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COUNTY OF'BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovlllet California 95965 - Telephone: 916/538-7541 I � %�
APPLICATION AND PERMIT' .
ASSESSOR PARCr NU B R
036— 0
ZONING -• L
_,tBUILDING PERMIT
OWNER
'-
TELEPHONE
534-0829
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2580 V-6 RD., OROVILLE, CA 95966
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS ,
I
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation $
Filing Fee $
4
10.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
NONE lo I 1 4
LICENSE NO.
I
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
yl
Penalty $
BUILDING ADDRESS t
2580 V-6 RD., OROVILLE f.
Permit fee i $
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
.SUBDIVISION NAME.,- ,,j
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00 15.00
USE OF STRUCTURE ,., ""
�-��yy
SFA Duplex❑ Mobilehome❑ Other .' � - • , f
SPECIFY :F
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New.❑: Addition❑ Remodel ❑ Utilities ® Installation❑ Other ❑
.DIs ribe work: REPLACE LPG W/NAT GAS (W/H & FIJRI A('11)
Permit Fee $ 20.00
Contractor
ELECTRICAL PERMIT Filing Fee 10.00•
'
+"
Main service 100V OR LESS10010.00
1AMP OR LESS
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW j>«x.
of p J y (Check One):
I declare under penaltyperjury
❑ I am licensed under provisions of Chapt. 9, M3ohe Bil 'usiness
Professions Code and my license 1s- n�a� effect.
No. Classification
;�
❑ I, as the owner, Or my employees with wages as their solelcompen-
sation, will do the work,and the structure,is,,not Intended`oc offered
�or sale. (Sec. 7044)'"
, as the owner, am exclusively contracting with lice contract-
ors. (Sec. 7044) "
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUPM
OR ADDNS. l ACC. BLDGS. /
, /20sgft
NEW CONSTR. U TI.OUTLET
t! ESID BRANCH CIRC ITS
2.50 ea
POWERAPPARATUSeand
(SINGLE OUTLET CIR,License
EX. OCCup�OUTLETS OR FIXTURES
eA 090
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.1 EA.
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
Consent to Self -Insure.
�f'
LrJ shall not employ any person in any manner so as to beco subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you becom subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed,revoked.
MECHANICAL PERMIT FiIingFee 10.00
Heating FURNACE 6.00
Cooling
Hood 3.00
Ventilation
Permit Fee $ 16,00
Contractor
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 authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County*of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in conseque ce of the granting of this permit.
X (/) s_L I - `
�.t+�-�w l.«_ �� >� Date g / 9
Signcture of Applicant = Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over`5'0" deep and demolition or construct-
ion OF structures over)3cstories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE ' 1.
'� ` '
_
TOTAL FEE $ 36 OQ
HAL
CUA
PARK
I SCHL
I FLD
I CDF
I PAR
I PD
I HD.
I ISSIA,
This permit is hereby issued under the
sions of the Butte County. Code and/off
work in '"ted above for which }fees
DiW °O %OF PUB 91 -WORKS
By old Date
r��
PE MI 'EXPIRES Date
applicable provi-
resolutions to do
have been paid.
8/19/91
8/19/92
97 , 25,00//97333-11.00
Receipt No. 1
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
M
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER w PERMIT 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, or need additional explanation, please contact this office immediately.
Date SAY Inspectors
.*
J9
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
b C6/A0eaA 2-2CO-W
- OWNER PERMIT, NO.
t
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, or need additional explanation, please contact this office immediately.
Date_�`Inspector+ '
k
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMITN
17 (2!2 — WV
ASSESSOR PARCEL NUMBER
-
036-103-028
ZJNINIG
BUILDING PERMIT
OWNER
JUDITH K_ O'CONNOR
TELEPHONE
534-0829
SQ. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS
2580 V-6 RD., OROVILLE, CA 95966
CONTRACTOR•5NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2580 V-6 RD., OROVILLE
Permit fee
$
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping ,
5.00
Each qas water heater or vent
5.00 5.00
USE OF STRUCTURE
SFR Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities[3 Installation❑ Other ❑
Describe work: REPLACE LPG W/NAT GAS WH 9 FURNACE)
Permit Fee
$ 20.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penaltyof perjury
pjy (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.
Eli, 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
3/or sale. (Sec. 7044)
11 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.81\
OR ACDNS. 1 ACC. BLDGS. /
'/=¢sgft
NEW CONSTRMULTI-OUTLET2.50
NON•RE51D BRANNCCHHCCIRRCCU ITS
ea
(POWER APPARATUS e)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
.200530
Ex. OCCUp. OUTLETS FIXED P(RESID )REAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed,revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating FURNACE
6.0
Cooling
Hood
3.00
Ventilation
permit Fee
$ 16.00
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in conseque ce of the granting of this permit.
X Date 9
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
$
Energy Inspection Fee $
PHAZ.
CONST TYPE
TOTAL FEE $
36.00
CUA
PARK
scHL
FLD
cDF
AR P
PO
I HD.
ISSLA,
This permit is hereby issued unaer the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work in ed above for which fee have been paid.
( DIR F PUB ORKS
By Date 819.191
PE I EXPIRES Date R.119�A2
Receipt No. 97332-25.00//97333-11.00
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
0 — a -- Oil
=ONINrP
�
BUILDING PERMIT
OWNt
L% di } Co N, not 53-
TELEPHONE
j- Q 8
SO. FT. OCC. BUILDING VALUATION
'95-8-OMAILING- ADOR M.
�,TJ
CddONTRACTORt'SjNI/AOME
r
TELEPHONE
NTRACTOR'S MAILING ADDRESS
Fireplace
CO RUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
S
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FiiingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00 s Q
USE OF STRUCTURE
SF4 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 ,d(�
Building sewer
5.00
Mobile Home S I G I W i
0.00ea
TYPE OF WORK
New Addition Remo)dell__: Utilities Installation 9Other❑
Describe work:_ 1� 0 [Ce C- r— Lc>� ✓[/GY t
bas 4'n Q--
i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
jJ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work, and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUPM
OR AODNS. ACC. SLOGS. /
, /icsq ft
NEW CONSTR ULTI-OUTLET
NON-RESID. BRANCH CIRC ITS
12.50eaI
APPARATUS
a POWERE
SINGL OUTL.T CIR. )
Ex. OCCUP� OUTLETS OR FIXTURES
I. AL -30t
_ so:
FIXEDAPPLNS. OR
Ex. Occup. OUTLETS IRESID., EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
u The permit is for 5100.00 (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
FiIirig Fee 10.00
Heating r o-61,-
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Signature of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" pqa molition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
I CONST TYPE
TOTAL FEE S
HA.A I PARK ' PAR Po
!u ! i SCNL FLo coF .,o:;lssu-
I -
I I
This permit is hereby issued unser
sions or the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
fii
Receipt No. 3� vS� 6� 1/ Q0
w TC-O.P.W.. TELLOW-•SeCSSOx. PINR•..sPCCTO , .0LOCNPOD-APPL1CAMT
COUNTY OF BUTTE - DApartment of Public Works
7 County Center Biive, Orovil-le, CA 95965
OWNER -BUILDER VERIFICATION
Phone! 916-538-7541
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
the proposed property improvement (yes or no) hlt3
2. I (have/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 G 6 -
Address A �` City co
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:
Phone Type of Work
Name Address
Signed:
Property Owner
Social Security Number
Date 9
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.