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HomeMy WebLinkAbout028-260-010` � ' " 10 27�2,-90B PADGETT, Paul 9538 La Porte -Rd,' Bangor Of o ri m r a i ! � p.J., �.f"_�, � 'y�w.i } Ar, 's� �..S,Cr.=' �AO ,4 �x i � E- <.'F�+�1 ��.'v• a 0 1 ' ..` COUNTY OF BUTTE -(DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Calif him 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 28-26-10 ZONING U BUILDING PERMIT OWNER Paul Padgett TELEPHONE 679-2577 SQ. FT. OCC. BUILDING VALUATION sq OWNER'S MAIL EING ADDRESS 1:36 PO Box 26 Bangor 95914 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 38.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Feed ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9538 La Porte Rd - Bangor Permit fee $ 48.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other I SPECIFY I Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10,00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: Re -roof (. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 • Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ACD'L 100 AMP 2.50 { CONTRACTORS LICENSE LAW 4 I declare under penalty of perjury (check one): tt ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ` I 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ( ACC. BLDGS. 2/20sgft NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC', TS 2.50ea (POWER APPARATUS &) SINGLE OUTLET C'R. / Ex. Occu o Occup(OUTLETS OR FIXTURES 20@50c .AL@30 FIXED APPLNS. OR Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. AI 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 10.00 Heating Coolin g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s�ai Count in conseq ence f the ggr king of this permit. %� ' �� 4 1�Z/ Date _ �.. Signature of Applicants OWner�/Contractor E]Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 48.50 AL HAz CUA PARK EEC PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees D REC OR F PUBLIC ! By ✓ l 1 .{` 9 PE l7 IT EXPIRES Date a � the applicable provi- resolutions to do have been paid. WORKS '1 Date V Qtp 6,-, Receipt No.- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - broville; Califgrnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 7:7 Z:---90 ASSESSOR PARCEL NUMBER 28-26-10 ZONING U BUILDING PERMIT OWNER Paul Padgett TELEPHONE 679-2577 SO. FT. OCC.1 BUILDING VALUATION sq 2160 OWNER'S MAILING ADDRESS ,36 PO Box 26 Bangor 95914 CONTRACTOR'SNAME - Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 38.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9538 La Porte Rd — Bangor Permit fee $ 48.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [ Describe work: Re—roof Permit Fee $ Contractor ELECTRICAL PERMITFiling Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or -my employees with 'wages as their sole compen- sation' will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ; ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.� OR ADONS. � ACC. BLOGS. ) , 2/20sgft NEWCONSTR. ULT' -OUTLET NO N.R ES'D BRANCH CIRCUITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCCU OUTLETS OR FIXTURES P 20@50t BAL93O FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubjec to the W. C. provisions of the Labor Code, you must forthwith comply with such' provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s Count 'n c n nce the gr ing of this permit. X — Date Signature of ApplicanU Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE 0 TOTAL FEE E $ 48.50 HAZ CUA PARK SCHL PAR HD 'ssuE Th'.s permit is nereby issued under signs of the Butte County Code and/or work indicated above for which fees TDE-ICORVF ELIC (05 BYQ PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date �v Receipt No. Zoo 6- WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT +�: ... • �'� U'1 �' -� ( , '� � , .. ._n � :�,.,.v.c _ -: .,, "+.i -.a;-": ^:r-�=i....:t�..,w .�;..t..c, -.«+. a✓,. •: h:'a.l`3 :ft!dm vri.�.� � ',+r-u;v, ptY... ...�._ y-...:,.,,.� .. .- z...... i•: r�.,. -.. x _ .. - 'a�.:c�. °6.i _ �a: �'d t_V1: _ , v. a+.,-W� .+..b t_`L..v. _ '4Trl:ti. _: .. ..._ ._ ... .: . � '�^ � .. • t � � � � N - r ��� COUNTY OF -BUTTE - DEPARTMENT OF PUBLIC WORKS — 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 PERMIT N0. PQLICATION•AND PERMIT ASSESSOR PARCEL NUMBER /O ZONIN " — OWNER l/ BUILDING PERMIT '• • TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S M IL,gyp OR E55 � 12S yVt,►� CONTRA QR'3 NA E NON E CONTRACTOR'S MAI NG ADDRESS NEW CONST. / DWELLING OCCUP.p,` OR ADONS. { ACC. SLOGS. i zQsgft / CONSTRUCTION LENDER Fireplace UNKNOWN Total Valuation $ LENDER'S MAILING ADOREss Filing Fee ARCHITECT OR ENGINEER Permit Fee. LICENSE No. Plan Checking Fee ARCHITECT ORENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 10.00 $ $ BUILDING ADDRESS Penalty $ IS3 ig Permit fee S. Code and my license is in full force and effect. License No. PLUMBING PERMIT Filing Fee 10.00 Classification ❑ I, Ex. Occup( OUTLETS OR FIXTURES 200304 SALO 30e Each Trap 200 LOT NO. SUBDIVISION NAMESolar PARCEL MAP or heat pump water heater 20.00 Water piping 5.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Each qas water heater or vent 500 USE OF STRUCTURE SF .Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 pL__� Mobile Home S G W 0.00e TYPE OF WORK New❑ Addition❑ Remodel[] Utilities[] Installation C] j, Other Describe work: Permit Fee $ Permit Fee $ Contractor I declare under penalty of perjury (check one): ❑ The is MECHANICAL PERMIT Filing Fee 10.00 ELECTRICAL PERMIT Filing Fee 10.00 Main service 1Oo°o AMP 1 OR L. RSLESS 10.00 CONTRACTORS LICENSE LAW Main service EA'. AOD'L too AMP 2,50 I declare under tJ( penalty p Y of perjury I y (check one): NEW CONST. / DWELLING OCCUP.p,` OR ADONS. { ACC. SLOGS. i zQsgft / I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions• R CTRCTITS 2.50 ea NON-RESIO BRANCH {POWGER APPARATUS a) SIN LE OUTLET CIR. Code and my license is in full force and effect. License No. Classification ❑ I, Ex. Occup( OUTLETS OR FIXTURES 200304 SALO 30e as the owner, or my employees with wages as their sole compen- sation, will do the work,and the Ex. Occup. FED TP O IOLJT7q PRE SIO 1REA.� 2.00 structure is not intended or offered for sale. (Sec. 7044) Temporary service 10,00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I am exempt under Sec.Business and Professions Code Misc. Wiring 15.00 for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor. I declare under penalty of perjury (check one): ❑ The is MECHANICAL PERMIT Filing Fee 10.00 permit for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department Heating a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 Cooling ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Hood 3.00 Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, Ventilation you must forthwith comply with such provisions or this permit shall be deemed revoked. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to Mobile Home Installation Fee S all County Ordinances and State Laws relating to building construction, and hereby authorize representatives Energy Inspection Fee $ of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, TOTAL FEE S r and expenses which may in any way accrue against said County in consequence of the granting of this permit. HAz CLIA PARK SCHL FLD PAR PD HO ISSUE X Date This permit is nereby issued under the applicable provi- Signoture of Applicant — Owner [I Contractor ❑ 'Agent ❑ sions of the Butte County Code and/or resolutions to do work indicated An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion Of structures 3 above for which fees have been paid. stories in height. DIRECTOR OF PUBLIC WORKS /over Receipt No. 4/947 P 9-. :i By WNITt-D.P.W., LLOW A33CSSoR, L PINK-INSPtCTOR, COLOCNROO-APPICANT . .......... Date PERMIT EXPIRES Date COUNTY Or BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538_754 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building pe.rmi.t,has been applied for M your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the mamjor labor and terials for construction of the proposed property improvement (yes or no) "'7T k2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address _ City Phone Contractors License No. 4. .I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone :Contractors License No, 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed Property Owner Social e.cu 'ty umb r Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be'completed and returned to our office before we are per- mitted to issue the permit.