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HomeMy WebLinkAbout061-340-028l - E. LEWIS App- mi ...So of Mt.....House-,..E/S . of..... road (Sign says E. Lewis) CONT : D. F. Bird, Colfax, P.O. Iowa Hill R. Sta. Permit 3275-73 (add bed i. & kitchen)- 61-02-118 Earl R.1-�Lewis �r.l.E/S,Oro Quincy Rd., _k -mi. N.of Mount ain blouse , d�U��E'£s, (Permit #2792-76B(new'storage rcS_& garage) a q 61 024 18 Contr : Jam�es Edwards, Oroville PermitW58-79E(ele/garage/2792- 7ti1 61-34-28� Permit#650Z.83B(wood burning stove)SF 061-340'.028-"PERDIIT#95-2496- 'HASTAIN, `Paul''' =°• ' 13324`:Oro. Quincy-Hwy.,-Berry,+Creek Cont; Gravison'.&'Ricketts- Repair Roof & Ele '.Damage%SF• p <� r �9I97 B08 0694"�LFfJN �i '061-340.028 �4 �MISCFLLANEOUS auk}- iy F -Re R66f-- 4R -66F METAL 18SQ'S `; ,` , , ; 113324'ORO.QUINCY HWY CARLE,CAROL i z. Ld 3 u BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds Site Address: 13324 ORO QUINCY HWY APN: 061-340-028 Permit type: MISCELLANEOUS Subtype: Re -Roof Description: REROOF METAL 18 SQ'S BOE ROOFING 3126 JOHNNY LANE CHICO, CA 95973 (530)342-4919 PROJECT INFORMATION Owner: CARLE, CAROL P O BOX 2630 OROVILLE, CA 95965 (916)955-9252 BOE ROOFING 3126 JOHNNY LANE CHICO, CA 95973 (530)342-4919 FEE INFORMATION DBMSC Re -Roofing $119.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires BOE ROOFING 820046 / C39 / 05/31/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X fU 1'90__ 04/16/2008 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; Carrier: STATE FUND Policy Number: 713-0017668 Exp. Date:08/01/2007 (This section nee not be completed if the permit is or once un re�llars ($100) or ess. ❑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 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. , X 0—L� 04/16/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. Permit No: B08-0694 Issued Date: 04/16/2008 By TMP Expiration Date: 04/16/2009 Occupancy: Zoning: U Square Footage: Building Garage Remdl/Addn Other Porch/Patio Total 119.00 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this ix 04/16/2008 Owner's Signature Date CONSTRUCTION LENDING AGENCY I I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prop wn r or a authorized to act on the property owner's behalf. ghD­� 04/16/2008 ElOwner Q Contractor OR. DAgent for Owner ElAgent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WIIL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name0Ls L Y CIT First Name Mailing Address 13329 ORD QLj►wc y N yu) City State C r Tip Phone q16 q rS Fax Email CONTRACTOR Name ,✓ r? or po%iu Name Address 3126 ToNAwy Lam, City GNjCa Statec-14, Zip w-773 Phone 3y2_ 99/9 Fax E-mail Lic. # $2 00 yG Class C _ 37 APPLICANT INFORMATION ARCHITECT/ENGINEER Name .City Address Zip City Fax State Zip Phone Fax Email State License Number APPLICANT INFORMATION Name Address .City State Zip Phone Fax E-mail APPLICANT SIGNATURE x fi4gr 6X_(� PROJECT LOCATION AP# %� Property Address City WORKER'S COMPENSATION Policy Number 0f 7 d � 9 Carrier 5-7',# rA_ uw� If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY 'Name Address DESCRIPTION OR SCOPE OF WORK. LSM 0&- + 12Lr!'L i4CL—� toad F L Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes T No Occ. Type Const. COUNTY OF BUTTE — ft-Af TMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATIOAND PERMIT - UU U IVIIGV IUPIUJUIIIaUVVJ UI LIM UUWIIy UI 6Ulle lU enter UPUn [ne above-mentioned property for inspection purposes. fi Signature of Permitee or Agent Date Receipt No. 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 BUILDING Owner Mailing Address SQ. FT. OCC. BUILDING VALUATION Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 5 balld 2U,25 Receps., switches & fix outlets bnl CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions 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 or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I 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 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ UU U IVIIGV IUPIUJUIIIaUVVJ UI LIM UUWIIy UI 6Ulle lU enter UPUn [ne above-mentioned property for inspection purposes. fi Signature of Permitee or Agent Date Receipt No. 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 COUNTY OF BUTTE — QEPA1RTMENT OF PUBLIC WORKS 7 County Center Drive — Oroyj Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT above�ime representatives onedeproperty for inspection purposes. to enter upon the X Date -��g_ /v Si ' to a of Per ee or Agent Receipt No. 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. _ 1,77R OF PUBLIC WORKS ,ewf;e�_ By Date �?_— Zf 73 Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor If L Lu,1 hTotal Valuation Mailing Address Q 1 3 (� Permit Fee Plan Checking Fee&/or Penalty CIO Ivoa Telephone No. Permit Fee $ $ Building Address - PLUMBING No. @ FEE PERMIT FILING FEE $2.00 a` y Each Trap 3 1.50 Z1. Repair drainage or vent piping 1.50 Water piping 1.50 r� Each gas water heater or vent 1.50 A. P. No. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sertitetierr Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W I Im provements Lawn sprinkler system 2.00 L]] Plans Rec'd I Parcel Approval Plans Approval Permit Fee $ fl � $ D NEW ❑ ADDITION ❑' UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 > LQ� -/ae-, Main service incl. 1 meter _ Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family 0 Duplex ❑ Mobil Home EJthers 1:1Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 d10 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9,, Div. 3, of the State of California Business & Professions Code under the name styI of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 �/ icense No.� ? 6; 2Y Classification tj 3 (o , Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. r7rl 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. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ above�ime representatives onedeproperty for inspection purposes. to enter upon the X Date -��g_ /v Si ' to a of Per ee or Agent Receipt No. 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. _ 1,77R OF PUBLIC WORKS ,ewf;e�_ By Date �?_— Zf 73 Building permit expires Date }__ _t. ,_ I ; _ i jam• 0 2�� o ux• isiuc. 1MVIAV-4 -e,- I L __ X-1- I " 7C42-07 fi ...`�"�.� , " • F � �? : i 'ate ., -..} ' w���"� .. -. 1tL^ _ _ "'�' " I . . 1" �, .' \ V y lox �i"i6.} .-.• :Rr �. ,�, .. r. �+-- r., - ,.'. .�._ '...... .<.,,.. _ �` - yr-: _ 1 E ! t z'� 1 _ kD 1�• _ _ _ ,f zy I Q : } 'D..F %uf Z- JL4--t 4`� i ►Z� -9,1 .,.,- °= ;�• -�' ' ..,; � �s:;. � ' ,-:�. ;_ . �._ � �.. ._i . _ _ � .. � � � _ � x, j4 .. , . �.1� WAN a�. B�;_,a _. x - -1� ! -�.1 F�(� T.'.�. Oc�7� ,ix- '� V4 ;PLS( FLo6,TZ,i 4 X $ �.. t o zXd- ap 61� Ae Gess 7"k I to � T J � I B. Cln,$ •• II i ' �aLn`DOw L SCf2�4`L�S W1�`•� ,y. .�. ,•ti`�,_ � } ��1.t'P�CX► L.i � 5 `. C:'C t � �\ ��, �J. 1 , e� i Vii(.. ��ilrlailjl.l l a~iC%i f- V t L�Li 11- .1 rAI.L el {�GG�Y.t�:�.�C.i. Wi-LTJ {: .�, �,. ,CI--: �i�.e�.c. R..�c�s � L� � y�. �Y—c��•� ��.1. L'`. �, •y .. f'1 s:: { !..OL.0 ���:.. � ��1 fiZ,�?.GL. rJC..�'1�•� Wk-1 ,KL)! 1'.5C) A r P!. Q Ok , fSLlyMj3LrIC;t. ��L ` l.1 ��cc�p�a,ac� e.)t�t.► ;CU��� 1 t �. .Nc�L,, �'t_q�-,��c.. ��P•� �U.Jt-w1a6��(is• .;C-d. P l'? ��►�� '�1.��4'ZI.. 4i..,t,r ko L4 lip t- o-�G `7� �` xa,s�lNv Cep �c L�'4 i't� ���� �•_ ►a I �. t,� I` - +,i�(��.tLC� BUTTE COU_N I -X BUILDING DEPARTMENT APPROVED AOTE:—Ali Materials & Workmanship Shall Be ith Accordance with Recognized , Good Practices of a .qua.lity prescribed for the Specified use in *a Uniform Building Code, Uniform Plumbing Code, Ad `ke National Electrical Code. , n►s set of pians and specifications MUST be <ept on the job at all times and it is unlawful 10 make any changes orm alterations the Department of Wtc written permisson fro Works, County of Butte. r & OFFICE COPY Address Mete ELECTRIC Meter By Date ,r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7541 a , �,EE IT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 061+ 340--028 } ZONING U BUILDINGPERMIT OWNER PAUL IiASTAIN TELEPHONE SOCONT-IR . FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 13324 ORO QUINCY HWY BERRY CREHY CONTRACTOR'S NAME GRAVISON & RICKETTS TELEPHONE 534 357 CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESs 13324 ORO QUINCY HWY PERMITFEE s 35.00 BERRY CREEL: 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 O Duplex ❑ Mobilehome ❑ 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other D Describe Work: REPAIR MINOR DAMAGE TO ROOF AND REPAIR EIEC SERVICE RISER Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( 20OA OR LESS ) ry'} (y� 23.00 23 • W Main Service ( 200A TO 1000A ) 46.00 .I 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 l 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' compensation, as provided for by section 3700 of the Labor Code, for the /performance of the work for which this permit is issued. l3' ,performance 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 arrier and policy number are: Carrier OCCUP. NEW CONST. OR DNS. OWE d LLACC. BUDS. AD ( ) SO. 3.50 FT.' NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00 BAL 50 Ex. Occup. ourLEEDTs RES D.) EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 AQ P14 PERMITFEE $ 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.) ❑ 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' compensatior► provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date _l'�/% -- Signature of Applicant - ❑ Owner ❑ Contractor ❑ 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 I TOTAL FEE $ 78.00 HAZ. I D. FEES I IMP I FLOOD I COF PARCEL I PD HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated aabove for which .fees have, BY:, / /ir1F !! . `f PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date /,,Os - 10h h (Date) Receipt No. /SK OZ6 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT AM COUNTY OF BUTTE - DEPARTMENT IFDEVELOPMENT SERVICES - 7 County Center Drive - Oroville, -6alifor�a 95965 - Telephone APPLICATION AND PERMIT BUILDING (VISION (916) 53-754�y� EF�MIT NO. ASSESSOR PARCEL NUMBER 061-340-028 U. ZONING BU ING PERMIT OWNER PAUL HASTAIN TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ' 13324 ORO QUINCY HWY BERRY CREEK CONTR 200.0W CONTRACTOR'S NAME GRAVISON & RICKETTS T 534NE 3457 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIDJOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUIL.DINGADDRESS 13324 ORO QUINCY HWY PERMITFEE $ 35.00 BERRY CREEK PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF 10 Duplex ❑ Mobilehome ❑ 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 5 Describe Work: REPAIR MINOR DAivAGE TO ROOF AND — REPAIR ELEC SERVICE RISER Mobile Home I S I GI W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20:00 LESS LESS ) Main Service ( Ooo'A00A -OR 2 23.00 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 ful rce and effect. �p p /1 /_ / 6-7 C License Class Lic. No. (f/ (/ i OWNER -BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER SINGLE APPARATOUTLETUS ) 8 CIR. Ex. Occup. (OUTLET OR FIXTURES 20 @ 1.00 64L .SO Ex. Occup. OU LEETS (RESID.GEa ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE 43-00 $ Contractor 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' compensation, as provided for by section 3700 of the Labor Code, for the performance 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' corp ns Ion i ante arrier and policy number are: Carrier ` p � tt 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 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 it those provisions. _ Date Gq S Oature of Applicant - ❑ Owner ❑ Contractor ❑ 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 I TOTAL FEE $ 78.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PO HD (SSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate a Ove for which ees hav b n paid. // �g B Date /L9 ( g PERMITEXPIRESON A9 91, (Date) Receipt No. /SK O 26 I WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i i f .fig � _ . . I PERMIT NUMBER 213 3275-73%FxE,M P E PERMIT EXPIRES '-OWNER E. Lewis �CONTR: D. F. Bird, Colfax .,.LOCATION (A.P . 61-02-62 App.mi. S. Of Mt. Hse. 41 ,E/S-of road lb i DATE REMARKS OR CORRECTIONS U COUNTY OF BUTTE Department -of • P66,flc Works r.� BUILDING INSPECTION RECORD Zoning Setback Forms , Foundation Piers & Girders Fireplace q 'Rgh. Plumbing &g�< Bond Beam Lath & Plaster Rein. Steel_ Gas Piping &Test Found. Vents Framing . 0 ""7�' Plmg. Topout a����%S�—`% � Rough Elec. Wcr. Ntr. 5 '-A Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC _ GAS BUILDING Temporary' Temporary Cert. of Occup. Final Final Finales DATE REMARKS OR CORRECTIONS U 4 r.� 4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR O. 7 County Center Drive — Oroville, California 95965 c, � Telephone: 534-4541 / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X14 Date Signature of ermitee or Agent Receipt No. 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. DIRECT -QR OF PUBLIC WORKS By Date z 3' Building permit expires Date,��.,�Z! BUILDING Owner SQ. FT. OCC. BUILDING VALUATION �v — Mailing Address Telephone No. Fireplace Contractor/ 3 Total Valuation Mailing AddressPermit ®Wa- 11ZPlan Fee Checking Fee&/or Penalty Telephone No. Permit Fee Building AddressS aaT �/ s w A/ IV PLUMBING No. @ FEE PERMIT FILING FEE $2.00 ` iz Each Trap 1.50 - Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — _ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 d Each additional outlet .30 F Sa ire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ & 1�7> $ S G NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 f Main service incl. 1 meter o Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 b_E025 ,� Re s., swi es & fix lets 2ba 0 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: [LX-2—nV,c.-1 k_( —7ow Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 7r I i� t L Temp. Power Pole 5.00 License No. ZO 4 Zn -7 Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 9 S 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 Workmen's Compensation. have placed on file with the County of Butte a certificate of F-1 '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 MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation ✓ Hood 2.00 Permit Fee $ �� f �Q TOTAL PERMIT FEE $ Sa authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X14 Date Signature of ermitee or Agent Receipt No. 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. DIRECT -QR OF PUBLIC WORKS By Date z 3' Building permit expires Date,��.,�Z! "COUNTY OF BUTTE - ,P-EPAARTMENT OF PUBLICtWORKS�+ l .� 7 County Center Drive - Oroville, California 95965,_] Telephone"534-4541 APPLICATION.AND PERMIT ....��.. ...r,..,,......... ...., .,.c vwn,y v UUu W cnLci utwn uic above mentioned property for inspection purposes. X/ f f / P"l .1..7,;,r, 'f Date Signature of Permitee or Agent f C �^f Receipt No. 7 u i 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. DDIRECTOR OF PUBLIC WORKS ,t By Z' «1 ��r,.� Date /vim !1- 7 ? BUILDING Owner �' ' ` ../ 4 SQ. FT. OCC. BUILDING VALUATION Mailing Address r Telephone No. �. Fireplace Contractor r r. . Total Valuation Mailing Address p'. L `�y` "'""' Permit Fee ., �� ;.ate:.. Plan Checking Fee&/or Penalty < 6% '" / Telephone No. Permit Fee $ $ Building Address �,� �.G/ / 1 a (, 'e,' PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 `� Repair drainage or vent piping 1.50 J Neater piping 1.50 Each gas water heater or vent ,''1.50 A. P. No. l�/µ� I //��'�� �y"-l:% ... _.o— :+ �'Zonin &�annin r g, g Gas piping stem 1 - 5 outlets_ .,�.� 1.50: _ -�. .� - - � -, Each additional outlet � • '' , .30 FegsT C1/Sanitation' FireDept ^FireZone Use Permit f ,Parking+ Parcel m ,/X ''*'„ l ��s- �, i.EQA� i PFans.. Declaration 'P-arcel Map Imp7ovements,- Building sewer �%�% 5.00 Lawn•sprin`kI6r`system �f Bldg. Plans Rec'df J l�60'�R/W Parcel Approval `/ Plans Approval Permit Fee $ $ /NEW3ff_ ADDITION ❑ UTILITIES ❑ OTHER ry i u ELECTRICAL No. @ FELE PERMIT -FILING FEE $3.001 "7 X- , ,��rrr, T Main seryice.incl.r1�meter `'� / �`'' xrr7"J ri'}-. ,,{�v�.�.Iir • ".�y I �' r:. - .. ` r .-. -'Additional meters, each 1.00 Single Family Q � Duplex ❑ M bil.,Home ❑ Others ❑ Sub -panel (12 ortl'ess) (morethanl2) a Li Range, Cook -top or Oven 1.00 N. '"'�-� -% Water Heater or Space Heater 1.00 Light fixtures bal 20 10 �. O R b2s., sw&.hes & f ►outlets 1� '' (/61 CONTRACTORS LICENSE LAW 3 I am licensed under the provisions of• Chapter 9, Div. 3, of the ,- State of California Business &' Professions Code under the name ' style of:. �:; . ,� .1 C:r r>r rr--7Lt- .,,.•t / ,, � ;r JC -+ J, ?. 1z,Mobil Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Home Facilities 5.00 I A, 6A J Temp. Power Pole 5.00 License No. 7. )11 ' . ()t1 .. 1 Classification t Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ r $ 77 <s4 WORKMEN'S COMPENSATION INSURANCE !~ 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to"be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. t I certify that in the performance of the work for which this 1 permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of I California. +•. I certify that I have read this application and state that the above 6 information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating g Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ ....��.. ...r,..,,......... ...., .,.c vwn,y v UUu W cnLci utwn uic above mentioned property for inspection purposes. X/ f f / P"l .1..7,;,r, 'f Date Signature of Permitee or Agent f C �^f Receipt No. 7 u i 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. DDIRECTOR OF PUBLIC WORKS ,t By Z' «1 ��r,.� Date /vim !1- 7 ? COUNTY OF BUTTE — [ E A97MENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 Telephone: 534-4541 r APPLICATION AND PERMIT ,. BUILDING Owner J�cc�"_c✓1 SQ. FT. OCC. BUILDING VALUATION r Mailing Address Telephone No. '^ Contractor �' ��`,� _i C-^ Fireplace Total Valuation Mailing Address `- J J"c�" Permit Fee PI an Checki ng Fee &/or Penalty ! I i.rr� 1 Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 � / I/ )(..C -1,,P_24 _Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — a -- _Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet :30 Fees wC. San i-tation"'FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans ParcelParcel Declaration Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 BI -8g P1ans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER © ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00„ Main service incl. 1 meter .-�� �• -�A� �f, Additional meters, each 1.00 Single Flarnily 0 Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more.than 12) ✓�� Rdnge, Cook -top or Oven / 1.00 Water Neater or Space Heater f 1.00 Light fixtures bol__ to Receps., switches & fix outlets b (a 25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: _ - Lc✓�/�/.5�.t� �//�i��/ Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump 1/ Mobil Home Facilities 5.00 " Temp. Power Pole 5.00 License No. A �lG' Classification C 16 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,I�'� 15 $ 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 Workmen's Compensation. 42.4, 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. @ FEE PERMIT FILING FEE $3:00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $}. .- a.vii.-�. .a.�+,�:uvi,auaivca v. enc Vvumy ui outic w t IMtC[ uNun the above mentioned. property -for inspection purposes. x ...c-� . . . : ✓/ �-lt.�_'% pate /< Signature of Permfiee or Ag n*V / Receipt No. // il,� 1 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. YL IREGLTOR OF PUBLIC WOR��/�^�KS/�^�By/DateC 11/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS �-: 196 Memorial Way, Chico —Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation; please contact this office immediately. Q Sso ,92)yim. 6'Y�US( �7)E5T�� �''�I / tJ � r1.7�.t1 i -I /rte t.•���rz Inspector. Date �' 1� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -' 7 County Center Drive - Oroville, California -95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ".111,(nl_ ".�,4.-,. ZONING BUILDING PERMIT OWNER - /y - ^ ts TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTR CTOR'S NAME k vi TELEPHONE CONTRACTOR'S MAILI"ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWNS L/ Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING,ADDRE,SS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ � 0 BUILDING A DRESS IY% w ;;:jPLUMBING PERMIT Filing Fee 10.00 ` fEach e Trap 2.00 Solar Water Heater 20.00 Blpr rU Water piping 5.00 LOT NO. SUBDIVISION NAME ARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 �/ USE OF STRUCTURE SF U Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S1 G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (/ DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. , 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. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not irtended 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.RESID. BRANCH CIRC ITS POWER APPARATUS D. (SINGLE OUTLET CIR. 1 &)1 NEW NON -CONRES D. • 20@50e Ex. Occup(o OR FIXTURES BAL@30Q IXED A EX. Occup. OUTLETS PLNS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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. u` I shall not employ any person in any manner so as to become subject r oto 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 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 liabilities, judgments.,-�Cafs ,,and expenses which may in any way accrue against sia�id%C/ounty, in.consequen'ce of the granting of this permit./' X : 1/1i ll�t�y �e �2 ?C `) Date s *�1'��'-� Signature of Applicant — ✓Owner,````��,. yyyy g pp ❑ Contractor E]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 $ TOTAL PERMIT FEE $ occuP. GROUP TYPE OF CONST. PARCEL PD HD ssUE This permit is hereby issued under sions of the Butte County Code and/or di t d ab f hi h work or which k i O OF PUBLIC By PERMIT EXPIRES Da the applicable provi- resolutions to do f have been aid. h b p WORKS Date - ' 0 Receipt No. WHITED. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN RO D -APPLICANT Permit #650-83B Laura T. Lewis �4- -AAA-U-e L--) k �e_ scztt � 12A i -Sbed— C I e -a r -a Ce- /S CA, (11 a, i, f 3 l 41" 6v i L, 11 U)"Jjpy�oRr(d COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. a- V-.5 ASSESSOR PARCEL NUMBER , ZONING BUILDING PERMIT OWNER S TELEPHONE ,SQ. FT.. OCC. BUILDING VALUATION OWNER'S M LING ADDRESS CONTR CTO 'S AME TELEPHONE CONTRACTOR'S MAILI A DRESS Fireplace 1 t CONSTRUCTION LENDER UNKNOw�N , Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 142�Q BUILDING A DRES ' r Ina PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Y r 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 � Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Additio ❑ Re odeI ❑ Utilities ❑ Inallation❑ Other Describe work: V 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 f 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 irtended 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 N.w CONSTR ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS & NON- (POWER SINGLE OUTLET CIR. Ex. Occu S 0 BALOL930Q p�OFLIXED APPLNS. ORRES 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 FiIingFee 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 Xof 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 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. I also agree to save, indemni.Ly and keep harmless the County of Butte against all liabiliti , judgment osts, and expenses which may in any way accrue against sa' County,i onseque c of the granting of this permit. X Date � Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" dea de olition or construct- ep ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OF PUBLIC By a PERMIT EXPIRES Da the applicable provi- resolutions to do fees have been paid. WORKS Date ,- r T� Receipt No. <-Z WHITE-D.P. W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT LIFE -HEALTH -AUTO -HOME 683 ORO DAM BLVD. OROVILLE, CA'95965 (916) 534-7700 DATE: DATE: SIGNED: DETACH YELLOW COPY — SEND WHITE AND PINK COPIES WITH CARBONS INTACT FORM N0. P 3 FROM AVAILABLE FROM BUSINESS ENVELOPE MANUFACTURERS, INC. DEER PARK, N.Y. o ANAHEIM, CALIF. PRINTED IN U.S.A THIS COPY FOR PERSON ADDRESSED LOT 10236 PEMMIT NO. 2792-76B ai 4 PERMIT.EXPIRES TOWNER Earl R. Lewis �, CONTR. owner f LOCATION (A.P. 61-02-118 i E/S Oro Quincy Rd., 4 mi.N.of Mountain House e �4! 7 ri Temp. Power Pole N Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E i JOB FINALED (Date (Z_ (Si ature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTfON RECORD Bond B BUILDING' BUILDING (Cont'd) PLUMBING Setback "24 — Z'C Firewall V Soil Piping Forms Mesh Parapets 1st Floor Main Bldg. Heating Restroom FIDJsh 2nd Floor Footings Temp. Pole Window 3rd Floor Stemwall Interior Lath Siding 1 To out Stab Final Roof She 0114figuA Q / Water Piping Piers Roofing ew ZLI, Sewer Garage Fdn. Vents Fixtures Footings Stemwall —74 —24 — & Garage Vents Insulation A7 Water Htr. Heaters Slab Carport Footings Prov, for physically handica ed Conformance of ex. st re Appliances Gas Piping,& Test Temp. Gas Slab anal" Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond B FIRE SPRINKLERS Motors Framingr Test Water Htr. Stucco Final Subpanels Mesh h9CHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE t REMARKS OR CORRECTIONS ' (NOTE: An entry must be made on this form each time you visit the job site.) i �. COUNTY OF BUTTE- = `DEPARTMENT OF PUBLIC WORKS 7 County Center D.rive - Oroville, California 95965 Tefephone: 53Q-4541 %� % _�(, ' APPLICATION AND PERMIT A� / ``� Xf�f Date S, 19,3 -74 Signature ooi Perrmitee or Agent Receipt No. 1,41U 70`- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By , Date G Building permit expires Date BUILDING Owner 491 SQ. FT. OCC. BUILDING VALUATION Mailing Address c1W61" ZA91YI4$r,- jo)p. 7,Z© X ® ev Telephone No. C.SOE3RArV Tom- �•�L i�s'�s- 22-3-Z9a ' Fireplace Contractor : 9y�o3 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee $ O O ` Building AddressEAS do c- d�O PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Atll7i- /Y I' /% (/ /^/ -c�- Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 sUr'v, A. P. No —Q�—�� nc� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S& ion ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkl arcel Parcel Ma Plans Decl ration P 60' R/W Im rovem nts P Lawn sprinkler system 2.00 Bldg. Plans R.ec'd Parcel Approval Plans pproval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEEPERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 �/ Single Family ❑ Duplex ❑ Mobil Home ❑ Others 0 Main service 1100EAMP0OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 PC NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CON5TR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) -B@ AL 104 Ex. Occup. (OUTLETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. [PYpI certify that in the performance of the work for which this ermit 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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ 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 Dronertv fnr insnortinn niirnncoc TOTAL PERMIT FEE $ 'y This permit is hereby issued under the applicable provisions of Xf�f Date S, 19,3 -74 Signature ooi Perrmitee or Agent Receipt No. 1,41U 70`- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By , Date G Building permit expires Date COUNTY OF BUTTE — ..DE-PARTMENT OF PUBLIC WORKS 7 County Center Drive, - • Oaoville, California 95965 � Telephpne: 534-4541 �'5f- BUILDING APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date AP W 7 - Signature of Permitee or A ent Receipt No. White-D.P.W. - Yellow -Asses or - 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 r which fees have been paid. D CTO OF PUBLIC WORKS Y Date 1-79 Building permit expires Date Owner E4 PL e Z -E -MJ SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. 1, J/ nn Contractor �i9-/L4 ES E , ` 1j (/.1 E i7f��', Mailing Address/?-/ Ac- PC/A AVE - Fireplace Total Valuation ,Qd✓/(�(� 959 S Te a hone N 332b,5C7/ Permit Fee Building Address s ��� /N�Y �D• Plan Checking Fee&/or Penalty Permit Fee $ / or PLUMBING No.1 @ FEE ' rvV PERMIT FILING FEE $3.00 Each Trap 1.50 S C_ HWH e�rE� Repair drainage or vent piping 1.50 // /� / A. P. No. Z, Q G /�� Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F s W 9811fttfvn Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 B I d ec Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q� Permit Fee $ $ 6_67p/e- r ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3x00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ®w Duplex ❑ Mobil Home ❑ Others 0� Main service EA. ADD'L 100 AMP 2.50 �1 6 . // QQ* i f/G� /7/-/�(7 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST (ACCL'BLDGS. 4) 22 sq ft , CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style f: NEW RESID, BRANCH CIR T NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARAS 8 NON- TU RESID. (SINGLE OUTLET CLIR. EX. Occuo(OUTLETS OR FIXTIIRES) BAL@1 FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. //A/ -f �9 fd Classification Misc. Wiring 6.25 C_7Rg- ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,ZQ $ 'jam WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ WI have placed on file with the County of Butte a certificate of orkmen'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. @ FEE PERMIT 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 Land Development Fee $ TOTAL PERMIT FEE // $ 4-(O 2.L authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date AP W 7 - Signature of Permitee or A ent Receipt No. White-D.P.W. - Yellow -Asses or - 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 r which fees have been paid. D CTO OF PUBLIC WORKS Y Date 1-79 Building permit expires Date DEFT, £1p" PY3:.{C WORKS N OV 1 1979 Will Isla,i',.,1!12111213141516