HomeMy WebLinkAbout056-250-039J/r
A.P. 56-25-39
HALBERT, Frank
n/s Stage•Rd., app. 250' east Hwy 32,
Forest Ranch,•
„CONTR:_,Lou Thacker, Durham
Permit 1473-72B,P,E,M
(new single family) -1 7_ 76
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A.P. 56-25-39
HALBERT, Frank
n/s Stage•Rd., app. 250' east Hwy 32,
Forest Ranch,•
„CONTR:_,Lou Thacker, Durham
Permit 1473-72B,P,E,M
(new single family) -1 7_ 76
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PERMIT NUMBER - B
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PERMIT EXPIRES
t owNER Frank Halbert
I. CONTR:. Lou Thacker, Durham
LOCATION (A.P. 56-25-39
I n/s Stage Rd. app. 250' east Hwy 32.,Forest
Ranch
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COUNTY OF BUTTE
•
Department of Public Works
-
BUILDING IN�PECT�ION RECORD
�
Zoning,
�p
Setback � "- /'r/ 1 `. %� Z-.
2 _ .2 --
forms �— � 2-2—
/
Foundation 2 ' -72—
Foundation
Piers & Girders Z - % Z-
Fireplace
c�-
Rgh. Plumbing /^ LJ -% Z.
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test -:22
Found. Vents
Framing
Plmg. Topout
Rough Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final
Final
Final
DATE
REMARKS. OR CORRECTIONS
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK%J
7 County Center Drive ? Orovi4le, California 95965 1-f' /C5
3
Telephone: 533-12y0, Ext. 259
APPLICATION AND PERMIT
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which 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.
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 pro ty for inspection purposes.
X Date ?
ignat a of P mitee or Agent
Receipt No. ' /' f
1 _
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
BUILDING
SQ. FT. I OCC. I BUILDING VALUATION
Fireplace
Total Valuation /
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater r vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service incl. 1 meter
Additional meters, each
Sub -panel (12 or less) (more than 12)
Range, dryer or water heater
ven, Cook -top or space heater
Light fixtures
ood Ex Fanoy .A. Furn.Mo`
Evap. cooler, gar, disp. or D.W.
Air conditioner or heat pump
Water pump
Misc. wiring
Permit Fee
MECHANICAL
PERMIT FILING FEE
Heating
Coolin
Ventilation
@ FEE
$2.00 to
1.50
1.50
1.50 S
1.50
1.50
.50
5.00 - E
2.00
@ I FEE
$3.001-1 ,0 t�
6M
Permit Fee s a "" 4 fVZ
Stmentation t'ate Fee for $trprnMot g Motion
nstru$0.07/$1000 Evaluation $ I e P -i
I
TOTAL PERMIT FEE $
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�-1-- Date 7-I ? - "Z 'Z
Building Permit Expires Date -Z3
Owner y
Mailing Address
Contractor Tie
Mai I i ng Address
I e—
Building Address
/y,
A. P. No.6Z 14�
Zoning
Fire Zone
Fire Dept.
anning
Plans L-�
I Fees
W. C.
R/W
Encroachment
NEW X ADDITION ❑ OTHER ❑
USE OF STRUCTURE Single Family DI Duplex ❑ Others ❑
CONTRACTORS LICENSE LAW
I am licensed under the provision of Chapter 9, Div. 3, of the
State of California si essions ode under the name
style of:
f: i
License No. 0
Classification
❑ 1 am exempt from the Contractors License Laws of the State of California.
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which 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.
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 pro ty for inspection purposes.
X Date ?
ignat a of P mitee or Agent
Receipt No. ' /' f
1 _
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
BUILDING
SQ. FT. I OCC. I BUILDING VALUATION
Fireplace
Total Valuation /
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater r vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service incl. 1 meter
Additional meters, each
Sub -panel (12 or less) (more than 12)
Range, dryer or water heater
ven, Cook -top or space heater
Light fixtures
ood Ex Fanoy .A. Furn.Mo`
Evap. cooler, gar, disp. or D.W.
Air conditioner or heat pump
Water pump
Misc. wiring
Permit Fee
MECHANICAL
PERMIT FILING FEE
Heating
Coolin
Ventilation
@ FEE
$2.00 to
1.50
1.50
1.50 S
1.50
1.50
.50
5.00 - E
2.00
@ I FEE
$3.001-1 ,0 t�
6M
Permit Fee s a "" 4 fVZ
Stmentation t'ate Fee for $trprnMot g Motion
nstru$0.07/$1000 Evaluation $ I e P -i
I
TOTAL PERMIT FEE $
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�-1-- Date 7-I ? - "Z 'Z
Building Permit Expires Date -Z3