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HomeMy WebLinkAbout035-225-009+ ,1 �4 1 A;r AI 1 Y - - -- - -yam*---•----- - _ --- - — — - - - — r - 35-225-09 CYNTHIAN SALAZAR• 1960 Helman St, Oroville Permit#1351-87B(reroof/SF) % 3"�2_ L 5035 225 009�ffi�.'fr.�t03 ,-0340�r s DEPINEDA RHONDA a , "1960 HELMAN ST, OROVILLE ii,CONT MTN.' DEVELOPMENT tRE-ROOF,& DRYROT REPAIRS`' F ,f ' 035-225-009;' f � �� * ' 63-0801, DEPINEDA, RHONDA'' + 1960AHELMAN, OROVILLE ,CONT: MTN DEVELOPMENT.c 4 `'.'z •;:R ti ELECTRIC SERV_ ICE CHANGE i ri l I 1 1 - - -- - -yam*---•----- - _ --- - — — - - - — r - 35-225-09 CYNTHIAN SALAZAR• 1960 Helman St, Oroville Permit#1351-87B(reroof/SF) % 3"�2_ L 5035 225 009�ffi�.'fr.�t03 ,-0340�r s DEPINEDA RHONDA a , "1960 HELMAN ST, OROVILLE ii,CONT MTN.' DEVELOPMENT tRE-ROOF,& DRYROT REPAIRS`' F ,f ' 035-225-009;' f � �� * ' 63-0801, DEPINEDA, RHONDA'' + 1960AHELMAN, OROVILLE ,CONT: MTN DEVELOPMENT.c 4 `'.'z •;:R ti ELECTRIC SERV_ ICE CHANGE i ri l I 1 1 t1 jj 0 February 4, 2003 Ms. Rhonda De Pineda P.O. Box 1619 Paradise CA 95967 RE: Substandard Housing 1960 Helman St., Oroville CA 95965 AP# 035-225-009 Dear Ms. De Pindea: 6utte Co L A N D O F NATURAL WEALTH A N D BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 pgp'fED This department has received a complaint alleging health and/or safety hazards at the above -referenced property. Butte County Assessor's records indicate that you own or control the property. On January 27, 2003, an inspection was made regarding the complaint and the following conditions were observed which are in violation of the California Health and Safety Code, Section 17920.3 (a) (6), (g) (1), (g) (2); which pose health and safety hazards to the occupants and render the dwelling substandard. This letter is your thirty (30) day warning letter to correct or abate the following violation: Any building or portion thereof including any dwelling unit, guest room or suite of rooms, or the premises on which the same is located, in which' there exists any of the following listed conditions to an extent that endangers the life, limb, health, property, safety, or welfare of the public or the occupants thereof shall be deemed and hereby is declared to be a substandard building: 1. Roof Leaking due to defective or deterioration of material. (a) (6) 2. Faulty Weather Protection around door and windows. (g) (1) 3. Deterioration of exterior siding due to lack of proper maintenance. (g) (2) At the time the above -referenced property becomes vacant, it shall not be occupied until all violations are corrected. It is the County's goal to obtain voluntary compliance with the California Health and Safety Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. A re -inspection will be made to determine compliance. If voluntary compliance with this notice is not accomplished by correction of the above -referenced violations, enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. Upon conviction and per Section 41-7 of the Butte County Code, violators may be fined and a Notice of Violation may be recorded which include a description of the action necessary to correct the violation. A Ms. Rhonda De Pineda February 4, 2003 Page 2 Furthermore, failure to comply will result in the Franchise Tax Board being notified of your non- compliance. You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expenses connected with the property as long as it remains substandard. This notice is given to you pursuant to Section 24436.5 of the California Revenue and Taxation Code. To comply with the California Health and Safety Code, Section 17920.3 (b) 8,9; (h)1; you must obtain all required permits for repairs from the Butte County Department of Development Services, Building Division, 7 County Center Drive, Oroville, California. You have thirty (30) days to voluntary comply with the above -referenced directions. Should you have any questions concerning this matter, please contact me at 538-7601 Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, C15 Gary Brown Lead Code Enforcement Officer ME cc: Department of Development Services, Code Enforcement Mr. Ken Doty and Mrs. Monica Doty 1960 Helman St., Oroville CA 95965 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI DING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone ) 538-75 PERMIT NO. (Rev.1M96) ' APP(53 LICATION AND 83=coo l ASSESSOR PARCEL NUMBER ()35-225-009 ZONING BUILDING PERMIT OWNER d@ 1)ippda . OWNERS M"ILING ADDRESS ' PARADISE. GA 95967-1-r-Or- CONFRACTOR'S NAM MM NT CC) TELEPHONE Q HONE SO. Fr, OCC. BUILDING VALUATION CONTRACTORS MALI SS CONSTR CTION N LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDINGADDRESS 1960 HUMAN ST OROVIT-1-F Energy Plan Checking Fee $ PERMIT FEE S IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ;CX. Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other > Describe Work: TIFLE. SER CHANGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 aOOV OR LE Main Service 200" OR LESS 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 'p till force and effect. License Class le i Lic. NO. OWNER -BUILDER DECLARATION I ereby affirm under penalty of perjury that I am exempt from the Contractors License Law fqpthe following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, OR ADONS. ( & ACC. BUDS. SO 3.5¢FT: CONS NEW MULTI.CIRCUITS OI NON•RESID. @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FO(TURES BAS @' 0 Ex. Occu . OflXED r. A p OR I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I here 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. 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 a hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith c ply with those provisions. Date _ ignature of Applicant - ❑ Owner &IPContractor ❑ Agent An OSHA permit is required for excavations over 60" deap-and demolition or construction03 of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE i: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ A3.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicat d above for which fees have y PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. ate 24 IDafe Receipt No. 377a2 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Orovills� Cefflfornia 95965 m, Telephone (bio) 538-75 P- No. bNA - 121967 : APPL[GATt ND PEK PylfTi _ Vim — 12 A SC. FT. I OCC. I 5ULDING VALUATION �� TYPE OF WORK Cis i Km G Ad:F= 0 Rgro3d O US=- D 17 Marg—,— -%xwm Des=rbs Waft PErZ�aT F� S ELEMCAL PERQIT 6161. e.��11 ®aY OR t=s mm oA LE= Ssnis:s moms -m "=A *PSIUW FEE ?Alb S1 Y{� 1 ���i►�ii� GV Hd `R�7'f M!NliE� " 4ETKO TO an. ltiT t?iT0 COMM �ahtaflon S ae S 20.00 Fee S backincs Fee S Pian ChB=kbg Fes S S PE WrT Ff+ S °L[1Mi31fJ6 P�R1,HaT FF09 Fee 20.DD 'r 7.DD r hem pmnp wrier heater 23.DD *bg 15.(>D = wetsr hedw or vert 1s.0D on sysimn 1 -s=Aws 15.DD 1 sEwer 15.DD H=q S G W (3,20.65 45AD 20.D0 O m mu cot Famm ' � � FgEl ApFL�S OB ' etttLE� s� E7d• � S.OD Tempwwy swv= MOD Mbbse Home Fames =DD . fJ6s� N� MDD PERNU Fms 3 .QQ JOEMHAi�DCAL PMMIT FEmg Fee 2 D. D0 Heating Caafn� H=d 6.50 rEnwgyLbb0a Hama kmhla5on Fee S hmpedon Fee Is " OTAL FEE $ KIM dFra W 1 FS.=Z) e»F f FA=SL Fo � =Z TWO pwmB is hereby 1=uBd under 1he appir ab1s prvv dbm cd be Hufie County Cade and/or Flesaiul = b do work u ckslad above for wh1-1 fees have been PEA 5y Re puts, ' PERMIT D711ZES ON vi mm.e-n.:.e.n mue.fXSP-cGTOF1 GoLB=NFLOC6APPLI ANT : Dste r ° 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 - R 0s3 !/ b'TYRPe T'—'1UBF.B O UJ ZONING BUILDING PERMIT Vt�kNEDA, RHONDA TELEPHONE 377-2030 SO. FT. OCC. BUILDING VALUATION CONT E T 1 20 . VNEU MAILING ADDRESS SOX 1595 PARADISE, CA 96967 12 SQ 720.00 CONTRACTOR'S NAME MTN. DEVELOPMENT CO. I TELEPHONE 534-9722 CONTRACTOR'S MAIUNG ADDRESS 516 NORTH COLLUSA WILLOWS, ^ CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1..920.00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1960 HELMAN STREETp F e Energy Plan Checking Fee $ $ PERMIT FEE $ 65.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 9 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: RE ROOF AND DRY RO`.CT ::FP!iT?; Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I GI W 1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is ; full force and effect. License Class Lic. No. ��� (S 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. ❑ 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 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. ❑ 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 Policy Number (The above sections need not be completed if the per it is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the perfo ance of the work for ch this permit is issued, I shall not employ any pees n in any manner so to become subject to workers' compensation law sl California, and agre at if I should become subject to the de, I shall forthwith ply with those provi s. workers' cor�r p� ation provisions o erection 3700 of the Lah7zo.-? X .�-- Date _ JSign re of Applicant - ❑Owner Contractor ❑Agent OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in heigh Main Service sow TO X000A 46.00 NEW CONST. DWELLINXi OCCUP. SO OR ADDNS. ( a ACC. BLOS. 3.5¢x. MULTI-OUTLET 97,50 NOEW RESID ' BRANCHCIRCUITS POWER APPARATUS a SINGLE OUTLET C.20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .50 FlXED APPLNS. OR Ex. Occup. S.00 olmETs RESID. E0. r. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 65.00 HAZ. D. FEES IMP 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. �swC.stL,ate 4Z-3�=e PERMIT EXPIRE ON peNe Receipt No. 161-r–clp WHITE-D.D.S.-B.D. CANARY- SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT e- (Rev.12/96) OOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION! 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-1541 -- PERMIT NO. APPLICATION AND PERMIT 0-3 AssMs=PARDe."Ws; _ zO"0"0 BUILDIN9GPERMIT °NtH°'MONE $0. FT. OCC. BUILDING VALUATION e owrM AD T?Tr e, d COMRACTO TELE° Cf� COMMA -MS MAL= ADD COFG7HUGS7DN tEJiDEA MEAS UPS" ADDRSS Fireplace i Total Valuation "ROREN�� UCEME FrogFee S 20.00 AR== OR MHESM UAL= AODR`ss Permit Fee Pian Checidna Fee S eun DrsADaRss Energy Plan Checbdng Fee S S PERMIT FEE S "' cm s � H4Me PaRco. MAP PWMBING *PERMIT Filing Fee 20.00 RichT �.00 USEOFSTRUCTURE So or heat pump water heater 23.00 SF 0 Duplex 17 Mobilehome O Other W — IpIng 15.00 sPE=M Each ga'syster heater or vent 15.00 TYPE OF WORK Gas pipinI - 5 outlets 15.00 New 17 AdcM= 17MWfflas O Instalallm 17 Other O Bull' sewer 15.00Describe Mobile Home S W @20.00 Worts PERMIT FEE $ ELECTRICAL PERMIT I Firing Fee 20.00 Main Senrlca = RR 1 2900 *PSMIT FEE PA2D SRA Sk62FF AMOVNT RIMMED TO W KM ZNTO eon ReceiptNo. • WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-WSPECTOR GOLDENROD-APPUCAM 2M 70 SUOU OR FWnMM Home PERMIT FEE S MECHANICAL PERMIT Filing Fee I 2o.00 6.50 Moble Home Installation Fee Is Energy hsspec6on Fee Is DLC W""'t"" TOTAL FEE $ "AZ I d FES I DSP I ROOD I CDF I PARCEL i PC This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By . Date PERMIT EXPIRES ON ! Permit .#1351-87B �., Cynthiana Salazar a 1,960 Helman St,- Oroville 1 9 COUNTY OF BUT ��PART M�LZOF PUBLIC WORKS, PERMIT N0. 7 County Center Drive - Oro i , California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING +� BUILDING PERMIT OWNER I r, i TELEPHONE / C� SIO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS, /'Ir/fs.n,, 11 r r CONTACTOR'S NAME I , - 1 , ,r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10•00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 1 /.­ '" --Ener LICE E NO. Plan Checking Fee $ Energy ecg Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS d 9/ / Ile / : 1 %/ ri Permit fee $ / M l f' 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 I S I G JW 1 10.00 ea TYPE OF WORK New❑ Addition❑ //,Remodelg Utilities[] /Installation❑ Other Describe work: j`�' +rr n t / ► (� f, 'e" _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (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 Rr 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.a , OR ADDNS. ACC. BLDGS. 2/20sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occu 20ee0e Occup(OUTLETS OR FIXTURES eAL030 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID.)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. E• I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. r , + , %� Date 7 h -' Signature of Applicant Owner rJ Contractor ❑ Agent ❑ r An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Aye S,/ - Occu P. CONST.TYPC I FLOOD PARCEL PD 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR,OF PUBLIC By � ` � �� � •���( PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date l��r,� � Receipt No. , c� 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 PARCEL NUMBER C ZONING BUILDING PERMIT OWN TELEPHONE SQ OCC, BUILDING VAL ATION ' OW� M ILING D RESS ^^ �G CONCTOR*Sr NAME TELEPHONE VV % nip t%� CONTRACTOR'S MAILING ADDRESS Fireplace CONSTFZ CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S AILING ADDRESS Permit Fee $ S ARCHIT CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS f Permit fee $ 1 L s PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 CJ— 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 rrr���fff USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00ea TYPE OF WORK New❑ Addition ❑ emodel Utilities nstallation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Yf 1, as the owner, or my employees with wages as their SOIe COmpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.� , �z2sgft BI New eoNsrR(A _OUTLET U NO N.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20050Q BAL030 FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 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. 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 agains said County in consequence of the granting of this permit. X iCa Datea�4A2 Signa re of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -IRE ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ \ TOTAL PERMIT FEE $C71, Oc CUP. CONST.TYPE FLOG; PARCEL PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which T FP //2 BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. C WORKS Da e �� 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. 4 Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)_ 2. I (have/have not) 144 V C signed an application for a building permit for the proposed work. t - 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: 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 AddressJ Phone Type of Work kf')A . Signed Property Owner Social Security NuAber q Date �% ,� AA 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.