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Home My WebLink About030-220-032/ 030-220-032 ',,PERMIT#95-0352 965 Lindsa'y Ln:,- Oroville+.' Replace Non '13 -Bearing Wall �rKISF I FRY., Jobn 808 -71D793 -71E 752-71E11 1243 Oro Dam Blvd. West.1 Oroville ' T :Y� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING .D�VISION 7 County Center Drive - Oroville, Califdgiia 95965 - Telephone (916) PERMIT NO. APPLICATION.•ANbPERMIT 538- _n3Sa ASSESSOR PARCEL NUMBER 030-220-032 ZONING= BydDING PERMIT OWNER _ - '• aa, SAMML, CHARLES TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ES 250.00 CONTRACTOR'S NAME OWER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRLCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 065 ..y TX I PERMITFEE $ 35..00 j PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE j J[ SF O' Duplex ❑ Mobilehome ❑ Other SPECIFY I Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 1.5.00 TYPE OF WORK New ❑ Addition ❑ Remodel 3 Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE N ON'BRUING WALL I Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 "^ I Main Service0 OR LESS ( 2000A OR LESS ) 23.00 i Main Service ( 200A TO 1000A ) 46.00 LICENSED, CONTRACTOR'S DECLARATION i I hereby affirm under penalty of. perjury that I -am licensed under provisions of Chapter, 9 (commencing with Section 7000) of Division 31of the Business and Profetsions Code, < and my license is in full force and effect. ) License Class _ Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under, penalty of perjury that I am exempt from the Contractors License aw 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 I NEW CONST. ELLING OCCUR •_� SO. OR ADDNS. ( 8 ACC. BLDS. ) 3.5Q FT. - 1NEW'CONST. :MULTI -OUTLET.. NON-RESID. ( BRANCH CIRCUITS ,) @7,..50 ( POW GLE PP LETUS '� 8 SINGLE OUTLET CIR. / Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL .00 Ex. Occup. FIXEDRAPPEL.° 5.00 oF Temporary Service 23.00 Mobile Home Facilities 20.00 • Misc. Wiring 2300 23.00 PERMITFEE $ 43.00 Contractor WORKERS_' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations! ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. .- ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICALPERMIT: :.1: Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ , Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less:) 1. I certify that in the performance of the work for which this permit is issued, I shall not employ an person in an manner so as to become subject to workers' p Y 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 o it mply with those provisions. XX _ Date1 �� '"'Sig ature of Applicant - Owner ❑ Contractor ❑ Agen An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 75.00 HAZ. I D. FEES I IMP I FLOODCDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B / l lr ; -'. /�.�1�.II Y Date r PERMITEXPIRESON /(Dk.) Receipt No. (( WHITE•D.D.S.•B.D. LANA --ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING D SION 7 .County Center Drive - Oroville;'Califpmia 95965 - Telephone (916) 538- PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-220-032 ZONING Bt9DINGPERMIT OWNER SAMBOL, CHARLES TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 965 LINDSAY IN DROVILLE EST 250.00 CONTRACTOR'S NAME T TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIQJOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ 15.00 ARCHITECT OR ENGINE ER LICENSE NO. Plan Checking Fee $ I Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDWGADDRESS - 965 1INDSAY LN PERMITFEE $ 35.00 OWATTLLF PLUMBING PERMIT Filing Fee 20.00 Each Trap . 7.00 LOT NO. SUBDNISDN'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF (:� Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel 13 Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE NON—BEARING WALL Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 1 20.00 Main Service e.0-00vOR LESS ( A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Pa for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. ) SO, OR ( 8 ACC. / 3.52 FT. CNS. NEW CONST. MULTI -OUTLET UTLE NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS s SINGLE ourLET cIR. / @ 1.00 Ex. Occup. ( OUTLET OR FIXTURES) 64Lso FIXED APPLNS. EX. OCCup, OUTLETS (RESID.) ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s 43.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shallTOTAL 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 worke Fcompensation provisions of section 3700 of the Labor Code, I shall it mply with those provisions. X __ Date 2,17,744— Ig ature of Applicant -. Owner ❑ Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE FEE $ 78.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees ave been paid. By 0�0 (y�e� Receipt No.PERMITEXPIRESON WHITE-D.D.S.-B.D. CANA Y -A S SOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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 (yes or no) F1 2. I (have/have not) 9+r signed an application for a building permit for the proposed work. 2101; ) 3. I have contra ted with the following person (firm) to provide the proposed construction: Name �1A 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 24 Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name . Address Phone Type of Work Signed: Property Owner ("#4cet,3. ja Social Secprity /zNumber 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 permitted to issue the permit.