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HomeMy WebLinkAbout031-260-03331-26-33 - ED FRANCIS 1043 Thermalito Ave., Oroville Per t ¢#1446-76P(bldg. sew inst) SF �d�10oD��%l 31-26-33 Permit # 2123-82P(install new w/h) contr: Mauldin & Sons, Oroville ' 0 031-260-033 PERMIT#97-0618 HELMER, Stewart 1043 Thermalito Ave., Oroville / Sewer Hook-up/SF 031-260-033 01-1,584 / 777 HELR,STU' 1043 THE TO AV1✓ " I CONT: LON JONES I'7. �o J RE ROOF 031-260-033 HELMER, STU 1043 THERMALITO AVE 01-1584 j •'• CONT: LON JONES CONST RE ROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 1219 APPLICATION AND PERMIT ���� ASSESSOR PARCEL NUMBER m ZONING - BUILDING PERMIT OWNER TELEPHONE SO. FT. %QCC. BUILDING VALUATION " .•. ,. .OWNERS MAIUNG ADDRESS - 15 9Wo00 NA�ME TELEPHONE CONTRACTORS NAME ILi0m 02Wo I a .• . CONTRACTORS MAIUNG ADDRESS 7I2 tom' RMIM TWA= CA 95M CONSTRUCTION LENDER Fireplace " LENDER'S kWUNG ADDRESS , "r-; s' ` Total "Valuation $o49V ARCHITECT OR ENGINEER i 1A UCENSE`NO. + Filing Fee $ 20.00 Permit" Fee $ JA ARCHITECT OR ENGINEERS MAILING ADDRESS '... y" Plan Checking Fee $ BUILDING ADDRESS 043 Rs � AIM AVE. ORW= 95 Energy Plan Checking Fee $ a �F PERMIT FEE $ 43,.W , LOT NO. SUBDIVISIONS MIME `` V Y" '�' - PARCEL -MAP PLUMBING, PERMIT Fling Fee :x.20 00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other V SPECIFY i ? Solar or heat pump,water heater 23.00 . Water piping 15.00 Each as water heater or vent TYPE OF WORK New ❑ Addition ❑ Remodel ❑ ,Utilities ❑ Installation 6 Other_ ❑ 1 h}<' ? Describe Work: � �� �� �'�+ �.:•' Gas piping systein 1 - 5 outlets t5t00 Building sewer t 5.00 , Mobile Home S. G IN @20:00 PERMIT _FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOV OR LESS Main Service zooA 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. J `�� f� License Class �j '� L :h 'N LIc. No. ( �.1 C3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I,.as owner of the property, am exclusively contracting with licensed' contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this .reason Main Service TO +�A 00 NEW CONST. DWEl1XY3 OCCUP. S° W .50SQ OR AODNS• � a Acc• aL�s• 3.5¢FT. NON-RES,D. MULn ourLEr @7.50 PO' APPARATUS �"-„,r:�- 8 SINGLE OUTLET CR.. 20 Ex. Occup. OUTLET OR FIXTURES an®'.w Ex. Occup.DUTLEETS .°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ I I 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. r ❑ 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 tInsurance carrier and policy number are: Carrier A 4t_.:nPl 1 Policy Number (The above sections need not be completed,if.the permit is for work of s valuation of one hundred dollars ($100) orless.)y_: ' ❑ 1 certify that in the performlance 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, anagree 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. s / ��u ; X ;'."6 a Fug • :`ate o Date _ ! _" Signature of Applicant -f❑ 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. MECHANICAL PERMIT Fling Fee ;20:00 Heating Conlin Hood 6:50, Ventilation PERMIT FEE $ Mobile Home” Installation Fee $ Energy Inspection Fee $ '' - OCC CONST. TYPE' ; TOTAL FEE $ 43000 . r HAz D FEES IMP I FLOOD I CDP I PARCEL I PD HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which -flees have been paid. % f Date X26 -Ml PERMIT EXPIRES ON to Receipt No. 325020 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT `iCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION t ► 7 County Center Drive *Oroville, California 95965 a Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) y," APPLICATION AND PERMIT l 01-1984 ASSESSOR PARCS_ NUMBER 031-260-033 ZONIhm BUILDING PERMIT OWNER TELEPHONE MIR SIT I HE MER SQ. FT. OCC. BUILDING VALUATION - . OWNERS MA UNG ADDRESS . 1043 IMMATITO AVE., __0R0VTTJE CA (45955 15 SQ 900.00 CONTRACTOR'S NAME TELEPHONE IAN JONES CONST. CONTRACTORS MARINO ADDRESS 12 WEST HARDING DIRTOCK CA 95380 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 900,90 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MADJNG ADDRESS Permit Fee $ 23.00 Plan Checking Fee $ BUILDING ADDRESS 1043 THERMAL ITO AVE. R Energy Plan Checking Fee $ $ PERMIT FEE s 43.00 LOT No. SUBONISpNS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE FSFO Solar or heat pump water heater 23.00 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 O Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer 15.00 Describe Work: "6## UN REROOF 15 SUT COMP Mobile Home IS I GI W @20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service pw DDRR LE:: 23.00 LICENSED CONTRACTOR'S DECLARATION Main Service 200A TO 1000A 46.00 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter NEW CONST, DWEWNfi OCCso. OR ADDNS' d ACC. BLDUP. S. 3.50FT. 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, T. ppµgOID. RANCH UCUITS T @7,50 and my license is in full force and effect POWER S License Class $ — <5 3 Lic. No. S LO� GI3 D a SINGLE oPAJIA OWNER -BUILDER DECLARATION OUTLET OR FDRURES 20 ® 1.00 Ex. Occup.BAA_ @ .50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License OR Ex. Occup.G,,T,t°rsAPP� ) EA 5.00 Law for the following reason: Temporary Service 23.00 ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. Mobile Home Facilities 20.00 ❑ I, 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 s reason PERMIT FEE WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing 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 ❑ 1 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 permitis issued. My workers' con}pention carrier and policy number are: rinsurance Carrier �� �g� G 4[�n/] PERMIT FE s Policy Number 1ZQ1, Q 7 2_—o Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee $ of one hundred dollars ($100) or less.) ❑ 1 certify that In the performance of the work for which this permit Is issued, 1 shall OCC CONST. TYPE TOTAL FEE $ 43.00 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 . D. ES IMP FLOOD CDF PARCEL I PD HD ISSUE workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with se provisions. This permit is hereby issued under the- applicable provisions // Gam` of the Butte County Code and/or Resolutions to do work X Date (o Indicated above for w s have been paid. Signature of Applicant Owner ❑ Contractor gent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories In height. Date 6-26-2001 Receipt No. 325020 PERMIT EXPIRES ON 6-26-2002 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Pa to COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7540. NO. (Rev. 121 ; APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZOMNO BUILDING PERMIT OWNER TELEPHONE F. OCC. BUILDING VALUATION OWNERS MAXM CONrRACTW'S WM r.� �J� G *PERMIT FEE PAID SRA SHERIFF OTHER Ahk6VNT RECEIVED *RECEIPT NVMBER 3,5J02 0 * TO BE PVT INTO COMPVTER — PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service 0AOORRLESSSS 23.00 Main Service 200A TO 1000A 46.00 CONSTRUCTION LENDER . 3.5oso NON-RESID. MULTFOUTLET @7.50 LENDER'S MARINO ADDRESS Fire lace & S OUTLET ca ARCHITECT ORENWNEER LICENSE NO. Total Valuation $ I GO Ex. OCCU "I APPLNS. OR Flin Fee E 20.00 ARc,+rrECT OR ENOMIEFA9 MAnIND ADoaEss Permit Fee $ 20.00 SUILOINO ADORESS Plan Checking Fee $ U ( Energy Plan Checking Fee E S IDT NO. SUBDNEIpNB NYE PARCEL MAP PERMIT FEE $ 3, PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 SF Duplex ❑ Mobilehome Solar or heat pump water heater 23.00 996er SPECCY Water piping 15.00 TYPE OF WORK Each gas water heater or vent 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instmktion !❑ Other a,- Gas piping *system t - 5 outlets 15.00 (� Buildingsewer 15.00 Describe Work: Lo raj r)T /,_5 _'tel ( n Mobile Home S G W @20.00 *PERMIT FEE PAID SRA SHERIFF OTHER Ahk6VNT RECEIVED *RECEIPT NVMBER 3,5J02 0 * TO BE PVT INTO COMPVTER — PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service 0AOORRLESSSS 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLNO OCCUP OR ADONS. i ACC. BLDS. NEW C 3.5oso NON-RESID. MULTFOUTLET @7.50 POWER APPARATUS & S OUTLET ca EX. Occup. OUTLET OR FIXTURES 1 200 1.00 I BAL 30 Ex. OCCU "I APPLNS. OR OUTLETS ESID. EA 5.00 Tem orar 1 Service 23.00 Mobile Home Facilities 20.00 Mtsc. Wiring 23.00 �PERMIT�.FEE s r�.�MECHANICAL Fling Feb 20.00 IHood 6.50 PERMIT FEI: I s Mobile Home Installation Fee S Energy Inspection Fee I Is I OCc CONST. TrPE TOTAL FEE $ 3, w HAZ• 1 D. FEES I IMP I FLOOD I CDR I PARCEL I PD I HD I ESU 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 PERMIT EXPIRES ON Date r�1hH�L.4'Y)wr � ♦ �'/. i. ♦ �' � ♦. .. 1 ... {4:`,.. � ..�.. .H .�, -r� � � �.r .'^ � � f.'1� ."� ,.'r.w�.' f - 'V w .. .. THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE} OROVILLE, CALIFORNIA 95965 HO TELEPHONE: (916) 533-0740 FAX: (916) 533-9243 _ SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 1043 Tbarmlito A nixg Owner's Name: Stewart W- Heimcr Date:Mareh 31. 1997 Address: 1043 Diarmlito Ave. �� Acct. No'`2003500 Orovi.11l.ey CA, 95%5 A.P. No.: 31-1260-033 Phone: 534-2668 New Unit:'1 unit: (2nd) Applicant/Agent: Adding Units: 1 Address: Fees: Phone: Permit: $ 30 00 T.I.D.: 6W 00 Preliminary Review By: Date: s , Ext.Fees: Remarks: - "�Avsl ftwffift SC -OR: 900 00 .Aiding sewn d unit to property. Clewl out up t4!iLde Lateral: rewired at proportry lime Kwager Vivid Eo taS &8reed Other: to accept $130.00 payment today and $100000, or -,lore per month,, due and payablo- on t►Q 1at~ day of aackt Moirth, uritii thp balance Total Fees: I&V 00 of $1400.00 is ado First payment dose Mayo 1997sy Amount Paid: $M.00 a Collected By: S b FOX `Y t� / Fnaled By Date: Location: Size Line:� ;�.. 11 V 3 fq7 P/oa.dw / /ofl.o•-d 9 . p/DO�A-d' $100 ,0 e 4 -0/q��J�_%00 Signature of Owner/Agent: j /o WNTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON COMPLETION Io 9 �/Gb Date Billed: Computer: Paid SC OR: A.P. File: Blue Book: (R.F.C.) Paid SC -OR: Meter Book: (S/C HG's) Rev. 6/96 �( O3I-20O-03] ��B�ZI�97-06l8 l . � ~ � BEIME8, Stewart / 1043 Ibermulito Ave., 0ruville | � Sewer Book-up/SF i / ',-� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville California 95965 - Telephone (916) 538-75,411"PERMIT NO. (Rev. 12/96) APP LI CA'ON AND PERMIT ?-- ry'o / ASSESSOR PARCEL NUMBER 3160-033 e7 ZONING BU I ING PERMIT OWNER Rrma A DT UVT TA&' TELEPHONE ,.1 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS -� •• •� _. - 1n4.'A TUrV x T Q CONTRACTOR'S NAME �^ _ _un _ ON MI—EI_ TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENS E NO. Felin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS SA 'IE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USE OF STRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat. um 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: SEM HOOK -M Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I GI W1 @20.00 PERMIT FEE S 35000 ELECTRICAL PERMIT Fling Fee 20.00 600V OR LES9 Main Service 20OA 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawlor 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 46,00 NEW CONST. DWELLING OCCUP. OR ADONS. ( d ACC. BLDS. SO 3.5¢T, NON-RE3IDT MULTI-OCUTLET @7,50 8 SINPOWERLE APPARATUSOUTGLET CIR. Ex. Occu OUTLET OR FaTLIREs 20 °' 00 BAL o .50 FTIED All OR Ex. Occup. outtErs RESID. EA 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: 19Af 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 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.) ❑e" 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' laws of California, and agree that rf 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those pr visions. X . �` r c, 1� ,cs> Dater _ Signaturesemof Applicant - ❑ Owner ❑ Contrac or ❑ Agent 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. 1 D. FEES IMP I FLOOD CDF PARCEL I PDTT;7f fcompensation This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By _ _ ->, EXPIRES ON the applicable provisions Resolutions to do work been paid. _._Datetr� '" , Date Receipt No. 210354- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OFDEV,ELOPMENTSERVICES-BUILDINGDIVI N 7 County Center Drive - OrovilleS Calil>, nia X5965 - Telephone (916) 538-7 P RMIT (Rev. 12'/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUI INGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME HONE CONTRACTORS MAILING ADDRESS i CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEERLICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS SAME Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO, SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: SEWER HOOKUPS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon os "ss 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 Lawlor 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 I000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. SO 3.SQ FT. NEW CONST. NON -RES D. MULTI -OUTLET 97,50 PO'r APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET FocruREs 20 @' 00 aa,L o .so Ex. Occup. onUTIEETs REs 6.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 her y 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FELE $ 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.) LY 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 fori omply 'th those r isions. X111rL Date/ Signatu a of Applicant - ❑ Owner ❑ Contractor ❑ Agent 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 FEEg IMP I FLOOD I CDF PARCEL I PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for hl es have By 4 PERMIT EXF*R ON the applicable provisions Resolutions to do work been paid. ate l pets Receipt No. 210354 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OA -4 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 d NO 0 2. I HAVE HAVE NOT 0 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: 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: PROPERTYOWNER: 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. OVER I 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 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: ♦ 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. ♦ 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 carry 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 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. I+Mage'rC,B2i1diirng 6�—� a, C.B.O. Inspection NOTE. This Owner Builder Information is required by Section 198. 0 of the California Health and Safety Code OVER �2 4. 3 i �4 I J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, C ' ornia 95965 - Telephone 916/534-4541 APPLICATI ANII PERMIT ASSESSOR PARCEL NUMBER :� /_ - ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS "/,y r /, i/r S.•CONTRACTOR'S',! E /r� EPHO (��� COryTRAF�OR'�;�LI N;ADDRESS J, .,�,577�����,�•✓ G/// Fireplace CONSTRUCTION LJENDDEER! 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 $ BUILDIJJG;ADD,t2ESS ���_✓���.�� .,�j �f�h,•tt.. y //C�/) f�[ ,.std£ 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 SFDuplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TI I TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑. Other Describe work: O�J Permit Fee $ -X0 ® V —Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y\ OR ADONS. ACC. BLDGS. 2¢sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ��t `4"- 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Coddde�^ and my license is in full force and effect. License No.,e / n Classification- ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON.RESSTF1BRA" U L T 2.50 ea NEEW.CON � R. (POWER APPARATUS sI NON-RESID. `SINGLE OUTLET CIR. EX. QCCUp OUTLETS OR FIXTURES BAL� 00 IXED AP LNS. OR Ex. OCCup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIIng Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): �The permit is for $100.00 (valuation) or less. d 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'Permit 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 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 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 liabiffties, judgpgnts, costs, and expenses which may in any way accrue against said"ou ,ty ;h consequence of the granting of this permit. % X G��.�^� / ,. Date Si ndure oaf a Applicant — Owner 9 PP ❑ Contractor Agent ❑ OSHA permit is required for excavations over 5'0" deep and demolition or construct-CTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occu T GROUP 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 ind'i'cated above for which I 1�..'VbiROF PUBLIC B i�J PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. pAn WORKS Date Sq � /J_Ia// I Receipt No. 61d/cr WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calif6rrnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. I Z3 --3 ASSESSOR PARCEL NUMBER ZONING BUILDING PER ow_NERf_-)eqA.1 (2,/ TELEPHONE SQ. FT. OCC., BUILDING VALUATION OWNER'''S MAILING ADDRESS C/ -i /rVl (/RVA E saos COffA1r T�R•S M (LIN DDR%SS L4949 (/tel/ /�L Fireplace CONSTRUCTION LENDER UNKNOWN c Total Valuation s Filing Fee $ 10,00 LENDER'S MAILING A R SS Permit Fee $ ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BU I7Ij %tDJESS ����� AVC /�5 UU//TYLE ��-rf��///V!/ •��-lv/ 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+ 5,00 CPU Gas piping system 1 - 5 outlets 6" , USE OF STRUCTURE SF L�/ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Re�moddel/❑ UtiiIitiies [:1Instq Ion❑ Other Describe work: f�S/ �� IVC__Z �// Permit Fee $� ontractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.N) OR ADDNS. \ ACC. BLDGS. / 20 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 Business50 and Professions _ Code and my license is in full force and effect. License No. •y�6 �6 7 G GQ Classification �G ❑ 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.(MULTI-OUT LET 2,50 ea NON•RESID BRA C CIRC TS NEW CONSTR. (POWER APPARATUS el NON.RESID. (SINGLE OUTLET CIR. / ® 2s¢ Ex. Occup OUTLETS OR FIXTURES BALP1 Ex. OCCup.�OUTETS FIXED P(RESID.)REA. 2.00 L. Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIIng Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): he permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate of 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 $ 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 IiI ) s, jud nts, costs, and expenses which may in any way accrue agai t o conseque of the granting of this permit. X Date / Si ature Applicant — Owner ContractorA, 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL P11 ND 39UE This p it is hereby issued under sion of the tte oint y Code and/or wor i e a oveor which R CTOR OF PUBLIC B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — J yp/ Receipt No. a !� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ti PERMiY NO. 1446-76P c PERMIT EXPIRES 3/29/77 OWNER ED FRANCIS CONTR. owner LOC 'ION (A.P. 31-26-33 1043 Thermalito Ave., Oroville �/i/j� .s��.CP—„y�¢.e i -i a �-za�P •G"Y Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E o Temp. Gas Serv. Called PG&E JOB FINALED (Date) (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 Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garacie 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 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 (NOTE: An entry must be made on this form each time you visit the job site.) THERMALITO IRRIGATION DISTRICT V 410 GRAND AVENUE -• OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: I`"e/ Owner's Name: �' _ '�i: Date: Address: Acct. No: A. P. No.: 21 'L Phone: No. Units: 0 Applicant/Agent: Agents Proof: •� ��ty Address: Fees: Phone: Application $ Arrearage r Preliminary Review By:°y"' % ' h, ;,.Date: CSA 26 Remarks: SC -OR 1st mo. S.C. Other Total Fees Collected By: Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: �n>�Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("hew construction", after Mar. 5, 1974). DISTRIBUTION: WHITE -TID, YELLOW -APPLICANT, PINK - DPW, GOLDENROD - DPW to TID THERMALITO I,RRI1GATION DISTRICT N229'7 410 GRAND AVENUE ---297 OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT 'Service Address: Owner's Name: Date: Address: (�h��"� `�y/���� ��� Acct. No: A. P. No.: 1,917111,.� n� ��— Phone: <- ��►' �— 1/4 If No. Units: C—d. �-/% (X) Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ (�- ) Arrearage ` _-bate. Preliminary Review By 7 _ 1 c c .. �C;; / CSA 26 Remarks: SC -OR 1st mo. S.C. Other Lj Total Fees Collected By: Date: Field Review y: Date: Remarks: —u s I — J MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID k COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - � 7 County Center Drive — Uroville, California 95965 Telephone.; 534-4541 APPLICATION AND PERMIT aU111VIILZ ICEJICJCIIIaLIVCJ UI IIIC IaVUIIIY VI DULLU W CIILCI UpUII UIC above-mentioned property for ' sp tion purposes. X Date Signature of .rrmitee or Xgent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS ^� By 1�- Date 3 -Lci _7 L Building permit expires Date �3 -2ct ',-7-7 BUILDING Owner ED SQ. FT. OCC. BUILDING VALUATION Mailing Address I<��Alr�Avk , c- QD �F Cl `� Tele hone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address �L L) vf--PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 C)p 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. '31 — 2(0 - 3-3Gas Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Ids Fire Dept. Fire Zone Use Permit Building sewer 5.00 ,Op EQA I Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ ,00 $ Q( NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 2 ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 UIQ-C-)IP`l Q:), I KL S-1 LJ_ A-ntJA.1 Main service 1000 AMP ORSLE55 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADONST ( ACCLBLDGLING OCCUP. &\ 2¢sgft NEW CONSTR. (MULTI -OUTLET NON-RESID ( BRANCH CIRCUITS) 2.50ea NEW CONST R. (POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 7,252 109 1 FIXED APP LNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 C 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 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 $ QC aU111VIILZ ICEJICJCIIIaLIVCJ UI IIIC IaVUIIIY VI DULLU W CIILCI UpUII UIC above-mentioned property for ' sp tion purposes. X Date Signature of .rrmitee or Xgent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS ^� By 1�- Date 3 -Lci _7 L Building permit expires Date �3 -2ct ',-7-7