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Home My WebLink About031-201-010'31-201-10 NUAL MASONER 1933 10th. St.., Oroville. .207 hermit ##1918-76`p (bldg`, sew inst ) ,SF 31-701-10 Permit ii2299-84B(new pri garage) -.031-201-010 . #98=1922 " WARREN, =CLETA '1933 10TH-ST.,>"OROVILLE`� OWNER OF"` I,a\"f ! Yt 031-201-010 99-0772 WARREN, Cleta ' 1933 10th Street, Oroville 1 Contr: Owner replace ext siding a Q1 i IS ' 4 1 ' 11 1 1 I 1 1 1 '31-201-10 NUAL MASONER 1933 10th. St.., Oroville. .207 hermit ##1918-76`p (bldg`, sew inst ) ,SF 31-701-10 Permit ii2299-84B(new pri garage) -.031-201-010 . #98=1922 " WARREN, =CLETA '1933 10TH-ST.,>"OROVILLE`� OWNER OF"` I,a\"f ! Yt 031-201-010 99-0772 WARREN, Cleta ' 1933 10th Street, Oroville 1 Contr: Owner replace ext siding a Q1 i 1 y r >`+ter• IN' V � r +� ,fJ .. � . S� l . ,��, \ • 1 � t \. �� f/ tJ f �. i .. • . � � 'i_l•.�� t �` , C� �.,rJ�:a �' Oji. " .a.-- � t t e t � �� f r. _ .. i� u f_ r y x, r _ _. ..._... �. ,r,ni�: .,-a: a .w•; an�.�s:r.,+.@..,� �__..,, y.�,. �v. .. s.�-�. w Y i �- 7_�✓.,,� r vl. (Y;:ty� � y.- ..-i...rn,.. ., .,., .��. •? a.e -•. -.. .. w�`y .4, -• � � � � 1 � - � . h . 0.. , . ti ' ' � � s y r .. 'r v COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, palificitia 95965 - Telephone (916) 538-7541 PERMIT No. (Rev. 12/96) APPLICATION AND PERMIT " 777= ASSESS C M R-wo ZONING BUILDING PERMIT *OWnNER CLETA WARM TELEPHONE 533 -2 SO. FT. OCC. BUILDING VALUATION -5 - OWNERS MAILING ADDRESS 1731 CR -AND AXMW, OROVILLE 9-506-5 CONTRACTOR'S NAME TELEPHONE - OWNER CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace - LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 21 Jy) ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADjyS 10TH ST. OROVILLE 11713 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE v SF ■ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel 0 Utilities ❑ Installation ❑ Other If Describe Work: REPLACE EXTERIOR SIDING (ASB ES SHINGLY -S) WI711 WOOD SIDING Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 800VOR LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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.POWER License Class Llc. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: W I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO tO46.00 NEW CONST. DWELL WEE ING OCUP. CU SO OR ADDNS. ( 8 ACC. S. 3.5{tFT. NON•RESIOT MULTI.OUTL- @7.50 APPARATUS 8 SINGLE OUTLET CI R. EX. OCCU OUTLET OR FDCTURES BAL ®'-00 .50 ED AI Ex. Occup. ouT REs o OFgw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ 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 performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation _.,. PERMIT FEE. 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.) M 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. �Qof /X 14 -IA -29 /i* X ��h14 f fI— _Date F A-29 3ignatiire" of Applicant'- � Owner ❑ Contractor ❑ 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 $ occ n CONST. TYPE 41.00 TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE X This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B 1 J / Date 7 _ PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.- .D. CANARY -ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT 3 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California i)5965 - Telephone (916) 538-7541RMITNo. (Rev. 12/96.) APPLICATION AND PERMIT ASSESSMTI LUM 1 010 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONrRACTOR'S NAME QWNFIR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.M Permit Fee $21.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1933 10TH ST, OROVILLE Energy Plan Checking Fee $ PERMIT FEE S 41.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 11114uplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ! Utilities ❑ Installation ❑ Other CX Describe -Work: RFPT ACF FXTFRTOR STT)TNG (ASBESTO SHINGLES) WITH WOOD SIDING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 20OAORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION under penalty of perjury that I am licensed under provisions of Chapter g with Section 7000) of Division 3 of the Business and Professions Code, rmy is in full force and effect.POWER License Class 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: a I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. s0 3.5QFT: NON-RESIDTNE CONS ANCI cIIT @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @''00 BAL @ .50 Ex. Occup. ouTLEEDrs AELNs o.DERa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ■ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California workers' compensation //provisions of section 3700 of the Labor Code, I shall forth it c ply with t bsa provisions. _____ Date —� XSignat of A lican ! Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionAV& of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 - Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 41.00 TOTAL FEE $ HAZ. 1 0. FEES IMP I FLOOD CDF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B X ate wz PERMIT EXPIRES ON Da e Receipt No. 4214 2 K3 WHITE-D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 031-201-010-000 ZONING BUILDING PERMIT OWNER Cleta Warren TEtTg "'2550 SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 1731 Grand Ave. Oroville, CA 95965 CONTRACTOR'S NAME N/A TELEPHONE CONTRACTORS MAIUNG ADDRESS N/A CONSTRUCTION LENDER N/A [Fire lace LENDER'S MNUNG ADDRESS N/A Total Valuation $ ARCHITECT OR ENGINEER N/A LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MA,UNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1933 10th St. Oroville, CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF'* Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel « Utilities ❑ Installation ❑ Other ❑ Describe Work: Replace exterior siding (Asbestos Shingles) with Wood siding. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2200A OR LEgg 23.00 LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSIN License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ® 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �/ cQ X Date 4-1- 1,c / ! Signature of Applicant - fl 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. Main Service PDA TO tOooA 46. NEW CONST. DWEWNG so UP. SO OCCUP. OR ADDNS. ( a OCC. BIDS. 3.5¢R; T. NON-R61D. MULTI.OUTLEr @7,50 OWERGLE APPARATOUTLET CSI 8 OUTLET oa FDcruREs Ex. Occup. BALD': o Ds RM.) A 5.00 Ex. Occup. .MD Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE S HAZ. I D FEES IMP I FLOOD I CDF . PARCEL Po I HD I ISSUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date) 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 deyy 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 ® NO E3. 4' 2 . I HAVE W HAVE NOT 13signed an application for a building permit for the proposed Wwo E" I have contracted with the following person (firm) to provide the proposed construction; ,Y: ADDRESS: CITY; PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this wor but I have hired the 'followin � 8 Person to' coordinatie; .. supervise, and provide the major work: ;T - NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to prpvide the work indicated: NAME ADDRESS PHONE TYPE OF WORK S GNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: 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 I 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-buildee, you are the responsible parry of jecord 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, andunemployment compensation contnbutions.; . ..r,. ♦ There may be financial risks for you if you do not carry 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 buildee' 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 contractprs maybe 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" �n 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. +1rely, Vi ira,C.B.O. uilding Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Coda OVER Demolition Peririits :z. Asbestos Notification Statement Date 4/12/99 AP# 031-201-010-000 Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the,receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or. both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at 1933 10th St, Oroville, CA 95965 Signature of Applicant OR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. &a2 ignat re of App icant 2/19/91 PEAIT NO. 1918-76P PERMIT EXPIRES 4/21177 OWNER NUAL MASONER 'CONTR. Frank Shipe Enterprize 'LOCATION (A.P. 31-201-10 1933 10th. St., Oroville r Temp. Power Pole Called PG&E Temp. Elec. Serv., Called PG&E Te . Gas Serv. Called PG&E ' JOB / FINALED < % (Date) (Signature) Setback Forms Main BI Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings isonry Walls Relnf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water PleiRg .Roofing . Sewer m2f/ Fdn. Vents Fixtures Garage Vents Water Htr. Insulation . Heaters Prov. for ph sically handica ed Conformance of ex. i structure Appliances Gas Piping &Test Tem . Gas Final Sanitation FIREPLACE Final Footin Throat Final FIRE SPR ELECTRICAL 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.) THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE i Cf 4Cy OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date: /�G' X// Address:�� /%� f`� / Acct. No: le� , e� /� �, (7-S'lJ/ A.P. No,%��/�. Phone: / No. Units: Applicant/Agent: �. ��, p. /�, �� Agents Proof:/7Y,4n Address: /� I! j ,/ /7 Fees: Phone: Application $ _ y Arrearage Preliminary Review .By: .- , n Date: CSA 26 1 Remarks: SC -0 R 1 st mo. S.C. rl Other Total Fees Collected By: � T Date: Field Review By: Date: ' Remarks: -Ad�" V MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑1 Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). • DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS may/ 7 County Center Drive — Or&iHe., CAlifornia 95965 Telephone: 5w4-4541 APPLICAfION AND PERMIT out IUI IGC IC�1fCSen lGIIVeS of ine County of rsutte 10 enter upon me above-mentioned property for inspection purposes. /' n X Date °��? /6 Signature oFOermitee or Agen Receipt No. ! O 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. DIRECTOR OF PUBLIC WORKS By CC kf \Z�T Date `7`2-O --7G g permit expires Date BUILDING Owner U ,0 L A4.4 so AJe-y— SQ. FT, OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractorf_)-,9)V /C 5'/2 /P k'AC%r .-Jae Total Valuation Mailing Address JZ y1 7-e hg, -,o Permit Fee Checking Fee &/or Penalty �-/Plan 1 DV Q �/► L ' Tele .S pane No. � Permit Fee $ Building Address �p7l 577. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 . 00 0 U) L L .a. 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. Zoning& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F W! 3a7fttat!UI FireDept. Fire Zone Use Permit Building sewer 5.00 5p EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Lawn sprinkler system 2.00 64dg—PXFF a Parcel Approval Plans Approval Permit Fee $ d $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 tr iLJ AI SAI) -q LGA T► or-' 6001 OR LE Main service 100 AMP ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family ® Duplex [:JMobil Home ❑ Others ❑ Main service EA, ADD'L. 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.OCCUP. &) 20sgft NEW CONSTR. MULTI.OUTLET NON-RESID, ( BRANCH CIRCUITS) '2.50ea NEW R. CONSTPOWER 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 le of: style �e�=;GA Jv x A Ex. Occup(OUTLETS OR FIXTURES) BALA Ex. Occup. FIXED APPLNS, OR P•(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 oGo-� uaL VLo, Mobile Home Facilities 15.00 �Classification G1d� License No. �1 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. -12V I have placed on file with the County of Butte a certificate of rlp�Workmen's Compensation Insurance. permit is issued I shall not employ any person in any manner NsI certify that in the performance of the work for which this as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $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 $ out IUI IGC IC�1fCSen lGIIVeS of ine County of rsutte 10 enter upon me above-mentioned property for inspection purposes. /' n X Date °��? /6 Signature oFOermitee or Agen Receipt No. ! O 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. DIRECTOR OF PUBLIC WORKS By CC kf \Z�T Date `7`2-O --7G g permit expires Date PERMIT NO. 2299-84B PERMIT EXPIRES OWNER LUIA MASONER CONTR. owner 31 -201 -AT-)() ASSESSOR PARCEL LOCATION 1933 10th St* Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALE(Date 0 -T Signatur-:: J -;OK 0 ;Not OK = Not Applicable MOBILEHOMES * = Not Ready iC MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's r 1. Zoning Requirements -Setbacks -Easements r +, ,' + 2. Soils; Special MH Support -Sketch I Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q.'s 1. Zoning Requirements -Setbacks -.Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; L6cation-Test-Fall-C/0-Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity;.Location-Clearances-Grnd.-/ / Amp -Concrete 4. -Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 1 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances • 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI ' 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit, 9. Exits; Insp.-Sketch 10. Cert. of Occupancy t 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date .M r t JOK` 7~ 0 = Not OK Not Applicable ` = Not Ready RESIDENTIAL,(Single and Duplex) I Date UNDERFLOOR P OK exce t#'s Date FRAMING (Continued) Zoning requirements -Setbacks -Easements 2, Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth g., Garage; Soils -Steel- / /" Ftg. Depth JIM. 48. 50. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab rV VSidin I Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ili ' Veneer t6!'STemwalls, Garage; Steel -B lockouts -Wrapped -Slab tucco esh-Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel �454 lazingArea-Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test hear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance-Material=Support-Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI a Date r rd -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Dat$W- and -BI Date Date FINA s) OK except q's Card -BI Date` Card -BI Date Date PLUMBING (Permit) OK except q's Ext. Steps -Door & Sidelight Protection -Landings 57.2 Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59.1 Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 601 G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 611 Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size &Anchors 621 Stairs & Rails 631 Fireplace or Stove; Clearances -Hearth 641 Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 651 Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66 Elec. Outlets & Receptacles at Kit. Counter 67 Garage Fire Door; Swing -Landing -Closer 68 A.C. Duct in Garage -Damper 20. f Fixture & Transformer Clearance -Ins. Protection 69 Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70 Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71IJ Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w:/Mech. Fasteners -Bond Gas &Water 7 Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 7 Guard Rails &Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 7 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 7,1. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 7 Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 74 A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 74 Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7q. Water Well; Disconnect, Electrical, Plumbing 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except k's8 31 A.C. Ducts; Insulation &Support 8 . Glass Protection f 81. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric . Water & Sewer Connected -C/O to Grade -HD Approval 32 Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33 Condensate Drain & Overflow; Size & Grade 34 Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35 Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date C BI Date Card -BI Date Card -BI Date IL Card -BI Date Card -BI Date Date Card -BI Date FRAMING Plans OK except q's ills; Proper Material & Anchors Card -BI Date Card -BI Date Comments at Final: Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 1 Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40.1 Fire Stops; Furred Ceilings -Stairs -Chases -Tub Bader & Beam -Size & Bearing 42.1 Hangers -Post Caps -Anchors -Connectors - Cing. Joist-Rftr. Ties - Purl in - Roof Brac _ ru_ Shthng.-Rfng._ 44.. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER ' PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be co ected. Please notify this office when correction of work Is completed. If yo ave any question pertaining to this matter, or need additional explanation, ease contact this office immediately. I f f � I A • `r' 1 46- t Inspector r < % Date — +'-�- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AP PERMIT40 U 2 f— Y/-// PERMIT NO ASSESSOR,PARCEL NUMBER VO Nn r BUILDING PERMI OWNER TE EPHONE r 3 —23 LID SQ. FT. OCC, BUILDING VALUATI N Af OWNER'S MAILING ADD, S X19 3 CON RACTOR'S NAME '• M� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ S^, Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Irgov BUILDING ADDRESS 0 PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRU944JRE rIJ SF ❑ Duplex❑ Mobilehome❑ Other � � a.r SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New[ L]�Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUR.& OR ADDNS. ACC. BLDGS. 2IhQsgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWCONSTR ULTI.OUTLET NON.R ESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. POWER APPARATUS .&) NON .RES I D. SINGLE OUTLET CIR. Ex. OCCu 20e50a P�ouTLETs OR FIXTURES BAL030 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 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 Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 authorize representatives of the Countyot 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. %��—( Date ,/ -c�D� �,1 Signature of Applicant — Owner Contractor ❑ Agent FD An OSHA permit is required for excova 'ons over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ lorl TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD I$$us This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR OF P LIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. a C 3 WHITE-D.P.W., YELLOW-ASSe$SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i .--r -,.. ms •-.--�:-..�a.• r..•r-t.•,-�o--�N.a;•w.ci _. v+.s i,.;, �..x+c-9-N+ir'�.'l'l�v'Y'ti .'=.^.A'„'� '.7:e'7�., ��e°.,a"$7!3: va+.`rc^^wr'?m. t��wr^ r^c5r,tswc: ..'r.x.: � TYf�i�"jt:�"fP�{� Vi ` 'Ls� 031-201=010 #98-1922 WARREN,, CLETA, t 1933 10TH ST. OROVILLE.,- OWNER ,' ' ERROOF , ` i i i f S! COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ' PERMIr NO. (Rev. 12/96) APPLICATION AND PERMIT ` 19r-�x '�- ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER VAWt CLFTA 11 1VARRFN IN 1543 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1731 Crand Ave., Oroville 4?5965 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER ,L LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 21.0( ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1933 10th Street, Oroville Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Y SF 'O Duplex ❑ Mobilehome ❑ Other SPT Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Re—roof 12 s Describe Work: Q • o�A Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOV OR LELIE N 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: El I, as owner of the property, or my employees with wages as their sole compensation, 'r' will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO L000A 46.00NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. S.3.50FT_ = T. MULTI -OUTLET ITS 97,50 POWER APPARATUS 8 SINGLE OurLET CIR. A @ ''50 Ex. Occup.OUTLET OR FIXTURES srtL @ ,50 Ex. Occup. OUTLEEOTSAR� .O� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall !\ not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. L t � �! Date i kXignatUre of Applicant - ❑ Owner ❑ Contractor ❑ 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 $ Occ CONST. TYPE TOTAL FEE $ 41.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL PO 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. / By,—):��f ' : _!-i. Date %ate_ I U .. /� PERMIT EXPIRES ON `b`1 /c' / Date / ReceiptNo. _04 9-0— WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT W 3 COUNTY OF BUTTE - DEPARTMENT OF DEVTk6PMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California' 95965 • Telephone (530) 538-7541 P (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 031-201-010 ZONING BUILDING PERMIT OWNER VAY.- . � C.LETA �J WARREN T 71 -�5/+3 SO. FT. OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESB1711 Grand Ave. , Orovill.e 95965 CONTRACTOR'S NAME 0 T TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. Fee $ 20.00 —Filing Permit Fee $ 21.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1933 10th Street, Oroville Energy Plan Checking Fee $ $ PERMIT FEE $ 1.00 LOT NO. SUBDNISIONSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE gg SF `D Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Re -roof 12 Sq. Corp. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify'that in the performance of the work for which this permit is issued, I 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 W' c mply with o�erovrisions povisions. workers' compensation of section 3700 of the Labor Code, I shall"igna (_� ,{ . UJ/Lf/�� Date r- of Applicant - ❑ 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. Main Service tow To I000A 46.00 NEW CONST. DWELLING OCCUP. so OR AD. ( ACCO. BLLES3.50 con M T NON-RESID. @7.50 Por APPARATus 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @'.5500 FlXED APPLNS. oR 5.00 Ex. Occup. ounETs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FELE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 41.00 FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B Date PERMIT EXPIRES ON 09 99 IDe Receipt No. WHITE-D.D.S.-B.D. C NAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER V ZONING BUILDING PERMIT OWNERr E ' 353 SQ. FT. OCC. BUILDING VALUATION a� .OWNERS MAILING KESS o Oat q V L/ s— CONTTRA(CTT.O�R�S NAME � TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ -2160 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE Sq -1 1p LOT NO. SUBDIVISIONS NAME PARCEL PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF )k Duplex ❑ Mobilehome ❑ Other SPECIFY Each Tra 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 ❑ 'lifiees ❑ Installation ❑ Other Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling' Fee 20.00 Main Service 0.0 0.v os Ins 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service pa TO 1000A 48.00 NEW CONST. OWEllINO OCCUP. OR ADDNS. a ACC. BIDS. SO 3.5¢xNEW C: NON-R°SID. MULTI OtlTLET @7,50 PSO APPARATUS a swoLE 0Lm ET clR EX. Occup. OUTLET OR FIXTURES .00 eAL O L.so Ex. Occu . o°��I°.° 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ 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 $ Energy Inspection Fee $ occ CONST TYPE j TOTAL FEE $ IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Ta No. .D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT n 4 - OWNER -BUILDER VERIFICATION Attention Property Owner: An "'owner -builder" building permit has been applied for in your name and bearing your si Please complete and return this information at your earliest opportunity to avoid unnecessaty,dejay` in processing and issuing 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 NO F y' .. 2 I HAVE HAVE NOT signed an application for a building permit for the proposed w�oelc.: I have con cted with the followin person firm to rovide the g pe ( } p proposed constriction. 4. ADDRESS: CITY.77 PHONE: CONTRACTOR'S LICENSE NO. I Klan to provide portions of this work, but t have fired the.following person to 000rd%se, supervise, and provide the major work• • X� NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide. the work indicated: NAME ADDRESS PHONE TYPE OF WO�tK^ IGNED: PROPERTYOWNER:' SOCIAL SECURITY NUMBER: DATE: ac--, R - NOTE: -Thu Owner -Builder Verification is required by Section I99.31 -a 79832of1ke California Health and Safety Code. This verification must becompleted Md returned to our office before we are permitted to issue the permit. Cam OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property_ improvements specified. h; 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 aaaeerials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contraetors'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 contn'butions:'.;t 3 ♦ There may be financial risks for you if you do not c out these obligations, and these risks are ecisl y y y arty g esp iy ser ous 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 tinder 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 contractprs maybe 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 iia, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder,lnformation is required by Section 19830 of the California Healdt and Safety Code. OVER