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936.-1F3 6 3 �7 PERMIT#95-0477
HOLLAND, Jeffrey T7,-y�-C�
1953 Arnold Ave., Oroville
Relocate gas wtr htr & washer/dryer/SF
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION -
7 -County Center Drive - Oroville, Califoinia 95965 - Telephone (916) 538�4-
541'' PERMIT NO.
APPLICATION AND -PERMIT �� 7 7
ASSESSOR PARCEL NUMBER 036-173003
ZONING
BUILDING PERMIT
OWNER JEFFREY HOLLAND ETAL
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
140 WARD BLVD OROVI112
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
1
Total Valuation $
Filing Fee
$ 20.00
LENDERS MAIUNG ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
UCENSENO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
I
Penalty
$
BUILDINGADDRESS
1953 MNOLD
PERMITFEE
$
PLUMBING PERMIT
Filing Fee 20.00
OROVTTIE
Each Trap
7.00 7.00
LOT NO. SUBDNISX)NSNAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF EX Duplex ❑ Mobilehome ❑ Other a
SPECIFY
Each gas water heater or vent
15.00 15.00
Gas piping system 1 - 5 outlets
15-00 15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities IT Installation ❑ Other ❑
Describe Work: RRTDCATR GAS WTR WIT A RRTAf: GAS
R WAS1M 011 DRYn
Mobile Home I S I GI W 1
@20.00
PERMITFEE
$ 57.00
Confractor
ELECTRICAL
20:00RVIOA
neeaLE
Main Service ( p00A OR LESS )
23.00
Main Service ( aooA TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I
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,
( g )
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
aw for the following reason: ,
ISI, 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
NEW CONST.DWELLING OCCUP. \
OR ACDNS. () d ACC. /
SO.
3.SQ FT.
T
NEW CONST. MULTI -OUTLET
NON-RESID.` ( BRANCH CIRCUITS )
97.50
?OWER APPARATUS
8 SINGLE OUTLET CIA. )
Ex. Occup. ( OUTLET OR FIXTURES )
20 Q 1.00
BAL 0 .50
Ex. Occup. (OFIXED APPLNS. UTLETS (RES D.OR 5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling\,
Hood t
6.50
Ventilation
4 PERMITFEE
$
Contractor
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.)
C41111 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
f rthwith comply with those provisions.
X Date A— _
Sign6fure 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.
Mobile Home Installation Fee
Is
Energy inspection Fee is
OCC
CONST. TYPE
TOTAL FEE $ 57.00
HA2.
I D. FEES
I IMP
I FLOOD
COF
PARCEL
PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
Bye A�
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date 7
'(tate-)
Receipt No. 7756 e�-
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, Calisornia 95965 - Telephone (916) 538-7541. PERMIT NO.
APPLICATIOIAND PERMIT -0471
ASSESSOR PARCEL NUMBER
036-173003
ZONING
BUILDING PERMIT
OWNER JEFFREY HOLLAND ETAL
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
140 WARD BLVD OROVILLE
CONTRACTOR'S NAME
OT�MER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNMOWN
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 ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS
1953 ARNOLD
PERMITFEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF CK Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00 15.00
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities EX Installation ❑ Other ❑
Describe Work: RRT.n(,.ATE OAS wTR uTg & RETAG GAS,
RRIX ZrIl GTA.Sli E AND DRYER
Mobile Home I S I GI W 1 @20.00
PERMITFEE g 57.00
Contractor
ELECTRICAL PERMIT Filing Fee 20.'00
Main Service e000A V OR LESS
( 20OR LESS )
23.00
Main Service ( 200A TO I000A )
46.00
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 Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
aw fob the following reason:
G 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 t
NEW CONST. DWELLING OCCUR
OR ADDNS. ( & ACC. BUDS. )
SO.
3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET US
Ex. Occup. (OUTLET OR FIXTURES )
BASO 2e � I.00
Ex. Occup. (oFIXEEDrs AE Is . OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
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.
❑ 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
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
9f one hundred dollars ($100) or less.)
W-1certify 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
f rthwith comply with those provisions.
X _ ��/�/ Date tL�---f��
—� —
Signa ure of Applicant - ❑Owner ❑ Contr ctor ❑Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructionAJ//
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee is
OCC
CONST. TYPE
TOTAL FEE $ 57.00
HAL.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL PD I HD
I ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
BY QLDate
PERMITEXPIRESON
(ateJ
provisions
to do work
paid.
Receipt No. f -7 ��–
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt RoaY1, ChilcCA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
�y,_•.,.-� 6
NER
PERMIT N
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please nota t�ts,office when correction of work
is completed. If you have any questions pertaini :te this atter, or need additional explanation,
please tact this office immediately. S
Date \ Inspector
REV 10/92
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
OWNER PERMI-r 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 comp efed. If you have any questions pertaining to this matter, or need additional explanation,
ple contact this office immediately.
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ROM
Date 3 Inspector,//
REV 10142
_ L_ // h
COUNTY OF BUTTE
Departmnt of Development Services
Building_ Division
Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: .1469 Humboldt Rd.; Chico CA 95928 Ph: 916-891-2751
OWNER -BUILDER VERIFICATION
Attention Property Owner:
1
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) 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 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
1
Signed:
Property Owner ,
Social Security Number
Date '
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 permitted to issue the
permit.