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Home My WebLink About031-236-056STANHOPE, William 19gp P 596=0.107 . B 1 031-23-&-005 t; 26� MCNICROL'S, Vernon 871 'Yuba Avenue; Orovi, e 31-23654 857 & 871 Yuba Y (rer=oof /SF) George Roof ing y19(/ s/s . Yuba dust east. 0 9t .tt,, (new, single famili - 2 houses) Thermals. v 031-236-005 00-230 �/ / MC NICHOLS, KELLEY 871,YUBA AVE. OROVILLE CONT R: DAN'S ROOFING RE-ROOFr k 031-236-005 05-2730 MCNICHOLS, VERNON 871 YUBA AVE, OROVILLE Cont: OWNER VINYL SIDING r a l :Butte County Department of Development Services eurrEe Aaen N7. E S 3 0 7. County Center Drive, Oroville, CA 95965 e- e . 4 f 530)538-7601 www.buttecounty.net/dds ecO°Nta RESIDENTIAL APN: Permit No. �� " 05-2730 Owner: _031-236-005 _ MCNICHOL'S, V OIROVNNILLE Site Address: _ 871 YUBA AVE, __ . Cont: OWNER Contractor:--VINYI"SIDING-_Li4HT_.. G- Type of Permit =OK MA.NUFACTUR:ED HOMES` " MISCELLANE.OUS DATE Lj PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; fall/C/O-Concrete 4 Wtr, Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ " or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr- 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S'C O V E.R S'C A R P O R T S •G A R A G ES 1 Zoning -Setbacks -Easements . 2 Ftgs; SoilsSz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg Frmg-Brcng 5 Alum Awn;,Columns-CnnctnsSplice-Decal-Enclsrs -.6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE POOLS - 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness " Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI . 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed - 7 Elec Bonding; Metal w/5'-Crcitng Eqp-Htr 8. Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pniboards-Insultn to Main Conduit 9 Health Dept Apprv.l 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide 0�4 . oa e41 os 0\�� _ - Pool, Drawing t v=OK 0=Nol - RESIDENTIAL (Single. & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zan ingSetbacks-Easements-Flood-Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test m Ca 0S 10 UF, Gas Pipe; Sz Anchrs-Sz Test 0 p`S 11 Wtr Pipe; Test-Anchrs -Rgltr-Sery ice Test 12 Elec Undrgrnd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts lnsultn & Support 14 Girders-Sills-Anchr Bolts -Joists -Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 41 m Ca 0� O' 0 DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 PI pwhotln Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper U'Siding-Nailing Veneer 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 lnsultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Gu rd Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws ndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes [_]No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Trnsfrmr Clrnc-Ins Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga OCU or DAL 98 Address Posted AC Wire Sz ga D CU or D AL 99 Fire Sprinkler 48 Range Circ ga DCU or DAL Oven Circ ga D CU or DAL FF Insulated Neutral DYes DNo o' 04 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BPO52730 24 HOUR INSPECTION 9: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS 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 Issued Date: 10/03/2005 APN: 031-236-005-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 871 YUBA AVE ORO License Class : License Number: Map Index: Date: Contractor: Description: vinyl siding 16 sq's OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions. Code: Any city or county which requires a Owner: MCNICHOLS VERNON K & ANNA MARIE 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 871 YUBA AVE the Contractor's State License Law (Chapter 9 commencing with Section. he OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that or she is exempt therefrom and the basis for the alleged exemption. Any 95965 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: MCNICHOLS VERNON K & ANNA MARIE owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 871 YUBA AVE sale. If however, the building or improvements are sold within one burden, OROVILLE, CA year of completion, the owner -builder will- have the of proving that he or she did not build or improve for the purpose of 95965 sale.). (530) 534-1092 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code I— Date:& --L--5 owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation . Engineer: insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 0 S. F. �� Lt!l 'Icertify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: 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 provisions. Date: Applicant: LIP1,g.a WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. �� / � � �� O • G c) CONSTRUCTION LENDING AGENCY This mitts h eby issued under applicable provisions of Butte County Code and/or I hereby affirm that there is a construction lending agency for the Res lutions t o work indicate bo a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By� Date: /4157. Name: / PERMIT EXPIRES ON: Address: ate ❑ 1 hereby certify that the use of this facility shall comply.with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 'I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose /�(��/r C ��v�s ��1-� t Print Name: V't�%Cf[7/ter' f(• Signature: Date: " -3 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last Na a City irst Name c City O dress Zip Phone d�� City E-mail S�t� Zi Class Fax _Phone -3q—lf 57 Z E-mail APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E mail Date Approved: State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X - For office use only: Zoning Property Address ' 7/ tir3,9 • vc Flood Zone Cross S reet sn SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP BIN # LOCATION AP# �/ _ � Property Address ' 7/ tir3,9 • vc City c9/PC, Cross S reet sn 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 OVER FOR SUBMITTAL REQUIREMENTS II K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: vin L a(Ileg s �s Sq. Foo age ❑ 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: --)P Amount: ��- � � Bldg ��+ q SRA Receipt #: <• f Sheriff (!t�s SMIP Date: C U Other �lJ r "3- /( O' Total REV 6-16-04 ro ��' ti •�<.s-^•ta•.-' ^ �,y.:v:,w may <c:.v/•al�Ve•sy:i} ,,.� :.c..� .,,t ;w.,f;�cF'r�rs`w..w .gyp '�' -,R'�'�+�.�"S •N.av Ii +acyrorw+,.r�'ay:g r�. Sly\ fix J." 031-236-90.5 MC NICHOLS, KELLEY' ': A 871 YUBAVE. OROVILLE CONTR: DAN'S ROOFING----.-- RE-ROOF ROOFING-RE'ROOF 1 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 490 ASSESSOR PARCEL NUMBER 031-216=005 ZONING BUILDING PERMIT OWNER Q TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 540.00 CONTRACTORS NAME TELEPHONE 5'44-811 A CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 17.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS w r{�' ,■,'4 Energy Plan Checking Fee $ $ PERMIT FEE $ 11 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ 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 ❑ Installation ❑ Other ❑ Describe Work e&L $rCt A bi �F Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.".A '0R LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. G License Class 2614 Lic. No. -7 S h3 �— OWNER -BUILDER DECLARATIO 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 Main Service zooA To ,000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. S. SO 3.506 NON-RESIDD. MULTI.OUTLET RANCH CIRCUITS @7.50 POWER APPARATUS 8 SINGLE OURET CIR. Ex. Occup. OUTLET ORPOMRES 20 p ,.00 BAL @ .SO Ex. Occup. OFIxLI EDTSA Es ) AE 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 consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE 1 $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo . with comp) with those provisions. X Date 0 �_ SignatUre of Applilant - ❑ OW er Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction� of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST.TYPE 37.00� TOTAL FEE $ HA" El, 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 ab a a for -which fees have f/ Bye PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. DatelN "► Date Receipt No. �� ' QU WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO (Rev. 12/96) APPLICATION PPLICpTIN 1N®PGCIT ao -Anon ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS CONTRACTOR'S NAME DAN'S TELEPHONE CONTRACTORS MAILING ADDRESS T N RLVD; OROYILLE 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 17-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS S (� Energy Plan Checking Fee $ $ PERMIT FEE LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work j� �� A1012 Q.j! (�O F Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service Zoon oA v 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. _POWER License Class �— �� Lic. No. �� _ OWNER -BUILDER DECLARATION5. 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 Main Service 200A TO iOOOA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( sD . No R.IDT MULTI -OUTLET @7.50 APPARATUS 8 SINGLE OUTLET CIR. OCCU OUTLET OR FIXTURES sA0 p I.00 Ex. Occup. Gu FIXEDTSA PREESSIp.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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: C,arrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with compl ith those provisions. X Date`" _ Signature of Applicant - ❑ O er Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 37.00 HA2. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated ab e f hich fees have PERMIT EXPIRES ON9"'' the applicable provisions Resolutions to do work been paid. ��Date Date Receipt No. 302980/$37.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (536) 538-7541 P RMIT I.Rev.12/96) APPLICATION AND PERMIT�� ASSESSOR PARCEL NUMBER /�/) Z - ZONING BUILDING PERMIT OWNER G TELEPHONE SO. FT. OCC. BUILDING VALUATION V ^ OWNERS kWUNG ADORE ,4Ue- c d:) -o g s t �e 6, CONTRACTOR'S NAME t �Yv V TELEPHONE CONTRACTORS ADD 9 �oLwIsLib -ozZ9 9 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuatlon Is ARCHITECT OR ENGINEER .LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME - PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 SF O Duplex O USEOFSTRUCTURE Mobilehome ❑ Other LP 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 ❑ Installs' Other O Describe Work: Cg Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 O*OVOR LESS Main Service 200A OR LESS 23.00 Receipt No. WHITE-O.D.S.-B.O. RECEIPT # p/ SRA-CTS—I SHERRIF $ TOTAL $ CANARY -ASSESSOR PINK -INSPECTOR GOLDEN 800 -APPLICANT Main Service YOGA TO 1000A 46.00 ` NEW CONST., OWELUNG OCCUP. OR ADONS. 8 ACC. BIDS.. 3 5¢so. FT. NEW CONS MULTaOUTLET NON•RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR OUTLET OR FIXTURES EX. OCCU BAL Q .sI ��oEEx. Occup. O�Ip.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin .23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ v C-7 CONST. TT?g_ TOTAL FEE $ 3 KAZ• 1 D. FEES IMP I FLOOD I CDF PARCEL Po 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. By Date PERMIT EXPIRES ON ate �,..`}a.-.� - � .. '�s r. ,,. �r .r aW'M�...,yl i'1 Lk i,.�r �� Y't�� a�t.ti � .� y--tt�:� r� �.s;a .. �.t, r>�?;tom: ^%-"iV. s.�. mss`: �f�:` .„ � :'y'•, �� '�-�p�.i"i tics. `� w''4.-.�I?,+ *�'r �`-1�V:'vii�'h F'�S �ci'�r "J' �d'7 `-arv,71Y"y�'�'.� r•=�.'i-=si �+d,�a:`.L �. a " r �s,,,.�, .�,`� � � �.r ?h Y .� r � i _ .�..iii`;w.•..;,,t•,:7r>.n_t..-�LI�'.�l+i:�{+.-tY...fr�'�0`�r''Tr+ '^r"''Y."i,,�:ti+.'.,,..•...-1fl�.�r6{...c:.�,-i�,J�,r�`+'q�.�Y�tSC''{i�'�':+" COUNTY OF BUTTE= DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive.- Oroville, Caljfornia 95965 - Telephone (916) 538-7541 i PERMIT NO. APPLICATION ANDRERMIT 2i.,- '410V ASSESSOR PARc15Nt1hIBER Y __ +d• a ZONING BUILDING PERMIT +� TELEP/HONE / SQ. FT. OCC. BUILDING VALUATION OWN AILING ADDRESS L �� / /J , /) L /G/ a•. l/- 7 fJ CON TRACTOR'S NAME1 t9P.a C goo I ��c TELEPHONE 3 -(�� CONTRACTOR'S MA ING ADDRESS `t f 2 5 A? rl0 dr-, rolvr e lu Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 SoI&,or'heat pump water heater '23.00; LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF)X Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition ❑ Remodel 1:1Utilities O Installation ElOther 1:1PERMIT Describe Work: FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceOOOV OR LESS ( 200A OR LESS I 23.00 • Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. OLDS. ) 3. SO FTSO: CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and,.effect.,.�r License No`,/,1. 2, G 4 Classification (J— J ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) OA20 @ I_00 Ex. Occup. FIXED APPLNS. OR p ( OUTLETS (RESID.) EA. I 5.00 Temporary Service 28.00 Mobile Home Facilities 20.00 Misc. Wiring ' 00 t '•r WORKER'S COMPENSATION INSURANCE `� �-j I declare under penalty of perjury (check one):,7_/f%t' ,f �� ❑ This permit is for $100.00 (valuation) or less. ,i lf�/� `� /� �. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance ora Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ oft R, Contractor. MECHANICAL PERMIT Filing Fee 20.00 , , Heating T Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless 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. ' 2,1_ �. ,, ) --,!2 f X r ✓. _ �• � Date �`.= Signature of Applicant ❑Owner O Crontractor ❑Agent An OSHA permit is required for excl$vations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ zz—z C7 C? 11 HAZ• I D. FEES IMP I FLOOD I CDF I PARCEL PD HO I ISSU This permit is hereby issued under thea applicable provisions PP of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B Date q(o PERMIT EXPIRES ON lq tel Receipt No. 90013 WHITE-D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT W-. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMI No. APPLICMION AND PERMIT G- D d ASSESSOR PARC6ER — `-� ZONING BUILDING PERMIT ZNER ! TELEPHONE -35�- l ' SO, . OCC. BUILDING VALUATION FT OWNER'S MAILING ADDRESS I `,,p N /p _ �✓ D� COACTO R'S NAME TELEPHONE N9 eD oo II yr 5':33-�3 `!3 CONTRACTOR'S MAI NG ADDRESS O der dilvvf I//e Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 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 20.00 Each Trap 7,00 0- Solar or heat pump water heater 23.00 LOT N0. SUBDIVISION'S NAME . - PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF X Duplex O Mobilehome O Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20•00 TYPE OF WORK New O Addition ❑ Remodel O Utilities ❑ Installation O Other ❑ (� Describe Work: TeC(id— 0 PERMIT FEE $�� O 67 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) 0, 3.50 FST. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and m license is in full force and ffect. �, 3 (y License No Classification V '{7 O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) ( 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 0 .50 FIXED APPLNS. OR EX. Occup. ( OUTLETS IflESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCEPERMIT I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Col ty in consequence of the gr nting of this permit. X r Date -- `� Z !4 Signature of Applicant - O Owner O C actor ❑ Agent An OSHA permit is required for exc ations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ OF !Jo HAZ. I D. FEES I IMP I FLOOD I CDF I PARCEL PO I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �� • B Date PERMIT EXPIRES ON ID tel Receipt No. p WHITE-D.D. S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I