The URL can be used to link to this page

Home My WebLink About026-221-012Robert Dehoffy�/��/� 7712 Irwin St., Palermo Permit #1339-77B(reroof/SF) - - 26-221-12. Permit#923-85B(siding/SF) 026-22-1-012 92-3_ 50B. DEHOFF, Bob & Sharon + 7712 Irwin Ave, Palermo /p -.2a- 9a (sf/reroof=comp) CONTR: Ski led Bldrs C�j1 S=z�s I 11 -01z" s 026-22-1-012 92-3580B :.-DEHOFF, Bob & Sharon 7712 Irwin Ave, Palermo (sf/reroof-comp) CONTR:'Skilled Bldrs �'�'w!'++'v,=+fir>�'a�Y,*,i��SN�'^'-?k�"T��`^'i�"f,x.' s.�,�.,_v r ,',�,1 :;,'_ �.i�}�'��:,iii,'�+�{itk:.,�J�,7K+�`I(�IQir. Ry'�,#te'•�` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND -PERMIT ASSESSOR PARCEL NUMBER 026-221-012 ZONING -' U BUILDING PERMIT OWNERBOB MD SHRON DEHOFF TELEPHONE SQ. FT. OCC. BUILDING VALUATION 22 1320 - Rif y i , PAL�f:�IV �1V t CA 95968 O WN E R,�gqS_�SS,y99j RRL e,ls �+�p�.,� � C O N T RftiLl:�i/ ARLDERS E L� T S CONTVC6.MfAJrA�IJ*10,CA 98968 PA1.��ij'� Fireplace CONSTRON LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee 3 28, 50 ARCHIJkWR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty I>!'r •rp �� t� n BUI L D I" 1`J D11\►71N AVE., PALMM /! Permit fee !$ �^ $ 43.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Sola or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Wffe piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE r� SF 9 Duple.[-] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other A Describe work: RER00F W/ CSP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ) ® I am licensed upder>_ provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No!?�4.C1`-1 Classification 16 F] 1, I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ i am exempt under Sec. , Business and Professions Code for this reason Main service 20CATO 1000AI 37,50 NEW CONST.• / DWELLING OCCUP.&) OR ACDNS, ( ACC. BLDGS. // 3.6Q sq.ft. NO N•RESID NEW R. BRANCH CIRCUITS @ 5.00 (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d Ex. Occup. OUTLETS P(RESID )FIXED APLNS.R I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. IZrl I shall not employ any person in any manner so as to become subject !� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Coolin g Hood 6.50 Ventilation Permit Fee $ Contractor 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilit.�es, judgments, costs, and expenses which may in any way accrue against sai County incopse enc of the granting of this perni . Date- sig ure of Applicant — Owner ❑ gent ❑/ �+° ❑ Contractor OSHA permit is required for, excavations over 5'0" deep and demolition or construct- ion of structures over.3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 43.50 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the sions of i utte Coun Code an ed ate' which work 7DIRF UB By PE T EXPIR Date applicable provi- 0resolutions to do ave been paid. ORKS Date 10/8/92 10/8713 Receipt No. WNITE•D. P.W„ YELLOW -ASSESSOR, PINK-IN5PECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. —�V ASSESSOR PARCEL NUMBER 026-221-012 Z ONING ,a U BUILDING PERMIT OWNERBOBAND SHARON DEHOFF TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7712 IRWIN AVE., PALERMO, CA 95968 22 1320 CONTRACTOR'SNAME T.�i33P�5 CONTRACTOR'S MAILING ADDRESS P 0 BOX 526, PALERMO, CA 95968 Fireplace CONSTRIbRON LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 28.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ - Penalty $ BUILD17712DIRWIN AVE., PALERMO Permit fee ' $ 43.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF 3 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other® Describe work: REROOF W/ COMP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 1 8. 50 Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1`00�1 Jqf I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License Nq�.15:9f Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) E:1I, as the owner, am exclusively contracting with licensed cont ors. ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OCCUP.8d) NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS. / 3.6Q sq.ft. NEW CON5TR ULT'.OUTLET NON-RESID BRANCH CIRCU ITS @ 5•00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS PIR ESID IRE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 5Q I shall not employ any person in any manner so as to become subject d-- to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iiabili 'es, judgments, costs, and expenses which may in any way accrue again ai County incans enc of the granting of this perm'. Date g �— $' ure of Applicant — Owner ❑ Contractor ❑ Agent ❑ OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3st ries in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ 43.50 HAz I DFEES I IMP FLOOD I CDF I PARCEL I PO I HD ISS This permit is hereby issued under the Code ar work di ed which sions of Buti-9 DIRF UB At PE EXPIR S Date pplicable provi- o esoluti0ns to do ave been paid. ORKSBy11 Date 10/8/92 10/8/93 Receipt No. WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ".-_> 0.2-. 1 ZONI G BUILDING PERMIT OwN r n TELEPHONE SO. FT. OCC. BUILDING VALUATION OW 'S ILIN DDRESS rKJ' U. er `�'S CO A R• NAME ' � u e rs TELEPHON CON RACTOR'S (LING ADDRESS //,� �®- O 02 �/'/iI'1 'Z Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILD[ G DDR 55 14 Permit fee $ 1r PLUMBING PERMIT Filing Fee 15.00 Each Trap 15.001 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFW Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home I S I G JW 1 @ 15.00 TYPE OF WORK New❑ Addition❑ ode l❑ gilities❑ Inst atibn❑ Other Describe work:�I�Qf`�9 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ) I am licensed under provisions of Chapt. 9, Div. 3 of the Business -1�21 and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered ❑ for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main service 200ATO10o0A1 37.50 NEW CONST./ DWELLING occuP.B\ 3.64 sq.ft. OR ACDNS. 1 ACC. BLDGS. / NEWCONSTR ULTI.OUT LET NON.RESID BRANCH CIRC ITS 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 76d R EX. Occup. OUTLETS PRESID >FIXED APLNSORE A.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 91 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Coolin g Hood 6.50 Ventilation Permit Fee $ Contractor 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 or Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES I t HAz I DFEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 'amu �„vrrc � �...�-a..- �.�.....-+�.-.,,�,:,•�«swnt;:..j�-�...,,.� v-..:..r -.-. .. •_.ti..... _ �... � 1 c Permit#923-85B � A Robert DeHoff 7712 Irwin, Palermo f t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION A IPERMIT ASSESSOR PARCEL NUMBER ri ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ C ' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ! r BUILDING ADDRESS n I r ' ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S1 G W 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other ❑ Describe work: f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUR.&` OR ADDNS. l ACC. BLDGS. / 21/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS & NON.R ESI D. SINGLE OUTLET CIR.` / Ex. Occup(OUTLETS 20@50C FIXTURES BAL@30 FIXED APP D APP LNSOR Ex. Occup. OUTLETS (RESI.D.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X - `� I Date ` — "ract' or ❑ Agent ❑ Signature of Applicant Owner Cont An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ (" OCCUP. GROUP I TYPE of CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By f PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ rDa to Receipt No. - : , • WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. _ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 9_ APPLICATION AND PERMIT ASSESSO PARCEL NU BER / ZONING BUILDING PERMIT OWN RIO rfi TELEPHONE s -/ SQ. FT. OCC. BUIL NG VALUATI N OWN�' M I CG AD SS �, 1A) I Lie e CONT- ,nCTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LEN E 'S MAILING ADDRESS Permit Fee $ �d ARCHITE T OR ENGINEER ' h.7 LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS T PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 i Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New Addition El emodel Ut'lities❑ Installation❑ Other EJ Describe work: sMain Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 service 10000 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. I 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON-RESID R BRANCH CIRCUITS 2.50 ea NEW CONSTR. / POWER APPARATUS & NON-RESID. %SINGLE OUTLET CIR. Ex. Occu 20@50C p�o OR FIXTURES BAL®30Q FIXED FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. otice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. Iso agree to save, indemnify and keep harmless the County of Butte against rall ilities, judgments, costs, and expenses which may in any way acprue g in s i CoundSriTrce equence of the granting of his er Date 1 Signature of Applicant — Owner ❑ Contra or ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ qC , OccuP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ECTO O UB By PERMIT PI RES to the applicable provi- resolutions to do fees have been paid. C WORKS to Receipt No. �J WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION 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. I personally plan to provide the major labor a d materials for construction of the proposed property improvement (yes or no), 2. I (have/have not) "2'1-V CI_ signed an application for a building permit for the proposed wort. . 3. I have contracted with the following person (firm) to provide the proposed construction: Name - Address City Phone Contractors 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 Contractors 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: J Property Owner G Social •S� r _:ray Date ^� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. PERMIT NO. 1339-77B PERMIT EXPIRES Oma_ DOWNER Robet Dehoff °CONTR. owner LOCATION (A.P. 26-221-3 port. 1 7712 Irwin St., Palermo r I • j I 1 . r ( r ( Temp. Power Pole 1 Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. 3 Called PG&E YFINALED (Date or (Sign ure) r Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings CQUNTY,OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BKLDING BUILB•11G (Cont'd) PLUMBING Firewall Parapets Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents t Garage Vents Insulation Prov. forph sically handicaooed Conformance of ex. F FIREPLACE Soil Pipirkg 1st Floo 2nd Floor 3rd Floor To out Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & T Temp. Gas Sanitation Final ELECTRICAL Bond Beam I 1 I I FIRE SkRIFIKLERS I Motors I \ Framing 1 Test Water Htr. Stucco Final Subpanels Mesh MEC CAL Grd. Fault Prot. Scratch �. Heating Service Brown Cooling Temp. Pole Finish ) 4 Ducts Underground Interior Lath Ventilation Permanent Door Closer } Final Final MOBILEHOMEUTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping / MOBILEWOME INSTALLATION - . °- - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above- tioned property for inspection purposes. X Da� �e2 Si nature of Perrm/m''itee or `Agent Receipt No. 14,0 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. DIRECT F PUBLIC WORKS By Date J—yz —'Z7 wilding permit expires Date 3 -Z -L'" -7 BUILDING Owner T SQ. FT. OCC. BUILDING VALUATION ® O Mailing Address S�Gli y 'K-11-116 Telephone No. 71 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ P ` -/ -� Building Address %�� sy PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 O Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. J Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 W41 4ell Sattt+ft"n 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 BI�g�P}vne-Rord Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Q Main service 100 AMP OR1 OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service/ EA. ADD'L 100 AMP 1.00 NEW CONSTNG OR ADDNS. ( ACCLBLDGS.CCUP. &) 22sgft 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 st le of: y Ex. Occup(OUTLETS OR FIXTURES) BAL 104 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 ftA r 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. '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$ authorize representatives of the County of Butte to enter upon the above- tioned property for inspection purposes. X Da� �e2 Si nature of Perrm/m''itee or `Agent Receipt No. 14,0 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. DIRECT F PUBLIC WORKS By Date J—yz —'Z7 wilding permit expires Date 3 -Z -L'" -7 Air FIRE DIRECT UI{l)i It 111.1311 -1 . I.IGI I I NIIJG , REPORT} "l it (. H U VdGIUI Fr( A S FART 1vto. I of ,QP i IHi 11ARA tk H (� ARE NATAL • iy REV 1...70 IIIc ,� I n U I I IM -� � �, oz COUNTY ❑ RECREATION LOCATION (CDF Direct P.A.) s1 RESPONSIBILITY (AT ORIGIN) n ❑ U111.11Y. RAILROAD LOCAL ZONE C.D.F. 10"vvJSI1tP X f,, RANGE r J L S ❑ S —� ❑ W — l � tar►, �.� ��i cl%c pAr[ YAH GUl1Nf( _ !> P f Mit ES DIRECTION [)FROM IN NTL. FOREST, FIRE DIST., dry & STREET NO., ETC.• °CAUSE (Starts In CDF Direct Protection Area only) DIRECT STATUTORY . I.IGI I I NIIJG RESPONSE TYPE : P ST OGENCYT0 t0 OPROTECTION 0 ACRES.BURNED (CDF Direct Protection Area only) CT P"A yY-1 rltir ❑I ALSE Pa ARM L. STATE ZONE DISTRICT (� Si'AT( RESPONSIBILITY -�• ACRE C ESB RN Lj RANCH-FARna LOCAL (Contract) COUNTY ❑ RECREATION LOCAL (Non -contract) s1 RESPONSIBILITY (AT ORIGIN) n ❑ U111.11Y. RAILROAD LOCAL ZONE C.D.F. <� �- B.I.A. °CAUSE (Starts In CDF Direct Protection Area only) DIRECT STATUTORY . I.IGI I I NIIJG PROTECTION I RESPONSIBILITY (I ARSON MISCELLANEOUS , 00. F1 STATr: ;if ot,r STATE ZONE DISTRICT (� Si'AT( RESPONSIBILITY -�• F1 CrrY Lj RANCH-FARna LOCAL (Contract) COUNTY ❑ RECREATION LOCAL (Non -contract) U.S.F.S. ❑ U111.11Y. RAILROAD LOCAL ZONE a B.L.M. : <� L.00!%..Contract) B.I.A. I UCAL (Non-contrast) N.P.S.• Q FEDERAL ZONE EJ OTFiER FEDERAL U MISC./OTHER OTHER °CAUSE (Starts In CDF Direct Protection Area only) 5 ' # . I.IGI I I NIIJG I I. DEBRIS (� PLAY W/FIRE CANIIII lI;L (I ARSON MISCELLANEOUS , 00. I) EOUIPIAEN r + 00. DWELLING WOR CONTENTS .� I RUCTURES WOR CONTENTS .)trier ) �Sn-lOKlnlc PROPERTY USE (Starts in CDF Direct Protection Area only) }� hUrALSTIC EJ UTILITY, OTHER Lj RANCH-FARna ❑ FOREST INDUSTRY L�.I)U1'v1P ❑ RECREATION ❑ ROAD ❑ OTHER INDUSTRY -COMM ❑ U111.11Y. RAILROAD ❑ AILDLAND Fl U ILII Y. I L ECT fl NnN Wit t)t ANF) DAMAGE (CDF Direct Protection Area only) 7 1 IMBER VOR YOUNG GROWTH # $ DAMAGE %`<< $ 00. WILDLAND VEGETATION ;i rcept limber & Young Growth) , 00. AGRICULTURAL PRODUCTS Ir:+cept Tm,ber F. Young Growth) + 00. DWELLING WOR CONTENTS .� I RUCTURES WOR CONTENTS .)trier ) , 00. 00. VEHICLES & CONTENTS PROD 00. '01HER 00. a VEG; C.D.F. D.P.A: TYPE ACRES BURNED TIMBER WOOD ;LAND BRUSH i GRASS AGRI. PROD TOTAL 8D STATUT. RESP, OF C.D.F. D.P.A. ACRES BUANED STATE U.S.F.S. B.L.M. B.I.A. B.O.R. OTHER FED OTHER UN AKKIVAL (GUI" Uirect Protection Area only) . VEGETATION FIRE., ' 94 OTHER (GOTO tU ). ) ' SIZE DISTANCE (Origin to hears) I : AC. a ' FEET WEATHER (Est. at scene) I t WIND DIRECTION FROM �; TEMPERATURE t M.P.H. 'F 14 Over please k. + Im s � r fV C 7CA11'`j(�if, Al ;ria'