HomeMy WebLinkAbout039-270-087L Lambert 39-T7-1 fer-F
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S Ord Ferry Rd., @ initrs.of Pkkins
St., lot 71, Dayton
I%ermit #Io8l3-79B,P,E,M(new single
Nxily)
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039-2707087 PERMIT#95-27,46'
EVA:NS,,Lizette & James
9490 1 Perkins-Rd.,-Dayton'-
..Co'nt; JohnEvans�
.Replace Windows,w4�ay'/SF
039-27 0-087 "PERMIT#95-2909
EVANS, Lizette & James
9490 Perkins.Rd., Dayton
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COUNTY OF BUTTE -DEPARTMENT O�DEVELOPMENT SERVICES - BUILdING DIVISION
7 County Center Drive - Oroville, CalifoiAia 95965 - Telephone (916) 5384�,�_ PERMIT No.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
039-270-087
ZON NG
SA
BUILDINGPERMIT
OWNER
LIZETrE & JAMES EVANS
34i!7973
sQ- FT-OCC- BUILDING VALUATION
OWNEWS MAILING ADDRESS
1281 PALMETT10 AVE, CHICO 95926
1750
CON`rRACTOA'S NAME
JMN EVANS
TELEPHONE
COITHRACTOR'S MAILING ADDRESS
2532 KANSAS WAY, SACRAMENTO 95827
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ 41.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHfTECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDINGADDRESS 9490 PERKINS RD, III M DAYTON
PERMITIFEE $ 61.00
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF CK Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sev�er
1 .00
TYPE OF WORK
New El Addition,. 0 Remodel X3 Utilities 0 Installation 0 Other 0
Describe Work: WINDOW REPLACED WrM BAY WINDOW & WINDOW
RVIACED ME FRENCH DOORIS-NO, STRUCTLM CHANGES
Mobile Home' I S I G I W
20.00
PERMITIFEE $
Contractor
ELECTRICAL PERMIT Filino Fee. 20.'00
UTONE W/O TEPM,
Main Service 0 OV OR LESS
( - 2000A OR LESS )
23.00' —
\1
Main Service 200A TO 1000A )
46.00
LIC D CONTRACTOR'S DECLARATION I
I hereby affirm,u qr�6t-nal rjury that I am licensed under provisions of Chapter
I
9 (coMmencingkvAt ection of Division 3 of the Business and Professions Code,
andtmNI,ic'ens"e i's in fu rce effect.
m
License Class LiO._�o.
11_15fR DkCLARATION
1 hereby affirm under pe I p 'u th t an)\exempt from the Contractors License
L for the following rea n: — ; '
IT 1, as owner of the p e ormye \ee/witW es as their sole coinpensation,
will do the work, and the struc r inten or offered for sale.
0 1, as owner of the property, am c us co�t4racting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Busli s and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS._.__ & ACC. BLDS.
3 50
NEW CONST. MULTI -OUTLET,
NON,RESID, BRANCH CIRCUITS
CZD7.50
&PO APPARATUS
SIWER
NGLE OUTLET CIR.
Ex. Occup. OUTLET OR FDCTURES
20 @ 1.00
SAL 0 .50
Ex. Occup. .,F1TX&gSAPP' _NS OR,
(RES,6.) E
5.00
Temporary Service ,
23.00
Mobile Home Facilities
20.00 1
Misc. Wiring
23.00�
PERMITFEE
Contractor
WORKERS' COMPENSATION DEC4RATION
1 hereby affirm under penalty of perjury one of the follow Aideclaration s:
0 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.
0 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
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.) 1 11
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor
forth,with com I with those provisions.
X Date
SignatwA of Applicant n o tractor 0 Agent
An OSHA permit is required fc&'6c tion ov 60" deep and demolition or construction
I
of structures over 3 storie%in heig—
Mobile Home Installation Fee
Energy Inspection Fee Is
OCC
CONST. TYPE
== It
TOTALFEE, 61.00
HAZ.
1 0. FEES
I IMP
I FLOOD
PD
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By A�,
PERMITEXPI S1 N
applicable provisions
Resolutions to do work
been paid.
Date
(D..)
ReceiptNo.
WHITE-D.O.S-B-D.---CXNARt-AttESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
IN
COUNTY OF BUTTE - DEPARTMENT OF -DEVELOPMENT SERVICES - BUILDING DIVISI
7 Cou . nty Center Drive - Oroville, California 95965 - Telephone (916) 538-754Z1; PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
039-270-087
ZONING
SR1
I
BUILD�PdPERMIT.
OWNER
LIZETTE & JAMES EVANS -
TELEPHONE
342-7973
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
1281 PALMETTO AVE, CHICO 95926
1750
CONTRACTOR'S NAME
JOHN EVANS
TELEPHONE
CONTRACTORS MAILING ADDRESS
2532 KANSAS WAY, SACRAMENTO 95827
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation i$
LENDER'S MAJUNG ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ 41.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS 9490 PERKINS RD, 9XINN DAYTON
PERMITFEE $ 61.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
1PARCEL MAP
Solar or heat pump water heater
-
23.00
USEOFSTRUCTURE
SF CK Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel)p Ublibes 0 Installation 0 Other 0
Describe Work: WINDOW REPLACES WITH BAY WINDOW & WINDOW
REPLACED WITH FRENCH DOORS -NO STRUCTURAL CHANGES
Mobile Home IS I GI W I @D20.00
PERMITFEE, $
Contractor
ELECTRICAL PERMIT Filina Fee 2 0.'10 0
(DONE W/O PERMITS)
Main Service 0.0.0,V OR LE.S:
� '0..
23.00
Main Service 200A TO 1000A
46.00
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 Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
L Twfor the following reason:
1, asowner of theproperty, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
R ADONS. a ACC. BUDS.
so
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS
97.50
GPOWER APPARATUS
SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
-
20 @ 1.00
BAL ( ) .50
FIXED APPLNS. OR
Ex. Occup.
OUTLETS (RESID.) EA
5 . 00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
-PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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 I policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
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.)
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
forth ith com I 'with those provisions.
i . 4
a-_� __ Date
kSig4naWA oftAp�aplicant Owner 0 Contractor U 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 Is
OCC
CONST. TYPE
TOTALF 61.00
HAZ.
I D. FEES
I IMP
I FLOOD
PC)
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By A A it
PERMITEXP ES N
applicable provisions
Resolutions to do work
been paid.
Date
(Date)
Receipt No.
WHITE-D.D.S.-B.D. CANARY-ASSrSSDR PINK -INSPECTOR GOLDEN ROD-APPLZAITI
Z:0
O.B.- I
Attention Property Owner:
An "owner-bufldee' building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building -permit. No building permit will
be issued until this verification is received.
1. 1 personally plan to provide, the major labor and materials for construction of the
proposed property improvement: YES[ >q NO [ 1.
2. 1 HAVE[>(] HAVE NOT[ signed an application for a building permit for the
proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
Q "-. - "I
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. 1 will provide some of the work but! have contracted .(hired) the following persons to
provide*the work indicated- I
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY
SOCIAL SECURITY NUMBER:.
DATE: // .—L —
NOTE: This owner -Builder Verification' is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our off -ice before
we are permitted to issue the permit.
OVER
................................... . ... ...........
....................... .................
ii 7 wx:ii i! E 'YERI 101' H
. .. .. .... ... ..
. ............ .. ... ..
Attention Property Owner:
An "owner-bufldee' building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building -permit. No building permit will
be issued until this verification is received.
1. 1 personally plan to provide, the major labor and materials for construction of the
proposed property improvement: YES[ >q NO [ 1.
2. 1 HAVE[>(] HAVE NOT[ signed an application for a building permit for the
proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
Q "-. - "I
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. 1 will provide some of the work but! have contracted .(hired) the following persons to
provide*the work indicated- I
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY
SOCIAL SECURITY NUMBER:.
DATE: // .—L —
NOTE: This owner -Builder Verification' is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our off -ice before
we are permitted to issue the permit.
OVER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specifiedL
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own worlL If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract -the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If.the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons profegsing to be contractors is to secure an "ownerbuildee'
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sin'Strely,
Nfichail C.
Mana�er, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1.469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541'
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
If v4AI
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work "'t
is completed. If you have any questions pertaining to this matter, or need additional explanation,
p!ease contact this office immediately.
6 Vw
L/. -
U) t "�q no "1 191 ft'p -J
f /
U-J64*00rL Covftt7
U
Date I I- '�— 6 )'
REV 10/92
Inspector
av,
7
V
,-7
rL/
Date I I- '�— 6 )'
REV 10/92
Inspector
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Calffolinia '215965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
a3Q - ;z -7
NG
IZ� 2 /
BUILDING PERMIT
OWNERL
E
I TM31HONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRES1
lzsl Rh MC 1�0 3f OIL r -N
y '
CONTRACTOR'S NAME (
1 A&�Q 4A An.
I TELEPHONE
-4
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
OWN
Total Valuation $
LENDERS MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee
ARCHITECT OR ENGINEER
E NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDINGADDRESS !Jc4?0 -Peo-k:m:5 ed
PERMITFEE $ —
J7)� I ��J A
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
14AP
Solar or heat pump water heater — 23.00
USEOFSTRUCTURE
SF Duplex 0 Mobilehome 0 Other SPECIFY
Water piping 15.00
Each gas water heater or vent 15.0-0
Gas piping system 1 - 5 outlets 15.00
Building sewer
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other
Describe Work:
Mobile Home I S I GI W 1 --@20.00 1
I
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 1 20:00
X,_ JS- 2
00V OR LESS
Main Service a
( 200A OR LESS ) 23.00
Main Service 200A TO 1000A ) 46.00
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 Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of theproperty, ormy employees with wages as their sole compensation,
Xwill do the work, and the structure is not intended,or offered for sale.
1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP. so
OR ADDNS. a ACC. BUDS. 3.50 Fr.
-
NEW CONST. MULTI -OUTLET
NON- ESID. BRANCH CIRCUITS L@7.50
OWER APPARATUS
PSIN.LE OUTLE T C'R.
Ex. Occup. OUTLET OR FDCTURES 20 @ 1.00
BAL 0 .50
FIXED APPLNS. OR
—EX' OCCUP* k OUTLETS (RESID.) EA. 5.00
Temporary Service 23.00
_�a`cilit_ies
Mobile Home
2 0.00
Misc. Wiring
2,7. 06
J�
�23.00
PERMITFEE 3,04)
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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
PERMITIFEE $ —
Contractor
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.)
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 Calif6rnia,'i nd' - agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor , I
forthwith- comply, those provisions.
Date
Sign!tu4"of 'Applicant - R -Owner 0 Contractor 0 A�e_n�t
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 $ 10, 6
HAZ�
1. b. FEES
_J_
f IMf FLOOD
-
I CDF PARCEL I PD I HO
I ISSUE
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.
By Date / 112. ok_f,
PERMITEXPI14E /'N/
(Date)
ReceiptNo. /993S�g
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT I
L, I
I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS
7 County Center Drive - Oroville', CifWarnia 95965 - Telephone (916) 538-7�5qS PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
cl>3�1_:Z:7 10 - Q P -7
z
Y2 1
I
BUILDAGPERMIT
OWNER I
Z X Jek -.I— E L) c L w_!�,
TEEEPHONE
SQ. Fr. OCC. BUILDING VALUATION
OWNEWS MA�UNG AQDRES�
I. -Z91 mlmrd�_D &e -3- 8 63 7
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAIUNG'ADDRESS
Fireplace
CONSTRUCTION LENDER
UN194OWN
Total Valuatio $
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
$
BUILDING ADDRESS
Rb-kI145
-Penalty
PERMITFEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
1PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 OtherA
Describe Work: e4L-
Mobile Home I S I GI W 1
@20.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filina Fee 2 0.'0 0
OOOV OR LESS
Main Service �OOA OR LESS
23.00
Main Service 200A TO 1000A
46.00
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 . Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as ownerof theproperty, ormy employees with wages as their sole compensation,
Will do the work, and the structure is not intended or offered for sale.
X1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. , Business and Professions Code for this
reason WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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
NEW CONST.
OR ADDNS. "-E-Nc' —02".
1 3.50 SO
NEW CONST. MULTI -OUTLET
NON ' - ' R ' ESID. BRANCH CIRCUITS
�4 @7.50
POWER APPARATUS
8. SINGLE OUTLET CIR
Ex. Occup. OUTLET OR FD(TURES
20 @ 1.00
aAL 0 .50
Ex. Occup. OUFITXMSAPPLNS..OR
(RESID) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 2-7. bfJ
PERMITIFEE
$ U I
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6. 50
Ventilation
PERMITFEE
$
Contractor
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.)
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 - - - -, . -_ __..
�f o �rth cc p those provisions.
Date
S i g WrCa
of
,gR_UZe—of -Applicant Owner 0 Contractor 0 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 Is
Energy Inspection Fee $
OCC
CONST. TYPE
4
T�O�TAL FEE $
I I
HAZ.
D. FEES
.
'mP "Oo D
CDF PARCEL PD HD
I
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPI ES 2_jg
applicable provisions
Resolutions to do work
been paid.
Date
T_
A3
(owe)
Receipt No. /670S'8
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
A or
PERMIT NO. l8lSZ79B,P,E,M
PERMIT EXPIRES
Larry Lambert
OWNER
CONTR.
39-27-68 port.
LOCATION (A.P.
SE corner of Ord Ferry Rd. & Perkins St.,
lot 71, Dayton
4
A(
Temp. Power Pole
Called PG&E
�Temfp...,lec. Serv.
Called PG&E
Temlyf Gas Serv.
/Called PG&E
JOB
J
FOINALED
b
COUNTY -OF BUTTE'— DEPARTMENT OF PUBLIC WORKS e
BUILDING INSPECTION RECORD
BUILDING/-, BUILDING (Cont1d) PLUMBING
Setback _5---J41-7f Firewall Soil Piping J s—, �� �y
Forms Parapets 1st Floor
Main Bldg. Restroo*'Finish— 2nd Floor
Footings Wlnd6�s 6��_ 7 f/ 07.5 3rd Floor
Stemwa I I V Siding 101 - / , - Topout
Slab Roof Sheathing Water Pipl�g
Piers Roofing Sewer
Garage U;7) Fdn. Vents Fixtures
Footings Garage Vents Water H
Stemwal I Insulation �1 Heaters
Slab 6,S 5- )6 -Z-F Prov. for physically Appliances
handicapped
Carport Conformance of ex" Gas Pi Ing & �est 1&L-1 -4-177 -L
Footings structure Tem . Gas U
Slab Final Sanitation
Patio F)RE-PJACV Final
Footings Footinq E4E&RICAL
4-2 q 7,?
Masonry Walls Throat Rounh
Reinf. Steel
Final Fixtures
Bond Bepp -'�FIRE( SPRINKLERS Motors
Framing 7- Test Water Htr.
Stucco Final A Subpanels A /7 -Y, - -r-
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating,--,/ Service
Brown Coollno Temp. Pole
Finish Ducts Underciround
Interior Lath Ventila'fron, Permanent
Door Closer Final Final
mc 6ME UTILYtIES / ------------------ Elec- Service Elec. Perieqt;;l 4�4
Water Piping Sewer Gas Piping
M0816EUOME INSTALLATION -------------- Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE —REMARKS OR CORRECTIONS
sltli
0427,79
7 It 71
APO
0, r, L ao�,
(NOTE: An entry must bi made on this form each time you visit the job site.)
f
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY.CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORM"a W,�ZH CURRENT ENEaY CPNS�RVAT IOth REGULATIONS
ht
AT A VA. W—J
(location)!7
BUILDING PERMIT NO._ -7-716 REA hT 71
A. P. NO.,
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge.
Fdn. Walls
Floors
Wallslii� Z (' 7,
Ceiling/Roof
Ducts
Circulatin ' g Pi?es
APPROVED HEATER /-, ' I �,/
APPROVED WTR.HTR.
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAM�PERED FANS >11
INTERMITTENT IGNITION D
ICES
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE RAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.,
Insulation Applicator Name
Signature of (please print)
Insulation Applicatore--C-X���-
State Contractors
License No.3S::20 12
General Contractor/Owner Name AARI�y 1,A11413gpT– --
Signature of �please print)
General Contractor/Owner- Date
4�1 6" State Contractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED- IN A CONSPICUOUS LOCATION
WITHIN THE D�4ELLING.
I
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive -� Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
- 1-2
AA
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 1&'t�l � 114� ale :YJ -7f
SiqvGaf Permitee or Agenj
Receipt No. — /8 9150
White-D.P.W. - Yellow -Assessor - Pink-In3pector - Goldenrod-Appli cant
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.
DIRECTO F PUBLIC WORKS
Bve9f��-/!X__ Date Z/- 17- ZT_
Building permit expires Date (-/- I
BUILDING
Owner L,40ay L.4vw6c-or
SQ. FT. OCC. BUILDING VACUATION
_7;rq�C
J- 0? P/-,? 0 0 -
Mailing Address
. goo IT ;2 Voo, &:o
1
Telephone No.
jaepy G? -
0 0. 6LC7
Contractor /-.4/z/vy
Mailing Address
Fireplace
Total Valual ion -!Z 9s;?,o . -P0
Permit Fee /,? 7,
BuildingAddress oez> P -Z>
PlanChecking Fee&/orPenalty
Permit Fee o
I 4�2 7- 0
$ 1,;271
61) /W 001-: PC-41ZIAJ:5
PLUMBING No. @ - FEE
z -T
PERMIT FILING FEE $3.00 5�'o -0
Each Trap 1.50 47.00
-
LvT 7/ O#YfVAJ
Repair drainage or vent piping 1.50
A. P. �o. _31- 07- 6 9 rF,0R-7-)
C
Zoning& Pic ing
Water piping 1.50 /,50
Each gas water heater or vent 1.50
Fvs
FireDe t.1
Fi re Zone
-
Use Pernfit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking Parce!
PlaXs.1 Deciaration
Parcel Map
60' R/W
I Improvern
Each additional outlet .30
Building sewer 5.00
-IJ
0"
0- rcel"<pproval
Planlkp�pl- .1
Lawn sprinkler system 2.00
i i
NEW R"' ADDITION UTILITIESE] OTHERE]
1 1
Permit Fee $
$ 7& 15�
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
600V OR L ESS
Main service 100 AMP OR LESS 5.00
ly [�K Duplex F
Single Fami Mobi I HomeE] OthersEl
Main service EA. ADD -L 100 AMP 2.50
Main service CIER 600V
100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AM P 1.00
NEW CONST. ( DWELLING 0 20sq ft
OR ADDNS. ACC.BLDG
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Califor ia Business & Arofessions Code under the name
style of:
N EW CONSTR. fMULTI-QUFLt_-T
NON�RESID, % BRANCH CIRCUITS) 12.50ea
RM
1*
3!5- -7
NEW CONSTIRL POWER APPARATUS
NON . RESID. (SINGLE OUTLET CIR.
50 @ 25C
Ex. Occuo(OUTLETS OR FIXTIIRES 1BAL@1
FIXED APPLNS OR
Ex. Occup.(OUTLETS (RESI'D.) EA) 2.00
Temporary service 110.00
Mobile Home Facilities 15.00
License No._Zy_!XC- ly 3 Classification
Misc. ring 6.25
Ik///"
I am exempt f rom the contractors L i cerise Laws of the State of Cal I forri i a.
Perrriit Fee $ 35,70'sZWOE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
1 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
E] 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.
MECHA NICAL No. @ FEE
PERMIT FILING FEE $3.00 J CID
Heating -9-0, cow 0 -00
/7rC_-A--J- 1
Cooling 27- 0 V7_
Ventilation
Hood 2.00 0
Permit Fee $ /�3, 00
$13100
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
Land Development Fee
$ ;2�;_- 0<)
TOTAL PERMIT FEE
PI -77t
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 1&'t�l � 114� ale :YJ -7f
SiqvGaf Permitee or Agenj
Receipt No. — /8 9150
White-D.P.W. - Yellow -Assessor - Pink-In3pector - Goldenrod-Appli cant
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.
DIRECTO F PUBLIC WORKS
Bve9f��-/!X__ Date Z/- 17- ZT_
Building permit expires Date (-/- I
To: Building Department
From: Environmental Health
Subject: Sanitation Clearance
217- 41 #71
ilV9 01411 ERE 14
Owner AP&
Plans approved for: Sewige Disposal'' Water Supply K
Hold finsl for: Water Supply
Final clearance O.K. for:
Clearance for a bedroom *ebItD home.
4. , I Water Supply
Other a
Clearance for addition of
Date
A
- 4- u
-OT
-TIN
"tip,
thy
0 COUNTY -OF BUTTt`�— DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION
7 CoutFtv Ce,nter Drive — 0 roville,,Ca' liforn ia 95965 — Telephone 534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNE, ZAo&Y b mg,51,7-1 A.P. No.
Proposed Building Use
Permit fee based upon: Complete Contract Price Ll" DPW Valuation
Building Inspector _�= —
At tii�Te_of permit application, I was advised the following data must be submitted 66or to p6rmit processing and/or
issuance: DATE RECEIVED APPROVED
1. All items have been submitted ...................................................................
2. Plot plans in duplicate/triplicate ...............................................................
3. Complete plans in duplicate/triplicate ...................................................
4. Complete engineered plans and calcs . ....................................................
5. Plans with Energy Design Compliance Statement . ...........................
6. State Energy Forms No. ....................
7. Statement of Intent for Non -Heated & AC Buildings . ..................
8. Fees of $ i ..................................................
,9. Letter of signature authorization .............................................................
10. Sanitation approval from C�l Health Dept.... gV111 Z121-
11. Planning approval for . .............
12. Certificate of Workmen's Compensation Insurance ........................
13. Contractors License Information (no., name style,
classification) . ..............................
14. Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow) . ................................................................................................ j
15. Pre -inspection for required. Pre-inspec. request to
bldg. -inspector v1date)
16. Other
When you issue the permit, process as follows: —Mai I to owner Mail to contractor.
Telephone -and hold for pick-up at —office. —Deliver w/inspection.
Other
Date
7
UOPY OT plans senT — riewin uepi., — i- ire uept., —utner UaLe—
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
11
(Contractor, Designer, Owner) was advised of above required data by _ Telephone
Mail
Other
By Date
Plans checked by Date
Plans approved by Date q�� 17- Iq
OTHER-
Inter -Departmental. Memorandum
___J- F. Glander, Chief Building Inspector Building Department, Oroville
FROM: __'�--,�oward J. Snyder, r-, Sanitarian II - Chico Environmental Health
SUBJECT: REQUEST FOR VARIANCE TO PERMIT INSTALLATION OF LEACH LINES WITHIN STREET SET -BACK
ON LOT 71 -BLOCK 13 - DAYTON AND LOT.72-BLOCK 14 - DAYTON, A.P. #39-27 -
;,W 70
DATE: April 4, 1979 (LARRY J. LAMBERT, OWNER)
The owner of Lot 71 -Block 13, and Lot 72 -Block 14 Dayton, . A.P. #39-27-38 has requested
a variance to permit him to use ten (10) feet of the street set-"oaqk on the west
boundary of Lot 71 along Perkins Street, and ten (10) feet of the street set -back on the
east boundary -of Lot 72 along Perkins Street for installation of his septic tank leach
lines. Due to the small size of Lots 71 and 72, use of a porition of the street set -back
will be necessary to permit Mr. Lambert to install therequired leach lines and provide
the required reserve leach line area.
I would recormend approval of his request.
-7
HJS,Jr:bws
4LA_�- j ?
�'j
a