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HomeMy WebLinkAbout033-067-003BO%-100% D33-W7 - 00`3 260 Fernwood A*- oroviUe Demo Unoft Sirudot(Raus-ocol) owft'di ,,mit, (uconn4d) CoNTR: mlltr ConskviA6on co . 510/ / / / �/, '� ��� --- Oma-✓ .cv�o� owe OWNER: 't PRE -INSPECTION - v LOCATION: 2-CoO sh�r� DATE q 1 O A.P. # CONTRACTOR: ZONING PRE -INSPECTION FOR: ' j DATE TO INSPECTOR hkon Ll1qj/e? PERMIT HISTORY: F1 NONE Q AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: l�✓� S S� TENNANT: OCCUPIED HAS ELECTRIC F] HAS GAS IAS SANITATION FACILITIES HEATED -COOLED // PERSON CONTACTED / OTHER COMMENTS: ACTION RECOMMENDED: Val ISSUE � HOLD FOR In "- 'O cy �r�o1 OTHER: -� ��tic 2 Z L S �.y r -S o %2 /iyt ci ; / //La 2a( i to rte i. i �a Joy ✓; BY DATE /1 �9 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC (Rev. 12/96) APPLICATION AND PERMIT A°°a°DRP'I"`d"�(D�, zomm BUILDING PERMIT '*— w TELOIgNe SO. FT OCC. BUILDING VALUATION OWNRI wane A60RM r -n CONTRACTOR? NAME TELEPHONE CONTRACTOR? MALUM ADOMS CONSTft=T N LEMER LENDER'S MAMM ADDRESS Fireplace Total Valuation Is AAcW EcT OR Lwwal 1 tx:EHSE NO. Erin Fee $ 20.00 ARCNTEcr OR 09MEM S WAJNo ADDRESS Permit Fee S .-2o oo Plan Checkin Fee $ SUtDM ADDRESS Energy Plan Checking Fee S PERMIT FEE i WT H& PARcn MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 1hDuplex O Mobilehome O Other °� Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each na water heater or vent 15.00 TYPE OF WORK New O Addition ❑ Remodel O UtIWes O Installation ❑ Describe Work: Other Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q?20.00 7-1 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service OR rEs° sow oR LEss 23.00 ?a O Q Main Service low TO 1000A 48.00 NtW CONST• O aim op:UP. SO OR ADONS. a ACC. d.Do. 3.SC FT. NON.REMM MUITI.OVTIET (P7.50 POWER APPAAATUe a 9SIOLE OIrRtT p0. Ex. Occup. ounET oR mrruAm ao 0 I.00 SAL a .50 EX. OCCU %0 AMP S. OR OUTLETS ESIO. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE _ 604016D MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 8.50 Ventilation PERMIT FEt? S Mobile Home Installation Fee S Energy Inspection Fee S occ CONST. TYPE TOTAL FEES �U HAZ. 0. FEES IMO I RGOO I COO' PARCEL I Po No I ISSIA 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 Date PERMIT EXPIRES ON W14YMoOD oo COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: IMPORTANT.• SEE INSTRUCTIONS SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ON REVERSE smF DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT 1 TOTAL ' 1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. �---� Dated this day of , 19_, at , C( alif. " -T Sign e o Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation [ I or Specific Board Approval [ I (Check one) for the same. Dated this day of , 19_, at Calif. Department Head or Authorized Deputy Dept. Code Exp. Code PAYABLE FROM FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. INSTRUCTIONS TO CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, description and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the Department head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. November 3, 1998 Raymond J. Owens 260 Fernwo Oroville, CA 95.965 Dear Mr. Owens: Co, L A N D O F NATURAL WEALTH AND 'BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 RE: Request for Refund A.P. #033-067-003 Your request for refund was received by this office. No refund is due, because of the fact that you paid for the work that was already done by this office. Should you have any questions concerning this matter, please contact our office at (530)538- 7541. Your very truly, .1 MjcMic ael C. eira, C.B.O. M ager, Building Inspection MCV:aam (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541��` APPLICATION ANDPERMIT 2_69t O - ASSESSOR PARCEL NUMBER 033-067-003 ZONING BUILDING PERMIT OWNER OWENS, RAYMOND J. TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNER'S2�6ffADNWOOD, OROVILLE CONTRACTOAH,7f KW TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 260 FERNWOOD Energy Plan Checking Fee $ OROVILLE $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF gI Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RETAG ELECT. Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W H� @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo.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.POWER License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fo the following reason: — V ', as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 NEW CONST. DWEWNG OCCUCUP. EE OR ADDNS. ( 6 ACC. BLDS. SO 3.5QFT. �µpOIp MULTI.OUTLET @7,50 APPARATUS S SINGLE OUTLET CR. Ex. Occup. OUTLET OR FDRUREs 200 1'00 BAL o .so Ex. Occup. GimFEDTs A�SI6.1 EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 P RE INSPECTION 23.00 PERMIT FEE $ 66.00 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 :.f one hundred dollars ($100) or less.) 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. �irnFi✓✓� Date �_ X �� Signatur of Applican wner ❑ Contractor ❑ Ageht An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ AA no HAZ. D. FEES IMP FLooD CDF PARCEL I PD HD sSUE This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON eta Receipt No. 250516 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT R COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT o. (Rev. 12/96) A.,, APPLICATION AND PERMIT Q$_ ASSESSOR PARCEL NUMBER 033-067-003 ZONIN° BUILDINGPERMIT OWNER OWENS,�, RAYMOND J. TELEPHONE , SQ. FT. OCC. BUILDING VALUATION OWNERSIv "°i`i:NWOOD, OROVILLE CONTRACTOA18,iW TELEPHONE CONTRACTTTIOR-��511\\ MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE No. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 260 FERNWOOD Energy Plan Checking Fee $ $ OROVILLE PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Ig 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 O Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RETAG ELECT. - . ` Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Is I G1 w @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service .AOR"s.s 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.POWER 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: — V1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. owELUNG OCCUP. OR ADDNS. ( DIE= BLDS. SO 3.50 Ft. NEWT. N RE ID. RANCHO CIRCUITS CUIT 97.50 APPARATUS 8 SINGLE OUTLET C1 R. Ex. Occu OUTLET OR FIXTURES 4 20 Q t. 00 BAL. @ .w50 Ex. Occup. GuT,EF°Ts(RRM.Io.C.R, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION PERMIT FEE $ 66,00 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: CarrierPERMIT , MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation FEt $ Policy Number A (rhe above sections,need not be completed if the permit is for work of a valuation . bof one hundred dollars ($100) or less.) /l certify that in the performance of th�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. 0 /r 9 � X 4�� Date / ! Signatur of Applicadf - gwowner ❑ 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 is Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I COF 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 Date PERMIT EXPIRES ON ate Receipt No. 2770,976 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �►.3we..�sr- �anN+..r. - ��.+,..-..e...� .'., , w.:�•iaxx+�v.�. �...w.:_ve-,. v�y.,, ..��.....,.-w^1,e�.ttx.���a.g.v-.,.. i .. ��:r-.�.,> up.�w.M Fa..--- .r.» .. _�,r-7 033-067-003 a #98 2055'? ax. ,a...OWENS, RAYMOND .'� ''• ; ,r . ��_,''' . '260 `FERNWQOD �r ft7 r' ' ,OWNER OROVILLE`!. 1' RETAG :ELECT: 1 . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT_JV0. (Rev. 12/96) APPLICATION AND PERMIT qi?- ms's GGA ASSESSOR PARCEL NUMBER 033-067-003 ZONING BUILDING PERMIT OWNER (1WENS, RAYMOND T• JOROVIL TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERsvn„,-,,.,,,aG "M, VsaWOOD��,, M CONiRACT^g�.* TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 260 FERNWOOD Energy Plan Checking Fee $ $ OROVIUE PERMIT FEE $ LAT NO. SUBDNISION'S MIME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Udlifies ❑ Installation ❑ Other ❑ Describe Work: RETAG E=. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00200A • JIL 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 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.) ..`] fl 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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X i !`f �, rr , — .� i w : y _ Datl C% 1 %' Signature of Applicant'- P*Owneir ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60” deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 NEW CONST. DWEWCC WEE NG OUP. SO OR ADONS. ( a ACC. BLAS. 3.5Qs, rNON.FESID. MULTI -011.1. @7,50 OWER APPARATUS 8 POW GLE 011.11 CIR. Ex. Occup. OUTLET OR FIXTURES @''00 BAL .00 20 Ex. Occu . oFlxul�rs AES )LNS E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRP 1N5 L PERMIT FEE $ 66 00 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. p. FEES IMP FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. ..,v� v 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT h a, - 4-0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Croville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ' ?0`�, t_ ASSESSOR PARCEL NUMBER 033,,,*7—W3 w�wJJ.-'vvV ZONING BUILDING PERMIT OWNER AY -USS PAYM �JjDt TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS 29&,W Dkfe% OROVILU CONTRAC� R`b AME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 200 FUND Energy Plan Checking Fee $ $ OWV= PERMIT FEE $ LAT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF [11 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: RnAG MJ=' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 2,0.00 800VOR LESS Main Service 200A OR LESS 23.00 ;� LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.41N..WER 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: .. ❑ P 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 aelf-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.) .. ❑ 1 certify that in the performance of the work for which this Dermit is issued, I shall ' not employ an person in an manner so as to become subject to workers' p y Y P Y � compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of ie Labor Code, I shall forthwith comply with those provisions. X Date �.� r ./ Signature of Applicant - 'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and dersolition or construction of structures over 3 stories in height. Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. S.3.5¢FT_ . LTI-OUTLET @7,50 =REOSIUTMU APPARATUS OUTLET C1 R. OUTLET OR FIXTURES 20 Q 1.00 Ex. Occup.BOL @ .50 Ex. Occup. ourlEEis a IESIEs 6.DE/L 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPEiMOK 23.00 PERMIT FEE $ 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 6601W HAZ. I D. FEES IMP I FLOOD CDF PARCEL p0 HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. �vV WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 033-067-003 #98-205 5 OWENS, RAYMOND OROVILLE' 260 FERNWOOD OWNER RETAG ELECT. 033-067-003 #98-2055 r` ' OWENS, RAYMOND 260 FERNWOOD , OROVILLE OWNER III-- RETAG ELECT. �" 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 bu,itfit 'lo .eneare d rov oocuntncy. `Placa must oe av,:i7r1033.067`--0O3to. 498-2055 OWENS ;" RAYMOND A. P. N 3,,-2 60 KFERNWOOD r.9 ..OROV1L-L-E 4+- ► Own'e OWNER, • f RETAG' ELECT.:, Contras..-- -- _ - --- — Permit No. Expires PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Piers Conduit Pre-Gunite Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab 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 ................. >Ad .e yes ............................In. n........4..Hr...ls :_<<> >.............. _.................... _....... _..................... Oroville - 7 Count Center Drive 538-7541 538-7636 Chico - 411 Main Street 891.2751 891-2834 Revised 7/94 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541a&`2p (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER C) 2 -5 J zOwNo BUILDINGPERMIT OWNER .,� ^ �" o TELEPHONE 8O. Fr, OCC. BUILDING VALUATION . OWNERS MAIUNO =b CONTRACTOR'S NAME /(gyp vW TELEPHONE CONTRACTORS MAiJNO ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAJUNG ADDRESS Permit Fee $ Plan Checkin Fee $ BULDINGADDRESs '2 (� ^ ,� � Energy Plan Checking Fee $ $ - PERMIT FEE $ LOT NO. SUBDNBIONSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE -- SF Duplex ❑ Mobilehome ❑ Other sPECFv Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ��Q �L Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G1 (920.00 PERMIT FEE $ ELECTRICAL PERMIT I-Filing'Feel 20.00 Main Service p°av� oA LESS 23.00 2-P7,O 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: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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.) ❑ 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 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. Main Service 200A TO 1000" 46.00 NEW CONS, OR ADDNS.T ( DWELLING � BLDS P' 3.50FT. NEW CON' NC.E.SID. ' ANCHOtmtT @7,50 POWER APPARATUS 8 SINGLE OUTLET At Ex. Occup. OUTLET ORNTITURES RpLa .0 A 'Ex. Occup. � ES,,� .) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin_q 23.00 z� PERMIT FEE $ (o(p.0p . MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ �j�j,rOQ ,,,� D FEES IMP FLOODcDF PARCEL PD HD NssuE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Data PERMIT EXPIRES ON provisions to do work paid. re Receipt No. 2_1 550 k WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 NO ❑ 2. 1 HAVE 0-` 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: N..Av1E: 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: NAIME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: __99,�_/�� SOCIAL SECURITY NUMBER: DATE:_._' NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit • ; I OWNER BUILDER INFORMATION - -.I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property-, improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party oflecord on such a permit. Building permits are not required to be sighed by property owners unless they are personally perforniitig 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 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,x workers compensation insurance, disability insurance costs, and unemployment cpmpensation 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. kl "r ♦ 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. 7 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 undeiliuiited 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 contrac!prs 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" bn 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. Irely, el C. Vi ira, C.B.O. ger, Building Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Code: OVER m +� WESTERN . PACIFIC ADD.— T.19 N. R.4E - M.D.B. 81 M. = - 'CJS$ Tax' Area Code 91-02 ?4� 03 91-32 LAKELAND -� 410 ,t 19160 € ( I 270 I j t I ( U) I I I cif).•'• � I �•v 1 p I I N' f5 i 4,.^3 s i 2 f I / i5 I 4. 3I 2 O ° NI 4 �" 5 I 4 I ' 2 !, O - N- /O 3 `! ' 2 I / j6 7 j -8 I`" 9 1 : /0 , T: IT 9 /o \J OUf 1 1 *� io "t..,s• 160. O ..a I I 270 1 c 1 ..a•a,erf .".` r j ,y.. tOr :11° I` ° NI 4 �" 5 I 4 3 ' 2 !, O I 160 1 50_1 , 60 , I 1 6 O 4 6 I 7 I 8 g3 �= 10 9 /0 ... :1o.'w..y+-1LZ'•aq?+,.. �Ni.._ .. .. 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F: K J� X. iwitid Ah rj .:� ? l tom" y r �,��,���*, � • �- Assessor's M.ap No.- 33- 06� �'� {,4 , ;r,, . y NOTE—ASSESSOR'S PARCEL BLOCK� �COUnty of Butte °Cgglrf' s WESTERN PACIFIC , ADD.: M.,0. R. BK. 4 PG. 16 & LOT, NUMBERS SHOWN - MARCH _ - i. IN CIRCLES ` Y • , a �p<- x• F.-' -� 4�`;f: 190 Ri110 d y`• 30 8 !!D � . a �•s.+ f!� 1 50 6D Z Y 4 3 2 I / 9 /o Ix 1 I O t 04�� 3 f/i _w ,iCL tOr , •.. • _ 13 .y --Mw. —ars r.•� ., f _ '�. .. FERMI WOOD i OB l ;_. F: K J� X. iwitid Ah rj .:� ? l tom" y r �,��,���*, � • �- Assessor's M.ap No.- 33- 06� �'� {,4 , ;r,, . y NOTE—ASSESSOR'S PARCEL BLOCK� �COUnty of Butte °Cgglrf' s WESTERN PACIFIC , ADD.: M.,0. R. BK. 4 PG. 16 & LOT, NUMBERS SHOWN - MARCH _ - i. IN CIRCLES ` Y • , a �p<- x• F.-' -� 4�`;f: ry s �/2 y`• 30 8 !!D � . a �•s.+ f!� ./00 50 6D Z Y 4 6 I' 5 I Z a r T:a 7 �. 1 8K ; 9 /o Ix 1 I WN� W *•w I f/i _w ,iCL , •.. • _ 13 .y --Mw. —ars r.•� ., f _ '�. .. FERMI WOOD i OB l ;_. F: K J� X. iwitid Ah rj .:� ? l tom" y r �,��,���*, � • �- Assessor's M.ap No.- 33- 06� �'� {,4 , ;r,, . y NOTE—ASSESSOR'S PARCEL BLOCK� �COUnty of Butte °Cgglrf' s WESTERN PACIFIC , ADD.: M.,0. R. BK. 4 PG. 16 & LOT, NUMBERS SHOWN - MARCH _ - i. IN CIRCLES ` Y • , a �p<- x• F.-' -� 4�`;f: O �/2 /1 30 8 !!D j vb ` ./00 50 6D Z Y 4 6 I' 5 I Z a r T:a 7 �. 1 8K ; 9 /o Ix 1 I WN� W *•w I f/i _w ,iCL T4 `270 +... ...t �t . 160 110 , •.. • _ 13 .y --Mw. —ars r.•� ., f _ '�. .. FERMI WOOD i OB l ;_. F: K J� X. iwitid Ah rj .:� ? l tom" y r �,��,���*, � • �- Assessor's M.ap No.- 33- 06� �'� {,4 , ;r,, . y NOTE—ASSESSOR'S PARCEL BLOCK� �COUnty of Butte °Cgglrf' s WESTERN PACIFIC , ADD.: M.,0. R. BK. 4 PG. 16 & LOT, NUMBERS SHOWN - MARCH _ - i. IN CIRCLES ` Y • , a �p<- x• F.-' -� 4�`;f: /O �/2 /1 O. 8 9 /O vb ` ./00 50 6D , •.. • _ 13 .y --Mw. —ars r.•� ., f _ '�. .. FERMI WOOD i OB l ;_. F: K J� X. iwitid Ah rj .:� ? l tom" y r �,��,���*, � • �- Assessor's M.ap No.- 33- 06� �'� {,4 , ;r,, . y NOTE—ASSESSOR'S PARCEL BLOCK� �COUnty of Butte °Cgglrf' s WESTERN PACIFIC , ADD.: M.,0. R. BK. 4 PG. 16 & LOT, NUMBERS SHOWN - MARCH _ - i. IN CIRCLES ` Y • , a �p<- x• F.-' -� 4�`;f: /O �/2 /1 O. •O 7L±. 8 �9 ��s - // /2 60 . �O yi 50 •� 30:50: 50 60 , •.. • _ 13 .y --Mw. —ars r.•� ., f _ '�. .. FERMI WOOD i OB l ;_. F: K J� X. iwitid Ah rj .:� ? l tom" y r �,��,���*, � • �- Assessor's M.ap No.- 33- 06� �'� {,4 , ;r,, . y NOTE—ASSESSOR'S PARCEL BLOCK� �COUnty of Butte °Cgglrf' s WESTERN PACIFIC , ADD.: M.,0. R. BK. 4 PG. 16 & LOT, NUMBERS SHOWN - MARCH _ - i. IN CIRCLES ` Y • , a �p<- x• F.-' -� 4�`;f: 1".. F"' ,fid "3t�af�`,4 , •.. • _ 13 .y --Mw. —ars r.•� ., f _ '�. .. FERMI WOOD i OB l ;_. F: K J� X. iwitid Ah rj .:� ? l tom" y r �,��,���*, � • �- Assessor's M.ap No.- 33- 06� �'� {,4 , ;r,, . y NOTE—ASSESSOR'S PARCEL BLOCK� �COUnty of Butte °Cgglrf' s WESTERN PACIFIC , ADD.: M.,0. R. BK. 4 PG. 16 & LOT, NUMBERS SHOWN - MARCH _ - i. IN CIRCLES ` Y • , a �p<- x• F.-' -� 4�`;f: