HomeMy WebLinkAbout031-254-02731-254-4- X7
WILLIAM A. KEYS
1654 10th St., Oroville
Permi 4314180 (rep F
31-254-*
Perm' 1206-82E (re lace broken elect
Service)
Permit 4k 25-- 2E (a dl afops & misc
wiri .1206-82)SF
031-254-027 PERMIT#95-2082
KEYES, William
1654 10th St.,OOjroville
Reroof/SF`'// ` /5�/y�i
031-254-027 99-0958
KEYES, William
1654 10th Street, Oroville�
Contr: Owner Q
replace siding
B06-2622 l 031-254-027
MISCELLANEOUS Gas Reconnect
GAS LINE REPAI -///� ��
1654 10TH
KEYES, WILLIAM A JR & BAR
Boundary Line Modification
aT
1
5
Permit No: B06-2622
Address: 1654 10TH ST
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Issued: 11/07/2006
OROVILLE
APN: 031-254-027 Permit Subtype: Gas Reconnect
Owner: KEYES, WILLIAM A JR & BARB
Applicant: WATKINS PLUMBING
Description: GAS LINE REPAIR
MUST HE ON JOB SffT E
JOB SHALL BE READY PRIOR TO CALLING FOR
INSPECTION. THE INSPECTION CARD AND
APPROVED PLANS MUST BE AVAILABLE FOR EACH
INSPECTION OR THE INSPECTION WILL NOT BE
MADE AND A RE -INSPECTION FEE MAY BE
ASSESSED.
ALL PLAN REVISIONS MUST BE APPROVE11D BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Roof Nail
129
Shower Pan/Tub Test
408
Fire Sprinkler 702
V OFFICE COPY C
Address
7
C GAS r
c Meter By Da
c ELECTRIC
Meter By Date
I
Electrical Final 803
Mechanical Final
809 rN r.
Plumbing Final
813
Project Final
801
PERMIT'S BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS
COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL M DAYS PRIOR TO EXPIRATION
Inspector Copy
F"
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT S
7 County Center Drive • Oroville, C x'(530) 538-7541
r CORRECTION NOTICE
s: OWNER PERMIT NO.
G
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
F. work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
�G + a I �zU�d� Cav►1��.1-tel
a 111 FA v j -6-y)
Date Inspector
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
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: 1654 10TH ST
APN: 031-254-027
Owner:
KEYES, WILLIAM A JR & BARI
Pennit NO: B06-2622
Issued Date: 11/07/2006 By KCG
Permit type: MISCELLANEOUS
1654 10TH ST
Subtype: Gas Reconnect
OROVILLE, CA 95965
Expiration Date: 11/07/2007
Description: GAS LINE REPAIR
Occupancy: Zoning:
Contractor
Applicant:
Square Footage:
WATKINS PLUMBING
WATKINS PLUMBING
Building Garage Remdl/Addn
50 BUTTE GLEN DRIVE
50 BUTTE GLEN DRIVE
OROVILLE, CA 95966
OROVILLE, CA 95966
Other Porch/Patio Total
(530)534-7773
(530)534-7773
FEE INFORMATION
Gas System (enter outlets) $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B803
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
WATKINS PLUMBING 727962 / / 09/30/2008
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)
o; 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
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.
X 11/07/2006
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's Signature Date
❑ 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
WORKERS' COMPENSATION DECLARATION
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
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
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
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;
❑ 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
EMPLOYERS COMP ADP32330902 07/01/2007
Carrier. Policy Number: Exp. Date:
(This section n not competed if the permit is oror on�llars ($100) or ass.
Contractors License Law.).
❑ I AM EXEMPT under Section B. & P.C. for this reason:
❑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'
X 11/07/2006
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
Owner's Signature Date
X 11/07/2006
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
property owner or am authorized to act on the property owners behalf.
11/07/2006
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
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
❑ Owner ❑ Contractor OR. Agent for Owner Agent for Contractor
INSPECTOR COPY
Lender's Address City State Zip
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: 1654 10TH ST
Owner:
Permit NO: B06-2622
APN: 031-254-027
KEYES, WILLIAM A JR & BARI
Issued Date: 11/07/2006 By KCG
Permit type: MISCELLANEOUS
1654 10TH ST
Subtype: Gas Reconnect
OROVILLE, CA 95965
Expiration Date: 11/07/2007
Description: GAS LINE REPAIR
Occupancy: Zoning:
Contractor
Applicant:
Square Footage:
WATKINS PLUMBING
WATKINS PLUMBING
Building Garage Remdl/Addn
50 BUTTE GLEN DRIVE
50 BUTTE GLEN DRIVE
OROVILLE, CA 95966
OROVILLE, CA 95966
Other Porch/Patio Total
(530)534-7773
(530)534-7773
FEE INFORMATION
Gas System (enter outlets) $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B803
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
WATKINS PLUMBING 727962 / / 09/30/2008 _
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
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
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in fuzaze=2ei�
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
X11/07/2006
the applicant to a civil penalty of not more than five hundred dollars [$500];
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
Contractor's Signature Date/(_Please
% .0 b
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
r�-�r HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
r •�I
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
EMPLOYERS COMP ADP32330'02 07/01/2007
Cartier: PolicyNumber: ExpDate:
.
Contractor's License Law.).
(This section n not competed if the permit is or or on�ree dollars (s100) or Fess.T
❑ I AM EXEMPT under Section B. & P.C. for this reason:
❑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'
X 11/07/2006
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 11/07/2006
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
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
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 and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE
injury, including death, and property damage caused t of, o
arising out of, in any way connected with
HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION,
( )
a
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
t is
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
Coun to enter the above mentioned property for inspection purposes. I hereby certify that I am the
Pro owner or am authorized to act on the property owners behalf.
cff„f,co 6,/gT,etu311/07/2006
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name Of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner RE Contractor OR E]Agent for Owner ❑Agent for Contractor
FILE COPY
Lenders Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buffecounty.net/dds
"PLEASE PRINT CLEARLY"
APICAJYT SIGNATURE
X
For office use only:
OWNER INFORMATION
Last Nameirsnam
_
M il' 1koress
y/
Ci
I Yes
Sta
Zip
Pho
Fax
E-mail
Map Book
APICAJYT SIGNATURE
X
For office use only:
CONTRACTOR
Name <:: /
_
Address O
J�
city
I Yes
stat
I Zip G
Phone
Fax �e1117.
E-mail
Map Book
Lic. #-7—claw
Lot #
APICAJYT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
Property Address 71Ci
Address
Cro treet
City
I Yes
State
Zip
Phone
Type Const.
Fax
E-mail
Map Book
State License Number
APICAJYT SIGNATURE
X
For office use only:
APPLICANT INFORMATION
Name
Property Address 71Ci
Address
Q
Cro treet
Ci
I Yes
St
Zip
Phone
Type Const.
Fax
E-mail
Map Book
APICAJYT SIGNATURE
X
For office use only:
AP#y
Zoning
Property Address 71Ci
Flood Zone
Cro treet
SRA
I Yes
No
Occ.
ff hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the dine of permit Issuance.
Type Const.
Subdivision Name
Address
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
oG)ao22
BIN #
PROJECT LOCATION
AP#y
��
Property Address 71Ci
Receipt #: e03
Cro treet
WORKER'S COMPENSATION
Policy Number
Carrier
ff hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the dine of permit Issuance.
LENDING AGENCY
Name
Address
/� yy Description or Scope of Work:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by:�Ge Amount:
bi�� Bldg
SRA
Receipt #: e03
Sheriff
SMIP
Date: l''b �( Other
i7 Total
031-254-027 �-
KEPES, William 99-0958
I
1654 10th Street, OrOville
Contr: Owner I
replace siding
COUNTY OF BUTTE - DEPARTMEW F DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT o.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
_/ A_
ZONING
BUILDING PERMIT
OWNER
YYTAM
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
`
_ESTt
. OWNERS MAILING ADDRESS V
9 tt
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
1654 I= M ORMILLE
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
USEOF$TRUCTURE
SF BR 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: RLTLACE SIDING
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
4�
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 200, OR 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.
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:
91 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
Main Service 200A TO 1000A 46.00
NEW CONST. DWB1WCi OCCUP. SO
OR ADDNS. ( a,cc. BLDs. 3.5¢FT:
rNION.REW °SID. MULTh0UTLET 97,50
POWER APPA US
a SINGLE OUTLET CIR.
OUTLET BEx. Occu u 0 ® 1.00
Ex. Occu . °� EES,6.°E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION f
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 FEI S
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.)
C 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 comply with those provisions.
�� n
.( j✓ ti��, , „r / r „ ,� ., - Date , 'I?: -: t O I
Signature of Applicant ❑ `Owner ❑ 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 $
DCC
CONST. TYPE
TOTAL FEE $ 45.00,'
HAz
D FEES 'IMP I
FLOOD
CDF
PARCEL
I PD
HD
SSUE
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 77
PERMIT EXPIRES ON Gw �
to
ReceiptNo. C2 /
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r'
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
} 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541�/J M
(Rev. 12/96) % APPLICATION AND PERMIT 7
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. Fr, OCC. BUILDING VALUATION
. OWNERS MAIUNG ADDRESS
1654 10TH ST, DROVIT-TE, CA 95965
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
25.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
1654 10TH ST-, OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
Y
6X
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Tr
7.00
Solar or heat um 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: REPLACE SIDING
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service x�oo� oRR 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 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:
yI, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
,,❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is Issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service To I
46. 00
NEW CONST. OWEWNG OCCUP. SO
DWE200ALLING U so
OR ADDNS. ( & ACC. BLDS. 3.5¢FT.
T.
NON-R61NSD MULTI -OUTLET 97.50
POWER APPARATUS
a SINGLE oLmET cIR
EX. Occu OUTLET OR FIXTURES
.00
sAL O I.50
Ex. Occu . GU Drs�E�ssID,OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
one hundred dollars ($100) or less.)
Iertify that in the performance of the work for which this permit is issued, I shall
notemploy 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 provisio .
`
Date -. O—!
nature ofApplicant - ❑ fOwn r❑ ontractor ❑ Agent OSHA permit is required for excavations over 5'0'deep and demolition or construction
FAn
structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEE$ 45 no
D FEES IMP
I FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby Issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
y ate
EXPIRES ON S
provisions
to do work
paid.
lD
to
Receipt No. &PERMIT
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOOMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12N6) APPLICATION AND PERMIT
AsssssosrJuxe<►urer
D5 /_ —,n, n
(J t q(�
nowa
BUILDING PERMIT
a."t I � � .
� TaLgr"o � � 1 �
SO. FT. OCC. BUILDING VALUATION
,�MY dui J
l D
C HTPACrOR! K%W
TILD-HoNe
OoWMACTOQI VALM ADO C=
00MT*JGTIOM UD08t
u WUM WARM AD0Me
Fireplace
Total Valuation =
ARcwmCr oR IMMM
ucewce "a
Filina Fee S 20.00
JWCWMCT op pgNM'S MOAJM ADOW29
Permit Fee i
Plan Checking Fee $
SULONG A00Npt
Energy Plan Checking Fee t
i
PERMIT FEE _
�orw
susav�ssnrsJwe
►nota MAP
PLUMBING PERMIT Filing Feer 20.00
USEOFSTRUCTURE
SF tr--Duplex O Mobilehome O Other
sPee�
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 O Addition 0 Remodel Unties D Installation O Other (
Describe Work:
Gas piping system t - 5 outlets 15.00
Buildingsewer 15.00
Mobile Home I S I G W 020.00
PERMIT FEE t
ELECTRICAL PERMIT Filing Feel 20.00
Main Service = o". 23.00
Main Service 200A TO 100M 46.00
NEW owatJw ooaJr. 3.50".SCL
0p ACONi. ' a J10C. RJ)J2.
NEW CUM
NOF*Rnto.' MULTF01JnJ:T @7.50
roweq JIiAAMRA
so a 1.00
a �
Ex. Occup. oururr oa SA .w
Ex. Occup. =o'�°r�'. o"r�► 5.00
ounJ:n ew
Temporary Service 23.00
Mobile Home Facilities 20.00
Wsc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 8.50
Ventilation
PERMIT FEt: t
Mobile Home Installation Fee =
Energy Inspection Fee $
occ
co�T' TTM PF
TOTAL FEE $ 7`r -
wiz.
o. n:Es
wr
I a000
eorv�'oesus
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
Receipt No. %
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary Belay
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 Id NO 4
I HAVEN( HAVE NOT 13 signed an application for a building permit for the proposed w jc;
I have contracted with the following person (firm) to provide the proposed construction:-,,
N®E:�. —
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hired the following person to "'rdi n*"a;. te,_.
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:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:
DATE:
Q
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
OWNER BUILDER INFORMATION I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property .
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible parry ofjecord 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:
s,
♦ 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.
♦ 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 eQmpensation contributions:; .
♦ There may be financial risks for you if you do not catty out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ 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 "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" �n 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.
t rely,
s,
Mic el C. Vi ira, C.B.O.
M ger, Building Inspection.
NOTE. This Owner-Builder,lnformatlon is required by Section 19830 of the California Health and Safety Coda
OVER
031-254-027 PERMIT#95-2082
KEYES, William
1654 10th St., Oroville
' Reroof/SF
-wr .. 4�A �. yD.. 1. .('.`-.:. _r.1"-' ., C, �. - i; r� - ./•• "r'•"f..r,i.ti+,..1.., i. .. .k
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN .DIVISION
--Q
7 County Center Drive - Oroville, California 5'5965 -Telephone (916) 38 38-7541-n
�-./ PERMIT NO.
APPLICATION AND PERMIT '?
ASSESSOR PARCEL NUMBER , :
55
ZONING
BUILDING PERMIT '
OWNER
TAM- V
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS - -
16.54 fV
^^
- 300 l O
-.._ ,
CONTRACTORS NAME - _ ^--
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 20,00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
"
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
y'
Penalty $
BUILDING ADDRESS
1654 10TH S7
PERMITFEE $
35e00
ORO'VILM
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO. SUBDIVISIONS NAMEPARCEL
MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF q Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping 15.00
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 IN
Describe Work: FMCOF 5 SQ CUMP
Mobile Home I S I GI W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filino Fee 20.00
Main Service 500V 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.Ex.
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: I
O 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.
0Kas owner of the property, am exclusively contracting with licensed' contractors
to construct the project.
❑ I am exempt under Sec. , Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. .
( d ACC. BLDS. ) 3.50 FT.
NEW CONST. MULTI -OUTLET
NOWRESID. ( BRANCH CIRCUITS ) @7.50
POWER APPARATUS )
8 SINGLE OUTLET CIR.
Occup. ( BAL .50 OUTLET OR FIXTURES ) 20 O 1.00
Ex. Occup. oFIXEDrs A SE . R 5.00
( 1 )
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc . Wiring 23.00
PERMITFEE s
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
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.)
It 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 comply with -those -provisions.
X'1.9 j?,' agq/,a Date �j�i / 'j �S �
Signature of Applicant - ❑� Ow e O Contractor ❑ Agent I
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 $ 35,00
HqZ,'
D. FEES
I
IMP FLOOD
cOF
PARCEL 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.
V •� C� / '�- J�^��
BY, 4 -^ Date cJiff�f
1 �
PERMITEXPIRESON_
!!
Receipt No. �_G .. .' '
'-C-2-4-'
WHITE-D.D.S4D. R PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI
7 County Center Drive - Orovill ", California 95965 - Telephone (916
APPLICATION AND PERMIT
IMRK071
38-754 _ _ PERMIT NO.
ASSESSOR PARCEL NUMBER
03 1 —954-097
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
300.00
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation $
LENDER'S MAIUNG 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 1654 10TH ST
PERMITFEE $
OROVILLE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USE OF STRUCTURE
SF IR Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
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 CY,
Describe Work: REROOF 5 SQ COMP
—
Mobile Home I S I GI W 1
@20.00
PERMITFEE :
Contractor
ELECTRICAL PERMIT Filina Fee 20.00
Main ServiceOOOV 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
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.
❑ 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 ADDNS. ( 8 ACC. BUDS. /
so'
3.50-
.5¢FTNEW
NEWCONST, MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS
97.50
POWER APPARATUS
( S SINGLE OUTLET US
CIR
Ex. Occup. ( OUTLET OR FO(TURES
)
20 0 1.50
SAL 0 .50
Ex. Occup. OUTEitrs (PLN OR
(
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
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.
❑ 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
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.)
19 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.
Date
�g`natuVr. o- ❑ Own ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
D. FEES
IMP
I FLOOD I
CDF
PARCEL I PD HD
ISJ>
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
BOL
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date
(Day t)
Receipt No.
WHITE -1 .-S.LT. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
FM
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 labor and materials for construction of the
( 2�proposed property improvementYE ] NO ].
I HAVE[X] HAVE NOT[ signed an application for a building permit for the
proposed �rokk.
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
SI NED:
PROPERTY OWNER:1',Q)1JbA0,
SOCIAL SECURITY NUMBER:_
DATE:
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.
1
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit: Building permits are not required to be signed by property owners unless they are personally.
performing their own work If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and. Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation 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.
Si carrel r• ` _
Michail C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
SUMMARY SHEET FOR LAND/DIVISIONS
6G
APPLICANT GENE WARREN
ADDRESS 1731 Grand Ave.. Oroville, CA 95965
OWNER Same. et al.
PROJECT DESCRIPTION BOUNDARY LINE MODIFICATION
LOCATION 6 parcels located on the northeast corner of 10th Street -
and Colusa Avenue. Thermalito area.
ASSESSOR'S PARCEL NUMBER(S) 31-254-04. 05. 06, 14. 16 & 20
ZONING A -R GENERAL PLAN Low Density PROJECT CONSISTENT? YES
GENERAL PLAN CONFORMANCE REPORT March 1. 1993
LAND CONSERVATION ACT CONTRACTS? NO
DATE APPLICATION RECEIVED March 30. 1993
AGENT/SURVEYOR/CIVIL ENGINEER Ron Graves & Associates
ADDRESS P.O. Box 986. Oroville. CA 95965
DATE PLANNING DIRECTOR'S REPORT PREPARED
ENVIRONMENTAL
DETERMINATION
AND DATE
CATEGORICAL EXEMPTION - DATE FILED
NEGATIVE DECLARATION - DATE ADOPTED,
MIT.NEG.DECLARATION - DATE ADOPTED.
ENV.IMPACT REPORT - DATE CERTIFIED
STATE CLEARINGHOUSE NO.
DEVELOPMENT REVIEW COMMITTEE HEARING DATE
APPEALED
BOARD ACTI
APPEAL HEARING DATE
COMMENTS FOR PLANNING DIRECTOR'S REPORT
ASSIGNED TO
RECEIPT NUMB
DISK
0
viol
0
r��y.�s��6�'i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone, 91' 6%534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING•
BULLDING' PERMIT
NO.
j /PERMIT
SQ. FT. OCC.'' BUILDING VALUATION
ASSESSOR PARCEL NUMBER
ZONING•
BULLDING' PERMIT
OWNER /�"
YY 'Y
TELEPHONE
SQ. FT. OCC.'' BUILDING VALUATION
OWN 'S -MAILING ADDRESS &
CONTRACTOR'S/NAME
h
TELEPHON
CONTRACTOR'S MAILING ADDJR.EiL 7 '• _ - �•. '
—' `
Fireplace
CONSTRUC-TION LENDER
```,_;
UNKNOWN
Total Valuation $
FilingFee
$ 10.00
LENDER'S"M'AILING ADDRESS -`•.J �. ,�,,;_,,^
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADD R.ES.
Permit fee
$
BUILDING ADDRESS
61
PLUMBING PERMIT
Filing Fee 10.00
y \\\� �`�•� \ \\
�A \`)
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 D1-11,Duplex ❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other
Describe -work:
c !
!jj 1,.pw rtr �f l
r � 1 r 9 q tp 7 4�C(��1ll I C._--
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main 6001 OR LESS
service 100 AMP OR LESS
a
• /
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.pl1
OR ADDNS. ACC. BLDGS.
/ Z�sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business150
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 I_ u L T 2,50 ea
NON.RESID BRA C CIRC ITS
NEW CONSTR (POWER APPARATUS .&
NON -RESID. (SINGLE OUTLET CIR.
@ 2s¢
Ex. Occup OUTLETS OR FIXTURES BALei
Ex. Occup.(FIXEI PR
OUTLETS (RESID )EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee
$ 4 7
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
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X r� :,F.„ .�r� s, a.� .f-1 Date' � *
Signature of Applicant — O�G[/ nContractor ❑ Agenr ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-IRE,"0,
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
I PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
OF PUBLIC
\a
By.
PERMIT EXPIRES Dat`
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Datee�`5 0 -
�//it I
Receipt No.
WHITE -D. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
.-_,,
o[ �S'Z� �r%r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
. APPLICATION AND PERMIT
PERMIT NO.
S
R PARCEL NUMBE
ASSES.� v
ZONING
BUaLDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADD ESS
A
CONTRAC OR'SNAME t kA
t V��
TELEPH�NE
'
CONTRACTOR'S MAILING ADDRESS -
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
�
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESSS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMITn9
Fili Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
q�--{
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[9 Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other 2
Describe work: � 1 0 V) 6W'1 sa K
X�A h f t
�•fff 1�+ IPl N't
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR0v OR SLESS
5.00
Main Service EA. ADD'L 100 AMP
2.50 �y
NEW CONST. DWELLING OCCUP,al
OR ADDNS. ACC. BLOGS.
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions. Code
for this reason
NEW CONSTR(MULTI-OUTLET 2,50 ea
NON-RESID BRANCH CIRC TS
NEW CONST R. ( POWER APPARATUS &)
NON -RESID. SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES a ��
(.FIXED APPLNS, OR
Ex. Occup.UTLETS (RESID.) EA. 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring _,-r50
Permit Fee
$ 71
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.
d*�I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
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
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 County in consequence of the granting of this permit.
Xy Date �i <' .�'
y ' r
Signature of Applicant — Owner Q%Controctor ❑ 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 $
�Butte
TOTAL PERMIT FEE $ ��
OccUP. GROUP
I TYPE OF CONST.
[—IPARCELI
PD
I ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
CT.Q F PUBLIC
�
By, cl
-
PERMIT EXPIRES Dat
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date f � )
,
�i ��
/'\
Receipt No.d,
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
s
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
a - d
01
Inspector
Date ` 'e'
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS/
7 County Center Drive - Oroville.California 95965 - Telephone 916/5 -4541
APPLICATION AND PERMIT ,
PERMIT NO.
SSD- Y7 -
ASSES OFJ PARCEL NUMBE
ZONING
BUILDING PERMIT
OWN R
TELEPHONE
NIR—
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADD ESS
CON R CTOR' NAME �w
TELEP NE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUIL ING AD RESS
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 [9 Duplex❑ Mobilehome❑ Other
SPECI FY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK_Permit
New ❑ Addition emodel ❑ Uti li ies ❑ Installation ❑ Other
Describe work:
I —2 --.,Main
Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
service �oov OR LESS
00 AMP OR LESS
5.00
Main service ADD'L 100 AMP
2;50QSD
(EA.
OR ADDNS.NEW CONST. \ DWEACCLBLDGS.NG CCUP.tl�
20 sq it
CONTRACTORS LICENSE LAW
I declare under penalty ofperjury
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
ense 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
NEWONST-OU L T
2.50 eaO-RESID RHRA H CIRCUITS)N
NEW CONST(POWER APPARATUS &%
NON- R. RESID, SINGLE OUTLET CIR. /
TLE
Ex. Occup OUTS OR FIXTURES a ��
ITLEFXED APPLNS. OR
Ex. Occup.(o UTLETS (RESID,) EA. 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring /_5_50 r0
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIirig 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
Consent to Self -Insure.
1 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.
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 s id County in consequ ce the granting of this permit.
X '� Date X�
Signature of Applicant — Owner Contractor 1:1 Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -„I'
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
4
TOTAL PERMIT FEE $ U
OCCUP. GROUP
I TYPE OF CONST.
JPARCELJ
PD
I HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
F PUBLIC
By
PERMIT EXPIRES Da
the applicable provi-
resolutions to do
fees have been paid.
WORKS
�
Date S
Receipt No. L -6 0 2
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS IAO
NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534 41 /AQ Q�
APPLICATION AND PERMIT U
ASSESSOR PARCEL NUMBER -
,- q
Z NING
BUILDING PERMIT
OWNS
ITELEPPONE
i
SQ. FT. OCC. BUILDING VALUATION
.OWN AILINGADDRESS�M
W r
CON R CTOR'S NAME
TEL PHON
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
.$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
-�USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describ�"ork:
� 'YD � �, @�C Ar—tl1 G c-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.,00
Main service 100 AMP OROV OR LESS00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.y�
OR ADDNS. \ ACC. BLDGS.
20Sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ 1 am licensed. under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
' �'I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEWCONSTR I. u LET
NON. R ESID BRANCH CIRCUITS
2.50 ea
NEW CONSTR. (POWER APPARATUS h
NON-RESID. (SINGLE OUTLET CIR.
EX. QCCUp OUTLETS OR FIXTURES 50 @ 25
100
IxED APPLNS. OR
Ex. OCCup.(OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 7.50
Permit Fee $ 0 7 -
Contractor
MECHANICAL PERMIT
FiIirig 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
`Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
Contractor
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, costs, and expenses which may in any way accrue
against said County in c9nse en of the granting of this permit.
I 4_�''l
X Date �"
Signature of Applicant — O Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-!MBLIC
ion of structures 3 stories in height.b/D
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
ByDate.e5����
PERMIT EXPIRES Dat
the applicable provi-
resolutions to do
fees have. been paid.
WORKS
����
`over
Receipt No. D
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PERMIT NO. 4314-80B
OWNER
PERMIT EXPIRES 818/81
WILLIAM A. KEYES
CONTR. owner
LOCATION (A.P. 31-254-4
1654 10th St, Oroville
Temp. Power Pole
Called PG&E
x
FINALED X
oz" 74-1
(Date)
(Signa
t
aiucco
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Subpanels
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil PI In
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheaths
Water Pi In
Piers
Roofin
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwal I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sically
_hLandlcapped
Conformance of ex.
s
Appliances
Gas Piping & Test
Temp. Gas
Slab
I I
Sanitation
Patio
FfREPLA16E
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Relnf. Steel
Final
Fixtures
t
aiucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
MOBILEHOME UTILITIES
Final
- - - - - - - - - - - - - - - - - - Elec- Service
Final
Elec. Pedestal
Water Piping
MOBILEHOME INSTAL6M1S?N
Sewer
- - - - - - - - - - - - - - Support
Gas Piping
Elec. Continuity
Water Piping
DATE
Drainage
REMARKS OR CORRECTIONS
Gas Piping
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE - DEPAR-ITTTT OF PUBLIC WORKS
7 County Center Drive - Oroviile, California 95965 - Telephone 916/534-4541
APPLICATION -AND PERMIT
PERMI NO
ASS SSOR PARCEL UMB R
2 a -
ZONING
B U I L D I N IEVillikIT
O / I /A Ev
/f�5,
N�%
TELEPHONE
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
I
' oO
LONE
�j
%7aER'S JvI AI AOG��DR ? Of����{rL.�L� / / ✓
CONTRACTOR'S NAME Q
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $
r
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 00
BUILDINGREFS/Orj'� JJ
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
PeV16Z
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
��
SF L`7 Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New Addition❑ Remodel El Utiliti�js,.,❑�nstallation❑ Other
Describe work: �_F—(/a� /�"� •
630AW PO.T/%Qt,)
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP ORLESS5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELING LOCCUP,(>r\
OR ADDNS. ACCBLDG
/ 20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p y (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR LTI.OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
NEW CONSTR. POWER APPARATUS &
NON-RESID, (SINGLE OUTLET CIR,
Ex. Occup(OUTLETS OR FIXTURES 50@Mr
BAL@IOS
FIXED APP LNS. OR
Ex. Occup.(OUTLETS (RESID.) EA.)
2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
l� 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
2.00
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
againkt said County in consequence of the granting of this permit.
X/� pc+�n a 1� ����
VtJ Date
Signature: of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee
$
TOTAL PERMIT FEE $ OCA
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
HD
55uE
This permit is hereby issued under
si of the Butte County Code and/or
rk indicated above for which
D PECTOR OF PUBLIC
1
M
PERMIT EXPIRES Date.
the applicable provi-
resolutions to do
fees have been paid.
WORKS
p�
9- Date IT, 1(,?- O L/
Receipt No.V
WHITE-D.P.W., YELLOW-ASSE5SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT