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033-027-001
•v i 33-027 1 ANGELO-COLIANNI �IN SE corner of Go e range yam. St. Or i11— Pe mi -SSP, util.,MH� I EL'EC , n I ! GAS' SU PORT UCTURE 'REQ. I _' COMPAC9DN TTST REQ. E j '033-027-001"� 3`tc�PERMIT#95=2937.`4+ ` y • a ,. • - f-CHILTON,� �danda;`Harles 152. Gold. Ave.; `Oroville 'AL3 �Ele Ser=Ch/NIHr t; �;R{tt,. * •,,� t y,r [ri-c, d C.,4; . � i � � j� �� < � ,� T ,Et to ly` _�? ,. r�� •r • r ❑ tf { 1 .k. n 1 • P 1, I 1 � f � x 1 1 f 1 , o f , , J •v i 33-027 1 ANGELO-COLIANNI �IN SE corner of Go e range yam. St. Or i11— Pe mi -SSP, util.,MH� I EL'EC , n I ! GAS' SU PORT UCTURE 'REQ. I _' COMPAC9DN TTST REQ. E j '033-027-001"� 3`tc�PERMIT#95=2937.`4+ ` y • a ,. • - f-CHILTON,� �danda;`Harles 152. Gold. Ave.; `Oroville 'AL3 �Ele Ser=Ch/NIHr t; �;R{tt,. * •,,� t y,r [ri-c, d C.,4; . � i � � j� �� < � ,� T ,Et to ly` _�? ,. r�� •r • r ❑ tf { 1 .k. n 1 • F� ' rj, �� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT gs`Q!3% ASSESSOR PARCEL NUMBER 033-027-001 ZONING ARt4H BUILDING PERMIT OWNER WANDAHARLES CHILTON TEME0659 SO. FT' OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 175 LAKELAND OROVILLE, 95966 CONTRACTOR'S NAME 014NER lY 1V TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDINGADDRESS 152 GOLD AVE PERMITFEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. S UBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USyEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CP Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Add -Rion ❑ Remodel ❑ Utilities CY Installation ❑ Other ❑ Describe Work: ELECTRICAL MAIN SERVICE & PRE INSPECTION EXISIN EUSINNS EXISTING SITE Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith 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 1 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 NEW CONST. DWELLING OCCUP.So. OR ADDNS. ( & ACC. BUDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RFSID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FDCTURES ) 20 Q 1.00 SAL .50 EX. Occup. OUTLETS (R S D.)OE0. ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PRE INSPECTION , PERMITFEE $ 83.00 Contractor 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 MECHANICALPERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ������G%�7!/ _Date �� G = Signature of Applic�it - B Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee$ Energy Inspection Fee $ OCC CONST. TYPE I TOTAL FEE $ 83.00 HAZ. 1 D. FEES I IMP I FLOOD [TDF PARCEL PD HD SSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 190430 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 17, COUNTY OF BUTTE -DEPARTMENTOFDEVEWO MENTSERVICES-- BUILDINGDIVISION 7 County Center Drive - Oroyllle, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 033-027-001 . ZONING AFAf >* BUILDING PERMIT OWNER WANDA HARLES CHILTON J34E0659 SO. Fr. OCC. BUILDING VALUATION lk 4OWNERS MAILING ADDRESS 175 LAKELAND OROVILLE, 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNM40WN Total Valuation Is LENDER'S MAILING ADDRESS ,It Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHRECT OR ENGINEERS MAILING ADDRESS r Energy Plan Checking Fee $ Penalty.. $ BUILDING ADDRESS 152 GOLD AVE - PERMITTEE $ '. ' OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 „ } /.USyEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 1"15.00 TYPE OF WORK i New ❑• Addition ❑ Remodel ❑ Utilities I N Installation ❑ Other ❑ Describe Work: ELECTRICAL MAIN IERVICE & PRE I INSPECTIO Mobile Home S G. W :i,r'r' @20.00 ; ." ,. PERMITFEE g " ,.. EMIX IRS= EXISTING SITE Contractor I ELECTRICAL PERMIT , Flin Fee 20:00 y Main Service ( 21111 OR LESS 00A OR LESS ) 23.00 tMain Service ( 200A TO 1000A ) 46.00 ' 1 Y -LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of peijury 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: ❑ 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 dons, r ct the project. ❑ I.am exempp rider Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. ORnADDNS. ( 8 ACC. OCC ) SO. 3.50 FT. NE41 CONST. ( MULTI -OUTLET NOKFRESID. ( BRANCH CIRCUITS ) 97.501 t ( POWER APPARATUS ) • & SINGLE OUTLET CIR ,, EX. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00' RAL .50 Ex. Occup. oFIXEEDrs (RES16.) ( ) 5.00,k Temporary Service 23.00 Mobile Home Facilities 20.00 120.00 Misc. Wiring 23.00 PRE INSPECTION a , PERMITFEE $ $3.00 Contractor WORKERS'"COM'PENSATION 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 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 PERMITFEE $ Contractor 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��/%� �1 Date Signature of Applica�n"t - L8' 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. II Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. rvPE TOTAL FEE $ 83.00 HAZ. I D. FEES I IMP I FLOOD I CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 190430 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT N 033 X027.00i;":'� PERMIT#95' 937y ; CHILTON, rl'iWanda� Harl'es,� 152 Gold. A've Orov111'e Ele Ser Ch/MH s^.'rkr� • £ s COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION +_42 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 -7541/1,,., -PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 033-027—Ml ZONING I BUILDING PERMIT OWNER WANDA HARIM CHILTNN TW10659 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 175 LAKELAND OROVILLE. 95%6 CONTRACTOR'S NAME OWER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN OWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ iVARCHrrECT OR ENGINEER'S MAILING ADDRESS 5 Penalty $ BUILDINGADDRESS 152 GOLD AVE PERMITFEE $ OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDN510N'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer "15.00 TYPE OF WORK W New ❑ Addition ❑ Remodel ❑ Utilities QL Installation ❑ Other ❑ Describe Work: _ ELEMICAL MAIN SERVICE & PRE INSPECTI01 gXIM E7M3= EXISTING SITS Mobile Home S G W .;. '" 920.00 PERMITFEE S Contractor , p ELECTRICAL PERMIT Filina Fee 20.00 . Main ServiceEO eV OR LESS ( 200A OR LESS ) 23.00 ?Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATIONOR 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 1 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 NEW CONST. DWELLING OCCUP. ADDNS. ( d ACC. BIDS. ) so' 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 e ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 100 BAL .SO Ex. Occup, ouTLEEDTs RESID.OEA ( ) 5.00. Temporary Service 23.00 Mobile Home Facilities 20.00 • Misc. Wiring 23.00 PRE INSPEMON.� PERMITFEE $ 83.00 Contractor 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 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 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 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 .r,.;I/: «Cr!'_ __z Ile _ Date _%,'' Signature of Applicant - O 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 Is occ CONST. TYPE 83-100❑ TOTAL FEE $ HAZ. 1 D. FEES I IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. IYU4'9U WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT K f' r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (9;16) 538-7541 PERMIT NO. APPLICATION AND PERMIT V J ASSESSOR PARCEL NUMBER 033»027-001 ZONING APM1 BUILDING PERMIT OWNER WANDA HAMM CHILMN T � -E06!,g SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 175 LAKELWD OROVI LE, 9596 I�TEIEPHONE _ CONTRACTOR'S NAME OWNER CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MaUNG ADDRESS Filing Fee $ 2p,QQ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ -ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDINGADDRESS 152 GOLD AVE PERMITFEE $ OROVILLB PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNSroNS NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑� Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: WIMICAL MAIN SERUM & PRE INSP=011 EXISTING SITH Mobile Home I S I GI W @20.00 PERMITFEE _ Contractor ELECTRICAL PERMIT Filin Fee 20:00 Main Service E00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) [NEW 46.00 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: ❑ 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 CONST. DWELLING OCCUR, OR ADDNS. ( 8 ACC. BLDs. ) sO. 3.5{t Fr. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER us ( 8 $DINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 0 +.50 BAIL.00 Ex. Occup. oFIXEEDrs (REN DJOR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE J a0 PERMITFEE $ Contractor 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 PERMITFEE $ Contractor 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, 1 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 ��. r 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 Is Energy Inspection Fee $ OCC CONST. TYPEOJ TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date (Date) JVMJV Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' `-"`�,�""-r.,. <-,-�.,.�.-td�..+Y`v-r-�t'tft�-..17,r.�«...�'t',r�..''"`�'."w-..-rti--'tir^'-;-•,r;.:� .:. �.�;�,;rn�.;��r-,-r*'�.r�S:-"�'., r�t'..,',�,;, C'OUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET / �1 OWNER�,c%a�vda-- lto-rlPS 0 l/7% �oA/ A. P. No. 0.33-627 -ob Proposed Building Use Mleii< /.c Inspector 96 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY WORM 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. -� 33. L_-`34. All items have been submitted.. ....................................... . Plot plan�/ sets,)signed bylpreparer of plans . .......................... . Complete plans; 3/4,sets, sig fed by preparer of plans . ...................... Engineerediplans and( calcs, 314 sets, with wet signature on plans . ............. Hazardous Material Form. ..0. .......................................... Energy Design, Compliance anti supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ..................... . Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ ).......................................... Impact'fees as shown on attached schedule. .. . California Department of Forestry plan approval/fees .......................... Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation andiplot plan approval Health Department . ............ City of Chico plumbing permit ...... . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development.about (A) Improvements (B) Drainage. Driveway permit (construction appro required prior to occupancy). !�...... /- Z - f%f Pre -inspection for k/ec f%/G r di cye required. et�d ''sE 'eQOe pedor (Date) Contractor's license information. (No., Name Style, Classification). .5)jjp.- S?.... . Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner _). .......... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list . ....................................................... When�you issue the ermit, process as follows: Mail to owner. Mail to contractor. !/ Telephone 65 and hold for pickup at 0r0 V office. Deliver with inspector. Other Parcel Creation/ Acreage Applicant l-.r;�'Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle, new item not, checked above). 1. Index permit for above items No. eF 2. Additional items required:" Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 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. �l. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESVY NO[ ]. 2. I HAVEVC ] 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: NAME: W ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: x PROPERTY OWNER: 1`' SOCIAL SECURITY NUMBER: ,,\ DATE: I/ �- 2— !2 S NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that 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 (including, materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95314. 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. Sin8erely; ` Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 53.3 ;Z -o 0 ( ZON"O - 12m BUILDINGPERMIT OWNER ��. SO. FT• OCC. BUILDING VALUATION OWNERS MAILING ADDRESS / 7 5 l�, � I GL �L, (/� 69/-o u I t I -e- r5 F 6 - CONTRACTOR'S NAME p c,vtie/ TELEPHONE CONTRACTORS MAILING ADDRESS w • Fireplace ` CONSTRUCTION LENDER UNIOVOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee - $ 20,00 Permit Fee $ - ARCHITECT OR ENGINEER. LICENSE NO. , Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS __.. Energy Plan Checking Fee $ - Penalty 1 $ BURDINGADDRESS - 2� PERMITFEE $ t U f y� PLUMBINGPERMIT Filing Fee 20.00 rtEach Trap 7.00 LAT NO. SUBDIVISIONS NAME y ' f ;.'f+ T • f • ! PARCEL MAP Y , Solar or heat pump water heater 23.00 USEOFSTRUCTURE.r (}t%i�El� SF ❑ Duplex ❑ Mobilehome Other I SPECIFY Water piping # 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 1 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ubliies 0 Installation ❑ Other,.❑ it...-. Describe Work: 'g eC_ i a.f 1171Ai°n/ �rl/j`C,.-e � f ��- N 5 AQ e r_4 t 0 XA 57 Mobile Home S G W @20.00 ; PERMITFEE ; Contractor t ELECTRICAL PERM IT Filino Fee20.'00 c.J T Main Service OOOV OR LESS ( 200A OR LESS ) 23,00 B -O Main Service( 200A TO 1000A ) 46.00 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 1 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) so. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( ,POWER APPARATUSNGLTLET ) Ex. Occup. ( OUTLET OR FD(TURES ) 20 ® 1.00 BAL .SO Ex. Occup. OUTLEEDTS ((RRESIo.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 O -Z) Misc. Wiring 23.00 e- e-,-+1 0 AJ , &-- PERMITFEE $ e -o Contractor 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 (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 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 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 , Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSIE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have -: - By PERMITEXPIRESON ' the applicable provisions Resolutions to do wod( been paid. Date '(Date) Receipt No. i 90 7 ✓U1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT 033-027-001 PERMIT#95-2937 CHILTON, Wanda Harles 152 Gold Ave., Oroville Ele Ser Ch/MH COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card In a safe conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. 033-027=001 7 PERMIT#95=2937.; CCHILTON,.4Wanda;,Harles':', 152 Gold Ave.,_Or ovi1le -Ser"Cl'/MHS- PERMITTEE MUST CALL FOR INSPECTIONS Footings Piers Underground Conduit Pre-Gunite Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Rough Plumbin4 Rough Electrical Rough Mechanii Framing Shower Pan Insulation rirepiace rooting Fireplace Throat Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildinq or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY ...d:.. saes........:::::::Information Oroville 7 County Center Dr. 538-7541 538-7636 Chico 1469 Humboldt Rd. 891-2751 891-2834 Paradise 747 Elliott Rd. 872-6307 872-6307 Revised 7/94 1, OWNER: S �- [ ( AP.#: C7 3 3 -� d -)--7 - LOCATION: u f` – CONTRACTOR: ZONINr : C• II �l�c �r� cn lU1(a� ,✓ 5'e/(�, G MO� e I `e ��t0M'iF PRE -INSPECTION FOR: , X i 5 f 'N 5r e li rf O ^^ DATE TO INSPECTOR R PERwr HISTORY: [ ]NONE ` [ 'FOLLOWS: A TYPE OF OCCUPANCY: M D �3 BUILDING INSPECTOR'S REPORT 3uildinDescription:— _ g 0 [ ],CommerciaVUsage: [ J Residential/4 of Units:Mobile Home. Yes[ No[„... ] [ ] Currently Occupied. [ ] AbandonedNacant. rs Electric: � ,,� [ ]Yes [�1 ivo tr�_1 Electric is currently :[ ] On' [ ] Off !z Condition of electrical? H” as: Natural [ ] Propane[ ] None[ ] Currently On[ ] Off ] Obvious problems: anttation: Plumbing working Yes[ ] No[ ] �o { Well: Yes[ ] Nov Potable water: Yes[✓�No[ Obvious Sewage Problems: ction Recommended: [ ]Issue [ ]Hold for:. �.i. c 7 Date• nspector• � ��— _ - � - r -- t � - i� a .. r � _y•. ^'' _ ` �.. � �+�- .. _♦^fir t x ._ !� � +.. . i.};�.. �+fit S•' - •i5' ~•+'. } i � .� . fu cq ', OFC 7 cn Ln Ln P a y r. , `r O z O ; p a a zw� 1,, (1) a:6d a •.,1 .�, I U) M a4- w J ,t t � vio r emaa*: OROVILLE'CALIFORNIA J GENERAL CLAIM CLAIMANT: Angelo Colianni ADDRESS: 2720 Rafael St. CITY 8, STATE: Chico, CA. 95926 IMPORTANT: November 20, 1975 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE . SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner decided not to install facilities for a mobilehome. - (Perruit #522 — — Rec�rpt#'1368653 .Plumbing permit fee ----- $23.00 - Retain tiling fee ------ 3.00 Amount of refund due ----------- $20.00 Electrical permit fee --- $21.00 Kerain ftitnge------- .00. Amount of refund due ----------- 18.00 TOTAL REFUND DUE $38.00 $3E.00 TOTAL $3E.00 I, the undersigned, declare under penalty of -perjury that the services or articles claimed have peen performed or delivered, and that this claim is true and correct as stated. - Dated this 20th Nov. lle19,Calif.a ..................................dey of ............................75 ............................... nature of Claimant I, - the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- ' livered and that there is a Budget Appropriation or Specific Board Approvals (Check one) for the some. Dated this .................................... day of ............................. 19....... at .............................. Calif..................................................................................... ' - Department Head or Authorized Deputy Dep:. _ Exp. Code......:...................................:. Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. i •- "� COUNTY OF BUTTE — '—DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephone: X534-�5d'I APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned propert for inspection purposes. o, � X ae l $i nature of Permiteee or Agent dr Receipt No. /3 LE 4 J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. DIRECTOR OF UBLIC WORKS By 9�� Date /d %`i /J OD y� j B llding permit expires Date BUILDING Owner �LC� ® SQ. FT. OCC. BUILDING VALUATION Mailing Address CJ ` Te 0014 f_. X11 r Fireplace Contractor d CN (\('()J/Z • Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address s` OZ� �� PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 — Q O (..o 4 Ur". ax 4 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping © ^ Each gas water heater or vent 1.50 A. P. No. 2_on;ng & Plan ':g Gas piping system 1 - 5 outlets 1.50 Eacp additional outlet .30 Fk!r S on Fire Dept. FireZon se Permit wilding sewer /0 ^' EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im r p ovemen Lawn sprinkler system 2.00 Bldg. PccT�;q Rec'd Por Approval � Plans App val Permit Fee $ $23 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b 1% In Receps.,, switches & fix outlets:± 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole 5.00 License No. Classification Misc. wiring ,- 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this -- permit .is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE 47 $ authorize representatives of the county of Butte to enter upon the above-mentioned propert for inspection purposes. o, � X ae l $i nature of Permiteee or Agent dr Receipt No. /3 LE 4 J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. DIRECTOR OF UBLIC WORKS By 9�� Date /d %`i /J OD y� j B llding permit expires Date > i - WESTERN - PACIFI, C ADD. — T. 19N. R.4 E.— M. D. B. 11 M. "s 9i_o202 Tax Area Code of 9/-32 JNT IDAj f� A FOREST. --- 30 5060 in 4 3 2 �° . 60 5 SO 30 so s , 4i �3 �► 2 / �4 3 2 5 O 50 U "I so 50 60 s 1 7 9 9 /O �4 3 2 / 1 - 028 I O g p • i �b I 1 44Ac s A '60i—iia 1 q �60 u i -x" . i i czs'� �e 111 _ "I so SO � 60 s 1 7 9 9 /O 1 { so Go czs'� �e 111 _ "I so SO � 60 I 3 1 4 r f� N► t.-41 .. 4 1,1 3 \ I I O SO so I , SO 60 1 - 028 I O (51 I I \J I I Q G 19 I• 9 � I 1• W 1 11 I 1 110 lee I L LE) LAKELAND j AVE. ISO I SO so 60 ISO 1 60 I cn {I ? I -4 1 3 2 / s 4 3 1 d /• t '' i i I I 1,-j', 0 1 ,j�1 SE 117; 4-1-1-,2 I 1 of ;coo oo; o y� e 6 % /O N 90 — is 60 Ido So' ' 17510 AVE'. �tt 1 (s0I 110 ' 1 3 7 5 1 I 4 � 7,.365 I 1 ' O �1 mQ ► ' V /O .'•�I 1 50 O4 , t,O 7 I' B 9_ /O N► t.-41 .. 4 1,1 3 \ I so SO so I , SO 60 e 6 % /O N 90 — is 60 Ido So' ' 17510 AVE'. �tt 1 (s0I 110 ' 1 3 7 5 1 I 4 � 7,.365 I 1 ' O �1 mQ ► ' V /O .'•�I 1 50 O4 , t,O 7 I' B 9_ /O N► t.-41 .. 4 1,1 3 \ I 1 1 2 .1 /' M ' Iso'1 so so 60 100 I 1 I ,, M d 5 t.-41 .. 4 1,1 3 \ I 1 1 2 .1 /' M ' 1 .34,401 I O 8 r - 028 ./BAC .61A 1 44Ac s A 7 1 1 q �60 IOQ 1 1 M - AVE.: . . N 411 Assessor's Mop No. 33-02 r NOTE—ASSESSOR'S PARCEL BLOCK Cgynty, of BUffe Calif. & LOT NUlIBERS SHOWN IN CIRCLES REVISED: 9-92 4-6- I -6- ,a 1 s 4f44�f r r } Z4 Im CL k M - AVE.: . . N 411 Assessor's Mop No. 33-02 r NOTE—ASSESSOR'S PARCEL BLOCK Cgynty, of BUffe Calif. & LOT NUlIBERS SHOWN IN CIRCLES REVISED: 9-92 4-6- I -6-