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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 01_x99
ASSESSOR PARCEL NUMBER
ZONING
° BUILDING PERMIT
OWNER
TELEPHONE .-
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
9196 TIBBITI AVE ENCINO CA 91436
es t 2800
CONTRACTORS NAME
TELEPHONE
40 Sq comp 2400
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
5200.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 81.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
$ 101.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition a Utilities ❑ Installation or ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
R UES
600VMain Service zo.A OR IESS
23.00
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.FSING
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
I am exempt under Sec. Business and Professions Code for this
reason
Main Service To ,000A
46.00So
NEW CONST. DWEWNG OCCUP.
DWE200ALLING
OR ADONS. ( a Acc. BLDS.
SO
3.5¢Fr;
,,Dµp�Ip MULTI -OUTLET
97.50
a LE OUTLET C R.GWER APPARATUS
Ex. Occup. OUTLET OR FIXTURES
BA0 @ I:00
Ex. Occu oU p D °EED Re
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
ffo w�h-compI with t ose provisions.
//
a f ®
b�gn_,turi of Appli n wn r actor jib Agent
An OSHA permitis requi d for excavations ove 0"deep nd demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee Is
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 101.00
HAZ.
0. FEES IMP
FLOOD
COF
PARCEL
Po
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for ich as have
B
PE IT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
nate
�<
(Date)
rReceipt No.
HITE-D.D.S.-B.D. ANARY- ES OR PINK -INSPECTOR GOLDENROD -APPLICANT
5156 LIBBIT AVE ENCINO, CA, 91436
TEL 818 789 9463 FAX 818 990 8338
Jan 7, 2000
To: Whom It may concern.
Subject: Power of Attorney for Real Estate Matters:
Pleased to be advised that Fred Herrera, of Yuba City has my Power
of Attorney authorizing him to handle all matters related to my real
estate holdings In Marysville and Oroville. This includes sale of
property, collecting rents, paying for repairs and any other. related
actions. Mr. Herrera has handled these matters for me for the past
35 years in a most satisfactory manner and has my complete
confidence.
My real estate holdings in the Marysville and Oroville areas include
the following properties;
1 @9itgiiist- S �D l Of
4103 5311 Sky crest I
#104 2093 Virgilla S'
#108110 Bessie Lane S'
#109 120 Bessie ane
-- _ 'de S' ofd
#113 1922 14" St S ��
#120 2128 Virgilla S
K. F. Pittman
z�hQ 0r,6 V,
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive s Oroville, California 95965
• Telephone (530) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
Rev. 12/96)
ZOMNG
BUILDING PERMIT
SESSORPARCEL NUM BEA _ ` ,.., y�
l(/•/fir`/� TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER y����p ��
l -�-.
00
r / ► �/�
jLL
OWNERS NAILING CA
�/1�
- O
IF TEIFPHONE
CONTRACTOR'S NAME '
CoNTRACTORS MAOJNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
C
Total Valuation $ `7
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MARLING ADDRESS
.
Plan Checking Fee $
BUILDING ADDRESS.
Energy Plan Checking Fee $
lJ
$
PERMIT FEE $ O
LOT NO. SUBDIVISIONS NAME PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
Solar or heat pump water heater 23.00
SF Duplex ❑ Mobilehome ❑ Other
Water piping 15.00sF�
Each gas water heater or vent 15.00
TYPE OF WORK
Gas piping system 1 - 5 outlets 15.00
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Building sewer 15.00
Mobile Home S G W @20.00
Describe Work:
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service zDOAOR LESS 23.00
Main Service 2004 TO 1000A 46.00
i
NEW CONST. DWaLM OCWP. 3.saFT .
(
OR ADDNS. & ACC. BIDS.
G�
NEW CO MULTFOURET @7.50
NON REBID.
FEE PAID $�/K
POWER APPARATUS
8 SINGLE CURET G0.
.PERMIT
OUTLET OR FOCNRES --70-@ t.00
Ex. Occup. SAL ® .so
DAP Ex. Occup. unETIEs D DERA 5.00
SR$
Temporary Service 23.00
��e+
Moble Home Facilities 20.00
Viso. Wiring 23.00
SHERIFF $
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
OTHER $
Heating
Conlin
Hood 6.50
Ventilation
$
PERMIT FEi: S
Mobile Home Installation Fee $
$
Energy Inspection Fee $
=c CONST. -' TOTAL FEE $ , Q (�
RECEIVED $�-_
HAZ D. FEES IMP FLOOD COF PARCEL PD HDISSUEAMOUNT
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.
DATE RECEIVED
By Date
RECEIPT
PERMIT EXPIRES ON
(Date)