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HomeMy WebLinkAbout079-110-008q tA ION 0 A . P WARREN WILSON 9-79 3 Gree'nbarik Ave :' proville00-003 S� Permit 3421 4B ,•_ —Z , E (private garage) r--� Chastain &G Os walt Iyev �ppermit ##6006-75B (EQ Damage- �& replace fireplace/SF) " PERMIT#97-2 JACOBY, . Richard i"193.Greenbank, Oroville 'Co. 11 nt: j ZEle `Ser Ch/SF•��L�,'4 j', 10-46- PERMIT#97=2329 7 JACOBY, Richard' J°'. x193 Greenbank,VOroville'ti don't:' LaGrone `,•'Replace .HVAC for Ele Per 97=230 V r 1 I {i f ; q tA ION 0 A . P WARREN WILSON 9-79 3 Gree'nbarik Ave :' proville00-003 S� Permit 3421 4B ,•_ —Z , E (private garage) r--� Chastain &G Os walt Iyev �ppermit ##6006-75B (EQ Damage- �& replace fireplace/SF) " PERMIT#97-2 JACOBY, . Richard i"193.Greenbank, Oroville 'Co. 11 nt: j ZEle `Ser Ch/SF•��L�,'4 j', 10-46- PERMIT#97=2329 7 JACOBY, Richard' J°'. x193 Greenbank,VOroville'ti don't:' LaGrone `,•'Replace .HVAC for Ele Per 97=230 V r I i �� �� �� ,��� �� �� .� i G, �?� �, ,� � �2 4 ' � 6�� --� �� tTMENT OF DEVELOPMENT I SERVICES .LDING DIVISION OF PERMIT FINALS zYfJiY 1997 FINALED 'E SF 08/21/97 CE/88-4003 08/21/97 ?RV/SF 08/01/97 SIDING/SF 08/18/97 :,REWIRE,ELEC SERV 08/12/97 )CK 08/14/97 i COAPL 80-5587 08/25/97 46LE FAMILY 08/19/97 SER FOR PUMP 08/19/97 t FORiLIGHTING 08/08/97 'OFFICE 08/18/97 4EWAL BP#93-3790 08/25/97 (APT 08/18/97 'FILING/OFFICE 08/08/97 )WER POLE/SF 08/19/97 ISF 08/18/97 4EWAL OF BP#93-4012 08/19/97 ?LETE 93-2294 08/14/97 ? ELEC SER 08/14/97 /MINI STG 08/07/97 TOME ON PERM FND 08/11/97 /SF 08/17/97 /SF 08/18/97 1/2 OFFICE 08/08/97 /SF 08/18/97 -• ` - COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541. CORRECTION NOTICE OWNER - » -/ 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 .it{ completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 3 t Date REV 10/92 .. ORO VIL L T/9 19 N. _.o K) , Tax Area Co e t� _LOT--� Q_j9 C� _::b I 84 O 315.84 Iq LOT X6 ZIS310-51 34. L 0 7, 2.96 200, 4-07 S 82 o 13' 326.2 5 Y` \ t 298.42 13- 972 6A' % 1 tn 66.65 300 27 S!o LOT 299 LOT 285 6.945 AC LOT 306 4.64 AC 2. 15AC OTTE CIA YA ND N 0 34 61,3-91 IF�\ H _.� 0 16 32 LOT 300 A, 920 /yA �► /0 2.16,4C A 020�0 4.64 AC LOT 305 00 U/ (P C 0 4e (22)I,.OIAC 101AC 4 0 6 159. UN/ T NO. nj ?7, 0 S LOT 503 47 6.97 S 84 061 w LOT 304 Assessor's Map No. 36-45. County of Butte, Cali f R'S PARCEL BLOCK NOTE-ASSESSORS SHOWN SEP T 1959 & LOT N CIRCLES 036-450=019 PERMIT#97-2329 JACOBY,' Richard J. ' h 193 Greenbank, Oroville: Cont: LaGrone Replace HVAC fP`or.Ele Permit#97-230( /. R - t t �• 0 VI { I r s� l 4 036-450=019 PERMIT#97-2329 JACOBY,' Richard J. ' h 193 Greenbank, Oroville: Cont: LaGrone Replace HVAC fP`or.Ele Permit#97-230( /. R - t t �• 0 VI { I r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES LDI DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (91%). §'�%68 - 75 1PERMIT NO. (Rev. 12/96) APPLICATIONAND PERMIIJ - ASSESSOR PARCEL5NU0-019 MBER 0 ZONING. P BUI&INGPERMIT OWNS JACOBY TELEPHONE SO. Fr. `OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 193 GREENBANKs OROVIM, Q%, 95966 CONTRACTOR'S NAME LAGROW, TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'! MAILING ADDRESS Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Total Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 193 GREUMM 14ROVI�M /0 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME 1PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEORSTRUCTURE, SF CK Duplex 0 Mobilehome 0 Other 1 1 SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other Describe Work: — REM ACE HVAC FOM R PM . MIT #97-9306 Gas piping system 1 - 5 . outlets .15.00 Building sewer 15.00 Mobile Home SGW II 1 1 4!�! PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 — Main Service a00A OR ESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of the property, or my employees with wages as their sole compensation, i will do the work, and the structure is not intended or offered for sale. E 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING & ACC. BLDOCCU P. OR ADDNS. S. so 3.50Fr. S =N-PICESIONDT MULTI -OUTLET BRANICC1. @7.50 POWER OWER APPARATUS C'. Ex. Occu OUTLET OR FIXTURES 20 @ 1.00 BAL Q .50 Ex. Occup. .uTx.E' A '(g.s,6.)ER. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wiring 23.00 —Misc. I PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury`8ne of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as pr6vided for by section 3700 of the Labor C6de, for the performance of the work I fqr which this permit is issued. ; 0 1 have and will maintain work s' compensation insurance, as required by Section 3700 of the Labor Code, for the'PLerformance of work for which this permit is issued. My workers' compensation insur)%6ce carrier and policy number are: C a7r) a r MECHANICAL PERMIT Filing Fee .20.00 Heating Cooling 25.00 Hood 6.50 Ventilation PERMIT FEE $ 711. M Policy umber rs, (The 6abhRg sectio-tio-�—eed not be�`cbmpleted WtL�e mit is for work of a valuation 0 e r� 0 of ($ 1 0�0 o r �e. 0 �Z ad 4CUff j� S I certify that in the performance of1he for which this permit is issued, I shall not employ any person in any manner so asvto become subject to workers' compensation lawS'of Californip7pnd agree that if I should become subject to the -' workers' corn per�s­atiJn\ 15-r-ovlsns-of Pwction 3700 of the Labor Code, I shall l�%§� forthwit comply With those provisions, X ate 0,t6r-)Af-a 0 Agent Signature of Applicant - 0 OWner ctor An OSHA permit is requirdd fo'r excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy nsp!�ctidn Fee $ - OCC CONST. TYPE TOTAL FEE $ 7non HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD I ISSUE I X This' permit is hereby, issued under the applicable provisions of th 6 �Butte County Code and/or Resolutions to do work indicated above for which Ifeesthave been paid. By Date PERMIT EXPIRES ON 7 I (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS 7 County Center Drive - Oroville, JCalif=ia 95965 - Telephone (916) 538-75 PERMIT o. (Rev. 12/96) APPLICATION AND PERMIT %-,w ASSESSOR PARCEL NUMBER 036-450-019 ZONING BUIL ING PERMIT OWNER RICHARD J. JACOBY TELEPHONE SO.. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 193 GREENBANK, n . CA 9596 CONTRACTOR'S NAME LAGRONE TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MNUNG ADDRESS - Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 193 K, OROVILLE Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CK Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: A�1± u11Ar R RT�RM --RSP-Leo—F�9P��I'�—Tr-4-7 X306 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200q OR .s 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. R I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wit tho a provisions. _ Date 7__ 70� Anat e of pplicant - wner C actor ❑ Agent tj& An OSHA permit is requid r excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING Occup. so OR ADDNS. ( a ACC. BUDS. 3.5¢FT: CONST.9 rNO RES DMULT'*. CIRCUITS g7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES 20 0 1.00 BAL @ .50 Ex. Occup. ouiLE__Drs RE�SID.OERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : MECHANICAL PERMIT Filing Fee 20.00 Heating ZD. UU Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL Pr HD UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate ve for which feQ ,have been paid. - y PERMIT EXPIRES ON 7 rj Der Receipt No. ' WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 036-450-019''•• PERMIT#97-2306 JACOBY, Richard J". . .193 Greenbank, Oroville Cont: Jim Webster Ele Ser Ch/SF' #�I 7gf) a 0 1 S t 1 036-450-019''•• PERMIT#97-2306 JACOBY, Richard J". . .193 Greenbank, Oroville Cont: Jim Webster Ele Ser Ch/SF' #�I 7gf) a 0 1 S 036-450-019''•• PERMIT#97-2306 JACOBY, Richard J". . .193 Greenbank, Oroville Cont: Jim Webster Ele Ser Ch/SF' #�I 7gf) a 0 1 S COUNTY OF BUTTE- DEPARTMENTjbF DEVELOPMENT SERVICES -BUILDING DIVISION-­-�- 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT N0. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-45-0-019 ZONING BUILP61GPERMIT OWNER ZICHARD J. JACOBY TELEPHONE SO, Fr, OCC. - BUILDING VALUATION OWNER'S MAILING ADDRESS 193 GREENBANK, OROVILLE CA 95965 CONTRACTOR'S NAME JIM WEBSTER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER ^IO:YE LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER i'ONF—Filing LICENSE NO. Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS LL 193 GRFENBMK, OROVIE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF(5. Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each qas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation Installation ❑ Other ❑ Describe Work: 200 AMP SERVICE CHANGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service i..A OR LEss 23.00 3.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. IR I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( d ACC. BUDS. SO 3.50FT. rN-RESNpT. MULTHOUTLE7ITS 97,50 Pow ER APPARATUS b SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES j 20 BAL O 1.50 Ex. Occup. OUTELETS D ARESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided -for-bysection 3700 of the Labor Code, for the performance of the workior which this permit is issued. ❑ 1 have and will main tain,work s' compensation fnsuran ce, as required by Section 3700 of the Labor Code, for the erformance of work for which this permit is issued. My workers' compensation insu nce carrier and p6licy number are: Carrier \ �', MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number \ \ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or -less.) O I certify that in the performance of tRe.work for which this permit is issued, I shall not employ any person in any manner.so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 37'00 of the Labor Code, I shall forthwith comply with those, provisions. �` X 1/rDate `l Signature of Applicant - IR Owner b,Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 43.00 HAZ. 0. FEES IMP FLOOD CDF PARCEL PO HD 6_SU& V. This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B PERMIT EXPIRES ON / /) —_77-- the applicable provisions Resolutions to do work been paid. Date /a -47-� 7 pare Receipt No. r_ %�7 WHITE-D.D.S.-B.D' CANA Y= SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 _ rPERMIT NO. (Rev. 12/96) APPLICATION AND�PERMIT 036 845 OU019 ZONING BUILD NG PERMIT OWNER RICHARRD J. JACOBY TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 193 GREENBANK, OROVILLE CA 95965 COTNTTR-ACTOR'S NA TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CNONETION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER NONE UCENSENO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 193 GREENBANK, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF)ff Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilifies;XM Installation ❑ Other ❑ Describe Work: 200 AMP SERVICE CHANGE Gas piping system 1 - 5 outlets 15.00 Building sewer15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service eo.OR lES9 200AA OR IESS 23-0023.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ® I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. LD. 3.5¢SOs. NEW CONST.MULTI-OUTLET NON-RESID. C CU,TS97.50 APPARATUS a SINGLE OUTLET CI R. Ex. Occup. OUTLET ORFIXTURES BA�p'.50 Ex. Occup. ourEiEis REs o.oea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with comply with those provisions. cof '7159 X Date �C) 7 Sig ature of Appl' - R 01pre'r ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HA2. D. FEES IMP :L000 1 COF PARCEL I PD HD I SU This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �/t> G� B Date/00,- L PERMIT EXPIRES ON�d��— Date Receipt No. WHITE-D.D.S.-B. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) 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 PARCEL NUMBER ©�J !� Q J ZONING BUILDING PERMIT OWNER ��•`YN/�� TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNERS MAJUNd ADDRESS CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER ' LENDER'S MAILING ADDRESS Fireplace Total Valuation b ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee b BUILDING ADDRESS Energy Plan Checking Fee b b PERMIT FEE b LOT NO. SUBDNISTI' NAME PARCEL MAP ING PERMIT Fling Fee '20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each aas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other-O15.00Buildin Describe Work: Gas piping system 1 - 5 outlets 15.00 sewer Mobile Home I S I G I W @20.00 PERMIT FEE : ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoo. R S 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ( BILDSr sO 3.5¢R: co"� MUACC. NON RESID. @7.50 POWER APPARATUS 8 SINGLE our. CIR. Ex. OCCU OUTLET ORFD(TUREs e.00 na';50 Ex. Occu oF%T.0 a= DeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation - PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the"erformence of -the work fog whlch this permit is issued, I-shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee b Energy Inspection Fee b occ CONST TYPE FEE $ z. D FEES IMP I FLOOD I COF PARC PO HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. re ReceiptNo. WHITE-D.D. .-B.D. CANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT { File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information �/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. Gloria Jacoby 193 Greenbank Avenue Oroville, CA 95966 Dear Mrs. Jacoby: February 13, 1992 RE: Recent Correspondence With reference to the above subject and your letter dated February 12, 1992, building permits were not required for single family residences and duplexes in the unincorporated areas of Butte County until February of 1962. Prior to that date, no permits, inspections or approvals were necessary on those buildings, except for sewage disposal requirements of the Butte County Health Department and zoning sideyard and street setback requirements. Should you have any further questions concerning this matter, please contact this office. JFG: dms Yours very truly, William Cheff Director of Public Works Qrigis:�J signed J. F. G6mdso J.F. Glander Manager, Building Inspection Q -36-y o-oi% ©a62 4. � i syGl -7� 1�e, / MCC ncE�iZ _ L I NOTiCZ: OF - CONIPLE i C 1 porus is ssesi r ort:: That no wort at iwrorwssst an the real vraoarts hsrelaafter dLrl0w was co"Istod a t� 23rd day of 19 57 That the s•sss and addresses of the weers 2f said property are so follow: 1 Cl) I / � (Street 9-'Z�r awd City) Tl; DEFAR?VM OF VVTIRAM AFFAlitt 711 Y Srs.t - fs Ts�rAa O► ?L1r17M s.a..eam. r uu�da ser a ui R—+w 3 Ra: 2A77 rOrn�•i17. Joiatf. nde• awder Cmtraal TfsastN* trowq� Route 7_ Box 1671_ OroTills ewde"e� �weder Cmtroct ujf ArmAsm) (3) That the OMAN* of the original contractor far the wort of lwrvrwrat as a whole is The property h.reis referred to L situate in the City of Orovills Ooanty of 't t. state of 061iforeia• and particularly described as follow: A portion of Lot 2849 as shown on that certain eau antitlad, "Official Nap of Oreville-Wyandotte Petit Lands Unit No. 61, which map war recorded in the office of the Rio^order of the County of Butte, 3tata of California March R, 1929 in Book 10 of Nape, at pease 3A,.4A and 5A, more partiaularlr described as follower Gainning at a point in the East line of said Lot 284 freta which point the Northeast corner of said Lot 'bears North 0'05'30' East, 316.95 fee. distant; thence South 0'05130' Meat, 105.65 feet along the said East line to a point, also being the Northeast corner of that parcel of land -Iescritrd in the deed from Carl August RurZle at ux to the Department of Veterans Affairs of the State of California, recorded June 30, 1954 in Book 725 of Ofricial Records of Butte County, at page 395; thence 'meet along the North line of said Department of Veterans I.ffairs' parcel, 315.84 feet to a point in the center line of Greenbank Avenue; thence North 2'27' nest, 105.75 feet along said Greenbank Avenue; thence Fast, '. 320.53 rest to the point of beginning, containing 0.772 acre, more or lore. ' Wim•• �N �wt,w�w.J/ cc: Accounting Section, Sacramento FOR RRCOROLi'E USS ONLY 2407'"x! RECORDED AT THE REQUEST OF a< 60. �-�el 0'ock 6L 6 _j%_ OFFICIALAL tB TE COUNTY, CAUEDRNtA El BY Fee =�i SiA18 OF CALIFORNIA COO= W Butte s. Barren W. Wilson beivw firsn t duLy scor. spc::cs a Says. hot As ts tAr yarson .Atio exec" 04 fore- (Laf, ,Notice of Coap/etwon: tAat he km read LLAAee saw. and bwewr the contents them/ mad the ?ffm is trtrq��kis•Jmow4dfo. t(wrw tt1'peldcwt�� CAis '4! tie -in am -9.06. i°�'AIX eZ'sit'na .' me 7i 1960 ;:�cr 4 California. AP12S'•crjiic.`OYliilI011 1 Ali f�ERMIT NO. 3421-74B,E E J� 1 M QMH UTIL. A PERMIT NO. PERMIT EXPIRES00, ,OWNER Warren Wilson CONTR. Owner t LOCATION (A.P. 36-45-19 ) 193 Greenbank Avenue, Oroville h. f. C 7 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E AFF OB INALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION'RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s — Garage Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footing 6—=--structure Temp. Gas Slab Final 6 %3 `S Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL _ Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam _ FIRE SPRINKLERS Motors Framin Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC OR / 7 County Center Drive — Orovi Ile, 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. — Signature of Permitee or Agent Receipt No. 19r ! t 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 By Date , Building permit expires Date.....v. BUILDING Owner CV462 2t/ ewclI L so A,1 SO. FT. OCC. BUILDING VALUAT ON Mai I i ng Address/ p 3 /� X/ AS 4f K /q.y(E^ / 20 Y� ` Telephone ftp ^S Fireplace Contractor C.UfV Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 �C) 6 ` Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.�—or Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F ata, FireDept. FireZone Use Permit Building sewer 5.00 EOA Parking Plans ParcelParcel Declaration Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 Bldg. 1`41n`_s_�ec'd I Parc&l-ap v 0 1 F Pfffnls Approvol Permit Fee $ $ NEW;ff ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 B.©O Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Sub -panel (12 oel—ess) (more than 12) / . C) Range, Cook -top or Oven 1.00 — WC�C� Water Heater or Space Heater 21.00 Light fixtures ba�l fd10 Z Re s., swit es & fix o tletsEE 211725 r• 0Q hal 1@101 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 style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Li ense No. Classification Misc. wiring �-yfl am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. — Signature of Permitee or Agent Receipt No. 19r ! t 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 By Date , Building permit expires Date.....v. rp.. A. c / oev d�T +ANd3 � Gcap ,w 0 ul /t" • nom, i o- / (O Y z yUl'1"EbUt�TY BUILDING DF-PARTMP.NT APPROVED �--' os. 's 0 IP IP OOYO'4,0� ao�� K) '00V ro ; 4 vr ." 'fle it IM C.0 O-GPJ 0 of A.Woo" T .07". -e- 1 0-0 o -*8 - 1 , , =3 NOTE:—All Materials &..Workmanship AdShafl—BeAn— ccorance . with Recognized Good Practices and of a qualit� p rescribed- r Pecified use in the Uniform Building Code, Un.iform-Ffumh National Electrical Code. 1hi&-set—of—plansnd specifications MbST b. kept on the iob at all times and it is 601 to, m e -any changes or a terations on same witlow written permisson from the . De- k!61ir V&rks, CounfVo BjftA. BUTTI-COUNTY LDING-DEPART-MEE PP -R -O -V- -F-.D x:1.1-•�t��i • 1 Ss � 14 9014 / BUTTE COUNTY BUILDING DEPARTMENT APPROVED PERMIT NO. 6006-75B P K E M MH UTIL. ;PERMIT NO. /7L ' PERMIT EXPIRES OWNER Warren Wilson Chastain & Oswalt Inc, Oroville coNTR. ,LOCATION (A.P. 36=45-19 '193-Greenbank i I Ave., Oroville r. .t r rr, I . Temp. Power Pole Called PG&E Temp. Elec. Serv. :t Called PG&E Temp. Gas Serv. 4 Called PG&E 0 4 JOB I FINALED (Date) (Sign ULe COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD - BUILDING, BUILDING (Cont'd) PLUMBING Setback Firewall Forms Parapets Main Bldg. Restroom Finish Footings Windows Stemwal I Siding Slab Roof Sheathing Piers Roofing Garage Fdn. Vents Footings Garage Vents Stemwall Slab Prov. for physically handicapped" Carport Footings Conformance of ex. structure Slab Final Patio FIREPLACE Footings Footing Masonry Walls Throat 7j Reinf. Steel Final —22 =-7 Bond Beam FIRE SPRINKLERS Framing Test Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS c ori Soil Piping 1st Floor 2nd Floor 3rd Floor To out Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping& Temp. Gas Sanitation Final Motors Water Htr. Subpanels Grd. Fault Pr Service Temp. Pole Undergrouni Permanent Final ELECTRICAL k• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Dri\k, ---17 ewoville, California 95965 Telephone: 5;34-4541 APPLICATION AND PERMIT - - - - --�- the butte County Code and/or resolutions to do work indicated above for which fees have been paid. X�` Date DIRECTOR PUBLIC WORKS ignature 'f Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date BUILDING Owner 4�YvAz. SQ. FT. OCC. BUILDING VALUATION oz Mailing Address Telephone No. or Fireplace S'(j Contractor' Total Valuation �Y�D 82 i/) Mailing Address iCY � Permit Fee Plan Checking Fee&/or Penalty p Telephone No. Permit Fee Building Address PLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.00 Each Trap 1,50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1,50 A. P. No. `—� 7S " �� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees• Sarifeiian I FireDept. Fire Zone Use Permit Building sewer 5.00 EQA PPIk sg Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER �] ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 ' Main service 100 AMP OR10V OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW OR A.D.S.T ( ACCLBLDGS.LING CCUP. &\ 2¢Sgft / NEW CONSTR. MULTI -OUTLET NON-RESID, (BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS &) NON -RES ID, SINGLE OUTLET CIR. 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 sty le�� Ex. Occup(OUTLETS OR FIXTURES BAL@@i FIXED APLNS. Ex. Occup• (OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 AP f License No.,_�,(y A/, Z Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I 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. rV1 I have placed on file with the County of Butte a certificate of JaJ Workmen's Compensation Insurance. ElI certify that in the performance of the work for which this permit is issued I shall not em P employ y person in any manner so as to become subto an subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the .. ahnuo-mcntinnori rff—-+;-.. TOTAL PERMIT FEE 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. X�` Date DIRECTOR PUBLIC WORKS ignature 'f Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date Inspector I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS 7 County Center Drive - Oroville, .^alifornia 95965 - Telephone (916) 538-75 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-450-01 ZONING BOILING PERMIT OWNER RICHARD J. JACOBY TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 19�KOROVILLE, CONTRACTOR'S NAME LAGRONE TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 193 GREENBANK,VI L Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CK Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: RPT A/^R uvAr^ P R -1 -R PRAM —� ���n-,I'1'–,r-�i� ��96 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S Is W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license IS In full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 offered for sale. 0 I, as owner of the property, am exclusively contracting with licensed contractors 1 to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service TD 46.00 NEW CONST. DWEW EE NG OCCUCUP. OR ADONS. ( & ACC. BUDS, SO 3.50FT. NEW CON5T. MULTI -OUTLET NON-RESID. C cI uI.@7.50 POWER APPARATus 8 SINGLE OUTLET CIR. 2u @ 1 � Ex. Occup. OUTLET OR FIXTURES B20@ .so Ex. Occup. OuTLEr:DT RES D.OE/L 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating ZD. UU Cooling - 25.00 Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) )iii 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, 1 shall forthwith comply wit tho a provisions. Date% C ctor ❑ Agent T jSinat re of Applicantwrier ra An OSHA permit is requi d r excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 7n nn HAZ. I D. FEES IMP I FLOOD I COF PARCEL I PD HD UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate ve for which fe have been paid. y ° ' 0 ate PERMIT EXPIRES ON z 7 Dal Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) 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 PARCEL NUMBER e ZONING BUILDING PERMIT OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAI ADDR ^ �-e v 1 COTRACTORS E TELEPHONE ' CONYRACTOAS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS C Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME - PARCEL MAP PLUMBING PERMIT Fling Fee '20.00 USEOFSTRUCTURE SF A,Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ In Ila ion ❑ Other Describe Work: rJ1.P Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Feel 20.00 Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To I000A 46.00 NEW CONST. DWELLING occuP. OR ADDNS. ( & ACC. BLDS. NEW sD 3.5¢Fr. `CONS rNO REs D. MULTFOUTLET NCH C..@7,50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FonURES 20 @ ''00 BAL @ .w Ex. Occup. .uT'E''R='.,o EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 131 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Siginature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling ,(� Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAz. D FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. /e Receipt No. WHITE.D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT