HomeMy WebLinkAbout031-281-12931-(aX81- »I
BART CASSILAS, SR
15A 10th St, Orov'ille pp,, A
COMPLAINT TO INSPECTOR Contr: Rick Mpuldin 0 fu 0
Permit#818-87P(gas wtr htr)SF
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7/29 031-28-1-129 98-0542 P
THAD, Nha Chang
1568 10th St
g','� , Oroville o
igas piping)SF \
031-281-129-1295
04
THAO, CHANG
` 1568 10TH ST, OROVILLE
Cont: OWNER
RE-ROOF
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BART CASSILAS, SR '<' j'wftr,�1'• s}+``;
150 10th St, Oroville
tri
Contr: Rick Mauldin
Permit#818-87?(gas wtr ht )SF r..t"'`
,r 031-28-1-129
t �s 98-0547 P
. �f .. iy�� THAD, Nha Chang
�:," 1568 10th
�S�krt� ,. St, Oroville
.r t .` 4 � . b t • A[�'t',.• �. *�7 (gas P l P l n g) S L+
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031-281-129 — 04-1295 =
THAO, CHANG -
1568 LOTH ST, OROVILLE
{ >; Cont: OWNER INAL
3. RE-ROOF Z 6 Q i
j
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netldds
PERMIT NO.
J BP041295
LICENSED CONTRACTORS 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
Issued Date: 05/06/2004 APN: 031-281-129-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 1568 10TH ST ORO
Date: Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: REROOF W/COMP (15 SQ)
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: THAO NHA CHANG & PHUA VANG
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
1568 10TH ST
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
95965
applicant to a civil penalty of not more than five hundred dollars ($500).):
�. 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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: THAO NHA CHANG & PHUA VANG
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor:
❑ I aim Exempt under Article 3 of the Business and Professions Code
Date: o Owner: ��
,
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
License #:
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 the Labor Code, for the performance of
Architect:
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S.F.
Policy #:
I% I certify that in the performance of the work for which this permit is
in to
Valuation: $0.00
issued. I shall not employ any person any manner so as
become subject to the workers' compensation laws of California,
Census Code:
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: 5- 16 l d 9f
Applicant: Ole
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
damages as for in Section 3706 of the Labor
I
1 l
compensation, provided
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY __
This permit is hereby issued under the applicable provisions of the Butte County Coda 2nrVor
I hereby affirm that there is a construction lending agency for the
Resolutions to doWork indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
(--
Name:
By' , l�L/Q Date:
PERMIT EXPIRE N:
Address:
ate
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County toenterupon the above mentioned property for inspection purposes.
s�
Print Name: ��� C . [Y/! /yy T�iQ�% Signature:
Date: 5 Z,!5 `O 7
Owner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor
t.
,` BUTTE COUNTY
0 Tr�0 DEPARTMENT OF DEVELOPMENT SERVICES
0 BUILDING PERMIT
00 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
o -0t - o OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP041295
LICENSED CONTRACTORS 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
Issued Date: 05/06/2004 APN: 031-281-129-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 1568 10TH ST ORO
Date: Contractor.
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: REROOF W/COMP (15 SQ)
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: THAO NHA CHANG & PHUA VANG
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
1568 10TH ST
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
95965
applicant to a civil penalty of not more than five hundred dollars ($500).):
Ak 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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: THAO NHA CHANG & PHUA VANG
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor:
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
License M
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
Architect:
the work for which this permit is issued. My workers' compensation
Engineer:
g
insurance carrier and policy number are:
Cartier:
Total Square Ft: 0 S. F.
Policy #:
�. 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
Valuation: $0.00
become subject to the workers' compensation laws of California,
Census Code:
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: 6
Applicant:2��L�_�(/ �)
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
1
compensation, damages as provided for in Section 3706 of the Labor
l
10
code, interest, and attorney's fees.
�� W
CONSTRUCTION LENDING AGENCY_ _
_This permit is hereby issued under the applicable provisions of the Butte County Coda anrUor
I hereby affirm that there is a construction lending agency for the
Resolutions to do&vork indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)n
(/
Name:
By: I l)C/�J Date:
PERMIT EXPIRE N: 101
Address:
ate
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: �� �7�/!/yV InA/ 0 Signature:
Date: 5 E G l0 y
�' Owner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
�+
OWNER'S LAST NAME: OWNER'S FIRST NAM8: PHONE:
17o - U y
STREET ADDRESS: -57t
15'6 F� fo f�
ur.
row
SITE ADDRESS:
CRY, ZIP:
NEAREST CROSS STREET:✓
TRACTILOT A
APPLICANT NAME:
PHONE:
STREET ADDRESS:
FAX:
CITY, ZIP:
E-MAIL:
CONTRACTOR NAME:
PHONE:
STREET ADDRESS:
FAX
CITY. ZIP:
E-MAIL•
LICENSE NUMBER:
LICENSE TYPE:
ARCHITECT/ENGINEER NAME:
PHONE:
STREET ADDRESS:
FAX:
CITY, ZIP: LICENSE NUMBER:
E-MAIL:
DESCRIPTION OR SCOPE OF WORK:
GO ' LACL.
❑ Structure Built without permits
❑ Proposed Change of Occupancy (note previous use)
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after the
date of application. In order to renew
action on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR REFUNDS
.Refunds can only be made upon written request by the person who paid the fee.
The request must be made prior to
the expiration of the permit and no construction work has been done. Filing fees,
plan check fees for work plan
checked and other department costs are not refundable.
For office use only:
Notes:
b
Application Received by: Date:'J' t
�
11 D
Amount eceived:
Receipt number: `r65
O.B.-1
OWNER BUILDER VERIE'ICATION
Attention Property Owner:
An "owner -builders' 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.
personally plan to provide the major labor and materials for construction of the proposed
property .provement : YES k NO 13�Z>'1
HAVET HAVE NOT ❑ signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
AME:
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
NOTE. This Owner -Builder Verification is required by Section 19831 and 19532 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit
OVER
OWNER BUILDER INFORMA'T'ION
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 ofrecord 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 time 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 fthiding materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
0 If you are an employer, you must register with the Stats 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 coninbutions.
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 infom2ation about your obligations under Federal Law, contract time 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 time 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
penult, 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 properly 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 102014 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.
rely,
Mi I C. Vi ira, C.B.O.
er, Building Inspection
NOTE: ais Owner SuilderInformation is required by Section 19830 of the California Health and Safety Code
OVER
-3.5
35
% OFFICE Copy
Address
---------------
GAS
Meter
eter By---0�011- Date'
ELECTRIC
Meter By
Date
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754121(-
PEiMl?,NO.
(Rev. 12' APPLICATION SAND PERMIT �"
ASSESSOR PARCEL NUMBER 031-281--129
ZONING
� - BUILDING PERMIT
OWNER MIA CHANG 'ft AD
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAIUNG ADDRESS 1568 10TH STREET, OROVILI.E
CONTRACTOR'S NAME TOT
ll
TELEPHONE
CONTRACTOR'S MAIUNG ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING 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
gfyj.�
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: GAS IINE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
35. uu
ELECTRICAL PERMIT
Fling Fee 20.00
800V OR LESS
Main Service 200A 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.P
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
,0 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
46.00
WEE200A NG CCU000A
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLDS.
SO
3.5¢FT.
r. RESIDST. MU OCUIRCLET
TS
@7,50
OWER APPARATUS
8 SINGLE OUTLET CIA.
EX. OCCU OUTLET OR FUTURES
20 Q 1.00
BAL Q .50
EX. Occup. pUTLETSPRESDOEAL
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
O, 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 C�de, I shall
forthwith comply with those provisions.
X _..t%�!� Date �i"
Signature of Applicant - 0,'Owner ❑ Contractor ❑ Agent rr
An OSHA permit is required for excavations over 5'0" deep and demolition or construction 1
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE it 35.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL PD
HD
ISSUE
v
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
% % ,�
— r
,By.Date
PERMIT EXPIRES/ON
the applicable provisions
Resolutions to do work
been paid:
/
z4'1 "
J
Dere '
Receipt No. 4_1"'w4.i
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751 .
7 County Center Drive, Oroville, CA - (916) 538-7541
'4
CORRECTION NOTICE
050 3
UwNt:K 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.
Date 1 /6 Inspector rV
REV 10/92 .3
A ►
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75419s/
O PE IS
(Rev. 12/96) APPLICATION AND PERMIT'
ASSESSOR PARCEL NUMBER 031-281-129 ,
ZONING
BUILDING PERMIT
OWNER NHA CHANG THAD
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 1568 10TH STREET, OROVILLE
CONTRACTOR'S NAME TOD
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING 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
SAME
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00.
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: GAS LINE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
@20.00
PERMIT FEE
$ 3b. 00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoon OR VSs
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,
( g )
and my license is in full force and effect.P
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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 200A To 1000A
46.00
NEW CONST. DWELLING OCCUR
OR ADDNS. ( & ACC. BUDS.
s0
3.50FT.
NEW CONST. MULTI -OUTLET
NON -RENS ANCIRCUITS@7.50
OWER APPARATUS
6 SINGLE OUTLET CIR.
Ex. OCCU OUTLET OR FDITURES
B20 @ I.OS00
Ex. Occup. OUTLETSPREs D.OEA
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 permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
S
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X ____ Date _! '�
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ,
1 D. FEES IMP
J FLOOD
I CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for fees have
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid '
ate _
_
(Da te
Receipt No. 236423
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i
(Rev. 12/96) /
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION.AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMB — -)0- 1— /�
�rJ�/ /
ZONING
BUILDINGPERMIT
OWNERA) . j I A . �` ,^
�"-�-
/l.J'
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING
1
//)7", 7",
0 �V
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDREtS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS -
Plan Checking Fee
$
BUILDING ADDRESS S
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Re�mo��dgqel ❑ Utilities ❑ Installation ❑ Other 13
Describe Work: [I� 1%t—<-- Z -Z i-/
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 0.00
Main Service '.".A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWEPPARATUS
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors license
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 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
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNs. ( a ACC. BinS.
SO
3.50 i
,,DN.ga,pT MULTI•CUTLET
@7,50
a SINGER AountT cIR.
Ex. Occup. OUTLET OR FIXTURES
20 @''O0
BAL @ .50
OR
Ex. Occup. GUT rstRRE�S .) F
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ t 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, t shall
forthwith comply with those provisions.
X Date
Signature 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 $ r—
HAZ.
D. FEES IMP
FLOOD
Cof
PARCEL
PD
HD
SSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No. 72 3772 7
WHITE-D.D.S.-G.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
� I?/ 94-7
31-, -F)
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION Ahlb PERMIT
ASSESSOR PARCEL NUMBER
/ - �,, 1 J /�j'
ZONING
BUILDING PERMIT
OWNER-
TELEPN
HOE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS r -
CONTRACTOR'S NAME-
TE LE,P HONE
CONTRACTOR'S MAILING ADD,.RESS
%rr t. iI!,I !i ` � ► r; //F
Fireplace
CONSTRUCTION LENDER ,
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
I � � � � I . � �
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFO Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W10.00ea
TYPE OF WORK
New❑ Addition[] Remodel❑ Utilities❑ Installation❑ Other'Q
Describe work: % ` • 1. �� lit tr
Permit Fee
$11
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. f"•►• I 'a Classification
El 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 CONST. DWELLING OCCUP.&) Yx2sgft
OR ADDNS. ACC. BLDGS.
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS &\
SINGLE OUTLET CIR.
Ex. OCcUpOUTLETS OR FIXTURES eBAL@AL930
so
Ex. OCCUp. OUTLETS P(RESID )FIXED APL KEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date ' %
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3.stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occu P.
CONST.TYPc
I
I FLOOD
PARCEL
PD
ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
'
By,
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. I �/•
WHITE-D.P.W., YELLOW-ASSE330R� PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATIONAU PERMIT
PE IT No ,
ASSES PAR NUMBER
7 — —
ZONING
BUILDING PERMI
OWN
TE iot,
SO. FT. OCC. BUILDIft VALUATION
OWN 'S MAI G IDORESS,
R
CON TORS - E
TELE HO
CONT ACT 'S MAILI G AOD E 5
rd)V
Fireplace
CONSTR C ION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
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 10.00
Each Trap
1
Solar or heat pump water h
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
Each pas water heater or v
USE OF STRUCTURE
Mobilehome❑ Other
Gas piping system 1 - 5 ouSF�Duplex❑
Je,2
Building sewerSPECIFY
Mobile Home S G
TYPE OF WORK
New ❑ Addition Remodel Utilities ❑ Inst Ilatio ❑ Other
Describe work: Q.g�(� �F 1/� G(
i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR001 OR LESS10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
19 I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneS$
and Professions Code and my license IS In full force and effect.
License No. W(el1481 Classification
Fl 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 CONST. DWELLING OCCUP.N ,
OR ACDNS. ACC. BLDGS. /z ¢sq ft
NEW CONSTR ULTI.OUT LET
N O N.RESID BRANCH CIRCITS 2.50 ea
-
/ POWER APPARATUS e)
(SINGLE OUTLET CIR.
Ex. DCCUp(OUTLETS OR FIXTURES SOLO 5AL030 30
Ex. Occup. OUTLETS ED APPRESID 1LNS.REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
® 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
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.
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 Ll%A.IU, 1'YlR3_ 9_ q7
Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent fl
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures ver t ri s in eight.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
OCCUP.
CONST.TYPE
I
I FLOOD
PARCEL
PD
No
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work in ed above f r which
DIRE F PUBL
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
f have been paid.
ORKS
Dat
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR PINK -INSPECTOR, GOLDENROD -APPLICANT