HomeMy WebLinkAbout031-290-013N
31=29=13 � c
Frank Lamden
679 Siskiyou, Ofoville I
contr. Pryor Contr., Orovil1j
Permit 44723-77B(reroof/SF)
031-29-0-013 93-1152-B ..0
LAMDIN, FRANK
679 SISKIYOU AVE, OROVILLE
CONTR:.GEORGE ROOFING
REROOF/SF
031-29-0-013 97r-2012 E
LAMDIN, Prank & Jerri
679 Siskiyou Ave, Orovill as
(elec ser ch)SF Chucks Electric,
031-290-013 ` ` 04=2743
LAMDIN, FRANK '
679 SISKIYOU AVE, OROVILLE
CONT: GEORGE ROOFING
RE -ROOF
T 031_z.gp�3
1 BURKS, `Richard 5096B
-) 3976P ,Q r
679 Siskiyou .Ave., Lot #2, After ay S.
Oroville
;(new single family) a - 3 -G S
i
r
911
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP042743
LICENSED CONTRACTORS 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
Issued Date: 09/17/2004 APN • 031-290-013-000
the Business and Professions Code, and my license is in full force and
effect. � `�p
License Class: License Number: s tolo,
Site Address: 679 SISKIYOU AVE ORO
Date: —L% Contractor:
Map Index:
Description: RE ROOF COMP 17 SQ.
OWNER43UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: LAMDIN FRANK A &JERRY C
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
679 SISKIYOU
signed statement that he or she is licensed pursuant to the provisions of
OROVILLE CA
the Contractors State License Law (Chapter 9 commencing with Section
,
7000) of Division 3 of the Business and Professions Code) or that he or
95965
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).):
❑ 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
Applicant: LAMDIN FRANK A & JERRY C
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such 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 improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor; GEORGE ROOFING
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
6610 LINCOLN BLVD
❑ I am Exempt under Article 3 of the Business and Professions Code
OROVILLE, CA 95966
(530) 533-6393
Date: Owner:
License M 452266
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
Architect:
is issued.
1 have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy num r are:
Carrier:
Total Square Ft: 0 S. F.
�`�//
Policy #:
Valuation: $0.00
Census Code:
❑ 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 workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: —9 �Z 7 0 F
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
G�
e
CONSTRUCTION LENDING AGENCY
This permit's hereb issued under the app 5 . le rovisions of the Butte County Code anrltor
I hereby affirm that there is a construction lending agency for the
Resolutio s to do rk indicated above f whi h fee ve been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
-
Name:
By: Date:
PERMIT EXP ES ON:
ate
Address:
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
Cl Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upontheabove mentioned property for inspection purposes.
Print Name: �� /C� �� 2V e��e) Signature:
Date: 17
❑ Owner ❑ Contractor _Kgent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
APPLICANT SIGNATURE
X Shirley Trew Agent for George o0
For office use only:
OWNER
Name
Frank A. & Lissa D. Lamdin
Address
679 Siskiyou Ave.
City
Oroville
State CA
Zip 95965
Phone
530-534-0296
Fax
E-mail
Lic.#Class
APPLICANT SIGNATURE
X Shirley Trew Agent for George o0
For office use only:
CONTRACTOR
Name
GEORGE ROOFING
Address
6810 Lincoln Blvd
City
Oroville
State CA Zip
Phone
(530) 533-6393
Fax (530)533-0287
E-mail
dan@abcgc.com
Lic.#Class
dan@abcgc.com
452266
C39
APPLICANT SIGNATURE
X Shirley Trew Agent for George o0
For office use only:
ARCHITECT/ENGINEER
Name
N/A
Address
6810 Linocln Blvd
City
Oroville
State CA Zip
Phone
(530) 533-6393
Fax
E-mail
dan@abcgc.com
State License Number
APPLICANT SIGNATURE
X Shirley Trew Agent for George o0
For office use only:
APPLICANT NAME
Name
GEORGE ROOFING
Address
6810 Linocln Blvd
City
Oroville
State CA Zip 95966
Phone
(530) 533-6393
Fax (530) 533-0287
E-mail
dan@abcgc.com
APPLICANT SIGNATURE
X Shirley Trew Agent for George o0
For office use only:
Zoning Flood Zone SRA Yes No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT NO.
a,- -21749
BP
BIN #
LOCATION
AP# 3 :2 c
Property Address 679 Siskiyou Ave.
Oroville, Ca. 95965
Cross Street
WORKER'S COMPENSATION
Policy Number 272-596-02
Carrier STATE FUND
If hiring anyone other than license contractors, a certificate of workers
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work
Reroof - House - Comp
Sq. Footage 17 Squares
❑ Structure Built Without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after
the date of application. In order to renew action on an application after
expiration, a new application, plans and fee will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the
fee. The request must be made prior to the expiration of the permit and no
construction work has been done. Filing fees, plan check fees for work plan
checked and other department costs are not refundable.
Received by:T _ Amount: llr'y Bldg
tI c SRA
Receipt #: i /ZV q % Sheriff
CK SMIP
/�
Other
Date_ 17-01'
% 10 Total
REV: George Roofing
•Gti!�.Twfv4r�fr�i*;�e�l•' iTr'^' }�+q��:.��nr•^r'- '�.,.:-*ora+--=-+..,�,.«r--;,,r,.T^•a-z;3n'''rrrrn;r.:�,»r�..��.�.3"ttaN+ia.-r'frl.�rra,�L.r^%r+7al+t
Fiyou
-013 97-2012 E'
° Frank & Jerri
- Ave, Oroville
r ch)SF Chucks Electric
r .
i
r
t
J
' OFFICE COPY
Address
G
eter By Date
ELECTRIC
Meter By Da
r
1
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, Califo�nia 95965 - Telephone (916) 538-7541- PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 2Z U/�
ASSESSOR PARCEL NUMBER 031-290-013
ZONING
BUILDINGPERMIT /
OWNER FRANK \K O .1r"7..RI I,ARDIN
�
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS G79 SISKIYOU AVE
CONTRACTOR'S NAME
Cf TUCK' S nL ECIC
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 679 STSt TVOU
(J 1 !►1l U AVEJIrL
Ener Plan Checking Fee $
Energy g
OROVIILE
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 4 Duplex ❑ Mobilehome ❑ Other
SPECIFY si'
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0.
t:
Describe Work: EIEC SER 01M
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
920.00
PERMIT FEE S
a
ELECTRICAL PERMIT
Filing Fee 20.00
1
LEs
Main Service '2.", ov ooR R LEsss
23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
LICENSED 1
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. Qi/
License Class 0/1) Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason: I
❑ 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 licens �d contractors
to construct the project. ,
❑ 1 am exempt under Sec. Business and Professions code for this
reason
Main Service ( 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
oa ADD S. ( a ACC. BLOS.
SO
3.5,s
N" RESIOT MULTI-OU.RQUTSTLET
97,50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 Q I.00
B^u @�
Ex. Occup. our.E' RES D.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
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
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
� �'�-�
X��in_--- Date�/
Signature of -Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HO
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.
B < k ./ ate _
!..I
PERMIT EXPIRES ON C11w /4
1 7 D to
22 559
Receipt No. -
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
In
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -
7 County Center Drive - Oroville, Califdrnia 95965 - Telephone
(Rev. 12/96) APPLICATION AND PERMIT
BUILDING DIVISION
(916) 538-754 PER IT NO.
0/.
ASSESSOR PARCEL NUMBER 031-290-013
ZONING
BUILDING PERMIT
OWNER FRANK & JERRI LAnIN
TELEPHONE
SO. FT. OCC. BUILDING
VALUATION
OWNER'S MAILING ADDRESS 679 SISKIYOU AVE
CONTRACTOR'S NAME CHUCK'S ELECTTRIC
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation Is
ARCHITECT OR ENGINEER
52 EN ENO.
Filen Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
679 SISKIYOU AVE
Energy Plan Checking Fee $
OROVILLE
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF [A 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
Describe Work: ELEC SER CHANGE
Gas i in system 1 - 5 outlets
15.00
Buildin sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service loon ow mss
23.00 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 0l0 Lic. No. 6
�� Moo
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
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
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING UP. s0
OR ADDNS. ( a ACC. erns. 3.5QFT:
NEW CONST. MULTI -OUTLET
NON-RESID. X BRANCHCIRCUITS 97.50
POWER APPARATUS
a SINGLE OUTLET CIR
Ex. Occup. OUTLET OR FIXTURES SA��': o
Ex. Occup. oUTLEEDTs REESID.OEA,
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 43.00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
A one hundred dollars ($100) or less.)
�/I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
r
Date ,: _
?g4nreofcant 4p'p—r- ❑Owner ❑ Contractor ❑ Ageht
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL PD
HD
ISSU
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
`
n
B 1(:C l4,_4 ate
EXPIRES ON
provisions
to do work
paid.
Ig 5 _
fe
Receipt No. 224589PERMIT
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
J
(Rev. 12/96)
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive = Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER c�
ZONING
BUILDING PERMIT
OWNER R
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER MAI ADORES
U ,
CO R' NAME�
-e e
+ r i c—
TELEPHONE '
coNtRA&bRmAwNa ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation S
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee 5
20.00
Permit Fee S
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee S
BUILDING ADDRESS �,�
U(79�
AAI-,
Energy Plan Checking Fee $
jPAR.ECMAP
a
PERMIT FEE _
LOTNO..
SUBONSIONS NAME
PLUMBING PERMIT
Fling 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 /❑ Utilite�sn❑ Installation ❑ Other
Describe Work: `�%�)j<, '� �/ _ _
Gas piping system 1 - 5 outlets
15.00
--Buildingsewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE t
ELECTRICAL PERMIT
Fling Fee 1 20.00
Main Service 0.00.11 OR LLEESS
23.00 U
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
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 f I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, 1 shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWEli1N0 OCCUP. s0
OR ADDNS. ( y q�. CC 3.5QFr:
NGwpESID T. MULT40UTLET 97.50
POWER APPARATUS
a sw. oLmET CIR.
Ex. Occu OUTLET ORFUTURES Bn�L®'.w
Ex. Occup. o. (.ED ,oE. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE t
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee I $
Energy Inspection Fee $
OCC
O
CONST. TYPE
TOTAL FEE S
H
o. FEES
LMP
FLDOD
CDF
PARCEL
PO
HO
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
to
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1
... -.tip:. jr-'t, . .. h: r ,.. { ;cr. �J - � i.. — "a�'� �r f+—:. � Y.4.-:J`i,'F::�ie_ • ...ti.
r T,.
~ l 031-29-0-013 93-1152 B
1. •LAMDIN, FRANK
679 SISKIYOU,AVE, OROVILLE
i CONTR: GEORGE ROOFING
REROOF/SF
^!,r, �'-.;f'aitiFICt,..._tis ft :'Y�t�`�'1�..-f.iV�'dy. fT 'Y'^;•'jN.;..,..T'.rM77�7g�..i 9tri+R.1{�:'��,11%'s'a,.4-;.�','ir "`.'t'e"arG:.,L.ar..`..,� ;i'": t'.:.'.:.
COUNTY OF BUTTE - D9PARTMENT OF PUBLIC WORKS 7 PERMIT N0.
_7 County Center Drive - Oroville., California 95965 - Telephone: 916/538-7541 orr
APPLIChON *AND PERMIT
ASSESSOR PARCEL NUMBER
ZONIN
`/7
BUILDING PERMIT
OWN
1,#LEP oN
SO. FT. OCC. BUILDING VALUATION
OW. AlL G AD4 SS
rX �
CO RACTO 'S NAM , -- LEPH NE
�3 -393
C N,T A TO S MAILING AD SS
/
Fireplace
CONSTRUCTION LE ER
UNKNOWN
Total Valuation I $ /
LENDER'S MAILING ADDRESS -
ARCHITECT OR ENGINEER LICENSE NO.
Fl.ling .Fee $ 15,00
Permit Fee $
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILD�" A SS
Permit fee $ 15
r
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SFDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 1 15.00
Mobile Home S I G I W @ 15.0011
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: _
-�.
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORLESS 18.50
CONTRACTORS LICENSE LAW
I declar under penalty of perjury (check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code /aan�d my license is in full force a effect.
License No. 7�,2,16C Classification 7
❑ 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
Main service 200A TO IOOOA) 37.50
NEW CONST. ( DWELLING OCCUR.d) 3.64 sq.ft.
OR ADONS. ACC, BLDGS.
NEW CONSTR ULT '-OUTLET
NO N•RESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR. )
20 76ri
Ex. Occup OUTLETS OR FIXTURESFIXED
APLNS.
Ex. Occup. OUTLETS (PRESID )REA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. byirin g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ , The permit is for $100.00 (valuation) or less.
tQ' I have placed on file with the County of Butte Building Department
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 FiIingFee 15.00
Heating
Cooling
g
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 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 cprfseGuence of he grand gf this permit.
%Date y ��,� • ; j s'
Signature of Applicant v
An OSHA permit is required for excavations over 5'0" deep and demo ition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ yj �%1
,
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
PD
HD
I UE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTORR 0 PUBLIC WORKS
By ,-7 ., ;r Date
PERMIT EXPIRES Date
Receipt No. �`7 �C�C
WHITE-D.r.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD-APPLI CANT
i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC S
7 County Center Drive - Oroville, California 95965 - Telephone) 16 3 7541
APPLICATION AND PERMIT
PERMIT NO.
3-Z
ASSESSOR PARCEL NUMBER
ZONIN
.R
BUILDING PERMIT
OWN
T LEP o
SO. FT. OCC. BUILDING VALUATION
OW MA LI G AD ESS
sx't t
r
CO RACTO 'S NAM
LEPNE
33-H 393
C P A TO S MAILING A
/ (Z> D SS 18
Fireplace
CONSTRUCTION LE ER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee $ 15,00
Permit Fee $
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDI NA A 59 R ,
(/rJ_
Permit fee $
f
�S—
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF uplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other
Describe work:
'
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
CONTRACTORS LICENSE LAW
I declar under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code /a/,nd my license is in full nnforce d effect.
License No. ���// Classification (-'13
❑ 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
Main service 200ATO1000A1 37.50
NEW CONST. / DWELLING OCCUP.51 3.6Q sq.f[.
OR ADDNS. ( AGC. BLDGS. II
NEW CONSTR. ULTI.OUTLET
NO N•R ESLD BRANCH CIRC ITS 5 00
POWER APPARATUS 8
(SINGLE OUTLET CIR.
J20
Ex. Occup(ouTLETS OR FIXTURES 76d
FIXED APPLNS.
Ex. Occup. OUTLETS (RESID )KEA.) I 3.00
Temporary service 1 15.00
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.
j� I have placed on file with the County of Butte Building Department
,,>---a-Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 1 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 FiIingFee 15.00
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 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 Inc seence of he grant�f this permit.
X�1�2/��-����:�r�=�✓ Date -a��� "
Signature of Applicant — Owner ❑ Contractor ❑ Age
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 S
Energy Inspection Fee $
occ
CONST TYPE
I TOTAL FEE $
HAz
I DFEES 1
IMP
FLOOD
CDF
PARCEL
PD
HD
1 UE
This permit is hereby issued under the applicable provi
sions of the Butte County Code and/or resolutions to do j
work indicated above for which fees have been paid.
DI E TORO ELIC WORKS
By Date - 7 3
PERMIT EXPIRES to 2 9
Receipt No. ! ��
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
tee/ < '
�eyo,�,,nN�db
�e
o�
t
PERMIT NO. 4723-77B
c
PERMIT EXPIRES
OWNER Frank Lamden
CONTR. Pryor Contr., roville
0
LOCATION (A.P. '11
679 Siskiyou, Oroville
Temp. Power Pole
Calle�fPG&E
Temp,/Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
/.J,B
FINALED of
(Date) `
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
• BUILDING INSPECTI ON.RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
p
Footings
Prov. for physically
handicaped
Conformance of ex.
structure
Appliances
Gas PipingTest
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOSILEHOMEUTILITIES
------------------ Elec- Service
Elec. Pedestal ,I
Water Piping
Sewer
Gas Piping
116EHOME INSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
_ /r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS rr��
7 County Center Drive – Uroville, California 95965
..
Telephone: 564-4541
APPLICATION AND PERMIT - IV] bl
authorize representatives of the County of Butte to enter upon the
above-mentioned propert for inspection purposes.
X Date k11,2 �I
Siq a re of Permit or Aaent
Receipt'No. / w / M cx_
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 P16BLIC WORKS
By Date
Building permit expires Date 9—1 �- '7?
BUILDING
Owner _ ,
SQ. FT. OCC. BUI DING VALU. TIO
ob
Mailing Address 1 S / -e–
Telephone No.
F i rep l ace
Contractor �–�
Total Valuation
Mailing Address t� Od� � S �•
Permit Fee
PI an Checking Fee &/or Penalty
c
f
Tele hone No
5 �� 6�
Permit Fee $
Building Address Ae i OLl
PLUMBING No.1 @ 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. 9—
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fes
Fire Dept.
Fire Zone
I Use Permit
Building sewer 5.00
EQA
Parking
Plans
I ParcelParcel
Declaration
Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bf s ec
Parcel Approval I
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 1V OR LE
000 AMP ORSLESS 5.00
Main service EA. ADD'L 100 AMP 2.50
OVR 600V
Main service 100E
EAMP OR LESS 25.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 1.00
�r r .a r
•� 1/o J O ".2 -/ h L
NEW CONST. DWELLING OCCUP. &
OR A.D.S. ACC. BLDGS. 2¢Sq ft
NEW CONSTR. MULTI.OUTLET
NO -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: ,
�ir✓OI' t�C� 4? �i. Q C / a d2 C1
Ex: Occup(OUTLETS OR FIXTURES) L@1104
Ex. OCcu FIXED APPLES. OR
P• OUTLETS (RESID.) EA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. .2 72 IVO 7-- Classification
Misc. Wiring
6.25
FT
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
®I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling „
r
Ventilation ��iP`1 •' '
Hood , • - 2.00
Permit Fee
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
+
TOTAL PERMIT FEE
$ –�
authorize representatives of the County of Butte to enter upon the
above-mentioned propert for inspection purposes.
X Date k11,2 �I
Siq a re of Permit or Aaent
Receipt'No. / w / M cx_
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 P16BLIC WORKS
By Date
Building permit expires Date 9—1 �- '7?
DFpr pF pOp BUrrS
tic
/w ARKS
AM SFS 1 y 197�� -D
�i8j9jIO,lliVjji2 PS'
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