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Home My WebLink About039-230-071H. JERGENTZ . � i e/s McArlin Rd. z mi. so. of Midway,', JERGENTZ,i H. 5121B. , Durham------ ; w j� 3960P CONTR: Lou Thacker, Durham+ i , Permt"]..L,,g2..... .� ---4919E , P, E �� , ( swimming pool) 7'44 / 2/2-06-7 e/s McAnarlin Rd. app. 39-o . u pp 1000 n o . urham:®; Rd .,1_ Durham - 39- 3 j CONT/R: Curtis Stewart p. Herbert Jergentz � 0• Box 292, Du�i E/S McAnarlin R .,a �a�s/O[ (new single family pp.'s mi.N.of Dayton�,3-��.�� - - Durham Rd., Durham Permit #2513-79B E(add living room/SF) i9-Z3 1057-90B .. JERGENT7,Herb 1 � � - • �+ - T�� T. �� 9698 McAnarlin'Rd, Dur-ha ' Contr: Butte Roofing t (reroof/sf) v1. '1 cn. t r —.. <A;:p-X39=23_ H. JERGENTZ e/s McArlin Rd. z mi. so. of Midway, Durham ` CONTR: Lou Thacker, Durham Permit 1482- (S g Pool) - 39 37j H rbert JergentC;, *IE/S McAnarlin R .,app. mi.N.of Dayton "Durham'Rd., Durham --- P t #2513-79B,E(add-living room F) x1057 -1)O JERGENTZ, Herb 9698 McAnarlin Rd, Durham Contr: Butte Roofing C (reroof/sf) ,p i JERGENTZ, H. 5121B 3960P 4919E ..z 9.-2 3-71 e/s McAnarlin Rd. 003u0o. pp• 1no. Durham CONTR: Curtis Stewart P.O. Box 292,.Du new single family emu4 XUtte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: ADDRESS: N.O. bQx M5 CITY & STATE: niirham, CA 95938-765 IMPORTANT: DATE OF CLAIM: Larch 14, 1991 SEE INSTRUCTIONSON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GnnnS nR ucovlr ice DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Permit #694-91P, AP#39-23-71, Receipt #83640, dated 3/12/91. Total Permit Fees Paid ------------------------------------ $25.00 Retain Plumbing Permit Filing Fee------------------------- 10.00 TOTAL REFUND DUE ------------------------------------------ $15.00 TOTAL $15 00 , 1. 'the undersigned, declare under penalty of perjury that the services or articles claimed have bee performed or de ' ere d, and that this claim is true and correct as stated. Dated this _^/^ "" Calif.0/J G�.....� ..... !.... day of .... (%( . , 19 ....... et , `�!' YL G ........ ✓� ..Lll/:..... ... ........... •• .. .......... • igneture or Cla ant I. the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above ave een performed or de- livered and that there Is a Budget Appropriation[] or Specific Board Approval ❑ (Cheek one) for the same. Dated this 14th ............... day of ..,..March 19 91st vlcalif l . .................. ....... ................................................. ................... apartment Head or Authorized ty -L==- Dept. Ez p. Code ,,,,,,..}0...0.02 .................. C de 42,1.504 PAYABLE FROM CORS Permits ...............'............................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. &SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. POW. C � • •► '70 Gti 3 r� -a? -3 -,"71 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Olbvjl,lp„elifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 39-23-071 ZONING A-5 BUILDING PERMIT OWNER Herb Jer entz TELEPHONE 342-4711 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 265 Durham 95938 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 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 9698 MC Anarlin Durham Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 5,00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: New Gas Piping & Water Heating Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR 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. License No. Classification. Fl 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.aI OR ADDNS. ACC. BLDGS. , �Z0sgft NEW .. U CONST TLET RANCH CIRCUITS) 2.50 ea,NONRESID, POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20050t eAL03o FIXED APPLNS. Ex. OCCUp. OUTLETS ((RESID.)REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 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. ❑ 1 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 FiIingFee 10.00 Heating Cooling 9 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 liabi (ties, Iudg ents, costs, and expenses which may in any way accrue again t aid Coun n consequence ofth granting of this permit. Date Signature of Appl' nt — Wner � 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 $ occ CONST TYPE TOTAL FEE *$ 25.00 HAz. CUA- PARK SCHL FLD PAR I PD I HD• ISSUE, This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 83640 WHITE-O.P.W., YELLOW-ASOC330R. PINK -INSPECTOR. GOLDENROD -APPLICANT � • i 1 39-23-71 1057-90B JERGENTZ, Herb 9698 McAnarlin Rd; Durham Contr: Butte Roofing (reroof/sf) r • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS. 7 County Center Drive - Oroville,,; al,ifarl%*a 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. I 90 ASSESSOR PARCEL NUM ER 3 ZONING BUILDING PERMIT OWNER TELEPHONE 3 — 7� SO. FT. OCC. BUILDING VALUATION OW RR''S MAILING ADDRESS .I CONTR CT R'S NAME },. TELEPHONE Y- 4r 3. CO, TRACTOR'S MAILIN ADDIYESS �D S.r q j Fireplace CONSTRUC ION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADORES Permit Fee $ Xcl,XV 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 I a'I Each Trap 2.00 11;4Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE F Duplex❑ Mobilehome❑ Other SFX SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G JW 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other] Describe work: _ Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 j� Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one): p y p I y( ) ) 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. '7 t-� License No—a7 6 CJ Classification "_3 ❑ 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. , h¢sgft NEW RESID,MULTI-OUTLET, NON.RESID BRANCH CIRC TS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. ( EX. OCCup\OUTLETS OR FIXTURES SAL@30 Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.) 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. 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. ❑ 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 FiIingFee 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. 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�County in consequen a of th nting of this per it. /) �f ,5 G X l / / �1,. c - ��`�'`��-' Date �� Signature of Applicant — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over ST" deep and demolition or construct- ion of structures over 3 storiessinnheight.F�'lBy, Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $�r� HAz CUA PARK SCHL FLD PAR Po Ho Iss This permit is hereby issued under sions of the Butte County Code and/or work indicatQdPovetfoLwhiches IR C OWORKS 1(Date PERMIT EXPIRES Date the applicable provi- resolutions to do havebeen paid. i0` V 71Ir Receipt No.�� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviI%,,1,alii rnia 95965 - Telephone: 916/538-7541 ` APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUM ER 3 --� ZONING -� BUILDING PERMIT OWNER TEL PHONE SQ. FT. OCC.1 BUILDING VALUATION OW 'S MAILING ADDRESS P GJ —CONT CT RSNAM E TELEPHONE C T A TOR'S MAILING -ADD DD SS j SS q � 1 lace Fireplace OLENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADORES Permit Fee $ �fp 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 SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service s00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'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 fT\my license is in full force and effect. License No.�� C) D Classification ElI, 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,a th(Sece owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.o- OR ACDNS. (ACG. BLDGS. , /zQsgft NEW RESIC, MULTI -OUTLET NON.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS o- (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20080Q 9 ALO 30 FIXED Ex. OCCup. OUTLETS (RESID 1REAJ 2.00 Temporary service 10.00 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. 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 g Hood 3.011S�/ 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 sai ounty in co eque a of th nting of this per it. �j %� U� .1�+-•-� - Date �b L 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 storiesinheight. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ CUA PARK SCHL ELD PAR P This permit is hereby issued under sions of the Butte County. Code and/or work indicat ve fo which fees IR C OR F P LIC By, 1 a PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS to —q C? I0 Receipt No. ��n1� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT r N PERMIT NUMBER B 1482-73B,PAE P E PERMIT EXPIRES .OWNER H. jergentz CONTR: Lou Thacker, Durham LOCATION (A.P. 39-230-71 els McArlin Rd. -L mi. so. of Midway, Durham 2 > -7-7 ch2d-v_ a '7, ao -22 fk,�' A �+ �ryO� r V COUNTY OF BUTTE Department `of Public Works BUILDING INSPECTION RECORD Zoning Setback % -7 -> Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel C`—/ Gas Piping & Test Found. Vents Framing Pimg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS -7-7 ch2d-v_ a '7, ao -22 fk,�' A �+ �ryO� r V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 �ounty Center Drive — OroviIle, California 95965 4 '' Telephone: 534-A541 APPLICATI69 AND PERMIT authorize representatives of the County of Butte to enter upon the above ment' ne rt r inspection purposes. X Date Signature of /ermitee or A t Receipt No. / 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 PUBLIC WORKS By Date!l ! D JK Building permif expires Dafe BUILDING Owner SQ. FT. OCC. BUILDING VALUATION 4) / 00 74 Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing AddressRZ D Fee Plan Checki ng Fee &/or Penalty .11 fPermit Telephone No, Permit Fee _ $ ®4 Building AddressC PLUMBING No. @ FEE PERMIT FILING FEE $2.00 8 a � Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 v Each gas water heater or vent 1.50 A. P. No.Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. a fj�f Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parki g arcelparcel Pla � Declaration Ma 60' R/W Im s Proveme Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans pprovaI Permit Fee NEW ADDITION ❑ UTI ES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 :i Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 o110' 1ess) (more than 12) 161P Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures ba_ HEq Receps., swi s & fix o tlets 20 CONTRACTORS LICENSE LAW I am licensed u rBthe provisi of Chapter 9, Div. 3, of the State of Calif usin P ssions Code under the name style of Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or h at pump Water pump -�— Mobil Home Pacillt s 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $T is Q� 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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 ment' ne rt r inspection purposes. X Date Signature of /ermitee or A t Receipt No. / 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 PUBLIC WORKS By Date!l ! D JK Building permif expires Dafe � Q y Rix a 77 ' 2513-79B,E !` PERMIT NO. . f r {' PERMIT EXPIRES ��yl U Herbert Jergentz ;OWNER jCONTR. owner }LOCATION (A.P. 39-23-71 ) E/S McAnarlin Rd., app.2 mi.N.of Dayton Durham Rd., Durham { i r P G 1 � C • .,111' / �j�-(� !/�R��7r� � / - yy( 7 1 t T i Temp. Power Pole 4 Called PG&E Temp.-Elec. Serv. .Called PG&E tt{ Temp. Gas Serv. i Called PG&E JOB FINALED ! (Date) (Signature) Fix est Mesh r • r ° COUNTY OF, BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Gird. Fault Prot. 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 Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings - Footing ELECTRICAL Fix est Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 14OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 0 (NOTE: An entry must be made on this form each time you visit the job site.) Owner 44& Q Mailing Address COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive 0— Orville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ��9OP I `J� BUILDING c. -er b ,`e __ 1 SO. FT. I OCC. I BUILDING V ATION e Contractor - f a q�- �°qy% Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F a Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Parcel plans Declaration Parcel Map 60' R/W Improvements E!Eh additional outlet .30 wilding sewer 5-00 Bldg. Pia eed Parcel A r Plans proval Lawn sprinkler system 2.00 NEW ❑ ADDITIONftv UTILITIES ❑ OTHER [:] permit Fee $ ELECTRICAL No. @ I FEE PERMIT FILING FEE $3.00 Main service soot/ OR LESS 100 AMP OR LESS 5•00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AK4P 2.50 Main service OVER 600 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP OR ADDNS. ACC. BLDGS 20 sq ft s `� 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 st le of: %r NEW CONSTR (MULT LOUT T NON-RESID l BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS.1 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTHRES g 6' j Ex. OCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 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'f h h f f +&1 MECHANICAL N0.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling INcert( y t at (n t e per ormance o e work for WHICH th(s Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. _ 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ' Signature of P6(mi a or Agit Receipt No. S White-D.P.W. - Yellow -Assessor - Pin -Inspector - Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $�tj 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. =E(*W OF P IC WORKS rvamaz. Date v' V Bui (ding permit expires Date I E. O19.90 AC 103 29.28 AC T21N 01E MD6Arm 48 23.13 AC 46 11.17 AC 5 22L � 8.83 AG, �`O 6.79 AC o { 47 13 49 12 9.57 AC 14 30.06 AC 9.89 AC 78 20.91 AC i1 81 11 , 7 2 28.40 AC 10.11 AC 36.11 AC i ♦ �~ 77 54432+4 117 39-23 S ~d 1'=800' 11 � 96 n 47.50 AC 1 FWPLE \ 331.95 66326 O113 112 1 64 2 40.60 AC 40.24 AC 58.80 AC c C. PM 97-19 T21N 01E MD6Arm 48 23.13 AC 46 11.17 AC 5 22L � 8.83 AG, �`O 6.79 AC o { 47 13 49 12 9.57 AC 14 30.06 AC 9.89 AC 78 20.91 AC i1 81 11 , 7 2 28.40 AC 10.11 AC 36.11 AC i ♦ �~ 77 54432+4 117 39-23 S ~d 1'=800' 11 � 96 n 47.50 AC 1 w 't0ti 3 AC 30.10 AC r 104 rt s 82 \ 4. 87 v. s g i,�2 �, 2 AG 28 � AC 15.87 AC 86 G 19.43 1 Y 13 3 ..� •�` 42.20 Ac 11.84 AC � 36.12 AC 689.00 645.00 R 18 i 1 1669.10 1001.20 + 164125 1 ib 120 5.65 ACs 3 123 26.47 AC - ? O 130 fl 4.80 AC 1333.35 P1 122 119 8 Q O 131 .60 AC 1 .801AU 2 ~ (7 124 4,78 AC $ 121 5.61 AC ' 5.16 AC 4 20.35 AC2d 19.79 AC M _ _ 11 Tot. V i~ 132 8 40.00 AC a - s ,t"Da 22.96 AC 12 999.70 1.57 AC 1.11 70 19 6 AC 6.12 4.78 PG n 34.92 AC ^ 4.82.62 ' 4 &S 140-94 w C 128 o rc g 26 62 5o Ac 71 .82 AC AC 19.59 AC 32 4.78 AC 1331.37 s7 u� 2 670 i - - - - - 1 $ O 1 129 C _...._._ - -�- - - 6 .3< 1 U ti 30 1327.22 / 8 100 N 20.35 AC 21 X8.67 AG 20.26 AC g 1 8 5.00 109 N & .L` 57 94 5 AC 16.00 AC 1 1145.87 3 i 6 116 17 5.00 AC 5 Q nt 5.00 i PM 48-40 998.20 5.20 AC 3 5.00 AC I I I 10.16 AC $ 73 2 . 1906.23 AC AC 723.40 1 m 2 3 94 s t - 19.68 AC : O 54 18.21 AUN s 53 135.14 AC $ _ 20.28 AC 5 AC g 10.19 AC r 24 36.00 AC 4 5 c ` .47 !6t' 90 91 k ACt 895 .1 1 10.16 AC i8 1 1 �.s 23 it 5�5 48 i4C! 92 93 r W 670.90 2193.30 W05.01'W NK��:rl►Y 1 .47 AL! OURMAMt FIPPLE SIJMSION A9t£C1I o -DAYTON t 85 F YCIWARtIi 740A YAR. 1S 2 `i ' -..97 AU r , HARt84 SU80MSION 95 YAR 00/01 (LM t do 2) NaM These parcels are for assessment purpose§ : 39-23 only and clay not constitute legal Aarcets, 5 REVISED. 12-98 Amowee Map NO. County of Butte. COIN - S I r19 \ 1 r� w 't0ti 3 AC 30.10 AC r 104 rt s 82 \ 4. 87 v. s g i,�2 �, 2 AG 28 � AC 15.87 AC 86 G 19.43 1 Y 13 3 ..� •�` 42.20 Ac 11.84 AC � 36.12 AC 689.00 645.00 R 18 i 1 1669.10 1001.20 + 164125 1 ib 120 5.65 ACs 3 123 26.47 AC - ? O 130 fl 4.80 AC 1333.35 P1 122 119 8 Q O 131 .60 AC 1 .801AU 2 ~ (7 124 4,78 AC $ 121 5.61 AC ' 5.16 AC 4 20.35 AC2d 19.79 AC M _ _ 11 Tot. V i~ 132 8 40.00 AC a - s ,t"Da 22.96 AC 12 999.70 1.57 AC 1.11 70 19 6 AC 6.12 4.78 PG n 34.92 AC ^ 4.82.62 ' 4 &S 140-94 w C 128 o rc g 26 62 5o Ac 71 .82 AC AC 19.59 AC 32 4.78 AC 1331.37 s7 u� 2 670 i - - - - - 1 $ O 1 129 C _...._._ - -�- - - 6 .3< 1 U ti 30 1327.22 / 8 100 N 20.35 AC 21 X8.67 AG 20.26 AC g 1 8 5.00 109 N & .L` 57 94 5 AC 16.00 AC 1 1145.87 3 i 6 116 17 5.00 AC 5 Q nt 5.00 i PM 48-40 998.20 5.20 AC 3 5.00 AC I I I 10.16 AC $ 73 2 . 1906.23 AC AC 723.40 1 m 2 3 94 s t - 19.68 AC : O 54 18.21 AUN s 53 135.14 AC $ _ 20.28 AC 5 AC g 10.19 AC r 24 36.00 AC 4 5 c ` .47 !6t' 90 91 k ACt 895 .1 1 10.16 AC i8 1 1 �.s 23 it 5�5 48 i4C! 92 93 r W 670.90 2193.30 W05.01'W NK��:rl►Y 1 .47 AL! OURMAMt FIPPLE SIJMSION A9t£C1I o -DAYTON t 85 F YCIWARtIi 740A YAR. 1S 2 `i ' -..97 AU r , HARt84 SU80MSION 95 YAR 00/01 (LM t do 2) NaM These parcels are for assessment purpose§ : 39-23 only and clay not constitute legal Aarcets, 5 REVISED. 12-98 Amowee Map NO. County of Butte. COIN - S I r19