HomeMy WebLinkAbout028-310-055O
9
HENRY DEVETTER 28-31-55
j47AO!k
05 Milligan L,ne, Bangor
Harrell Wils
on
Pe'mit#2256-86B,P(new roof
O�I�/
ows & new wind-
Ccntr: George Rcojc 28-31-55
-In
PErmit#4112-87B(reroo S
028-310.-055 ,7
PERMIt494-,-'2186,",.
DEVETTER 'NINA
95' MILLIGAN LN.,-,. BANG -1
c
CONT: MJD, CONST,: ' t" .
ttR.MItE, -REPAIR/ SF.', -
028 -310-b5-51'.. PERMIT#97-26
DeVETTER-, Nina
95 Milligan Ln" Bahgor
Cont: George. Roofing -
Reroof/SF.
0
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
jJ - '� -�`.
ZONING _
BUILDING PERMIT
OWNER
Henry DeVetter
TELEPHONE
-60
SO. FT. OCC. BUILDING VALUATION
y
MtatAI rnnf 9 nn
^C
1 lr�217 -nn
OWNER'S MAILING ADDRESS
9" Milligan Bangor
CONTRACTOR'S NAME
f,Anr(TP Rnnf d nn
TELEPHONE
' w Q 14
CONTRACTOR'S MAILING ADDRESS
P.O. BOX 729 Oroville
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 1000
LENDER'S MAILING ADDRESS
Permit Fee
$ 4 h
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
95 11illigan Bangor
Permit fee
$ o �n
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 G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Q
Describe work: Roof iner
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMPOR 00V OR
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 BuslnesS
and Professions Code sand my license is in fullforce and effect.
License No. 452256 Classification `'`3�
Classification
ElI, 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-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.� ,
OR ADDNS. ACC. BLDGS. �z2sgft
NEW CONSTR. U TI.OUTLET
N ON.RESID BRANCH CIRC., TS2.50 ea
POWER APPARATUS 6
SINGLE OUTLET CIR,
/ 0@50t
Ex. Occup\OUTLETS OR FIXTURES 20050t
FIXED
Ex. Occup. OUTLETS IPRESID 1APLNS.REA.� 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. byirin 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.
a I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 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.
�X12-2:i 7This
Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent Q
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 29.50
OCCu P,
CONST.TVP!
I
I FLOOD
PARCEL
I PD
ND I
ISSUE
permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
/ DIRECTOR60F PUBLIC*ORKS
By ,l ,�-V19 ate
- , %_ ���fc''
PERMIT EXPIRES. Date _
Receipt No. (f.C�
WNITC-D.P.W., YELLOW-AS8C890R, PINK -INSPECTOR, GOLDENROD -APPLICANT
I)
Permit#4112-87
�A.
Henry DeVetter
95 Milligan, Bangor
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PER(411T N0�
ASS,9S =P CEL NU BER
0
Z°CW
BUILDING PERMIT
OWNER
HenryDeVetter
TELEPHONE
679-2560
S0. FT. OCC -1 BUILDING VALUATION
Mptal roofincr
1
OWNER'S MAILING ADDRESS
95 Milligan Bangor
CONTRACTOR'S NAME
TELEPHONE
CONTRACT R'S MAILING AD RESS
P.O. BOX 729 Oroville
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
95 Milligan Bangor
Permit fee
$
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 JW 1
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherFC]
Describe work: Roofing
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service BOOV 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 Busines$
and Professions Code and my license is in full force and effect.
rr��
License No. 452266 Classification C-39
❑ 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-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.s ,
OR ACDNS. ( ACC. BLDGS. /20sgft
r
NEW CONSTR. MULTI -OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS &)
(SINGLE OUTLET CIR. ) 1
Ex. Occu z0 ®30Q
p OUTLETS OR FIXTURES eAL030
Ex. Occup. our R
OUTLETS ((RESID )EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. byirin g 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
® I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 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 sai ounty in consequence of the granting of this permit.
X 12-28-87
Date
Signature of Applicant — Owner EllContractor ElAgent®
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 29.50
Occup -1
CONST.TYP!
FLOOD
PARCEL
PD
ND
139UE
This permit is hereby issued under
sions of the Butte County Code and/or
work in ' ted above for which
DIRF PUB
B
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
I ORKS
ate
Receipt No.
WHIT!-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR, 60LDENROD-APPLICANT
I
I
t
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028-310-055 PERMIT#9.4-2186 .
a - DEVETTER, NINA
95 MILLIGAN LN.,, BANGOR
` CONT: MJD CONST.. /
TERMITE REPAIR/SF
S
1
I
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err^-�+rr7� vim- ...� +T.f •'�e,t"+gn^ v;
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT c'`
ASSESSOR PARCEL NUMBER
02P,1106 -n`55
ZONING
ILDING PERMIT
OWNER
TELEPHONE
SO. FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
S M11 I.TrAR Nf' CA 95914
CONTR 960
CONTRACTOR'S NAME
M fRT
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
05623
XDER T
Fireplace
_
CONSTRUCTIONLENUNKNOWN
1�iI~
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
qS MILLIGAN LANE,PLUMBING
PERMIT FEE $ 45.00
PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
LOT NO.
SUBDIVISION'S NAME '-
PARCELMAP
Water piping 15.00
Each gas water heater or vent 15.00
USE OF STRUCTURE
SFI Duplex -.0 Mobilehome IJOther
SPECIFY
Gas piping system 1 5 outlets 15.00
Building sewer 15.00
Mobile Home S G I W @20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel O Utilities ❑ Installation O Other=_
-:Describe Work: TMITE REPAIR
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
(REPLACE SIDING AND SUBFIr00R JOISTS)
Main service ( 10V OR LISS 00AORLESS . ) 23.00
Main Service ( 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCCUP. S0,
OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FT.
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS ) @7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
61 I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full forcerand,effect.
License No.�k �Tz 7 Classification (. �4 r l t
�iti.���
O I, as the owner, 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)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
forthis reason
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) B20@100
Ex. Occup. FIXEO AP PLN S. OR
p' ( OUTLETS (RESID.) EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee
Heating
Cooling
Hood 6.50
Ventilation
J20O0
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California 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 allliabilities, judgmen�costs ✓and expenses which may in any way accrue against said
County in ccQu§e, enCe o�he granting of this permit.
Xt%" /� Date 2
Signature of Applicant - O Owner O Contractor O Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEES 45
HAZ.
D. FEES
IMP
FLOOD
COF
PARCEL PD
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicatedove for which f es havebeen'paid.
,/�
BY Y% A°%/ /Date
� �
PERMIT EXPIRES ON e/�
lDetel �
1G�2GS
Receipt
.O.
WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT►OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 _ PERFAIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
n28_iin_n55
ZONING
A9
ILDING PERMIT
OWNER
TELEPHONE
SQ, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
95 MI1 -I - IGAN LANE, BANGOR., CA 95914
CONTR
960
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
R Q BOX 7993, CITRUS HEIGHTS, CA 9_5621
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
25.0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
NONE
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
95 1 --ANE, BANGOR
PERMIT FEE $
45.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFX] Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ElAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)
Describework: TERMITE REPAIR
(REPLACE SIDING AND SUBFLOOR JOISTS)
PERMIT FEE 1 $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 200AORLESS 1
23.00
Main Service ( 200A TO 1000A 1
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( 8 ACC, BLDS. I
SO,
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)(8
-�) I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification fr vanc
�`��
❑ I, as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS I
@7.50
POWER APPARATUS
SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES )
BALO. @ 1..00
50
FIXED APPws. oR
Ex. Occup. (OUTLETS (RESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
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 Butte County Ordinances and California 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, judgment , costs&d expenses which may in any way accrue against said
County in c e e the granting of this permit.
Date o4l 2
Signature of Applicant - ❑ Owner 9 Contractor ❑ Agent �—
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEES 45.00
HAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL PO
Elm
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate ab ve for which f have a paid.
Z
By Date
PERMIT EXPIRES ON
IDetel
Receipt No. 167265
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
%i WOOD DESTROYING PESTS AND ORGANISMS INSPECTION REPORT
This is an inspeGion:report only - not a Notico of Completion
ADDRESS OR PROPERTY INSPECTED
BIIILDING NO. I STREET CITY • TJP — COIJNTYj DATE OF INSPECTIO1 No. of
CODE Pages
95 Milligan Lane Bangor 515914 04 July 20, 1994 3
Affix stamp here on Board copy only
CLARK PAST CONTROL A LICENSED PEST CONTROL
■ IN
C� w MI 515 Garden Highway • Yuba City, CA 95991 OPERATOR L . A EXPERT TI
■ 1./iK ■ 916 674-2900 or 800 624-8450 • Fax 916 674.5190 HIS/HER FIELD. ANY QUESTIONS
%soPESYCONTPOLma► RELATIVE TO THIS REPORT
SHOULD BE REFERRED TO HIM/HER
PR0226
REGISTRATION #i REPORT N 04-11.778S STAMP # 1,167193T – — ESCROW k
ORDERED BY: Nina De Vetter
95 Milligan Lane, Bangor 95914 __--
REPORT SENT TO:
PROPERTY OWNER: Nina De Vetter
95 Milligan Lane, Bangor 95914
PARTY IN INTEREST:
•
Original Report ❑ Limited Report ❑Supplemental Repor* t ❑X Reinspection Report
`
Original
Stamp Stamp # 1467161T Date: 07/12/94
General Description _—_-__
See original report. _—_-_—
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— ---- --
--- --
—
----
Inspection Tag Posted: Substructure
Other Inspection 1hgs: — --- —
CPC 7-12-94 –�
— – --
---
—
1. SUBSTRUCTURE AREA -- Dry, accessible
X
X
X
__—�—
2. STALL SHOWER -- SUPPLEMENTAL
_
3. FOUNDATIONS -- SUPPLEMENTAL
4. PORCHES – STEPS -- SUPPLEMENTAL
5. VENTILATION -- SUPPLEMENTAL
6. ABUTMENTS -- SUPPLEMENTAL
7. ATTIC SPACES -- SUPPLEMENTAL
8. GARAGES -- SUPPLEMENTAL
9. DECKS – PATIOS -- SUPPLEMENTAL
10. OTHER– INTERIOR -- SUPPLEMENTAL
11.OTHER– EXTERIOR -- See boxes
X
DIAGRAM AND EXPLANATION OF FINDINGS (This report is limited to structure or structures shown on diagram)
SUPPLEMENTAL1111
NOT TO SCALE
PORCH
FRONT
Inspected by Jim Phillpo tt JP:dw_ _ License No. FR20526_—_ Signature � o¢ -
NOTE: Questions or problems concerning the above report should be directed to the manager -of this company. lJnresolve questions or problems with
services performed may be directed to the Slruclural Pest Control Board at (213) 897-7838, (415) 557-9114, (916) 263-2533.
You are entitled to obtain copies of all reports and completion notices on this property filed with the Board during the preceding Iwo years upon
payment of a $2.00 search fee to: Structural Pest Control Board, 1422 1Iowe Ave., Sic. 3, Sacramento, California 95825-3280.
PACE 2 Ole STANDARD INSPECTION REPOR'!' ON THE PROPERTY LOCATED A'1':
95
BLDG. NO.
1467193T
STAMP NO.
Milligan Lane
STREET
07/20/94
DATE: OF INSPECTION
Bangor
Lei 0tl1
04-11778S
CO. REPORT NO
(IF ANY)
This inspection supplements and becomes a part of our original inspection bated 7.1.2-94, report #04-11778, State
stamp #1467161Tand cannot be considered a separate report.
SUBSTRUCTURE AREA
FINDING #1A.1.: Subterranean termite and wood decay fungi is infecting and damaging approximately 22 lineal
feet of 2 x 8 sill, 10 lineal feet of 2 x 6 cripple studs, 44 lineal feet of 2 x 6 double top plate and 6.1ineal feet of 2 x 8
blocking.
RECOMMENDATION: Remove infected wood members and inspect adjacent members. List adverse findings,
recommendations and any additional costs in a supplemental report. Apply a 1.0% solution of disodium octaborate
tetrahydrate to adjacent unpainted wood surfaces to arrest further infection by fungi. Seal the treated wood. Wood
treatment material to be applied by our State certified applicators per Structural Pest Control Board regulations and
current label instructions. Painting not included.
FINDING #1A.2 : Subterranean termite and wood decay fungi is infecting and damaging 16 lineal feet of 2 x 6 top
plate and 24 lineal feet of 2 x 8 floor joist.
RECOMMENDATION: Remove infected wood members and inspect adjacent members. List adverse findings,
recommendations and any additional costs in a supplemental report. Apply a 1.0% solution of disodium octaborate
telrahydrate to adjacent unpainted wood surfaces to arrest further infection by fungi. Seal the treated wood. Wood
treatment material to he applied by our State certified applicators per Structural Pest Control Board regulations and
current label instructions.Painting not included. 1.
FINDING #1A.3 : A portion of the foundation was deteriorated and large cracks were evident.
RECOMMENDATION: Install a form and pour concrete in the area of repair.
FINDING #1 A.4 : Subterranean termite and wood decay fungi is infecting and damaging the 2 x 4 cripples and
sheathing. This area is concealed by floor joist.
RECOMMENDATION: Remove floor joist for further inspection. List adverse findings, recommendations and
additional costs in a supplemental report.
OTHER - EXTERIOR
FINDING #11A.1 : Wood decay fungi is damaging the wood siding.
RECOMMENDATION: Remove up to 1.2 lineal feet of siding. Inspect adjacent wood members. List any adverse
findings, recommendations and additional costs in a supplemental report. Apply a 10% solution of disodium
octahorale tetrahydrate to adjacent unpainted wood surfaces to arrest further infection by fungi. Seal the treated wood.
Wood treatment material to be applied by our State certified applicators per Structural Pest Control Board regulations
and current label instructions. Painting not included. Due to the age of the structure and style of the siding it may not
be possible to match the new siding.
Thank you for calling Clark Pest Control; we sincerely appreciate your business. If you have any questions regarding
this report, please contact our office and ask for Jim Phillpott.
Clark's Pest -A -Way T" program will protect your home or business against infestations of ants, cockroaches, fleas,
mice, rats and other pests. Call for a free estimate.
The building permit fee includes: purchase of building permit, ordering and scheduling necessary inspections, and
waiting time for Clark employees. Parties in interest may reduce charges to $101:1 or the permit cost (whichever is
greater) by agreeing to wait at the property for all inspections, includirig scheduling, and waiting for the final
inspection. If the building department requires work in addition to the work specified in this report, it will be
completed only after written authorization has been received. Any additioi of work will generate additional charges.
CLARK PEST CONTROL, License Number PR 26
A:
PAGE 3 OF STANDARD INSPECTION ItEPOR'I' ON HIE PROPER'L'Y LOCA'rED A1':
95
BLDG. NO.
Milligan Lane
STREET
Bangor
CITY
1467193T 07/20/94 04-11778S
STAMP NO. DATE OF INSPECTION CO. REPORT NO
. y IFASNY)
PESTICIDE NOTICE:
In a proper chemical application a non-toxic odor will be produced as a result of solvent evaporation. The odor will
dissipate in approximately 60 days. The odor contains no technical pesticide and is not hazardous.
The following pesticides maybe used: chloropicrin, copper naphthenate, copper quinolate, Demon, disodium
octaborate tetrahydrate, Dragnet -FE Dursban PT -270, DURSBAN PT 279, Dursban TC, Equity,. Ficam, Impel,
methyl bromide, Permethrin, Silica Aerogel, Spear, Tim-bor, Tribute, Vikane, .
State law requires that you be given the following information: CAUTION: PES'T'ICIDES ARE TOXIC
CHEMICALS. Structural Pest Control Operators are licensed and regulated by the Structural Pest Control Board, and
apply tpesticides which are registered and approved for use by the California Department of Food and Agriculture and
the United States Environmental Protection Agency. Registration is grarited when the State finds that based on
existing scientific evidence there are no appreciable risks it proper use conditions are followed or that the risks are
outweighed by the benefits. The degree of risk depends upon the degree of exposure, so exposure should be
minimized.
If within 24 hours following application you experience symptoms similar to common seasonal illness comparable to
the flu, contact your physician or poison control center and your pest control operator immediately. Your health and
safely are our major concern. If you experience the symptoms as outlined ab►:Ive, leave the structure immediately.
For further information, contact any of the following (telephone nulnbextc art;listed below): Clark Pest Control; for
Health questions - the County Health Department; for Application Information - the County Agricultural
Commissioner; and for Regulatory Information - the Structural Pest Control :13oard, 1430 Howe Avenue, Sacramento,
CA 95825.
Clark Pest Control: 1-800-421-7829
Poison Control Center: 1-800-852-7221
Structural Pest Control Board: 916-924-2291
Butte County Health Department: 916-538-7581
Butte County Agriculture Commissioner: 916-538-7381
CLARK PEST CONTROL, License Nurril;ier PR226
-IN
028-310-055 PERMIT#97-2366
DeVETTER, Nina,
95 Milligan Ln., Bangor
Cont: George Roofing
Reroof/SF �,Q U
c
I
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-,754,1 r PERMIT NO.
(Rev. 12/96) APPLICATION'p►ND PERMIT-'�-
ASSESSOR PARCEL NUMBER Q - 2 1 O `_ 05.5
7V1 •Vl J
ZONING
BUILDING PERMIT
OWNER
Nina DeVetter
TELEPHONE
.79-2460
SQ. FT. OCC. BUILDING VALUATION
2600 omp 11560.00
OWNER'S MAILING ADDRESS
Milligan95 Ln Bangor, CA 14 95914
CONTRACTOR'S NAME
George Roofing
TELEPHONE
533-6393
CONTRACTOR'S MAILING ADDRESS
6819 Lincoln Blvd Oroville, CA 95966
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation Is 1,560.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
37-00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS i
95 Milligan Ln Bangor, 95914
Energy Plan Checking Fee
$
$
PERMIT FEE
$ •
LOT NO.
S USONISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF :0 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00,
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation la Other ❑
Describe Work: CIO Rtnos-i 1 n Shingles
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoo, oa mss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm unde'rpe'r alty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,NPN-RESNp.'
and my license is in full force and effect.P
License Class C-39 C-14 Lic. No. 452266
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service ( 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR
OR AD DNS. ( & ACC. BLDS.
SO
3.52FT.
MULTI.OUTLETT.
97,50
OWER APPARATUS
6 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FocrURES
20
BAS @';0500
Ex. Occup. ouTLETSPRESIU.0E0.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier Golden Eagle Insurance Company
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number NWZ 34T
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 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 ith tho a rovision
10/30/97
X Date
Snatur�*of Applicant "ner ❑' ntractor 5 -Agent
An OSHA�p2mit is required for excavaticrosbver 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee
$
occ
CONST. TYPE
TOTAL FEE $ 57.00
HAZ.
D. FEES
IMP
I FLOOD
COF
PARCEL PO
I HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
f
1
By` e I UC�K#�- (r .
PERMIT EXPIRES ONl I
r
the applicable provisions
Resolutions to do work
been paid.
Dates ( ( Jy
/ Date
ReceiptNo. c)k 's I I n I
WHITE-D.D.S.-B.D. —CANARY -ASSESSOR , PINK -INSPECTOR GOLDENROD -APPLICANT
J
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DTVI
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538- ,4y� ff 134T,NO.
(Rev. 12/96) APPLICATION AND PERMIT i (��(��
ASSESSOR PARCEL NUMBER �1 a1� ^ 2 r `^ O �[-^
/ll J
ZONING
B ILDING PERMIT
OWNER
Nina DeVetter
TELEPHONE
679-2460
SQ. FT. OCC. BUILDING VALUATION
2600 comp 1,560.0
OWNERS MAILING ADDRESS
95 Milli an .Ln Bangor, CA 14 95914
CONTRACTOR'S NAME
George Roofing
TELEPHONE
533-6393
CONTRACTOR'S MAILING ADDRESS
6810 Lincoln Blvd Oroville, CA.95966
CONSTRUCTION LENDER
LENDER'S MOJUNG ADDRESS
Fireplace
Total Valuation $ 1.560.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filen Fee $ 20.00
Permit Fee $
37 00
ARCHITECT OR ENGINEERS MAILING ADDRESS
-
Plan Checking Fee $
BUILDING ADDRESS
95 Milligan Ln Bangor, CA 95914
Energy Plan Checking Fee $
$
PERMIT FEE $ 57.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF $1 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
-
Solar or heat um water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 1A Other ❑
Describe Work: (,`gip nc;i ti nn Shi ncil ps
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service OOOV OR LESS
2o0A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code,
)
and my license is in full force and effect.
License Class r_ 3 9 C'. _ 4 Lic. No. 4 5 2 2 h h
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00NEW
CONST. DWELLING OCCUR sD
OR ADDNS. ( 6 ACC. BLDS. 3.5QFT:
NEW CONST. MULTI.OUTLET
I 97.50
NON-RESID. .=OUTLET C'ITS
POWER APPARATUS
8 SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FIXTURES 20 Q''�
6AL Q .50
Ex. Occup. OUTXED LETSPRES D.FIAPUNSOEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE t
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier Golden Eagle Insurance Company
Policy Number NWC 3 41 2 0 5 - 01
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($10o) or less.)
❑ 1 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 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
fo with cc ply ith th a ovisio
X Date 10/30/97
S Applicant - er ntractor IS Agent
to
An OS rmit is required for excava over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 57.00
HAZ.
D. FEES IMP
FLOOD
COF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which ees have been paid.
n
B Date
PERMIT EXPIRES ON
I IDate
Receipt No.
WHITE-D.D.S.-B.D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
t
PERMIT NO. 2256-86B,:p.
PERMIT EXPIRES-2(-/4/—
OWNER
XPIRES 2(-// rOWNER HENRY DeVETTER
CONTR. HPrrell Wilson
ASSESSOR PARCEL 28-31-55.
LOCATION 95 Milligan Lane, Bangor
S
t•
r .
ja Temp. Power Pole_
1-' Called PG&E _
Temp. Elec. Service
1 Called PG&E_
Temp. Gas
Calle(
JOB FINA
Signal
I
J OK'
0 Not OK
= Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Sii -Depth-Spacing-Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.;;Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awria'Columns-Connections-Splice-Decal-Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /" LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability•
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
B. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card -BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
r-
V = OK •
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex).
* = Not Ready .
Card -BI
Date '--Card-Bl- Date
Date UNDER LOOK (Plans) OK except R's
Date
_ - Zooming requirements -Setbacks -Easements
_ tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
Date
ELECTRICAL Permit OK except rs
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
Fixture & Transformer Clearance - Ins. Protection
4.
tg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
Elec. Receptacles Spacing -Lights & Switches at Doors
5
6.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab
Size Boxes & No. of Conductors -Stapled
Frd
7.
- 8.
Piers -Fireplace Ftg.-Steel
D.W.V. Fall -Fittings -Test -2 way C/O -Sewer Test
24.
_ 9.
Gas Pipe: Size -Anchors
25.
10.
Water Pipe: Test -Anchors -Regulator -Service Test
26.
11.
12.
13.
- -- --
_- -
Card-B�
Electric: Underground
Plenums &_Ducis; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
- -_
Date$�j.QCard-BI Date
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Card-BII
Card -BI
Card -BI
Insulated Neutral Yes _;No
Card -BI 4
Date Card -BI Date
Date
Date / PLUMBING (Permit) OK except q's
Equip. Clearances: Pane ls-Motors-Meth_Equip.
14.
5.
16.
17.
18.
t9.
Water Ht.: Vent -Access -Combustion Air
Water Pipe: Test & Anchors -Nail Protection
D.W.V.: Test-Fttngs & Anchors -Nail Protection
Shower Pan: Test, First Floor -Tub Access
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe Size & Anchors
Clothes Closet Light -Shower Light
Card -BI
Date '--Card-Bl- Date
Card -BI
Date
_
Date Card -BI Date
Date
ELECTRICAL Permit OK except rs
Card-BI
20.
Fixture & Transformer Clearance - Ins. Protection
1.
Elec. Receptacles Spacing -Lights & Switches at Doors
2
Size Boxes & No. of Conductors -Stapled
Frd
3•
Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Meth. Fasteners --Bond Gas & Water
25.
2 Appliance Circuits in Kitchen & Cnductor Size
F
26.
Subfeed Wire Size / / ga. Cu or -Al - -A.C. Wire Size / / ga. Cu or Al'
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral Yes _;No
28.
_
Service -Riser Conductors & Ground-MainD_isconnect_
Equip. Clearances: Pane ls-Motors-Meth_Equip.
Clothes Closet Light -Shower Light
Gard B -I
Gard B -I
Date Card -Bi Date
Date Card -BI Date
Date
MECHANICAL (Permit) OK except N's
Card-BI
31.
32.
33.
34.
35.
A.C. Ducts, Insulation & Support
Vent Fan: Exhaust above Insulation
Condensate Drain & Overflow: Size_& Grade
Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic - -
-
Date Card -BI Date _Card-BIDate Card -BI Date
- --
Frd
Date
FRAMING(Plans) OK exceot N's
Y;l Proper Material & Anchors
alts: Studs -Nailing, Spacing & Bracing -Plates -Sound
38. Bearing Walls over Girders & Floor Nailing
39. Draft Stop in Walls (rat proof)
40. Fire Stops: Furred Ceilings -Stairs -Chases -Tub - - -
'zr1 Header & Beam -Size &Bearing _
42. fjangers-Post Caps -Anchors -Connectors
J� CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shihng.-Rfng. _
44. Frreace Ties or Type A Flue -Fireplace Throat
45. lrc ccess, Size & Romex Protection -_Draft Stop -Ins. Baffles
4,6 •--Bdrm Windows or Exiting Doors -Sill Hgt. & Dimensions
47. Gar ge Fire Protection Framing-_ - -
FRAMIN
48. Pr6
49. ExL
50.50. Sta
51.
Sidi
53. -&kg
54. G Iz
55.--S
Date
Date
t L -(.P1S
Ext. S
StrrtiKE
Fblttac
In Gar.
mtinued)
Line Firewall & Openings
rs-One 3' -Check Garage -3rd story, 2 exits
idth-Headroom-Rise- Run- Land ing- Fire Protection
on Roof Overhang -Attic Vents -Rafter Outriggers
i I ing-Veneer
vents-Underflr. Access
7r -Glass Protection -Skylights -Plastic
IIs; Nailing -Bolts
Card -B I
Card -BI
Card -BI
OK except k's
Date
Date
Date
-Door & Sidelight Protection -Landings
actor '
antsL-Clearance-Comb. Air -Connector -
Above Floor -Ducts -Meth. Protection
61. -E4Lc Trtfn-8,
62. -Stairs-&-Rails
s & Tub Access
I; Breaker Sizes -Labels
63. - 4eptace-or6tove; Clearances -Hearth
64. a s. t Wood Panel; Int. & Ext.
65. K+t-F-ixt-�ppliance; Grnd.-Air Gap -Cooking Clearance
66. I`-=--emflets-8t Receptacles at Kit. Counter
67. Ga oor; Swing -Landing -Closer
68. A-e'-DUCi in Garage -Damper
69. W4L-t44-,- s -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
70. P,4 ech. Equip. Listed for Location
71. FLec-2aGeptaCfd-s in Garage; (G.F.I.)-Romex Protec.
72. awAailon-FoafPi-Looked in Attic F] Yes
73. GuacA-Rai+s-� Beck Construction -Post Caps
74. F�J s & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75. rF, g instId.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
76. Stumcca gFewn-Rinish
77. A.C. U'L:.Diaconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78. Vents -Above -Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79, Water Well; Disconnect, Electrical, Plumbing
80. Exterior Elec. Trim; G.F.I. Receptacle -Underground
81. Vent�t•ion throughout House
82. Glass Protection
83. Corrections from Previous Inspections _
84. Gas ; est -Meters Tagged; Gas -Electric
85. Wat Sewer Connected -C/0 to Grade -HD Approval .
86. E4lergy Compliance Certificate -Other Certificates
Date ,0Card-BI Date --
Date Card -BI Dale
Date Card -BI Date
Com: rents at Final:
(NOTE Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0.
7 County Center Drive - Oroville; CaliforiSia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT uuu
ASSESS R%PAR EL NUMBER
ZONi.
BUILDING PERMIT
OWNER
r e
TE L E HONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MA IN DDRES
Ia 12 yi VAC_ Al P7 6V,
CONT Xf(TO R'S NA `
TE E H /
CONT CTO 'S ILIN ADPR
Fireplace
CONST TION LENDER /
UNKNOWN
Total Valuation Is
Filing. Fee
$ 10.00
LENDER'S MAI ING ADDRESS
Permit Fee
$ao,
ARMY CT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADORESS,$
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
7n
Each Trap
2.00
V,-,
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME 6/1
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 JW I
10.00ea
TYPE OF WORK
New ❑ Addition❑ Re odel litieInstallati ❑ Other ❑
Describe work: 0 _
i-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 800v DR 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):
[]-1—am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full r e d effect.
License No. 3LS9S�Z_ Classification
El1, 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.� ,
AUC h¢sgft
NEW
CONSTR.� TBI -OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occu p(OUTLETS OR FIXTURES 20@50t
30
FIXED ALNS.
Ex. Occup. OUTLETS P(RESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �yirin 15.00
9
+_
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
9.6 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 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 a e to save indemn' and keep harmless the County of Butte against
all Iia i s, jud ents, s, and expenses which may in any way accrue
again d Coun i on a ence of the granting of this ppermit.,/
X Date b 'S�?lC�
Signature of Applicant — Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in hei ht.
Mobile Home Installation Fee $
Energy Inspection Fee $
_
TOTAL PERMIT FEE $
occuP.
CONST*TYPEJ
IFLOS#IPARCEL
PD
D
"01,75S
Issu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF P LIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
DateIC-
r�v'�
Receipt No. Q
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
OWNER
1 »; c ' _ `1 ,,;, +,,._, 'r: '. ' i ^� r' , S •'.t`7.. ': '.(r.'..•. W .'�a Ir ,
i
COUNTY OF BUTTE - DEPARTMEINT�QF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
"'` PERMIT APPLICATION DATA SHEET /
1�{ Permit No.
/l (n r v �' (/f' /i f ►fin f ! 1 A. P. No.
Proposed Building Use,
Permit Fee,Based Upon
Building Inspector
7si=
.. r
Complete Contract Pric� ' DPW Valuation
e�
At time qj permit application, I was advised the following data must be submitted prior to permit processing
and/or ssuance: DATE RECEIVED APPROVED
1. All items.have been submitted. . . . . . . . . . . .
2.. Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
. .
Pre-Inspec. request to r
17. Pre -Inspection for Required. Building Inspector (Date)
18. RecordAcknowledgment State ent .
19. Other _% MA %Miur e6onstruction approval required prior to occupancy
When you issue the6"r!
as follows: owner. Mail to contractor.
Telephone and hold for picku' Deliver w/inspector.
Other
Applicant /V�` l�V L '1 Date s a b
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail" Other
By Date
Plans checked by Date
Plans approved by Date.
Other: %
Copy—DPW
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