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028-310-001
\ ft _ u._.' • _� _ � .• - .. - AP 28-31-01 R.F. COOMBS w/s Upham Rd., 7/8 mi. N. of La Porte Rd . , Bang or��> % CQ-`�% " Permit# 278?-75B,P., M(newSF) AP 28-31-01 Permit 3751-75E (service change) 7� -- 28-31-1 Permit #3673-76B(lst zenewal for permit #27.82-7•5) I�� // 1g-,>7 28-31-1 t'em-it #4014-77B,P,E M(new sin le r fatr�ily) _ 'a - -g- 28-31-1 Permit #185-79B Obst. renewal/4014- 77)SF 28-31-1 Permit#3266-80B(2,-na renewal/4014- 77) SF i 28-31-1 Per, it#4631-80B(3rd renewal/4014-77) r 28-31-01 ROBERT TODISH a 241 Upham rd, Upham rd, Bangoro Contr: AMRE PErmit#729-88B(vinyl siding)SF j L: 0 . 3 � �� ©o � �� � �■� `� �� 7�'- ;73�/ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 1[-I ephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Ll Date Signature of Permitee or Agent 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 Building permit expires Date Date BUILDING Owner �.. SQ. FT. OCC. BUILDING VALUATION Mailing Address , :_� "r•' J Telephone No. Fireplace Contractor Total Valuation Mailing Address ✓J ✓ Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address �, r�� ,* .-; / PLUMBING No. @ FEE PERMIT FILING FEE $3.00 / `' '' ' '•, , . • 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. r Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma p 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 u z ;`(! ;. '/ , _r Main service incl. 1 meter J Additional meters, each 1.00 Sub -panel (12 or Jess) (more than 12) r { Single FamilyE] Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 r2U 1125 Light fixtures b a 0 10 — Receps., switches & fix outlets 20 t25 14ALo_,7 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ;', $ 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 Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit .ds 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 $ $ 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 relatina to buildina construction. and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Ll Date Signature of Permitee or Agent 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 Building permit expires Date Date J- - - , I . . I COUNTY OF BUTTE - DEPATMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X e � Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE I $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. RECTOR PF PUBLIC WORKS ,/ Rv Date �° % J Building permit expires Date Z� (O BUILDING Owner r SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. f-gs-qs— Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 '9 r /jfGZ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 p _ / O / A. P. No. D Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FJ,WJ AZI Saai.ta4en Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im rovements pL. Lawn sprinkler system 2.00 61 dg,-RIat&4o-d I Parcel Approval I Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 gq94 Main service incl. 1 meter 3.404 Additional meters each 1.00 Sub -panel (12 or ss) (mora than 12) ,S _ Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 60 fat Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 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 Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit ,is issued 1 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 $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X e � Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE I $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. RECTOR PF PUBLIC WORKS ,/ Rv Date �° % J Building permit expires Date Z� (O - OO ,90 4014-77B,P,E,M PERMIT EXPIR S �� OWNER Robot F. Coomes CONTR. owner LOCATION (A.P. 28-31-1 W/S Upham Rd.; 7/8 mi.N.of LaPorte Rd., Bangor "T a 4 Temp. Power Pole Called PG&E Temp. Elec. Serv.,/ Called PG&E/ Temp. Gas Sery Called P/,G&E JOB FI ED (D t ignature i V RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTAL D IN? 017CE WITH CURRENT ENERGY CONSERVATION REGULATIONS // ( oca 'on -742>— BUILDING BUILDING PERMIT NO. — /3A':P. NO. O r THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls Floors Walls Ceiling/Roof Ducts Circulating Pipes =-- APPROVED HEATER � APPROVED WTR.HTR.:::� GLAZING: Single Glaeed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. t/ BACK DAMPERED FANS o� INTERMITTENT IGNITION DEVICES CERT. APPLIANCES - A --,- I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE.HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applica- Signature of Insulation Applica �% License No. n General Contractor/Owner Name 1`pbeirk t"DOM &S (- e p 'nt) Signature of General Contractor/Own State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. r, COUNTY OF BUTTE — DEPARTMENT- OF PUBLIC WORKS BUILDING INSPECTION RECORD Q Aeinf. Steel BUILDIN BUILDING (Cont'd) Bond Be PLUMBING Setback Framing % Firewall Soil Piping Stucco Forms Sub anels \ Parapets 1st Floor Gird. Fault Prot. Main Bldg. Heating Restroom Finish 2nd Floor Cooling Footin sa� 7 Windows 3rd Floor Stemwal I Siding To out / Slab Fq Roof Sheathing Water P in Piers/ % Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwalI Insulation /O — r- Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Temp. Gas MR Slab Final 20 "- Sanitation Patio FIREPLACE Final Footings Footinq .ELECTRLeAL Q Aeinf. Steel Final — , %= Fixtures a Bond Be FIRE SPRINKLERS Motors Framing % Test Water Htr. Stucco Final Sub anels \ Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 1.2 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7.County Center Drive, OroviIle — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. / /� �raft'-�i(L_C 4.-r, s i Inspector /.� /._.. DateZ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P R IT. NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT r ASSESS R PARCEL NUMBER 3/- ZONI G S- LDING PER ITr /0,00 OW E r►.+ !�' rO' TELEPHONE 07$--2SZ5 SO. FT. OCC. BUILDING VALUATION O ER'S M LING ADDRESS uw CONTRACTOR'S NAME TELE HON CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER c -Ar UNKNOWN Fireplace Total Valuation Is 6 d LENDER'S MAILING ADDRESS --- Permit Fee $ ARCHITECT OR ENGINEER "0 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Z, dG BUILDING ADDRESS s u 7 PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PAR EL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTUREBuilding SF� Duplex❑ Mobilehome❑ Other �'_ �E�{!`-tL / SPECIFY sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodennl ❑ Utilities ❑ Installation C Other Describe work: �~@ /Claaya�% 6y O!�/—�,Z Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 8001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.DWELING OR ADDNS. ACCLBLOGS.CCUP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p i y (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness ElCcup and Professions Code and my license is in full force and effect. (cense No. Classification M I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR( ULTI.OUTLET NON•RESID. `BRANCH CIRC ITS) 2.50 ea NEW CONSTR. POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 50@@1Q BAL@10s Ex. Occup. FIXED . OR (RESID.) EA.) 2.00 p•�OUTLETS TS (RES Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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. E�_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. Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 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 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, costs, and expenses which may in any way accrue agaiVq said County c nsequence of the granting of this ermit. X Date �_ _ 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 $ Land Development Fee $ TOTAL PERMIT FEE $ da OCCuP. GROUP I TYPE ov CONST. PARCEL PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which CTO F PUBLIC By ` PE IT EXPIRES ate the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 15� Z 4(Z WHITE-D.P.W., YELLOW-ASSE850R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT • liw! Z-4 &WOW'' 0 ASS SS R PARCEL NUMBERZO ING BUILDING PERMIT OW R LL,�� /^ O '� `—• `a0�1o1 TELEPHONE �7 �Z�z� SO FT. OCC. UILDING VA ATJION ER'S MAILING ADDRESS Dy X /;: o? a Ifs CONTRACTOR'S NAME Ocva�r TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER ,5v<"Total UNKNOWN Fireplace Valuation $ LENDER'S MAILING ADDRESS .� Permit Fee $ .6-Z..4,C1 ARCHITECT OR ENGINEER dcci n '— LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ,�j' Z�.00 BUILDING ADDRESS. 7B /r S PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE Vol O SFX Duplex❑ Mobilehome❑ Other -�A�e!if✓QW.@ SPECIFY Building sewer Lawn sprinkler system 2.00/ TYPE OF WORK New❑ Addition [I Remodel❑ UtiImp❑ Instal lation❑ Otrerg Describe work: 2A.1' 2tfQu.Ql r _ Xea--?i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 6000V OR 0 AMP LOR ESS 5.00 Main service EA, ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. eLicense No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTRULTI-OUTLET 2.50 ea NON•RESID. BRANCH CIRC ITS NEW CONSTR. /POWER APPARATUS & NON-RESID, %SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES �� BAL@10¢ \\ Ex. OUTTS FIXED P(RESID )LINIS REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. L� ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai said County _5 consequence of the granting of this permit. X Date S Signature of Applicant — Owner Ll Contractor ❑ Age �� An OSHA permit is required for excavations over 5'0" deep and demolition or construct- in height. ion of structures over 3 stories i/ Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 5-7-,00 OCCUP. GROUP I TYPE of CONST. PARCEL PD I HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D TOR OF PUBLIC P,., B ` PERMIT EXPIR S Date_ the applicable provi- resolutions to do fees have been paid. WORKS 6 Date + �u B 80 Receipt No. 6 '7-o Z WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 /// n Telephone: 534-4541 / y6 — APPLICATION AND PERMIT / 0 BUILDING /1 n-/1_ _ .r _ SQ. FJ; OCC. I BUILDING VALUATION Mailing Address / o $ Total Valuation No. @ FEE PERMIT FILING Permit Fee le hone No. S Contractor Plan Checking Fee &/or Penalty 5.00 Main service Mai I i ng Address 2.50 C5c PLUMBING No. @ FEE PERMIT FILING FEE Telephone No. Building Address Each Trap 1.50 NEW CONSTR. NON.RESID. Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 A. P. No. / Building sewer Zoning & Planning 40—sl W:e 2.00 Fire Dept. Fire Zone Use Permit EQA Parking Plans Parcel, Declaraton parcel Ma p 60' R/W Improvements p 4Ida RLsa*-Re&!d Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 5' Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification I am exempt from the Contractors License Laws of the State of California. 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X at^ Date ignature of Permitee or Agent Receipt No. / aN---, 25 la White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Fireplace �"ALL' I B@1 $ Total Valuation No. @ FEE PERMIT FILING Permit Fee $3.00 , t Plan Checking Fee &/or Penalty 5.00 Main service Permit Fee 2.50 C5c PLUMBING No. @ FEE PERMIT FILING FEE $3.00 NEW CONST. ( OLING R ADONS. Each Trap 1.50 NEW CONSTR. NON.RESID. Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee �"ALL' I B@1 $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 10ov OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600v 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OLING R ADONS. DWEACCLBLDGS.CCUP. Y) 20sgft NEW CONSTR. NON.RESID. (MULTI -OUTLET l BRANCH CIRCUITS) 12.50ea EX. OCCUQ(OUTLETS OR FIXTURES �"ALL' I B@1 FIXED APPLNS. OR EX. OCCU p• OUTLETS (RESID.) EA)46.205 Temporary service Mobile Home Facilities Misc. Wiring Permit Fee $ MECHANICAL N0.1 @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which ees have been paid. ECTO F L C WORKS By Date 4ui/lding permit expires Date_�_�l COUNTY 0F•BUT7E — DEPARTMENT OF PUBLIC WORKS r t`*County Center Drive - Orovi Ile, California 95965 - — Telephone: 534-4541( 7 7 APPLICATION AND PERMIT AA Signature of Permitee or Agent 0 I/ r1 rJ 70 pingpermitex Receipt No. (� / / 7White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Bpires Date %- O BUILDING Owner 00 Q SQ. FT. OCC. BUILDING VALUATION Mailing Address v Tel hone No Fireplace ,fo- OLO Contractor Total Valuation p eg Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee 0-0 Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 t® Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Q Agning Vierific tion ORIV Each gas water heater or vent 1.50 A. P. No. - 3 1- �.g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Improv is P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel pproval Plans pprovol Permit Fee $ d 1 NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3f Main service 6111 OR LESS 5.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L loo AMP 1.00 NEW CONST. DWELING 0 OR ADDNS. ( ACC`BLDGS 22sgft NEW CONSTR. MULTI -OUT E 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 St Y Ie Of: Ex. Occup(OUTLETS OR FIXTURES) BA@L,Es L@1 FIXED APPLNS. OR " Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 >(® 1 am exempt from the Contractors License Laws of the State of California. Permit Fee • j 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �L�_k MECHANICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 old Heating Cooling Ventilation Hood 2.00 1Permit Fee $ /� $ TOTAL PERMIT FEE $ ., 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,,PqBLIC WORKS Signature of Permitee or Agent 0 I/ r1 rJ 70 pingpermitex Receipt No. (� / / 7White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Bpires Date %- O RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) OWNER �J��vV cmfAtIR A.P. A. 'GENERAL Zoning requirements Valuation. 3• Signature by R.C.E. (sideyards and parking). or Architect (if required). B. PLOT PLAN �! Complete parcel size and dimensions. x Setbackq, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Permit # # C. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). J� G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. J Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. 1 Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. ?/ Flpor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct 4 Roof construction details complete enough to construct building. .Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). y Exterior plaster — weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. building. (State law). 10' Living area over garage -'complete 1 -hour separation required including supporting walls and posts, etc. % ;11�e Two (2) exits on three-story dwellings (Sec. 3302). n:J.. 1 '. .:1:•J 7'.•Jl �"`ws �." x 1_l,": J.:. < �Z ,." n ZZ' o Ko. ontil�n.'i �.w: sibba hom-a is to 13�..ad. o 1,71 an purchased Ua oj,I'DOed ' h7Wfbsr o .Plea-* read the fo to -wing carsful.ly bafora sig. -Ann: "A-3" (Agricultn=!) Regulations, Sec iq*__' ..1,-d c1l,o s : 'd. Housing ftellitims (including mobile homos) to ,ac.-MM=eata on Iv ag-riczaltu a3 ompl ,y:3as and ;hni.r families employed by the owner or Opaxa mor of tho puo3a.ses; and provided. furthsr 'that auch housing facil Ity zhali be consid-axod a�,Cn3sory to the mAin building alnd shall conform to th.0 provision paz:tai Laing to raquire;d yard and open spacs goa dw@11ings . 0 G:rdinan-ca No. 1439 stafta: 91. AGRl:CCII P2 UFM �... M�=_ Lb Am individual 14ho v a i f or , by pars onal �ffiday.t and by of idavit of h ,W �. loyar, . that hz is, or will be, cp::uy�d at lez;zt 32 hours p*r a=4s for at leaut to ®ems per year, or h.i3 primary zo-2r= of a:nrYua6 incsnia in, or is anticipa -ed to derma bid fro=, way of the follcwing dsscribed eccL%pations : (1) The preparation, care, and t refitment of farm land, o ,ditches incl.udix-g I-evelirg for agricultu-al purposes, plowing, discing, and fnrtili®ing tzc soil; (2) The sowing and planting of any agricultural or horticultux- al ��►®�'ity a (3) 7h9 cmrn- of • any agricultural or hortictiultu--al. commodity. As jzod iYl this s; bdi inion, 'c;asaw includas , but is not to, -cultivation, irrigation, -wed control, thinning, hea?.Lrig, pruning, or tiaing, fun gatings, sprayin*j and dusting; (4). Thm harves m; ng of anny ag�,icul to al or horticultural co ni ty,, includein- but not limitsd to, picking, cutting, threshing, mowing, knocking off, fiald chopping, bunching, baling, bulling, field packing, and placing in fi ald oontat nary or in the vehicle in which tn® cozr-,odity will ba :mauled on.the fare or to tha place of first pocessi lig; (5) -rrz assembly and otowaga of any agrictaltural o6 horticul- tural comm- odity, including but: not l.smitad to, loading, road J d1 ng, baking, stacking, binning, ae:d piling; (6) ill raising, feeding and management of livestock, 'L,.a: bar- ing an{maln, Eish, frogs and other aquatic animals, and been, includ{Zr but no -t- lin-Ited to, h-3Qdi_ng, housing, hatching, m.lnrng, .shearing, handling eggs, and. xtractsng honay. (7) The operation, canzervation, imp:ovegment- o: MAint�er. anca o' ouch- fug mdw is tools. and a ua pint at., c T �. a v:'✓ {:r Wit. i.. : :lamM A jury Uizz':, ? ,`;gid a4'w� tu0i> ° "Ad ti', -Et pCz i.t 1-J :>d fear uric, : =1-7.. pp'l o Codon, ho iao l -g f ai S . i"Clas cn Sact-2!o,a 2, des conform to Nact-ion 2,3_d Paz idant: 'lo—ft d in gstctyon 4 of. this application and Agricu_tubai Gnplojao as deflaad in 0-dinanco 6. Permit description and numbor Dsto issued By ,2-, 8-9-77 I Robert Felix Coomes authorize Ruth A. Todish, my Daughter, to sign all required Documents on my behalf concerning Building permits ect.. Robert F. Coomes 0 'Z" -e 5?,;7- T 4 PERMIT NO. 27$2-75B,P 'FM ` _ P E M MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER R.F. COOmes CONTR. LOCATION (A.P. 28-31-01 ) f ,h w/s Upham Rd., app.7/8 mi. N. of La Porte Rd. Bangor ly a. d �l }t II Temp. Power P-vtA0f 9z'4 ` . Called PG&E Temp. Elea Serv. Called PG&E T mp. Gas Serv. Called PG&E JOB FINALED (Date (Signal e) 1. ! THIS IS TO CERTIFY THAT � INSULATION HAS BEEN INSTALLED IN CONFOR AN'CE WITH a THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS��c Manufacturer C4''�w� Thickness/Type 3�Z- R Value / CEILINGS A f Batts: Manufacturer �- �-�`�/ Thickness R Value -/ Blown: Manufacturer Thickness No. Bags Wt./Bag Sq. Ft. Covered R Value FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation ;aches FOUNDATION WALLS Manufacturer Thickness/Type R Value GE'N�jA �RACTOR LICENSE No. BYE'Rt-`���� -�✓ TITLE — DATE 7/ INSULATION CON ACTOR: HAWKIN'S INSULATION"CO. LI NS o. 215-925 BY ,2�'� DATE T0: Building Department FROM- Environmental Health RE: Sewage and/or water Clearance ` y ' .��.��. �: %�,��.�, �. � � • .�./ � x'01 04NER LOCATIQiv s rias been approved for: S NAGE DISPOSAL m .s�5an Aari.a.n I ellelz Date 595-775 COUNTY OF BUTTE" - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING,, I BUILDING (Cont'd) I PLUMBING a Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings < Windows IZ21,Z711171e,3rd Floor Stemwall S i d i n g To out Slab Roof Sheathing Water Piers Roofing Sewer Garage Fdn. Vents % Fixturepr s Footings Garage Vents Water.Htr. Stemwall Slab ;� Prov. for physically handicapped Heaters Appliances Carport Footings /` Conformance f ex structurei� Gas Piping & Test A , Temp. Gas ���� Slab Final Sanitation All Patio FIREPLACE Final Footings % Fo ting ELECTRIC Masonry Walls Throat Rou h © 7 Reinf. Steel Final ` Fixtures� % Bond Beam 42 4zFIRES INKLERS Motors Framing`7111"14pyl Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling % Temp.'P-uMe- % Finish Ducts Underground Interior Lath Ventilation _ s Permanent�% Door Closer Final —7,1-7X-7 7 ,V Final �AdW DATE REMARKS OR CORRECTIONS A-� r_ � 7 ` � G %-meq �� 7�.•n,�• a'° �`-�'-- /' s_��- ,,,� �Zr�- ,� .gig 0 Gu Ndf / .5 Gov/es�t� �O �ii-�4d <WU �,,OGJ'^ Wo L�u N kv,P,Ott � 71117 I-IdIP177ATI'`te �" COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W® 3 County Center Drive - . Groville, California 95965 Telephone: 534-4541 � R v APPLICATION AND PERMIT BUILDING Owner A'. "e'-© s SQ. FT.— OCC. BUILDING VALUATION Alr Ott Mailing Address �- Telephone No. Fireplace -6-0,0© Contractor Total Valu tion / / d 00 Permit Fee Mai I i ng Address Telephone No. Plan Checking Fee &/or Penalty Permit Fee W,60 d t: Building Address //-- PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3, d % Each Trap 1.50 , 01 AC Repair drainage or vent piping 1.50 Water piping 1.50 o Each gas wat eater or vent 1.50 A. P. No.�j J / i Gas piping system 1 - 5 outlets 1.50 , 3Q Q / /nin 8 Planning Each additional outlet .30 F& -S-1 W. Saf�j,'t n I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel parcel Ma 60' R/W Im r Lawn sprinkler system 2.00 Plans Declaration �,,� P p ov ents Bldg. Plan�c'd Parcel -Approval Plans pproval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 x.00 Main service incl. 1 meter Additional meters, jeach 1.00 - Sub -panel 02 ess) (more than 12) SQ Single Family 10 Duplex ❑ Mobil Home ❑ Others ❑ I917049�,"Cook-top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesb 102 s., sw es & fix lets ,3 CONTRACTORS LICENSE LAW Hobf, Ex. Fan or F.A. Furn. Motor 1.00 I am licensed under the provisions of Chapter 9, Div. 3, of the Evaa.ta6jer,gar. disp. orD.W. 1.00 ,410 State of California Business & Professions Code under the name Air conditioner or heat pump style of: Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Misc. wiring License No. Classification [XI am exempt from the Contractors License Laws of the State of California. Permit Fee $ . o $ e MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Cooling A'L�CW,471kg5' 3'pO Workmen's Compensation Insurance. I certify that in the performance of the work for which this Ventilation VNI permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood ) 2.00 a. 00 California. $ 9100$ L Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. V Signature of Permitee or Agent / Receipt No. „Z 3325_-_ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE 1$/a7_17_1037 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 OUBLIC WORKS BY Date % J Uilding permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —T Urovil-fe, California 95965 6,73-76 '7 __� Telephone: 534-4541 APPLICATION AND PERMIT Receipt No.A/ By Date " jL// G�3© White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant uilditl9 permit expires Date _ 2— 7i " i i BUILDING Owner T 0� SQ. FT. OCC. BUILDING VALUATION Mailing Address 86X is- Tele hone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee D Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ O Building Address (,(� RA ► PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 7 eo"L13864're Each Trap 1.50 2 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �' I Q� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees , W. C. carr..tat—^s Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 81dyr-P+VR%-REe1el I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ]�(y, •% N��$.i d V 0V OR LE Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service/ EA. ADD•L 100 AMP 1.00 NEW CONST.DWELING OR ADDNS. ( ACCLBLDGS. OCCUP. &) 20sq ft NEW CONSTR. (MULTI -OUTLET NON-RESID. BRANCH CIRCUITS)-2.50ea NEW CONSTR. (POWER APPARATUS & NON .RES,0. 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)50 @25a BAL@1 Ex. Occu FIXED APP LNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 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 I 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. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Signature of Permitee or Agent MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ Q �� This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS Receipt No.A/ By Date " jL// G�3© White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant uilditl9 permit expires Date _ 2— 7i " i i Permit#729-88B Robert'rodish 241 Upham Rd, Bangor COUNTY OF BUTTE - DEPA TMENT OF PUBLIC WORKS /PERMIT NO 7 County Center Drive - Oroville, Califo6a 95965 - Telephone: 916/538-7541 G APPLICATANAD PERMIT ASSESSOR PARCEL NUMB R ZONING BUILDING PERMIT 11 OWNERI _ TELEIPHONE SQ. FT. OCC. BUILDINGV LUATION OWN'ER'S MAILING ADDRESS /� 7 i CONTrRACTOR'S NAME / TELEPHONE CONTRACTOR'S MAILING ADDRESS , Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 7 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 1 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCVL. MAP VV Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFP( Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S FG JW 1 10-00 ea TYPE OF WORK New ❑ Addition ❑ Rem%del [:1Utilities ❑ Instal lation❑ Other Describe work: / l I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 10.00 600 AMP OR LESS Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): l 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. -417 i O l_ L- Classification f[�Z1 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason OCCUP.Ed) '/z¢sgft NEW CONST. DWELLING OR ADDNS. ACC. BLDGS. I NEW CONSTR TI.OUTLET 2.50 ea NON.RESID .BRA CH CIRC TS /POWER APPARATUS e) `SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES DA 030 Ex. OCCUp. OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ®.rl 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-ilnsure. ❑ I shall not employ, any person Jn any,manner so as to become subject to the W. C. laws of California: \ Notice to Applicant: If after making this-statement,should you become subject to the W. C. provisions of the Labor Code, you_must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state.that the above information is correct. I agree to comply to all -County Or'di,nances 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, judgment"s,-.costs, and expenses which may in any way accrue against said County in consequence of the granting of this pe mit. 3 j O /tf0 X -"I,4�w --- Date o " Signature of Applicant — caner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ J OCCUP. CONST.TYPE SCHOOL vLOaD PARCEL I PD NO I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do k indicated above for which fees have been paid. work 1 A �� DIRECTOR'OF PUBLIC*WORKS / 4.4t—J)wi DateReceipt y �� -ia _ 6 - 9 PERMIT EXPIRES Date No. (/7�C�B WHITE-D.P.W.. YELLOW-ASe ESSOR. PINK -INSPECTOR, GOLD EN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATJON AND PERMIT ERMI NO. ASSESS PA CIL ��17R _17 - 3 ZON11 BUILDING PERMIT OW /I he -i- -rgd,,,5 A - TEILePHONE S,9. F T. OCC. BUILPING V�,LU.ATION 1_ — 4 Owt4ERIS IAIL12AD�RESS Aq nq jQ Y' COMRACTOR'S NJRE V ,;?y ;n /N I TELEPHONE CONTRACTOR -)5PAILING Ar SKS, Fireplace _T_ CONSTRUCT! N LF-NDFR UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ A 1;2_ PLUMBING PERMIT Fi ling Fee 10.00 A Each Trap 2.00 n d& Solar or heat pump water heater 20.00 LOT NO. 'I SUBDIVISION NAME PARCPL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFV Duplex[] Mobilehomen Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.001 Mobile Home S I G I W 10-00 eii TYPE OF WORK New[:] Additiono Remydel[:] Utilit InstallationEl Other 0 ; Describe work: ly ). n L/ �5FO/J 1 J116 d Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 OOOV OR LESS me in service 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): P�1_1 am licensed under provisions of Chapt. 9, Div. 3 of the Busines S and Professions Code and my license is in full force and effect. License No. Classification LS 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) El I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST DWELLING OCCUP.al OR ADDNS. ACC. BLDGS. 21/20sq ft N EW CO NSTR. MULT'_OUT LET 2.50 ea S, NON -RE .0. BRANCH CIR C., TO POWER APPARATUS &I (SINGLE OUTLET CIR. I 20050t Ex Occup(OUTLETS OR FIXTURES 15AL0 30C FIXED APPLNS OR Ex. Occup. OUTLETS (RESI*D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 — Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): [:] The permit is for $100.00 (valuation) or less. FA -4--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. F-1 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 becornei.01.11j'a" to the W. C. provisions of the Labor Code, you must forthwith comply w th such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Fi I ing Fee 10.00 Heating Cooling Hood 3.00 Venti lation Pennit Fee $ Contractor certify that I have read this application and state that the above informat ion 1 s 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, costs, and expenses which may in any way accrue against said County in consequence of the granting of this prit. X <Qo,.— Dat .3 1 0 & 8 Signature of Applicant - gwnerE] ContractorE] Agent P An OSHA, permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 0 CCUP.1 CONST.TYPrl ISCHOOLI FLOODIPARCELI P This permit is hereCby issued under sions of the But e ounty Code and/or work indall ated above for which DJR F PUB B PERMIT EXPIREE the applicable provi- resolutions to do fees have been paid. ORKS Receipt No. WHITZ-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT