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HomeMy WebLinkAbout031-260-0315 I TTON 31 -*26-31 \` E.. I 1565 10TH. ST, OROV I LLE FERMI #�99-%6PNEWER PIPE CHANGE S Fi 031-260-031 PERMIT#98-0858 SITTON, Jerry 1564 10th St., Oroville Cont: Able Plumbing Replace Gas Line/SF ��-�- 031- 60-031 01-1464 SITTO 1 1565 10TH ST. OR E CONT: OWNER RE ROOF r, �' � �, 1 I % _ i ^,�,,i� '031-260-031 SITTON, JERRY 1565 10 TH ST. CONT: OWNER RE ROOF OROVILLE 51 01-1464 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530)538-75 NO. (Rev. 12/96) APPLICATION AND PERMIT' � ERI 9 �- ASSES t,RC � ZONING BUILDING PERMIT OWNERj=,y �i TELEPHONE �2J�LtDllS �V SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS BOX 02 020M )l; 95%5 Ro sm an CONTRACTORS I",F TELEPHONE ^' Oi�J iV.Kib'1 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENriINEEA LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 27.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ,J 150310 9 OROVEME Energy Plan Checking Fee $ $ PERMIT FEE $ 47.00 LOT NO. SUBDI'VISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF q� Duplex ❑ Mobilehome ❑ Other Water piping 15.00 SPECIFY Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 1 Building sewer 15.00 Mobile Home ISI GI W1 1 1@20.00 Describe Work: Rf7Y3X" Un ac FvRliNC� PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 V LESS Main Service . OOR R LESS 23.00 Mein Service To +000A 46.00 LICENSED CONTRACTOR'S DECLARATION NEW CONST. DEWNO OCCUP. WE SO I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter OR ADDNS. ( a Acc. BLDs. 3.50 FT. 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, NON-REOSID. MULTI OUTLET 1@7,50 and my license is in full force and effect POWER APPARATUS License Class Lic. No. a sINGLE oLm Er cIR. OWNER -BUILDER DECLARATION EX. OCCU OUTLET OR FIXTURES 134L.®'.50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License PP Ex. Occup. oUTLETSFDIEDA� .) E 5.00 Lawfor the following reason: Temporary Service 23.00 6% owner of the property, or my employees with wages as their sole compensation, Mobile Home Facilities 20.00 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 Misc. Wiring 23.00 to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this PERMIT FEE $ reason WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Fling Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers' —Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. Hood 6.50 ❑ I have and will maintain workers' compensation Insurance, as required by Section Ventilation 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 PERMIT FEt $ Policy Number Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee $ hundred dollars ($100) or less:) OCC CONST. TYPE 47.60 —If•one certify that In the performance of the work for which this permit Is issued, I shall TOTAL FEE $ 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 IMP FLOODCDF �. .... PARCEL PO HD ISSU .. .a - workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. This permit is hereby issued under the applicable provisions X Date of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Signet of Applicant - XIOwner 'Contractor ❑ Agent �n.OSHA permit is required for excavations over 60" deep and demolition or construction & `'-' of structures over 3 stories in height. By Date, Receipt No. �° PERMIT EXPIRES oN g l 612, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t para iCOUNTX OF BUTTE - DEP&RTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1. 7 County Center Drive o. Oroville„California 95965 o Telephone (530) 538-75 �,�SEpRo. (Rev. 12/96) YPPUCATOOMPNDP2WMT1 If Assess P L�1 31 zO AR BUILDING PERMIT owNEJERRY SITTON TELEPHONE 533-2873 SO. FT. OCC. BUILDING VALUATION . OWNERS LING ADDRESS POMAIBOX 492 OROVILLE 95965 CONT 500. 00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filina Fee $ 20.00 Permit Fee $ 27.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1565 10TH ST OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S 47.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF U� Duplex ❑ Mobllehome ❑ Other aPECIFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 7 Describe Work: _g()(YF t T N n� 77n/�7� SHEATTG piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 1100V LESS Main Service 2o.00R R 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. License Class Lic. No. OWNER -BUILDER DECLARATIOFd I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f9jAKe 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. ❑ 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 Policy Number (The above sections need not be completed If the permit Is for work of a valuation ,wrone hundred dollars ($100) or less.) IA/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' compense provisions of section 3700 of the Labor Code, I shall forthwith comply o rovisions. - Date_ ^� r ure of App ica t - Owner Contractor ❑ Agent iSHA permit is required for excavations over 60” deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWEwNG OCCUP. OR ADDNS. 8 ACC. BLDS. SO 3.5¢FT. NEW GONUT. NON-RESID. MULTI.O RANCH RCUIT TS 97.50 POWER APPARATUS & SINGLE OUTLET CIR. 20 EX. OCCU . OUTLET OR FIXTURES X ®ISO Ex. Occup.,OUTLETSa D°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 47.00 HAz. D. FEES IMP FLOOD CDF PARCEL ,_ PD HD ISSUoo This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions Indicated above for which fees have been ByAZ" Date PERMIT EXPIRE ON b provisions to do work paid. 4/4/P 6 Z to Receipt No. 325126/$47.00 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 MI o. (Rev. 12/96) APPLICATION AND PERMIT ©1 ' ASSESSOR PARCEL NUMBER 201iNG 12, BUILDING PERMIT OWNER Ir TELEPHONE err S ^� t DA/ $ 3 ;2, S,7-7TA OCC. UILDING VALUATION OWD¢Jib MAILING D y� q 9 -2— ro v'. \-e 95_ d S 6 0 - O o COMRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fire lace ARCHITECT OR ENWNEEA LICENSE NO. Total Valuation S /1/00 Filinga Fee 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit Fee b 7 �o euaDWo AooREss Plan Checkin Fee S Energy Plan Checking Fee E C),- $ lDi NO. SUBDA/IB IDN'S� PARCEL MAP PERMIT FEE s n ->v PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Trap 7.00 EaMheaftoruh Solum water heater 23.00 SF fid Duplex ❑ Mobilehome ❑ Other Wapiping 15.00 BPeclry TYPE OF WORK Eacr heater or vent 15.00 /Gatem ❑ Addition ❑ Remodel ❑ Ulililies ❑ Installation ❑ Other e 1 - 5 outlets 15.00New Bui15.00Describe Work: ei0o �J� �0-1-►1,o MoS G W Q20.00 T PERMIT FEE s ELECTRICAL PERMIT Filing Fee 2070 ---•----- - Main Service o00OR LESS sow oR LEss 23.00 Main Service 200A NEW CONSTDWELLOR ADDNS. i AC3.5¢,NON•RESID 410:00�A48.00 MULTsn Q7.50 POWER SWQLEEX. OCCU OUTLET sO O I.00 flAL .70 Ex. Occup. Ops a,o 5.00 I Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ *PERMIT FEE PAID l r 0-0 MECHANICAL PERMIT Fling Fee 20.00 Heating SRA ' ' Cooling SHERIFF Hood OTHER � � L6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee S Energy Inspection Fee S I OCC CO NST. TYPE TOTAL FEE S - • 0-0 /` --/7 AMOVNT RECEIVED $ LC ( ! �� �• D. FEES IMP FL000 CDF PMCEL FID I PD ISSUE This permit is hereby Issued under the applicable provisions i of the Butte County Code and/or Resolutions to do work . �a � � � �' *RECEIPT NUMBER Indicated above for which fees have been paid. * TO BE PVT INTO COMPUTER By Date PERMIT EXPIRES ON (Date) Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and. return this information at your earliest opportunity .to avoid unnecessary delay in processing and issuing your building permit. No building permit will'. be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed propertyimprovement : YES O[ ]. 2. I HAVE[ j HAVE N VE NOT[ - ] si an application for a mg 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 followin&4eisons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCUL SECURITY`KUA BER: 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. 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 t 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 '(mclnding 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 yolk 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. j. 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 Sincerely, �lichael 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. NJ— 100; 2.27 031-260-031 SITTON, JERRY 1565 10TH STREET OROVILLE, CA�_�� OFFICE COPY Address GAS �, G Meter By ELECTRIC�- Meter By _ — Date- . .. ..ti .---•.a +u .. -,�, --r" r—`---•• � , �. i `.'.'1.. � —..-. NJ�_�.. _.. ^.t.. r v r ..ai T �. .J.. 1. ..r, ... .. �.c.. .- -. .—. � .. _ ... .. -h:.'v COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Calif3rnia 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12'/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 031-260-031 ZONINGAR BUILDING PERMIT - OWNER (��® JE1ZR7 SrM TELEPHONE q 533-6803 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1565 10th st OROV LSE CA 95%5 CONTRACTOR'S NAME ABLE PLUMUG TELEPHONE 899 9 CONTRACTORS MAILING ADDRESS BOX 7907 CICO 95927 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1565 10th SLEnergy Plan Checking Fee $ $ OROV A 95963 PERMIT FEE S LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK I New. ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE GAS L NES - I Gas piping system 1 - 5 outlets 15. 00 —Building sewer 15.00 Mobile Home S G w @20.00 PERMIT FEE $ 35X3 ELECTRICAL PERMIT Fling Fee 20.00 - Main Service "OOV OR LESS 2o0A 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. // License Class es- �' Lic. No. �] �� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR OR ADONS. ( & ACC. BUDS. so 3.50FT. NEW CONS . MULTI -OUTLET NON-RESID. IT @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. TLET SR OUTLET OR Ex. Occup.BAS o .so Ex. Occup. ..11E A' (RR. o.oea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:' ❑ 1 have and'' -will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling - Hood 6.50 Ventilation PERMIT FEE $ 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.) GGl 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 (orthwlith comply ,with those provisions. /,,*� X / s =;1 _-� Date /� )`� 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 $ occ CONST. TYPE TOTAL FEE $ 350tdti HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISS 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 V P;�� -- PERMIT EXPIRES ON. f/ bete ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1` E COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES -- 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE r � OWNER PERMIT NO. A routine inspection indicat that the following violations of Butte County Ordinances exist at the above address a ould be corrected. Please notify this office when correction of work is completed. If ave any questions pertaining to this matter, or need additional explanation, please cont this office immediately. f Date �'� `L In REV 10/92 .c Date �'� `L In REV 10/92 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISION 7 County Center Drive - Oroville, CalifahiA'95965 - Telephone (916) 53 - 54� C' _P� 0. (Rev. 12'/96) APPLICATION AND PERMIT d 5' ASSESSOR PARCEL NUMBER 031-260-031 AR ZONING ILDING PERMIT OWNER JERRY SITTON TELEPHONE 533-2873 SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1565 10th st OROVILLE CA 95965 CONTRACTOR'S NAME ABLE PLUMBING TELEPHONE 899-9009 CONTRACTORS MAILING ADDRESS BOX 7907 CHICO 95927 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO.—Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1565 10th ST. Energy Plan Checking Fee $ OROVILT.F.' CA 959 5 $ PERMIT FEE $ LOT NO. - S UBONISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heatpump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.001 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE GAS LINES Gas piping system 1 - 5 outlets 15.00 19,00 Building sewer 15.00 Mobile Home IS I GI WF__ 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service "'.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.POWER License Class (i�� Lic. No. 62 1 % 410 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To ,DODA 46.00 NEW CONST. ( DWELLING OCCUR OR ADDNS. a ACC. BUDS. SO 3.50FT. NS MULTI-Ol C TLE UT rN-q. @7.5Q APPARATUS 8 SINGLE OUTLET CRUS EX. Occup. OUTLET OR FDCTURES .00 BAL 20 @ I.S0 Ex. Occu . OUTE. RE IS p.OERA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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 ' cKly cation provisions of section 3700 of the Labor Code, I shall c,with those provisions. X Date Signpplicant - ❑ Owner Xcontractor ❑ Agen aA An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL PO HD I IS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By �-`5-��Aiq PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. D to to Receipt No. WHITE-D.D.S.-B. . CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT :Y ` PERMIT NO. 99-76P PERMIT EXPIRES //V -79 OWNER E.W. S I TTON ,CONTR. OWNER 'LOCATION (A.P. � 1 —076-31 ) 1K6,� 10TH. ST.� OROVILLE Temp. P wer Pole Cal ed PG&E Temp Elea Serv. ailed PG&E Te p. Gas Serv. Called PG&E JOB � / FINALED � �j (Date) A (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footinas Footing ELECTRICAL Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS �1 (NOTE: An entry must be made on this form each time you visit the job site.) THERMALITO IRRIGATION DISTRICT d, 410 GRAND AVENUE a OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date: /17 6, Address: Acct. No: l -2t -i' A.P. No., -S / o 0 -x'6, -3i a Phone: -Z - -2,q No. Units: / Applicant/Agent: 4;1.1 tl Agents Proof: IL,/A Address: Fees: Phone: Application $ Arrearage Preliminary Review By:-'� "' !P Date: 4=.%7� CSA 26 Remarks: SC -0 R 1st mo. S.C. Other I Total Fees Collected By: 42 Date: Field Review By: Date: l% i Remarks: i MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: QDate 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 TIDJ. Owner Mai I i ng Address Contractor Mai I i ng Address Building Address A. P. No. F W. S ni EQA Parking Plans BId9. an'P1� 2'd NEW I-1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, — O►oville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT t r Telephone No. CJ 4 Telephone No. '-31 1 Zoning & Planning ation Fire Dept. Fire Zone Use Permit Parcel Parcel Ma 60' R/W Im rovements Declaration P P Parcel Approval Plans Approval ADDITION ❑ UTILITIES ❑. OTHER Single Family Duplex ❑ Mobil Home ❑ Others ❑ 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: License No. Classification I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability 4 9orkmen's rkmen's Compensation. have placed on file with the County of Butte a certificate of Compensation Insurance. I certify that in the performance of the work for which this PJ 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. 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. f X ✓ v- Date �— 6 nature of Permitee C % Receipt No. (/ / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BUILDING SQ. FT. OCC. BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel 02 or less) (more than I: Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wirinq @ $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE Permit Fee $ MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Coo I i Venti Iation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE 1$ eka 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. DIRECZGR OF PU IC WORKS By Date "-7 El FRpermit expires Date