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Home My WebLink About028-180-019+- 28-18-19- • �g ,ARRETT MANLEY O, _ n �( 2 *' LaPorte Rd, Bangor R�•� 7 V Permit#449-87E(upgrade "ele ser)SF o , o + o[� �7C7r 449-87E • JARRETT MANLEY• 10898 La Porte Rd. r . _ Bangor. • - t _ A i OFFICE COPY Address _ - GAS Meter By Date ELECTRI , l� Meter By Dere-�"�" All • r r i; , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541�oli,rf �, APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER, TELEPHONE S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 1 - ;4 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS f V % f _' L. ( Permit tee $ PLUMBING PERMIT Filing Fee 10.00 ~ r 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 SF Ed Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New Addition Remodel❑ Utilities❑ Installation❑ Other k❑ Describe work: ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 ' Main service EA. ADD'L 100 AMP 2,50 G 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. Classification ED/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.& ,h2sgft OR ACDNS. ACC. BLDGS. TLET NEW CONSTRESID* RANCH CIRCUITS)2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. EX. Occup�OUTLETS OR FIXTURES 20050t eAL930 FIXED APP LNS• OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6Virin 9 15.00 SCS =~ , Ir �! 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 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Signature of Applicant — 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 $ occu P.PARCEL CONST.TYPE FLOOD PD HD Is9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By - ~ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -• 1 Receipt No. �fr� ^ �} �� WHITE-D.P.W.. YELLOW-ASBrSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT C/) d COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT /PERM ASSESSOR PARCEL NUMB R ZONING BUILDING PERMIT OWNS ARRETTMA NL -E TELEPHONE (v -247 $Q. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2F2,66J G 0 CONTRACTOR'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS O XT15 PIS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 �Rti 0 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 SF�Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 4 nstallation❑ Other IK Describe work:�lG.t4c� .Y �J Q�y�re.e� _ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS AMP OR LESS 10.00 6-9100 Main service EA. ADD'L 100 AMP 2.50 alFo CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnes$ and Professions Code and my license is in full force and effect. License No.- Classification 1, as the owner, or my employees with wages as their sole 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.14 A BLDGS. 21 /22sgft New CONsrR( MULTI -OUTLET C ITS 2.50 ea NON.RESID BRANCH CI!ICU' POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCU ZD Ot p OUTLETS OR FIXTURES eA3L0 FIXED Ex. OCCUp. P OUTLETS (RESID.)LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00--- Mi IYiring 15.00 1fS Permit Fee $ ,5-2 -° 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT 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 of the granting of this permit. %(��7 - Date 9,4, 4--./f 75� Signature of Applicant - 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 $ f2 TOTAL PERMIT FEE $ J occu P, CONST.TYPE TLOOOIPARCFLI PD 1 NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY / PE IT EXPIRES Date the applicable resolutions to do to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMEN7 017tP;WBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEMCALwIFORNIA 95965 - TELEPHONE: 916/534-454,1 PERMIT APPLICATION DATA SHEET \� �v JPermit No. OWNER Y l"(' // h /c� !�s A. P. NO. %*' Proposed Building Use t P CI y- C�tl Building Inspector ' Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ., . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by,preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . 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 owner0❑ , Mail to owner ), _15. Wprovements may be required. . . . . . . . . . . . 16/"Mobi lehome Installation Datta. vW: >� [ Pre-Inspec. request to Pre -Inspection for �' C� �. I .� Required. Building Inspector L(Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: ail to owner, Mail to contractor. Telephone and hold for pikup at -off ice, Deliver w/inspector,. Other Applicant 3w /-7-/f 7�' Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by —phone _MaiI—counter b date Contractor, designer, owner,. was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by, Date Sets of plans on hold in File cabinet AP folder _ Flours: 10:00 a.m. - 3:00 P.M. Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville,•CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building -permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit: No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for. -construction of the proposed property improvement (:yes or no) \ 5 2. I (have/have not) signed an app ication for a building permit for the proposed 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 Signed: Property Owner Social Security umber - Date /! y a {r l7 — 7 O NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF TTE - DEPARTMENT OF PUBLIC WORKS 7 County Cente. Driv - Oroville, California 95965 -Telephone 916/534-4541 A LICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBFR ,'L LL 1 ZONING BUILDING PERMIT O WNE ARRC Nc-E TELEPHONE �v 7 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS S— Z C a CONTRACTOR'S NAM �O, V Li) TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ^ (jJ� PO Permit fee $ PLUMBING PERMIT Filing Fee 10.00 �A ti 0 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 SFQ_'Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea Cx7 TYPE OF WORK ,--�fd;16,tii I^New bh Remodel Utilities[ Jnstallation❑ Other esctribe work: � �c �cz � Z& I"L o �/ 4_Qjvv-t:c _ r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR LESS 100 OROR LESS 10.00 6: Main Service EA. ADD'L 100 AMP 2.50 D .— CONTRACTORS LICENSE LA I declare under penalty of perjury (check one): EJI 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. Classification 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.EI OR ADDNS. ( ACC. BLDGS. ,/Zdsq It NEW NON•RESID SL BRANCH CUITS)2.50 ea POWER APPARATUS p (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20950* eAL93o Ex. Occup. OUTLETS IPRESID.IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mr,,Wiring 15.00 /,s — C I A,5(:) r I (S 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 Eof 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 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X�Q 7 �- Date c? rl -�117� Signature of Applicant — Owne6rV 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 $ sZ Sa Occup. CONST.TYPC PLOOo PARCEL I PO I No I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable to do resolutions to do fees have been paid. WORKS Date Receipt No. WNITE-O.►.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLOENROO-APPLI CANT