HomeMy WebLinkAbout030-350-034- 30-35-34
KAREN KINSER 030-350-034 ' "f*
KINSER FLOYD AG
h01-52
1255 Grand Ave., Oroville "`.
Perini #892=76P (bldg: 'sew, inst) 1255 GRAND AVE. OROVILLE , f
sF AG EXEIVIPTPERNIIT
030-350-034 '01-2006 ,
KINSER, FLOYD i' n G� Q
1255 GRAND AVE. OROVIL I E
` CONT:' OWNER
REPLACE EXIST ELEC PANEL
v
r•e
030-350-034 ` 01-2006
KINSER, FLOYD.
1255 GRAND AVE. OROVILLE
CONT: OWNER
REPLACE EXIST ELEC PANEL
OFFICE COPY
Address l 2 -s- (��f�JJ17
GAS t
MeterBy Date
ELECTRIC
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 959$5 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 0 - c) 00 (Q
ASSESSORPARCEL NUMBER
030-350~034
ZONING
BUILDING PERMIT
OWNER
KINSER9 FLAYD L.
TELEPHONE
533-6986
SO. FT. OCC. BUILDING VALUATION
OWNERS MAIuNG ADDRESS
Get
1255 M 11Y.
CONTRACTORS NAME
OTW
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
1255 GRARD AVE, ORMLIX, CA O
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT 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 ❑ U61ifies ❑ Installation ❑ Other
Describe Work: RE'PIACE EXIS G. ELM PANEL
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I G IWI
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service .v oA mss
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 m license is in full force and effect.
y r 7�� �-}
License Class Lic. No. �.` . I20
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I'3 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.
\110 I am exempt under Sec. Business and Professions Code for this
reason
Main Service TO
46.00SO
WEE200A
NEW CONST. DWELLING OCC P.
CC
OR ADDNS. ( a ACC. BUDS.
SO
3.5QFr:
NEW CONST. MULTI -OUTLET
NON-RESID.
97.50
POWER APPARATUS
8 SINGLE OLm AP=
CIR.
Ex. Occup. OUTLET OR FIXTURES.
O I'50
BAL p .w
Ex. Occup. D�.E' Ag=- oERA�
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirino
23.00
e~ nspeGt1OA
«
PERMIT FEE
$
66.00
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
(The above sections need not be completed if the permit is for work ;f—a valuation
of one hundred dollars ($100) or less.)
�
Knot 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 Ith�those provisions.
X � "�---�►� Date /IQ / • /
Signature of Applicant - Q Owner El Contractor ❑ Agent I ` t
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
I PERMIT FEP_ $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
66«CO
HAZ.
D. FEES
IMP
FLooD
CDF
PARCEL
I Po
HD
SU
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
B 7� /"'�
y
r
PERMIT EXPIRES ON V/d
the applicable provisions
Resolutions to do work
been paid.
Date
, z
Date
Receipt No.�l1iio 6. (.w
WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I- OF DEVELOPMENT SERVICES -BUILDING DIVISION
COUNTY OF BUTTE
7 County Center Drive. • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION�AND PERMIT - 0"— 0060
ASSESSOR PARCEL NUMBER
030-350-034
ZONING ;
BUILDING PERMIT
OWNER
KINSER FLOYD L.
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAIuNG ADDRESS
1255 GRAND A
CONTRACTOR'S NAME
OW
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuatlon $
ARCHITECT OR ENGINEER
'ARCHITECT
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
2'99 QANT) AIF.C1R0�11ILLE,—CA 95
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 as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: REPLACE EXISTING MEC PANEL
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home Is G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Feel 20.00
800R LESS
Main Service 2o0A VOOR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
A(commencing with Section 7000) of Division 3 of the Business and Professions Code,
nd my license issiin full force and effect. �
License Class �y Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
I am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO iOOOA
46.00NEW
CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS.
so
3.50FT.
NON-RESID MULTI.OUTLET
@7,50
PLE OWER APPARATUS
a SINGOLmET CIA.
OUTLET OR FIXTURES
Ex. Occup.SAL
ZO @ 1.
@ .s0
Ex. Occup.GFlX„TLEE°rsA R IFSIFS D.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
Pre -Inspection
123.60--
PERMIT FEE $
66-00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
rI have and will maintain a certificate 3f 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
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEIE $
Policy Number
f one hundred dollars ($100) or less.)
hV(The above sections need not be comple-.ed if the permit is for work of a valuation
I certify that in the performance of the wcrk for which this permit is issued, I shall
.not employ any person in any manner so as to become subject to workers'
compe tion laws of California, and agree that 0 1 should become subject to the
worker compensation provisions of s3ction 3700 of the Labor Code, I shall
forthw' co ly' it th provisions.
_ to
Signa re of A lic nt -Owner Contractor Agent
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 Is
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ 66.00
HAZ.
D FEES IMP
FLOOD
CDF
PARCEL
PO
HD
SU .
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 / Da C h O�
PERMIT EXPIRES ON ` d z
I ate
ReceiptNo. J �d-
I
WHITE-D.D.S.-B.D. CANA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
a:OUNTY OF BUTTE - DEPARTMENT OF;DFYVLOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVIA, CALIFORNIA' 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICA TION DA TA SHEET
OWNER: L h ASSESSOR PARCEL NUMBER: O 30 -3!so -Q 3 1/
Proposed Building Use: SA % MMuilding Inspector: OIA/ Date: g, / q u /
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All iiems have been submitted --------------------------------------------------------------------------------------
02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
El 6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
0 8. Hazardous Material Form. ------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications.
❑ 10. Fees of $-------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -------
❑ 12. California Department of Forestry plan approval/fees.
❑ 13. Flood elevation certificate.-------------------------------
1114.
------------------------------
❑14. Sanitation and plot plan approval Health Department.
1115. City of Chico plumbing permit. ---------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- _
❑ 17. Planning approval for (A) Use: (B) Parking: --------------------------
❑ 18. Contact Land Development about ElImprovements, ❑ Drainage, ❑ Legal Parcel. ----------- ==---------
19. Encroachment Permit
_for driveway construction approval prior to occupancy). ---------------------
Pre -inspection for A Fix. • PaXV4 required Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification). -----------------------------
0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------
1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------
024. Letter of signature authorization. --------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------
❑26. Letter of intent on building use. ----------------------------------------------------------------------------
❑27. Manufactured Home utility clearance.--------------------------------------------------------------------.
❑28. Existing violations and/or expiredpermits----------------------------------------------------------------
❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
(Date)
W you issue the ermit, /pyo ss as follows ❑ Mail to owner, ❑ /M�ai� to caontracto .
K7Telephone S ryand hold for pickup at �'' �� office eliver with inspector.
Applicant: Date: K I 61
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑'phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: -_ A.. Date:
Yellow Copy - Department of Development Services, Building Division.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
r; -7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 AERMIT
(Rev. 12/96) APPLICAT'iONAND PERMIT 0/_ C -e006-
ASSESSORPARCELNUASiEA +O 30 350
2ON
BUILDING PERMIT
°N'"ER
Ne
SO. FT. OCC. BUILDING VALUATION
OWNER'S MW ADOREss
CONTRACTORS NAME
TELEPHONE
CONTRACTOR'S MANNG ADORESS
CONSTRUCTION LENDER
LENDER'S MNUNG ADDRESS
Fireplace
Total ValuationE
ARCHITECT OR ENGINEER
UCENSF NO.
Filing Fee $ 20.00
ARCHITECT OR ENOwEER'S MWNO ADDRESS
BUIwINo ADOREsa l_
j j ,-, J
Permit Fee ti
Plan Checking Fee S
Energy Plan Checking Fee E
a
PERMIT FEE t
LOT NO.
9UBDNISION'SHAMEPARCEL
MAP
PLUMBING PERMIT Fling Feel 20.00
t USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFv
Each Trap — 7.00
_-
Solar or heat pump water heater 23.00
Water piping 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ UtlGtiea InstallationGaspiping
❑ Other ❑
Describe Work:
Each gas water heater or vent 15.00
system 1 - 5 outlets 15.00ation
Building sewer 15.00
Mobile Home S G W 42@20.00
PERMIT FEE t
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 0OOV OR LESS
.OA OR LESS 23.00 ;L30001
Main Service 200A To 1000A 46.00
----------•–
.I
•
1
"PERMIT FEE PAID
_
SRA -
SHERIFF
OTHER
-
/� T {/
AMOUNT RECEIVED .� v �— I
j ;
* RECQPT NUMBER
* TO BE PVT INTO COMPUTER
NEW CONST. DWELLM OCCUP.
OR ADONS. i ACC. BLOS. 3.500.
NON•R610. MULTI -OUTLET
@7.50
POWER APPARATUS
A SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTWES zo ® 1.00
SAL 0 .50
Ex. OCCU (0OR
EEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
- Misc. Wirin �� ^23.00
`r _ �3 •U
--PERMIT FEE i /16, U
MECHANICAL PERMIT Fling Fee 20.00
Heating
Coolin
Hood 8.50
Ventilation
PERMIT FEP t
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE _ (p (a O
HA2.
D. FEES IMP
FLOOD
I COF
PARCEL
PO
ND
6SUE
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 aid.
p
By Date
PERMIT EXPIRES ON
ro
❑ B.I.N. REQUEST FOR INSPECTION Permit No. dV-e—t.J
Location: �o SS &4&, (Lf' e�26'-e -
• Owner.
Complaint:
BLDG.
PLUMB/MECH
ELECTRIC
M.H.I./M.H.U.
PRE-
=orm
=rame/Underfloor
Stucco Lath
Stucco Brown
=ireplace
3ond Beam
nsulation
Nailin
Corrections LIC
Rough
Top Out
Gas Piping/Test
Temp. Gas
Sewer Piping
Water Piping
_Shower P,an__-
Correcti
Rough
Temp. Service
Service
Underground
Well Circuit
Light Niche
Corrections
Corrections
Final
INSPECTION
Housing
Job Status
Permit Renewal
Verify Utilities
OTHER
READY FOR A.M.
�S /5
Final
Final
Final
�a
INSPEC. ON , t9/� P.M.
Date: Time: Note
I
PRE -INSPECTION REPORT
LOCATION: %
CONTRACTOR: n ,, _ ,, n �---- n
PRE-INSPETION FOR: v 1. a ACX
TO INSPECTOR: ff -/5 —U/ PERMIT HIST
kjV
Building Description:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
Abandoned/Vacant
Electric:
Yes No
Condition of Electric
Gas:
Natural Propane
Obvious Problems:
Sanitation:
Plumbing Working
Well Working
Obvious SewageProblems
Comments:
ACTION RECOMMENDED: ISSUE:
Inspector. --
DATE:_
A.P. #-
ZONING:
(�C)AS FOLLOWS:
BUILDYNG INSPECT'OR'S REPORT
Electric currently On Off
_ None Currently On Off
Potable Water
HOLD FOR
Date
Sketch buildings on reverse and indicate location on property
Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSORPARCELNUMaER aoBUILDIN
3o iso G PERMIT
--�3
O1MNFA Ne SO. FT, OCC. BUILDING VALUATION
OWMM-9 ORES.
3
CONSTRUCTION LE►AER
LEMERS &WUNO ADDRESS --
ARCHITECT OR ENOINEER
ARCHVTECT OR 0400 ERV MAILING AODRESS
OULONG ADORESS
1-711)
WT NO. I SUDON1810" NA►E
USEOFSTRUCTURE
SF 1- Duplex O Mobllehome O Other
1 oveclry
TYPE OF WORK
New ❑ Addition ❑ Remodel O Utilities k0i Installation O Other O
Describe Work:
*PERMIT FEE PAID
SRA •.
SHERIFF
OTHER
AMOUNT RECEIVED
V
*RECEIPT NVAASER
* TO BE PVT INTO COMPVTER
Total Valuation Is
Filing Fee s
Permit Fee S
Plan Checking Fee $
Energy Plan Checking Fee s
' S
PERMIT FEE $
PLUMBING PERMIT
Each Trn
Solar or hent pump water heater
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Buildin sewer
Mobile Home I ST—GT—WF-7—
PERMIT
G W
PERMIT FEE I S
ELECTRICAL PERMIT
Main ServiceoR °DOV OR LEEN
LESS
2oa
Main Service 200A TO IOWA
NEW CONST. OWELLNG OCCUP.
OR ARS• A ACC. stns.
NOPFRESID MULTI -OUTLET
POWER APPARATUS
t SINGLE OUTLET CIR.
i Ex. OCCU ovTIET OR FOCTURES
Ex. Occup. OztE708 "i,EA
1 Temporary Service
Mobile Home Facilities
7.00
23.00
15.00
15.00
15.00
15.00
020.00
PERMIT FEE $
MECHANICAL PERMIT Filin
Heating
20.00
20.00
ig Fee 20.00
23.00 oZ 3,0C
19.00
I.SaR:
P7.50
0 1.00
.s0
5.00
23.00
20.00
23.00
�3-UG
lo
G-- G
I Fee 20.00
6.50
PERMIT FEE S
Mobile Home Installation Fee S
Energy Inspection Fee i
«cCONST. TTPF TOTAL FEE $ (p (�06)
I HA2. D. FEES I IMP I A-0 I COP I PARCEL I PD I NO I GSUE
IM
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
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 fb�, NO ❑
2 I HAVE,;P HAVE NOT ❑ signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS:
CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS:
PHONE:
CITY:
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:
SOCIAL
4DATE:—
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.
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
O.B.— I
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 possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number*on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
r rely,
Mic el C. Vi ira, C.B.O.
M ger, Building I0nspection
NOTE: This Owner -Builder Information is required by Section 19830 of the Californla Health and Safety Code
OVER
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
46 -0/-ts2
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. /1 , OT��TFq
OWNER / -C� r /�
(/ aJ
PHON�NO3 -3 _ / re -,K
b
OWNER'S ADDR S --� q� r � �
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LOCATION OF BUILDING
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41,"2 5--'r- 4�;7,- ..�
USE OF BUILDING
v A)/ a.7 'W//4 S
SIZE OF STRUCTURE L 1
7
SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME -,�,' STEEL CONCRETE OTHER (Specify)
TYPE OF S DING
wc�o�
ROOF COVERING
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FLOOR TYPE
C'0'tr- ne /
ESTIMATED COST OF CONSTRUCTION
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows: I C .,
FRONT M//�IDES r! �IREAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date Z� / O D
Permit Fee - $60.00
ece o.
Signature of Owner
The above described AG Building is exempt from a blfildinq permit.
F7 D I NA7 L I P. ROOF G I I S
Manager Buildin Division -
Ci 4 By Date
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
- to
I�PXRMIT N0. 592-76P
1
PERMIT EXPIRES 2127/77
OWNER KAREN KINSER
._
CON T R. Owner
1,-
_ LOCATION (A.P. 30-35-34
=►r -1255 Grand Ave., Oroville
- 4
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y
_
i'
s
r. Temp. Power Pole
Called PG&E
i Temp. Elec. Serv.
Called PG&E
01
Temp. Gk's Serv.
Cffile d PG&E
JOB
<c ,. FINALED 772
(D ILI
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THERMALITO IRRIGATION DISTRI(T0�
yy _ 410 GRAND AVENUE .. ,
OROVILLE• CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
1
Service Address: %55 ���.,d ��✓�
Owner's Name:
Date:
Address: / ASS r�r,c., )C/ tl rK
Acct. No: "?/S (oo-
�,fl�ry �1r• ( /) )S%(o5-
A.P. No.: -3n
Phone: Slv� 3 " �' F11
No. Units:
Applicant/Agent: /U A
Agents Proof:
Address:
Fees:
Phone:
Application .$
Preliminary Review ByDate:
Arrearage
CSA 26
Remarks:
SC -OR
1st mo. S.C.
Other
Total Fees Noyes
Collected By:
Date:
Field Review By: Date:
`
Remarks:
v
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
Date of TID approval of completed building sewer (early connection).
a
❑ 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).
. z
❑ 180 days after date above, or on date of D.P.W. approval of completed
building sewer, which ever comes
first ("new construction",, after Mar. 5, 1974)..
DISTRIBUTION: WHITE - TID, YE -LOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
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
4 EL CTRICAL .
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.)
J
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965 n/ _
Tel epi one:. 5.14-4541 CJS
APPLICATION AND PERMIT
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above-mentioned property for inspection purposes.
X to
Signature of Permitee or Ag
Receipt No. 9S3
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.
y DIRECTOR OF PUBLIC WORKS
By Date
Wig -permit expires Date �2 --2-7 7'
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address S-_
Telephone No.
533- 6Y fl—
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
__[Telephone
No.
Permit Fee $
Building Address �� �f
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
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. No, 3 Q S --
Zoning a Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F s
3eflitativrt
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00 J7.,00
_EQAPPlans
Declarration
Parcel Map 60' R/W
Improvements
Lawn sprinkler system 2.00
Parcel Approval
Plans Approval
Permit Fee $ oA
$ OC
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 1000V OR 0 AMP ORLESS5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 00 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBL GS.CCUP. &) 20sq ft
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)@L�'
BAL FutOg
Ex. Occu p•(FIXED APPLNS. OR % OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
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.
certify that in the performance of the work for which this•
J�Iermit 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.1 @ 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
TOTAL PERMIT FEE .
S Od
.ay v uuaaa, av uNvn uic
above-mentioned property for inspection purposes.
X to
Signature of Permitee or Ag
Receipt No. 9S3
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.
y DIRECTOR OF PUBLIC WORKS
By Date
Wig -permit expires Date �2 --2-7 7'