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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 Meter By Date Z� ,O� �v 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 � � 1 � v !J /a 1 LOCATION OF BUILDING � /� %� C� . 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 c v 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 - $60.00 ece o. Signature of Owner The above described AG Building is exempt from a blfildinq permit. F7 D I NA7 L I P. ROOF G I I S Manager Buildin Division - Ci 4 By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant - to I�PXRMIT N0. 592-76P 1 PERMIT EXPIRES 2127/77 OWNER KAREN KINSER ._ CON T R. Owner 1,- _ LOCATION (A.P. 30-35-34 =►r -1255 Grand Ave., Oroville - 4 :i y _ i' s r. Temp. Power Pole Called PG&E i Temp. Elec. Serv. Called PG&E 01 Temp. Gk's Serv. Cffile d PG&E JOB <c ,. FINALED 772 (D ILI i j' THERMALITO IRRIGATION DISTRI(T0� yy _ 410 GRAND AVENUE .. , OROVILLE• CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT 1 Service Address: %55 ���.,d ��✓� Owner's Name: Date: Address: / ASS r�r,c., )C/ tl rK Acct. No: "?/S (oo- �,fl�ry �1r• ( /) )S%(o5- A.P. No.: -3n Phone: Slv� 3 " �' F11 No. Units: Applicant/Agent: /U A Agents Proof: Address: Fees: Phone: Application .$ 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 .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' 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'