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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
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� '� . �,.
a. ,�.
•a -
�\
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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
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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)
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READ
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DRAWN BY,
D.DIVER
CHECKED,
BILL WIlCKLAS
DATE
4-13-03
SCALE,
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