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HomeMy WebLinkAbout031-281-118V 31-2'9,2,% Bart sil�Ai , ss % 95 Th rtnaAve., Oroville Perm' add carport/SF) Permit #3630-77B(add'1 footage for permt#1711-77BI 3 BART CASILLAS SR. 941 Thermalito Ave, Oroville Permit. 6648=78B (Reroof) SF . i- 31-281-118 DAVID ANSTEAD 1582 10th 'St; Oroville Jfl�3 Contr.: Roy Harrison Termite `PErmit#3752-87B(repair termite damage)S 31-281-11$ DALE McKENDRICK r�Q� 1582 10th St, ORoville' pQ' Permit#2851-88B(reroof/SF) 31-281-118 Permit#3646-88B(install woodbur ing]t stove)SF A, 0 / �/��/ 031-281-118 02-0 0 TOWNSEND, JAMES iNAI.E® 1582 10TH ST, OROV i L�;t.Ql:� VINYL SIDING ON US M6_1 i ls-281-FiV MISCELLANEOUS Re -Roof RE -ROOF SF (20 SQ) 1582 10TH ST TOWNSEND, JAMES T & MICHELE R 'CASTLLAS, Bart 1 1-28 Lott -4-,-95-5: Thermal-ito—:St-reet just -East! of lUth U Thermalito I I V BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1582 10TH ST Owner: Permit No: B08-1115 APN: 031-281-118 TOWNSEND, JAMES T & MICH Issued Date: 06/13/2008 By KCG Permit type: MISCELLANEOUS 1582 10TH ST Subtype: Re -Roof OROVILLE, CA 95965 Expiration Date: 06/13/2009 Description: RE -ROOF SF (20 SQ) (530) 534-0221 Occupancy: Zoning: AR 0 Contractor Applicant: Square Footage: TOWNSEND, JAMES T & MI( Building Garage Remdl/Addn 1582 10TH ST OROVILLE, CA 95965 Other Porch/Patio Total (530)534-0221 FEE INFORMATION DBMSC Re -Roofing $119.00 Total Charged: $119.00 Fees Paid: $119.00 Balance Due: $0.00 Receipt No: B7661 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 06/13/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for ;he year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number. Exp. Date: ple (This section need not be comted if the permit rs or one hundred dollars($100) or less. ❑ 1 AM EXEMPT under Section B 8 P . for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I show . become subject to the workers' the X 06/13/2008 compensation provisions of Section 3700 of the Labor C de, I shall forthwith with those rovisions. 0 net's Signature Date 06/13/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Si ature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. 1 agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. ounty to enter the above mentionedoproperty for inspection purposes. 1 hereby certify that 1 am the operty owner ;r5n art ized tof ont; property owner's behalf. • f 6/13/2008 11 -Eifl CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for erne o ermitte [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) R3Owner ❑ Contractor OR: Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN N "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION ,Last -Name owmsevio Fit ame Qs M71' ' dress 0 S� y State -1Z' Phone ne 5 3 —flZZ Fax -mail CONTRACTOR Name Address City State Zip Phone Fax E-mail Zip Class APPLICANT SIGNATURE X PROJECT LOCATION AN Property Address City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: lead- n rem Aca 6" e oe Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name FloodZone Address t'07ZST City No State Zip Phone 5--'w-67, Z / Fax E-mail State License Number APPLICANT SIGNATURE X PROJECT LOCATION AN Property Address City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: lead- n rem Aca 6" e oe Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name FloodZone Ad re L t'07ZST 2 c ,L& No Smote o S ,— P S-30 5--'w-67, Z / Fax E- ail APPLICANT SIGNATURE X PROJECT LOCATION AN Property Address City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: lead- n rem Aca 6" e oe Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. 'Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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 $500 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 government 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 to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLS13(2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). 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. OR NO) 2. /HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR T14E PROPOSED WORK. 3. I HAVE CO Tia[ RACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ,+-U 07 ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 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 Description: RE -ROOF SF (20 SQ) Reference Number: B08-1115 Applicant Name: TOWNSEND, JAMES T & MICHELE R Owner's Name: TOWNSEND, JAMES T & MICHELE AP # Signature of Property Owner: Date: 031-281-118 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION . OFFICE #: (530) 533-7541 FAX #: (530) 533-2140 A FEE WILL BE REQUIRED AT TWE OF APPLICATION Website: w.+w.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name .r \ First Nam Mailing Address Sc1Z b &6 v City 61l,)U,. it State "Pq 5166 Phone Fax E-mail _ CONTRACTOR Name Address G City ( State Zip Phone �c.-,� Fax. E-mail Lic. # '7? Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name' Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PERMIT NO. 1,-0, BIN # PROJECT LOCATION API _ 2_S Property Address I Sr62 10 �` City Of t WORKER'S COMPENSATION Policy Number Carder If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: I o v Flood Zone SRA 42) Sq FT- Living Garage,,5,4 ZW. Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes 1. No Occ. Type Const. DEMOLITION PERMIT ASBESTOS NOTIFICATION STATEMENT Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5 A demolition permit shall not be issued by any city, county, city and county, or state or local agency which is authorized to issue demolition permits as to any building or other structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit application. Compliance with this section shall not be deemed to supersede any requirement of federal law." Attached is a copy of the Asbestos NESHAP Notification of Demolition and Renovation form for the project located at (Address) (City) (Zip Code) Assessor's Parcel Number Date Signature of Applicant I hereby declare that a written asbestos notification to the United States Environmental Agency is not applicable to this demolition project located at ISBN tbR 'S4a� ccou' Ili qsS� o (Address) (City) (Zip Code) Date `� � 30� b Signature of Applicant ?L COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541P M NO. (Rev. 12/96) APPLICATION AND PERMIT 0_a � l� ASSESSOR PARCEL NUMBER 031-981-1119 ZONING AR BUILDING PERMIT OWNER JAMS TOWNSEND TELEPHONE 534-0221 SO. FT. OCC. BUILDING VALUATION CONT. S 000 OWyE�S8GILI OtKESst. , Qroville, Ca 95965 CONTRACTORS NAME Owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ 5000 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72. 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1582 10th ST. Oroville CA Energy Plan Checking Fee $ $ PERMIT FEE S 92.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF M 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 ❑ Unities ❑ Installation ❑ Other Describe Work: Vinyl Siding on house Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service '..A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 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: 0, I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure, for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service TO 46.00SO CCU000A WEE200A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.5¢x. ypµgalpT MULTI.OUTLET 97.50 POWER APPARATus b SINGLE OUTLET US Ex. Occu OUTLET OR FIXTURES BAS @' o O Ex. Occup. OFlxUTIEEDTS PP EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) J4 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of Californi and agree that if I should become subject to the workers' compensation provi ons of section 3700 of the Labor Code, I shall forthwith comply with those prvisions. 62 X Date 5 02- Sig ature of App icant - [3Owner ❑ Contractor ❑ Agent An SHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heigh Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 92.00 HAZ. D FFEES IMP FLOOD CDP PARCEL PD HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a e for whic fees have been paid. By(VAbN9 ;75t PERMIT EXPIRES ON ats ReceiptNo. — WHITE-D.D.S.-B.D. CANA Y -ASSES PINK -IN CTOR GOLDENROD -APPLICANT - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-75416 J R N (Rev. 12/96)' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER — I I I ZONINGAl- BUILDING PERMIT OWNER �� I ujn�� ^ 11/ , TELEPHONE 134 QCL^, U I . ALUATION OWNERN(3 ADDRESS Dy,�'^ ^ 1 , l `J' CONTRA C 'S NAM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6(g Energy Plan Checking Fee $ S PERMIT FEE S / LOT NO. SUBDIVISIONS NOME PARCEL MAP PLUMBING PERMIT Fling Feel 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 1 5.00 TYPE OF WORK New ❑ Addition ❑ model ❑ Ud1'' S ❑ instal er ❑ latio ❑ Oth Describe Work: Gas piping system outlets 15.00 Buildingse ' 15.00 Mobile Home S I G I W 920.00 r PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 2o0A oR LESS 23.00 - *PEPAIT FEE PAXb s SRA SHERIFF O�•t1rzA �1�� AMOVNT RECEZ1 b 9� w NVAWW�� ( �' / A To t Pir LIO comim C//� =*I Main Service 200A TO +600A 46.00 NEW CONST. OW LINC3,5¢so. OR ADONS. ( d 0.G OCUP. ACC. S.FT. NEW CONSi. MULTI.OUTLET NON.RESID. H CIRCUITS @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL 9 . EX. OCCUqA FIXED APPLNS. OR OUTLETS REBID. EA. '5.O Temporary Servic 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ.iff IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date 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 major labor and materials for construction of the proposed property improvement: YES NO O 2 HAVE © HAVE NOT 13 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: rd NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, supervise, and provide the major work: NAME: ADDRESS: but I have hired the following person to coordinate, CITY: PHOrT: CONTRACTOR'S LICENSE NO. 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 SIG ROPERTYOWNER: NOTE: This Owner -Builder Verification is required by Section 19831. and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFOPUNIATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry 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 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an emplover, 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+Nv1ge'rC,BVuii1diiZgz C.B.O. Inspection NOTE: This Owner -Builder Information is required by Section 19810 of the California Health and Safety Coda OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541` ' NO. (Rev. 12/96) APPLICATION AND PERMIT [J ASSESSOR PARCEL NUMBER w \i T& 1,10 4 ZONING AR - BUILDING PERMIT OWNER t �' �y�Ev�i�� r' Y4'7� �i„7ry Towt a`m ,p�,,�� ELLE�PHHO/NSE s�� TT534-= 534- ll.(ri FT. OCC. BUILD VALUATION /SQ. (�N(yG� `N�•".• MNY! 7 �f � At�� �+' . OWJEWIU JG ADD shy f Orovilie, w 95 i CONTRACTOR'S NAME \JNiIR",.F. TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 5.000 ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee- $ BUILDING ADDRESS ZW2 10th ST. ��le. Energy Plan Checking Fee $ PERMIT FEE $ 92,00 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Z 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: XYZ Sidivg an hmm Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800OR UES Main Service ZDOVA 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.PSIN License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation 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 proviIons of section 3700 of the Labor Code, I shall forthwith comply with>those pr visions. X !J(tta+ w•� Date � — � W (moi Sig ature of App icant - ❑ Owner ❑ Contractor 13 Agent An (SHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. TO Main Service TO 46.00 NEW CONST. DWELEL OCCUCUP. SO OR ADDNS. ( & ACC. BMS. 3.50FT. NOµREOSIOT RANCHO CIRCUITS g7.50 OWERGLE APPAOUTLETRATUS 8I CR. C R 20 Q 1.00 Ex. Occup.OUTLET OR FDRU SAL @ .so -EDI Ex. Occup. 0.APP5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE. $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE M TOTAL FEE $ 92.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD IS�l7E Y This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abbe for whic fees have been paid. r(j By i.'� Date r/ �� PERMIT EXPIRES ON -,J I 0-t-) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 031-281-118j 02-0240 TOWNSEND, JAMES 1582 10" ST,. OROVILLE VINYL SIDING ON HOUSE •r . . �e Permit#3646-88 Dale McKendrick 1582 10th St,ORoville COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION kND PERMIT PERMIT NO. / ASSESSOR PARCEL NUMBER ZONING /I/Z� BUILDING PERMIT OWNER - TELEPHONEDG w.OWNER' SQ. FT. OCC. BUILDING VALUATION S MAILING ADDRESS ' CONTRACTOR'S NAME - /~'i A r" TELE }HONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 7_5 , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ ,7 . 5 6 PLUMBING PERMIT Filing Fee 10.00 �7 Z,5 `S � 62' ' Each Trap 1 2.00 /o h i U ( 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 SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation Other ❑ Describe work: 7 +• a-. // • !.n _J -74 n-1 P Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions Code and my license IS In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tl C. BLDGS. New CONSTR.(A ULTII-OUTLET 1h¢sgft N O N•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 20950t 8ALe 30 EX. OCCUp. OUTLETS FIXED APPLNS.(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 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. ❑ 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. •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 Filing Fee 10.00 Heating n g 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. r' X Q •1 i t �- c .,--`^ _p �,? Date /�— —x Signature of Applicant — Owner Contractor ❑ Agent ❑ -= An OSHA permit is required for cavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heigF.t. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONST.TYPC SCNOoL I FLOOD PARCEL I PD 1 ND 1 1-1-1110 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees / / J DIRECTOR- F PUBLIC By 1` PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. P WORKS Date �/ �` R J/ -77— (� Receipt No. a j WHITE-D.P.W., YELLOW-A3e E33o K, PINK-I1,3PECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIGN AND PERMIT �P RMTN .� ASSESSOR PARCEL NUMBER 3 1 — 19 I '- 11 ZONIN , ,� v BUILDING PERMIT OW RTELEPHONE CLC 53 z,10 5-F .SQ. FT. DCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2, 10"_"5E e [CONTRACTOR'S NAME Al f yr— TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace r` /oov CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 5- ARCHITECT OR ENGINEER LICENSE N3 -.---Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ '7 S v 15 R `v �y �3 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 no () 1 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 SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ' Other F -]Permit Describe work: ZA, _S 4a /% 141 .4 e 7T4 o y P Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. icense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed Contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.e ,h¢SQft OR ADONS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET NON.RESID .BRANCH CIRCUITS) 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES200601 e AL030 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 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. ❑ 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. 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 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 1s 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, an expenses which may in. any way accrue inst s id C my in co aqua a the granting of this permit. X Contractor ❑ Agent ❑ Signature of Applicant — Z".neightt? An OSHA permit is required Oons over 5'0" deep and demolition or construct- ion of structures over 3 storie Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ o� n 0--7, OCCUP. CONST.TYPEJ JSCHOOLJFLOOD PARCEL PD I Ho ss This permit is hereby issued under sions of the Butte County Code and/or work indic d abo for which IR TO F PUBLIC By PERMIT EX IBES Date the applicable provi- resolutions to do fees have been paid. WORKS ate —7- Data//— 7- Receipt No. :;L-7 5 3 WHITE-D.P.W.. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 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) 1_- 2. I (have/have not) V��d f= 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 l.C- , 1 "�C Social Security Number 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. Permi.t#2851-88 a, Dale M lendriC'k. 10th St, ORovil_ a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,'California 95965 -Telephone: 916/538-754t ` j�/ JVY� APPLICATIDN ANS PERMIT ASSE'SSO,R Y,% J �j A�C�iylrNV iBE ZONING BUILDING PERMIT owy R /R �r V ' TELEPH NE ,I SO. FT. OCC. BUILDING VALUATION O /ER' ._MAILING R S l s //((�ti�y � � CON RAC OR's NAM^E TELEPHONE CONTRACTOR'S M ILING ADDRESS Fireplace CONSTRPCTION LENDER ki Ir— UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDD�'ll//ERR((/'SSS MAILING ADDRESS Permit Fee $ ARCHITECT R ENGINEER LICENSE No. Plan Checking Fee .$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS f 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. DO USE OF STRUCTURE SF ( Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel 10Uti litie ❑ (Ipstallati n❑ Other [y Describe work: P r IN) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service aOOV OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ///,L7WWjJJJI 1, as the owner, Or my employees with wages as their SOIe 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..\ +/ZQsgft OR ACDNS. ACC. BLDGS. / NEW CONSTR ULT' -OUTLET 2.50 ea NO N.RES.D BRANCH CIRC ITS /POWER APPARATUS &) (POWER OUTLET CIR, z00aOt EX. DCCUp OUTLETS OR FIXTURES eALO 30 FIXED (RES, D.OR EX. Occup. OUTLETS TS (REST1 EA.) 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. , R 'I ,shil ll not employ any person l in any manner so as to become subject / ' to the W. C. laws of California: •I '. Notice to Applicant: If afteii 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.. I MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and s4te that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save,%indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and,expenses which may in any way accrue agaipst said County in consequence of the°granting of this permit. X �� Q .J�,✓,'� t el_ Z .Cl ast t` ..Date Signature of Applicant'— Ownerr.® Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-!/ ion of structures in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ' OCCUP. CONST.TYPEJ I FLOOD PARCEL PD I NO I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which Jeer have been paid. IR.�E1C/TO� F PUBLIC WORKS By! /�`� ate PERMIT EXPIRES Date C Dies LL Receipt No. rP r / / WHIT!-O.P.W.. YELLOW-ASSE33 , PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ~ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ASND PERMIT PERMIT NO. ASSESSF]AR� MB R ZONING BUILDING PERMIT OwTELE R V; 1A At w I r ,t H - SQ. FT. OCC. BUILDING VALUATION O NE ' M (LING A ca CON C OR'S NAME TELEPHONE CONTRACTOR M (LING ADDRESS Fireplace CONS ' CTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC I ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS St ¢. Permit fee $ 1,0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCELMAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF W Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00ea TYPE OF WORK New❑ Addition❑ Remodel Utilitie ❑ stallati n❑ Other Describe work: I^ l�1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service eDDV 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): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.tr , h2sgft New CONSTAR. ULTI OUTLET NON-RESID BRANCH CIRC ITS 2.50ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50C eALe3o FIXED S. OR Ex. Occup. OUTLETS TS (R(RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 g Permit Fee $ 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. NA I shall not employ any person in any manner so as to become subject to the W. C. laws of California. No ice 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 Filing Fee 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and exp nses which may in any way accrue ag st said County in con uence th granting of this permit. O1_, 2 — 9� X Date LL Signature of Applicant — Own -Ap Contractor ❑ Agent El An OSHA permit is required for ex/�cavvations over S'0" deep and demolition or construct- ion of structures over 3 sto ies in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPe I I FLOOD PARCEL P11 I ND I ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indica above for which REC PU By Z P&MdtXPIRES Date the applicable provi- resolutions tC do have been paid. I WORKS o Receipt No. WHITE-D.P.W., YELLOW -ASSESS R, PINK -INSPECTOR. GOLDENROD -APPLICANT 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) , �2. I (have/have not) " I.P r_ 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 Numb r y Date —2— �i 7 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. PERMIT NO. 6648-78B PERMIT EXPIRES 11/9/79 x OWNER BART CASILLAS Sr. 6ONTR. owner LOCATION (A.P. 31-281-92 ) 941 Thermalito Ave, Oroville Temp. Power Poi Called PG& Temp. Elec Sen CalleePG&E Temp -/Gas Serv. .Called PG&E JOB ry FINALED T (Date) (Signature) Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch 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 E ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS0 ORRECTIONS COIL (NOTE: An entry must be made on this form each time you visit the job site.) 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 Sidino To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings handicaddr pehysically Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch 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 E ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS0 ORRECTIONS COIL (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 - ;rovilleCalifornia 95965 / / �_ g 4�/ / / ' ^ TelepFlone: 534-4541 IYJ/(%��r/ APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ��� � d e4r, p a e w Signature of P.elmitee or Agent � � Receipt No. O6� �- 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 )w fees have been paid. RECTF PUB C WORKS 44 B Date lql? F_ Building permit expires Date �� BUILDING Owner 13,fe T SQ. FT. OCC. BUILDING VALUATIO Mailing Address Telephone No. -1-33-0670 Contractor NG Mailing Address Fireplace Total Valuation Telephone No. Permit Fee , p0 Building Address Plan Checking Fee&/or Pe alt Permit Fee ,00 PLUMBING No.1 @ I FEE elee PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 3 % " .7 g / _q2_ , Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 J="s I VIrer I Saar": en I Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. -12"x4- ec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ n SEs. ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 100 AMP OR00V OR LESS5.00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ODWELING R ADDNS. ( ACCLBLDGSCCUP. 51 20sgft 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 CO ID ( BRANCH CIRCUITS 2.50ea NEW CONSTR BRANCH CIRCU NEW CONSTR. POWER APPARATUS 0 NON-RESID. (SINGLE OUTLET CIR. / Ex. Occuo(OUTLETS OR FIXTHRES g L 1@ 01 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 • 11 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. IRS 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 $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ��� � d e4r, p a e w Signature of P.elmitee or Agent � � Receipt No. O6� �- 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 )w fees have been paid. RECTF PUB C WORKS 44 B Date lql? F_ Building permit expires Date �� :A PERMIT NO. 1711-77B PERMIT EXPIRES v OWNER Bart Casillas Sr- CONTR. owner LOCATION (A.P. 31-28-92 955 Therma� Oroville tl, :'t I r 1 s 1 Temp. Power Pole f . i Called PG&E l Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING. , Setback Firewall Soil Piping Forms Parapets 1st Floor Main Igidd Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing i Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall J� Garage Vents Insulation Water Htr. Heaters Slab % Carport Footings Prov. for physically handicaped Conformance of e structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footin s Footina ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIR SPRI LERS Motors Framin g Test Water Htr. Stucco r Final Subpanels ' Mesh MEC)JANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES Elec. Service Elec. Pedestal MIR Water Piping Sewer Gas Piping OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 0101, J (NOTE: An entry must be made on this form each time you visit the job site.) L PERMIT NO. 3630-77B z PERMIT EXPIRES OWNER Bart Casllas CONTR. owner LOCATION (A.P. 31-281-92 955 Thermalito Ave., Oroville Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E . Temp. Gas Serv. _ Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE - DEPARTMENT OF PU0LIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms,Para ets 1st Floor Main Bldg. Restroom Finish A. 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof She thl Water Piping Piers Roofi g Sewer Garage Fdn. ants Fixtures Footings Stemwall 4Garage Vents Insulatilon . Water Htr. Heaters Slab Carport p Footings rov. for phsically andica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing - ELECTRICAL hong tseam 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 MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEUOME INSTALLATION--------- ----- pport Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) ,. COUNTY OF BUT -TE, — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner �' S SQ. FT. OCC. BUILDING VALUATION v O Mailing Address . / ' le ph neNL/ Fireplace Contractor Total Valuation e7, ao Mailing Address Permit Fee Q O Plan Checking Fee &/or Penalty Telephone PJ o. Permit Fee $ Building Address' !� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 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. o. �— Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'dParcel Ap oval Plans Ap oval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _ Main service 8001 AMP R LOR ESSLESS 5.00 Main service EA, ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBLDGS.LING CCUP. &) 20Sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea - NEW C ON ST 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) @251too Ex. Occu FIXED APPLNS. OR P• 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. 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. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. n Date �o-% / Signature of Permitee or Agent TOTAL PERMIT FEE 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. DIRECTO F,JUB IC WORKS o �KVrJ '4Z Y ate Receipt White-D.P.W. 7 .W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building P@1'11111 @XPIr@S Date _ COUNTY -OF BUTTE — DEPARTMENT OF PUBLIC WORKS �- 7 County Center Drive — Oroville, California 95965 Tel ephonp: 534-4541 (/ -' APPLICATION AND PERMIT r auuwncc vuPresentauves or the County of Butte to enter upon the above-mentioned property for inspection purposes. i, x & -) .,Date SI ature of Peerrmitee or Agent Receipt No. White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod-Appli=ant 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. DIRE OF PU LIC WORKS By �` Date Building permit expires Date- v- BUILDING Owner 132at C SQ. FT. OCC. BUILDING VALUATION Mailing Address j 0.d D cFireplace Ta*_—ona Contractoriron Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty e Tlephone No. Permit Fee Building Address �s fi a PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 C% I Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.--„�- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W. . ►►**�' tiff n Fire Dept. Fir��e,,Zon Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declara ' eMa ° 60' R/W Im pr Cements Lawn sprinkler system 2.00 Bldg.Plans RecdI'f cel A l� pp a PlanA pproval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGSCCUP. &) 20sgft NEWCONSTR. MULTI -OUTLET NON .RESID. % BRANCH CIRCUITS) 2.50ea • NEW CONSTR. (POWER APPARATUS & NON RES,D. 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 :lame style of: Ex. Occup(OUTLETS OR FIXTURES)@L�'C BAL@1 Ex. Occu FIXED APPLNS. OR Fp. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ,419I 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. r-1 I have placed on file with the County of Butte a certificate of orkmen'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 $ $ 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 TOTAL PERMIT FEE $ 7� 701 auuwncc vuPresentauves or the County of Butte to enter upon the above-mentioned property for inspection purposes. i, x & -) .,Date SI ature of Peerrmitee or Agent Receipt No. White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod-Appli=ant 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. DIRE OF PU LIC WORKS By �` Date Building permit expires Date- v- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ,A/ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 i f; APPLICATION AND PERMIT / ASSESSOR PARCNUMBER / / I ZONING BUILDING PERMIT OWNER TELE DINE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Ile - CONTRACTOR'S NAME A�f TELEPHONE r, CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is f/ 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 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 Sr-- Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other�[1 ] Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov 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): Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 4-y i � Classification � f EJ 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.a) ,�22sgft OR ADDNS. \ ACC. BLDGS. NEW CONSTR. UL 1 -OUTLET 2.50 ea NON.RESID .BRA CH CIRC TS POWER APPARATUS e SINGLE OUTLET CIR. zoesoe Ex. Occup OUTLETS OR FIXTURES eALO 30 FIXED XP Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g 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. Eg 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 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. i ---- ��,�� , �� X'- =� r ��9.�tr.... Date _ Signature of Applicant — Owner F-1Contractore' Agent F1work 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. CO"ST.TYPEJ SCHOOL I FLOOD PARCEL PD I ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR OF PUBLIC __ + By J, PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS —'Date Receipt No. WHITE-D.P.W., YELLOW-ASSFOSOR, PIN[ -INSPECTOR, COLD ENROD-APPLICANT i i. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calilornle-95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARC % UMB „_ —/ — `](� 41 ZONIN BUILDING PERMIT OWN TELEPHONE SQ. FT. OCC. BUILDING VALUATION - OWNER'S M LING ADDRESS, T �C'._y ro v i /lam CONT TOR'S NIjIME ,/Jr O' TELEPH ONE�7 CONT AC R'S MAILING ADDRESS %q(i!!-� 6 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee 1000 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 FilirgFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUB DIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF N7) Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer J5.00 Mobile Home S G W0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel[, U� Ilities ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 *OR LESS 100 AMP OR LESS 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. "i-2 �.5 Classification ❑FIXED 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.EI , OR ADONS. ( ACC. BLDGS. �20sgft NEW CONSTR. -OUTLET NON.RESID RA C CIRC 5 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES ewL030 PR Ex. Occup. OUTLETS (RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 ::F. Permit Fee $ 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. I 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 Filing Fee 10.00 Heating Cooling g Hood o 3.00 Ventilation permit Fea; $ Contractor) I certify that 1 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, indeinrii y and keep harmless the County of Butte against al 'Ilties, judgments, costs, and expenses which may in any way accrue gafnst aid Cou�onsequence of the granting of this permit. X��s'� l I ate —jam �� -� Signature of Applicant — Owner ❑' Contractor �Ag•nt ❑ 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 Instaflation Fee $ Energy Inspect iorrFee $ t, , TOTAL PERMIT FEE i ".r $.' OCCUP. CONSr.TTPE SCHOOL •woo PARCEL o ND I ISSUE This penult is hereby issued under Bions of the Butte County. -Code and/or_ work Indicated above, for which- DIRECT F PUBLIC r By P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r? 27 Receipt No. � J 7 WHITE-D.P.W.. TELLOW-ASe6ee0R, PINK-INO►ECTOR. aOLOENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PRMIT N ASSESSOR PAR:3 NUMBV C, / - ^/ ! ZONING BUILDING PERMIT OWN EVVIS[� A/) TELEP E SQ. FT. OCC. BUILDING VALUATION - OWNER'S M LING ADDRESS io-era vt11,-e, CONT TOR'S N M`�', V4J �/ �G�V TELEPHONE •sl�j CONT AC R'S MAILING ADDRESS // %od 0 � a7-dI � Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee 110.00 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 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF() Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 j Main service OOOV 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): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. S' ,� Classification EJ 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 OCCUPAW DR ACDNS, ACC. BLDGS. /z¢s2.50 NEW CONSTR U ea NON•R ES...BRAN CH CIRC TS ea POWER APPARATUS e SINGLE OUTLET CIR. / Ex. Occup( OR FIXTURES 20950t 5AL930 FIXED EX. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 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 FiIingFee 10.00 Heating Cooling oo 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. I also agree to save, indemnify and keep harmless the County of Butte against aa-riab(lities, judgments, costs, and expenses which may in any way accrue gainst aid County in consequence of the granting of this permit. X f ate,�,�—��'� Signature of Applicant — Owner El Contractor WAgent ❑ 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.TYPE ISCH001-IFLOODIPARC11LI PID ND 159UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC By P ZMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �� Receipt No. 3l� 7 WHITE-D.P.W.. TELLOW-ASSESSOR. PINK- NsPECTOR. GOLDENROD-AP►LI CANT S, Complaint-Dat:e _ ❑ Other -Date BUTTE COUNTY DEPARTMENT.OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZON, I T Owner: � (1l (J /Ws -11�-4t) A. P. # Address: 15-9.1 /D 1O b7— Date of Inspection/ /L/- % Tenant: Inspector.�?Lr//�-��✓ Building Location: 6fj— Type of Inspection requested: / / 1. Housing ".2. 2. Financing 4. Work W/0 Permit Present use of building: _ 3. Change of Occupancy to Other (specify) dr7± &-/ o©o A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, headroom, lYHR, Tolerance�,Handrails) 15. Comments: B. C. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: IM E. F. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (gives complete1 'descri tion): . 2. What act.on aken (give complete description): 3. What action r com ended: A ormation only - file. / BHold for ten days, then write letter. C. Write letter. / /.D. Other: I