HomeMy WebLinkAbout030-430-022030'4!�O-0*22- t,�-,,-93�1751 B
BICE', , -` (CJA-RLES -'-. L.
164'6'- GRAND 'AVE".' OROVILLE
(DET GARAGEj_
030-43-0-022 93-2601 B -
BICE', -.CHUCK
1646 GRAND AVE, ORCIVILLE
QQNTR:, GEORGE ROOFING
L RERO.OF/SF
0307430-022�... PERMIT#94-1670'
BICE CHARLES' L.
1646.GRAN6 AVE.,, OROVILLE.-'/-NVo
IST, --:,RENEWAL BP#93-17511,
030�43QLO22� PiCkMIT#.95
BICE, Charl,es L.
646 Grand Ave., 01-roville.
Cotplet,e� BP#93�1751
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03b-430-0 ' 22, PERM"IT'#95-1255
BICE, Charles L'
.1646 Grand Ave.' Or ov 'ille
Complete BP#93-1751
-7
COUNTY -OF BUTTE --'DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center DriV6 Oroville, Calffornia 95965 - Telephone, (9116) 538--f541 PERMIT NO.
:1-111'' -
APPLICATIONAND PERMIT z
PARCELNUMBER
ASSESSOR 'Je
030-430;�622
ZONING
F
UILDINGPERMIT
OWNER
CHALES -�L BICE
TELEPHONE
534_ 6os
SQ. FT. ,"'OCC. BUILDING VALUATION
FST .1,400.00
OWNER'S MALING ADDRESS
164EGRAND AVE OROVITLE
CONTRACTOR'S NAME
OWNER
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 33.00
ARCHITECT OR ENGINEER
E NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1646 GRAM AVE
PERMITIFEE
$ 53.00
PLUMBINGPERMIT
Filing Fee 20.00
-Each Trap
7.00
LOT NO.
UBDNISION'S NAME
RCEL MAP
Solar or heat pump water heater
23.00
Water piping
-15.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other MAGE
SPECIFY t,
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
TYPEOFWORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 13
Describe Work: (VIPL M, WORK STARM Mla BP#93-1751
Mobile Home I S I GI WT
920.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
A 1 20.00
ing Fee
Main Service 000V OR LESS
200A OR LESS
23.00
—Main Service 200A TO 1000A
46.00
LICE14ED (�ONTRACTO 'S ECLARA N
1 hereby 'r nder I d provisi -
'alt,,ko"D jury t ' t i S Sn's of Chapter
i vis n P, rofesilions Code,
9 (comry,:ncimnguwith - S C§001
and my license is in Eforce and e
License Class 0
0 FNER-BUILD EC AFrATIdN
1 hereby affirm under penal f p that m exemp from E, Contractors License,
La f h f Ilowing reason:
_t '0
V11' ,eo,,ner of thEk property, or my em lo e s wit g t eir sole c6mpensation,
will do the work, and the structure is no intende or o r S'a I e.
0 1, as owner of the pr?pertf_1*Ilh exctusilely contracting wii icensed contractors
.to construct the project.
0 1 am exempt under Sec. �Pusine Professioris Code for this
reason
NEW CONST, DWELLING OC
13R ADONS, . ACC. CSU'
SQ
3 .5,t FT.
NEW CONST. MULTI -OUTLET
_ UITS
NON-RESID. BRANCH CIRC
97.50
SIWER us
( "PO
NGLEAOPLPrArLREArTCIR
Ex. Occup. ( OUTLET OR FVTURES
20 @ 1.00
BAL a .50
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESIO.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' Co ��ATION DECLARATION
y e � the fc
I hereby affirm under peina . Ity of per1j, ollowing declarations:
0 1 have and will maintain a cek i E, consent to self-insure,for workers'
:,f C
sec
compensation, as provided for ' pin 3700 of the Labb"r Code, for the
performance of the work for whii IS mit is issued.
"'ill maintain workers' m ensation insurance, as required by Section
0 1 have and w �A '
3700 of the Labor Code, for the le ance of work for which this permit is issued.
My workers' compensation in I urdnce 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.)
Er—I certify that in the performance of the work for which this permit isissued, 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'�Sub�ject to the
workers' compensation provisions of section 3700 of the Labor. Code, I shall
forthwith comply with those provisions.
rN
X�) z
Date _
—Sibna ure of Applica'ht 9—Owner 0 Contractor 0 Agent
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
Is
Energy Inspection Fee
Is
OCC
CONST. TYPE
I
TOTAL FEE $ 53.00
HAZ.
� D. FEES
1. I -P
CDF
PARCEL PD JHDJV
This permit is hereby issued under the
of the Butte County Code ancl/dl`�Resbluiions
indicated above for which fees have
PERMITE XPIRES ON 4, 611
I
applicable provisions
to do work
been paid.
Date
a A,;
(d..)
Receipt No.
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
V OK
0 NQt OK
Not Applicable
Not Ready MOBILE HOMES
MISCELLANEOUS
Date/Initials MOBILE ROME UTILITIES (PlansYOK except #'a
Date/initial DECKS_GCIERS,CARPORTSGARA ES, (Plans)OK except #.'a
1. Zoning,Requiremente-Setbacke-Easements
n!pg Requirements -Setbacks -Easements C�/-
2. Soils; Special MH Support Sketch
LA-,Vcot1ngi; Sol Is-Size-Depth-Spac Ing -Connectors -Steel
3.- Sewer; Location�test-Fail-�C/0 Concrete
3. Decks; Griders and/or Joists-Docking-Bracing-Staim-Ralls
:�,.-74.'Water;'Locati'on'-Test-Easeinent Needed (Sketchy.
4. Wood Awn.; Posts-Beams-Ritra.-Connectors'
6. be6tricft�; Location-Clearences-drnd-l- /Amp -Concrete
Shthg.-Rfg.-Bracing
das;' Locition-Test-Wrep: P'L"ft--
-,5. Alum. Awn.;'Coluinns-Connections-Splice-Decal-Enclosures
P'Nat. or/ , P'L"ft./ P'LPG.-
Carports; Windows -Doom
T.Well Clearance & Disconnect
7. Electric
8. Utility Clearance
8. Frmg; Slia-Anchor6-Studs-RttrsTrusees.
'9. Siding; Nailing -Veneer -Stucco -Mesh
iO. Roof; Shthg-Roofing"
'11. Ext.; Steps -Doors -Landings
Date/InItlaIs MOBILE HOME INSTALLATION (Plans),OK.except #'a
1. Zoning Requirements-Setbicks Easements ,
2 Footings; Size-Spacing-Marriaije- Une'
3. Gas; MH Test -Do mand-Valve-LC66 hector
----------
Date/Initials POOLS (Plans) OK except #'a
4. Electricity; MH Test -Crossovers -Breakers -Clearances
A Setbacks -Easements
Drain; MH Test -Fall -Flex Connector
2. Soils; Compaction -Structure Stability
6..Water;,MH Test -Regulator -Connector
3. Pool Structure; Steel -Connections -Thickness
7. Water and Sewer Connected -C/0 to- Grade -HD Approval
bead Men -Lining
.8. Gas and Electricity Tagged
t4l. Elec.; Receptacles and Lighting, Distances -13H
9. Exits; Inip.-Sketch .
5. Elec.; Pool Lighting; 15volts-GFI
-.10. Cart. of Occupancy
6..Elec.;Enclosures; Conduit Entries -Terminals -Listed
.7. Elec.; Boriding; Metal w/5' -Circulating Equip. -Heater
8. Elec.: Grounding; Equip. wl5'Circulating Equip,Pool Lghtg.
Boxes-Enclosures-Paneibmrds-ini. to Main In Condult
9. Flealth Department Approval
10. Plum b.; Cir. Test -Water Supply Test
V = OK
0 = Not OK
Not Applicable
Not Ready
RESIDENTIAL (Single & Duplex)
Date/initials UNDERFLOOR (Plans) OIK'eicept #'a
Zoiilng-Setbacks-Etumments-Flood;,Siope
2. Ftg., Main; Solls-Elec. Grnd.-/ Ftg.. Depth
3. Ftg.. Garage; Solls-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks;'S6I1s-St9eI-/ /Ftg. Depth
5. Sternwalls, Main; Steel.-Blockouts-Wrapped
a Sternwalls, Garage; SteeI-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Stab; Steel -Wrapped
8. Plem-Firepface Ftg.-Steel
9. D.W.V.;-Fall-,Fifting-Test-2 Way C/0 -Sewer Test
10. UF -Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; 'test-Anchor-Reguliitorl-Seivice Test
12 Electric; Underground t
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girdem-Slils-Anchor Bolts-JoistB-Vents-Cripples
15. Access & Ventilation
16. Insulation
Date/initials PLUMBING (Pormit)'OK except #'a
16. Water Htr.;-Vent-Access-Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nall Protection
18. D.W.V.; Test -Fittings & Anchor -Nall Protection
19. Shower Pan; Test, First Floor -Tub Access
Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials -ELECTRICAL (Permit) OK except Irs
22 Fixture & Transformer CAearance-Ins. Protection
23. Elec. R eceptacles Spacing-Ughts & Switches at Doors
24. Size Boxes & No. of Conductors-Stspled
25. Rom6x instilled Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size/ /ga. CuorAI-A.C. Wire Size/ /ga.
Cu or Al
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral 13 yes 13 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Ught-Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'a
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -1 15 outlet
38. Attic Access & Platform If Furnance In Attic
Date/Initials FRAMING (Plans) OK except #'a
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound.
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Coll I ngs-Stal rs-Chases-Tub
44. Headers & Beam -Size & Bearing
-Date/Initials FRAMING (Continimd)
45. Hangers -Post aps-Anciho-re-Connectors
46. CAng. JoIst-RftrAIi&PurIIn�-roof I Brac-Truse-Shthng.-Rtno.
47. Fireplace Ties or TypeA Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles
49_'Bdrm..W1ndow9 or Exiting Doors -Sill Flgt..& Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width-Headroom-Ries-Run-LandingrFire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding-Nailin-g Veneer
56. Stucco Mesh-Drio'Screed-Fd. Vents-Underfir. Access
57.' Glazing Area -Glass Protection-Skyilihts-Plastic
58. Shear Wills; Nailing -Bolts
59. Insulation-Walls-Cellings
60. Infiltration -Walls -Windows
Date/initials, FINAL (Plans) OK except #'a
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Moch. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails ,
68. Fireplace or Stove; Clearances -Hearth -
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking CAearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door Swing -Landing -Closer
73. A.C. Duct In Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. AJr-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection,
77. 1 nsu lation -Foam- Looked In Attic 13 yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Drainag & Wood -Earth
Clearance Looked under Floor Yes
80. Following Instid.; Drive 13 Yes 13 No; Walks (3 Yes 13 No;
Planters 13 Yes 13 No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Pibg.-Appliance-Fireplaoe.-CAearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comnwnts at Final:
COUNTY OF BUTTr= - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING SION
7 County Center Drive - Oroville, California 95965' - Telephone (916) 5 - 541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
030-430-022
ZONIW
ZAIU ILDINGPERMIT
OWNER
CHARLES L. BICE
TELEPHONE
534-6029
SO. Fr. OCC. BUILDING VALUATION
F_q T 1,400.00
OWNERS MAJUNG ADDRESS . -
1646 C�RAND AVE OROVTT.T.F,
CONTRACTORS NAME
OWINER
TELEPHONE
CONTRACTOR'S MAJUNG ADDRESS
.
Fireplace
CONS TRUCTION LENDER
UNI(NOWN
Total Valuation 1$
Filing Fee
$ 20.00
LENDERS MAILING ADDRESS
Permit Fee
$ 33.00
ARCHITECT OR ENGINEER
UC ENSE NO.
Plan Checking Fee
—
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1646 C AVE
PERMITFEE
$ 5 .00
-RAND
OR VII I E
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
- -
SUBDIVISIONS NAME
IPARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other GARAGE
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other
Describe Work: COMPLETE WORK STARTED UNDER BP#93-1751
Mobile Home I S I GI W 1
@20.00
I
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.00
Main Service OOOV OR LESS
200A OR LESS
23.00
Main Service 200A TO 1000A
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
La f -the following reason:
;;9.�
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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. & ACC. BLDS.
so.
3.50 FT.
NEW CONST. MULTI -OUTLETS
NON-RESID BRANCH CIRCUIT
@7.50
( POWER APPARATUS
SINGLE OUTLET CIR
Ex. Occup. ( OUTLET OR FD(TURES
@ 1.00
BA -L 0 50
I FIXEDAPPLNS OR
—EX' OCCUP' k OUTLETS (RES16J EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm * under penalty of perjury one of the following declarations:
0 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
pe orm nce of the work for which this permit is issued.
0 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
1
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.)
Erl—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.
qX Date /
,.,1gi5afu?e_of —Applicaht - 9—Owner 0 Contractor 0 Agent
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 $
C
CONST. TYPE
TOTAL FEE $ 53.00
HAZ.
� 0. FEES
IMP I FLOOD I
CDF PARCEL
PD I HD
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
B
r
PERMITEXPIRESON—
1
applicable provisions
Resolutions to do work
been paid.
Date
44.)
ReceiptNo. -7 -70
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN RO D-APPL ICA NT
all
__7
O.B.- 1
Atiention Property. Owner.
Am "o,.;�rner-builder`:buildffig permit has been applied for in your, name.and bearing your
signature.
Pleaie' complete* and return this- inf6rmation at your earliest opportunity to avoid'
unnecessary delay in processing and issuing your building permit. No buflding permit will
be issued untff this verification is received.
or construction of the
personally plan to provide the major labor and materials f
improvement: YES[,,(<] NO[
proposed property
-HAVE NOT[. signed an Ap* Hcation for a.building permit for,the,
I . HAVE[,�] p
proposed work.
the, following person (firrn) to' p
3. 1 have contracted with rovide the proposed
construction:
NAME:
ADDRESS:: CTI'Y:
PHONE: CONTRACTOR"S LICENISE NO.
oflowing person to,
4. 1 plan.to provide portions of. this' work, but I have hired the
coordinate, supervise and provide the major work: -
NAME:
CITY:
ADDRESS.
-PHONE: CONTRACTOR'S LICENSE NO..
5*.' 1 will provide some of"the work -but -I have contracted (hired) the;following persons to
pro�vide the Work indicated -
PHONE TYPE OF WORK
-.NAME ADDRESS
SIGNED:
PROPERTY, OWNER:
SOCIAL sEcuRrry NUMBER:
DATE: Z3
Af z
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
Dear Property Owner
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a,permit. Building permits are not requiredto,be signed by property owners.unless they arc 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:
0 If you employ or otherwise engage any persons other than your immediate fhmily, and the work (including
materials and other costs) is $300 or more for the. entire -project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to severil obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 `17here mav be finaficial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific infomiation 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 Depar=ent 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 profess ing to be contractors is to secure an "ownerbuilder"
building permiL erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not requited to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors mav 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.
Sincerel
Michael C. Vieft"a. C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
ON
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-' BUILDING DIVISION,
7 County Center Drive - Clioville, California -95965_ - * Telephone (916) 538-7541 - PERMIT NO'.
APPLIPATLON AND PERMIT
ASSESSOR PARCEI:NUM
ZO NING
BUILDING PERMIT
OWNER
TELEPHONE.
C)24
SQ FT OCC. BUILDING VALUATION
OWNER 'S ACD
C6131WACTbR'S NAME
a t5k�
TELEPHONE
. . .
.
CbRriiACTOR'S If- NG ADDRESS
Fireplace
CONSTRUCTION LENDER ', A�UNMOWN
Total Val tion,,-
Ua $
Filing Fee $
UENDER-S� MAJUNG ADDRESS
Permit Fee $
53� rn
ARC I HITECT OR EN . GJNEER
E NO:
Plan Checking Fee
Energy Plan Checking Fee $
ARcwrEcT OR ENGINEERS IAAAUNG ADDRESS
Penalty $
BULDW(�ADD.RESS
PERMITFEE
PLUMBING PERMIT Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDfV I ISIDN'S N I AA4E
PARCELUAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF 0, Puplex., 0 Mobilehome 0 Other
L/ SPECIFY
7 Each gas water heater or vent
15.00
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other
Describe) Work:
Mobile Home ST_d�
PERMITFEE $
Contractor
ELECTRICAL PERMIT 20.00
Filing Fee
OOOV OR LESS
Main Service. 200A OR LESS
23.00
Main Service 200A TO 1000A
46.00..
-LICENSED. CONTRACTOR'S DECLARATION
I hereby� affirm Under penalty of perjury that I am licensed,under provisions of Chapter
9 (9ofrimencing with-Secton 7000) of Division 3 of.the Business and Professions Code,
and my license is iri, full forc6 and effect.. - '
License Class �r 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:
0 1, as owner of the property, oemy employees with wages as their sole compensation,
will - do'the work, and the structure is not intended or offered for sale.
.0 1, as`o,.�n.er.of the property� arn,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:
[I I have and will maintain a'ceitificate of consent to self -insure for workers'
compbrisation,. as provided ' for � by section. 3700 of the Labor, Code, for, the
performance of the Work -for which this permit is.issued.
0 1 have and will maintain workers' com pensation'insu ran ce, as required by Section
3700 of the Labor Code, for the performance of Work for which this permit is issued.
My Workers' compensatiori:i6surance carrier and policy number are:
.Carrier
NEW CONST. DWELLING OCCUR
OR ADDNS. & ACC. BLDS.
6.5c ST.'
NEW CONST. MULTI.OUTLET
—NO14-RESID. BRANCH CIRCUITS 97.50
( ,POWER APPARATUS N
SINGLE OUTLET CIR. I
Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00
SAL Q W_
FIXED APPLNS. OR
Fx. Occup. OUTLETS (RESID EA 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc: Wiring 23.00
PERMITFEE $
Contractor
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 orie'Hundred. dollars ($100) or, less.).
0 1 certify that in th`e IDEIrfoirri'a'n6e of the work for, which this permit is issued, I shall
not employ any'person in ariy-marineir so as to,'beC ome subject to workers'
compensation laws of California, and agree that if I should become subject t * o the
workers' compensation' 'provisions of section 3700 of the Labor Code, I shall,
forthwith comply with those provisions.
X Date
§ignature of Applicant 0 Ownei .0 Contractor 0 -Agent
An OSHA permit'is required foe excavations over 60". deep, and demolition or construction
of structures over 3 stories in height.L.,,.'
Mobile Home Installation Fee
1 $
Energy Inspection Fee $
OCC
CONST. TYPE
F E $
ITOTAL E J3,4
L
HAZ- -
� D. FEES I IMP
I FLOOD I CDF
PARCEL I PO
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above forwhich fees have.been paid.
By Date
OE RMITEXPIRESON
(Date)
ReceiptNo.
WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV:1SI
_7
Mir
7 County Center Drive - Or '4r, ornia 95965 - Telephone (916) 53>8-7 � IT NO.
o v i.,I,�e, PERM
APPLICATION AND PERMIT
ASS ' T � U T" TTO 2 2
ZONING AR
BUILDING PERMIT
O"THARLES L BICE
TELEPHONE
534-6029
SQ. FT. OCC. BUILDING VALUATION
1WNTMr'(fr'aR'n'd Avenue, Oroville 95965
CONTPNOFrS N Am E
ner
TELIPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $
20.00
LFNDER`S MAILING ADDRESS
1
Permit Fee 2 original $
--33.75
ARCHITECT OR ENGINEER
NO.
Plan Checking Fee $
—Energy Plan Checking Fee $
ARCHI TECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
1646 Grand Avenue, Oroville
PERMIT FEE $
53.75
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
Golden Knolls
PARCEL MAP
32-17
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Q Duplex 0 Mobilehome Q Other garage —
SPECIFY
—Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New 1:1 Addition Q Remodel Q Utilities Q Installation Q Other EK
DescribeWork: U1'0' XXXXXXX ISt renewal/93-1751
PERMIT FEE
Con�ractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 600V ORR LESS
2MA 0 LESS
23.00
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. 8, ACC.BLDS.
so
3.5 0 FT.
J/. -CONTRACTORS LICENSE LAW
1 declare under penalty7f �
perjury (check one)
Q I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
ff"i, as the owner, 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)
Q 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
Q I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON -RESID. BRANCH CIRCUITS
-
@7.50
POWER APPARATUS
SINGLE OUTLET CIR,
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL. 0 .50
FIXED APPLINS. OR
Ex. Occup. OUTLETS (RESIDA EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
–qZWORKER'S COMPENSATION INSURANCE
1 declare under per7dity of perjury (check one):
WT–his permit is for $100.00 (valuation) or less.
Q I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
Q I shall not employ any person in any manner so as to become subject to the Worker's.
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certifVthat I have read this application and state thatthe above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
entei 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.
tate Pdl
Sigr,(AfuJ_ret'f–A`pFIZant - Q bwner—O Contractor 13 Agent
An OSHA permit is required for excavati . ons over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
C
11N11_ TYPE
TOTAL FEE $ 53.75
HAZ.
I D. FEES
IMP
FLOOD
I
I CDF
PARCEL I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
in ic 0 e or
R nlAAe
PERMIT EXPIRES ON 6/22/95
(Date)
– - 11
ReceiptNo. 92� 9
WHITE-D.D.E e-ASYE S �(O R PINK -INSPECTOR GOLDENROO-APPLICANT
COUNTY. OF BUTTE
Dgpartment of DcklQpment Services
Bufldin-anivision
Oroville:. 7 County Center. Dr., Oroville CA 95965 Ph: 916-5318-7541
Chico: 1469 Humboldt Rd6, Chico CA 95928 Ph: 916-891-2751
OWNER -BUILDER VERISCATION
Attention Property Owner:
An "owner -builder" building permit hasbeen applied for. *in your name and bearing your signature..
Please complete and returnthis information at your earliest opportunity to avoid unnecessary delay 'in processing and
is s*uing.your building permit. No building permit will.be issued until this verification is received.
I personally plan to provide the major labor and materials for construction of the proposed property -improvement
(yes or no)
2.- 1 (have/have not) ,P_ signed awapplication for a building permit for theproposed work.
3. 1 have contracted -with the -following person (firm) to provide the proposed,construction:
Name-.,
Address Ci
ty
Phone C6nttactor,s License No.,.,
1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise' , and
provide the major work:
Name
Address city
Phone Contractor's License No.
'id
5..'Iwill,prov e some of the work but I have contracted (hired) the following persons to provide the work indicated.:
Name Address Phon e Type of Work
Signed:
Property Owner
Social Security Num er
b
Date
NOM. This Owner -Builder Verification is sent to you as required by Sections. 1983 1. 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.
COUNTY OF BUT . TE - DEPARTMENT OF'PUBLIC WORKS
-7 Count� Center Drive - Oroville, California 95965 - Telephone: 916,'*538-7541
APPLICATION AND PERMIT
PERMIT NO.
17 r-5
,I(
ASSESSOR PARCEL NUMBER
030-430-022
ZONING
AR
F 4
BUILDING PERMIT U
OWNER
Charles L. Bice
TELEPHPNE
534-6029
SQ.FT. OCC. BUILDING VALUA TION
320 M 5,760.00
.
OWNER'S MAILING ADDRESS
1646 Grand Ave., Oroville 95965
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 5,760.00
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 67.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 33.75
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit tee
$116.25
PLUMBING PERMIT
FilingFee 1 5.00)J
1646 Grand Ave., Oroville
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
UBDIVISION NAME
Is k, OIL -5,
PARCEL MAP
3Q -7
Water piping
7.00
Each qas water heater or vent
7.00,
USE OF STRUCTURE
SF F DuplexF_� MobilehomeF_J Other Garam
SPECIFY
Gas �piping system 1 - 5 outlets
5.00
Building sewer
15.00
__F_
Mobile Home I S I GJW
615.00
TYPE OF WORK
New [X Addition [I Remode I E] Utilities [:] Installation[] OtherEl
Describe work: Det- Garage
Permit Fee
$
Contractor
ELECTRICAL PERMIT
1
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO 1 OOOA)
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F1 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
X 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)
F] I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. I DWELLING OCCUPM
OR ADDNS. ACC. BLDGS.
3.64 sq.ft.1
—NEW CONSTSL PAU LT'*OUTLET
NON-RESID, BRANCH CIRCUITS)
@ 5.00
POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup(OLITLETS OR FIXTURES
20X760
F AL. 4SA
FIXED APPLNS. OR I
Ex. Occup. OUTLETS (RESIO.) EAJ
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
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 Seif-Insure.
I shal I 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 ..
to the W. C. provisions of the Labor Code, you must forthwith comply with S'u'c'h'
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
FilingFee 15.00
Heating
Cool ing
Hood
Rentilation
6.50
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 Countyol
Butte to enter upon the above-mentioned property for inspection purposes.
I 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 D a t e S1.419 -P .9
Signature of Applicant — OwnerX Contractor El Agent F�
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
1 TOTAL FEE
$ 116.25
HAZ
I D FEES
FLOOD
HO
ISS
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
By
AIT XP S
PERMIT EXPIR9S D__aFV_
applicable provi-
resolutions to do
have bee;npaid.
0 S
ORKS
D te
;Z C/
;Z V
143983
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT
I
4W1�
-TE IbEPARTMENTOFDE)
COUNTYOFBUT-.
7COUNTY CENTER DRIVE - OROVILLE, CA
OWNER..
Propdsed,-Buildi,ng Use..,
A
PFRMIT.APPI MATI
/�Tls Z.,
.OPMENT SERVICES - BUILDING DIVISION
)RNIA 95965 - TELEPHONE (916) 538J541
QN�PATASHEET
Y�
Building Inspector
da
-When:lyou. issue the permit; process as follows: Mail to owner. Mail to contractor.
'D- jn
Telephone-, and hold for pickup.at office.' Deliverwith spect r.
-`Other
,"AParcel Creation,
Acreage Applicant Z�'4 Date
Copy of Haz-m'Mafform sent 'Health Dept. Fire Dept. Air Pollution Date
.Copy of plans sent Health Dept. Fire Dept. Other Date, By
The following data must be, submitted prior to permit issuance: (Circle new. item not checked above).
1. Index perm it for above items No.
2. Additional -items required.:
-.Contractor, d6sidner, owner, was advised of above req�iidd databy' phone mail. Counter by Date
required data b phone mail Counter by
Contractor, designer, owner, Was advised of above y Date
Plans checked by Date Plans a0proVed by Date'#,
Sets of plans on hold in File cabinet'. AP folder-
copy� Department of Public Works
At:time.of permit application,' I was advised the following data,must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
items have been submitted. .............. .....................
.2.
Plot plans, 3/4 sets,"signed by preparer of plans . ......
p ........ .............
Complete,plans, 3/4 sets, signed by preparer of plans. ............ I .......
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans. .............
5..
Hazardous Material Form . ..... ............. * ........ ............ 4
6.
Energy Design Compliance and supporting documentation . ....................
7.
Statement of Intent for Non-H6ated. and A/C Buildings. ................
.8.
Engineered truss. details, and layout,in, duplicate (required, prior to plan check).
9.
Mobil. home data. and manufacturer's installation ins.tructions,,2 sets.
10.
Fees of$ ....................... I ...................
11.
Impact fees as shown on aftached'sch6d.ule. ..� ......... ....................
-12'
California Department of �Foriestry- plan approval/fees. .............
j
' 113- Flood elevation letter (1,00 year flo lifornia Engineer .......... 7 ...........
Sanitatioh'.�nd plot plan approval Health Department. . A .........
City of Chico plumbing permit. ............
..........
16.
Plot plan and business license, approval from City of Biggs/Gridley.
17.
Planning approval for (A) Use: Parking:
18.,
Contact Land Developmentabout (A) Improvements (B) Drainage . ........
10.
Driveway perrnit (construction approval 'required prior to occupancy), .............
�O
Pre4n,ection request
Pre -inspection for required. to Building In sPedo�_ (Date)
Qont�actor's license information. (No., -Name Style, Classification) . ..... .........
Certificate of WorkrTians Compensation, Insurance. .................
23.
Owner -Builder Verification (Given to owner Mail to owner ..........
24;
Re
acorded copy of Agricultural Acknowledgement Statement . ...................
'�5 -
Lettei of signature authorization . . ..... ....... I ...................... o .........
Copy of recorded deed of pa rcel creation and 60 right of way. toa public road . ...... -
Letter ofintent on building use.. .......... ..............
28.'
M6bilehome utility clearance
_:�9.,'.Documentation.
of legal access.-.............. ..............
30.,
Documentation of 50% subdivision developed or (A) Road impr pvements competed
and (B) Parcel meets zoning area and frontage requirements . ............
'31...
Existing violations/expired permits ..........................................
32.
.
Plan chedk.lis.t . ........
'T
3 3.
34.
-When:lyou. issue the permit; process as follows: Mail to owner. Mail to contractor.
'D- jn
Telephone-, and hold for pickup.at office.' Deliverwith spect r.
-`Other
,"AParcel Creation,
Acreage Applicant Z�'4 Date
Copy of Haz-m'Mafform sent 'Health Dept. Fire Dept. Air Pollution Date
.Copy of plans sent Health Dept. Fire Dept. Other Date, By
The following data must be, submitted prior to permit issuance: (Circle new. item not checked above).
1. Index perm it for above items No.
2. Additional -items required.:
-.Contractor, d6sidner, owner, was advised of above req�iidd databy' phone mail. Counter by Date
required data b phone mail Counter by
Contractor, designer, owner, Was advised of above y Date
Plans checked by Date Plans a0proVed by Date'#,
Sets of plans on hold in File cabinet'. AP folder-
copy� Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF P'UB,LIC WORKS
7, County'Center Drive - Oroville, Califbrnia 95965 - Telephone� 916 '538-7541
APPLICATION AND,P.ERMJT.
PERMIT NO.
ASSESSOR PARCEL NUMBER
-3
Z N;.;
BUILDING PERMIT.
CRA /L (.,66,
T E P 0 N
'V��
'So. FT. I OC2. BUILDING VALUATION
I AV/ 76
0
OW ER'S MAILING ACDRESS
CONTRACTOR'S NAME
ONE
177
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNO I WIN
Total Vaiva I tion $
Filing Fee
15.00
LENCER'S MAILING ADDRESS
P�ermit Fee
-7,
ARCHITECT OR ENGINEER
LICENS E N 0.,
Plan Checking Fee
$
Energy Plan Checking Fee
ARCHITECT OR ENGINCER'S, MAILING ADDRESS
iPenalty
$
BUILDING ADDRESS
4t 14 4(1- .6 9,111-W b AVE
Permit fee
$
7
PLUMBING PERMIT
FilirgFee 15.00
Each Trap
5.001
Sol ar'or heat pump,water heater
20.001
LOT NO.
SUBDIVISION NAME
MAP
Water piping
Each qas -water heater or vent
7.00
USE OF STkUCTURE
SFO Duplex7l lvlobilehomeF� Oth 010 /9-61. .
SPEC[ FY'
Gas pi ping system 1 5 outlets.
5.001 7
.
Building sewer" — . .
1 15.001
—
Mobi le'Home STG FW
15.00
TYPE,.OF WORK
Newy Addition,__� Remode I L._� Utilities E], InstallationE] .Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL. PERMIT
Filing Fee 15.00
600V OR LESS
Main service 200A OR LESS
118.501
Main service 20CA TO 1 OOOA)
37.501
CONTRACTORS LICENSE LAW.
I declare under penalty of perjury' , check.one):
71 1 am licensed under provision's of. Chapf. 9, Div. 3 'of the Business,,
and Professions Code and my license -is in full force and effect.
License No. Classification
—
I 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-a')
OR ADONS. ACC.BLDGS.
3.64 sq.
N EW CONSTR. MUL -OUTLET
,B T I
RANCH CIRCUITS)
@ 5.001
--L!ON.RESID,
POWER'APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup( OUTLETS OR FIXTURES
20 76d
&4
FIXED APPLNSOOR
Ex. Occup. OUTLETS iRESI* EA.)
3.061
Temporary service
i 5.00
MobJIe Home.Facilities
i sm
Misc. Wiring
15.00
Permit Fie
Contractor
WORKMEN'S COMPENSA TIONANSU RANCE
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 . Cert i f i cate
.of Consent to Self -insure.
1 shall not employ any'person in any manner so as to i3'ecome Subject—
to the W. C. laws of California.
Notice to Applicant: If after,making this'statement, should you become:subject
to th e W. C. provisions.of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 15.00
Heatj ng
ing
2o�
6.50
Ventilation
Permit Fee
$ q
Contractor
I certify that I have read this application and state that the above information'
I s correct. I agree to comply to al I County. Ordinances, -and State Laws relating
.to building construction, and hereby authori ze. representatives of -the Countyot
Butte to enter upon the above-mentioned property'fo ' r inspection,purposes. - I
I -also agree to save, indemnify and keepharmless the County of Butte aga-inst
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of is permi
the granting of th
X Da e 7
6
r I
Signature of Applicant 7 Owner El Contractor Agent F� . .
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 co ... .... I TOTAL FEE $
HAI
1 0 FE
1.000
1 COF
I PAF(CEL
J,P0fHD.
FISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
-work indicated above for which fees
DIRECTOR OF PUBLIC
BV
PERMIT, EXPIRES Date,
applicable provi-
resolutions to do
have been paid.
WORKS
Date...
Receipt No.
WHITE-O.P.W.. YELLOW-ASSCSSOR. PINK-IN5PECTOP. GOLDEN ROD-APPL I CANT
COUNT . Y OF BUTTE Department o'f,Public Works
Center,Drive,_�Oroville, CA �95965' Phone: ,916-538-7541
OWNER -BUILDER VERIFICATION -
Attention Property Owner:
An "owner-builder",building permit has been applied for in your nam.e..,and bearing,
your signature.
Please complete and return 'this infbrmat:ion at your earliest opportunity"to"avoid
unnecessary delay in processing.and issuin&.your building peribit'. No'building permit
will be issuedudtil,.this verification is received.
1. 1 personally.plad to.,provide-the' major"labor' and mAterials� for construction. of
the proposed. property, improvement--. (yes or,'no),
2. 1 (have/have not) signed anlapplication. for a building.per'mit
0
for,the propised work.
3. 1 have contracted with.the following.person (firm) to provide. the proposed
construction:
Name
Address City
Phone' Contractors License NO.
. the f6'116wing 'per s . o n
4: 1 plan -to provide portio'ns-of.this work, but- I have' hired
to coordinate', supervise, And -provide the.inajor' work:
Namei
Address City
Phone C,ontractbr� Lic6ns-e.:Nd.
5. 1 will provide some of the work but 1-havecontracted (hired), the following
persons to provide the 'work indicated,*:
Name 'Addre'ss - Phone- -Type of Work
Signed:
Property Owner
Social Security Number�
Date _,c;,_--?
NOTE: This Owner -Builder Ver-ification.-is sent -.to you 'as required by $ections'1983l and
19832 of the California Health and Safety, Co4e.,.-'
This verification must be 'Completed,dnd returned �to bur of f ice .bef ore we are per.-
mitted to issue.the permit.
NOTE:—AN Materials & Workmanship Sha6 Be in Tids s6t of p4�ns and spebific'13tions.M.Lf5T bt
Accordance with Recognized Good Practices a'nd-:-.'- kept the job tsfoll firne's and it is unla,�Q to
of a quality prescri6ed for the Specified use in- thenl',� make any. Chang'es or alterations on some withou� f
Uniform Building, Plumbing 8� Mechanical C�odez and.---�' written permission from the Department of PuRc
the National Electrical Code. Works, County of "e.
b
Ilk
X"
141
e- . I
ALL STRUCTURES AND EQUIPMENT INCLUDINC-
BUTTE DOUNTY OVERHANGS SHALL BE CLEAR OF ALL EAWNIF-NTS,
A SET BACK OF FT. FFOdM THE SIDE AN[
BUIDING E E IIARTMENT Fr. FRO11 THE REAR P-Ran-PERW LINES AN�
M'F-� -0 - FT. FRZ'
OM THE ROAD E - SHALL B
U �CEUI' RL�NE
E CM�R OF STRUCTURES AND EQUIPMENT EXCEFr-
FOR A 2 FT. EAVE OVERHANG.
A F4
A-
uJ
In
8
'Provide 1/2" x 10" anchor bol%k-
6' 'O.C. max., -and wifhin'
12" of joints.;
X
X*/O
-1 b
/Cl)l L
)XV -/--,,J,9
4A
C Ye
0,4
.,
0
I
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1 1,2
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14
c e7 4F ' �3 0 3 0 2- 2-
. F030"43-0-022 93-2601 B
BICE9 CHUCK E
I
16046 GRANb AVEI OROVILL
CONTR: GEORGE ROOFING
OF/SF
COUNTY OF�BUTTE -�DEPARTMENT,OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 Couhf� C entei Drive.- Oroville, QW ordilr95965 - Telephonl§ (916) 538-7541 -RMJT NO
APPLICATION AND P,ERMIT
ASSESSOR PARCEL NUMBER 030__1_30,_ 0
ZONING
A
BUILDING PERMIT
OWNER
TELEPHONE
S Q., FT. OCC. BUILDING VALUATION
OWNE7Z
�PONTRACTOR`S NAME
TELEPHONE
[533-63Y3
911,
Rreplace
CONSTRUCTION LENjV' J
UNKNOWN
Total Valuation I $ )0,00
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 3 316C
ARCHITECT OR ENG IN EER
UCENSE�NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
yz v7lae
PERMIT FEE $
PLUMBING -PERMIT Filing Fee 20.00
Each Trap 7.00
teater 2qvqo�
',V ater piping, 1.5.00
LOT NO.
SUBDiViSiON'S"NAME
PARCEL : �MAP
Each gas water heater or vent 'Y5.00
i
USE 'OF StRUCTURE
S Mobileh.'
)Uplex-tcl; a Q Other
F 1 '31
SPECIFY
Gas piping system 1 - 5 outlets 15.00
sewer 15.00
—Building
M obile Home S G W 020:00
Of WORK
New Q Addition Q Remodel 0 Utilities Q Installation Ll Othe r*
Describework:
PERMIT FEE $
Coniractor
ELECTRICAL PERMIT Filing Fee 20.00
4FF
IV 01
Main Service R LESS 23.00 4
200A 0 LESS
Main Service 200A TO I OOOA 46.00
NEW CONST. DWELLING OCCUP., So.
OR ADDNS. & ACC. BLDS. , �350. FT.
CONTRACTORS L16ENSE LAW
lare, Under penalty of perjury (check one)
I am, -a licensed under provisions of Chapter 9,' Division 3 of the Business and
Profbssions Code and my license is in full fOrce,,Pnd ef ect.
Lice�seNo. ZI,45�24,� ,Classification
1, as the owner, or my employees with wages as their sole compensati , will do
the work, and the structure is not intended or offered for sale. (See 7044)
1, as the owner, am exclusively contracting with licensed contractors. (See 7044)
I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET. :y:
-NON _RESID. BRANCH CIRCUITS @7.56'
POWER�APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES 20 1 �00
BAL. .50
E X. OCCUO. OFIXED APPUNS. On
UTLETS (RESID.) EA. 5.00
Temporary Service 23.60
Mobile Home Facilities 20.00
Misc. Wiring ld*00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
0 This permit is for $100.00 (valuation) or less.
� .,.- r � wnty�o i 6tDbptr&:be'V6kip im6nt�
Hai V6 "-pla�c-edl%66'fil45�'with�thb'Cd��'�i 'f 'Bdi,�t
'*TBuilding Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
IJ I shall not employ any person in any manner so as to become� subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions orthis permit will be revoked.
PERMIT FEE $
Contractor
_-MECRA RMIT,-.. .--.,Filing -EeA, 20.00,
-INICAL-P9
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify, that I have read this application and state that the above information is correct..
�'Ifagree tc�,c.omply to all Butte County Ordinances and California State Laws relating to,
�.building 6onstruction,, and hereby authorize representatives of the County of Butte to
-Ante, up�`� the above mentioned property for inspection purposes.
�',I. also. agiee to save, indemnify and keep harmless the County of Butte against all
li-abilities, judgments, costs, and expenses which may in anyway accrue against.said
County , onsequencee of*the granting of this permit
4
ate
D y- �/-,9,3
Si-g-n—ature of Apl3lic�nt - & Owner, Q Cori_�tra__tor Agent
�44�
An OSHA permit is- required for `excavations over 5"0" deep and demolition or
I ' -
construction of struct0es over 3 st6ries in height.
Mobile Home Installation Fee
Energy Inspection Fee $
—
OCC
CON T. TY-
TOTAL F E $53.00
-
HAZ.
D. FEES
I MAP
ILOO . D
CDr
PARCEL
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.
DIRECTOR OF PUBLI,C-WORKS
B b�te'
PERMIT EXPIRES ON 9/ 2.1_"el
'(Da tei
keceiptNo �`
wHITE-D.D.S.-B.D. CANARY-.AS13ESSOR PINK -INSPECTOR GOLD ENROD-APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERV ILDING DIVISION
-7541
7 County Cent lif'drni* f"'
er Drive - Oroville, CA -95965 - Tel6p ne 91 538
APPLICATION AND PERMI
ESSOR PARCEL NUMBER
050-4t30-62-21
ZONINGA
BUILDING PERMIT
OWNER
TELEPH7
f3,
SQ. FT. OCC. BUILDING VALUATION_,�
120 40
_OWNIE
7Z;7Z11D Rn
,14-AAIY
CON7TOR'S NAME
r -W,
-6"-, AlnFlv�o
TELEPHONE
15,33-63Y-3
I
jADDRE
=M;&
01
Fireplace
'CONSTRUCTION LENDF/
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20..00
Permit Fee $
33zc
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $
-3a
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'SNAMI
PARCILIIAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
Sl`/� Duplex Cl Mobilehome Q Other SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New IJ Addition Q Remodel Q Utilities Q Installation 0 Othe
T*
DescribeWork:
PERMIT FEE $
Coniractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 600V OR LESS
200A OR LESS
23.00
Mairn Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. 8, ACC. BLDS.
3.50 FTI_
CONTRACTORS LICENSE LAW
I lare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions C my icense is in full forca,,nd a Ct.
License No. Classification _,3 y
Q 1, as the owner, 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)
1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
1 am exemptunder Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI-.UILET
NON FISH). BRANCH CIRCUITS
@7.50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex OUTLET OR FIXTURES
20 @ 1.00
BAL. @ .50
Ex. bccup. OFIXED APPLNS. OR
— UTLETS (RESID.) EA. 1
5.00
Temporary Service
—
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
XIQ This permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate. of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
0 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certifythat I have read this application and state thatthe above information is correct.
I agree to comply to all Butte County Ordinances and California 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 agree to save, indemnify and keep harmless th ' a County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
Cou ty , consequence of the granting of this permit
N Date Y- 1/-593
Sirnature of Applicaint - 0 Owner Q Contract-�r gen
- 't
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 $
Ene rgy Inspection Fee $
C
CONST- TYPE
TOTAL FEE $ 6-,3,
HAZ.
I D. FEES
IMP
FLOOD I
CDF
"PARCEL I PD
H1
is I sur
This'.permit is hereby issued under the a�plicable
of the Butte County Code and/6r..Reso-lutio-ns
indic i ated above for which . f 6es, have been
k �-
DIRECTOR OF
By
PERMIT EXPIRES ON
Met.]
provisions-
to do work
. paid.
ORKS
a
Receipt No.
..-WHITE-O.D.S.-B.D. CANARY-AS13ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT