNS. ( & ACC. BLDS. SO 3.5QFT: �"E'N"RD,oT MULTI -OUTLET @7,50 PowEL APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 20 BAL @ 1.50 FIXED APPtNS. OR Ex. Occup. OUTLETS RESID. EA 5,00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PRE INSPECTION 1 123.00 23.00 PERMIT FEE $ 66-00 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' c mpensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number - (The above sections need not be completed ' 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. p X Date i/�- O� _ Signature of Applican - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is re ed for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP I FLOOD I CDF I PARCEL PO HD I 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. 302601 .00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �i rN(..'"r4-„.-•i te_-.-.'-ti.'.''�:11.-c:.-=.:-;.--«--"r''�M!.4'j�t'Y`�1�!�'+d�'�!--��NMt",'fii'S't""...!"e...- - ».. .....-1�. .�� ",r-, -, ", . .. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION y 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATIONAND PERMIT ASSESSOR PARCEL NUMBER 036-53--0-025 ZONING +' BUILDING PERMIT OWNER JIM ROSS' TE534-8017 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 119 LANE TREE ROADo OROVI=4�TELEPHONE �� Q�0CONTRACTOR'S NAME WAIBEL A.C. CONTRACTOR'S MAILING ADDRESS . CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 119 LONE TR= OROVTTJ.P Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME ` PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE' ttr SF E_K Duplex ❑ Mobilehome ❑ Other i {' SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent ` 15.00 . TYPE OF WORK New ❑ . Addition ❑ Remodel ❑ Ublifies ❑ Installation ❑ Other ❑ 1 Describe Work: MISC WIRING + Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S� ELECTRICAL PERMIT Fling Fee 20.00 Main Service WDAORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 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 wok; and the structure is not intended or offered for sale. ❑ I, as owner of -the property, am exclusively contracting with licensed contractors to construct tle�Project. ❑ 1 am exempt under Sec. Business and Professions de for this reason . Main Service WDA TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. OR Ns. ( a ACC. BLDS. SO 3.5a FT. NEW CONST. EBI.MULTI.OUTLET �t t i @7,50 OWER APPARATUS a SINGLE OLRLET`CIR. + Ex. Occu OUTLET OR FDcruREs 20 @ 1.00 BAL @ .50 FLXED APPLNS. OR Ex. Occup. ourLETs REBID. EA 5.00 Temporary Services, ' 23.00 Mobile Home Facilities 20.00 Misc. Wiring rF 23.00 23.00 PRE INSPECTION 1 2300 23.00 PERMIT FEE $ 66M WORKERS' COMPENSATION DECLARATION I hereby affirm undeIr',penalty of perjury one of the following declarations: ❑ 1 have and %Wl 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' c mpensation insurance carrier and policy number are: Carrier Policy Number — eel I (rhe above sections need not be completed ' e permit is for work of a valuation of one hundred dollars ($100) or less.) ti ❑ I certify that in the performance of We'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. qq Date r-1 —oC-N Signature` of Applicant ❑ Owner EIContractor ❑ Agent An OSHA permit is re I ed 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 3 �• PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee Is OCC _ CONST. TYPE 66.00 TOTAL FEE $ HAZ. p. FEES IMP FLooD CDF PARCEL PO 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 Date Receipt No. / b.ou WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 41 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 449 -Ace 9 ASSESSOR PARCEL NUMBER 036-53-0-025 36-5,0^25 ZONING BUILDING PERMIT OWNER JI14 ROSS TE�r" 01' SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 119 LONE REE ROAD, OROVILLE 11,f_ oSttlb CONTRACTOR'S NAME WAIBEL A.C. TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 119 LONE TR= OROVIU.P. Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME , PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Ca; Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ' Describe Work: MISC WIRING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 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 under Sec. Business and Professions Code for this reason Main Service To 46.00 WEE200A NEW CONST. DWELLING occuP. CC BBLDS ORw c "ter. ( 3.5QF°; MULACC. NON•RESID. UTLET @7.50 POWER APPARATUS d SINGLE OUTLET CIA. EX. Occup. OUTLET OR FUTURES .00 BAL @ I. 0 FETS (RES.OR Ex. Occup.OUTLETS ESID.) FA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE s 66.00 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./ '— Date �� �► C7 Signature of Applican) Owner Contractor ❑ Agent An OSHA permit is re4 w ed for excavations over 5'0" 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 $ 66.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD I 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 Receipt No. .�v�.vva l :tivv.w WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 6 036-53-0-025 00-2009 ROSS, JIM 119 LONETREE, OROVILLE CONTR: WAIBEL A C MISC WIRING ` 'CbUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .t 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ez ",. fel 17 ASSESSOR PARCEL NUMBER 036-s3.-0-025 (• ZONING BUILDING PERMIT OWNER Ji ROSS TE3Pot+_NE,�,�17 'C SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 119 IDNE REE ROADS OROVIME � fr"f -- 1205 CONTRACTOR'S NAMETELEPHONE WAIBEI. A.C. kl CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 119 WE TREM ORMLLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE y SF [K Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 14ISC WIRING Describe Work: Gas piping system 1 - 5 outlets 5.00 Buildingsewer 5.00 Mobile Home S G W 0.00 !j2 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 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.POING 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. I have and will maintain workers' compensation insurance, as required by Section i 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 ('TA—,k i / Policy Number 't' -r QJ (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 provisions. ,r X��..�.-,+ice../ Dates / ��t��� Signature of ApplicanJ� Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories, in height.�r r r+-, Main Service To 46.00so CCU000A NEW CONST. OWEwNG Occup. 3.5QF°; OR V; ( NEW CONST. Muicrcav�rL�S. NON-RESID. 07.50 8 S E OUTLET CIR. WERLAPPARATUS EX. OCCU OUTLET OR FIXTURESBAL ®'. 0 Ex. Occup. OFa,: EE'A REWSID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mist,. Wlrin 23.00 • KG Iflorto-C.Tiox -I- 23.W 23.00 PERMIT FEE $ 66,00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL PD HD I 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 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 available on the job site. 036-53-0-025 00-2009 y ROSS, JIM X119 LONETREE, OROVIL'L'E (CONTR" -WAIBEL A -C- — — -- jMISC-WIRING _ _ -____ teP Jj —I PERMITTEE MUSf CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings Piers Underground Conduit Pre-Gunite i)o< Iat dour Ccnct ..... ......................................................:.:..::::::.::::::::::::.::::::: Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab ...r..:or..f.." S.::.: :::::::::::::::.:..q.....�r►stallsFCotab>UntiiA#ove<S :::`e�':>::>>>><> Rough Plumbing Rough Electrical Rough Mechanical Framing Shower Pan nsu......:tlnbk:Aboye;Si.:.ed:;:.;:.;:.;;:;......::.;;:.;:.;;:.:.:.:: Insulation :::><:::::::>::Above;Srgrted:<.;::;;;:.;;;:.;;;;;;;:.;;;;>;;:.;:.;;:; Fireplace Footings Fireplace Throat >::>::»::>::s:>:i::r:::..:..:.......................... :::.::::..::::.:::.:::....::....::::::::::....:::::::::.:::::::::::::::::: >::::>::>::>::>:::..Do>Nsot:continue::Fire` dace::Unto:At�oue:::-......:.::::>::>:::»::>:........ ............................................:: Si feed Stucco Lath Scratch and Brown ::>:::;Dallot::Cover<Unbl::Above.W tsed:<::<:::>::::>::::>::>:<>::::»::>::>::»::»::>: Sewer Service Water Service Pool Final 0_36-53-0-025 _ 00_-2009 Plumbing Final Electrical Final .119 LONETREE,,OROVILLE -- Mechanical Final CONTR:LWAIBEL-A•C— Buildin or M.H. Final —MISC WIRING-- -- - t DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY :...:.. :: >:>»»:::>......... Informatwan::::..:::4 Hr Insp ::: Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 4 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev:12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER , ZONING BUILDINGPERMIT OWNER SS TE NE �-/ SO. FT. OCC. . BUILDING VALUATION OWNERS MAILING ADDRESS 9 6Ut�:_ /uiCi dleo COWRACTOR'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 $ ARCWTECT OR ENOINEER S MAILING ADDRESS Plan Checking Fee $ SUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE i LOT NO. SUBONSIONSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFJ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Tra 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 ❑ Utirides �Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service **OA OR LESS 23.00 Receipt No. WHITE.D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Main Service tow TO 1000A 46.00 NEW CONST. ( DWELLING OCCUP. 3.5¢SO. OR ADONIS. 3 ACC. BLDS. FT. =2 CONS . MULTI.OUTlt7 NON-REslo07.50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES .00 B,LL ® 1.50 LNS Ex. Occup. 011TlETS RFsio.oREA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 d10 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling. Hood 6.50 Ventilation PERMIT FEP_ S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. npe� TOTAL FEE $ HA2. J= IMP F1A00 CDF PARCEL PO HO 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 ale V . PRE -INSPECTION REPORT OWNER: LOCATION: _ Il9 CONTRACTOR: PRE-INSPETION DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE DATE. A.P. iaJ5 ( ) AS FOLLOWS: , BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usase: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes No Condition of Electric t r 53�-017 6e 5 3-0205 Electric currently On Off Gas: Natural Tropane None Currently On Off Obvious Problems: Sanitation: Plumbing Working / Well Working_ v Potable Water Obvious SewageProblems_ ACTION RECOMMENDED: ISSUE: t HOLD FOR Inspector: Sketch buildings on reverse and WJ Date indicate location on property. !i r � i " s 11, ; 036-53-0-025;, '00-1988 ; ROSS, ' JIM ', . 'J'' 119 LONE TREE ROAD, OROVILLE' CONTR: WAIBEL INSTALL AYC UNIT 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 AVU,11;1 IF ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OVV fi d' F+ P"-° jj� J SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS Ir ". r- + , , r ., rr-t+ ,. CONTRACTOR'S IIAME TELEPHONE CONTRACTORS MAILING ADDRESS it -,.-�- 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 $ BUILDING ADDRESS h Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:_C 4 Y CAS/17= U."IT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (LD20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600VOR LES Main Service 20 A OR IES. 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. So OR ADDNS.N( & ACC. BLDS. 3.5¢F; tON-.ew .,. MULTI.OUTLET 97,50 J POWER APPARATUS °SINGLE oLrtLEr cIR. 20 ®1 .00 Ex. Occu OUTLET ORFDS �L R Ex. Occu . ounEis A I6.) EA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. bf 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 insprance carrier and policy number are: Carrier " -( ! 0 Policy Number - « 61 S! 0 (The above sections nbea Yot be com leted 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•f fid �/��C sy� Date J3 - �7' V�.J Signature of App (cant Owner ontractor ❑ Agent An OSHA permit is req I d for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating IJ• CoolingJ• Hood 6.50 Ventilation ab ra'a E:)• PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ �J•GJ FEES n FLOOD CDF PARCEL PD HD I 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. B l sA,/ I - �,� Date .� y , . PERMIT EXPIRES ON �te �� Receipt No. "° 1 �`i"' 'w -t •{"� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 4. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER T0. (Rev. 12/96) ' APPLICATION AND PERMIT _ ASSESSOR PARCEL NUMBER 036-530-025 ZONING BUILDING PERMIT - 07n ROSS M2MI17 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 119 LONE TREE RD, OROVILLE 95966 CONTRACTOR'S NAME WAIBEL AC TELEPHONE 533-8128 CONTRACTORS MAILING ADDRESS 1650 FEATHER RIVER 95965 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 $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: INSTALL GAS/ELEC UNIT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A 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 astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.5Q FT. NN ..c.1DT MULTI.OUTLET 97,50 ARATUS a POWESINGLE R APPOUTLET CIR. EOBAS p 1.00 OUTLET OR FIXTURES x. ccu FIXED ALNS. OR 5.00 Ex. Occup. PP ounETs RESID. Ea Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 rformance of the work for which this permit is issued. I 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 ins rance carrier and policy number are: Carrier Policy Number l� (The above sections need Yot 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 ,j ` p/ _ _ Date - Signa ure of App (cant Owner ontractor ❑Agent An OSHA permit is req ' d for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling 15.0 Hood 6.50 Ventilation EXT DUCTS 15.00 PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 65.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD I HD I 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 D�aJte PERMIT EXPIRES ON Bre Receipt No. 302584/$65.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCELNUMOER O n C ow ZONING BUILDING PERMIT OWNER � �" J TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS i �� CONTRACrOR'S NAME ` TELEPHONE CONTRACTORS MAILING AD SS �/ n / L CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fire lace Total Valuation L ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER NG ADDRESS Plan Checking Fee $ BUILDING ADDRESS ' D = Energy Plan Checking Fee $ $ PERMIT FEE _ LOT No. SUBDIV6pN9 NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities O Installs' Other O Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service 400AoRLESS 23.00 Receipt No. WHITE-D.D.S.-B. D. D� a� / CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANTpole) Main Service 200A TO 1000A 46.00 NEW CONST. DWELLM OCCUP. 3.SCso OR ADONS. ( & ACC. BLD S. NEW CONS MULTI.OIITLET NON•C0 D. 97.50 POWER APPAMTUS 8 SINGLE OUTLET CIR. 20 ® 1.00 OUTLET OR FDfTUNES Ex. OCCU SAL .00 OR Ex. Occup. oF"LimFrs RRES.SID., FFJI 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating -- 6-- Coolin Hood 6.50 Ventilation ZEa 14Zi�e_ 7-5- 475W PERMIT FEE S Mobile Home Ie Fee S Energy Inspection Fees S occ CONST. TYPETOTAL FEES HAZ.IMP I FLOOD rOF pAIiC0. PD ND 6SUE 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 P? .036-530-025 - 00-2012 ` ROSS JIM ' F ` 119 LONE TREE RD. ORO VILLE ,CONTR. A -Z PLUMBING GAS WATER HEATER & LINE a } j Gas Awe �� a v - oo < . i!` 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 00-2012 If ASSESSOR PARCEL NUMBER 036-53-0-025 ZONING BUILDING PERMIT OWNER J1;'1 ROSS TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 119 �(J- A4T TRVX, ROAD, OROVILLE CONTRACTOR'S NAME � i►—Z PLV. iBli l! TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION L:NDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 119UMME31 OROEL3 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.0013.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAS Sr?X1Tl� 1=1 GAS LIQ y Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service "..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,INpµq�Ip, and my license is in full force and effect.POWER License Class M' '. 1- Lic. No. �t, "y Sf 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 Mein Service 200A TO 46.00 NEW CONST. DWELLING OCCUR SO EL CCU OR ADDNS. ( ; ' mu LT,"'c LET @7.50 APPARATUS 8 SINGLE OUTLET CI R. OUTLET OR FD=RES 2D @IDD EX. OCCU aAL @ .so FUMED APPLNS.. OR S.00 Ex. Occup. ouTLETs RESIDEA 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 $ 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.) .d 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'd I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _c.cz, _ t�f `---,r — Date —z /- ['fit) Signature of Applicant - B'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 50.00 D FEES IMP I FLOOD I COF PARCEL PD I HD I 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. ByDate �CLZ PERMIT EXPIRES ON eta Receipt No. �v4u `'-W'u0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 J SOUNTY 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 00-2012 ASSESSOR PARCEL NUMBER 036-53-0-025 ZONING BUILDING PERMIT OWNER JIM ROSS TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESS 119 LONE TREE ROAD, OROVILLE CONTRACTOR'S NAME A -Z PLUMBING TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 119LONETREE, OROV,ILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ 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 1 15.0015.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAS WATER HEATER GAS LINE Gas piping system 1 - 5 outlets I 15.001r, nin Building sewer 15.00 Mobile Home I S I G I W 1 920.00 1 PERMIT FEE $ co no ELECTRICAL PERMIT Fling Fee 20.00 OOOV0LESS 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 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class C- 3 G, Lic. No.-70(*3q k OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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 I 46.00So WEE200A NEW CONST. DWELLING OCCUP. SO U OR AODNS. ( & ACC. Blas. 3.50FT. NO RESIT ' MULTI.OUTLET LG 7.50 APPARATUS 8 SINGLE OUfIET CIR. Ex. Occup. ourLEr OR FIXTURES eA" p " o FDCED APPLNS. OR 5.00 Ex. Occup. ourLETs RESIT. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEtE $ Policy Number one hundred dollars ($100) or less.) Z11cehe above sections need not be completed 0 the permit is for work of a valuation rfifythat 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 �) Date g�Z%� �t'_'� 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. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 50.00 HAZ. p. FEES IMP FLOOD CDF PARCEL PD I HO I 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. r /� By Date �j / (J PERMIT EXPIRES ON O-�1 'd l ate Receipt No. 0 50.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Q,OUNTY 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 oD - &a ASSESSOR PARCEL NUMBER12 ...- Gjo Q U d/S ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAID DRESS / (ALJ ^ � o CONTRACTOR'S NAME Z uiu � TELEPHONE , CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Per Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFV Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 00 TYPE OF WORK New ❑ Addition ❑ Remodel /❑ Utilities Installation ❑ Other ❑ Describe ,Work: Lt/��f� TJ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 '*OVOR LESS in Service 2o.A OR LESS 23.00 (/ Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I Main rvice 200A TO 1000A 46.00 NEW CONST. DWELLING occuP. 3.5¢SSo OR ADONS. ACC. S. NEW CONST. MUL - ET NON-RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FDRUREs BAL � 1.� FDLEO APPLNS. OR 5.00 EX. Occup. OUTLETS RESID. E Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 sting Coolin Er Hood 6.50 Ventilation ---I— PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE` TOTAL FEE $ �e / HAZ. D. FEES IMP I FLOOD ] CDF PARCEL I 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 Oats 1'4 �-PERMIT NO. 1347-79B . PERMIT EXPIRES -C>23-f�� OWNER Everett Smith CON TA. Holmes Mob; 1 P Hnma Sesv—(Jroville 36-53-25 LOCA�T�ON A.P. ) ' "+i3 - ne Tree Rd., Oroville 1 Temp. Power Pole Called PG&E i Temp/Elec. Serv. q Called PG&E Temp. Gas Serv. t Called PG&E I - JOB FINALED (Date i' ;{ (Signature) ' 3 . I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback —0 = Firewall Sol[ Piping Forms Parapets list Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII SIdIna To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn: Vents Fixtures Footings Stemwa I I Garage Ven Insulation I Water Htr. Heaters Slab Carport Footings - r Sj e Provfor hysica ly handic ed Confo ce of ex. structur Appliances Gas Piping &Test Temp. Gas. Slab Final Sanitation Patio x IF FIREPLACE al Footings Fo In ELECTRICAL PRniinh Masonry Walls Throat Bond Beam I FIREgFmhkERS Motors Framing — Test / n Water Htr. ticratcn Heatina Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BI E OME INSTALLATION - - - - - • - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534541 APPLICATION AND PERMIT / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �-� ate �� /% ignature of Permiiittee or Agent Receipt No. /9b 446 U White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTGfr'OF_PUBLIC WORKS By -Date-3 - 7--3 -7 f B ilding permit expires Date BUILDING Owner 'e SO. FT. OCC. BUILDING VALUATION 3 ---- Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation / Telephone o. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee l •� q O' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. No. 36 -,,�3- morn' ng & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fjes S t on Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Par ing Plans I ParcelEach Declaration I Parcel MaW 60' R/W Improvements additional outlet .30 Building sewer 5.00 �� Bldg. Pla sr>' Rec'd Parcel A royal Plans Appr. Lawn sprinkler system 2.00 NEW ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home Others ❑ Main service EA. ADO'L 100 AMP 2.50 V � //r• Ill � A- .� V i? o Main service OVER 25.00 100 AMPP 0 LESS OR Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLLING BLDGS.CCUP. Y) 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style NEW CONSTR RANCHULT.UTL T NON.RESID 1 BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS e NON.RESI D. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 5 L25 FIXED ALISIS EX. OCCUy• OUTLETS P(RESID.)RE A) 2.00 Temporary. service 10.00 Mobile Home FacilitiesE625 a License No.yR1371 Classification Misc. Wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ % �� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �-� ate �� /% ignature of Permiiittee or Agent Receipt No. /9b 446 U White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTGfr'OF_PUBLIC WORKS By -Date-3 - 7--3 -7 f B ilding permit expires Date PERMIT NO. 6528-76B,P,E,M PERMIT EXPIRES OWNER Tom Rogers CONTR. owner LOCATION (A.P. 36-53-25 E/S Lone Tree Rd., 4 mi.S.of Power House Hill Rd., Oroville Temp. Power Pole Called PG&E Temp. Elea Serv.194?5!'2 Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) i (Si ature) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25,- STATE OF CALIFORNIA, IN. THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS Manufacturer Thickness/Type Z R Value CEILINGS �. Batts: Manufacture Thickness Ke::51-7 R Value_ ZZ Blown: Manufacturer Thickness No. Bags Wt./Bag Sq. Ft. Covered R Value FLOORS j Manufacturer Thickness/Ty �� ' >R Values A C SLAB ON GRADE Manufacturer Thickness/Type R,Value Width of Insulation inches FOUNDATION WALLS GENERAL BY. Thickness/Type RV e jg __'A00L-- LICENSE No. FPY."t INSULATIO ACTOR: HAWKINS INSULATION CO. LICENSE No. 215-925 BY TLE DATE ?'� COUNTY OF BUTTE — DEPARTMENT,9F PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUI DING (Cont, PLUMBING Setback , Firewall, Soil Piping Forms Parapets 1st Floor .— Z'7-- 7 7 Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall SidIn To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vent' �� Insulation 0 4 ZZZ w Water Htr. Heaters ----- Slab % Carport Footings Prov. for physically handicapped Conformance of ex. structure �� Appliances Gas Pi in & Test Temp. Gas .--0-- Slab Fina J Sanitation Patio FIREPLACE Final / rVuun 9Z5 rooun Masonry Walls Throat Reinf. Steel Final Bond Beam FIRE SPRINKLE Framin Test Stucco Final Mesh MECHANICA Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS z6tjI D Motors Water H Subpart Grd. Fa Service Temp Final (NOTE: An entry must be made on this form each time you visit the job site.) ELECTRICA COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS T�CountyrCenter Driv' — Orovi Ile, California 95965 Telephone: 534-4541 / (� APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature o Permitee eKg ent Receipt No. �� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Q�F)PUBLIC WORKS BY --E wilding permit expires Date BUILDING Owner S+ SQ. FT. OCC. BUILDING VALUATION v Mailing Address c / ` C t, O Tel �No_ (�� Fireplace Q Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ C16 101e % ►Q Building Address f-� r ` PLUMBING No. @ FEE PERMIT FILING FEE $3.00 � l Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 0 Q A. P. No. �j�-) — Zoning Planning Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s I Wc. Sattf ion FireDept. Fire Zo Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration f�'arCeT 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans ec'd ��// V1 d7 Ap val Pla pproval Permit Fee $ , O $ G NEW ADDITION [:JUTILITIES ❑ OTHER ❑ NEW No. @ FEE PERMIT FILING FEE $3.00 3,00 Main service 100 AMP OROR LESS5.00 Main service EA. ADD•L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100EAMP oR LESS 25.00 Main service EA. ADD•L too AMP 1.00 NEW CONS. OWELIN. 0 OR ADDNST ( ACCLBL GS.0 &) 20sgft (� NEW CONSTR. MULTI -OU L NON.RESID. BRANCH CIRCUITS) 12.50ea NEW CONST. POWER APPARATUS & R( NON RES,D. (POWER OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 6AL2@511 Ex. FIXED APPLNS. OR OCCU p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No �P Classification A6 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 3 WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wor en's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No.1 @ I FEE' PERMIT FILING FEE $3.00 Heating Cooling — Kv ao Ir C"11) e -O Ventilation Hood 2.00 $ O © Permit Fee // 0. rlO /QQ Ik Q 1As�SOiri $ TOTAL PERM(T FEE 2 G $ 3 /� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature o Permitee eKg ent Receipt No. �� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Q�F)PUBLIC WORKS BY --E wilding permit expires Date I I I I I f I I� I ,6, � �„I«v I �d. ilM .,aor��xu�w� w.h�uunlwu,e..a.ul.,�l.a.4al?a.vtiri�r”�!vTi�+Y.l�Yxtn'YY,4'1'OIM'I,l.�V7J��. Y9�tli4i t itt !' I ��; ',' , i. i. •I ,�' (I�I�, I�;In I I I I,, I, ., IP:' 4 J;I 1 Y1it I •,„ i 1. .. � �.,��. f -1l,.., ' i �..�. IL.�._�._, tl � I �'�; It,I ( 1�� Y. i,...1 II � I� I�It � ..i � ,- n �. �..., ...,r i '.,:,,. ,�., . ,i ,.-p ..,,l ,, ��..., .�;� �. .I, .,I i i,.; �., I ..... ,„ �a� � ,rale= ....� �: �, � i I �i. �.,.. J ,,.�,. .., i ,,.. w. , �.�, .1.. 1111n.;1� § .Ii�L:. .I zelf", �f IFY If 'l Tj,lll`�' ll" � till Al �Iil( �I� ",-"I "IN , �,Fr' 'FiFF'rIl" "I I 7i", '.1"I T1 -,I ll,�,� III 'I 111, 1, 1,, ... I ... ... 110,1111111 l!111,111 IN A Ill, li, �1, , I I � WWI"" 17,77' ill i Ulf ',I j i, . II� F I I i,,� i�', I i, �ll I ol, 4, 1 F 0 IF �F IF, q IF It IF I, d:. IF F!� 12 IF j if I MIT I'M 1111 'T11,11111 I'M (01!j J1, 0, 1 hl� 010 4iiflm 1 jrlg- 'IR tF . 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