HomeMy WebLinkAbout078-310-017I
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1 -04 8 4
WEHLE, W I UL I AM ��/ `/W
CONTR:_ - OWNER
OV -.--
257,5 V 6 R D 6R' I 'EL:E'e Q.g -�` O �
KtKUUr 09 Zo I U 1, 11 %2 VD
02-3
HUDSON, DONALD AND B
2575 V6 ROAD, OROIVILLt L
CONT: OWNER
AERobF
040046,*
_lfUDsoN,`,R6NALl6
2574. V-6 RD, OROVILLE,
INFILL BATIJR60'm'/SF
0
HUDSON' �05-1322
2575 V-6 RD, 0kbV
itLE
cont PAULS ELECNE W %!,
100 AMP'ME'TER'-
1'%3) OS
EMM
r.
NOTES, RESIDENTIAL
P RNLI 0.—,.-014 OS -1322
036-101 .7_
' � , • , HUDSON
2575 V-6 RD, OROVILLE
Cont: PAULS ELEC
i NEW 100 AMP METER
+ ._�
1 r
OFFICE t,COPY
Address L.7 I/ Ra
® � t le -
GAS
-GAS
• •, Meter By Dater
ELECTRIC
t Meter By Date }
` SPECIAL CONDITIONS
CHECKED
• BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS -REQ.
r SPECIAL INSPECTION ITEMS
' VERIFY
USE PERMIT CONDITIONS
S SUB -STANDARD HOUSING LETTER'
JOB FINALED (Date)
' Signature
J=OK
o = Not OK
"= Not Ready ble
®BIDE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft:
/ P Nat. or/ /" L "ft1 P 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
8. Gas and Electricity Tagged .
9. Tie Downs -Type -Installation Cert.
•10. Exits; Insp.-Sketch
11. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Cana B-1 Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Blocking
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water, MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify #'s with Office ,
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg- Frg- Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmq.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
5. 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 Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
-4=OK
0 = Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
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 -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
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 #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fre Sprinkler, Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes O No
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Botts
61. Brace Interior/Exterior Wall Panels
52. Insulation -Walls -Ceilings
63. Infiftration-Walls-Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door, Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Meth. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
83. Following InstldJDrive O Yes O No/Walks O Yes O No/Ranters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
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:
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Fumace-Vent Access -Comb. Aft-Retum Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Botts
61. Brace Interior/Exterior Wall Panels
52. Insulation -Walls -Ceilings
63. Infiftration-Walls-Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door, Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Meth. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
83. Following InstldJDrive O Yes O No/Walks O Yes O No/Ranters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
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:
Z'
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP051322
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS 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
Issued Date: 05/19/2005 APN: 036-101-014-000
the Business and Professions Code, and my license is in full force and
effect. i
Number:=?� lr
License Class : —• • ense - (, �C� —
Site Address: 2575 V-6 RD ORO
Date: Contractor: IJ,I �t `S--4-�--1
Map Index:
Description: new 100 amp service
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: HUDSON BARBARA A &RONALD F
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 pursuant to the provisions of
2820 MYERS ST
the Contractor's State License Law (Chapter 9 commencing with Section
OROVILLE, CA
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
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: PAUL'S ELECTRIC
owner of property who builds or improves thereon, and who does
PP
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
625 MISSION OLIVE RD
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
OROVILLE, CA 95966
proving that he or she did not build or improve for the purpose of
530-5.89-4100
sale.).
O 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
Contractor: PAUL'S ELECTRIC
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
625 MISSION OLIVE RD
OROVILLE, CA 95966
Date: Owner:
530-589-4100
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #: 376492
❑ 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.
Architect:
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy#:
•Valuation: $0.00
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
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.
iJ
oo
Date:
1
Applicant:_
l
WARNING: Failure to secure workers' compensation 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 permit is hpp6by issue undo the ap licable rovisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions do work i cat abov fo whit fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
BY Date:
Name:
PERMIT EXPIRES ON:
Address:
Dale
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
O .Notification in accordance with Section 18627.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
O 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 I am the own a 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 ante of anyo ficial form or document of Butte County. 1 hereby
Authorize representatives of Butte County to enter upon the above mentioned property for Ins ction purposes.
Print Name: T �U.L lLT1��'�C�Z-� Signature:
Date:
.O Owner ntractor ❑ Agent for Owner ❑ Agent for Contractor
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERWT NO.
(Rev.12/96) APPLICATION AND PERMIT Oq- b0
ASSESSOR PARCEL NUMBER
036-101-014
ZONING
BUILDING PERMIT
OWNER
HUDSON RONALD
TELEPHONE
990-2199
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
2820 MYERS ST. OROVIDLLE 95966
CONTRACTOR'S 7LVl:,L\N7AMMEE�
O W
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee
$ 20.00
—Filing
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
2574 V-6 RD
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDNISIOWS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: BA MM/ TT�FILL)
1T IZ
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service "."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.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
=,t I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
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 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
fo wit comply wit those - rovisions.
C� �(
Date ` 1
Ja'At,re of ca 9 Owner ❑Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO IOooA
46.00
NEW CONST. OW
,NG OCS. sO
OR ADDNS. ( s ACC. BLDS. 3.5¢FT.
NO gESID MULTI.OU CUILE97,50
TS
POWER APPARATUS
a SINGLE OUTLET cIR.
00
EX. OCCu OUTLET OR FIXTURES eAL @ I 0
Ex. Occup. ouTLEEDTSWRES.SID)OEA 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
I D FEES IMP
I FLOOD
I CDF
PARCEL
PD
HD
ISSUE
This permit is hereby Issued under
of the Butte County Code and/or
indicated bove for whic s have
B
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
��—'
Date
Receipt No. 00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION P Rm
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
(Rev.12/95) APPLICATION AND PERMIT
y I ZONING BUILDING PERMIT
ASSESSOR PARCEL NUMBER j
TELEPHONE SO. FT. OCC. BUILDING VALUATION
OWNERS uZuNG ADDRESS.. ... f` I 1.. / '� _i JiL/J_ �% CA/ I� _ /1n�n C I �d �.c U
CONSTRUCTION LENDER
LENDER'S MNLING ADDRESS
ARC 4UECT OR ENWNEER
ARCNRECT OR ENGINEERS NAILING ADDRESS
BUILOWG ADDAW
0
LOT NO. I SUBDU SIDNS NAME
MAP
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other SPMFY
TYPE OF WORK
New ❑ Addition 0 Remodel In/U irfies ❑ Instalation ❑ Other ❑ -
Describe Work-
PERMIT
ork
PERMIT FEE PAID
SRA
SHERIFF
OTHER
L L I �v
AMOUNT RECEIVED $ (�l • `�
DATEI�IVED - 9-0
NO.
Total Valuation $
PERMIT FEE
c °
ELECTRICAL PERMIT
Filin Fee
$
20 910 A OR LESS
20.00
Permit Fee
$
GG
NEW CONST.
Plan Checking Fee
$
OR ADDNS.
s ACC. BIOS.
Energy Plan Checking Fee
$
$
PERMIT FEE
Sq,2.
CA
PLUMBING PERMIT
Firing Peel
20.00
Each Trap
7.00
I Q4
Solar or heat pump water heater
23.00
Water piping
f
15.00
v
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
14-, -a
Mobile Home I S 1 131 W
@20.00
Ex. Occu OUTLET OR FD(TURES
PERMIT FEE
S "a
ELECTRICAL PERMIT
Firing Fee 20.00
Main Service
20 910 A OR LESS
23.00
Main Service
"GA TO IOWA
45.00
NEW CONST.
OWELUNG OCCUP.
3.SQ F7
OR ADDNS.
s ACC. BIOS.
Ex. Occu OUTLET OR FD(TURES
SAL @ .50
Fix OCcu Dvnt�s QID °EA
5.00
Temporary Service
23.00
Moble Home Facilities
20.00
I- PERMIT FEE I $ vo
MECHANICAL PERMIT Firing Fee L 20.00
Hood 11 6.501
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
c "c CONST. TrPE TOTAL FEESM.-
HAZ 0. FESS LMP FLOOD COF PARC
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
OUR -1
OWNER-BUII,DER 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 -0 NO ❑
2. I HAVE J. 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. 1 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:
PROPI+ RTYOWNER: 0
SOCIAL SECURITY NUMBER:
DATE:
NOTE: This Owner -Builder Verification rs 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.
• '_
f
I OWNER BUELDER INFORIWIATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord 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 Stats 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-
Ifyou 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.
0 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 ifyou 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.
rely,
Mic 1 C. Vi irk C.B.O.
M ger, Building Inspection
NOTE: Thu Owner-Buildertnformadon is required by Section 19830 of the California Health and Safety Code
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovlller Callfornla 95965 - Telephone: 916/538.7541
APPLICATION AND PERMIT
PERMIT
A33E S R PARCEL NUMBER
036-101-014
ZONING -1
AR 2
BUILDING PERMIT
OWNER
WIMT M WEHU
TELEPHONE
888-8339
SO. FT, OCG`, BUILDING VALUATION
2 SQ 720
OWNER'S MAILING ADDRESS
11280 LORENSON ROAD AUBURN 95603
EST 1 200
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUC TI'O'`NN L''iE,'ND ER
UNKNOWN
Total Valuation $ 1.920
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ .57.00
ARCHITECT OR ENGINEER
LICENP3 I- NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT ORREENGINEER'S MAILING ADDRESS -
Penalty
$
BUILDING ADDRESS
2575 V-6 ROAD
Permit fee
$ 72.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water I In
piping
7.00
Each qas water heater or vent
7.00
��USE OF STRUCTURE
SF [7 Duplex❑ Mobilehome❑ 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 F71 Addition❑ Remodel❑ Utilities❑ Installation❑ ether
Describe work: REROOF OMP. AND TT -111 SIMG _
Permit Fee
S
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.5Q...
Main service 200A TO 1o00A1
37- ,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 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
rEx.
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 OCCUP.h\
OR ACDNS. \ACC. BLDGS. /
3.64 sq.ft.
NEW CONSTR"ULT'-OUTLET
NON-RESID BRANCH CIRCUITS
5.00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(oUTLETS OR FIXTURES
20 76
Occup. OUT OUTLETS PIRESID IREA.�
I .3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. �Yirin 9
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 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.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
g
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 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
again t s�idounty in consjquence of the granting of this per%it.,
X I I ---- f f 1.1 Date J i I / ' { !
of Applicant Applicant Owner�Contractcr ❑❑ 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 $
Ener Inspection Fee $
9Y P
occ
CONST TYPE
TOTAL FEE $ 72.00
HAz
I DFEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
I ISr4U
This permit is hereby issued under the
sions utte County Code and/or
wod ab v or which eA.
F PUB
sio11EXPIRES
B {
P Date
applicable provi-
resolutions to do
ave been paid.
/ORKS
Da e
C'
Receipt No. 101173 72.00
WHITE -D. r. W.. YELLOW-A33E330R, PINK -INSPECTOR, GOLDENROD -APPLICANT
i'i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, Callfornla 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
MAM
ASSESSOR PARCEL NUMBER
036-101-014
ZONIUG
, AR -
BUILDING PERMIT
OWNER -
TELEPHONE
888-8339
SQ. FT. OCC. BUILDING VALUATION
COMP 12 SQ 720
OWNER'S MAILING
11280 LORENSON ROAD AUBURN 95603
EST COST 1,200
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
g
$ 15.00
Permit Fee
$ 57.00
ARCHITECT OR ENGINEER
NONE
LICENSE No.
Plan Checking Fee
$
Ener Plan Checking Fee
Energy g
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2575 V-6 ROAD
Permit fee
$ 72.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
7.00 .
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF [2 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home ISI G W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: REROOF CONP. AND T-111 STnTNG _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
18.50
Main service 200A TO 1000A)
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 .Jo. 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 ACDNS. ACC. BLDGS. /
3.64 sq.ft.
NEW CONST R.ULT%-OUTLET
NON.RESID BRANCH CIRC ITS
@ 5.00
(POWER APPARATUS el
%SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76d
Ex. Occup. OUTLETS ((RESID.)REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
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 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.
Contractor
MECHANICAL PERMIT
Filing Fee 1 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
penult 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, co and expenses which may in any way accrue
again t s id ounty in cos u nce of the granting of this per it.
X Date 10 i
Signature of Applicant — Owner 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 S
Ener Inspection Fee $
Energy P
occ
CONST TYPE
TOTAL FEE $ 72.00
HAZ
CI 1:11S
IMP
FLOOD
CDF
PARCEL PD
HD
I�SU
This permit is hereby issued under the
sions a Butte County Code and/or
w in cated ab v or which ee
DI OF PUB
P EXPIRES Date
applicable provi-
resolutions to do
ave been paid.
ORKS
D te� Ll It
(%
Receipt No. 101173 72 (1n
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroviller California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMB R20N1
N
BUILDING PERMIT
OWNER • %
I�• raw Ali e-
TELEPHONE
S>916---1 33
SO. FT. I OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS ll
l L O renis bo rP\ 3
t -1 S 72v
esf_ C.crs ' 2 o
CONTRACTOR'S NAME
TELEPHONE
i
CONTRACTOR'S MAILING ADDRESS
Fireplace j 1
CONSTRUCTION
UNKNOWN
Total Valuation 1S
Filing Fee
2�
g 15.00
LENDER'S MAILING ADDRESS
ARCHITECT OR ENG NEER LICENSE NO.
Permit Fee
Plan Checking Fee
g S od
$
ARCHITECT OR ENGINEER -S MAILING ADDRESS
Energy Plan Checking Fee
S
Penalty
$
BUILDING ADDRESS -� L9�
(
Permit fee
$ t�
PLUMBING PERMIT
FiiingFee j 15.00
Each Trao
5.001
Solar or heat pump water heater
20.001
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water pioind
j 7.001
Each qas water neater or vent
I 7.00
USE OF STRUCTURE
SF Duplex i_ Mobilehome7 Other
SPECIFY
Gas piping system ' - outlets
; 5.00;
Building sewer
1 15.001
Mobile Home I S G , V4 I
@ 15.001 1
TYPE OF WORK
New Additionj� Remodel'^ Utilitiiis, Installation[ Other!
Describe work:
46l T 1 i S (Jtylcl
1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service soon OR L=ss
200A OR LESS
I 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
P Y P I Y (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 ;�o. Classification
_ I, as the owner, or my emplovees with wages as their sole comoen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
l_ 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 :OCA 7-_ 1000A,
I 37.501
NEW -ONS-. � CwEL—:NG CCC:la.y)
OR A&Cr.;S. Ac :. 9LOGs.
IEY+ _o.s-
•dJ�.=�s:o. _-_•.,cam �:ac..:T,
i 13.Seso.rc.i
1 I@ 5.001
r cLa c T E' =:R• i
1 1 I
EX. OCC:.:('?V—LETS OP =iRTURES
=•'t E' =�LuS. •JR
Ex Occ_:. = --_-:=aslD., _A.)
I 1 3.001
Temoorary service
I j 15.00
Mobile Home =3cllit:es
j 15.00
Misc. 'Ninn9
; 15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I Declare under penalty of perjury (check one):
The permit Is for 5100.00 (valuation) or less.
U 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.
_r_l I shall not employ any person in any manner so as to became 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
arovlsions or this permit shall be deemed revoked.
Contracm.,
1
MECHANICAL PERMIT
FiiingFee I 15.00
Heating I
1
i
I
Cooling 1
I
H000 (
; 6.50
Ventilation
Permit Fee
S
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
311 liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
_ Contractor Agent U ---
Signorure of Applicant Owner i
—
An OSHAwork
perms .s required for excavations over 5'0- deep and demolition or construct-
-on of structures over 3 stories in ne,gnt.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ COr,�T rtPE 7�oU
TOTAL FEE I
nA[ UFEESi IMI• i FLOOO iCOP iFKARCEL IPO I n0 I S" I
This permit is hereby issued under the
sions of the Butte County Code and/or
Indicated above for which fees
DIRECTOR OF PUBLIC
By -------caP--'
PERMIT IRFS Tare
applicable provi-
resolutions to do
have been paid.
WORKS I
Date
Receipt No.l V i
COUNTY OF BUTTE - Department of Public Works
7 County Center Drives 9 oville, CA 95965
Phone: 916-538-7541 '.
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
1
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
he proposed property improvement (yes or no) E3
2. I (have/have not) k4rj L '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 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:
Name Address Phone Type of Work
Signed:
Property Owner
Social Secu it Number !
Date 10 ( �1
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 per-
mitted to issue the permit.
r'
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
r 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 � .
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
035-101-014
ZONING
1
BUILDING PERMIT
OWNER
HudC'?
TELEPHONE
S 34-9399
SO. FT. OCC. BUILDING VALUATION
ScIl 790
. OWNER'S MAILING AD KESS
257; t Oacs
.2
CONTy.5WRg-LL?AME
TELEPHONE
' -
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 4 J .00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
2575 V -o '' r^ oS Sf
Energy Plan Checking Fee
$
$
PERMIT FEE
Son
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF di 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: _ k a — �� O O f � 71 C OGl7
?7J_' --h tea— down
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service p A600V 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
La for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
O I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
rheby affirm under penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to self -insure for workers'
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 D e /2 — Z F— D2—
gnature of Applicant - Owner ❑ Contractor Agent
An OSHA permit is require for excavations over 5'0"deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP. s0
OR ADDNS. ( a ACC. sLDs. 3.5¢FT:
NEW pESID BRANCHMULTI-CUTLET 97,50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. OCCU . OUnET OR FIXTURES SAL @ 1.50
Ex. Occup. OUTLETS A�ID.oEX 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Coolincompensation,
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $55. 00
HAZ.
I D. FEES IMP
FLOOD
I CDF
I PARCEL
I PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
ate /
%
I Date
Receipt No. C
WHITE-D.D.S.-B.D. C N -A S R PINK -INSPECTOR GOLDENROD -APPLICANT
(Rev.12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-154 -- PERMIT NO.
APPLICATION AND PERMIT
wsSEssORPATt Nu ER
water heater
ZONING
BUILDING PERMIT
I Fling Feel 20.00
15.00
Each es water
ater or vent
15.00
TELEP..11E
9
Q.
SQ. FT. BUILDING VALUATION
CW AOORESS
Building sewer
QOCC.
J o�
15.00
Mobile Home I S
I G
CONrRACTOR'S "AME
TELEPHONE
07.50
Eh
CONTRACTOR'S MA UNG ADDRESS
CONSTRUCTION LENDER
LENDER'S MAMM ADDRESS
EFirelacetion
S
ARCNRECr OR ENGINEFA
LICENSE 140.
Firina Fee $ 20.00
ARCNRECT OR ENGWEER'S MARM ADDRESS
Permit Fee
Plan Checkin Fee $
EOADDRESS J�S
�-
Energy Pian Checking Fee $
$
PERMIT FEE $ _ O
IGTNO.
SUBMM90NMNAME
paacET. wap
PLUMBING 'PERMIT Fling Feel 20.00
USEOFSTRUCTURE
SF0% Duplex ❑ Mobilehome ❑ Other
'SPECIFY
TYPE OF WORK
-New Cl Addition Cl Remodel ❑ Utilities ❑ instillation ❑ Other)o
Describe Work:
. A' A
*PERMIT FEE PjIb
SRA
SHMUFP
OTHER
AMOVNr RECEMWO
"ascan' t�u�Ass�
" TO 6E MST ItJTp COMRliE3t
VOMI 114
Solar or heAt pump
water heater
• •��
23.00
Water i ing
I Fling Feel 20.00
15.00
Each es water
ater or vent
15.00
Gas piping stem
- 5 outlets
15.00
Building sewer
CL
15.00
Mobile Home I S
I G
@20.00
OUTLET ORFWURM
Temporary Service 1 1 23.00
Moble Home Facilities 1 20.00
Misc. Wirina 23.00
PERMIT FEE $
.MECHANICAL PERMIT Fling Fee 20.00
6.50
PERMIT FEE S
Moble Home Installation Fee $
Energy inspection Fee $
OCD "' TOTAL FEE $ • 0
NAZ I D. FEES I IMP I FLOOD. I COP I pARCE1 I pO I HO I I54.UE
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
ReceiptNo. PERMIT EXPIRES ON
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT I ,n. -I
PERMIT FEE $
; ELECTRICAL PERMIT
I Fling Feel 20.00
v. Main Serviceu�i►o
L�
23.00
Main Service
To IOWA
46.00
'
R
CL
. OR ADDNS.
a . ei°DCCes. •
3.50F•r.
N °
NONii�r
07.50
OUTLET ORFWURM
Temporary Service 1 1 23.00
Moble Home Facilities 1 20.00
Misc. Wirina 23.00
PERMIT FEE $
.MECHANICAL PERMIT Fling Fee 20.00
6.50
PERMIT FEE S
Moble Home Installation Fee $
Energy inspection Fee $
OCD "' TOTAL FEE $ • 0
NAZ I D. FEES I IMP I FLOOD. I COP I pARCE1 I pO I HO I I54.UE
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
ReceiptNo. PERMIT EXPIRES ON
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT I ,n. -I
L
I
' OWNER -BUILDER VERIFICATION I
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your opur o.
Please complete and return this information at your earliest opportunity to avoid mneoessagrdd�yy
in processing and issuing your building permit. No building permit will be issued till ads
'fication is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES)K NO O
I HAVE E3 , RAVE NOT 13 signed an application for a building permit for the pe+Mg aced W=L
I have contracted with the following person (firm) to provide the proposed vonstrxtiow
NAME: '
DRESS: CITY:
PH � :
4 I plan to provldtiy
supervise, and pro,
Y -MME: '
ADDRESS-
PH0NNE:
5. I will provide me
the workA cated:
COr"TRACTOR'S LI
of this work, but I have the following person to coordinatq
major work:
CONTRACT
of the work but I have contracted
CITY:
LICENSE NO.
ADDRESS PHONE
the following persons to provide
OF WOUX
SIGNED:
P RO PERTYOWNER
S OCI.A.L. SECURITY NU1�ER.
DATE: 1.2 — — 02
iVOTE: This Owner -Builder Verification is required by Section 19831 and 198314VAs
California Health and Safety Codes This verification must be eonrkftd aid
returned to our office before we are permitted to issue the permit ,
OVER
OWNER BUILDER INFORMATIOiN
CC -1- ?70c1' i
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection. you should be aware that as 'Owner -builder" you are the responsible party ofrecoe+d onsnch
a permit. Building permits are not required to be signed by propertyowners unless they are personally persocmit!boli
own work. If your work is being performed by someone other than yourself, you may protect yourself C:+oM pouible
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 fancily, and the work (including materials
and other toss) is S300 or more for the entire project, and such persons are not licensed as eoataetors or
subcortractors, hen you may be an employer.
♦ [: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 contribution.
♦ There may (e Fnancial risks for you if you do not carry out these obligations, and these risks are especially serious
w;th respect to worker's compensation insurance.
♦ For mere specific information about your obligations under Federal Law, conaacf the Intemal Revenue Service (and,
ie you wish, the U.S. Small Business Administration). For more specific information about your obligation under
Scare Law, ccntact the Department of Benefit Payments and the Division of Industrial Accidents.
I: the saucmre is intended for sa!e, property owners who are not licensed contractors are allowed to perform their
work personally or throng i 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.
lnfornation about licensed contactors may be obtained by contracting the Contractors State License Board in your
community er 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.
N1 el C. Vi ira, C.B.O.
h1 ger, Building Inspection
NOTE: TEE Owner -Builder Information is required by Section 19810 of the California Health and SaJery Codes
OVER
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
D.�- a"I
ASSESSOR PARCEL NUMBER(
4
035 -DI -014
ZONING
BUILDING PERMIT
OWNER
fl R
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
So
OWNER'S MAILING ADDRESS
2575 v-6 Rd. orn. 4 QAA
CONI'RAwCT1 ME M
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 10 !1�
ARCHITECT OR ENGINEER
LICENSE No.
FI lin Fee '$ - v
2 0.0 0
/-
Permit Fee $ 45.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
25?5 V-6 Rd. Oro _
Energy Plan Checking Fee $
$
PERMIT FEE $ 6 5 .
LOT NO.
SUBDIVISIONS NAME _
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 1 7.00
USEOFSTRUCTURE
SF O`� Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping j 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Re—i'Z' OOf
Describe Work: fW� Cortro
wilth tear down
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W 920.00
PERMIT FEE $
e }
ELECTRICAL PERMIT Fling Fee 20.00
aOOV OR
Service 2o0A OR'I�ESS 23.00
'Main
1%
LICENSED C04TR4CTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter ;I
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. 't
License Class - Lic. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
La for the following reason:
pfthe perty, or my employees with wages as their sole compensation,
I, as owner,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. , Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 h reby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier -+
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 ff 1 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
++
X DateZz
Signature of Applicant Owner ❑Contractor ❑Agent
An OSHA ermit is re uired.for excavations over 5'0" dee and demolition or construction ff\yf�
structures over 3 stories in height. p
Main Service 200A TO I000A 46.00
NEW CONST. DWELLING OCCUR SO.
OR ADDNS. ( a ACC. BUDS. 3.5Q�.
I.,DµR oma, ID MULTI-ourLEr @7.50
OWER APPARATUS
a PSINGLE OUfL6T CIR.
.00
EX. Occup. OUTLET OR FDITURES SAL @ .50 x
FIXED APPLNS. OR
Ex. Occup. Ts RESID. EA 5.00
O.
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
- PERMIT FEE $
MECF&NICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $ ,
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ a5.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PO
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.
j
, //of
� 41 WFLt-4 A.�TDate
PERMIT EXPIRES ON r /�../ JCJ -Z
Date
Receipt No. t• 'ref '� %' S` 'CEJ`
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r
036-101-014 02-34,911
HUDSON, 1 N, DONALD AND BARBARA
2575 V6 ROAD, bROVILLE
CONT: OWNER
REROOF