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HomeMy WebLinkAbout068-210-00568-21=05 �Janet Nelson 45 Arbol Avenue, Oroville Permit #1326-82E (replace broken Service Mast and clean up exposed ext. Romex)SF contr: Fahem Mel 0 ovil 068-210-005 99-0351 HEIDEL, SEL 45 Arbol, Oroville Contr: Edwards Home Renovation Replace Water Heater 068-21-0-005 99-1123 E HEIDEL, Sel 45 Arbol Avenue, Oroville (elec ser ch)SF 06 005 99-0351 '6 9-210 HEIDEL , SE L 45 ArbOl, 0r6 ville Cotr-Edwards Home ' Ren ovation ReplaceWater Heater a I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541-,4 , PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER /\� ^ I� Y ! .� !_' V G `•/[ ZONING !` BUILDINGPERMIT OWNER ; TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADORES r AV e CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDEI% ' LENDER'S MAIUNG ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ �'�� / �' $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MM PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFS© 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 f TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation [3 Other. ❑ Describe Work: 1r d lAG 1 Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600VMain Service 200A OR LESS 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. _ CC License Class l � Lic. No. 6 � l.� � � 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 +000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.50F,. IR UT @7,50 Zr p°ES,pT. MUL IJ CIRCU- ITS POWER APPARATUS a SIN GLE OUrLET CIR. zo @ 1.00 Ex. Occup. OUTLET OR FDCTURES BAL 0 .50 Ex. Occup. oFlUXT ED A.Io)OE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 performance of the work for which this permit is issued. ❑ 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation pf,one hundred dollars ($100) or less.) 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. I-7 ,X" f /_ I ✓' �- Data L a 7 �� Signature of Applicant - ❑ Owner O.Gontractor ❑ Agent �An OSHkpermit 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 $ 3 HA2. 1 0. FEES IMP FLOOD cDF PARCEL PD ..- 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. i B Date {o�� Y _ PERMIT EXPIRES ON '�� �� 7�ID a ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR ROFAPPLICAITJ it 4 a 068 -21 -0 -0051,X99 -1123E 'HEIDEL, Sel 45 Arbol Avenue -7, Oroville (elec ser ch)SP NVt—.A%db40�4/ FILE _ < _..- ....-.-_ -�_ .�-w.`..¢p•H..�., .. .-s`s--s-c�.m:>:, o-.-r:•r*•s►x4<^=r�..�y+,r�l�kjyl'- max.•-..`--+F-,-..o<.rw//.- rf COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER IT NO. (Rev. 12/96) APPLICATION AND PERMIT �Q""/- ,:5 ASSESSOR PARCEL NUMBER 068--210-005 ZONING AR BUILDING PERMIT OWNER HEIDELt SEI. TELEPHONE 5.54_1777 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 45 ARBOL AVENUE, OROVILLE 95966 CONTRACTOR'S NAME OWNER I'LIl TELEPHONE CONTRACTORS MAIUNG 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 1 Plan Checking Fee $ BUILDINGADDRESS 45 ARBOL AVENUE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Q 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 ❑ Describe Work: ELECTRIC SERVICE CHANGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service pAORLESS 23.00 • UU 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.POWER 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. r0or, 1 am exempt under Sec. Business and Professions Code for this reasonWORKERS' Main Service 200A TO 1000A 46.00 NEW CONST. DWELLNJG OCCUP. SO OR AODNS. ( a ACC. BLD.. 3.50x: rNJ ZRESIp, MULTI.OUTLET @7.50 APPARATUS A SINGLE OUTLET CIR. 20 ® 1.00 EX. OCCU OUTLET OR FIXTURES BAL 0 FLIED APPLNS. OR Ex. Occup. 5.00 ourLETs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 ON .00 23.00 PERMIT FEE t h 0t) 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 if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply/with those provisions. Xz Date —9q `2—Ja -- - �Signatu f Allplicant - Owner ❑ Contractor ❑ Agent' An OSHA permit is required for excavations over 60" deep and demolition or construction structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE y 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 Alrx� Dateof Y PERMIT EXPIRES ON +" .t? f~`- _7 Defe Receipt No. au.)uiJ -pow. W 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 (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �% D 3S_/ ASSESSOR PARCEL NUMBER g 2(0 _ ZONING BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUA OWNER'S MAILING ADDRESA CONTRACT R'S NAME TELEPHONE CONT TORS MAI DRESS -455 CONSTRUCTION LENDEA Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO Oo Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Othe Describe Work: fi..P,//IGC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600V OR LES Main Service 20.AORLESS 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 forand effect. License Class I Lic. NO. :O S� 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 ne hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not any person in,a�T y manner so as to become subject to workers' pensatin law of C r Is, and agree that if I should become subject to the rkers'c pe nr ision of section 3700 of the Labor Code, I shall Eorthw ith o p w' tfio provis' s. Q Date 2--2'2 �/ Signet a of A cant - ❑ Owner Q-9oPifractor ❑ Agent OSHA ermit is required for excavations over 60" deep and demolition or construction of s es over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLDS. 3.5¢x. NON-RESID. MULTI -OUTLET @7.50 POWER APPARATUS 8 SINGLE OVIIET CIR. EX, OCCU OUTLET OR FIXTURES .00 BAL O 1.50 Ex. Occup. OEFlxxED�A ,='.GEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 3f 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. By Date 42- Uda PERMIT EXPIRES ON � Vo a Date ReceiptNo. r.5'% X15 6 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 7 Ale, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIA AND PERMIT PERMIT NO. ASSSSOR PARCEL NUMBER" -a I — 0 5 ZONING BUILDING PERMIT OWNERj J54^e-t /G ryV/) TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'$ MA-ILING ADDRE 5 .q 5 A CONT ACTOR'S NAME TEL/E'PHO'N/E CONTRACTOR'S MA LING ADDRESS ��o (4 r Fireplace CONSTRUCTION LENDERI � UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER / � E�'Y� Q LICENSE NO. Plan Checking Fee $ Penalty ,$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING_ LDDRESS A ` U If PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME 'PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets �-, / USE OF STRUCTURE SF EJ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New AdditionnQ Remodel❑ UtilitiLes❑ Installation❑ Other` Describe work: K�w.�?%ACCP R f' k' -k" S",itc o Abz. O �� ld Y` 1 n�" Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 5.00 I I io ��u '✓ 1 Main service EA- ADD'L 100 AMP 2.50 NEW CONST. \ ( DWELLING OCCUP.y) OR ADDNS, ACC. BLDGS. 22 sq ft f CONTRACTORS LICENSE LAW I deplare under penalty of perjury (Check one): t'�`7 r� I]CI I am licensed under provisions of Csept. 9, Div. 3 r the Businessefft. wand Profession Code and my license is in fullorce and effect. � �� License No. r �_; 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 I.Du LET NO N.RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR (POWER APPARATUS eI NON.RESID, iSINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES BAL@1 IXED APPLNS, OR Ex. Occup.(p UTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 +"T- +_ -T Permit Fee $ "3/7„s 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 Xof 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 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, judgmentso"cost.s, and expenses which may in any way accrue against sati3 County in oinsegdenc `sof the granting of this permit. i( f /9, g,. ,_1 Datesions Signature of Appli"M — Owner F] Agent ❑ An OSHA permi4liis required for excavations over 5;6" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 3 7, occuP. GROUP I TYPE OF CONST. 7 PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or work indicated above for which fees 0 DIRECTOR OF PUBLIC _ By !( PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Z (r (Q�Cl.� Receipt No. I WHITE-D.P.W., YELLOW -ASSESSOR,' PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR PERMIT NO. 7 County Center Drive - Orovill2, Calittirnia 95965 - Telephone 916/5 4-4541 j IN - APPLICAYION AND PERMIT / m ASSSSP PARCEL NUMBER ZONING BUILDING PERMIT OWNER-T—I t J/ �V/1 TELEPHONE SO. FT. OCC. BUILDING VALUATION�YY^ OWNER' M ING DDRE S CONT CT R'S NAME TELEPH O(N E� y"%� T / T CONTR TOR'$LING AD SS a Fireplace C STRUC ION LENDERI UNKNOWN Total Valuation is Filing Fee $ 10.00 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 / 'V PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Ot it Describe workS!E!. V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 5.00 v Main service EA_ ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.8i OR ADDNS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW nder penalty of perjury (check one): I de9'Lnd am licensed under provisions of Chapt. 9, Div. 3 of the Business Profession$ Code and my license is in full orce and effect. :may\IXED License No. Z Classification '^�J() F1 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 NEWCONSTR LOUT LET 2,50 ea NO N.R ESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS 6) NON-RESID. SINGLE OUTLET CIR. 50@aie Ex. OCcup(OUTLETS OR FIXTURES BAL@1 APPLNS, OR EX. OCCup.�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 r- S Or O D Permit Fee $ ,_D Contractor MECHANICAL PERMIT FiIingFee 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. shall not employ any person in any manner so as to become subject o 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 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 cos , an expenses which may in any way accrue against County in en of the granting of this permit. _ X Date �._—� Sign ure of Appli — Owner / Contractor Agent ❑ An OSHA perm' ..rs required for excavations over 5' deep and demolition or construct- ion of structures over 3 stories in height. Mobtle Home Installation Fee $ TOTAL PERMIT FEE oeeuP. GROUP TYPE of CONST. PARCEL PD ND ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. CT R OF PUBLIC WORKS !� By ' Date PERMIT Receipt NO. �� � R9W WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 5 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • ,Oroville, California 95965 • Telephone (530) 538-7541PE MIT NO. / (Rev. 12/96) APPLICATION AND PERMIT L ASSESSOR PARCEL NUMBER 068-210-005 ZONING AR BUILDING PERMIT OWNER HEIDEL, SEL 71120 1 7 7 7 SO. FT. OCC. BUILDING VALUATIO .OWNERS MAILING ADDRESS 45 ARBOL AVENUE, OROVILLE 95966 CONTRACTOR'S NAME OWNER 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 Checkin Fee $ BUILDING ADDRESS 45 ARBOL AVENUE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF q 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELECTRIC SERVICE CHANGE Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling 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.PSING License Class Lic. No. OWNER -BUILDER DECLARATION 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. OwELUNG occuP. so OR ADDNS. ( a ACC. BLCS. 3.5QFT: ,OµRalpT MULTI -OUTLET 97.50 8 OURET OWERLE APpARATUCIR.s Ex. Occup. OUTLET OR FORURES 20 @ I'0° BAL. p .sa MPPI Ex. Occup. ourlFrs .=.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PRE INSPECTION 1 23.00 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. ❑ 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 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 Labor Code, I shall forthwithc m I ith those provisions. nX Date 1> �- F_VgnatuP4,Af A plicant - wner ❑ Contractor ❑ Ag 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 $ 66.00 HAZ. D. FEES IMP FLOOD COF PARCEL pD HD IS 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 la�Date PERMIT EXPIRES ON 5 -27,_7 Date ReceiptNo. 265161/$66.00 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 (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT -f --7-1%C0 ASSESSOR PARCEL NUMBER ' ^ © CTl. ZONING O I BUILDING PERMIT OWNER TELEPHONE a- 717 SO. FT. OCC. BUILDING VALUATION owNER MauNG D s � t^7-h� D CONTRACTOR'S NAME 7 , `J TELEPHONIE Cb*RZTORS 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 a Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF A Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 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 O Remodel ❑ Utilities ❑ Installation O Other 01 - Describe Work: 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 Fling Fee 20.00 600V OR LESS Main Service 200AORLESS 23.00 93.60 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.vOWER 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING UP. OR ADDNS. ( 8 ACC. BLAS. SO 3.5¢FT. "EW O RISIOT' MULTI -OUTLET @7.50 APPARATUS 8 SINGLE OutLEr CR. Ex. Occup. OUTLET OR FIXTURES 2O®''00 SAL ® .w Ex. Occup. DFi"APg D °E'. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 rp— _ 191 S�4a Ir PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 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 forthwith comply 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 Fling 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 I FLOOD I CDF PARCEL PD HDI ISSUE 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. Date Date Receipt No. WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION:: =-- Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signatut+e, Please complete and return this information at your earliest opportunity to avoid unneeessatlr 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 NO C3 I HAVE C HAVE NOT C3 signed an application for a building permit for the proposed w . I have c ntracted with the following person (firm) to provide the proposed eonshiimtion: MEQ : ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. : t 4. I plan to provide portions of this work, but I have hired the.following person to. 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 prgvi& the work indicated: �.. NAME ADDRESS PHONE TYPE OF WORK SIGNED: . xPROPERTYOWNER:� SOCIAL SECURITY NUMBER: DATE: - NOTE: "This Owner -Builder Verification is required by Section 198.31— 79U 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 applicarion for a building permit has been submitted in your name listing yourself as the builder ofproperty_; ; improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on stub . ; 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. :.t . 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 mstaibls and other costs) is 5300 or more for the entire project, and such persons are not licensed as contr'actcrs°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 carry out these obligations, and these risks are especially sertous 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 contactor 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. Infornation about licensed contrac!prs 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 n rely, Mic el C. Vi iia, C.B.O. k M ger, Building Inspection NOTE: This Owner-BuilJer,lnformation is required by Section 198.10 of the California Health and Safety Code- OVER ode OVER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: �'� ` ASSESSOR PARCEL • ER: -11, 0 0 Proposed Building Use: Building Inspector: 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 -------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ El 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit four dfiveway (construction approval prior to occupancy). ---------------------------- ❑�Pre-inspection for ,JCJ - required Request to Building Inspector on 5 -P- V4 (Date) 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------ - ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. --------------------------------------------------------- ----------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------=----- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 1343 A, El Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- Whp you issue the -'-2 pre�rmit, process as follows ❑ Mail to owner, ❑Mail to ntractor. �7Telephone 00ol ' �-T77 and hold for pickup at t' office. 11 Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air ollution ate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in 11Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. O B.I.N. L4 UESz FOft I© PECT ON Permit No. Location: IT]t ►�f'�v l o *wner. Contractor or Tenant: Complaint: BLDG. PLUMB/MEC ELECTRIC M.H.I./M.H.U. E - Form Rough Rough INSPECTI. N Frame/Underfloor Top Out Temp. Service Corrections Hou Stucco Lath Gas Piping/Test Service Final Job Status Stucco Brown Temp. Gas Underground Permit Renewal Fireplace Sewer Piping Well Circuit Verify Utilities OTHER Bond Beam Insulation Water Piping Shower Pan Light Niche Nailing Corrections Corrections Corrections READY FOR A.M. Final Final Final INSPEC.ON .19_ P.M. Date: Time: Nota: OWNER: LOCATI t& PRE -INSPECTION CONTRACTOR: PRE -INSPECTION FOR: PERMIT HISTORY: NONE AS FOLLOWS: TYPE OF OCCUPANCY BUILDING USAGE: TENNANT: DATE �S A. P. ;�l0--005- ZONING DATE TO INSPECTOR S/95 FIELD - INFORMATION CUPIED 'HAS ELECTRIC HAS GAS S SANITATION FACILITIES 64F-,ATED-COOLED PERSON CONTACTED OTHER COMMENTS: ACTION COMMENDED: ISSUE HOLD FOR, OTHER: BY DATES (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive •- Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ' ' c� D ZONING O BUILDING PERMIT OWNERt TELEPHONE a- 7� SO. FT. OCC. BUILDING VALUATION OWNERIZ_"OJNG o i3Vl L/j CONTRACTOR'S NAME TELEPHONIE CMtRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ Filing Feb $ 20.00 ARCHITECT OR ENGINEER LICENSE NO. Permit Fee $ ARCHITECT OR ENGINEERS NAILING ADDRESS Plan Checking Fee $ WILDING ADDRESS Energy Plan Checking Fee $ L)► ©rol $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF A 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 01- n ^ , Describe Work:n" lU Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service aOOV OR LESS- so.OR LESS 23.00 � (/l 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. ❑ lram exempt under Sec. Business and Professions Code for this 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' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ 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. Main Service 200A TO IOOOA 46.00 NEW CONST. DWELIM OCCUP. SO OR AODNS. ( y ACC. BIDS. 3.5¢,T; NEW CONST. NON•RESID. MULTI.OUTLET @7.50 POWER APPARATUS a SINGLE OUTLET CIIL Ex. OCCLI OUTLET ORfDCTURES ew®'.w Ex. Occup. D�`unFrs�PPR=°El 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Vne _ PERMIT FEE $ LS MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES IMP FLOOD I COF PARCEL PD HD 155UE 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. Date i (Date) � Receipt No. WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT