Loading...
HomeMy WebLinkAbout031-203-016Y > - 31-203-16 _ JAHNKE, Helen 928-69B ., gar -- --- - 1 MILDRED.TROMERHAUSER -1 P E H A M A"I ' O R O V I L' L E �j - %�. 1-203-16 1' U , . EnmIT #5197-75KIN©TA L DLD tv .�-9 948 Tehama Ave., Urovil'ie SEWER' S/F (reroof) �II1Q„f 1/y 7 '. { 1 yl 31-203-16 f ff I 1 MTT_�D TUCKEIg 1 --- 958 Tehama, Oroville 'Permit#258-81P replace d77e) A1e/SF _. 31-203.-1.6-- • LYNN TUCKER rte= 948 Tehama , Oroville Contr: Quality Const rPermit#33-85B(repair fire damage/SF) 31-203-16 Permit#2872-88B(reroof/SF) B06-2646 .,031-203-016 I MISCELLANEOUS ,: R6 -Roof RE -ROOF (20 SQ)(� ' 948'TEHAMA' AVE � rt • ' $ SOUTH, JOHN C JR i 1 Y k. IM7 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530)_5.38-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2646 Issued: 11/13/2006 Address: 948 TEHAMA AVE OROVILLE APN: 031-203-016 Permit Subtype: Re -Roof Owner: SOUTH, JOHN C JR Applicant: SOUTH, JOHN C JR Description: RE -ROOF (20 SQ) MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING f ations / Footin s 111 Inspection Type IVR INSP DATE Setbacks .-,A 132 Found g Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 4y 6. 404 Masonry }trout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Fina 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 JgVl PERMITS BECOME NULL AND VOID I YEAR FRO COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY �„ DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUKINSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 948 TEHAMA AVE Owner: Permit No: B06-2646 APN: 031-203-016 SOUTH, JOHN C JR Issued Date: 11/13/2006 By KCG Permit type: MISCELLANEOUS 948 TEHAMA AVE Subtype: Re -Roof OROVILLE, CA 95965 Expiration Date: 11/13/2007 Description: RE -ROOF (20 SQ) (530) 532-1426 Occupancy: Zoning: AR -'/2 Contractor Applicant: Square Footage: OWNER SOUTH, JOHN C JR Building Garage RemdUAddn 948 TEHAMA AVE OROVILLE, CA 95965 Other Porch/Patio Total (530)532-1426 FEE INFORMATION Re -Roofing $110.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires OWNER I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 11/13/2006 Contractors Signature Date I WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; Carrier. Policy Number: Exp. Date: (This section need not be competed if the permit is or 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 the 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 ILI 11/13/2006 Sign re Date WA G: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AN HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who ooes the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I/�M EXEMPT under Section B. & P.C. for this reason: X11/13/2006 O ers Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use o occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte Cou to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro e/�r a$ auth�ized to ct on the property owners behalf. /' rQ. cA 111 .� 11/13/2006 Owner Contractor OR; Agent for Owner Agent for FILE COPY Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 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 government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit 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 thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor 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 requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTIL,L THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). 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. QOR NO) 2. I (HAVE " NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: RE -ROOF (20 SQ) Reference Number: B06-2646 Applicant Name: SOUTH 'JWIN C JR Signature of Property Owner: W, Date 111131 Og BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name0 irst ame N. Mailing Address c) y e Hrrlc� 1 _ t' t�v City (3 n Vi to Z� S �1 Phone 3 i _ I Li b Fax E-mail -- APPLICANT INFORMATION CONTRACTOR Name City JI T V 1 Ile } Address ZipPhone City } __' State Zip Phone 1 Fax E-mail i Lic. # Class -- APPLICANT INFORMATION ARCHITECT/ENGINEER Name City JI T V 1 Ile } Address ZipPhone City } State Zip Phone 1 Fax E-mail State License Number -- APPLICANT INFORMATION Name b I n Address L� I Tel City JI T V 1 Ile } Yes No ZipPhone S3d- LId—I b EFa E-mail For office use only: , Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJECT LOCA TION AP# Property Aress Q t �� c�n'1 City d i O v t Cross Street ❑ Structure Built without Permits WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:�\ Amount: L Bldg 1 SRA Receipt #: Sheriff SMIP Date:' 1` 1�' 60 Other 1116010 Total Description r Scope of Work: iC I (V) Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:�\ Amount: L Bldg 1 SRA Receipt #: Sheriff SMIP Date:' 1` 1�' 60 Other 1116010 Total t i FIRE DAMAGE REPORT OWNER: C� r v� LJ, V\ 716/r! _ G 1 r DATE: LOCATION:' 2�.s,-IkYLI;zl A.P. # CONTRACTOR: ZONING: DATE TO INSPECTOR: 6 G) PERMIT HISTORY:( ) NONE 1).AS FOLLOWS: Cl BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes No Condition of Electric Electric currently On off Off Gas: Natural Propane i None Currently On�Off Obvious Problems: Sanitation: ' y ' Plumbing Working Well Working / Potable Water Obvious SewageProblems " Description of Damaged Area: IS Estimate Valuation of Damaged Area: Condition of Foundation: '. Mob -He Home: Condit of Utilities: I Inspector. Date Sketch building a reverse and indicate area of damage. DF BUTTE COUNTY FIRE INCIDENT LO ' DATE 03/07/2001 • INCIDENT NUMBER` 2701 , ' LOGGED B SJD- . , REPORT TIME 21:04 LOCAL FIRE NUMBE 10136 RO CLEMENS ���� r STATE FIRE NUMBER _� BI CASE NUMBER __, MEDICS - LOCATION 958TEHEMAAVE PRA A9 ECC ❑• RP RACHELLE PHONE NUMBER 5330222 REPORT METHO 911 WILDLAND FIRES ❑ ESTIMATED ACRES r=0 FIRE INFORMATION STRUCTURE FIRE, RESIDENTIAL FIRE INFO SENT HO EMAIL BY SJD TO 163 '' ' , OTHER FIRE 7 -DAY LOGGED INITIALS - MEDICAL AIDS INCIDENT NAME WELLSAND PSA/OTHER ST6:I3T DATE 03/07/2001 START TIME 21:00 HAZ MAT DIAMOND #' S.0 COMMENTS CAUSE IMISC - CONFIRMED FIRE BY RES. VOL FF INJURED FROM LAND USE DOMESTIC i Y DOG _ BIGHT. •- ACRES 0TYPE OF ACRES s DIAMOND 5 ONLY $ DAMAGE TYPE ALL OTHER DOLLAR DAMAGE 1000.00 SAVE :30000.00 INJURIES/FATALITIES ❑ # CIVILIAN INJURIES 0 # CIVILIAN FATALITIES 1 0 EMD ❑ Y OES ❑' # FF INJURIE 0� # FF FATALITIES 0 FC -40 INFORMATION _.:. '� ¢ �New:ancidenf -❑ FC40 DATE OF FC -40 INC ; r AGENCY INC #INC P# FC -40 COMP DATE J FCO COMP BY r_� ' County Notifications EARS Hard Copy Recieved 0 EARS Checked Agenst EARS Computer s } 1 \ • ' - 3-203-16�� { jMILDRED TROMERHAUSER TEHAMAq OROV 1 LLE —,ZS% { PERM 17 #5'19%—%5P( INSTA L BL SEINER) S/F E ;+ 31-203-16 MTT,T�RED TUCKER �• N + >vw 958 Tehama, Oroville JAME, Helen 948 Tehama Ave., Oroville :•.r_ 3 I71 1-203-16. -Perm1t#258=81P- replace--dama- �y Y v I gas pipe/SF) t FF '4� •w.. a •J- x .s.�_+,lr. T •,:a ak..\ 31-203-16 r� ` t . "`� :. " ►; ,� k. � .f .T., -r �lina�4t�•1?,�r.t° - . � . 'L. j=cc � � �..,r tet. r 4 L LYNN TUCKER /��-- . � •�, �l ,<� � s.. �� �. ,�' �z.s 948 Tehama, Oroville Contr: uality Const =a +_Permit�k�33-85B(repair fire damage/SF) _. 31-203-16 FilC�' ;// 3 h " 'Permit#2872-88B(reroof/SF) �6 !9� r V. f7" 3 i Permit#33-85 Lynn Tucker 948 Tehama, Oroville COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER �v- A& ZONING BUILDING PERMIT OWNER t / � 7W C/�� TELEPHONE S0. FTA BUILDING VALUATION ryOy/CC. � . OWNER'S,MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 55e LAIC [/A/--t/r_L Q! Fireplace .e•r ice=`. CONSTRUCTION LENDER UNKNOWN�� G/ Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ __Mao ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 60M BUILDING.ADDRESS yak TFfr�Fr�r�! PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 _ LJ/L• 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 STRUCTURE SF`❑n , Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New El Addition ❑ Remodel❑ Utilities [J Installation[] Other Q' Describe w`{ork: J/�F�P^A//� ��l l�� �1/'J'l/�flj���,Cfi,���ACUT M' r ,i�,s Air [(fit► /r! j4_So ` k Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LESS 10.00 i^J (,may �~ ' /-��•�—�' Main service EA. ADD -L. 100 AMP 2.50 NEW CONST. DWELLING OCCUP.8, OR ADDNS. ACC. BLDGS. 21/20sgft 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 NEW NON•RESID R. BRANCH CIRCUITS) 2.50 ea NEW CONSTR /POWER APPARATUS &) NON-RESID, (SINGLE OUTLET CIR. Ex. Occu 20050¢ P�ourLETs OR FIXTURES eAL®309! FIXED APPLNS. OR Ex. DCCUp. 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. ❑ I 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 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 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 ail -liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X a,�f ' �_ 4// C Date Contractor Agent ❑ Signature of Applicant — Owner ❑ O An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I HD I ISSUE ` This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. P _ � DIRECTOR �Of F)PUBLILIC WORKS B ,,��,�riL.�s.'G.i"�— Date��_�� y " �-ze PERMIT EXPIRES, Date /_ �^ lL• �" rin Receipt No. 13)? --`_5 `� WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT X COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE -f -55- A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. It you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT I PERMIT N. ASSESSOR P RC-ELSJ�QR^/t ZONING BUILDING PERMIT OWNEF� T ��� {/� TELEPHONE SQ. FT. OCC, BUILDING VALUATION v OWNER'S (LING ADDRESS {� ��YaJJ �f'� f � ®'vv CON ACTOR'S ME�� �v �LEPHO E CONTRAC R'S MAILING ADPRESS © A/� aAk—E A- V iZ Fireplace ; CONSTRUCTION LENDER UNKNOWr, Total Valuation Is D Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING DD ESS PLUMBING PERMIT Filing Fee 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 STRUCTURE SF'5� Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10-00ea TYPE OF WORK New ❑ Add it' n ❑DRemodeI [ Utilities [:J Installation Other>( Describe ork: -`�Ik 6—L 08 (AM146 _ —� I/5 ��j� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e0ov OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADDNS. ( ACC. BLOGS. I 24sq ft CONTRACTORS LICENSE LAW I de la 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 e ffect. License No. 39i a S Classification A ❑ 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 NEW CONSTR. MULTI -OUTLET 2,50 ea NON -RES'.. CIRC ITS NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. 1 20050c Ex. Occup(o OR FIXTURES 9AL®so BAL@30 FIXED APP LNS. OR FIXED A EX. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. ❑ I 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. 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 liabilitie Jud ments, c sts, and expenses which may in any way accrue against sai ou in c nce of the granting of this permit. %� Date Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5' '; deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRE l UBL By Lxylf PERMIT EXPI RIK4 Date the applicable provi- resolutions to do fees have been paid. WORKS ate Receipt No. J�13 �� `t WHITE-D.P.W., YELLOW -ASSES OR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 5197-7.5P P L f E • T,� M `� - '.MH UTIL. PERMIT NO. PERMIT EXPIRES 10/8/7& ; OWNER -MILDRED TROMERHAUSER � T CONTR. LOCATION (A.P. —iO 10 ) =1 l ,948. TEHAMA, OROV I LLEr u ' i Temp. Power Pole Called PG&E' Temp. Elec. Serv. a /TeGa /J !I S! :.% (Signature) ,;i _ h „ THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE :ytY OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: `1 HS TE IAM A AVE Owner's Name:�i t I_ . � ,n _UVt*a r'-�i'c - #il L�`- ,F� Date: f2r,7 iii , 1q7-'”" Address: ��'2- !AI�%i0til V-1 )7- -�1�iIV �J I(72Ou I L. L OA � ''i if'�S Phone: h ?-�L� 1 Applicant/Agent: Address: Acct. No: a-700 A. P. No.: 71-ZCA- I Ln No. Units: Agents Proof: Si�i41 Fees: - Phone: Application $ Arrearage Preliminary Review By: /\ a�Jl i'/IA.t'� Date: CSA 26 ' t r Remarks: �J SC -0 R 1st mo. S.C. Other Total Fees Collected By: / Field Review By: Date: Date: 2 Remarks: � i y t MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: Date of TID approval of comped 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). 1 180 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 0F� PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor ' Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS. Motors Framing Test Water Htr. Stucco Final Suboanels 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 V, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Driye , - �"Oroville, California 95965 Telephone: %34-4UA APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Co Signature of ` u 7 Permmiitteee or Agent Receipt No. 1-36 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. DI C�TTO�R F PUBLIC WORKS By Date d hermit expires Date .14�64 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Addres Telephone No. Fireplace Contractor Total Valuation 64 Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address v PLUMBING No. @ . FEE PERMIT FILING FEE $3.00 .© Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ,� �- a.� .r C�Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 16et Sa"ka"ft Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 BW9,Qkmr-Rec+d I Parcel Approval Plans Approval Permit Fee $ e NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 0 Light fixtures 6WPM Receps„ switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 1 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. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No.1 @ 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Co Signature of ` u 7 Permmiitteee or Agent Receipt No. 1-36 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. DI C�TTO�R F PUBLIC WORKS By Date d hermit expires Date .14�64 :¢A z COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. AsssoR PARCEL NUMBER.zOiv r ''l " G1 BUILDING PERMIT OWNER NI l rP -ry e—.v- TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Cf I/ Q CONTRACTOR'S NAME" TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER // N UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING, ADDRESS - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets s_,00 USE OF STRUCTURE SF ©Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities Instal lation Other Describe work: �� C�+,'ri o `6001 to topC, 'D I np 0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR LESS Main service 100 AMP OR LESS 5.00 \ I Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.al OR ADDNS. l ACC. BLDGS. / 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 ❑ 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 CONSTR. I.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR /POWER APPARATUS S) NON-RESID. I SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES a �@1 IXED APPLNS. OR Ex. Occup.(OUT LETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. I shall not employ any person in any manner so as to beccme 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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 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. 1 ' X , . r-.. 44 Date _ -i" -' '1 Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ 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 $ TOTAL PERMIT FEE $ % h OCCUP. GROUP I TYPE OF CONST, PARCEL PD NO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS nn BY l .. '/7"' Date PERMIT EXPIRES Date [RIeceipt No. y2 WTE-D.P. W•, YELLOW-ASSf e50 R, PINK -INSPECTOR, GOLDENROD -APPLICANT V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPER IT. . .4 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 5 _ APPLICATION'AND PERMIT' ASS SS R PA CEL NUMB LR ZONING 6 ., ' BUILDING PERMIT O ,�' TELEPHONE reJ. / `gkec c�• SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADORE S J CONTRA TOR'S NA TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER � d'R UNKNOWN Total Valuation $ 'Filing Fee $ 10.00. LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty - $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDINGADDRESS PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets _1Z 0 V USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other - SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Bkmodel ❑ Utilities Installation Other Q' Describe work: �- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.B\ OR ADDNS. ACC. BLDGS. 20 sq ft 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 NoN.RE51D CONSTR. BRANCH CIRCT TS 2.50 ea NEW CONSTR POWER APPARATUS S NON.R ESID. SINGLE OUTLET CIR. 50@2a¢ Ex. Occup OUTLETS OR FIXTURES BAL@1 EX. Occup.P OUTLETS (RESID )LNS REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE 1 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. I shall not employ any person in any manner so as to beccme'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. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor 1 certify that 1 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. X >r�l �� ���c�L�J1� Date 2— - =� Signature of Applicant - Owner ❑ Contractor ❑ Ag nt ❑ 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD HD 1580E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 7 YTOOF PUBLIC By t PERMIT EXPIRES ate the applicable to d6 resolutions to da fees have been paid. WORKS Date Receipt No.� ! ,L WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Permit#2872-88B Carol Tucker 948 Tehama Ave, Oro •�"� r--�r"4• .tel COUNTY QF BUTTE - DEPARTMENT OF PUBLIC WORKS:' PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541j�/�j_� APPLICATION AND PERMIT / ASSESSOR PARCEL NUMB V of) .�" /E ZONING BUILDING PERMIT . OWNER - (, ry 111 7.,O.WNER'S TELEPHONE h SQ. FT. OCC., BUILDING VALUATION � � � MAILING A DRESS /P, � f; � � ���� y A AL/j CONTR CTOR'SA E TELEPHONE CO NTRACTOR'S'NfAILING ADDRESS I,Y Fireplace CONSTRUCTION LENDER t UNKNOWN Total Valuation ,$ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 jl� ( Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME "'j PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF[ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti ities ❑ Zstall_ation[:] Other Coontractor Describe work: f 1�/�li ;� � � � HYI Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 ®DOV OR LESS Main service 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 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. r' Business and Professions Code for this reason NEW yd CONST. / DWELLING OCCUP., OR ADDNS. C ACC, BLDGS. 2/20sgft NEW CONSTIRULTI.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS 61 SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 8 30AL0 wL030 Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.) 1 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. I I 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 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. 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 � /� / X -K-.+- -�- —,Date 7-,1-A"9_ Signature of Applicant.— Owner ❑ Contractor ❑ ' Agent © An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ d OCCUP, CONST.TYPEJ I IFLOODIPARCELI Pa I ND 1 Iesu This permit is hereby issued under,the applicable provi- sions of the.Butte County Code and/or. resolutions to do work indicated above for which fees have been paid. / DIRECTO ; PUBLI6 WORKS (yam By _ /i'1 f Dae d l), - -• I PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY 617 BUTTE DEPARTMENT OF PUBLIC WORKS P R IT NO. / 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 _ APPLICATION AND PERMIT ASSESSOR PARCEL 11� R ZONING BUILDING PERMIT OW ERTELE HONE SQ. FT. OCC. BUILDING VALUATION E 'S MAI LI DORE S © CON RACT R'S E TELEPHONE CON RAC OR' AILING 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 $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS U� Permit fee $ 0 so PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [Q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK ation ❑ Other pO New ❑ Addition ❑ Remo 1 ❑ Ut' ties ❑I sn-014119 Describe work: P Qo Permit Fee $ Contractor ELECTRICAL PERMIT FilingFeel 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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) ❑ 1, 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.OR ADDNS, 1 / ACC. BLDGS. DWELLING OCCUP.N) +/zQsgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS /POWER APPARATUS eI \SINGLE OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES 2ALI 30 eAL030 Ex. OCCUp. FIXED P OUTLETS (RESID )REAJ 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): I ❑ 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. I 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 shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood .3.00 Ventilation 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 County of 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 ��, �—�- Date 9 �'r4 Signature of Applicant — Owner ElContractorC1 Agent& 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 . $ TOTAL PERMIT FEE $ / OCCUP, CONST.TYPc I I FLOOD PARCEL PD I ND IEEu This permit is hereby issued under sions of Butte County. Code and/or work icat d above for which IREIV PURL ee PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS Da e Receipt No. WNITC-D.P.W., YELLOW -ASE CE EO R, PINK-IN9PCCTOR, GOLDENROD -APPLICANT 7z GMN�Am'� c�L-N Q) im Lj�ju �fn An al�LLIMQ�u 0-�-n an Q ��AO4 (I+ - I I N .COUNTY OF BUTTE - Department of Public Works 7 County 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 name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 79MP�6 2. I (have/have not) hAye No_f signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, /supervise, and provide the major work: Name . B % l clr i' ' Address City - /1' e Phone Contractors License No. C� e 4z- �1(�/n � �ODm oa 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Ownercxtmm 71((� Social Se urit NumlYer Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 7uc1��►�