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078-260-017
6 Gs)J012GE NEWHART f 3238 Oro Bangor Hwy, Oroville P rmit# - - e 679P � (install gas pipin it MH ermit #91 - ^� � 79P(gas piping) n2E) 8 91 78 (� NEWHART, GEORGE & ITHA j CONTR: MARTIN, DAN`, 3238 ORO BANGOR HWY, O LLE RAMP & DECK/MH 4A9,7 01- r , NEWHART, ITHA t , 3238 ORO BANGOR, ;r DEMO STORAGE SHE 01-26 5 NE T, ITHA Q 3238 ORO B OR, OR VILLE NEW STORAGE � 1 d J LEMw M�I� :6 any sewnld se -1 X RESIDENTIAL 036-08-2-007 ---__' 91-378. -"` NEWHART, GEORGE &. I THA j CONTR: MARTIN, DAN j 3238 ORO BANGOR HWY, OROVILLE RAMP & DECK/MH .. f I JOB FINALE Signature J=OK O=Not OK =Not Applicable MOBILE HOMES ' =Not Ready � Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoninq Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L" fL/ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval i 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANY Date DECK OVERS, CARPORTS, GARAGES, (Plans)OK except #'s oni equire men ts-Setbac ks-Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; indows-Doors 7. Electro,-' mg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date /Card B-1 Date Card B-1 Date - / Card B-1 Date Card B-1 Date POOLS (Plans) C514except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness, Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except H's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except tt's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection ---_- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------------- --------------------- -- -19. Shower Pan: Test. First Floor -Tub Access --- - - - -------20.-Test-Tub &---Shower,--Second Floor -Tub Access --------------------------- --------------- 21. Gas Pipe: Size & Anchors ------------------------------------------------------------------------- Date ----------------_Date Card B-1 Date Card B-1 --------------------- ------ ---- --------------- - ------------------------ - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance - Ins. Protection ---------------------------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------ 24.-Size--&-No.-of- Boxes Conductors -Stapled ------------------------------------------------- ---------- 25. Romex Installed Close to Edge of Studs & C.J. ------------- ------------------------------------------------- ------------- 26.- Equip. Ground made-up- wrMech. Fastners-Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size/GFI -------------------- ----------------------------------------------------------- 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size r / ga. Cu or AI 29. Range Circ. r / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ---------------------------------------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ---------- - --------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. - --------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ----------------------- ------------------------------- -- 33. Smoke Detector ------------------------------- -------------------------------------------------- Date Card B-1 Date Card B-1 -------------- ------------------------------------------------------ ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34.--A.-C.- Ducts Insulation & Support --------------------------------------------------------------- 35. Vent Fan; Exhaust above insulation --------------------------------- ---------- 36. Condensate Dram & Overflow: Size & Grade ------ -- ------ - ---- ------------------------------ - _-- -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - - - - - - -- - -- - ------- ----- - .-- 38 Attic Access & Platform if Furnance in Attic ------------- --------------- ------ ----- ------------------------- ----------- Date ..Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils, Proper Material & Anchors - -- ----- ----------_----------------------------- -------- 40. ------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------- -------------------------------- -- --- ---- ------ 41. Bearing Walls over Girders & Floor Nailing -- - - - - -- -- --- --- --------------------------- 42. Draft Stop in Walls (rat proof) ---------- ------ --------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing >iR.gl,e & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --------------- --- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts ------------------------ 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------------------- - Date ______ __Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except 4's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------- --------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection -------- --------------------- ------------- 64. Bedroom Exiting 65.--G.-F. I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------- 67. Stairs & Rails -------------------------- ------------ -- 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. - --------------------- 70. - ------------70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ------ ------------------------- 7 1. -- ---------------------71. Elec. Outlets & Receptacles at Kit. Counter 72. -Garage -Fire Door: Swing -Landing -Closer Duct in -Garage -Damper - -----_73.---------------- 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection -------------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------- ------------ -- -- -- 78. Guard Rails & Deck -Const ruction- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --------------------------------------- -------------- 80. Followinginstld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: -- -- -Yes Planters ❑ Yes ❑ No -------------------- ---- 81. Stucco: Brown -Finish --------- - --- - 82. A.C. Unit: Disconnect. Electrical, Plumbing ------ ------------------------------ --- -- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing - - -- - - ----------- ----------------------------- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House ------------------ - 87. Glass Protection 88. Corrections from Previous Inspections . --- -- - ------- ------------------ ---------------------- 89. Gas Test -Meters Tagged: Gas -Electric _ ... _ _ - - --- -- _ ---------------- ------------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval - -------------------- --- ----------------------- 91. Energy Compliance Certificate -Other Certificates ------ ...----------------------------- ------ -- Date Card B-1 Date Card B-1 ------------ ------- --------------------------------- Date Card B-1 Date Card B-1 -- ----- ---------------------------------- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ER �/ NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, need additional explanation, please contact this office immediately. �%L6-IJ Date Z Inspector r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION; AND PERMIT PERMIT NNOn�%/ s (� ! v ASSESSOR PARCEL NUMBER - 36-082-007 ZONING rt 1 BUILDING PERMIT OWNER GEORGE & ITHA NEWHART TELEPHONE 533-7160 SO. FT. OCC. BUILDING VALUATIO ' 31 217 OWNER'S MAILING ADDRESS 3238 ORO BANGOR WY OROVILLE CONTRACTOR'S NAME DAN MARTIN (707)1894-3375 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3238 ORO BANGOR HWY Permit fee $ 50.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 3 SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[y� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New F Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Descn a work: RAMP & DECK Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 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. 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 CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLOGS. 3.64 sq.ft. NEW CONSTNO N.RESID R. BRANCH CIRCUITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET SIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED PR Ex. Occup. OUTLETS (RESID IEA.) 3.00 Temporary service 15.00 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate0 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. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 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 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- in con equennce of the granting of this permit. X kl, , '' Date /,0 –.23" 91 Si nature of Applicant – Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'f)" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ 50.00 HAz o ' I DFEES I � IMP �- I F D %jfj COF PARCEL PD HD ISS(%E �,// This permit is hereby issued under the sions of the Butte County Code and/or work indicated abov r which fees D ECrV OF PUBLIC By �� P R T EXPIRES Date/a -- 2�- applicable provi- resolutions to do have been paid. WORKS Date ftr' — Receipt No. 101380 p WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT PERMIT N0. f� ASSES R ARCEL NUMBER �7 ' f7 Z VQ ZONI BUILDING PERMIT OWNER TE EPHO E ��dl2�G /7770 SO. FT. OCC. BUILDING VALUATION OW R'S MLING AD RE55 p/L [/j/) s/C��a 2 /��(i � 9 C O,A ACTON'S NAME 1�/� 0 TELEP CO/NNTTRAC/TTOORR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 19 Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 100 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ ' Penalty $ BUILDING AD!5E,S6� �((Vij( y / b k0i ��j6� W Permit fee ; Q , Q PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT 2 I SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 US OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex C] Mobilehome Other Building sewer 15.00 SPECIFY Mobile Home S I G I W 1 615.001 TYPE OF WORK Newer ❑ AdditionRemodel❑utilities Installation❑ Other Permit Fee $ Desscribe work: ioi -1g Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO 1000A1 37.50 -CONTRACTORS LICENSE LAW NEW CONST. / DWELLING OCCUPM 3.64 sq.ft. I declare under penalty of perjury (check one): OR ADONS. l ACC. BLDGS. / NEW CONSTR. ULTI.OUTLET @ 5.00 ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RESID. BRANCH CIRCUITS) IRC ITS POWER APPARATUS e and Professions Code and my license is in full force and effect. SINGLE OUTLET cIR. License No. Classification EX. Occup( OUTLETS OR FIXTURES20@ 761 I, as the owner, or my employees with wages as their sole compen- FIXED APLNS.❑ Ex. Occup. OUTLETS PIRESID IREA.) I 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) Co,_as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 rs. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling ❑ 4 shall not employ any person in any manner so as to become subject Hood 6.50 th o e W. C. laws of California. Ventilation No 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 permit Fee ; 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 Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. Occ CONSTT PE TOTAL FEE -,40,o 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 HAz DFEEEES If F O CDF PARCEL PD H D Iss against said County in consequence of the granting of this permit. `_° I X * Date This permit is hereby issue'd under the applicable provi- si natuA Applicant re of 9 PP - Owner❑ Contractor El ❑ sions of the Butte County Code and/or resolutions to do An OSHA excavations Eve` 5'0" deep and demolition or construct- work indicated above for which fees have been paid. 1Ons ion of StruCtu esrover 3gstioraes in DIRECTOR OF PUBLIC By PERMIT EXPIRES Date WORKS Date Receipt No. 10t300 WHITE-D.P.W.. YELLOW-ASSESDOR, PINK -INSPECTOR. 'GO}DENR°D-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �1 / _ ,/ Permit No. OWNER �v %Zt� t� % /� �A q. No. _ i 7_ —1 Proposed Building Use K- Building Inspector Date 10- o2 �1 At time Of, permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy, Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... District fees paid .............. 14. Sanitation approval from Health Department , , 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When yo ssue the permit, process as follows: Ma' t/o er. Mail to contractor. Tele hon and hold for /j�°� p pickup at � Lv office. Deliver w/inspector. Other Applicy �� �� .Date Copy of .Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —Mai I—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW Th#sL7-^ lan$ asci speoffie ions MOST be ; '4 i J 1 o�j a:, all times and it is txnlawfill �. � I m6 ce • cn� ges or aFltera}ions on sante mitho4 W 15 written pe ssion from the Depart=eat of R><DMA FM & 3L el OT �,od ao�"oes + . V-5 AFJP9056'W 1151 l,'_- �10..r AN i 1t 0 1 I 3l ' eel. ek' t ' i d,0 ' o B �} tl Wb ;i ' _ 1 f L A I FRO JAI A i W. VD4 V I i 2 f , � y , ' � .. _ --• .moi � I q TV e. S W" 225 8 e) (N + � � N 9T•j9'1/ /2I66►�S 2? � 1 o � p,P • td !26 26 /$} 110 l 186 Q S fessor S MrsIVO_ �((---- _-. -- " ����_---`- ,rte tiJ,d.-t�.��l3da"i� ►4,iy�' i_.. _ �� -- __� CL ro L • t F (T . iar4 ) W ��o aL-- r d{- �•tii � ` le few4W#-Pd— e CLM rep IX ctA refs �a x b `a—rSri t X4 LO l yk o y clQ6L- " Ye►) CL QY. _•__.. ..-..- _ .--_.._ � 0 CSC cl ZX jf aCt41C� `` t����` Ov Lac bot,'4'S�'0 G� cvf w- l'1 ec'yu�c. c ryTo ', e • (-r p .) �T _,,�� !�` P- '�—~-- 9/7 y 3 'Z 3rS Oe1/54,v6ae ' ' �.�/ mow,✓ :� z _e COUNTY OF BUTTE °' — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive /- Or Ville, California 95965 ' Telephone: 534541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for innsiospection purposes. -7 Signature of Permitee or Agent y L bO Raroint kin I 6 ) L+Lr � t• r White-D.P.W. — Yellow-Ass"soar Pink -Inspector — Goldenrod -Applicant 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. IRECT `OF PUBLIC WORKS Bylid Date Q fv `1 Building permitrexpires Date//��J BUILDING OwnerT r L � U- 4A /-1 SQ. FT. OCC. BUILDING VALUATION Mailing Address Z 'j �,Q o; A w t / U /G ✓l i�>r Teleph e No. S 3 1— -7 I GC) Contractor � „„r.. Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Z '' f `� 4 + Plan Checking Fee &/orPenalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 / Repair drainage or vent piping 1.50 A. P. No. G 2 " % 1 ZoninVg& P11unning Water piping 1.50 �' v Each gas water heater or vent 1.50 , S s SImUat' Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 _A1.dge R4Gns.R4ee:d Parcel Aproval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Lawn sprinkler system 2.00 frf Permit Fee $ i$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000 AMP ORV OR SL_SS5.00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 4� n - Main service OVER soovOR LESS 25,00 100 AMP Main service EA. ADD•L 100 AMP 1.00 ci NEW CONST. DWELLING OcCUP. S1 22S ft OR A DNS. % ACC. BLDGS. / q CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. (MULTI.OU L T NON.RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUI)(OUTLETS OR FIXTURES g L 10 09 Ex. OCcup.(OUTLETSP(RESID)FIXED ALNS.REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL N04 @ I FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. awl 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 Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction. and hereby Land Development Fee $ TOTAL PERMIT FEE =-'"' $ authorize representatives of the County of Butte to enter upon the above-mentioned property for innsiospection purposes. -7 Signature of Permitee or Agent y L bO Raroint kin I 6 ) L+Lr � t• r White-D.P.W. — Yellow-Ass"soar Pink -Inspector — Goldenrod -Applicant 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. IRECT `OF PUBLIC WORKS Bylid Date Q fv `1 Building permitrexpires Date//��J • COUNTY OF,BUTTE — DEPARTMENT OF PUBLIC WORKS " 7 County Center Drive - Oroville, California 95965 /j Tel eph`one: 534-4541 /1-2 -� APPLICATION AND PERMIT BUILDING O n rSQ. 0 r ,. FT. OCC. BUILDING VALUATION Mailing Address 2 _N 50, w „ to 1/-) Telep a No. t G© Contractor . Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty $ Permit Fee IJ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 vV Each TraD 1.50 Ove• `P Repair drainage or vent piping 1.50 A. P. No. '� 6•-• 0 F Zonih`"8 Punning Water piping 1.50 Each gas water heater or vent 1.50 Fees Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 J_,5-0 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet 30 Building sewer 5.00 Parcel Approval Plans Approval Lawn sprinkler system 2.00 160 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® �= Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LSS Main service 100 AMP ORELESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 - f• Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 f, NEW CONST. ( DWELLING OC Cup- Y� 20sgft OR ACDNS. ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. (MULTI.OUTL T NON.RESID ` BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS .&, NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXT11RES a IP � FIXED LNS. Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 [311'am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 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. X J4.2 kezt4 .�il� Date - 07 ;?' Signature of Permitee or Agent �S3��g b'� Receipt No. White-D.P.W. - Yellow -Ass Ai:9Pin -Inspe for - Golden od-Applicant Land Development Fee $ _ TOTAL PERMIT FEE � $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above r which fees have been paid. IRECT OF PUEJLIC WORKS ByD`a�te Ip Building permit expires Date �/ r c� Ili ■ 00 a� PTN. SEC. 12, T. 19N. R. 4E. M.D.B. &M. t1 o O 75AC .31Ac , s" 2 MOONSHINE THE BUTTES PH. 1, 135 M.O.R. 48/51, 11-15-1994 3 4Ac0 N COURT M&O, s� 41 3 43Ac 76.37 410 O 39 THE BUTTES PHASE I N00°23'00'W 36-82 4,a 2 0 A 3E .34Ac 38 t X00 � ORNE Butte County Assessor's Map Book 36, Page 82 40 NOTE• These parceh are for assessment pwposes only and "M not constitute legal parcels. ?j Z-3 �Flals eC- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drivel — Qroville, California 95965 .r. Telephone: 5,14-4541 APPLICATION AND PERMIT O n Mailing Address < ^ Or N yr /,a Telepho No. � Contractor r„ Mai I i ng Address Telephone No. Building Address `w A. P. No. 3 c Zon ,8. donning F\Vs I Otis. 4v,+W Fire Dept. FireZone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration p p BldgR d Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ^1 Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the _name style of: License No. Classification ©.1 am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ©I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. 1 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. n X\ , iTl�ct-ik"f.4j Date -dal-7 Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING SQ. FT. OCC. BUILDING VALUATION Fireplace $ el —�v Total Valuation @ FEE PERMIT FILING FEE Permit Fee Main service 1000V OR LE 0 AMP ORLESS5.00 Plan Checking Fee &/or Penalty Main service EA. ADD -L 100 AMP Permit Fee Main service OVER 100 100 AMP OR LESS PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 c- r.. Each Trap 1.50 MULTI -OU L T BRANCH CIRCUITS Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 -5 outlets 1.50 />> U Each additional outlet .30 Building sewer 5.00 IG,cyO Lawn sprinkler system 2.00 Permit Fee $ el —�v ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000V OR LE 0 AMP ORLESS5.00 Main service EA. ADD -L 100 AMP 2.50 Main service OVER 100 100 AMP OR LESS 25,00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST'( OR ADDNS. DWELLING OCCUP. s) ACC. BLDGS. 22sgft NEWCONSTR. un"_awsrn- MULTI -OU L T BRANCH CIRCUITS 2.50ea EX. OCCUp OUTLETS OR FIXTIiRESgA�,@1C EX. OCCU FIXED APPLNS, OR P•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE is /Y fes, 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. IRE OF PUBLIC WORKS i Ll Date a w Building permit expires Date 2//ro .. , COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oralcille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 9/l -- AA authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date - Z� - Signature of Permiteeor Agent Receipt No. 196QZZA White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 1 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. IRE R OF P BLIC WORKS Date9a Building permit expires Date BUILDING PuJ SQ. FT. OCC. BUILDING VALU 10 Mailing Address V� w r"Q V t Vo Telepho No. Contractor 1�,Q,Y.. Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address '3 Z2_ © -� vvar W Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3`.dU Each Trap 1.50 Repair drainage or vent piping 1.50 pf A. P. No. 3 b b�i �` a- Zona—arming Water piping 1.50 Each gas water heater or vent 1.50 F s -N-3. 6errirt is I Fire Dept. Fire Zone I Use Permit Gas piping system 1 - 5 outlets 1.50 1.0 O EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 )4,CGt1 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ ` ►S'v $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0V OR L Main service 1000 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Rr Others ❑ Main service EA. ADD -L too AMP 2.50 OVER Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. / DWELLING OCCUP. 51) 2P Sq ft OR ADDNS. 1 ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS 12.5.0ea NEW CONSTR. POWER APPARATUS 11 NON.RESID. SINGLE OUTLET CIR. Ex. Occuo{OUTLETS OR FIXTIIRES B �@1 Ex. Occup. (FIXED ALNS OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification 51 am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. , ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. —ffcertify 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 Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ p authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date - Z� - Signature of Permiteeor Agent Receipt No. 196QZZA White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 1 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. IRE R OF P BLIC WORKS Date9a Building permit expires Date TO Buildina Department FROM: Environmental Health. SUBJECT: Sanitation Clearance o- &/C. -3,22F 0� A� �r 34 - g-�-6202 Cz Owner Location T AP# Plan Approved for: Sewaqe Disposal _ / Water Supply Hold final for: Final clearance O.R. for: 1 ra bedroommobile one. W NOTE * * * Water Supply Water Supply Other � Efaf e Sanitarian COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 3(7 7 County Center Drive — Orovi lie, California 95965 z, Telephone: 534-4541 DV APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 3 `*** r ( J �✓ �� Xt=/ Signature ofPermiteeorrAgent Receipt No.---- White-D.P.W — Yellow -Assessor — Pinl[-Inspector — Goldenrod -Applicant 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 BIL61dirtg permit expires Date Date BUILDING Tjy Dwn r �v(1 •�--v r?• r F'� .Oi W N .G_./` __ SO. FT. OCC. BUILDING VALUATION — -- Mailing Address E Telepha a No. Contractor VA, \ iJ Mailing Address — — Fireplace Total Valuation Telephone No. Permit Fee _ BuildingAddress /'i I,Permit ©r' s /��y` '' i \ Plan Checking Fee &/or Penalty Fee $ PLUMBING No.1 @ FEE - PERMIT FILING FEE $3.00 v;.) Each Trap 1.50 ✓I p Repair drainage or vent piping 1.50 A. P. No. �.' -i Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 �F�es Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W1 . Improvement:: Each additional outlet 30 ' Building sewer 5.00 �d Parcel Approval _ Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ -? ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS — — Single Family 1' Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L loo AMP 2.50 _ �-: A, t. tCi����• C,t, C?_ •• 1'9 OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 �i NEW CONST. ( DWELLING OCCUP. ]) 2¢sgft OR ADONS. ACC, SLOGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTI -OUTLET NON-RESID, ( BRANCH CIRCUITS_) 12.50ea NEW CONST (POWER APPARATUS a� NON . RES ID. SINGLE OUTLET CIR. Ex. OCcuo(OUTLETS OR FIXTI1RES 150@ IBAL@1o: FIXED APLN5 Ex. Occup.( OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6_.25 License No._ Classification r I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ _ I certify that I have read this application and state that the aboveLand information is correct. I agree to comply to all County Ordinances ...a c..,.� i olor:.,., rn h„ilriinn rnnctnictinn and hPrl?hv Development Fee S - TOTAL PERMIT FEE -.___ — $ V authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 3 `*** r ( J �✓ �� Xt=/ Signature ofPermiteeorrAgent Receipt No.---- White-D.P.W — Yellow -Assessor — Pinl[-Inspector — Goldenrod -Applicant 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 BIL61dirtg permit expires Date Date is!� .. .Ss� _ �, r • � � - _ — - — -- -• �- — .... .... o � ,,, - � �„ ' � . il�r ..t.#>.�r ,�gwtn- �w '. .a � ��k� 4� ^I..� :V '_�..~ •'-°.T � "'" .. L- '" wy''�,.i. ': ���M'. �1� ,�.. -i...- �' ,`i'.� ,yr •,. �•t ,'i _`.:�s. � .� pp i N I low a` O 000 ry ' � r �� 00 A 9 rS 4� I No, ice;' '3 t I I � f cpID " 01112.12 ------------------------ --- ------------------------------------- * 6� lt3-_'Cl . +7�id -.301dc ,�3lhl- N I ldUW WO.ZiJ 4. ...���,.l 1. .mow .�.Y-"'�F .. ... ". •$,tea Y`��,•Y �..i"�vf v '4�• .. r.. ...v • .rc y+� ' 036-082-007 01-2696 NEWHART, ITHA 3238 ORO BANGOR, OROVILLE DEMO STORAGE SHED e . t y �Y 1 I t l/ l 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 01-26% ASSESSORP —W7 ZONING BUILDING PERMIT OWNER Tom` L WHA T TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S IWNGADD- DAL�W J440 VKO D! GOR AMl V�VV.LW 4576 CONTRACTOR'$$. NAME :INiti? TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee $ BUILDING AD 3,938 ORO BANGOR HVnL OROVIM .7v Energy Plan Checking Fee $ $ PERMIT FEE $ 35,0Q LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE • SF ❑ Duplex ❑ Mobilehome I] Other SPECIFY Each Trap 7.0023.00 Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 61 Describe Work: DM S7MGE SM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W H)20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service p 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.POWER License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: El' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00so CCU000A NEW CONST. DWQLINO OCCUP. OR ADDOONS• ( 11 3.5QF°: MUAiTCou�TLS. NON-R61D. @7.50 APPARATUS 8 31NGLE OUTLET CUR. Ex. Occu OUTLET OR FIXTURES BA20 L ® I.00 so Ex. Occup. oFucLI E°�A R9 °R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 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. ❑ 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 FEt 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X X , /L2f _ %(w a1.. /l d It _ Date ,f� �' •:.1 - e3 / _ Signature of Applicant - EI 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 $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD CDF PARCELPD HD ISSUE x This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By l PERMIT EXPIRES,ON / the applicable provisions Resolutions to do work been paid. Date Q;' '�' 90 Receipt No. 336723/$35.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .., S " BOUNTY 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 01-2696 ASSESSOR PIM -007 ZONING BUILDING PERMIT OWNER ITHA NEWHART TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS mAITI O BANGOR HWY, OROVILLE 95966 CONTRACTOR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILOINGAD 3238 ORO BANGOR HWY, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IS 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 ❑ Ulilibes ❑ Installation ❑ Other CK Describe Work: DEMO STORAGE SHED Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G w 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 400A 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. 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: lel, 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 O Main Service z TO 1000A 46.00 NEW CONST. DWEILNG OCCUP. OR ADONS. ( a ACC. S. SO 3.5¢FT: N"ONEW RESID MULTI -OUTLET 97.50 POr APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET oRPD(TUREs 20@'•0° BAL- o .50 Ex. Occup. oU71EDTSPR .) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit Is for work of a valuation of one hundred dollars ($100) or less.) 121`1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^ X iii _ Date % e� e2 - D Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL PO HD S E This permit is hereby Issued under the applicable provi ons of the Butte unty Code and/or Resolutions to do work indicated ab a for which fees have been paid. LL Dater" PERMIT EXPIRE ON Na ReceiptNo. 33672-11$39-00 WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0'.)UNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 Rev. 12/96) APPLICATION AND PERMIT O PERMIT NO. ASSESSORPARCELNUMSM ZONING Q��/J^(d��� "OQ BUILDING PERMIT OWNER R l.- W TEL[D/10N! SQ• FT• OCC. BUILDING VALUATION OWNERS ►MR1,3 ADORF98 _ CONTRACTORS MAIJNp ADDRE98 Fire lace 10 o I•00 CONSTRUCTION LENDER . LENDERS MAILING ADDRESS SAL W Total Valuation E G ARCHITECT OR ENGINEER Temporary Service LICENSE NO. Filing Fee Permit Fee y $ ARCMTECT OR ENONEERS MARJNO ADDRESS Plan Checkin Fee $ BUILDING ADD RES G O O( Energy Plan Checking Fee PERMIT FEE E S _ • .OT NO. SUegyagN'SNME PARCEL MAP PLUMBING PERMIT Each Trap USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome O Other Solar or heat pump water heater ePEcsv Water piping Each gas water heater or vent TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities O Installation O Other ❑ Gas pi Ing system 1 - 5 outlets Building sewer Describe Work: ��m� /� Js �nr p Mobile Home S G W I PERMIT FEE ELECTRICAL PERMIT Main S)NICe '"*I OR LESS 700A OR LESS Main Service ( 200A TO 1000A 1 *PERAIIIT FEE Pulp SRA • SHERIFF OTHER AAIIOVNT RECEXV to S *RECE=PT NVMM 2.�(a�23 * TO Be PVT INTO CORA im 20.00 L � Lu 20.00 7.00 23.00 15.00 15.00 15.00 1 5.00 020.00 ng Fee 20.00 23.00 46.00 3.501'. @7,50 Ex. OCCu OUTLET OR FDCMIES 10 o I•00 Ex. Occu R ETS�ESID SEA SAL W G 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE I t MECHANICAL PERMIT Fling Fee 20.00 Heatina 6.50 PERMIT FEE I i Mobile Home Installation Fee b Energy Inspection Fee S OCC CONST. TYPE TOTAL FEE $ A--. NAZ• D. FEES IMP FLOOD CDf PARCEL 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 PERMIT EXPIRES ON Date COUNTY OF BUTTE Oroville, Califomia GENERAL CLAIM CLAIMANT: ITHA NEWHART ADDRESS: 3238 ORO BANGOR HWY. CITY & STATE: OROVILLE, CA 95966 DATE OF CLAIM: 11-05-01 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT - SEE INSTRUCTIONS ON REVERSE SIDE 'ATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER DECIDED NOT TO BUILD DUE TO FLOOD ZONE. AP# 036-082-007, BP# 01-2 95, RECEITTV 336722 DATED: 10-22-01. OWNER: ITHA NEWHART TOTAL AMOUNT PAID: 106. 00 RETAIN REFUND PROCESSING FEE:. 25. 00 RETAIN BUILDING PERMIT FILING FEE: 20. 00 TOTAL AMOUNT RETAINED: 45. 00 TOTAL AMOUNT TO BE REFUNDED: TOTAL ns undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is VW I correct as stated. a7 ted this day of jC , 196'/ , at =V h;tL�.�(r��2 , Calif. Signature of Claimant .he undersigned, hereby certify that, to the best of my knowledge, theservices or art( specified abo n performed or dellvvan ed d it there is a Budget Appropriation I I or Specific Board Approval I I (Check one) for e ted this 05 day of NOV , t 9_21 at OROVILLE , Calif. Dep4rtment Head or Authorized Deputy :Pt. Code 440-002 Exp. Code 4210500 PAYABLE FROLI R(TTT.nTNC, PFRMTTS FOND !pt. Code Exp. Code PAYABLE FROM FUN !pt Code Exp. Code PAYABLE FROM RUN DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. I PROJ. I SUB. OBJ. I CLAIM NO. I INV. NO. I INV. DATE I ENCUMB. I GROSS AMT. I . i CLAIMANT.'&NAME raw.. MING -ADDRESS REFUND CLAIM APPLICATION ASSE$SQRPARCEL EE �EI.PT NUMBER(S)� Request a refund of fees paid on the above receipt number(s) for the following reasons: A . n ,f A -A— A %- A I JI _ A— Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) ( ) Building Permit Fees ( ) SRA Fees (CDF Fire Planning) Disposition -of -Plans- ( ) Plans returned to me at counter ( ) Sheriff Fees ( ) Urban Area Fees ( ) Please mail plans to me at above address. ( ) Please dispose of plans. DATE- -- PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. f � , FOR BUILDING DIVISION USE. Receipt Information: / Number: Date: 2) / Issuect: 0, Amou 106-00 Fees Retained:\ `Processing Fee: $ /Bldg Filing Fee: $ (9, 0 Plbg Filing Fee: $ Elec Filing Fee: $ Mech Filing Fee: $ Energy PIC Fee: $ Plan Check Fee: $ Inspection Fee: $ SRA Fee: $ N Y Total Amount Retained $�� f' TOTAL REFUND DUE $ f- n\ lok7 . (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT 01-2695 PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fills Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING 3238 ORO BANGOR HWY, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 6 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 EX Describe Work: 1 2X16 STORAGE SHED Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A 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. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f r the following reason: vl, 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. DWEwNG OR ADONS. ( 8 ACC. BLDS.OCCUP. SO 3.50FT. =R.Io MULTI.OUTLET @7.50 vowER APPARATUS 6 SINGLE OUTLET UC SIR. EX. Occup. OUTLET OR FDRURES .00 BAL @ 1.w Ex. Occup. o� °s RM .) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) �I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D FE IMP I FLOOD I CDF PARCEL PD HO ssUE 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 ate ReceiptNo. 336722/$106.00 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 ,ev.12/9i3) APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMM � ZONING BUILDING PERMIT OWNER TELIPNONE e SQ. FT. OCC. BUILDING VALUATION owivtns MA ADDRESS /� "PERAAIT FEE PA1b SRA - - SHERIFF OTHER AMOUNT RECEIVEb s "RECEIPT NV11AM I (� 9 Z� " TO 0E PVT INTO COMM PERMIT FEE 1 $ ELECTRICAL PERMIT Fling Fee 20.00 Mein Service on LES CONTRACTORS MAtINO ADDRESS 5.00 z�o°o�A 23.00 CONSTRUCTION LENDER . 200A TO 1000A 48.00 NEW CONST, OR ADDNS. LENDERS MAILING ADDRESS Fireplace NOH-RESID. MULTFOLRLET ARCNRECr OR ENGINEER Total Valuatlon FC.() LICENSE NO. AACNRECr OR ENOMAILINGEFA9 MAILING ADDRESS Flin Fee $ 20.00 Permit Fee S G J OULDwG An O Plan CheckingFee S •� r Energy Plan Checking Fee E S .OTNO. SURMODN'SN1ME PARCEL MAP PERMIT FEE $ of PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 SF ❑ Duplex O Mobilehome E3 Other Solar or heat um water heater 23.00 eFy Water Piping 15.00 TYPE OF WORK Each gas water heater or vent 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other (3i Gas in stem 1 - 5 outlets 15.00 )� Building sewer 15.00 Describe Work: X /.(.•, (/��P c�' Mobile Home S G W (920.00 "PERAAIT FEE PA1b SRA - - SHERIFF OTHER AMOUNT RECEIVEb s "RECEIPT NV11AM I (� 9 Z� " TO 0E PVT INTO COMM PERMIT FEE 1 $ ELECTRICAL PERMIT Fling Fee 20.00 Mein Service on LES OUTLETS (R D DFA 5.00 z�o°o�A 23.00 Main Service 200A TO 1000A 48.00 NEW CONST, OR ADDNS. DWEUM OCCUP. i ACC. SWS. 3.5Q NOH-RESID. MULTFOLRLET @7.50 Ex. Occup. OUTLET OR Fowrn"A S 20 O I •oo RAL .SO EX. OCCU OUTLETS (R D DFA 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 1 20.00 I Hood 6.50 PERMIT FEt: S Mobile Home Installation Fee $ Energy Inspection Fee $ W_ ITOTAL FEES ` c0 - 10. FEES I IMP I FLQOD CDF I PARCEL IPOI ISSUE This permit is hereby Issued under the applicable pi sions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By PERMIT EXPIRES ON Date 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 O 2. I HAVE O 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 SIGNED: //JJ PROPERTYOWNER: Q" SOCIAL SECURITY NUMBER: DATE: /l� 4 a - �P / 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 I 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 parry 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: ♦ If you 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. I+Micel X�1 Vi iia, C.B.O. uilding Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code - OVER TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.O. 0 ! / 3;8' (10 Baha 34 - 0,41A -ooh Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public /� Private Well Clearance for dwelling. Other /ak I (,4 � ova Ge ��//�/ atN 61mv�kgs Hold final for: Final clearance O.K. for: NOTE: En 8/96 Health Specialist U 3 Date -T--hp S,9 3 R Oe o APP t' Buttc Envi tj \let Uum 1-r SITE- PLAN - ..- -. _ - .. ....\_.................\ ...........-.. • -. •• .. '• .. .. .. •...L-.•-5...... .-.-..�.-...• -- - •.. .........\-. t -.....5.-....•....-._............................ ...... .. .. ..�...............-........... ............. • . •{ i �esfi ,p VA OLr r 3� PLO _ _ � � �. �-r_.....-. .tom . • • CP OECorQo� t` For: - Cry i (Jr�•Ve U3 e.,t� � � an�yt' e� O QPmnk_!_Y_t arN_cA a►cfi�,rr.n� )6 0 dam_ R -- -5-0- SJ1-A- '+2,1 ot . -- - - . . lAssessor's Parcel Number tomer Name Addrmss / Phcr She Location � 0 ] Scale: 1 �Ear.o�c A-4 A M'2 -X a r rs-A FOR OFFICE USE ONLY _ PROVl®E•FORALL ADJACENT PARCELS Zoning:,SIZE (AC): General -Plan Desig: ZONONG: Size, Acres GEN PLAN: U,5ES.: