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HomeMy WebLinkAbout025-110-040J 25-11-40 Kenneth G. Wagner .N/S Biggs E. Hwy,app.'k mi.E.of Dos Rios Rd., East Biggs Permit #2B,E(add^living room & bedroom/SF) J �� t �j 25-11-4 P �tage ,E ds & deckJ�F -------- 25-11-40____. contr: Smith Const., Paradise Permit #59 79,B,E,Ml� repair fire damage/ SF) _ had oZ /6_ 25-11-40 Permit #1089-80B,E(install 2 doors, 2 decks & exterior li ht/SF 25-11-40 4338-89B COREY; Harold" S. 741 Biggs`1Eas� ;Hwy, Biggs" .(wood stove install) 0 LUCKE, RD 4551P`'"; 36951' 4958E(s)4698t e/s E. Biggs Rd. app 1200' E. of Dos I os F { . Biggs - (new,single family) a 9, qZ5 1 �� � � �. ■■�� r� a %'17TI ;,PERMIT N0. 1089'-80B,E PERMIT EXPIRES all 31 Y/ OWNER Kenneth G. Wagner -C ONTR. owner 25-11-40 LOCATION (A.P. ) . y " NIS Biggs E. Hwy, app.R 4 mi.E.of Dos Rios ! Rd., East Biggs ( 1 - h 1 Is Temp. Power P Called PG& Temp. Elec. Se Call PG& TempXa' s Ser% alled PG& IB O INALED (Da e) (8i 901ure) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets list Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport po Footings Prov. for ph sically handica ed Conformance of ex. struclure Appliances Gas Pi Ing & Test Temp. Gas Slab at Sanitation Patio FIREPLACE Final Footings Footina ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors loor Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch He ating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation anent Door Closer Final Inap ' MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping --------------Support Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be.made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Owner KUd O C -TAA 61. (J 4!a k)Ee_ Mailing Address Contractor Mai I i ng Address Telephone No. n SS- /l �2_ Telephone No. Building Address lki 1- M i- E. OF s 2log A. P. No, 2 5— 1 I—.4O Zoni g a Planning Fe VfI ,S ion Fire Dept. Fire Zone Use Permit EQA Parking I Parcel Parcel Ma 60' R/W Improvements Plans Declaration P P Bldg. P/4Fs Recd Parcel A royal PI s Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0,2 /_i ;- 4,J Mot Single Family [B' Duplex ❑ Mobil Home ❑ Others ❑ 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: License Classification _ BUILDING SQ. FT. OCC. BUILDING VALU TI E51• 9S0- 012 Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee BALI Od ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. [DWELLING OR ADONS, % OCCUP. 4 ACC. BLDGS. NEW CONSTR. .nm .RFSIn_ (MULTI.OUTL T 1` RRANCH CIRCUITS d� WIM /v. $3.00 1,50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 .50ea FEE EX. OCCUI)(OUTLETS OR FIXTURES BALI Od FIXED APPLNS. OR EX. OCCU P• OUTLETS (RESID,) EA) t rI,ry 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina 6.25 �( U I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with -the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for ins c on purposes. %C X���Oate��% �O ignoture of Permltee or Agent G Rec Ipt No. 3 1 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Coo I i $ 5, oo @ FEE $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE Is /S-100 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY'A�� - Date -7'/ 3_1? O Building permit expires Date—�7'8( If r 49`;�79B,E,M ^, PERMIT NO. y} PERMIT EXPIRES �� v Kenneth Wagner OWNER CONTR. S.mith Const., Paradise LOCATION (A.P. 25-11-40 NIS Biggs E. Hwy, app.4 mi.E.of Dos Rios t Rd., E. Biggs T ft c f rg 4 } i A Temp. Power Pole Called PG&E Temp. '6c. Serv. �CC.ed PG&E Tulip. Gas Serv. i Called PG&E JOB FINALED s� (D e) I (Signature)y S fr 1 � • • � _ •^ .. .l .` �,• • � � � � � � f. a S fr 1 � • • � _ •^ .. COUNTY OF BUTTE..— DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont1d)/1 PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out j Slab Roof Sheathin Water Piping i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab x Prov. for physical handica edy Conformance of e`. structure Final —& A j Appliances Gas Piping8� T st__ 'Temp. Gas Sanitation Patio FIREPLACE Final Footin s Footin 124.1ECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final " "% Fixtures Bond Beam FIRE SPR LE RS Motors Framing Test Water Htr. Stucco Final y Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole - Finish Ducts Underground Interior Lath Ventilation Permanent ' Door Closer Final Final ✓%-` MOBILEHOME UTILITIES - - - - - - - - - - - - - • - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) .l COUNTY OF BUTTE – DEPARTMENT OF PUBLIC WORKS r ,;county Center Drive , -, Oroville, California 95965 ^ • Telephone: 534-4541 .�,! f/ 9 / j APPLICATION AND PERMIT / / BUILDING Owner SQ. FT. OCC. BUILDING VALU/A^/TI N Mailing Address Telephone No. Contractor Mai I ing Address y 1,1, , Fireplace �yty� „� — -cj( Total Valuation a & o Telephone No. Permit Fee , Building Address Plan Checking Fee&/or Penalty QQ $ Permit Fee 1D / – PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. --� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F6e<f 4< I Sem*atimerr Fire Dept. Fire Zone Use Pennit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelParcel Declaration M 60' R/W Improv ents Each additional outlet .30 Building sewer 5.00 ,, � Bldg. PIS Recd Parcel Aroyal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ P. ELECTRICAL @ FEE Noire PERMIT FILING FEE $3.00 op Main service 600V OR LESS 100 AMP OR LESS 5•00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ACCLBLDGS.LING CCUP. N) 22 sq ft ( CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: ZTAIITi11 �-° DAlS % /ZUC%/C /�/ NEW RESID,CONSTBRANCH CIRCUITS) NON-RESID ( BRANCH CIRCUITS 2.5Oea NEWCONSTR. POWER APPARATUS a NON - RES ID. (SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTURES g L , Ex. Occup FIXED APPLNS. O)R 2.(]0 i r> • ( OUTLETS (RESID.EA) Temporary service 10.00 Mobile Home Facilities 15.00 , License No. -2 ?-,C/ Classification "+� Misc. Wiring 6.25 (p J ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL N0.1 @ I FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor PERMIT FILING FEE $3.00 QO Heating 3S,4f A7-/, &/;D I /�o L-:,� Code which requires every employer to be Insured against liability for Workmen's Compensation. ZI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date nature of Permitee or Agoirt Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling Venti Iation Hood 1 1 2.00 Permit Fee $ ,cO $ Land Development Fee $ TOTAL PERMIT FEE I$ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS � o By Date d 7 �/�ilding permit expires Date /—F– �b S � 3 OTE:—All Materials & Workmanship 'Accordance with Recognized Goad P rtof a quality prescribed for the Sp�cifi3 Uniform Building, Plumbing & . Mach9nicc ;the National Electrical Code. This set of plans and specificatioris MI Dept on the job at all times and it is!unl� make any changes or alterations on same J written permisson from the Department oft Works, • County of Butto. Shall Be in ictices and use in the Codes and X1 T bo (, XII' :ul to thout ! I? �s N. gpl+las A4097 i Smith Construction CLIFF SMITH - GENERAL CONTRACTOR License No. 224-208 5911 Sawmill Road - Telephone 916/877-3334 PARADISE, CALIFORNIA 95969 DATE L 192—L /It`s "Under the Mechanic's Lien Law`any contractor, laborer, supplier or other person who helps to improve your property but is not paid for his work or supplies, has a right to enforce a claim against your property. This means that, after a court hearing, your property could be sold by a court of and the proceeds of the sale used to satisfy the indebtedness. -This can happen even if you have paid your own contractor in full if the subcontractor, laborer, or supplier remains unpaid." f ..r r "Under the Mechanic's Lien Law`any contractor, laborer, supplier or other person who helps to improve your property but is not paid for his work or supplies, has a right to enforce a claim against your property. This means that, after a court hearing, your property could be sold by a court of and the proceeds of the sale used to satisfy the indebtedness. -This can happen even if you have paid your own contractor in full if the subcontractor, laborer, or supplier remains unpaid." CLAIMANT: ADDRESS: J` OROVILLE, CALIFORNIA GENERAL CLAIM Kenneth G. Wagner Star Route CITY & STATE: Brownsville, CA. 95919 DATE OF CLAIM: August 1, 1977 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR IMPORTANT: SEE INSTRUCTIONS ON REVERSE SIDE SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT - Owner decided not to build. (Permit Application #3328-77B,P,E'Receipt #162300 _A-57-11-40) B1dg.Permit fee ----- $104.00 Retain of fee --- 34.67 Amount of refund due ---------$ 69.33 Plumbing permit fee - $ 10.50 e s n fillfig fee --- Amount of refund due ----------$ 7.50 Electrical permit fee-$ 32.00 Retain g fee ---- 3.UU Amount of refund due ------------- 29.00 TOTAL -REFUND DUE --------------$105.83 $105.83 TOTAL $105.83 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a -Budget Appropilatlona or Specific Board Approval❑ (Checkone) for the same. Dated this 18t de of Aug' 1917 at OrOVille Calif t.................................... Y ............................. ......, ..........-................... ,.................................................................................... Department Head or Authorized D tputy D ept. Exp. Code ............................................ Code ................................................PAYABLE FROM ................. .............:........................................................... FUND DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. i SUB -DIST. j INSTRUCTIONS tQ -.C- 1 -A HtS, ;0 All claims against the county must be itemized, giving dates and character of service rendered or word pe'rfo'rmed, quantities, .de- scription and unit prices of articles furnished -or -delivered. Claims must be certified by the claimant. and. submitted to the De- . . partment head for approval. Upon approval the.. Department head , will forward claim to Cau:!ts, Auditor for payment procedure.: Do not file with the County Auditor first. Claims should be presented to off. _ .,As for approval immediately upon completion of -services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above.will expedite payment of claim, failure to do so may delay payment considerably. r INSTRUCTIONS tQ -.C- 1 -A HtS, ;0 All claims against the county must be itemized, giving dates and character of service rendered or word pe'rfo'rmed, quantities, .de- scription and unit prices of articles furnished -or -delivered. Claims must be certified by the claimant. and. submitted to the De- . . partment head for approval. Upon approval the.. Department head , will forward claim to Cau:!ts, Auditor for payment procedure.: Do not file with the County Auditor first. Claims should be presented to off. _ .,As for approval immediately upon completion of -services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above.will expedite payment of claim, failure to do so may delay payment considerably. ;,��''� �. COUNTY OF BUTTE — DEPARTMEN i OF PUBLIC WORKS 7 County Center Drive — 0roviIle, California 95965 �� Telephone: 534-4541 j APPLICATION AND PERMIT N Owner jf-ehVII, Mailing Address Contractor Mailing Address Building Address -/Vq_ I�Ie hone No:ne f e I / 41 Telephone No. A1,�S 3/,:�ys f� A. P. No. �� / ' YO Zoning 8 Planning Fees W FireDept. Fire Zone Use Permit EQA Parking Parcel parcel Ma 6 /W Im r Plans Declaratio P p ovem nts Bldg. Plans Rec'd Parcel Approv Plans proval NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ 0 on Single Family QKJ Duplex ❑ Mobil Home ❑ Others ❑ 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: License No. Classification BUILDING - SQ. FT. OCC. BUILDING VALUATION �.1w, Fireplace Total -Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. / DWELLING 049SO.P_A& �JIRH y. "; $3.00 5.00 2.50 25.00 1.00 Ex. Occup(OUTLETS OR FIXTURES)'Lv' BAL@1 EX. QCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section 3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. I certify that in the performance of the work for which this Ventilation permit is issued, I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood California. 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 authorize representatives of the County of Butte to enter upon the . above-mentioned property for 'ns tion purposes. X w Date Signature of Permitee or Agent Receip No. J6_::Z3&0 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant FEE FEE $ @ FEE $3.00 2.00 $ I TOTAL PERMIT FEE I$/ ybl?'L This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF -PUBLIC WORKS RV Building permit expires Date Date I PERMIT APPLICATION WORK SHEET ` Permit No. �ZC//-;7- 72 OWNER 11 e A. P. No. 2S Zoning Use Proposed Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date Received 1. All items have been submitted. ------------------------------ 2. Plot plans in duplicate/triplicate. ------------------------- 3. Complete plans in duplicate/triplicate. --------------------- 4. Complete engineered plans and cales. ------------------------ 5. Fees of $ ------------------------ 6. Letter of signature authorization. __________________________ Sanitation approval. ---------------------------------------- 8. Planning approval for --_ 9. Workmen's Compensation Insurance Certificate. --------------- 10. Contractors license information. ____________________________ 11. Parcel declaration, recorded copy. -------------------------- 12. Access declaration. ------------ _____________________________ 13. Aunt Minnie 'information. --------------------------- --------- 14. Deed of access, recorded copy. ------------------------------ 15. Deed of parcel creation, recorded copy. --------------------- 16. Parcel map, recording data. --------------------------------- 17. Pre -inspection request for 18. Improvements - plans required & DPW pproval.--------------- Q, z�9 . Other i ��L �7o-� l���v�,� By, 1V Lze f Date Bldg. Inspector During plan checking process, the following data Before permit issuance, all of the following or information must be submitted prior to permit I items must be signed or marked NA: issuance: 1. Index permit for items above and in addition t -he llowing: 2. Applicant advised by Telephone Mail Other When permit -is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection �,-4. Telephone 99'-9Sfirl and hold for pickup 44 - //Z q 5. Other / 1. Zoning use 2. Legal parcel 3. Envir. Health Plans Selat 4. 5. 6. A. Sanitation B. Restaurant C. Other Public Works Plans Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other Planning A. Use Permit B. Variance C. Other Other Agencies Plans Sent A. Fire Dept. B. Other .., PERMIT NO. 2915-77B,E 'x PERMIT EXPIRES 4 OWNER Kenneth G. Wagner CONTR. owner Af LOCATION (A.P. 25-.11-40 ) NIS Biggs E. Hwy,app.4 Mi.E.of Dos Rios Rd., East Biggs t; V a. .5 t Temp. Power Pole Called PG&E Temp /lec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED f ( , •. e, � _ ,...; a .. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING , I I BUILDING (Cont'd) PLUMBING / Setback AR Firewall Soil Piping Forms Parapets / 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings W444!indows 3rd F or Stemwall o v Sidin To out Slab Roof Sheathtr� Water Piping Piers l ,( Roofing � Sewer Garage. Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ed ph slcally handica Conformance of ex. structure Appliances Gas Piping &Test Tem . Gas Slab Final Sanitation Patio FIREPLAC Final Footings Footing ELECTRI K Masonr Walls Throat Rough 77 Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing.Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilatio Permanent Door Closer_ Fin _ Final MOBILEHOME UTILITIES --------------•-- - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOSILEUOME INSTALLATI N .... . ..... . . . . Support Elec. Continuity `Water Piping Drainage Gas Piping DATE REMARKS OR • • i / Lit 7 C�-- 1/1 /7 P - Cl i i (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • '" 7 County Center Rrivh — Uroville, California 95965 �% �J Tel e: 534-4541#J �—Jl / / APPLICATION AND PERMIT GA 11 � BUILDING Owner G it SO. FT. OCC. BUILDING VALU TION Mailing Address S „Q ho�? No 3 S M�� Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ !r V PE Building Address 14 G PLUMBING No. @ FEE PERMIT FILING FEE $3.00 pS I0 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 Fes W. . S on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration parcel M 60' R/W Improvents p Lawn sprinkler system 2.00 Bldg. P 'd Parcel provol Plans pproval Permit Fee $ $ NEW ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3 V Im,Main service 100V OR LESS 5.00 100 AMP. OR LESS Main service EA. ADD'L 100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ( ACCDWELBLDGS.0 ) 20sgft y NEW CONSTMULTI-OUT U ET NON •RESID R. ( BRANCH CIRCO TS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: @ 25o• Ex. Occup(OUTLETS OR FIXTURES) 50 BAL@100 FIXED APP LNS. OR Ex. Occup. (OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of 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 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. @ 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned propert f r nspection purposes. X - Date Signature o ermiteeeor 1 ent Receipt No. J ;:?00✓ory White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O"UBLIC WORKS By 34 713'7, Building permit expires Date 6_7,3.7x r:+4.':r-weHwa. int•a+7 "A�-"+dF� ...w. ,a,-+ti;.n�I �.vypyk•,II,-,., i �-�.�, �•t9*'r..-�..^e;v-�.�. �,.,�,,EiW,�i„iR,l�y �,b�� 25-11-40 4338-89B COREY, Harold S. , 741 Biggs East Hwy, Biggs (wood stove install) 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ,f —10 ZONI BUILDING PERMIT OWNER (� ,.Sl �O TELEPHONE t ` �� 1 S0. FT. OCC. BUILDING VALUATION ' OWNER'S MAILING ADDRESS 1 ��� S , , \ N CO TRACTOR'S NAME ELEPHONE 1 C AC O 'S PrAILING ADDRESS Fireplace J00 �-- - CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ It ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PERMIT Filing Fee 10.00 _11PLUMBING Each Trap 2.00 (s ' 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 I SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK New❑ Addition ❑ Remodel[] Utilities[]Utilities[]Installation❑ :Otherx �� Describe work: i S-Inr ��/Ct CC O _ .t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 • Main service 1111 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW i' I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the. Business and Professions Code and my license is in full force and effect. License No. Classification i 1, as the owner, or my employees with wages as their sole Compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. OR ACDNS. l ( DWELLING OCCUP.9 ACC. BLDGS. 1/2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS a \SINGLE OUTLET CIR. ) Ex. Occu p OUTLEfTS OR FIXTURES 20 ® 10a BAL@30 FIXED,.APPLNS, OR Ex. Occup. OUTLETS (RE SID .) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. 1,1 I shall not employ any person in'any manner so as to become subject Kto the W. C. laws of California. I 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 FiIingFee 10.00 Heating Cool in9 Hood - r: •,1 J 3.00 Ventilation, Permit Fee 1 , $ Contractor r I certify that I have read this application and state that the above information is correct. I.agree-to-comply to all County Ordinances and State Laws:relating to building construction, and hereby authorize representatives of the County of Butte to enter, upon,the.,above=mentioned-property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabili fes' judgments, costs, and expenses which may in any way accrue against sAid Cou ty in consequence of the ranting of this permit. L/�/ X Date ` ,vY'x'r Signature of Applicant - Owne _ - Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolitioii:or construct- ion of structures over 3 stories in height. hf Mobile Home Installation Fee„ ,$ , Energy Inspection Feet occ CONST TYPE ` TOTAL FEE $ HAZ cuA PARK SCHL FLD PAR PD HD ssuE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTO OF PUBLIC By. PE MIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date l z- zr°- GY9 Z.•-i?%7� Receipt No. 4- a WNITC-D.P.W., 7ELL0 W- 58E880 R. INK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OKo\FiIIe'►ralifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. ASSESS PA CEL N MBER ZON BUILDING PERMIT OWNER TELEPHONE ,I SQ. FT. OCC. BUILDING VAOATION OWNER'S MAILING ADDRESS I GS CO RACTOR'S AME 'TELEPHONE C A TOWSPJAILING ADDRESS Fireplace i ii000— CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ f ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 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 I W 10.006 TYPE OF WORK New ❑ Addition ❑ ��R/e�modle1 ❑ Us�.�ti li,ties ❑ Installation❑ Other � Describe work: �tiC.z/� �!OLC �S�CCA-r4 O��/ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 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): El am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. icense No. Classification 91 -LI, 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.d OR ADONS. ACC. BLDGS. , /20sgft NEW CONSTR. ULTI-OUTLET NO N.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS a (SINGLE OUTLET CIR. ) Ex. Occu Occup(OUTLETS OR FIXTURES 20®90s eAL030 Ex. Occup. OUTLETS (PRESID )FIXED APLNS.REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bVirin 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. shall not employ any person in any manner so as to become subject ttt��� 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 FiIirig 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 liabil' ies, judgments, costs, and expenses which may in any way accrue again id Co ty in co qu ce of the ing of this permit. X �2_ y8-8'� Date Signa-ur of Applicant — Own Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ s ALL HAz cuA PARK FLD PAR Po H� suE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTO OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date f—/�'� Receipt No. �4ti to R WHITE-D. r. W.. YEL LSO W- Sa 8[930 R, INR -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Denartient of Public Works 7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541 ' OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement or no) 2. I (have/have not) �Gt�P. signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No.. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to `provide the work indicated: Name Address Phone Type of Work Signed: j Property Owner Social Security N er Date /,2'02Y NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and Safety Code. This verification must be completed and.returned to our office before we are per- mitted to issue the permit. r � I r � 4