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Home My WebLink About078-040-0041 REN HEALY COMPLAINT TO INSPECTOR 6240 Lincoln Blvd, Oroville ode fAy"-- Contr: J J Chamberlain, Oro BROWN, J.W. Permit#354764E } 18-84B(remodel/SF) , _ _ _ 4642E ✓-- • 03 737P 01-0840 w/s `Palermo 'Rd. , app 5001,',S of `Kase Rd. 1, HEALY, JOAN Palermo U79— _ O t � r't O 6240 LINCOLN, OROVILLE� (repairs) b CONT: BILL SHARP 4-blo ELECTRIC SERVICE REPAIR I u g0-7-- 03-1681 CRUE,RACHAEL 6240 LINCOLN, OROVILLE RE -ROOF BRYAN, 'Harvey E. 76-67Bj�R/: 421-66E t 6240 Palermo Rd., Hroville fi (Gift Shop & garage) ! *6236 Palermo Rd., Oroville (*remodel ore front) 4. t j e 4 ' f 3 4 036-291-007 01-0840 HEALY, JOAN 6240 LINCOLN-, OROVILLE CONTR: BILL SHARP ELEC SERVICE REPAIR ru 9 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) APPLICATIONAND PERM -IT '`/_ ASSESSOR PARCEL NUMBER 036-291-007 ZONING BUILDING PERMIT OWNER - -- HEALY E TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDFMV'1,JI',.3 NVr ,) 6240. CONTRACTOR'S NAME BILL SHARP1533-5218 TELEPHONE CONTRACTORS MAIUNG ADDRESS PO BOX 190 ORMUEs CA 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILOINOADDRESS 6240 LIN00LN BLVD. Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF 0'( Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilifies ❑ Installation ❑ Other ❑ Describe Work: U=IC SERV7C1, RF'PATR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home KKK— W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service 22000A OOR LESS 23.00Z3*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. License Class ^ -In#/( Lic. No. — I l i j OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractajrs License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. IF 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 " AZA r -&"i, Policy Number rJ/.V-Do !/Ni''' (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 wsh those provisions. e.�, X �1- V :` . , r..<-.�/i, Date el- "9_5 Signature of Applicant - O Owner Com' 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 tow TO 46.00 NEW CONST. DWELLING OCC P. SO CC OR ADDNS. ( a AGC. BUDS. 3.50FT. ppNRON, D.' muLTH' Oc LET @7,50 POWER AP US, 8 SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FORURES BAL so Ex. Occup. ouTLEEDrs Palo )EA 5.00 Temporary Service 23.00 Mobile - ome Facilities 20.00 Misc. Wiring 23.00 INSPICTM -4 00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66,00 HAz. o. FEES IMP FLOOD CDF I PARCEL I PD :DL This permit is hereby issued under of the Butte County Code and/or indicated bove for which fees have Wo4l L. PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. j Date eta ReceiptNo.315263 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 I—DR-yo ASSESSOR PARCEL NUMBER 036-291-007 ZONING - BUILDING PERMIT OWNER HEALY JOAN TELEPHONE - 534-6640 SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS OWNERS 6240.LINCOT-N OROVILLE CA 9596 CONTRACTOR'S NAME BILL SHARP TELEPHONE CONTRACTORS MAILING ADDRESS PO BOX 1390 OROVIUE, CA 95965 CONSTRUCTION LENDER LENDER'S MAILING 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 6240 LINCOLN BLVD. ORONILLE, CA 9 965 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CK 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 O Other ❑ Describe Work: ELECTRIC SERVICE. REPAIR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo'A OR LESS 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. C pQ License Class �D{✓lG Lic. No. 3 ! < G 3 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 46.00NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLOS. s0 3.50FT: =R.,..MULTI.OLITLET 97,50 POWER APPARATUS 8 SINGLE OLfTLET CIR. Ex. OccupOUTLET OR FIXTURES 20 @'.00 BAL O .SO Ex. Occup..DU�TLEET^ RL D,oE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 r E INSPECTION 1 123 00 PERMIT FEE $ 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. f3( 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 ins rance carrier and policy number are: Carrier ,S%-� /CUA Policy Number ?/3 da UN/T OJZI Z Zr! (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 fo comply w' those provisions. X Date �7-G I _ Signature of App (cant - 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. MECHANICAL PERMIT Filing Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FE15 $ Mobile Home Installation Fee Is Energy Inspection Fee Is occ CON ST. TYPE TOTAL FEE $ 66.00 HA'. D. PEES IMP FLooD COF PARCEL I pD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees hav y PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date �v ate Receipt No.315263/66. 00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t,;UUNTY OFBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 Telephone (530) 538-7541 � (Rev.,}2/96) j. APPLICATION AND PERMIT PERMIT NO. �g C ASSESSORPARCEL.UMEEA V L3 6 20NNe BUILDING PERMIT OWNER TEt01gN! L SD. FT. OCC. BUILDING VALUATION owNEns AD • CONTN+CTno• W W _ *PERMIT FEE PAID SRA '- SHERIFF OTHER AMOUNT RECEIVED PERMIT FEE S ELECTRICAL PERMIT Main Service U" DR LEss aoa oR LEss Main Service 3! TO IOWA NEW CONST. DWELLM OCCUP. OR ADDNS. i ACC. EUOs. NON'RESiO. MULTI.OU�TLET POWER APPARATUS i SMOLE OUTLET GR. Ex. Occup. OUTLET OR FUTURES ! Ex. OCCU FUED AP°LM. OR I OUTLETS ESIO. EA 1 Temporary Service Mobile Home Facilities 20.001 20.00 7.00 23.00 15.00 15.00 15.00 15.00 520.00 ng Fee 20.00 23.00 og�`b 46.00 3.52.0 5.00 23.00 20.00 PEWIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEU_ S Mobile Home Installation Fee S ----. Energy Inspection Fee S U OCC CONST. TYPE TOTAL FEES L- I ►uZ O. fEEs IMP FLOOo I COF P a jqd I PD "GS *RECEIPT NVMSER * TO BE PVT INTO COMPUTER 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 PERMIT EXPIRES ON CONSTRUCTION LENDER S Flfe Ince LENDERS MNUNO ADDRESS ARCNRECTORENWNEEA Total Valuation S ucENSE NO. Filing Fee S ARCNECT OR ENotrEM S MAUNO ADDRESS Permit Fee S EUIDNOADOREss Plan Checking Fee S Energy Plan Checking Fee S S PERMIT FEE $ LOT NO. 9use OnneXMIWAW PARCEL MAP PLUMBING PERMIT Each Trap USEOFSTRUCTURE SF Ouplex ❑ Mobllehome ❑ Other Solar or heat um water heater sP1iY Water piping Each gas water heater or vent TYPE OF WORK New O Addition O Remodel O Utilities ❑ Installation ❑ Other ❑ Gas Piping system 1 -5 outlets + Buildingsewer Describe Work: Q/i�)--e-t� �r2� % i„ Mobile Home S G W *PERMIT FEE PAID SRA '- SHERIFF OTHER AMOUNT RECEIVED PERMIT FEE S ELECTRICAL PERMIT Main Service U" DR LEss aoa oR LEss Main Service 3! TO IOWA NEW CONST. DWELLM OCCUP. OR ADDNS. i ACC. EUOs. NON'RESiO. MULTI.OU�TLET POWER APPARATUS i SMOLE OUTLET GR. Ex. Occup. OUTLET OR FUTURES ! Ex. OCCU FUED AP°LM. OR I OUTLETS ESIO. EA 1 Temporary Service Mobile Home Facilities 20.001 20.00 7.00 23.00 15.00 15.00 15.00 15.00 520.00 ng Fee 20.00 23.00 og�`b 46.00 3.52.0 5.00 23.00 20.00 PEWIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEU_ S Mobile Home Installation Fee S ----. Energy Inspection Fee S U OCC CONST. TYPE TOTAL FEES L- I ►uZ O. fEEs IMP FLOOo I COF P a jqd I PD "GS *RECEIPT NVMSER * TO BE PVT INTO COMPUTER 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 PERMIT EXPIRES ON - � 6 ......... . .... .... ................ ............... : *, `x : - , " , ". .................................. ........ . ... ...... ......... SPECT:m REPORT OWNER:'' LOCATION: ( n) c. --)Z" vv •� CONTRACTOR: ,Q 12 S;A� C� n PRE-MSPETION FOR: DATE TO 1NSPECT0 PERMIT HISTORY:( ) NONELLOWS: ` DATE: 7-t5�911 A.P. ZONING: I -4k 1n 1 Building Description: Commercial/Usage: Electric: Residential/# of Units:_ Currently Occupied Abandoned/Vacant Yes No Condition of Electric BUILDING INSPECTOR'S REPORT Electric currently On_,Z� Off Gas: Natural Propane None__ Currently On Off Obvious Problems: I Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems d Comments ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector• Dat Sketch buildings on reverse and indicate location on property. t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 (Rev. 12i96) APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER C0 1 l --GU ZONINGBUILDING PERMIT OWN"TT!LEPIpNe SO. FT. OCC. BUILDING VALUATION OWNERS MAU AD S ------------- CONTRACTOR' NAME TELEP1gNE S !2 J33 S� CONTRAC wuuNo V CONSTRUCTION 12 I LENDER'S MAILING ADORESS Fire lace ARCHITECT ORENGINEEA - Total Valuation $ LICENSE NO. Filing Fee S 20.00 ARCWECT OR ENGIfEER9 MAl1NO ADDRESS Permit Fee S BuaDwoADDREss S Plan Checking Fee S Energy Plan Checking Fee S S --PERMIT LOT NO. SUBOIVISION'SNA W EL "AP PARC FEE S PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SFDuplex ❑ Mobilehome ❑ Other Water piping 15.00 ePECIPv TYPE OF WORK ater or vent 15.00 EaMHome New ❑ AdditorL ❑ Remodel ❑ tufts ❑ Installation ❑ Other ❑ Gpiping 1 - 5 outlets 15.00 Bu15.00 Describe Work: Q/ti1l-e-c o� /� �-• MG W @?20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 -- -- - ---- Main Service mw OR mss . 23.00 ao ' Main Service 200A TO 1000A 48.00 NEW CONST. OR ADDNS. ACC. BtD3. P 3.50,. NEW CONST. MULTFOUTLET NON -RESOD. 7.50 .I POWER APPARATUS 6 SNOLE ovn.Er ciR. • EX. Occup. o -!ET OR FOLTUREs20 ® I.-- SAL Q .50 ! I EX. Occup. FOCEO APPUB. OR OUTLETS ESID.) EA 5.00 1 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PE • IT FEE S *PERMIT FEE PAID MECHANICAL PERMIT Filing Fee 20.00 Heating .SRA - - Cooling SHERIFF Hood 8.50 OTHER Ventilation PERMIT FEI: S Mobile Home Installation Fee $ Energy Inspection Fee b CONST. TYPE _ TOTAL FEES � - FEE! AA6UNT RECEIVED 1 LOCC D. fEE3 IMP FLA00 ?*Cit I PO ND ISSUE f This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work *RECEIPT NVMSER indicated above for which tees have been paid. * TO k PVT INTO COMPUTER ay Date PERMIT EXPIRES ON PAW COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541a3PERMIT No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-291-007 ZONING -1 BUILDING PERMIT OWNER 6240 4;NCOLN BLVD. OROVILLE 95966 T 534 6640 SO. FT• OCC. BUILDING VALUATION . OWNER'S MAIUNA ADDRESS CRUE RACHAEL 11 660.00 CONTRACTOR'S VAME QVINM TELEPHONE CONTRACTORS HUNG ADDRESS CONSTRUCTION LENDER LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ 0 ARCHITECT OR EJGINEER LICENSE N0. —FilingFee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 19 Plan Checkin Fee $ BUILDINGADDRESS 6240 LINCOLN BLVD OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 39,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF R 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 M Describe Work: REROOF COMP Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 1 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service .OA OR LESS 23.00 CONTRACTOR'S DECLARATION I hereby a1 Iunder penalty of perjury that I am licensed under provisions of Chapter 9 (commercing 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: ,l,.as owner of the property, or my employees with wages as their sole compensation, will Jo 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 canstruct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 200ALICENSED 46.00so WEL CCU OR ADNEW CDNS. Drm ( CC. BUDS. ACNEW 3.50 FT.. = CONST. RESID MULTI.OUTLET 97.50 POWER APPARATUS S SINGLE 0UTLE'T CIR. Ex. Occup. OUTLET OR FIXTURES B20 @ 1.00 UNIS Ex. Occup. ounFrs REES,6.OFR.a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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. ❑ 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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.) 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 woikers' ompensation provisions of section 3700 of the Labor Code, I shall co ply with th se provisions. /► (�' / �t Date 7 — () Ig to o pplicant - 13 Owner ❑ Co tractor ❑ Agent A OSHA permit is required for excavations over 60" deep and demolition or construction of structwes over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTALFEE$ Al. p. FEES IMP FLOOD CDF 5SU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date �/ e ', Receipt No. 5431 16e 39.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t 1. �4 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 NO ❑ 2. I HAVE HAVE NOT El signed an application for a building permit for the proposed work. 3. " I have 'con cted with the following person (firm) to provide the proposed construction: NAME:. ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: _ i PROPERTYOWNER: SOCIAL SECURITY NUMBED: DATE:_ NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health, and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. . For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. 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: ♦ Ifyou employ or otherwise engage any persons other than your. immediate family, and the work (including materials and other costs) is *$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ 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 serious 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 contractor 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. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned 4%v�idZira, J.tion NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safely Code OVER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER - I J TELEPHONE S0. FT. ,OCC. BUILDING VAL ATION OWNER'S MAILING ADDRESS CONTRACTOR'S /NAME ` 7 TELEPHONE � CONTRACTOR'S MAILING ADDRESS t-) Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ -73 r} } ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS / ti �� „� 1 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑'• Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W I 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel Q Utilities•❑ Installation❑ Other ❑ Describe work: J1 �a' " 1 a • r -i y-, `� ��: 1 "_ t. 4 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1 00V OR S 00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.&` OR ADONS, l ACC. BLDGS. / 2/20sgft 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 CON5TR ULTI-OUTLET 2,50 ea NON.R ESID BRANCH CIRCUITS NEW CONSTR. (POWER APPARATUS &) NON RES \SINGLE OUTLET CIR. Ex. Occu / z0®s0a P\ o OR FIXTURES BAL®30 XED FIXED A APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 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. 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 consequence of the granting of this permit. X Date Signature of Applicant — Owner F_1 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above /for which DIRECTOR OF PUBLIC BY , PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date I - Receipt No. WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE k DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 S,(yway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 C!RRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOWAND PERMIT PERMIT IYO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. 0 ga, BUILDING VALUAT N 0 N 'S MA I G A ES l eud r Y) %e T '— CO RA_C TOR'S E !Zmb ITELEPHONE 1!03 rte. CONTRACTOR'S LING ADDRESS Fireplace CONSTRuc I N L N ER UNKNOWN Total Valuation $ 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 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE F WORK New❑ Additio ❑ Re el Utilities-❑ Installation❑ Other❑ Describe work: `� �- �r — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADONS. ACC. BLOGS. 2/20sq ft 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.0 de a my license is in full forc and effect. License No. G Classification _ 7 ❑ 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 NON -RESIT CONSTR.BRANCH CIRCU, TS 2.50 ea NEw CONSTR. (POWER APPARATUS &) NON-RESID. \SINGLE OUTLET CIR. ao@soa Ex. Occup(OUTLETS OR FIXTURES BAL®300 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID. EA,) 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. ❑ 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. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code,r 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 Countyot Butte to a ter upo Bove -mentioned prop y for inspection purposes. 1 also r t ave, demnify and ep r ess the County of Butte against ail 1' W iti j d nts, costs, a en es which may in any way accrue aga' s sai i equen of a nting of this permit. X Date /� C/ 5i not r Applicant — Owner Contractor Agent ❑ A A permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiessinin height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I 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. ?R. OF PUBLIC WORKS By Date PERMIT EXPIRES D to a Receipt No. �� %� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT