HomeMy WebLinkAbout030-110-065030-110-065 PERMIT#95-2883
FRAZIER, Robert
1553 Grand Ave., Oroville
Cont; Burl Woodward
Repair Fire Damage/SF
030-110-065 PERMIT#95-2916
FRAZIER, Robert
1553 Grand Ave., Oroville
Cont; Burl Woodward
Add'1 Val for Fire Damage Repair/SF
030-11-0-065 97-2499 B
FRAZIER, Robert
1553 Grand Avenue, Oroville
(comp. 95-2883 & 95-2916)SF
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030-11-0-06597724
99 B
FRAZIER, Robert
1553 Grand Avenue, Oroville
(comp. 95-2883 & 95-2916)SF
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41 COUNTY OF BUTTE- DEPARTMENT OF- DEVELOPMENT SERVICES -BUILDING DIVISION
„ 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/9,6) APPLICATION ANUPERMIT
ASSESSOR PARCEL NUMBER
030-11-4-065
ZONING
BUILDING PERMIT
`
• OWNER--
i" ROBER PSCMER
TELEPHONE
SO. FT. _ OCC. ', � BUILDING VALUATION
��•••~
,,r �
DOWNER'S MAILING ADDRESS
1553 GRAND.iAVENUE LOROVILLE 95965
t1CONTRRAdTOOR�',SINAgMEEj `
17U1SLr 'AWAU
li 4 \
\,
TELEPHONE
.
'
$ _
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
NNE i.
Fireplace '
LENDER'S MAILING, A06RESS Z f
Total Valuation $
ARCHITECT OR ENGINEER-
NONE '
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS'MAIUNG ADDRESS _- -
7. r . �.-
Plan CheckingFee-
$
BUILDING ADDRESS
ND AVENGE OROVILLE •�
1 53 `*
Energy Plan Checking Fee
$
$ T-
r f
PERMIT FEE
$ , r
LOT NO.
SUBDIVISIONS NAME
•
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
.�� USEOFSTRUCTURE
f* Duplex ❑ Mobilehome ❑ Other
K: 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 O Installation ❑ Other [X
Describe Work: LETION OF "RR STARTED UQE1'95-2$83
95-6" '�-�
Gas piping system 1 : 5 outlets
Building sewer
15.00
Mobile Home IS Gi W
@20.00
PERMIT, FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
..-_ EOOV OR LESS
Main Service zooA oR LEss
24.00
nG
LICENSED' CONTRACTOR'S'DECLARATION
I.hereby affirm under penaltyYof perjury�that�'1 amlunder provision's' Chapter-
i i
9 (commericirig wth Section 7000) of Division;.3 of the Business,�and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
' --. OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the: following reason: 1ti
Lu I, as owner of the property, or my employees with wages as their sole compensation, '\ o
will do=the work, and the structure is not intended or offered for sail
❑ 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 ,000A
46.00
NEW CONST. DWELLING OCCUP.
•OR NS. ( a ACC. BLDS.
so.
3.5¢Fr.
NEW Cicensed
CONST. MULTI-OUTLET
NON-RESID. .• ANC U
. @7.50
4' POWER AP'T CS
dd a sINGLE OUTLET aR.
Ex. Op. . OUTLET OR FIXTURES
zo p r.00
BAL @ .SO
FIXED APPLNS. OR
Ex. Occu . ouTLETS RESID. EA
t5.60
Temporary Service
23.00
Mobile Home Facilities
20.00 '
Misc. Wiring
23.00 '
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty'of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'—Cooling
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued. I
❑ 1 have and will maintain workers' compensation insurance, as required by Section
1 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
Hood
46.50
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,1e_ss.)t
_Al certify that in the performance of the work for which this permit is i3sued, 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 �,__ / _ - ti/ + �`� nn 1 ��___ Date
Signature of Applicant t ❑ Owner ❑ Contracr �fAgent
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 5 UU
TOTAL FEE $ .
HAZ.
I D. FEES IMP
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I CDF
PARCEL
PD
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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 //A T ;
PERMIT EXPIRES ON //��y /� g
Date
ReceiptNo.2.,3 13
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
CORRECTION NOTICE
7- ,;2YF7
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date / 9 '� Inspector.
REV 10/9
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
CORRECTION NOTICE
t -I' cc , f ?7— ,�-y,?9
OWNER PERMIT 0.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
7) L)t C..It-r
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Wa11
Date
-REV 10/92
/ - f I
rA/GY a C, ,— 14 +eco -ft's
spector
jeu5!5 -e
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541 `?
CORRECTION NOTICE
'OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
6
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da,4--Q,Jt /0&:511f7 Y.
1
157
Date oZo In
.REV 10/92
t A
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville', CA - (916) 538-7541
CORRECTION NOTICE
- 20 037
OWNER PERMIT NO.
f
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this off' e immedia ely. j
,�-G �c7 �' GC�2. _ moi' G ¢ /--F f D ✓ Lci�l/-l1.t
F
1- 9 f
0 C� a• -t 1,V & � c b- ,' , . (/ v I I�
Date /'V// --3A77 Inspector
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE G
c;254F2
R PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
,. cv AQ 16 oec����vi�
REV 10/92
I
030-110-065. PERMIT#95-2916
FRAZIER, Robert' '
1553 `Grand Ave., Orov'ille
Cont; Burl Woodward
Add! 1 Val for„Fire Dama e
g Repair/SF
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OFFICE COPY
Address
GAS "�
Meter By DatQ����'�_�
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES.- BUILDING DIVISION
7 County Center Drive - Oroville, :California 95965 - Telephone (916);''538-7541 PERMI N .
APPLICATION AND PERMIT :
ASSESSOR PARCEL NUMBER p /.. •
030-110-065• )
ZONING
{J V
BUILDING PE
MIT
�11r
OWNER , ROBERT FRAZIER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
1553 GRAND AVE OROV,11LE 95965
HTR 3,620.00
.
CONTRACTOR'S NAME ,
BURL WOODWARD
TELEPHONE'
846-6707
i
CONTRACTORS MAILING ADDRESS '
Fireplace
UNKNOWN.
CONSTRUCTION LENDER NONE
NONE• •,� r
LENDER'S MAILING ADDRESS
Total Valuation $
Filing Fee
$ 20,00
Permit Fee
$ 63.00
ARCHITECT OR ENGINEER
�oj�s,
UCENSH NO.
PIan Checking Fee
$
; 'Energy Plan Checking Fee
$ -
ARCHITECT OR ENGINEERS MAILING x
r;.:. '
Penalty
$
BUILDINGADDRESS c I.'y zL•'"il� i �..•; ,
1553 GRAND AVE
OROVIL,LE. 95965: ` < ;i!' n.;
: . ., `• PERMITFEE
$ .00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LAT NO.
SUBDIVISIONS NAME _ ii:
'PARC{. jMAF
Solar or heat pump water heater
.'23.00
i
USEOFSTRUCTURE. ' .;�;
_
SF ❑C Duplex ❑ Mobilehome ❑ Other '
R
Water piping
15.00 1
Each as wafer heater or vent
g
{ 15.00
Gas piping 9 in system stem 1 - 5 outlets
15-00 •
SPECIFY A; '
Building sewer
1-5:00•
TYPE OF WORK r�tY0383)'
New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallaticIA' ❑ Other ❑X "•
Mobile Home S` G W
@20.00
Describe :Work: ADD#L VALUATION 1;9C*'E E DAl Ar E yS` ,
(NEW - & ..A/C " & RATE WATE�t.
c ,
PERMITFEE
$ 50'0
LContractor
\,EIEC RICALPERMIT
Filiri Fee 20:00
t
e00v OR LESS
Main Service ( 20 A OR LESS
23.00
Main Service ( 200A TC5 1000Ak
46.00
,
-
t LICENSED CONTRACTOR'S' DECLARATION - '
I hereby affirm under penalty of perjury that I am licensed under provisions f Chapter
NEW CONST. DWELLING OCCUR1 SO.
OR ADDNS. ( 8 ACC. BLDS. �) L t ` 3? 5(t FT.
NEW CONST. MULTI -OUTLET
NON•RESID. ( BRANCH CIRCUITS
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. tj
License Class, ; Lic. NO. 4 g t:
* OWNER -BUILDER DECLARATION r `
I herebyaffirm under enal of perjury that I am exempt from the•Contrectors License
P tY P 1 rY P
( POWER APPARATUS
8 SINGLE OUTLET CIA.
•
Ex. Occup. ( OUTLET OR FIXTURES
en0 @"I.0 !
FIXED APPLNS. OR
Ex. Occup. (OUTLETS (RESID.) EA %
' 5.00 i
Temporary Service
23.00
Law for the following reason: it - .�`
❑ , I, as owner of the property, or my employees with wage's as their sole compensation,
`'will do the work, and the structure is not intended or offered for saltily
Mobile Home Facilities
20.00
Misc. Wiring
23.00
❑ I, as owner of the property, am exclusively,contracting w401i8ensed.contractors<
PERMITFEE
$
to construct the project.
❑ 1 am exempt under Sec. Business and Professions bode for this
reason N %
'Contractor
WORKERS' COMPENSATION DECLARATION r
1 hereby affirm under penalty of perjury one of the following declarations: I'
MECHANICAL PERMIT
Filing Fee 20.00
Heating SPLIT SYSTU4
15.00
❑ 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.
�yl I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which.this per is issued.
My workers' compensation insurance carrier�nd poli y number ar'
Carrier �p� e 44 NI
Cooling
15.00
•
Hood
6.50
Ventilation
L PERMITFEE
$ 50.00
Contractor
TM
Policy Number f-r4/)n - Q—
Mobile Home Installation Fee
$
(The above sections need not be completed- if the permit is for work of a valuation
of one hundred dollars ($100) or les`s"�
Energy Inspection Fee $
Occ r
CONST. TYPE
183.00
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
HAZ.
I D. FEES
IMP
I FLOOD
CDF PARCEL I PD HD
1
ISSUE
workers' compensation provisions of section 3700 of the Labor Code, I. shall
11
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.
jj �eg
BYDate
PERMITEXPIRESON
/ o.,
forthwith comply with those provisions.
J 0 f r
X /�1 11voo✓70I&I64— Date y 1_1(12 / ii _
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 stories in height.
Receipt No. / / :4 �
WHITE-D.D.S.-B.D. ' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
..v„y i.'?.'«�;jil'.'.�+''�'��s:.;.: _ i. - •^cys• 'iFso-;tvliy'r3 {':. ! n�a+.- . y�„•., ..
iii' ..; .•;, ;030.=1'10-0.65 APE -,MIT#95-2883 .
FRAZIER, Robert
1553 Grand Ave.,4Oroville
Cont; Burl Woodward
Repair ire Damage/SF
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v 4 _ S
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING: D I`SI.ON
7 County Center Drive - Oroville,' California 95965 - Telephone (9 416) 53&541 PERMIT No.
APPLICATION•_AND PERMIT - ;.._t' a 957
11
ASSESSOR PARCEL NUMBER _ .r..1 , ..,
;030-11-0-065
ZONING
BUILDIN`G'tPERMIT
Ow"E"s �
ROMT F6ZIER•`
TELEPHONESO.
FT: 06�Gi BUILDING VALUATION
r'OWNER'S MAILING ADDRESS 1
1553 GRAND,�IVE. . AROVILLL-. CA -95965
15, tP!k7 J . `
900 .,
RST
480
CONTRACTOR'S NAME- -
1 •BURL WOODWARD )` ` �'
TELEPHONE
846-6707
i CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDERg
e -
IMI ,
UNJOWN
/ .. ...
Total Valuation $
1380
LENDER'S MAILING ADDRESS -"
Filing Fee
$ 20.00
•
Permit Fee
$ 33.00
ARCH�IITT�EC�T���OR ENGINEER
LICENSE NO.
1
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECTOR ENGINEER'S MAILING ADDRESS f �., •.
Penalty
$
BUILDING ADDRESS
AVE.,I
PERMITFEE $ ____53.00
-1553.GRAND
F
f PLUMBING PERMIT
Fling Fee 20.00
Each:Trap ;1
7.00
LOT NO. .y/
,fSUBDNIS ION'S NAM C , aI
PAR }E,_ MAP
'SO(ar. Or heat pump Water Heater
..
29.00,;
'"...... USEOFSTRUCTURE
y
8, F O 4Duplex O Mobile ef` ' a ` ; i '
SPECIFY.-
-Water piping
15.00.
Each gas water heater or vent
15.00'.
Gas piping system 1,; 5 outlets
1 5.00-'
Building sewer 15:00 ,.
New ❑ =Addition ❑ Remodel ❑ Utilities ❑ InstallatiO ❑ Otherlp _
Describe ?"�`""F�IAQq.J REPLACE 4 1.11 £flL.'lS 'ANTS
rIISC R,LECTRIC ._
(REPAIR FIRM DAMAG7i)
Mobile Home :` S `,G W ;@20.00
PERMITFEE
.:Contractor
ELECTRICALPERMIT:00
Filin _ Fee 20
Main Service ( 200AORLESS )
23.00
Main Service ( 200A TO 1000A )
46.00
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. �� S y,{/y�
'' s2 6? / ' . / . A 1 _
I
Licenser.C`ttlass, Lic. No
OWNER=BUILDERaDEGLARATION' \. ^
�I hereby affirm under penalty.of perjury that I am exempt from the Contractors License
Law'fo(.the following reason: 'I
❑ �I as owner of the property, or my employees with wages as their sole compensation,
tr ,,t
will do the work -and ,e;Css�vuctur® wttIi tendeoor.g & d.�or sale. ti, x- r
❑ I, as owner of the prop riyy� am exclusively ontracting wl h licensed contractors
to,,construct the project. ! ,r
❑ 1ram a a r empt Sep,,_, Business a 1 Professions Code for this
NEW CONST. / OR ADONS. DWELLING OCCUR
\ . & ACC. BLD$.
SO.
3.50 FT.
NEW CONST. _ MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
8 POWER APPARATUS )
SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES)
20 @ 1.0D
BAL .SO
"Ex. -Occup. FIXEDS (REST OR •
p ('OUTLETS (RESID.)-EA'.)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 a
tMisc. Wirjrag. "• -sy
23.00 23.00
� 1
PERMITFEE
$
Contractor
j
I
1
WORKERS' CO PE ATI DECLARATION
MECHANICAL PERMIT
"Filing,Fee •20.00
Heating
4
I hereby affirm under penalty of perjury one of the following declarations: "°
❑ 1 shave 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:
Carrieri`�.t(,�' .I?. 1 �'t�`
Cooling
"
Hood
6.50
Ventilation s`
PERMITFEE
$
Contractor 1
,Policy, Number �� 1/?� / r % t . .. `��-
(rhe 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
Mobile Home Installation Fee $ j
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE
96.00
$
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
HAZ.
D. FEES
rIt
IMP FLOOD
CDF
PARCEL PD HD
SSUE
le
forthwith omply with those provisions. I
/
X yr /� ,// Date ��� 5 / %j,,
S`gn'ature of Applicant - ❑ Owner ❑ Contractor ❑ Agent —
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
'of structures over 3 stories in height.
This permit is hereby issuedjunder the
of the Butte County Code and/or
indicated above for which fees have
B&hkPc�ate~
Y
PERMITEXPIRESON I
}
applicable provisions
Resolutions to do work
_beeiT paid.
11%15/9.5
11/15/96
(Date)
Receipt No. /r 190449�✓
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR'! GOLDENROD APPLICANT
d
DECEMBER 9, 1998
...... quite C
LAND. OF NATURAL WEALTH AND BEAUTY
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
ROBERT FRAZIER RE: Building Permit # 97-2499
1553 GRAND AVENUE Expiration Date: 11/24/98
OROVILLE, CA 95965 A,P,# 030-110-065
With reference to the above subject, our records indicate that your building permit expires on the above
date and your permit falls into one of the categories marked below:
[I Permit work started, but not completed. Permit may be renewed for 1/2 the original building
permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an
additional year from the original expiration date. Should you not renew your permit within 30
days of the expiration date, all work must cease until a new building permit has been issued. For
your convenience, we are enclosing a renewal application form and owner -builder form to be
completed and signed by you where indicated and returned to this office together with the fee
shown. Please return all copies of the application form.
ki No inspections have been made on permit work. Inspections are required to verify code
compliance. We are unable to renew a permit where the work has not been started and inspected
prior to permit expiration. After expiration of your permit, no work may be started until a new
permit has been issued.
[ ] A final inspection has not been made on permit work. Final inspection approval is required
before occupancy. Our field inspector ha;,, verified that the building is occupied. Occupancy
must cease until a final inspection can be made and final approval given. You have 30 days to
voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions
to be taken by you.
l
If our records are in error or should you have any questions concerning this matter, please contact the
OROVILLE office.
Thank you for your prompt attention concerning this matter.
MCV:ahb
Attachments
Chico Office - 1469 Humboldt Rd/891-2751
Yours very truly,
—Micl el C. V ira, C.B.O.
Manager, Building Inspection
y.
Paradise Office - 747 Elliott Rd/872-6307
9.
X
IK
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS N
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT PIQQ
ASSESSOR PARCEL NUMBER
030-11-0-065
ZONING
BUIIANGPERMIT
OWNER
ROBERT FRAZIER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
1553 GRAND AVENUE OROVILLE 95965
CONTRACTOR'S NAME
BURL WOODWARD
TELEPHONE '
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
NONE
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
NON
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
1 RAND AVENUE OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0[ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX
Describe Work: COMPLETION OF WORK STARTED UNDER 95-2883
& 95-2916
Gas piping system 1- 5 outlets
15.00
Building sewer
15.00
Mobile Home TTJ G W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service io noa'ss
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
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,
_ twill 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.
❑ I am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO I000A
46.00
NEW CONST. OWE NO OCCUP.
_OR ADDNs. ( a LAU sLos.
SO
3.5,s
HEWCTI OUTLET
NOWIRE SIDCONST.
@7.50
aSINGLE OUTLET APPARATUCIR.S
Ex. Occup. OUTLET OR FIXTURES
20 O I'00
BAL @ .50
IP
Ex. Occup. ouTLEErs RES n.DEEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE t
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 $
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 I certify that in the performance of the work for which this permit is issued, I shall
no t employ any person in any manner so as to become subject to workers'
mpensation 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
Irthwith comply with those prgvisions.
X M ¢-, Date
Si u e—of A�pp`lic nt - Ow Ar ❑ Contractor A Agent
An OSHA permit is required for excavations ovi ?epknd demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONSTTYPE
.
TOTAL FEE $ 55.00
HAZ.
D. FEES
IMP
FLOOD
COF
PARCEL PD
HD
ISS�IE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
in
indicated above for which fees have been paid.
By Date AP9P-
PERMIT EXPIRE ON Z
D fa
Receipt No. 23 1,3%t
WHITE-D.J.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
(Rev. 12/96)
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSES"ORC NUMB _ / /�--
ZONINO
BUILDING PERMIT
OWNERi �5/(�/_J LeTELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
SAve V `
CONTRACT 'S NAME Q
L. 06)-1 %C
TELEPHONE '
CONTRAC WS MAILING ADDRESS
CONSTRUCT LENDER
n
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
�r
$
PERMIT FEE
$
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing:
USEOFSTRUCTURE
SF XDuplex ❑ Mobilehome O 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 ❑ Utilifies ❑ Installation ❑ Other
Describ Work: (s `d p
—� o
99 / %
/ `{
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
600V OR LE9
Main Service soOA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code ,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I 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 it 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 1 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X 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 stories in height.
Main Service 200A TO 1000A 46.00NEW
CONST. DWELLING OCCUR s0
OR ADDNS. ( 6 ACC. BLDS. 3.50FT.
MULTI.OUTLET
HEO.SIIDD. T.
97.50
POWER APPARATUS
b SINGLE OUTLET CIR.
20
Ex. Occup. OUTLET OR FIXTURES BAL ®I: o
OR
Ex. Occup. 0PU7L�7S=.) E. 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 FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $�^
HAZ.
D. FEES IMP
FLOOD
COF
PARCEL
pp
HD SSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Dale
Receipt No.
WHITE.O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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 and materials for construction of the proposed
property improvement: YES 4 NO ❑
2.. 1 HAVE M HAVE NOT ❑ signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction:.,
NAME:
j.
r
ADDRESS:5 3 l3r-Gr�l 'cA �/ t✓ CITY: OEOV 1� l _ .
PHONE: �5 3O - O o I 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:
s
PHONE: CONTRACTOR'S LICENSE NO. -
5.
O.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:
PROPERTYOWNER ' �
SOCIAL SECURITY NUMBER:
DATE: fl —, - 9-7
A'OTE: This Owner -Builder Verification is required by Section 198:31 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.
MOM
aB•_,•
� J
I OWNER BUILDER INFORMATION 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 parry 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." Ifyour work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
....,,be aware of the following information for your benefit and protection:
♦
If you employ or otherwise engage any persons other than your�immediate family, and the work (including materials
and other costs). is'5300 or more for the entire project, hand such persons are not licensed as contractors or
subcontractors. then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ 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.
♦ For more specific inform ation;about yo r obligations under Federal Law, contract the internal Revenue Service (and,
if you wish, the U.S: Sma11�B�r mess 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 contactors 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 contrac!prs may b-.- obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95314.
Please complete the "Owner Builder Verificati;^n" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will ink: be issued until the verification is returned.
i
rely,
_ _
Mic el'. Vii, ira, C.B.O.
M ger, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code
OVER
COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville40a[AZnia 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT -
ASSESSOR PARCEL NUMBER 030-110-065
ZONING
BUILDING P IT
OWNER
ROBERT FRAZIER
TElEP1iONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
1553 GRAND AVE OROVIL.LE 95965
HTR 3,620.00
CONTRACTOR'S NAME
BURL WOOD14ARD
TELEPHONE
846-6707
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
63.00
ARCHITECT OR ENGINEER NOME
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
1553 GRAND AVE
PERMITFEE $
83.00
OROVILLE 95965
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBON510NS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF EK Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00 15.00
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
TYPE OF WORK
(95-2883)
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X
Describe Work: ADD' L VALUATION FOR FIRE DAIMAGE
(NEW HTG & A/C & RELOCATE WATER HTR.
Mobile Home S G W
920.00
PERMITFEE $
50.00
Contractor
ELECTRICAL PERMIT
Filina Fee 20.'00
Main Service e00V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A To 1000A )
46.00
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 rce and effect.
License Class Lic. No. c25 9 9
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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
NEW CONST. DWELLING OCCUR
OR ADONS. ( & ACC. BLDS. )
SO.
3.52 FT.
NEW CONST. MULTI.OUTLET
NON•RESID. ( BRANCH CIRCUITS )
97.50
( POWER 1NGLE APPARATOUTLETUS )
8 SINGLCIR.
Ex. Occup. (OUTLET OR FIXTURES
20 � K.00
�L 50
Ex. Occup. OUTLETS (RESID.)
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
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.
�Q I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation rance carrier$nd poli y number are:
Carrier -
MECHANICAL PERMIT
Filing Fee 20.00
Heating SPLIT SYSTEt•1
15.00
Cooling
15.00
Hood
6.50
Ventilation
PERMITFEE $
50.00
Contractor
Policy Number
(The above sections need not be completed ' the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
4hwicplywith those provisions.
/
e�i�indicat
XDete , aturecant - ❑Owner ❑Contractor ❑ gent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee is
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ 183.00
HA2.
I D. FEES
IMP
I FLOOD
COF
PARCEL
PD HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
ove for which 4haven paid.
BYVate !!
PERMITEXPIRESON
(kel
Receipt No. �7Q 47
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
ASSESSOR
OWNER
OWNER
COUNTY OF BUTTE- DEPARTMENTO.F DEZIELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
----SER IZONNG1 BUILDING PERMIT
Ile rt1
X3 ADDRESS�-1--
�I
W
MAILING ADDRESS
LENDER
LENDEWS MAILING ADDRESS
OR ENGINEER
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
LOT NO. I SUBDNISION9NAALE
9s
[/��.�n
� #0 6 % n/ /
UCENSE NO.
✓ Y`0Vt
PARCEL MAP
USEOFSTRUCTURE
SFX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Main Service ( 200A TO 1000A )
46.00
TYPE OF WORK
SC
3.5¢ FT
NEW CONST. MULTI.O UTLET
NON•RESIO. ( BRANCH CIRCUITS )
New ❑ Addition ❑
Remodel ❑ Utilities
Installation ❑
Other
Ex. Occup. ( OUTLETS IRMO) EA )
Describe Work:
Temporary Service
7 u ( it) Yl
Ci(/�
L/tr t?
Misc. Wiring
JA�A(/
Filing Fee
$
1. li W1 ell -ell-
20.00
Permit Fee
! Y
C:
d- k P
d It- 0 T P
/o tf i t= f
� f
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(rhe above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
;/X Date
g—nature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
ReceiotNo.
SO. FT.
PERMIT NC
OCC. BUILDING VALUATION
/-)
I rttimirt=te 1 $ M. /D/')
Contractor
20.00
Main Service 000V OR LESS
200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUR
OR ADONS. ( & ACC. BLDS. )
SC
3.5¢ FT
NEW CONST. MULTI.O UTLET
NON•RESIO. ( BRANCH CIRCUITS )
@7.50
(POWER APPARATUS d SINGLE OUTLET CIA. )
EX. Occup. ( OUTLET OR FocruREs )
20 Q I.00
BAL Q .SO
Ex. Occup. ( OUTLETS IRMO) EA )
Fireplace
Temporary Service
23.00
j
Total Valuation $
Misc. Wiring
23.00
Filing Fee
$
20.00
Permit Fee
$
3
Plan Checking Fee
$
Energy Plan Checking Fee
$
Penalty
$
PERMITFEE
S83,
00
PLUMBING PERMIT
Filing 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
dd
Gas piping system 1 - 5 outlets
15.00 is
Building sewer
_FTJ
15.00
Mobile Home G W
@20.00
I rttimirt=te 1 $ M. /D/')
Contractor
20.00
Main Service 000V OR LESS
200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUR
OR ADONS. ( & ACC. BLDS. )
SC
3.5¢ FT
NEW CONST. MULTI.O UTLET
NON•RESIO. ( BRANCH CIRCUITS )
@7.50
(POWER APPARATUS d SINGLE OUTLET CIA. )
EX. Occup. ( OUTLET OR FocruREs )
20 Q I.00
BAL Q .SO
Ex. Occup. ( OUTLETS IRMO) EA )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE S
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating 14 16-00
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Mobile Home Installation Fee Is
Energy Inspection Fee $ f
DCC CONST. TYPE TOTAL FEE $
/8, �
HAZ. 0. FEES I IMP I FLOOD I COF I PARCEL I PO I HO I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By
PERMITEXPIRESON
Date
�/ 11,5--1196
F
Y1L1 •y }.. '..
S Oug
5A YE
LAND
Wall
SrA,.�.... -• r CAUSE
3.: DAMAI
LAND.I
11JGs'�`
Of
CDF / BCFD DAILY INCIDENT LOG
!Z//
// /,/ . J' hAY/DATE
OAGE O
_x
i
. JA
0
lwt#.
I:iat#'
NAME
ti
TYPE
�
REPORT
TIME.START
TIME
CONTROL
TIME R.O.
STA
SEW-
LOCATION.,_'
BAT;
STA; 1 {i, ;: t
CAUSE:
ENGINES:
CDF SCM
ORO CO.#
OFFICER:
c '
bAMAGE:
_ _
SORES
»��a WT
bOZ CREW
AA AT HC
"
SAVEN
OTHER E
UIP*
MEDICS
LOGS , �� .. > .. .
LAND USE!
ACRFJTYPE
TOTAL
:°
OWNERITENANT
W"AVPs
-
RP;
B.I.
�MISC.f ppppLpOGpGpED� BY
NAME
1
SE•I�T }; ° _
TYPE
STA
EEPORT.TIME
" START
TIME
CONTROL
TIME R.0
" x
S7As
LOCATION:
—
BAT:
xY
CAUSE:
ENGINES
CDP '+ BCFO
ORO CO #
OFFICER:
DAMAGE!
.SO/RES
:,; - : WT
DOZ CREW AA
AT ' HC
"
SAVED:.
OTHER EQUIP!
MEDICS
1
LAND USE,
..: ;.
ACREM(PE
TOTAL
OWNER/TENANT
WRA
yr d x
R.P >
B
MISC.::
LOGGED BY
i
}
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGD SION
7 County Center Drive - Orovilldf, Calii_%rnia 95965 - Telephone (916) 53 541 PERMIT NO.
APPLICATION AND PERMIT - aag
ASSESSOR PARCEL NUMBER
030-11-0-065
ZONING
ILDING PERMIT
OWNER
ROBERT FRAZIER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
G
15 (660
900
OWNER'S MAILING ADDRESS
1553 GRAND AVE. OROVILLE CA 95965
EST
480
CONTRACTOR'S NAME
BURL WOODWARD
TELEPHONE
846-6707
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
N i E
UNKNOWN
Total Valuation Is
1380
LENDER'S MAIUNG ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ 33.0
ARCHITECT OR ENGINEER
Ta
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
15 1 GRANT) AVE DROVITLE
PERMITFEE $ 53.00
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.SUBDIVISION'S
NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
USEOFSTRUCTURE
SF 8 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other X7
Describe Work: REROOF W/COMP, REPLACE 4 WINDOWS AND
MISC ELECTRIC (REPAIR FIRE DAMAGE)
Mobile Home S G W
@20.00
PERMITFEE
g
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service OOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
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 f II force and effect. 'v� ;, ��
License Class Lic. No. � oL
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that 1 am exempt from the Contractors License
Law for the following reason:
❑ 1, 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
NEW CONST. DWELLING OCCUR
OR ( s BUDS. )
SO.
3.5� Fr.
NEW CCNS.
ONST. MULTI-TI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 Q 1.00
BAL SO
Ex. Occup. OUTEiETSPaESID.)ea
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc . Wiring
23.00 23.00
PERMITFEE
$ 43,00
Contractor
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 Cod , for the performance of work for which this permit is issued.
My worke I ation i99r�urance rner and policy number are:
Carrier B -ems (�°'�
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo hwith iomply with t Pse provisions.
�/ Date —
X G/J % --- s
tgnature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 96.00
HA2.
0. FEES
IMP
FLOOD
cDF PARCEL PD HD
ISSUE
This permit is hereby issued under
in the Butte County Code and/or
indicated o e for which es have
BY_(y
PERMITEXPIRESON
the applicable provisions
Ree tions to do work
a paid.
Date 11/15/95
11/15/96
(Date)
Receipt No. 190349
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT,41F�DVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER���
v�L-r PLA -z -OWNER'S
T���1�tO1�'EJ
SO. FT. O C. BUILDING VALUATION
o � o
MAILING ADDRESS
S
�
CONTRACTOR'SNAME e—L tr 1�
/J
(Q —670r7
/
CONTRACTORS MAULING ADDRESS
Fireplace
Total Valuation V '
Filing Fee - $ 20.00
CONSTRUCTION LENDER
UNKNOWN
LENDER'S MAILING ADDRESS
Permit Fee $
ARCL+rrECT OR ENGINEER
LICENSE No.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHRECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMITFEE $ r e -d
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
LOT NO.
SUBDI'VISION'S NAME PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF ❑ Duplex O Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: I� r �°�N'-c(a� /V tn� (ALJ j�L--fit }S
A,, -D 6 -GC ---L r2 -t Ci+C_ le1+,-.- t4 -,Q
Mobile Home IS I GI W1 @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filinq Fee 20.00
Main Service000v OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
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 UILc. 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.
❑ I 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
(rhe above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - O Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 storiesin height.
NEW CONST. DWELLING OCCUP. SO.
OR ADDNS. ( 6 ACC. BLDS. ) 3.5¢ FT.
NEW CONST. MUITI.OUTLET
NON-RESIO. ( BRANCH CIRCUITS ) 97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00
BAIL SO
Ex. Occup. ( OUxTIETS Ip SE O.)EA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $ 473,
Contractor
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE S
Contractor
Mobile Home Installation Fee
Is
Energy Inspection Fee
Is
OCC
CONST. TYPE
TOTAL FEE $
HAZ. I D. FEES IMP
I FLOOD I COF
I PARCEL PD I HO ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMITEXPIRESON
Receipt No. Cf j �-f /