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031-243-018
A.P. 31-24 -18 F KERalph T. usa Ave., Orovil emit 1463''=72B . garage y_ �y (new arae AP 31 -243 -18 -- Permit# 535-75B(garage�1 / f � �il1Q AP 31-243-18 Permit# 3807-75E(for 535975);O� 2f/ .31-243-18 Permits $k1704-76P,(bl SF I l7G{ I of tiv. sew. inst ) 31-243-18 Permit ��414�-76B`P utility roo & covered ddec,k/SF)n� 31-243-18 Permit'#919-88B(reroof/SF) U 7 031-'203-018,; PERMIT#96-0745 - VAN ,DYKE,: Bertha 628 Colusa Ave. Oroville Reroof/SF. i � 031-243-018 01-3115 VANDYKE, BERTHA 628 COLUSA AVE, OROVILLE CONT: PREMIERE HVAC REPLACE HVAC BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED t ?ATE NAME DEPT. DATE NAME DEPT. 1 Y '�`"b-7� '�-v'��r a` .��W%�`��."�?-3+r�s'i�p .. �.`'r.�1&3�7G''� 3;,Yr' � u• • -r �`y1;-^Azy%`— �a �c`"N' -ccY'a rn. .Y e�,l�"Ss„v,.C. r-r-`�'c�-•�'.n.«�a1r:��.,- � ' yV St'4 �+., .. �'4. 1 l:: ` � COUNTY OF BUTTE - DEPARTMENT OFPDEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01-3115 ASSESSOR PARCEL NUMBER 031-243-018 ZONING AR BUILDING PERMIT OWNER MUM VANI)= TELEPHONE 534-6717 SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 628 CDUJSA AM 2 ORMULF CA 95% CONTRACTOR'S NAME PRMJM HEAT & AIR GOND. TELEPHONE CONTRACTORS MAILING ADDRESS 165 LINSCHIM CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 628 9 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF�3 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 ❑nReem—odel ❑ Udlitiiee's�❑ Installation ❑�Otherr 0 �J�/ Describe ) Work: �1Ae te &If //� G P-- ;•O /` fy1� hoe �J (N47elz A15:4 —.rae Gas piping system 1- 5 outlets 15.0000 Buildingsewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fee 20.00 RUEFling Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ��jj (� License Class C-2 0 AM Lic. No. +4I /S % 3 OWNER -BUILDER ,DECLARATION 1 hereby affirm under penalty of perjury that l,am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. gl' 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 V,6461?r Policy Number /,t. zl (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I ❑ 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 mply with those provisions. / /� D / X Date / Signature of Applic nt - ❑ Owner • • Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OOCUP. s0 OR ADDNS. ( a ACC. BLns. 3.5QFT: INjO RES'.. T.MULTI-11 OUTLET R 111, @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDCTURES .00 BAL 20 @ 1. 0 Ex. Occup. '0" D RAID°Ep 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 3 ton 115.00 5.00 Cooling k 15.00 15.00 Hood 6.50 Ventilation PERMIT FEE $ W. UU Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 85.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 1, 12-11.20 By if s Date PERMIT EXPIRES ON r 12-11-2002 Date Receipt No. `3•1 Ja/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT F COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN (VISION 7 County Center Drive Oroville, California 95965 •Telephone (530) 8-7541 PERMIT No. (Rev. 12/96) APPLICATION AND PERMIT 01-3115 ASSESSOR PARCEL NUMBER 031-243-018 ZONING AR BUILDING PERMIT OWNER BERTHA VANDYKE TELEPHONE 534-6717 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 628 COLUSA AVE., OROVTTI.F. CA 99W,5 CONTRACTOR'S NAME PREMIER HEAT & AIR COND, (925) - TELEPHONE 1439-1827 CONTRACTOR'S MAILING ADDRESS 165 LINSCHIED DR., PITISRITIRG CA 94565 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 628 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFP, Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 1 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ DescribeWork: //� =r /'�ft� o 4- ��T�/L FA %Lr Qi Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos OR mss 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 f rce and effect.a'7 (� 2 License Class -re- Lic. No. 161 /S / / OWNER -BUILDER DECLARATION 1 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 insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the Permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' pensation provisions of section 3700 of the Labor Code, I shall forthw' ply with Tthh2je provisions. X Date /�_//r D / Signat a of Appli nt - ❑Owner kContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO I 46.00so WEL200A NEW CONST. DWEWNG OCCUP. U OR ADONS. ( a ACC. BLnS. SO 3.5QFT: plpµp�,pT MULTI.00LRCU g7.50 POWER APPARATUS & SINGLE OUTLET CIS. .00 EX. OCCU . OLJTIET OR FIXTURES Ex. @ I.SO NS Ex. Occup. oFiiT Eis R D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 3 ton 115.00 Cooling dual pack 15.00 L5.00 Hood 6.50 Ventilation PERMIT FEE $ 50.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 85.00 p. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions the of the Butte County Code and/or Resolutions to do work above for which f s ave been paid. By Date 12-11-2001 PERMIT EXPIRES ON 12-11-2002 Dale ReceiptNo. 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 IRASSESS AiP APPLICATION AND PERMIT PERMIT NO. n AS S ES9eA PARCEL W Ma01 �� BUILDING PERMIT OWNER L + 7J T NE n SO• FT. OCC. BUILDING OWNERS MAUNO AotlMM9f ,,, _'/%% VALUATION Teug HONE j 1 COMRAC TORT MAaJNO tAODress CONs TRUCTION LENDER LENDER'S MAIUNG ADOW99 ARCNRECT OR ENOINEEA ARCNRECT OR ENOWEERS MIUUNO ADDRESS WILDING ADORESS i .OTNO I SLISMISONINAYS USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other •PECSY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instsil&b n ❑ Other ❑ Describe Work: J L *PERAUT FEE PA2b SRA �. SHERIFF OTHER AMOVNT RECEIVED *REc�r NV"M _ 33"73(o * TO 0E PVT wro COAAPVTE'R Fire lace PERMIT FM*1111ELECTRICAL EX. OCCU D. "I-01 ouTlETS ESID. EA Total Valuation E Temporary Tem orar Service Service Service Flin Fee S 20.00 Permit Fee E Plan Checking Fee E Energy Plan Checking Fee E E PERMIT FEE f PLUMBING PERMIT Filing Fee 20.00 Each rap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each water heater or vent 15.0 0 cry Gas piping system 1 - 5 outlets 15.00 Buildin newer 15.00 Mobile Home SIG W (920.00 t EX. OCCU OvnET OR FW IRE9 PERMIT FM*1111ELECTRICAL EX. OCCU D. "I-01 ouTlETS ESID. EA PERMITMein Temporary Tem orar Service Service Service 2000A OR LEEssMain 200A TO IOOOANEw 20.00 coNsr. OR ADDNS. __ . _ o occuP. a ACCles.No"ESIO. nET EX. OCCU OvnET OR FW IRE9 200 "00 aAL SO EX. OCCU D. "I-01 ouTlETS ESID. EA 0 5.;-0- Temporary Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee _ 20.00 _ Coolin 8.50 Ventilation PERMIT FE. = od Mobile Home Installation Fee -1 E Energy Inspection Fee I E OCC CONST. TYPE TOTAL FEE _ NAL• f D. no[ IMP I R O I COPI PARCEL I PO 1 10 1 6SUE 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 .. ... Y3��..,{:r�:r�.•LT`s•+/1^�y^i%'k7�%<a*a.•r, l�•.kq.yYi:� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV SiON- 7 .County Center Drive - Oroville, California .45965 - Telephone (916) 538- 41 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - 031-243-018 ZONING f BUI DING PERMIT OWNER EF,!THA VAN DYKE TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1,080.00 OWNER'S MAILING ADDRESS 628 COLUSA AVE OR-OVITI.E.0-5063 CONTRACTOR'S NAME T FNM, �l�l1T fail TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 27.00 ARCHITECT OR ENGINEER LICENSE NO.Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDINGADDRESS T 9A AVE PERMITFEE S4/.UU OPOITTTEach PLUMBINGPERMIT Fling Fee 20.00 Trap 7.00 LOT NO. SUBDNIs Tows NAME PARCEL MAP Solar or heat pump water heater 23.00 - Water piping 15.00 USEOFSTRUCTURE SF ❑; Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MOOF 18 100"W — Mobile Home TFG W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Servicea00v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: —'9 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. ❑ 1, 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 NEW CONST. DWELLING OCCUR OR ( 8 ACC. ) so. 3.50 Fr. NEW CONST. MULTI.OUTLENS. TLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL a .50 Ex. Occup. (OUTLETSIXAPPLN . OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number of one hundred dollars ($100) or less.) �1�(The above sections need not be completed if the permit is for work of a valuation �l 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. /')—/ _ / �, - r _ r X J7; -7 /� �—� o _Date �, ./ T Signature of Applicant - CKI' Owner /❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 47/•00 HAZ. D. FEES IMP FLOOD CDF PARCEL FV HD IssU This permit is hereby issued under ttie applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fee have been aid. P B - 1 .r Date PERMITEXPIRESON (Date) ti/n�height. Receipt No. l�t'% �! `f O WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OFBUTTE -DEPARTMENT &D[;VEILOPMENTSERVICES -BUILDING DIV ON 7 County Center Drive - Orovift6, 'California 95965 - Telephone (916) 538- 41 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 031-243-018 ZONING BUILDING PERMIT OWNER BERTHA VAN DYKE TELEPHONE SO. FT. OCC. BUILDING VALUATION 1,080.00 OWNERS MAILING ADDRESS 628 ' CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 27.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 69E COT-11SA AVE PERMITFEE S - PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF 18 CU -IP — Mobile Home IS I GI W @20.00 PERMITFEE Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License i 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ER S ( P NGL APPARATUS ) 8 SINGLE OUTLET UCIR Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q I.00 6AL 0 .SO Ex. Occup. (GFIXEDs RES D.) R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 forthwith Co ply with those provisions. Date � ignature of Applicant - Owner Contractor ❑ Age � 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 Is Occ CONST. TYPE TOTAL FEE $ 47/.00 HAZ. I D. FEES I IMP I FLOOD cDF PARCEL PD I HO ISSU This permit is hereby issued under the of the Butte County Code and/or indicate a�iove for which fe B PERMITEXPIRESON applicable provisions Resolutions to do work a been paid. Qate 9 (Date) Receipt No. 'l� WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V.L. l ::::::? ... ::y: :: s:;::::::::: •:::. ..•.... .. .. ::: .. ., :. ....:. ::::RA:......... 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. I personally plan to provide the major labor and materials for construction 'of the proposed property improvement: YES NO[ ]: O2. I HAVE" 'HAVE NOsigned 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: CONTRACTOR'S 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 ADDRESS: ` CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: ,NAME ADDRESS, PHONE. TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER:. ��- NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect. yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than,your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. _ Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento. CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerel Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Ovyner-Builder Information is required by Section 19830 of the California Health and Safety Code. OVER PERMIT NO.4142-76B,P,E PERMIT EXPIRES / —� �i /7 " OWNER Ralph,T: Van Dyke 'CONTR. owner, LOCATION (A.P. 317243-18 i 628 Colusa Ave., Oroyvviille z ' Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E emp. Gas Serv. Called PG&E JOB ' FINALED (Date) (Signature) COUNTY -OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING_ ,, I BUILDING (Cont'd) I PLUMBING Setback/� — o'j`/, Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathingr Water Pi in Piers Roofing Sewer, Garage Fdn. VentsFixtures Final Footings StemwaI I Garage Vents ` -- —` Insulation Water Htr. Heaters Slab Carport Footings Prov, for physically handica ped Conformance of ex. structure 0 aq oeTemp. Appliances - Gas Gas Pi in Test / Gas Slab Final 5,e3 Sanitation Patio FIREPLACE Final Q Footings Footing ELECTRICAL Masonry Walls Throat Rough i Reinf. Steel Final Fixtures Bond Beam, l FIRE SPRINKLERS Motors i Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL _ Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath 77 Ventilation // Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS 01 i i i r > Y;,-, lees (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPAR-tMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe, California 95965 ` S Telephone: 534 -4541 - APPLICATION AND PERMIT -•.,r•...,......, •, ••,, uw --y UJ UU— rU cnlcl UPUII IJIC above-mentioned property for inspection purposes. Date t/ ignoture of Permitee 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 fees have been paid. iDIRECT F PUBLIC WORKS By Date.% -,,"-7_6_ wilding permit expires Date -7 `"7% BUILDING BUILDING Owner R/< 1-10H T: V/10!`1 L? X/<C SQ. FT. OCC. BUILDING VA UATION - Z�r 2av �. , p' 1 Mailing Address �CJ C oz -u 5,4 /y 1,/. (� 6 -� 3 L © Telephone No. - 351- 6 7/ 7 Fireplace, Contractor . Total Valuation_ ; r Mailing Address © Permit Fee oG Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ 3 Z- CLC Building Address !�� (etas fJ�}Q /Q(�1�-- PLUMBING No. @ FEE PLUMBING FILING FEE $3.00 r QO L-// 4- Z. L> Each Trap 1.50 5 Repair drainage•or vent piping 1.50 Water piping 1.50 , y Each gas water heater or vent 1.50 A. P. No., 3 y?j - Zoning &Planning Gas piping system 1 - 5 outlets 1 1.50 0 Each additional outlet .30 F VIlZG. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rov ents P Lawn sprinkler system 2.00 Bldg. Plans Recd 101 Parcel Approval Pla Approval Permit Fee $ , .i $ 7Z NEW ❑, ADDITION ® UTILITIES ❑ OTHER ❑ ,' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3: 0 Q Main service 100 AMP ORSLESS 5.00 �4�/C • Main service EA. ADD'L 100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family nj Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L-100 AMP 1.00 - • - ' NEW CONST. / DWELLING OC�US �. i OR ADONS. \ AN. BLDGS.:� .1b& ) 20 q ft 6 NEW CONSTR. MULTI -OUTLET - NON-RESID.. BRANCH CIRCUITS) 2.50ea _ + - ' NEW CONSTR. (POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR. ...CONTRACTORS LICENSE LAW a - 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)BA@25a L@1 FIXED APP LNS. OR - Ex. Occup.( OUTLETS,(RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 Ue'll"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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 $ $ I certify that 11have 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 $ IV -•.,r•...,......, •, ••,, uw --y UJ UU— rU cnlcl UPUII IJIC above-mentioned property for inspection purposes. Date t/ ignoture of Permitee 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 fees have been paid. iDIRECT F PUBLIC WORKS By Date.% -,,"-7_6_ wilding permit expires Date -7 `"7% ' _Z_ I a ` V=�._I-1 i T C F'io /r � , do vo�'( The 1. Setback shall 'e 5 ft. from theside property line aid 50 ft: fro e IL - the centerline of the road, permitting' a maxi um of a 2 ft. eave overhang. BUTTE COUNTY E BUILDING DEPARTMEN7 APPROVE® k/V N 4�7' `� NOTE --All jMrteri�ls &Workmanship Sha!! Be in phis set of plans , MUST tit A-ccordrince with R�co.ani-ed Good •Practices and kept, on the job at all times and it is unlawful to of a .aur -lits 'rre`r.,I,PA for the Specified use in the make any changes or alterations on same without Uniform Eui1dt'r q,. Plumbing & ` Machanical Codes and written permisson from the Department of Public the National electrical Code. Works, County. of Butte. 1 BUTTE COUNTY SU LDING DEPARTMP-W, APPROVED r of 121 .. �. -. ��� o w, bit o a •• .'_��� ." _� . r 177 fit 5U -TTP- COUNTY ' BUDDING DEPARTME-N./ 5e- a t rf 2 4/j,�yz' i `, oxx 8 6, � 12 j1 I?DV d Pn1L y0 f>L u 0 JhDP-r /'os' Cain Pee 'I- :OU NTY DEPARTMENT DVF—DG .iPERMIT NO. 535-75B P M MH UTI.L. PERMIT NO. x_76 PERMIT EXPIRES OWNER Ra11)h Van Dyke 'CONTR. LOCATIO ONTR. LOCATION (A.P. 31-243-18 ) a� 628 Colusa Ave., Oroville r. A4 � 6 Y � r 1" q Temp. Power Pole ;= Called PG&E ° Temp. Elec. Serv. !{' Called PG&E I- Temp. Gas Serv. /FINA d PG&E D f (Date) (Sign ure) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS , BUILDING INSPECTION RECORD BUILDING BUI LD ING.(Cont'd) PLUMBING Setback Firewall Soil Piping Forms S Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor, r Footings Windows 3rd Floor Stemwall Siding To out s Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Prov. for physically, Heaters Slab handicapped A pliances Carport Conformance of ex. Gas Piping & Test Footings structure , Temp. Gas Slab Final Sanitation Patio FIREPLACE' Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final t Fixtures Bond Beam FIRE SPRINKLERS Motors Framin Q Test Water. Htr. Stucco Final Subpanels Mesh MECHANICAL' Grd. Fault Prot. ~ Scratch Heating Service Brown 'Cooling Temp. Pole Finish Ducts Underground Interior Lath, Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS �3 �� OVL/ 6101 /a //45 �, ld�"o"�,►.tr fit►-hcy �,,,� . k� - r•- .. _� .��r-�-•_-r-•T^�' -r i.-s�.�:�r.--�i``''rr`++"^-`!a`.-..>��l-^^r.--_•....t,r4,r,;=�:...,.:J.�..� .,,.-�rva-. ^'.,,.r--/�. �-.r-.��.-• ti--.. ...... �� 1 COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WOR 7 County Center Drive — Oroville, California 95965 15 Telephone: 534-4541 APPLICAYION AND PERMIT 35'� auu10FZE FePIESUIIIGUVtlS UI Ule Courtly of Butte to enter upon the above-mentioned property for inspection purposes. Signaof Permitee or Agent Receipt No. �2>����� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable'provisions of the Butte County Code and/or resolutions to do work indicated above for'which fees have been paid. DIRECTOR 0 UBLIC WORKS ;7/u?i1ding Date Z—%`1 7 permit expires Date ...............�.`.�.%.(a... BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION 3 Mailing Address / A9_6 0 ` Telephone yo. S3 —(07 Fireplace' Contractor, AlE Total Valuation Mai l i ng 'Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ .0 Q Building Address S PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 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. "—/(s Zoning & Planning Zoning system 1 - 5 outlets 1.50 $ Each additional outlet .30 4151 s W Fire Dept. FfreZone Use Permit Building sewer 5.00 EQQA..Plans Parking Parcel Dec aration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Permit Fee $ �8oval 1d)�. �lC�a�s`-iYnsec dC� Parcel PI pproval NEW Eg ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others,. Sub -panel (12 or less) (more than 12) Range, Cook -top or -Oven 1.00 C Water Heater or Space Heater 1.00 Light fixtures b20 al 25 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 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. ❑ I 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE auu10FZE FePIESUIIIGUVtlS UI Ule Courtly of Butte to enter upon the above-mentioned property for inspection purposes. Signaof Permitee or Agent Receipt No. �2>����� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable'provisions of the Butte County Code and/or resolutions to do work indicated above for'which fees have been paid. DIRECTOR 0 UBLIC WORKS ;7/u?i1ding Date Z—%`1 7 permit expires Date ...............�.`.�.%.(a... ..� - .. `., - -� .,•v -. .,-�..'-- w. •...:.. .,_,� . lam' �-` ..._ °'v w.--- ti..,,-._. _ ��_.,. .. `y: _...---•..-- < ,. . ..c • , ; ' ' COUNTY OF' BUTTE — DEPARTMENT OF' PUBL IC WORKS . ti.7— • 7 County Center Drive -, Oroville,California 959650 - Telephone: 534-4541 APPLICATION AND PERMIT_ autnonce represeniaiives or ine county OT burre to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes., —the Butte County Code and/or resolutions to do work indicated -above for which fees have been paid. F/6'Z,4 nate c6`.�� _ I ECTOR OF PUBLIC WORKS $i lure of Permitee or Agent r �� �iD ' BY Date Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant permit expires Date ••(�_ BUILDING ' Owner �C' SQ. FT. •`,;'Odc-' BUILDING VALUATION•. t. el Mai l i ng Address c"— ' Telephone'No.., 3 -(o-7 f 1+ Fireplace Contractor , ,' + • Total Valuation Mailing Address ..• Permit Fee Plan Checking Fee&/or Penalty Telephone No.• Permit Fee' + Building Address. B PLUMBING No. @ FEE PERMIT FILING FEE { $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 , Water piping 1,50 y . Each gas water heater or vent 1.50 A. P. No. a� 3' Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel' Declaration I Parcel Map 60' R/W I Improvements. Lawn sprinkler system _ 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ "OTHER [ ELECTRICAL'' No. @ FEE PERMIT FILING FEE • _ $3.00 3 �� - 5 I Main service incl.•1 meter' • ' Additional meters, each 1,00 Sub -panel (12 or ` ss) (more than 12) Single Family ❑ Duplex ❑ Mobil.Home ❑ Others ' Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2o(d�2 Q� Reps., sw es & fix o jetEs CONTRACTORS LICENSE L'AW 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. ' j® I am exempt from the Contractors License Laws of the State of California. -Permit Fee $ 7S $7 17-S 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. - ❑I 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. @ FEE pERMIT,FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee - $ $ 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 TOTAL PERMIT FEE $ -7771 autnonce represeniaiives or ine county OT burre to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes., —the Butte County Code and/or resolutions to do work indicated -above for which fees have been paid. F/6'Z,4 nate c6`.�� _ I ECTOR OF PUBLIC WORKS $i lure of Permitee or Agent r �� �iD ' BY Date Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant permit expires Date ••(�_ COUNT-Y•; OF BUTTE: Department,lof `Public Wprks BUILDING R4nP.EC'L.ION RECORD Zoning Setback '2, 4` �'y� Forms 0°.�- Foundation' Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test, Found. Vents Framing Plmg.,Topout . Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS - BUILDING Temporary 'TemporaryCert. -of Occup. Final Final Final DATE REMARKS'e OR CORRECTIONS , i 1 1 1 a a .- COUNTY OF BUTTE — DEPARTMENT- OF PUBLIC 7 County Center Drive - Oroville, California 95965 Telephone: a5,33-1230- Ext. 259 APPLICATION AND PERMIT WOR authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / 7L Date Sign lure o�,.J ear/y te�•or nt Receipt No. ` // _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.PUBLIC WORKS By�--x�-�- Date %-J 4-7 z Building Permit Expires Date7- � �'-7` BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address `} Y Fireplace Contractor _ L,QC� Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Q /„ Building Address Cy/ PLUMBING No. @ FEE PERMIT FILING FEE $2.00 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. ''" Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Planning Building sewer 5.00 - Fees W. G. IR/w] Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 USE OF STRUCTURE Single Family ❑ Duplex ❑ Others PJ Sub -panel (12 or less) (more than 12) Range, dryer or water heater1 1.00 Q - Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets b20925 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 Misc. wiring License No. Classification 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. ❑ I 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. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee 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 ,State Fee for $tr ng Motion Instrumentation fQrogram $0.07/$1000 Evaluation TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / 7L Date Sign lure o�,.J ear/y te�•or nt Receipt No. ` // _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.PUBLIC WORKS By�--x�-�- Date %-J 4-7 z Building Permit Expires Date7- � �'-7` 1 PERMIT NO. 1704-76P PERMIT EXPIRES 4/9/77 OWNER VAN DYKE, .Ralph CONTR. Owner LOCATION (A.P. 31-243-'18 628 Colusa Ave., Oroville COUNTY OF;BUTTE — DEPARTMENT OF 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 Windows3rd Floor `Stemwall Siding To out , Slab Roof Sheathing Water Pi In Piers Roofing Sewer " Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr.' Stemwall Insulation Heaters Slab Carport Footings Prov, for physically handica e. Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patlo 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 Under round Interior Lath ! Ventilation Permanent Door Closer i Final Final DATE REMARKS OR-CORRECTIONS (NOTE: An.entry must be made on this form each time you visit-the job site.) THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95968 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 6v2g COLUSA, A�,'C- Owner's Name: RALPH AIAN b V V—F-- Date: Q0 01 l 01 Address: G Z CJSl � Acct. No: 3 Vie" 7 L -CC `-6 fj: A. P. No.: Phone:,> " C�-'i � No. Units: >\ 1 Applicant/Agent: 1�1 - Agents Proof: W Address: Fees: Phone: Application $ Arrearage Preliminary Review By: " `'�� vhf>�>��%te Date: �/ '- "k /' CSA 26 Remarks: SC -OR 1 st mo. S.C.4 Other Total Fees Collected By: Date: Field Review By: Date: Vg/ g' .� Remarks: Lf/ C� J MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). . DISTRIBUTION: WHITE - TID, -YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / Receipt No. k �^ ` 77 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date lel/ BUILDING Owner (.P(..G V K SQ. FT. OCC. BUILDING VALUATION Mailing Address Z? couusA AvE. (� `—"\j t L �A Telephone No. Fireplace Contractor © 6-4 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address Z� GSL U� �' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �V® 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. '�' `e� �� !� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fdaa4 40. Serrh ,,n Fire Dept. FireZone Use Permit Building sewer 5.00 (�a EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Imp Provements Lawn sprinkler system 2.00 B ec d Parcel Approval Plans Approval Permit Fee $ co $ a NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER M ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORLESS5.00' { l (,f Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600 V 100 AMP OR LESS 25.00 Main service EA. ADD'L loo AMP 1.00 NEW CONS.OR AODNST ( DACCL BLDGS.CCVPWELING . &) 2(rsq tt NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8, NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@L�` 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 pq / -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. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. rcertify 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. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. C Date Si ature o Permitee or ent MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ 1?10C 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 CTOR OF PUBLIC WORKS By Date (� Receipt No. k �^ ` 77 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date lel/ ��� .-%."4+---Fa�:�'1�-y�t�'i°�` ��"�1�`✓'b"'`c,�"',,r"'"'`+����',r��-���'i'`=rr'�.ra^�.`."l'�L%•.s^�`� 'f�,.,ft-..! n x,: v�...: - �.ws-.:�-�»;�.,i �,r�„�"_'v+Y r'• `'' - � Permit#919-88 ,;. Bertha.. Van. Dyke 628 Colusa Ave, Oro COUNTY OF BUTTE 2DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER .%f - ;j�/ — - i •l ZONING BUILDING PERMIT OWNER TELEPHONE !y SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING_ ADDRESS-- CONTRACTOR'S NAME - - - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER { UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER t 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 ` 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 IN O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Q Describe work: / 1 . - L (R Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V 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): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS 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 OCCUP.SI\ +/zQsgft NEW CONST. DWELLING OR ADDNS. ACC. BLDGS. I NEW CONSTFL MU '.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS /POWER APPARATUS 6\ ,SINGLE OUTLET CIR. I Ex. OCcup(OUTLETS OR FIXTURES 2ALOt eL030 FIXED PR Ex. Occup. OUTLETS (RESID.IEA.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 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 l be deemed revoked. -4 MECHANICAL PERMIT FiIirig 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 all liabilities, judgments, costs, -and expenses which may in any way accrue against said County inconsequence of the granting of this permit. X rr �' /- �' Date / ' . .� lT Signature of Applicant — Owner ElJ /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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ i� 1 OCCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL PD I HD ISSUE This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC / By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date / Receipt No. (r + WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE •=DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICKTION AND PERMIT PERMIT NO, ASSESSOR PARCE NUMBERZONING, 3 —/ BUILDING PERMIT OWNER TELEPHONE S(1,. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDR S 411�1 1e— aro CONTRA TOR"SNAME - Gtil )4_L – TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER noLo. UNKNOWN Total Valuation is Filing,Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Q, Q ARCHITECT OR ENGINEER not, LICENSE NO. Plan Checking Fee .$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 0W, too 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 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00 ea TYPE OF WORK New❑ Addition Remodel❑ Utilities[:] Installation❑ Other Describe work:%/�`T�!t ; �r�Gt� Permit Fee • $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 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 93-1, 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 OR ADDNS. CONST. ACC. BLDGS. DWELLING OccuP.a� yzQsgft NEW CONSTR MULTI -OUTLET 2.50 ea NON•RESID .BRA CH CIRC ITS (POWER APPARATUS e) SINGLE OUTLET CIR. zossos Ex. OCCUp(OUTLETS OR FIXTURES eAL030 FIXED PR Ex. Occup. OUTLETS (RESID )EAJ 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): Q The permit is for $100.00 (valuation) or less. E] 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. Eshall not employ any person in any manner so as to become subject ll 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 FiIirig 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 all liabilities, judgments, costs, and expenses which may in any way accrue against aid CougAy in Co que of the ranting of this permit. X Date Signature of Applicant — Owner Contractor ElAgentwork 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 $ Q� OccUP. CONST.TYPE ISCHOOLIFLOODIPARCELI PD I NO I ISSUE This _permit is hereby issued under sions of the Butte County Code and/or Indicated above for which DIRECT OF PUBLIC By PERMIT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS J Date ny /y� ��'���// / / Receipt No: 1-3 WHITE-D.P.W., YELLOW-ASSEDs011• PINK -INSPECTOR. GOLDENROD-AP►LI CANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541- An 16-538-7541- 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) 2. I (have/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.-1 plan to provide portions of this work, but I have hired the following person. to coordinate, supervise, and provide the major work: Name Addre'ss 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 Signed: Property.Owner J�%L��t/ Social Security Number 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.