HomeMy WebLinkAbout028-310-056f
REMODEL SP, INSTALLED MH AND
CONST SHOP W/0 PERMITS
t
/ `-
I
V �0
;1TO.
h
PERMIT EXPIRES
r
.OWNER
David White
�°►
CONTR. owner
�4.
aLOCATION
(A.P.
SE side Upham Rd, approx. 6/10 mi. N. of
�f
LaPorte Rd., Bangor
1
1
it
t i
iM
i
e,
!t
'j
i
•
y, jvy�
'Rry%it'
`
1
Temp. Power Pole
Called PG&E,
y
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
• �
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS"
BUILDING INSPECTION RECORD
F
FIRE SPRINKLERS
FI
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish
BUILDING
BUILDING (Cont'd)
Interior Lath
PLUMBING
Setback
Door Closer
Firewall
Soil Piping
MOBILEHOME UTILITIES ------------------
Forms
Elec. Pedestal
Parapets
1st Floor
16 -
Main Bldg.
Elec. Continuity
Restroom Finish
2nd Floor
Gas Piping
Footin s(9`
-".75F441
Windows
Xrd Floor
Stemwall
—
Siding
To out -
3 3
Slab
Roof Sheathing
Water I in
Piers
&'��f
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwa l l
Insulation
Heaters
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping
Temp. Gas
& Test
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
F
FIRE SPRINKLERS
FI
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLATI N ...... • ....... Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
I)- a-7-
.3 -"
3/,6 �
0�5-5 Ayu) o44-
REMARKS -OR•
1
A AL
.D
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER,I
76
T L�EPHONEr
SQ. FT. OCC. BUILDING VALUATION
OW R'S MAILING ADDRESS
G7 . fSGX I 41T �j`/1/Ut G k- i c�
�i
CONTRACTOR'S NAME
A (
TELEPHONE
4 J
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER'A, '
!/'L,V
UNKNOWN
Total Valuation $
Filing Fee %
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee X
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ ,
BUIL NG ADDRESS
�' S/!�a� �670�/ ��� =l.�C•
PLUMBING PERMIT
FiIiIng Fee 10.00
/
/' Gf` `-�l ��` w//�
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF EjJ- Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer 1
5.00
Mobile Home S G I W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ rryodeI Q U_ti Wti tallation❑ Other
Describe work: !� G E �'��
�s -7-7
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000 AMP ORSLESS
10.00
!,
Main service EA. ADD'L 100 AMP
2.50
NEW OR ADDNST ( DWEACCLLING
GOCCUP.&) S.
2y2¢sgft
CONTRACTORS AW
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.
Q/1(cense 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)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. MULTI -OUTLET
NON-RES,.,BRANCH CIRC ITS
2,50 ea
NEW CONSTR I POWER APPARATUS &
NON-RESID. XSINGLE OUTLET CIR.
Ex. Occu P.OUTLD TS OR FIXTURES
20@50a
SAL®300
FIXED APP LNS. OR
Ex. OCCUp. OUTLETS (RESID,) EA.�
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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.
VI 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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
""• r .
X t o r 4 Date ` �? "
Signature of A/licant — 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 $
TOTAL PERMIT FEE $Q.O G
OCCUP. GROUP
I TYPE OF CONST.
I PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under
sions of the Butte, County Code and/or
work indicated above for which fees
DIRECtOR OF PUBLIC
By
PERMIT EXPIRES Date. ��
the applicable provi-
resolutions to do
have been aid.
P
WORKS
Date t %'
r- ,
Receipt NO. 1�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
�`� � � -��
�s'�� $1
�— ��5� ��
��� ,.
G��
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive = Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO..
ASSESSOR PARCEL NUMBER
r �._ „�
ZONING
BUILDING PERMIT
OWNER }
P
TELE HONE
SQ. FT. OCC. BUILDING VALUATION
I
OWNER'S MAILING ADDRESS - -
0 0 r-
r3 ,5 -
CONTRACTOR'S NAME
TELEPHONE
� 7V
Wil!
n
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee e $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $ ,:2()/),0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Penalty $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee $ 1 00.00
BUILDING ADDRESS //// `j j��"'jJ ^ ,/
-`3 / 0 D FA Q Re � .� 0 V-7T-� J
PLUMBING PERMIT Filing Fee 10.00
I / / '� i t i
► is ink n n i~'' m r r ►`` c( nn_ !r
Each Trap 2.00
Repair drainage or vent piping 5.00
Q
Water piping
LOT NO.SUBDI
VISION NAME
PARCEL MAP
Each qas water heater or vent 5.00
Gas piping system 1 - 5 outlets ,
USE OF STRUCTURE
SFE9Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system 5.00
' TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ns"tal lation ❑ Other
Describe work: q,l wnz, r r !%
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
/
p( b
Main service EA. ADD'L 100 AMP 2;50
NEW CONST. / DWELLING OCCUP.y) 22 sq it
OR ADDNS. 1 ACC. SLOGS.
CDN S
I declare under kXna2yof perjury (check one):
El 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
❑X I, as the owner, or my employees with wages as their sole compen-
% sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR 1.OUTLET
NON.RESID BRANCH CIRC TS 2,50 ea
NEW .CONSTR ( POWER APPARATUS e\
NONRESID. SINGLE OUTLET CIR. /
Ex. OCCUp OUTLETS OR FIXTURES g L�j '
r
ITLEXED APPLNS. OR
EX. Occup. �OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare undbr-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.
d I shall not employ any person in any manner so as to become subject
f 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.
Heating
Cooling
Hood 3.00
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit. �J
X /ri/�� �3•t /<J�rf Date –f%"5S
`work
Signature of Applicant — Owner Q 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 $
TOTAL PERMIT FEE $ :q0 , 0b
Occu P. GROUP
I TYPE OF CONST.
PARCEL
P11
1 ND
I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
indicated above for which fees have been aid.
P
DIRECTOR OF PUBLIC WORKS
By �' �...��Date �%il ;A_
PERMIT EXPIRES Date )1—i 9" 9
Receipt No. ) •2G' S � .a
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — 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 purposes.
x // - /Date
Signature of Permitee or Agent %j r ,�,
i
Receipt No. �' 1
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.
DAECTOR O(PUBLIC WORKS
By - �f� Date—" O
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address `Jr . l r �,
�.; ��` • ' '—
%, �,� •rte/- %
Telephone No.
!. i -
%
Contractor - F�
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address ( �*
Plan Checking Fee&/or Penalty
Permit Fee $ 7-
+_ •_, _i '�/s h•• i i' r -" /, _
PLUMBING No.1 @ FEE
/
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. /
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
W.C:
Sanitation
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
Bldg..Plons•Rec'd
Parcel A royal /
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILI OTHER ` `
p it Fee $
$
'j J7 -�, "��S��s I % -- i
ELECTRICAL No. @ FEE
/�`
PERMIT FILING FEE $3.00
service 600V OR LESS
100 AMP OR LESS 5.00
-Main
Single Family [91, Duplex Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW OR ACDNS. ( ACCLBLOGS.LING CCUP. 4) 22sq ft
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
st le of:
y
NEW CONSTR -OUTLET
NON-RESID BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIIRES) 50@25¢
BAL � f0{<
Ex. ¢CCU FIXED APPLNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of Cal ifomia.
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.
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.1 @ FEEPERMIT
FILING FEE J$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
Land Development Fee
$
TOTAL PERMIT FEE
$7 C r
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
x // - /Date
Signature of Permitee or Agent %j r ,�,
i
Receipt No. �' 1
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.
DAECTOR O(PUBLIC WORKS
By - �f� Date—" O
Building permit expires Date
' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
—-"r•-"-"�••-•••�•+ ••, v..a. .ar v. `a•aw av tint. urvn uic
above-mentioned property for inspection purposes.
l �
x
Date '.
Signature of Pe/rmitee or Agenic C
Receipt No. 1-7 t rm1 I ` 3.
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 OF"PUBLIC WORKS
By Date /L J-/ _%
/I-/N_7,P
Building permit expires Date
BUILDING
Owner VIr� A �t 1 G,
SQ. FT. OCC. BUILDING VALUATION
�0(1) �V r Ovo c�
Mailing Address
reNln n r �o
Tel No.
I9 `7_C'l.�c
Fireplace
Contractor V I i (�� il���
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $ d;(),()U
-1
Building Address 1
J A c�`� Cl ii{N `l""yt f`1
PLUMBING No. @ FEE
PERMIT FILING FEE 3.00 jpp
$1.50
r"�
.7• U%�i� yC �// h ,w)i 11 ... /11 *N A 1h -1r Dt11�o
Each Trap IJ
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. !�� ' ' --
V
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
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system - 2.00
Bldg. Planecd
e R
Parcel Apprwal,
dPlan� roval
Permit Fee $ ; 1,f1 r_10
$ ,10 �
NEW ❑ ADDITION 0� UTILITIES ❑ OTHER ❑!.'
ELECTRICAL No. @ FEE
PERMIT FILING FEE '$3.00
�j
Q
Main service 600v OR LESS
100 AMP OR LESS 5.00
l TiS� IL.K-.•f /L�"'n ,
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
OVER 600
Main service 00 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. L.L.ING
OR ADDNS. ( DWEACC-.1BLDGS.OCCUP. &.) 20sgft
NEW CONSTR. MULTI.OUTLET
NON•RESID. ( BRANCH CIRCUITS)2.50ea
NEW CONSTR. POWER APPARATUS &
NON.RESID. (SINGLE 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) BAL@1
Ex. OCCU FIXED AS P LNS. OR
Occup. (RESIDA EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ a j {a
$
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
MECHANICAL No.1 @ I FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
/
$l0� ���
—-"r•-"-"�••-•••�•+ ••, v..a. .ar v. `a•aw av tint. urvn uic
above-mentioned property for inspection purposes.
l �
x
Date '.
Signature of Pe/rmitee or Agenic C
Receipt No. 1-7 t rm1 I ` 3.
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 OF"PUBLIC WORKS
By Date /L J-/ _%
/I-/N_7,P
Building permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovi Ile, California 95965
Telephone:,534-4541 /j
APPLICATION AND PERMIT v V
-
BUILDING
Owner n"au A (JV� �
SO. FT. OCC. BUILDING VALUATION
Mailing Address
VS4 IN QAA
Fho��%�1f1t
/ 7I
Contractor v [� h low
Mailing Address' jf -t
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address�j / t
,,.�
Plan Checking Fee&/or Penalty
Permit Fee f�. �� �)
�
r
e40z>vn A 4/im`:�_} \ 1:4 zr%A t:.
PLUMBING No. @ FEE
1111
PERMIT FILING FEE $3.00
Each Trap 1.50
4 Y
Repair drainage or vent piping 1.50
A. P. No. -� —
Zoning � Planning '
Water piping 1.50
,
Each gas water heater or vent i } y 1,50.
Fees
W.C.'
Sanitation.•FireDept.
FireZone
Use�Pennit
Gas piping system 1 -5 outlets 1.50 '
EOA
Parking
Plans
Parcel
Declaration
I Parcel Map
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
Bldg:'Pl-ans•Rec'd-
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITIONLIT�J,ES"� OT ESIPermit
Fee $
$
+ 9
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE ` "'' $3.00
`
Maiservice 600V OR LESS 5.00
Main 100 AMP OR LESS
-
Single Family Q Duplex Mobil Home
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
, i
Main service EA. ADD'L 100 AMP 1.00NEW
CONST. ( DWELING
OR ADDNS. ACC`BL GS•CCUP. Y\ 20 sq ft
CONTRACTORS LICENSE LAW
I am licensed unde_r,,,the provisions of Chapter 9, Div. 3, of the
State of Californ_ia'Business & Professions Code under the name
st le of:
y
.
TLET
NEW CONSTR BRANCH CIRCUITS
NON•R ESID BRANCH CIRCUITS) 2.50ea
,
t
NEW CONSTR. /POWER APPARATUS B
NON•RESID, \SINGLE OUTLET CIR.
EX. OCcuo(OUTLETS OR FIXTIIRES 50@250
BAL @ 10s
EX. OCCU FIXED APPLNS. OR
p•�OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
El I am exempt,Mfrom•thdZontracto�Licertse•L/Aws of the State of Califomia.
+
Permit Fee
- v • ,
WORKMEN'S COMPENSAVON INSURANCE J
t ;, `i c/ ! 1,1 //
1 am aware -/of -the provisions of Seetion370Q of the California Labor,,
Code which requires every employer to tie insured against liability
for Workmen's Compensation!. 1 ,
I have placed on file,ygth the,County of Butte a certfficatelf
Workmen s.Cbmpensat ion I.nIsurance. r,X�)�n ;i -I ,k}_; ,t� `� •
>C I certify that in the per d4ance,of the work for which this
permit is issued I shatllnot+efiploy'ariy person3n;any, anner4
so as to become subject to the)Workmen'.s.Compensation La, of7
California. U
�` 'MECHANICALIT No. @ FEE
PERMIT FILING.FEE $3.00
Heating t
Cooling`] j f
� f-YfJ< ,� � r'.'�- ✓ f 7
Ventilation �f
Hood , 2.0
Permit a I`'J -r A �� YtAV$fr .1'
I certify that I have read this:application�and state7that{th ,above
information is correct. I agree to comply to all County 4.Ordi nances
and State Laws relating to building construction, and hereby
Land -Development Fee )
is rl
TOTAL PERMIT FEE
$ --I A ;-Y
auuwnce repre�entauves of thine u )unry o1 tsurte to enter upon the
above-mentioned property for spection purposes.
X Date
Signature of Perermitee or Agent
Receipt No. (, a.3 1
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.
ODIRECIOR�,O"FPUUBLIC WORKS1 (�gy �f /�(N ~� Date �9 /% Y
cIf
Building permit expires Date < ( r l 7
A
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUB -LIC' -WORKS,
CLAY CASTLEBERRY. Director
7.COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA1.5965-
Telephome: (916) 534-4541-
WILLIAM(�ill) CHEFF
04putr Difoctor
February 9,..:1984
Evelyn White
RE: Building. Permit No. 19-8-3
P.O. Box 148
Expired 11/19/83
Bangor, CA 95916.
2 --31---2
(A. P. No. 8
Dear Ms.. White:.
With reference to: the above subject, our records indicate that
your Buildicag
Permit `'expired on the above date. Building permits are valid L for on
year
Yy and should construction be started but not -completed by.the expiration date of.
the permit; the permit shall be renewed.for 1/2 the original Building Permit
Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building
Permit for an additional year from the original expiration date.
Should-you.not renew your permit in. a timely manner; it. cannot be renewed and.
411 work must cease until a new building permit is issued.
If your construction is completed orshouldyou have any question concerning
this matter, please contact the Oroville office..
For your convenience, we are enclosing a -renewal a and an
application form owner
builder form to be completed and signed by you where indicated and returned to.
this office together with the fee shown. Please return all copies of the.
application form..
Thank you for your
Prompt attention ttention concerning this matter.,*
truly
-
Yours. very
.,:Clay Castleberry
Director of Public Workj_':'
F. Glander
JFG:aj Chief Building. Inspector
Attachments.: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector— orOV,IIe
Chico 196 Memorial Way/8.91-2751 Paradise -'-747 Elliott Rd/872,-296157.
Ext.
I
VIOLATION CHECK LIST
A. P.- # 028-31-0-056 Address 268 UPHAM ROAD, BANGOR
Owner TOM HUFF
Owner's Address SAME
Owner's Phone No. Supervisoral District
Tenant's Name Phone No.
Type of Violation in Detail with Code Section . Priority No. 1
REMODEL SF.W/O PERMITS MOBILEHOME'W/0 PERMITS ELEC RUN FROM MOBILE &
SHOP.
Specific Plot Plan with C/V Noted des no Penalties Required
1st. Notice Sent 7 2nd. Notice Sent
ate ate
Comments and/or Determination
HE SAID IT LOOKED LIKE THE HOUSE WAS RECENTLY REMODELED, AND NFW FT FC
SER RUNNING FROM SHOP TO MH AAn, �•�. '� N VWPjA- ..Awe-� � r�
Disposition For Citation Citation
Date (Date)
Department Recommendation to Court
Court Action
Notice of Violation Recorded
Date)
N
MEDICATIONS
IF CURRENT B.C.M.H., CURRENT THERAPIST:
1W.-T"RRAL: [ ] INPATIENT [ ] OUTPATIENT
[ ] YTS [ ] OTHER
URGENCY: [ ] IMMEDIATE ADMISSION
] NEXT AVAILABLE TIME
APPOINTMENT: TIME
DATE
CLINICIAN
z
04 V4 :jo=dsuj moij SMOMMOD IVUO!ITPPY
014
mnq
Ion 12 I1. q no' xOtWa umuld Told A%gjp Isnwxcqzadm
:Slu2umloz) "To
u2qtunbl 2uoqcl
-.s=ppv
MI AMS JK3MaO'laA3a)UNfI03 3LLJLi'lg