HomeMy WebLinkAbout031-202-055J.T. Miles '~
�. =18532 10th 'St. Oroville -.. i3-�y
Permit 729-71B (installZh��L)3
031-ZUT
1-7,9'4q 99-2423 e~�
1 ;-
SIMONS, S ,
r 1857 10'H STREET, O LE
CONTR: OWNER
ROOF REPAIR AND RE ROOF
- '
F1-2x;-055 01-0678MONS, STEVE
1857 10 TH ST. OROVILLE INALE �" r
fi CONT: OWNER
UPGRADE AMP SERVICE '
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... k 031-20;2-055 01-0678•
SIMONS, STEVE
1857 10 TH ST. OROVILLE
CONT: OWNER
UPGRADE AMP SERVICE
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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 ''' o-1/'/
ASSESSOR PARCEL NUMBER
LETT ' 01?__/55
ZONING
BUILDING PERMIT
OWNER
'MAILING
TELEPHONE
y"01 -1L C
SO. FT. OCC. BUILDING VALUATION
OWNERS ADDRESS
-L71 .., 1x f F77p�5C.5 r.
CONTRACTOR'S) NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checkin Fee $
BUILDING AgDBESS' ,., 5r, .W�
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.0023.00
USEOFSTRUCTURE
SF ❑y Duplex ❑ Mobilehome ❑ Other
- SPECIFY
Solar or heat um water heater
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Iff Installation ❑ Other ❑
Describe Work: UPv101 � `lam �1�.� ix�r->!21V'!.C'11
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
800V LESS
Main Service .0A OR LESS 23.00 ..a •
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 fc*the following reason:
QtI, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I am exempt under Sec. Business and Professions Code for this
reason
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 0 the permit is for work of a valuation
of'one hundred dollars ($100) or less.)
01 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.
/ - I! I /_/ �
X -.01%, ✓r/�_. •;moi_. Date
SignaNLe,of Applicant=.000wner ❑ Contractor ❑ Agent —
An OSHA permit is required for excavations over.5'0" dee and demolition or construction
of structurs over 3 stories in height,,'-- p
Main Service CoA TO 46.00so
COU000A
NEW CONST. DWEWNG OCCUP. SO
OR ADDNS. ( 8 ACC. sin S. 3.50FT.
LN. R.ID MULTI.OUTLET @7.50
OWER APUS
S PSMI..OUTLETPARATCTR.
OUTLET OR FUTURES
Fes, Occup. e20 ® L:w
Ex. Occup. ourFIX�is .=.0ERn 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 FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE AS • CJ
TOTAL FEE $
HAZ.
0. FEES IMP
I FLOOD
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
indicated above for whibh fees have been paid.
f1� r
By �� �, r' f ��� `�/ +� L � � Date
PERMIT EXPIRES ON
Data '
Receipt No. •'1� L� �� %/f�S�� ..I• "`1 `~ 1
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECT GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Dive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
031-202-055
ZONING
1
BUILDING PERMIT
OWNER
STEVE T
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
1880 9TT4 0,T, OROULTE 9C-965
CONTRACTOR'S NAME
QWNFR
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filin Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING57 s 10TH ST OicOVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF 0Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities dI hstallation ❑ Other ❑
Describe Work: UPGRADE TO 220 AMP SERVICE
Gas piping stem 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 200AOR'ss
23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I arm 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 Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I arr exempt from the Contractors License
La\y !pe%e following reason:
B' I, as owner of the property, or my employeeslwith 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. Basiness and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of tine following declarations:
❑ 1 have and will maintain a certificate oS consent to self -insure for workers'
compensation, as provided for by sectirn 3700 of the Labor Code, for the
performance of the work for which this pe mit 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 carver and policy number are:
Carrier
Policy Number
(The above sections need not be completed 0 the permit is for work of a valuation
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 then
workers' compensation provisions of secion 3700 of the Labor Code, I shall
forthwit c mply with thos provisions.
X-1 Date /
Signat re Applicant caner ❑ Contracbr ❑Agent
An OSHA permit is required for excavations o 5'C" deep and demolition or construction
of structures over 3 stories in heigh
Main Service 200A TO t000A 46.00so
NEW coNsr. DWE>llNa Occup. 3.5QsF-T°..
S.
ORNFW
CONS. MU
NON•RESID. 97.50
APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES 0
4 ' 0
a.
Ex. Occup. ODs A�io.°R 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 43.00 .
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 43.00
HAz.
D. FEES IMP
FLOOD
I CDF
PARCEL
I PD
HO
UE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated a e f r whi h fees have been
By j "`� ate q40
PERMIT EXPIRES ON
ate
Receipt No. 1
WHITE-D.D.S.-B.D. CANARY -ASSESS PINK-IRSPECT GOLDENROD -APPLICANT
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete- and return this information at your earliest opportunity to.' 'avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1. personally plan to'' provide the major labgNO[
and materials for construction of the
--vroposed prope provement : YES [W ].
HAVE NOT[ ] signed an application for a building permit for the
2. HAVE[
;�Ar oposed work.
---,P-r have contracted with the following person (firm) to provide.. .the -'propo`,je--�d
construction:
NAM:
ADDRESS:
CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 plan to provide p Ortions of this work,* but 1. have hired'the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. 1 will provide some of the work but I have contracted (hired) the followipg-perisbins to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF-W69k
I": . -
PROPERTY OWNER:
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.
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 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:
0 If you employ or otherwise engage any persons other than your immediate family, 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 several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contnbutions.
0 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.
0 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 "ownerbui",
building permit, erroneously implying that the property owner is ildeproviding his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm,
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Mic el C. Vi ira, C.B.O.
ger, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and,Safety Code.
., ..,•-.... --a.•.� ,—fr.�w r•.•-�,v+r. • a
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031-202-055 % 99-2423
SIMONS, STEVEN
1857 10TH STREET, OROVILLE
CONTR: OWNER
ROOF REP kIR AND RE ROOF
1�
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• ., - �A ��y,,•s'• jury:' B~•v'j����//���� � t
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, G+alifornia 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT �' �'U_
ASSESSOR PARCEL NUMBER 031-202-053
ZONING
BUILDING PERMIT V
OWNER Crn,C�kt r ,To__�
J 1 i:+>1b17 SVONS
TE EPHONE 99
SO' FT' OCC. BUILDING VALUATION
4 SOS240
OWNERS MAILING ADDRESS
1880 STS STREET, OROVILLE
REPAIR ZST 100
CONTRACTORS NAME
G��Rr'ER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 340
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 15.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 1857 107ii STREET, OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $ 11
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF CO Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ROOF REPAIR, AND RE ROOF
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W I@20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
600VOR LE
Main Service p A 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 yf� the following reason:
j�' 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.
❑ 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.)
O 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 H I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code I shall
forthwith comply with those -provisions.
_ / , /j
X / ^` K e,Ail;'r.� A)( Date
Signature of Applic1ant--, NOwner ❑ Contractor ❑ AgentDate
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO tOooA 46.00
NEW CONST. DWELLING OCS. SO
OR ADDNS. ( 8 ACC. BLnS. 3.5¢FT.
NON•REOSID. MULTI- OUTLET @7,50
PSINowERGAPPARATUS
LE GAP=
d CIR.
OUTLET
Ex. Occup. BAL :':5.0
Ex. Occup.ourLEEDTSA R6 D.) F, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 35.E
HAz.
o. FEES IMP
I FLOOD
I 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.
I
, 11;&
By - 'L r
PERMIT EXPIRES ON -'.777
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PEVEL,OPMENT SERVICES - BUILDING DIVISION
j, 7 County Center Dave • Oroville, California 95965 • Telephone (530) 538-7541 P IT NO.
(Rev.12/96) APPLICATION AND PERMIT J
ASSESSOR PARCEL NUMBER 031-202-055
ZONING
BUILDING PERMIT
OWNER
STEVEN SIMONS
TE EPHONE 99
SO. FT. OCC. BUILDING VALUATION
4 S S 240
OWNERS MauNo ADDRESS
1880 5TH STREET, OROVILLE
REPAIR EST 100
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 340
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
SUILAINGADDRESS 1857 10TH STREET, OROVILLEgy
Ener Plan Checking Fee $
g
$
PERMIT FEE S11 -on
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUC"URE
SF 0 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Iri3tallation ❑ Other ❑
Describe Work: ROOF REPAIR, AND RE ROOF
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home ISI GI WT—'-- @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service zoos oA mss 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 o' the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am axempt from the Contractors License
Law e following reason:
1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not iniended or offered for sale.
❑ I, as owner of the property, am exclusively --ontracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. BuE.iness and Professions Code for this
reason
Main Service 200A TO 1000A 46.00NEW
CONST. owELLING OCCUR so
OR ADONS. a Acc. sLAs. 3.5¢Fr:
,Npµpa,p.' MULTI-OUTLETI. @7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
20 @ L'00
Ex. Occu OUTLET OR FIXTURES BAL @ .50
-EDI
Ex. Occup. Ours R =.0.) F.1 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of ;onsent to self -insure for workers'
compensation, as provided for by sectior 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 I the permit is for work of a valuation
of one hundred dollars ($100) or less.)
[II 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 tiat if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code I shall
fort with comply with hose -provisions.
�nof
X441) Date /-,-?"
Sk2aWel& Appli an Owner ❑ Contracto- ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
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 $ 35.00
HAZ.
I o FEES IMP
FLooD
CDF
PARCEL
PD
I HD
I ISSUE
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.
By Date !L U
i
PERMIT EXPIRES ON
Dat
Receipt No. 00
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, balifomia 95965 • Telephone (530) 538-7541 ERMIT c
(Rev.12/.08) APPLICATION AND PERMIT _
A1121SiORPARCd MMI&1 e ,q ` �-Z—
WNW
BUILDING PERMIT
oIVN1R%� ��/UO�
kSEFT.OCC. BUILDING VALUATION
NE�I
owa MAUNo AD
•'� Q
ODNTRACTOR'S NAME
COMMACTORI MUJM ADORI811
CONISTRUCTION DEME R
UFNOER'S WAr," ADORMOR
Fire lace
Total Valuation S
,
AACWM� ENOINM
ucErsl
Filing Fee $
20.00
APA>#MCT OR 04ME RIS YALJNO ADORM
Permit Fee $
Plan CheckingFee $
euluxNo ADORE:SS `—
165 7 /(9.C4
Energy Plan Checking Fee i
PERMIT FEE i
, �
lobo
sle0"10 MIN
PAACEL YAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex O Mobilehome O Other
�vECIn
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 UdWes 0 insulation 0 Other 0
Describe Work: �' � r%/ �' —
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service Ft �
23.00
j
Main Service 200► TO IOOOA 46.00
NEW CONST. OWELLNO Occup. 3.SQ
OR ADONS. ( a ACC. BUDS.
YULNtW CONS RAWN
NON-R011).CIRCUTMI @7,50
POWER APPAMTUe
a snoL1 outLlr aR.
Ex. Occup. ounEr OR MWES 200 1.00
BAL 41 .50
Ex. Occup. O R EOS M=161021 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00.
Mise. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FES $
Mobile Home Installation Fee I S
Energy Inspection Fee I $
cc
CONST. TYPE TOTAL FEE _
L
-1
D. FEES IMP
I fLOOO
I CDP,
PARCEL
PO
IO 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.
By Date
PERMIT EXPIRES ON
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Aa "owner -builder" building permit has been applied for in your name and bearing your si
gnatut+e.
Please complete and return this information at your earliest opportunity to avoid unneeessary*delsy►
in processing and issuing your building permit. No building permit will be issued uatil tbis
verification is received.
1. I personally plan to provide the ajor labor and materials for construction of the proposed
property impr ement : YES V NO 0
I HAVE 0 HAVE NOT 13 signed an application for a building permit for the proposed "C&
3. I have contracted with the following person (firm) to provide the proposed eonskmdon:
MEQ:
ADDRESS: CITY• -
PHONE: CONTRACTOR'S LICENSE NO. .
4. I plan to rovide ,
p p portions of this work, but I have hired the .following person to Co...o�idioe�e,
supervise, and provide the major work:,�;7
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: , 0-
NAME ADDRESS PHONE TYPE OF WOjtK
SIGNED:
PROPERTYOWNER:`
SOCIAL SECURITY ER:
%DATE:
- — -NOTE: -This Owner -Builder Verification is required by Section I983I an�79U2 0j7kd
California Health and Safety Code. This verification must be completed Md
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 -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" 7
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"Oncluding nta3toerials
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 aro 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�ttaxes, ;t•
Workers compensation insurance, disability insurance costs, and unemployment compensation contributions,',
♦ There may be financial risks for you if you do not c out these obligations', and these risks are es-• ectal serious
Y Y Y carry a SertOtlS
with respect to workers compensation insurance. .
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Serviet: (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. . - •s
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 may be obtained by contracting the Contractors State License Board in your .
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
4icly,
���
l C. Vi ira,CB.O.
r, Building Inspection
NOTE. This Owner-Builder.InformaIto n is required by Section 19830 of the Californla Health and Safety Code -
OVER
PERMIT NUMBER — B 729-71
P 698-71
E
PERMIT EXPIRES
J. T. Miles
owner
31-20-11
18532 10th St., Oroville
t„s
\
z
is
r
• OWNER
Q CONTR-
LOCATION (A..P.
PERMIT NUMBER — B 729-71
P 698-71
E
PERMIT EXPIRES
J. T. Miles
owner
31-20-11
18532 10th St., Oroville
t„s
\
r
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE
Department of Public Works
BUILDING INSPECTION RECORD
Zoning
Setback
Forms
Foundation
Piers & Girders
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found. Vents
Framing
Plmg. Topout
Rough Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final
Final
Final
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE
DEPARTMENT OF 'PUBLIC WORKS
7 County Center Dr?ve - Orovllle, California 95965
Phone: 533-1230, Ext. 259
A P P LICATION AND BUILDING PERMIT
Permittee Owner r / I 114 t,,
,,
Mailing Address
Contractor t T-�• �-+� --'
Mailing Address
BLDG. Address �+r z,_TL :� •
NEW E-1 ADDITION// ®r REPAIRS /l" OTHER 0
Others a, - J l w i `�-+•i� r/'.� r� �C J1�. u�..
Single' r Multi
USE OF STRUCTURE Family Duplex Dwelling F-1
I
Others
y
1 FT. OCC. BUILDING VALUATION
Fireplace
Total Valuation r U�
Permit Fee
Plan Checking Fee &/or Penalty
R
MATERIAL
Width at Top
Width at Bottom
Depth in Ground
R.W. PLATE (Sill)
Girders
Joists - 1st Floor
Joists- 2nd Floor
Joists -'Ceiling
Exterior Studs
Interior Studs
Roof Rafters
A. P. No. / - . /
Fire Zone Zoning
Sanitation Planning
y ►-
Plans Fees I W.C.
R/W Encroachment
FOUNDATION
EXTERIOR PIERS
SIZE I SPACING I SPAN
s
Total Permit Fee �` Bearing Walls
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name
styleof................................................................................................................................................................................................................................................
License No. Classification ............................................... and certify that the aforesaid license is in -full force and effect.
B. OWNER -BUILDER 8, OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
0 I. am the owner of the above property and I will contract to have all .of the above work performed by licensed contractors.
(Sec. 7044).
Q I am the owner of the above property and do riot intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
0 Basis,, if any, for other statutory exemption......................................................
....................................................................:.................................
WORKMEN'S COMPENSATION INSURANCE
I am_ aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
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 County of Butte
to enter upon the above-mentioned property for inspection
purposes.
R Date
SIGNATURE OF"PERMITTEE OR AGENT
ReceiptNo.........................................................................................................
This BUILDING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By................................................................................ Date ................................
Permit Expires Date...
r,
N �
� n �� U � lY i- "Vv v
(iG ?itD
��
COUNTY OF BUTTE
DEPARTMENT ,OF` PUBLIC WORKS
P 7 County Center Drive - Oroville, California 95965
Phonei 533.1230, Ext. 259
A P P L I C A T 1 0 N A N D P L U M B 1 N O P E R M I T
Permittee Owner A.P. No.
Mailing Address
Contractor._;,
Mailing Address
BLDG. Address
DESCRIPTION OF WORK
NEW 0 ADDITION REPAIRS=
OTHERS:n6-
J/
Remarks:
USE OF STRUCTURE
Single
RESIDENTIAL • Family ,
OTHERS:
Remarks: -
Multi
Duplex [D Dwelling ED
PERMIT. FILING FEE
No.
@
Fee
$2.00
Each fixture or trap or set of
fixtures on one trap
1.50
Repair or alteration drainage
or vent piping
1.50
Installation or repair
water piping
1.50
Each gas water heater or
gas heater vent
1.50
Gas piping system 1 - 5 outlets
1.50
Gas piping 6 or more - Each
.30
House Sewer
5.00
Lawn Sprinkler system
2.00
TOTAL FEE 1 $
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
styleof ........................................................ ...................................................................................................................... ..... ............................................................ V
License No Classification............................................... . and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
1 am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
0 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
Basis, if any, for other statutory exemption.................................................................................................................................................................,
.......................................................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the
above information is correct. I agree to comply with all County
ordinances and 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.
........................................................................................Date .............................. ..
SIGNATURE OF PERMITTEE OR AGENT
ReceiptNo.....................................................................
This PLUMBING PERMIT is hereby issued under the appli-
cable provisions of County -resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By................................................................................ Date ..............................
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