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035-213-036
035-213-,g - 035=213-036 PERMIT#97-2692 PINECONE REVOCABLE TRUST 7 4530 Virginia Ave., Oroville Ele Ser Ch/SF 035-21-3-036 99-0171 BEM ROLIN, Sam 4530 Virginia Avenue, Oroville (teroof, windows, sheetrock & arra repairs)SF 035-213-036 99-2252 1 ROLIN, SAM 4530 VIRGINIA, ORO LE CONTR: OWNER 619 GAS LINE jj� &Ljj" 44 'W L J'4 0-111 F4530 -21-3-036 ' 99-0171 BEM IN, Sam Virginia Avenue, Oroville roof, windows, sheetrock & ' repairs)SF t _ ,- .-, i. .-.. ���. •-'7rrr+^+..�f � Y` -•_ .. n ��--. ,r. .� .: "l. . +-.,{.'eli�1'-'^'-`^✓Yvv-Y+w....-- ._ --'� .. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5'38-7541' PERMIT NO. (Rev. APPLICATION AND PERMIT {' `;� � ' f' �tl� ASSESSOR PARCEEI.NUMBER 035-213-036 20NINi3 RN BUILDING PERMIT i� . . - OWNER ROLIN, SAM TELEPHONE 2h8-8149 SO. FT. "OCC. `' BUILDING VALUATION ow.00 OWNERS MAILING ADDRESS 23988 BLSAM COURT, AUBURN, CA - .. CONTRACTOR'S NAME /yi l! L"f lY )ill TELEPHONE CONTRACTORS MAILING ADDRESS r i CONSTRUCTION LENDER f Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ I ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 45.04 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 4530 VIRGINIA AVENUE, ORO Energy Plan Checking Fee $ $ t PERMIT FEE $ V.44 LOT No. SUBDIVISIONS NAME PARCEL MAP - •- PLUMBING PERMIT Fling Fee 21510_0 Each Trap 7.00 _ USEOFSTRUCTURE N SF ❑ Duplex ❑ � Mobilehome ❑ Other r, '- } . .. `+ SPECIFY Solar or heat p ump water heater 23.00 Water piping 15.00 Each. • as water heater or vent • 15.00 r OF,WOR �.� ,. to `i New ❑ Addition ❑ Remodel UhIL6es ❑ Installation d Other ❑ y I' —} Describe Work: RR -ROOF .-WINMWS STTEEt'ROCR-ML A $L+, Gas i� in - system 1 - 5 outlets 15.00 ' E ildinii sewer 15.00".` .-Mobile Home IS G W @20.00 t+ 1,, ,tPERMIT FEE S , ELECTRICAL PERMIT Fling Fee 20.00 - LESS � 'OvA OR Main Service zooA oR LEss` 23.00 , S �I,IEN$D� COTACTORS DECLQLRATION 'I hereby affirm under, penalty`of pe�j ry,thad a licensed' un4er provisions,of Chapter i 9 (commencin61�with Section 7000) of Division 3 of the Business and Professions Code, and my license i5 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 or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, // \\ will do the work, and the structure is not intended or offered for sale, , • ❑ I, as owner of the property, am exclusively contracting with licensed, contractors to construct the project.• ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To tOOOA 46.00 NEW CONST. DWELLING UP. so OR ADDNS. ( 8 ACC. BLnS. 3.50FT; NEW CONST. ! MULTI -OUTLET NON-RESID. @7:50 POWER APPARATUS f' 8 SINGLE olmET CR. 20 .00 Ex. Occup OUTLET OR FIXTURES BAL x.50 Ex. Occu . OFUTLEEDTSA R DE 5:00 Temporary Service 23.00 `- Mobile Home Facilities 20.00 Misc. Wiring21 23.00 PERMIT FEE t + 3 .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 _NL ber (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 should become -subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall' forthwith comply with thoseoprovi ins; + , ' X _.�.iG�► Date �` 7•— /j /q Signature 6*f Applicant -` Owne 13 Contractor ❑ Agent - An OSHA permit is required for excavations over 60" deep and demolition or construction% of structures over.3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 14AUOYRNACF _ 15.00 Cooling Hood - 6.50 Ventilation { PERMIT FEE $ 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $. occ CONST. TYPE TOTA_ LtFEE $ 143.00 HAZ. D. FEES rTMP FLOOD 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. -g -Date PERMIT EXPIRES ON ...,.� 1- o? 0 a 0 1 Date ReceiptNo. - WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 r r.- ....... zos�r.at^.raq •�y,�,i,. �.y.h ' .��r' �F.'�` ..'.L`y4:,.t3 I .S,,: -JH "'Qu lr''il 'J' �:r:::;{:err 4 035-213-0.2-7o3(o PERMIT#97-2692 r PINECONE REVOCABLE TRUST, 4530 Virg nia'Ave., Oroville + Ele Ser Ch/SF •t l y OFFICE COPY Address r GAS Date Meter BY pate ELECTRIC ` Meter BY c (Rev: 2196 COUNTY OfA.U,7,T1E -bEPAlA1TME'NT0'F DEVELOPMENT SERVICES -ift6ii. d,161VIS ION 7 County Center Drivel Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. Aly,01-ICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING RN BUILDING PERMIT OWNER PINECONVE, TELEPHONE 268-8149 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 230RR RAI -SAM CT- ArERIVIM 056OLi CONTRACTOR'S- NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEERLICENSE .4 NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT N -E MAILING ADDRESS :7GI Plan Checking Fee $ ILHrG ADDRESSt;# A $;,An ltKtMTA AVE.NTTV. Energy Plan Checking Fee $ $ • PERMIT FEE $ A LOT NO ;fl- JrS1U8DNISION'SNAME °tiPARCEI MAP PLUMBING PERMIT Filing Fee 20.00 YSEOFSTRUCTURE _4,_ SF,5;El�i;'4-2"�obilehome"O Other IN— SPECIFY; -j Each Trap , Solar. or heOt.pump water heater 23,00 Water piping 1.5.00 Each gas Water heater or vent JOF WORK' TJP� Jqe- 0 Utilities�,El -Installation 0 Other Act, itign model 0 Desq be,110K. rk: INSTALL NOW M=6ERVW PoFt esc doo Gas piping system I - 5 outlets ;~15.00 Building sewer �I, 5.'.0 0 Mobile Home F9 G Fw20.00 PERMIT FEE 4 t/ELE ELECTRICAL PERMIT' Fiji Fee 20.00 rig 600 V 0" LESS Main Service 20OAOR.lESS 23 bO 23.'00 LICENSED"COXTRACTOR'S DECLARATION `Iy4hai I rd licensed of Chapter ji he under penalty p!, Ii sed- 116r a under provision� §,('corifme'�..Cind%�it,�Section 7060), of Wi ion 3 ofAhe Business and Professions Code, �qrce and effect. AnY,my licens� is I `full ft id eff 'Icense 206. No. / 1, — W 71 OWNEP�,BUILDER DECLARATION, 71 'I; ,.I hereby i0firm, under penalf �, 614 penalty'of perjury that I am exempt from the Contra ors License ...LaK - for �th*followQ * easq�'�- -�i the prooCrty, , or my employees with wages as their sole compensation, wl!6d*,�e , wc�r_k-, and the structure is not intended or offered for sale. rIA1417aseewner of tqe- property, am exclusively contracting with licensed, contractors 0 cq�struct,Ahe, 4 —Fztl �;.-N - project. 0 1 am, ex6mi5t"Aer Sec.Business and Professions C6de for this Cason 4,WORKERS, C9, ,0A;hPr+ DEd.LARATI0.N" V�,NS I herebyafrir;, ui'IrZder�' 6"Wily of perjury one of the following declaration s�:Ve" 4 I' have and willmaintain a certificate of consent to self -insu re9or- workers' )Zlcoi;,�per�siation,%as provided,for by section 3700 of the Labor Code, for the p�4ohWan6e,6f th4 work for which this permit is issued. main workers ._P,jrui'.have and will mai' compensation *insurance, as requirediby Section 3700 of theLabor Code, for the performance of work for which this pqrf.nit.is issued. My1workers compensation insurance carrier and policy number are: Carrier' Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. i5 OR ADDNS. & ACC. OFT2 SUDS. NEW s -0 NCN.FcENDT' ,,A,,LT,, c,,WTs @f.50 OWER APPARATUS E &PS..,E UTL T C.. 20 @ 1.00 OUTLET OR FLxTuhes 4- 9 ". 50 Ex. Occup. BAL XED AP UNS R OF Ex. Occup. E REBID. UITL TS ES Temporary Service 6. 0_0 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.W_ 0 1 PERMIT FEE $ ' 66.= MEqflANI%A1L PERMIT Filing Fee 210.00 Heating Coolin-6 Hood 6.50 Ventilation PER T-FEt $ t(Policy Number 70 (The above sections�need not be completed if the permit is for work &,a valuation$ of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permitNis issued, I shall notlemploy 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 Wprkers' compensation provisions of section 3700 of the Labor Pode, I shall forthwith comply With th5pp provi i ns^ X Date 147 -7 Sign&fu_re"6`f "Applica-nt Owner 0 Con ractor 0 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 TOTALFEE$ HAZ. I D. FEES, IMP I FLOOD I COF PARCEL PD, HD ISSUEs 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 (�A�'Date �-7 1111 71 PERMIT EXPIRES ON 1 - 7 (Date) ReceiptNo. Z31409 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "PERMIT04-3313 SHANNER, LARRY 45 ' 30. VIRGINIA AVE i-,.OROVILLE -REPLACE WALL.HTR/SF. e 1 COUNTY,OF'BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7,5- PERMIT NO. APPLICATION AND PERMIT /`f �� 3 31 3 ASSESSOR PARCEL NUMBER 035--213-027 ZONING RN ¢ ILDING PERMIT OWNER LARRY SHANNER TELEPHONE SQ, FT, OCC.. BUILDING VALUATION OWNER'S MAILING ADDRESS 4530 VIRGINIA AVE. OROVILL, CA 95965 CONTRACTOR'S NAME 01 %J�, •. TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 30 VIRGINIA VE 010VILLEPLUMBING PERMIT FEE $ PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO.SUBDIVISION'S NAME 777[PARCEL MAP Water piping 1.5.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF7a Duplex O Mobilehome O Other SPECIFY Gas piping system 1 5 outlets 15.00 _ Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ElAddition 1:1Remodel ❑ Utilities � Installation ❑ Other ❑ Describe Work: REPI<ACE WALL HEATER I PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 'OVOR LESS I 200A OR LESS 23.00 Main Service I 200ATOI000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. BLOS. I g0, 3.50 FT. NEW CONST. MULTI -OUTLET NON-REslo. ( BRANCH CIRCUITS I @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 SAL. @ .50 Ex. Occup.FIXED APPWS. OR (OUTLETS IRESID.1 EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Q I shall not employ any person in any manner so as to become subject to the Worker's !� Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked.Contractor PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ I certifythat I have read this application and state thatthe above information is correct. agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte toenter upon the above mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against allliabilities, judgments, costs, and expenses which may in any way accrue against said in consequence of the granting of this permit. X -XDateThis Signature of Applicant ❑ Owner Cl'Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee$I Jzi.. Energy Inspection Fee $ occcoNsr.TYPETOTAL FEE $1 HAZ. D. FEES IMP FLOOD CDF PARCEL POCoun�%y permit is hereby issued under the applicable pr of the Butte County Code and/or Resolutions to do work indicate ab ve for which fees have been paid. ey /� Date �AIA PERMIT EXPIRES ON J /Dare/ 170700 Receipt WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICANT Butte CountyDepartrnent ofDevelopmentServices ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile April 14, 2003 Pine Cone Revocable Trust Rolin Sam L. And Anna Marie Trustees 23988 Balsam Ct. Auburn CA 95602 RE: Formal Warning Notice Butte County Code Violation Address 4520 and 4530 Virginia Ave., Oroville CA AP# 35-213-036 Dear Sirs: Through our courtesy notice on March 6, 2003, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the keeping of junk and the accumulation of garbage public view and keeping of inoperable vehicles in public view.. Your failure to eliminate the stated violations are cause for the issuance of this formal warning notice. As of this date, our records indicate that the following violations to the Butte County Code still exist: Butte County Code Chapter 24 Section 24 125 -The " R -N (Residential -Nonconforming) zone does not specifically authorize" large accumulations of junk. The storing of more than 100. square feet of "junk" on a.parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the R -N zone without�a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be ,funk.. Chapter 11, Section 11-4 forbids people; whether at a - licensed junkyaiid location or not, from storing junk in public view. The determination that this violation exists on the property is based on the following definition in the Butte County Code: Butte County Code Chapter 24 Section 24 -305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located situated or piled in public view and not screened from public view by a fence. , M Pine Cone Revocable Trust AP#035-213-036 April 14, 2003 Page 2. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: 1. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24-305.240. 2. Remove all inoperable/junk vehicles from the property. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, —� -,47 Scot Johnson Code Enforcement Officer cc: Department of Development Services, Code Enforcement ti i F G E i 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and t not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. 1 am readily familiar with the County's practice for collection I and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On April 14, 2003, 1 served the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. X In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services_ on the same day. In the United States Postal Service Mail in Oroville, California. Pine Cone Revocable Trust Rolin Sam L. And Anna Marie Trustees _23988 Balsam Ct. Auburn CA 95602 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on April 14, 2003 at Oroville, California. . � .�.►a - --�r-�x;vs.w�a�a:: �..-,,.A,,.,,,,.yr.,.:.�;;,,�{.,vtw;e��.,�T •�. •,_.1 a ' 1 , 035-21.3-036 99-2252 ROLIN, SAM 4530 VIRGINIA, OROVILLE CONTR: OWNER GAS LINE '. 71. 7� :v OFFICE COPY Address i GAS Meter By Date E'LI C Me4��� ❑ata 1. . COUNTY OF BUTTE - DEPARTMENT OF DEYELOPJNENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �- ---,, ASSESSOR PARCEL NUMBER 035--21.3-036 ZONING • BUILDING PERMIT 1 OWNER SAM ROLIN TELEPHONE 26WI49 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2398 BALSAM Ms, AUBURN CA CONTRACTOR'S NAME 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 - 4530 VIRGINIA OROVILLB Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE iSolar SF ❑ Duplex ❑ Mobilehome ❑ Other I SPECIFY or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAS LINE Gas piping systernA - 5 outlets 15.00 • Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S a ~ ELECTRICAL PERMIT Fling Fee . 20.00 V OR UE Main Service . 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 ~ 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 reasons Main Service TO 46.00; NEW CONST. DWELLING EE NG OCCUCUP. 3 5QSO. w` WEw OR ADDNS. ( BBms. FT. CONST. MUALCcc. ,=R.ID. c cu Ts 97.50 ' POWER APPARATUs d SINGLE .4` OUTLET OR F Ex. Occup. R FMCIS. B20 @ 1 00 S OR.s FU(ED APPLNS. OR 5.00 y Ex. Occup. oLm��s RESID. En Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 "' PERMIT FEE S `' WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code; for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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 �G _ Date �� ��� / Sign afur'e o� Appli ant - ❑ Owner ❑ Contractor ❑ Agent 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 FEES Mobile Home Installation Fee $ Energy Inspection Fee I L $ o OCC CONST. TYPES �(;j TOTAL FEE $ HAz. D. FEES IMP FLOOD COF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B Date Y PERMIT EXPIRES ON 1 -MV ,6,1 Date Receipt No. 290 �1 .�'i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ICOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT '.--,— ASSESSOR PARCEL NUMBER 035-213-036 ZONING BUILDING PERMIT OWNER SAM ROLIN TELEPHONE 268-8149 SO. F r. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2398 BALSAM CT., AUBURN CA CONTRACTOR'S NAME 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 4530 VIRGINIA OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDN610NS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAS LINE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ .00 ELECTRICAL PERMIT ng Fee 20.00 800V OR LESS 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. 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 Main Service 200A TO 1000A 46.00 F@7.50 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. so 3.5¢FT. NOµRaloT RANCHO CIRCUITS POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00BAL p ,50 Ex. Occup. OUTTELE°TSA(RR� oEw 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) not employ any person in any manner so as to become subject to workers' 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 mply with os prov' ' ns. ` ����� X — _ Date SignaturVAbf Appli nt - ❑ 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 35.00 HAZ. p. PEES IMP FLOOD CDF PARCEL Po 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 Det, Receipt No. 1:7 41 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER rTWf BUILDING PERMIT - 2i OWNER L G/✓ j �d : 87/A7 S0. FT. OCC. BUILDING VALUATION CONTRACTOR'S NAME TEIFPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHMECT OR ENGINEER LICENSE NO. ARCHRECT OR ENGINEERS MMUNG ADDRESS /Nib LOT NO. I SUBONSIONSNAME " -. USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WOR New 13Addition ❑ Remodel c3Utilities Q' Installation ❑ Other ❑ Describe Work: /%/,/ !j /�I L z2j Total Valuation is PERMIT FEE S , Filing Fee $ 20.00 Permit Fee $ Main Service Plan Checking Fee Energy Plan Checking Fee b S NEW CONST. OR ADONS. OWELLM 00CUP S PERMIT FEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat puMP water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 0 0 Building sewer ---W-[-- 15.00 Mobile Home S 1 G Q20.00 Ex. OCCU PERMIT FEE S , ELECTRICAL PERMIT Filing Fee 20.00 Main Service °00V OR LESS 2DOA oR tEss 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. OR ADONS. OWELLM 00CUP SO Ex. OCCU OLmEr OR FIXTURES 20 ® 1.00 BAL O .50 EX. OCCU FDCED APPLNS. OR oUn.Ers ESID.) EA. 5.0011 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 $ L:56—,6,0 D. FEES I IMP I FLOOD CDF I PARCEL I PD I HO I 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 PERMIT EXPIRES ON Date COUNTY OF BUTTE- -BUILDING DIVISION : r DEPARTMENT OF DEVELOPMENT SERVICES_ 411 Main Street • Chico, CA • (530):891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE LI lt_ OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the :4 above address and should be corrected. Please notice this office when correction of work is ''-:f completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. too �j COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 - + . 7 County Center Drive • Oro ville, California 95965 • Telephone (530) 538-754 PERMIT o. (Rev. 12/96) APPLICATION AND PERMIT 0/-W ASSESSOR PARC�LOIUMBER 035-213-036 ZONING RN BU I LDING P ERM IT OWNER ROLIN , SAM - LEPHON TE 268— 8149 SO. FT. OCC. BUILDING VALUATION 2,000.00 .OWNERS MAIUNO ADDRESS 23988 BLSAM COURT, AUBURN, CA CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4530 VIRGINIA AVENUE, ORO Energy Plan Checking Fee $ $ PERMIT FEE $ 65.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: RE -ROOF - WINDOWS - SHEETROCK - AND RE - PAIRS. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S . G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200OV AORLIE 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 La or 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. ❑ 1, 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 provisions ection 3700 of the Labor Code, I shall forthwith c mply witht os rovi n . X Date /`� ��� Signa u f Applicant wner ❑ Contractor ❑ Agent An OSHA permit is requir d for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. So OR ADONS. a ACC. S.3.50FT, NONRESID. MULTI.OUTLET @7.50 FowEA APPARATLrs 8 SINGLE OUTLEr CIR. Ex. Occup. OUTLET OR FIXTURES aAL @ .w FOXED APPlNS. OR Ex. Occup. OUTLETS 5.00 REBID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating WALL' FURNACE 15.00 Cooling Hood 6.50 Ventilation PERMIT FEI= $ 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. I D FEES IMP I FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for w ' h fees have �"ate/--4_7-� PERMIT EXPIRES ON {-4060 the applicable provisions Resolutions to do work been paid. Date Receipt No. zDbubl WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville. California 95965 • Telephone (530) 538-7541 (Rev.12/90) APPLICATION AND PERMIT PEfiM1T NC 0 3D°1NO BUILDING PERMIT awmR SO. FT. OCC. BUILDINQ VAL DATION awrar r.AaRa � 00MACTO" WAN v � 0OMOAM AD011pt oolffnamrm LMOM WALM AVOWN ARCHffWr OR 0004M ARCHrWr OR 010NOMS WAU4 AOOPM tarpO. I susonssvrswus FAAGM m USEOFSTRUCTURE SF 13 Duplex 0 Mobilehme 13 Ofhw TYPE OF WORK Now O Addition O O UIIRVs O h� IMio O Other O Describe ork- a Freolace Total Valuation I$ Filing Fee S 20.00 Permit Fee = Pian Checking Fee S Energy Plan Checking Fee i DFOurr eee I: o PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping rivtom 1 - 5 oudeft 15.00 Building sewer 15.00 Mobile Home I S I G IW @20.00 PERMIT FEE S ELECTRICAL PERMIT Filr 'Fee 0 Main Service a o Na Main Service 200 To IOWA 23. 46. ►mow coNs . orvatw ooas oR Aoo►s. a ACC etDt NON -moa fitAhouTu:r rower*PAAATW asovnzr a3� oR /OrnomEx. Occu Ex. Occu . o�som.1CA Temporary Service 23.00 Moble Home Faclitles 20.00 Misc. Wirinq 23.00 PERMIT FEE S ^' MECHANIC MIT Fling Fee 20.00 Heating/ — Cooling Hood 8.50 Ventilalon PERMIT FEt: S Mobile Hcme Installation Fee $ Energy Inspection Fee L occ oars . ripe TOTAL FEE $ MAZ O7FE; WP lta00 COf PAAClL PO 'O SS" This permit is hereby Ensued under the applkable provisions of the Butte Ccunty Code and/or Resolutions to do work indicated above for which fees have been paid. By Date �— ReceiptNo.__ S �'� PERMIT EXPIRES ON OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signatw�e. 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 with this verification is received. �1. - I personally plan to provide the major labor and materials for construction of the proposed $NO property improvement: YESD t" 2. I HAVEV HAVE NOT O signed an application for a building permit for the proposed v&y! w 3. I have co cted with the following person (firm) to provide the proposed construction:: NY®ME• ... ADDRESS: CITY: , :y PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this :work, but I have hired the -following person to coot+dinsi -. supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: 2-7- 25;� NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of tht California Health and Safety Code. This verification must be -completed Md returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An applicarion 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 ofrecord on such a permit. -Building permits are not required to be signed by property- owners unless they are personally performing their .own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county: They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract,• you shduld, be, aware of the following'inforrnation for your benefit and protection: . ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer.: . ♦ 'if .you are an employer, you'must register with the State and Federal Governments as an employer and you are subject to several obligations: including state and. federal income tax. withholding, federal social security :taxes,;,> workers compensation insurance, disability insurance costs, and unemployment compensation contributions.;; )..i': 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 specificinformation 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,contractprs 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. +1rely,Vi iia,C.B.O. uilding Inspection NOTE: ThLi Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER %L COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 'PERMIT NOS% (Rev.12'/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �3� , 035-213— ZONING BUILDING PERMIT OWNER TRUSTPINECONE REVOCABLE TELEPHONE 268-8149 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1 23988 BALSAM CT., AUBURN 2 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S- 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 r 4530 VIRGINIA Energy Plan Checking Fee $ $ OROVIDE PERMIT FEE t LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IN 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 X7 Other ❑ Describe Work: INSTALL NEW MAIN SERVICE PANEL 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 '*."ALE oOR S R LEss9 23.00 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: XI, 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. DWEWNG OCCUP. OR ADDNS. ( a ncC. BLDS. SO 3.50FT_ NEW CONS. OUTLETCIRCUITS@7.50 RON-RESID.TM."Q1 APPARATUS a SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES BAL IED .SO Ex. Occup.OUT ETS(REESID.) Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 66.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier, and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 ''!'l forthwith comply with7�5Z!:� _ /.Z — 2 7 X Date / = Signature -6f Applicant - Owner ❑ Con rector ❑ Agent An OSHA permit is require for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66. DQ HA2. I D. FEES IMP I FLOOD CDF PARCEL PD HD re>te This permit is hereby issued under of the Butte County Code and/or indicated above forMzate By PERMIT EXPIRES ON the applicable provisions Resolutions to do work een paid. „ % L — 7 �L / Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER r 2 - ZONING 2 N BUILDING PERMIT OWNERTELEPHONE P��e pev0''61 -1-- T111 68$1 SO. FT. OCC. BUILDING VALUATION _ OWNER'S MAILING ADDRESS 9 iJ l Sc�l �f" f t kr t/ 5 (s o Z CONTRACTOR'S NAME 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 ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS CJ 3 v r Energy Plan Checking Fee $ 'PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 0,et5uplex ❑ 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 E3Utilities ❑ Installation /Other C3Buildin Describe Work: l�/f/ J 1�CA ii 'Ve LJ 'W-0.. i �•/ y '�•� ✓ r\ —•� Gas i in system 1 - 5 outlets 15.00 sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2�o.OR t�Ess 23.00 2 3, 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 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 200A TO Io00A 46.00 NEW CONST. DWELLING °SCUP. OR ADDNS. ( & ACC. BLD S. s° 3.50FT, NEW CONST. MULTI.OLRLET NON-RESID.BRANCH CIRCUITS@7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FOmUREs B20 ®I w ED Ex. Occup. ouTTs AEus�io.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00,;7-3 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ I HAZ. 1 D. FEES IMP I FLOOD CDFPARCEL PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES' ON I the applicable provisions Resolutions to do work been paid. Date (Dato Receipt No. 3 6 % WHITE •D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION oe .. 7 County.Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO, FT. OCC, BUILDING VALUATION OWNERS MAILING ADDRESS - C t CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee - $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE- SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home JSJ,GJ W1 @20.00 PERMIT FEE ! ELECTRICAL PERMIT Fling Fee 20.00 Main Service 600.VoA mss 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 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. -❑ A as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason 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 200A To 1000A 46.00 NEW CONST. DWELUNG UP. OR ADONS. ( DW: ACC. BLDS. so , NON-HEOSID. MULTI.OUTLET g7.53.50 @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FocruREs 20 @ 1.00 BrAL @ .50 Ex. Occup. ounEEDrs RESID.PPLNSOEA 5.00 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 $ 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.)occ ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation -provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations_ over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ss UE 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 Dale Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DTVI N 7 County Center Drive - Oroville; Califatnia 95965 - Telephone (916) 538-7 1 PERMIT NO. APPLICATION AND PERMIT3��-- ASSESSOR PARCEL NUMBER 035-213—P-27 ZONING RN ILDING PERMIT OWNER LARRY SHANNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4530 VIRGINIA AVE. OROVILLE CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S LENDERS MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ n Penalty $ BUILDING ADDRESS 45*10 VIRGINIA AVE-, OROVILLE PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF & Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities F3 Installation ElOther O Describework: REPLACE WALL HEATER PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO, 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I X, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 1@ .50 Ex. Occup FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 15.001 Cooling Hood 6.50 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 Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coun in consequence of the granting of this permit. / y X Date ( ` 9N Signature of Ap licant - ❑ Owner ElContractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ• I D. FEES I IMP I FLOOD I CDF PARCEL PD HD /SSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate ab ve for which f es have be paid. BY Date PERMIT EXPIRES ON /Date/ Receipt No. 170700 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - OrovillLr, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR P EL NU BERR_ 019ZONING BUILDING PERMIT OWNER I !/A1A1'-UNG TELEPH SQ. FT. OCC. BUILDING VALUATION OWN!I�S KESS f ! V (( 17111J' v 1Ave r V r lip 9ONES /' CONTR/ FrS NAME TELEPHONE CONTRACTOR'S MAIUNG ADDRESS Fireplace CONSTRUCTI. N LENDER CI? P1 UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAI ADDRESS Permit Fee S ARCHITEC R ©INEER Al f LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS '/ 1^ h Ave, PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 pAQ V,- Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SIX Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK Reodel O Utilities ❑ Installation O Other New O Addition4107,44 Describe) le r PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 200ORLESS ) 200AAOR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. OLDS. ) s0 3.5c FT. NEW CONST. MULTI -OUTLET NDN-REslo. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code for this reason POWER APPARATUS ) ( & SINGLE OUTLET CHR. Ex. Occup. ( OUTLET OR FIXTURES ) B 20 @ 1.00 Ex. Occu FIXED APPLNS. OR ( ) p• OUTLETS IRESID.1 EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating /s`�O Cooling Hood 6.50 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 Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35 .t✓�/ HA2. I D. FEES IMP FLOOD 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 Date PERMITEXPIRESON !Dere! Receipt No. 1 ZZC WHITE-D.D.S.-B.D. 'CANARY -ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT CC,IUNTY- OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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) *_7�_. 2. I (have/have not)-hU`C- signed an application for a building permit for the proposed work. 3. I. have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work:, Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address , Phone Type of Work Signed: , Property Owner =10jua JK CVYzJnUk 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 permitted to issue the permit. 1, Inspector must draw a plot plan with all building locations;.._. _ Additional comments from Inspector: 2