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HomeMy WebLinkAbout028-110-038A.P. 28 -11 -%ft �3D STEVEN PETERSEN , c _s1s LaPorte Rd. app. east of Bangor Cut -Off Rd., Bangor > - I Permit. .250Q:!:%73B_,1?..,1E1 .1 -----(,new single family) i Na, e -191, A.P. aQr -_QST7j.EN PETERSEN S/S LaPorte Rd. app. k mi. E. of Bangor cut-off rd., Bangor Permit 3057-73B (fireplace) K Aj- STEVEN PETERSEN . . ........ s/z stLaPorte Rd, 14- mi. E. of Bango � cut-off Rd Bangor I 1k,"IL %I t -74B(R Permit# 3888 500-73) AP .2-8-tt=±5- STEVEN PETERSEN s/s LaPorte Rd, h mi. E. of Bangc Cut-off Rd, Bangor Permit# 3889-!-,748 (renew #3057-73) q I 28 iils- Permit #5298-77B,P,E(add pri.attached garage & breezeway/SF) 028-1,1-0-0; 92-3763B •ANDERSON,, -`Ray 8950 La Porte, Marysville contra Frank's / / .woodstove/sf 028__110_038 06-1725 ANDERSON, RAYMOND 5148 LA PORTE RD, BANGOR Cont: GEORGE ROOFING RE ROOF 18� 1�14�tS32o - F1 �1`I p�o�p Scft�nE� '�epl keb' W �e,W �%1� C%*J Cc 028-110-038 06-1725 4 . f� ANDERSON, RAYN_O,ND N O T E'S 5148 LA PORTE RD, BANGOR Cont: GEORGE ROOFING RE ROOF RESIDENTIAL APN: Permit No. Owner. Site Address- Contractor. Type of Permit E SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE a DATE JOB FINALED: s. .SIGNATURE � CHECKED BY • =OK o = Not OK MANUFACTURED HOMES MISCELLANEOUS - DATE I Lj PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer, Lotti Test; FallIC/0-Concrete 4 Wtr, Loctn Test -Easement Needed -Regulator 5 Elec Loctn-Clmcs-Gmd 'Amp -Concrete 6 Yard Gas; Loctn Test Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line '' DATE D E C K S'C O V E R S'C A R P O R T S •G A RA G E S 1 ZoningSetbacks-Easements 2 Figs; SoilsSz-OpthSpacing-CnndrsSteel 3 Decks, Girders/Jotsts-Dcldng-Brcing Stairs-DuardlHandralls 4 Wood Awn; Posts-Beams4bIrs-CnnctrsShthg• Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnncir 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 7 Electric 8 Fmtg; Sills-AnchrsStuds-Rftrs Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext Steps -Doors -1 anditgs 12 Braced Wall pnis 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers HATE 113001-5 1 Setbacks -Easements 2 Soils; compaction -Structure Stability 3 Pool Structure; Stefll-Cnnctns Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance -GR o'`* ds dr da 5 Elec Pool IXng; l5 volts-GFI 6 Elec.Enclsrs; Conduit Entries Tpwdrials-l-isted 7 Elec Bonding; Metal w/5-Crdtng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcling Eqp-Pool Ightg Boxgs-Enclsrs-pnlboaids.4nsul n.to Main Conduit 9 Health Dept Appm 10 Plmb; Cir Test Wtr Supply Test 11 Lt Niche , 12 Endsr, Fencing -Alarms 13 Bonding, Diving board or Slide Drawing 0 = Not OK - "'RESIDENTIAL (Single & Duplex).. DATE UNDERFLOOR DATE PLUMBING 1 ZoningSetbacks=Easements-FloodSlope 53 Wtr Htr,'Vent-Ace-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Ancfir-Nail Prtctn 3 Ftg Garage; SoilsSteel-Elec Gmd Ftg Dpth 55 DWV- Test Fittings & Anchr•Nail 'Prictn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Ace 5 Stemwalis Main; Steel-Blockouts-Wrapped 57 Test Tuti & Shwr, 2nd fir - Tub Ace 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz AnchrsSz Test o'r aTs o 0.s� 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgmd DATE M E C H A N I C A L 13 Plenums &Ducts; Cirnc-MaterialSupportansultn 61 AC Ducts Insulin & Support 14 GirdersSills-Anchr BoltsJoists-Vets-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Ace & Vntitn 63 Condensate Drain & Ovrnw, Sz & Grade 16 Insulation 64 Furnace Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Are & Pltfrin if Furnace in attic DATE IFRAMING 17 Silts Proper Materials & Anchrs DATE F I N A L 18 Walls Studs -Nailing Spacing &Braces-PlatesSound 66 Ext Steps -Door & S1deLt Prtctn-Landings 19 Bearing Walls over' Girders.&flr Nailing 67 Smoke Detector 20 Draft Stop in Wails (rat proof) 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr 21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs :.. , 22 Headers 8 BeamsSi &'Bearing' in Garage; abv-flr Ducts Meth Prtctn 23 Hangers-Posf'Caps-Anchrs-Cinnctns 69 Bedroom Exiting 70 GFl 8 Bath Fxtn & Tuh AccSpa 24 Ceiling Joist-Rftr Ties-Purlin-Roof BracTrussShthg 71 GFl Arc Fault 25 Frplc Ties or Type A Flue=Fr Ic Throat Cirnc -c" 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Ac Sz &: Riaz pitetn-draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting DoorsSill lit & Dimensions 74 Frplc or Stove, Cimc-Hearth 28 Garage Fire Prtciri Framing -RC Channel75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opng:V . 30 Ext Doors -One 3'-6eck Garage 3rd Story, 2 Exits 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Ctrnc 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door Swing -Landing -Closure 32 Plywd on Roof Ovrhng Attic VntsWr Outrgrs 79 AC Duct in Garage -Damper. 33 Siding-Nairng Veneer 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace Mech Prtctn- LPG Appince Undr House 3" drain 35 Glazing Are PrtctnSkyLts-Plastic . 81 Plmb; Elec & Mech Eqp Listed for Locin 36 Shear Wails; Nailing -Bolts 82 Elec Rcptcis in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn Walls -Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters a Yes a No o' 0`41 d 0�s 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, PImb-Appinc-Frpic-Cimc to Opngs DATE ELECTRICAL 90 Wtr Well, Dscnnct, Elec, Pimb 40 Fxtr & Trnsfrmr Clmc4ns Prtctn 91 Ext Elec Trim, GFl Rcptcl-Undrgmd 41 Elec Rcptcis Spacing-Lts & Switches at Doors 92 Vntitn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous li spctns 44 Eqp Gmd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz 93aCU or El AL 98 Address Posted AC Wire Sz , a CU or a AL 99 Fire Sprinkler 48 Range Circ rA a CU or a AL Oven Circ as Q CU or DAL Insulated Neutral ayes DNo dr 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cirncs pnls-Motors-Meth Eqp 51 Clothes Closet Lt-Shwr LI -Spa Lt 52 Smoke Detector o'e ds Off. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 E NULL AND VOID 1 DATE OF ISSUANCE, OR IF WO LICENSED CONTRACTORS 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 Classes : C-� License Numbers: ASa2&& — Date: / : K Contractor: "" � _ OWNER -BUILDER DECLARATION I hereby affirm under penalty 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 permit to construct, alter, improve. demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 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 five hundred dollars ($500).): O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property 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 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Cl I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:Art& 1 Policy #: a %Q — 5 g t o O I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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. Date: 7-1-7-06. Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby.affirm that there is a construction lending agency for the performance of the work dor which this permit is issued (Sec 3097 Civ.) Name: Address: PERMIT NO. BP061725 IN VIOLATION OF ANY COUNTY OR STATE LAWS. Issued Date: 07/19/2006 APN: 028-110-038-000 Site Address: 5148 LA PORTE RD BAN Map Index: Description: REROOF 39 SQ Owner: ANDERSON RAYMOND E LIVING TRUST ANDERSON RAYMOND E TRUSTEE 35 LA CRESENDA DR OROVILLE, CA 95965 (530)533-4563 Applicant: GEORGE ROOFING 6810 LINCOLN BLVD OROVILLE, CA 95966 (530) 533-6393 Contractor: GEORGE ROOFING 6810 LINCOLN BLVD OROVILLE, CA 95966 (530) 533-6393 License #: 452266 Architect: Engineer: Total Square Ft: Valuation: Census Code: 0 S. F. $0.00 hereby issued under the do work indicated ari .n - EXPIRES ON: provisions_ of the Butte County Code and/or fees have been paid. Date: T ❑ 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 & Safety 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 slate taws relating to building aonstruallon, I I10nowl0als It 14 unlPwful to 111191 the 4NA414f1ois of Any Pfflolm! fgrfn of ogC_H/N. simfR_t RI 9NIto PqunlV I H@i@oy 4ulhorize raprgeentalives of Sulle County to enter upon the apove mentloned property for Irt4pecgon purposes. Print Name: S Signature: Date: 2—I �� Q Owner Cl Contractor XAgent for Owner O Agent for Contractor BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS BP Q6-- l-7 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BIN # OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT SIGNATURE Tor office°use-only: --- OWNER Name Raymond E. Anderson Address 35 La Cresenda Dr. City Oroville State CA Zip 95965 Phone 533-4563 Fax E-mail t APPLICANT SIGNATURE Tor office°use-only: --- CONTRACTOR Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530)533-6393 Fax (530)533-0287 E-mail dan@abcgc.com Lic.# Class dan@abcgc.com 452266 C39 APPLICANT SIGNATURE Tor office°use-only: --- ARCHITECT/ENGINEER Name N/A Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530)533-6393 Fax E-mail dan@abcgc.com State License Number APPLICANT SIGNATURE Tor office°use-only: --- APPLICANT NAME Name GEORGE ROOFING Address 6810 Lincoln Blvd city Oroville State CA Zip 95966 Phone (530)533-6393 Fax (530)533-0287 E-mail dan@abcgc.com APPLICANT SIGNATURE Tor office°use-only: --- Zoning Flood Zone I $RA Yes No Occ: _. 'C' t, .. `_• Type Const. Subdivision Name Map Book Page Lot # ' Planner Date Approved: "1 LOCATION AP# ,/1aQ p p 0 -cam Property Address Marysville,Ca.95901-9116 5148 La Porte Rd. Cross Street WORKER'S COMPENSATION Policy Number 272-596 Carrier STATE FUND If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work Reroof - House - Com Sq. Footage 39 ❑ Structure Built Without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg r r., : c•,, . _. SRA Receipt #: Sheriff w. ___........._ _.. _ .... _. ._ .. _._.... _. ...__ . SMTP � �. Other Date: Total REV: George Roofing t ��� �� {.� .�.-•i;.�il,•.a, ��t'rs .��. �. f fi� ! w5f k w �r ui � a' .l. �.i ,•th . - ... K4 f J`�ia. �� bt. ... ='x fy,a. err I 7ANDERSON, 1-0-015 Ra 92-3763B y La Porte, Marysville contr: Frank's' ' Woodstove/sf r J l' a M I. i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 Cl / APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-11 ZONING BUILDING PERMIT OWNER Raymond Anderson TELEPHONE 679-9246 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 8950 La Porte Rd. Marysville 95906 CONTRACTOR'S NAME Franks Ref & Ht TELEPHONE 877--$881 CONTRACTOR'S MAILING ADDRESS 5655 Almond Paradise 0590 Fireplace A - 1 05W.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1,9 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS l Penalty $ BUILDING ADDRESS Permit fee $ 1&0 ti PLUMBING PERMIT Filing Fee 15.004ft -.,.e Rd.. Marysville Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBOIY*SION NAME PARC L MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFE9Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G I W 915.001 TYPE OF WORK New Addition El Remodel❑ Utilities Installation E! ther[N Describe work: Install WoOdstove .r.. — " Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS _ 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 ful force agd effect. License No. _, Classification J E3, 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 Main service 200ATO10o0A, 37.50 NEW CONST. ( DWELLING OCCUPM OR ACDNS. ACC, BLDGS. // 3.6asq.ft. NEW CONSTR ULTI-OUTLET ^ 5.00 NON.RESID BRANCH CIRC ITS POWER APPARATUS h (SINGLE OUTLET CIR, 20 76d Ex. Occup(OUTLETS OR FIXTURES AL 49d FIXED Ex. Occup. OUT ETS P(RESID )REA) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. L� 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating • Cooling Hood 6.50 Ventilation Penult 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 of the granting of this permit. X '� Date `' 2, signarure o Applicant - Owner El 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.E Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE g45 OO HAZ I DFEES I IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provi- stuns of the Butte County C e and/or resolutions to do work indicate ove for ich fees have been paid. R PUBLIC WORKS By Date,,.Iy- P EXPIRES Date Receipt No. i Z -1 - WNITE•D.P. W., YELLOW-ASeC530R, PINK -INSPECTOR, GOLDENROD -APPLICANT t._ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPMATIM AND PERMIT PERMIT NO. 2,3-7 VIP 3 ASSESSOR PARCEL NUMBER 028-110-015 ZONING A-5 BUILDING PERMIT OWNER Raymond Anderson TELEPHONE 679-2246 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 8950 La Porte Rd. Marysville 95906 CONTRACTOR'S NAME FranksRef & Ht TELEPHONE 877-8881 - CONTRACTOR'S MAILING A DRESS 5655 Almond Paradise 95969 Fireplace I A 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1.500.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 1 15.00 8990 La Portp Rd., Marysvillp Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF EX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW= _@1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ® Describe work: Install WOOdstove Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 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 fUI force nd effect. License No.o����li` Classification % z ❑ 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 Main service 200ATO1000A1 37,50 OCCUPM 3.64sq.ft. NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS. I NEW CONSTR MULTI -OUTLET NO N.RESID BRANCH CIRC ITS @ 5•00 POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. OccUp(OUTLETS OR FIXTURES AD 76a Ex. Occup. OUTLETS ((RESID IED APPLNS. REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Ve permit is for $100.00 (valuation) or less. 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling ffHood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 a I liabilities, judgmen, sts, and expenses which may in any way accrue a ainst said u ty in copse uence of the granting of this permit. XDate c, A, Signature o 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $45.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County C de and/or resolutions to do � `Mork indicate bove f ich fees have been paid. E PUBLIC WORKS BY Date �Z P EXPIRES Date Receipt No. ' "7 WHITE-D.P.W., YELLOW-A99[930R, PINK-IN9PECTOR, GOLDENROD -APPLICANT F r�v X1'7 �r,+�_ COUNTY OF. BUTTE PARTMENT�PF PUBLIC WO� - BUILDING DIVISION �� �t® '-' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 1 PERMIT APPLICATION DATA SHEET / OWNER �� !j, P. No. 2 Proposed Building Use W og S �c 5/� Building Inspector Date At timeof mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . 20. Pre -inspection for to Bussing Ins request- p required. . to Building Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Givenito owner , Mail to�owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization. 3 ................. i............. '....::: : 26. Copy of recorded deed of parcel creation and 60 right of,way to a public road. ' 27. Letter of intent on building use . ................. 28. Mobilehome utility clearance ........................................... 29. Documentation of legal access . ........................................ e 30. Documentation of 50% subdivision developed or (A) Road improvements completed ` and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ................. �..................... 32. Plan check list . ..................................................... .................... 33. 34. - When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applican�� _ Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ,,."4 `-',r`c.•�'"�+-.^.�--�..r-r�� .;�•.—•••'ti1�..r�lR-r1�-,K7�'rr ++..Yrs ,,.' ay,z ... >r. ... "'�--%�,:..a+.+.'+_.: Ps`�"'�.�; COUNTY*OF BUTTE • DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 E 747 Elliott Road, Paradise, CA (916) 872-6307 :< CORRECTION NOTICE A NER PERMIT NO. E A routine inspection indicates that the following violations of Butte County Ordinances, exist at the above address and should be corrected. Please notify this office when correction of work , is completed. If you have any questions pertaining to this matter, or need additionafexplanation,. please contact this office immediately. l EEO4 VE C -M fi�7 (JN D lydg 5'T v 'F 4 a� f Sf Date — Inspector REV 11/91 ,bw.. PERMIT NO. 5298-77B,P,E PERMIT EXPIRES D //"1// OWNER Steven Petersen CONTR. owner LOCATION (A.P. 28-11-15 SE/S LaPorte Rd.,app.4/10 mi.EAf Bangor Cut-ofJ Rd., Bangor &416W/4019- /Irw Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called !PG&E AB _2 (�-7 FINALED (Dat (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPUTION RECORD BUILDIN BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall 101, Siding To out Slab Roof Sheathing i Water Piping Piers Roofing Sewer Garage o Fdn. Vents — Fixtures Footings Garage Vents Water Htr. Stemwall V Insulation Heaters Slab Prov. for phsically Appliances Carport p° handica ed Conformance of ex. Gas Piping & Test Footings structure Tem . Gas Slab Final ILL ay Sanitation / Patio FIREP1,ACE Final -� Footincis Footin ELECTRWAL— Masonry Walls Throat A Rou h Reinf. Steel Final t X Fixtures Bond Beam FI 6 INKLERS Motors Framing Test Yk I Water Htr. Stucco Final X Subpanels Mesh LAECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling A Temp. Pole Finish Ducts %V Underground Interior Lath LIN,Ventilation % Permanent Door Closer Final t Final — MOBILEHOMEUTILITI------------------ Elec. Service rElec. Pedestal Water Piping Sewer Gas Piping E gME INSTALLATION --------------Support Elec. Continuity Water Piping IDrainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 10 COWNTl' 8F BUTTE — DEPARTMENT OF PUBLIC WORKS -.��7 County Center Drive — Oroville, California 95965 Telephone: a,34-4541 APPLICATION AND PERMIT .+ •0I e ieviesen.au ves UI Lite VUunLy UI Butte to enter upon the above-mentioned property for inspection purposes. l����b i� ``-i�i'� Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor —/Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS By Date ZD —/ q-177 BUT1ding permit expires Date /0—( BUILDING 1*7 111 Ownerstev" SQ. FT. OCC. BUILDING VALUATION 0 Mailing Addresso b C—:Many— 2S)"? 4 T leph�e No Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee 1 Building Address s � � cl j �La Ror R d 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 A. P. No l�,)T,_ l Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Sa i on Fire Dept. I Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. P s Rec'd Parcel Ap ro PI proval Permit Fee $ tJ —6 is 7TR❑ NEW ❑ ADDITION UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEEPERMIT FILING FEE $3.00 4ZJ600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ R 600V Main service 10 00E EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST, D CCUP. & OR ADDNS, A ) 22sgft •LTI.O _ NEW CONSTR, M TLET NON-RESID, ( BRANCH CIRCUITS) '2.50ea NEW CONSTPOWER APPARATUS -&) NON_RESIR. D. (USINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@Z5C BAL�1 Ex. Occu // FIXED APPLNS, OR p.(FIXED (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 j6 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be jnsured against liability for Workmen's Compensation. j ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE .+ •0I e ieviesen.au ves UI Lite VUunLy UI Butte to enter upon the above-mentioned property for inspection purposes. l����b i� ``-i�i'� Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor —/Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS By Date ZD —/ q-177 BUT1ding permit expires Date /0—( i 357_ 73 3r�S� '74Z PERMIT NUMBER - B 2500-73_vP,iM P E PERMIT EXPIRES74 ✓ OWNER Steven Petersen CONTR: owner LOCATION (A.P. 28-11-15 ) s/s .LaPorte Rd. app. -t mi. east of Bangor Cut -Off Rd . , Bangor FA AK,_ DATE REMARKS OR CORRECTIONS t / 4:�e- re 01- 45;1� A�F- , - ! nS Q� COUNTY OF BUTTE ;, ' Department of Publl'c Works i A BUILDING INSPECTION RECORD Zoning Setback 9 /-2 Q Forms Foundation ` Piers & Girders �— Fireplace a Rgh. Plumbinge2k 9 %�--,7 6' Bond Beam "'� Lath & Plaster Z- O �- Rein. Steel Gas Piping & Test Found. -Vents Framing '' PI -mg. Topout -- Rough Elec. 'z may, Wtr. Htr. --X5-Furnace '�%'rh Kitcher'Vent� Firewall - Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary p y _ ��4--7 Temporary ter^ Cert. of Occup. Final J.(� ,�'�7� Final Final —Z4 DATE REMARKS OR CORRECTIONS t / 4:�e- re 01- 45;1� A�F- , - Owner S 719-1/ EAJ Mailing Address P 0 %4A/Go2 Contractor QC43 A146 Mailing Address Building Address 5 AS— COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR S 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 Q APPLICATION AND PERMIT BUILDING SQ.FT. OCC. BUILDING VALUATION F7'L-QS0Al Tel hone No. �9_2- Telephone No. A. P. No. Z 1/— Zoning 8 Planning F W ` ion Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improvements Plans .. Declaration--'Parcel p p Bldg ec'd arP cel Approval Plans Approval NEW 11 ADDITION ❑ UTILITIES ❑ OTHER 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. Classification II 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 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ate ignature of Permitee or Agent Receipt No. / L +7 (—ZY White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee �caewaj �Yi PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wiring FEE $2.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 Permit Fee $ MECHANICAL No. @ FEE PERMIT FILING FEE J$3.00 Heatina Cooling Ventilation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE 1$ 2 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. DIRECTO F PUBLIC WORKS --7 ouildi"ng DDaaate -tea / permit expires Date........fr .21".. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS y, 7 County Center Drive = Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT dutnunce representatives of the county of ttutte to enter upon the above-mentioned property for inspection purposes. Date ^ U s - b. - Signature of Permiiteeee or Agents Receipt No. 2: s o �� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS BY Date<'Zj '7 t Ar wilding permit expires Date ...... 7:: /4.az- ---7 ....... BUILDING Owner e- Se- SQ. FT. OCC. BUILDING VALUATION Mailing Address D Telephone No Fireplace Contractor DC,V Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Ot Building Address . PLUMBING No. @ FEE PERMIT FILING FEE $2.00 W J,4 J0aoEach Trap 1.50 _ Repair drainage or vent piping 1.50 Water piping 1.50 Q Each gas water heater or vent 1.50 A. P. No. ✓ �+— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. an Cation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Parcel Ma Declaration p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans ec'd Parcel Approval Plansppl�roval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 W14 eZ1,1aZ ele Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbale io Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'Workmen's Compensation Insurance. SsI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 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 TOTAL PERMIT FEE $ dutnunce representatives of the county of ttutte to enter upon the above-mentioned property for inspection purposes. Date ^ U s - b. - Signature of Permiiteeee or Agents Receipt No. 2: s o �� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS BY Date<'Zj '7 t Ar wilding permit expires Date ...... 7:: /4.az- ---7 ....... COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drivel Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection po es. AL X1Z6�� 4 . ate»� 73 Signature of Pe rmit Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions Df the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By g�� .6 Date_7—,'I'-7 3- Building permit exp r set Date 7`;., �.,,� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Q Mai I i ng Address 7 ' Tele one No. 2 TA Fireplace Contractor Total Valuation Mailing Address Permit Fee 66700 Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ -500 $ �I Building Addresses ' PLUMBING No. @ FEE PERMIT FILING FEE $2.00 ,o -ID 1 Each Trap 1.50 J Repair drainage or vent piping '.111.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fea o EQA Parking Parcel Plans Declaration Fire Dept. Fire Zone Use Permit Building sewer 5.00 Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parce Approval Plans Approval Permit Fee $ Z NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE 3.00 Q'() Main service incl. 1 meter , Additional meters, each 1.00 Sub -panel (12 or less) (more an 12) , Single Family VL Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 0 Water ifeater or SpacefHeater 1.00 ,00 Light fixtures_fpbaldio '00 20(d2s ,D sw s & fiX% lets LIM 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: Ho d, Ex. Fan or F.A. Furn. Motor / 1.00 1/100 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump J Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ;E91 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑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 3, D Heating Cooling , 00 r Ventilation Hood 2.00 ,O0 Permit Fee $ 1 C2.&-0 $ /p2 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ �3 Q� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection po es. AL X1Z6�� 4 . ate»� 73 Signature of Pe rmit Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions Df the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By g�� .6 Date_7—,'I'-7 3- Building permit exp r set Date 7`;., �.,,� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive' Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ��?1 �7 WOR authorize representatives of the County or Butte to enter upon the above-mentioned property for inspection purposes. ateJ,, 7 0, �2 ew 401 —a A4 J D Signature of Permitee orlA/gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D ECTOR OF BLIC WORKS B Date �,��_ 7 � Building permit expires Dat BUILDING ^ Owner %z G � S SQ. FT. OCC. BUILDING VALUATION Mailing Address 7 IV Teleplypne No . �f _ Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ p, Building Address S (� 7—e— /y PLUMBING No. I @ 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. — //� %j Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees I Wk, Sani4e-fl—on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 734 Water Heater or Space Heater 1.00 Light fixtures pal_dlo ldblulmi Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring R1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. f,/1 certify that in the performance of the work for which this l ra 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 I MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ d authorize representatives of the County or Butte to enter upon the above-mentioned property for inspection purposes. ateJ,, 7 0, �2 ew 401 —a A4 J D Signature of Permitee orlA/gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D ECTOR OF BLIC WORKS B Date �,��_ 7 � Building permit expires Dat .. ' . mo CC i If v • it f �f COUNTY OF BUTTE — DE ARTMENT OF PUBLIC WORKS 7 County Center Drive — 'Orbvi'Ile, California 95965 Telephone: 34-4541 APPLICATIO AND PERMIT � ..til - `ti..'_.+.•�v.*,. __. v ter. '- ' BUILDING Owner =`�"� - f } �:��� '_ . T A� Mailing Address -t cr SQ. FT. OCC. BUILDING VALUATION Telephone No. Fireplace Contractor ` L, �(./ l ,, /� Total Valuation Mailing Address / 3, ; t) /- , , /.(, , �,• /% /. Permit Fee Plan Checking Fee&/or Penalty Telephone No. ��? ;s).` i Permit Fee A $ Building Addressi PLUMBING No. @ FEE PERMIT FILING FEE $2.00 /� .•, v 1% /��..-� in P, Each Trap 1.50 /"t / ., r� . ._ T /-1 - I /a/l •s/ �'1✓) r�� + Repair drainage or vent piping 1.50 Water. piping 1.50 Each gas water heater or vent 1.50 A. P. Nol l / / !f= I"�—rty--,. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees'W!C.' Sanitation; Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration I Parcel Ma P 60' R/W I Im rovements I P Lawn sprinkler system 2.00 ::::::l Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑�C ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal dlo Receps., switches & fix outlets 2 11102-1 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:, / '} Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.—?- � � ,1 4o�3 Classification �r n Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. placed on file with the County of Butte a certificate of El 'workmen's 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 'UO Heating y j} /j Cooling 7 S 0 Ventilation Hood 2.00 Permit Fee $ /1/ <_e-1 $ 141 < ( I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ autnonze representatives of the county of butte to enter upon the above-mentioned property for inspection purposes. X t / 4v—�IA- 6 e/', pate Signature of Permrtee or Agent Receipt No. White-D.P.W. — Yellow -Assessor i Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS —y !/ By �.7 it #'ii�i,.n pate / 7 �- Building permit expires Date...�I�7..././. .......!..J