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HomeMy WebLinkAbout030-181-018j8. f j8. 92-1848P 30=181-18 ANI MONTANEZ.'Breta v 1150 14th St,' Orovill'e S, ll`. contra Do -4 U . heater/sf'- �.I The water '�2-2078M _ 30-181-18 MONTANEZ, Breta 14th ST, Oroville 1150 contr : Johnson Air Z heater/sf : room 030-181-018 02-2139 INALE STILWELL, RONALD Z" 3 Z 1154 14TH ST., OROVILLE RE -ROOF 030-181-018 05-0613 STILWELL, RON 1154 14TH ST, OROVILLE Cont: OWNER UPGRD PANELS(2) (DUPLEX) 030-181-018 05-0614 STILWELL, RON 1150 14TH ST, OROVILLE Cont OWNER UPGRD PANEL (HOUSE) j8. '�.1 IJU I I t t;UUIV I Y FtKIVll I IVU. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT - 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP050614 OFFICE #: (530) 538-7541 LICENSED CONTRACTORS 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. Issued Date: 03/08/2005 APN: License Class : License Number: Site Address: 1150 14TH ST ORO Dale: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that 1 am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Description: upgrade panel & elec on house Business and Professions Code. Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: STILWELL RONALD & PATRICIA signed statement that he or she Is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 1150 14TH ST she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA violation of Section 7031.5 by any applicant for a permit subjects the 95965-4316 applicant to a civil penally of not more than five hundred dollars ($500).): �7( 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: STILWELL, RONALD AND PATRICIA provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 4715 LINCOLN BLVD proving that he or she did not build or Improve for the purpose of OROVILLE, CA sale.). 95966 ❑ 1, as owner of the property, am exclusively contracting with 530-370-1039 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.) ❑ 1 am Exempt underArliclZ-601,heBusl a d"Pf Tessio de Contractor: Date: �O Own r 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 License #: Is Issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: Carrier: Policy #: certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. rQ Date: Applicant: WARNING: Failure' to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of fees. compensation, damages as provided for in Section 3706 of the LaborLo code, interest, and attorney's CONSTRUCTION LENDING AGENCY This permit is hereby l ued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to Indicated above for vyfnch fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)- Date: Name: BY: PERMIT EXPIRES O ' Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale aws relating to building construction. I acknowledge It is unlawful to alter the substan a official form o cu t of Butte County. I hereby authorize repre nt ives of Butte y er upon the abo a mentioned property for inspection p ses l/ ' Print Name: .� Signatu : Date: caner ❑ Contractor ❑Agent for Owner E3Agent for Contractor VVV 111��� B. C. Buildinq Permit 01-16-04 pq 1 •� �, ' `:Y:_ >'. ..:;, . , �: °; .� �° _ r u. ... ., ,•>, >� - . _ �:,- �.;._ 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 OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Nam irsme Address City�Izl State Zip �. Phone O O32 Fax E-mail— APPLICANT NAME CONTRACTOR Name Address City �2ov� //� City Zip State Zip Phone Phone Fax E-mail State License Number Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City �2ov� //� Add 7 --- Zip City State 7zip Phone Fax E-mail State License Number APPLICANT NAME Name < r Address City �2ov� //� State Zip Phone /0 /0.3 Fax E-mail APPL_ICA i For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT 5S3(p)4 BP BIN # LOCATION AP# - - Prope0 yAddress y t Cross Str Li/10 J)A (v WORKER'S COMPENSATION Po cy Number arrier /-///✓' It icing anyone other than license contractors, a certificate of worker's co ensation must he shown at the time of permit issuance. LENDING AGENCY Name Ato Address Description or Scope of Wor I� L4262 o S" Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): Page 1 of 2 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 required. 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: Amount: Bldg SRA Recel� Sheriff SMIP Dater —Other Total REV 2-24-05 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. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) 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). 0 12. Hazardous Material Form (for Commercial Buildings only). , 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. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact.a Permit 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 2-24-05 :OlERB°T� ?D'I40"TIO, .Y. .3:esK`'.'xTi�,. 5}..4i2`�F.;.: ,. h:�\i�`.c.._�'.nzi�^: .4i `>•Ytx°X." i'Rn.... ... .. _SE �... -. �.. .�:>`..:. 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 material for construction of this proposed property improvement: YES [ NO [ ]. 2. I HAVE [ HAVE NOT [ ] signed an application for a building permit for the proposed work. ` 3., I have contracted with,the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 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: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: LO 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. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION t BUILDING' GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile Dear Property Owner: An application for a building permit has been 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 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 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 family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are 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 federal government 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. o There may be financial risks.for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact 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 contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you.are aware of these matters. The building permit will not be issued until the verification is returned. ly, Miclpel C. Vieirl, C.B.O. Ma ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. ji IJU I It UUUN I Y DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 h'tKIVII I IVU. BP050613 O. %+ E)wmilp ronnn v, - - M4 LICENSED CONTRACTORS 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 Issued Date: 03/08/2005 APN: 030-181-018-000 effect. License Class : License Number: Site Address: 1154 14TH ST ORO Date: Contractor. - Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Description: upgrade panels (2) & elec on duplex Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to rile a Owner: STILWELL RONALD & PATRICIA signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 4715 LINCOLN BLVD she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA violation of Section 7031.5 by any applicant for a permit subjects the 95965-4316 applicant to a civil penalty of not more than rive hundred dollars ($500).): 530-532-1640 las 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 (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of properly who builds or Improves thereon, and who does such work himself or herself or through his or her own employges, Applicant: STILWELL RONALD & PATRICIA provided that such Improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 4715 LINCOLN BLVD proving that he or she did not build or Improve for the purpose of OROVILLE, CA sale.). 95965-4316 ❑ I, as owner of the property, am exclusively contracting with 530-532-1640 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Arlclethe Busin "essions Contractor: Dale- 5e FOwn, 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 License #: Is Issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: Carrier: Policy #: �I certify that in the performance of the work for which this permit is Total Square Ft: 0 S.F. issued, I shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Appllca - WARNING: Failure to' secure workers' compensation coverage i's unlawful, and shall subject an employer to criminal penalties and one hundred Thousand dollarsIn addition to the cost of compensation, damages as provided for in Section 3706 of the Labor I l V —/ code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit Is h reby Issued under the applicable provisions of the Butte County Code and/or 1 hereby affirm that there is a construction lending agency for the Resol io o work Indicated ab ve for vpliich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) - ate: Name: By: PERMIT EXP E ON: Address: Date ' ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance n officAfforordont/C?ounthereby authorize reprel'/�'ar/tt�live/s Butte Counttyy tt ent rVp th above m lioned property for inspection pur jof Print Name: )(0YV `i r 7 �Signature: Date:1G� Db� caner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor O. %+ E)wmilp ronnn v, - - M4 �.' \, �_� ,r, ...; ����. �` , ' •'� �� .. .y'. �. �� r 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.net/dds **PLEASE PRINT CLEARLY" ARCHITECT/ENGINEER OWNER In Last Name - irs e Address lNCO /L1 � City �� State Stat Zi Phone D Fax E-mail Lic. # ARCHITECT/ENGINEER CONTRACTOR Name City State Address Phone City No State Zip Phone Map Book Fax E-mail Phone Lic. # Class ARCHITECT/ENGINEER Name Address City State Zip Phone E-mail State Licens mber / , I OAK � AWROWAS' For office use only: Zoning APPLICANTAAME Name Cross Street j ddressJ` Address/7J`/r1,'//,/1_, No //UCO , city 'eDl/ � Map Book Stat Zip , r J Phone �/ 0-5 Fax E-mail / , I OAK � AWROWAS' For office use only: Zoning Property Address,/� Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. C-1 —3 b(.Q BIN # LOCATION AP# 14-6 Property Address,/� 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 Des'Von or a of Wor Sq. Footage . e ❑ Structure Built without erml s ❑ Proposed Change of Occupancy (Note previous use): 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: Receipt #: 4�� da Date: 5, Amount: Bldg SRA Sheriff SMIP Other Total REV 2-24-05 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. ❑ 5. Statement of Intent for Non-heated'and, A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) 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). 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. 0 5. Encroachment Permit for driveway from the- Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). - O 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. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please�contact a Permit 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 KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 y` sE".si^?`s; iS4..x.s`i.K..�.,.�.��.ca .. ws.�:i s5�,.:. likifr�,,. .... 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 material for construction of this proposed property improvement: YES&2<1 NO [ ]. 2. I HAVE .�< HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the followingperson to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: 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 PROPERTY OWNER: DATE: �✓O 'G� 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. Rev'd 11/4/2004 a;+ Butte County Department of Development Services ADMINISTRATION' BUILDING `GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile Dear Property Owner: An application for a building permit has been 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 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 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 family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are 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 federal government 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact 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 contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permifwill not be issued until the verification is returned. U. V iel, C.13.U. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. -�'..Y:trnw �,.r. .,.cr _ ...-. v✓�..is'...,.'�'r':�°'�++�nq';is�.,i.�x.�.. w��wrr.r'sr.?sf'�.'x'r�rfif�'."pt".'s;��N 030-181-018 02-2139 ` STILWELL, RONALD 115414TH ST., OROVILLE i RE-ROOF 1 .»; COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 R PE IT NO. 1 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-181-018 ZONING BUILDING PERMIT OWNER STIMEM RONALD TELEPHONE 532-0 65 SO. FT. OCC. BUILDING VALUATION 29 AD 1 t 740.00 . OWNERS MAILING ADDRESS 2339 VIA CEDRO ORMLU, CA 95965 CONTRACTOR'S NAME OWIM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAKING ADDRESS Total Valuation $ 19740.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 11j J J��i G�DJ4DTH STr�EEt OROVILLE CA 95965 44 Energy Plan Checking Fee $ $ PERMIT FEE $ 61.00 IM LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE �t SF ON Duplex ❑ Mobilehome ❑ Other i SPECIFY Solar or heat um 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 WITH COMP 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 20.00OOOV' 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. 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: has 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 construct the project. (00 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 F not employ person in an manner so as to become subject to workers' p y an y p y � 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 c mply wit those proyi ions. ' r �/^ 7 l" ""`" J` /�/,i�te i C/�f/ `�L Slgiiature of Applicant "+Z,Owner ❑ Contractor ❑ Agent An OSHA permit is required°for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. SO OR AooNs. ( ACC. eros. 3.50 =-ESI ' MULTI.CONS OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FD(TURES BAL @ .50 i FUCED APPLNS. OR Ex. Occup. 5.00 OUTLETS RESID. Ea Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.0to PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ corer. TYPE TOTAL FEE $ 61.00 � D. FEES IMP I FLOOD CDF PARCEL I PD I 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 p, Date 17 PERMIT EXPIRES O� N Date Receipt No. 36896/$61.00 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) 538-7541 aPFAMIT N0• (Rev.12/96) APPLICATION AND PERMIT -� ASSESSOR PARCEL NUMBER 030-181-018 ZONING BUILDING PERMIT OWNER STILWELL RONALD TELEPHONE 939-0969 SO. FT. OCC. BUILDING VALUATION 29 SQ 1,740.00 .OWNER'S MAILING ADDRESS 2339 VIA CEDJUR, CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total valuation $ 1,740.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEERS MAULING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1154 14TH STREET OROVILLE CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ 61.00 M. LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF LK 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 Describe Work: RE ROOF WITH COMP 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 V OR LE Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,"ONRESD. 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: 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. 17 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. �13I 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: 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 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 9 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall with c ose pro ' 'ons. Q_ to__ W47h'a—ture of pplicant - Owner ❑ Contractor ❑ Agent An OSHA permit is requiref for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mein Service TO 46.00 CCU000A NEW CONST. DWEWNG OCCUP. SO Wf 3.5¢FT: OR ADDNS. ( s ACC. S. MULTI.OUTLET @7.50 APPARATUS a SINGLE ourLiT R. 00 EX. Occup. OUTLET OR FIXTURES aA0 Q I 0 Ex. Occup. GurLEEDrs A )ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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 $ 61.00 HAz. D. FEES IMP I FLOOD I CDF PARCEL I PD I 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. DateQ/^ p„– Q, (�Q a PERMIT EXPIR S&N2 �Q r Date ReceiptNo. 36896/$61.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearingyour si�am Please complete and retina this information at your earliest opportunity to avoid unaeveasaeyddy in processing and issuing your building permit. No building permit will be issued not Ads verification is received. . I personally plan to provide the major labor and materials for construction of the proposed C�property improvement: YES C3 NO 13 HAVE C3 HAVE NOT 0 signed an application for a building permit for the 91 ap a i WQ& 3. I have contracted with the following person (firm) to provide the proposed eona�nretio®: � MWME: Y • IN PHONE: I. plan to provide portions supervise, and provide the NALLNIE: b ADDRESS: PHONE: 5. I will provide some of the the work indicate NAIN IE CONTRACTOR'S LICENSE NO., this work, but I have hired the icer work: CITY: CQ>FrJRACTf'R:S LICENSE NO. but I have contracted ADDRESS PHONE SOCIAL SECURITY person to coordinate, the following persons to provide TYPE OF WORK DATE: W, © — NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 OW California Health and Safety Code. This verification tarot be eoMplslld and returned to our office before we are permitted to issue the permit OVER ,�rii"t'4P'%T''f'"�,' T�S+ri'',}Xt-'.Y_;!• .f{r"•.:li>t,��'�. `1r A�K� ,►r�-1G�:.`. q�',�''^1T�5'" '�:��✓',�e. o.�-,Z.•r�'„r�>:�+••C'i• 4`'w COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 30_181_018 ZONING + %. SR BUILDING PERMIT OWNER BRETA MONTANE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S --MAILING ADDRESS 1154 14TH STREET IAB OROVILLE 95965 CONTRACTOR'S NAME JOHNSON AIR TELEPHONE CONTRACTOR'S MAILING ADDRESS 5390 E PINE FRESNO 93727 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1150 14TH ST OROVILLE Permit fee $ PLUMBING PERMIT FilingFee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF 91 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G W @ 15.00 TYPE OF WORK New ❑ . Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: NFW VV',NTM) RO(li'+[ "AM _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 - Main service 200AA 00OR LESS 18.50 2OR LESS Main service 200A TO IOOOAI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q.] 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code /Code and my license is in full force and effect. License .Jo. TK 73 S C� Classification G -20,T 1 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt•under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM 3.6$sq.ft. OR ACDNS. l ACC. BLDGS. // NEW CONSTR`OUTLET � 5.00 NON•R ESI BRANCH CIRCUITS POWER APPARATUS 6 SINGLE OUTLET CIR. 20 76 Ex. OCcup�.OUTLETS OR FIXTURESFIXED APLNS. Ex. OCCup. OUTLETS PIRESID >REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FilingFee 15.00 Heating 9.00 Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of thelCountyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, a eexpenses which may in any way accrue against said County in conse'uen e4of the granting of this permit. X�%" Date f7 �6�' �� �i.gnature of Applicant - Owner LJ Contractor ❑ Agent An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 24,00 HAz I DFEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indic r� abovOor which fees have been paid. UI EGTOR OF PUBLIC WORKS /, PE MIT IBES Date Date %�' tfl —,hOO' 117152 Receipt No. P. W., YELLOW-ASSf;$SOR, 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. ASSESSOR PARCEL NUMBERONING 30-181-018 ' SR BUILDING PERMIT OWNER BRETA MONTANEZ TELEPHONE ,.:SO. FT. OCC. BUILDING VALUATI N OWNER'S MAILING ADDRESS 1154 14TH STREET #B OROVILLE 95965 CONTRACTOR'S NAME TELEPHONE JOHNSON AIR CONTRACTOR'S MAILING ADDRESS 5390 E PINE FRESNO 93727 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 115014TH ST OROVILLE Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ® Duplex❑ Mobilehome❑ Other Mobile Home S I G I W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ Describe work: NEW VENTED ROOM HEATER _ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 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. 1 License .Jo. S j5 U Classification G ��0, �3 NEW CONST. / DWELLING OCCUP.&) l OR ADDNS. ACC. BLDGS. NEW CONS TR ULTI-OUTLET NON.RESI BRANCH CIRC ITS POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS p(ourLETs OR FIXTURES 3.6asq.ft. @ 5.00 20 76 -��❑ I, as the owner,'or my employees with wages as their sole compen- EX. DCCUp. OUTLETS FIXED P(RESID )REA.) I .3.00 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) Temporary service Mobile Home Facilities Misc. Wiring 15.00 15.00 '15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 15.00 ❑ 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. Heating Cooling g 9.00 ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 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. Ventilation Permit Fee Contractor $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Mobile Home Installation Fee Energy Inspection Fee S $ 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, aexpenses which may in any way accrue ,poa st County in co ue of the granting of this permit. OCC CONST TYPE TOTAL FEE $ 24,QQ HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE Date e�' Z This permit is hereby issued under the applicable provi- s nature 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. Receipt No. 117152 sions of the Butte County Code and/or resolutions to do work Indic d o 1 for which fees have been paid. R OF PUBLIC WORKS By Date P EXPIRES Date — WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlller California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT All ESS R PARCZL. NUM59R o'- 8 - d Z NIN BUILDING PERMIT OWNERfv4lqA� Af6Z— TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS� CONTRACTOR'S NAMll sd� 2 TELEPHONE CONTRACTOR'S MAILING ADDRESS_ S316 6 19f'A e -1- -e 5 No q377- 7 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee ,$ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 1 15.00 /5o I th Each Trap I 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE I, SF2 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile HomeS G W @ 15.00 TYPE OF WORK New r" Addition ❑ Remodel ❑ Utilitie ❑ Installation❑ Other & Describe work: l Ar- W V(, -A I kA A&oJLt Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. ( DWELLING OCCUP.al OR ADDNS. ACC. SLOGS. 3.64sq.ft. NEWCON STFLMULTI-OUTLET NON.RESI BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES A20 @ 76cl FIXED APLNS. Ex. Occup. OUTLETS PIRESI1. 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE declare under penalty of perjury (check one): V� l❑ The permit is for $100.00 (valuation) or less. Z u y)I have placed on file with the County of Butte Building Department �%IZ, a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. h ❑ 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 15.00 Heating •OO Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr39storiesoinehe excavations over 5'0" deep and demolition or construct. Mobile Home Installation Fee S Energy Inspection Fee $ DCC CONST TYPE u TOTAL FEE $ a HAz 0FEES I IMP I FLOOD I CDF PARCEL Po HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Date Receipt No. 1171.52 WNIrE•D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT t� f C- a �� t� f �� �} �. 4 v SP's if`Al:� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541.'`.. 3 APPLICATION AND PERMIT ASSESSOR PAR6C_ELET J6Af 1618 8+ ZONING R , BUILDING PERMIT OWNER BRETA MOtdTANEZ TELEPHONE SQ. FT. OCC., BUILDING VALUATION OWNER'S MAILING ADDRESS 1154 14TH STREET #'B OROVILLE 959.65' CONTRACTOR'S NAME DO -44 TELEPHONE 529-3637 CONTRACTOR'S MAILING ADDRESS P.O. BOR 1010' RBD BLM 96080 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER _ LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ,1150 14TH STREET OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: MLACE WATER HEATER _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000AI 37.50 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 Professi ns Code'and my license Is In full force and effect. License No. 40 Classification � ��G � I, as the oer, or my employees with wages as their sole compen- F-1wn sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, 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 OCCUPM 3.64sq.ft. OR ADDNS. 1 ACC, BLDGS. // NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS tr\/ `SINGLE OUTLET CIR. / EX. OCCUp\OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS (RESID )REA.) .3.00 Temporary service 15.00 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. UI 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 FiIIng Fee 15.00 Heating Cooling Hood 6.50 Ventilation penult Fee $ Contractor *-I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in sequence of the granting of this permit ^ . X C",Date' 1-'� — q__ I t Signature of Appl ant'— Owner Contractor ❑ Agent ❑� ions over 5'0" deep and demolition or construct- on oofAn sHA structures tis overr 3Q stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 22,00I HAz I DFEES I IMP I FLOOD I CDF I PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work Indic ted above for which fees have been paid. �^� DIR'CTOR OF PUBLIC WORKS / //;; BY /��rt7l/\ %Gs, �ll� Date .. PERMIT EXPIRES .rate rr�- �ij -"C, Receipt No. li6s ' �: WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I `1 Q COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLIGATJON AND PERMIT PERMIT NO. 2429 E SOR PARCEL NUMBER 030-181-018 UER ZONING S R I BUILDING PERMIT BRETA MONTANEZ TELEPHONE SO. FT. OCC. BUILDING VALUATION ' OWNER'S MAILING ADDRESS 1154 14TH STREET #B OROVILLE 95965 CONTRACTOR'S NAME DO -4—U TELEPHONE 529-3837 CONTRACTOR'S MAILING ADDRESS P.O. BOX 1010 RED BLUFF 96080 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1150 14TH STREET OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 1 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: REPLACE WATER HEATER Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOAI_ .37,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): j� iY�/��V 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 � 6 �. ❑ I as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.g\ 3.54sq.ft. OR ADDNS. 1 ACC. BLDGS. // NEWCONSTR MULTI -OUTLET NO N•R ESID BRANCH CRC., TS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. ) Ex. OCCU OUTLETS OR FIXTURES 20 76 pJAL 0 46 Ex. OCCUp. OUTLETS ((RESID ) FIXED APPLNS REA.) .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department 1 Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in sequence of the granting of this permit. Xj�Date Si nature of A g pp ant — 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 S Energy Inspection Fee S occ CONST TYPE TOTAL FEES 22.00 HAz I DFEES I IMP FLOW I COF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte Co � Code and/or resolutions to do y work Indic ted abov for which fees have been aid. ) p DI CT R OF ELIC WORKS By �/ Date b`.r PER IT EXPIRES ate =- Receipt No. I 16864 WHITE-D.P.W., TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �D^ /\/�/J U VK[/ f� ZONI NG BUILDING PERMIT OWNER rnl pN;ffl✓U�Z TELLWPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS /5 ///-fh 5r ire) CONTRA_ OR'S NAME �v - Z-/- v TELEPHONE sz� coNpv "A� SxAILto 1 ®REs ep B)u ren O pO Vj Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 1/5-0 l �h ST Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 dQ USE OF STRUCTURE SFR Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Re�mlodeI ❑ Utilities ❑ Installation ❑ Other l�r- Describe work: �� !/�� U%�� f�%-LIQ _ Permit Fee Contractor $ Z2, Qo ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW penalty I declare under of perjury check one): PerjY ( ) ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.8d1 OR ACDNS. ACC. BLDGS. I 3.6Qsq.ft. NEW NO N.R ESID CONSTR BRANCH CIRCUITS @ 5.00 POWER APPARATUS (SINGLE OUTLET CIR.e ) Ex. Occup(OUTLETS OR FIXTURES 20 76 EX. Occup. OUTLETS (RESID )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g -15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 Si nature of Applicant - Owner ❑ ❑ 9 PP ❑ Contractor Agent An OSHA excavations over 5'0" deep and demolition or construct- ion of structures permit is in Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P OCC CONST TYPE TOTAL FEE $� HAZ 1 DFEES I IMP FLOOD COF I PARCEL I PD I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. I �(J !% WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT