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HomeMy WebLinkAbout079-110-004B07-0115, 079-110-004 MISCELLANEOUS.,', Re -Roof REROOF W/COMP 12 SQ 163'GREENBANK AVE „ KELLOGG; CYNTHiA L �. J� hris Ruggle 163 Greenbank Ave., Oroville Permit #1610-78B,P,E,M(add new living room/SF) Ka 996'_ 494-904--, PERMIT#94=2293',, BELL, RALPH:: , 163,GREENBANK, OROVILLE.' CONT: FOX ELECTRIC "ELE SER CH/SF` PEMMIT#94-2448 BELL, • RALPH . J. 4° " 163 GREENBANK, OROVILLE !f'! CONT: DENNIS WELSH' REROOF/SFS I� I I ,i J� hris Ruggle 163 Greenbank Ave., Oroville Permit #1610-78B,P,E,M(add new living room/SF) Ka 996'_ 494-904--, PERMIT#94=2293',, BELL, RALPH:: , 163,GREENBANK, OROVILLE.' CONT: FOX ELECTRIC "ELE SER CH/SF` PEMMIT#94-2448 BELL, • RALPH . J. 4° " 163 GREENBANK, OROVILLE !f'! CONT: DENNIS WELSH' REROOF/SFS 0 County of Butte Oroville, California GENERAL CLAIM CLAIMANT: George Roofing ADDRESS: 6810 Lincoln Blvd CITY & STATE: Oroville, CA 95966 nATI= O: cl Alnn• nA/(ng/n7 BUTTE CCUPfV APR U 9 2007 DEvF. MT SERVICES 7y3 960 v 5// /oi SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet rAPN: 079-110-004 Permit No.: 07-0115 PAID RETAINED REFUND Development Services $ 110.00 $ 54.99 $ 55.01 EH Bldg Review Fee $ - $ - $ - SMIP $ - $ $ SHR $ - $ - $ - SRA $ - $ - TOTAL $ 11o.00 $ 54.99 $ 55.01 ............ ............................................ ............ <'•�'•'• ............................................. ............................................. <:.:.[tDQwiV::.: .............. c:Ear>:.C4CJT .............. ............. .............. ............. .............. ............. ::�l1tiXO:I1N :: t01001 DVLPMNT SVC 440-001 4210500 $ 55.01 46149013 Bldg Review Fee 21 540013 $ 1011298 SMIP 1001 280 $ - 1011811 SHR 1800 280 $ - 101001 SRA woo 4617240 $ - TOTAL $ 55.01 $ 55.01 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this f day of 2007. W 64md c Calif. Signat a of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one), r tho < C Dated this day of 2007, at Oroville Cal'rf. Department Head or AulhoriAgd Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. CLAIMANT: George Roofing ADDRESS: 6810 Lincoln Blvd County of Butte Oroville, California GENERAL CLAIM CITY & STATE: Oroville, CA 95966 nAIW) rn7 urs i c yr I,LHllvl. vii vu v , SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 079-110-004 Permit No.: 07-0115 PAID RETAINED REFUND Develo ment Services $ 110.00 $ 54.99 $ 55.01 EH Bldg Review Fee $ - $ - $ - SMIP $ - $ - $ " SHR $ - $ - $ " SRA $ - $ - TOTAL $ 110.00 $ 54.95 $ 55.01 ..:.:..:.......:..:...:.:.:.:.................................... ......:::.... . .::::: t .i nQyviv:.:::::. $` b:G: I : ....U......... :AC41ItT:::�►1QIJN ..... 101001 DVLPMNT SVC 440-001 4210500 $ 55.01 4614901:1 Bldg Review Fee 21 540013 $ - 1011298 SMIP 1001 280 $ 1011811 SHR 1800 280 $ - 101001 SRA 0100 4617240 $ - TOTAL $ 55.01 $ 55.01 h' 1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that t s claim is true and correct as stated. Dated this day of , 2007, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specked above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2007, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND — KinT WRITE not nw T&4!Q LINE _ At D!TOR'S USE ONLY DEPT 8 SUB PROD SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. SRA0.00 . 0.00 $ 110.00 $ 54.99 $ 55.01 1 $ 55.01 1 $ - $ - b - $ - APPROVAL CHECK: $55.01 Date Reviewed 4/3/2007 DIFFERENCE: $0.00 Bill Barron (Should be blank) Supervisor Building Inspector REFUND CALCULATION SHEET CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: George Roofing 6810 Lincoln Blvd Oroville, CA 95966 04/02/07 APN: 079-110-004 . NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT #: PRIOR REFUNDS: FEES VERIFIED RECEIPT INFORMATION AUD SUSP 1001 (SMIP) 280 1011298 B1554 1/19/2007 George Roofing 12449 $110.00 07-0115 Yes No Yes No Yes No X :::::::::::::::::::::::::::::: ............................... :::::::::::::::::::::::::::::::::: ................ .............................. :::::::::::::::::::::::::::::: X .......... ------------ -=- .......... Filin from Plan Check 0.00 0.001 0.00:::::::::: REFUND BREAKDOWN Inspection 0.00 0.001 0.00 SRA0.00 . 0.00 $ 110.00 $ 54.99 $ 55.01 1 $ 55.01 1 $ - $ - b - $ - APPROVAL CHECK: $55.01 Date Reviewed 4/3/2007 DIFFERENCE: $0.00 Bill Barron (Should be blank) Supervisor Building Inspector I me Fund Dept Accnt Cash BLDG 0010 440-001 4210500 101001 EH 21 540013 4614901 101001 AUD SUSP 1001 (SMIP) 280 1011298 SHERDEVFEE 1800 (SHR) 280 1011811 FIRE 0100 (SRA) 4617240 101001 DETAIL PAID RETAIN REFUND BLDG Time 109s6 :::::::::::: .......... ..................: :::: ::::::: :::::::::: :::::::::: ......:::: :::::::::::::::::::::::::::::: ............................... :::::::::::::::::::::::::::::::::: ................ .............................. :::::::::::::::::::::::::::::: .......... ------------------ .................... .......... ------------ -=- .......... Filin from Plan Check 0.00 0.001 0.00:::::::::: Plan Check/Filing0.25 27.50 0.00 0.00 Inspection 0.00 0.001 0.00 BLDG FEES OTHER BLDG Re -Roof Permit 110.00 110.00 110.00 Fire Sprinker Fee 40/60 0.00 0.00 REFUND PROCESS FEE 54.99 54.99 54.99-54.99 BUILDING TOTAL 110.00 54.99 55.01 55.01 EH Bldg Review Fee 0.00 0.00 SMIP0.00::*.,.,-,.,.,.,.,....,.'-'-'-*-*-'-*-*-*- 0.00 0.00 SHR 0.00 0.00 .......... :::-:->: , SRA0.00 . 0.00 $ 110.00 $ 54.99 $ 55.01 1 $ 55.01 1 $ - $ - b - $ - APPROVAL CHECK: $55.01 Date Reviewed 4/3/2007 DIFFERENCE: $0.00 Bill Barron (Should be blank) Supervisor Building Inspector Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY -Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name Is on the receipt Issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return ..... MAILING ADDRESS: PHONE: ASSESSOR'S PARCEL NO.: (Please use one claim form per permit.) ... BLDG PERMIT NO.: Receipt No. 1 Receipt No. 2 Receipt No. 3 RECEIPT NO.: RECEIPT DATE: - D L:�:L �� RECEIPT AMOUNT: /It�,Oo' .. REASON FOR REFUND REQUEST: Check those feeswhich you wish to have considered for refund: E;2jBuilding^Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning) =Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. 'Signature K:/Forms/Refund Aqplication 082203 Date ,*• DttT7'F, COUNTY APR 0 2 2007 DE VEWpMEN,r SERVICES BUTTE COUNTY DEPARTMENT OF DEVE:'OPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 163 GREENBANK AVE Owner: Permit NO: B07-0115 APN: 079-110-004 KELLOGG, CYNTHIA L Issued Date: 01/19/2007 By KEJ Permit type: MISCELLANEOUS 163 GREENBANK AVE Subtype: Re -Roof OROVILLE, CA 95966 Expiration Date: 01/19/2008 Description: REROOF W/COMP 12 SQ (530) 533-4962 Occupancy: Zoning: AR Contractor Applicant: Square Footage: GEORGE ROOFING GEORGE ROOFING Building Garage Remdl/Addn 6810 LINCOLN BLVD 6810 LINCOLN BLVD OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 533-6393 (530) 533-6393 FEE INFORMATION Re -Roofing $110.00 Total Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B1554 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GEORGE ROOFING 452266 / C39 B C43 / 02/28/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. 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 X 01/19/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 272-0000596 E 01/01/2008 Cartier: Policy N Number. xp. Date: Contractors License Law.). (This section nee not be competed if the permit is or one un re otters ($100) or ess. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: ❑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' X 01/19/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 01/19/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and'State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. 01/19/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR. FlAgent for Owner Agent for Contractor APPLICANT COPY Lenders Address City State Zip BUTTE COUNTY NAME: KELLOGG, CYNTHIA L ADDRESS 163 GREENBANK AVE PERMIT: B07-0115 APN 079-110-004 PLEASE POST THIS IDENTIFICATION CARD IN A CONSPICUOUS PLACE AND VISIBLE FROM THE ROAD BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 2 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0115 Issued: 01/19/2007 Address: 163 GREENBANK AVE Area: OROVILLE Owner: KELLOGG, CYNTHIA L APN: 079-110-004 Applicant: GEORGE ROOFING Map Page: Permit Type: Re -Roof Description: REROOF W/COMP 12 SQ Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: imum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Finals Building Fina—r--802 IVR I INSP DATE Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Set acs 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Work Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 1 801 -rrolecc rium is a %-cruncate of occupancy for txesiaennai vniy) PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Applicant 222-4 MAILED FROM ZIP CODE 1 9 t ' George Roofing 6810 Lincoln Blvd. Oroville, Ca. 95966 - ATTN: BUILDING PERMITS 13U uxE7 +± - Butte County Department of APR 0 22007._.. ENT Development Srevices DEVELop e F _ 7 County. Center Dr. SERVICES Oroville Ca .95965. t t�. � tit ttt t Nt.t�,r t • t! I BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 2 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0115 Issued: 01/19/2007 Address: 163 GREENBANK AVE Area: OROVILLE Owner: KELLOGG, CYNTHIA L APN: 079-110-004 Applicant: GEORGE ROOFING Map Page: Permit Type: Re -Roof Description: REROOF W/COMP 12 SQ Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps . 122 Shearwall/B.W.P.-Interior 135 ShearwallB.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Finals Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 1 802 Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 801 -rrujcca rinai is a %-eruucate ui uccupancy for ixeswennat umy) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 163 GREENBANK AVE Owner: Permit NO: B07-0115 APN: 079-110-004 KELLOGG, CYNTHIA L Issued Date: 01/19/2007 By KEJ Permit type: MISCELLANEOUS 163 GREENBANK AVE Subtype: Re -Roof OROVILLE, CA 95966 Expiration Date: 01/19/2008 Description: REROOF W/COMP 12 SQ (530) 533-4962 Occupancy: Zoning: AR Contractor Applicant: Square Footage: GEORGE ROOFING GEORGE ROOFING Building Garage RemdUAddn 6810 LINCOLN BLVD 6810 LINCOLN BLVD OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530)533-6393 (530)533-6393 FEE INFORMATION Re -Roofing $110.00 Total Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B1554 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GEORGE ROOFING 452266 / C39 B C43 / 02/28/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. 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 X 01/19/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractor's Signature Date 1, 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements EI HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law down not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 272-0000596 Exp. Dat 01/0112008 Cartier. Policy Number: e: Contractors License Law.). (This section need not be completed if the permit is or one hun dollars (s100) or ess. red ol ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑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'X 01/19/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 01/19/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. CONSTRUCTION LENDING AGENCY 01/19/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR. DAgent for Owner Agent for Contractor INSPECTOR COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 163 GREENBANK AVE Owner: Permit No: B07-0115 APN: 079-110-004 KELLOGG, CYNTHIA L Issued Date: 01/19/2007 By KEJ Permit type: MISCELLANEOUS 163 GREENBANK AVE Subtype: Re -Roof OROVILLE, CA 95966 Expiration Date: 01/19/2008 Description: REROOF W/COMP 12 SQ (530) 533-4962 Occupancy: Zoning: AR Contractor Applicant: Square Footage: GEORGE ROOFING GEORGE ROOFING Building Garage RemdUAddn 6810 LINCOLN BLVD 6810 LINCOLN BLVD OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 533-6393 (530) 533-6393 FEE INFORMATION Re -Roofing $110.00 Total Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B1554 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GEORGE ROOFING 452266 / C39 B C43 / 02/28/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full fo . ct 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 X 01/19/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). �} I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: �( Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund Policy Number:272-0000596 Exp. Date:01/01/2008 Contractors License Law.). (This section neednot a competed if the permit is or one undred dollars ($100) or less. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: ❑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' X 01/19/2007 compensation provisions of Secti 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 01/19/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro eror horizedtotheprope owners behalf. ZAE N 01/19/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of PcirmitteFISI ] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner E9 Contractor OR DAgent for Owner Agent for Contractor FILE COPY Lenders Address City State zip s BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 . A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT SIGNATURE X For office use only: OWNER Name RALPH J. / MARY A. BELL Address 155 GREENBANK AVE. City OROVILLE State CA Zip 95966 Phone 533-4962 Fax E-mail Lic.# APPLICANT SIGNATURE X For office use only: CONTRACTOR Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530)533-6393 Fax (530)533-0287 E-mail dan@abcgc.com Lic.# Class dan@abcgc.com 452266 1 C39 APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name N/A Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530)533-6393 Fax E-mail dan@abcgc.com State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip 95966 Phone (530)533-6393 Fax (530)533-0287 E-mail dan@abcgc.com APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # PlannerDate Approved: PERMIT NO. NO. u l,-o1.1.E BP BIN # WORKER'S COMPENSATION Policy Number 272-596 Carrier STATE FUND If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work REROOF-HOUSE-COMP Sq. Footage 12 SQ ❑ Structure Built Without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: LOCATION API / l� SRA Property Address 163 GREENBANK AVE. OROVILLE CA 95966 Cross Street SMIP WORKER'S COMPENSATION Policy Number 272-596 Carrier STATE FUND If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work REROOF-HOUSE-COMP Sq. Footage 12 SQ ❑ Structure Built Without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date: Total REV: George Roofing 036-380=004•. I PERMIT#94-2448 BELL, RALPH J.' 16.3 GREENBANK,,OROVILLE• CONT: DENNIS WELSH REROOF/SF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ON 7 County Center Drive - Oroville, CaUfstrnia 95965 - Telephone (916) 538- PERMIT NO. APPLICATION AND PERMIT `�` k • ASSESSOR PARCEL NUMBER 036 -38O -W4 ZONING BUILDING PERMIT OWNER r VA',i 1, ' �+ TELEPHONE 91- 4-4962 SQ. FT, OCC. BUILDING VALUATION — OWNER'S MAILING ADDRESS EST 675 00 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 163 GRMBANK PERMIT FEE $ 39.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIW ION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ElMobilehome ❑ Other GAR SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer Mobile Home S G W K TYPE OF WORK New ❑ Addition ElRemodel ❑ Utilities ❑ Installation O Other C)( DescribeWork: I PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( R LE 200A0 LESS 23.00 Main Service ( 200A TO 1000A 46.00 DWELLING OCCUP. NEW CONST. DW8, ) OR ADDNS. ( ACC. BLDS. SO , 3.5C so CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) Q I 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) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI-OUTLET -NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) S SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPS. OR ( OWUTLETS (RESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 28 00 WORKER'S COMPENSATION INSURANCE ,' I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O 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. GI 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 $ 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. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and_•_ ize r@presentatives-of the County of Butte to enter upon -the above men for inspection purposes. 1 also agree to save, indemnify and eep 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 s ��/ ' Date 1 tJ�i � 0,/ . Signature of Applicant 411 Owner • Contractor ❑ Agent An OSHA " l� permit is equired 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 coNsr. rrPE TOTAL FEE s 39.00 HAZ• I D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. R&6f I -/-I— Date ?Ii, IN PERMIT EXPIRES ONS! /_5 !Date/ Receipt No. 167545 WHITE-D.C.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI 7 County Center Drive - Oroville, Califon ia,95965 - Telephone (916) 538- PERMIT o• APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-380-004 ZONING BUILDING PERMIT OWNER 155 GREENRANY AVF TELEPHONE 511-4962 SQ. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS DENNIS WF.T.,q14 EST 675.00 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 77TUNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS QREENBANK PERMIT FEE $ 0 39.01653 QR0JJTT I R 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 ❑ Mobilehome ❑ Other GAR SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New Q Addition CIRemodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 'OVOR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDS. ) 3.50 FSTO,, 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) 1, 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 ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 I OUTLETS RESID.) OR Ex. Occup.FIx ED (RESID ) EE A. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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 $ 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. 1 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 Count n nsequen o the rant of this permit. X Date 6 Signature of A lican - Owner ontractor ❑Agent An OSHA permit is quired 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 FEES 39.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 22 9 Date �JD r PERMIT EXPIRES ON �� S !Da tel Receipt No. 167949 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - • OFFICE COPY ......,• _.., d -, i Address � 8?1d„fnG 1 ELECT Date Meter BY ,..._ .._.... w...._,.., ._.....,_.•.. �,...t.�.U.� ,:� ; i I ! ' ._ _ _ _ .. _. _' 1 . e .. • , �, r. 7 q r { i�� :.r'�f/ �"l�, . ,`% la 1 r i, Ir �,.•', -77 1 ft`+!•.:' ! r�'� ';1 1'•.' I i I_ t r t 1 j /�. Y,' Y • .� .f .!' • i.. .. ., t • 4 .. 1 • t_ I� /�t1•l f?J:f •,�1� 1''...•.�,7t 1. •II.. Ili, 4 ! = . I'.' r';' 's' :�.:�• 036-380-004 (PERMIT#94-2293 BELL, RALPH 163 GREENBANK, OROVILLE CONT: FOY ELECTRIC ELE SER CH/SF_/ • 1 . _ .. +tr: ,;F. 7 .i iAlvi 2',7:1WC, •-. to P'T'U) �4 .Y r10:: 3 ou I ',• r: .t . •, :..1-I Nig !.ri, r`1'. .t .. - ... r..!. J:U i i i 1 t !. 0.w 10 - • OFFICE COPY ......,• _.., d -, i Address � 8?1d„fnG 1 ELECT Date Meter BY ,..._ .._.... w...._,.., ._.....,_.•.. �,...t.�.U.� ,:� ; i I ! ' ._ _ _ _ .. _. _' 1 . e .. • , �, r. 7 q r { i�� :.r'�f/ �"l�, . ,`% la 1 r i, Ir �,.•', -77 1 ft`+!•.:' ! r�'� ';1 1'•.' I i I_ t r t 1 j /�. Y,' Y • .� .f .!' • i.. .. ., t • 4 .. 1 • t_ I� /�t1•l f?J:f •,�1� 1''...•.�,7t 1. •II.. Ili, 4 -.�-..-..1-..w..T '�, _ .. .-. ��- � .�-•.•. ..•f -.v �e•�e�.�rrw. S`7 „"R, -.- •T - r..�r"f I t t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95465 - Telephone (916) 538-7541 r_PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036--380-004 zON AR BUILDING PERMIT OWNER RAM BELL TELEPHONE ,J�+.7�L4+ %2 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 155 GREEDBYM OROVILLE ��B • CONTRACTOR'S NAME FOX ELECTRIC TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER 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 163E�BA) PERMIT FEE $ OROVILLE 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 s Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE 1 i SFI Duplex ❑ Mobilehome ❑ Other 1 SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W@20.00 TYPE OF WORK i New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other ❑ I Describe Work: RAPZ..ACT WIT i PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( IV OR LISS 200A OR LESS ) 23.00 13.00 Main Service ( 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8,ACC. BLDS. ) SO, 3.5C FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification O 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) �© 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) a SINGLE OUTLET CIH. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .ao Ex. Occup.FIXED APPWS. OR ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 28.00 Mobile Home Facilities 20.00 Misc. Wiring 28.00 It PRE INSPECII'' • 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. Ishall 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 $ 66.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that 1 have read this application and state that the above information is correct. 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' / t!i .i �f. • ,..Date �(,� .7 4/ .# Signature o_f'Applicant - O Owner ❑ Contractor ❑ AgentT / 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 Fees,. , $ occ corNsr. rvPE: TOTAL FEE $ 66.00 HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISS E J This permit is hereby issued under the applicable provisions _ PP of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ByDate PERMIT EXPIRES ON ���'.'/�/�•.•� (Datel Receipt No. WHITE-D.D.S.-B.5. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7%County Center Drive - Oroville,,Galifornia 95965 - Telephone (916) 538-7541P tM T NO. APPLICATION AND PERMIT ��- ASSESSOR PARCEL NUMBER 036-380-004 ZONINGARBUILDING PERMIT —7 OWNER RALPH BELL 533NE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 155 GREENBIfANK OROVILLE CONTRACTOR'S NAME FOX ELECTRIC TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 163 GREENBANK PERMIT FEE $ OROVILLE 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 SFXQO Duplex O Mobilehome ❑ 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation C3Other ❑ Describe Work: REPLACE MIR PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) 3.50 FSTO,, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I 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 O 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 contfactors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 200 1.00 SAL. .50 Ex. Occup.UTLFIX ED APPWS. ORETS (RESID.1 EA. ( O ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 KIR PRE INSPECT I P3.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 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. "0 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 $ 66.00 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. 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 Cou I conseq ence of t granting of this permit. Date 7 Signature o Appli t Owner Cl 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 $ HAz. I D. FEES IMP I FLOOD OF PARCEL I PO ND ISS E This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BYDate Af7� PERMIT EXPIRES ON 40// aW provisions to do work paid. ✓ • l� lf1 / `�� Receipt .D. WHITE-D.D.S.-B. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -M - RGONRI3 �10F"' �"f 'AU03 '0 YT, r. —0 Iwo Now$ Umms A Ono My V-� !s e; win 4 0 01A4 an ---------- K IM TMAJ Mal ownkJ 7 ymmmac zy iv 6 0&0�1 A YqOMD 'U spo"Tra loan Symb a nm 1 • ,4t CV a Wynn was- co -;-POT mu) Ma in, lb:!c -'ow �".Ij Cam IMP; , I. yKneq wbou 2inksb i zt-:n&mB mn,KYS 1; Apo qM %mv Z ko Nov M sc bnsy awd 1 L1 V amw YAMA'"Nom lm� W.1 SA! lam 1 'm b 11i.0, "im)")q CH:.t lo an6kJkKOlq ft--iue at go awl 0411 was EMOM� W 21- SnUo ymms onus b m VQMO O W aeve .1 ass to 0% cbmum pm JAT(�'4 ��S 100%r may 15 Yom, �42 ""WmA qmA WE YAwn,"! ay. cc ouve omn Owl 1,7 OK tris 0mol M ic. io ir!,. ytrluc.) mnl IV a% amoB 041040 WYOMIL nn'. is 5. WA mo aawWm=o M WW"i 0 immq AH20 nA oi . w:0 W now A . ........ PRE -INSPECTION 04) E R: DATE LOCATION:/ (������iCA. P. CONTRACTOR: Lr ZONING ----------------------------------------- ____________________________________________ _ PRE-INSPECWIN2FOR-L ------------------------- PRE-IN ---- i/'/ A /)T PERMIT HISTORY: NONE AS FOLI',OWS: TYPE OF OCCUPANCY ------------------------------------------------------------------------------------- FIELD - INFORMATION BUILDING USAGE: TENNANT: OCCUPIED CJ HAS ELECTRIC 0 HEATED -COOLED OTHER COMMENTS: [:] HAS 'GAS PERSON CONTACTED-'' k t I ACTIO ECOMMENDED: ; ISSUE Q HOLD FOR OTHER: BY [] HAS SANITATION FACILITIES DATE / 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at 04 12 office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 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 COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 P MIT APPLICATION DATA SHEET OWNER ���.� 3� A P bdo. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. DATE RECEIVED BY All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... A. 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. .......... . 1"riveway permit (constryction ap Val required prior to occupancy). . . 20. Pre-inspgctton for �i� _ required. .. oB�ild�g Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. 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 . ........................................ 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 permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at 04 12 office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 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 ER COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE z Z�) PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work a is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ' -) k' �'o >H c mac/ rC7y'lG 1 11 Date Inspector REV 10/92 d 1610-78B,;P,E,M t 4;; .PERi811T NO. PERMIT EXPIRES OWNER Chris Ruggle CONTR. _ owner LOCATION (A.P. 36-38-4 ) 163 Greenbank Ave., Oroville r b r i i 's r 4 i a at Y i 4 '1 Temp. Power Pole Called PG&E Tempi.Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB ,.L FINALED (Date) (Signalre) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 'BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback - / <77 - -) / Firewall S P Forms 10, Parapets oil spin 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Final Sidina To out Slab Roof She thing Water Piping Piers Roofing Sewer. Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Prov. for ph slcaliy A II Carport Footings handica ed ,� Conformance of ex. structure antes Gas Pip ng Temp. Gas & Test Slab Final Z Sanitation Patio 'FIREPLACE Final Z / 7 Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SP INKLERS Motors Framing - 3 - 7 ST Test Water Htr. Stucco Final Subnnnels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating --Z L 7 Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Z—C ^7 Final 73 MOBILEHOME UTIL ITIES -------•---------- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X C41+ Ck Date" `S Signature of Permitee o Agent Receipt No. ��LL li� 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 -OF PUBLIC WORKS eV s Date 5 —J - 11ding permit expires Date 77 IG BUILDING Owner 0 SQ. FT. OCC. BUILDING VALUATION D � Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �3 Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. -- Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 FjtAj Q- n'Ion Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 0 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W I Improvemen -Each additional outlet .30 Building sewer 5.00 Bldg. PIc ec'd Parcel A rov Plans pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ + ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 . (� Main service 100V OR LESS 100 AMP OR LESS 5•00 Single Famil Duplex Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING 0 OR ADDNST ( ACCLBLDGS. Up. P �� 20sq ft (✓ 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 st le of: y NEW MULTI -OU S) N2.50ea ON.CONSTONSTR (BRANCH CIRCUIT NEW CONSTR NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXT11RES 5 L25 Ex. OCCU FIXED APP LNS. OR p•(OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ` ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , G� $ 70 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. 1 have placed on file with the County of Butte a certificate of 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 Q Heating Cooling Ventilation Hood 2.00 Permit Fee $ 00 $"710, 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 Land Development Fee is TOTAL PERMIT FEE 1$1110S `S authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X C41+ Ck Date" `S Signature of Permitee o Agent Receipt No. ��LL li� 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 -OF PUBLIC WORKS eV s Date 5 —J - 11ding permit expires Date 77 IG 1 _�._..._ _..._- _ ._.. __. ._ __ - r _., __.._�,._.�.�.., _ _.__-_��.-i.._ _ �-.__._.�. �.. v. ____�___. 4_ _____ _ __ _�� _._ __,._..._.__ --.� _. _ ..._ .may._ — �_ ti^.%`V K7/ - y �\ ^ A /� _� ._._ .. _ � � -� .-r- _='.� �/_\tee.—_� __. j[- •�-� �C. l _ _, _ ._ � . _ �._ _ ._ , _ � .nom• . ---- - - -- ---. � __--- _ __ _ ___._ _ - __--- - . 1 __,._ _ . _ __ __ _ .y.__ _. , __ _.___ _ _. _ _ v E rt - .. i� I� i i r y . , I r� I Fi . I I