HomeMy WebLinkAbout078-210-046;6 95- 2910-91B
MARLER,.Jess & Ottilie
5337 Walmer Rd, Oroville ]
cont: K-Designers 2 1
(vinyl siding/sf) J
92-1038B
MARLER, Jess
5337 Walmer Rd, Oroville
cont: Nelsen Const 9
replace, windows/sf
--
MARLER, JESS
5337 WALMER RD., OROVILLE
GEORGE ROOFING
RERGOEROOF/SF � ZO
MARLER, JESS
5337 WALMER RD, OROVILLE
Cont: GEORGE ROOFING
RE -ROOF 19 SQ
B07-2553 078-210-046
MISCELLANEOUS Gas Reconnec
GAS LINE REPAIR
5337 WALMER RD
MARLER, JESS A LIVING TRUST
� Qom- _ _ Y _ _��- a - `
�� �o Q �
f
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 5337 WALMER RD
Owner:
Permit NO: B07-2553
APN: 078-210-046
MARLER, JESS A LIVING TRUS
Issued Date: 12/17/2007 By KCG
Permit type: MISCELLANEOUS
5337 WALMER RD
Subtype: Gas Reconnect
OROVILLE, CA 95966
Expiration Date: 12/16/2008
Description: GAS LINE REPAIR
(530) 533-5430
Occupancy: Zoning: R1
Contractor
Applicant:
Square Footage:
ABLE PLUMBING & ELECTRICAL
ABLE PLUMBING & ELECTP
Building Garage Remdl/Addn
PO BOX 7907
PO BOX 7907
CHICO, CA 95927-7907
CHICO, CA 95927-7907
Other Porch/Patio Total
(530) 899-9009
(530) 899-9009
FEE INFORMATION
DBP Gas System (enter outlets) $58.00
Total Charged: $58.00 Fees Paid: $58.00
Balance Due: $0.00 Receipt No: B5655
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
ABLE PLUMBING 8r ELECTRIC 627760 / C36 C10 / 02/28/2008
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 0) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full for and effect
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
X
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars
12/17/2007
[$500];
COntraCtOrS Si nature Date
Please check one of the following:
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 (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE AND
the work himself or herself or through his or her own employees, provided that such improvements
❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Cade, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
DELOS INSURANCE 01DKRM1200010 p 05/01/2008
Cartier: Policy Number: �x .Date:
Contractor's License Law.).
(This section need not a competed if the permit is or one hundred dollars ($100) oress.
❑ 1 AM EXEMPT under Section B. 8 P.C. for this reason:
aI 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 Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 12/17/2007
3700 of the Labor Code, I shall forthwith comply with thosepOwner'sSignature
Date
ttio,np4rogvisiection
12/17/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
Si a fe Date
to comply with all City and County ordinances, rules, regulations, and Stale laws relating to building
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused arising out of, in any way connected with
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
pr rty ow a �t rized to act on the prope o rs beh
CONSTRUCTION LENDING AGENCY
lz 07
jag12/17/20
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
IGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
❑ Owner 1:1 Contractor OR E]Agent for Owner =Agent for Contractor
FILE COPY
Lenders Address City State Zip
:.w
/,
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION*
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
PLEASE PRINT CLEARLY
PERMIT
NO.
BIN #
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
OWNER INFORMATION
Last NameF55
First Name
Mailing Address31r 7 & I
City
State
Zip
Phone?�
Fax
E-mail
APPLICANT INFORMATION
ARCHITECT/ENGINEER
CONTRACTOR
Name
Address
l , AQ
Address 14/5,
G` 1
City
,Go
Phone
Stat
Zigvg _:73
Phone
�p
_ ODD
Fax
E-mail
Lic. #
ClassC ,
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
mc, Hmw'17719041111';
PROJECT LOCATION
AN o
Property Address y
City IG0v
WORKER'S COMPENSATION
Policy Number
/5 -doh y -off
Carrier
to
If hiring anyone other than licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
I Yes
I No
Occ.
Type Const.
.1�
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www,buttecounty.net\dds
PERMIT NO.
BP042293
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penally of perjury that 1 am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 08/03/2004 APN: 036-350-046-000
the Business and Professions Code, and my license is in full force and
effect. �j /
License Class : �— / License Number: S�.ZGO
Site Address •
- 5337 WALMER RD ORO
�
Map Index:
Date: Z—a:�-o � Contractor.
Description: REROOF W/COMP (19)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner- MARLER JESS A 8r OTTILIE REV LIVING
permit to construct, alter, Improve, demolish, or repair any structure, prior
TRUST
to its Issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
MARLER JESS A 8r OTTILIE TRUSTEES
the Contractor's State License Law (Chapter 9 commencing with Section
5337 WALMER RD
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
OROVILLE, CA 95966
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: MARLER JESS A 8r OTTILIE REV LIVING
pp
owner of property who builds or Improves thereon, and who does
TRUST
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor: GEORGE ROOFING
❑ 1 am Exempt under Article 3 of the Business and Professions Code
6810 LINCOLN BLVD
Date: Owner:
OROVILLE, CA 95966
(530) 533-6393
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 self4nsure for
License #: 452266
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
Architect:
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is Issued. My workers' compensation
insurance carrier and policy numbe
Carrier.-�,Q,�
Policy #: A 7.,Z -.!Z-F6
Total Square Ft: 0 S.F.
❑ 1 certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
Census Code:
become subject to the 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.
Date:
Applicant:
WARNING: Failure to secure workers' compo etion coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, Interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This I' herebyissued under the applicable provisions of the Butte Cnunty Codp and/or
I hereby affirm that there is a construction lending agency for the
Res lutio o w indicated above for which fees have been paid. ,
performance of the work for which this permit is issued (Sec 3097 Civ.)
By:
Name:
` /Da
PERMIT EXPIR N: �J
Address:
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that 1 am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of/Bunte County to enter upon the above mentioned property for Inspection purposes.
Print Name: �FT (rGSignature: ~
�d
Date: O 7�
0 Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
APPLICANT SIGNATURE
X
Shirley Trew - Ag nt or Gpor a Roofing
For office use only:
OWNER
Name
.less Marler
Address
5337 Walmer Rd.
City
Oroville
State CA
Zip 95966
Phone
530-533-5430
Fax
E-mail
Lic.#
APPLICANT SIGNATURE
X
Shirley Trew - Ag nt or Gpor a Roofing
For office use only:
CONTRACTOR
Name
GEORGE ROOFING
Address
6810 Lincoln Blvd
City
Oroville
State CA Zip
Phone
(530) 533-6393
Fax (530)533-0287
E-mail
dan@abcgc.com
Lic.#
Class
dan@abcgc.com
452266
1 C39
APPLICANT SIGNATURE
X
Shirley Trew - Ag nt or Gpor a Roofing
For office use only:
ARCHITECT/ENGINEER
Name
N/A
Address
6810 Linocln Blvd
City
Oroville
State CA Zip
Phone
(530) 533-6393
Fax
E-mail
dan@abcgc.com
State License Number
APPLICANT SIGNATURE
X
Shirley Trew - Ag nt or Gpor a Roofing
For office use only:
APPLICANT NAME
Name
GEORGE ROOFING
Address
6810 Linocln Blvd
City
Oroville
State CA Zip 95966
Phone
(530) 533-6393
Fax (530)533-0287
E-mail
dan@abcgc.com
APPLICANT SIGNATURE
X
Shirley Trew - Ag nt or Gpor a Roofing
For office use only:
Zoning Flood Zone SRA Yes No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
LOCATION
AP# 2 U
Property Address 5337 Walmer Rd.
Cross Street
PERMIT NO.
BIN #
WORKER'S COMPENSATION
Policy Number 272-596-02
Carrier STATE FUND
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work
Reroof, House - Comp
Sq. Footage 19 Squares
❑ Structure Built Without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after
the date of application. In order to renew action on an application after
expiration, a new application, plans and fee will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the
fee. The request must be made prior to the expiration of the permit and no
construction work has been done. Filing fees, plan check fees for work plan
checked and other department costs are not refundable.
Received by:
Amount: 0 Bldg
SRA
Receipt #:
Sheriff
SMIP
Other
Date`` %
uuu
l r Total
RFV- rpnrnp Rnnfinn
=" 036-35-0-046 93-�-� B '
^� MARLER, JESS
5337 WALMER RD, OROVILLE
`� CONTR: GEORGE ROOFING
REROOF/SF
4
' ' 1
' H
J
l
, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
•' 7 County Center Drive - Oroville, Cal' ornia 95965 - Telephone (916) 538-7541 RMIT NO.
APPLICATION AND PERMIT 93 �Z_X/
ASSESSOR PARCEL NUMBER OLI (o
ZONING tq
BUILDING PERMIT
OWNER
TELEPHOPIE
SQ. FT, OCC. BUILDING VALUATION
OWNER' MAILIN ADDRESS '
CONT ACTOR'S NAME 1
TELEPHONE .
CON 70 S MAILING DDRESS'
Freplace
CONSTRUCTION LENDER If
UNKNO N
Total Valuation $
LENDER'S MAILING ADDRESS
I
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 5
PERMIT FEE $
O�
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
�/
SF JSQ Duplex ❑ Mobilehome O 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 ❑ Addition ❑ Remodel ElUtilities O Installation 1:1rl i Othe
Describe Work:
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
K JC A.l
Main Service ( '200v OR LESS )
200AAOR LESS
23.00
Main Service ( 200ATO1000A )
46.00
Tl
7 (
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8, ACC. BLDS. )
S0.
3.5C FT.
CONTRACTORS LICENSE LAW(
I lare 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 effe�}
LicenseNo. aCn Classification _- _t
❑ 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
POWER APPARATUS )
& SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FIXTURES
P• ( )
20 @ 1.00
BAL. @ .50
Ex. Occup.FIXED APPWS. OR
- UTLETS(RESID.)EA. I
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):. 1Coptractor
❑ This permit is for $100.00 (valuation) or less. r _
�d'1 have placed on file with the County of Butte Dept. of Development Services,
1 ` Building Division 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 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 $
` 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.
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 off the granting
/of this permit., / p
X:'/yjQ el',1/ii'�,r/Q�E�/' Date % %� 3
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ ,(
HAZ-
I D. FEES
I IMP
I FLOOD
CIF
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 PUBLIC WORKS
By 1/ ( ,' ` f Date' A 7
•,j -
PERMIT EXPIRES ON
(Date)
Signature of Applicant O Owner ❑Contractor OfAgent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Receipt No. �
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 _ RMIT t4O.
APPLICATON AND PERMIT
ASSESSOR PARCEL NUMBER -350 — 0q
fir, ZONING
BUILDING PERMIT
OWNER
TELEPHO
_�
Q. FT. OCC. BUILDING VALUATION
6
J
OWNER'S MAIDN ADDRESS f
_
CONT TO R'S NAME 1
TELEPHONE
533-6392
COJITO R'S MAILIN DDRESS '
Fireplace
CONSTRUCTION LENDER
UNKNO N
Total Valuation $
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 ADDRESS3/�. .l
1/
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
SFX 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work:
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
�, _ �� �n
K �'Y_fl,)
OR LIS000 )
Main Service 200A OR LESS
23.00
00A
Main Service , 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
S0.
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force an effe
License No. ����� Classification
as the owner, or my employees with wages as their sole compensation, will dothe 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)
❑ 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 CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20
BAL. @ 1.50
Ex. Occup.FIXED APPWS. OR
(OUTLETS IRESID.1 EA. )E123.00
Temporary ServiceI,
Mobile Home Facilities
Misc. Wiring
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
I 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.
O 1 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.
1 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.
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 consequence of the grantingof this permit
Date ,�% �,
Mobile Home Installation Fee $
Energy Inspection Fee $
GCC
CONST. TYPE
TOTAL FEE $
HAZ•
I D. FEES
I IMP
I RLOODJ
CDF
I 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 PUBLIC WORK,SQ Q
By Date U 2 /
ZS.-B.D.
PERMIT EXPIRES ONJ71f 31V
(Dat4)
Signature of Applicant - ❑ Owner ❑ ContractorAgent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
FRece.
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
..t P
1
Z � _
i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
- 3 so — C/ 4" APPLICATI OI -AND PERMIT
PERMIT NO.
C -
ASSESSOR PA -MBER
ZONING
f s' - I
BUILDING PERMIT
OWNER . `c
6 �t
`t/' 4�f
ONE
,;. E,`l6gZ_
�,/ 71.�
SQ. FT. OCC. BUILDING VALUATION
ADDRESS�,�t
OW ED'S TILING t
JJji v
1.
C P C T V�`�,((�'�`S
N, GIAM Q-fi V
L Ev I(,-( 1
Air.
C j� RjACTOR'S MAILING ADDRESS /� - ��
el 1 fY, k) ) L� q5
Fireplace
CONSTRUCTION LENDER, DER,
/! 1
UNKNOWN
Total Valuation $
,�
LENDER'S MA\LlNi1GOOORi S`
l,�
Filing Fee
g
jj G
$ /�. -vyw
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
t
Penalty
$
BUILDING ADDRESS \ j (
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
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
USE OF STRUCTURE
SF6Duplex r-1 Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is
10.00 ea'
TYPE OF WORK i
,Ne Addition ❑ Remodel
���CC"""" ❑ Utilities❑ Installation[] Other
Describe work:
JALJ
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service i$o A -MPP OR ORSLESS
10.00
CONTRACTORS LICENSE LAW
I declar ,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 orce and effect.
License ` I ���'.7 A �S
License No. Cl assifacgtion
T— -
❑ 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
Main service EA. ADD'L too AMP
2.50
NEW CONST. ( DWELLING OCCUP.81 ,
A �z2sgft
New
CDON5TR.MULTI. OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
/POWER APPARATUS a
(SINGLE OUTLET CIR. )
aoeaoe
P� .20050C
EX.-OCcU OUTLETS OR FIXTURES
Ex. Occup. OUTLETS FIXED P(RESID )REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less:
I�have placed on file with the County of Butte Building Department
���a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
(D,,4'—shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application *and state that the above information
is correct. I agree to comply'to'all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County inconsequence of the granting of this per/mit.
X I f `�( /I ��'--- Date "l �-
Signature of Applicant — Owner El Contractor El - 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 $ l..
OCCUP.
CONST.TYPEJ
177LOO=
ND
39UE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated abover which fees have been paid.
/DIRECTOR OF PUBLIC WORKS
/
By. �^/}"�� Date
PERMIT EXPIRES Date
Receipt No. liI SS 15-
WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/530-7541 Z7
Za
36 -iso APPLICATION AND PERMIT
ASSESSOR PA MBER
ZONINJGr���
�• r
BUILD NG PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUAT ON
OW ER•S ,WILING q.D.DR ESS ^
Ivnl/
C ACC Tl10R'S N
�YU
��'JI �(/��
TELEP IQNL. 1
(ON
)Wn�
CTO •S AILING �,$5, �
`_
/\t Uhl/[-�`// Sk,`
Fireplace
CONSTRUCTI L
R -
UNKNOWN
Total Valuation $
d
15
Filing Fee +
�G�`—_ou 4e -.w
LENDER'S M I D
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS D
Permit fee
.t
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF�@ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home is
110.00ea
TYPE OF WORK
NeAddition❑ Remodel❑ Utilities❑ Installation❑ Other
Describe work:
I
Penult Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service ,D°o AMP LESS
ESS
10.00
CONTRACTORS LICENSE LAW
I declar under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio s Code a d my license is in full orc d e ect.
License No. r)
❑ 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)
❑ ossa the owner, am exclusively contracting with licensed contract- 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L tao AMP
2.50
NEW CONST. DWELLING OCCUP.y
OR ADONS. ACC. SLOGS. htsgft
NEW CONSTR U TI.OUTLET 2,50 ea
NON•RESID .BRA CH CIRC ITS
POWER APPARATUS .&)
SINGLE OUTLET CIR. )
Ex. OCCU BAL@ 30
p�OUTLETs OR FIXTURES eALm 30
Ex. Occup. OUTLETS ((RESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
rofhaveplaced on file with the County of Butte Building Department
Certificate of Workmen's Compensation Insurance or a Certificate
sent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Coolin g
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
1s 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 Iiab' 'ties, judgments, costs, and expenses which may in any way accrue
again sa'd County i conseque a of the granting of this permit.
�J
X DAB l O
Signature of Applicant — Owner Contractor ®� Agent El
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 Cj.
OCCUP.
CONST.TTPEJ
JSCI1OOLJ
FLOOD
PARCEL
I PO
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
R OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
ate
Receipt No. lI I If S_
WHIT[-D.P.W.. YELLOW-ASOCS90R, PINK -INSPECTOR, GOLDENROD -APPLICANT
��'�l'.�•s,�f�:•X;�.`nl.;�{;L�j:'�"�{�.gwt'!k"!t'�I.P.�x}�..�* � �,�xrrlC'�'ty�'vR�q%�1�,.�Ti'.5,�•'"'7�roov+V� �K ...'�•.'.v�i•,�r••..:'�,'..rn.•�-•--�.x
i
0
111 7 rT:N,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _ P MIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 "•'
APPLICATION AND PERMIT
ASSESSQR PARCEL NUM ,4 w�70NIN1
.w
BUILDING PERMIT
OWNERT
S` (\ 5`
'tt
ELEPHE
ON
SO. FT. OCC. BUILDING VALUATION
OWNER MAILING ADD ESS
CONTRACTOR'S NAME -
TELEPHONE
CONTRACTOR'S MAILING A:DD ESS
- �_ F I' N t (�' - (oQ� -
Fireplace
CONSTRUCTION LENDER /
UNKNOWN
Total Valuation $
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 ADDRESS ` Y C
!$ $
Permit fee -A
PLUMBING PERMIT Filing Fee 10.00
' \\{ C�
Each Trap 2.00
Solar or heat pump water heater 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SFD6 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S I G I W 10.00 ea'
TYPE OF WORK
New-* Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other >(
Describe work: t ��- 't rL �-,C<1 Irk, 1 �1�1 � �,y tY�C.. _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filin Fee 10.00
g
Main service 100 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.
`` (( �;
t_1CA-&�k, Classification.C_ \
License No.
❑ 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUP.a) y2¢sgft
OR ADDNS. % ACC. BLDGS.
NEW CONSTR ULT' -OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS &)
SINGLE OUTLET CIR. )
200301
Ex. Occup OUTLETS OR FIXTURES SAL030
Ex. Occup. OUTLETS ((RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 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.
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.
❑ 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT Filing Fee 10.00
Heating
Cooling
Hood 3.00
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.g y p y g
I also agree to save, indemnify and keep harmless the Count 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 ElContractor ElAgen
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 $
occ
CONST TYPE
,1
TOTAL FEE $
HAZ.
CUA
PARK SCHL
FLD
CDF
PAR
PD
I HD•
ISS
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above
�f]or which fees have been paid.
bIRFy W10F PUBd1C'/WORKS
By Date i
PERMIT EXPIRES Date Y
Receipt No.
WHITE-D.P.W.. YELLOW-ASSE330R, PIN -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95985 - Telephone: 918/538.7541
L/ APPLICATION AND PERMIT
G.� ?T NO.
L�
AS! ES RC NU "IE J LCL
ZONINGf _ -
BUILDING PERMIT
OWNER �STELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER MAILING ADD SS
1112 -
CONTRACTOR'S NAME ITELEPHONE
CONTRACTOR'S MAIZING A D ESS
— ate}
I Fireplace
CONSTRUCTION LENDER UNKNOWN
LENDER'S MAILING ADDRESS
�—
Total Valuation $
Filing Fee
Permit Fee
$ 10_00
$
ARCHITECT OR ENGINEER LICENSE NO. I
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
Energy Plan Checking Fee
Penalty
$
$
$
BUILDING ADDRESS
' I
Permit fee
i
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
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
USE OF STRUCTURE
SF g Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
Newt/ Addition[] Re\\m``odel❑ Utilities[]Installation❑Other
Describe work: S \T--, \A k A,`CC) C?Y LSo\k S_\l RihG _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 100v OR LESS
100 AMP 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 f II force and effect.
License No. y�� 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 OR ADDNS. ACC. BLDGS. CONST. DWELLING OCCUP.EI
,�20sgit
NEW CONSTR U TI.OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS IN
SINGLE OUTLET CIR. )
Ex. OCCu P OUTLETS OR FIXTURES
zoo
eAL03030
Ex. OCCUp. OUTLETS FIXED P(RESID IREA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the abv n purposes. &mentioned property for inspectiorses.
9
I also agree to save, ind mnify and keep harmless the County of Butte against
all liab' ' save,
costs, and expenses which may in any way accrue
against sa' o my .n c nsequence of he granting of this mit.
�( /
Date
Signor re of Applicant — Owner El 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 $
occ
CONST TYPE
TOTAL FEE $
CkN
HAL
CUA PARK
SCHL
FLD
cDF
PAR
PD
I HD.
ISSU
This permit is hereby issued unser the applicable provi-
sions or the Butte County. Code and/or resolutions to do
work indi d above for which fee have been paid.
IR. OF PUB ORKS
Q�
BY Date v
PERMIT EXPIRES Date
Receipt NO.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK INSPECTOR. GOLDENROD -APPLICANT