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HomeMy WebLinkAbout035-222-03591 R c 35-222-35 TROY JONES 4743 Lincoln Blvd., Oroville Contr: Mauldin & Sons AVS Permit#4217-83P(replace wtr htr/SF) ,� 35-222-35 3265-90E JORDAN, Rudolphroville 4743 Lincoln, Contr: Webster Electric (elec sery/sf) --- - --- 35-22 35 Permit#3251-90B,E �olaC) (reroof & elec sere/sf) �t 035722-2-035 95-2814.B,P,E JORDAN, Rudolph Fljw Z -ZZ-,?- '4743 Lincoln Blvd, Oroville r (repla6e,front.& rear doors, sheetrock,. .windows, sink & misc elec)SF �"�'ti'1:t;S`�.ofr"►%.`�*s''�:7�i?,'s,''�`,,,, s,�'—�"a-.r.. , •�};a*,.�, �'L.�""���' ! ��'?���+!'"�L!°Cr7Jw,,.�5 "" i'� ! -, 035=22-2-035 95-2814 B,P,E, �s^ JORDAN, Rudolph ' `.� 4743 Lincoln, Blvd, Oroville sheetrock, (replace frontors & rear do, % windows,'sink & misc elec)SF •4 ............... 1 ! _ __ -� _•.mac-ic �• } OFFICE COPY r Address GAS J Meter By Date ' ELECT C 7 Meter B Date i �44 �.i VV ' r t3 �� S t ( j COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965.:- Telephone (916) 538-7541 PERMIT NO. ` APPLICATION AND PERMIT f l'/ AsSEssO jAa` 6Nugr ZONING BUILDING PERMIT °W"h1ldolph Jordan TELEPHONE SO; Fr, OCC. BUILDING VALUATION °W"r:01Bo L)AU Oroville, CA 95966 a 2000.. CONT6WOR�'S,�NAME TELEPHONE . CTORS MAILING ADDRESS CONTRACTOR'S Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 45.W ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ SUILDINGADDREss 474T.11viroln Ormr PERMITFEE $ 65.00 • PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 7.00 'LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 i USE OF STRUCTURE SF OX Duplex ❑ Mobilehome ❑ Other SPECIFY a Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherMt Re lane front & rear doors Sheetiock Describe Work: $ s � windows, sink & Misc.Ele Mobile Home I S I GI W 1 @20.00 w• PERMITFEE 00 g Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service000v OR LE ( 200A OR LESS) 23.00 t Main Service ( 200A TO 1000A ) 46.00. I LICENSED CONTRACTOR'S' DECLARATION I hereby affirm^under penalty of perjury that I am licensed under provisions of Chapter `9'-(co'mmericir g with�Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.Ex. 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, ❑ I, as owner of the property, am exclusively contracting with licensed' con tractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason " NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) d SINGLE OUTLET CIR. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 aAL 0 .50 Ex. Occup. FIXED APPLNS. OR p' (OUTLETS (RESID.) E0. ) 5.00 Temporary Service 23.00 Mobile Home Facilities '••' �, 20.00 Misc. Wiring 23.00 2300 PERMITFEE g 43.00 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the 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 k Policy Number - '._ • ' i (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 ariy--person`in anyl 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 comp) with those ppo isions. X / %, _ Date' Signature of Appli ant '- ❑ Ow,ner ❑ 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 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee' $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ .1.35.00 HAZ: °.FEES `IMP FLOOD 'COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated ova for which fees have B` ' PERMITEXPIRESON 11/8/4 applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. ALJ i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -'APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELORMENT SERVICES' 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 h.: 747 Elliott Road, Paradise, CA - (916) 872-6307 At- a 3=' CORRECTION- NOTICE W O0WWK ()!i/lJ PERNII`f NO. A routine inspection indicates that the following violations of Butte Coynty Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this oWce immediately. L af~ . 3' tj S« L �J Date Inspecto REV 1 / 2 k _ - COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 P MIT o. APPLICATION AND PERMIT Ass9ffl!—A' Gtt-!n5 ZONING BUILDING PERMIT IN Wudolph Jordan TELEPHONE SO. FT. OCC. BUILDING VALUATION est 2000 OWH1 6 oNGRADn05, Oroville, CA 95966 CONT CTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOVOWN Total Valuation Is Fling Fee $ 20,00 LENDER'S MAIUNG ADDRESS Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ Crj • 00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF MX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherX3 Describe Work: Replaae front & rear doors,Sheetrock, windows, sink & Misc Ele Mobile Home S G W 920.00 PERMITFEE g 27.00 Contractor ELECTRICAL PERMIT20:00 Filin Fee Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (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 L w for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURS OR ( 8 ACC. BLDS. ) O. 3.SQ FT. CNS. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FD(TURES ) 20 Q 1.00 BAL SO Ex. Occup. OUTLEEOTS (RE Is D.)ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3.00 PERMITFEE S OO Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 co with t ose isions. X Date �O = / gnature of App ant - ❑ O er ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 135.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ova for which f s ave been paid. /11f11qS_1 Date / PERMITEXPIRESON 1118196 (Date) Receipt No. 190325 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.-1 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[>Q NO[ ]. 2. HAVE[J HAVE NOT[ J 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. 1 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: 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. r.Tftnx-sl Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party, of record on such a permit. Building permits are not required to be. signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as. contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, diiability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. _ Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification' on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Singel , lot Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder. Information is required by Section 19830 of the California Health and Safety. Code. OVER ,y COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT R`7 ASSESSOR PARCEL NUMBERMNING 3 S - a��, _, _ BUILDING PERMIT - t OWNER h' VJ T°EP''DNE SO. FT. OCC. BUILDING VALUATION `� O OWNERS MAIU RES CONTRACTOR'S NAME ^ TELEPHONE ec)�Yx CONTRACTORS MAILING ADDRESS QroVI � 9 S_ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILOINGADDRESS - PERMITFEE $ Ql/1 PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF (Y Duplex ❑ Mobilehome ❑ Other ' \ SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 ___FS TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: �A�lfi�l [ t �oI — .� L �OlQr� Mobile HomeGI W @20.00 :d I I ? PERMITFEE $Contractor ELECTRICAL PERMIT Filina Fee 20:00 n // n �-(� Main Service eoov OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (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. ❑ 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 NEW CONST. OR ADONS. DWELLING OCCUP. SO. ( 8 ACC. BLDS. ) 3.50 FT, NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 PSINGOWER APPARATUS ) LE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 SAL .50 Ex. Occup. FIXED(PLNS..°EA) 5.00 OUTLETS Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 �3•Go PERMITFEE $ 4P3 D) Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (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. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 3S 11A2. D. FEES IMP FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMITEXPIRESON (Date) ReceiptNo. I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .T. E 18-B County Center Drive 1469 Humboldt Road Oroville, CA 95965 Chico, CA 95928 (916)538-7282 (916)891-2727 FAX (916) 538-2165 FAX (916) 895-6512 October 28, 1993 PROOF OF SERVICE Rudolph and Arleen Jordan 717 Bald Rock Road Berry Creek, CA 95916 aHe Co, L A i\1 D O F N A T U R A •_ W "A I. T IJ % N D o 7 t; DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH ® 7 County Center Drive Oroville, CA 95965 (916) 538-7281 FAX (916) 538-2140 0 747 Elliott Road Paradise, CA 95969 (916) 872-6308 COUNTY OF BUTTE . BUILDING DEPT O C t 28 1993 RE: FORMAL WARNING NOTICE at 4743 Lincoln, Oroville, CA ( AP# 15--222-3-5-7)::1 Dear Mr. & Mrs. Jordan: At the above property you are in violation of Butte County Codes Section 19-4(a) and (c) and creating a potential public health problem by allowing sewage to flow on the ground surface and be accessible to rodents, insects and humans. This is your final warninq. Unless you contact this office and make the proper arrangements to correct or abate the viclation(s) voluntarily, within TEN (10) DAYS from receipt 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 shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). t� A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW 1 Rudolph and Arleen Jordan Page 2 October 28, 1993 If you have any questions regarding this letter, please contact me at the above listed address or telephone number .between 8:00 a.m. - 10:00 a.m. Monday through Thursday. Very truly ,ours,. Doug og , .E.H.S. Division of Environmental Health DF/sg cc:de Enforcement Building Department Planning Department/D.S. eouw* of Jr3utte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Webster Electric ADDRESS: 363 Canyon Highlands CITY & STATE: Oroville, CA 95966 IMPORTANT: September 21, 1990 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Refund due to clerical error. Permit #3265-90E, AP#35-222-35, Receipt 720 dated 9/18/90. Total permit fees paid ----------------------------$J-').00 Total permit fees retained------------------------ 00.00 TOTAL REFUND DUE---------------------------------- -UU TOTAL $35 00 I, 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. ........ . 7 'Calif�.. z.............�.�.,......... Dated this �' / de of © ,/„��C 19 O at,%'o✓!�/�'Si Signature of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that thereto, a Budget Appropriation or Specific Board Approve (Check one) for the same. Dated this .........0 .................. de of ....... © 19,n et ... .. U Y ...�. QQ �.( Q.....�....... , Calif. .......... ..... ... ...... .... ertment Head or Authorize eputy Code ........ S/.Y....V.... Code7....Jt l flJ..Y..... .......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. "-. - COUNTY OF BUTTyE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT �PERMIT NO. ASSESSOR PARCEL NUMBER 035-222-035 ZONING�;��-"" jam( BUILDING PERMIT OWNER Rudolph Jordan TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 717 Bald Rock Rd Berry Creek CONTRACTOR'S NAME Webster Electric TELEPHONE 533-8522 CONTRACTOR'S MAILING ADDRESS 363 Canyon Highlands, Oroville 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Feb $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4743 Lincoln Oroville Permit fee $ PLUMBING PERMIT. Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other [ Describe work: New e1ectr_ic ser1rice _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 0.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare riderpenalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Cod and my license is in full force and effect. /^ License No. Classification /. �� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec.- Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& ADONS. ACC, BLDGS. , 2�20sgftder NEW CONSTRULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES .20050t AL930 FIXED Ex. Occup. OUTLETS P(RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate o onsent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this per 't. �- �/� Date gnature of Applicant — Owner ❑ ContractorIK Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -PUBLIC of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL $ ALL FEE 35.00 HAz CUA PARK EE PAR PD HD Is E This permit is nereby issued under sions of the utte Co nt ode and/or abov r which fees worQ.DiREPCR By. [PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORK$ion �j/J) Dae ,,/� YIA Receipt No. 7720 WHITE•D.P.W., YELLOW -ASSESSOR. PINK•INSPECTOR, GOLDENROD -APPLICANT •� :� *'�'��.., -�+i`R�'� �y'•r, ,I���i- +�','�, e: '�V"7"' .. ,..-... �.Rr+3.L..rrT`- 7_•�.n...vur,T�ir�r yv � 2- `r �- •>• _+ y -w• Y.. Y-` .. ., 2 an��'tF �4 - •�,y.;a{r 35-222-35' 3251-90B,E JORDAN, Rudolph ' 4743 Lincoln Blvd, Oroville r (reroof/ &;elec sery/sf) a 9Z��� • OFFICE COPy Address r . GAS Mete at ELE TRIC 7 Meter By Date �Z� �d . f r`v"fi'""�=�s.;--��a.�gsw.:�w><•.-.4--�.-•..�;.,.,4:«r.-..,.,�,..,�.«....�.�..-.,....-r ,�..-..•.•;�ittiAv'�i�P„�.i%�t''}�`t=3'��{..��.�,iM`"`ti:7;�1riLil"t�' ^*rr���4.1t±74."g"�,o"sa: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ~ _.15 ZONING BUILDING PERMIT �0�� �ER !gyp TELEPHONE 589-0366 SQ. FT. OCC. BUILDING VALUATION 19 @ 60 • 1140 OWNER'HMAILINGM. ADDRESS SS 717 Bald Rock Rd.. Berry Creek CA 95916' CONTRACTOR'S NAME , Mer --- TELEPHONE - CONTRACTOR'S MAILING ADDRESS r Fireplace CONSTRUCTION LENDER None UNKNOWN 1 Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ S ARCHITECT OR ENGINEER Hone LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Penalty $ BUILDING ADDRESS ' 4743 Lincoln Blvd. Oroville ` Permit fee $ •- - PLUMBING PERMIT Filing Fee 10.00 t. �; �� Each Trap - - 2.00 ��, - - �►.r +S.w •.�•Y ; :,tiff\� j .r Solar or heat pump,water'heater 20.00 LOT NO. SUBDIVISIONtNAME ���' 74• -.ti.._ [ -� t} PARCEL MAP Water piping - ' f �� J 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[X Duplex❑ Mobilehome❑ Other SPECIFY ;- Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK ► New ❑ Addition [I Remodel ❑ Utilities ❑ Installation❑ I Other g] Describe work:. Reroof and Upgrade Mectric Sertjdce _ + Permit Fee $ contractor ELECTRICAL PERMIT Filing Fee 10.00 i Main service 6001 OR LESS 100 AMP OR LESS 10.00 10 . Main service EA. ADD'L 100 AMP 2.50 j CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification F1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered F✓rfor sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING oCCIP.&� OR ACDNS. ACC. BLDGS. yz2sgft NEWCONSTRMULTI-OUTLET NON .RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®@00 r SAL®30 , FIXED Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00` Mobile Home Facilities 15.00 Misc. Wiring 15.00 115i,00 Permit Fee $ contractor Jim Webster WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. fJl I shall not employ any person in any manner so as to become subject t ] to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon.the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iiabilities,-judgments, costs, and expenses which may in any way accrue against said C unty in consequence of the granting of this permit. / �/) p X f� Date �'" ��" Signature of Applicant — Ownery Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE A TOTAL FEE $ E 5 0 65.50 HAz CUA PARK L + PAR ssue Th's permit is nereby issued under sions of the Butte County Code and/or work dP ated above or which fes DFj ;OF PU LI ,. B 0 PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date 9/18/90 (� 9/1 Receipt No. WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE `-}'DEARVENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO.. ,� _30tn Q . ASSESSOR PARCEL NUMBER 35-992-35 ZONING BUILDING PERMIT O NER OLPH M. JORDAN TELEPHONE 589-0366 SO. FT. OCC. BUILDING VALUATION 19 @ 60 1140 OWNER'S MAILING ADDRESS 717 Bald Rock Rd., Berry Creek CA 95916 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Aone LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ RCHIITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4743 Lincoln Blvd., Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ® Describe work: Reroof and Upgrade Electric Serikice _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9; Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- work,and sation, will do the workand the structure is not intended or offered Rr'lsale. (Sec. 7044) , as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.B: oR ACDNS. (ACC. BLDGS. I 2/,z2sgft NEW CONSTRESIO,MULTI-OUTLETCI2,50 NON•R ESID BRANCH CIRC ITS ea POWER APPARATUS h (SINGLE OUTLET CIS, Ex. Occup( OR FIXTURES 5AL@AL®30 FIXED APLNS. Ex. Occup. OUTLETS PR (RESID IEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 15.00 Permit Fee $ nn WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor Jim Webster MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C unty in con quence of the granting of this permit. �_ ��_ C p %� Date l Signature of Applicant — Owner jy Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL FEE TOTAL $ 65 5 .50 HAz CUA PARK FE PAR HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work ated above or which fe Of OF PU i B PERMIT EXPIRES Date _ the applicable provi- resolutions to do s have been paid. WORKS Date 9/18490 9 1041 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538_7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) _ gy S _ 2. I (have/have not) u y 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 J_/ Xi .9 LyTQ r 4`4 r- r,,/6.r/ Address City _ Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, -and provide the major work: Name _ Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner141z , /"�, 7 Social Security Number - Date Date 4T— / if 6 0 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the'California Health and Safety Code. This verification must be'completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTT- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilia, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASS SOR PARCEL UMBE J -A ZONI BUILDING PERMIT OWN 11 14 OA Al. fTlen r of n TELEPHONE 4-03G , SO. FT. OCC. BUILDING VALUATION O�ER'S MAIL p /tD RE �C 1� �� ga VNIAI/l/ME I ' CO TRACTOR'S TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO SI RUCTION LENDER UNKNOWN Total Valuation LENDER'S MAILING ADDRESS AR HI ECT OR ENGINEER ,69 V1 6L LICENSE NO. Filing Fee $ 1000 Permit Fee Plan Checking Fee $ Q, $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - PARCEL MAP . Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFZJ Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ emodel qUtilities ❑ In lation Other Describe work: f Up a r ad (-' CsCfV 'C_ S C-1-!/'v Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR Main service 100 AMP ORSLESS 10.00 /Q1eg CONTRACTORS LICENSE LAW I declare under ur enalt of p y p er l y (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR AODNS. ACC. SLOGS. , h¢sgft NEW CONSTR. ULT I.OUT LET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES 200300 eAL@30C FIXED APLNS.El Ex. OCCUp. OUTLETS PRESID >REA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00! Misc. Wiring 15.00 Q Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor r MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County or 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 ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ i HA2 I CUA PARK scHL FLD I PAR PD HD IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Vis.+-,.a7.i,,�._.�.�.,.r-..,,.x..sanr .s:�..� -+.r s.�sn+�c'a+• -s' . - .,-- --.v+. ..r. ...,n.-,.fi ..-.. ., - .- (_...�^�i,�s Permit #4217-83 -Troy Jones ! COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION .ASID PERMIT PERMIT N0. a ASSESSOR PARCEL NUMBER 35 - 7:22 35 ZONING -BUILDING PERMIT OWNER / J " jC ^ /VJ�A1J) `(1 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CI` ME / /sc/`�' 04ji XIL a/l/r TELEPHONE CONTRACTOR'S MAILING ADDRESS r /�� /1� 7`5 1116P Si. 64 UOVII iG., (/r Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER _ .!'}w•D` LICENSE No. Plan Checking Fee ,$ Penalty $ MAILING L ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Qj�fj(%/Lt L Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 1J•f+ V Gas piping system 1 - 5 outlets 5.00 .`,i• p4 USE OF STRUCTURE SF O'Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New ❑ Addition ❑ ,R))emodeI ❑ Utii Iities ❑ Installation ❑ Other Q- Describe work: �[�"Lf[_- {f•"" Permit Fee $ 20• o -c> Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 110ov OR LESSAMP10.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. 1 220Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. � ����� Classification /"-1/— � /.� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR (MULTI -OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &') NON-RESID, SINGLE OUTLET CIR. Ex. Occu / BAL@30 P\o XEDTS OR FIXTURES eALe3o FIXED Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1I have placed on file with the County of Butte Building Department , a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save,, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saidi`County in consequen-66^ of the granting of this permit. / X���/� lL�,l�%C /-_7A � -, Date ,� r Si:�dture of/Applicant — Owner ❑ Contractor © Agent ❑ ion of structures over 3 stories in height. An OSHA permit is required for excavations over 5'� deep and demolition or construct-js,45� Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 20. v'c.;� OCCUP, GROUP TYPE OF CONST. PARCEL PD HD 99UE This permit is hereby issued under sions.of the Butte County Code and/or work indicated above for which t TOR OF PUBLIC B L..� y PERMIT EXPIRES Date the applicable toprovi- resolutions to do fees have been paid. WORKS Date /1 Z8 - (y s Receipt No. .l' 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR_y,tiUM— SS ✓:!5 LL/LJ ZONING BUILDING PERMIT OWN TELEPHONE SQ. FT. OCC. BUILDING VALUA ION OWNER'S /�E //MjAAIIFLLLIIINJG/J l/AADDRESS CONT, tQyE� � T ACTORS', LIN AA� ESS Q�, (/ttE 04 /LENT/DT/E S v Fireplace CONSTRUCTION UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING A DRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A012RENS,// �%Y1L L/JL x• Y-7 If -3L (�� /SJ �/ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ^ Q�n Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 5-00 Gas piping system 1 - 5 outlets 5.00 �—, / USE OF STRUCTURE SF EE Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ R emodel Ut'l'ties ❑. Installation ❑ Other Describe work: ��(�rT Permit Fee $ QO, 0.0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&` OR ADONS. ( ACC. BLDGS. / 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ��pg�� License No. _ e� Classification G _7� 6 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULT' -OUTLET BRANCH CIRCUITS ITS. 2,50 ea NEW NON -CONSTRESID. SINGLE OUTLET CIR. R POWER APPARATUS &' OR FIXTURES Ex. OCCUP. BAL@30 BAL®30 FIXE A FIXED APP LHS, OR EX. QCCUp. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ,o I have placed on file with the County of Butte Building Department Ilea Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save indemnify and keep harmless the County of Butte against all Iia ' I ju m nts, costs, and expenses which may in any way accrue agai t s Co n conse of the granting of this permit. X Date tore o Applicant — Owner Contractor Agent An OSH permit is required for excavations over 5 0" eep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 20.0.0 occUP, GROUP I TYPE OF CONST." PARCEL PD I ND I ISSUE This permit is hereby issued under the applicable provi- sion f the Butte County Code and/or resolutions to do wo i dicated above for which fees have been paid. 1 CgTOR OF PUBLIC WORKS BY Date �Z—Z$ 4/3 /2^ ted, PERMIT EXPIRES Date ZZ R eceipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT