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HomeMy WebLinkAbout078-380-035F ORE :.,. q Bangor Htiiy, ORoville 945-87E(replace meter/SF) - ' PERMIT .. f • DEVORE, • ALICE #94-1727 f T 4 3463 ORO-BAkOR'HWY,OROVILLE ELE SER'TAG/SF' ` n V r j i � Y • o COUNTY OF BUTTE %DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 P M,IT,N0. APPLICATION AND PERMIT `y�q— Z�/ ASSESSOR PARCEL NUMBER 036-112-01.0 AR ZONING BUILDING PERMIT OWNER ALICE DEVORE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS '1463 01RO BANGOR HWY PERMIT FEE $ DROVIII2, 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF CX Duplex ElMobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ElOther Describework: ELECTRIC SERVICE TAG PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 00ovOR"I I 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 SFT.O. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIN. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1 50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 f the antin i X Date Si AatuTJ&f pp can - ❑ Owner ❑ Contractor 9k Agent An OSHA er it is required for excavations over 5"0" deep and demolition or construction Structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 0 HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL I PDHD ISSU This ,permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By A PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. at �� �y ( e[c) ER.cei,�tNo. 163268 .D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r'�ith.yd+a�.,.ifiF: �,.�2:+�'tii..,r.'aif'w.��7'"'stir'ti+S'1,.'s.7h�'"^_��J'"+'^'3'.�.^ �`'''+,pta,,7"',l"��i,,,�ry��K'4i7F-r'tir`•'�,;.r^"',,..r���,.l.,v,-.,.;un''*- • �....iy;r,,,.�-rw�i,v.F.. t.. COUNTYOF BUTTE - DEP 1kTI NTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE(9116)538-7541 ` PERMIT APPLICATION DATA SHEET OWNER (t • C t� P V © V� _ A. P. No.03' / d / Proposed Building Use r^ 1-a, Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: f DATE RECEIVED BY 1. All items have been submitted . .............. ...................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... .r 3. Complete plans, 3/4 sets, signed by preparer of plans. .................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .............�.; ..... 7. Statement of Intent for Non -Heated and A/C Buildings . ..............: . „�... . 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ......................................... . 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer ............. 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). . . Preanspection requ�- 20. Pre -inspection for required. to Building Inspector i. (Date) 21. Contractor's license information. (No., Name Style, Classification). .. (� ......... Certificate of Workmans Compensation Insurance. .......... ......... 23. Owner -Builder Verification (Given to owner. , Mail to owner 24. Recorded copy of Agricultural Acknowledgement Statement. .... ............ % 25. Letter of signature authorization. .......... ............................-T 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... -�' 29. Documentation of legal access . ..................... :................... �'. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the per it, proces as follows: Mail to owner X Telephon - and hold for pickup at Other Parcel Creation Acreage Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Copy of plans sent Health Dept. Fire Dept. Other The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: Mail to contractor. - office. Deliver with inspector. lution Date Date (Circle new item not checked above). Datey _2.�^j l 4-1 VA Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet - AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR P Ey. BER, _ D / ZONING BUILDING PERMIT OWNERTELEPHONE t C C2- C--1% (9fn SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CO TO R'S NAME n(L V TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST UC -TION LENDER UNKNOWN Total Valuation$ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHIT TPR ENGINEER , -EWES LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINE MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING :3Sq6 / 10 V ro 64K90r PERMIT FEE $ ,e'� v PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex O Mobilehome O Other ` SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ElAddition O Remodel O Utilities O Inst llation O Other Describe Work: y f Y, 0 CC _ PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceIV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLOS. ) 3.5C FT,gp. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) a SINGLE OUTLETc,R. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Q WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ (� Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. X Date Signature of Applicant - O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $Ll HA2. 1 0. FEES IMP I FLOOD I CDF f PARCEL I PO HD I 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. By Date PERMITEXPIRESON !Dere! Receipt No. • (O l / WHITE-D.D.S.-B.D. CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT JUN -30-31 18:06 FROM: ID: PAGE q D'I - (.q -i - .3 q-'? I I COUNTY OF BUTTE - Department of Public!Works 7 County Center Drive, Oroville, CA `95965 Phone: 916-538-7541 I OWNER -BUILDER VERIFICATION { Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit - will be issued until this verification is received. X 1. I personally plan to provide the major labor and materials for constr tion of the•proposed property improvement yes or no) �r2. I hA�veave not) LVf signed an application for a building permit. fo roposed work. i 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address f 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 i 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 Security Number ,xDate o — 0- 4 - F - i NOTE: -This Owner -Builder Verification is sent to you as!required by Sections 19831 and 19832 of the California Health and Safety Code. $� E This verification must be completed and returned to our office befor .�w 09-Ve per - witted to .issue the permit. Coeu�`O\�r 9 199 ��� 2 COMPLAINT FORM SS: VIOLATION TYPE - BUILDING - HEALTH - PLANNING AP # -11 a �O DATE TAKEN BY Supervisorial District Judicial District Complaint Location F,—AwJ�P�� OWNER: ADDRESS: TENANT NAME COMPLAINT: 0 FIELD INFORMATION Description of Violation Occupant Contracted: ACTION RECOMMENDED: None 30 day letter Information only, file Hold for Days 10 Day letter Other BY: DATE: AL COMPLAINT FORM SS: II 13-�9 VIOLATION..TYPE BUILDING - HEALTH - PLANNING AP # O 3, Co _ % — (0% ORATE TAKEN BY Supervisorial District Judicial District Complaint Location %.i �/ : i �:� .� . �� Lam✓ _ MY= * ADDRESS: TENANT NAME COMPLAINT: aaaanaavaaaaaa-a=a===ao=c==aco=a=.oaaao.aoa==aco==o.=aa=aaaa=o=====vo== FIELD INFORMATION Description of Violation Occupant Contracted: ACTION RECOMMENDED: None Information only, file 10 Day letter BY: DATE: 30 day letter Hold for Days Other COMPLAINANT AD�RESS: , PHONE NUMBER:. _ y �� D OTHER COMMENTS: Tb ' e OFFICE COPY r Address3 ( t �y Date- ELECTRIC ate ELECTRIC //77 -h Meter By � Da < 1 a r , r+ + COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIGN AND: PERMIT 1 ,q PERMIT J / ASSESSOR PARCEL NUMBER 7 f„ - /p ZONING rt - BUILDING PERMIT OWNER �' r t+.,,• ' TEIEPNON E SQ. FT. OCC. BUILDING VALUATION i «� ' OWNER'S MAILING ADDRESS 4 • , --` { - CONTRACTOR'S NAME p a�� . ..,may _ If "",_D4 JZ �`. TELEPHONE _ CONTRACTOR'S MAILING ADDRESS - a ,• Fireplace CONSTRUCTION LENDER I. UNKNOWN t Total Valuation Is Filing Fee P 10•00 ` Q LENDER'S MAILING ADDRESS---- - r I Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. is Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS »civ 01 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ,. 7 Each Trap 2.00 . , . Solar or heat pump water heater 20.00' LOT NO. SUBDIV* ION NAME - PARCEL MAP C Water piping ' • 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE ` SF� Duplex❑ Mobilehome❑ Other Y ' 'SPECIFY M Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile'HorrieI, S G W 0.00ea TYPE OF WORK «;. �-' . Remodel[E] ., I*tf ' Addition[] �Utili�lies❑Inst�Ilaton❑ Other [R' Describe work: t r r /i i. �" i �+3 .' Tom/ d Z) I , _t �� � �� ..•.mss _. �- Permit Fee $New❑ Contractor ELECTRICAL PERMIT Filing Fee 10.00 r+ t • ,S r I �� , ,tf� I t" .r Main service 1OOV OR,LESS- 100 AMP OR LESS . ; 10.00 1 l 1 /�• L'J Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of they Business and Professions Code and my license is in full force and effect. License No. Classification +:' I, as the owner, or my employees , with wages as their sole compen- sation, will do the work,and the structure is not intendedror 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.8i) OR ACDNS. ACC. BLDGS. ,/20sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID .BRA C CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. / 120 a 50t Ex. Occup(OUTLETS OR FIXTURES eAL@30 FIXED Ex. Occup. OUTLETS P(RESID LNS IREA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 w�'/_ ;ry`i /= ✓�I / �h ISermit 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 of Consent to Self -Insure. t ❑/1 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-" 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 Countyot Butte to enter upon the above-ment i oned, property for inspection purposes. 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. --� I X tui IQ t 1-O �+�i-� - Date ( �' % 1S Sign fu re of Applicant — Owner©,r , Contiactor ❑ `-tAgent ❑ 71 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. . i / 1I.1! 'J `/'. , Mobile Home Installation Fee $ r Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONST.T7_PZJ JSCHOOLJFLOOOJ_PARCrL1 PD I ND ISSUE This permit is hereby issued under the applicable provi- •sions of -the Butte County Code and/or resolutions to do work Indicated above for which fees have been paid. IRECTOR OF PUBLIC WORKS r %l/ ' �/ t' B ,7-1, . . � Aid i l Date A k' � Y . /• C PERMIT EXPIRES Date ��' �y Receipt No. 0 3 W a� 7 " '�li , i 1� �� i y, L �� . , WHIT[-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS �i 1t6 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-754.1 ° 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ER NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this or need additional explanationplease contact office immediately. mat , jl� is+ /1 n W Inspector c Date O -CS / A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIONAND PERMIT ASSESSOR PARCEL N MBER ZONING BUILDING PERMI OWNER @3 D s SQ. FT. OCC. BUILDING VALUATION OWNE VMAILING AOORIFSS O all CONTRA TOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 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 ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each.ga' water heater or vent 5.00 USE OF STRUCTURE SFV Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other[A Describe work: ,AQT !0& a -�1��71� �B �� r� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 " Main service SS 100 AMP OV OR R 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/POWER and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen• sation, will do tbe,work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, 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.N , OR ADDNS. ( ACC. SLOGS. /20sgft NEW CONSTRUL I -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS APPARATUS N` (SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES SAL030 FIXED PR Ex. Occup. OUTLETS (RESID IEA.? 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 -Vo/�-a/0 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): F] The permit is for $100.00 (valuation) or less. E] 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 10.00 Heating Cooling. Hood 3.00 I 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 lii bilities, judgments, costs, and expenses which'may in any way accrue again t sai County in consequence of the granting of this permit. r X Dater Sig a ure of Applicant — Ownerg Contractor ❑ Agent ❑ An 0 HA permit is required for excavations over 5'0" deep and it' or construct- ion of structures oveer,3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL P11F7777—E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OFVDat By P IT EXPIRES Date the applicable provi-' resolutions to do fees have been paid. WORKS e" " Receipt No. v 1 S1 0 WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. G0L .00 -APPLICANT w � . COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for iny our 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 or no)_. 2. I (have/have not) � � r- 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 1� e•i� 1. /�� d OZ� C�!'�-�\ Address (_9(0 t 1. cnk I n Lt ks If— City U�L Phone( 5 -/ AContractors License No. A)6/V 5�_ 4. I plana to provide portions of this work, but I. have hired the following person to coor "nats erv'se and rovide the major work: Name C Addre s City Phonein,�SG�,a e �. 5.��-1:2C-AContractors 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 Security tuber Date tol-I-R 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. h� ( SS��jji1 - , t"• V ' f': •r, ,_• 036-11.2 �� 010_•P DEVORE,ALICE? ERMIT#94-1727,' r ;! _ 3463. ORO BANGOR HWY. ,f. },{ ..• ELE SER. TAG/SF . :tire � �' "� .OROVILLE _;, > ti. `7 —/� �� :1 • _ q +i 6liN �APf i 3 q 6 ` ��� hack � t x • t Jl \ • f 1 -7 • i; h� ( SS��jji1 - , t"• V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541, PERMIT NO. APPLICATION AND PERMIT 1-141" /71)7 ASSESSOR PARCEL NUMBER 036-122-010 AR ZONING BUILDING PERMIT OWNER ALICE DEVORE TELEPHONE SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3463 ORO BANGOR WY PERMIT FEE $ 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE ' flex O Mobilehome O Other SF IS Duplex SPECIFY 1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W TYPE OF WORK y 1 New O Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Ci Describe Work: ELECTRIC SERVICE TACT ±i: !!!@20.00% PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOovORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCURS OR ADDNS. ( & ACC. BLDS. ) O. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. I(Sec 7044) ❑ lam exempt under Sec. Business and ProfesSlons Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0000 Ex. Occup.FIXED (OUTLETS fRESIDRESID.) E EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring LL23.00 • WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ • uu Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 consequence f the antin r i X Date " I 0 Li Si ature of pp cant ❑Owner ❑Contractor Agent An OSHA ler it is required for excavations over 5"0" deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE. LZ 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. /y By '�` Date r PERMIT EXPIRES ON (Date) 163268 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT