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HERMAN STAUSS
w178 Ward Blvd, Oroville
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Permit 4 3197-74B
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'178`Ward Blvd, Orole
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STAUSS, Herman
178 Ward Blvd, Oroville
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Contr: Don:George
.(reroof/sf). ,
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephoap: 916/538-7541
APPLICATTON AND PERMIT
PERMIT NO.
..
I
ASSESSOR AR_CEL NUMBER
ZONIN�G
ij
BUILDING PERMIT
OWNER ITELEPIHO14E
HERMAN STAUSS
589-2203
SQ. FT. OCC. BUILDING VALUATION
31 built—up
3100.00
OWNER'S MAILING ADDRESS
178 WARD BLVD. OROVILLE
CONTRACTOR'S NAME
DON C. GEORGE INC.
TELEPHONE
533-6393
CONTRACTOR'S MAILING ADDRESS
P.O. BOX 729 OROVILLE
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
3100.00
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 44.50
ARCHITECT OR ENGINEER
LICEN:3E NO.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
178 WARD BLVD. OROVILLE
Permit fee
$ 54.50
PLUMBING PERMIT
Filing -Fee 10.00
ti
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 Ej Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW I
10.00e
TYPE OF WORK
New Addition❑ Remodel❑ utilities Installation❑ Other®
Describe work: _
RE—ROOF WITH TAR AND GRAVEL
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main Service EA. AOD-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. 452266 Classification C-39
❑ 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
R ADDNST ( DDWEACCLLIN GOCCUP.h)
ZyzQsgft
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup(ou TLETS OR FIXTURES
20LSOC
eAL930
Ex. Occup. OUED P
TLETS (RESID.)REA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
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.
❑ 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
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County 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
against said County in se ence of the granting of this permit.
/� OCT.1,1990
X i— // �a Date
`
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.f
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
54.50
HAz
CUA
PARK
SCHL
FLD
PAR
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indi ated above for which fes
n f
DZld- R OF PU113LFC
�
RMIT EXPIRES Date
the applicable provi-
resolutions to do
have been aid.
p
WORKS
Date
11)AIl//;PReceipt
No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. r1
7 County Center Drive - Oroville, Califc"rnia 95965 - Telephone: 916/538-7541
APPLICAfI0N AND PERMIT
ASSESSOR ARCEL NUMBER
ZONIptG
BUILDING PERMIT
OWNER
HERMAN STAUSS
TELLE�}PHO E
589-2203
SO. FT. OCC. BUILDING VALUATION
31 built—u
3100.00
OWNER'S MAILING ADDRESS
178 WARD BLVD. OROVILLE
CONTRACTOR'S NAME
DON C. GEORGE INC.
TELEPHONE
5.33-6393
CONTRACTOR'S MAILING ADDRESS
P.O.. BOX 729 OROVILLE
Fireplace
CONSTRUCTION -LENDER
UNKNOWN
Total Valuation Is
3100.00
Filing Fee
$ 10.00
LENDER'S•MA!LING ADDRESS
Permit Fee
$ 44.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ '
Energy Plan Checking Fee
$ -
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
178 WARD BLVD. OROVILLE
Permit tee
$ 54.50
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
SFQ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF. WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®
Describe work:
RE—ROOF WITH TAR AND GRAVEL.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service i°0o AMP OR1 OR SLESS
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. 452766 Ola$SIfICatlOn C-39
F] 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)
❑ 1, 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.&
OR ADDNS. ACC. BLDGS.
,
2/20sgft
NEW CONSTR. ULTI.OUTLET
NO N.RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occu po UTLETS OR FIXTURES
20®50aFIXED SAL®30
Ex. Occup. OUTLETS PRESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Iyirin 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
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 said County i ence of the granting of this permit.
X / Date OGT .1, 1990
Signature of Applicant — Owner ❑ Contractor ❑ Agent El
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
on of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
E
54.50
HAz
CUA
PARK
SCHL
E
I PAR
Po
HD Issue
This permit is hereby issued under
Bions of the Butte County Code and/or
worki ated above for which fe
DI OF PU L
BA9
P RMIT EXPIRES Date
the applicable provi-
resolutions to do
s have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
,
'PERMIVNO. 3197=74R
P
E
M
11"MI-I'UTIL.
PERMIT -NO.
PERMIT EXPIRES
VOWNLR Herman Stauss,
-.4 $CON"TR,,, Pryor coritractlng, oroville
ti
t,'L6C AtION (A.P.' 34-07-52
178-Ward-,Blv'd,'.Oroville
Temp. Power Pole-
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JO B
FINALED
(Date
(Signature)
COUNTY OF BUTTE — DEPARTMET4T OF, PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
-
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing / �5Ee—
/u0 % Sewer
Garage
Fdn. Vents -
Fixtures
Footings
Garage Vents
Water Htr.
StemwaII
Slab
Prov. for physically
handicapped v
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping &Test
Temp. Gas
Slab
Final /.->/.5/7--,
Sanitation
Patio
'
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures P
Bond Beam
FIRE SPRINK ERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
�MECHAN L
Grd. Fault Prot.
Scratch
Heating
Service/
Brown
Cooling
j4p. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
'Permarient
Door Closer
Final
Final
DATE l� % 2
/t/D ✓iDE /!/fir
/�S
REMARKS OR CORRECTIONS
T
��)
D f /,ci S��c�7e r<1i�T.��1.e5 7-
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR ]0►`1�
7 County Center Drive — Ofovi'0a, flalifornia 95965 V G
G
Telephone: - 4-4541j/
P �3
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
re of Perfee or Agent
Receipt'No. y /iG_C./"/CJ
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -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 P BLIC WORKS
By Date 6p— / 2-
-/ ZL- 74-
JBuilding permit expires Date .______________—_.___
BUILDING
Owner /-//0-
Q Y
SQ. FT. OCC. BIUILDINJG,
VALUATION
Mailing Address, r
�
Telephone No.
,
Fireplace
Contractor "y
Total Valuation
Mailing Addresso)( / (� Oa C
Permit Fee
Plan Checking Fee&/or Penalty
S 2 Z_O7'D ✓ !Permit
/.R— 1,67?
I o Ve l� / /
p
Fee
$
$ jo
Building Address
PLUMBING
No.
@ FEE
PERMIT FILING FEE J$2.00
I C'
Each Trap 1.50
'
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. ��� /7—
Z
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F
Sz�Fire
Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER R]
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
_
Main service incl. 1 meter
Additional meters, each
1.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixturesyal_ _ 610
Receps., switches & fix outlets 2U (al
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: ���
►^�4 ✓ �o H / V'Q r
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
t/
License No. d. 7-Z 7"V Z- (F 3 9F
r Classification
Misc. wiring
❑ 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
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.
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
MECHANICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
$ �®
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
re of Perfee or Agent
Receipt'No. y /iG_C./"/CJ
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -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 P BLIC WORKS
By Date 6p— / 2-
-/ ZL- 74-
JBuilding permit expires Date .______________—_.___