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i 36-104-55 JIM BREAZZEAL i . 0 REROOF & SIDING WITHOUT PERMITS 26,8,1 Oa kKno 11 Way' roville / Q 12/17/91 - ermit 43186"85-E_ �1 � lfe ®_. Remo✓'v� 2703 2 7. 'BREAZZEAL, JIMMIE_ .CONTR: OWNER 2681 OAK KNOLL WAY; OROVI REROOF & REPAIR .S I D.1 NG%S Z P (ire .04-2720 DAVIDSON, RANDY 2681 OAK KNOLL WY, ORQA Cont: GREENE ROOFING REROOF i I i i I i r i k w u n I • i P BUTTE DEPARTMENT OF. DEVEL BUILDING P 24 HOUR INSPECTION #: (530) 538-766 (( OFFICE M (530) 538-7541 F WEBSITE: www.buttet NTY MENT SERVICES ILLE) (530) 891-2834 (CHICO) (530)538-2140 /-neAdds RMIT NO. BP042720 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: 09/15/2004 APN: 036-104-055-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: 15"Z16 Site Address: 2681 OAK KNOLL WAY ORO Date: Contractor. Od NCS ,`�N et>ti Map Index: Descriptio . REROOF Q) 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: DAVIDSON RANDY permit to construct, alter, improve, demolish, or repair any structure, prior 6 to its issuance, also requires the applicant for such permit to file a !' 2681 OAK KNOLL WAY signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95966 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 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).): O 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 Applicant: SCRIBNER CONSTRUCTION Code: The Contractors' State License Law does not apply to an DON SCRIBNER owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 2996 PENNINGTON ROAD provided that such improvements are not intended or offered for LIVE OAK, CA 95953 sale. If however, the building or improvements are sold within one I 530-695-8435 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 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 Contractor- SCRIBNER CONSTRUCTION not apply to an owner of property who builds or improves thereon, and who contracts for such projects with'a contractor(s) licensed DON SCRIBNER pursuant to the Contractors' State License Law.). 2996 PENNINGTON ROAD LIVE OAK, CA 95953 ❑ 1 am Exempt under Article 3 of the Business and Professions Code 530-695-8435 Date: Owner: License #: 354230 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 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 Architect: is issued. Engineer: El have and will maintain workers' compensation insurance, as �' 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: Carver S ' Pr T P F N D Total Square Ft: 0 S. F. Valuation: $0.00 Censers Code: Q )i— Policy#:W75,i I -- 03 ❑ 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 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, 1 shall T forthwith comply with those provisions. Date:` Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit 1$ hereby issued under the applicable provisions of the Bufte Count Cody nrvor I hereby affirm that there is a construction lending agency for the Resoluti s o do,work incl; ed a e f which fees have been paid. performance of the work for which this permit is"issued (Sec 3097 Civ.) _ _ r By: Date: �J Name: S �_ Address: PERMIT E4PIRES ON: (lbate) O 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. ❑ Notification in accordance with Section 19827.5 of California Health 8 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 owner or the 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"Ialter the substance of any official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property'fpr inspection purposes. Print Name: 2 W M C&IR r` h N f Signature: fz9, , a Date: 13 Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENTSERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (536)538 -2140 - WEBSITE: www.buttecounty.neAdds PERMIT NO. BP042720 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: 09/15/2004 APN: 036-104-055-000 the Business and Professions Code, and my license is in full force and effect. License Class: LicenseNumber: 15Y216 Site Address: 2681 OAK KNOLL WAY ORO Date: Contractor. � NC �� W S A( < � t et Map Index: Description: REROOF (30 SQ) 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: DAVIDSON RANDY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2681 OAK KNOLL WAY signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any 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 Applicant: SCRIBNER CONSTRUCTION Code: The Contractors' State License Law does not apply to an DON SCRIBNER owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 2996 PENNINGTON ROAD provided that such improvements are not intended or offered for LIVE OAK, CA 95953 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-695-8435 proving that he or she did not build or improve for the purpose of sale.). ❑ 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 Contractor: SCRIBNER CONSTRUCTION not apply to an owner of property who builds or improves thereon, DON SCRIBNER and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 2996 PENNINGTON ROAD ❑ I am Exempt under Article 3 of the Business and Professions Code LIVE OAK, CA 95953 530-695-8435 Date: Owner: License M 354230 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 Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurra�nce carrier and policy number are: Carrier: c-1— P, -r o F 0 N P Total Square Ft: 0 S. F. Policy#: 16'- ) 7 56 I -- 0 3 Valuation: $0.00 Census Code: ❑ 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 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 �/� J ot forthwith comply with those provisions. Date: YYYJJi"' ii Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one t, 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 hereby issued under the applicable provisions of the Butte Count Cody nrver I hereby affirm that there is a construction lending agency for the Resoluti s o doXork indi ed a e f which fees have'been paid. /� performance of the work for which this permit is issued (Sec 3097 Civ.) /� (� 71 �L Name: By:_MDate: Z J ( EXPIRES 3 — Address: PERMIT ON: ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the Califomia Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ 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 owner or the 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 substance of any official form or document of Butte County. I hereby authorize representatives of Butte County.to enter upon the above mentioned property for inspection purposes. tl , r� Print Name: C r h N P Signature: Date: 0 Owner f/Contractor ❑ Agent for Owner 13 Agent for Contractor C. R.J. FRASCO A G lE' N C Y AN INVESTIGATION CORPORATION S en C��o� •e S R.J. FRASCO AGENCY, INC. 4309 Hacienda Drive, Suite 390, Pleasanton, CA 94588 Telephone: (415) 734-6400 FAX (415) 7340449 March 23, 1992 Public Works 7 County.Center Drive Oroville, CA 95965 RE: 600588 -NS Attn: Eleanor Please find a check in the amount of $2.14 for copies of AP #036-104-055, permit .#92-0327 and permit #3186-85 regarding .Jimmie Paul Braeazzeal. Per your instructions there is a self-addressed stamped envelope enclosed. Thank you for your assistance in this matter. Very truly your's., R.J. FRASCO AGENCY Rita Montgomery Office Manager Enclosures: -check - SASE =EN FRASCO, AN INVESTIGATION CORPORATION License PI 006277, 0607308 Rita Montgomery Office Manager 4309 Hacienda Drive, Suite 390 Pleasanton, CA 94588 (415) 734-6400 +I a ����"=y,� •/:1������ Corporate Office 215 West Alameda Ave. • Burbank, CA 91502-2572 • (818) 848-38M • (213) 6632263 Branch Offices 300 Esplanade, Suite 1780 • Oxnard, CA 93030 • (805) 981-8330 582 Market Street, Suite 714 • San Francisco, CA 94104 • (415) 981-3490 . 500 North State College Blvd., Suite 730 • Orange, CA 92668 • (714) 851-9268 License 0607308,PI6277 IIf%g /C , qKs 1994? �' �.. i� 1 e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION -AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB 36-104-55 ZONAlt1G AR BUILDING PERMIT OWNER Ji*LIE BRAZZEL TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1759 5th STREET OROVILLE 5 SQ cow 900.00 EST 100.00 CONTRACTOR'S NAME OWM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 11000.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 22.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS -G1RA i�e69— Permit tee $ 37.8Q PLUMBING PERMIT Filing Fee 15.00 (08 URD Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP t Water ) in 7.00 piping Each qas water heater or vent 7.00 USE OF STRUCTURE i SF KI Duplex❑ Mobilehome❑ Other ;( SPECIFY + Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ RemodeI ❑ Uti lilies ❑ Installation CI Other ❑ Describe work: RE --ROOF AM RF.,F2, E SE MON OF SII)TN(..* Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO tooOA) 37.50 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 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 3.60 sq.ft. OR ACDNS. (ACC. BLDGS. / NEW CONSTR ULTI.OUTLET �1 NON.RESID BRANCH CIRC ITS ` 5.00 POWER APPARATUS a (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APLN S*I, Ex. Occup. OUTLETS (RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 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 FilingFee 15.00 Heating Coolin g Hood 6.50 Ventilation permit Fee $ LContractor 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 againstsaid Countyyiin consequence of t e -granting of this permit. X'-�'+ ��'��' Date / 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 $ occ CONST TYPE TOTAL FEE $ 37oft HAz I DFEES I IMP I FLOOD CDF PARCEL 70 ISS This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do work indicated abovefor which fees have been paid. �DIRECT6111'09,PUBLIC WORKS . By I `' r' ' .• /S ,'/,n �}; � '.,' d Date.,/,: �.� f PERMIT EXPIRES Date �' Receipt No. 109644 p WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT NO. V3Z-7 1/ ASSESIOR PARCEL NUMBER 36-104-55 ZONING AR BUILDING PERMIT OWNER JIMMIE BRAZZEL TELEPHONE . SO. FT. OCC. BUILDING VALUATION 15 SQ COMP 900.00 OWNER'S MAILING ADDRESS EST 100.00 1759 5th STREET OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 1,000.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 22.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5 J7 J L.11 tt7711\L17..rR �T��T W Permit fee $ 37 wdj�i PLUMBING PERMIT Filing Fee 15.00 2 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each clas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF © Duplex❑ Mobilehome❑ Other Mobile Home S I G I W 615.00 SPECIFY TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other [J Permit Fee $ Describe work:- RR-RnnF AND REPLACE, SECTION OF SIDING Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200ATO1000A, 37.50 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 NEW CONST. / DWELLING OCCUP.g) 3.6asq.ft. OR ADONS. ( ACC. BLDGS. NEW CONSTR. MULTI -OUTLET NO N.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76d 14 I, as the owner, or my employees with wages as their sole compen- FIXED APLNS. EX. Occup. OUTLETS P(RESID )REA.) I 3.00 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) Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bVirin g '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 FiIingFee 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 g 1 shall not employ any person in any manner so as to become subject Hood 6.50 j" 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. 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 Mobile Home Installation Fee S Energy Inspection Fee $ 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 aid County in�sequence of t ming of this permit. OCC CONST TYPE I TOTAL FEE $ 37 IVO I I HAz I DFEES I IMP J FLOOD I CDF I PARCE7 HD I IVagainst Date This permit is hereby issued under the applicable provi- nature of Applicant — wner Contractor Agent F1sions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- i"in of structures over 3 stories in height. of the Butte County Code and/or resolutions to do work ind d abov f r hich fee a been paid. ti EC O UBLIC KS Receipt No.1nAh/�4 �/J(7,1 By Date j / PER EXPIRES Date / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 9$988 - Telephone: 916.'538.7541 APPLICATION ANC"PERMIT PERMIT NO. *:(p- /Oz/_,557 K I BUILDING PERMIT OWNER "�' TELEPHONE S0. FT. OCC. BUILDING VALUATION f e Zf-e OWNER'S MAILING ADDRESS -�-• �- �/'1. _ L s954+11 'fre 0 a `5765 s'sCOA41,2 CONTRACTOR'S NAME TELEPHONE �.�' >5Q CONTRACTOR'S MAILING ADDRESS I am licensed under provisions of Chapt. 9, Div. 3 of the Business Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee LENDER'S MAILING ADDRESS _ Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS I 3.00 Penalty BUILDING ADDRESS 759 ! S �" � i��� 4� .Permit fee PLUMBING PERMIT g5 �5 Each Trap ❑ Solar or heat pump water heater LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or vent USE OF STRUCTURE F SD4uplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets Building sewer Mobile Home S G W TYPE OF WORK ❑ I am exempt under Sec. Business and Professions Code lation❑ Other k5Permit Fee Contractor ELECTRICAL PERMIT Main service 600VORLESS 200A OR LESS Main service 20CAT01000A1 Filing Fee 15.00 5.00 20.00 7.00 7.00 5.00 15.00 @ 15.00 a Filing Fee 15.00 18.50 37.50 CONTRACTORS LICENSE LAW NEW CONST. / DWELLING occuP-N) 3.64sq.ft I declare under penalty of perjury (check one): OR ADONS, l ACC. BLDGS. / NEW CONISTU NO .RES. BRANCH C.RCIITS@ 5.00 ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business 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 FIXTURES 208751, 44 ❑ I, as the owner, or my employees with wages as their sole compen- FIXED EX. OCCup. OUTLETS P(RESID INS RE A.� I 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, the licensed Mobile Home Facilities 15.00 as owner, am exclusively contracting with contract- Misc. Iyirin ors. (Sec. 7044) g 15.001 ❑ 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 Cooling of Consent to Self -Insure. g ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject Penult Fee = to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S 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 S 37�- Butte to enter upon the above-mentioned property for inspection purposes. OCC CONST TYPE TOTAL FEE $ 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 1 11 FEES I IMP I FLOOD I COF I PARCEL PD THD ISSUE against said County in consequence of the granting of this permit. X Date This permit is hereby issued under the applicable provi- Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is required for excavations over 5'l)" deep and demolition or construct - work indicated above for which fees have been paid. ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS l GI 6�/By Date(r Receipt No. ! PERMIT EXPIRES Date WHIT[ -O. .W.. YELLOW-A3eC330R. PINK -INSPECTOR. GOLD ENROO-APPLICANT COUNTY OF BUTTE - Department of Public Works .T 7 County Center Drive,•droville, 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. Pleasecomplete 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 m terials for construction of the proposed property improvement (yes or no) S - 2. I (have/have not),- 4 signed an application for a building permit cam, 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. Zt��, Social Secur' Number. Date Z - G 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. WAJ' 0 D/V-7-5 A. What iocome changed: go I. ". B. When it changed: C. Why it changed: 3. Attach proof of the change in income (Job Termination NOtiCE Statements, etc.). If you have no proof, list the employer or ager EMPLOYER/AGENCY ADDRESS 4. Complete the following: CASE NAME YOUR SOCIAt CASE NUMBER WORKER NAP CERTI 0 1 understand that the statements I have made on this form are subjecl employer or agency. 0 1 furtherdeclare under penaltyof perjury under the laws of the State of the best of my knowledge. . 0 1 authorize the county to obtain any verification of income and circums. from the date signed. SIGNATURE SIGNATURE OF SPOUSE OR OTHER ADULT RECIPIENT ADDRESS On this form, disclosure of your Social Security Number (SSN) is voluntary. you may not get any extra money. CA 4017 871 APPLICATION FOR REDUCED INCOME SUPPLEMENTAL PAYMENT REOUIRED FORM - NO S File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information v Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub.& PC 1. Maps' Permits Addr. Jimmie P. & Judith A., Breazzeal 17.59 5th. Street Oroville, CA 9.5965 RE: Building code Violations 2681 Oaknoll"Way, Oroville Dear Mr:. & Mrs. Breazzeal: January 31, 1992 A.P. #: 36-104-5.5 This is a warning letter to notify you that you are in violation of the Butte County Code'at the above referenced location as follows: Failure to obtain the required permits, inspections and approvals from this office for reroof and siding. Since permits and inspections are required for the above work, please contact this office within ten days of the date of this letter, apply for the re- quired permits, and pay the appropriate fees. All work.must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary- compliance 'with the Butte County Code but provides an effective means .of enforcement if such compliance is not obtained. If voluntary. compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording:of a Notice of Violation. Your. cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact Rod Taylor, or Jim Glander of this office. } JFG:ds cc: Assessor Building Inspector Yours very truly, William Cheff Director of Public Works OffgPtzal J. F Ciaes�'�a J.F. Glander Manager, Building Inspection r COMPLAINANT v } ADDRESS: PHONE NUMBER: OTHER COMMENTS: , COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Dxi�4L, Oroville — Phone: 538-7541* 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER T 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. Date n Inspector "A r, f 3186=85E JIM BREAZZEAL 2681 OakKnoll Way Oroville o �,� ,•OFFICE COP,�Y { io a - s...IP COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS i 196 M.ernorial Way, Chico — Phone: �91-2751 '7 County Center Drive, Oroville — Phone: 5344541 Sky'way and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER 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. e Inspector Date_�L COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Califok§ 95965 - Telephone 916/534-4541 _ y APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER / ZONING BUILDING PERMIT OWNERT ,NS LEPHONE SQ. FT. OCC. BUILDING VALUATION -SI OWNER'S MAIING ADDRESS 1 75-!5 �4 T CONTRACTOR'SNAME TELEPHONE- . CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. • Plan Checking Fee $ �} Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty _ $ BUILDING ADDRESS - Permit fee $ ro. PLUMBING PERMIT Filing Fee 10.00 P44, 4 - 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 USE OF STRUCTURE Gas piping system 1 : 5 outlets 5.00 SF Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ ,N Permit Fee $ Describe work: N&A.0 �%�ec �c: c Sem ,,cam _ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LESS10.00 /6,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW DWEACCLLING I oR / yzQsgft I declare under penalty of perjury (check one): ADDNST GSCCUP.E+\ NEW CONSTR ULTI.OUTLET I 2.50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRC ITS rPOWER APPARATUS &) ISINGLE and Professions Code and my license is in full force and effect. OUTLET CIR. License No. Classification OCC EXp(OUTLETS OR FIXTURES . U 9zo®soa AL030 1, as the owner, or my employees With wages as their sole compen- FIXED APPLNS. OR EX. Occup. OUTLETS IRESID,) EA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. Wiring 15.00 /5-"00 ❑ I am exempt under Sec. Business and Professions Code 0'rc N :roc, for this reason Permit Fee $ 4risk By Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ 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 I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California: I Ventilation 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 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 Energy Inspection Feeto $ and resentatives the fornspectionof Bute tole ter uponcthenabove-mentio ed propertypurposesuntyot TOTAL PERMIT FEE $ 1 also agree to save, indemnify and keep harmless the County of Butte against OCOUP, CONST.TYPEJ FLOOD PARCEL PD ND—T 159UE all liabilities, judgments, costs, and e'xpens which may in any way accrue agains said County in consequence of the gr n 'ng of this permit. X ' I� This permit is hereby issued under the applicable provi- Date sions of the Butte County Code and/or resolutions to do I nature of Applicant — ner"rRd Contractor ❑ Agent ❑ work indicated above for which fees have been paid. n OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRE TOR OF P BLIC WORKS ion of structures over 3 stories in height.Ja o Receipt No. I10c'lO� By Date — -� WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date —• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER �UBUILDING ZONING - PERMIT OWNER SfM �e�t� TIELEPHONE -oti SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS �5 -t + f C O N T RAC TOR'S N AM E TELEPHONE CONTR CTOR'S MAILING ADDRESS , Fireplace — c CONSTRUCTION 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 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS � Penalty $ BUILDING ADDRESSr O , Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Cot �-c� O�crcas� 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 USE OF STRUCTURE SF [P/Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10700ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: C -A _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 00 AMP OR LESS 10.00 . UL) Main service EA. AOD'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 1, as the owner, Of 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 OCCUP.Ef\/=¢sgft NEW CONST. / DWELLING OR AODNS. ACC. BLDGS. I ` NEWCONSTR..OUTLET 2,50 ea NON .RESID BRANCHCIRC ITS POWER APPARATUS S SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES AL@ D AL00 3 FIXED ASPENS. OR EX. Occup. OUTLETS IR ESI D.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 .C30 rC Permit Fee $ pv 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 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 expens which may in any way accrue agains said County in consequence of the gr n 'ng of this permit. X i nature of Applicant — n r Contractor ❑ Agent ❑ t n OSHA permit is required for excavations over 5'0" deep and demolition or construct- ipn of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPt I IFLOODIPARCELI PD Ho s9uE This permit is hereby issued under sions of the Butte County Code and/or Work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT