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HomeMy WebLinkAbout030-182-00330-182-03 DORA WRIGHT _ - - 1.1. 58 12th, St .oville Permit #1067-76 (sew, inst) SIF 030-182-003 03-2953 WITHINGTON, MELINDA 1158 12TH ST., OROVILLE 0Cont: OWNER ELECTRICAL SERVICE UP GRA 3' r, r r u CN 030-182-003 03-2953. WITHINGTON MELINDA 1158 12TH ST., OROVILLE Cont: OWNER ELECTRICAL SERVICE'UP GRA r. OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Dat4 "t-, .51/_o/d _ 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 . ' ; .; , '/ ) �'Q cg -s ASSESSOR PARCEL NUMBER - 01N192 -MI ZONING A BUILDING PERMIT ' OWNER M"TWA TJTgT4T- .. TELEPHONE SQ. FT. OCC}. BUILDING VALUATION - . OWNER'S MAILING ADDRESS V 11 CIA 1 0-QA'VT 17 97A!9r,065�`I I CONTRACTOR'S NAME �....f_ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER • Fireplace LENDER'S MAIUNG ADDRESS KTotal Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 11r.., 1)t4% n` ACa� Energy Plan Checking Fee $ $ _ .' _ .. PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP s PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE i S SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 - TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ " Describe Work: f±�LECTftICAL SERVICE UPGRADE t Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ i ELECTRICAL PERMIT Filing Fee 20.00 EOOV LES Main Service 2ooA oR OR LESSS 23.00 3. (0 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. 1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L w OI` the following reason: LV 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 Main Service 200A TO 1000A 46.00 NEw CONST. owEwNG Occup. OR ADDNS. ( 8 ACC. BLOCS. so 3.50x_ NON-REOSID. MULTI -OUTLET RANCH CIRCUITS @7.50 POWER APPARATus 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES .00 BAL @ I,O. Ex. Occup. OFlxs REQS D OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 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 �.a I •..� r. I Y�'1. 5 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) XI 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- ,•• f+-.� Date. `� /d Signature of Applicant-lyOwner ❑ Contractor ❑ Agent' T An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energylnspection Fee $ occ coNST. nPE / •. •j TOTAL FEE $ 43.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PD HD IssuE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �; , rr�X. - 9-24-03 By1 ` Xit•/�'/�%, �'i �j%�1� Date PERMIT EXPIRES ON 9-24-04 Date ReceiptNo. 390561 $ 43.00 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) 538-75&1-2!2S2 PERMIT No. (Rev. 12/969)- APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-189-003 ZONING BUILDING PERMIT OWNER .6WN _ER T MAILING ADDRESS h ST INUTTITF UA 95965 CONTRACTOR, NAME TELEPHON TELEPHONE SO. FT. OCC. BUILDING VALUATION - CONTRACTOR'S MAULING ADDRESS CONSTRUCTION LENDER . Fireplace LENDER, MAIUNG ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1158 12th '9 GROVILLE GA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: Fi.F('TRTCAT. SFRVTCF. UP GRADE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 EOOV OR LESS Main Service 2o0A OR LESS 23.00 3.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Low or 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 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. O� X Date % Lf 03 Signature of Applicant - wner ❑ Contractor ❑ Agent' An OSHA permit is required for excavations over 60" deep and demolition or construction9-24-03 of structures over 3 stories in height. Main Service 200A TO +000A 46.00 NEW CONST. DW .UNG oCCUP. 3.5Qso OR ( COLI�TLS. NEW CONST. MULTI - NON.RESID. C @7.50 POWER APPARATUS 8 SINGLE OUTLET CR. Ex, Occu OUTLET OR FIXTURES BAS @': 0 OF Ex. Occup. °LnE�°,SAPP EP. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 43.00 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 $ 43.00 HAZ. I p. 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. By Date PERMIT EXPIRES ON 9-2$-04 Date ReceiptNo. 390561 $ 43.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESX NO 13 . 2. I HAVE HAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: DATE:_ `y/r,? y /D 3 NOTE. This Owner -Builder Ver Ration is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER SUNDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner builder" you are the responsible party of record on such a permit Building permits are not required to be signed by .property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possrble 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 applyJ 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 $300 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, wodcers compensation insurance, disability insurance costs, and unemployment compensation contributions. d ♦ 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 oleic 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. Informadion about licensed contractors may be obtained by contracting the Contractors State License Board in your commrmity 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 bwlding permit will not be issued until the verification is returned. Pin Mic.B.Ol�fanispWtion NOTE. Tleis Owner-BuilderWorrnetion is required by Section 19830 of the California Health and Safety Codes OVER I PERMIT NO. 1067-76Z PERMIT EXPIRES 3/9/77 OWNER DORA WRIGHT CONTR. owner LOCATION (A.P. 30-182-03 ) 1158 12th. St., Oroville y r - j 1 M s t Temp. Power Pole Called PG&E Temp. Elec. Ser Called P E /eG Serv. PG&E r l� (Date) (Si n A ture) COUNTY OF BUTTE — DEPARTMENT CSF 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 Sidinq To out Slab Roof Sheathing Water Piping, Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall 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 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 (NOTE: An entry must be made on this form each time you visit the job site.) THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 { : ' - 266 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 11/R '45�,aaJa Ownar's Name: 126h.Q 7- Date: Address: //�w /1-1-Z � Acct. No: L� • , C �4. A.P. No.:,,_ 110'49-6 Phone:�_rsq4 17 No. Units: l Applicant/Agent: `/ 4 Agents Proof: Address: Fees: Phone: -Application $ Arrearage Preliminary Review Bye Date: CSA 26 I Rema-ks: SC -OR 1st mo. S.C. r� Other Total Fees Collected By: Date: Field Review By: c Date: Remar<s: _ I r � MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: 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). DI TRI UTION: WHITE - TID, YELLOW -APPLICANT, PINK - DPW, GOLDENROD - DPW to TID COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — . Ujovilie, California 95965 Tel e$hdne: !34-4541 APPLICATION AND PERMIT WORKS r) A auurvrrZe 1VP(WSer1SGLIVCs Uf ine County of Butte to enter upon the above-mentioned property for inspection purposes. S XXVL6! kk_Date Signature of Permiteeq Agent Receipt No. — 14 4.c;- oG-Z 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 l By Date &" 9'_ 7 Big permit expires Date 3 S%-- -7 7 BUILDING OwnerIJofzpb �G�"t-' SO. FT. OCC. BUILDING VALUATION Mai l ing Address 1134 1 ZTA S-r. D^ t p � a �•/� ©` ' �i t L.l.i Tole�phone No. Fireplace Contractor CKAG M FR_ Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address I 1 Z .T .. , PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3,Qp 09-0\J (LJ_ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N o — 2 -03 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F es Z"ISafr4W+enl I Fire Dept. Fire Zone Use Permit Building sewer 5.00 57,00 EOA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 �8�dg-PlBfigRec �+ Parcel Approval Plans Approval Permit Fee $ oD $ O NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 t- Main service 10ov OR LESS 1AMP OR LESS 5•00 00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. AOD'L foo AMP 1.00 NEW OR ADDNST /DWELLING ACCBDGS.CCUP. &) 22sgft NEW CONSTR. 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 BAL� Ex. Occu // FIXED APPLNS. OR p.(FIXED (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 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 yuith 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 $ �l auurvrrZe 1VP(WSer1SGLIVCs Uf ine County of Butte to enter upon the above-mentioned property for inspection purposes. S XXVL6! kk_Date Signature of Permiteeq Agent Receipt No. — 14 4.c;- oG-Z 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 l By Date &" 9'_ 7 Big permit expires Date 3 S%-- -7 7