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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' . a3i4�716 f