HomeMy WebLinkAbout040-260-054A.P._ 40-11=6
Alfred E': Fulbright
off e/s Lott Rd. approx. 1/2 mile
S. of Durham -Or -)Hwy.., Durham
Permit 1333-71B
A.P. 40-261, 4
AL FULBRIGHT
e/s Lott Rd. app..3A mi so. of Orovi_
Durham Hwy., Durham r
:"CONTR:.1 L6u Thacker ham
Permit 1481-73B,P,E 73
(swimming pool)
940-26-0-054 PERMIT #94-2516 B
FULBRIGHT, AL
1722 HYER COURT, DURHAM. q %9
(REROOF) SF ELY ROOFING y I I
040-260-054 02-0331
MATSON, DAVE & KELLY
1722 HYER CT, DURHAM
CONT: MCCLELLA D AIR
REPLACE HVAC JA
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PERMIT NUMBER — B 14$1-73B9P,E
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PERMIT EXPIRES z_
OWNER IDDUW Al Fulbright
CONTR: Lou Thacker, Durham
Y
LOCATION (A.P. 40-26-54
e
e/s Lott Rd. app. 3/4 mi. `o. of Oroville-
Durham HtaV., Durham
A
COUNTY OF BUTTE m
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Department of Public"Works
BUILDINEr INSP:FCTION. RECORD
k
Zoning
Setback &_11— -% 3
r
Forms i; f T-7 3
Foundation
Piers & Girders
Fireplace's
Rgh. Plumbing
Bond Beam
Loth & Plaster
Rein: Steel -
` — 73 Gas Piping & Test
Found. Vents
Framing
Plmg. Topout
Rough Elec. 2.%--7 3
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final / /
Z G' i 63- Final -7'tj
Final it
DATE
REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
auuiunce reNreseniauve a county or tsutte to enter upon the
above-mentioned pro rty for i spection purposes.
X::f�_ Date
Signature of Permitee r Agent
/
Receiot No. _ e!�I 3
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�- 7 3
Building �pernit expires Dat4�
-•--•-•
BUILDING
Owner
SQ. FT. OCC. BUIL ING VALUATION
Mai I i ng Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address —� Z
Permit Fee
Plan Checking Fee &/or Penalty
o
ol&-75
Building AddressPLUMBING
'
Permit Fee
$
No.1
@
C7
FEE
$ OC
PERMIT FILING FEE $2.00
0
a.1
Each Trap 1.50
r
Repair drainage or vent piping
1.50
Water piping 1.50
r
z�
Each gas water heater or vent 1.50
A. P. No. o
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W. C. FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Park arcel
Plans Declaration
parcel Ma P
60' R/W
Im rov nts
P
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee
$
$ Z
NEW ❑ "ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.
@ I
FEE
PERMIT FILING FEE $3.00
D
'
t
Main service incl. 1 meter
Additional meter each
1.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
j
1.00
Light fixtures pal io
Receps., swlflles & fix Autlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Busine Prof 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 o heat pump
Water pump -a-
Mobil Home racIlities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of Califomia.
Permit Fee
$
i
$ ®�
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code wh' h requires every employer to be insured against liability
for Wor en's Compensation.
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.1
@ I
FEEPERMIT
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
$ o�
auuiunce reNreseniauve a county or tsutte to enter upon the
above-mentioned pro rty for i spection purposes.
X::f�_ Date
Signature of Permitee r Agent
/
Receiot No. _ e!�I 3
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�- 7 3
Building �pernit expires Dat4�
-•--•-•
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L,E�
PERMIT.#94-2516 B
L
URT, DURHAM
ELY .ROOFING.
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
--.,4 7 County Center Drive - Oroville, CalVornia 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT �" D
ASSESSOR PARCEL NUMBER
u4J-�bU-U54
BUILDING PERMIT
OWNER
A r'uli�ri unt
SQ. FT. OCC. BUILDING VALUATION
T�3451344
MAILING ADDRESS
;;yer ::t Jttrim:i CA 959.CONTRACTOR'S
lf'`'OWNER'S
3() U U 1 vU1/6L
NAME Lly i;oori-u�>, 111C
CONTRACTOR'S MAILING ADDRESS
13i)t GO1lLraCLOrs Lr Chico GA 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
}
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $ 54.061
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Pe alty $
BUILDING ADDRESS
17Ll ti er CL — Uurgaia
PERMIT FEE $
LUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
_. ,r., .- .:..y. ...�,+..�,. ,.�.....-siv-:-.•t-�s--•,r,�3,,,, ;�....,.."rt«�•
RSolarrdr�heaYpumpwster;heater-..r«.:::,�.23t0Oi :a:_ _.1. ;
Water piping - 15.00
• LOT NO: s•+r•
SUBDIVISfN'SNAME .•"" •�
PARCEL MAP
*Each gas water heater or vent 15.00
• USE OF STRUCTUREGas
•
SF A Duplex ❑ Mobilehome ❑ Other
SPECIFY
piping system 1 - 5 outlets 15.00
Building sewer 15.00
obile Home S G W @20.00
TYPE OF WORK
New O Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O
Describe Work: remove e x l s L 1 n Y rooting & replace
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
w/25 yr arch - 3b sqs
BOOV OR LESS Main Service
( 200AORLESS 1 23.00
Main Service ( 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCCUP. .
OR AODNS. ( & ACC. BLDS. ) 3.50 STI.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
"Cl I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.,
() U 1 J O U
License No. Classification �+—.�y
❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON RESID. ( BRANCH CIRCUITS ) @7.50
( POWERAPPARATUS )
6 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) 82001.50
Ex. Occup.FIXED (RESID OR
(OUTLETS IRESID.1 EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for 000.00 (Galuatiori) orless. +
1❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws -of California.
Notice to Applicant: If after making this, statement,i should you become subject to the
Worker's Compensation provisions of the Labor Code, you'rnu`st forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor,
} MECHANICAL'PERMIT` Filing Fee 20.00
Heating
Cooling
Hood 6.50
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 Butte County Ordinances and California 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
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
9-1-94
X /f Date
Signatu a of Applicant - Owner ❑`Contractor ❑Agent
An OSIt permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ / 4 . UU
I
HA2.D.
FEES
I IMP
I ROOD
I CDF
I PARCEL PD
HD
ISS
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-PUBLICWORKS
BY Date
PERMIT EXPIRES ON �1� '/l,G-'
(Date) I
`�J
Receipt No. �
(, J S7
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Z COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California,,95965 - Telephone (916) 538-754 PERMIT NO.
APPLICATIOU AND PERMIT—
ASSESSOR PARCEL NUMBER
040-260-054
ZONING
BUILDING PERMIT
OWNER
Al Fulbri ht
TELEPHONE
343-5134
SQ. FT. OCC. BUILDING VALUATION
OW E S AILING ADDRESS
1/2 Hyer Ct Durham CA 95938
3600 216 0
CONTRACTOR'S NAME
Ely Roofing Inc
TELEPHONE
343-7663
CONTRACTOR'S MAILING ADDRESS
13291 Contractors Dr Chico CA 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ 54.00
ARCHITECT OR ENGINEER
ucENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENG.NEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1722 H er C t - Durham
PERMIT FEE
$
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF]] Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 1:1Other
Describe Work: remove existing roofing & replace _
PERMIT FEE
$
Contractor
ELECTRICAL PERMIT ._..
....._ . _. _ _..
.Filing Fee 20.00
w/25. Yr arch'- 36 *'sqs --
Main Seivice, ( BOOV OR LESS )
200A DR►ESS
23.00
_ -_
Msin.Service t( 200A'TO 9000A )
46.00
;,� 4 •,. ,
NEW CONST, DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
SD -
3.5C FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. 607386 Classification C-39
❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
El am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON -REBID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
@ 100
B20AL. .
Ex. Occu FIXED APPWS. OR
p" ( OUTLETS rRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
XQ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence oft anting of this permit.
X • Date 9-1-94
a
Signat of Applicant - O Owner C1 Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 74.00
HAZ-
D. FEES
IMP
FLOOD
CDF
PARCEL PD
HO
ISS
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
DIRECTOR BLOC
1
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
WORKS
% ShyBy
ate
f0 rel
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.t. ..,. :, i. :: .zr.-� y •r-sm ..a _. Y�+.W � - �F.�r. -„ .. ,. -s,r: .. �+. .... .h;,,, „i.,•. „r i.ara'r. �9, _a+.�
040-260-0,-4 02-0331
MATSON, DAVE & KELLY
.1722 HYER CT, DURHAM
CONT: MCCLELLAND AIR
REPLACE HVAC
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D VISION
7 County Center Drive • Oroville, California 95965' • Telephone (530)538 541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT zCom- :3 li,
ASSESSOR PARCEL NUMBER M /(V/ - 0 /��/]�
Lv
ZONING
.
BUING PERMIT
OWNER
`Z ori PX VF X let ZtY
TELEPHONE
� 4s�ag
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRES �
�a2
CONTRACTOR'S NAME !
la l �� .�II<<
TELEPHQNE
�r9T 0;
CONTRACTORS MAIUIJG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee $ 20.00
—Filing
Permit Fee $
ARCHITECT OR ENGINEERS "UNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS' 7 -) 3 / ^n f( I
I/-
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDNtSIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF CY Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel Utilities ❑ Installation /❑ Other ❑
Describe Work: --I� =t�� +7{%i�/9 C� V1✓/ /
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE $
• ELECTRICAL PERMIT Filing Fee 20.00
Main Service 200A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
1 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. ff
License Class [, •Z U Lic. No. ? S �+ 1
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 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:
❑ 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
,6erformance of the work for which this permit is issued.
phave and will maintain workers' compensation insurance, as required by Section
/I
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
Main Service Zoog To 46.00
CCU000A
NEW CONST. DWEWNG OCCUP. SO
OR ADDNS. ( a ACC. BIDS. 3.50FT:
NEW CONST. MULTI.OUTLET
NON•RESID. @7.50
PowER APPARATUS
a SINGLE OUTLET CIR.
20 .00
EX. Occup. OUTLET OR FIXTURES BAL @ I. 0
Ex. Occup. q�Ip,OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating G
Coolingly
Hood 6.50
Ventilation
PERMIT FEE $ .60
Policy Number
(The above sections heed not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.) ,
❑ 1 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
forthwith comply with those provisions.
l �� i
Date (-/ • i d
Signature of A t - ❑ Owner ❑ Contractor ¢I Agen=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 $
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PO
HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte unty Code and/or Resolutions to do work
indicated ove for which fees h ve been paid.
By / /Date
PERMIT EXPIRES ON ( 3
Date
Receipt No. •'1-2X75.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D ISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538 541 PERMIT No.
(Rev. 12/96) APPLICATION AND PERMIT 6D' 6
ASSESSOR PARCEL NUMBER ///�� 0
Vn(WL /VY v
ZONING
BU DINGPERMIT
OWNER
O
TELEPHONE
-�S
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING AD RES
COMRA.CTORS NA�/E „ /�� ^ f
/J'J,7
TEL�PN NE
v4
I
CONTRACTORS MALUW ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filina Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS `"-') ^ ��
` / P/�-
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF Cr XDuplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Insttaalllation/❑ Other ❑
Describe Work: ��`f�(���f /TVA( 1/,,V,,
Gas piping system 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
80OR LE
Main Service 200A OR LESS
23.00
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 C - z) Lic. No. �� I Z
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
�pensation, as provided for by section 3700 of the Labor Code, for the
erformance of the work for which this permit is issued.
I 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 t51AT= —rf--,.AD
Policy Number I I - zy2sj
(The above sections need not ble completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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'
co nsation law of California, and agree that if I should become subject to the
w kers' comp ation provisions of section 3700 of the Labor Code, I shall
f liwith co with ose provisions.
/
to S d
Sign ture of A t - ❑ Owner ❑ Contractor 12 Agent
An OSHA permit is required for excavations over 5'0" d ep and demolition or constructionof structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWEwNG OCCUP.
OR ADDNS. ( a ACC. BLDS.
SO
3.5¢FT;
NO .C.0Ip. - MULTI-OUTLETBRANC 97,50
OWER APPARATUS
8 PSINGLE OUTLET CIR.
20
Ex. Occup. OUTLET OR FIXTURES ®''00
BAL @ .50
LNS
Ex. Occup. pFMUT�7g RES,6.OEA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
CoolingGp
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ �a(/
HAZ.
p. FEES IMP
FLOOD
CDF
PARCEL
PO
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte unty Code and/or Resolutions to do work
indicated _vee for w4feesbeen paid.
By DateReceiptNo. PERMIT EXPIRES O��
ate
WHITE-D.D.S.-B.D. CANARY-ASSESSORA01T1qK-IeNWSPECTOR GOLDENROD -APPLICANT
PERMIT NUMBER
B 1333
P 1312 P
E 1258 E
PERMIT EXPIRES
OWNER Alfred E. Fulbrigbt 343-,5_/.M
tCONTR:. Owner
LOCATION (A.P. 40-26-4.1
off e/s of Lott Rd. approx. 1/2 mi. S.of
Durham- Oroville Hwy..., Durham
.COUNTY OF BUTTE
Department of iPubl(c•.,Works
BUILDING INSPECTION RECORD
Zoning —
I' 7 /. A
Setback.
Forms J L
C
Foundation T=
-2 f L
Piers & Girders
-
Fireplace
Rgh. Plumbing `?•—!O
Bond Beam
Loth & Plaster TA2cG.6Z—
Rein. Steel
Gas Piping & Test
_
S Z-
Found. Vents
Framing
7Z
Plmg. Topout/ A-=
-3 %'
Rough Elec.
_—
Wir. Htr. S z
'—% Z-
Furnace
Kitchen Vent
Firewall
—12
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUL�VfDIING
Temporary % Z
�✓ ` 7� %��
Temporary -
�� —� 2—
Ce t.Occup.
Z -q 7'L
Final —=`%
'Final ��
--�
Final
DATE
REMARKS OR CORRECTIONS
13
lar 0 v� c '� %�/1 ! �� s / J-� c 64 Tom' �•-
7-
A111 -2
s G✓ s-�' �v� vex/4e
COUNTY OF BUTTE
DEPARTMENT- .OF 9UBLIC WORKS
7 County Center Drive - Oroville, California 95965
Phone: 533-1230, Ext. 259
APPLICATION AND BUILDING PERMIT
r
Permittee Owner A. P. No.
Mailing Address - Fire Zone
Contractor Sanitation
Mailing Address Plans
J
P
Fees I W.C.
BLDG. Address - i' R/W I Encroachment
NEW El ADDITION D REPAIRS ED OTHER 0 F O U N D A T I O N
MATERIAL EXTERIOR PIERS
Others
Single Multi Width at Top
USE OF STRUCTURE Family ED Duplex Q Dwelling 0
Others Width at Bottom
Depth in Ground
SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN
Girders
V': --
joists - 1st Floor
Joists- 2nd Floor
Fireplace
I' Joists -'Ceiling
Total Valuation t ,r v �- Exterior Studs
Permit Fee Interior Studs
Plan Checking Fee &/or Penalty Roof Rafters
Total Permit Feej -��
/ t� =" � Bearing Walls
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPL.ETE THE FOLLOWING:
I am licensed under the provisions of Chapter, 9, Div. 3, of the State of California Business & Professions Code under the name
style of................................................................................................................................................................................................................................................ .
License No . ........................•.. Classification........................,,,,,,,,,,,,,,,,,,,,,,, and certify that the aforesaid license is in -full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
�F--J.. I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
% improvements. (Sec. 7044).
0 Basis,, if any, for other statutory exemption...................................................................................:............................................:.................................
.................................................................................................:................................................:.................................................................................................................
WORKMEN'S COMPENSATION INSURANCE
I am, aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
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.............................................................................. D ate ................................
SIGNATURE OF PERMITTEE OR AGENT
ReceiptNo.........................................................................................................
This BUILDING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By................................................................................ Date ................................
Permit Expires Date ..................................
•
COUNTY OF BUTTE
DEPARTMENT' OF 'PUBLIC WORKS ) 2, —71P
7 County Center Drive - Oroville, California 95965 /
Phone: 533-1230, Ext. 259
APPLICATION AND PLUMBING P E R M I T
Permittee Owner A.P. No.. A.10 — Z
Mailing Address o'/ �Jr ���'C'�-e/—✓ �., .-�.-✓ Contractor
Mailing
Mailing Address
BLDG. Address �%�i`6��/�� ✓/� �_�r�
DESCRI-PTION OF WORK
NEW Fv_j ADDITION REPAIRS 0
OTHERS:
Remarks:
PERMIT FILING FEE
No.
@
Fee
_
$2.00
JZ
Each fixture or trap or set of
fixtures1.50
on one trap
�� U
Repair or alteration drainage
or vent piping
1.50
Installation or repair
water piping
L50
Each gas water heat�,or
gas heater vent
1.50
•�-3
USE OF STRUCTURE
Single Multi
RESIDENTIAL Family ® Duplex Q Dwelling Q
r
OTHERS:
Remarks:
Gas piping system 1 - 5 outlets
1.501
U
Gas piping 6 or more - Each
.30
/
House Sewer
5.00
Lawn Sprinkler system
2.00
TOTAL FEE
$
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
styleof................................................................................................................................................................................................................................................I
License No. Classification,,,,,,,,,,,,,,,, and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
Basis, if any, for other statutory exemption..................................................................................................................................................................
....................................................................................................................................................................................................................................................................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. 1 have placed on file with the County af, Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
1 certify that I have read this application and state that the This PLUMBING PERMIT is 1`e•reby issued under the appli-
above information is correct. I agree to comply with all County cable provisions of County resolutions and/or ordinances.
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.
Date - V -
�,....:7,.......................................................................................................
SIGNATURE OF PERM I,T^TEE OR AGENT
Receipt No....� CGa (-
.........................................
DIRECTOR OF PUBLIC WORKS
By ................._......
...... V.................... f ,. :............. Date .... i.`..1 `�-7
V
•
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center'Dpive- VDroville, California 95965
PHONE: 533-1230, Ext. 259
APPLICATION AND ELECTRICAL PERMIT
10
Permittee Owner i-,,'� /.-1 : r: ' =• _� " A. P. No.
Mailing Address / /ii . % ,� �i .rr.r.�V
Contractor .4
Mailing Address
BLDG. Address .� •a lam, / S /'
DESCRIPTION OF WORK
NEW [%] ADDITION F-1 METER SERVICE 0
OTHERS
Remarks:
USE OF STRUCTURE
Single / Multi
Family Q Duplex E:] Dwelling
OTHERS:
Remarks:
No.
PERMIT FILING FEE $2.00
Supplementary Filing Fee 1.00
Fee
Main aervtce
an
Sub -panel less) less)
)
Each
Range, Dryer or Water Heater
1
Each LOO
Oven Cook Top or Space Heater
Each ..50
Light Fixtures
First 20 .20Each Additional .10
=-+
> 7
—Receptacles., Switches & Fixture Outlets
/ 1. J
First 20 .20
Each Additional .10
c
Hood, Exhaust Fan or F.A. Furor Motor
%
Each .50
Evap. Cooler, GarfDisp. or Dishwasher
Each .50
"
,eAir Conte dicier one o Heat Pump �� r
�_ fr
Water Pum
Misc. Wirine
TOTAL FEE
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
styleof..............................................................................»......................................................................................................._.................................................»_ ,
License No. Classification,,,,,,,,,,,,,,, , and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one).
Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors,
(Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
QBasis, if any, for other statutory exemption........................................................................................................».................» ........».».. »....».. ..
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the above in-
formation is correct. I agree to comply with all County ordinances and
State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli-
sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances.
property for inspection purposes. ,
DIRECTOR OF PUBLIC WORKS
X .......... ..............: .................... ...... .......... Date ........................................
...... ..... ...... ........
SIGNATURE OF PERMITTEE OR AGENT
By.................................................................... Date
ReceiptNo....................................................................