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Home My WebLink About028-310-024_ . ' � . 10636 LaPorte Rd, Bangor Contr: Bob Strang ' ~ � — ^ } o i ' .. r-��.,�. •� {r.�r�.,.a{.�-' ....• .. .. .�.��i4^u:�il"y��:`' .7i'r '"^+.I �'-�:•^4� t':Y `!'f5-- �'�� 4.i..1 .ii..-. a�.-w f�n.,;M-.. '� - - �i ' 3032=87E ; A� MARVIN LARSON I 10636 LaPorte Rd. Orov lle OFFICE COPY Address GAS Dated Meter BY --.---' Meter By COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS, 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. `r ASSESSOR PARCEL VMBER„ '`� .+ ZON,4NG f BUILDING PERMIT OWNER, TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Q Describe work: M f * ( Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10OV OR LESS 100 AMP OR LESS 10.00 Main service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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. /, I License No..V"— "— 1 S' + Classification � i1 El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.al) 1/�2sgft OR ADDNS, l ACC. BLDGS. NEW CONSTR. U '.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS /POWER APPARATUS el (SINGLE OUTLET CIR. JI EX. OCCUp OUTLETS OR FIXTURES 200030 SALO 30 Ex. OCCup. OUTLETS P(RESID.)FIXED APLNSREA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring / 15.00 /'- Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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. 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. 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 permit. r" ! X ll�1 �> �' Date • • '' Signature of Applicant — Owner 0 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 $ TOTAL PERMIT FEE $ oc Cu P. CONST.TYP! ISCHOOLIFU00111PARCF1.1 P11 I ND I 139VE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC / i ✓,� .'�� By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date I �i Receipt No. O WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-75410272�0 APPLICATION AND PERMIT ASSESSOR p( PAB,f L BER,., ZONIN BUILDING PERMIT OWN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAAI 1 ADORES zo CONT AC R'S ME CONTR T SMA N A S (�/ Ct✓ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 / l//I Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home I S I G JW I 110.00eii TYPE OF WORK New❑ Addition ❑ Remodel 0j U�ilities Installation❑ Other,t Permit Fee $ Describe work: ��{/ -[ic.c /�//-� l . Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 iQ Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP.01) OR ADDNS. AGC. BLDGS. '/zQsgft I declare under penalty of perjury (Check one): NEW CONSTR. MULTI -OUTLET 2,50 ea - I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRCUITS) POWER APPARATUS tr (SINGLE I and Professions Code and my license is in full force and effect. OUTLET CIR. ��U�Q' License No. Y Classification C� —f U EX. OCCUp(OUTLETS OR FIXTURES 209900 DAL030 ❑ I, as the owner, or my employees with wages as their sole compen- Ex. OCCUp. OUTLETS FIXED P(RESID ISIS )REA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. �Yirirtg 15.00 / ors. (Sec. 7044) . ❑ I am exempt under Sec. , Business and Professions Code ` for this reason 45ermit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement,should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ o� 1 also agree to save, indemnify and keep harmless the County of Butte against OCCUP, CONST.TYPE PD ND seu all liabilities, judgments, costs, and expenses which may in any way accrue ISCHOOLIFLOODIPAgCIILI I against sai ounty i C sequence of the granting of this permit. This pe it is hereby issued under the applicable provi- X Date sions t e Butte C my Code and/or resolutions to do Signature of Applicant — Owner Contractor ❑ Agent mr ind'i ted abo a �Or Zech tees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- E OR OF PUBLIC WORKS %P ion of structures over 3 stories in height. r I�JCIP Receipt No. (�y OC By Date _ //s-" WNITE-D.P.W., YELLOW-ASSE330M, PINK -INSPECTOR. GOLDENROD-APPLI CANT PERMIT EXPIRES Date ere^,t s ... _ 3�.'r's'r .! •.. a.�'i _ 4.� a< <�� s ` .. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVWi Eyr 4FORNIA 95965 -TELEPHONE: 916/538-7541' i PERMIT APPLICATION DATA SHEET �;. Permit No. OWNER � cG�'C�L�001C✓ A. P. No. 3 Proposed Building Use �D/�/ Building Inspector / Date 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. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid'' Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approva1,from _ Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) —14. Owner -Builder Verification (Given to owner[], Mail to owner ❑) — _.__..._15. Im rovements may be required. . . . . . . . . . . . _ 16. obilehome Installation Data. . . . . . . . . . Pre-Inspec. request to �� (Date) Pre -Inspection for _.. _ . __ _. _ Required. Building Inspector FAt, h_Lo 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. — — — 22. — -- Wh nyou issue the ermit, ocess as follows: Mail to owner, Mail to contractor. Telephones3a-��d^ and hold for pickup A VO office, Deliver w/inspector. Other 52_R oras'" Applicantit Date J Copy of plans sent Health Dept.; Fire Dept., Other Date 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 c? above required data by—phone —mai l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION'AND PERMIT PERMIT NO. ASSESSOR :;RCL BERG, ZONIN �r BUILDING PERMIT OWN TEkSPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIY" ADDRES (� CONT AC R'S M T L P O E� CONTRACT S MA IN A 3 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ •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 $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SIR Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel[]/ UU 11ities Installation[] Other. Describe work:�iQ�,(� -��✓�( �� /Tl�o Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR LESS 00 AMP OR LESSOrd 10.00 , Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I de la a 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. 5LS / USJZClassification —10 IDI, 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.y) , OR ADDNS. (ACC. BLDGS. 2 Osq ft. NEW CONSTR U I.OUTLET 2,50 ea NON-RESID BRA C CIRC ITS POWER APPARATUS e`` SINGLE OUTLET CIR. 1 E%. Occup(OUTLETS OR FIXTURES SASS30 Ex. Occup. OUTLETS (RESID )RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring ^ ng 15.00 / 115ermit 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 t 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 shal I 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. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, Indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai ounty I c sequence of the granting of this permit. XThis ^ 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 16o? OC Cu P. C0043T.TYP[ 1 SCHOOL I PLOOD PARCEL 1 PD 1 NO 133UE permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. Q 0 A WHIT[-D.P.W., T[LLOW-A3e[3SOR. PIN[-INev[CTOR. GOLDENROD-AP►LI CANT