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95 Vine Rd., Lot�471, Fir Haven Sub,,
Magalia
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Permit# 3667-7413 _
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065-7190-026 PERMIT#961-0.879,
TUTTLE;;Louise'1�•�,a
:- 14513 rWood Dr •; Maga_ lia ;�
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COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI
7 .County Center Drive - Oroville, California 65965 - Telephone (916) 538-754PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 065-190-026
ZONING
BUILffINGPERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAUNG ADDRESS
11 HILL 5
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
r r
UNIQJOWN
Total Valuation $
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER ''
Now,
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
tL913 WOOD TIR
PERMITFEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
,Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
v
New ❑ Addition ❑ Remodel ❑ Utilities •t7 Installation ❑ Other ❑
Describe Work: ROUTE ELECTRIC SERVICE
-
Mobile Home I S I GI W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20.00
Main Service800V OR LESS
( 20CA OR LESS ) 23.00 23.00
Main Service ( 200A TO 1000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP. SO.
OR ( a BLOS. )
CNS.
JI.
NEW CONST. MU_TI�OUTLET
97. 0
NOWRESID. ( BRANCH CIRCUITS ) @7.50
( 8 POWER APPARATUS )
SINGE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES ) BAL O I.50
Ex. Occup. (OUTLETS.. RES ID.). 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 2:11• UU
PERMITFEE $ bb LX)
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:
I.
Carrier
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number t
(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 comply with those provisions.
-.
X X, Date l�n
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.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
I
TOTAL FEE $ 66.00
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF PARCEL
I PD I HO
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
B i
ia1 / ti %/.�/ ,. f k Date �?
PE MITEXPIRESON � —=--�
(Date
Receipt No. 195306
WHITE•D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
1.
COUNTY OF BUTTE- DEPARTMENT OF DE'I tLOPMENT SERVICES - BUILDINGDIVISI
7 .County Center Drive - Oroville;" Cali-brhia 95965 - Telephone (916) 538-75 PERMIT NO.
APPLICATION AND PERMIT --f�
ASSESSOR PARCEL NUMBER 065-190-026
ZONIING
BUIU61NGPERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS -
11 HTLT, RD _KLAMATH 95948
CONTRACTOR'S NAME
OER WN
TEU_PHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
fT
UN 34OWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
UCNSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
14913 WOOD DR
PERMITFEE
$
MAGATTA
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 17 Installation ❑ Other ❑
Describe Work: RELOCATE ELECTRIC SERVICE
—
Mobile Home S G W
@20.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filina Fee 20.'00
Main Service 800V 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 P-ofessions 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 scle 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. DWELLING OCCUR
OR ADDNS. ( & ACC. BUDS. )
SO.
3.5¢ F7.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
! POWER APPARATUS )
8 SINGLE OUTLET CIR.
EX. Occup. ( OUTLET OR FIXTURES
)
20 Q 1.00
BAL 0 .50
Ex. Occup. FIXED
OUTLETS o.OR )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring123.00
23.00
PERMITFEE
$ 66.00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declara ions:
❑ 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 num ger are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for vork of a valuation
of one hundred dollars ($100) or less.)
�[ I certify that in the performance of the work for which this perrait is issued, I shall
not employ any person in any manner so as to become s.ibject 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 LZr _ _ Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demol Rion or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Is
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 66.00
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL
I PD I HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated bove for wh' h fees av
BY
PERMITEXPIRESON
I
applicable provisions
Resolutions to do work
been paid.
Date
(Data)
Receipt No. 195308
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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 labo and materials for construction of the
proposed properimprovement : YES[�iJ NO[ ].
2. I HAVE[ LT HAVE NOT[ J signed an application fora building permit for the
proposed work.
3. I have contracted with the following person (firm) to- provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED: l
PROPERTY OWNER: �/o wl /S E. / G 7` -1'1e_-
SOCIAL SECURITY NUMBER:
R
DATE: - -,—/- e-1 — S6
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
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. k�
` 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, disability 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.
Sincerel ,
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
-2- 7y;
PERMIT NUMBER - B 2879-72B
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PERMIT EXPIRES (� d
^OWNER F. 0. Russell
CONTR: owner
LOCATION (A. P. --1�?
95 Vine Rd., Lot 471, Fir'Haven Sub., Magda
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COUNTY f BUTTE
Department of P,ub'i-t Works
BUILDING INSPECTION RECORD
Zoning
,�
Setback/ -31-7 Forms / y a_ 3
/ 7 Z
Foundation
s Piers& Girders •s � —%.i >7� Fireplace
Rgh. PI-umbing S �� -77,3
Bond Beam Lath & Plaster
Rein. Steel
Gas Piping & Test Found.Vents
Framing 3
Plmg. Topout rir".Rough Elec. Of— /0
. 7
Wtr. Htr.
Furnace Kitchen Vent
Firewall
Garage Vents Sanitation & Water
ELECTRIC
GAS BUILDING
Temporar 04C og
Temporar7, Cert. of 0� up.
Final i
Final 5 Final.
DATE
REMARKS -:OR CORRECTIONS ,
�'=� �7j E7 v� �j
.v ry1 ri�t!� S/�aw�✓�' �'Zr�Oe�� ��� tle� �yT 61 kr
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COUNTY OF BUTTE — , DEPARTMENT OF PUBLIC WO K
7 County Center Drive• _ Ofbville, California 95965
Telephone: 534-4541 (p
APPLICATION AND PERMIT
Receipt No. T ., r
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ilding permit expires Date ...................... /�•
BUILDIN
Owner c
SQ. FT. OCC. BUILDING VALUATION
Mailing Addre1 ss _
• ,
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
$
Building Address �' f/ _� _`'r ,
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00 Q-0
_
•
Each Trap 1.50 -6
Repair drainage or vent piping 1.50
Water piping 1.50
r / /
Each gas water heater or vent 1.50
A. P. No. — 'p
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
W.tatim
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
Parcel Approval
Plans Approval
Permit Fee $ Zj
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
-,E • eL -1 .,9 - /o
Main service incl. 1 meter
0Y` -,
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook op or Oven 1.00
Water He r or Space Heater 1.00 / et -d, -
Light fixtures 20alo
R ps., s hes & fix ou is in2 ,
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style bf:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
N ❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
A❑ permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California. •
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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 County of Butte to enter upon the
above-mentioned prope or inspection purposes.
%
Date
Signature of Permitee or Agent
TOTAL PERMIT FEE
$ f i
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.
DIRECTOR PUBLIC WORKS
Rv no.e o
Receipt No. T ., r
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ilding permit expires Date ...................... /�•
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COUNTY OF BUTTE --1` .DFEPARTMENT OF PUBLIC WORKS
7 County Center Dri'Q Oroville, California 95965
Telephone: 533-1230, Ext. 259
APPLICATION AND PERMIT
authorize representatives or the County of Butte to enter upon the
above-mentioned property for inspection purposes.
r►✓ ` D • 4 • Date �6 —,7
Signature
i—
Signature ofPermitee or Agent
Receipt No. 9`o7fd
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
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.
DIRECTOR OF PUBLIC WORKS
By Date/ --
Building Permit Expires Date./0_/&f—:73
BUILDING BUILDING
Owner Q Gds Ste, `�
SQ. FT. OCC. I BUILDING VALUATION
OST I6�
Mailing Address �,�j'3 �Of�p
✓✓/i
Fireplace
Contractor v Y Dom%
Total Valuation y�
Mailing Address
Permit Fee , 00
Plan Checking Fee &/or Penalty
Permit Fee $ 3, 00
Building Ad re4s '�
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
5 !�
Each Trap 1.50
J
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. ^� -^ lD
Zoning
Gas piping system 1 - 5 outlets 1.5b
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitati eh
I Planning
Building sewer 5.00
ER :
Fees
W. C.
R/W Encroachment
Lawn sprinkler system 2.00
NEW ❑ ADDITION OTHER ❑
Permit Fee $
$
�rOD a/
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
USE OF STRUCTURE Single Family Duplex ❑ Others ❑
Range, dryer or water heater 1.00
Oven, Cook -top or space heater 1.00
Light fixtures
Receps., switches & fix outlets 1 15A�
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Misc. wiring
License No. Classification
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ `
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ 1 have placed on file with the County of Butte a certificate of
W—rmorkmen's Compensation Insurance.
certify that in the performance of the work for which this
peis issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
'
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Permit Fee $
$
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
fnslrumenro° o�tr�n a Motion $0.07/$1000 Evaluation
$ o7
TOTALY PERMIT FEE
$ c9
3, T
authorize representatives or the County of Butte to enter upon the
above-mentioned property for inspection purposes.
r►✓ ` D • 4 • Date �6 —,7
Signature
i—
Signature ofPermitee or Agent
Receipt No. 9`o7fd
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
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.
DIRECTOR OF PUBLIC WORKS
By Date/ --
Building Permit Expires Date./0_/&f—:73
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