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Home My WebLink About030-131-019COMPLAINT TO INSPECTOR /Or /-,02 C,.E. Sok trt Rn Iic V i &w �t A 030-131-019 PERMIT#95-0234 'KNIGHT, D6bbie ' 1340 14th St., Or-oville �4 / Cont: Robert Ward(Apex) 31-31 J Repair Fire Damage/SF 030-131-019 ," PERMIT#95-3170 KNIGHT, Debra RYw- 81z& 1340 14th St., Or6ville Demo Add -built w/o permits/SF •' X030=131-019 _ - �^ PERMIT#96-0309' WILLIS, Joette �tivfl-[. 1340 14th St., Oroville vi7k NY Ele Ser Ch,Rewire & Wtr Line/SF 030-131-019 PERMIT#96-0662 WILLIS, Joette 1340 14th Street, Oroville Gas Test/SF _ EjnA_t.--812fe 030-131-019 PERMIT#96-0674 WILLIS, Joette 1340 14th St., Oroville 4 Plbg Traps/SF PjjJPd—.'9/24e/Q8__ 030-131-019 PERMIT#96-1626 WILLIS, Joette 1340 14th St., Oroville Gas Wtr Htr/SF Fr r�fk � 8�z61�1$ 030=13=1-019 96-1719 B WILLIS,,Joette 1340 14th -St, Oroville (siding, insulation, windows, shee rock, framing etc)SFF11VAL- g�Z�lgB 030-131-019 PERMIT#97-1394 WILLIS, Joette 1340 14th St., Oroville 1st Renewal FBP#96 lj' 9 �q8 030-131-019 5-0- 2 FORD, MARY 1340 14TH 5W T Cont: ER A IT10NS SF 4914 1340 - 14th St., Oroville ,(remodel) (*convert carport to living) �p6 38 —6 G �a L 3 41#N BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last Namd City r/ First Name 2 VO .64 Address ( O t., 5 f City DV 1 State State �1 rp �/ Zip K f� Phone 3 - Z/5 E-mail Lic. # APPLICANT NAME CONTRACTOR Name City r/ Address Ziv 7 (�,7 City Fax State Zip Phone Book Fax E mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City r/ Address Ziv 7 (�,7 City Fax State Zip Phone Book Fax E mail Planner State License Number APPLICANT NAME Name— ! -77, 3q o { i., S'7 City r/ State/j Ziv 7 (�,7 Phone 5 _ s�o Fax E-mail APPLICANT SIGNATURE x sit - For office use only: Zoning Property)dress •r I7 \ _ J Flood Zone Cross Street ' SRA Yes Q Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP ra�� BIN # 4%'_7 LOCATION AP#�_l. I -CIC Property)dress •r I7 \ _ J C,it�y , &) Cross Street ' WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: Sq. Footage ❑ Structure Built without Permn ❑ Proposed Change of Occupancy — (Note previous use): 4.4 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: _1V Amount: �� Bldg SRA Receipt # 4 Sheriff SMTP Other Date: ^ Total REV 7-27-04 V P7 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10, Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 -0462 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDI �'ftVISIOPS 7County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: macd (/'J ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: Items required in order to appy for permit. All li es MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ORD 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................. ❑ 18. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑Erosion Control Plan Required........................................................................ 80 21. !es as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ 23. California Department of Fores ry plan approval ❑ paid. Sent by:...... 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check:_ _5- 0 25. Contact Land Development about _ Improvements, _ Drainage ......................... 1- 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ..................• ❑ 30. Worker's Compensation Carrier and Policy.Number.......................................... 3 Owner -Builder Verification (_ Given to owner, _-ailed to owner) ...................'. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits ......... :......................................... ...... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 11, and hold for pickup. vV I have been informed of thelabove items and req, irments for obtaining a building permit. Applicant: Date: b�7 1. Index per it application for the above items nu bered: Plan Ch ck Lette 2. Additional i ems r Contractor, es er, w adv' of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, design , owner as advised of the above data by one, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: 170t Structural approved by: Date: Note transfer by: Date: I If Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER v - PROPOSED BUILDING USE i 0 1. BUILDING PERMIT FEES I I/ --Balance Due ........................................................ $ (O --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ V 2. SCHOOL DISTRICT FEES ►! t lU`"7 (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ...................:................ x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) A. P. # DATE .2-1 RECEIPT # DATE REC. 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Divisio / _ZI0. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. JhVAPPLICANTAYDATE Ty Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) RPR-04-2005(MON) 01:18 Chico Cardiology a Hx {lute/Time APP-U4-21JU5l91UNl U1:111 td Apr 04 05 01:40p (FRX)530 345 1881 P.002/003 11. UU•l p.2 '�)O- J-2,) - - � 9 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and baring your signature. Please complete and return this information at your earliest opportunity to avoid wuieeessary 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 material for construction of this proposed property improvcmcat: YES (9<) NO ( ]. 2. I HAVE [)<] HAVE N0T ( } 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: A114 1. ADDRESS: PHONE: CQNTRACTOWS LICENSE NO: J 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise. and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: S. 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 r SIGNED: PROPERTY OWNER: DATE; . 4.� �.. A - ............ ••- This Owner-Buildecv.erificationisxequucd by_Section 1983.1..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 kN•a iuonua RPR-04-2005(MON) 01:18 Chico Cardiology s' Ila I1,11,e/lAne APN-1l4-211115Ii1UNl 111:01 Rpr- 04 05 01:40p (FRX)530 345 1881 r FC,� Butte County Department o evelopment Services ADMINISTRATION* BUILDING • GIS' PLANNING T County Center Drive Orovlllo, CA 95955 (530) 538-7541 Telephone (S30) $38-2140 Facsimile Dear Property Owner. P. 003/003 P. UUI P. 1 An application for a building permit has ban submitted In your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder' you aro the responsible parry of record on such's permit. Building permits are not required to be siped by property owners unless they arc personally performing their own work if your work is being performed by someone outer thso yourself, you may protect yourself from possible liability If that person applies for the proper permit In his or her name. Contractorsarc required by law to be licensed and bonded by the State OrCallfomis and to have a business license from the city or county, "hey are also required by law to put their license number an all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following Information for your benefit and protection: o if you employ or otherwise engage any persons other than -Your immediate fbmlly. and the work (including materials and other costs) is 5200 or mon for the satire project and such penons arc not licensed as contractors or subcontractors, then you may be an employer, . o If you are an employer, you must register with the state and fcdcrol government as an employer and you art subject to several obligations Including rptte and federal income tax withholding. federal social security taxa, worlmrs' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be fussnelal rL*z for you if you do not carry out these obligations, and dtcse risks art: especially srrious with respect to workers' compcasation insuranee. o For more specific information about your obligations under federal law, contact the internal Revenue Service (and, If you wlgh, the U.S. Small Business Administration). For more speclGc Information about your obligations under state law, contact the DcparooentofBenefit Payments and the Division oflndusaialAccidents. If tht structure Is Intended for sale, priopery owners who arc not licensed contractors arc allowed to perform their work persoeaUy or throu;h their own employees. without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prof=Ing to be contractors is to secure an "owncr•buildcr" 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 properly owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street. Sacrunento. California 95814. Please complete and return the enclosed owner -builder verification from to that we can confirm that you arc swam ofthm matters. The building permit will not be Issued until the verification is returned. 'IAI /`-% C. Viei.4 C.13.0- Building inspection NOTE: This Owner -Builder Information Is required by Section 19830 of the Culifornia Health and Safety Code. RPR-04-2005(MON) 01:18 Chico Cardiology (FAX)530 345 1881 P.001/003 I OTC)-rr ° 6 Zd� wL� 0 rcpWTMENT O -0 0 I C ' 1 0 J outll LIC W Department Michael Crump, Director Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN 1 ACRE] Project Description: Project Location and/or Parcel Number: � `Lll By signing below, I, the project owner/owne?s-agent;-certify that this project WII,L NOT DISTURB 1"acre o"r more of land and that,, .therefore _do nQ r echo .apply fora Construction Storm Water:Permit . from the State of :California+Regional-°Wafd-,t. Qualit�� Control Board. Phased projects that contain multiple site build -;outs of Jess -than one, -acre-abut: when combined with subsequent phases total more than- one acre of disturbed -soil- will require -a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality -Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: w7A~ Title: A#OoT 0&ooJ i5 2 Date: % b r Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 FEB-16-2005(WED) 20:41 Chico Cardiology (FRX)530 345 1881 February 17, 2005 To Tammy, '17un klartman hos the authority to act as agent for me, Mary Ford, to bet a building permit for my house at 134010 St. Oroville, Ca. 95965, parcel number 30-131-019 Thank you, Mary Ford P. 002 Butte Count yDepar&nent ofDevelopment Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile December 8, 2003 Mary Ford 1340 14" St. Oroville, CA. 95965 RE: Formal Warning Notice Butte County Code Violation Address: 1340 14'h St., Oroville, CA. AP# 030-131-019 Dear Mary Ford: Through our courtesy notice on November 3, 2003, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of: The accumulation of junk in public view. 2. The keeping of inoperable vehicles in public view. 3. The keeping of junk and inoperable vehicles in public view. Your failure to eliminate the stated violations are cause for the issuance of this formal warning notice. As of this date, our records indicate that the following violations to the Butte County Code still exist: Butte County Code, Chapter 24, Section 24-95 - The AR (Agricultural -Residential) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that'a "junkyard" condition exists. A "junkyard" is not an allowed use in the AR zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. The determination that these violations exist on the property is based on the following definitions in the Butte County Code: Butte County Code, Chapter 24 Section 24-305.240 - Junk Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles. and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined Mary Ford December 8, 2003 Page 2 and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. Butte County Code Chapter 24 Section 24-305.451 - Violator. An adult owner, tenant, occupant, resident or other person having possession, control or any other ownership interest in or the right of access to the premises, who is suspected or alleged to have violated or to be in violation of any Butte County Code provisions of the Chapters specified in Butte County Code Section 24-305.451. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24-305.240. 2. Remove all inoperable/junk vehicles from the property. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines). and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, 4�� 9"kk- Nicholas Hoekstra Code Enforcement Officer NH: pa cc: Department of Development Services, Code Enforcement k PROOF OF SERVICE BY MAIL 1 I am a citizen of the United States and employed in the County of Butte; I 2 am, and was at the time of the service hereinafter mentioned, over the age of 3 eighteen years and not a party to the within action. My business address is 4 Department of Development Services, Building Division, 7 County Center 5 Drive, Oroville, California 95965. 1 am readily familiar with the County's 6 practice for collection and processing of correspondence/documents for 7 mailing with the United States Postal Service and that said 8 correspondence/documents are deposited with the United States Postal 9 Service in the ordinary course of business on the same day. 10 11 On December 8, 2003, 1 served the foregoing 10 Day Notice on the 12 person(s) named below by placing a true copy thereof in a sealed envelope, 13 with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. 14 15 . In the appropriate place within the Department of Development 16 17 Services where mail is collected for mailing with the United 18 States Postal Services on the same day. 19 X In the United States Postal Service Mail in Oroville, California. 20 Mary Ford 1340 14th ST. 21 Oroville, CA 95965 22 1 declare under penalty of perjury under the laws of the State of �3 California that the foregoing is true and correct and that this declaration was �4 executed on December 8, 2003 at Oroville, California. 25 26 27 au a er erry 28 Plan Application Assistant II 030-131-019 PERMIT#95-0234 KNIGHT, Debbie - 1340 14th St., Oroville :w Cont: Robert Ward(Apex) Repair Fire Damage/SF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT'SBRV ES - BUILDINGIVISION 7 County Center Drive Oroville, C 4fomia 95965 -Telephone (916) 538- 541 PERMIT NO. APPLICATION AND PERMIT ASSESSORPARCELNUMM 030-131-019 ZONING AR BIADING PERMIT OWNO1DEBBIE KNIGHT 1=1896 SQ. FT. OCC. BUILDING VALUATION OWNErrs mmmo ADDRESS 5681 WENDY WAY 1, 000.00 CONTRACTORS NAME ROBERT WARD (APEX) ITM569 CONTRACTOR'S MAILNO ADOREsg55 HIGH ST OROVILLE, 95965 7 Fire lace P CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDERS MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEER ucENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGNEEWS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1340 14TH ST PERMIT FEE $ 45.00 OROVILLE PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF d Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S IS W @ 20.00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation O Other ❑ DescribeWOrk: REPAIR FIRE DAMAGE REPLACE WALL HTR & MISC ELECTIRC PERMIT FEE g Contractor ELECTRICAL PERMIT Fling Fee '20.00 `v OR LESS Main service ( 200A OR LESS 1 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) 3.5G$FTD.. NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS 1 @7.50 CONTRACTORS LICENSE LAW I daclare. under penalty of perjury (check one) ZG11 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full for d effect. License No. t%4a ;S_l Classification O I, as the owner, or my employees with wages as—their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS 1 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) R20 @ I;00 Ex. Occu FIXED APPLNS. OR p' ( OUT[ ETS IRmn.1 EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 43 00 2 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00' Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.06 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 liabilitieWjudgmens, costs, and expenses which may in any way accrue against said CountyennceeItth/e , nting of this permit. X �" U`tv Date Signature of Applicant - I_ Owner -&-Coritractor J Agent An OSHA permit is regL.ired for excavations over ',"0" deep and demolition or construction of Structure:: wer 3 :;tortes In iil;iunl. Mobile Home Installation Fee $ Energy Inspection Fee $ Dcc CONST. Trl'L TOTAL FEE $ 123.00 � IIA,D. TEES IMP I FLOOD COF PARCEL PO HD ISSUE This permit is hereby ie sued under the applicable provisions of the Butte County C !de and/or Resolutions to d0 work indicated aboye for whl :h fees have been paid. Date PERMIT EXPIRES ON Oe rel Roccipt No. :/HI rE•D.0.5.-B.D. CANAf1r-ASSESSUli /�cl{ Irl •.��l �.: r)!1 MOLD f:NiiU D-APPLIC ANf L r _ / COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING , IVISION 7 County Center Drive - Ore,ville,�; lifornii�5965 -Telephone (916) 538- 541 PERMIT NO, APPLICATION:AND PERMIT g5-0�2-2,!>L/ ASSESSOR PARCEL NUMBER 030-131-019 ZONING AR B DING PERMIT OWNER DEBBIE KNIGHT T�+�°N�896 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS1 5681 WENDY WAY 000 .00 - CONTRACTOR'S NAME ROBERT WARD (APEX) N T�3569 CONTRACTOR'S MAILING ADDRESS 555 HIGH ST OROVILLE, 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation ---r$- LENDER'S LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEER - DCENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $. Penalty $ BUILDING ADDRESS 1340 •14TH ST - PERMIT FEE $ 45.00 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF OY Duplex O Mobilehome O Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @ 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities O Installation O Other O Describework: REPAIR .FIRE DAMAGE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee '20.00 REPLACE WALL HTR & MISC ELECTIRC OR LESS Main service ( 00A0RLESS ) 23.00 " Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLOS. ) . 3.50 SFT. ' CONTRACTORS LICENSE LAW I d clay under penalty of perjury (check one) am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force - d effect. License No. 5C>C[_7 -q Classification Y O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) Q I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 / POW ER APPARATUS ) 1 ti SINGLE OUTLET CIR4Zer. Ex. Occup. ( OUTLET OR FIXTURES ) B 20 @ I.000 E FIXED APPLNS. DR x. Occup. • ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23 .00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. 49.1 -have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating , Cooling Hood 6.50 Ventilation PERMIT FEE $ 35. 06 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 liabilities, judgmen s, costs, and expenses which may in any way accrue against said County 1 c se ence f the nting of this permit. G X Date Signature of Applicant - L' Owner `El-ontractor O Agent An OSHA permit is regL.ired for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocCcONsr. TVrI: TOTAL FEES 123.00 IIAZ. I D. FEES I IMP I FLOOD I 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 indicated abo a for which fees have been paid. P \ Date �� h� PERMIT EXPIRES ON 3 (Oa tel Receipt No. / WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -`,!;I to f -4 0- bD yfi; r -i ti i5 -j r > ry 4-3 Ih fi ` TOPH.4 M IR. ' r ' I /O' // 1 /P I /5 i 1 i 634 • I I � 1 � 8.81ac 5 -A -C>. r Iw 46 460.00' t 5! . 3.07 Ac 5.26 AC 2 1 `v 4 rel Ft ` 3 332 190 pig v 21 I { �jp7 O� 0.68AC--------- • �00 190 190 / Z iso116 58 / 9 p 3 o O 1;37 k4lp 4.31 AC mo WAC 7 ~ e c O 3 24 25 48) /2 6 a rl l�`3 1 % , `� 5 �. ,3 , i N 29/ Ac /34 .45Ac 5 Ac. sso y 5 B /5 I 330 2S? >: Y y 332 t'jra. #----------- 298 I h � N i ® b 1 343A. 31 a Y3 _tZ3 295A4- 1 2.6rAc. 43-a9 ' o i Off bT.1 3 T43 A t;B j AMP. oil "a - � _Q 5 Q 36 `�(4. ©9 "a YO 1 I �. O /91 282 �;v ,� V♦wgo 165 165 1651 e a 80 60 14530 175 73 00 70. ,O�a9-----------J ' Avg I T THERMAUM M.Q•R. W41 -L MAP.'No. 6 SEYFERTH TRACT. M.O. R. Bk. 14 Pg: 36 Assessor's Mc.p No. 30-/3 NOTE—ASSESSOR'S PARCEL BLOCK County Of Butte, COI/f 8 LOT NUMBERS SHOWN IN CIRCLES REV/SED: 8-93 ,nom•-.':.'^'_'_ - _. _._. `. -','' 'PT _. -. �� 4;;;.r.. ^. _" --nom• , ..v , -'.`+. ..) , 7Fi(S��I.e.b�(vr� Z)NW U"Ci `tp 81cS. OY7 3/71-/i9cl , t 11 CidNER : DATE 3 S- LOCATION: Y:124c) 14A- liaU1 1 A. P. #f73d-- r, CONTRACTOR: ZONING DATE TO INSPECTOR PERMIT HISTORY: NONE �] AS FOLLOWS: S TYPE OF OCCUPANCY FIELD - INFOI•'MATION BUILDING USAGE: TENNANT: OCCUPIED HAS ELECTRIC HAS GAS S SANITATION FACILITIES, Q HEATED -COOLED PERSON CONTACTED_ OTHER COMMENTS: I ACTION RECOMMENDED: ISSUE HOLD FOR OTHER: BY DATE If . V. CDF / BCFD DAILY INCIDENT LOG PAGE <OF DAY/DATE FROM 0800 <� / —DAY/DATE TO 0800 _ L11VInL0. %,v1 v %,-- z2zyrrn,r-n- I DAMAGE: so WT D Z CREW AA AT HC SAVED: OTHER EQUIP: MEDICS .� LAND E: ACREMPE TOTAL OWNER/TENANT WRA 0 R.P. 3 3 17e-1 MISC.: G/ INC #1 > � FIRE #ID AAY NAMF 1 y M TYP — ��.D� REPORT TIME G'550 STA LOCATION: / 3 D l CAUSE: DAMAGE:? 8 ' SAVED: �.... v.,.. 15 fl"-r%t-f i I rc I V I HL OWNERoilfNANT WRA R.P. B.I. MISC.: INC #��r FIRE # NAME TYPE CAUSE: ENGINES: CDF BCFD CO# OFFICER: LAND USE: ACRE/TYPE TOTAL OWNER/TENANT WRA e ---f 0 R.P. B.I. MISC.: S�yGy� ' c' 1/;� INC # FIRE # AME TY G� REPO T TIME -RTA'RT TIME (nNTRnI TIMP o n x 1i' CTA 1 CAUSE: ENGINES: CDF BCFD CO#Z'� (-t OFFICER: Z/// SAVED: OTHER EOUIP• MEDICS O c� MISC.: .*ff ******************.*.* * * * * * * * * * * * * * * * ************.***********..+' FIRE # NAME TYPE I4;-D-16*55�4--- + Arun I I Imt '�/ i ' " J I AK I 1 IMt CONTROL TIME R.O. M / 7� STA. S • LOCATION: / Z4 , LJ /� M i i/. ,//_ D A T CAUSE: ENGINES• CDF BCFD CO#—::rY OFFICER: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ON • 7 County `Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1aRMIT Nn. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-131-019 ' ZONING BUI ING PERMIT OWNER JOETTE WILLIS TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS 1340 14TH ST OROVILLE, 95965 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Film Fee $ 20.00 Permit Fee 1/2 ORIGINAL $ 58.50 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1340 14TH ST Energy Plan Checking Fee $ $ OROVILL•E PERMIT FEE $ 78.50 LOT NO. SUBDNISION5 NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat,pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RENEWAL OF B.P.#96-1719 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (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: XI, 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 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall h comply with those provisions. _ate C� re Applicant - Owner CT Contractor ❑ Agent kAnOSHApermit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADDNS. ( & ACC. BLDS. 3.52Fr. EW GoS9 N -R IIDT M�ULLT NOS @7,50 APPARATUS b SINGLE OUTLET CIR. 20 @ I•00 Ex. Occup. OUTLET OR FIXTURES BAL ® .50 Ex. Occup. ouTLEETS RSID.D APP .OEA 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 $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 78.50 HAZ. D. FES IMP I FLOOD I COF PARCEL I PD HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. r By Date 2Cof EXPIRES ON 7/30/98 Dela ReceiptNo.PERMIT WHITE-D.D.S.- 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 imp vement : YESX NO ❑ 2. I HAVE7HAVE 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: VJ ` SOCIAL SECURITY NUMB DATE: q r7 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. Tl:is verification must be completed and returned to our office before we are permitted to issue the permit. OVER U .JO.B.- I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware ofthe fallowing informaticm fei• 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 $300 or more for. t:zt- entire project;-: and 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 information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Buiider Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. t rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER 94 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 -County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 9Z PER4T NO. APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER 030-131-019 ZONING BUILDING PERMIT OWNER JOETTE WILLIS TELEPHONE 532-4723 SO. FT. OCC. BUILDING VALUATION EST OWNERS MAILING ADDRESS 1340 14TH ST OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is iu,000.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESs 1340 14TH ST PERMITFEE S 137.00 PLUMBING PERMIT Fling Fee 20.00 OROVILLE Each Trap 7.00 LOTNO. SUBDNISIONSNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF IN Duplex ❑ 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: SIDING, INSULATION, WINDOWS, SHEETROCK, FRAMING RE: 96-0309,96-0662,96-0674, 96-1626 Mobile Home I S I GI W 1 920.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IoaoA ) 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 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: (l 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 OCCUP.SO3.50. OR ACDNS. ( 8 ACC. BLDS. ) FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCU17S ) @7.50 @7. POWER APPARATUS ( & SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FD(TURES) SAL 0':50 Ex. Occup. FIXEDAPPLN . OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 9 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` I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall with comply with those provisions. Date of Applicant - Owner -0 -Contractor ❑Agent JOSHAermit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 137.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By PERMITEXPRESON 30 (Date) provisions to do work paid. Date 6 ReceiptNo. 207-11'3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDINGPERMIT OWNER TELEPHONE 53a-�7a3 SO. FT OCC. BUILDING VALUATION OWNER MAILING ADORE S 1 x-646 � CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Fling Fel $ 20,00 LENDER'S MAILING ADDRESS - Permit Fee - $ ARCHITECT OR ENGINEER - - LICENSE NO. Plan Checking Fee. - $- Energy Plan Checking Fee - $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS l' 1 `f0 PERMITFEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONSNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF K Duplex ❑-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: j��,�( ,( ,� (.lf�,ipQo�gs „` �� 6 ©3v Mobile Home IS I GI W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 q6- 6 6 2 Q G — Main Service ( 20oA oA 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Coltractors License Law for the following reason: ❑ I; as owner of the property, or my employees with wages as their sole compensation,. will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. OWELUNG OCCUR \ OR ( a ACC. BLOB. / sO. 3.5C FT. NEW CONST. MULTI.OUTLET CNS NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWERSINGL APPARATUS ) 6 NGLE OUTLET 010. Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00 BACal .SO Ex. Occup. (ourit-DrsA IAEs o OR ) 5.00 Temporary Service -23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor 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 - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 3 �� 0 HAz. o. FEES IMP I FLOOD CDF PARCEL PD NO ISSUE This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have By PERMITEXPIRESON applicable provisions to do work been paid. Date (Date) Receipt No. WHITE -D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD"APPLICANT I 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 maj r?1aor and materials for construction of the osed roe im rovement : YENO[ ]. prop property rtY P 2, I HAVEfI(�] HAVE NOT( ] signed an application for a building permit for the proposed �vl5rk 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: Com' PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NA1-vIE: ADDRESS: ��' PHOS; CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAl1E ADDRESS PH0�NE n -FE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMB DATE: 11 NOTE: This owner -Builder Verification is required by Section 19331 and 19332 of the California Health and Safety Code. This verification must be completed and returned to our office before Nye are permitted to issue the permit. OVER Ll COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI SION 7 .County Center Drive - Orovilld; Califarnia 95965 - Telephone (916) 53 41 PERMIT NO. APPLICATION AND PERMIT q! e&Q4a ASSESSOR PARCEL NUMBER 030-131-019 ZONING BfJILDINGPERMIT O TTE WILLIS TELEPHONE 532-4723 SO. FT. OCC. BUILDING VALUATION 1340 14TH ST., OROVIT-TE CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 1340 14TH ST., JROVILLE PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE AX ©X SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 15 00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherXX Describe Work: GAS WTR HTR — Mobile Home IS I GI W1 @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( zooA 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 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License r the following reason: , 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. , as owner of the property, am exclusively contracting with licensed contractors to construct the project. FI/xol am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BUDS. D. 3.5¢ SFT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 0 .SO Ex. Occup. (oFIXEEDTs PLNS..OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: IQ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ($ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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 10of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall -In'll- not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. J �� / Date � _ ature of Applicant - ❑ Owner ❑ Contractor ❑ Agent P'An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated bo for which fees have B Y PERMITEXPIRESON applicable provisions Resolutions to do work be pald. Dat 7/ 18/96 �CJ Date) Receipt No. 0 WHITE-D.D.S.-E.D. CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder'' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1, personally plan to provide the major labor and materials for construction of the proposed property improvement : YES] 2. HAVE[] HAVE NOT[ ] signed proposed work 3. I have contracted with the following construction: NO[ ]. an application for a building permit for the person (firm) to provide the proposed NAitiIE: DDRESS: - Com' ADDRE• CONTRACTOR'S LICENSE NO. PHO4. 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: C171,Y' PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAlIE ADDRESS PHONE TY -PE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SE DATE: '-2- /,R -5c, ER: NOTE: This owner -Builder Verification is required by Section 19331 and 19332 of the California Health and Safety Code. This verification must be completed and returned to our office before Nye are permitted to issue the permit. OVER COUNTY OF BUTTE -DEPARTMENT OF bEVELOPMENT SERVICES- BUILDING DIVISI 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 _ PERMIT NO. APPLICATION AND PERMIT ASSEs,Mtn`�Mr" 019 Z°"LAR BUILDING PERMIT OWNER JOETTE WILLIS T 532E 1646 SO. FT. OCC. BUILDING VALUATION OWNER !Mt IM STREET, OROVILLE 95965 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIWOWN Total Valuation $ Filing Fee $ 20.00 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 OROVILLE PERMITFEE $ PERMITFEESTREET, PLUMBINGPERMIT Filing Fee 20.00 Each Trap 4 7.00 28.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP ,Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑X Duplex ❑ 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 lX Installation ❑ Other ❑ Describe Work: 4 TRAPS FOR PLUMBING — Mobile Home I S I GI W 1 920.00 PERMITFEE $ 48.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License aw f the following reason: IYas 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 OCCUP.SO. OR ADDNS. ( & ACC. BIDS. ) 3:50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 Q° 1.55 SAL 0 .SO Ex. Occup. FIXED (RESID.) en) 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. ❑ 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 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number of one hundred dollars ($100) or less.) ),,The above sections need not be completed if the permit is for work of a valuation I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall ith comply with those provisions. Date �___ Appl can - wner ontractor ❑ Agent qOSHrmit is requir for excavations over 5'0" deep and demolition or construction over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 48.00 HAZ. I D. FEES I IMP I FLOOD I COF I PARCEL I PD JHDJr UE 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 Da./)—) PERMITEXPIRESON " _ �7 (Date) Receipt No. 194931 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid, unnecessary delay in processing and issuing your building permit. No 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�NO[ ]. 2. I HAVE NOT[ )signed 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5'. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY SOCIAL SECURITY NUMBER: DATE: `i -" / - NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER 1 Dear Property Owner' An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are _also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 'If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuildee' building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. S!;inc, drel Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION PERMIT NC. 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER OWNER OWNERS MAIUNG ADDRESS CONTRACTOR'S NAME CONTRACTOR. MAuNG ADDRESS CONSTRUCTION LENDER LENDER'S ►RUNG ADDRESS ARCNrTECT OR ENGINEER ARCHITECT OR ENGINEERS MAIuNG ADDRESS BUgDING ADDRESS LOT NO. I SUBDNISIONS NAME ZONING BUILDING PERMIT TE EPMONE SO. I . OCC. I BUILDING VALUATION I USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UClities ❑ Installation ❑ Other ❑ Describe Work: � 20.001 of untRwGPFRMIT I Fling Fee 1 20.00 1 Each Trap I MAP Solar or heat pump water he ter Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer I Mobile Home S G. W i I 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 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. [31 am exempt under Sec. . Business end Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 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. O 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation o1 one hundred dollars (s10o) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shell 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 • ❑ Owner O Contractor O Agent An OSHA permit Is required for excavations over 5.0" deep and demolition or construction of structures over 3 stories In height. -18CC21ct No I PERMITFEE ; S 7.00 23.00 I1 5.00 j F-1 5.00 I5.00 i 15.00 1. 920.001 Con tractor Fireplace UNKNOWN Total Valuation $ Filing Fee s Main Service ( Permit Fee ( $ i LICENSE NO. Plan Checking Fee s Energy Plan Checking Fee s � I 46.00 . Penalty s DWE�NG OC,SUP. \ - PERMITFEE I S USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UClities ❑ Installation ❑ Other ❑ Describe Work: � 20.001 of untRwGPFRMIT I Fling Fee 1 20.00 1 Each Trap I MAP Solar or heat pump water he ter Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer I Mobile Home S G. W i I 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 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. [31 am exempt under Sec. . Business end Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 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. O 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation o1 one hundred dollars (s10o) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shell 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 • ❑ Owner O Contractor O Agent An OSHA permit Is required for excavations over 5.0" deep and demolition or construction of structures over 3 stories In height. -18CC21ct No I PERMITFEE ; S 7.00 23.00 I1 5.00 j F-1 5.00 I5.00 i 15.00 1. 920.001 Con tractor ELECTRICALPERMIT j Filing Fee) 2C.0C Main Service ( OOOv OR ooA oR LEssLSS 23.00 ' Main Service � 200A To I000A � I 46.00 . NEW CONST ( DWE�NG OC,SUP. \ - I 3.SC FT. SO.• OR ADors / NEW DNSj MUL' •OUTLET \ ' ^ 7.00 I vn N.. -SX ( BRAN,.M CIRCUIT$ / 1 p ( OUTLE OR FIXTURES ) 20 :y I vo EX. Occup. BAL e0 ' EX. OCCU FIXED APPLNS OR n P• ( OUTLETS IRESID ) EA I 5.00 Temporary Service j 23.00 Mobile Home Facilities 1 20.00 I JM;sc. Wiring 23.00 PERMITFEE S Contractor MECHANICAL PERMIT j Filing Fee : 20.00 - Heating ! _ Cooling Hood 6.50 --Ventilation PERMITFEE S Contractor Mobile Home Installation Fee I S _Energy Inspection Fee $ o" D' `N'T ryPE TOTAL FEE S I nAZ I D FEES A IMP , FLOOD I COF I PARCEL PO I NO , 6Svi This permit Is hereby issued under nfe applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fee,- have been paid. 5y ___— Date PERMITEXPIRESON _ . COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P R IT NO. APPLICATION AND PERMIT f'-0 ASSESSOR PARCEL NUMBER WILLIS, JOETTE 30-131-019 ZONING AR BUI G PERMIT OWNER 1340 14TH ST TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1340 14114- PERMITFEE $ PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 1-5.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAS TEST — Mobile Home S G W 920.00 PERMITFEE 3 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 full force and effect. License Class Lic. No.EX. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law Pr the following reason: 19 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 OCCJP. sO. OR ( d ACC. BLDS ) 3.5¢ FT. CNS. NEW CONST.MULTI.OUTLE NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 0 .50 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. ❑ 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 9 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith comply with those, provisions. LLL X LJCs"j�__ Date�'J/ -__ Signature Applicant - Owner ❑ Contractor ❑ Agent An OSHA Oermit 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. TYPE35.00 TOTAL FEE $ HAZ. I D. FEES I 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 indicated above for w h fees have been paid. / BY Date moi/ PERMITEXPIRESON 3 -- �=IK2 >% I (Date) ReceiptNo. 195107 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.-1 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 maj r la r and materials for construction of the proposed pro erty improvement : YES NO J. 2. I HAVE{ HAVE NOT[ J si e 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: L�a PROPERTY OWNER: SOCIAL SECURITY NUMB DATE: /J-zz (a NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuiidee' building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License - Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely' Micha4l C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER • •r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENTS ERVICES - BUILDING DIVISION PEaM1T NC. 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT cat ill nlntt , PFRMIT lOmnu ASSESSOR PARCEL NUMBER 2 036 TELEPw NESp, OWNER - ETT� w..-..•• -- —• •---- - r: ,, , OCC. BUILDING VALUATION OWNERS MAILING ADORES -T CONTRACTORS NAME TELEPHONE I - i CONTRACTORS MAtuNG ADDRESS Fireplace l UN*ZwN CONSTRUCTION LENDER Total Valuation S Filing Fee S 20.00 LENDERS MNuNG ADDRESS Permit Fee I '$ ARCMRECT OR ENGINEERLICENSE NO. i Plan Checking Fee b Energy Plan Checking Fee I b ARCMrTECT OR ENGINEERS MAKING ADDRESS Penalty I BUILDING ADDRESS PERMITFEE I S PLUMBING PERMIT Fling Fee I 20.00 Each Trap 7.00 RARcEL MAP ,•p7 NO.I SUBDNeS IONS NAME I Solar or heat pump water heater 23.00 — Water piping I I 15.00 USEOFSTRUCTURE Each gas water heater Or vent 15.00 Gas pining system t- 5 outlets is. j SFtla�Duplex ❑ Mobilehome ❑ Other $uildir= sewer I -Home � 15.00 i TYPE OF WORK Moble S G. W; i ! 920.00 ; New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation ❑ Other ❑ Describe Work:�S PERMITFEE— Contractor ELECTRICALPERMIT j Filing Fee I 2C.CC 000v OR LESS Main Service ( 200A OR LESS 23.00 ' Main Service ( 200A TO 1000A NEW CONST OWELLING OCLuP- \ OR A00"S ( & ACC SLOS / I 46.00 ' SO.'. 3.5c �.: , LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that i am licensed under provisions of Chapter 9 (commencing with Section 70001 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: ❑ 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. ❑ 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: NEWC=NS; MULTI.OL :1 NO.ReS;O ( BRANCH CIRCUIT NS --- ROWER APPkRATUS _— _ — s SINGLE OVTLC CIR Ex. C.-- (ourlc, oR FIXTURES Ex. Occup. (OUTUTELETTS S IRLNS OR IRESID 1 EA � @7.50 -0 00 sAl _ so , ! 5.00 Temporary Service_ i 23.00 Mobile Home Facilities i 2 0.00 -_ — Misc. Wiring 23.00 ----- PERMITFEE S — Contractor MECHANICAL PERMIT i Filing Fee20.00 Heating Cooling Hood Ventilation Ve -- - — PERMITFEE $ Contractor 6.50 - Carrier Mobile Home Installation Fee I S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 sublect 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. -- -gy - - tion F EnerInspecee S - occ :: c6;, -.t *' TOTAL FEE S %A: ! D FEES IMP 1 FLOOD COF PARCEL I PO ; MD : IS.Nc This permit is hereby Issued under tree applicable provisions of the 5une County Code .and/or Resolutions to do work X 9 ��0 � _ _— Date _ Signature of Applicant - ❑ weer ❑Contractor ❑Agent Indicated above for which tees have been paid. An OSHA permit Is required for excavations over 5'0•• deep and demolition or construction By — Date OI Structures over 3 stories In height --- PERMITExPIRESON _ %IQC21pi No rt r.o•• COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS N 7 .County Center Drive - Orovilre, Calilornia 95965 - Telephone (916) 538-7 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 30-1 1— 030-131-019 ZONING AR BUILDING PERMIT OWNER OWNER WTT,T.Tq TELEPHONE 539-1646 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1340 14TR ST n CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1140 14TH ST PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 OROVILLE Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑X Duplex ❑ 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: REWIRE HOUSE & INSTALL NEW 200 APIP MAIN — SERVICE REPAIR WATER PIPES Mobile Home S G W 920.00 PERMITFEE $ 9.00 Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service EOOV OR LESS ( 2000A 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law jor the following reason: 11a�( I, a's 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 OCCURS OR ( 8 ACC. BLDS. ) O. 3.5¢ Fr. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUtt EAr CIR. ) EX. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 aAL 0 .50 Ex. Occup. ( OUTLEETS RESID.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMITFEE s 66.00 Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 9 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.) m' 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 rthwith comply with those provisions. Date —2�— Signat a of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OS A permit is required for excavations over 60" 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 $ 115.00 HAZ. I D. FEES I IMP I FLOOD cDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date 7/ PERMITEXPIRES c-;,–^ lq-- / (Date) Receipt No. 1(2 L7 4 e/-, / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No 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 roperty improvement: YES NO[ ]. x2. I HAVEJ]�HAVE NOT[ ] signe 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME. ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY O SOCIAL SECURITY NUM.8ER: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building .permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name.. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security takes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuiider' building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95314. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. S�n'cl�rel ` Micha4l C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19330 of the California Health and Safety Code. OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Calliornia 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER deo-l31--©!� ZONINGBUILDING .�/� PERMIT OWNER t l� / �+ �1 6 'e. H- e- liCl[ ! �t� J3-2 T57 ©Y� SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS a �y�l° ��, rl s CONTRACTOR'S NAME ©lt7N�� TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS j 0/— l PERMITFEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 B10 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF QI Duplex ❑ 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 ❑ LL Describe Work: Ve1J I' L 4 1 a1 e- / / /V S a l( ti e to e7 44" A Mobile Home I S I G W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 - J- Mein Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 'OOOA ) 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 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( d ACC. BUDS. ) sO. 3.50 FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (ourLET OR FocruREs) zo @ I.00 BA0 (d .SO Ex. Occup. FIXED E APPLN D.OR / 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. ❑ 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 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.)CONST. ❑ 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 - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ON TYPE TOTAL FEE $ 5.6� HA2. D. FEES IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. WHITE-O.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILD GDIVISION 7 County Center Drive - Orovlile; Demolition Permits Asbestos Notification Statement Date ZZ 5 AP# Div-e�- I Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form.. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The.permit may be issued without the applicant submitting a copy of the written notification if the.applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of applicant E)R I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicabl-e---t'o this demolition project. Jo- &x Signature of Applicant 2/19/91 MAIL TO ASBESTOS NOTIFICATION EPA/NESHAPS Region IX 1235 Mission St. A-3-3 San Francisco, Ca..94103 DATE: PROJECT JOB $ ' (Please see reverse side) • Agar=ios &= Notified: ❑ TOC -1 ❑ California Air Bosaurcos Board ❑ cal OSML O Building D W=ts ant TL7CTDRnTT/11JC ^w DL'[TC�DCL� C ASBIST05 DEMOLITION/RENOVATION NOTIFICATION Please check one: Renovation Demolition requiring 10 day notice Demolition requiring 20 day notice Revision of Original (Form on reverse side) IDE—PLEASE READ BEFORE USING THIS EPA USE ONLY DateRec Pstmrk School Del/ND ADQUTE? Code#: Doc#: FORM 1. OPERATOR: 3. FACILITY NAME: (Contractor) ADDRESS STREET ADDRESS CITY STATE CITY STATE ZIP PHONE( ) COUNTY ZIP 2. OWNER 4. FACILITY DESCRIPTION ADDRESS i Sm 7L m iAiE AVi.1 S1LJr. zip PvOME ( ) PRIOR USE 5. Project Start Date: Completion Date: 6. Estimate of Friable Asbestos: ON PIPE: Linear Feet SURFACE OF OTHER COMPONENTS: Square Feet Nature of Materials: 7. DESCRIBE METHODS OF REMOVAL: 8. PROCEDURES USED TO COMPLY WITH 40 CFR 61.147 & 152: 9. NAME & LOCATION OF DISPOSAL SITE: ANY FURTHER PERTINENT INFO CAN BE INCLUDED BY ATTACHING ADDITIONAL SHEETS QUESTIONS??? FOR FURTHER INFORMATION CALL (415) 556-6415 8am/4pm M -F wo SNSTigIICTZONS FOR usm- - OF �AFRT(1Q flTi'M(1TTTT�IIJ/RL�l��n�rAn��ri►.�vnn��Ti�31 ►c) .. . RENOVATION: means altering in any way one or more facility components. NOTICE MUST BE POSTMARKED AS EARLY AS POSSIBLEBEFORE PROJECT DEMOLITION: means the wrecking or taking out -of load -supporting structural members of a facility together with any related handling operation 10 Day notice for MORE than 160 sq.ft.or 260 linear ft. asbestos 20 Day notice for LESS than 160 sq.ft.or 260 linear ft. asbestos, includes facilities which contain no asbestos. FACILITY: means any institutional, commercial -or industrial structure, installation; or building. Renovations on single family residence; and apartment buildings with 4 units or fewer are exempt from notification to EPA. - PROJECT JOB #: Your OWN IN-HOUSE I D for a specific jobsite. Optional, but expedites communication -concerning notifications. LOCAL AGENCY: Most areas in Region 9.have local NESHAP delegated agencies. In these areas notice must be provided to both EPA and the local agency. 1. OPERATOR/CONTRACTOR: Full.information concerning -person doing the work. 2. PROPERTY OWNER: Complete in full. 3. FACILITY NAME: Must have complete address OR directions to the jobsite. 4. FACILITY DESCRIPTION: Current use of building. Project location in -the facility. Other descriptive information as necessary. 5. START AND COMPLETION DATE: Provide month, day and year. Must be revised if dates change. -(see revision form below) 6. Estimate of amount to be removed (must be in square or linear feet). Revisions(see form below) must be made for additional amounts uncovered. 7. Examples of methods: glovebag, scrape, remove in sections, etc. 8. Examples: Adequate wetting prior to and during work, double bag, etc. DRY REMOVAL MUST RECEIVE PRIOR WRITTEN APPROVAL FROM EPA OR THE LOCAL DELEGATED AGENCY IF MORE SPACE IS NEEDED THAN PROVIDED, ADDITIONAL SHEETS SHOULD BE ATTACHED TO DL'7TCL� eT1 111 0 mT T+T1T1V/�11 ALREADY O FILE WIT—zl E A, 7QrFORM PROVIDED ✓puLrLn1 PROJECT NAME PROJECT JOE a ORIGINAL NOTIFICATION DATE Revision Notice #1 2 3 4 please circle This is to advise that the above referenced notification presently on file has been revised. Please note the revised portion listed. CHANGES FOR THIS REVISION: 1. NEW Location 2. NEW Scope of Work 3. ADDITIONAL Quantity of Asbestos 4. -NEW Start Date 5. NEW Completion Date 6. NEW Disposal Site PROJECT ( ) CANCELLATION 6 -3qC) tt-F U471C.- of (2�O Ut" i LL IL —ro p�rckvtt is s t v Mrs. 11 `f e-- jle&2_3�. (^Vtll-5 'fit o C�'4_�y -for COUNTY OF BUTTE- DEPARTMENl'OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _ D / ! ZONING BUILDING PERMIT t OWNER • r ^ \ TELEPHONE SO. FT. OCC. BUILDING VALUATION ' DRESS OWNERS „" /r O V CONTRA R'S NAMETELEPHONE An CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS +/ ( PERMITFEE $ 3S PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFJ Duplex ❑ 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 O Addition ❑ Rmodel ❑ UbliGes O Installation ❑ Other < Describe Work: C`- t� 0 L S U Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 000v OR LESS Main Service ( 200A OR LESS ) 23.00 Main Service ( 200A To =0A ) 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 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDs. ) SO. 3.5¢ FT. NEW CONST. MULTI. OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( d POWER APPAFATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL la .SO Ex. Occup. FIXED APUNS. OUTLETS D.OR ) 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: O I 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 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S 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.) O 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 - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" 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 $ HA2. 0. FEES IMP FLOOD CDF PARCEL PD HD ISSU= - This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date Receipt No. S p"IT #97-1394 030-131-019 F- Rr Joe�te WILIjS14th.StOroville 13410 '!-'9 %#96-1719 '� lst Renewal BP C2 of OFFICE copy Address pates t GAS Meter M By Date ELECT RIC Meter BY it- COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINODIVISION 7 CouAty"Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1 MIT No. (Rev. 12/96) APPLICATION AND PERMIT -2 ASSESSOR PARCEL NUMBER USC -131-019 ZONING BUI ING PERMIT OWNER ' r * TS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ST 0-zly!711 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 rr� � T Permit Fee I./2 V \t ,.. 1.i $ n �° �. ) ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 131.0 i[+rf_I. ST Energy Plan Checking Fee $ f l _r 'Till, r PERMIT FEE. , LOT NO. SUBDNIS ION'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 gas water heater or vent 15.00 - TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ T;,"",I _' :J. ?', r;,--i71� Describe Work: �- 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 Main Service 200A oR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class 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 thispERM1T reason Main Service TO 46.00so WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BLDS. SO 3.50FT. NEW CONST.MULTI.OUTLET NON-RESID. , @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. oLmFTORFDcruREs sn�@';50 Ex. Occup. ouTED rs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain worlers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date 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. 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 $ 7, HAZ. D. FEES IMP I FLOOD I COF PARCEL I PD HD I1 Lpg' This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ' r / By �I. �� . Date ~i �' r PERMIT EXPIRES ON pare ReceiptNo. i J q I WHITE-D.D.S.-BV ANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE z BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 02"(96tCORRECTION NOTICE c— OWNER PERMIT 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 yo have any questions pertaining to this matter, or need additional explanation, please conta is office immediately. fit 0,&)U 0A1 007-5/Z2 5f =16 ru C REV 10/92 Insulation Certificate - ' �d BUILDING OWNER: BUILDING Description of Installation ROOF Material Thickness (inches) CEILING BUILDING PERMIT 1: 3 r G Brand Name Thermal Resistance (R -Value) Batt or Blanket Type �} -f -�� Brand Name /?Z(,J F_ nl CSX' ✓1 i ,Rc Thickness (inches) 1y Thermal Resistance (R -Value) 3 D Loose Fill Type Brand Name . Contractor's minimum installed weightflt lb Minimum thickness - inches ufacturer's installed weight per square foot 4o acheive Thsxmal Resistance (R -Value) XTERIOR WALL Material Brand Name 4 9-1 F- N �c�( •'L'� Thickness (inches) 3-% Themnal Resistance (R -Value)- RAISED FLOOR Material- _ Brat,d Name Thickness (iniches) : ' - Thermal Resistance (R-Valuey SLAB FLOOR -Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) _ Declaration Brand Name Thermal Resistance (R -Value) ' Brand Name - Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with . the current Building Energy Efficiency Standards for new residential buildings contained igTitle 24 of the .. - Calippiia Administrative Code. C I-0 General—Contractor (Builder) License Number'.:. _ .. Signature Sub -Contractor (Ituttlation Installer) Signature and Title Date - License Numbet— Date THIS CERTIFICATE MUST .BE PROVIDED TO THE BUILDING DEPARTMIM PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITS THE BUILDING. . JANUARY 1993 r; ^r c.., :rs y; •` r:. , +.. ,i �:i :i rtrR�' 1, °9'a:i? t r` 1 •. .,,�a:+'�'il.".x"��4N�Ai�`b;r�P+I'7tlld'"��'�'�'��!°: i_,a,l,�.,,�,,�,,,�y�.,,,,� £ _ r-p�ay�i.,'� •'.•.� �-'.:..; ,. 3 T ,� hF. COUNfYOF BUTTE- DEPARTMENT OKDEVEEOPMENT SERVICES„- 'ILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (9,16)' 538-7541 PERMIT NO. APPLICATION AND PERMIT *; 9.1 - 94 ASSESSOR PARCEL NUMBER;, 030-131--019,, ZONING -- `�. .bUILDINGPERMIT , OWNER .... _JOL"T'i` WILDS TELEPHONE 532-4723 SQ. FT. OCG.I BUILDING VALUATION ST OWNERS MAILING ADDRESS: µ'l340- 14111 ST OROY1LLE # M CONTRACTOR'S NAME'' .. i _ OMR TELEPHONE' ; -CONTRACTOR'S MAILING ADDRESS �l Fireplace "CONSTRUCTION LENDER- !' ' ` ! ` + UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESSI ),• Permit Fee $ ARCHITECT OR ENGINEER` :'uCt,"S`NO. Plan Checking Fel $ Energy Plan Checking Fee $ _ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 1340 14TH ST # PERMITTEE $ ,00 i PLUMBINGPERMIT Filing Fee 20.00 t , _ OROVILL A( Y Each Trap 7.00' .,, LOT No.” yj �. t'. (•L '� ` SUBDIVISION'S NAME +" ,. 0 R� ' Vt : PARCEL MAP - Solar Or heat pump water heater 23,_00 . Water piping 15.00 �, USEOFZ1'R6CTURE, A i SF O .DUPI'ex ❑ Mobilehome ❑ Other 11 SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 PEOF;WORK-, New O Addition O' 'Remodel O ' UtilitiesiO� Installation ❑ Other),❑ ' Describe Work: SIDING. INSULATION. WINDOWS, SIATROCB+ -'RAMIKG RE: (. 6-0309.96-06W 74, 90=•4ggg...2.6 Mobile Home ,�S G W 920.00 PERMITFEE $ Contractor ; ELECTRICAL PERMIT Filin Fee_.20:00 I-� L•'� �- ~ , V, �'3 V OR LESS aoo23.00 Main Service 200A OR LESS ) ' 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''myrlicense is in full force and effect: 1� ,,. o. 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. ❑ 11 am exempt under Sec. Business and Professions!Code for this reasonMECHANICAL �Y NEW CONST. DWELLING OCCUP. SO. OR ADONS. 8 ACC. ) 3.5Q FT.. , NEW CONST. / MULTI.OUTLEUTLE T NON-RESIO. ` BRANCH CIRCUITS ) @7.50' POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 0 1.�, ' FIXED APPWS. OR EX. CCCU , p• 1,OUTLETS (RESID.) EA) 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. ❑ 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 PERMIT Filing g 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.) ,J I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject .to workers' compensation laws of California, and agree that if I should.become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ' r� rv�/ f O Date 1'� -'`�-�1•-fir---—�-=--- Signature of Applicant Owner ❑Contractor ❑ Agent �An�OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. I Mobile Home Installation Fee $ Energy Inspection Fee Is occCONST. TYPE TOTAL FEE $ 137+00 HAZ. 1 0. FEES IMP I FLOOD COF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �? BY ,� - • a ��+� Date % �{ �� % 6 f PERMITEXPIRESON ! 3 U /c1 �) Receipt No. 2 OZ /Y3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION K pi DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 �I 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE w c 6-17, OWNER PERMIT NO. d 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 complete . If you have any questions pertaining to this matter, or need additional explanation, pl s ontact this office immediately. 4 SfGLt e—> A,l e V -e G a 'vi/ e X to a acc r5 Ge (ew 6L/ QL rGaie-- L Seo- d e5,0 7Z— d) " ,Wgi ezyC i, a j LSO i J ; Date Inspector REV 10/92 Q+�m..�-v-..�.c-•^e_ r:`.aN Tarim•:ry',ry•';a;4��"J�!'t?r:'/.+ar»Mtn'!'da"P=f7J:4V�Y'SC''err`�5i11�`=':m�:1Y^.t+jai»tYtR4'v/YnV.lc•"}t?K,;+'; COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING SION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 53 41 PERMIT NO. APPLICATION AND PERMIT 10 9�'� ASSESSOR PARCEL NUMBER 030.4,31-019 ZONII 1 BQLDING PERMIT Jiir,TrE WILLIS � 532N—'4723 SO. FT. OCC. BUILDING VALUATION OVSNR1iSS dhes .A 1340 1471-1 ST., DROVIII.E. CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNW40WN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1340 14TH ST., OROVILLE PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15:00 USEOFSTRUCTURE SF 0 Duplex ❑ 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 ❑ U ilibes ❑ Installation ❑ Otherif Describe Work: GAS WR HTR — Mobile Home S I G I W @20.00 PERMITFEE _ 35.00 Contractor ELECTRICAL PERMIT Filina Fee 20:010; Main Service e00V OR LESS ( zoOA 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License aw r the following reason: �]` I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. d 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR NS. ( d ACC. -so. 3.50 Fr. CONST. MULTI.OUTLETLE NEW CT NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (s SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL a .30 EX. Occup. (oFIXEEDTs PES D.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor 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 1 performance of the work for which this permit is issued. I O 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 n g 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 thedoppo workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. /t.: r K Date _ / ' _ XY l 1.=�'-- Si,£fiature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ I D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated bove for which fees have By PERMITEXPIRESON 1 the applicable provisions Resolutions to do work been paid. / Pnate7/18/90 Date) Receipt No. C?i WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 030-131-0.19 -, PERMIT#96-0674 WILLIS, Joette -i 1340 140h St. ,; Oroville 4 Plbg Traps/SF 9 711, t J � :t t I i JA, ,...'9 •rx,. ,}•w .:.. r '`t'"'^'irJ�:P-�'+�•. �,,. ,,�.-,.'.'aii'lr.�l,., .�a.wF^.ww,... �. .. ,�..yyyC77a'7R'N""+�*('� wt4x. y': .t' "TT4;'.��,. COUNTYOF��U,TTE-DEPARTMENT OF DEVELOPMENTSERVICES ' DLNG DIVISION 7 County"rCenter„Drive '- Oroville California 95965 - Telephone 1-1 PERMIT NO. APPLICATION AND PERMIT y ��o-�� ASSESSORP. useCL —tli� ZONNi AR �+ 7LGsr9 'PERMIT OWNER — \ , { .�OET�'' • ; , , TELE ,432-1646 SQ. FT. OCC.MONE BUILDING VALUATION ". �' r _. OWNERS, NG DR ' MA ADDRESS, x � x ►n .STR, , MviLry, 95965- CONiRACTOjti'' TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace 1 CONSTRUCTION LENDER, LINT !WN ' Total Valuation - $ Filing Fee $ 20.00-- LENDER'S MAILING ADDRESS � \,'�, - Permit Fee $ ARCHITECT OR ENGINEER- ucErls •No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS ,^'1'L ! Penalty $ BUIMINJIMS14TH JSnE,f� OROVIIIE .� G4}t�J PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 {: !a� Each Trap 4 7.00. • LOT NO. SUBDIVISIONS NARE PAC MAP Solar or heat pump water heater 23.00 Water piping 15.00 {7~ USEOFSTRUCTURE SF CIX Duplex ❑Mobilehome ❑ Other SPECIFY FIs Each gas water heater or vent 15.00 ' Gas piping system 1 - 5 outlets 15.00 e Building sewer 15.00 .. �.� TYPE OF'WIORK i A�Q-New ❑ Addition\��Remodel 0� Utilities'ONInstallation ❑ Other ❑ Descri6 �'rk: — 4 �TkAPS FOR FLUBBING Wo I i Mobile Home I S I G W I @20'.00 ,! PERMITFEE s 4$. Contractor ELECTRICAL PERMIT Filing Fee'2 j 20:00 s f R`"'• Main Service OOOV OR LESS \ 2OOA OR LESS / - •- 23:00 •, Main Service 200A TO {000A ) 46.00 i y LICENSED, CONTRACTOR'S DECLARATION ),NEW I hereby affirm under penalty�of perjury that I am licensed under provisiori�,of Chapter + 9F(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. rz . License ClassLic. No. t' ` �� , j .. •, _ OWNER -BUILDER DECLARATION , r I herebyaffirmunder 0,enalty of perjury that I &'M exempt from the Contregtors License ,Law for the followirig•reason: i " �E'`I; as,owner,of the property, or my employees with wages as their sole compensation, swill do the. work, and the structure is not intended or offered for'sele. ❑ r, as owner of the property, am exclusively contracting with licens Cl, contractors I + to construct the project. i ❑ J'am exempt'under Sec. Business end Professions Code for this reason + • + ' -! NEW CONST. ( DWELLING OCCUR OR ADDNS. \ a ACC. BLDS. ) so.' ' 3.5¢ FT. , CONST. / MULTI.OUTLET NON-RESID. ` BRANCH CIRCUITS ) @7.50 , POWER APPARATUS (a SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) RAL @';50 " FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00, Misc. Wiring 23.00 PERMITFEE $ -.+a Contractor wa 1, WORKERS' COMPENSATION DECLARATION I hereby. affirm under penalty of, peryury one,fof'the following declarations: ❑ Ir hayek 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 -Ls issued.+: a' ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of vio'rk for which this permit is issued. My workers' compensation{ insurance.'carrier.and policy number-er`e: Carrier 1 :,., ' MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (TF a above sections need not,be completed if the permit is for work`of a valuation Y)i of hundred dollars ($100) or'Iess.) 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 subjW' to•workers' compensation laws of California, and agree that if I should become subject to the tworkers' compensation provisions of section 3700of the Labor Code, I shall forthwith comply with those provisions. I _ 1 X_�% : 1� ?t I <� Date Signature of Applicant-`ner ❑-Cinfyyractor ❑ Agent flI r' An OSHA excavations over is required for excavationover 60" deep and demolltlon:or construction of structures over 3 stories in height. t I Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE 48 Od TOTAL FEE $ • HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to dowork indicated above for which fees have been paid. 9///• B y .� , Dat " PERMITEXPIRESON � / ... ""` (Date) , { Receipt No. 134931 i �. � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT N .... .. ..... . ... . . . . . . . _7- ..... . ... tri " ........ .. . . . . . . . . . . COUNTY OF. BUTTE UI'DI ICES 'DEPAR? T OF 'd VICES Humboldt 916 91=2751 -R 5(916) 1 7 CountyCentqer, C 1 38-754 8 607 747 ENott Road, ara ise -(916) 2- CORRECTION NOTICE .......... PERMIT N .... ........ ..... ........ OWNER - F is s. -iiolations of Butte County Ordinances exist at that the'following n k A routine inqiei�jioj;jdicF-tes ton of work 'notify this office when correcti 6'. Please . . -11 the above'addre,ss and should be corrected.,explanation, rt ing to this matter, or need additional ruhav� any questions pertaining Isc cont office immediately. pleasa _this . ..........Date C'� inspector REV 10192 ........ .. . . . . . . . . . . . ..........Date C'� inspector REV 10192 030-131-019 PERMIT#961-03,09. WILLIS;, joette 11 4. 1340j4th-St.,,'0ioville -Ele'.Ser Ch, Re"wire'-.& Wt;r Line/SF OFFICE COPY Address— ELECTRIC Me -ter By��/ Date C, AW _4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIV!,S ' )ON 7 County Center Drive - Oroville, California 95965 - Telephone "(916) 538-U- 4 PERMIT NO. APPLICATIONAND PERMIT71p ASSESSOR PARCEL NUMBER 030-131,��Ql ZONING 4 AR IWILDING PERMIT NE OWNER'':I\,' CSQ orrIT WT 532-1646 — OWNERS MAILING ADDRESS i-340i.9506c; ., FT. OCC.-.,ky, LDING Ot4 , X C V CONTRACTORS NAME . - . I I *R , TEUEFNIONE — CONTRACTORS"MAILING ADDRESS Fireplace CONSTRUCTION LENDER j j.% UNKNOWN Total valuation $ Filing Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER FUCE E - NO. 7 Plan. Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS I= _qT PERMITIFEE $ PLUMBINGPERMIT Filing Fee 20.00- ngnmjvEach Trap 7.00 LOT NO. ----- F SUBDIVISIONS NAME n PARCELMAP" Solar or heat pump water heater 23':00 Water piping 15.00 USEOFSTRUCTURE SF CR Duplex.0"' Mobile . home 0 Other SPECIFY Each gas water heater or vent 15.00— Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00v TYPE OF WORK New 0 J Addition 0 Remodel 0 Llfilities 0 Installation 0 Other '. 01 P ' ' f RIWRE HOUSE & INSTALL NEW 200 besciribe Work: MANN'- SERVICE REP41? WATM PIPESFilin Mobile Home S I G I W 920.00 ,PERMITFEE $ 49,00'. Contractor ELECTRICAL PERMIT, 20'00 Fee Main Service 6�0..Ov OR LESS -00 A OR LESS 23.60 Main Service 200A TO 1000A 46.0*0 LICENSED `�6`6NTRACTO R'S DECLARATION I hE�reby affirm under penaltyffof perjury that I"am li&ensed 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. Liceng� Class hic. No. 1-1 OWNER -BUILDER DECLARATION ' .. I l,hereby;affirm under'l!56fialty of perjury that I amexempt from the Contractors License Lawlor 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. � 0 1, as owner—of the property, -am exclusively contracting withlicensed contj�actors. to Construct the project.1 y 0 I'Arn exempt under Sec. t'Business and ProfessionS-'Code for this reasonMECHANICAL NEW CONST. DWELLING OCCUP. sq. OR ADONS. & ACC. BMS. 3.50'. NEW CONST. MULTI -OUTLET @7.56 NON-FIESID. BRANCH CIRCUITS POWER APPARATUS -45 & SINGLE OUTLET CIR — ccup. OUTLET OR FIxTURES 20 @ 1.00 Ex. Occup. BAL Q .50 FIXED APPLNS. OR Ex. Occup. OUTLETS 1 5.00 RESID) EA Temp%rary Service 23.00 MobiletHome Facilities 20.00 Misc. Wiring 23.00 25.00 PERMItFEE s 66,00 Contractor WORKERS' COMPENSATION .�)'DECLARATION —1 I hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self-insurelf'Or workers' -I,compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. d by Section 0 1 have and will maintain workers' -compensation insurance, as requ Ai 3700 of the Labor Code, for the performance of work for which this peimit is issued. My workers' compensation insurance carrier and policy numbere: Carrier ' i - PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50; Ventilation 1 PERMITIFEE $ Contractor — Policy Number (The above. sections need not be completed if the perm it. is for wo rk, of a valuation of one hundred dollars ($100) or less.) 0 I. certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject -to workers compensation laws of California, and agree that if Ishould becomE}subject to the workers' compensation provisions of section 37 1 00 of the Labor . Code, I shall forthwith comply with those provisions.This XDate r �re of Applicanf- 0 Owner 0 Contractor 0 Agent Signature An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee _$ Energy Inspection Fee Is Occ CONST. TYPE t TO TOTAL FEE $ 115.00 HA2. I D. FEES I IMP I FLOOD I COF PARCEL I PD HD ISSUE 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 cq-lq—�4 PERMIT EXPIRES AN N- 2 -7- I (Date) Receipt No. 196? 1, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4, Y 030=131 w019 . �p� M. $ ' ra PERMIT05-3170 KNIGHT,.`Debraz 1. i CY t .f r a 1-.340' 14th St''-Orouille , ry Cont:: Azeveao Const.' f;t ;rDemoAad''built w/o`'perm.its/SF a^ ' ':i f 4 s * COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES-,BUIL`DING DIVISION 7 County Center Drive - Oroville, California 95965 - TelephoneF(916,!'538-7541 Q PERMIT NO. APPLICATION AND PERMIT . J - -3 ASSESSOR PARCEL NUMBER 030-131--019 ZONING BUILDING PERMIT ''BRA KNIGHT T°�HONE SO. FT. OCC. BUILDING VALUATION OWNS4i14,500 t is 6TOROVILLE, CA 95965 _ - CONTN • TELEPHONErACftMCONS y, CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNXNOWN . -• Total Valuation ,s LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER UCEry ENO.y Plan Checking Fee ;$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty \ $ BUILDING ADDRESS / 1340 14TH ST., OROVILLE PERMITFEE. S PLUMBING PERMIT Filing Fees 2p�,00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEI`MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE #"i SF'O' Duplex ❑ Mobilehome ❑ Other t SPECIFY Water piping 15.001 , Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK . '1 LN O. Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherX9 Describe work: DEMO ADDITIONS BUILT W/0 PERMISS t Mobile Home I S I G W 1 @20.00 PERMITFEE Contractor ti ELECTRICAL PERMIT Filing Fee 20.00 +`3 Main Service800v 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•(c`ommencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.i ; Licens-e—Glass Lic. No. OWNER -BUILDER DECLARATION t hereby affirmunder penalty of perjury that I am exempt from the Contractors License �La for the-fdllowing reason: 1. ❑ [,as owner of the property, or my employees with wages astheir sole compensation, �> will do the work, and the structure is not intended or offered for sale. I ' D 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 OCCUP. ` OR ADONS. ( a ACC. BLDS. / So. 3.50 FT. NEW CONST. / MULTI.OUTLET NON-RESID. \ BRANCH CIRCUITS @7.50 ( POWER APPARATUS a SINGLE OUTLET us Ex. Occup. ( OUTLET OR FIXTURES) B20 @ 1.00 FIXED APPLNS. OR Ex. Occup. p• ( OUTLETS (RESID.) EA) 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. ❑ 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 Filing Fee 20.00 9 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 i of one hundred dollars ($100) or less.) �0,, 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. f , i X r _ 1_ -Date i ` 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. Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES I IMP I FLOOD COF PARCEL PD I HD I ISSUELO This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have B �� : J1111 y, PERMITEXPIRESON U I applicable provisions Resolutions to do work been paid. Date 12/28/95 12/28/96 (Date) ReceiptNo. 190753 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT T COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDI SG;.DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916)`538;754`1 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER WI¢L,LTS, JOTTTE 30-131--019 ZONING � Ail BUILDING PERMIT { OWNER "1340 14TH ST TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS , Fireplace CONSTRUCTION LENDER UN"OWN Total Valuation $ Filing Fee $ 20.00 - LENDERS MAILING ADDRESS r ... Permit Fee $ ARCHITECT OR ENGINEER LICESENO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS I Penalty $ BUILDINGADORESS u n 11671 qT OROVIT. PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 _.E t� Each Trap 7.00 LOT NO. SUBDIVISION'S NAME P EL MAP Solar or heat pump water heater 23,00 Water piping 15.00 USEOFSTRUCTURE SF L)i ,Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 13 UV Building sewer 15.00 TYPE OF WORK New ❑, Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: `G TEST I Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 ' Main Service ( 2EOOV OR LESS M 23.00 00A OR LESS ) 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. w License Glass 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: t '0" 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 Prof essions,Code for this reason NEW CONST. DWELLING OCCUR so. OR ACDNS. ( 8 ACC. BUDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 - POWER APPARATUS (s SINGLE OUTLET CIR. ) EX. Occup. ( OUTLET OR FIXTURES) 20 @ i.Do BAL 0 .w FIXED APPLNS. Ex. Occup. ( OUTLETS (RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring g 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. ❑ 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 9 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.) O� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become- subject to workers' compensation laws of California, and agree that if I should become{subject to the workers' compensation provisions of section 3700 of the Labor' Code, I shall forthwith comply with those,provisions. ' !! X Date _�1_ �` irs -- Signature of Applicant - O'"Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee is DCC CONST. TYPE 35- TOTAL FEE $ HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE y 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 aid. p By fDate-3,�� PERMITEXPIRESON 3 `41K ` �7 i (Date) Receipt No. 195107 WHITE -D.D.S.-B:D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT twp 21 twp