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HomeMy WebLinkAbout031-203-024' .. I f". A 0 1840 10th. St,, Therm ito Permit #961-76p(inst.-bldg. sew) - � . 'SF� . � ' Permit #2215-77B,P,E(conv.garage to livin' . . 31-203-24 Y / � / rl ^ ' . / � contr4 Four Counties Rfg, Chic Chico 031:-20:3-024 9�_ 99-1304 � ~ / / . | ' t'oof� � .1840 INN Street, Or6ville Re r ) � | | ' . � \ � � | BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES , BUILDING PERMIT 24 HOUR INSPECTION #:(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: 1840 10TH ST Owner: Permit No: B08-0465 APN: 031-203-024 CHUE, SHAWN Issued Date: 03/17/2008 By AAM Permit type: MISCELLANEOUS 1840 10TH ST Subtype: Electric Panel OROVILLE, CA 95965 Expiration Date: 03/17/2009 Description: 2nd ELECTRIC SERVICE (530) 533-3396 Occupancy: Zoning: AR Contractor Applicant: Square Footage: DAN D ELECTRIC DAN D ELECTRIC Building Garage _ Remdl/Addn 2179 TEHAMA AVE 2179 TEHAMA AVE OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 534-3844 (530) 534-3844 FEE INFORMATION DBE Single Phase Service-Resid $59.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires DAN D ELECTRIC 784128 / C10 / 09/30/2008 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 full and effect. . 03/17/2008 ontractor's Signature Date 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' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 229-0027268 Exp. Date:05/01/2008 (This section nee not a competed if the permit is or or on ndreddodollars ($100) or ess. ❑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 X> k ) a.•.3 � C, 03/17/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL 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) Lender's Address City State Zip Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B6707 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does 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 Contractor's 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 Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: ix 03/17/2008 Owner's 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 or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the 7 perty owner or am authorized to act on the property owner's behalf. AA ,g ) tr % 0 _C Q 03/17/2008 ❑ Owner ❑ Contractor OR; ' E]Agent for Owner Agent for Contractor I FILE COPY I PERMIT NO. 2215-77B,P,E PERMIT EXPIRES OWNER Mary Schenkile iCONTR. owner LOCATION (A.P. 31-203-24 1840 10th St., Thermalito Temp. Power Pole Called PG&E AN 0 Temp. Elec. Serv.� Called PG&E JT mp. Gas Serv. Called PG&E JOB FINALED— 17 (Date) (sigrfvure) 9 COUNTY OF.BUTTE — DEPARTMENT OF PUBLIC WORKS -� 7 County Center Drive .— Uroville, California 95965 Telephone: 53w4-4541 APPLICATION AND PERMIT a�z� -77 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 4 Date 7,7 ignatur f Permitee�or Agent Receipt No. % 6f / orc% 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 resol tions to do work indicated above for which fees have been p id. DIRECTOR OF UB IC WORKS By ate -7 7— 7 Building permit expires Date 7'7'7T BUILDING Owner C'��� �L �. SQ. FT. OCC. BUILDING VALUATION Mailing Address /,0 s 71' © V tI-C L, ix Telgph ne N 6�• Lf 3 O Fireplace Contractor 0 W" a 9— 53 W -F % Total Valuation %oZ Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ [!� — Building Address 0 LID" P;0 sy, PLUMBING No. @ FEE PERMIT FILING FEE $3.00. — IF ie—P" 7-0 Each Trap 1.50 S Repair drainage'or vent piping 1.50 Water piping 1.50 J Each gas water heater or vent 1.50 A. P. No. �� —2 .. i . Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W -t. I _Skp fvn I Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im provem nts Lawn sprinkler system 2.00 Bldg.," -.'n': Recd Parcel Approval Plans proval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 '' ®P% Main service 10000 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others,k Main service OIER 600V 1100 AMP OR LESS 25.00 Main service EA, ADD•L 100 AMP 1.00 rAA /,N 2{/Y� V NEW CONST. DWELLING OC g� & OR ADDNS. (ACC. BLDGS. V 22sgft t 3!7 NEW CONSTR. MULTI -OUT ET NON-RESID. ( BRANCH CIRCUITS) 2.50ea �+ 6.4-r- lLaa w� NEW CONSTR. POWER APPARATUS &) NON.RES,(SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: y Ex. Occup(OUTLETS OR FIXTURES)@250 BAL�1 Ex. OCCU FIXED APPLNS. OR P•( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 10 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. EAI 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. @ 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. X 4 Date 7,7 ignatur f Permitee�or Agent Receipt No. % 6f / orc% 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 resol tions to do work indicated above for which fees have been p id. DIRECTOR OF UB IC WORKS By ate -7 7— 7 Building permit expires Date 7'7'7T COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIOR RECORD c BUILDING % BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 4 3rd Floor Stemwall Siding To out Slab Roof Sheathin Water Piping ' Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings Prov. for phsically handica ed Conformance.of ex_,,Gas structure , 7 Appliances Piping &Test Tem Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footina ELECTRI Masonry Walls Throat Rough Relnf. Steel L Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framin Test Water Htr. Stucco Final Suboanels , Mean MECHANICAL Gird. Fault Prot. / Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath 111247 Ventilation Permanent o2 Door Closer .------- Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOSILEHOME INSTALLATION - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE -REMARKS OR CORRECTIONS � �e�o�eir jr �- (NOTE: An entry must be made on this form each time you visit the job site.) b r ,•PER4IIIT NO. 961-76P PERMIT EXPIRES _ 3/3/77 !'OWNER MARY SCHENKEL CONTR. owner 'LOCATION (A.P. 4 31-203-24 ) 1840 10th. St., Thermalito i9 4 e t. 1 i Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG& Temp. Gas rv. Cal PG&E INALED � (Date) `. (Signature) ♦ .A,,.� THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE " E• �'~•� OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name:'` � 15r i n-s--A-a -P4 r Date: .:5 43 17 Address: /8 y i /D S4' Acct. No: / $S A 9S 9C.S— A. P. No.: 3 / .ate -q - --:�y Phone: S3 y ' VR No. Units: / Applicant/Agent: 'J %fa Agents Proof: f /A Address: Fees: Phone: Application $ 1 / Arrearage Preliminary Review By: -� �' Date: !��� CSA 26 Remarks: SC -OR 1st mo. S.C. Other Total Fees Collected By: Date: Field Review By: Date: ee",l© Remarks: O� MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: Q 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 TIO COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 Tel eplh$ne: 534-4541 APPLICATION AM PERMIT 9�/-76 r. I authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �' Date 3 Si gnat a of Permitee(�orr Agent Receipt No. 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/lees have been paid. OF UBLIC WORKS BY Date J 3 / ~e UnddIMpermit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address o %d Telephone No. / b Fireplace ContractorTotal Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee i/D 419d Building Address ` t' PLUMBING No.1 @ 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. -5 — a'6 3 — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F_ Salt Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Declaration Parcel Ma P 60' R/W provements Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ ^- $ NEW ❑ ADDITION UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Famil 9 Y Du lex Mobil Home P ❑ ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L foo AMP 1.00 NEW CONS. DWELING OR ADONST ( ACCL SLOGS.CCUP. &) 20sq ft NEWNON-RESID R. ( BRANCH CIRCUITS) '2.50e4 NEW CONSTPOWER APPARATUS &) NON.R. RESID. (SINGLE OUTLET CIR. .CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ` Ex. Occup(OUTLETS OR FIXTURES)50 925gt SAL @@ Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 Is 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. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 'IQI 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. X �' Date 3 Si gnat a of Permitee(�orr Agent Receipt No. 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/lees have been paid. OF UBLIC WORKS BY Date J 3 / ~e UnddIMpermit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD s C BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets list Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping/ Piers Roofing Sewer O 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 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 40 REMARKS OR CORRECTIONS 4z!!15r (NOTE: An entry must be made on this form each time you visit the job site.) /8-40. tp c; Im COUNTY OF BUTTE - DEPARfmPERMIT NT OF PUBLIC WORKS 7 County Center Drive - Orovilie, Califo95965 -Telephone 916/534-4541 APPLICATTN PERMIT_ N0. _ ASSESSOR PARCEL NUMBER 31-203-24 ZONING BUILDING PERMIT OWNER Bonnie Pond TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1840 10th Street Therstalito, Calfornla 35 Sq 00.00 CONTRACTOR'S NAME Four Counties Roofing Company TELEPHONE 343 1416 CONTRACTOR'S MAILING ADDRESS 1060 Marauder Street FFireplace CONSTRUCTION LENDER /NDE%f UNKNOWN Q al Valuation y n Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 1840 107t1i Street, Thermalita, California 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 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation [I Other Describe work:_ Reroof 6j.,714 1Ho os%r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 111 OR ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. y ( DWELLING OCCUP.) OR ADDNS, l ACC, BLDGS. 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): �^ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneS$ 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 0NSTR. ULT . UTLET NON -REST D, BRANCH CIRC ITS 2,50 ea NEW NON -CONSTRESID. R. ( SINGLE OUTLET CIRPOWER APPARATUS 6) . EX. OCCUp OUTLETS OR FIXTURES A25 gL FIXED APPLNS. OR Ex. OC.cup.(OUTLETS (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 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 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities,, judgments, posts, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XL/ -I"' L, r/-�fi�-d /��1 ,/ 9�21%�2 Date Signature of Applicant - Owner ❑ Contractor ❑ Agent D: An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover3 stores in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 45.00 OCCUP. GROUP I TYPE OF CONST. PARCEL I PD I HD 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 By. �l1 Date , PERMIT EXPIRES_Djfe -7- 31,?V f' Receipt No. / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DE,.ARTMENT OF PUBLI WORKS 7 County Center Drive - Oroville, , alifo -ia 95965 - Telepho a 916/534-4541 APPLICATWINAID PERMIT ERMIT NO. a 3 1-2 2, - ASSESSOR PARCEL NUMBER 31-203_24 ZONING BUILDING PERMIT OWNER Bonnie Pond TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1840 10th Street Thermalito, Calforni 35 Sq @ 100.00 CONTRA C TOR'SNAME our Counties Roofing Company TELEPHONE 343 1416 C ACTOR'S MAILING ADDRESS 1060 Marauder Street U Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3, 00.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ << ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ Ile ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $Se@ BUIL ING ADDRESS 18�i0 10th Street, Thermalita, California 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 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: RerOOf d/iy� S�iG �ft 7S`' E9 Pennit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10°V OR o AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.a\ OR ADDNS, ACC, BLOGS. 2¢sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUS Ines$ 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 CONSTR CI OUTLET 2,50 ea NON.. BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS S NON-RESID. SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES 50 25 (FIXED APPLNS, OR EX. OCCup.OUTLETS (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 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. Heating Cooling Hood 3.00 Ventilation permit Fee 3 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 up above-mentioned property for inspection purposes. 1 also a fee to, o ave, ndemnify and keep harmless the County of Butte against all Ii i ities jud ents, osts, and expenses which may in any way accrue aga' st sai ty in co se ence f the granting of this permit. X9/21/82 Date Signature of Applicant — Owner ❑ Contractor ❑ Agent �7 An OSHA permit is required for excavations over 5'0" deep and demolition or construct -RECTOR ion of structures over 3stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 45.00 occuP, GROUP I TYPE of CONST. PARCEL I PD I HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OF PUBLIC By PERMIT EXPI S D e��—a��—� - the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. /p/e` k WHITE -D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �,v, ,....... _ .,..M_,�-... �•..� _-�-.-Nin.., �.».. ..- . .,,•,... �• ... ,-_ .; ...,w '••^ a•` _ .v�r.�, ...r3r •. :.a -er, �..!WT! A• c-;nstlC'^ . �.:•..:`.""vu++ - � 7 •:r ., 031-203-024 99-1304-.' . r: - GI UE, Tengtori 1840 10th Street, Oroville e Re roof. w d AK F , lk - h r 4... - ' it o .. .. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMEN4-6L9/ICES - BUILDING DIVISION 7 County Center Drive Orovllle, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER i_ ZONING BUILDING PERMIT OWNER TELEPHONE 533-922Y Sq. FT, OCC. BUILDING VALUATION 2,4 00 40 .OWNER'S MAI ADDRESS Q tR MEET,- CONTRACTOR'S NAME TELEPHONE �dl +} 1 700 CONTRACTORS MAILING ADDRESS 985 U*G EAR RD., OROVILLE, CA 95966 CONSTRUCTION LENDER Fireplace 5,1 LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee s81.00 MW ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1840 10341 STREET, OROVILLE, CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF © Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RFROOF/ SHEATI(NI Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 800R LE Main Service 2o.A VOOR 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.POWER License Class Llc. 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: ❑ 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 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 `'i /r Main Service 200A To 1000A 46.00 NEW CONST. DW ff OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.50FT. NEW CONST. MULT.' CIRCUITS RR UI @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FD(TURES @ I'50 BAL Ex. Occup. o xuED Aa- °ER,e, 5.00 Temporary Service 23.00 *Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number IA-) / =7 :z S (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. J l ;, X .r7� a.:.u- i 1�_1 __ , ..r..-. •-.._ Date :- % "I/ 7 !__ Signature of Applicant - ❑ Owner ❑ Contractor :0 Agent " An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 101.00 HAZ. D FEESIMP FLooD COF PARCEL PD HD SsUE This permit is hereby issued under of the Butte County Code and/or indicated above for w ich fees have By� a PERMIT EXFMAES ON the applicable provisions Resolutions to do work been paid. /_ .-�/ �(- ��j Date {q7 1 _ Date Receipt No. LV.*iN 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 PERM T@lephone (530) 538-7541 _ -'— (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0111 _9n,1_094 ZONING BUILDING PERMIT OWNER TELEPHONE 533-9212 1 SO. FT. OCC. BUILDING VALUATION 2,400 40 OWNERS MAI ADDRESS 1840 3QTH STREET, OROVILLE, CA 95965 CONTRACTOR'S NAME TELEPHONE EST 2,700 cD 985RLONG BARSRD., OROVILLE, CA 95966 CONSTRUCTION LENDER Fireplace 5,100 LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ G0.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1840 10TH STREET, OROVILLE, CA Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 11 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: RERO E/ SHEATION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zooA oR L.ss 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation in rance c rier and policy number are: Carrier u Main Service 200A TO 1000A 46.00 NEW CONST. DWELUNO OCCUP. OR ADONS. ( a ACC. BLD S. SO 3.5QFT. NON-R61oTMULTI.OUTLET @7,50 POWER APPARATUS a SINGLE Oun.Er C'R. OUTLET OR FDITURES Ex. Occup.SAL p .w Ex. Occup. OUn An o.GER., 5.00 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 FEE $ Policy Number — (The above sections need not be complet d 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 forth ith comply with those provisions. X Date l Sicfiature of Applicant7- ❑ Owner ❑ Contractor OH 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 $ 101.00 HAz. D FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for w ich fees have By / PERMIT EX IRES ON (r,— the applicable provisions Resolutions to do work been paid. Date " ate ReceiptNo. 2 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT