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HomeMy WebLinkAbout031-260-032T _ T -777-;: 6' -- — - 31-26-32 'Jr , Edward o3188_7��' VIINFRED BRADFORD 1553 10th. St., Orovill- Permit ##1250-76P (bldg.sew Inst) SF - 1553 - 10 St., Oroville -26-32 CONTR: Valley Termite & Pest Control,Yuba (termite repair) / -- Permit ##7009-78B (reroof) SF 031-26-0-032 93-3306 B,P HAGLER, THOMAS 1553 10TH ST, OROVILLE ��i j ��' �s✓ J Crn P r SINK, WOODSTOVE, SIDING, REROOF/SF 031-260-032 PERMIT#94-3041 HAGLER, THOMAS,��,_,�1 1553 10TH ST., OROVILLE / IST RENEWAL BP#93-3306 031-260-032 04-0361 PERMIT RENEWAL HAGLER, THOMAS DATE: "4 - zi -0 s PERMIT RENEWAL 1553 10TH ST, OROVILLE BN# t 5�=0 34� CONT: OWNER EXilRES: e DATE:-Z--LV-d (o ADD & REMODEL/SF EXPIRES:L /5/-07 6' -ate ;-�-- �:: BALANCE OF FEES SHEET DATE: I. u o " PERMIT #: ASSESSOR PARCEL OWNER'S NAME: q0CAGvv FEES (Amount and Purpose): BALANCE OF FEES: $ ADDITIONAL FEES: $ REVISED PLAN CHECK: $ SHERIFF FEE (commercial only): $ SRA: $ COPY FEES ($1 or more) $ DRAINAGE $ BASIN BC RESIDENTIAL IMPACT County Wide Chico Urban EI Medio North Chico Specific _ $ WATER TENDER FEES $ BATTALION # FEMA $ SMIP $ OTHE $ C _U_ RECEIPT NUMBER(S) �� BALANCE OF FEES SB= DATE: PERMIT: ASSESSOR PARCEL #: OWNER'S NAME: FEES: (Amount and Purpose): BALANCE OF FEES: $ ADDITIONAL FEES: $ REVISED PLAN CHECK: $ SHERIFF FEE: $ SRA $ COPIES $ URBAN AREA FEES $ CSA 87 (North Chico Spec.) $ WATER TENDER FEE $ BATTALION # DRAINAGE FEE $ THERM q 0 OTHER $ VALUATION - IF BALANCE OF FEES OR ADDITIONAL FEES: TOTAL VALUATION: ADDITIONAL VAL: (Check one) (Check one) RECEIPT NUMBERS: COUNTY CITY OF BIGGS RESIDENTIAL COMMERCIAL q 3/ nqo COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) 1 APPLICATION AND PERMIT ,n'4-' d34. 1 ASSESSOR PARCZT_1 BI ZONI BUILDING PERMIT OWNS ` T , 5"J SQ. FT. OCC." BUILDING VALUATION .OWN 5 NG ADDTt In `/ Y I � ��� (_V CONTRACTQR'S NgME _ / TELEPHONE 1 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS "UNG 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 f r !]_ vt/h✓1✓) Energy Plan Checking Fee $ -� $ PERMIT FEE $Q P21 V:2 LOT No. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE ,`+ SF�Q Duplex ❑ Mobilehome ❑ Other ` sPEczv Each Trap 7.00 Solar or heat um water heater 23.00 Water piping15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition V Remodel )IUtilities ❑,/Installation ❑ Other ❑ Describe Work: �/ \ Gas piping system 1 - 5 outlets 15.00 i Buildingsewer 15.00 .i Mobile Home S G W 920.00 PERMIT FEE t lbg ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�oa oa 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 LaVor 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. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00NEW CONST. DWELLING OCCUP. OR ADONS. ,�. gLpS. SO ' 3.5QFT: NEW rUMT. NON-RESID. MULTI -OUTLET RANCH CIRCUITS @7,50 POWER APPARATUS d SINGLE OUTLET CIR. EX' Oxu • OST OR FIXIIXIAES BA20 @ I:800 Ex. Occu . oTSA o. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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 permitis 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 E/ of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, Ishall fortyith comply with those provisions. `of X Date - 0 Signature of Apolicant - ❑ Gfvner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in Met. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ Es I>Pet 1,Ff7M This permit is hereby issued under the applicable the Butte County Code and/or Resolutions indic bove or which fees have been By D PERMIT EES ON provisions to do work paid. / `' �F : 0 to l0 65 to Receipt No. WHITE-D.D.S.-B.D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT / �CbUNTY OF BUTTE - DEPARTMENT OF DEVELOPME S - BUILDING DIVISION 7 County Center Drive Oroville, California 959 a hone (530) 538-7541 G. (Rev. 12/96) APPLICATION AND ►M,14l • SESSORPARCEL NUMBEAD�1, Q ZONING BUILDING PERMIT OWNER , / T S SO. FT. OCC. BUILDING VALUATION ` " N MG AD KESSCA ` _ r) + GY 5`�(Q5 , ONTRACTOR5 NAME TELEPHONE b MAILING ADDRESS JN LENDER kNDEWS /NG / Fire lace ADDRESS Total Valuation $ ARCHRECT OR ENGINEER LICENSE NO. Filing Fee S 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee S BUILDING ADDRESS /\ ) Energy Plan Checking Fee $ ' PERMIT FEE $ LOT NO. SUBDN610NSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tr 7.00 — USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF* Duplex ❑ Mobilehome ❑ Other Water piping 15.00 — sPEc�r Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addittarp�p R1emod� UGrlties ❑ Installation ❑ Other ❑ Building sewer 15.00 4 Is 11lle Home S G W @20.00 DAclde ribWork: l��i PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 l� V Main Service .onoa LESS 23.00 Main Service 200A TO 1000A 46.00 J Ql:n 1N A Hp� t_ -rp �'(�� I L LTJ • NEW CONST.Dwe LINO OCCUP. SO OR ADONIS. 8 ACC. BIDS. 3.5¢FT.NEW lJ�� PERMIT FEE PAID $ �J\ NON -RESTS MULTI.OUTLET 9O 7.50 � �WIJS 8 SBJGLE OUTLET CIR OUTLET OR FIXTURES 20 @ t.00 EX. OCCU eAL .SO Ex. Occu au�L A PLN1,16 ORp 5.00 SRA$ Temporary Service 23.00 Mobile Home Facilities 20.00 M6sc. Wiring 23.00 SHERIFF $ PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 OTHER $ Heating Cooling Hood 6.50 $ Ventilation PERMIT FEt S Mobile Home Installation Fee $ $ Energy Inspection Fee $ CCT: CONST. TYPE TOTAL FEE $ `J HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE AMOUNT RECEIVED $ � This permit is hereby issued under the applicable provisions l of the Butte County Code and/or Resolutions to do work iJ� (� indicated above for which fees have been paid. DATE RECEIVED l�. 7?5 By Date RECEIPT # ` PERMIT EXPIRES ON to COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: T/�o c. -0,s �.�� G �o rG, w (-491-r ASSESSOR PARCEL NUMBER 03 t - 2 6 0 3 Z Proposed Building Use:�,r ;,cJjnca.Counter Technician: Date: I _ _ gpired in order to apply for a permit. All boxesrMUST be checked OR marked NA in order to apply. Site plans 3, r 4 sets, signed by the preparer of the plans. Complete tans 3 or 4 sets, signed b the preparer of the plans. P p � 9 Y P P 14`W�3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Letter from Engineer or Architect for truss-d'gslgn review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fid plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form �pc 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable- 16. Other -b Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑.. 17. Fire Sprinklers............................................................................................ ff 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ..................... ........ ❑ 20. Erosion Control Plan Required.......................................................�... �..{ ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet.......... ..V..! -:w. ❑ 22. City of Chico Plumbing permit........................................................................ V23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) UseQ_K(B)Parking: (C) Parcel Check: -- .❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ,fT 31. Owner -Builder Verification Given to owner, _Mailed to owner) ..................... -� 32. Letter of Signature authorization ................................... ............................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement... .............................. ❑ 34. Manufactured home utility clearance...................................................... t........ ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant D ed, - ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ElCheck to H.C.t 38. Other: 6xy MAK, ❑ 39. Other: When issued Telephone and hold for pickup I have been informed of the above items and requirements for obtaining a din permit: ,,, P S Applicant: JG_ s�.%~- ` - ate: 1. Index permit application•for the above,i%ms numbered: ' Plan Check 2. Additional items requited Contractor, designer, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer�n was advised of the above data by C-p<n_e, ❑ mail, ❑ counter, Dater Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Dat Yellow: Building Division rte: �s P16AZ PLAN REVISION Owner's Name: AP#: G J l aCe6 - 6� - T " BP#: Received By: Date: 4- l'6� dz4 Time: Contact Person & Phone Number: PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑ *Engineering ❑ *Plan Revision ❑ *Requested by Building Inspector's Correction Notice — Inspector's Name: Requested by Plan's Examiner — Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: Call GY d ho or pic -up. ��!? ❑ Deliver with next inspection. Minimum revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: ❑ Minimum $54.99 Receipt #: ❑ Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt # Revised 2/04 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER A.P. # 6,51 PROPROSED BUIL USE1&±*­J 251n � DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ ln 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available aAernCheck 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ _ Units Commercial (sq. ftg.)..... X $0.03 Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone A X = $ Zone #Units mt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7AUNTY CENTER DRIVES OROVILLE, CA 95965 TELEPHONE (530)538-7541 Y O e 46 SCHEDULE OF RECEIPT OF FEES OWNER A.P. # PROPROSED BUIL USE J DATE O RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ //2. - Revised Plan Checking Fee.... $ SCHOOL DISTRICT FEES Ud (paid at School District Office) (form available a er1 *Chfieck) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ,ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)...,.. X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ ' Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7: SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X Sq. Ftg. Amt. 10. OTHER W At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 Ka SCHEDULE OF RECEIPT OF FEES r f' OWNER V,��I.X.,�'�—�--'' A.P. # �-�-' PROPROSED BUILDING USE +\) 5n`;P5 DATE `� 6 RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ /7 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check)' 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..:.. X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) O.B.- r 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 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 ajor labor and materials for construction of the proposed property im °vement : YES C� NO 13 I HAVE [3 HAVE NOT ❑ signed an application for a building permit for the proposed work- NAvME nt�ted with the following person (firm) to provide the proposed construction: 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: may: 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: j PROPERTYO --------------- DATE: �I NOTE: This Owner -Builder Veri(w" wion 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 I OWNER BUILDER INFO]LtMATION I Dear Property Owner. An application for a building permit has been submitted m 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. Budding 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 Cmchrding 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. 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. ♦ There may be financial risks for you if you do not cant' 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 Lave, 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 contractors may be obtained by contracting the Contractors State License Board in your commim ty or at 1020 N Street, Sacramento, CA. 95814. Please complete time "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 -! I Mir 1 C. Vi ira, C.B.O. er, Building Inspection NOTE: This Owner -Builder biformadon is required by Section 19830 of the California Health and Safety Code- OVER ode OVER BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District . ®r2d!!5V I t_ h_ £ 4. r'+ eullding Department No. 75p 0+05& 1 A.P. Number Jurisdiction: City County Property Owner G L. E- $2, Property Locatlon/Addross Subdivision Lot No. a Residential Development Q No of Living Mobile Home Units Installation Commercial/Industrial 0 New Addition Representative ...... _.._ .._ _ l Sq. Footage Addition/ *Supplemental to (Group R) j Conversion Permit # _......_ . `(No foundation InsPec?Iw►) I Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification' No.h -V ' — b Vrn 1:�chool District certifies that 5S (city) -tf, has complied with the requirements of Resolution No. representing U/ �0 square feet. . .�J u -?i School District Representative Paid by Check # Remarks: Sq. Footage (Including Exterior Roofed Areas) I o 4 - Date (Applicant) (Phone Number) (State) (zip Code) ��� `'O by payment of $ L/ JAB 2926 FULL Mma $ &&6 dam• � `�"• d �' Date Node : You may prvbst the Imposition of the has IdantlHad above by submittlnp a written poles t to tha District, In eompllsoce wlth Govsnrnwa Code secdon 66020(a), wldkh 60 days from the dab hes are paid. Fafte to submit a timely written protest wMl'prohlblt you from c ellerrSlrrg the Impoatilon of the hes In any court salon If, subsequent to the School Distrld Rap voentatlw sgnhV this Butte County Schools hnpaet Fee Certification Form, the School District Is r Will by the appkable Local Planning Agency #W this pn4ed Is being rwMwed under tie CalMomh EmrNvnnwnfal Qu@ My Ad (CEQ4 this pro)eet may be subjed to addkkmW school hes to fully nrklpate Ms bnpaet on tie school dlsbUft schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/03)dmm 031-260-032 PERMIT#94-3041 HAGLER, THOMAS 1553 10TH ST., OROVILLE IST RENEWAL BP#93-3306 q's_��©� c COUNTY OF BUTTE - DEPARTMENT OF DEVEyI QPMENT SERVICES - BUIL:5388A NG DIVI ON 7 County Center Drive - Oroville, California '95995 - Telephone (916) 1 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER1 031-26-0-032 ZONING AR ' ! BUILDING PERMIT OWNER THOMAS PAGUR TELEPHONE SQ, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1553 10th Street, Oroville } CONTRACTOR'S NAME - Nner TELEPHONE..- V CONTRACTOR'S MAILING ADDRESS, • Fireplace CONSTRUCTION LENDER `. UNKNOWN Total Valuation $ - LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee A $ ARCHITECT OR ENGINEERLICENSE NO'. Plan Checking Fee- $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS- 1553 loth Street Oroville PERMIT FEE $ Woo PLUMBING`.PERMIT Filing Fee 20.00 Each Trap 7.00 91..; -. ., . .�.:.. • _'` , K'r=" t Solar or'heat)puriip water kleater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFXI. Duplex ❑ Mobilehome ❑ Other reroof, siding, remodel SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ .Addition ❑ Remodel ❑ Utilities P Installation ❑ Other N Describe Work: tat: renewnli93-3306 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 OR LE Main Service ( "Ov SS 00A OR LESS I 23.00 Main -Service ( '200ATO1000A ) •. 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( h ACC. OLDS. I SO - 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (checkT one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business' and Professions Code and my license is in full force and effect. License No. Classification �O I, as the owner, or my empl y es with wgyes a�their sole compensation, will do the work, and the structure s of it, "nde8 or o `f�ered for sale. (Sec 7044) ❑ 1, as the owner, am exclusivel Ing with li ensed contractors. (Sec 7044) ❑ I am exempt under Sec. usiness and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS 1 ' @7.50 ( POWER APPARATUS 1 a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) B2@ ).00 AL. Q50 FIXED APPLNS. OR Ex. Occup. O ( . ) UTLETS IRESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23 00 �f WORKER'S COMf\ENS TION 1 NCE declare under penalty of parjuN,c ) a ^' r --- ❑ This permit is for $100.00 (valu t a or I s ❑'l'have placed- fi ith the Co my of tt pt. \f Development Services, Building Division C i ate\o Workmen, mpensation Insurance or a Certificate of Consen to S - sr . If❑ I shall notemploy anyp rson in nerso to become subject to the Worker's Compensation laws of alifornia. `` Notice to Applicant: If after making this s teme t, hould you become subject to the Worker's Compensation provisions of the Labora 1you must forthwith comply with such provisions or this permit will be revoked. VV PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state that the above information is.correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in anyway accrue against said County in consequence p4he granting of this permit. X/ r Date Signature of Applicant - Winer ❑ 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 $ F1"00 HAz. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions PP of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY4",L Ir Date PERMIT�5�95 EXPIRES ON (Date) Receipt No. p7 WHITE-D.D.S.-B.D. CANARY- SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS 7 County Center Drive - Orovillq, CaKrornia 95''965 - Telephone (916) 538-49PERMIT NO. APPLICATION AND PERMIT 41 ASSESSORPARCE NUMBER 031-26—.0-032 2O BUILDING PERMIT OWNER SROMAS HAGLER TELM' 5435 SQ. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1553 10th Street, Oroville CONTRACTOR'S NAME Owner TELEPHONE , CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee 3 ori final $ 36.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1553 10th Street Oroville PERMIT FEE $ 56.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFU Duplex ❑ Mobilehome ❑ Other reroof, , siding, remodel SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities C)Installation IDOther EX Describe Work: 1st renewal/93-3306 PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( IV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A To 10GOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( & ACC. OLDS. ) 3.50 SFT.O, CONTRACTORS LICENSE LAW I declare under penalty of perjury heck one)(7, ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ,POWER ( POWER APPARATUS ) OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL 60 Ex. Occup.OF ED APPLNS.OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ,hMORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (rbaaLDne): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X ate Signature of Applicant - ®-Mner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height.Rece Mobile Home Installation Fee $ Energy Inspection Fee $ OC c CONST. TYPE TOTAL FEE $ 56.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated pbove for which fees have been paid. - BYOL Date JI PERMIT EXPIRES ON 0�5�95 (Date) HITT-D.D.SY19 WHITE•D.D.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of 5tvelo vient Services uilding Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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 delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) _ C. 2. I (havelhave not) {o Vc- signed an application for a buiiding permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: , Property Owner Social Security Number Date ov. l rl`?9Y NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. n.5/- ?G-�- 03.2 031-26-0-032 93-3306 B,P HAGLER, THOMAS 1553 10TH. -ST, OROVILLE SINK, WOODSTOVE, SIDING, REROOF/SF go5-�v Ute - r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (9.16) 538-7541 PERMIT NO. APPLICATION AND.PERMIT ASSESSOR PARCEL NUMBER ZONING031-260"032 A—R" BUILDING PERMIT r OWNER THOMAS. HAGLEER r x:34 435 SO. FT. OCC. BUILDING VALUATION S() CAMP I.OPO�00 OWNER'S MAILING ADDRESS 1553 LOTH ST OROVILL,E 95965 F CONTRACTOR'S NAME O1MR TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace itAt? CONSTRUCTION LENDERi UNKNOWN Total Valuation $ "JC7�pO �/� °VV F Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER uCENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4'� QT PERMIT FEE $ --wi PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 LOO Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK v New ❑ Addition ❑ Remodel ❑ Utilities O Installation ❑ Other O �T� Describe Work: RERGOF �IIT� CO NP;AP NEW SIDING PERMIT FEE $ 97.no Contractor ELECTRICAL PERMIT Filing Fee 20.00 AND WOt3MOVE -AND N54 KI�C M SINK Main Service(AORLESSOR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 ' NEW CONST. DWELLING OCCUP. OR ADDNS. (. & ACC. BLDS. ) 3.5C SO.FT. •"� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 0,I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Coda forthis reason NEW CONST.' MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS -) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES P• ( ) 20 @ 1.00 BAL. @ .So Ex. Occup.FIX ED APPLNS. OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23,00 Mobile Home Facilities 20,00 Misc. Wiring 23,00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. Cl I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. j �Ishallnot employ any person inany mannersoastobecome subject tothe Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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. X Q (,,,-I A� Date �.__ r. � I/ Signe of Applicant-)kOwner�ractor ❑ Agent r '' /, An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. g Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 119°OO HAZ. I D. FEES I IMP I FIOOD CDF PARCEL PD HD ISSU This permit is hereby Issued under the applicable provisions P Y � PP of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. /' DIRECTOR OF PUB�L' I`C. WORKS BY .�4� .l 1 ,6 , Date /_ PERMITEXPIRESON /0/,S %/ J (Date) Receipt No. 148975 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 (916) 538-7541 ERMIT NO. APPLICATIOt4 AND PERMIT �-� 30t, 'ASSESSOR PARCEL NUMBER 031-260-032 - 2ON1 _o:—R BUILDING PERMIT OWNER THOMAS HAGLER MTNS435 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIDNG ADDRESS 1553 10TH ST OROVILLE 95965 1 Ss Q COMP 1,080.00 FST 2,ono CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace "All CONSTRUCTION LENDER UNKNOWN Total Valuation $ 4.580, 00 LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W ` 20'00 TYPE OF WORK New ❑ Addition ❑ Remodel 1:1 Utilities ❑ Installation ❑ Other �l Describework: REROOF WITH COMP AND NEW SIDING PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 AND WOODSTOVE AND NEW KITCHEN SINK ( �V OR LESS Main Service A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO. 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 11j, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with li6ensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @ I00 B20AL. . Ofl.) EA. Ex. Occup.FIXED (RESID ) ( OUTLETS RESID 5.00 Temporary Service 23.00 Mobile Home Facilities20 •00 Misc. Wiring t23�.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 54,1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Ap licant -XOw er ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 119.00 HAZ. 1 D. FEES IMP I F)_OOD I CDF I 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 ove for whic fees ha en paid. DIR OF PU I ORKS By DateA2S193 PERMIT EXPIRES ON lO e/5 (Dare) Receipt 148975 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN RO D-APPLIC ANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,` Oroville, CA 95965 Phone: 916-538-7541 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 delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Z� 2. I (have/have not) L -I a;Ue signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. 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 Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security liumb6r Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Date ( I Inspector I a REV 10/92 2A COUNTY OF BUTTE 4 BUILDING. DIVISION DEPARTMF,NT OF�DEVELOPMENT SERVICES" 1469 Humboldt Road, Chico, CA - (916) 891-275-l' 7 County Center Drive, Oroville, CA -. (916) .538 7.541 ;. i 747 Elliott Road, Paradise, CA - (916)'07263017 CORRECTION NOTICE': OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County"Ordinances exist at the above address and should be corrected. Please notify this office when correction of work '- is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 11-112i ple1 7- i Date ( I Inspector I a REV 10/92 2A s PQRMIT NO. 1250-76P PERMIT EXPIRES 3/17/77 OWNER WINFRED BRADFORD CONTR. owner LOCATION (A.P. 31-26-32 ) 1553 10th. St., Oroville Temp. Power Pole Called PG& _ Temp./Ge rv.- CaE _ Temp.CaE _ JN NALED / (Date)/fl��((/� ?/�'� (Signature) Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Grd. Fault Prot. BUILDING BUILDING (Cont'd) 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 Sheathlnil Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a 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 Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Suboanels 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 (NOTE: An entry must be made on this form each time you visit the job site.) THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: 4:' , a • Date: -3 %' �• `� Address: Acct. No: cj Z�0?93�% c� A. P. No. - �• �•�' Phone:"�`�'` No. Units: Applicant/Agent: ,t ,^ Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: %� ��`� CSA 26 Remarks: SC -0 R 1st mo. S.C. t Other Total Fees Collected By: Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: Date of TID approval of completed building sewer (early connection). El- 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar.5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive. — Oroville, California 95965 Telephone: '53� 4541 APPLIUATION AND PERMIT d -76 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ate Signature of ermitee�ojr Agent Receipt No. J White-D.P.W. — Ye�ssessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. t. DIRECTOR OF PUBLIC WORKS By Date —17-7 Building permit expires Date BUILDING Owner rP-E(� 0 SQ. FT. OCC. BUILDING VALUATION Mailing Address ,S Dom, Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ is Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 �� (L Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 2 ��� Zoning & Planning Gas piping system 1 -5 outlets 1.50 'Each additional outlet .30 • -I:,' mien FireDept. Fire Zone Use Permit Building sewer 5.00 OD EQA Parking Plans I Parcel Declaration parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Fd3*5 -Rtir'd I Parcel Approval I Plans Approval Permit Fee $ 9,00 la NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No -1 @ FEE PERMIT FILING FEE J$3.00 V Main service 6011 OR LESS 5 QQ 100 AMP OR LESS I r�� Main service EA. AOD'L 100 AMP 2.50 OVER 8001 Main service 100 AMP OR LESS 25.00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW OR ADONS. ( ACCLBLOGSCOUP. &) 22sgft NEW CONSTR. (MULTI -OUTLET NON.RES,( BRANCH CIRCUITS)2.50ea NEW CONSTR. POWER APPARATUS & NON.RES,SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@2SC BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RES EA) - 2.00 -11D.) Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 X 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ate Signature of ermitee�ojr Agent Receipt No. J White-D.P.W. — Ye�ssessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. t. DIRECTOR OF PUBLIC WORKS By Date —17-7 Building permit expires Date PERMIT NO. 7009-78B PERMIT EXPIRES 12/4/79 OWNER DOROTHY BRADFORD CONTR. nj&ME'r LOCATION (A.P. 31-26-32 ) 1553 10th. St., Oroville Temp. Power Pole Called PG&E TemppAlec. Serv. caI led PG&E T gyp. Gas Serv. Called PG&E OB19 ^� 1NALED � (Date) Rvy (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Car rt Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final SubpaneIs Mesh MECHANICAL Grd. Fault Prot. 5cratcn Heatina Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSALL681I0 - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS O/D (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 U / APPLICATIN- AIdb PERMIT 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 for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. X Date Signature of; ermitee or A , t 1 Receipt No. 2Z5 -6 << o White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Permit Fee $ MECHANICAL No @ PERMIT FILING FEE $3.00 Heating Coolin Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ cJ t9C T >+b �pe it is hereby issued under the applicable provisions of e But County Code and/or resolutions to do work indicated above &whih have been paid. TOfil?-OF PUBLIC WORKS is y Date ;z%0 Building permit expires Date W 7 BUILDING Ownerc-� ✓or � SQ. FT. OCC. BUILDING VALUATION a� 3 �5 —� Mai I i ng Address � Telephone . Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address `f�. -t Plan Checking Fee&/or Penalty Permit Fee S c 4S, PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 ,� A. P. No. L 6 3 ;1, _ Zo In & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s Wie S Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg : -Plan. R. 'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER JR] Permit Fee $ $ o t� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR L LESS5.00 Single Family [a Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW 4) 20Sq}t OR ADDNST �ACCLBLDGSCCUP. 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: NEW CONSTR / ULTt. U L T NON -REBID 1 BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS d NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTI1RES BALei Ex. QCCUp.( FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 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 for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. X Date Signature of; ermitee or A , t 1 Receipt No. 2Z5 -6 << o White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Permit Fee $ MECHANICAL No @ PERMIT FILING FEE $3.00 Heating Coolin Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ cJ t9C T >+b �pe it is hereby issued under the applicable provisions of e But County Code and/or resolutions to do work indicated above &whih have been paid. TOfil?-OF PUBLIC WORKS is y Date ;z%0 Building permit expires Date W 7