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HomeMy WebLinkAbout068-200-011Roo 000 DEWEY HARVEY�0 VZ j Q � HARVEY, Dewey 208- "" 198 -.Zo - /I 21 Arbol Ave, Oroville 197-71P Contr : Ed Krause GB-zo-i� Permit ##2334-77E (com. elect) SF 21 Arbol Ave., Oroville (addition) WAYNE WILSON ,, 68-20-11 PErmit#3751-87B wo� JrYing31/ stovove)SF 068-20-0-011 WILSON, WAYNE & LISA - 93-3052 B 21 ARBOL, OROVILLE�- REROOF/SF LO068- - HARVEY, Dewey 1017-67B -200-011 PERMIT#9Z-0861 WILSON, Wayne & Lisa 21 Arbol Ave., Oroville Cont: R.E. Damberger /J Ele Ser Ch/SF `� �l�bl9l 21 Arbol Ave. Oroville (reroof) /0 I 7-7 PErmit#3751.-87 Wayne Wilson 21 Arbol, ORoville . J. COUNTY OF BUTTE:- DEPARTMENT OF PUBLIC WORKS 7`County Center Drive - Oroville, California 95965 - Telephone: 916/53877541 APPLICATIO AND PERMIT PERMIT /NO. ASSESSOR PARCEL NUM E 6 5-- D(� - ZONING BUILDING PERMIT OWNER r TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNEIVS MAIr.ING ADDRESS 1Ae �75 9/ C/ON'TRA OR's NAME r,. / /lid TELEPHONE - , CON RACTOR'S MAILING ADDRESS Fireplace f `/ ;411 CONSTRUCTION LENDER VNKNOWN Total Valuation is I Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSJ / Permit fee $ r S I PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 I Oro ti / /' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 [I USE OF STRUCTURE SF [V Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer5.00 Mobile Home JSFG W O.00ea TYPE OF WORK New ❑ Addition ❑ Remojdel ❑ U/i lities Q Installation[] Other Describe work: t�)on"`/ -> 7 1.%� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 61101 OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP"a)/zQsgft OR ADDNS. 1 ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID B .RA CH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES .200z11 003030 Ex. OCCUp. OUTLETS FIXED P(RESID ILNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. N 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 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 property for inspection purposes. I also agree to save, indemnify and keep harmless the'County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X l'/�%/.41it ^��r�A��� Z/c' I 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. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCu P. CON3T,TYP9J ISCIIOOLIFLOODIPARCIILI PD HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do WOfk indicated _above for which fees/ have been paid. /IRECTOR10110PUBLIC WORKS By. /f1i., ! I //r/Y/ Date _1/ G PERMIT EXPIRES -Date �� _ /^' - ^� �/�(/1 Receipt No. T WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSZ$ O�iR�EL NUMB.E PERMIT WN. rO LZON(�,////I/BUILDING HONE SQ. FT. OCC. BUILDING VAL ION WN liflRS I IN AD RSS r 194,,1^o v e S CON RAC OR'S NAM 119 pie V— TELEPHONE C TRACTOR'S MAILING ADDRESS Fireplace � CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 15-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ^^ V l Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 rO V 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 0( Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK ❑ U Hitie 1 Installation❑ Other New❑ Addition❑ RemMOM Describe work: /Y l/ /9 I/(I- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP V OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUsIneSS and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.pI , OR ADDNS. ACC. BLDGS. s�Sgft NEW CONSTR. U TI.OUT LET NON.RESID .BRANCH CIRC 1 S 2.SOea POWER APPARATUS tr (SINGLE OUTLET CIR. zoesoe E%. Occup(OUTLETS OR FIXTURES eAL030 FIXED APLNS. Ex. OCCup. OUTLETS P(RESID )REA.7 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 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 id County in conseque ce -f the granting of this permit. X / —^�Date 1 Z Signature o pplicant - 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. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE SCHOOL FLOOD PARCEL I PD No I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicate above for which DI CTO UBLI BY PERM EXPIRES Date the applicable provi- resolutions to do fees have been paid. RKS Date Receipt No. WNIT[-O.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Dapar•t[rient of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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 to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) VG 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 Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I.will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Numbe Date 1l/Z/9s7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ' 93-3052 B '068-20-0-011 WILSON, WAYNE &LISA - '21"ARBOL; OROVILLE REROOF/SF Y ' 1 - I i 1 01 COUNTY OF BUTTE.- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541�} PERMIT NO. APPLICATION AND PERMIT / 3 _7�plf;a ASSESSOR PAR&LNUMBER 068�-20-0-011 ZONING AR BUILDING PERMIT OWNER WAYEE L EISA WII.SON TD;!hO.1 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 21 A.RBOT AVE OROVII. LF 710 n 110 pnn m CONTRACTOR'S NAME 01�i.�L•liTER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 41 on ARCHITECT OR ENGINEER i ucENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 21 ARBOL AVE OROVILL.E PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7,00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE I SF ❑• Duplex ElMobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ClRemodel O Utilities 1:1Installation ❑ Other b Describe Work: RER00F WI/12,01P. PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 2OOA OR LESS 23.00 Main Service (. 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLOS. ) Q. 3.50 FT. r CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C_ ode and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 1 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Ex. Occup.FIXED APPWS. OR (OUTLETS (RESID.) EA. ) S.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring ~ 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. �II shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 consequence of the granting of this permit. J p X - � ( . t ( i 1 t .-� J ( .l fry Date / fi 3 193 Signature of Applicant -:M. owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ G1.00 HAZ- D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. /� DIRECTOR OF_P1IBLIC WORKS By 24 —e-, Date / PERMIT EXPIRES ON 9 // z /A y (Date) Receipt No. 1 / n� 7n WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT No. APPLICATION AND PERMIT 5 - ASSESSOR PARCEL NUMBER 068-20-0-011 ZONING AR BUILDING PERMIT � OWNER WAYNE & LISA WILSON TELEPHONE3601 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 21 ARBOL AVE OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE - CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 21 ARBOL AVE OROVILLE PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF CY Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition ❑ Remodel O Utilities ❑ Installation O Other 11 Describe Work: REROOF WI/COMP. PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOVORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP.SO. OR ADDNS. ( & ACC. BLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ;?f,l, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) -& SINGLE OUTLET Clfl. Ex. Occup. ( OUTLET OR FIXTURES ) B2 @1.00 Ex. Occup- (OFIXED APPLNS. OR UTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 9f -I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 Coun in_con uence of the granting of this permit. X Date (31.9 3 Signa re of Applicant -Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 61 .00 HAZ- I D. FEES IMP I FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF 12URLIC WORKS�Ilqlflz BY Date PERMIT EXPIRES ON g / (Do &) Receipt No. WHITE-D.D.S.-B.D. - SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT --• .�. �y,- - y.`.....•+..� •` •� -.ter yr . v :r�y„r•-s,�,L \ �.r-�v1; • ,, f r-. i. 3.� w�•Y. -.� -"1'�y , ��,�.�.-r,� Y, Y� ��.-w... y ... .. r � •' - . r ..-�{ COUNTYOF BUTTE - DEPART,MENTOE DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL"ll_, i AL'#EORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER ���� S� l A. P. Ip. Proposed Building Use ��il�,/� Building Inspector Date At time of permi plication, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. l� 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. .. . . 20. Pre -inspection for P'�"�e�O" actor required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................:. . 32. Plan check list . ..................................................... 33. + .34. When you issue the permit, process as follows: Mail to owp Mail to contractor. Telephone and hold for pickup at �!�(� office. Deliver with inspector. Other Parcel Creation ' Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Deoartment of Public Works 7 County Center Drive, Orbville, CA 95965 OWNER -BUILDER VERIFICATION: Attention Property. Owner: Phone: 916-538-7541 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 labor and materials for construction of the proposed property improvement (yes or no) CS 2. I (have/have not) v E 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 Contractors License No. !+. 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 Contractors' License No: 5. I will provide some of the work -but I have contracted (hired) the following persons to provide .the work indicated: Name. Address Phone Type of Work Signed: Property Owner Social Secu ity umber,, -Z� �1 �Co Date 9� 13��3 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 068-200-011 PERMIT#97-0861 WILSON, Wayne & Lisa 21 Arbol Ave., Oroville ' Cont: R.E. Damberger Ele Ser Ch/SF���� �A a f r ref.. 1 I � L f 5 it /r{ 17 L ..r OFFICE COPY , Address + : Meter By Date s ELECTRIC t; Meter By :D !r r I ! ja j COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT.SERVICES - BUILDING DIVE' ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 57641qrT nPEg11TO• (Rev. 12/96) APPLICATION AND PERMIT V ASSE&,"I�j=11 ZOA BYI DING PERMIT owNWAYNE AND LISA WILSON TE53 -0177 SQ. FT. OCC. BUILDING VALUATION OWNFji$ M1V pREA� G171.1:�� OROVIUY. 95966 c0NT. .EF,S 6&ERGER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 21 ARBOL AVENUE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNIS ION'S NAME PARCEL MAP t PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE �r. SF ❑x Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Q Describe Work: F'E'E SER 01 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 OOOv OR LES9 Main Service 2o0A oR lESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions Of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in 1011 force and effect. I License Class �, Lic. No. Z 9 191 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 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. IS.S. SO 3.5¢FT, NEW CONST. MULTI -OUTLET =RESID, A ,ITS@7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup.OUTLET OR FucruREs zo p ,.00 BA0 O .00 1.00 Ex. Occup. ouT ETS RES,6.oERA 5.00 Tem Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 44.00 WORKERS' COMPENSATION DECLARATION I 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. f I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier SMATC FU K) Policy Number (G' (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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. j+ Xo--it _ l.� _ ___ Date Al _ Signature of Applicant - ❑ Ownpr ❑ 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 PD HD I ISSUE 1► This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By, =� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 4/28/97 Date 4/28/98 Dale Receipt No. 041U WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTM ENT OF DEVELOPMENT SERVICES -BUILDINGXDIION 7 County Center Drive'-- Oroville, Califorlga 95965 - Telephone (916) 53-©P IT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESOS(�ij�AR�EkNU61BE611 , (�—U Z AR B DING PERMIT OWNERb� WAYNE AND LISA WILSON TELEPHONE 533-0177 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 21 ARBOL AVENUE, OROVILLE 95966 CONTRACTOR'S NAME R.E. DAMBERGER 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 $ BUILDING ADDRESS 21 ARBOL AVENUE OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IR Describe Work: ELE SER CH Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service ioon oa L: 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in .Ull force and effect. `2 ♦� ' O License Class LIC. No. �J O 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 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. SO 3.5¢FT; NON-RESIDT OQUI CET UITS @7,50 POWER APPARATUS & SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 I 00 @ 0 1 O Ex. Occup. ourElETS AEs o.oea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 44.00 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. lB� I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier sT-A7-0- .F'N r,)'b Policy Number -,S!! (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. p X 8--i _ Datea0 _ Signature of Applicant - ❑ Own r ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" 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 $ 44.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD I HD I JUE This permit is hereby issued under of the Butte County Code and/or indicate ove for which fees have B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 4/28/97 Date _ 4/28/98 (Date) ReceiptNo. 221840 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT mmmw"VA 11�. l�wr--w �FiwRAlPw rnw .-. COUNTY OF BUTTE - DEPARTMdhTOFEVFLOPMENTSERVICES - BUILDIND ISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE �i6) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Building Inspector_ MWAN1 rel Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees . ....................... . 13. Flood elevation letter (100 year flournia Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .sp .. . uest 20. Pre -inspection for required. o e i I gg Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification).. ! Ct ... . 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . PY authorization ......................................... 25. Letter o signature 26. Co of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ................................. ..... . 32. Plan check list . ........................... •.................... . 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date y Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 4 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Date Inspector�— REV 10/92 i 9�sr77 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS )� 7 County Center Drive — Oroville, California 95965 TeleRhone: .5�,14-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date - Signature of Permitee or Agent Receipt No. 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 PUBLIC WORKS By Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address E •� t = Permit Fee Plan Checking Fee&/or Penalty Telephone N N o. Permit Fee Building Address �, L PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 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.r / Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I ParcelParcel Declaration Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 • 1OR LE S Main service 100 AMP ORLESS 5.00 r Main service EA. ADD -L too AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW LING OR ADDNST ( ACCLBL GOCCUP. &\ 20sq tt / NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea • NEW CONSTR. POWER APPARATUS & NON.RES SINGLE OUTLET CIR. 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: Ex. Occup(ou TLETS OR FIXTURES) BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification i Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. F -1I 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. 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date - Signature of Permitee or Agent Receipt No. 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 PUBLIC WORKS By Building permit expires Date Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephone,..534-4f&41 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. '0— X Date S :� 177 Signature of Permitee or Agent Receipt No. ' White-D.P.W. —ellow-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 PUBLIC WORKS By CfCX^k I Date J b permit expires Date�f k0/7 a BUILDING Owner AU/ jZ V SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor f Total Valuation Mailing Address '� 6O�;-� F��LtS . Permit Fee Plan Checking Fee &/or Penalty PZ 00 �L B_rT.p`ephone o. _ �. Permit Fee $ Building Address/L A& ® L) � PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �j A. P. No. —l�' / Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C.1 ft"eS,&ft I Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Parcel Map p 60' R/W Improvements Lawn sprinkler system 2.00 ^B•hfg--P-Een ec'd I Parcel Approval I Plans Approval Permit Fee $ $ —NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 'NT ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 -- 110ov OR LESS Main service 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family �' Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( DACCLBLDGLING OCCUP. &) 22sgft NEWCONSTR. MULTI -OUTLET NON .RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLOUTLET CIR. E 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: 6L Ck m C& r ��li'IL.t,r_�-i' Ex. Occup(OUTLETS OR FIXTURES) 101 FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. f Classification e-- -/o S� Misc. Wiring � � 6.25 ,L ❑ 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. XI 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. '0— X Date S :� 177 Signature of Permitee or Agent Receipt No. ' White-D.P.W. —ellow-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 PUBLIC WORKS By CfCX^k I Date J b permit expires Date�f k0/7 a