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HomeMy WebLinkAbout040-170-13040-17-130 James E. 5258 CLAIR BACON F BANDY,_- � ' l� 1837 Kay-Lee•Dr, Durham Permit#970=88B(replace'roof & re.pair �. 0-17-3! shower)SF w/s Lott. Rd. app.2, mi.. no. Oro- am Hwy, R-.. i Durham ' Et# R 40-17-130 ,� r, (add patio)�'� G RAUB 485-88B(new woodburning s ove/§F (PREVIOUS PERMIT UNDER R.T. GIBBONS). GIBBONS, R.T.—� BACON 1501P �,Lee•. Drive -jDurham19 lE rth Valley°HChico•07-82B(newsz ° $'' reroof/SF) w/s L�btt Rd. approx. 2 mile north Durham-Oro e , ; Durgle family) //- 3 -".1 .s (`SEE PERMIT UNDER JAMES E. BANDY) .o y, iF Sally. Shelton Reilley REALTOR® Prudential Prudential California'Realty 600 Main St., Chico, CA 95928 Office 530 342-6100 ext. 108 Fax 530 343-7960 Residence 530 895-8338 t] An Independently owned and operated member of The Prudential Real Estate Affiliates, Inc. dd -D C� "Lis may. --r n c e7 1" 1-1 ,� Tmp� f 7L(.9 VS U, 4 S EC! W- 0 S _�v � r o s �Le.t/ e a_I v gE! o� �cl ct w 11'14 C N'n V EL f/Y_! d S F S SOY Le - c--1�c ZZ— �0 r d ic..v_ts t Se6-- )Yll n s e- L- c Ao ���o�� l � l J Y cog_� f, o�. ,b �� l� ��� pil"I�n . l 7 77 / f i l , { 04'20%98 11:24 MASON, MCDUFFIE, BAYWOOD 916 538 2140 N0.1134 P02 V,—Ll JA 0-7.. a ', KITC. N 6VIIAOL ..... ..... �, �glr rtf)ol I pie; 9'. 94TH 01TAIL 'Loci. 1." 1.4- 771- 1 -`VI) WINDOWS MISCIPLI ANIOUS STRUCTURES En A DATE. h 6 %•J/ -P" 0;c< All 6.1 of'WW' $41'. jai d 11a5 C' -v& sk'A tq&-j .4 g- om A Jo -ftra It. tto& 44A, ro ;r' -C: PAOSfAt #. r I Ir a U2-r!q TOTAL t." ba • e-- /.a -- A P 7 -7 as L Xf 4r 34 L Xf 4r APR -20-98 10:24 AM BUTTE COUNTY ASSESSOR 5305387991 P-92 1 red r-61*ON OVTE 82S 9t6 F WOM:.UH 131jjnaow INOSUW 9E:TT s6/ec=re a yl�fo I I I I I I I I I I I I I I I I I I I I 20a t761 'ON Ot7Zc 8c -S 9Z6 F QC O nA z j`1 $ ff j�;�= o Iri 1111 • a Z; •• o C v {0 J� ° 0 e N y z V � 6 P O �O � O r, a r ,] I • ° a a g o v n .w r v n u• N N ' 9' T I N aZ $ o I v • �'r • b0 ° Y N o Y ❑ O ° o O A p r 0 ; a DM A U9 `3I jinaow `NOSU e o Sl u' s N et n 3 �� o '• O it ; i a v 3 S 7 o -1 e 7 R � 0 w ? r1 3 A 3 II b � o s r a U l �° 4 �' • e • e d � •( I • 3 tp o l D e 96 i• I Go, or 03 r t a` • w • T 2 2 2 0 •. IIl a yl�fo I I I I I I I I I I I I I I I I I I I I 20a t761 'ON Ot7Zc 8c -S 9Z6 F QC O nA z j`1 $ ff j�;�= o Iri 1111 • a Z; •• o C v {0 J� ° 0 e N y z V � 6 P O �O � O • • r ,] ❑ • e o v O e n �� u �'r Y N l Y ❑ -� r 0 ; a DM A U9 `3I jinaow `NOSU e o Sl u' s N i a v O S 7 o -1 e 7 R � 0 w ? r1 3 A 3 II b � o s r a • D3 l �° 4 �' • e • e d � •( • 3 O e 96 i• Go, or 03 t • • ^ q O O jr- • 1 0 ` o►� .� :�°�.�_ ��� gin' �r'��'u 1 n ;2K- � CS , O.0 O O v W V •vi O 1-0 a- Pa u 0 O tj s b= 10, n = V v I �� v v i l 0 V 0 m l 1 0 V O W �1 � P O P w ' o •O P O O Ai o a O; c W K sy O x o • M Irl 1 G O t_] fll y 2 3 2 2 s Z Ifl n D L • •' °J 'd' � a �= � c ro s .� v v� v s a o o a yl�fo I I I I I I I I I I I I I I I I I I I I 20a t761 'ON Ot7Zc 8c -S 9Z6 F QC O nA z j`1 $ ff j�;�= o Iri 1111 • a Z; •• o C v {0 J� ° 0 e N y z V � 6 P O �O � O • • r ,] ❑ ❑ U e o v O e Y Q ❑ C ❑ DM A U9 `3I jinaow `NOSU • �r r "��F,pL.f�: �*ti ii`iit.:.i },7d.Y� �:Sv,Y+i'"4•hrT✓r'r `r(r x'"17; •5+s','iT 4!'>a' i.;;�T*ti/-rr t'ti.:'�:'i� (r t Cy^{'L.._ 7:"i':.3v ^rYr...-t .. .n...... ti ... _.::� . • � 4. v f � ��� ""'i9 �..t,.'Y r �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. + 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER NTNG L BUILDING PERMIT OWN R C7 TELEPHONE 6 3_SS3� SO. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDRESS CONTRACTOR'S NAMI/ TELEPHONE CONTRACTOR'S MAILING ADDRESS �— Fireplace ` (jr QGOI CONSTRUCTION LENDER UNKNOWN Total Valuation $ V Filing Fee $ 10.00 LENDER'S MAILING ADDRESS ._..- Permit Fee $ 7, 56 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 7,5 a PLUMBING PERMIT Filing Fee 10.00 / 37 (� r'vQ Each Trap 2.00 r P -n 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 SFJ� Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation] Other ❑ Describe work: r L. i Sfrd� �AJDDO �fiauC� Permit Fee S Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 500V 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): ❑ 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 ® 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.N) OR ACDNS. +/zQsgft l ACC. BLDGS. NEW RESID. U NCH CIRCUITS) 2,50 ea NO N.R ESID BRANCH CIRC ITS POWER APPARATUS (SINGLE OUTLET CIR, Ex. OCCUp(OUTLETS OR FIXTURES 20050* eAL030 Ex. Occup. OUTLETS P(RESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSAtION INSURANCE I declare under penalty of perjury (check one): I \, I ,� ❑ 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 hof Consent to Self -Insure. O I shal I not employ any pgrson in any manner" so as to become subject to the W. C. laws of Cal'tfornia. . , �',. 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 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 Countyof 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 sa' County in consequence of the granting of this permit. - L r- � X Date -I Signa a 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 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 0 V occuP. CON 3T.TYP[ SCHOOL PLooD PARCEL PD ND 159UE This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which DI;REC 9R OF PUBLIC By 1 . ,� % Date PER�k11T EXPIRES the applicable provi- resolutions to do fees have been aid. P WORKS Dates (` Receipt NO.����� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLD lNROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ER IT NO. ASSESSOR PARCEL NUMBER Irj ZONING BUILDING PERMIT owN R TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDRESS CONT ACTOR'S NAM D4Ai " IL TELEPHONE CONTRACTOR'S MAILING ADDRESS — -- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $00 I LENDER'S MAILING ADDRESS Filing Fee $ 1000 Permit Fee $ 7. 56 ARCHITECT OR E-NGINEERSE LICENNO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee 7,56 PLUMBING PERMIT Filing Fee 10.00 37 r,1� ���� 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 �6 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 4_; g,��% f'.t�l�pd SDS j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1100 AMP OROR LESS10.00 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 as the owner, or my employees with wages as their sole compen- �I 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.EI ,h�sgft ACC. 6 ) New CONSTOUTLET NON-RESID .BRA CH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. I 050t Ex. OCcup(OUTLETS OR FIXTURES BALM 30 5AL030 FIXED LNS Ex. OCCUp. OUTLETS PD )REA.) 2.00 (RESI Temporary service 10.00 Mobile Home Facilities 15.00 Misc. INirin 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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 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 c nsequence of the granting of this permit. ` fps _ y I-"— X Date Signaa of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -Z of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , V occUP. CONST.TYPE SCHOOL I FLOOD PARCEL I PD NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IDDI EC R OF PUBLIC , PER IT EXPRES to t the applicable provi- resolutions to do fees have been paid. WORKSion DateWHITE-D.P.W., Receipt No.y�By YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,'Oroville, CA 95965 Phone: 916-5384541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)FS 2. -I (have/have not) 6/ is u el signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name A4*_ Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name /1%4 Address City Phone Contractors License No. 5. I.will provide some of the'work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property.Owner Social Security Nu er _ Date / 0 - 2 �5--- 9r,?- NOTE: rb' NOTE: This Owner -Builder Verification is sent to you as. required by Sections 19831 and 19832 of the California.Health and Safety Code. This verification must be completed and returned to,our office before we are per- mitted to issue the permit. 1W - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754 APPLICATION A14D PERMIT ASSESS R PARCEL NUMBEQ ZONING BUILDING PERMIT OWN �T EPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING DDRESS CONTR%ACTOR'S NA E T PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION L DER' UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,A$. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee •$ PLUMBING PERMIT Filing Fee 10.00 /F,? 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 -W Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea. TYPE OF WORK New ❑ Addition ❑ Remodel Utilities /Installation❑ Other ❑ Describe work: adlg/AlpL& do"1c" 6L /�e�lZ11- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 o 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): ❑ 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. (cense No. Classification 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) ❑ 1, 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.fii OR AODNS. ACC. BLDGS. , h2sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES e20 0 50t w 030 FIALD Ex. Occup. P OUTLETS (RESID )REA.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): 0 The permit is for $100.00 (valuation) or less. Er 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 consequence of the granting of this permit X �` _ /L / ,/il -/�-� Date Signature of Applicant — Owner�Conrractor ❑ 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 $ OCcu P. CONST.TYPE JSCII00LJ FLOOD PARCEL Po 771-9-17, This permit is hereby Issued under sions of the Butte Count Code and/or work indicated above for which ECTOR OF UB ey PERMIT EXPIRES Date the applicable to do resolutions to do fees have been paid. C WORKS - 6 � ' wDa e �— Receipt No. 9 WNITE-O.P.W., YELLOW -ASSESSOR, PINK-INePEcTOR. GOLDENROD -APPLICANT lV'7W. COUNTY OF BUTTE - DEPARTMENT,.OF,PUBLIC WORKS - BUILDING iDIVISION 7 COUNTY CENTER DRIVE - OROVILLF#CALI.FOfRNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLIC-ATIJA DATA SHEET Permit No. OWNER ��—�t �%�. ��'Y�� A. P. No. — Proposed Building Usee�B�^ �%G Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or, issuance: ' DATE RECEIVED APPROVED i 1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. ' 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . �+ 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . . , , , , 9. Letter of signature authorization. . . . . . . . . 10. Sanitation approval from Health Dept. /. 11. Planning approval for (A) Use: - (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑ ) _15. Improvements may be required. . . . . . . . . / 16. Mobilehome Installation Data. . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Ins 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses 'in duplicate (required prior to plan check). 22. When you issue the pe mit, proces as follows: Mail t ner, Mail to contractor. Telephone .3' %Q and hold for pickup ace, Deliver w/inspector. Other Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior -to permit issuance: (Circle new item not checked above). `1. Index permit for above items No. 2. Additional items required: - Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date rOrA 1,412 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No, 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Na a Address.. Phone Type of Work -- 3 r Signed: _ Property Owner Social Secur/ity Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. STATE P.O. BOX 807, SAN FRANCISCO, CALIFORNIA 94101-0807 COMPENSATION r INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE April 5, 1988 POLICY,NUMBER: y 5 un 59981=88. • CERTIFICATE EXPIRES:, 1_1_$•9 County of Butte F Bldg. Inspection Dept. #7 County Center Dr. Oroville, CA 95965 L This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for, the policy period indicated. This policy is not subject to cancellation by the Fund except upon ten days' advance written notice to the employer. We will also give you TEN days' advance notice should this policy be cancelled prior,to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions -of such policies. - PRESIDENT L , r � . EMPLOYER - Clair F. Bacon 4892 Kay -Lee Dr. Durham, CA 95938 L SCIF,10262 (REV. 1Q-86) OLD 262A a ••� _ ��"�y N:" •�'-V-•�.y •. V-�r'F.w11YMd� �.o.T�'+; :`y 3Se 9z COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7,County Center. Drive - Orovllle, California 95965 - Telephone 916/534-454: APPLICATION ASVD PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER tf r ZONING BUILDING PERMIT owNE� I TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME "\ TELEPHONE COfTTRACTOR'S-MAI LING ADDR-ESS 01P Fireplace CONSTRUCTION LENDER UNKNOWN Y Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ - ARCHITECT OR ENGINEER h^ LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 0 BUILDING /ADDRESS .- , +�PQ X :�� '(l/ PLUMBING PERMIT Fee Filing Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 j� J Jf Y •MAP Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ©' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home IS I GJWJ 110.00e TYPE OF WORK New❑ Addition❑ jRemodel❑ Utilities❑ Installation❑ Other Describe work: �! 12A A.) 1 (4, m t9 d }a.(p 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 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 2/20sgft 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 m license is in full force and effect. Y License No. 41 0- 1, � Classification ❑ 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 CONSTR ULTI-OUTLET 2.50 ea NON_RESI D. BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS &1 NON•RESID. SINGLE OUTLET CIR, / 20e50t OR FIXTURES 6 Ex. Occup(o ALO 300 FIXEEDD AXPP LNS, OR A Ex. Occup. OUTLETS (RESIDJ EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. 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 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 liabi. ities, judgments, costs, and expenses which may in any way accrue againsTrsai,d Cor in c nsequence of the granting of this permit. X < ` v— Date 1 G` �- ,- � Signature of Applicant — Owner ❑ Contractor ❑ Agent ®-i 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 $ TOTAL PERMIT FEE $ - ` 00 OCCUP. GROUP I TYPE OF CONST- PARCEL PD MD ssuE This permit is hereby issued under P Y Bions of the Butte County Code and/or work indicated above for which IR T OF PUBLIC By I PERMIT EXPIRES hate the applicable rovi- PP P resolutions to do fees have been paid. WORKS Date 3 Receipt No.�u 9� WHITE-D.P. W.. YELLOW-ASS&SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT16N IX PERMIT PERMIT NO. ASSESSOR PARCEL NU BE O ZONING BUILDING PERMIT OW r , TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Q� _ V� NT A T •S N E ''AA TELEPHONE s, nVl CO T ACTOR'S LIN A R Ss ` �O( Fireplace C NSTRUCTION LENDER UN KN ]yDd' (/ Total Valuation $ Filing Fee % $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 4X1100 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee . $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit -fee $ St�Q BUILDING ADRES �1 \ PLUMBING PERMIT .Filing Fee 10.00 S� Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF P Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Horne I S I G JW 1 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel J Utilities ❑ In ation❑ Older ❑ Describe work: Il — 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 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2/20sgft -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. �[ �s y3 Classification r ❑ 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 CONSTR ULTI-OUTLET NON-RESID. BRANCH CIRC ITS 2,50 ea NEW CONSTR. / POWER APPARATUS & NON-RESID. %SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR,FIXTURES aA@g oa FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. 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 liabi ties, judgments, costs, and expenses which may in any way accrue agains sa'd Cou in c nseq nce of the granting of this permit. xIt -30--j-'�- X Date rn / Signature of Applic — Owner❑ Contractor 11Agent 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 $ ` TOTAL PERMIT FEE $ o occuP. GROUP I TYPE OF CONST. I PARCEL I PD HD ISSUE 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. IR T OF PUBLIC WORKS By Date PERMIT EXPIRES ate r 1 - �J Receipt No..--:?(/- ��/ - WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT