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HomeMy WebLinkAbout027-100-011-\ Til, /• \ _ .- .- � - _ �. '-"ti-•fir` _ r .7�� \. 27-10-41 CHARLES JONES � 7592. Reservoir Rd Oroville __. ... _ _._._._,;,......�..., r Contr: George.Roofing Permit#1720-86B(reroof/SF) 27-10-11 ! s� 4 Permit#4019-87E(ele ser.ch/SF)Z­- _ _ i a; j 5027Z,100LO i` t3�bs tail is 03-'1248' e Y` EVANS WILLIAMFJOkES .} f� Iiarles R.• + { 7560 RESERVOIR ' LE . `�Cont'�WHEELER JOHN i sr F� -10WOODST6VEINSERT� ,,�,;�,���}`�,E? reer Ave:'•South of Reservoir Road 1/4 iii es4r;, Palermo 1 F II 4 i JONES, Charles R. I 1764B - RENEWAL' B 1545P,,;+ i . 2nd' RENEWAL- 1983E .,,: ; Y ` 7-1 - '�. { Greer Av south -Reservoir Rd., Palermo C�\S Y 1 r c Permit#1720=86B Charles Jones r� 7592 Reservoir Rd, '� vl • 01 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS a 7 County Center Drive - Oroville,Caliiorg)a 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER "r i> -K ff ` — t-'. ZONING BUILDING PERMIT OWNER• Charles Jones TELEPHONE 53?- 2475 SQ. FT. OCC. BUILDING VALUATION , 777 OWNER'S MAILING ADDRESS 7560 Reservior Rd. Orovil6e CONTRACTOR'S NAME lsborce Ronf cr TELEPHONE 5�^ .TIQ3 CONTRACTOR'S MAILING ADDRESS 3921 Clive Hiahw v Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7592 Rt -s^ v RV -1. Orovillp Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Roofincf _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full e�.rr force and effect. License No. �S2?�6 ClassificatioI l `3T/ ❑ 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. , Busine�s and Professions Code for this reason NEW CONST. DWELLING OCCUP.. OR ACDNS. ACC. BLDGS. r h2sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ( EX. Occup\OUTLETS OR FIXTURES 20e50f DALO 30 Ex. Occup. OUTLETS FIXED P(RESID )KEA.) 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. ❑ 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. 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. 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 June 19 . 198( Signature of Applicant — Owner ❑ Contractor ❑ Agent Q 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �4 OCCUP. CONST.TYPEJ FLOOD PARCEL PD RD S9UE 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;PUBLId W&RKS BY !"�YI���1��f• r ^Date PERMIT EXPIRES Date - Receipt No. WMITC-D.P.W., YELLOW -A58 C7 SOK, PINK -INSPECTOR, GOLDENROD -APPLICANT " COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS PERMIT NO. r, 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSO=P�R EL N BER ZONING BUILDING PERMIT OWNER Charles Jones TELEPHONE 533-2475 SQ. FT. OCC. BUILDING VALUATI N OWNER'S MAILING ADDRESS 7560 Reservior Rd. Oroville CONTRACTOR'S NAME George 1533-6393 TELEPHONE CONTRArTDR.A%49ARESS 3923 Oliv Highway Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking .Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [2 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other © Describe work: Roofing _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOV OR LE 100 AMP ORSLESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 452266 Classification C-39 ❑ 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.s , OR ADDNS. ( ACC. BLDGS. /20sgft NEW "E S, D. RANCHUTLET 2,50 ea NO N.R ESID BRANCH CIRC ITS (POWER APPARATUS 6) ,SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 300300 eAL030 R Ex. Occup. OUTLETS ((RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 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. ❑ 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 10.00 Heating Cooling g Hood 3.00 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. 1 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. %� Xsr ori Date ,Time 1 9 19 8 Signature of Applicant — Owner g pp 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYP! FLOOD PARCEL PO No MSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which By //2IRECO UBLI P XPIRES Date the applicable provi- resolutions to do fees have been aid. P IRKS ate Receipt No. / WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT F:.war•,rr„ny�y-�s,:,,'4'•'.•ter.--..tet--•_.,.;>--7'.7 '.. 4 -1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL ING DIVISION / 7 County Center Drive • Oroville, California 95965 • Telephone (53 538-7541 �/� '► 6 (Rev. 12/96) APPLICATION AND PERMIT 7 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER T TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ern HnF,1VOTA CONTRACTOR'S NAME 117' . TELEPHONE CONTRACTORS MAILING, ADDRESS CONSTRUCTION LENDER -i; LENDER'S MAILING ADDRESS Fireplace YT,, Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS K30,--� NXJ,}; ��- Energy Plan Checking Fee $ PERMIT FEE $ 5 r� LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each 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 W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,NRO�,o and my license is in full force and effect. License Class /. i = / / Lic. No. �� f 'i % 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 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-insuranf a carrier and policy number are: Carrier S '. 1. " ra �f Policy Number 9- ] ,? / - J (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith complywith se provisions. X l v'r/A ✓ _ Date ` `.� / ✓ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 storie 'n e�IgPit. �f i Main Service 46. 00 NG CCU000A NEW CONST. DWELIJNG OCCUP. SO DWE200ALLING SO OR ADDNS. ( & ACC. BUDS. 3.5QFT. MULTI.OUTLET @7,50 POWER APPARATus 8 SINGLE OUTLET CIR. 20 Ex. Occup. OUTLET OR FIXTURES BAL 0 .50 Ex. Occup. DFIxDT A p ORE., 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLooD _ CDF PARCEL PD HD ISS This permit is hereby issued under the applicable provisions of the Butt -County Code and/or Resolutions to do work indibpted above r whi h fees have been paid 1 / ���� i B .. jjj / Datr!!!. ��/1 r� 4' PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.-971). CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . •e ` COUNTY OF BUTTE - DEPARTMENTOFDEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev.12/96) APPLICATION AND PERMITta I ASSESSOR PARCEL NUMBER 027 109 911 ZONING BUILDING PERMIT OWNER . EVANS TJ TAM TELEPHONE 534-6098 SO, FT. OCC. BUILDING VALUATION . OWNERS MAILING AD RESS 7560 RESERVOIRCA 9596 R CONTRACTOR'S NAME % TELEPHONE CONTRACTORS MAILING ADDRESS 0WAqLLE CA 95966 CONSTRUCTION DER LEN7 LENDER'S MAILING ADDRESS It Fireplace tl �� 1,500 Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDINGADDRESS 7560 RESERVOIR, PAT FRIVID$ Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping Each as water heater or vent TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: `,]j���=� INSERT Gas piping stem 1 - 5 outlets Buildingsewer JAI Mobile Home S G W PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 0." ORLESS 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, ( 9 ) and my license ISI full force and ffect. { (v� License Class /!. LIC. No. S O / J� J OWNE -BUILDER DECL RATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P hY P 1 TY P Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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' ompensatiorsuran a carrier and policy number are: Carrier ��/� )� f / 4F/_ Policy Number 236 S11 — Df- (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith 3omply wit provisions. X Date���'�� Sign, re of Appli ant - ❑ Owner ❑ Contractor ❑ Agent An SHA permit is required for excavati s over 5'0" deep and demolition or construction of structures over 3 storie 'n ei Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. so OR ADDNS. ( 6 ACC. BWS. 3.5¢FT, NEW CONST. MULTI.OUTIET NON•REs10. @7.50 POWER APPARATus 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FDCTUREs B00 AL @':5050 Ex. OCCU FD(ED APPINS. OR ounETs REs10. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF pARC0. pD HD ISS This permit is hereby issued under the applicable of the Butte unty Code and/or Resolutions indl ted o e f r whi fees have been By Dat PERMIT EXPIRES ON provisions to do work paid. to Receipt No. WHITE-D.D.S.•-CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT =%-i,+..,: '.,: ✓.�i!""�."�,.2✓'3 -.-� —,.... ���.�, y ��\1-Fiu" �'-^-:1.r,'+,.�>J•3',-��/'V,,,.r, _"'�.1 .^. w..+w-,a,_.,.,1,,,.•,.";-n-,"� �NL1 �-^-�. ^.,�-,; ,,—•,- ,.r "' Permit#4019-87E CHARLES JONES 7592 Reservoir Rd, Palermo COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • ..7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL. NUMB R ZONING BUILDING PERMIT OWNER s /(j'�' / .YI T{ELgEJPHOjNE SQ. FT. OCC, BUILDING VALUATION- OWNER'S MAILING ADDRESS ' xM < - in i �i1 Irl/ )/% E CONTRACTOR'S NAME TELEPHONE - CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing g Fee' $ 10•00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Xln h LICENSE NO. Plan Checking Fee $ Energy ecg Ener Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �(tsP t/ iY Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ►'il Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 1 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other Ek SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W 0.00ea TYPE OF WORK New❑ Addition[] F)1 odelUtilities Installation❑ Other Describe work: 0 Cr SI F 4 -' 06 Aul Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OV OR LE 11000 AMP ORSLESS 10.00 • /X, Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Q 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 CONST. DWELLING OCCU1.81) +/zQsgft OR ADDNS. ACC. BLDGS. NEW CONSTR.U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC I S POWER APPARATUS e SINGLE OUTLET CIR. z00500 Ex. Occup OUTLETS OR FIXTURES 1..L. 30t FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6Yirin 15.00 g �.S Permit Fee $ V,4.liei 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. ES 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. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 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. 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. I l 7 �j� g X ' - t -h �� ! /` Date / Signature of Applicant — Owner ElElElAgent ❑ 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ / Occup -1 CON3T.TYPEJ ISCHOOLIrLI)ODIPARCELI PD NO 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,9which free %have been paid. / i;DIRECTO�ifOF PUBLIICWORKS /� 1 By// AVII `2Z;�Zate ri1� V/ 14 Il�� PERMIT EXPIRES Date ! Sj Receipt No. (/ / (! WHITE-D.P.W.. YELLOW-A3e ES30R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATI�4 AND PERMIT ER�MIT NO. ASSES O PARCEL NU����11118 R J _ i ZO .N BUILDING PERMIT w +, TELEP oNE SO. FT. OCC. BUILDING VALUATION NER'S MAI ADDRESS V [ �9 [C�:, TR C OR'SNAME TELEPHONONTRACT'S ORO MAILING ADDRESS - Fireplace CONST, UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ -BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 t? yno Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF% Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G V0.00ea TYPE OF WORK New ❑ Addition❑ �eTodel� utilities Installation❑ Other Describe work: �Gr �` C QO ( Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW - I declare under penalty of perjury (check one): El- 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 CONST. DWELLING OCCUP.y) y2¢sgft OR ADDNS. ACC. BLDGS. NEw CONSTR BI.OUTLETRC TS 2.50 ea NON-RESID .RA C CI POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 200030 SALO 30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 i Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is,for $100.00 (valuation) or less. ❑ 1 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 Y—^ 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.- 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. 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 consequ nce of the granting of this permi X Date Signature of Applicant — 0 r ❑ 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Oceo P. CONST.TYPc ISCHOOLIFLOODIPARCFLI PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work in above for which IRE PUB B PE IT EXPIRES Date the applicable provi- resolutions to do fees ave been paid. ORKS Date a 414�Z3�7_ Receipt No. ?61 WNITE-D.P.W., YELLOW -ASB LSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DepartmVt of Public Works 7 County Center Drive, *Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 . 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 and materials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 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: Property Owner A— . Social Security Number Date 2 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.