HomeMy WebLinkAbout079-300-030A.P. 36-05 0-7g _ 5UO--OZ6
DILL- Gene- - - -
44 W"-hoo Ave. , ille
Permit-581-7�(New single family)
,,� ''W OVNER
JACK HENDERSON y
44 Wahoo Ave, Oroville
Contr: A-1 Masonary, Oroville
Permit#1364 ,W9B (f jrep1 cre) �S
4 1670-89B
HENDERSON,, Jack.
44 Wahoo.Ave, Oroville-,'
Conti. George Roofing
(reroof/SF)
FINALED (�
PERMIT#96-2143 "
HENDERSON, Jack
44 Westview, Oroville?
Cont: Je'ff'g Roof ofingVf j�
r
Reroof/SF �• - ----''''
e=3; PERMIT#97-05551
'HENDERSON, Jack
44 Westview Way, Or,oville
Cont: Royal Flush Plbg
Propane Tank & Line/SF
03E PERMIT#97-05$7
HENDERSON, Jack
44 Westview Way., O.roville
Cont: Waibel AC'
Htg' & AC Unit/$F"'
0� p 05=0990
HENDERSON, JACK
44 WESTVIEW WY, OROV LED
Cont: CHRISTIANSEN Rol
REROOF 55SQ
0
13
CnI l c_
NOTES
RESIDENTIAL
PERMIT NO. -.036-050-124 =0990
IHENDERSON, JACK
44 WESTVIF.W Wv 01?MITT T 1:7
J=OK
0 = Not OK
. = NotRepdyable
-MISCELLANE®US
MOBILE- HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
1.
Zoning Requirements -Setbacks -Easements,
2.
Soils; Special MH Support Sketch
'
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
7. Electric
5.
Electricity; Location-Clearances-Grnd-t /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L 'ft:'
/ - /' Nat. or / /" L "ft./ P LPG
10. R f; Shthg-Roofing
7.
Well Clearance & Disconnect
[?ate
8.
Utility Clearance
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements +.
Date
Card B-1 Date Card B-1
Date
4. Elec.; Receptacles and Lighting, Distance-GFI
Card B-1 Date. Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
1. Zoning Requirements -Setbacks -Easements
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
10. Plumb.; Cir. Test -Water Supply Test
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
.5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
Date
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
• Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of .Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY) .
1.
Zoning Requirements=Setbacks-Easements
2. Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test '
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11. Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
'
-MISCELLANE®US
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.• Wood Awn.; Posts- Beams-_Rftrs-Connectors
Shthg-Frg-Bracing
--5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures `
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sill ors-Studs-Rftrs-Trusses
9. Siding• ailing -Veneer -Stucco -Mesh
10. R f; Shthg-Roofing
11: Ext.; Steps -Doors -Landings
[?ate
Braced all Panels
Card B'-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements +.
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15.Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche '
12. Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
� •
L
4
M
-
r
J=OK
0 = Not Applicable
=Not Ready RESIDENTIAL (Single & Duplex)
.
Date
UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
_
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
Property Line Firewall & Openings
7.
Slab, Steel -Wrapped
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
8.
Piers -Fireplace Ftg.-Steel
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
Shear Walls; Nailing -Bolts
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Brace Interior/Exterior Wall Panels
15.
Access & Ventilation
Insulation -Walls -Ceilings
16.
Insulation
Infiltration -Walls -Windows
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18. Water Pipe; Test & Anchor -Nail Protection
66.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
67.
20.
Shower Pan; Test, First Floor -Tub Access
68.
21.
Test Tub & Shower, Second Floor -Tub Access
69.
22.
Gas Pipe; Sixe & Anchors
70.
23.
Fire Sprinkler; Test
71. Fireplace or Stove, Clearance -Hearth
72.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
75.
24.
Fixture & Transformer Clearance -Ins. Protection
76.
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
77.
26.
Size Boxes & No. of Conductors Stapled
78. Plb.; Elec. & Mech. Equip. Listed for Location
27.
Romex Installed Close to Edge of Studs & C.J.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Insulation -Foam -Looked in Attic
29.
2 Appliance Circuits in Kitchen & Conductor Size GF]
Guard Rails & Deck Construction -Post Caps
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes 0 No
Clearance Looked under Floor 0 Yes
32.
Service -Riser Conductors & Ground Main Disconnect
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
33.
Equip. Clearances Panels-Motors-Mech. Equip.
Stucco Brown -Finish
34.
Clothes Closet Light -Shower Light -Spa Light
A.C. Unit Disconnect, Electrical -Plumbing
35.
Smoke Detector
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
90.
36.
A.C. Ducts Insulation & Support
91.
37.
Vent Fan, Exhaust above insulation
92.
38.
Condensate Drain & Overflow, Size & Grade
93.
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
94.
40.
Attic Access & Platform if Furnace in Attic
Date
Address Posted
Card B-1 Date Card B-1
Date
Fire Sprinkler
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
41.
Sills Proper Materials & Anchors
Date
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Comments at Final:
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY PERMIT NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT BPO50990
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (630) 538-7541
B. L.. DUPUInq renins v1-io-Nu
LICENSED CONTRACTORS DECLARATION
,
I hereby affirm under penally of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 04/18/2005 APN: 036-050-124-0.00
the Business and Professions Code, and my license is in full force and
effect.
License Class : �=3� License Number:
Site Address: 44 WE&TVIEW WAY ORO
r r
Map Index:
Date:r Contractor:
Description: REROOF W/.COMP (55)
'OWNER -BUILDER DECLARATION
1 hereby affirm under penally of perjury that I am exempt from the
-
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: HENDERSON FAMILY TRUST
permit to construct, alter. Improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
HENDERSON JACK R & JOANN W TRS.
signed statement that he or she Is licensed pursuant to the provisions of
44 WESTVIEW WAY
the Contractors Stale License Law (Chapter 9 commencing with Section
OROVILLE, CA 95966
7000) of Division 3 of the Business and Professions Code) or that he or
she Is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than rive hundred dollars ($500).):
❑ 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure 1s not
Intended or offered for sale (Sec. 7044, Business and Professions
Applicant: CHRISTIANSEN ROOFING COMPANY
Code: The Contractors' Slate License Law does not apply to an
owner of properly who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,.
provided that such improvements are not Intended or offered for
P O BOX 2749
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
OROVILLE, CA 95965
proving that he or she did not build or Improve for the purpose of
(530) 532-9338
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' Slate License Law does
not apply to an owner of properly who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: CHRISTIANSEN ROOFING COMPANY
pursuant to the Contractors' Slate License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
P•O BOX 2749
Date: Owner:
OROVILLE, CA 95965
(530) 532-9338
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -Insure for
License #: 651425
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance.of the work for which this permit
Is Issued.
❑ I have and will maintain workers' compensallon Insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carrier:
PoticyIt:
Total Square Ft: 0 S.F.'
vYl certiry that in the performance of the work for which this permit is
Valuation: $0.00
issued, 1 shall not employ any person in any manner so as to
Census Code:
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Dale:
Applicant: / %1/i5//�/1 SL�i> �t011�itor /off_
WARNING: Fallure to secure workers' compensation coverage is
,
unlawful• and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
4f V �(
funder
CONSTRUCTION LENDING AGENCY - -
This permlis h?eby-Issued the applicable provisions of the Butte County Code and/or
b lio work dicated above for %yhich fees have been paid.
I hereby affirm that there Is a construction lending agency for the
Res o
l o—
performance of the work for which this permit is Issued (Sec 3097 Civ.)
Dat /
Name:
,
PERMIT EXPI E ON:
Address:
(Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section '19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and stale laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form'or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. <.
� r
Print Name: �ri S-711,1 l Signature: —1 -
Dale:
❑ Owner 0 -tractor ❑ Agent for Owner ❑ Agent for Contractor
B. L.. DUPUInq renins v1-io-Nu
.. � ., ..ti,:FS"Ai{ .r S ."\ evse�l s+ 'of;"'iC Ps"-'}+.�"t Y':.r+'P:e., P.: r..;�?;:rR'�"�' V. /'- l7'rl4'�a}�,�clr..;`C":�Yht'+[,�'�y�q�`rlg;Y�Yjp;.(,*`t""z71n tir�vw(� Ti<✓e"2_.}:� l""t°»"� ., s. +\�
036-050-124 ' P -
JACK ;IZENDERSON
44 WESTVIEW` WAY
OROVILLE
. 1 1yr
V
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - OroviHe, California 95965 - Telep4one (916) 538-75���E MIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
036-05ai24
ZONING
BUILDING PERMIT
OWNER
JACK HENDERSON
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
44 WESTVIEW WAY OROVILLE, 95966
CONTRACTOR'S NAMEWAI�E� A/C
TELEPHONE
+t
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
44 WESTVIEW WAY
Energy Plan Checking Fee $
OROVILLE
$
PERMIT FEE $
LOT NO.
SUBONIS ION'S NAME
PARCEL MAP
}j
PLUMBING PERMIT Filing 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 as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: HEATING 0 A/C UNIT I
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home ISI GI W @20.00
.
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
a00v oR LESS
Main Service ( I..A OR LESS23.00
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 C l7 Lic. No. ,� to '? (,' Z
OWNER -BUILDER DECLARATIOf�
I 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.
❑ 1, 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 ( TG 46.00
NEW CONST. DWWELLI
EL NG OCCUCUP. s0
OR ADDNS. ( & ACC. BUDS. 3.5QFT.
NON -R SND. MULTI-OUTRANCH RCUI @7.50
TS
APPARATUS
8 SINGLE OUTLET CIR.
BAL00
EX. OCCU OUTLET OR FIXTURESzo @ ,.r.
.00
EX. Occup. OUTELETSPRESD.OEA 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.
,p I 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:00
Carrier CTAT d I-,, (d h
MECHANICAL PERMIT Filing Fee 20.00
Heating 15.00
Cooling 4 T
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.) i
❑ 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, I shall
forthwith comply with those provisions.
X./1� /� / .���. ►n_�_Date 2 - (n 9 7 _
Sig a u`re of Applicants❑ Owner, ❑ Contractor ❑Agent
An OSHA permit is requ ed for excavations over SD" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 60 00
HAZ.
D. FES IMP
FLOOD
CDF
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.
�� '��j�
By /!1'%1— Date T '
PERMIT EXPIRES ON
Date
Receipt No. 1111111q
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
t
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS
7 County Center Drive - Oroville, Califqrnia 95965 - Telephone (916) 538-7 PE I NO.
(Rev. 12'/96) APPLICATION AND PERMIT
(�
ASSESSOR PARCEL NUMBER 036-050-124 '
ZONING
BU DING PERMIT
OWNER
JACK HENDERSON
TELEPHONE
SO. FT. OCC. BUILDING
VALUATION
OWNER'S MAILING ADDRESS 44 WESTVIEW WAY OROVILLE, 95966
CONTRACTOR'S NAME WAIBEL A/C
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
44 WESTVIEW WAY
Energy Plan Checking Fee $
OROVILLE
$
PERMIT FEE $
LOT NO.
•
S UBDNIS ION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities CX Installation ❑ Other ❑
Describe Work: HEATING 0 A/C UNIT
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
"00OR UE
Main Service 20.A VORLESS
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 Ca 0 Lic. No. Z(-7-791
OWNER -BUILDER DECLARATION
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. ( 8 ACC. Blas.
s0
3.5¢FT;
NNE
ON -RES DT B ANCI CR TITS97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
SAL p I.50
PPUNI
Ex. Occup. OUTELETS RES1o.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.
I 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 1 4,.�
MECHANICAL PERMIT
Filing Fee 20.00
Heating
15.00
Cooling 4T
Hood
6.50
Ventilation
PERMIT FEE S
0.00
i�
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 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 with those provisions.
X Date— ��- 97 _
Signatur�Ofpp�lric�a—nt/-P�ow�—nVr ❑ Contractor ❑ Agent
An OSHA permit is requl d 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 $ 60.00
HAZ.
D. FEES IMP
FLOOD
CDF
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 ve for which fees ha en paid.
n
By Date oL
PERMIT EXPIRES ON
Date
Receipt No.
WHITE-D.D.S.-B.D. CAN SOR PINK -INSPECTOR GOLDENROD -APPLICANT
036-0.50-124 PERMIT#-4-3m o
r` HENDERSON,� JACK
j' 44 WESTVIEW WAY OROVILLE
X
a.'
t
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, Cajifornia 95965 - Telephone (916) 538-7541 n7 . RMI NO,
(Rev. 12/96) APPLICATION AND PERMIT n5-%
ASSESSOR PARCEL NUMBER 036-050-124
ZONING
BUILDINGPERMIT
OWNER JACK HENDERSON
589-0409
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
ROYAL FLUSH PLBG
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
[Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 44 WMTVIEW WAY
Energy Plan Checking Fee $
OROVILLE
$
PERMIT FEE $
LOT NO.
SUBDNIS ION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SFO 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 I' Installation ❑ Other ❑
Describe Work: PROPANE TANK & LINE
Gas piping system 1 - 5 outlets 1 5.00 5 . 00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE S 35.00
ELECTRICAL PERMIT I Filing Fee 20.00
Main Service Zoon oa LEN 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./ .t,
License Class C - 14 Lic. No. 6 4W43 43
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.
13 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service ( To ,000A 46.00
NEW CONST. DWELLING .0LOS. SO
DWELL
OR ADDNS. ( a ACC. BLOS. 3.50FT:
rao9N-REs DT RSI" CUTLET �a 7,50
IRCUITS
POWER APPARATUS
3 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES20 @ I'00
BAL @ .50
Ex. Occup. ouTLEETS RESIo.) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
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.)
fir] 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 with those provisions.
X fJ�,{,,.t*�.. _ ___.Date _ '
Signature of Applicant - O Owner V 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 FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
D. FEE 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.
By )h" A%rN/f P/Date _
(� Qom'
PERMIT EXPIRES ON sle*#19
Date ' '
Receipt No. 210316
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OFDEVI54OPMENT SERVICES -BUILDING DIVI N
7 County Center Drive - Oroville, California 959i5 - Telephone (916) 538-7 97-05,1155PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 036-050-124
ZONING
B_VtDINGPERMIT
OWNER
JACK HENDERSON
TELEPHONE
589-0409
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
ROYAL FLUSH PLBG -
CONTRACTOR'S NAME
TELEPHONE
CONrRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
44 WESTVIEW WAY
Energy Plan Checking Fee $
$
OROVILLE
PERMIT FEE $
LOTNO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF RI 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 CR Installation ❑ Other ❑
Describe Work: PROPANE TANK & LINE
Gas piping system 1 - 5 outlets 15-0015.00
Building sewer 15.00
Mobile Home S I G W @20.00
PERMIT FEE $ 35.00
ELECTRICAL PERMIT Filing Fee 20.00
Main Service zooAORLEr 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 C — ,3% LIC. No. V v �J
OWNER -BUILDER DECLARATION
I 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.
I am exempt under Sec. Business and Professions Code for this
reason
Main Service ( 200A To 1000A 46.00
NEW CONST. DWELLING OCCUP. So
OR ADDNS. ( 8 ACC. BUDS. 3.5¢FT.
NEW CONST. MULTI -OUTLET 7.50
NON-RESID. ANC CIRCUITS
POWER APPARATUS
& SINGLE OUTLET C1 R.
20 Q 1.00
Ex. Occup. OUTLET OR FD(TURES BAL p .so
Ex. Occup. OUTIFfSRESID.) OR 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
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.)
Ifif 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
f hwith c ly with those provisions.
?
X _Q... Date _ 3 °t��p�
Signature of Applicant - ❑ Owner �W 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 $ 35.00
HAZ.
D. FEES IMP
I FLOOD
CDF
PARCEL I PD
I HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate ova for which fees have been paid.
By �j %Date
PERMIT EXPIRES ON (J c9
Date
Receipt No. 210316
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION c
DEPARTMENT OF_q�/�ELPMI=KIT, SERVICES
1469 Humboldt Road, Chico; CA - ;(9.16) 891-=2751, •`'
7 County Center Drive,*Oroville, CA'—(9'A6)'5387754,!'.';
747 Elliott Road, Paradise, CA - (916)'872=6307,
CORRECTION NOTICE,',.
'OWNER PERMIT NO. - '
i y .0
A routine inspection indicates that the following violations of Butte County Ordinances exis:f at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter,,orneed additional explanation,'
please contact this office immediately. i =:{
Fy�
.r �F
a
1
t
f
1
t
Date OZ r Inspector
REV 10192 �''
$....1%?J :; � .r _ ,l•n. v' rte— .. .--, 0.S � .... t.�4 / 6' Y ry ."_.n _... - F J S�W+r./^ N � _ V' M+t.'S:"- ',tai
�036-050-124 .�''+ PERMIT#96-2.143
.1 HENDERJack
ack
4.4.Westview, Oroville
Cont: Jeff George Roofing
Reroof%SF 9
/ -7
}
t
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING D 1 ION
7 County Center Drive - Oroville,-California 95965 - Telephone (916) 53 541 /�/ PERMIT ,o -
APPLICATION AND PERMIT /(�
ASSESSOR PARCEL NUMBER 36-050-124
ZONING ARI
BUILDINGPERMIT
OWNER JACK iIENDERSON
LETEPHONE
SO. FT. OCC. BUILDING VALUATION
60 2,940.00
OWNER'S MAILING ADDRESS 44WE.STVIEW OROVILLE, 95966
CONTRACTOR'S NAME JUT GEORGE ROOFT14G TA
E-2215
CONTRACTORS MAILING ADDRESS BOX 372 OROVILLE, 95965
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 54.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS 44 16TSTVIEN
PERMITFEE S 74.00
PLUMBINGPERMIT Filing
Fee 20.00
OROVILLE, 95966
Each Trap
7.00
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump waterAheater23.00Water
piping
15.00
USEOFSTRUCTURE
SF 0 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or
15.00
Gas piping system 1 - 5
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RE—ROOF�COtiP
Mobile Home S G 920.00
PERMITFEE s
Contractor
ELECTRICAL PERMIT Filina Fee 20.00
Main Service aOOV OR LESS
( 2ooA OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
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. t
License Class — _ 2 � Lic. No. C %
OWNER -BUILDER DECLARATION
I 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
NEW CONST. DWELLING OCCUR
OR ADON ( a ACC. BIAS. )
SO.
3.52 Fr.
NEW CONST.MULTI _QUI LET
S
NON-RESID. ( BRANCH CIRCUITS )
97.50
POWER APPARATUS
( d SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FIXTURES)
20 @''00
BAL 0 .a0
E x. Occup.FIXED APPWS. OR
(OUTLETS (RESID.( EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE _
Contractor
MECHANICAL PERMIT Filing Fee 20.00
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 4>4-r, �r l:(%iij
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number / �ieC, 5� / " `1 CP
(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 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 with those provisions.
X 1� �� x _ Date _t 1�O
Signature of Applicant - ❑ Owner O Contractor C3^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 Is
C
CONST. TYPE
TOTAL FEE $ 74.00
FThis
HAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL PD
HD
6SUE
permit is hereby issued under,ttie applicable provisions
e Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By �J Date9
r
PERMITEXPIRESON
(Date)
LtYb3J/
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OFDEVELOPMENTSERVICES - BUILDING D SION
7 .County Center Drive - Oroville, t alifor'n4 95965 - Telephone (916) 53 541 /�% .l PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 36-050-124
ZONING AX
BUILDINGPERMIT
OWNER JACK HLNDL " ERSON
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
49 60 2,940.00
�
OWNER'S MAIUNG ADDRESS 44WESTVIE41 OROVILLE, 95966
CONTRACTOR'S NAME JEFF GEORGE ROOFING
TELEPHONE89 2215
CONTRACTOR'S MAIUNG ADDREFO BOX 372 OROVILLE, 95965
j'
Fireplace
CONSTRUCTION LENDER
UNIDJOWN
Total Valuation $ 2,940.00
Filing Fee $ 20.00
LENDER'S MAIUNG ADDRESS
Permit Fee $ 54.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAIUNG ADDRESS
Penalty $
BUILDING ADDRESS 44 [,i�,ESTVIE61
PERMITFEE $ 74,00
PLUMBING PERMIT Filing Fee 20.00
OROVILLE, 95966
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF [X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RE—ROOF/COMP
—
Mobile Home I S I GI W 1 920.00
PERMITFEE q
Contractor
ELECTRICAL PERMIT Filina Fee 20:00
Main Service e00V OR LESS
( z00A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
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 nd effect. Q �.�
License Class 0 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:
❑ 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
NEW CONST. DWELLING OCCUP. SO.
OR ADDNS. ( 8 ACC. BUDS. ) 3,50FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00
BAL SO
FIXED APPWS. OR
Ex. Occup. (OUTLETS (RESID.) EA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
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'ompensatiom insurance carrier and olicy umber are:
Carrier .EaAP, {"LS_ �-( p�'
Policy Number (p 5 -5f 4Q
(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 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 with thos rovisions.
X Date `�b
Sign a of Applicant - ❑ Owner 16 Contractor�Agent
An HA permit is required for excavations over 5'0" eep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Mobile Home Installation Fee is
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 74.00
HAZ.
I D. FEES
I IMP
I FLOOD
CDF
PARCEL PD HD
SSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
_
BY Date
PERMITEXPIRESON 2--
I (Date)
Receipt No. 206337
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS /PERMIT NO.
•' 7 County Center Drive - Oroville, C&_Ltifornia 95965 - Telephone: 916/538-7541
APPLICATA Aft® PERMIT
ASSESSOR PARCEL NUMBER
;1
ZONING
BUILDING PERMIT
OWNER- I
14R.' fIENDERSON
TELEPHONE
R —(140
SQ. FT. OCC. BUILDING VALUATION
R TA
Annnn
OWNER'S MAILING ADDRESS
44 WAHOO AV.E OROVI7.LE. CA. Qh
CONTRACTOR'S NAME TELEPHONE
DON C. Q -E0 533-6391
CONTRACTOR'S MAILING ADDRESS
P.O. BOX OROVILLE, CA, 95965
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 14 . 50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUIL ING ADDRESS
�4 WAH00 AVE. OROVILLE, CA.
Permit fee
$ 24.50
PLUMBING PERMIT
Filing Fee 10.00
1
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
1
Each qas water heater or vent
5.00
USE OF STRUCTURE
SIFE, Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ®
Describe work: REROOF
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. 452266 Classification C-39
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason _
NEW CONST. / DWELLING OCCUP.aI)/zQsgft
OR ADDNS. l ACC. BLDGS.
NEW CONSTR U TI.OUTLET 2,50 ea
NON.RESID .BRA CH CIRC ITS
POWER APPARATUS eJ
SINGLE OUTLET CIR.
OUTLETS OR FIXTURES t
Ex. Occup-( 5AL@3
ALeo
FIXED APLNS.
Ex. OCCUp. OUTLETS P(RESID.)REA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
'❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
` r MAY 19 < 1989
Signature of Applicant — Owner ❑ Contractor R Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $ 24.50
oc CUP.
CONST.TYPEJ
SCNOOL
FLOOD
PARCEL
P11
ND
139UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
/ DIRECTOR OF �PBUI
y B �� .(/!1
1 r 4
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
C WORKS
5/o5 9
Date !) /
e
L �� ' t
Receipt No.
WHITE-D.P.W.. YELLOW-ASSESSOK. PINK -INSPECTOR. GOLDENROD -APPLICANT
�, DS COUNTY OF BUTTE - DEPARfiVENT OF PUBLIC WORKS P R IT N
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 /% X
APPLICATION AND PERMIT U UUU
AS S9R PARCEL NUMB
ZONING
,
BUILDING PERMIT
OVME
J
MR. HENDERSON
TELEPHONE
589-040'9
SO. FT. OCC. BUILDING
VA• UATION
8 hilil—lip
Ann -nn
OWNER'S MAILING ADDRESS
44 WAH00 AV.E OROVILLE. CA.
CONTRACTOR'S NAME
DON
TELEPHONE
—
,.
CONTRACTOR'S MAILING ADDRESS
P.O. 95965Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
800.00
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 14.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUIL ING ADDRESS
4 WAH00 AVE. OROVILLE, CA.
Permit fee
$ 24.50
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or.vent
5.00
USE OF STRUCTURE
SFU Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®
Describe work: REROOF
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
® I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. 452266 Classification C-19
F]1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors.. (Sec. 7044)
❑ `I am exempt under Sec. , Business and Professions Code
for this reason
LIN CCUP.a\ yz2sgft
oR ADDNST DWEL`GS. /
NEW CONSTR.U TI.OUTLET
NON.RESIO .BRA CH CIRC TS 2,50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
EX, OCCUp(OUTLET3 OR FIXTURES .220050
AL030
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Mi.sc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
® I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, -should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
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 sai in cons rice of the grapting of this permit.
X
Signature of Applicant — Owner ❑ Contractor a Agent ❑
An OSHA permit is required•for excavations over 5'0" deep and demolition or construct-
ion of structures -over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 24.*50
occu P.
CONST.TYPEJ
SCHOOL
FLOOD
PATICEL
PD
I HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work in ` ated above for which
DI OF P B
LIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
C WORKS
Receipt No. 'T
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
•
�'a'"_'
.:t
OROVILLE, CALIFORNIA
GENERAL. CLAIM,
CLAIMANT: Donald George
ADDRESS: P'.•0. Box 729
CITY & STATE: i Oroville, CA 95965 IMPORTANT:
SEE INSTRUCTIONS
July 12, 1989
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RE'CE'IVING GOODS nk) cFPvtrrc
DATE
DESCRIPTION OF- CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
7/12/89
Need refund because permit was paid for twice.
Building . ermit -
AP# 36-05-124, dated 5.25.89, Receipt #41063
Buildin2...Permit Fees Paid ---------- $24.50 =
Retainfilin fee-----------------= 10.00
Y -
Refund Due ------------------------- #14.50
TOTAL_
$14
0
I, the undersigned,. declare under pelperjury that the services or articles claimed have been performed or delivered, and that this
claim is'true end correct as stated.� /^Dated this / .........dayof , 191f' at //'�.CeliL ........
Signature of Claimant
. I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation or Specific Hoard Approvals (Check one r t sarn <^
........... Y................i9 89, at Oro
Dated this 19th ............... day of ... JLIl .. .. ...................................................
apartment He ad or Authorized Deputy
i Dept. E / 2,1Q500
440-002 p•
Code •••,,,,•,,;,•,•••, Code PAYABLE FROM•••„•.,..C,.._..St. Pmits
................. ............... . ........................ ......................................................................
,FUND
DO NOT WRITE BELOW TPiIS LINE - AUDITOR'S USE ONLY
_DEPT. & SUB.
PROJ.
SUB. OBJ.
CLAIM NO.
INV. NO.
INV. DATE
ENCUMB.
GROSS AMT.
COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT'
RMIT NO.
A SOR P CEL NUMB R
ZONING
•--
BUILDING PERMIT
OWNER
MR. HENDERSON
TELEPHONE
589-0409
SO. FT. OCC. BUILDING VALUATION
8 built-up
000. 0
OWNER'S MAILING ADDRESS
44 WAH00 AVE. OROVILLE CA. 95966
CONTRACTOR'S NAME
DON C. GEORGE INC.
TELEPHONE
533-6393
'
CONTRACTOR'S MAILING ADDRESS - -
P.O. BOX 729 OROVILLE CA. 9496.5Fireplace
CONSTRUCTION LENDER -
UNKNOWN
Total Valuation $
p00.00
8
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 14.50
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
,$ t
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
44 WARB4. OROVILLE. CA.
Permit fee
S •
PLUMBING PERMIT
Filing Fee •10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
'5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFK] Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G W I
I 50-00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel[ -].Utilities ❑ Installation❑ Other.[
Describe work: RER00F
Penult Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
6001 OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare Under penalty Of perjury, (Check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my .license is in full force and effect.
452266 C-39
License No. Classification
❑ I, as the owner, -or my employees with wages as their sole compen-
sation, will do'tbe work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.& '/z¢sgft
OR ACDNS. ACC. BLOGS.
NEWC ONSTRMULTI-OUTLET 2,50 ea
NON-RESID .BRA CH CIRC ITS
POWER APPARATUS 6\
SINGLE OUTLET CIR. /
(
EX. Occup\OUTLETS OR FIXTURES 20030*
SALO 30
Ex. OCCUp. OUTLETS FIXED P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
n I have placed on .file with the County -of Butte Building Department
4' a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, -you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee.
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
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
againstI County in consequ nce of the granting of this permit.
X DatAY 2 5 t 1 98 9
Signature of Appli ant - Owner Contractor ® Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ ,
TOTAL PERMIT FEE $ 24-56
OCCUP.
CONST.TYPC
SCHOOL
FLOOD
PARCEL I
PD
F0
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above r which
DIRECTO OF UBLIC
y
MIT EXPIRE Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
ate
Dates,
��/�/��, /1
G-leJ ^`'/
//
Receipt No. �� lx/7
WNIT[-O.P.W.. TELLO W-ASe(S 5011. PINK-IN9P CC TOR, GOLOCN ROO-APPLICANT
4
_RMIT No. 1364-79B
PERMIT EXPIRES 3/14/80
O,,, NER JACK HENDERSON
NTR. A-1 Masonary
i WCATION (A.P. 36-05-124
44 Wahoo Ave, oroville
s
.. Temp. Powe Pole
t; Called G&E `
Temp. EIe Serv.
f Called PG&E
Temp. Gas Serv.
Called PG&E
FINALED
(DajK
4(hature)
f
VA.
COUNTY OF BUTTE —.DEPARTMENT OF'PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Sol[ Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwal I •
Siding
To out .'
Slab
Roof Sheathing
Water Piping'
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents.
Water Htr.
Stemwall
Insulation
Heaters
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
F REPLACE
Final
Footings
Footing 7
ELECTRICAL
Masonry Walls
Throat -%
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
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
MOBILEHOME UTILITIES ------------------ Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
=E ME 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 vislt the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Tel ephohg,5,34-4Z41
APPLICATION AND PERMIT
Owner��
Mai I ing Address
Telephone No.
Contractor�Jl9�'LN
Mai I ing Address L1
�Telephone No.
(J (ii LLQ
Building Address CA-)
A. P. No. "®� a Zoning&Planning
es W"et=r Fire Dept. Fire Zone Use Permit
EQA Parking Parcel Parcel Ma 60' R/W Improvements
Plans Declaration P p ovements
all_ Pla.Parcel Approval Plans Approval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
.41
Single Family Duplex ❑ Mobil Home ❑ Others ❑
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: /�
�
License No. 214 C 0 y Classification �" Z
❑ I am exempt from the Contractors License Laws of the State of California.
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
�rl,
kmen's Compensation.
ave placed on file with the County of Butte a certificate of
orkmen'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.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
;zg
ed prop y for inspection purposes.
Date
e of Perm'ee or Agent
Receipt No. 11 10 (10/ I
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
_ BUILDING
SQ. FT. I OCC. I BUILDING VALUATION
Fireplace
_V (�,C
Total Valuation
ELECTRICAL No.
Permit Fee
PERMIT FILING FEE
Plan Checking Fee &/or Penalty
Main service
Permit Fee
PLUMBING
No. @ FEE
PERMIT FILING FEE
$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
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.30
Building sewer
5.00
Lawn sprinkler system
2.00
Permit Fee
'BALL
AL�1
$
ELECTRICAL No.
@ FEE
PERMIT FILING FEE
$3.00
Main service
OR LE
io00o AMP ORSLESS
5.00
Main service
EA. ADD'L too AMP
2.50
Main service
OVER 600V
100 AMP OR LESS
25.00
Main service
EA. ADD'L 100 AMP
1.00
CONST.NEW
OR ADDNS%
DWELLING LDGS.CCUP. S\
ACC/
20 sq ft
NEW CONSTR.
Nn N.RFSIn_
MULTI -OUTLET
( ARANCH CIRCUITS)
12.50eal
Ex. OCCUO(OUTLETS OR FIXTIIRES
'BALL
AL�1
FIXED APLNS
Ex. Occup.( OUTLETS P(RESID IKEA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wirina
6.25
Permit Fee $
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE $/()Ibb
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which es have bee aid.
ECT�OR F PUBLIC WORKS
By Date % 7
permit expires DatelS� C�
i
4t- ? PERMIT NUMBER B 582-72
P
t
PERMIT EXPIRES
OWNER Gene Dill
.CONTR: , Owner
LOCATION (A.P. 36-05-88
4.4 Wahoo Ave., Oroville
n.
. _ / pLJ/
p
1 "y
COUNTY OF BUTTE '
Department of 'Public Works
BUILDING IN'S PE'CT40N RECORD
�%� j
Zoning Setback e .— Forms
.e
Foundation 'Piers & Girders Fireplace
Rgh. Plumbing n���--�` —�� Bond Beam Lath & Plaster
Rein. Steel. Gas Piping & Test Found. Vents
Framing Plmg. Topout E0%�2— 'Rough Elec.
Wtr. Htr. Furnace Kitchen Vent `
Firewall_ Garage Vents Sanitation & Water.
ELECTRIC AS BUILDING �{
Temporary —/y J�o� Temporary Cert. of -Occup.
1
Final Final + -Final +
DATE REMARKS OR CORRECTIONS. S
COUNTY OF BUTTE — DEPAWTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 533:-123b, Ext. 259
APPLICATION AND PERMIT
autnunce representatives of the County of Butte to enter upon the
above-mentioned4roperty for inspection purposes.
e (3- 72-
X Date �r✓�
Signoture of Permitee or Agent
Receipt No.�� •
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work jndicated
above for which fees have been paid.
DIRECTQil OF PUBLIC WORKS
By Date
Building Permit Expires Date
BUILDING
OwnerSO.
FT. OCC. BUILDING VALUATION
Xf v
Mai I i ng Address V '
-
Fireplace
Contractor
Total Valuation J ��
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee $
$
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $2.00
Each Trap / 1.50 g
Repair drainage or vent piping 1.50
Water piping 1.50 -sem
Each gas water heater or vent 1.50
A. P. No. �, �c�� Zoning
Gas piping system 1 - 5 outlets 1.5b
Each additional outlet .50
Fire Zone
Fire Dept.
S tion Planning
Building sewer .�' 5.00
Plans
Feed
W. C-—
RNV
Encroachment
Lawn sprinkler system 2.00
NEW ADDITION ❑ OTHER ❑
Permit Feel
$ y S�
ELECTRICAL No. @ FEE
PERMIT FILING FEE _. $3.00
Main service incl: 1 meter
Additional meters, each 1.00
Sub -panel (12 or Lozs) (moretharr12) 7,
USE OF STRUCTURE Single Family Duplex ❑ Others ❑
Ra(rtge, der wat&-ITe-ater 1 1.00
Oven, Cook -top or space heater 1.00
Light fixtures y-3 yd
R ., swil?cXs & fix ol}Xle�s �.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
1106TEx. Fan or F.A: Furn. Motor 1.00 o v
Evap. cooler, gar'Cisp. or`$.W. 1.00
Air conditioner eat pump
Water pump
Misc. wiring
License No. 'Z /4 2137 Classification
❑ i am exempt from the Contractors License Laws of the State of California.
Permit Fee $LIS
-y0
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.
❑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.,
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
MECHANICAL No. @ FEE
PERMIT FILING FEE ✓ $3.00
Heating --
- ,r -
Cooling
Ventilation
Permit Fee $
$tate Fee for Str n Motion
Instrumentation �r gram $0.07/$1000 Evaluation
$ CP-
TOTAL PERMIT FEE
S
autnunce representatives of the County of Butte to enter upon the
above-mentioned4roperty for inspection purposes.
e (3- 72-
X Date �r✓�
Signoture of Permitee or Agent
Receipt No.�� •
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work jndicated
above for which fees have been paid.
DIRECTQil OF PUBLIC WORKS
By Date
Building Permit Expires Date
i
1 COUNTY OF BUTTE — DEPAR`rMEN-f OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965
Telephone: 7538=1'230, Ext. 259
APPLICATION AND PERMIT
au u wrrce representatives ul the Guunly of Buite io enter upon the
above mention p perty for inspection purposes.
(? �v
X -Z
^- I 2
Date rS - I
S ure of Permitee or Agent
Receipt No. 9
White-D.P.W. — Pink -Inspector — Golden od-Assessor — Yellow -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
BYDate
Building Permit Expires Date
BUILDING
Owner ,
Mailing Address
SQ. FT. OCC. BUILDING VALUATION
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee $
$
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $2.00
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. O�
Zoning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitation
Planning
Building sewer 5.00
Plans
Fees
W. C.
R/W
Encroachment
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ O HER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE — $3.00 l
s 72
Main service incl. 1 meter o "
i
Additional meters, each 1.00
USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑
Sub -panel (12 oWLe-5-s) (more than 12) Jy
Range, dryer or water heater 1.00
Oven, Cook -top or space heater 1.00
Light fixtures
Receps. switches & fix outletsEbm fel
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:/y� ,( ,, (�
4Z40 Lt1%.LZ1 t �•n 'O
Hood, Ex. FanorF.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Misc. wiring
.)Q!!1,10ZO�
License No.2 I,6 zZ T Classification
❑ i am exempt from the Contractors License Laws of the State of California.
Permit Fee $ UO
$
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
Permit Fee $
$
I certifythat I have read this application and state that the above
informaion is correct. I agree topcomply to all County Ordinances
and State Laws relating to building construction, and hereby
Int;irumentaoiontrprg Motion $0.07/$1000 Evaluation
Program
$
TOTAL PERMIT FEE
$
au u wrrce representatives ul the Guunly of Buite io enter upon the
above mention p perty for inspection purposes.
(? �v
X -Z
^- I 2
Date rS - I
S ure of Permitee or Agent
Receipt No. 9
White-D.P.W. — Pink -Inspector — Golden od-Assessor — Yellow -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
BYDate
Building Permit Expires Date