HomeMy WebLinkAbout030-193-00430-193-04
PAULA L. DAVIS
286 Dodge St., Orovil e
Permit#5626-79B(reroof) SF
30-193-04 39_ 0�-90P
l
DAVIS, Paula Oroville
1286 Dodge Ave,
(gas line/sf)
`I (J
030-19-3-004 99-0182 B
DAVIS, Paula 'Arlasq! Z-/- qq
1286 Dodge, Oroville
(reroof/Custom Bldg by George)
.030-19-3-004 ,99-1181 E
.CRAWFORD, Vivian & Ed.
1286'Dodge Ave, Oroville
kelec_upgrade) Strang Ele
030-193-004 04-0853
CRAWFORD, EDWARD
1286 DODGE AVE, OROVILLE
Cont: WILEY,.DONALD
INSTALL HVAC
p 033
09
i 111
050 -,q3 c04-rm
ki
X
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I K.
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP040853
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
Issued Date: 03/29/2004 APN: 030-193-004-000
the Business and Professions Code, and my license is in full force and
effect. .
License Class: l,' License Number: G Z
Site Address: 1286 DODGE AVE ORO
Date: " [2qrky Contractor:
Map Index:
I D@SCrtlOn: INSTALL NEW HVAC UNIT
p
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
CRAWFORD EDWARD D &VIVIAN A
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner:
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
1286 DODGE AVE
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA
She is exempt therefrom and the basis for the alleged exemption. Any
95965
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 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
Applicant: CRAWFORD EDWARD D & VIVIAN A
such work himself or herself or through his or her own employees,
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
proving that he or she did not build or improve for the purpose of
sale.).
❑ 1, as owner of the property, am exclusively contracting with
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.).
Contractor: DONALD R WILEY
❑ 1 am Exempt under Article 3 of the Business and Professions Code
23 DICK LANE
Date: owner:
OROVILLE, CA 95966
(530) 538-9305
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
License #: 679802
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 the Labor Code, for the performance of
Architect:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
�) a.
Engineer: �/ V
S A �LMCL
Ft
Carrier. tl C
-7 13" Q -3,
Policy #:
Total Square Ft: 0 S. F.
❑ I certify that in the performance of the work for which this permit is
Valuation' $0.00 -
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
Census Code:
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.
Date: 3/2-
01
Applicant:tftd
D
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
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
Re s to d wo c ' fi o f h f es have een paid. 7
Thi p mil' her y i s d er he lice le provisions of the Butte Count Cod�7b4
performance of the work for which this permit is issued (Sec 3097 Civ.)
1
Name:
e
By: Date: ��..JJ (((///lll
PERMIT EXPIRES ON:
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.
O 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 of any official form or document of Butte County. thereby
authorize repre�tives ofButte County to enter upon the above mentioned property for inspection purpos .
Print ✓t t f Cf
Name: h ! W; E. % Signature:
Date:
/fin y.
0 Owner /Contractor ❑ Agent for Owner ❑ Agent for Contractor
X
s
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP040853
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
Issued Date: 03/29/2004 APN: 030-193-004-000
the Business and Professions Code, and my license is in full force and
effect. . /
License Class : License Number: 6 Z
Site Address: 1286 DODGE AVE ORO
Date: Z Contractor:
Map Index:
Description: INSTALL NEW HVAC UNIT
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
p
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: CRAWFORD EDWARD D &VIVIAN A
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
1286
the Contractor's State License Law (Chapter 9 commencing with Section
DODGE AVE
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95965
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 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
Applicant: CRAWFORD EDWARD D & VIVIAN A
such work himself or herself or through his or her own employees,
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
proving that he or she did not build or improve for the purpose of
sale.).
O I, as owner of the property, am exclusively contracting with
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.).
Contractor: DONALD R WI LEY
O 1 am Exempt under Article 3 of the Business and Professions Code
23 DICK LANE
Date: Owner:
OROVILLE, CA 95966
(530) 538-9305
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
License #: 679802
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 the Labor Code, for the performance of
Architect:
the work for which this permit is issued. My workers' compensation
Engineer:
9
insurance carder and policy number are:
S;Ak
Carrier. d � Od
ra
t 3 0!5
Policy #: / 7 �l 1
Total Square Ft: 0 S. F.
❑ 1 certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
Census Code:
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.
Date: 312_,� A
Applicant:��
WARNING: Failure to secure workers' compensation coverage is�
D
p0
unlawful, and shall subject an employer to criminal penalties and one
/X'Y
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the
Thi p it' her y' s d er he lica Ie provisions of the Butte Count Code and/ r
Re r(s to d wo c' i bf, o f h f es have een paid. ^
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
By: Date:
PERMIT EXPIRES ON:
Date
Address:
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely 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 of any official form or document of Butte County. I hereby
authorize repre entatives of Butte County to enter upon the above mentioned property for inspection purpos
Print Name: ✓l �)1
Signature:
Date: _ 12,9 0 q
0 Owner Contractor 0 Agent for Owner ❑ Agent for Contractor
lk
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP
DATE: - �7
APN: 2, `
ZONING:
OWNER'S LAST NAME:
OWNER'S FIRST NAME:
PHONE
it C, Lo C
S I % Mve
FAX:-
CITY. ZIP:
fe
E-MAIL:
SITE ADDRESS: $ bct v
_
CITY, ZIP:
fn."' I S
NEAREST CROSS STREET:
TRACT/LOT #
APPLICANT NAME:
PHONE:
STREET ADDRESS:
FAX
CITY, ZIP:
E-MAIL:
CONTRACTOR NAME:
A01; f
PHONE:
-
- 3 05
STREET ADDRESS:
(/(/ �� ` G tL / , 1
FAX
�^
E4 19 S
CITY. ZIP: 6!V e
E -MAIL -
LICENSE LICENSE NUMBER0-2—LICENSEEE:
ARCHITECT/ENGINEER NAME:
PHONE:
STREET ADDRESS:
FAX:
CITY, ZIP:
LICENSE NUMBER
E-MAIL•
D RIPTIO OR fCOPE OF WORK:
❑ Structure Bui t without permits
❑ 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 fees 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.
For office use only:
Notes:
Application Received by: Date:��/
4�<_
Receipt number:Amount Received:
4`5500
31-
1 .41
4
•
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{
-030-19-3-004" 99-1181 E
CRAWFORD, Vivian.& Ed
1286 'Dodge Ave, Oroville
�elec upgrade) Strang Elec
{
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephonea(530) 538-7541: PEy1T NO.
(Rev. 12/96) APPLICATION AND PERMIT `:j' r" /
ASSESSOR PARCEL NUMBER 030-193-004ZONING
BUILDING PERMIT
OWNER VIVIAN & ED CRAW'i:'ORD
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAKING ADDRESS 1236 DODGE
OD E, AVE,
CONTRACTOR'S NAME
STRAI�'G ELECT
TELEPHONE
�x p �r ryt��)^� r
CONTRACTOR'S MAKING ADOR 450 -CANTON' `11,51,4 i.tAXDS S:t ,, 60-,.zOVILLF
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS 1286 WG1P AVE,
Energy Plan Checking Fee
$
$
PERMIT FEE
S
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap7.00
Solar or heat um 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: ELEt! 1 1CAL AERVICE UPG'RADE 100 41P
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
800OR LES Main Service zo.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.PSIN
License Class ,._; � I U Lic. No. ,. i �" y' +. �
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.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
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.)
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.
r
X Date P°:
Signature of Applicant = ❑ Owner 120Contractor ❑ 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. DWELLING OCCUP.
OR ADONS. 6 ACC. S.
SO
3.5¢FT.
NON•REOSID. MULTI.OUTLET 97.50
b E OUTLET OWER GLAPPARATUS
CIR.
Ex. OCCU OUTLET OR FIXTURESXFIX
Ex. Occup. OUTS palp,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 $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAz.
D FEES IMP
FLOOD
I CDF
PARCEL
PD
HD
SSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By �;i"'ate
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
-,- I_-
Data
Receipt No. 265322
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
" COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County'Cente'r Drive • Oroville, California 95965 • Telephone (530) 538-7541P T No.
(Rev. 12/96) APPLICATION AND PERMIT �3
ASSESSOR PARCEL NUMBER 030-193-004
ZONING
BUILDING PERMIT
OWNER VIVIAN & ED CRAWFORD
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNER'S MAILING ADDRESS 1286 DODGE AVE
CONTRACTOR'S NAME
STRANG ELECT
TELEPHONE
CONTRACTORS MAIUNG ADDRF250 CANYON HIGHLANDS DR, OROVILLE
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Pian Checking Fee
$
BUILDING ADDRESS 1286 DODGE AVE
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LAT 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 gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ELECTRICAL SERVICE UPGRADE 100 AMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I s I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200AORLESS
23.00 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 C-_—/ U Lic. No. S -S 23 /
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
Main Service 200A TO 1000A
46.00
NEW CONST. DwE1UNG OCCUR
OR ADDNS. ( 8 ACC. BLD S.
SO
3.5¢FT.
No RES DT MULTI -OUTLET CIRCUITS
@7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 O 1.00
BAL @ .so
Ex. Occup. DUTIEEDs,a-.D.R,,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23.00
PERMIT FEE
S 66.00
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
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.
/ g
X _ Date (� Z /
Sign Ure o Applicant Owner Contractor ❑ Agent
An OSHA permit is requia for excavations over 5'0" deep and demolition or construction
of structures over 3 stor in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE �i Ofd
TOTAL FEE $
HAZ.
D FEES IMP
I FLOOD
I COF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which es have
By
PERMIT EXPIRES ON /
the applicable provisions
Resolutions to do work
been paid.
/ Date
Q.—
Date
Receipt No. 264322
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
' COUNTY OF BUTTE.r DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERWT NO.
(Rev.12/96) APPLICATION AND PERMIT
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
Receip .D. l PERMIT EXPIRES ON
Date
BUILDING PERMIT
I L)/,AvV 6 W(L
raum"OMe
SO. FT. OCC. 8UILDING
VALUATION
owNeR. wuNO �oo/aae /
�U
CONTRACTOR. NM!
TP1,0'IgNe
ooNnNCTO11. •ooRess
COPSTUXTTON LEMON'
[Fireplace
L008" SAMuNO AooRas
Valuation i
.RCNffZaORDONemTotal
ucE►ae No.
Filina Fee
S
20.00
AACWraCT OR o+Most. wu►a ADoRrss
Permit Fee
=
Plan Checking Fee $
aULDM ACOA -L
V ��
Energy Plan CheckingFee
t
i
PERMIT FEE
LOT M.
eene.Nwe
PAM EL rur
PLUMBING PERMIT
Filing Fee
20.00
USEOFSTRUCTURE
SF Duplex O M obilehome 0 Other
sr�ee�
Each Trap
7.00
Solar or heat pump water heater 23.00
Water piping 15.00
TYPE OF WORK /
Now 0 Addition 0 Remodel 0 Up11ties 0 Instillation 0 Other Er""'
r
Describe Work: S';j —VI C -,G
Each as water heater or vent
15.00
Gas tin stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home IS I GI W X20.00
PERMIT FEE
t
ELECTRICAL PERMIT
Filing Feel
20.00
Main Service o0 oOsa
23.00
Main Service 2OaA TO 10*0A
48.00
Naw CONST. OwOwr.OR ADONa. 3.5CR
Noraaesio. F. MULTI -OUTLET @7.50
vowTaT �svanarue
as
EX. Occup. OUTLET OR F n aw a0 a OO
EX. OCCU NtEO APPUr. OR
ovnETs aro. a 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Wsc. Wirina 23.00
PERMIT FEE =
c
MECHANICAL PERMIT Fling
20.00
Heating
Cooling
Hood 8.50
Ventilation
PERMIT FEt: !
Mobile Home Installation Fee i
Energy Inspection Fee E
occ
FEE $
j00jTT*fOTAL
-
KL O
I COF
vo
w ssua
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
Receip .D. l PERMIT EXPIRES ON
Date
�s�.: y"..'FVFs+�Y'Rr"�q�.u'.l�y^'�'NF`�-a�@M'7-°�flq�R" r�p9�' .. �-.-r�-p,�+.r.. m-wr� m.••+a•r-a'+.. �.
14
030-19-3-004 99-0182 B
DAVIS, Paula
1286 Dodge,'Oroville
(reroof/'Custom Bldg by George)
C26
v� r
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 PERMIT44?-'N
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
riAVT�, ri,FTTYJ�
TELEPHONE
SO. FT. OCC. BUILDING
OWNERS MAILING ADDRESS
12-96 TY)i Y71
^VALUATION
.Lit h�f) : 0
CONTRACTOR'S NAME
(71!7 7)t ', :,,ITT'TXTk'(o T,Y,a r � I '7
TELEPHONE
rn.L °kyTr"l3
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ �fi�i, fr
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ ? �`
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
Energy Plan Checking Fee $
$
PERMIT FEE $ 4,t1!;
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 ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RF -R(?+' F
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
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,
and my license is in full force and effect. _
License Class " " '
Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier a1Ld policy number are:
Carrier °y
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or Jess.)
5 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 o section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X ... _ Date
Signature of Applicant - ❑ Owner Vr Contractor ❑ Agent
An OSHA permit is required for excava Ions over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service TO 46.00so
WEE200A
CCU000A
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. a ACC. BLDS. 3.5QF_
r.ICµgEOSIp ' muLT,,0 LET @7.50
POWER APPARATUS
a sINGLE OUTLET cIR.
xu p 1.00
Ex. Occup. OUTLET OR FocruREs SAL @ .50
Ex. Occup. ..ED R p,OEp 1 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 45.00
HAZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
I PD
HDLSn
V
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated Dove for w#fich fees have been paid.
ByY a .i--.��!� t —Date/ :� I
PERMIT EXPIRES ON
Date
ReceiptNo. �
WHITE-D.D.S.-E.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 PERMIT NQ
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 030-193-004
ZONING AR
BUILDINGPERMIT
OWNER DAVIS PAULA
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
16 960.00
OWNERS MAILING ADDRESS
1286 DODGE
CONTRACTOR'S NAME
CUSTOM BUILDING BY GEORGE
TELEPHONE
534-368
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation is 960.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
25.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
$
PERMIT FEE $
45.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing 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 gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RE—ROOF
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
Filing Fee 20.00
Main Service 'OOA 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. Z/7 &9411
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 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.)
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.
G�
X Date 1 / ` �_
Signature of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excav ions over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service To
46.00
CCU000A
NEW CONST. DWETlING OCCUP.
W:
OR ADDNS. ( a Acc. BLAS.
SO
3.5¢FT:
NEW T. UT 97,50
RISIIDD MULTI.OU CIRCUITS
POWER APPARATUS
d` SINGLE OUTLET CIS.
OUTLET OR FIXTURES @ 1'50
20 00
Ex. QCCU
Ex. Occup. DLITL rs(RR.,&.) E
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 $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 45.00
HAZ,
I D. FEES IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
S
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ove for c fees have been paid.
_
Date
Jr�,01 Jillv
PERMIT EXPIRES ON
(Da te
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive • Oroville. California 95965 • Telephone (530) 538-7541
(Rev. 12/'98)
APPL CATION AND PERMIT PERW Nc
A111843eoRPAReetiN'1.a1 ,)30—)?Z;-60qmzz BUILDING PERMIT
owMa UL v l S �O1DNe SO. FT. OCC. BUILDINQ
owMM'S AooRassz 0 cc VALUATION
ooMrRAclo,rs
1 l`
OOMrRAc"M MA" AooRess
OoNfffwjCTwm 18001 ..
LEMOM MMUMo AMMS
ARCHINI' r OR ENGIAM
ARCHffWT OR 0000Cmis WANG ADO M
usrum eummmare"AMR FAWAL MAP
USEOFSTRUCTURE
SF O Duplac O Wbilehome C3 Othw
sPeevv
TYPE OF WORK
Now O Addition 0 O U01liM D .p Odu r p
Describe Work:
Receipt No.
Freolace
Total Valuation t i
Flinn Fee
Permit Fee
Plan Checking Fee
Energy Plan Checkln0 Fee
PERMIT F
PWYI1W 2 PFpWT '
S 20.00
S i
tt
i
nn
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
Gas PIPIng system 1 - 5 outlets
15.00
Building sewer
15.00
Moble Home I S G IW
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
[FiDnIfFeej 20.00
Main Service ws"voA oOR =
Main Service 2WA To 100"
23.00
48.00
Merr oR N-9 . wrau+o coeur
AoOMs. a ACC. a1�.
3.SCPr.
NFW r+o�o ' Mu�ovru:T
@7.50
rowel APPAnArIM
asOVrLVft
Ex. Oocu . ouner oft FWPAM
iD •' °O
SAL 0 .so
ur n�rs o6
Ex. Occup. o. a
5.00
Temporary Service
23.00
Mobile Home Faclides
20.00
M+sc. Wiring
23.00
I PERMIT FEE I S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 8.5o
Ventilalon
PERMIT FEt S
Mobile Hcme Installation Fee ;
Fnarav Inspection Fee S
"`
""s T.rf K
TOTAL FEE S
0. FM
1
WP I &=0
1 OOP I F%Ka
PO
SS6E
W77
This permit is hereby issued under the appkAble provis,ons
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date �—
PERMIT EXPIRES ON
Y
i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,,California 95965 - Telephone: 916/538-7541
APPLICATION AIID PERMIT
PERMIT NO.
3901-90
ASSESSOR PARCEL NUMBER
30-193-04
ZONING
BUILDING PERMIT
OWN rAULA DAVIS
E
3—
T.J SF &149
SQ. FT. OCC. BUILDING VALUATION
OWNER �S`t+J,Al, age ADDRESS
Oroville 95965
CONT,(R`A�CjTTOR'S NAME TELEPHONE
tr1 Or 1
CO TRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER UNKNOWN
LENDER'S MAILING ADDRESS
Total Valuation Is
Filing Fee
Permit Fee
$ 10.00
$
ARCHITECT OR ENGINEER LICENSE NO.
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
Energy Plan Checking Fee
Penalty
$
$
$
BUILDING ADDRESS
1286 Do
Permit fee
$
PLUMBING PERMIT
Each Trap
Solar or heat pump water heater
Filing Fee 10.00
1 2.00
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF LAX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
5.00
Mobile Home I S I G JW I
10.00e
TYPE OF WORK
New Addition❑ Remodel[] Utilities Installation❑ !Other E]Permit
Describe work: new gas line for eater _
Fee minimum
$ 25.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW i
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
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
oR ADDNST (DDWEL LIN GOCCUP.81
S. /
2A(tsgft
NEW CONSTR. ULTI.OUTLET
NON•RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCCUp(ou'TLETS OR FIXTURES
20@80C
SAL@30
Ex. Occup. OUTLETS FRESID 1REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �Virin g
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.
NJ 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
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree.,t save, indemnify andlceep harmless the County of Butte against
all liabilities, judgments, costs nd expenses which may in any way accrue
against ai ounty in cons nce of the granting of this permi .
X ' _. ' 1�..�Date �f O
Signature of Applicant — owner a 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. r
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
25.00
HAZ
I CUA I
PARK
I SCHL
I FLo
I PAR
PD
Ho
I ISsu
This permit is hereby issued under
sions of the Butte County Code and/or
work Vindicated above for which fees
jr r DIREG O 10F PU 'LICfWORKS
(f
By% Q
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
11/8/90
Date
Receipt No. 84273
WNITC-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
„-.�"+•.rt-+�„L"�”�.!,+=”�i"y�F�.`Y�v�t`.{!�Y}�'—Y.'•Y"'iYK'�G"j.',�4d`�7Y''�Y`:ir:
.If1 s
COUNTY OF BUTTE •
-++ DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER
T NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date� Inspector y:
-:s
Date� Inspector y:
Z COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 3901-90
/ APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
30-193-04
ZONING
1
BUILDING PERMIT
""'PAULA DAVIS
TEL
6749
SO. FT. OCC. BUILDING VALUATION
OWN ER�IbIN('j ADDRESS
11 t� o((�ige [venue, Oroville 95965
CO R'A. /CTOR',S^NAME
W
TELEPHONE
CO RACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
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
Dodge1286
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 pas water heater or vent
5.00
USE OF STRUCTURE
SF ®X Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
5.00
Mob le Home I S I G JW 1
110-00 e
TYPE OF WORK
New❑ Addition[] Remodel❑ Utilities Installation❑ Other ❑
Describe work: new gas line for heater _
Permit Fee minimum
$ 25.00
Contractor
ELECTRICAL PERMIT
10.00
FilJOs
Main service a0ov oR LESS
I00 AMP OR LESS
Main Service EA. ADD'L 100 AMP
CONTRACTORS LICENSE LAW
I declare under penaltyof perjury
p I y (check one):
❑NON-RESID
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
Q 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 OCCUR.&
OR ADDNS. ( ACC. BLDGS. )
NEW CONSTR ULTI.OUTLET
BRANCH CIRC ITS
.
POWER APPARATUS &
(SINGLE OUTLET CIR. )
Ex. OCcup(OR FIXTURES
eBOC
ALOUTLETS
AL®ao
FIXED PR
Ex. Occup. OUTLETS (RESID.)EA.)
2.00
Temporary service
10.00
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
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agre save, indemnify and harmless the County of Butte against
all liabi les, judgments, costs nd a penses which may in any way accrue
agas a ounty in cons nce of/he grantsg of this permi .
X ate
Signature of Applicant — Owner ` e Contractor ❑ Agent ❑
An OSHA permit is required for excavations over S'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 $ 2 2 5.00
HAz
CLIA
PARK
SCHL
FLD
PAR
PD
SSU
This permit is nereby issued under
sions of the Butte County Code and/or
work i is ted above for which fe
DI O OF PU I
By
PERMIT EXPIRES Date ii
the applicable provi-
resolutions to do
s have been paid.
ORKS
11/8/90
Date
i�
/9/9i
Receipt No. 84273-
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
I
a. J" t/
COUNTY OF BUTTE - Departmment,of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
Ot1NER-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.
0 I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
aI av /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 City
Phone Contractors 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 Contractors 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
Social Secu ity N tuber
Date % Oe
��(/%
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroviile. California 95965 - Telephone: 916.'538-7541
N A
APPLICATIOND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
�
ZONING
BUILDING PERMIT ._
OWNER
TELEPHONE -
7 7/
y 91
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS �� _
[�
2 6
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
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 10.00
17— cK� c, n ��
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 D�Gas
SF ❑ Duplex❑ Mobilehome❑ Other ryZ-�a �'�/ -112t-
SPECIFY
piping system 1 - 5 outlets
5.00 S D 0
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation, Other ❑
Describe work: r'1>r,2
Permit Fee
$ p D
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service soov OR LESS
100 AMP ORLESS
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
F-1 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.&)
OR DDNS. ACC. BLDGS.
A
Yzltsgft
NEW CONSTR ULTI.OUTLET
NON -R ESI Q, BRANCH CIRC ITS
2.SOea
POWER APPARATUS e
( SINGLE OUTLET CIR. )
Ex. OCCup(OUTLETS OR FIXTURES
20e50e
e ALO 30
FIXED APLNS.
Ex. Occup. OUTLETS (RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. byirin g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for 5100.00 (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
Heating
Cooling
g
Hood
3.00
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 : ,_ _
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 FEE $
HAZ
I CUA I
PARK
I SCHL
I FLo
I PAR
PD
Ho
ISSUE
Th's permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. g �2 -7 J 2 m
WHITE-D.P.W.. YELLOW-ASSCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
a "
t
}1 '
�i
y �
4. RMIT NO. 5626-7.9B
.
}� PERMIT EXPIRES 9/12/80
{ OWNER PAULA L . DAVIS
I
CONTR. - owner
LOCATION (A.P. 30-193-04 )
1286 `Dodge St., Orovil]e
I
i.
I
Temp. Power Ppe
Called P &E
Temp. Ele . Serv.
Calle PG&E
jTemp.as Serv.
d PG&E
2-D
(Date)
(Sig r&6re)'
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
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing _ Test I Water Htr.
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEHOME INSTALL! ILQN - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
t
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above -me ned property for in tion purposes.
X w Date
Signature oguy,
r'�°e or gent
Receipt No. g " 7 :36
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the But County Code and/or resolutions to do work indicated
abov o which fees have been paid.
IRE T F1 OF P BLIC WORKS
Date Z �11
Building permit expires Date q r le 2_ �u
BUILDING
Owner Paula L. Davis
SQ. FT. OCC. BUILDING VALUATIO
Mailing Address
hy
Orovi l l e, CA 95965
Telephone No.
533-6749
ol
Contractor
Mailing Address same as above
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address �� _i S--
a[
Plan Checking Fee&/or Penalty
Permit Fee
—
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
14e) 0v L_L
Repair drainage or vent piping 1.50
A. P. No.
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
BI —g o�P7—ns Rec'a I
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
Re -roofing 1 previous roof 1500 square ft
ELECTRICAL No. @ FEE
9
15 squares.
PERMIT FILING FEE $3.00
soov OR LESS
Main service 100 AMP OR LSS 5•00
E
Single Family, Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER eooV 25.00
100 AMP OR LESS
Main service EA. AOD•L 100 AMP 1.00
NEW CONST OR ADDNS. ACCLBLDGS.LING CCUP. Y\ 22sgft
I
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
st le of:
y
NEW CONSTR BRANCOUTL T
NON.CRESID.ONST BRANCH CIRCUITS 2.50ea
NEWCONSTR. (POWER APPARATUS 8
NON .RESID. SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTIIRES B L�,`
Ex. OCCU FIXED APPLNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I 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 J$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
Land Development Fee
$
TOTAL PERMIT FEE
$ —
authorize representatives of the County of Butte to enter upon the
above -me ned property for in tion purposes.
X w Date
Signature oguy,
r'�°e or gent
Receipt No. g " 7 :36
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the But County Code and/or resolutions to do work indicated
abov o which fees have been paid.
IRE T F1 OF P BLIC WORKS
Date Z �11
Building permit expires Date q r le 2_ �u
THERMALITO IRRIGATION DISTRICT OF �.
410 GRAND AVENUE JUN
OROVILLE, CALIFORNIA 95965 J
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address f� Pl, Bonnie Lane
Owner's Name: C. K. HOZ 1 I WA rK
Date: 51^1193
Address: 32 Reoent LOAD.
Acct. No: -71-<7"/1 "
Or,nv i 1 1,? . CA 9-rj9b6
A.P. No.:30-19 2 _ 604
Phone: 589 533-2.32'
No. Units: nne ne
Applicant/Agent:
Agents Proof:
Address:
Fees:
Phone:
Application $ -'
Arrearage
Preliminary Review By: Date:
CSA 26
Remarks:
SC -0 R 90" 0 t'
Lunnecti vri fees :;: ! 1 b--, t'aose n,:�! icable
1st mo. S.C.
afx AfIt ttMa f nr,hr., rt90u t.n t.h CbCt,f.C+
Other tdl) /L U0
%leanouc co ciracie red ui red at Lne pi•aper~ty 11n=.
Total Fees LLL6
Collected,By:
Date:
_
Field Review By:Date:
'
Remarks:
, r
,
t
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).
IL
DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID