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HomeMy WebLinkAbout041-330-052Ina u FU LUCKY - 7 RANG- - 81 P 41-33-52 "RANCH ` -' -- _ D ~ V �O • �a 27entz Road (� Permit��470-83B,g Mrrville _-- _- ,I rewire/SF) ' M(repair fi a damage & I - Permit#81 41-33-5a� 8-84B ( ins to l l. woodburn�a�d� stove/SF gr 041-330-052_ r 0 { GAN, LANA 02 D 2783 PEN TZ RD OR -- .-MISC,PLUMB/ELEC/ CH 041-330-052 GUNNEL q . 2783 PENTZ RD`'ORp ` CONT: -OWN r DRYRO AIR"` .S 041-330-052 GUNN, LAN r .2787 PE TZ S® ! CONT: ALL SE LLE REROOF ROOFING , 1 - 4 I , 1 1 ,S i II I� li y �l V- y- - TGF' �. <. ....-y .. -._ ._.. ... 4 .. K•: ..� 'Tr IT, TE—. ;,et. -•y_ \ , .,. 041-330-052 02-0480�c", f'GUNN, LANA 2787 PENTZ RD OROVILLE" CONT: ALL SEASON ROOFING . REROOF • r • a • i i . i r } i IP INALED 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 4'0480 ASSESSOR PARCEL NUMBER .r3 ZONING BUILDING PERMIT OWNER LANA GUI44 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 8 Sq. 19380.00 CONTRACTOR'S NAME S NAME ALL ` TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 33.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADV97 PkIV'I'Z RD. 9 OROMIX CA 95965' Energy Plan Checking Fee $ $ PERMIT FEE $ 3.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um 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 IMF 23 SQ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20..OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION j 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. . t License Class _ " j, Lic. No. ; 1 % - ��i 7 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 Mein Service zoo. TO 46.00 NEW CONST. ( DWELLHJG OCCUP. OR ADDNS. DW:",1GCCU Blas. SO 3•S¢Fr. tNpN galp, MULTI -RANCH OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex, OCCU OUTLET OR FXTURES g20 @ 1.00 0 FLYED APPLNS. OR Ex. Occup. ounETs REBID. Ea S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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. ❑ 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 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.) 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.abor Code, I shall f hwit comp) ith those provisions. .-, -^'l X Date r l0' C_` Signature of Applicant - ❑ Owner EX Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition" construction of structures over 3 stories in height. ad a Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 53.00 NAZ. D. FEES IMP I FLOOD I COF PARCEL I PO I HD SSUE 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 / r/il�j2f .' fii�Ii f /f Date 3-7-2002 PERMIT EXPIRES ON 3-7-2003 pato Receipt No.4r WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOAD- •�D-APPLICANT Tq f COUNTY OF BUTTE - DEPArRTMkNT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-0480 ASSESSOR PARCEL NUMBER 041-310-092 ZONING BUILDING PERMIT OWNER LANA GUNK TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS g CATALINA POINT CHIM CA 99928 23 Sq. 19380.00 CONTRACTOR'S NAME ALL SEASONS ROOTING TELEPHONE CONTRACTORS MAILING ADDRESS 14753 MAGNOLIA DR., MAGALIA CA 95954 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1,38 .00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 33.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDR SS287 PE=RD. OROVILLE CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ 53,00 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE ROOF 23 SQ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W ��,00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800R LE Main Service p A VOOR 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 � �G%�y G �� 9 NiG uc. 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 46. NEW CONST. DWELLING OCU s o WEE CC P. SO OR ADDNS. ( & ACC. BUDS. 3.50FT; NEW CONST. MULTI -OUTLET NON-RESID. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 @ I-00 Ex. Occup. OUTLET OR FDCTURES BAL O .50 ' FUMED APPLNS. OR 5,00 Ex. Occup. ounETs RESID. EA 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.) 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 9 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f hwit compl ith those provisions. Q X p Date) 0 KSignature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. 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 $ 53.00 HAZ. D. FEES IMP J FLOOD I CDF PARCEL I PD I 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 whi fe s have been paid. BLDate 3-7-2002 PERMIT EXPIRES ON 3-7-2003 Date ReceiptNo. 343464 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT rom 041-330-052 02-0321. G ONN, LAN A 2783 PENTZ RD. OROVILLE , CONT: OWNER DRYROT REPAIR h.. d 2 , o 2-2-c-) 1 :wl �e iN LE i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 •Telephone (530) 538-754 ,PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �'' - ASSESSOR PARCEL NUMBER e, d -j -t R Lfd,J ZONING BUILDING PERMIT OWNER TELEPHONE / z SO. FT. OCC. BUILDING VALUATION OWNERS MAILING AQORE ,/'l +° eft }*,a � %� r . ,�• ,. �'� ty� � � � � , r CONTRACTOR'S NAME {'^,% C TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ /U, ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 0 l r flt�ltLit'/` ie Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Q/Duplex ❑ Mobilehome ❑ Other SPECS 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 ❑ JPstallation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AORLESS 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 To +oaoA 46.00 NEW CONST. DWElI.M1G occuP. OR ADDNS. DW: W: ACC. BLDS. 3.5QF°; NwE' q lD. muLTI.OU-ETrrS @7.50 AP= PSINowER APPARATUS a LEO CIR. Ex. Occup. OUTLET OR FDCTURES BAL O I .50 Ex. Occup. .=PPM.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 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. ❑ 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' compensatibn provisions of section 3700 of the Labor Code, I shall forthwithcomply with those provisions. { X __ Date -� ( `�_ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLooD CDF PARCEL PO HD This permit is ereby issued under of the Butte, unty Code and/or indicated a ve for which fees h By ? PERMIT EXPIRES ON - the applicable provisions Resolutions to do work been paid. r Date41 Data Receipt No. `1 Uel ait W WHITE-D.D.S.-B.D. CAN, Y -ASSES O P -IN PECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION UEPAHI MEN I UF�UEVELUPMEN 1 5EHVIt;;E5' i � -V 411 Main Street • Chico, CA • (530) 891-2751 7 Countv Center Drive • Oroville. CA • 15301 538-7541 r ' CORRECTION NOTICE y ~�— O Z NER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is r completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately sc• 1:__ s,. K Date Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES .411 -MainStreet • Chico, CA • (530) 891-2751 County Center Drive • Oroville, CA • (530) 538-7541 >~' CORRECTION NOTICE R OWNER'. PERMIT NO. f� +' A routine inspection indicates that the following violations of butte county Ordinances exist at the ra above address and should be corrected. Please notice this office when correction of work is completed.. Ifyou.liave any questions pertaining to this matter, or need additional explanation, please con t this ffice immediately. r +fix _ 1 At aK . I. / P;- e elk,scep V l t �ELI I/ Date— REV 1 Inspector ter. tz' - i Date— REV 1 Inspector 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75410 .-D PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT (� I ASSESSOR PARCEL NUMBER e O— -` ZONING BUILDING PERMIT OWNER / MW TELEPHONE�� I/ SO. FT. OCC. BUILDING VALUATION OWNERS MAILING AQDRE CONTRACTOR'S NAME /�, 0 '� A /Ve✓(' TELEPHONE CONTRACTORS MAILING ADDRESSV CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ r20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESSu � V// I/� Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFDuplex ❑ 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 ❑ 4istallation ❑ Other ❑ Describe Work: 12%U Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 020000AORVOR LELESSSS 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. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. OWElLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢FT. NEW NST. MULTI -OUTLET N @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FDRUREs 20 Q 1.00 B4L- @ .50 Ex. Occup. ..E* A RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 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. ❑ 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 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' co ens tion provisions of section 3700 of the Labor Code, I shall forthwit o ly I those provisions. X Date V �/y Sign re of Af plicant - ❑ Owner ❑ Contractor ❑ Agen 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 $ 6 FEES IMP I FLOOD CDF PARCEt PD HD 1114E This permit is ereby issued under of the Butt unty Code and/or indicated ve for which fees h By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date " Date Receipt No. WHITE-D.D.S.-B.D. C NA Y -ASSES O P -I SPECTOR GOLDENROD -APPLICANT L 041-330-052 C GUNN, LANA 02-0220 2 783 PENTZ RD, pRO VILLE MISC PLUMB/ELEC/MECH 02-- 63 2-1 -6 -&ys\ bk�1� " Y // f. OFFICE COPY Address 2 783 i2-297 GAS Meter By Date -16/A/040-2— . � EL �C Me ev i • 1 f I ;...•.:....., : «.-:- -.. �..._.e...,c ,+-w+'= �. �•yFc m� Cyt-• . -_ .;.. _ ,...,_..•-.--......-.�--..+..-.r _ _ -Y:_ • yy.. w, _ .•�; _w ::rpj..-. � �,��a._ _u -♦ ,......:i.;�y.z s .. T'VCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 CountytCenter Drive • Oroville, California 95965 • Telephone (530�!938 7541 PERMIT NO. (Rev. 12/96) APPLICATION.AND PERMIT ASSESSOR PARCEL NUMBER .. .r ZONING - BUILDING PERMIT ,OWNER EIEPMONE T(J4r4 / J _I 1 - SO. FT. ( OCC. ,. BUILDING y " VALUATION .OWNER'S MA@1 ADD ESS • Vol CONTRACT S TELEPHONE CONTRACTORS MAIUNG ADDRESS - CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS - Total Valuation $ Filing Fee $ 20.00 ARCHTECT OR ENGINEER UCEIJ NO. Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee yam. $ BUILDINGADDRESS - ,j/j Of, �. i Energy Plan Checking Fee $ a4; $ -PERMIT FEE $ LOT NO., SUBDIVISION'S NAME PARCE4MAP PLUMBING PERMIT Filing Fee 20.00 s USEOFSTRUCTURE t i SF � Duplex ❑ Mobilehome ❑ Other 4, SPECIFY v IV—Each Each Trap 7.00 00 Solar'or heat um water heater 23.00 Water piping 15.00 gas water heater or vent 15.00 TYPE OF WORK_ ti New ❑ Addition, ❑ .Remoc(el ❑ 'lilies ❑. Installation ❑ Other ❑ 5 -j" ; Describe °0ork: /.� V�f`� - �i ' Gas piping system 1 - 5 outlets 1 5.00 v , Building sewer r 15.00 p Mobile Home S G W ,:� 920.00 + 1 PERMIT FEE $° ELECTRICAL PERMIT Fling Fee 20)00 1 ^ r v `� Main Service zoo" OR mss 23.00' ; —. . ,..� 1 /° `w; V •. ( .� \ \'�Main �t LICENS D CONTRACTOR%S DECLi4RAT�O \� I hereby affirm under penalty of perjury that I am licensed under"' visions,of Chapter 9' (commencing with Sectiord�09p) of,Division 3 of the Business and Professions Code, and�iny license is in full force. and effect. '• < icerise Class Lic. No. .: t .{-' 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. 'E!,f I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project. ❑j I am exempt;,under.Sec. Business and Professions Code for this reason 4 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one'of;the following declarations:—Heating ❑' 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 Iperormance of the work for which this permit is issued. ❑ : f have and will maintain workers' compensation insurance, as required'by Section A 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 I .Service 200A TO 1000A 46.00 � NEW CONST. DWELLING OCCUR S0. OR NS. { 3.5¢FT. MUACCLTI-o� NON RESID. C cu 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 0. EX. OCCU OUTLET OR FD(TURES- — B20 @ 1.50 Ex. Occup. oFlurXED s AEsio°eA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 -.., - - PERMIT FEE $ �i IV MECHANICAL PERMIT Fling Feed 20.00 �da Cooling r Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The aboveN�ectiohs need not be completed if the -pe it is for work of.a valuation Of one�h�nldtgd`doglersQ00) o�less.) p te ❑ 1 certi in ee�eid`0 ce of.the,wor fbrNpIchrt is permit is issued, I shall not employ any person In any manner sol as to, bec me subject to workers' compens��t'dh laws of C1lifornia, and agree that if I should become subject to the Workers'Workers' comoensatioW, provisions of section 3700 of the Labor Code, I shall forthwith comply wit those Provisions. Xwete/ �� - wnigk An OSHA permit is required for excavations over�t0"dee and demolition or construction 4An OS A of At is Applicant - fo xcav ❑Con .actor ❑`and demolition of structures over 3 stories in height. Mobile Home Installation Fee $ r Energy Inspection Fee ,y $ Rr c ',. � PE do* ..( TOTAL,FEE $ �' T" 0 10 HAZ. D. FEES IMP FLOOD CDF PARCEL -- PD HD S 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 f �-�' `�..11� Date ! . 3' . V z Y PERMIT EXPIRES ON 31.o3 (Date ReceiptNo. r% .. 40 —0 WHITE-D.D.S.-B.D. CA ARY-ASS ' SSOR PIN INSPE O - GOLDENROD -APPLICANT iE7 QOUNTY 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 0a - 00-06 ASSESSOR PARCEL NUMBER ZONING BUILDINGPERMIT OWNER Nin / `'71/�/�1/ fJ l/ SQ. FT. OCC. BUILDING VALUATION OWNER'S ADD/jl s CONTRACTO 'S NA 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 $ BUILDINGADDRESS �� r d ,� Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF �p Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - vat Solar or hest pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: ♦,c L 2 (lit I (�LA,n l C Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VMain 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. Ias owner of the property, am exclusively contracting with licensed contractors io 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. SO OR ADDNS. ( 8 ACC. BLDS. 3.5¢FT; PJOµgESID BRANCH MULTI -OUTLET 97.50 POWER APPARATUS & SINGLE OUTLET CIR. EX. OCCU OUTLET OR FDCTUREs 20 x''00 BAL .SO Ex. Occup. G ED,SR�) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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. ❑ 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 Fling Fee 20.00 Heating a' Cooling Hood 6.50 Ventilation PERMIT FEE $ 36 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' compen laws of California, and agree that 'rf I should become subject to the worker co ensatiprovisions of section 3700 of the Labor Code, I shall fort It ply :w��itoseprovisions. / Date 3 � C'gnat#of Applicant - wner ❑ Contractor ❑ Agerif An 99HA permit is required for excavations over 60" dand demolition or construction of tructures over 3 stories in height. ee Mobile Home Installation Fee $ Energy Inspection Fee $ _jam TOTAL FEE $ �� HAZ. p, FEES IMP ROOD CDF pgRCEI pD HD 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. 2 By Date • J I ' PERMIT EXPIRES ON 1 , 3 / o o l Date Receipt No. 0JJ WHITE-D.D.S.-B.D. CANAR"-AS SSOR PIN INSPE O GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION '] Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan 'provide the ajor labor and materials for construction of the proposed property impr ement :YES NO ❑ 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work.. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: 533 -?o 33 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: PHONE: CITY: 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 PROPERTYO 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. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party 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: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ 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 "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 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. I+Micel Vi ira, C.B.O. ,uilding Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER c. V '°PERMIT NO. 470-M,E,M PERMIT EXPIRES- C3 AVO T OWNER LUCKY 7 RANCH INC. 'CONTR. ownek ASSESSOR PARCEL 41-33-52 LOCATION 2781 Pentz Rd, Oroville -,.Kl&,a-dj,"Ins ]2ector N OFFICE Copy" Temp' Pom,6M. ss Callen "Zi�A�S Me er y Temp. El r,El- ECT,�lc Meter Eiy %Dat Ca I I e J pt;&�i t -,Temp. Gas Service CalledPG&E Y JOB FINALED VY7,":u Signature V V = OK 0 - Not OK T = Not Applicable, Read = Not Ready RESIDENTIAr (Sin§le and Duplex) Date UNDERFLOOR Plans OK except N's Date FR ontinued 1. Zoning requirements -Setbacks -Easements 48. perty Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. t. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 5 S . s ;_V idth-Headroom-Rise-Run- Land ing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. P ood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Mai nj S -Blockouts-Wrapped-Slab 52 Siding -Nailing -Veneer 6. Stemwalls, G Blockouts-Wrapped-Slab 53 Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers irep ac t .-St el 54. azing Area -Glass Protection -Skylights -Plastic - 8. D.W. .: F I gr -T t-2 way C/0 -Sewer Test 55,? Sh ar Walls; Nailing -Bolts 9. Gas e' nchors V 10. Wat r i e; est -Anchors -Regulator -Service Test If S fL W 11. Electr ; U derground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Dateand-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Oard-BI Date Card -BI Date Date FI L fans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 01.Xxt. Steps -Door & Sidelight Protection -Landings Smoke Detector _ 14. Water Ht.; V ess-Combustion Air -5a--Furnace; Vents -Clearance -Comb. Air-Connector- a Floor -Ducts -Meth. Protection 15.WMrhors-Nail Protection tngs Anchors -Nail Protection 51K droom Exiting "apx Sh er Pan; Test, Firit Floor -Tub Access Bath Fixtures & Tub Access ______17. 18. Test Tub & Shower, 2nd Floor -Tub Access ec._Trim & bpanel; Breaker Sizes -Lab _ 19. Gas Pipe; Size & Anchors 6 trs & s Fir ace or Stove; Clearanc s -Hearth 6 le�utlets at Wood Panel; n . xL Card -BI Date Card -BI Date 65 66. - (Ki Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ' lec. Outlets & Receptacles at Kit. Counter ° Card -BI Date Card -BI Date Date ELEC CAL Permit OK except q's 6 rage Fire Door, Swing -Landing -Closer uct to Garage -Damper _ i lure & Transformer Clearance -Ins. Protection 2 Receptacles Spacing -Lights & Switches at Doors - 6 tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- ` garage; Above Floor -Meeh. Protection 2 Si oxes & No. of Conductors -Stapled PI :' Elec. & Mech. Equip. Listed for Location acles in Garage; (G.F.I.)-Rqpi4xProtec.! 23., x Installed Close to Edge of Studs & C.J. _- 24. Equi ound made up w/Mech. Fasteners -Bond Gas &Water 72, sulation-GeaMr-EooTced in Attic Y -es a -_ 2 ppliance Circuits in Kitchen &Conductor Size 73: ai s e onstruction-Post Caps - 2 2e / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74.--F� ents& Crawl Hole Door -Drainage & Wood -Earth Clearance lEw Looked under Floor Yes 2 e -Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, ,Insula_ted Neutral Oyes ❑No 2 erv' -Riser Conductors & Ground -Main Disconnect 75.-IFD"ow+ i- ' stld.: Drive El Yes No; Walks ❑ Yes*,* Q No; Planters Ll Yes -- 7 7 yBrl1wn-Finish it; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 29. quip. Clearances; Panels-Motors-Mech. Equip. - o es Closet Light -Shower Light _ 78.VVents Above Roof; Plbg.-Appliance-Firepi._Clearance.to Opngs.',� 79._-Water-Wefi,'D1sconnect, Electrical, Plumbing -- - -- --- - --- ---- ----.- Card B -I D_ateCard-BI Date Card B -I Date Card -BI Date 80. Wxterior Elec. Trim; G.F.I. Receptacle -Underground i anon throughout House 82 AIIGI .83 Protection orrections from Previous Inspections Bate MECHANICAL (Permit) OK except p's 84. Test -Meters' Tagged; Gas-Ele tc -- - 31. A.C. Ducts: Insulation &Support 8 Water & Sew erected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation C ensate Drain_& Overilow; Size & Grade y Compliance Certificate -Other Certificates 3 Furnace-Vent;_A_ccess-Comb._Air-Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI a rd -BI Date Date C d -BI Date Card -BI D_ate___ Cad- rBI _ Date Cad-BI Date Card -Bl- Date Card -BI Date Ca d -BI Date Date F G (Plans) OK except N's Comments at Final: Proper Material & Anchors 3 all Studs -Nailing, Spacing & Bracing -Plates -Sound -- - - -- --- - --- --- - -- 3 grin Walls over Girders & Floor Nailing-_ --_ - 3 D t lop in Walls (rat proof) 40.prre ps; Furred Ceilings -Stairs -Chases -Tub 41/� %H �der &Beam -Size & Bearing d gers-Post Caps -Anchors -Connectors - 47.. --C 4 . CIn . Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. e ce Ties or Type A Flue -Fireplace Throat 4 tic Access: Size & Romex Protection -Draft Stop -Ins. Baffles - 4 Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions arage Fire Protection Framing - - (NOTE: Anentrymust be made each time youvisit jobsite) V = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES a MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails - 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing__ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft:/ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI S. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date A ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS, 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway'and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION -;NOTICE ER A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector' Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ►41/1' ..... ,..... .... ._.._ Lla IC 'COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE e -700c, y7 a A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. C 10- • ��`�� �►_ / 5- - 0 - � M-01 Al—b AOX71/,�60-S 1 Inspector `� Date—L �� FROM: TO SEAL - tear off back flap and moisten - TO: r 1 }...OAS �'PARADISI: too $r40 e CA -19S916' S I MES.37 GE 0 oc�uN� o -TORI _ M 024Le Z 7 y OF LbiL4e y 7 R.4 Ale& _V nH p o G a- b4j t/ 'f - O DATE —FTM—Er HONE /'� r•�Te ephoned ❑ Please Call ❑ Was In I Returned Call ❑ Will Call Again Wants to See You j Information Note and ❑ Reply ❑ Comment ❑ Re-route ❑ Signature ❑ Investigate ❑ Return ❑ Approval ❑ Contact Me ❑ File ❑ Forwarded Per Request MESSAGE: Id/L-L, 010F"�V 0,p& -r-57 > Ml Ll By C� ll�� n COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 'CO !ECT ON NOTICE 00 OWNER A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter or need additional explanation, please contact this office immediately. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CaMfornia 95965 - Telephone 916/534-4541 APPLICATIdN AND PERMIT PERMIT NO. d-� On ASSESS# P`RCEL NUMBER ZONING BUILDING PERMIT OW ERTELEPHONE 1_1,1 C 13LI- SQ. FT. OCC. BUILDING VALUATION OWNER'S AING A R SS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 76 160 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $17Z65 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 i—� Water piping 5.00 LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 , o� ,-/ USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other P SPECIFY Building sewer 5.00 Mobile Home FS G W I 110-00e TYPE OF WORK New ❑ AdditiopQ Remodel ❑ Unities ❑ Installation ❑ Other Describe work: y„� — Permit Fee $ Contractor 'ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR tOO AMP ORSLESS ' 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.DWL P.& OR ADDNS. (E ACC. B 2/4sgit r 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- 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 ULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. /POWER APPARATUS .&) NON.R ESI D, %SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BA 0g oQ FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ go , 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. 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 FiIIng Fee 10.00 Heating D Cooling X 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 agaiinns't , aid ou ity in consequence ofthe granting of this permit. %�- Liv` ���� h�s�u�l Date��lr''S ��" y�� tao Signature of Applicant — Owner' Contractor ❑ Agent ❑ An OSHA permit is required for exc9loitions over 5'0" deep and demolition or construct- ion of structures over 3 stories in heig Mobile Home Installation Fee $ TOTAL PERMIT FEE $ f OCCUP. GROUP I TYPE OP Co ST. I PgRcaL ✓ PD HD SSu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OFAUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date i Receipt No. • WHITE-D.P.W., YELL 2S PI -INSPE OR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIG�I AND PERMIT PERLIT NO. ASSESSOR PARCEL NUMBE 41 — ZONING BUILDING PERMIT OWN R TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'S MAI IN AD RESS N CONTRACTOR'S NAME I Ow TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 0 Filing Fee $ 10.0 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ �^� BUILDING ADDRESS .�PLUMBING Rd PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF K Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Addition❑ emodeI Utilities a Instal lation❑ Other Describe work: PELECTRICAL Permit Fee $ Contractor PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 10.00 c Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2t/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 m license is in full force and effect. y License No. Classification 1�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 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 CONSTRULTI.OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS. NEW CONSTR.POWER APPARATUS &\ NON•RESID, (SINGLE OUTLET CIR. / 200sot Ex. Occup(o OR FIXTURES eAL®a0 IXED APPLNSK Ex. Occup. our LETS (RESID IEA.) 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. ❑ 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 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 aid County in consequence of the granting of this ermit. X ��`� � � -21 ` 8 � 's'� Date !! Signatug of Applicant — Owner F1 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 $ A TOTAL PERMIT FEE $ o` OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I IrSUE toprovi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. qR (,,"TTF PUBLIC WORKS By —Date — PERMIT EXPIRES Da 3 tea/ —P.5__ Receipt No. cff / 7— WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT a 4 I f 03 A3 C1Lt "pay -to ``• °`�" "° by the. SWORN STATEME �1T- IN PROOF Cr- LOSS H�• ..r 4. a.!n .I or F•,e Unaer ,.terf Jolr, Ioso ' . ' ` s 35 �---- - _ •F� �ldol�0 •ti„ i:xl !:, ri::,• r AT TIME of LOSS POLICY NUMBER t�� q+•2 J-- a?L�+Iui A E ISSUED AGENCY AT Urorur- ,ATE APIIS AGErIT `• o thc.. __ _ �hIStXL�� �. of. - - � eA Ar lirnrf • ' loss, by the abovSindicated policy of insurance you insured- ....... ..... loss by _to the property described under Schedule "A," according to the terms and conditions of the said policy and all forms, endorsements, transfers and assignments attached thereto. 1. Time and Origin: A G«. loss occurred about the hour of 7 10 o'clock A M„ •rwra ■i«o - ,: 0". 6 .._.nay of �A 106m 19 The cense and origin of the said loss were: �+ A �p�laszs Ftcu.; a-Q� I m l9pNom Scotty Iu Monti, OG Occupancy: The building descr bed or containing the property described, was occupied at the time of the loss as follows, is ,r no other purpose whatever: 3. Title and. Interest: At the time of the loss the interest of your insured i I the property described therein was _No other person or persons had any interest therein or ;:f:rar e 'heceor,, except: _ a. Changes: Since the said policy was issued there has been no Assignment thereof, or change of interest, use, occupancy, ,,tion or exposure of the property described, except: NIA S. Total Insurance: The total amount of insurance upon the property described by this policy was, at the time of the loss. as more particularly specified in the apportionment attached under Schedule "C," besides which` w.,s no policy or other contract of insurance, written or oral, valid or invalid. 6. The Actual. Cash.Velue of said property at the time of the loss was $ 7. The Whole Loss and Damage was .. $ .S d. The Amount Claimed under the above numbered policy is 21)142� lw 4 I • $ In cco The said loss did not originate by any act, design or procurement. on the part of your insured, or this affiant: nothing has d;-rne by or with the privity or consent of your insured or this affiant, to violate the conditions of the policy, or render it void: o articles are mentioned herein or in annexed schedules but such as were destroyed or damaged at the time of said loss; no fer:erty saved has 'inn In manner been concealed, and no attempt to deceive the said company, as to the extent of said loss, hes ;:cry manner been made. Any other information that may be required will be furnished and considered a part of this proof. Thc••f,,rnlshing of this blank or the preparation of proofs by a representative of the above insurance company is not a waiver my of its rights. Fn•,: of_ lA V/L14 p��5/t<�IAf-s� Insured end sworn to before this IQ day of (-t, Lt�AX.164 . ..,r.•,f ►ryQ'. '•. -fir. � otery Public •', ..1.... Ar0V -® �r .�o ��* C�� �►� �z/i� s�AN INS GDx. .��,_ .. This set of ans and spec' tionsr/1�lbe OTE-gI��P�als & Wfork�n n'ship Be i`�n� `� ' ��,�,�1�• kep t alhd'imes ar ?unlawful to ^Lcordance with Recognized Good Practices and ma a any changes or alterations on same with of a quality prescribed for the Specified use in the out written permission from the Depart ent of Uniform Building, Plumbing & Mechanical Codes �•��• and the National Electrical Code. Public Works, County of Butte. LV `�'Q� S©1 Om0Wt Te -V �%:; i V ' , PROVIDE APPROVED VENT AND ADEQUATE COMBUSTIONAIR FOR HEATER &/OR w. H. re 00 ptt ovl DG 'Z-J� JOSULA4T)0 J NTT' L t� X70" �3 11jisthMmoke effector per code. BU-TTE COUNTY `z • Provide adeq ate braCk d•. WILDING DEPARTMEN ► . DIED ApPR®