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HomeMy WebLinkAbout026-191-008d•� PENTECOSTAL CHURCH OF PALERMO 3844B *43 tqj-�(8VI13763E -36( 7582 Irwin, Palermo (new single family) *Addition A.P. 26-191-8 ' ,Pentecostal Church of God of America 7582 Irwin Ave Paleerm� 74-72B��``a�`dn: -'` cAurch) t, AP 26-19-08 PENTEC®STAL CHURCH OF GOD 7582 Irwin Ave., Palermo Permit## 4607-74B (reroof)"./- 26-191-8 Permit ##4379-76E (ele ser entecostal Church of God 26-191-08 Contra LaGrone Heating & AC Permit 6631-76P,E,M(duopac) hurc L,/� 026419-1`--008 " 00=0021BPE JORDAN .CROSSING"MINISTRhES' 75824Irwin,.Avenue, Palermo. ,t (remodelxBathroom)SF' 026-19-1-008 00-0053 B JORDAN CROSSING`MINISTRIES '7582 Irwin Avenue, Palermo (reroof/ fjtice b}dg)j.,�/d� t / J 026-191-008 01�39 JORDAN CRO NG 7582 Lwin Ave., P rmo�.1 - C l Reroof & Ele Ser/SF o l/ r 026-191-008 02-2637 ` JORDAN CROSSING 7582 IRWIN AVE., PALERMO UPGRADE ELECTRICq,q;5-0*1-` FINALE i R 026-19-1-008 00-0053 B JORDAN CROSSING MINISTRIES 7582 Irwin Avenue, Palermo (reroof/office bldg) c R i I I iV r i �1 ii I �I i .1 f „I 026-19-1-008 00-0053 B JORDAN CROSSING MINISTRIES 7582 Irwin Avenue, Palermo (reroof/office bldg) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Qroville, California 95965 • Telephone (530) 538-7541 PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT ASS ESSOR PARCEL NUMBER 1124-10-1 _Pii ZONING BUILDING PERMIT OWNER tq ) /fir n TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER MAIUNG ADDRESS 7517 1211"! r;712 a r"r- A 05(15-, CONTRACTOR'S NAME (7 R TT? y TELEPHONE CONTRACTORS MAILING ADDRESS 1 1 . CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MARLING ADDRESS Plan Checking Fee $ BUILDING ADDRESS T'T1 ► -T 1? AT ► �`• Energy Plan Checking Fee $ .. PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other n err *7rT+�! sPECIFv 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 f Describe Work: 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 Main Service %.v OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 ( commencin with Section 7000) of Division 3 of the Business and Professions Code, g and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License r the following reason: LaWiwlill as owner of the property, or my employees with wages as their sole compensation, 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 provisions. �/�� J; ���+e� '31 ' ^ L t�"') 1" ' X 112-4 _ref Jf;1 Gt�� (O""' Dat t� 0 Signature of Applicant - ❑ Owner ❑ Contractor Agent I An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( & ACC. BUDS. 3.5QFT; N CONS . MULTI -OUTLET NON-RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCD OUTLET OR FDRURES 20 O" 1.00 BAL .00 50 DF'XUT ED ANS OR" Ex. Occup. 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 FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONPE ST. TY TOTAL FEE $ HAZ. D. FEES IMP _ FLOOD CDP PARCEL PD HD ISSU This permit is hereby Issued under the applicable provisions P Y� PP of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. _ By Date t PERMIT EXPIRES ON �► 1f Da Receipt No. ltf�i►L`:/ S'; • -` 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, Califofnia 95965 • Telephone (530) 538-7541 PERMIT NO (Rev. 12/96) APPLICATION AND`PERMIT n _1)a�L PARCEL NUMBER 026-19-1-008 ZONING BUILDING PERMIT OWNER JORDAN CROSSING MINISTRIES TELEPHONE Sq, FT, OCC. BUILDING VALUATION -Li-600 OWNERS MAILING ADDRESS CONrRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADCRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 19.00 ARCHITECT OR ENGINEERS AMILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 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 EX Describe Work: REROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800V OR LE Main Service 200."0. 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 toll 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 r the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the woik, and the structure is not intended or offered for sale. ❑ I, as owner of -he property, am exclusively contracting with licensed contractors to construct tFe project. ❑ 1 am exempt udder Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. S° 3.50FT. T. N"1OµRES1D. RANCHO CIRCUITS @7,50 POWER APPARATUS b SINGLE OUTLET CIR. Ex. Occup. CUTLET OR FIXTURES BAS @'; 0 Ex. Occup. o X. ED RESEs o.°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and wal 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 ary person in any manner so as to become subject to workers' compensation aws 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.l j,-J� .�5 AZ X SEy^�W' JiNr��(� Det 1-1,— Signature of Applicant - ❑ Owner ❑ Contractor Agent % An OSHA permit is recuired for excavations over 5'0" deep and demolition or construction of structures over 3 siories 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 $ 39.00 HAZ. D. FEES _ IMP FLOOD .-- CDP PARCEL ,__ PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By__4xv PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ' z 2 Q ( pg Receipt No. 98Sh9A/119-n0 WHITE-D.D.S.-B.D. :ANA. -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 PERMIT NO APPLICATION AND PERMIT A/spsOR'ARMNu1eE1 �L m V .00 ZONING BUILDING PERMIT OWN" TE10110Na SO. FT. OCC. BUILDING VALUATION 0WIM'S HALM /bows Misc. Wirina 23.00 feD 5. eqd_ CON PAmms muc TCLtD1gNE CON1RACT0111 11ALOO ADOws CONGTRUCTION 1.9mi 1 LIMER's VAIU to ADOREss Fireplace Total Valuation = _ gao 0 ARCHITM 001 ENOINEEiI ucENse No. FGn Fee $ 20.00 ARCHITECT OR 01MUR' i YAJI.04 ADDws Permit Fee - $ �10— Plan Checkin Fee $ suaoMaADows Energy Plan Checking Fee $ ,ctf PERMIT FEE S LOT NO. susolvsl°NSNIue �"'�� MAP PLUMBING PERMIT Filing Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE Solar or heat um water heater 23.00 SF ❑ Duplex ❑ Moblehome ❑ Other (O'F F < L Water piping 15.00 tP�`r Each as water heater or vent 15.00 TYPE OF WORK Gas piping 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ LXRdm O Instalation ❑ Other ❑ Building sower 15.00 Describe Work: 2 i?0 F Mobile Home I S I G I WT— @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Feel 20.00 Main Service = o°RR f 8 23.00 Receipt No. _ WHITE -0.D.3. -B.0„ SOR PINK -INSPECTOR GOLOENR00-APPLICANT Main Service 2-A To 1owA 46.00 NEW CONST. D RLM0 0eeu7. 3.5t eL oR ADDNS. t Ace. DS. NON.RESID. ( ,�.�icM en ) 97.50 Ex. Occup. ounFT oR FOR1111Es8 �L m V .00 Ex. Occup. FOO:oAWL48. oR s ®ro. EA ovnt.1..6.0 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S i MECHANICAL PERMIT Fling Fee 20.00 Heatina Hood 13.50 Ventilation Mobile Home Installation Fee I $ Energy Inspection Fee 1 $ 9 00 occ co NBT. -FE TOTAL FEE $ K4Z 10, FEES I WV I FLDOO I COF I P.CEL PO �H.DWSSUE 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 026-191=008 00-0239 JORDAN CROSSING 7582 Irwin Ave., Palermo, Reroof & Ele Ser/SF 7/0/ OFFICE COPY Address •V o- Meter By ELECTRIC Meter By Date Dat � I t 026-191=008 00-0239 JORDAN CROSSING 7582 Irwin Ave., Palermo, Reroof & Ele Ser/SF 7/0/ OFFICE COPY Address GAS Meter By ELECTRIC Meter By Date Dat Fi COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING-DdVISION ' 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT i ASSESSOR PARCEL NUMBER )2!-1 a AQ ZONING BUILDING PERMIT J OWNER____ RTS C. TELEPHONE SO. FT. OCC. BUILDING VALUATION eA n 1 320.00 77 ���� OWNERS ��M��AII�L�I�NN�-7G ��ADDRE�S+�, PAL !.X)� iLdY1 HI Ari:. PAL&W CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation W ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2 0.0 0 Permit Fee $4-3,00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 5. LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE ^Slo ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Water gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF } UPGRADE MD=Mff ICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S1 GI W1 4 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOVOR LESS Main Service p 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 Lawlor the following reason: E;3 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. DWEL ING OCCUP. 3.5Qso ( NRA cors . Muir..S. OUTLET NON•RESID. 97.50 POWER APPARATUS a SINGLE OUTLET CIR. 20 .00 EX. OCCu OUTLET OR FUTURES BAL Q 1.50 Ex. Occup. °S .=.) E 5.00 Temporary Service 23.00 mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ - WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed 'If the permit is for work of a valuation Vof one hundred dollars ($100) or less.) Icertifythat 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 ��y Date -- Signature of Applicarit - ❑ Owner ❑ Contractor�+A nf` 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 $ 119.00 HAZ. I D FEES IMP I FLOOD I CDF PARCEL PD HD IS 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. - Y `Date • "'10t� PERMIT EXPIRES ON ate Receipt No. OXY WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ` COUNTY ORBUTTE - 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 Ll ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER JORDAN CROSSING TELEPHONE SO. FT. OCC. BUILDING VALUATION 7192 IRWIN AVE, PALERMO 22 13320.00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. Film Fee $ 20.00 Permit Fee $ -33-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE 'Sr, ❑ 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: REROOF UPGRADE M. CTRIC SERVICE � Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G w 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service O92 VA 23.0093 0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law & the following reason: H 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. 0, 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number he above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) Vfertify 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. `�`/�Iyam, X �� '\ C+�YJ Date l! Signature of Applicant - O Owner ❑ Contractor gent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00so NEW CONST. DWEWNO UP. SO OR ADDNS. 8 ACC. BLOS. 3.5¢FT. qO IDT. MULTI.OUTLET @7,50 POWER APPARATUS 8 SWGIE OUTLET CIR. Dn EX. Occup. OUTLET OR FURES eAL @ +:50 FIXPPLNS. Ex. Occup. p,n�7S ED APR RES,p, OR EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 9,1 PERMIT FEE $ 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 $ 119.00 HAZ. p. FEES IMP I FLOOD I CDF PARCEL PD HD IS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w ' fees have been paid. `O PERMIT EXPIRES ON '—� I pate) ReceiptNo. 2XM 999AQR // 11 �n WHITE-D.D.S.-B.D. CANARY -ASSESSOR PIN -INSPECTOR GOLDENROD -APPLICANT M OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your aiVUWM Please complete and return this information at your earliest opportunity to avoid unn Y dalaiy in processing and issuing your building permit. No building permit will be issued until tbis verification is received. 1. I personally plan to provide the ajor labor and materials for construction of the proposed property impr ement :YESED NO 0 �2• I HAVE HAVE NOT signed an application for a building permit for the proposed 3. I have contracted with the following person (firm) to provide the proposed constitution; ADDRESS: CTT'y: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to cooi+taioe�e; supervise, and provide the major work: NA: 7 ME , ADDRESS: CITY, - Vr ' PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to PMVIde the work indicated: NAME ADDRESS PHONE TYPE OF WOjtIC� SIGNED: PROPERTYOWNER:' SOCIAL SECURITY NUMBER: DATE: (� - NOTE: - -Thu Owner -Builder Verification is required by Section I9*3115U California Health and Safety Code. This verification must be -completed acrd returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORNIATION I 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. t 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: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work(iticluding amaoerials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contrauitors'or subcontractors, then you may be an employer. 1 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 ns workers compensation insurance, disability insurance costs, and unemployment compensation' contrr'buttons.'.;:' ♦ There may be financial risks for you if you do not c out these obligatio �n Y y y arty � ns; and these risks are especiallysertous with respect to worker's compensation insurance.. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service.(and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform -their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. - Information about licensed contracgrs 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. 4Micel , C. Vi iia, CB.O. , Building Inspection NOTE: This Owner-Builder•Informadlon is required by Section 19 83 0 of the Californla Heald: and Safety Coda OVER (Rev. 12/96) t COUNTY -OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovlle, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPARCELNUMBER O/ Ct` _ ,_26 ZONING BUILDING PERMIT OWNER U( 0 to A ! V TELEPHONE SO. Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2 0 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MUUNO ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS - �-y ,/T w - ,n `� Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex.❑ Mobilehome ❑ Other sPEcLcr 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 ❑ Describe Work: 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 LESS Main Service ".vzowv OoR LEss 23.00 A3– 23^MaR � � Main in Service 200A TO IOWA 46.00 NEW CONST. DWEILLNO OCCLP. 3.5¢R: OR ADDNS. ( 8 ACC., NEW GUMT. MULTL•OUiLET NON-RESID. @7.50 POWER APPARATUS 8 SUIGLE OURET C0. EX. Occup. OUTLET OR m -TURES Zo ® "00 BALI @ .SO o.Ex. Occup. rR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3 PERMIT FEE $ MECHANICAL PERMIT Ming Fe 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ FEES IMP I 8.000 I CDP pARCEL p0 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 fo Jordan Crossing Ministries PO Box 708 — Oroville, CA 95965 Phone (530) 534-1382 — Fax same February 7, 2000 Butte :County Building Division 7 County Drive Oroville, CA 95965 Ref: Building Permit Agent for Jordan Crossing Ministries Dear Sirs, Jordan Crossing Ministries is a church. It is a lawfully registered California Nonprofit Religious corporation. The ministry, has received it's nonprofit 501-C3 status from the IRS. Jordan Crossing Ministries owns the offices, church and parsonage located at 7582 Irwin Ave in Palermo. At this time we desire building permits for the following: a) upgrade parsonage electrical service panel b) re=roof`the'parsonage (overlay; nota tearoff) c) construct a 100' chain link fence around the rear of the parsonage In this matter, Mike Palmer (.CDL #C1243901) is an authorized agent for Jordan Crossing Ministries in all matters regarding these building permit(s). Si cereiv, Rev. Fred Smith Treasurer, Jordan Crossing Ministries _ NOTES ' RESIDENTIAL / PERMIT�'4 0 6-_1:9=1-008. _ _--.00-0021BPE— JORDAN CROSSING MINISTRIES. 7582 Irwin Avenue, Palermo (remodel Bathroom)SF r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ' JOB FINALED (Date) Signature 1 � l ' JOB FINALED (Date) Signature V= OK 0 ="Ndt OK = Not Applicable = Not Ready MOBILE HOMES Date ' MOBILE HOME UTILITIES (Plans) OK except #'s 7. 1. Zoning Requirements -Setbacks -Easements 8. 2. Soils; Special MH Support Sketch 9. 3. Sewer; Location -Test -Fall -C/O -Concrete 10. 4. Water; Location -Test -Easement Needed (Sketch) 11. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 12. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ /'LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Date Setbacks -Easements Card B-1 Date Card B-1 Date Soils; Compaction -Structure Stability Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Date 11. Cert. of Occupancy Date 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DjCKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater - ti 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pan elboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card 6-1 Date Card B-1 Date Card B-1 Date Card B-1 V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #'s 1• 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blackouts -Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D. W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.Y.-,Test Fittings & Anchor -Nail Protection i Z 66. ower Pan; Test, First Floor -Tub Access t 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mach Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38, Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. I nfi Itratio n -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor I] Yes 82. Following Inslld./Drive ] Yes ] NoMalks ] Yes ] No/Planters ] Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection g0. C erections from Previous Inspections 9dAas Test -Meters Tagged, Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT 70. (Rev. 12/96) APPLICATION AND PERMIT i�r_06- ASSESSORj�(1i�CEl NI,II,F¢ER1_008 J IJORDAN ZONING BUILDINGPERMIT . OWNER CROSSING MINISTRIES T53H4 E1382 SO. FT. OCC. BUILDING VALUATION GWNdiS t'i'n 11 kN AVENUE, PALERMO CA 95968 CONTRACTf�M TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fills Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGA��gr IRWIN AVE, PALERMO Energy Plan Checking Fee $ PERMIT FEE $ 109.10 LOT NO. SUBDNIS:ON'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE XajXX SF 6 Duplex ❑ Mobilehome ❑ Other SPECIFY__ Each Trap 31 7.00 21.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 5. TYPE OF WORK New ❑ Addition ❑ Remodel N Utilities ❑ Installation ❑ Other ❑ Describe Work: gXX01OUXp NN.TXn$MNEWX1EXXXXXXXXXXXXXXXX Gas piping stem 1 - 5 outlets 1 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ $6.00 REMODEL BATHROOM ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZO.AoRLESS 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 r 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 IUOOA 46.00NEW CONST. DWELLING OCC P. OR ADDNS. 6 ACC. BLDS. s° 3.5¢FT. EW CONS. N µRES DT muLTI.OUTLET @7,50 POWER APPARATUS b SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES .00 BAL @ I. 0 Ex. Occup. OUTLETS (R D.°Ea 5.00 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 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 Xof 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, k<`.5 a /r� W,dI3 X ,( sl, v�"Q l (ess-% j-1 Date ` b CT -0 �� 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. MECHANICAL PERMIT Fling Fee 20.00 Heating 1 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 230.10 HAz. D FEES IMP FLOOD CDF PARCEL PD HD 5SU This permit is hereby issued under of the Butte County Code and/or 'ir(icated above for which fees have By PERMIT EXPIRES ON Ip the applicable provisions Resolutions to do work been paid. Date. (z ®� 2 0 1 Te ReceiptNo. 285629= 230.10 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTIENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P MIT No. Rev. 12/96) APPLICATION ANP PERMIT � - a Ae368oRPAACELNu1lE7i DOy �(O ( sbNuia ( BUILDING PERMIT d1MNeR •ssAL "ONE S0. FT. OCC. BUILDING VALUATION awNEnS MAura ADOJr CONTRACTOR'S KUM dV�l� TELEDNONE L- CONTRACTORS MUM ADDRESS Z(Od CONeTRUCTION u'J�DR71 LENDERS JAMM ADORIM Fireplace Total Valuation S �� ARCNrn:CTORENaNEeR UCENSE NO. Flin Fee S 20:00 ARCW= OR ENM°rns MO UNG ADOREsa Permit Fee - aD S Plan Checking Fee p 5 euRLDRNeADORE88 Qom% Energy Plan Checking Fee E S O - PERMIT FEE _ LOT NO. euean®c«swwE °ARQE111° PLUMBING PERMIT Filing Fee 20.00. Each Tr 7.00 USEOFSTRUCTURE ;iCrMIA""flew-ml Solar or hent um water heater 23.00 SF ❑ Duplex O Mobilehome Water piping 15.00g220/ , b ePW" Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 s;(f New ❑ Addition O Remodel O Utilities O er O Building sewer 15.00 Describe Work: , Mobile Home I S I G I W @20.00 / O 5 �� ` PERMIT FEE _ ve PERMIT Flln Fee 20.00 rkELECTRICAL Service =oaRR � 23.00 fZ JM 016£L t�AT-VIZ-QO/h NEW CONST. OWELLlJO OOCUP.\ 3.5{Uso OR ADONS. a �. AMS . Ex. Occup. OUTLET OR FwrDA ' '00 .90 EX. OCCU FD(EO APPU�9. ovnEM Esi 5.00 Temporary Service 23.00 Mobile Home F ' sties 0.00 Misc. Wiri 2 . I —, PERMIT FEE I $'-- v 4 MECHANICAL PERMIT I Fling Fee 1 20.00 Hood 6.50 Ventilation PERMIT FEt $ �- Mobile Home Installation Fee S Energy Inspection Fee S Occ CONST. TYPE TO AL FEE $ -Z. 1 0. FEES I N I FLOOD I COF PAR i0 I NO I SSUE 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. 23010 By Date PERMIT EXPIRES ON (Date) JORDAN CROSSING -MINISTRIES Discipleship Homes! Rev. Michael Tomlinson P.O. Box 708 Oroville, CA 95965hone/Fax (530) 534-1382 E-mailE -jc777@inreach.com . a;Tk,k�"�e =� +{ '�i: T ""r frrSR.9i COUNT' OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: luolPyV :F/ (� ASSESSOR PARCEL ER: —f / Proposed Building Use: Building Inspector: 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 "."All iiems have been submitted ------------------==------------------------------------------------------------------ ❑2. Plot plans: 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. 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. ` 117. Statement of Intent for Non -Heated and A/C Buildings. ---- 118. --- ❑8. Hazardous Material Form. ------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications. 1110. Fees of $-------------------- ---------------------------------------------- 0 11. Impact Dees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. 1113. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------- ❑ 15. City of Chico plumbing permit. ---------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---• El 20. Pre-ins,ectionfor required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). 022. workers' Compensation carrier and policy number. ----------------------- 2 . Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- . Letter -of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. El 26. Letter of intent on building use. --------------------------------- ❑27. Manufactured Home utility clearance. -------------------------- ❑28. Existing violations and/or expired permits. -------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: (Date) PT!"llephow you issu`eth_t„ pcgceasollows ❑Mail to owner, ❑Mail tocontractor. ((� jj and hold for pickup at �C/ office. ❑ Deliver with inspectoQr. J4, Z ��r� c,Z. Applicant:' -f'--' S -10/ J Date: 1 1, 01% Copy of Hal -Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: Index permit application for the above items numbered: 2. Additional items required: ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.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. 1. '1 personally plan to provide the major la or and materials for construction of, the proposed property improvement: YESPQ NO[ ]. 2. I HAVEW HAVE NOT[ ] signed an application for a budding 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 SIGNED: PROPERTY OWNER: SOCLA,L SECURITY NUMBER: DATE: t 1 C_ 1610 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 VJ . , .. 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 w he exception of various trades that you plan to subcontract, you should be aware of the fbIll ,a information for yo benefit and protection: 0 If you employ or oth se engage any persons er than your immediate family, and the work (including materials and other osts) is $300 or more for the entire project, and such persons are not licensed as contractors or subcon ors, en you may be employer. 0 If you are an employer, you m 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 building permit will not be issued until the verification is returned Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 Jordan Crossing Ministries PO Box 708 — Oroville, CA 95965 Phone (530) 534-1382 Fax same January 5, 2000 Butte County Building Division . 7 County Drive Oroville, CA 95965 Ref: Building Permit Agent for Jordan Crossing Ministries Dear Sirs, Jordan Crossing Ministries is a church. It is a lawfully registered California Nonprofit Religious corporation. The ministry'has received it's nonprofit 501-C3 status from the IRS. Jordan Crossing Ministries recently purchased a church and parsonage, located at 7582 Irwin Ave in Palermo. Due to the age of the church buildings, our congregation has begun some remodeling projects to protect and improve their condition. Jordan Crossing Ministries desires a building permit for the following items: 1) replace office building shingles (approximately 1000 sq ft) 2) remodel of parsonage bathroom 3) stucco front of church entrance (approximately 450 sq ft) 4) move furnace and add 6 air ducts throughout parsonage In this matter, Rev. Fred Smith is an authorized agent to act in all matters regarding the builcing permit(s) and all church financial transactions. Rev. Smith is the corporation Treasurer and member of the Board of Directors. I have attached old and new plans for the parsonage. Please contact me immediately at (530) 624-8426 if you require any further information regarding this matter.- Sincerely, atter: Sincerely, Rev. Michael Tomlinson Senior Pastor and CEO, Jordan' Crossing Ministries I 026-191 008 02-2637,. JORDAN CROSSING f 75 . 82 I -N DA, IR , A 4 AVE., AL-'ERmb GRADE ELECTRIC ------ 1;7 OFFICE COPY Address GAS Date Meter By ELECTRIC Meter Date - j By� a el- ,� E V C, 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 07-2637 ASSESSOR PARCEL NUMBER 026-1,91—MB ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 7599 TRWTN A >T AT FRMn WM 0 CONTRACTOR'S NAME m TELEPHONE 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 MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5 M D Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF D 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 13 Installation ❑ Other ❑ Describe Work: L1n AMIE EEC'. AT RESIDNFL`F Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 OR Main Service zoOAOV OOR LESLESSS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.a 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 zoOA TO fOooA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.50FT. Ip" Ic ,D MULTI•oUTLET @7,50 WELER AUPPARATUOIR.s SIPONGOTLET Ex. Occup. OUTLET OR FORURES BAL ®I .50 FIXED APPLNS. OR Ex. Occu . oLrrLErs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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.) 0,1' 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. Xtni,'Dated- (_i �--�— Sigrilalftfre 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 $ 66.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HD 1,6VE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica ed ab ve for which fees have been paid. 9 ,0 By Date PERMIT EXPIRES N Date ReceiptNo. 363749/$66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION w 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/06) APPLICATION AND PERMIT 02-2637 ASSESSOR PARCEL NUMBER 026-191-008 ZONING BUILDING PERMIT OWNER JORDAN CRnSSTNC, TELEPHONE SO, Fr, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS. 7582 T CONTRACTORS NAME OWNEP TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS 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 7582 T Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDI-LSIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF EY 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 0[ Installation ❑ Other ❑ Describe Work: UPGRO:E. =C AT RES ILI. ,E Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service EO2o0AOv OROR LELESSSS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawlor the followinc reason: pf I, as owner of the property, or my employees with wages as their sole compensation, will do the wcrk, 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 :)f 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 forwhich this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Numbar (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) QUI 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' compensator 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. (l� Y X CQ� Date `� �' Sign ture of Applicant - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 :stories in height. Main Service zooA TO I 46.00so NEW CONST. DWEWNG OCCUP. SO U OR ADONS. ( s ACC. BLDS. 3.5QFT. NON-REOSD. MULTI -OUTLET CIRCUITS @7,50 APPARATUS d SINGLE OUTLET R. OUTL.Ef OR FIXTURES 20 O 1.00 Ex. Occup.BAL @ .50 Ex. Occup. o xis RaD°E,5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ cc CONST. TYPE TOTAL FEE $ 66.00 rT�his HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE ` permit is hereby issued under he Butte County Code and/or indickedb ve for which fees have _ By PERMIT EXPIRES the applicable provisions Resolutions to do work been paid. Date / ( -1__�3 - �?7 Date ReceiptNo. 363749/$66000 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 Rev.12/00' APPLICATION AND PERMIT �- ASSFSSORPARCEi NuneeR v ,_ U mR+No BUILDING PERMIT , 1A OWNERG _ ; TELEPmNE SO, Fr, OCC. BUILDING VALUATION i� Y OWNERS VALM ADDRESS C) ir\_� PERMIT FEE _ cONTRACTORa 1AWN0 ADDRESS CONSTRUCTION LEIDfm tENOOM MQUNG ADDRESS ARCNRECT OR ENGINEER LICENSE NO. ARCWMCT OR ENOwEERS MAJUNG ADDRESS BURRDr+O ADDRESS �- Plan Checkin Fee IDT N0. SUBMSON4 NAME PARCEL MAP \n USEOFSTRUCTURE SFXDuplex O Mobilehome ❑ Other ��/ YYY evEcsv TYPE OF WORK New ❑ Addition ❑ Remodei ❑ IA installation ❑ Other O Describe Work: V\ // l PERMIT FEE PAID $ SRA $ SHERIFF $ OTHER $ AMOUNT, RECEIVED $ RECEIPT-# Total Valuation Is PERMIT FEE _ Ex. Occup. pUTLFT56 �Ew Filing Fee $ 20.60 Permit Fee E Main Service Plan Checkin Fee $ NEW CONST.owaii+D OR ADONS. Energy Plan Checking Fee E NOWRESIO. MULTFOkm ET .o...,.. —..d S PERMIT FEE S PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 1 1 (920.00 Ex. OCCU . OUTLET OR MURES PERMIT FEE _ Ex. Occup. pUTLFT56 �Ew ELECTRICAL PERMIT Filing Fee 20.00 Main Service so°00Yo„ on LEss 23.00 Main Service 200A TO IOOOA 46.00 NEW CONST.owaii+D OR ADONS. occuv. a ACC. eRDs. 3 5¢so. NOWRESIO. MULTFOkm ET .o...,.. —..d 07.50 Ex. OCCU . OUTLET OR MURES eA� v Ex. Occup. pUTLFT56 �Ew 5.00 i Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.0 ----' PERMIT FEE t 1- '-P -- MECHANICAL —MECHANICAL PERMIT Fling Fee 20.00 ' Heating Cooling Hood 6.50 j PERMIT FEI: S MobUe Home Installation Fee S Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ IIAZ 10. FEES I WP i F1D00 I COP I PARCa I PO ND 65UE This permit Is hereby Issued under the appkable provisions of the Butte County Code and/or Resolutions bD do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ONVNER-BUILDER VERIFICATION Attention Properly Owner: An "owner -builder'' building permit has been applied for in your name and bearing your sib, Please complete and return this information at your earliest opportunity to avoid � ae�yy in processing and issuing your building permit. No building permit will be iced niuil Ibis verification is received. 1 I personally plan to provide the ajor labor and materials for construction of the proposed property improvement: YES NO 13 2. I HAVE O HAVE NOT signed an application for a building permit for the pc+of used VM& ;. I hav: contracted with the following person(firm) to provide the proposed construction: AD SS: CITY: PHOXNE: CONTRACT 'S LICENSE NO. 4. I plan to provide rtions of this work, bu I have hired the following person to coordinnwe supervise, -and provide a major work: NAME: — ADDRESS: CM: PH0NE: CO ACTOR'S LICENSE NO. 5. I will provide some of the work b t I hav contracted (hired) the following persons to provide the work indicated: NAME DRESS PHONE TYPE OF WORK SIGNED: PROP] SOCIA DATE: iVOTF: This Owner -Builder Verification is required by Section 198.11 and 19832 oVdd California Health and Safety Code. This verification must be eompk&d acrd returned to our office before we are permitted to issue the permit OVER r OWNER BUILDER INFORMATION 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 psM of reroed onsnch a permit. Building permits are not required to be signed by property owners unless they are personally person QU%15eir 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 same. 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: s If you employ or otherwise enrage any persons other than your immediate family. and the work (including aerials 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. ♦ I f you are an employer, you must register with the State and Federal Govemments as an employer and you are subject to several obligations including'state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cam our these obligations, and these risks are especially serious with respect co worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if You wish, the U.S. Small Business Administration). For more specific information about your obligations under Sace Law, ccmacc the Department of Benefit Payments and the Division of [ndustrial Accidents. 1; ehe mcrur: is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your communiry or at 10:0 N Street, Sacramento, CA. 958 14. 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. lt�v( rely. X�, el C. Vi Ira, C.B.O. ger, Building Inspection NOTE: rhZi Owner -Builder Information is required by Section 19830 of the California Health and Safety CO& OVER � pec � �„:;t �- � � � �e 7s002zR,�-- A�� - I�� Pr�um o-, C, 9s96� ;. COUNTY OF BUTTE Oroville, Califomia GENERAL CLAIM CLAIMANT: JORDAN C:ROSSTNC: MTNT.CTRTRR ADDRESS: 7582 IRWIN AVENUE CITY & STATE: PALERMO, CA 95968 DATE OF CLAIM: 1/19/2000 IMPORTANT: SEE INSTRUCTIONS SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ()N RFVFRC= cinr_ F DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT CLER16AL ERR - - - RECEIPT #285629, DATED 1/6/00, OWNER JORDAN CROSSING MINISTRIES.) TOTAL AMOUNT COLLECTED .$332.50 TOTAL AMOUNT TO BE RETAINED $269.10 TOTAL AMOUNT TO BE REFUNDED $ 63.40 TOTAL 63. 40 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this 19TH day of JAN., 2000, at OROVILLE , Calif. -�-v✓ �� • a Cr*� 3 a� /�`�J Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or icles specified a v haven performed or delivered and that there is a Budget Appropriation I I or Specific Board Approval I I (Check one) for the same / // Dated this 1 9TH day of TAN _ , 20�Qat OROM.T.F. _Calif. �'�� Departnhent Head or Authorized Deputy Dept. Code 440-002 ExpCode 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND Dept. Code Exp. Code PAYABLE FROM FUND Det Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE.- Receipt SE: Receipt Information: .Number: w Date:- Issued ate: Issued To:� Amount: Fees Retained:. Processing Fee: $ Bldg Filing Fee: $ _ Plbg Filing Fee: Y $ Elec Filing Fee: $ w ,;;Mech Filing Fee: $ ..Energy P/C Fee: $ Plan Check Fee: . $ Inspection Fee: $ SRA Fee: Total Amount Retained ;TOTAL REFUND DUE REFUND CLAIM APPLICATION CLAIMANT'S NAME MAILING ADDRESS 7 5-5 2 /U lfyE• 0 AlLe--XInU `fs? 8 ASSESSOR PARCEL #: 12 A RECEIPT NUMBER(S) S�lo 9 Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those categories which you wish -to have refunded.) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees S Disposition of Plans: ' ( ) Plans returned to me at counter , ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE DATE Q, �1p PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. � .._ . . r. . .. !� � .. �, — � - a�+-•,•�r�,.,�S.fi.,YY,k••.-.-�►.:r..�`�-a-:,�„l{f.. y�}s,r'p��., _..Z�''�t., _ .�d-� �'; `� �i,c eosT ekuY��� o �oc� ;I Dv' I . a I I �M t li } I I 6 I it 1 � - M`yyr �i�Y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oioville, California 95965 Tel ephpne: 5�4-4541 APPLICATION AND PERMIT A ..r....,.,.�...a�...., a BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 ECA Parking Plans I Parcel Declaration parcel Ma p 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. PI-ans-Rec'd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP .2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST.OR ADONS. \ ACCLBLDGDWELING OCCUP. &) 2�Sgft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR/POWER APPARATUS &) NON-RESID. (SINGLE 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)@L�S BALCai Ex. OCCU P•(FIXED APPLNS. OR OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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. ❑ I 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 em p employ y an y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE 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 TOTAL PERMIT FEE is ,c- . y u ou uc au cnaci uNvn ule above-mentioned property for inspection purposes. Ll Date Signature of Permitee or Agent Receiot 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 OF PUBLIC WORKS By Building permit expires Date Date r 4 w K r 4 y . a COUNTY OF BUTTE — -DtPAR;MENT OF PUBLIC WORKS 7 County Center Drive — UroviIle, California 95965 �/ ��� 76 Tel epttope: 531-4541 /4t APPLICATION AND PERMIT "Uu .. . icN�cacntauvcJ UI uIe t Uunly Of t3Utte to enter upon the above-mentioned property for inspection purposes. 4Datek,— Signature of Permit orAg'ent Receipt No. _ �yy> 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 OF PUBLIC WORKS BYDate 8 76 Big permit expires Date BUILDING Owner A-17iCO S%/a hi c r L p F o d SQ. FT. OCC. BUILDING VALUATION Mailing Address %3 �� ✓Wl� 4 toe_ s7l.e�-,�•� o Telephone No. 533— 39 �S` Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address 7�&r� �jiW;,v �v� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 L Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. -- �� / -- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F SateR Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA PPla sg Declaration I Parcel Map 60' R/W I Improvements Lawn sprinkler system 2.00 BldgtR�8er3d Parcel Approval Plane Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 L A u Gti Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family E] Duplex ❑ Mobil Home ❑ Others OVER Main service AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 Ai`i OS A C /"r �, NEW CONST. DWELLING OCCUP. 8, OR ADDNS. ACC. BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE 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)@�C BAL01 Ex. Occu FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ oo 8 v� 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. ❑ I 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ O "Uu .. . icN�cacntauvcJ UI uIe t Uunly Of t3Utte to enter upon the above-mentioned property for inspection purposes. 4Datek,— Signature of Permit orAg'ent Receipt No. _ �yy> 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 OF PUBLIC WORKS BYDate 8 76 Big permit expires Date BUTTE COUNTY DEPAFgMNT OF PUBLIC WORKS SPECIAL Vii`- ECTION REPORT Owner: Address:, 7 �8 a 1 r uj v A 1, C= - Tenant: A.P. # 26-- /9/- 9 Date of Inspection e.3 Inspector Building Location: iS 8,7 a ve P9 '2 e Type of Inspection requested: / /,/1. Housing / / 2. Financing 3. Change of Occupancy to /7' 4. Other (specify) k- JRryc c - e -G 4,* w 0 - Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments• B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C ectrical Service and ground: PYa -- S_'L-,-vi c t C' (i A ,j6 2. Receptacles: 3. 4. D. Plumb in 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. comments: (continued on back) E. Other 1. Maintenance and repair: 2. Fire hazards: 3.. --Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. � -Comments • I F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits• 6. Improvements• 7. Zoning: 8. Comments• G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: _ A. Information only - file. B. Hold for ten (10) days, then write letter. C. Write letter. RZ D. Other:- i> PERMIT N0. 4607-74B P t E M k+ 'MH UTIL. PERMIT NO. 'PERMIT EXPIRES .jowNER Pentecostal Church of God CON TR. s;LOCATION (A.P. 26-19-0A ) if 7582 IrwinAve., Palermo i 4 } "l f 1 a(} y Temp. Power Pole ` Called PG&E I Temp. Elea. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB o i/ FINALED (p� b (Signature) v Setback Forms Main Bldg. Footings Stemwal l Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walla Reinf. Stee Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ILDING BUILDING (Cont'd) PLUMBING 1 Firewall Soil Pip' g\ Parapets 1 st F 16 Restroom Finish 2nd Floor Windows 3rd FI or Sidinci A To out Roof Sheathing Water PiAn Roofing Q / . Sewer Fdn. Vents Fixtures % Garage Vents Water Htr. Prov. for physically handicapped Heaters A pliances Conformance of ex. structure Gas Piping Test Temp. Gas { Final 4f Sanitation % FIREPLACE Final Footing ELECTRICAL Throat Rou h Final Fixtures FIRE SPRIN LERS' Motors . Heatinci y Service Cooling A Temv- Pole Ducts Und r round Ventilation Permanent Final Final REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center -Drive — Oroville, California 95965 Telephone 534-4541 SD APPLICATION AND PERMIT 7��l - authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X / Signature of Perrmitee or Agent Receipt No. X96 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 OF PU IC WORKS By Date ufiding permit expires Date ��... !�.� BUIL ING Owner sad SQ. FT. OCC. BUILDING VALUATION Mailing Address `1S 2 n /' Telephone No. 3 s' F i rep I ace Contractor . W e Total Valuation Mai I ing Address Permit Fee O Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ ` V �va Building Address PLUMBING No. @ I FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 / A. P. No. — / �— Q Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F SaRi-LaL�eR Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im Improvements _— Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 _J01 G/ a i4:14 a.. Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ® Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 tr C Water Heater or Space Heater 1.00 Light fixturesZ i 6;O Receps., switches & fix outlets b 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: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring •� I am exempt from the Contractors License Laws of the State of California. Permit 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. LAI 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. MECHANICAL No. @ FEE 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X / Signature of Perrmitee or Agent Receipt No. X96 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 OF PU IC WORKS By Date ufiding permit expires Date ��... !�.� a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ~ 7 County Center Drive — Oroville, California 95965 Telephone: 53t-4541 APPLICATION AND PERMIT — ...--.._-- �r•���•a-a..�� ..�, vvu iay v. vuaac au cnaci uNvII uIe above-mentioned property for inspection purposes. x Date Signature of Permitee or Agent Receipt No. y� 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 OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ,%'� r Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fde, yI W.`C.j Sam Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ J" $' NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 6001 OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Q Main service OVER 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBL GS.LING 0 CCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & _ NON-RESID. (SINGLE 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) BAL@25100 Ex. Occu FIXED APPLNS. OR P• ( OUTLETS (RESID.) EA) 2.00„ Temporary service 10.00 Mobile Home Facilities 15.00 License Na Classification Misc. Wiring 6.25 71 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ��--•- $ 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 Workmen's Compensation. 'have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F]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 N0.1 @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE $ — ...--.._-- �r•���•a-a..�� ..�, vvu iay v. vuaac au cnaci uNvII uIe above-mentioned property for inspection purposes. x Date Signature of Permitee or Agent Receipt No. y� 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 OF PUBLIC WORKS By Building permit expires Date Date ...:t 'COUNTY OF BUTTE — 'DEF RTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Tel epi tof(e: • 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ��� Date 1-2 Signature of Permitee or Agent OF Receipt Noy/ � 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 O'F"VUBLIC WORKS By '>F Date l 7--1n-7 fn ;��Illng permit expires Date /Z—/ % BUILDING Owner h SQ. FT. OCC. BUILDING VALUATION Mailing Address A r Mo I Tel hone Ny� % �� Fireplace Contractor Q G re k1 e Ile-zl I 1 vi 4 Total Valuation 9 QS/��rra ve �q r Mailing Address V r Permit Fee Plan Checking Fee&/or Penalty Tel phone No. �-O Permit Fee $ $ Building Address S1 / T /J PLUMBING No. @ FEE PERMIT FILING FEE $3.00 pp V, M 0 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. -/ Cl DGas Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. . S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. an�� Parcel Approval Plans Approval Permit Fee $ ® $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 P� Cil Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others 29 OVER 60 Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADONIS.( ACCLBLOGS.CCUP. &) 22sgft NEW CONSTR(. MULTI.OUTLET NON.RESI D. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID, (SINGLE OUTLET CIR. LTC 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 st le of: Y �4 �7 r on e_ /��QI e `�- � / L r s ?. - .b Ex. Occup(OUTLETS OR FIXTURES) BA@ L@104 Ex. OCCU FIXED APPLNS, OR P• OUTLETS (RESID,) EA) 2.00 `O Temporary service 10.00 /0�� , 6 e V.� Mobile Home Facilities 15.00 License No. 3 7 5W Classification L -2 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 11$ 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 Workmen's Compensation. I 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 , d� Heating ,ply I Cooling c PZ Sp :O Ventilation Hood s, 2.00 •• Permit Fee $ �.5.-5 Q $ 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 t S.►�. TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ��� Date 1-2 Signature of Permitee or Agent OF Receipt Noy/ � 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 O'F"VUBLIC WORKS By '>F Date l 7--1n-7 fn ;��Illng permit expires Date /Z—/ % L PERMIT NUMBER - B 374-72 j PERMIT .EXPIRES X73 OWNER Pentecostal Church of God of America owner CONTR: r :LOCATION (A.P. 26-191-8 k ` 7582 I-rwn Ave. , Palermo "v i JA �1 l S • F COUNTY OF BUTTE. ro Department 'of Pts,9li^e" Works. c ' u Y r BUILDING INSPECTION { ECORD Zoning �'7`--tib �r Setback % - �-�—� Forms �cS Foundation Piers & Girders Fireplace Rgh. Plumbing Bond.Beam Lath & Plaster Rein. Steel� �%" -7�_ Gas Piping & Test Found. Vents Framing Pimg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary. Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS Permittee Owner. Mailing Address Contractor Mailing Address BLDG. Address COUNTY- OF BUTTE DEPARTA ENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND BUILD I N G PERMIT A. P. No. Fire Zone Sanitation Plans < Zoning. Planning <_ = Fees %W.C.�� Encroachment NEW ADDITION 0 REPAIRSE] OTHER El F 0 U N 0 A T 1 0 N MATERIAL EXTERIOR PIERS Others Single Multi " Width at Top USE OF STRUCTURE Family D `Duplex E] Dwelling 0 �.Others Width at Bottom Depth in Ground SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN c , 'Girders oists- 1st Floor �v joists - 2nd Floor Fireplace Joists - 'Ceil'ing " Total Valuation Exterior Stdds Permit Fee `' y Interior Studs Plan Checking Fee &/or''Penalty y j Roof Rafters Total Permit Fee ��� Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................ License No. ••.•„......•.............. Classification................ and certify that the aforesaid license is in—full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption.................................................................................................................................................................. .................................................................................................................................................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X.............................................................................. Dace ................................ SIGNATURE OF PERMITTEE OR AGENT ReceiptNo......................................................................................................... This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By. .........!. �,;. "'.:.: - Date ................................ .................................... ........e_ Permit Expires Date,,,,,,,,,,,,,,,,,,,,,,,,,,,,;,,;,, wer Permittee Owner COUNT`S OF 6UTTE i. DEPARTM`bNT" OF PUBLIC WORKS�O—�� 7 County Center Drive - Oroville, California 95965 Phone: 533.1230, Ext. 259 APPLICATION ANO P,-L�UMB%IING PERMIT _ fi- _.(! %�/.�l"...._.o// -ry✓1�/%��.��. A.P. No. ?� Mailing Address Contractor Mailing Address BLDG. Address DESCRIPTION OF WORK NEW 0 ADDITION 0° REPAIRS OTHERS Remarks: USE OF STRUCTURE Single RESIDENTIAL Family Duplex OTHERS: Remarks: PERMIT FILING FEE Each fixture or trap or set of fixtures on one trap Repair or alteration drainage or vent piping Installation or repair water piping Each gas watei`heater or gas heater vent Gas piping system 1 -,5 outlets Multi Dwelling 0 Gas piping 6 or more - Each House -Sewer Lawn S rinkler system I }• J. a TOTAL FEE No. @ Fee $2.00 .1.50 11.50 1.50, _ 1.50 > 1.50 .30 5.00 2.00 �i a ? C,-- CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under.the name styleof................................................................................................................................................................................................................................................. License No. Classification ................ and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (sec. 7044). ©/ I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis, if any, for other statutory exemption.................................................................................................................................................................: WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity' for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 1 certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. j X 7� ��� / ��;Q� J� / 171 Date 121<4 ��% �v..�....................... ........ ............................... ..... SIGNATURE OF PERMITTEE OR AGENT % i nn Receipt No. `�' ��41t0 0 This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. ^DIRECTOR OF PUBLIC WORKS ByC'i�.�// ................... Date ....:..y-..? `�' If COUB,TY OF�.BUTTE *� ` DEPARTME•NI. OF PUBLIC WORKS p� 7 County CeAfer brive - Oroville, California 95965 PHONE: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT Permittee Owner , , _ r r J /.- r' l�.� fril / :� •-ter✓ - A. P. No. Mailing Address ) J 1 j '/ _ . , , ,�.�� j��.�-' �j,•, C_.•_,�.-�� Contractor Mailine Address BLDG. Addresss_r.�"'-�''"'"� DESCRIPTION OF WORK -NEW-F-1ADDITIONI� METER SERVICE ^' OTHERS: f % ; l ✓ .... �/ Remarks: ' t PERMIT FILING FEE No. Fee 12.00 � Supplementary Filing Fee 1.00 Main Service (12 or (more than Sub -panel less) 12) Each - Range, Dryer or Water Heater Each L00 Oven, Cook -Top or Space Heater Each -. 50 Light Fixtures g First 20 .20 Each Additional 10 USE OF STRUCTURE Single Multi Family Q Duplex Q Dwelling Q i OTHERS: /f -' Receptacles., Switches & Fixture Outlets First 20 , .20 Each Additional : 10 Hood,�Eahaust Fan or F.A. Furn. Motor "Each .50 Evap. Cooler, Gar. Disp, or Dishwasher Each .50 Air Conditioner or Heat Pump Water Pum Misc. Wiring Remarks: TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof.............................................................................._......................................................................................................._-...............................................__ License No.,,•,•••,•,••,•••,•••,•••,•••, Classification •••,,,•.••...,,•••, , and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one} 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for -other statutory exemption....................................................................................................._.._...._.............__ ...._._.. _._ .WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and This ELECTRICAL PERMIT is hereby id dthe li- State Laws relating to building construction, and hereby authorize repre- Yssueunder ea PP sentativesof the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection purposes. X rte// / �I Date DIRECTOR OF PUBLIC WORKS f SIGNATURE OF PERMITTEE OR AGENT ` C f r;� U c _ ; r. By .......................................................................... Date .... U.. Receipt No. " - { ` - ro .............h i �. r m p d r :! �I ! , r 4� 51 + e fit I r�,: I t'.�.i ' r r , "I � qtr t>� •.. �>� � Y 1+ Y y n k r((hhI � sii}r i 4r� pr r� p+� 1 r 6' p�'� ! h fY rr�t�: n 7 'i7w a it t A W � (' tl r} r 6 r Yr I �jy 1 y� 11 �IytT � ((u"ly � rs ,�"✓ :�, l �.°r Ir �� ly w I 1 �� � ' I .T 7 Y I s bYd ( s+ �Y><! I I r ..t VAwF ��A'r t� tn1 t �a �4E Mi'• �ttx �� r +'. + Y /h 1 c7.ti t1 i k' X 7 rT'� i t _ �.� , }'h 5 • , `�1� 'T'll ! Mf I ley I � +4 �1 I Itis 1 v 1 K i'N• t o r,�, �,y G.t „Y 1 i 6 t�.y S I Y' _ . - + - ri I I i - s 41 �lt 1 R�"r`a �B.�t Rr�J 1 Ly,J 4sf � r Yit 5 1 } ax,,y��i "i, f ! 1 CI X11 I i�r + y 4 t�Ft dlt P�'t~`fn Y:m�14 r� xli ry ° e V _« 1 n , It� z f 1 t Zryl�ridi�l 1��,,Y4 ��14�^�y1 ,j tt 7a� ,la x a x 1 ,1 1 I MY t �➢A '�. F�t ! 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I��r yri�w °ts fn fl fF�4t -1 t1 y ��� r tl J NEW t t'� !e I f ! r �.. 0a,k� IIAi dJ u�t i(pi I I� r+ " , 1 Y! } L 1 2 x r i I 1 ��. brx��r7 r��e� too dr�4f R� r lilt IJr �T Tlf rYhM !' wl try,�lsY:' tIto l��,!i`i �a i 1 I, I raj M lid 7 19h� !� 1a4 q ! rfluo ` f IIIIt r✓ i�pt � 7 i + t ��� �i ui y' r ( 7 1 rP1 I t ! r yq h hP Yt t lyl f + hl 1 r"� J it i y a r`, e twrQ, i y+ i{ h r � rr IiItI �r r r J i r"r r 1 � — = F., } r yl r s 1 I i ( w li 1 tit >r .YJ f i AI i �Y 4�i141, I r 1� S t, i }', 91 ,, 1 I , ` 1� ff 4. 1, 'II o� 9 4 i 4 rt i'• � �r 1 \\ a fyF A 1 a 4� yy 1 H 1 ilrR 1 ! d Y Z H h ItIIIIIIIIIIIitIIIIititICIO. i I 1 I I�- j � r fid�l1 , ,i, s� i r 141 iNi k r 1 tpl 1� I r 1 they Y 4 �. r. ak • , �1 11{ "ty AV Y(r!, � t Jri yo' Y e r, I�, �r ` I IA II f ii II r y� il( A if � kt I Y logt 1 r� d�� i C III, rut y. f h!y I wool ey lSl � M �'t �1t+ yy � ` t t � s' 1 xs, 1 r ) f I ( N 1� i ! + iy •�p � � 1 '� t n1 r �M ( r 1. i I y !• 11 1 (�� � , i Mae� Vf /Y I 1 t u yr I �: � k �'R f ,� 1.V � Ci ➢ t 1F I � � 11 V '�It l i�, fat,tG ' Nicol t 1 kl 1 i r xiu Y I r tL+ �I aik.� ! `0.n Yom"' tik•�'.. ,A.; I'd.-� t i ,tNf l r4