HomeMy WebLinkAbout025-110-023---- -- -- - - - - - - 11
AP 25-11-23 Z97
RONALD BERGMAN ` BERGMAN, Ronald
993-72 (B,* , ,fit„
s Hwy, 800' E. f Dos Rios =
Bis1� #1370-75B
Permit# 1370-75B(r'eplaoesiang) 7 °/ I /
�NIS Biggs East Hwy. 8001 E. of Dos : os o.�d
25-11-23 Biggs
contr: Burl W@odward, Gridley "CONTR Burl Woodward, Gridley._
Permit #4346-77B,P,E;M(addition to
(Addition-single family)
and remodel interior/SF)
(*replace siding) a/ v
11Q v?///?� _ _ -
025=110-023 03-1531 _ _. - y
BERGMAN, RONALD'
717-EAST BIGGS, BIGGS ?
Cont: GALLAGHEI WALED
REPLACE HVAC '
t
I
P
tr+irf»'�`..t�`'�"i�l'ciYYF'r'w.r.M�,-s
025-110=023 a3-1531
_.
BERGMAN, RONALD
717 EAST BIGGS, BIGGS ,
Cont: GALLAGHERS
t REPLACE HVAC
4
L
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - B LDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone ( 0) 538-75 PERMITWO.
(Rev.12/96) APPLICATION AND PERMIT C� � I
61TO�P6�
Z°"NNO
BUILDING PERMIT
&;61d and Donau Bergman
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
71TCA'Alss s wy EllIggs 95917
CONTRACTOR'S NAMETELEPHONE
Gall s Head nand Aie 800-8
2-3556
w`�r""1` rESSLos Moline 96655
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
717 B4gs Ew* WY
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ 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 ❑ Udlifies ❑ Installation ❑ Other ❑
Describe Work: replace MAC
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
OR LE
Main Service 200A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is i full force and effect. J
Licensec 56 4 0 3 E Lic. No.
License Class20
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors license
Law for the following reason:
❑ 1, 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 ,000A 46.00
NEW CONST. DWELLMKi OCCUP. SO
OR ADDNS. ( a Acc. BLDs. 3.50FT;
p�ON q°BRANCIp. MULTI.OUTLET @7,50
POWER APPARATUS
8 SINGLE OUTLET CR.
@' 00
Ex. Occup. OUTLET OR FIXTURES BAL 0 .50
Ex. Occup. °FIx .Ra ) E 5.00
RAj
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.
(9/1 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 Vrrier and policy number are:
Carrier Z aJ v - C VV Y t f Ct
Policy Number , L9 - 3L - 6,1/-00
(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 f alifornia, and agree that if I should become subject to the
Lyorkers' compensati.; n provisions of section 3700 of the Labor Code, I shall
4 with comp wi o e p v'sions.
X Date L
Signof Applicant - ❑ Owner ❑ Contractor Dr Agent
Zure
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating 1D • UU
Cooling•
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $50.00
HAZ.
D. FEES IMP
I FLOOD
I CDF
I PARCEL
PO
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicat d above for which fees have been paid.
1 .'
p ,/; �'.
B`y ( t . Da e
PERMIT EXPIRES ON
pgrQ
Receip tNo. +
WHITE-D.D.S.-B.D. CA AR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7.5�k PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT —�",
OS�1C0.�LM�
ZONING
BUILDING PERMIT
WNER
Ionald and Dona Bergman
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
%s1sEat Biggs wy Biggs 95917
CONTRACTOR'S NAMETELEPHONE
Galla hers Heatingand Aie 800-8p-3556
/ L7VVTL7W7 ILy �+,�Ao�';SSLos Molinas 96055
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation Is
ARCHITECT OR ENGINEER
UCENSE NO.
—Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
717 Bis East WYEnergy
Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ 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 ❑ Other ❑
Describe Work: replace HBAC
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
voUE
Main Service 'DA OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license J's i ful force and effect. % -7
License Class `36 G 8 Lic. No. � 3 Lf
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, 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
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.
VI 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' compensationinsurance Ramer and policy number are:
Carrier Jv I c k t Ce4-
Policy Number - 3Sr - 61 / —UU
(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 alifornia, and agree that if I should become subject to the
r ers' compensa ' n provisions of section 3700 of the Labor Code, I shall
forti h comp wi o e p sions.
X Date A' --A
Signature of Applic t - ❑ Owner ❑ Contractor Ur Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. so
OR ADDNS. ( 6 Acc. gas. 3.5QFT;
T.
NOµRESID. MULTI.OUTLET 97,50
POWER APPARATUS
8 SINOLE OUTLET CIR.
209
EX. Occup. OUTLET OR FD(TURES BAL @ 1.00
so
Ex. Occup. DFIx�LEEo�A A= OR E. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating 1 15.00
Cooling 5.00
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $50.00
HAZ.
D. FEES
IMP
I FLOOD
I CDF
I PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicat d above for which fees have been paid.
y CDa
PERMIT EXPIRES ON V
ate
Receipt No.
WHITE-D.D.S.-B.D. CA AR -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVIN
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1 R IT
(Rev. 12/96) APP LI CATION AND PERMIT
ASSESSZONING
U2C 1YMBU-003
S
B LDING PERMIT
OWNER
KEVIN AND MARIA RUDD
TELEPHONE
671-5378
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
3093 DOS RIOS
CONTRACTOR'S NAME
CHICO BUILDING SYSTEMS
TELEPHONE
LIADDRESS
DONT 13468HWY CHICO CA 95973
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
-
Filing Fee $ 20.00
Permit Fee $ 25.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING DRESS
093 DOS RIOS ROAD, EAST BIGGS
Energy Plan Checking Fee $
$
PERMIT FEE $
45-00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑XDuplex ❑ 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 ❑ Other EX
Describe Work: DEMOLISH SF
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 200A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. S
License Class [TR / Lic. No. 2 9 4
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 OCCUP, SO
OR ADONS. ( d ACC. BLDS. 3.50FT.
NEW
NON -R SIIDT .CTI OUTLET @7.50
ITS
POWER APPARATUS
6 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES 20@''50
BAL Q .50
Ex. Occup. ouFTE' RESID.OEA 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' c pensation insurance carrier and policy number are:
CarrieroL pc`n/}4L.-r I/yS do
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Policy Number
(The above sections need not be competed If AE07ermit 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
fort with comply 'th those provisio .
If
X e. _ Date �j / �d��
Signat a of Applicant - ❑ Owner VC tr or ❑ Agent
An OSHA permit is required for excavations o er 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CPE 45.00
TOTAL FEE $
:HAIZ.D.ES
IMP
FLOOD
CDF
PARCEL
PD
HD
SUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ab a for which fees have been paid.
9/ 0/97
By
PERMIT EXPIRES ON 9/30/98
Data
ReceiptNo. 224663
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Demolition Permits
w. .
Asbestos Notification Statement
i
i
Date _5� 3o 97
AP# 2 l r //0 ` Dcx_-�
l
Pursuant to section 19827.5 of the California Health and Safety Code, all
demolition permit applicants are required to fill out this form.
"19827.5. A demolition permit shall not be issued by any city, county,
city and county, or state and local agency which is authorized to issue
demolition permits as to any building or structure except upon the receipt
from the permit applicant of a copy of each written asbestos notification
regarding the building that has been required to be submitted to the United
States Environmental Protection Agency or to a designated state agency, or
both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations,
or the successor to that part. The permit may be issued without the applicant
submitting a copy of the written notification if the applicant declares that
the notification is not applicable to the scheduled demolition project. The
Permitting agency may require the applicant to make the declaration in writing,
or it may incorporate the applicant's response on the demolition permit appli-
cation."
Attached is a copy of my written asbestos notification to the United States
Environmental Protection Agency for the demolition project located at
Signature of Applicant
OR
I hereby declare that -a written asbestos notification to the United States
Environmental Protection Agency is not applic
2/19/91
(Rev. 12/96)
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
W, IAPPLICATION AND PERMIT
11
PERMIT NO.
ASSESSOR PARCEL NUMBER r1 Cr` r 0 /7
(� )) S
ZONING . �,—
BUILDING PERMIT
OWNER
M,4Rt/4 P, )d oQ
TELEPHONE
X71- 5371
SQ. FT." OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
309.3 0 -s-
rli
CONTRACTOR'S NAME l Q
TELEPHONE '
COT90R4 d ADDR $ •��!C SrS 7✓
,L[! 7 !% (,
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS -
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
. ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS C
Energy Plan Checking Fee
$
./d50' ^'r S
$
PERMIT FEE
$
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SFuplex ❑ Mobilehome O Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑„Remodel O Utilities ❑ Installation O Other Ja'
Describe Work: /,e I)')9
Gas piping system 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
"OOV OR Main Service p.A0.LE S
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law fot 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
NEIN CONST. DWELLING OCCUP.
OR ADDNS. ( d ACC. BLDS.
SO
3.50FT.
=R ..ANCHO CIRCUITS
@7,50
POWER APPARATUS
8 SINGLE OIJTLET CIR.
EX. Occup. OUTLET OR FDLTUREs
00
BAC @':50
Ex. Occup. GFIxLITe�oS . .) E
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:
O 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 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
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60” deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FEE $ yr
HA2.
I D. FEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
i
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
PERMIT NO. 4346-77B,P,E,M
{ PERMIT EXPIRES
3
OWNER Ronald Bergman
CONTR. Burl Woodward, Gridldy
i LOCATION (A.P. 25-11-23
N/S East Biggs Hwy,app.850'E.of Dos Rios Rd.,
East Biggs
f
j
S
I
t
c
t
i
)i
t
Temp. Power Pole
Called PG&E
Tefnp. Elec. Serv.
/ Called PG&E
jjoeTmp.
Gas Serv.Called PG&EB � _ A
FINALED _f
(Date) -i
v
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
. BUILDING INSPECTION RECORD
BUILDING I BUILDING (Cont'd) PLUMBING
Setback60
Forms
Main Bldg.
Footings
Stemwal I
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footi nas
Firewall
Restroom FInIqh
Windows z Oft
Siding
Roof Sheathing
Roofing
Fdn. Vents
Garage Vents
Insulation
Prov. for phslcally
handicapped
Conformance of ex.
Footin
FIREPLACE
Soil Piping
1st Floor
2nd Floor
3rd Floor
To out It
Water Piping
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final
Relnf. Steel Final Fixtures
Bond Beam , FIRE SPRINKLERS Motors
T
L
Mesh
MECHANICAL
Gird. 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 I Sewer
OBILEH )ME INSTA,LLLAIIQN--------------Support
Gas Piping
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
�y
111 Q/�
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUN*S'Y Or BUTTE — DEPARTMENT'OF PUBLIC WORKS
7 G15unty Center Drive — Uroville, California 95965 kf6,17
Telephone: X34-4541
APPLICATION AND PERMIT
BUILDING 4F W
Owner
SQ. FT. OCC. B ILDING VALUATIO
0 Q .
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
'
r, 11 IPAJ
Telephone No.
Permit Fee $
Building AddressPLUMBING
w L4
No. @ FEE
PERMIT FILING FEE $3.00 j
OL
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. —
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
S on FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parkirig
Plans
Parcel
Declaration
Parcel Ma 0' R/W
P
Im vements
P
Lawn sprinkler system 2.00
::::T
Bldg. ons Recd
Parcel App val
P11/s Approval
Permit Fee $
$ d
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [�
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3,00
Main service 600V OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Single Family 23—Duplex ❑ Mobil Home ❑ Others ❑
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW LING O
OR ADDNST ( ACCLBLDGS.CCUP. &) 2¢.sgft
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 ai fornia Business & Professions Code under the name
Style
r" (?
'
Ex. Occup(OUTLETS OR FIXTURES) 50 @2'a
BAL@1
FIXED APPLES, OR
Ex. Occup. (ouT LETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 2 Q o Qy Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions'of Section3700 of the California Labor
Code Code which requires every employer to, be insured against liability
for Workmen's Compensation.
)e,r't�t 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 $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee
$ 1
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.
a' Data
Sig oture of P mitee or Agent U 11Z7
Receipt No. �� �2-0
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE 1$J00
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.
DIREC-TIOR OF PUBLIC WORKS
BY Date--
Building
ate Building permit expires Date
`.PERMIT NO. 1370-75B
E
M
MH UTIL.
yPERMIT NO.
t PERMIT EXPIRES -7`.
.. `�
OWNER Ronald Bergman
w CONTR.
IL,
OCATION (A.P. 25-11-23
= �
n,/s E. Biggs Hwy, 4 mi. E. of Dos Rios Rd., Biggs
t�
I
Temp. Power Pole
Called PG&E
Tem �Elec. Serv.
ailed PG&E
T mp. Gas Serv.
1 Called PG&E
JOB
FINALED i
(Date) ;
i
(Sign ure)
COUNTY OF BUTTE — DEPARTMENT' Or PUBLIC WORKS
BUILDING INSPECTION RECORD
BUI DING BUILDI.NG.(Cont' ) PLUMBING
Setback
Firewall
Soil Pipi g
Forms
Parapets
1st FI or
Main Bldg.
Restroom Finish
2nd FI or
Footings
Windows
3rd Flo r
Stemwall
S i d i n g_
To out
Slab
Roof She-athing g
Water Pipi
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Pi in & test
Temp. Gas
Slab v
Final
Sanitation
Patio A
FIREPLACE
Final
Footings
Footing
ECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRI K ERS
Motors
Framing
Test
Water Htr.
Stucco
Final A
Subpanels.
Mesh
MECH AL
Grd. Fault Pr t.
Scratch
Heating
Service
Brown
Cooling
Temp. Pol
Finish
Ducts
Under rou d
Interior Lath
Ventilation
Permanen
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
lw
Is I
COUNTY OF B — A
BUTTE DEP RTMENT OF PUBL ;7c
7 County Center Drive — Oroville, California 9596
Telephone: 534-4541
APPLICATION AND PERMIT
.+uuwiicc icN�cacntau vca UI I IV VUU11ty UI t1UttC W UIML I UPUII tnt3
above-mentioned property for inspection purposes.
X ALAt t Via,/ Date
Signature of Permitee o gent
Receipt No. YC19190
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 b n paid.
^ DIRECTOR if7 PUBLIC WORKS
/y Date
Building permit expires Date....................f
.........
BUI DIN
Owner
SQ. FT. OCC. BUIL
VALUATION
SO
Mailing Address /0®
r
Te%l hone No.
"'� 5�^�
Fireplace
Contractor %?.(tel/
Total Valuation VIS21,
Mailing Address
Permit Fee
,O d
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$ S'Joe
Building Address GAS ll!
PLUMBING
No.1
@ FEE
PERMIT FILING FEE $2.00
p
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. / .. a- 3
Zoning & Planning
Gas piping system 1 - 5 outlets
1..50
Each additional outlet .30
F
Sauiiat+era.
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00 ==]
c d I
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.1
@ FEE
PERMIT FILING FEE $3.00
F
Main service incl. 1 meter
Additional meters, each
1.00
Single Family,R Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 20 bale io
Receps., switches & fix outlets 20025
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F. A. Furn. Motor
1.00
'Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
zorkmen's Compensation Insurance.
Irl certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ O�
.+uuwiicc icN�cacntau vca UI I IV VUU11ty UI t1UttC W UIML I UPUII tnt3
above-mentioned property for inspection purposes.
X ALAt t Via,/ Date
Signature of Permitee o gent
Receipt No. YC19190
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 b n paid.
^ DIRECTOR if7 PUBLIC WORKS
/y Date
Building permit expires Date....................f
.........
w' r �f • ''
tai y ."1
I
i
t