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ROBERT 'MA.LQUIST
` 4.559 V -E Rd.., Orovi] le 7 7,5
contra Blue Ribbon Roof ' , 0 oville
Perit# 4.226-75B(reroof)7r
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' J 02-0253
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KOGA, TOMM
4559 VE ST, OROVILLE` .
T. CONNELLYS PRO SVCS
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PERMIT NO. 4226-75B
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.iMH UTIL.
-,PERMIT NO.
PERMIT EXPIRES'
,OWNER Robert Malqui'St
'CONTR. Blue Ribbon Roofing,, Oroville
',LOCATION (A.P. 36-104-24 )
4.559 V -E Rd., Oroville
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4
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp./Gas Serv.
alled PG&E
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FINALED �` Z
(Date
(Signature _
COUNTY OF BUTTE — DEPARTMENT CF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING I BUILDING (Cont'd) I PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Reinf. Steel I Final I Fixtures
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
DATE REMARKS OR CORRECTIONS
/2- r00
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC
7 County Center Drive — Oroville, California 95965
Tel eph i ne: 531�4541
APPLICATION AND PERMIT
W
R0��� � --- �✓
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X O��GP�f �� ate
Signature of Permitee or Agent
Receipt No. /5:y9/ _:
White-D.P.W. — Yellow -Assessor — 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.
DIRECTOR 0 PUBLIC WORKS
By >� Date
�il ng permit expires Date `�� f C"
BUILDING
Owner �� �-
SQ. FT. OCC. BUILDI G VALUATION
Mailing Address S"
a Rig o
Telephone No.
Fireplace
Contractor �� j b r
Total Valuation
Mailing AddressS' p 4,44
Permit Fee
Plan Checking Fee &/or Penalty
t
Te ephone N:�
Permit Fee .!Q
I
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
o
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.osi--
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F/sl
W4
1%anketim
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im r
p ovements
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL INo. @ FEE
,
PERMIT FILING FEE $3.00
e .� r
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family. Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures b d2
10
Receps., switches & fix outlets
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
AX: f �
/
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
,. ,
License No.010.34 1--_ Classification �"" w
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of Califomia.
Permit 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
�V 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.
MECHANICAL No. @ FEE
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
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X O��GP�f �� ate
Signature of Permitee or Agent
Receipt No. /5:y9/ _:
White-D.P.W. — Yellow -Assessor — 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.
DIRECTOR 0 PUBLIC WORKS
By >� Date
�il ng permit expires Date `�� f C"
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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) APPLICATI0I4AND PERMIT 0,2-6,,153
ASSESSOR PARCEL NUMBER
U36-104-024
ZONING
BUILDING PERMIT
OWNER
KOGA9 MVY
TELEPHONE
556523
SO. FT. OCC. BUILDING VALUATION
1 Q
OWNER'S MAILING ADDRESS
4559 VE ST. OROMIX CA 95966
CONTRACTOR'S NAME
CONNRLY' S PROFESSIONAL. SEMCffi
TELEPHONE
6
CONTRACTORS MAILING ADDRESS
5490 DEBBY AVE. OROVIU F: 9
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
1,380.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 33.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
4559 VE ST. OR q
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 53.00 H$Y�
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF I3 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 X3
Describe Work: RE ROOF WITH C W
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
V OR LESS
Main Service . '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. ..
OWNBUILDER DECLARATION
S -
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law 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.
❑ 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 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 ins lance carrier and policy number are:
Carrier % teT- -
Policy Number / 1P., 7 Gct —OW-
(The above sections need not be competed 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 �. �sl► Date '--Zk.indicated
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.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLMIG OCCUP. s0
OR ADDNS. ( a Acc. Bens. 3.5QFT:
NOWREOSID. T. MULTI -OUTLET 97.50
PowER APPARATus
SINGLE OUTLET CIS.
zo ®1.00
Ex. Occup. ovrLFT OR FIXTURESBAL O .50
FIXED APPUNS . OR 5.00
Ex. Occup. EA
ourtFTs RESID.
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 53.00
HAZ.
D. FEES IMP
I FLOOD
I COF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
above for which fees have been paid.
.y- rn .n Date
r
PERMIT EXPIRES ON ,Q ` 11,
Date
Receipt No. 343170/53.00
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, Cal5ornia 95965 • Telephone (530) 538-7541 PERMIT NO.
�. - 60-6a53
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
036-104-024
ZONING
BUILDING PERMIT
OWNER
KOGA TOMMY
TELEPHONE
533-556523
SO. FT. OCC. BUILDING VALUATION
1 380.00
OWNERS MAILING ADDRESS
4559 VE ST. OROVILLE CA 95966
CONTRACTOR'S NAME
CONNELLY'S PROFESSIONAL SERVICES
TELEPHONE
15.3-3-1916
CONTRACTORS MAILING ADDRESS
5490 DEBBY AVE. OROVIUE, CA 95966
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
1 380.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filin Fee
$ 20.00
Permit Fee
$ 33.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
455
Energy Plan Checking Fee
$
PERMIT FEE
$ 53.00 XKM
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF [X 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 7
Describe work: RE ROOF WITH CAMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W1
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zaOA 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 orce and effect.PSIN
License Class �� Lic. No. ���%�Z
OWNE -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
I am exempt under Sec. Business and Professions Code for this
reason
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 ins nce carrier and policy number are:
Carrier
Policy Number a eePa
(The above sections need not be competed 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.
eX Date ` c94`k9,,�k,� _
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.
Main Service 200A TO 1000A
46.00
NEW CONST. DWEWNG OCCUP. so
OR ADDNS. ( a ACC. S.3.50FT:
HO"ESID. MULTI.OUTLET 97,50
a CIR. OWERGLE OUTLET APPARATUS
Ex. Occup. OUTLET OR FIXTURES
B20 @ 1:00
Ex. Occup. ouXTTtrs A IESIEs o °EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE S
MECHANICAL 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 $ 53.00
HAZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under the applicable provisions
indicated above for which fees have been paid.
Date
PERMIT EXPIR ON
Date
Receipt No. 34317053 00 __
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
qt
A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
f 7 County Center Drive • Oroville, Califprnia 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT a a 'vas Z5
--
ASSESSOR PARCEL NUMBER 36 a
ZONING
BUILDINGPERMIT
OWNER
TELEPHONE
S 3 SS�v �
SO. F'1'. OCC. BUILDING VALUATION
OWNER'S MAILING DRESS
5 Scl UE e3
q 5 96
CONTRA OR'S NAME t'
TELEPHONE
533 -/ -sl
CONTRACTORS MAILING A DRE /
/iLNDER
E,
CONSTRUCTION
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
—0
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00-
0.DDARCHITECT
Permit Fee
$
ARCHITECTOR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING 5 5 r.Sr'
969416,
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 5 3, Q 6
LOTNO. SUBDNISIONSNAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
1 7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other )iiV
Describe Work:�� Q �l 0 `'
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
500'LESS
Main Service 200A OR LESS
23.00
-
*PERMIT FEE PA2b s
n .
-S
SHERIFF
0 �
AJ ovw RECEZI/EO : 3
' 7 O
"RECEIPT t�uA►se1�3�3/
TO to � � co�
Main Service 200A To 1000A
46.00
NEW CONST. OWe.UNG OCCUR 3•5�so.
OR ADDNS. ( 6 ACC. BLDS. FT.
NEW CONST. MULTI -OUTLET
NON-RESID. @7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FIXTURES B20 @ 1.00
.50
PPLNS.
FIXED AOR
Ex. Occup. OUTLETS RESID. E0.
S.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST. TYPE TOTAL FEE $ ,
-AZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD SSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
(Date)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT