HomeMy WebLinkAbout041-280-12341-28-123 3122-89P,E
RAYBURN, Mark
,175 Buck Horn Trail, Oroville
-ContR: David-,& Son Drilling
(water piping &.,circuit for- we -
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.,�.# COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO,./
d 7rCounty Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 /��.,_ Y
��. APPLICATION AND PERMIT «'t
h&
ASSESSOR PA C NUMBER - --
�-,ER
ZONI G
BUILDING PERMIT
ow ~ t
1
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADORES
CONT TOR'S NAME TELEPHONi 5 �?
%J C OR'S MAILING D RESS
G
' 1
Fireplace
Total Valuation ' $
CONSTRUCTION LENDER i
{
UN N
Filing Fee t •$ -'10.00
LENDER'S MAILING ADDRESS
Permit Fee I
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ 1�
ARCHITECT OR ENGINEER'S MAILING ADDRESS
%ti
Penalty
$
BUILDING ADDRESS
F•� /\/ !✓
Permit fee
'
$
PLUMBING PERMIT
FiIingFee 10.00
I-7 / 1
` '
Each Trap q f
2.00
"
Solar or heat pump water heater,r
20.00
LOT NO.
SUBDIVISION NAME )
PARCEL MAP
Water piping 1 0 1 `
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex Mobilehome❑ Other l�yCL� f
SPECIFY ,
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00e
TYPE OF WORK 9
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] :Other
Describe work:1�c 9 -'Co _
-?� Z ��Ji� � '
'
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 I
2.50
CONTRACTORS LICENSE LAW
I declare under Snail of perjury
penalty p i y (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 arra effect.
License No. 4 2 5%0 Q Classification (' -sT_
❑ I, as the owner, or my employees with wages as their sole. compen-
satior, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
t
El 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 i
NEW CONST. DWELLING OCCUP.Et
OR ADONS. ACC. BLDGS.
,
hQsgft
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea '
POWER APPARATUS E
SINGLE OUTLET CIR.
OUTLETS OR FIXTURES
Ex. Occup(zAL@A0
eL030
x.
EOccup. OUTLETS FIXED PRESID IKEA.)
2.00
Temporary service
10:00
Mobile Home Facilities
,1.5.00
Misc. Wiring
115.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): 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
of Consent to Self -Insure. _
❑ 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California. , '1 f I
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.' * I
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 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 ' les, judgments, costs, and expenses'which may in any way accrue
against aid Count i consequence of the granting of this permit.
X C
�../ Date �-/£i—�
Signature of Applicant - Owner
g pp ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construe-
ion of structures over . storie 'n height.Receipt
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
p
TOTAL FEE $
HAZ
CUA
PARK
SCHL
FLD
I PAR
PD
HD
ISSUE
This permit is hereby issued under
Bions of the Butte County Code and/or
work indicated above for which fees
MIR6TORAeOlF PUBLIC
By
PERMIT EXPIRES Date
the applicable to do
resolutions to do
have been aid.
P
WORKS
Date
No.
WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE-- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT N
ASSESSOR PA C NUMB
ZONI G
BUILDING PERMIT
ow ^
WKUPW
TELEPHONE
SQ. FT. OCC.1 BUILDING VALUATI N
OWNER'S MAILING ADDRESS
CONT TOR'S NAME
f?o,
TELEPH ON
5 /
C OR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER J
U-NPZIqDVN
Total Valuation is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
A$. $
ARCHITECT'OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
�Jr
J
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME J
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE.
SF ❑ Duplex❑ Mobilehome❑ Other lC
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
1 5.00
Mobile Home S G W
10.006
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installa ion❑ Other
Describe work: ��%t _
(Z��('�/�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 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):
3< 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. `F ^
(�� Classification l `.s
❑ 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
(Sec owner, am exclusively contracting with licensed contract- 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&
New �orNisrR(ACC. BLDGS. )
, h¢sgft
ULTI OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Occup(OUTLETS OR FIXTURES
Ex. Occu o
2ALO
eL030
FIXED PR
Ex. Occup. OUTLETS (RESID IEA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring IVA '
15.00
iW-:;�A
I
Permit Fee
$ -a C,
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
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 liabi I s, judgments, costs, and expenses which may in any way accrue
against laid Coi_unt consequence of the granting of this permit.
%� Date —/���
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
Istructures over storie'n height.�pt
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
AL
TOTAL FEE $
HAZ
CUA
PARK
FLD
PAR
PD
HD
IssuE
Th's permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
IR TO t= PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
DateD.P.W.,
No.
TELLDW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
EXISTING
FENCE —
y-
CONNECT NEW 5ERVICE
w (INE TU HOUSE
Ck PROPOSE WATER
SERVICE LINE ANO'P°WER !„INE
MARGE1
RAY SURNS
/ / 1 H OME
I
PROPOSED I
POWER LINE 1
FOR WELL
EXISTING WATER
LINE
CUT AN 0 CAP
EXISTING LINE
I,
i
} �-- -- 2 -WAY -CLEA-N OUT
INSTALL CIRCIUT
BREAKER EXIST NG IN
1
1500 GALLON
SEPTIC TANK
PROPO Er LEACH
l �INEj
b
` u
75
� 7
45- 5'
0 75.
------------------
SHED
n N+wvrtm r,' sttf tia
INDIAN HEALTH SE VICE SITE l POUT MP"?CALIFORNIA AREA OFFICE ,t ��
LT'r
ENNAROMAENTAL HEAi Mnoce �,,te', t,,,REQ q•.o sc�.ei FxturtE3 WT N.a �7
Ka
AND ENG;NEERING
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COVERED BRIpGl-
MoCttr_ Hones
WHITE FEivC� W /T N
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5� ANO\MOU'z=
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSFr 50 PARC N=MB/E v
ZON N ,
x
BUILDING PERMIT
_
OWNG rta
�
TEL Pr NE
SO. FT. - P— , BUILDING ATION
OWNER'S MAI()NG ADDRE
CO ACTOR
r,
TE HO
-
rFi,,pe
CO RA OR•S [LING 4 RE `! V
L(f
C NSTRUCTIOq--ChoE
UNKNOWN
Total Valuation is
Filing Fee $ 10,00
LENDER'S MAILING ADDRESS
Permit Pl,,e $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
A$. $
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
f
Penalty $
BUILDING ADDRESS
Permit fee $
PLUMBING PERMIT Filing Fee 10.00
(
'
Each Trap 2.00
06 V
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 5.00 i
Each qas water heater or vent 5.00
USE OF STRUCTURE %
��,C
SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home Is GJWJ 0.00e
r,�
n
TYPE OF WORK
New ❑ AdditionE] Remodel ❑ illities ❑ Installation Other
Describe�Work: f _
t Y�
- -
Permit Fee $ �)
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS 10.00
100 AMP OR LESS
Main service EA. ADD•L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declare er penalty of perjury (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and effect.
and Professions Code and my license is in full force and
�}nt' (po��
License No. Classification C -S/
""""'/FF -"
❑ 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 contrac
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.ai) ,
OR AODNS. \ ACC. BLDGS. I 20sq ft
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRCU ITS 2.50 ea
I POWER APPARATUS e
%SINGLE OUTLET CIR.
/
EX. Occup( OR FIXTURES 120 050t
DAL@30
DAL®30
EX. Occup. OUTLETS (RESID )FIXED APPLNS. REA.� 2.00'
Temporary service 10.00
Mobile Home Fa ili_ties 15.00t-
Mi Wiring15.00 n
l ,
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Cert icate of Workmen's Compensation Insurance or a Certificate
of nsent 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 shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 10.00
Heating
Cooling
Hood 3.00
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree 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
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilit judgments, costs and exp nses which may. in any way accrue
against ount cons a of t granting of this permit.
�� c+c'
X — 1e o
Signature of Applicant — Owner ❑ Contractor ["" Agent rl
An OSHA permit is required For excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 7-D 00
HAZ
CUA
PARK
scHL
FLO
PAR
Po
Ho ISSUE
This permit is nereby issued under the appiicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date
11 PERMIT EXPIRES Date
Receipt No.
WHITC•O.P.W.. YELLOW- ASSESSO . PIyK- 5PECTOP.
9-/�� �9
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4tONTC,OMFQu 5 x
aRov�� ► � . •
DE�QIC. .
Ml4 F k 40
COVE/2ED BRIDGE-
WHITE
RIDGEWHITE FENCE W/TI./
LEFT GETWEN
TF Mogl� ❑
DOL. HSFE
O%9Np �_G.TE
SCHOOL 90U5E _
I u MILE FROM
TURN TO LEFT CRATE
HOUSE H UR,ys.
FE97-HER RIVER Mo R6 E 24 YaURNs . f
HOUSE Ofd LEFT
.,
E �r rQ
rz nen
n a k.¢r vy 11 '
^m•QT xp •
A.0p'lli i
f
400' 70
WELL SITE
EXISTING
FENCE —
r
CONNECT NEW SERVICE
w LINE 70 "OUSE
oe PROPOSE WATER
SERVICE LINE ANC '?OweR LI^'E
MARGE
RAY H MEBURNs
�i
t
I
PROPOSED
POWER LINE.
FOR WELL
1
EXI5TING WATER
LINE
CUT AND CAP
-EXISTING LINE
+-- 2 -WAY CLEAN OUT
INSTALL CIRCIUT
BREAKER EXIST NG IPA14EL 1
I1500 GALLON
SEPTIC TANK
-o
O
BAR 1V
l
4 5'
L\
PROPOS' LEACH
LINE]
75•
75'
------------------
75'
SHED
rr Ar4+evrm rr ra
INDIAN H
CALIFRNIA AREA OFFICE HEALTH SERVICE SITE LkfoUT MPA'P
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1t IDAR
EWARONMENTAL HEALTH Ft4P E rZn•�{ZV) WaRER A�O SewEi FAcIUTIEs y nas i
AND. ENG;NEERING -gLa
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