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Home My WebLink About079-380-033\. 07 DANIFL JEVELL AIO�O North end VpnDu-er CP,7ne, Oroville Permit#109-85F(new ele ser/SF & studio) ki ��Q 0R.OVILLE, CALIFORNIA 'GENERAL CLAIM CLAIMANT:. Daniel Jewell _ ADDRESS: P.O. Box 315 CITY & STATE:. Bangor,. CA 95914 IMPORTANT: ONS DATE OF CLAIM: .?anuary 24, 19'85 SEE INSTRUCT.IDE ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SER VICE S' DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY}r AMOUNT Owner hasdecided not to do work.. (Bldg Permit Appin. #109-85E, Receipt #32015, dated 1/15%85, AP #36-24.-33),, Electrical permit fees paid ------------------- .--$64.00 Retain tiling'tee -----------------$J-0.UV Retain -pre-inspection fear--------- 115.00 Amount retained ------------ -------- ------------- 25..00 REFUND DUE ------------------------------------------------ __._------ $39'_00 $39.0.9 TOTAL . $39.00 I, the undersigned, declare under penalty of perjury that the services or articles claim d-Ka-ve been performor delivered, and- that this elaim is true and correct, as stated., 1 ,.- Dated this / /. �1 day of ;-� y/ •• _ •,. , 19 J!, et��;;IC;�(J' ! 4 , Calif. .. - Signature of Claiman �. I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above.- vee. performed or de- livered and that there is a Budget Appropriation or Specific Board Approval (Check one) fo a same. ' Dated this ,,,,,_,,24th -,day of January 85 Oroville ............ ...... 19.,..... at ............................ Calif. .................. ......... ................... apartment Head, or Authorize •puty Dept. Exp. Code................:........................... Code............:...................................PAYA13LE FROM ............................_....... _.................. - ........ :............. . ..... ... FU D DO.. NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY .......... ... _e= . DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT.. 1 I i �`�3igs� �� tee/ � P-�,^.%%_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANU PERMIT PERMIT NO. ASSESS PARCEL NUMBER ZONING BUILDING PERM[ owN ITELEPHONE SO. FT. OCC. BUILDINdtyh4ATION OWN AILrLkJG ADDRESS c CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER QqN le LICENSE NO. Plan Checking Fee .$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A RESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTUR SF [P Duplex ❑ Mobi lehome ❑ t er S t� I o SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Instal latiop.Q Ot, Describe work: S �VS a,h t fiC Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soov OR LESS 100 AMP OR LESS fl=12:2L �� \/•� Main service EA. ADD'L 100 AMP 2-.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. I2/ 22SQft 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. e(cense No. Classification IiJ ', 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 CONSTR ULTI-OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEw CONSTR / POWER APPARATUS .&) NON-RESID. \SINGLE OUTLET CIR. Ex. Occu SAL030 P�o OR FIXTURES 9AL®30 FIXED FIXED APP LNS. OR A EX. OCCUp- OUTLETS (RESID,) EA.� 2.00 0 Temporary service 10.00 Mobile Home Facilities 15.00 M' c. Wiring 15.00 E k– CS B 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 o -nur sent to Self-Inse. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence o - e granti of this per 't. X �� S� Signature of Applicant — OwnerControctor ❑ Agent El 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 $ TOTAL PERMIT FEE $ OCcuP. GROUP I TYPE OF CONST. PARCEL PD I ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DR CTOR O UBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date-"— J—dT, ate — -� Receipt No.�iap 1"T WHITE-D.P.W., WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION •, 7 COUNTY CENTER DRIVE - OROVILLE, CACIFQgNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET f �J /] Permit No. sf f OWNER0_�-�! A. P. No. sl �Cw 3 Proposed Building Use Permit Fee Based Upon: -Complete Contract Price DPW Valuation Other (Explain) Building Inspector G. Date 4 At time of permit application, was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2... Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . Vl� Mobilehome Installation Data. . . . . . . . �� •Pre-Inspec. request to Pre -Inspection for `? `C s%i CRejuired. Building Inspector Recorded copy of Agricultural Acknowledgment Statement. 19. Other When you issue the ermit, process as follows: Mai/I to owner. Mail to contractor. ephone -�`)-!� and hold for pickup at office. Deliver w/inspector. Other Applicant r Date 5 O� Copy of plans sent Health Dept., Fire Dept., Other // Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: C I (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,'Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. I f Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an appli ation for a building permit for the pr osed work. 3. I have contracted with the following,person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired)* the following persons to provide the work indicated: Name Address Phone Type of Work S igned : Property Owner Social Securitber . Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831_ and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit.