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