HomeMy WebLinkAbout025-110-0131
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MORRIS, Wesley 5896B,
n/s E. Biggs Hwy.. app. 350' w.• of Dos os
E. Biggs
(build up roof over, carport)
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DOCUMENTS
INSIDE THIS
FOLDER/
ENV -ELOPE
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025-11-0-013Y
LALICKER, Lee 93-1821 B,E
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613 E. Biggs Road, Big��gs i6/7
(reroof/siding & elec ser)SF
r-025-11-0-013 93- 330 B P
LALICKER, LEE✓'�`�'
613 E BIGGS RD, BIGGS
CONTR : RL CASEY
•PLBG & ADDL VAL/93-1821
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025-11-0-013Y
LALICKER, Lee 93-1821 B,E
` 1
613 E. Biggs Road, Big��gs i6/7
(reroof/siding & elec ser)SF
r-025-11-0-013 93- 330 B P
LALICKER, LEE✓'�`�'
613 E BIGGS RD, BIGGS
CONTR : RL CASEY
•PLBG & ADDL VAL/93-1821
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025-11-70-013 1 93-1821 B,E-�
LALICKER, Lee
613 E- Biggs Road, Biggs
(reroof/siding & elec ser)SF
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OFFICE COPY
Address
GAS
Meter By Date
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CO ,NT'Y OF'BJTTE - DEPARTMENT OF PUBLIC WORKS
t PERMIT NO
7 CoUhty Center Drive - Oroville, California 95965 - Telephone: 916. 538 541` 11 / _
APPLICATM ANO PERMIT 10
ASSESSOR PARCEL NUMBER
025-110-013
ZONING
A-5
BUILDING PERMIT
OWNER
Lee Lalicker 310
TELEPHONE
594-4701
SO. FT. OCG., .BUILDING VALUATION
OWNER'S MAILING ADDRESS
165 Yale L,aie, Seal Beach 90740
Est. 2,300.00
CONTRACTOR'SCase ME
R. L.
T Ep
$ j-52707
CONTRACTOR'S MAILING ADDRESS
3359 Milk fly Biggs (35917
Fireplace
Total Valuation $ 3,72U.00
CONSTRUCTION LENDER
UNKNOWN
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARC ECT OR ENGINEER`
LICENSE NO.
Plan Checking Fee $ 726; n
Energy Plan Checking Fee $
•-'ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Penalty $
BUILDING ADDRESS -.
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
613 E. B! s Rd. Bi S
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
*
SUBDIVISION NAME
PARC9L MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF EX D�,Plex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S FG7W I @ 15.00
TYPE OF WORK
New AdditionL_ RemodelI.�, l�t `l ties In,s taIIation❑ 'Other '
Describe work: RerO0I�sltl�ng@(NICs rte__
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service soov OR LEss18.50 ..
200A OR LESS
Main service 200A TO IOOOA) 37.50
CONTRACTORS LICENSE LAW i`
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the 'Business
and Professions Cq(ee `end my license is inJull .,force and effect.
License.;J� lL % J l Classification•' ."1
�IT'as the owner, or my employees with wages as their sold compen-
sation, will do the work,and the structure is not intended,or offered
for sale. (Sec. 7044)
F]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. BLDGS. 3.6d sq.ft.
NEW CONSTR ULTI.OUT LET
NON•RE51D BRANCH CIRC ITS @ 5.00
POWER APPARATUS .&)
(SINGLE OUTLET CIR.
20 76
Ex.Occup(OUTLETSOR FIXTURES LL 46
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. byirin g 15.00 15.00
Pre—Inspection
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
Consent to Self -Insure.
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
Coolin g
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 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 inspQction 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 rd C my in consequ�ce of the granting of this permit.
X I ate �-� -(�- �-3
Signature of II Ow for gent ❑ '<
An OSHA perm) is reg6ir d for excavation ove eep and demolition or construct-
ion of structures o e_ tori height
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC CONST TYPE
TOTAL FEE $ 1G2.25
HAz
I DFEES I
IMP
I FLOOD
I COF
PARCEL
I PD
I HO
ISS
This permit is hereby Issued under the applicable rovi-
P Y� PP� P
sions of the B to C un Code and/or resolutions to do
work indic el ov or which fees have been paid.
A'' C R OF PUBLIC WORKS
By /�Y Date l :14y3
PERMIT EXPIRES Date�Z"
'
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Receipt Nm 1s, n, N/
WKLT3C s IF -14P GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OroviIIe California 95965 - Telephone: 916.538-7541
APPLICAY1ON AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
025-110-013
ZONING
A-5 I
BUILDING PERMIT
OWNER
Lee Lalicker 310
TELEPHONE
594-4701
SQ. FT. OCC. BUILDING VALUATION
12 @ 60 72 0.00
OWNER'S MAILING ADDRESS
165 Yale Lane, Seal Beach 90740
Est. 2,500.00
CONTRACTOR'S NAME
R.L. Case
TELEPHONE
868-5278
CONTRACTOR'S MAILING ADDRESS
3359 Milky Way Biggs 95917
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is ,
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 26.25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 93.75
PLUMBING PERMIT
Filing Fee 15.00
613 E. Biggs Rd. Biggs
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF [J Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New❑ Addition E] Remodel❑; Utilities❑[] Installation❑ Other
Describe work: Reroof/Siding/Service
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS 1 18.50 18.50
Main service 200A TO IOOOA)
37.50
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 CO �fld my license Is Intl OrCe and effect.
License' c Classification
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.
3.64sq.ft.
-OU
NEW CONSTR MULTI -OUTLET LET
NON.RESID BRANCH CIRC ITS I
@ 5.00
POWER APPARATUS &1
(SINGLE OUTLET CIR. 1
Ex. Occup( OUTLETS OR FIXTURES
20 76d
FIXED APLNS.
Ex. QCCUp. OUTLETS P(RESID )REAJ
j 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. byirin g
1 15.00 15.00
Pre—Inspection
1 20.00 20.00
Permit Fee
$ 68.50
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
11 The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a ificate of Workmen's Compensation Insurance or a Certificate
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
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.OCC
I also agree to save, indemnify and keep harmless the County of Butte agains,r
all liabilities, judgments, costs, and expenses which may in any way accrue
S; y in consequence of the granting of this permit.
—f—��
Date
Signature of A licant — Owner
g pp ❑ Contractor ❑ Agent ❑
An OSHA permit is ruir d for excavations over 5'0" deep and demolition or construct-
resover 3 stories in height.
y
Mobile Home Installation Fee S
Energy Inspection Fee $
CONST TYPE
TOTAL FEES 162.25
HAz
1 DFEES
IMP
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CDF
I PARCEL
I PD
I HD
Iss
This permit is hereby issued under the
sions of the B to C u Code and/or
work indi a/orFwhich fees
PUBLIP
By
PER IT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
143262
Receipt No.
WHITE-D.P.W., 7ELLOW-A5SESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
{v� �.L• •r.�,j+.+'1•..w•-V,� tin•• vl "� � � �,.��,,_;.{�W�l v+ �!'1n, .
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COUNTYOF BUTTE -DEPARTMENT OF{D ,VEL,OPMENTSE CES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA9465 - TIECD qONE (916) 538-7541
PERMITAPP ICA IOAI�ATA HE
� ��' S ET
OWNER �L/�iw o.
Proposed Building Use vle Inspector Date �4
Y
At time of permit applied b , 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. .......... *.-c' ..................... .
2. Plot clans, 3�).�Wand
nets, 6gred by preparer of plans . ......................... .
3, Comphete pl, 3/4 sets, signed by pre are gfj laps. /
Er ginee 9t talcs, 3/4 sets! ith w t's�ignature�8n plans . .............
5. Ha�zar ous Material Form. ......
6. Energy Design Compliancg and su pQrrtinc ocurf, entation. ..y ..........................
hZ7. �Stat�ment,dfg6tentt, Non -Pleated and A/C Buildings, ....... .
LL 8. engineered truss details and layout in duplicate (required prior to plan check). ....
r // 9. M.obilehgrne data and manufacturer's installation instructions, 2 sets. .........: .
0' Fe- es of $ ........ 94c. P) -5-77cf .................... .
1/21,,
1. Impact fells as shown on attached schedule . ..............................
"� �12f �4, (fprnia Department of Forestry plaJn..apppval/fees. ....................... .
r d l TPA ._: s s rrCC
13. Floo)eleyatron Iptter�'I J�,e4dr flood) by alifornia 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 (construcfio�approval required prior to occupancy). .. . .
Pre -inspection for GG.�� required. .. to Build �g Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Work -mans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
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 . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parc�ke�hmeets zoningAar a and f ontage requirements . ...............
31. E/xi�tJg of tioXpxpijjeA perr``i it, ...........................
32. KI ari check list. .../..L .............. . .
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 /n
Acreage Applicant 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
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (E 16) 891-2751
7 County Center Drive, Oroville, CA - 1916) 538-7541
747 Elliott Road, Paradise, CA - (91:6) 872-6307
CORRECTION -NOTICE
Z_4J I A�C74_
OWNER PERMIT NO.
i r
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify -.his office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact thi ffi immediately.
:2
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COUNTY OF BUTTE y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541 s
747 Elliott Road, Paradise, CA - (916) 872-6307
.3
CORRECTION NOTICE -1
OWNER PERMIT NO.
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 additional explanation,
please contact this office immediately.
LEI
Date Inspector
REV 10/92
Insulation Certificate '
BUILDING OWNER : �l �i`� BUILDING PERMITI :
BUILDING LOCATION:.
Description of Installation
ROOF:
Material
Thickness (inches)
Brand Name
Thermal Resistance (R -Value)
CEILING Q
Batt or Blanket Type � 7%� Brand Name Cp iU - 7C.�
Thickness (inches) _ Thermal Resistance (R -Value)
Loose Fill Type C_ h S^ i Brand Name
Contractor's minimum installed weight/h 1b Minimum thickness inches
Manufacturer's installed weight per square foot to acheive .Thermal Resistance (R -Value)
EXTERIOR WALL
MaterialE C7
Cs., � V� � �'� C, .Brand Name �O �
Thickness (inches) 'V.— \3 �� ��— Thermal Resistance (R -Value)
RAISED FLOOR
Material
Thickness (inches)
SLAB FLOOR
Material
Thickness (inches)
Width (inches) _
FOUNDATION WALL
Material
Thickness (inches)
Declaration
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the cun�ent Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
Cat7A i strative Code.
General Co actor (Builder) License Number
Signature and Tide Date
Sub -Contractor (Insulation Installer)
Signature and Title
License Number
Date
THIS CERTIFICATE MUST.BE PROVIDED TO THE�BUIL.DING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1.993
PRE -INSPECTION
OWNER: G-�� L_� L- J G J� Li f' v DATE i
LOCATION:�� ►1(0 �� ��I�6S A. P. #
CONTRACTOR: �1a� ZONING
PRE -INSPECTION FOR: (J P 6 I2-/9 D C% {�' n(j f G l�-j ►
DATE TO INSPECTOR �D �J 9
-------------------------------------------------------------------------------
PERMIT
------------ - -PERMIT HISTORY:4 NONE Q AS FOLLOWS:
TYPE OF OCCUPANCY
r �-
-----------------
BUILDING USAGE:
,TENNANT:
I Ln OCCUPIED
[� HEA
OTHER C
ACTI01
1{r FIELD - !NF()RMATION
HAS ELECTRIC �yS GAS = HAS SANITATION FACILITIES
ISSUE
OTHER:
BY
;l
'DED:
HOLD FOR
1
DATE
_„—.•.'-::<sw:y ;?V'.,.,�'x�7i..�ry::et+� st. t rr:.,+r,Pi'-Yr•:'•+s#+%i' i.7. k .: V. _ ;..3 .. ...,T_,
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025-11-0-013 93-2330 B,P
t. LALICKER, LEE
613 E BIGGS.RD, BIGGS
s f CONTR: RL CASEY
PLBG & ADDL VAL/93-1821
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COUNTY OF BUTTE - DEPARTMENT OF 13EVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 ,, RERM> O.
APPLICATION AND PERMIT "� = J
ASSESSOR PARCEL NUMBER 025-110-013
ZDAWN GS
BUILDING PERMIT
OWNER Lee Ialicker
TELEPHONE
SO, FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
165 Vale Lane Seal Beach 90740
Contr. Est • 6,000.00
CONTRACTOR'S NAME
R. L. Case
I TELEPHONE
868-5278
CONTRACTOR'S MAILING ADDRESS
3359 MIlky Way, Biggs 95917
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation S b,LM.00
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
PERMIT FEE $ 101.00
613 E Biggs Rd., Biggs
PLUMBING PERMIT Filing Fee 20.00
Each Trap 21 7.00 14.00
Solar or heat pump water heater 23.00
Water piping 15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF CY 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 O Addition ❑ Remodel O Utilities O Installation O Other l}j
Describe Work: Additional Value to B.P. 093--1821
PERMIT FEE $ 34.00
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
and Plumbing
Main Service ( BOOV OR LESS ) 23.00
2WAOR LESS
Main Service ( 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCCUP.
( & ACC. BLDS. ) 3.50 FTO.,
DRAGONS. S
CONTRACTORS LICENSE LAW
I declare•under penalty of perjury (check one)
dam a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions o .V y 'cense is in full forge -and effect.
License No Classification L? ` I
❑ 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
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS ) @7.50
( POWER APPARATUS )
B SINGLEOUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) B2L @1.50
FIXED APPS. OR
Ex. Occup.W
( OUTLETS (RESID.) EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 28 00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O I have placed on file with the County of Butte Dept. of Development Services,
Building -Division a Certificate of Workmen's Compensation Insurance or a
gAftiIcate of Consent to Self -insure.
&'1 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.
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 consgq ence of the granting of this permit.
J� G,
X Date
�� /'���! .G.S
Signature of Applica - ❑ Owner 6 Contractor ❑ Agent
An OSHA permit 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 $
DCC
I CONST. TYPE
TOTAL FEE$135.00
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
I PARCEL I PD
HD
ISSU
applicable This permit is hereby issued under thea provisions
PP �
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
( DI/REQ-T F P,yUBLIC/WORKS
By l/' T f / A,�: //ii l�� YDate
PERMIT EXPIRES ON � t/
lDatel -
Receipt No. 143665
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT QFDEVtLOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754,^ 0
N
APPLICAT ION AND PERMIT _! :? ✓ ��-�
ASSESSOR PARCEL NUMBER
025-110-013
ZONING
A-5
BUILDING PERMIT
OWNER Lee Lalicker
TELEPHONE
80, FT, OCC. BUILDING VAL TION
�+
Contr.Est:. 6,000.
OWNER'S MAILING ADDRESS
165 Vale Lane Seal Beach 90740
CONTRACTOR'S NAME
R. L. Case
I TELEPHONE
868-5278
••
CONTRACTOR'S MAILING ADDRESS
3359 MIlky Way, Biggs -95917
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $6,000.0
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $ 81.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $
101.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap 21
7.00 14.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF CX Duplex ❑ 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 ❑ Addition O Remodel ❑ Utilities O Installation ❑ Other EX
Describe Work: Arlrli ti nnal Value to R_P_ #91-1821
PERMIT FEE $
34.00
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
and Plumbing
Main Service ( 200VORLEss )
200A OR LESS
23.00
Main Service ( 200A TO 1000A �
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. I & ACC. BLOS. )
3.50 FTSO,,
CONTRACTORS LICENSE LAW
I decl def penalty Of perjury (check One)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions d y 'cense is in full fo n
od effect.
License N Classification
❑ 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
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
B2i @ 1.500
Ex. Occup. FIXED APPLNS. OR
p- O
I )
UTLETS IRESID.I 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
C Icate of Consent to Self -insure.
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 S
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, judgments, costs, and expenses which may in any way accrue against said
Cou in s ence of the granting of this permit. J�
X Date /'—�
Signature of Applica ❑ Owner ET Contractor ❑ Agent
An OSHA permit required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE S 135.00
HAZ•
I D. FEES
IMP
I FLOOD
I COF
PARCEL PD
HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate a ove for whi h as have b aid.
DIRE PUBLIC RKS
�/ Bi to
PERMIT EXPIRES ON
(Da tel
Receipt No. 141665
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT