HomeMy WebLinkAbout028-300-042B07-0379 028-300-042
MISCELLANEOUS Siding/Stuca
SIDING(]90 If) & REPLACE 10 WINDC
7419 ORO BANGOR HWY
BANGOR, COMMUNITY CHURCH
71 AP 28-30-/KAtA
R�O-Bang'o_r
�4HEELER_
eHwy, 3400' N. of Bang
Park RdV, or
Permit,# 4349-7-..&M(new..SF)
Permit #187-77B(lst renew a or
pbrmit #4349-7115)
k-4 Q&Vx!/}� 28-30-_4�kof• L .
Bangor Community Chuff ..II�
E/S Oro Bangor Hwy, 1400'A0fP%an or
Park Rd., Bangor
Permit #5441-79B,E(conv.exis attached
p-.garage.to bedroom & storage/SF)
r
28-30-
,Aa- #a.--
Permit#6584-79P,M(ga heater &
spipinql parsonage
28730242 " 985-90B,P,E,M
`BANGOR. COMMUNITY_ CHURCH'
7419 Oro -Bangor Hwy, Bangof" v+
' (addition/sf)
023-300-042 94-0459B
BANGOR COMMUNITY CHURCH
7419 ORO -BANGOR WY, BANGOR
CONT: MICHAEL LEE q
REROOF CHURCH
028-300-042 03-0551
BANGOR COM CHURCH,
7419 ORO BANGOR HWY, BANGOR
Corit: `OWNER
AD/SF
UZZS-suU-U41 04-14!
BANGOR COMMUNITY CHURCH,
7419 ORO BANGOR HWY, BANGOR
Cont: GREENE ROOFING
ADD & PATIO COVER(03-0557
B08-0812 028-300-042
MISCELLANEOUS Patio Cover/Cvd P&
PATIO COVER REPLACEMENT
7419 ORO BANGOR HWY
BANGOR COMMUNITY CHU,
SNVIR NMENTAL
F
2
r- y
"` ,��'
o � I
,'_BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION (IVR): (530) 538-4365
OFFICE: (530) 538-7541 FAX#: (530) 538-2140
ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds
FEE INFORMA'
DBEH Building Review Fee $78.90
DBMSC Patio Cover/Covered Porc $164.00
_ LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
KEN SARNECKI CONSTRUCTII 603558 / B / 09/30/2008'
I HEREBY AFFIRM UNDER PENALTY OF PE JURY that I am licensed under provisions of Chapter
(comm) ncing with Sectio of Division of the Business and Professions Code, and my license
is ir(fu I f rce and e –
06/12/2008
Signature Date
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I 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.
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued
My Workers' Compensation insurance carrier and policy number are;
X
Carrier: Policy Number: Exp. Date:
(This section need not be completed if the permitis or oncehind dollars ($100) or less.)
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ an arson in any manner so as to become subject to the Workers'
t;ompensation Laws of Califo ni and agree that if I should become subject to the workers'
compensation provisions of ct n 3700 of the Labos-Code, I shall forthwith comply with those
06/12/2008
WARNING: FAILURE TO SECURE WORKERS''COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY .
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address City State Zip
Total Charged: $242.90 Fees Paid: $242.90
Balance Due: $0.00 Receipt No: B7215 .
. OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
,the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
❑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 (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
—]1. AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
❑ I AM EXEMPT under Section B. & P.C. for this reason:
i 06/12/2008
Owner's Signature Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use of occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ty.to qa1kr the above menti d props for inspection purposes. I he by certify that I am the
P any o err am author #b on�lt�propertrs behalf. r
❑ Owner ❑ Contractor OR. DAgent for Owner ❑Agent for Contractor
FILE COPY
PROJECT_ INFORMATION
_
Site Address: 7419 ORO BANGOR HWY
Owner:
Permit No: 116$-0$12
APN: 028-300-042
BANGOR COMMUNITY CHU,
Permit type: MISCELLANEOUS
P.O BOX 217
Issued Date: 06/12/2008 By KEJ
Subtype: Patio Cover/Cvd Pch
BANGOR, CA 95914
Expiration Date: 06/12/2009
Description: PATIO COVER REPLACEMENT
(530) 679-2510
Occupancy: Zoning: AS 0(
Contractor ,
Applicant:
Square Footage:
KEN SARNECKI CONSTRUCTION
KEN SARNECKI CONSTRUC'
Building Garage Remdl/Addn
PO BOX 369
PO BOX 369
BANGOR, CA 95914
BANGOR, CA 95914.
Other Porch/Patio Total
(530)679-1014
(530)679-1014
FEE INFORMA'
DBEH Building Review Fee $78.90
DBMSC Patio Cover/Covered Porc $164.00
_ LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
KEN SARNECKI CONSTRUCTII 603558 / B / 09/30/2008'
I HEREBY AFFIRM UNDER PENALTY OF PE JURY that I am licensed under provisions of Chapter
(comm) ncing with Sectio of Division of the Business and Professions Code, and my license
is ir(fu I f rce and e –
06/12/2008
Signature Date
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I 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.
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued
My Workers' Compensation insurance carrier and policy number are;
X
Carrier: Policy Number: Exp. Date:
(This section need not be completed if the permitis or oncehind dollars ($100) or less.)
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ an arson in any manner so as to become subject to the Workers'
t;ompensation Laws of Califo ni and agree that if I should become subject to the workers'
compensation provisions of ct n 3700 of the Labos-Code, I shall forthwith comply with those
06/12/2008
WARNING: FAILURE TO SECURE WORKERS''COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY .
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address City State Zip
Total Charged: $242.90 Fees Paid: $242.90
Balance Due: $0.00 Receipt No: B7215 .
. OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
,the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
❑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 (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
—]1. AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
❑ I AM EXEMPT under Section B. & P.C. for this reason:
i 06/12/2008
Owner's Signature Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use of occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ty.to qa1kr the above menti d props for inspection purposes. I he by certify that I am the
P any o err am author #b on�lt�propertrs behalf. r
❑ Owner ❑ Contractor OR. DAgent for Owner ❑Agent for Contractor
FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES PERMIT
BUILDING PERMIT APPLICATION" NO. • rr,^,
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 V
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
i Website: www.buttecounty.net/dds BIN #&
�k.
PLEASE PRINT CLEARLY
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access:- -
OWNER INFORMATION
ARCHITECT/ENGINEER
Flrst Name
Mailing Address
city
td.
Z
e Pho
TFax
Email
APPLICANT INFORMATION
Name A fi
1 1�aA-U Al
Address
City a Zip
Phone Fax
Email
APPLICANT SIGNATUR
PROJECT LOCATION
PropertyAddres
City b O -ff
WORKER'S COMPENSATION
Policy Number
Carrier
Nhiring anyone other than licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous -use):
For office us& gly:
ARCHITECT/ENGINEER
CONTRACTOR
Name
��
ez_-tGr
Address
R0,
State
City 15MC
Phone
Wq1
Phone7
l ®.
�
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
Name A fi
1 1�aA-U Al
Address
City a Zip
Phone Fax
Email
APPLICANT SIGNATUR
PROJECT LOCATION
PropertyAddres
City b O -ff
WORKER'S COMPENSATION
Policy Number
Carrier
Nhiring anyone other than licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous -use):
For office us& gly:
ARCHITECT/ENGINEER
Name
Flood Zone
Address
I SRA K Yes
City
Occ.
State
Zip
Phone
Fax
E-mail
State Ucense Number
APPLICANT INFORMATION
Name A fi
1 1�aA-U Al
Address
City a Zip
Phone Fax
Email
APPLICANT SIGNATUR
PROJECT LOCATION
PropertyAddres
City b O -ff
WORKER'S COMPENSATION
Policy Number
Carrier
Nhiring anyone other than licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous -use):
For office us& gly:
Zoning
Flood Zone
&
I SRA K Yes
yNo
Occ.
Type St.
&A-)(
I.
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530)538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS"
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are somethings you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during,
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY"
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if
the permit has not issued, but, not after 180 days from the date of fee payment. Fees paid at the time of application are for
Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to
process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the
permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund
amount) to determine no work was done.
Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/`
**When filed, this application and -all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
Reference Number: B08-0812 Date: 5/2/2008
Location: 7419 ORO BANGOR HWY
Parcel Number: 028-300-042
Owner Name: BANGOR COMMUNITY CHU, Phone: (530) 679-2510
Description: PATIO COVER REPLACEMENT
Signature of Applicant: / Date: 5/2/2008
FILE
Q- -
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT -DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
"3'140 w00'`
National- Pollutant Discharge Elimination System (NPDES)' Phase II Construction Storm
Water Permit.and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
(LESS THAN 1 ACRE 1
Reference Number: B08-0812 Dater 5/2/2008
Location: 7419 ORO BANGOR HWY By: GLB
Parcel Number: 028-300-042 Sub Type: Patio Cover/Cvd Pch
Owner Name: BANGOR COMMUNITY CI1U, Phone: (530) 679-2510
Description: PATIO COVER REPLACEMENT
By signing below, I the project owner/owners' agent, certify thatthis project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do' not need' to apply for a Construction .Storm Water Permit -from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases -total more than one acre of disturbed soil will `require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a.Construction Storm Water
Permit from the.State of California.Regional Water.Quality Control Board -for this project that disturber one acre or
more of land may result in revocation of grading and/or other permits or other santions'provided by law.
Signed: -
Title: c/rsy/it/J
FILE
Date: 5/2/2008
RESIDENTIAL
28-30-42 985-90B,P,E,m
BANGOR COMMUNITY CHURCH
7419 Oro -Bangor Hwy, Bangor
(addition/sf)
(oO4 q j - 7g4c-J.
JJ D
Signature
NIX
J=OK
O = Not OK
Not
= Not Ready' ble MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Lodation-Test-Fall-C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ P'Nat. or/ /" L"ft./ /"LPG
7. Utility Clearance
Date Card B-1 Date Card B-1
Date . Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except trs
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
11 MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.: Posts-Beams-Rftrs: Coonectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures: Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-PdneIboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
10,
V OK
O=Not OK
' = Not
Not Readyable RESIDENTIAL (Single
& Duplex) ,
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel -Wrapped
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
8. Piers -Fireplace Ftg.-Steel
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. Gas Pipe; Size -Anchors
55. Siding -Nailing Veneer
11. Water Pipe; Test -Anchor -Regulator -Service Test
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
12. Electric; Underground
57. Glazing Area -Glass Protection -Skylights -Plastic
13. Pienums & Ducts; Clearance -Material -Support -Ins.
58. Shear Wallsr;`Nailing-Bolts r!
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
59. Insulation -Walls -Ceilings
15. Insulation
60. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
1f
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
Card B-1 Date Card B-1
16. Water Htr.; Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchor -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
Date
Card B-1 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clearances -Hearth
22. Fixture & Transformer Clearance -Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
24. Size Boxes & No. of Conductors -Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing -Landing -Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage -Damper
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
75. Plb., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral O Yes O No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
30. Service -Riser Conductors & Ground -Main Disconnect
78. Guard Rails & Deck Construction -Post Caps
31. Equip. Clearances Panels-Motors-Mech. Equip.
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor O Yes
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
80. Following instld.; Drive 0 Yes ❑ No; Walks O Yes 0 No;
Planters ❑ Yes 0 No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
Date
MECHANICAL (Permit) OK except #'s
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
34. A.C. Ducts Insulation & Support
84. Water Well; Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
36. Condensate Drain & Overflow; Size & Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Date
Card B-1 Date Card B-1
91. Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Date
Card B-1 Date Card B-1
39. Sils, Proper Material & Anchors
Date
Card B-1 Date Card B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Date
Card B-1 Date Card B-1
41. Bearing Walls over Girders & Floor Nailing
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
each time you visit job site)
(NOTE: An entry must be made
if
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
M pal
A �100
ASSESSOR PARCEL NUMBER
28-30-42
ZONING
A 5 1
BUILDING PERMIT
OWNER
B
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
4R() R 1_9200
OWN 'S MAILING ADDqFEESP1lrr
741Q Oro—Bangor Hwy, RanRnr 95914
CONTRACTOR'S N E
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$
10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
140.50
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.
VISION NAME /
!/tiJ�L Z) �s
PARCEL MAP
�S�
Water piping
5.00
5,00
Each qas water heater or vent 5.00
5.00
USE OF STRUCTURE
SF N Duplex Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
5.00
Building sewer 5.00
5,00
Mobile Home JSfG W 10.006
TYPE OF WORK
New ❑ Addition EX Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 2 BR, 1 Bath, Utility Room _
Permit Fee $38.00
Contractor
ELECTRICAL PERMIT Filing Fee
10.00
Main service 6101 OR LESS
100 AMP OR LESS
10. (�
Main service EA. ADD'L 100 AMP
2.5
CONTRACTORS LICENSE LAW
1 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
1, as the owner, Of my employees with wages as their SOIe 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.hOR ACDNS. ( ACC, BLDGs. )
2/20sgft 12.00
NEW CONSTR. ULT I.OUTLET
N ON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS
(SINGLE OUTLET CIR.6: ) '
Ex. Occup(OUTLETS OR FIXTURES 920@600
AL@3o
FIXED APP LNS. OR
EX. Occup. OUTLETS IRESI D,1 EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 >t
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
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
Duct Extention
6.00
Cooling
Hood 3.00
Ventilation
permit Fee $16.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, sts, and expenses which may in any way accrue
agar sd/C�oufnty in c quence of the granting of this permit.
X ,' N •-'� - Date y—
_
Signature of Applicant — Owner [ij Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $30,00
occ
CONST TYPE
TOTAL FEE $ 341.75
A1;�PqFLD/fEPAR .
HAZ
cuA
PARK
-""-
Issu
This permit is nereby issued under
sions of th B Count Code and/or
work in above f r ch fees
F UBLIC
BY
PERMIT EXPIRES Date
the applicable
resolutions
have
WORKS
Date
provi-
to do
been paid.
Receipt No. 63854
WNITC-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIrPRNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET 0
Permit No.
OWNER -AA. P. No.
Proposed Building Use Sk A Building Inspector Date
i
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted..................................... t
2. Plot plans in duplicate/triplicate, signed by preparer of plans........ t
3. Complete plans in duplicate/triplicate, signed by preparer. of plans
4. Complete engineered plans and calcs, with wet signature on plans .. ^
5. Hazardous Material Form .... :..................... . ............ .
6. Energy Design Compliance and supporting document tion ....... �:
7. Statement of Intent for Non-Heated and AC Buildings ... I...........
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid.......................................
12. Park fees paid....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department /L `7 — 9I�D -45:� -
15. City of Chico plumbing permit.....................................
16. Plot plan and business license approval from ;City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (constrction approval required prior to occupancy)
20. Pre-Inspection for 1 required . Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans'Compensation Insurance ..................
23. Owner-Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
_ Telephones �910 and hold for pickup at CRO office. Deliver w/inspector.
Other
Applicant Date 4:::l-4-9y
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 submittede___O
p rmit issuance: (Circle new item not checked above),
1. Index permit for above itemsl
2. Additional items required:
S �.
Contractor, designer, ov.,F,was advised of above required data by_phon _ ail counter by�..date?`��b� �U
Contractor, designer, ow F, was advised of above required data by one_mall_counter by-495)- date %'6— - go
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
COPY—DPW.r j4' .�/u r> tt.
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
0 K- 6fo rA c 0 q2 -
Owner Location AP#
Pian Approved for: Sewaqe Disposal Y Water Supply x
Fold final for:
Water Supply
Final clearance O.R. for: , Water Supply
Clearance for bedroom mobile home. Other aL er 14
NOTE * * *
Sanitarian Date
5/89
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX &' MISC. ONLY)
` Bldg. Permit # /er5 7 O
OWNER vr,16�4ylll dx/ # Zg 3 4'—
GENERAL --
Z *ng requirements: (sideyards and number of permitted living units).
2-/V -uation.
lans signed by designer.
Energy Design and Compliance.
Items on data sheet.
PLOT PLAN _
Com lete parcel size and dimensions.
backs, sideyards, easements., etc. -
Other buildings or structures.
illis, drainage.
Ae Flood hazard.
& mad setback.
FLOOR PLAN
b- omplete to scale plan'with dimensions.
Re •r -ed windows for light and ventilation (Sec. 1205).
red windows for second exit (Sec. 1204).
07).
man impact glass (Sec. 5406).
6!Required room sizes, ceiling heights (Sec. 1207).
fi-. GFCIs in baths, garage,' and exterior outlets (Article 210-8).
ht fixtures, switches, receptacles, and exterior receptacles for maintenance
mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical or
gas equipment, and plumbing fixtures.
o-
�,lis'l1 - x- erior exit door (Sec. 3304(e)).
(Sec. 1210).
STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
om enough to construct building.
Elevations and wall construction details complete enough to construct building.
4,✓Roof construction details complete enough to construct building.
5.
c a
MISCELLANEOUS ITEMS TO LOOK OUT FOR
etails: landings, rise and run, head clearance, handrails (Sec.. 3306).
2. -a- i details (Sec. 1711 & 3306(j)).
one veneer (Chapter 30).
5M9
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D)
Sec. 4706).
$! P per roof pitch for roof covering (Chapter 32).
Rio & covering type - (fire hazard).
Rafter ties or bearing ridge beam.
8. orch header sizes.
%. —'Adequate bracing.
h^_ T,_-_ ___o =-_$-owes gage--c-emplete 1 -hour separation required on garage side
i por ing' waI'rs and posts, etc.
32 - Ings (Sec. 3303 & see Mezannines - 1716).
1 . Attic access and ventilation (Sec. 3205).
1 . ombustion air for fuel burning appliances.
—Neise req iremputs, on duplexes.
-design.
G(l to Tl TO l�PQ Qn. '
1.8. el house requiring lateral design.
19. Flas ing at all exterior openings.
i s
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
,r
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 '(yes or no) y eS
2. I (have/have not) 4v C__ 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 I 1 1. 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
1!Rvll'1cLlAi�. /3O�
an%, 9eq)
Signed: of G hm
Property OwnU✓lC. .
Social Security Number
Date 4-/- 4 - 9v
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.
OWNER'S NAME: Gf l�! /�O�P/VIfiNS / RECEIVED
PERMIT NUMBER: ��.,� 9..d A.P.#: c269-3o—Z/DATE
RESIDENTIAL F-� NON RESIDENTIAL RECEIVED BY --------------
REQUIRED PRIOR TO PERMIT ISSUANCE
-- — — — — — — ——
F FROM DATA SHEET REQUESTED BY PLAN C7'7;/4
r
OTHER Z /! V �[ 0�
REQUESTED BY CORRECTION NOTICEr2! YES q NO ITEM:
LOCATION IN BUILDING WHERE CHANGE OCCURS:
WHEN APPROVED, PROCESS AS FOLLOWS:
--—————————————-- — — — ——
Mail to owner
(Address)
Mail to contractor
(Name and Address)
Call and hold for pickup at office.
Deliver with next inspection.
REVISED PLAN CHECK FEES PAID:
$15.00 $30.00 Additional Fees Not Required
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE:. 916-538-7541
DATE__.4 ri4 1g, 1999
Bangor Community Church RE: Permit appin #985-90 for
7419 Oro Bangor Hwy addition/SF
Bangor, CA 95914 A.P. # 28-30-42
With reference to the above subject:
Ll Attached is:
Application for permit Mobilehome Utilities Installation Sheet..
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
='We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section
sets of plans in accordance with the changes marked in red.
XXXX Sanitation approval from Butte County Health Department at:
196 Memorial Way,' Chico
XXX X 7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
(DPW).
Planning approval from Butte County Planning Department, 7 County Center Drive,
.Oroville, for
Completed Owner -Builder Verification
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
form.
XX OTHER (Y. Engineered truss plans
2. Duplicate floor plans of exist
Should you have any questions concerning the above, please contact Tom May (916-538-7541)
of this office. (between --
Yours very truly,
JFG/aj
William Cheff
Director of Public Works
AGlF. ander
ief Building Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965
Bangor Community Church
7419 Oro Bangor Hwy.
Bangor, CA 9.5914
With reference to the above subject:
/ / Attached is:
Application for permit
Building Plans
Engr. Calcs
Owner -Builder Verification Form
OTHER
/ / We need the following information:
PHONE: 916-538-7541
DATE Rebruary F, 1993
RE: Permit Appin #985-90 for addition
A.P. # 28-30-42
Mobilehome Utilities Installation Sheet
Mobilehome Installation Information Sheet
Typical Plan Sheet
List of Codes Enforced
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or -check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
.196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
/ [ OTHER 1,1- d q_oog plans in d4pilGate ef' em-1-stlag. _
Cl 7GC
Tha r rm� 1 i pati nn expires 444403 and ca: ot: be i gv F l
ped � tor t t dpt®.
Should you have any questions concerning the above, please contact TOM MAY
of this office.
Yours very truly,
William Cheff
Director of Public Works
J.F. Glander
JFG/aj Chief Building Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OroviIIe., Carifornia 95965 - Telephone: 916'538-7541
I.
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
3U -4.2
ZO
ING
BUILDING PERMIT
OWNER
,&44 2
TELEPHONE
S"7 —7u d
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
r S
fZ I
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENOER'S MAILING ADDRESS
Filing Fee
S 10.x0
Permit Fee
$140.1--'
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
0 yC—
$ 70—ES—
ARCHITECT
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
I _ Jam, _ �/
I�j /y
Permit fee
$ 35
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 S —
USE OF STRUCTURE
SFXDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00-
.00SFX
Building sewer
5.00 —
Mobile Home S G W
O.00e
TYPE OF WORK
New ❑ Addition] Remodel ❑ >Uti lities ❑ Installation ❑ Other ❑
Describe work: %3Q / %47W t om_
Permit Fee
$ 3
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
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 force and effect.
License No. Classification
[JI, 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
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. / DWELLING OCCUR.&
OR AODNS. C ACC. BLDGS.
2/z¢sgft
NEW CONSTR. r ULTI.OUTLET
NON, ITS BRANCH CIRC
2.50 ea
/POWER APPARATUS e)
\SINGLE OUTLET CIR.
Ex.OccU OUTLETS OR FIXTURES
p
20L(?3t
e0 C. 50C
Ex. Occup. OUTLETS PIRESID )APLNS.REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
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
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
Hood
3.00
Ventilation
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 County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X
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 height.
Mobile Home Installation Fee $
Energy Inspection Fee $ (�
OCC
CONST TYPE
TOTAL FEE $Sq I ,15
HAZ
I CUA
PARK
I SCHL
I FLD
I PAR
PD
Ho
ISSUE
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PIERROT CVQtQCC 11 �t•.t
the appiicabie provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR MSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
' PROJECT INFORMATION.
Site Address: 7419 ORO BANGOR HWY
Owner:Permit
No: B07-0379
APN: 028-300-042
BANGOR, COMMUNITY CHUB
Issued Date: 2/28/2007 By KCG
Permit type: MISCELLANEOUS
P O BOX 217
Subtype: Siding/Stucco
BANGOR, CA 95914
Expiration Date: 2/28/2008
p ' '
Description: SIDING(1901f) & REPLACE 10 WIN
(530) 679-1014
Occupancy: Zoning: A5 0(
Contractor
Applicant:
Square Footage:
KEN SARNECKI
Building Garage Remdl/Addn
PO BOX 369
BANGOR, CA 95914
Other Porch/Patio Total
(530)679-1014
FEE INFORMATION
DBMSC Stucco/Siding-StoneBric $110.00
DBMSC Window/Sldng GIs Dr -New $220.00
Total Charged: $330.00 Fees Paid: $330.00
Balance Due: $0.00 Receipt No: B1986
LICENSED CONTRACTOR'S DECLARATION
OWNER/ BUILDER DECLARATION'.-
ECLARATION -Contractor
Contractor(Name) State Contractors License No. / Class / Expires -
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000)
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
of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the
s in full force and effect.
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 2/28/2007
the applica t10 a civil penalty of not more than five hundred dollars ($500);
Ple check one of the following:
Contractors Signature Date
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
WORKERS'.COMPENSATION DECLARATION . � "� '
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
❑I
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued,
improve for the purpose of sale.).
❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑
lSection
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractofs License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier: Policy Number: Exp. Dale:
(This section need not be completed if the permit is or once hundred dollars ($100) or less.
❑ I AM EXEMPT under Section B. & P.C. for this reason:
k]-,I-CERTIFYTHAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
X 2/28/2007
SSUED, I shall not employ any person in any manner so as to become subject to the 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
_wner's Signature- Date
provisi
X /28/2007
;.
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
S re Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occu ancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
Count ante the abov mentioned property for. inspection purposes. I hereby certify that I am the
Pro y ow am orized toact on the property owners behalf
�jAW NC-C;C6�28/2007
- CONSTRUCTION LENDING AGENCY.,
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
i - ow .Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
O ner ❑ Contractor! OR. DAgent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
st Namest Name
1ftl4bie At UM
Mailing Address oto O Q�4D� , �To"
74
City
�
�
P106-7-7
Fax /
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
city &Jk ,'
a D,2
Address
Sgt
City
Fax
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECTIENGINEER
Name
city &Jk ,'
a D,2
Address
Sgt
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name -96-10
Address O
city &Jk ,'
a D,2
StA
Sgt
Phone ., D � 4
7
Fax
E-mail
WA,
PERMIT
NO.
_n3
BIN #
PROJECT LOCATION
API 0 t- 30 • 0 A,2_
Property Address 74 - OBD _ Bi9� alL
city Aopy,lr &, 14
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
A'
Address
DESCRIPTION OR SCOPE OF WORK.
'14V Windows
Sq FT- Living"Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone SRA Yes No
Occ.
I Type Const.
>Y
ri
BANGOR. COMMUNITY CHURCH
7419 Oroville=Bangor Hwy.-
Bangor, California 95914-0217
• .41PCHURCH HISTORY.
• A.D. 1861 -'2001
jt !s,�=�' �..:r-.vim+-►'--r• ►. � .-r-•.---^ _ _ _• .
BUTTE COUNTY PERMIT SECTION 2-28-07
PLEASE BE ADVISED MR. KEN SARNECKI IS A '
TRUSTEE FOR THE CHURCH AND IS AUTHORIZED
TO ACT ON OUR BEHALF FOR ISSUANCE OF
PERMITS FOR CONSTRUCTION AND DEMOLITION
BOARD OF DIRECTORS
BUTTE
COUNTY
FEB 2'a 2007
DEVELOPMENT
SERVICES
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 83 LEFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UN VERIFICATION IS RECEIVED.
I PERS ALLY PL TO PROVIDE THE R LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT.O OR NO)
2. [ H VE/HAVE NOT) SIGNED
SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
HAV CO E FOL OWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
Z2AME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE
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
Description: SIDING(190 If) & REPLACE 10 WINDOWS ON SF
Reference Number: B07-0379
Applicant Name: KEN SARNECKI
Owner's Name: BANGOR, C IT RCH AP # : 028-300- 42
Signature of Property Owner: Date: 0 %
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT BPe4(403
ASSESSOR PARCEL NUMBER
o �$ . 3c� • 0 4z-
ZONING
BUILDING PERMIT
OWNERTELEPHONE
_Bsb.cG4D42
16 R fol
SO. FT, OCC. BUILDING VALUATION
. OWNERS MAI DRE
o 59r4
.)e
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 741,q�Q.1C0 p ' t
� 111L .w.
012e>
Energy Plan Checking Fee $
$
PERMIT FEE $
2_,i!:5 , 50
LAT NO.
SUBDNISIOWS 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 gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
C>D I -n 04 `}- 'A -'T -t G Ga v E
Describe Work: Z
ps- ►Jew 03.0551
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
R LESS
Main Service .0A 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.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors license
Law or 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
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
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.)
❑ 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 COm0 with those provisions.
_ Date 3 12, r11119
S 4 ure of Applicant - ErOwner ❑ Contractor ❑ Agent
OSHA permit required for excavations over 5'0"deep and demolition or construction
of
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00NEW
CONST. DWELLING OCCUP. SO
OR ADDNS. ( d ACC. BLAS. 3—y.FT.
ONST
=RCESID ' MULTI .OUTLET
97.50
OWER APPARATUS
b SINGLE OLlRET CIR.
Ex. Occup. OUTLET OR FIXTURES @'
BAL @ .SO
Ex. Occup. o'EEDAPRR'o,6.OFRw 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ Z,oq, 50
HAZ.
D. FEES IMP
I FLOOD
I CDF
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 fees have been paid.
By Date
�
PERMIT EXPIRES ON4'J�__
ate
Receipt No. '4o& I30 ZOci.Sd
WHITE-D.D.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 (530) 538 -754103 -
(Rev. 12/96)
38-75410(Rev.12/96) APPLICATION AND PERMIT (/
ASSESSOR PARCEL NUMBER RM 028-300-042
ZONING
BUILDING PERMIT
OWNER
BANGOR CULMUNITY CHURCH
TELEPHONE
679-1014
SO. FT. OCC. BUILDING VALUATION
672 94 36,288-00
OWNER'S MAILING ADDRESS
PO BOX 369 BANGOR CA, 95914
448 13 5;824.00
CONTRACTOR'S NAME
OWNER
TELEPHONE
SAME AS ABO
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $ 42.112.00
ARC
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
369.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
7419 ORO BANGOR H6JY. BANGOR
Energy Plan Checking Fee $
23.00
$
PERMIT FEE $
651.85
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 4 1
7.00 28.00
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each as water heater or vent
15.00 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ADDITION R PATIO COVER
Gas piping stem 1 - 5 outlets
15.00 1 9 -nn
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
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..
License Class Lic. No. ��
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors Ucens4
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.
❑ 1, 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 zooA To I000A
46.00
NEW CONST. ( OW W.WC SUP.
OR ADDNS.
3.50,. 23. 0�
NEW CONST. MULTI -OUTLET
NON-RESID.
@7.50
POWER APPARATUS
8 BINDLE OUTLiT CIR.
EX. OCCU OUTLET OR FIXTURES
20 @ 1.00
BAL @ .50
FIXED APPLNS. OR
Ex. Occup. ounETs RESIO, El)_5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
43.00
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
Policy Number
(rhe 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'
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
foIrtith comply h those provisions.
/
X Date _f L7( 103_
Sign ture of Appli nt - J&Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
15.00
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ 54.50
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
C&TYPKE❑
TALFEE$ 888.35
HA
_
FLOOD
/0
CDF
/
PARCEL
PO
HD
SUcompensation
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 ve been paid.
v
D e �2 O
PERMIT EXPIRES ON
Date
Receipt No. 370206 $888.35
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
nvvOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Orovills, California 95905 • Telephone (530) 538-75L�3
PcRAAfT NO.
APPLICATIONAND PERMIT Com,'%4'
MWE' .360 "O/j 2D1a"o�� BUILDINGP�R61![IT
19W "R itv�/ �n i�i�.v�nv►o..ni�.i (,� 7 rlg //)/4 = FT. OCC. SLtILDING VALUATION
This permit is hereby issued under the appizable provisions
of the Butte County Code and/or Resflluions to do work
Indicated above for which fees have been paid.
8y . Date
RezdptNo. PERMIT EXPIRES ON
WHM-5.as .e n. M"AR4-ASSESSOR Pune-wsFi OR GaOIDeNADD-APPUGAW IDarw)
_—am
Fireplace
Total valuation S
°"
oa
u:el KM
Firmel Fee
$ 20.00
aa= oR ems MMma ADW=
Permit Fee
Pian Checking Fee
� S
1
('
Energy Plan Checking Fee
$
PERMIT FEE
S 625 1. '7557
arm cUMx6q A5t�
P
PLUMBING'PERMIT
9 Fee 20.00
Each Trap
7.00 •�
USEOFSTRUCTURE
Solar or heat pump water heater
23.00
3F C Duplex 0 NbbHohome O Other
Water ping
15.00
SPS`
Each gas water heeter or vent
15.00
TYPE OF WORK
Gas Rigin system 1 - 5 outlets
5.00 / -
15.001/,5.-
mm 0 Addmn t7 Rwncddd 0 Mes G
mm
hdWLgf * 0 Other 13
Build sewer
15.00
�QJ
Mobile Home S GI W
@20.00
Describe Work + r7!' �[�I
'fCC� 1Pt�
'
PERMIT FEE
S % . C-0
ELECTRICAL PERid1T
FEng Fee 20.00
w= �m o �
23.00
roi� ate► To »►
4s.0D
=61s o�rr.
A-.- eras
gS�T-
wn}ouna
@Iso
•
F0V1M AMAPJ=
a seams �R as
IT=M�
U 0== OA F0.
LAD
soffit o m
u o � mss °�
5.00
*PE�i FEE PAD
lQ-�
$_ �) U U '
Servi_•-B
2ao0
S�
Q
$_ J.
Mobile Home Faciii5es
MuL Web g
20.00
23.00
SHWFF
$
•
$PERBBIT
FEEOTM.S
!MECHANICAL PERMIT
Filing Fee 1 20.00
$
Heating
co
$
cooring K
Hood
6.50
VenUlsSon
� . sa Sd
AMOtr R.C6MVEo
PERMIT FEt
$ 50
Mobile Home Indtaid5on Fee
i
rmwv frsspecion Fee
~A• i`�u
1
TOTAL FEE
This permit is hereby issued under the appizable provisions
of the Butte County Code and/or Resflluions to do work
Indicated above for which fees have been paid.
8y . Date
RezdptNo. PERMIT EXPIRES ON
WHM-5.as .e n. M"AR4-ASSESSOR Pune-wsFi OR GaOIDeNADD-APPUGAW IDarw)
COUNTY OF BUTTE -DEPARTMENT t?F DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: (_° ASSESSOR PARCEL NUMBER Q2�<-300
Proposed Building Use: a' [ Counter Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
00 1.. Plot plans, 3 or 4 sets, signedity the preparer of the plans.
12. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
,V4. Engineered truss details and layouts in duplicates No faxes!
5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans; (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet-sijzned by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form............................................................................... _
❑ 13. Other
f
r4.*
ingitems needed to issue the permit. (May require additional plan review upon receipt of hetfolowing item .)ees as shown on the attached Schedule of Fees Due Sheet ....................................... �
d❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. e, �%� ('G ,J016. Sanitation and plot plan approval from the Environmental Health De a ent in l ,CtlDi
❑ . City of Chico Plumbing permit ........................... ............. ?y
8. California Department of Forestry plan approval C3'paid . Sent.b J ......................
❑ 19. Planning approval for (A) Use: (B)Parking: J(p a cel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ......
........:..............................
�25. Owner -Builder Verification (❑ven to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29.;�Existing violations and/or expired permits.........................................................
❑ 30:5 ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31 Other:
When issued Telephone 7� /�}/ /,��Ji7 � ` ,,_ e3$/� and hold for pickup.
I have been informed of the
Applicant:
670/ 030'7
items and requirements for obta
C`Yl0(&O
ig a building permit.
-4 7 %o3
1. Index permit application for the above items numbered: / tf I Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, y Date:
Plans reviewed by: Date: Plans approved by: __Date:
Structural reviewed by- Date: Structural approved by: Date:
Note transfer by: O Date: %/ d'
Yelinw- Ruilrlino Nvicinn
E.H. USE ONLY
Pioi Pian Anechod
Row Plan Attached
Sant to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
�Cc.ingo �
� � nnlAs'1,`1� CZIUrcG�OeUy—t0 Z Sao—a VQ
Owner Loc ion AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for _Lkidwelling. Other .3 6 i\ , I mitAnMa,,. ao(d; 7h d TO
Hold final for:
Final clearance O.K. for:
NOTE: '
e26yu/ s 1 /0 -
Environmental He Spec' ist Date
8/96
� .ice. ' ... .-ti .. .-.e�. -. � ..- � � ... ... � .. � .., ._.�,,._ •.. ,., -a , �� � '..-�. _... _ _ .-, r _-: .. _..
_ U
E.H. ONLY
4 Plot Plan Aitachod USE
d
Roos Man A"had2
Sent to B.D. —1
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
�- L�►�»^� �, cul btu -.% —ao - 4z-
wner Location AP
Plan Approved for: Sewage Dispos�. Wfptar Supply: Public Private Well
Clearance for dwelling. Other `t �� 7 t-�,
Hold final for:
Final clearance O.K. for:
NOTE:
1
t4
Environmental Health Specialist Date
8/96
• +C 1.1/`► :1
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
SCHEDULE OF FEES DUE
PROPOSED BUILDING USE
1. BUILDING PERMIT FEES
Balance Due ....................... $
Additional Fees Due ................. $
Additional Fees Due ................. $
Revised Plan Checking Fee .............$
2. SCHOOL DISTRICT FEES t
(paid at District Office) (Available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential ...................... x $360.00 = $
Units
Commercial (sq. ft:) ............... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ................... -x-=$
# Units Amt.
Commercial (sq. ft.) ............ -x-=$
Sq. ft. Amt.
5. RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SIkFIRE INSPECTION AND PLAN CHECK
$89.00 6aid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
A.P. # QQ - aao ��qz
DATE 2 " �+ %— 63
RECEIPT # DATE REC.
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking process.
APPLICANT c% DATE 2-/Z -7 ( d �-S
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00)
- 4 �1^iI"// T V ✓ iw�
BUTTE COUNTY SCHb LS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District ! / (,(. {� S Building Department No.
A.P. Number ar_ � ~ l'JT,R Jurisdiction: City •County
Property Owner 4
r
Property Location/Address 7 )Y'()
Subdivision Lot No.
Develo ment ?
0No
.................................................................................Residential
S= Sq. FoP
�ddftion/
of Living
Mobile Home
'Supplemental to
t ff (Group R)
Units
Installation
Conversion Permit #
*(No foundation inspection)'
...................................................................................................................
Commercial/Industrial �m
New Addition
Sq. Footage
(Including Exterior
Roofed Areas)
Date
imoor rians rewewea oy acnooi uistnct rersonneq
District Identification No. 030135
lA
l) i f t(, u�,Orl School District certifies that � rn {�►� b �' ��
J (Applicant)
`7419 ??Iii ct* (019— lot 4--- /off
(Street Address) (Phone Number)
(City)
has complied with -the requirements of Resolution No
representing -ttJ Ur square feet.
(State) (Zip Code)
J!�o by payment of $
AB 2926 $
FULL MITIGATION $
_ � r
Sof District Representative
Paid by Check # - v F Remarks:
r
4 c2 wow
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department); Pink (school district) feeform.xls (10198)dmm
A
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In
BUILDING_COUNTY
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� � .i j tn• � n t '� L -r, � s 4Y 3 ?rrt �a a �s } � �.a >, � �.. -� � _
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RESIDENTL PLAN
� �
REVIEW GUIDE
o
SINGLE FAMIL Y, D UPLEX AND
MISCELLANEOUSONZY
Owrzr. _l/Yh/yu i Building Permit Number:i�J ' U�c� 7
Plans Examiner: �;Ada 54.m)o.wn A. P. Number: B
GE,NERkL:
t!Zoning requirements - (number of permitted living units).
Plans signed by the designer.
-3"' Proper description of work on the application.
.4 --Existing violations on the property.
Recorded notice of violation.
-Es' Building permit valuation.
PLOT PLA`:
Complete parcel size and dimensions.
Setbacks, side card, easements. etc.
Other buildings or structures.
Grading, fills andior drainage.
Flood hazard.
Special conditions on Parcel Map:
Noise ❑ SR --k ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Draiaage ices ❑
Federal aid Route and/or Federal Aid Secondary Route setback requirement
Building or utilities across lot lines (Lot merger approval by Butte County Land Development.)
FLOOR PLA`:
Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3).
10% of natural light and 5% of ventilation (Uniform Building Code section 1203).
Escape or rescue windows shall have a minimum net clear operable area of 5.7 square feet. The minimum net
clear openable height dimension shall be 24". The minimum net clear openable width dimension shall bt: 2W.
When «indo%%s are prodded as a means of escape or rescue, they shall have a finished sill height not more than
44" above the flcor (Uniform Building Code section 310.4).
Skylights (Uniform Building Code section 2409 dt 2603.7).
Glazing in Hazardous locations (Uniform Building Code section 2406).
Habitable space shall have a ailing height of not less than 7 feet 6 inches except as otherwise pertained in this
secuon. Kitchens, halls, bathrooms and toilet compartments may have a ceiling height of not less than 7 feet
measured to the lowest proiection from the ailing (Uniform Building Code section 310.6.1
All habitable rooms except kitchens shall have an areaof not less than 70 square feet and not less than 7 fed in
any dimension (Uniform Building Code section 310.6.2 & 310.6.3).
GFCI in baths. garage, kitchen, wet bar, and exterior receptacles (NEC 210).
`Fater heaters "hich depend on the combustion of fuel shall not be installed in a room used or designed to be
used For sleeping purposes, bathroom. clothes closets or in a closet or other confined space opening 1:0 a bath
or bedroom (uniform Plumbing Code section 509.0).
Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as abedroom. of in
a room. compartment or alcove opening directly into any of these (Uniform Mechanical Code secdo30.3).
Garage firewall separation - required on garage side including supporting walls and posts (Undbtm 8
Cade section 302.4 exception #;).
Under no circumstances shall a private garage have any opening into a room used for sleeping purposes
(Uniform Building Code section 312.4).
Wood stove location - Alcove - UMC section 203 confined space & 223 unconfined space dt 304.2).
Smoke detectors (Uniform Building Code section 310.9.1).
t Paget of 2
Water closet clearances (Uniform Plumbing Code 408.5).
.' bower compartment minimri�edl024 sq. on mason or concrete foundationsPlumbing
that shall be of 412.7).
cnt size to support
g walls shall be ppo M
all loads (Uniform Building Code section 1806.3).
STRUCTURAL DETAILS:
B� wall panels shall start at not more than 8 feet from each end of a braced wall line. Braced wall panels
must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not
exceed 34 feet on anter in both the longitudinal and transverse directions NBC section 2320.4.1.) Braced wall
lines must be continuous throughout the structure.
A California licensed architect of registered engineer must prepare a lateral analysis for the areas of the building
that do not comply with the Uniform Building Code. This must include the designer's "wet:" stamp, signature,
registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets
of calculations.
Clerestory requiring balloon framing and/or engineering. (Uniform Building Code Table 18 -I -C7.
Foundation plans complete enough to conswa building
Floor construction details complete enough to corustruct building.
Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
Fireplace construction details and calculations if necessary.
Garage door header size(s).
Porch header size(s).
Typical header size(s).
. Stud heights.
High expansive soil — sPetial foundation design required
R;taining walls requiring design.
. Cry;s= wallboard nailing inspection required.
If the area below the lowest floor is fully enclosed. than a minimum of two openings are regained with a total
net arm of at least one square inch for every square foot of arca enclosed with the bottom of the openings no
more than one foot above grade. Alternatively. certification may be pro»ded by a registered professional
engineer or architect that the design will allow equalization of h.,.-drostatic flood forces on exterior walls.
Building must be designed and anchored to prevent floatation, collapse or lateral movement. Construction
design requirements must be shown on the building plans.
Electric, heating, ventilation, plumbing and air conditioning equipment and other senice facilities shall be
designed and/or located so as to prevent water from entering or accumulating with the components during
conditions of flooding.
MLSCELLATTOUS ITEMS:
Stairway details — landings, rise and run_ head clearance, handrails (Uniform Building Code section 1003).
Guardrails (Uniform Building Code section 509).
Bride or stone veneer (Uniform Building Code section 1403).
Exterior plaster — weep screeds (Uniform Building Code section 2506.5).
Roof pitch for roof covering (Uniform Building Code Table 15-B-1 & 2, 15-D-1 & 2).
Foam insulation — protection.
36" halls and stairways (Uniform Building Code section 1004.3.3.2).
Tiro exits on three — story' dwellings (Uniform Building Code section 1004.2.3.2).
Underfloor access and ventilation (Uniform Building Code section 2306.3 d: 2306.7).
. Attic access and entilation (Uniform Building Code section 1505).
Sound requirements.
Energy design compliance and supporting documentation.
CDF responsible area requirements.
]WELDING PERMIT REQUMENTENTS:
1. ❑ SRA.
2. ❑ Flood elevation certificate.
3. ❑ Fire SprinlJers required
4. ❑ Special Inspection requirements.
5. ❑ Use Permit conditions.
6. ❑ Sub -Standard Housing loner.
Pace -- ;)f
O.B.- I
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 im rovement : YESA NO ❑
2. I HAVE HAVE NOT ❑ 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: CONTRACTOR'S 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: CONTRACTOR'S 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:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:-
DATE:_ -2-167-71o3
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
O.B.- I
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
4rely,
l C. Vi ira, C.B.O.
r, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
24' ie
FLOOR PLAN/ELECTRICAL PLAN
114" = V-6"
+�'�� . ' `*• `'bky}. :.'y^d�.i '�. t. 'ii L ':tj' 'J,.f t t, ... "mow .-<.:i .,'.. 4' ] 417-
4
7
028-300-042 ', 94-D4S9B'
-- - - ' BANGOR COMMiJNITY CHURCH,
_ 7419 ORO -BANGOR HWY, .BANGOR,'_ ..
CONT T.
MICHAEL LEE '
' REROOF CHURCH
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COUNTY OF BUTTE - DEPARTMENT OF DEVEZOPMENT SERVICES - BUILDING DIVISION
a 7 County Center Drive - Oroville, California 95565 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT To-
AssEssoRd
29—'y�42
.BANGOR
ZONING
—5
BUILDING PERMIT
OWNER _ RCH
C04"ITY CHURCH
`�U�
TELEPHONE
FFT, OCC. BUILDING VALUATION
OWNER'S IL G DRESS
I 2179 Bangor, CA 95914
RSO,
9 ` 5,340
CONTRACOc _ gl L
L343-2219
CONTRACJJbW(�ILIT 1W 32, Chico
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
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 DKESS
�I9 Oro Ban Or Hwy, Bangor
PERMIT FEE $
101+W
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water`heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEI MAP
`1
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF CI Duplex ❑ Mobilehome ❑ Other Church
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
Other ❑X
New ❑ Addition ❑ Remodel CIUtilities ❑ Installation El Other
R@rOOf/Cht3rCh
Describe Work: I
FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 11V OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
I
NEW CONST. DWELLING OCC P.
OR ADDNS. ( & ACC. BLDS. )
SO.
3.50 FT.
NEW CONST. MULTI -OUTLET
•NON-RESID. ( BRANCH CIRCUITS )
@7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full fore and effect.
License No. ?400o Classification j �
O I, as the owner, or my employees with wages as their sole compensation, will To
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
( POWER APPARATUS
s SINGLE CUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BAL. @ 1.00
Ex. Occu FIXED APPWS. 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):
❑ This permit is for $100.00 (valuation) or less.
.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
Certificate of Consent to Self -insure.
❑ Ishall 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 ave indemnify and keep harmless the County of Butte against all
liabilities, j dgm nts costs, and expenses which may in any way accrue against said
County in ons qu,�nce f e granting of this permit.
/
X Date
Sig atu of A plicant - Owner ❑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 $
Dcc
CONST. TYPE
TOTAL FEE $ 101,00
HAZ-
D. FEES
IMP
FLOOD
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
indicated above for which fees have been paid.
► _�--
ey — �^�Date +;V j
PERMIT EXPIRES ON Y;21'
fOetc) F
Receipt No. 156263
WHITE-D.D.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 PERMIT NO.
I `�'
APPLICATION AND PERMIT ! o qwv
ASSESSORR/ffL f�BEr�_042
UBANGOR
ZONING S
BUILDING PERMIT
OWNER
COMMUNITY CHURCH
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION °
89 @ 610 5 340
OWNERS MAILING ADDRESS
P 0 Box 217, Bangor, CA 95914
CONTflACRi chael Lee
TELEPHONE2219
CONTflAC3106MAILING
A Hwy 32, Chico
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
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
7419 Oro Bangor Hwy, Bangor
PERMIT FEE $
101.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
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
SFO Duplex O Mobilehome O Other Church
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 ❑ Utilities ❑ Installation ❑ Other ❑X
Describe Work: Reroof/ChurCh
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
SOOV
Main Service ( 200A 200AORLESS OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( a ACC. BLDS. )
SO.
3.50 FT.
'
CONTRACTORS LICENSE LAW(
I pkeplare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Cod and my license is in full forc�f4nd effect.
340 4 1 V Classification l7 ��
License No. 777
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)
❑ 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 )
BAD @ 1.000yall0
Ex. Occup.UT FIXED (RESID OR
(OUTLETS (RESID.) EA. )
5.0�
Temporary Service
ry
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.
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
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 a e to ave indemnif and keep harmless the County of Butte against all
liabilitie , i dgm n , ostS, d xpenses which may in any way accrue against said
Coun in ons q n e f e gr nting of this permit.
X Date
Sig atu o A plicant - Owner ❑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 $
DCC
CONST. TYPE
TOTAL FEE $ 101.00
HAZ.
D. FEES
IMP
HOOD
CDF
PARCEL PD
HD
ISSU
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.
/J
By / Date 7
PERMIT EXPIRES ON
Dater
Receipt No. 156263
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
� -1 ` JJ 1.._� i ..y,,;.r-v��I''�T....'.-�(... '�v r'{�-.�f1: 4`il'-�7-�...., Y3-+�;Lr'^i►-..+--'1 �-Y4�'4�`'`.'Y'9+,-v..�,,...+1st./��' r`�' ' ��"t'.f��li..l�' ` Tr ` J(' C,�..
COUNTYOF BUTTE - DEPARTMENT(DF UEVELOPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95,965- TELEPHONE (916) 538-7541
PERMITAPPLI,CATION DATASHEET
OWNER /��J'�✓v(;7d// �,l/�/f'/ ' li%C/K�7T A-,P3�0.0,�,�
U#d1mff2ff111U1A_A=�, Building Inspector
At time of�jAlll
pplication, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
items have been submitted . ....................................... .
2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... -"
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs; 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . .......................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ....................... '
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ......... �.
10. Fees of $.........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees: ........................
13. Flood elevation letter (100 year flood) by California 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 (construction approval required prior to occupancy). .. .
20. Pre -inspection for to P'�Buildi" �O" BQOctor�-
required. . ng Inspe(Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans 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) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. ailo contractor.
Telephone and hold for pickup at off Deliver with inspector.
Other
Parcel Creation c�
Acreage Applicant Date 7 Z Vq J
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
r0H�11 ,
1 4
i ADDITIONS TO RESIDENTIAL BUILDINGS`'ENERGY SHEET
�ID PACKAGE"A" (Additions)
i
Owner%1, > !/ i Cl %i -C`1 Climate Zone.
Permit, # Floor Area c��U
The following data showing mandatory and required features of Package "A" shall
be installed for additions to -..dwellings. , Additions to dwellings include.room,
additions, converting garages and patios to living areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is`not'included.
ZONA ZONE 16~
APPLIES TO NEW AREA
a CES NGS0 R-38
WAhh 4 R-19 i
FLOOR R-11 R=19
SLAB R-7 R-7
' F ,
GLAZING-, U-.65 (Du 1) U-.65 (Dual)
Y SHADING
° SOUTH - OPTIMUM OVERHANG
or. .36 Shading. Coefficient
WEST .•-..36 Shading Coefficient
LOOSE FILL INSU'LA TION'`(=Density)
INFILTRATION_CONT(Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
U TS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF'AREA PLUS REMOVED GLAZING
-NEW-HEATING, VEN.TILATING,{ AIR CONDITIONING AND HOT WATER SYSTEMS. IN..,
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS -SHEET.
OTHER i R��J`i`i"E COUNTY -
BUILDING DEPARTMENT
12/85
1.
PERMIT NO.
r P
E
M
.� MH UTIL.
PERMIT NO.
PERMIT EXPIRES
OWNER Robert Wheeler
CONTR.
LOCATION (A.P. 28-30-4i )
e/s Oro Bangor Hwy, 1400' N. of Bangor Para
Rd. B ngo�r/
�h
.• I
Temp. Power Pole—//
Called PG&E
Temp. Elec. Serv. L
Called PG&E 4=
T mp. Gas Serv.
Called PG&E
I .
JOB .�
FINALED
(Date)
(Signature)
- I
a .
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
DATE REMARKS OR CORRECTIONS
ce /7
q,-
BUILDING
BUILDING (Cont'd
PLY BING
Setback Z
Z— 2---
Firewall
Soil Piping Z117 <CA
Forms
— '7— Z—"7 [.
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
— '
Windows l
3rd Floor
Stemwall
I Siding
To out /, .2
Slab Z '-X— --7
Roof Sheathing
Water Pi in �Z
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr. l o?
StemwaII
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas lolo-
Slab
Final
Sanitation 7�
Patio
FIR LACE
Final 71Z-3/17
Footings
Footing
ELECTRAPU
Masonry Walls
Throat %
Rough 7
Reinf. Steel
Final p7,-3 % ,
Fixturesa
Bond Beam
oe
FIRE SPRINKLERS
Motors
Framin
Test
Water. Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
oo,Heating
Service
Brown
Cooling
Temp. 4%**e
Finish
Ducts
Underground
Interior Lath
p2
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
ce /7
q,-
19 PI-Hil
TO: Building Department
FROM: Environmental Health
RE: Sewage and/or mater Clearance
r 3O l
c0;,Rq R / LOCATIOa' A.pr
Has been approved for:
SE,1AGE DISPOSAL d
;IATSR SUPPLY
S95-775
Sanitarian
Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS / %j�9 26
7 County Center Drive ._- Oro�,ille, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT V
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X1�✓� Date �.�1✓ .�
/��% ature of Permitee or Agent
R21'.
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 PUBLIC WORKS
B 41 Date 7 j
uilding permit expires Date ?— � %
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Z/ 7- 4A0. 00
Mai I i ng Address
O
Tel ephono�S�
Fireplace 90
Contractor 47
Total Valuation A0 L10
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address SPLUMBING
No.
@
FEE
PERMIT FILING FEE $3.00 B0
Each Trap 1.50 7-5-6-
,5-6Repair
Repairdrainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 30
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Flies S i Fi eD pt. Fire Zone Use Permit
EQA Parking Parcel a cel Ma 0' R/W Im rov ents
Plans Declaration p p
Building sewer 5.00
Lawn sprinkler system 2.00
Bldg. Plans decd
orcel Approval I
Plans pproval
Permit Fee
$%
O 0
$ ox �)
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.
@
FEE
PERMIT FILING FEE J$3.00 '3,C$ -f
Main service incl. 1 meter DO
Additional meters, each
1.00
�►
Sub -panel (12 or s) (more 2) ,00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cool�or 0 1.00
Water H er or Space eater
1.00
p 0
Light fixtures 20 Pd2 ,
R;3J., switA s & fix OV is
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
H d, Ex. an or F.A. Furn. Motor 17
1.00
100
4
Evap. cooler, gar. 'sp.or 1.00 pe)
Air conditioner or heat pump
Water pump
Mobil Home F cilities 5.00
Temp. Power Pole 5.00 577D O
License No. Classification
Misc. wiring
i( I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$37.
6
$ 3
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit ,is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.
@
FEE
PERMIT FILING FEE $3.00 ,SDG
Heating
Cooling
Ventilation , DO
Hood 2.00 .0 . 0-0
Permit Fee $ 7100
$ e
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 property for inspection purposes.
X1�✓� Date �.�1✓ .�
/��% ature of Permitee or Agent
R21'.
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 PUBLIC WORKS
B 41 Date 7 j
uilding permit expires Date ?— � %
J
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drivp ,—,, Qr&ille, California 95965
Tel ephone: 534-4541
APPLICATION AND PERMIT
au t or ze representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
-46177
}�s�--�" �G3�ate
Signaturle of Permitee or Agent
/
Receipt No. 5-6 or46
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 paid.
DIRECTOR OF PUBLIC WORKS
By Date HCl—,2
(/0
ilding permit expires Date ���` / /
BUILDING
Owner p
SQ. FT. OCC. B ILDING VALU TION
Ke it atict-
Mailing Add ressP E-�
Telephone No
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee d�
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee �
Z e 15-0 leb
� O'
Building Address 0ry o
PLUMBING No. @ FEE
PERMIT FILING FEE J$3.00
OOCl/F
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. -30 i
"— /
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fes
W.
ire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
JParking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Im provements
Lawn sprinkler system 2.00
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
S
Main service 100v OR OR L
100 AMP OR LESS 5•00
Main service EA. AOD'L 100 AMP 2.50
Single Family S[ Duplex ❑ Mobil Home ❑ Others ❑
Main service 1100EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW &) 22sgft
OR ADDNST ( DWEACCLBLDGLINGOCcup-
NEWCONSTR. MULTI -OUTLET
NON .RESID. BRANCH CIRCUITS 2.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
Ex. Occu FIXED APPLNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
/ permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
h
TOTAL PERMIT FEE
$ Sd G
au t or ze representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
-46177
}�s�--�" �G3�ate
Signaturle of Permitee or Agent
/
Receipt No. 5-6 or46
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 paid.
DIRECTOR OF PUBLIC WORKS
By Date HCl—,2
(/0
ilding permit expires Date ���` / /
PERMIT NO.
F
• 5441-79B,E
PERMIT EXPIRES
may/
Barg Community Church
OWNER
CONTR. owner
k
LOCATION (A.P. 28-30 -t+1 )
E/S Oro Bangor Hwy, 1400'N.of Bangor Park
Rd., Bangor
I
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB /q
FINALED_ V �31P
(Date)
(Signature)
Slab
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTIONrRECORD
Sanitation
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall 10---
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows i
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex. �.
structure
Appliances
Gas Piping &Test
TemD. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough �-
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SP KLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heatina
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer -CA::)
Final
Final Q-
MOBILEHOME UTILITIES ---------- -------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
' -:`1--?
REMARKS OR CORRECTIONS
- ,
2t
(NOTE: An entry must be made on this form each time you visit the job site.)
J
�, t
/ _ y
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Te�ephone:•534-4541
APPLICATION AND PERMIT
BUILDING
Owner ;5,4/� 02
SQ. FT. OCC. BUILDING VAL ON
00Mailing
"''�
Address IP Q Boy 2' /
G,//l�.
Contractor WilC
Mailing Address
Fireplace
Total Valuation
Telephone No.
/
Permit Fee ,Q d
Building AddressS �_ g�
Plan Checking Fee&/or Penalty
Permit Fee
`
/'400 ` /V • or BA/ J Q/L
PLUMBING No.1 @ FEE
PAele- P_D
PERMIT FILING FEE $3.00
Each Trao 1.50
Repair drainage or vent piping 1.50
�O— 50— /f f
A. P. No. "i
Zani g Planning
Water piping 1.50
Each gas water heater or vent 1.50
F s I
W'C. Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improveme 4s
Each additional outlet .30
Building sewer 5.00
Bldg. PI s Recd
Parce royal
Plans pproval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
6?0A)(4SP_"% EkST1,A-)6 AFF C i�19 G
ELECTRICAL No. @ FEE
`�f
8C—D RwoA
PERMIT FILING FEE $3.00 FOD
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family �Duplex Mobil Home El 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. / DWELLING OrCogQ
OR ADDNS. L ACC• BLDGS.(� 22sgft
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:
y
NEW CONSTRESID, BRANCH TLET
CIRCUITS)
NON-RESID ` BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS.b,
NON.RESID, (POWER
OUTLET CIR,
Ex. Occuo(OUTLETS OR FIXTIIRES B �@1
Ex. OCCU FIXED APPLNS, OR
p• OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
11
Misc. Wiring 6.25
am exempt from the Contractors License Laws of the State of California.
Permit Fee $ Sa
$ %
MECHANICAL No. @ 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
Wor men's Compensation Insurance.
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.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$�� �E
autnonce representatives or the county or tsutte to enter upon me
above-mentioned property for inspection purposes.
Xkz&=jz Date 9�T
Signature of Pf�ermitee or Agent
Receipt No. 16
8579
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the B County Code and/or resolutions to do work indicated
ahoy fo which fees have been paid.
IRh I OR OF R BLIC WORKS Lr
3 Date
Building p rmit expires Dae — �~"
September 4, 1979
Butte County
Qroville., California
To Whom It Vlap Concerii.,
We the undersigned officers and pastor of the Bangok Community Church do
hereby authorize W. Burton De.Ue to sign for a building permit in behalf
of our membership.
Pastor
I
I
io
Dk
y � r
r � 1
COUNTY OF BUTTE — firDEPARTMENTOF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No.
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
W.C.
Sanitation
FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Recd
Parcel A roval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5•��
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVERov
100 A60MP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADD NST DWELLING
GS.CCUP. &� 22sgft
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:
NEW CONSTR MULTI-OUTL T
NON -REBID BRANCH CIRCUITS 2.50ea
NEW CONSTR (POWER APPARATUS 0
NON-RESID. `SINGLE OUTLET CLIR.
Ex. Occuo(DUTLETS OR FIXTURES) B 11
FIXED APPLNS. OR
Ex. Occup. OUTLETS IRESID.) 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 $
$
MECHANICAL No. @ FE_ E
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.
PERMIT FILING FEE J$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 relatinq to buildinq construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
Building permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541 /�// 79
APPLICATION AND PERMIT —'/ ,.
authorize representativ of the County of Butte to enter upon the
above-mentioned prope for ' sp ion purpo
r r
X �/� ' ate v
Signatur0005 Vermitee or Agent
Receipt No. , ec>
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.
DI CTOR OF PUBLIC WOR/KS
BY Date fa740/
Building perm 4..pim Date ® A
BUILDING
Owner Ci�LceG%�
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor 4 GWW&%L
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address ��p 6
Plan Checking Fee&/or Penalty
Permit Fee
v ®
PLUMBING No.1 @ FEE
ov
PERMIT FILING FEE $3.00 '6.04)
Each Trap 1.50
Gesy�_
Repair drainage or vent piping 1.50
A.-P/NO.��!jb
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fkds
W!/. Saa"a"n
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg.'PT(-3 nST%c'd
Parcel Ap roval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service EA. AOD'L 100 AMP 2.50
—
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
OR ADDNSNEW // CONST. ACCDWE•BLDGS.LING CCUP. Y) 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
st le of:
Y
NEW CONSTR BRANCH CIR T
NON-RESID, 1 BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS a
NON-RESID. (SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTURES) B L@;
Ex. OCCU FIXED APPLNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
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'41 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
OOH
Cooling
Ventilation
Hood 2.00
Permit Fee $ 7!j0
$ C
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 relatin to building construction, and hereby
Land Development Fee
is
TOTAL PERMIT FEE
$
authorize representativ of the County of Butte to enter upon the
above-mentioned prope for ' sp ion purpo
r r
X �/� ' ate v
Signatur0005 Vermitee or Agent
Receipt No. , ec>
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.
DI CTOR OF PUBLIC WOR/KS
BY Date fa740/
Building perm 4..pim Date ® A
of R
APPROVED
Butte County
Environmental Health
&61te
Signature
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