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MAY KNIESS 20 Las Plumas Way, Oroville Permit#232-84B(reroof/SF) �d „ 036 02-2779 KNIESS, MAY GRACE LIVING TRUST 20 LAS PLUMAS, OROVILLE CONT: CONNELLY'S PROFESSIONAL RE -ROOF o KNIESS, Herbert 726-69B 864-69E 20 Las Plumas Way, Oroville (convert arage to family room) 078 -moo-O� C7 Q �� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMEN— SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965' • Telephone (530) 538-75=-ZM, (Rev.12/96) APPLICATION AND PERMIT ASSESS0�1 Pl�LiNUMOB¢� 030- fo ZONING i BUILDING PERMIT OWNER TELEPHONE Kn',_ess, May Grace Living OWNER'S MAILINGADDRESS 20 Las Plums Way,Oroville Ca 95966 SQ. FT. OCC. BUILDING VALUATION 30 squa,es 1800.00 CONTRACTOR'S NAME TELEPHONE Connell 's Professional 533-1516 CONTRACTORS MAILING ADDRESS 5490 Debbie Ave Oroville 95966 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS 1 Fireplace Total Valuation $ 1800,00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 20 Las Plumas Ooville Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: re -roof Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 500VOR LESS Main 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 fWII forcqe and effect. / License Class C`3 / Lic. No. 4 D/�� 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. SO 3.5¢F: NOt4-..,D MULTI -OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FOcrUREs 20 Q100 BAL p .50 Ex. Occup. O q 6.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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' comper6gationnce, wrieand policy number are: Carrier I -A0 Policy Number Cj i :1 i J_!/ 1 -- (The above sections need not be cif 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 thW provisio s. X Date ��" ©� ��Z Signature of Applicant - ❑ Owner Contractor ❑ Agent OSHA permit is required for excavat ns over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee I $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $61..00 HA2. D. FEES IMP FLOOD I CDF I PARCEL PD HD ISS This permit is hereby issued under the of a Butte County Code and/or Indic d ab o whic fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. 61.11j62An ate Dale Receipt No. �� WHITE-D.D.S.- .D. ANA Y- SSE SOR PIN -IN PECTOR GOLDENROD -APPLICANT _._�_ _ ___- ___j... �II ��Lvl"d pV h �� ,��G�' 7 County .Rev. 12/96) ASIEss,jo- ►Aece Ad1MR I J • vroviva, t oantornta aatsoo • i emij APPLICATION AND PERMIT q FT. BUILDING PERMIT OCC. BUILDING_VAI IIUT,I= CONOTRUCTON LENDER PERMIT FEE S ELECTRICAL PERMIT Fireplace Main Service cow OR LiEr.9 200" OR ups LENDER'S LVAM ADDRESS Total Valuation is 200A TO t000A 46.00 ARCNrrEcr OR ENOINEFA ucENGE No. Filing Fee S 20.00 Permit Fee S AAcwtcT on ENOHEEEA7 MACHO ADDRESS on 4 Plan Checking Fee S euaDwoAooREss Energy Plan Checking Fee ti S PERMIT FEE S LOT Ngo. sueavecHswue PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other �PECIv Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent • 0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ instalation ❑ Other ❑ /1 /� I� Describe Work: � _12-6 y I Gas piping system t - 5 outle 15.00 Building sewer 15.00 Mobile Home S G W (g?20.00 Ex. Occup. ouTW oR FKr-R= PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service cow OR LiEr.9 200" OR ups 23.00 Main Service 200A TO t000A 46.00 NEW CONST, owaiP+o occur. oR ADONs. s Ace. ars. 3.5CS Q7.50 Ex. Occup. ouTW oR FKr-R= &Z ' :ao Ex. Occup. v�Ts oro a 5.00 Temporary Service 3.00 Mobile Home Facilities 20.00 Misc. Wiri 23.00 I PERMIT FEE $ 1 MECHANICAL PERMIT Fling Fee 20.00 Hood I 1 6.501 1 PE FEE I S Moble Home Instalt6in Fee S Energy Inspection Fee S occ CONST. TYPE TOTAL FEE $ �1AZ 0. PES YR !1.000 COI 1APICEL0.'. This permit to hereby levied under the appllcnble Provisions of the Butte County Code and/or ReeokidOns to do work indicated above for which fees have been Pald. By Date PERMIT EXPIRES ON Permit#232-84B May Kniess ��-,._ �� J�'�.. � i� 8� ,► 4�.s�� Lir, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT -NO. 7 County Center Drive - Oroville, California 959E5 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONINGf k BUILDING PERMIT OWNER •� TELEPHONE I SQ. FT. OCC. BUILDING VALUATION i OWNER'S MAILING ADDRESS CONTRACTOR'S NAME .J TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 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 FiIirig Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE Building sewer 5.00 SF ❑ Duplex ❑ Mobi lehome ❑ Other Mobile Home I S I G JW 1 10.00 e SPECIFY TYPE OF WORK Permit Fee $ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other E]-. Contractor Describe work: ►' '� ) 7 ! { f * �' I — ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.& 2th2sgft CONTRACTORS LICENSE LAW OR ADDNS. l ACC. BLDGS. NEW CONSTR ULTI.OUTLET 2.SOea I declare under penalty of perjury (check one): NON-RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS & ( ❑ I licensed of Chapt. 9, Div. 3 of the Business20es0e NON•RESID. SINGLE OUTLET CIR. am under provisions I OR FIXTURES eAL@3o Ex. Occup(o XED and Professions Code and m license is in full force and effect. y AA PPLNSOR License No. Classification I FIXED Ex. OCCUp. OUTLETS (RESID.). EA.) `` 2.00 ❑ I, as the owner, or my employees with wages as their sole compen- Temporary service 10.00 sation, will do the work,and the structure is not intended or offered Mobile Home Facilities 15.00 for sale. (Sec. 7044) Misc. Wiring 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code Permit Fee $ for this reason Contractor MECHANICAL PERMIT FiIirig Fee 10.00 i WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Heating ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department Cooling a Certificate of Workmen's Compensation Insurance or a Certificate Hood 3.00 of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject Ventilation to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ 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. TOTAL PERMIT FEE $ In r� I also agree to save, indemnify and keep harmless the County of Butte against OCCUP, GROUP TYPE OF CONST. PARCEL PD NO ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue I I I against said County in consequence of the granting of this permit. This permit is hereby issued under the applicable provi- X Date sions of the Butte County Code and/or resolutions to do Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. By Date' 1 r Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date I1 a M COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/5541 APPLICATION AND, PERMIT PERMIT NO. 3 - ASSESSOR PARCEL NUMBER D' S —C�-CIU —() zON BUILDING PERMIT OWNSTELEPHONE ✓� 7' ,SQ. FT. OCC, BUILDING VALUA ION OWNER'S MAI LI A REst e CONTRA TO 'S NAME• TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ZZ1010 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ a BUILDING A,DDgESS `oLJiQ_�CY_ 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 ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10-00e TYPE OF WORK New F-1 Addition❑--) Remodel] Utilitigs.❑ Installatign❑ Other Describe ork: '� 3."N-LA7 s akp—S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. 21/20sgff CONTRACTORS LICENSE LAW I declare under penalty f perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. Y 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 CONSTR.ULTI.OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &') NON.RESID. SINGLE OUTLET CIR. OR FIXTURES eALeao Ex. Occu / SAL@30 P\o FIXED APP LNS. OR FIXED A Ex. OCCUp. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 /X WORKMEN'S COMPENSATION INSURANCE I deC�p under pe lty of perjury (check one): Q 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 Countyot 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 aga'nst said County in con equence of the granting of this permit. Cr Date I Signature of pplicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -OF ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 40 , OCCUP. GROUP I TYPE OF CONST, I JPARCFLJ PD I HD I SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which PUBLIC BY 2 PERMIT EXPIRES Dale I ^" the applicable provi- resolutions to do fees have been paid. WORKS + Date — cJ 4 `S Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 � « COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major abor and materials for construction of the proposed property improvement es or no) 2. I have have not) 4a,,A,e signed an application for a building perm for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No.' 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Nam Add es Phone Type of Work - J ` 6� Signed: Property Owner Social Se75.6 ity number Date / -T 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.