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HomeMy WebLinkAbout039-230-028rl COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO, 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -IND PERMIT ASSESSOR PARCEL NUMBER _ 39-23-28 ZONING ✓ BUILDING PERMIT OWNER Jack Lucas TELEPHONE S0. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 9785 McAnarlin Durham r 9 8 30 s uar!s Re -roof CONTRACTOR'S NAME - Four Counties Roofing Co. TELEPHONE 343-;.416 CONTRACTOR'S MAILING ADDRESS 1060 Marauder St., Chico CA 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1.800.0, 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 9785 McAnarlin Durham, CA 95938 Permit fee $ 3 0 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 1Q' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 �I Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ® Describe work: Re—Roof _ Permit Fee $ Contractor ; ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 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): y al I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. License No. M 275945 Classification C-39 ❑ 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 CONST. DWELLING OCCUP.& OR ACDNS. ( ACC. BLDGS. 21/20sgit NEW CONSTR UL I- UTLET 2,50 ea NON-RESID BRANCH CIRCUITS APPARATUS 6 %SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eAL0330 FIXED PR Ex. Occup. OUTLETS (RESID 1EA.1 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. a 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 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. 1 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 Cgunty�i Is of the granting of this permit. 1a/"l�,� iune -, 19L6 X L.iCI(- 1t �[ �•- f Date Sign rureiof 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 $ OCCUP, CONST.TYPE --]FLOOD PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which i y i DIREC Og?"OF PUBLIC i Lr. BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. t 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 916/534-4541 APPLICATI09 ANC -PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 39-23-28 ZONING BUILDING PERMIT OWNER +! Jack Lucas342-3361 ` TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 9785 McAnarlin Durham CA 95938 30 s uar s Composition Re -roof CONTRACTOR'SNAME Four Counties Roofing Co. TELEPHONE 343-1416 ' CONTRACTOR'S MAILING ADDRESS 1060 Marauder St., Chico CA 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1,800.0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 29.50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 9785McAnarlin Durham CA 95938 Permit tee 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 gas water heater or vent 5,00 USE OF STRUCTURE SF R1 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping'system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: Re—Roof , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADC'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. License No. M 275945 Classification C-39 ❑ 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 CONST. C DWELLING OCCUP.O , OR ACDNS. ACC. BLDGS. h2sgft NEW CONSTRESID, BRANCH2.50 ea NON•R ESID BRANCH CIRC ITS /POWER APPARATUS tr _SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20@g0c 9AL 330 Ex. Occup. OUTLETS FIXED P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Ho Misc. 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. a I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree/t9, comply to all County Ordinances and State Laws relating to building c�onstruct;ion, and hereby authorize representatives of the Countyot Butte to enter -upon th6,above-mentioned property for inspection purposes. I also agree°tor.save, indemn'f-y and keep harmless the County of Butte against all liabilities, judJients, costs, and expenses which may in any way accrue against ai C unty ' onsequence of the granting of this permit. 4- X Date June 4, 1986 Signature of Applicant — Owner ❑ Contractor ❑ Agent �] AD OSHA permit is required for excovations 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 $ 39.50 OCCUP, CONST.TYPEJ IFIL.001PARCELI PO MD IS9UE This permit is.hereby issued under sions•of the Butte County Code and/or work ;'d above fo which tR F PU Date the applicable provi- resolutions to do fee have been paid. I WORKS Date Receipt No. 00 WNIT!-D.P.W., YELLOW-A58C390R, INR -INSPECTOR, GOLDENROD-APPLICANTRES r � va 4 ����� 'y ��S�" ��� � '� . �,. a. ,�. •a - �\ ` � 1 ` PLEASE SIGN HERE AND DATE HERE BEFORE RETURNING ` 2297 li HOUSE SQUARE FEET--- GARAGE EET---GARAGE SQUARE FEET 420 I' 311 COVERED DECK OR PORCH f ALL CEILING TO BE 8'-0" UNLESS OTHERWISE NOTED REVIEW ATTACHED XEROX COPY(S) INFORMATION SHEET FOR ACCURACY PLEASE PROVIDE THE FOLLOWING INFORMATION 1. LOCATE THE NORTH ARROW OR PROVIDE A PARCEL MAP NOTE GROUND ELEVATIONS AT CORNERS MARKED # SEE DRAWING OR SKETCHES FOR ADDITIONAL INFORMATION AND OR NOTES j t i I i i co I 5050 X0 �f iI ff 11 • II II it it II COVERED 1I CONCRETE BY OWNER I) I! BEDROOM #2 II II II !I !I II J FLOOR PLAN i SCALE: 1/4 =1'—O ENVIRONMU- , s �.- ":i_ H ",L JUL 0�;� CHICO, CALIF n � t t AP R VED GARAGE N r En n Health S' WAILS • � Z r -- V) co I CHECKED, 0 vn In x g 4-13-03 0 (7) in FLOOR PLAN i SCALE: 1/4 =1'—O ENVIRONMU- , s �.- ":i_ H ",L JUL 0�;� CHICO, CALIF n � t t AP R VED GARAGE N r En n Health S' WAILS • � Z r -- V) D.DIVER CHECKED, Lij vn In DATE 4-13-03 SCALE, (7) GOBI READ 0 Q ^ p (WD W MO u 1 Qo O X = M x M < 0 CLL QLo W -' O a' WoO '" Lr) Jto _ v Z 0 Lj 0 N DRAWN BY, D.DIVER CHECKED, BILL WIlCKLAS DATE 4-13-03 SCALE, GOBI READ