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HomeMy WebLinkAbout030-140-011FSF I S, RE I NERS 30-i 4 1 1 1.5 EUCLID AVE. 0 RMIT x#'736-%6P�Bl /5 I / 4 r I NST) - 30-:14-,11 - s �: 1502•=91P,M - IRICK?, Lois 1315 Euclid, Oroville cont:, .Do -4 -IJ (wall~ furnace/sf) 030-14-0-011 95.2808M !� "-IRICK, Lois f 1315 Euclid Avenue ovi leg//� M replace'wall3furnace/sF)•Richaid Heath F. 030-140-011 02-0615 MENDIVEL en 1315 E td Ave., Oroville Rer of/SF r�,.` .02 030-140-011 0(INALE MENDIVEL, RUBEN D 1315 EUCLID AVE., OROq—�p ELEC. SERV. PANEL C/0"A-I�i�P' I. I i I I i I I 1 1 A PERMIT NO. P E M MH UTII PERMIT OWNER CONTR. LOCATL,. �.,.�. �.. 1315 EUCLID AVE.7 OROVILLE Temp. Power Pole Called PG&E I Temp. Elea Serv. Called PG&E i Temp. Gas Serv. Called PG&E JOB FINALED (Date) w_ r (Signature) DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel 'A Final Fixtures Bond Beam. FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE• CALIFORNIA 95965 TELEPHONE 533-0740 220 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: /.3/S lao—Jid 4✓Q Owner's Name: Le5 J-.� IR 4P a Y,.0,-1; Date: Address: rl i /' Acct. No: --14-7 YO 1).—^ V � 11,0 OA 9x91-%- "" Phone: �< —�� — �/Q�C`�., No. Units: / Applicant/Agent: A) 14 Agents Proof: A)Aa Address: ' Fees: Phone: Application $ Preliminary Review By: ��� .c r �� Date: -/�7� Arrearage CSA 26 Remarks: SC -0 R 1st mo. S.C. Other Total Fees Collected By: Date: Field Review By: Date: 7 Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: 0- Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965726 _ �%6 Tel epbone:. 53x4-4,,541 APPLICATION AND PERMIT ..,r..,.,..vvunay v. vuaac — cnacl uNvn UIC above-mentioned property for inspection purposes. X ('71 6 Q4-Lli?-d DateA—/,10-- 76 ignature of Permitee or Agent Receipt No. 2 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Date -filuilft.Ml permit expires Date- oP- %P— 77 BUILDING Owner E2 SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address E' AIE5. QP3 Telephone No. -41 Fireplace Contractor 0 W Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address G PLUMBING Ivo. @ FEE PERMIT FILING FEE $3.00 E O Each Trap 1.50 l Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3® �- — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 8er*te� I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Lawn sprinkler system 2.00 a Parcel Approval Plans Approval Permit Fee $ a p $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST.LING OR ADDNS. ( OWEACCLBLDGS.CCUP. &) 20sgft. NEWCONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 @250 104 Ex. QCCU P FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 [91 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE . Q ..,r..,.,..vvunay v. vuaac — cnacl uNvn UIC above-mentioned property for inspection purposes. X ('71 6 Q4-Lli?-d DateA—/,10-- 76 ignature of Permitee or Agent Receipt No. 2 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Date -filuilft.Ml permit expires Date- oP- %P— 77 '` ` �A _ f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Califorrla 9594 - Telephone: 916/538.7541 -- APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - 30-140--011 ZONING AR i` - BUILDING PERMIT OWNER Lois Irick Reiners TELEPHONE 533-0321 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1315 Euclid CONTRACTOR'S NAME Do -4-U Contractin Inc. 916 TELEPHONE 529-3836'd CONTRACTOR'S MAILING ADDRESS P,O. Box 1010 Red Bluff 96080 Fireplace ' CONSTRUCTION LENDER None UNKNOWN Total Valuation is FilingFee $ '0.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR L -V ,INEEP, _ None LICENSE NO. Plan Checking Fee $ Ener Pian Checking Fee Energy ecg $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1315 Euclid Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.0000 USE OF STRUCTURE SF1►J Duplex[--] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W10.0 ea TYPE OF WORK New ❑ Addition [:1Remodel [:]Uti lities [:1 Installation [J' Other E] Describe work: replace 35,1171M35,1171MATI1 smll furnace_ vent nim replace of new gas �ipiping0 +— Permit Fee $ 1-9,00 Contractor ELECTRIICADL PERMIT Filing Fee 10.00 LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I de la under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business C✓oode��anndd my license is in full force an�df effect. and Professions Code License No. r�T� l �� Classification. T3 4r2O- ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP..\ OR ADDNS. 1 ACC. BLDGS. yz�sgft NEW CONSTR.ULTI.OUTLET NON.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 90@030 8AL@30 Ex. Occup. OUTLETS P(RESID IFIXED APLNS. REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating wall furnace 6.00 Cooling Hood 3.00 Ventilation 3.00 permit Fee $ • 00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, irtglemnify and keep harmless the County of Butte against all liabiliti s,�judgm"rr�(ts, costs, and p es which may in any way accrue aga(ns XGA' rSt In seque ranting of this permit. /� S" �� X Date Signature of Applicant — Owne Contractor ❑ Agent (� An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 34.00 HAi cuA PARK SCHL FEF 71' PAR PD I HD. IS/ This permit is hereby issued unser the applicable provi- sions of the Butte County.Code and/or resolutions to do work in •cated above for which fees have been paid. DI�,6' T R OF P • IC WORKS r Date Jy� P EXPIRES Date /s`/! B(d4iT Receipt NO. 93631 WHITE-D.P.W.. YELLOW-ASSE030R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviJle, California 95965 - Telephone: 916/538-7541 APPLICATION AN!) PERMIT PERMIT NO. J v ASSESSOR PARCEL NUMBER 30-140-011 ZONING AR BUILDING PERMIT OWNER Lois Irick Reiners TELEPHONE 533-0321 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1315 Euclid CONTRACTOR'S NAME Do -4-U Contractin Inc. 16 TELEPHONE 529-3836 CONTRACTOR'S MAILING ADDRESS P.O. Box 1010 Red Bluff 96080 Fireplace CONSTRUCTION LENDERKNOWN None UN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR LN ,INEEP, None LICENSE 1,10. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1315 Euclid Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF)X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FGTW 10.00 ea' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describework: replare 3S,nnn 'RTIT wall filrnarp .,antp ri— laCe w/ npw o�acTiping Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar under penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 2100 1j a Classification._ C"-�O El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr LOGS ) New AMULTI-OUT , h¢sgft CONSTR.( LET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. EX. OCCU OUTLETS OR FIXTURES P� 20®@300 eAL030 FIXED APLNS. \\ EX. Occup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bVirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ Ishall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating wall furnace 6.00 Cooling Hood 3.00 Ventilation 3.00 permit Fee $ 19.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, i emnify and keep harmless the County of Butte against all liabiliti 'ud ts, costs, and p W es which may in any way accrue agains Id In seque ranting of this permit. Signature of Applicant — Owne Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep an demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 34.00 HAi. cuA PARK SCHL FLD coF PAR Po I HD. I0 This permit is hereby issued unser the applicable provi- sions of the Butte County.Code and/or resolutions to do work in 'cated above for which fees have been aid. p DI T R OF rP!r'C WORKS B Date d/ _ P MIT EXPIRES Date Receipt No. 93631 WHITE-D.P.W.. TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7.County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND( -PERMIT PERMIT NO. ASSESSO ARCEL NUMBER —C,-)// ZONING BUILDING PERMIT OWNER ^ C L014-- TELEPHONE 533— 03H / SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 13 eu IJ 0 . CONTRACTOR'S NAME TELEPHONE Do - 4-- ugeAerv' CONTRACTOR'S MAILING ADDRESS O. oX 101O P -15D BWEEJ Gd. !n Oeo Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ ' 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR LN-INEER LICENSE NO. Plan Che -king Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 31ig Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 , �,,( _ USE OF STRUCTURE SFJ Duplex[]Mobilehome❑ Other /— SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition [I Remodel ❑ Utilities �_1ns_tallation❑ Other ❑ Describe work: R ETP LEGE 9.57 000 L3TU W,& U— LICE V EoU T" p/ pE G� A -c Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 BOOV OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR AODNS. ( ACC. SLOGS. 21hesgft NEW CONSTR. MULTI -OUTLET NON BRANCH CIRC ITS / 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2ALO 30 FIXED APLNS EX. Occup. OU LETS IPR ESID )RE A.) ..ALO 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 HeatingWA-L,4- FUZAI Cooling ng Hood 3.00 Ventilation Permit Fee100 $ o Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES � i v Hnz CUA PARK SCHL FLD cOF PAR PD JJHD. ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. (O WRIT[-D.►.W.. TELLOW-A.SDE»OR. PIN -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPA.R.FMENT OF. PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIWk, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER_ paE7/yeR5) ,GO/S A. P. O—U� Proposed Building Use Building Inspector. Date te At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ............................... . .. . 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—mail counter by ..date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on 'hold in File cabinet AP folder Copy—DPW "'�t7.i4.n, ec caR.CF?l,'�7!{r •�6GjtcyM. ,'?a:;".yq _ z.. r� 2`•;�v��'•a�adF.'et1 ., - 030-14-0-01.1.. IRICK ,Lois. ,. 95=2808M. ' 1315 Euclid' Avenue,`.,Oroville (replace wall.furnace - /sF)` Richard' Hath,: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,,dCalifofiia 95965 - Telephone (916) 538-7541: PE MIZ NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-14-0-011 ZONING BUILDING PERMIT OWNERLOIS TRICK TELE 53 N�—Q321 SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 1315 EUCLID AVE. OROVILLE CA 95965 CONTRACTOR'S NAME RICHARD HEATH & ASSOC. TELEPHONE CONTRACTORS MAILING ADDRESS 4 BANCROFT WAY, BERMEY, rA 94710 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Fling Fee $ 20,00 ADDRESS Permit Fee $ ARCHITECT OR ENGINEER N ' LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS AVE OROVIIIE PERMITFEE $ ,UCI..ID ., PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑� Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 1Y Installation ❑ Other ❑ Describe Work: REPLACE MALI. FIRNACP Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / �7 License Class Lic. No. (n �� �?Q OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURS OR ACDNS. ( 8 ACC. ) O. 3.5¢ FT. NEW CONSTMULTI-OUTLET . NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) aAL 20 Q 1.00 50 Ex. Occup. (OUTLETS (RES D.) E0.) S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s 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. 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 insuranceqarrl r and po icy number are: Carrier XLAIR 1-1 T MECHANICAL Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ 35.00 Contractor Policy Numb _&Cr 17r ef q 41L— (The above sections need not be completed if the permit, is for work of a valuation of one hundred dollars ($100) or less.)DCC ❑ 1 certify that in the performance of the work for which this permit is issued, 1 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 forthwi co, ply with those provisions. Date ��� 7t) �� X, Owner ignature of Applicant - ❑ wner ❑ 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 $ CONST. TYPE TOTAL FEE $ j5 HA2. I D. FEES I IMP I FLOOD TDF PARCEL PD HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have B �, y ! y PERMITEXPIRESON I applicable provisions Resolutions to do work 'paid. >! ,Date 11/8/95 11/8/96 (Date) Zit)lOU Receipt No. ' 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) 538-754 PEPI , APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER oin-14-0-011 ZONING BUILDING PERMIT OWNER LOIS IRICK TELEPHONE 533-0321 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1315 EUCLID AVE. OROVILLE CA 95965 CONTRACTOR'S NAME RICHARD HEATH & ASSOC. TELEPHONE CONTRACTORS MAILING ADDRESS 604 BANCROFT WAY, BERKELEY, CA 94710 Fireplace CONSTRUCTION LENDER NONE UNMOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS HARING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIOWS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF CK Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [X Installation ❑ Other ❑ Describe Work: REPLACE WALL FURNACE Mobile Home I S I GI W 1 @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV 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 1 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. !D d g J 0 C>?— 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 AD DNS. 8 ACC. LDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POSINGWER APPARATUS ) 8 LE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 2L 0 I•50 So EX. OCCUp. FIXED APPLNS. OR Ex. ( OUTLETS RES D.) 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: ❑ 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 insuranc arr Carrier �'�P-h 1_` 21Cty0nd I MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMITFEE $ 35.00 Contractor Policy NumbdF Aj , (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo w' co ply with those provisions. t-2of X�Date � / _ ignat of Applicant - ❑ wner ❑ 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 Is occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions the Bu County Code and/or Re I ions to do work indicat ab ve for which es have paid. 11/8/95 J11 Date PERMITEXPIRESON 11/8/96 (Date) Receipt No. 186286 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 030-140-011 02-0615 MENDIVEL, Ruben 1315 Euclid Ave., Oroville Reroof/SF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT '" D soR1 0 01 ZONING BUILDIMfLRMIT OWNER M=IVEL RUBEN TELEPHONE 538-9462 SO. FT. OCC. BUILDING VALUATION 24 1440.0(} OWNERS MAILING ADDRESS 1315 EUCLID AVE. OMV= CA 95965 CONTRACTOR'S NAME VIRi�JCM1t TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is it .00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1315 EUCLID AVE. OROVIUE CA 95965 Energy Plan Checking Fee $ PERMIT FEE $55-00 LOT NO. SUBDNISION'S NAME PARCEL MAP Filing Fee 20.00 PLUMBING PERMIT 9 Each Trap 7.00 USEOFSTRUCTURE 1 SF ick Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O� Describe Work: RE ROOF WM C" Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VOR LE Main Service 20.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith 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 *hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I I, as owner of the property, or my employees with wages as their sole compensation, f will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO tOooA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. a ACC. BLDS. 3.5¢FT. NEW CONST. MULTI.OUTLET @7.50 NoN REs1. c APPARATUS a SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL- p .50 FIXED APPLNS. OR 5.00 Ex. Occup. ouTLETs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 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 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) © 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 f 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �- 1 �� v� X h +� ( Date 1�Signatureof Applicant - ` Owner ❑ Contract6rr----0 Agent/ r 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 $ 55.00 `4 HAZ. D. FEES IMP FLOOD CDF 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 which fees have been paid. B� 1 ( Date PERMIT EXPIRES'ON " Date ReceiptNo. 3q.35,71 /0 55-04!1 WHITE-D.O.S.-B.D. CANAFTY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF REVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER� (Rev. 12/96) APPLICATION AND PERMIT ASSESS RPARCELNUMBER 03D-140-011 ZONING BUILDIN - ERMIT OWNER MENDIVEL RUBEN TELEPHONE 538-9462 SO. FT. OCC. BUILDING VALUATION 24 S 1 440.00 OWNERS MAILING ADDRESS 1315 EUCLID AVE. OROVILLE CA 95965 CONTRACTOR'S NAME OW TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1,440.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1315 EUCLID AVE. OROVILLE CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ 55.00 LOT NO. SUBDNLRIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: RE ROOF WITH COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 El PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 a00VOR LESS Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION ereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Jai 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: 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 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 orkers' compensation provisions of section 3700 of the Labor Code, I shall f hwith comply with those provisions. ^"O ;Jof X to'(J lure of Applicant - Owner ❑ Contrac o AgAn OSHA permit is require for excavations over 5'0" deep an Pemolibonorconstruction of structures over 3 stories in eight. Main Service 200ATO tOooA 46.00 NEW CONST. DWELLINGOCT so. EL OR ADDNS. ( & ACC. BLDS. 3.50FT_ 1NjpµT. p°�Ip, MULTI -OUTLET @7,50 dPSIONGLE OCIR.WER APUTLET PARATUS Ex. Occup. OUTLET OR FIXTURES BAS @ I.50 Ex. Occup. pUTLEETS pa p, °E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.00 HAZ. p. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the Butte County Code and/or indicated above for which fees have B PERMIT EXPIRES the applicable provisions Resolutions to do work been paid. Date 3 ^� �a —D -,n Date Receipt No. 35 5. 00 WHITE-D.D.S.-B.D. CANA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. Rev. 12/96) APPLICATION AND PERMIT ASS ESSOR PAR(VEL NUMOER��// ZONING BUILDINGPERMIT "OWNER •� TELEPHONE 3 -9� SO. FT. OCC. BUILDING VALUATION '•'�• D V _ OWNERS MAIUNG ADDRESS 65 COCTOR;� NAME TELEPHONE - - COT7TRACTO(RR'S MAILING ADDRESS CONS TRUCTION LENDER Fireplace LENDER S "UNG ADDRESS Total Valuatlon $ L) Ll- " ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ,3 S• O ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ " BUILDING ADDRESS_ � � Energy Plan Checking Fee $ _ $ - PERMIT FEE $j'`.lJ LAT NO. SUBDIVISIONS NAME PARCEL MAP Filing PLUMBING PERMIT g Feel20.00 Each Trap 1 7.001 USEOFSTRUCTURE SF',P Duplex ❑ Mobilehome ❑ Other SPECIFY Solar oOeat pump water heater 1 23.00 Water piping 15.00 Each as water heater or vent -----__L1 5.00• TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 11 Installation ❑ Other )1b Describe Work: QI I Gas piping system 1 - 5 outlets00 Buildingsewer 1 5.00: Mobile Home S G W 920.001 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee; 20.00 500OR LESS Main Service zo.VA oR LESS 23.00; _ *PEPAIT FEE PAlb 5 5 0 SRI SHERIFF O Am' 0* VW REC6XVEt) w NV3 cL�/"' �/ " TO *a rvr mro cowwER� Main Service 200A TO 1000A 46.00 NEW CONST.pwELLING OCCUP. 3.5CS0' OR ADDNS. ( 8 ACC..S. FT. NEW CONS . MULTI -OUTLET 1 NON-RESID. G�7.5O POW PARATLIS -_— & SINGLE O CIR. _. OUTLET OR FIXTURES 20 @ 1.00 Ex. Occup.BAL a .so Ex. Occup. oUTLE TS OAPR DI'S.OEA 5.00 _ Temporary Service 23.0 Mobile Home Facilities 20.00 Misc. Wiring 23.00 1 PERMIT FEE S M CHANICAL PERMIT Filing Fee j 20.0_0 Heating Coolingi Hood 6.50 1 Ventilation I PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 5-6:.6 0 HA2. J= IMP I iLooO I COF PARCEL I PO i H° i SSI E 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 ReceiptNo. PERMIT EXPIRES ON WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date __ s 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. 0I personally plan to provide the major labor and materials for construction of the proposed �) property ' provement : YES NO 13 `3 I HAVE HAVE NOT signed an application for a building permit for the proposed work. I have c ntracted with the following person (firm) to provide the proposed construction: ",,NAME: ADD SS: CITY: PHONE: 4. I plan to provide po ' supervise, and provide NAME: ADDRESS: CONTRACTOR'S LICENSE NO. of this work, but I have hired the foil g person to coordinate, maior work: PHONE: CO 5. I will provide some of the work b have co the work indicated: CITY: R'S LICENSE NO. NAME ADDRESS PH SIGNED: PROPERTYOVVNER: SOCIAL SECURVY N ER: DATE. U (hired) the following persons to provide TYPE OF WORK NOTE: This Owner -Builder Verification is required by Section 19831 and 19831 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 O- r L OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. 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. i If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the 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 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. IMrely, el C. Vi ira, C.B.O. ger, Building Inspeotion NOTE: This Owner -Builder Information is required by Section 19830 of the Californla Health and Safety Coda OVER . �.�✓+'+�.n! yyw-+rw rJ,. er ... MaR���+�-:.3i�*,r_ 9 r ' µ I { r • P♦ i I 030-140-011 v V02-1130 MENDIVEL, RUBEN 1315 EUCLID AVE., OROVILLE ELEC. SERV. PANEL C/O (100 AMP) OFFICE COPY Address 'z i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION , „K, 1 , 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 j'" { 1� -PERMIT, NO.. (Rev. 12/96) APPLICATION AND PERMIT�� ASSES s -140- CEL N� ZONING BUILDING PERMIT O1 1 � ftWELpOwNEWS TELEPHONE SO. FT. OCC. BUILDING VALUATION 1uNG AD�DRE © AVE. CA 95965 COMRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1,315 W=D AVE, Q V= Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EPP=C 'SMCB PAM CHAP112-fir (100 AW) Gas piping system 1 - 5 outlets 15.00 Building,sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOAow�ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: +� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation i 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. �'� tA /� {� f X tad � 14 f ( Date r-�/I ' �: f :�� Signature of'Applicant - O Owner ❑ Contractor ❑ Agentl f - An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 NEW CONST. DWE WNG OCS° WCU OR ADDNS. ( a ACC. BinCUP. S.3.50FT: P10" ..ESIDT BRANCH MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 Ex. Occu OUTLET OR FIXTURES BAL @': o FlXED APPLNS. OR 5.00 Ex. Occup. ounErs RES,.) E0. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEES — MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2. '""""'"""""` I D. FEES IMP I FLOOD I COF .»"w. PARCEL PD HD ISSUE ,, This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indica d ab ve or whic' fees have been By Date PERMIT EXPIRES ON per provisions to do work paid. Receipt No. WHITE-D.D.S.-B.D. CWNARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER BUILDER INFORMATION Dear Property 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 mcord on such a permit. Building permits are not required to be signed by property owners unless they are personally perfosning 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: ♦ 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. ♦ [f 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 securitytaxes, worker compensation insurance, disability insurance costs, and unemployment compensation contrtbutions. ♦ 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 specil'c information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the C.S. Small Business Administration). For more specific information about your obligations under Sate 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 trrouglh their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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 Contractor 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 matter. The building permit will not be issued until the verification is returned. I!N�lf rely, el C. Vi It'a, C.B.O. ger, Building Inspection NOTE: This Owner -Builder Information is required by Secdon 19810 of the Californla Hea11h and Safety Code - OVER OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signamm 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�e NO 13 �I HAVpe HAVE NOT 13 signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: 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: NAMIE: ADDRESS: CM: PHONNE: 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: - `PROPERTYO R - D ate, NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of Ad California Health and Safety Code. This verification must be completed std returned to our office before we are permitted to issue the permit OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION t - 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT t� ASSESSOR PARCEL NUMBER 030-140-011 ZONING A—R BUILDING PERMIT 7�7�7�� MiDIVEL, RUBEN TELEPHONE 538-9462 SO. FT. OCC. BUILDING VALUATION OWJ3ffILIEUCLID AVE. , OROVI=, CA 95965 CONTRACTOR'S NAME OWNM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1315 EUCLID AVE. OROVI= Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: ELECTRIC SERVICE PANEL CHANGE—OUT (100 AMP) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LELESSSS Main Service OOzo.AA OOR 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 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. ❑ 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWaELLING OCCUP. OR ADONS. ( ACC. BLDs. SO 3.5QFT; µRES D. MULTI OUTLET @7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES BAS 0 1: 0 PP Ex. Occup. DFlUXTIETS RESIp.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature o Applicant - ❑ Owner ❑ Contractor ❑ Agen , An OSHA permit is required for excavations over 5'0" deep and emolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. PE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF PARCEL PD HD 5SU This permit is hereby issued under the of the Butte County Code and/or Indic dab a fo whic fees have By PERMIT EXPIRES ON I applicable provisions Resolutions to do work been paid. Date IDat Receipt No. WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California ,95965 • Telephone (530) 538-754, PERMIT NO =2 -,2/967 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �j.,., J _�/� . / / z°�aNG 1� BUILDING PERMIT OWNER ho n i f I l ie(�� A I/ 1/�� TES" I'�/���' SO. FT. OCC. BUILDING VALUATION OWNERS f U- CONTRARACTORV-NAME46— CONTRACTCR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS LDT NO. I SUBONIS IONS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ 7:3�j Utilities ❑ Installation ❑ Other ❑Describe_Work: d L%� "PEP AIT FEE PAID SRA • SHERIFF OTM AAiIbVW RECMWb �R�cr t�uMs� 1�a MZ, 7 " TO N FVT IN" COMM PERMIT FEE I S ELECTRICAL PERMIT I Fling Fee'• 20.00 OOOV OR LESS Main Servicexow oq LEss 23.00; I _- 46.00: NEW CONST. DWELLING OCCUP. OR AOONS. ( a ACC. BLDS. I FTS0. 3.5C ' NEW CONS . MULTI.OUTLET NON aESID. @7.50; Fireplace --- I OCCU OUTLET OR FOCTUgES Total Valuatlon is Ex. Occup. (oimtrs tgEso.LJIIS ��w) I 5.001 Filing Fee $ 20.00 Permit Fee $ 23.00: Plan Checking Fee $ Energy Plan Checking Fee S PERMIT FEE S PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.001 Solar or heat pump water heater I 23.001 Water piping I 15.00 Each gas water heater or vent 15.00! Gas piping system 1- 5 outlets 1 5.00 Building sewer Mobile Home 1 S I G W I @20.001; PERMIT FEE I S ELECTRICAL PERMIT I Fling Fee'• 20.00 OOOV OR LESS Main Servicexow oq LEss 23.00; Main Service 200A To I000A _- 46.00: NEW CONST. DWELLING OCCUP. OR AOONS. ( a ACC. BLDS. I FTS0. 3.5C ' NEW CONS . MULTI.OUTLET NON aESID. @7.50; POWER APPARATUS a SINGLE OUTLET CIR. --- I OCCU OUTLET OR FOCTUgES _ m OEX. aAL .10 .SO I Ex. Occup. (oimtrs tgEso.LJIIS ��w) I 5.001 Temporary Service _ I 23.001 Mobile Home Facilities i 20.00! M1 c. Wiring /1 23.00: PERMIT FEE I S — —,-qJ MECHANICAL PERMIT I Filing Fee 1 20.00 CoolingI I Hood 1 6.501 Ventilation PERMIT FEE I S Mobile Home Installation Fee S Energy Inspection Fee b DCC CONST TYPE TOTAL FEE $0`0 -Z. 1 D. FEES I IMP I FLOOD PARCEL PD I HO j 6SiE CDF This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date Receipt No. PERMIT EXPIRES ON WHITE-O.O.S.-S.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD•APPLICANT I fll.,-,