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HomeMy WebLinkAbout062-760-010Q(p-1 -'7 to 0- O 10 A. P. V. STEVENS } STEVENS, Mrs. V. 218-668 54928 tZ�o�"j e mi, - 4227P iiga S5Pine Store, alis Rock' Permit 1455-73B,P,E ;. (addition�u�• -Ms/s. Bald .Rock Rd. %PP• i .�� Store, Berry Creek 2 Mi- W. S _ ar i.;ka .� CONTR: Floyd Roberts, Box 108B,Star Rd u to (new single. y) famil a ' Permit#6806-79B(carport) SF Berry Cree' 1 (*deck & close in carport). 1 107 A Bald Rock Rd, Berry Creek Contr: George Roofing G of Permit#_1947-7-87B(reroof./_SFJ c11d� ,q2= Q26P E M STEVENS,.Valentine ' 990 Bald Rock Rd, Berry Creek i contr : Artic, Aire ) furnace/sf 062-760-010 #98-1844 i ,STEVENS, VALENTINA . ' ' 990 BALD, ROCK RD. BERRY.0 EK I' GEORGE ROOFING 1 REROOF,: . r. • �G F 062=760=010 Z- "#98' 1871' " 4STEVENS, VALENTINA, 1 ' 990 BALD ROCK RD.,, BERRY; REEK GEORGE `ROOFING REROOF .. 4•..: 062-760-010 02-3183 �N p LUNDBOM, PAUL Q, 22 3 t 990 BALD ROCK, BERRY ROCK CONT: FOX ENTERPRISES f REPLACE GAS LINE, REPLACE WATER HEATER OUTLET 7 1 f 1 coi 1 com I r*%% I coi »rY:. .tip:ny�,.�y,..�;►:!ts�^r,*e...'•x:- r - �+'-��rrr.-..�+f!rgyy�,..�.yr..t..,. -arm-.�t... I Li -TZ-'d ///Z- �/o 21 oxe { 3 062-760-010w - _ 02-3183 LUNDBOM PAUL 990 BALD ROCK, BERRY ROCK,.:'f ' CONT: FOX ENTERPRISES ..,- REPLACE GAS LINE, REPLACE WATER ,,HEATER OUTLET 71 OFFICE COPY Address GAS Meter By Date Met TRIC o,3 L :��?'; ' • ;' '^�sfi^r^,.,..---+..r^.ror -� . v7V'`ws' R'iF1+%'r'!ra^- --or-a r•`:iMlv.� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES t. 411 Main Street • Chico, -CA • (530) 891-2751 7 County Center Drive i Oroville, CA • (530) 538-7541 CORRECTION NOTICE �>a OWNER _ PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the 1 above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact. this office immediately. A -t Date Ao" �/ /�'/n _� Inspector a/ �• REV 10/92 f 71 Date Ao" �/ /�'/n _� Inspector a/ �• REV 10/92 f ;�. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No. (Rev. 12/96) APPLICATION AND PERMIT 02-3183 ASSESSOR PARCEL NUMBER ZONING 062-960-010 BUILDING PERMIT OWNER TELEPHONE . Paul Lumdbom .533-7681 990 Bald Roc Rd BC SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS Fox Enterprises589-2024 CONTRACTOR'S NAME ONE 14 Oakcrest Dr Oroville CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 990 Bald Rock Fnad Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CkDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: replace gas lines/one water hear outietw Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15 oo Mobile Home I S I G W 920.00 PERMIT FEE $ 50.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoOA 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION 1 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§i I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DW NG OCCUP. OR ADDNS. ( a EWACC. S. SO 3.5¢FT. N"O...,. NST.MULTI-OU.0 @7.50, APPARATUS 8 SINGLE 0 T. CIR. Ex. Occup. OUTLET OR FDTTUREs BAL @'.50 Ex. Occup. GurLEE'ARa-.CEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 LaboT Code, for the' performance of the work for which this permit is issued. ❑ 1 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 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 with those provisions. X Y1 zeol,� Date // �� (� 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 hep ht. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ TYPE TOTAL FEE $ 50. 00 L01ccCONST. HAZ. D. FEES IMP FLOOD CDF PARCEL I PD I HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate l J✓�� y / �t5 ate Receipt No. sL12 WHITE-D.D.S.-B. NARY• SESSOR INK -INSPECTOR GOLDENROD -APPLICANT .':,.•-^.R'a�•s.:w.�arst.+la'E'^'oT+'s'cn 1t.,'[""+�F..''�".;T`i�s`aitk7'7jilfr_f'i;evt.+'�'.,Ri7+' ;•:n.j;''Zti',;'%'r' �..�„ 062-760-010 #98-1871 • u STEVENS, VALENTINA ;. 990 BALD ROCK RD. BERRY CREEK ' GEORGE ROOFINGc, REROOF .2 ,a r7 1, D COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �� -t) ASSESSOR PARCEL ''OO__��1) f�{ B ' ^ //VC1KL �+l(.I\—_ ZONING BUILDING PERMIT OWNER >CeVEta3, �3lL'ilC�il£3 U TELEPHONE j.�)—',Jj],% SO. FT. OCC. BUILDING VALUATION OWN�Sq$$ MAILING ADDRESS . u ijaizi '•:OC:C 1u. tarry Creek, ;;A 95)lb—:72 350u 1, 4 o m o U JU uil a 7ou.Ut1 CONTRACTOR'S NAME wore rtooin:, TELEPHONE CONTRACTOR'S MAILING ADDRESS UOIJ Lincoln slvri. Urovillle „A 'j5 , CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ L940. ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1 4 . J U ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Jjj) uals ,_foci{ .td. ijerry ::r:c, CGA )5`�1.a_fj720 Energy Plan Checking Fee $ $ PERMIT FEE $ 1 . JJ LOT NO. SUBDNIS ION'S NAME 41 PARCEL MAP - PLUMBING PERMIT - Filing'Fedl 20.00 USEOFSTRUCTURE SF 0 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 q Other ❑ Describe Work: C O"i r3pet t i O it 7 n i n,g l e 8/ n U R Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2oo.OR Lass 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.P License Class L —J 9 �+ -71No. �4 5 Z l b o ' ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjiury'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 p7oject. r ❑ 1 am exempt under Sec. Business and Professions Code for this reason .6rr, 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. "".1 0 1 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 Le Rion Insurance l;u. Main Service ( 200A TO t000A 46.00 NEW CONST. DWELLING OCS. SO OR ADDNS. ( 8 ACC. BLD S. 3.5QFT; NON-RESID.REW -CONST I ULTI-OUTLET 97,50 OWERAPPARATUS 8 SINGLE OIfTLET CIR. 20 Q 1.00 Ex. OCCII OUTLET OR FIXTURES BAL FIXED APPLNS. OR Ex. Occup. ouTLErs RESIO. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinci 23.00 PERMIT FEE t MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number N"! U 7 3 U 9 (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, 1 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 th se pFovislof�s. j L . J / X 1� � it ��lf ..--_ Date Signature of Applicant - ❑owner •❑` ontractor ❑ Agent An OSHA pef4it 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 $ GCC CONST. TYPE J TOTAL FEE $ / HAZ D FEES IMP I FLOOD I CDF PARCEL PD HD 5 E - 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. j By Date PERMIT EXPIRES ON +' '� -vi � _- I i 81e ReceiptNo. WHITE-D.D.S.-B.D. C NA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Orovifle,- California 95965 - Telephone (916) 538-7541 'T1 NO. (Rev.12/96) APPLICATION AND PERMIT (� t ASSESSOR PARCEL f9L♦MB © �� ZONING BUILDINGPERMIT . OW R Stevens, Valentina TELEPHONE 589-0317 SQ- �, OCC- CC. BUILDING VALUATION own DwI,ILIaRdssRock Rd. Berry Creek, CA 95916-972 3600 Com 2160.00 600 Butt 780.00 CONTRACTOR'S NAME George Roofing TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS 6810 Lincoln Blvd. Oroville CA 95966 CONSTRUCTION LENDER ' LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ 2940.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ - 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ BUILDINGADDRESS 990 Bald Rock -Rd. Berry Crk, CA 95916-9720 Energy Plan Checking Fee . $ $ PERMIT FEE $ 74.00 - PLUMBING PERMIT Fling Fee 20.00 LOT NO. - SUBDNISION'SNAME--- "" PARCEL MAP USEOFSTRUCTURE SF N 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 ❑ Com Osition Shin les/BUIL Describe Work: p_ g Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 - Main Service.VA ORLESS 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.POWER License Class C -39, C— 1 4 LIC. No. 452266 OWNER -BUILDER DECLARATION 1 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 Main Service 200A To I000A 46.00NEW CONST. DWELLINGOCCUP. so OR ADDNS. ( 8 ACC. BLDS. 3.50FT. NEW IC NON -R SLID. ANCI CUttUU S 97.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURESBA� p I:so Ex. Occup. OUIxT TS A�ooEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ 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. lel 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 Le ion Insurance Co. Policy Number WUi 051701 q (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 forth comp y wi th s visio 8-11 X Date-- Signature plicant - ❑ wner ontractor ❑ Agen An OSHA p'trKit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling - Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. D. FES IMP FL000 CDF pAROEI pp HO 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. By6u�.Date PERMIT EXPIRES ON SCJ ale Receipt No 44W772 WHITE-D.D.S.-B. D. C NAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT;. J -%;�,jf Ti!lr"7jT:Clyi'K4:i: •,#✓'.'"'*•�.•-..r'ti..:r3i .. 062-760-010 #98-1844 STEVENS, VALENTINA 990 BALD ROCK RD. BERRY CREEK GEORGE ROOFING REROOF g - I $ -ct�l t. . C 1 vC � j COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541r p E MIT NO. cR�ev.12/96) APPLICATION AND PERMIT '—I14' AS SESSOR PARCEL NUMBER r ZONING BUILDING PERMIT OWNER Stevens, Valentina TELEPHONE 589-0317 SO. Fr. OCC{. BUILDING VALUATION -ZaTu— voMP 1.3LU.UU OWNER'S MAIUNG ADDRESS 990 Bald Rock Rd. BerryCreek, CA 95916 CONTRACTOR'S NAME George Roofing TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER - LENDER'S MAIUNG ADDRESS ' Fireplace Total Valuation $ SlU. ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 33.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Bald Rock Rd. BerryCreek, CA 95916 Energy Plan Checking Fee $ $ PERMIT FEE $ 53.00 LOT NO. _ SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT, Filing,Fee ., 20.00 USEOFSTRUCTURE SF 13 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 13 Other ❑ Describe Work: Composition ShinRlea Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home.. IS I G1 W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos DA Use 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.POSINGLE License Class C-49� �;-14Lic. No. 452266 OWNER- BUILDER DECLARATION Pin' eby affirm under penalty of perjury that I am exempt from the Contractors License �aifor the following reason: . • ❑ t 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. ❑ 0 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 ,feason,,,,% t Main Service ( 200A TO 1000A 46.00 NEW CONST. DW EwNG occuP. OR ADDNS. ( 6 ADC. S. sG 3.5¢FT. NEW CONST. MULTI -OUTLET NON-RESID. I @7.50 8 OUTLET CIR.WER APPARATUS Ex. Occup. OUTLET ORFD(TURES �� ':� FIXED APPLNS. OR Ex. Occu . ouTLErs RESID, Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S -- WORKERS' -COMPENSATION DECLARATION' t 1 hereby affirm`bnder penalty of'perjury ones f the following declarations: 00 'I have 11`i'd will maintain a certificate of consent to self -insure for workers' s ' compensation, as provided for by lection 3700 of the Labor Code, for the w " performance of the work for which this permit is issued. 0. 1 have and will maintain workers' compensation insurance, as required by Section r d 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 Legion Insurance Co. MECHANICAL' PERMIT • Filing Fee 20.00 Heating Coolie Hood 6.50 Ventilation PERMIT FEE $ Policy Number WC1 U53,4019 (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 comp y Wwilhevision �%�------- D to Signature oflApplicant - ❑ wn\�ontractor Agent An OS permit is required for excav 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 $ 53.00 HAZ. D. FEES IMP FL000 1 CDF PARCEL PD I HD I ISSUE ✓ This permit is hereby issued under the Butte County Code end/or in indicated above for which tees have / B P { PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date X C`1 h Dae Receipt No. lu WHITE-D.D.S.-B. D. CANARYTASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,`California 95965 - Telephone (916) 538-7541 MIT NO. (Rev.12/96) APPLICATION AND PERMIT `� ASSESSOR PARCEL NUMBER 1/ 10 114 ZONING BUILDING PERMIT OWNER Stevens, Valentina TELEPHONE 589-0317 SO. FT. OCC. BUILDING VALUATION C OMP . Ow1320.00 N S JUNG ADDR SS - , PT Bala 'tock Rd. BerryCreek, CA 95916 CONTRACTOR'S NAME . George Roofing TELEPHONE. ' 533-6393 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1320.00 -- 320.00ARCHITECT ARCHITECT OR ENGINEER LICENSE NO. Filing Fee - $ 20.00 Permit Fee $ 33.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUIL I DRESS Bald stock Rd. BerryCreek, CA 95916 Energy Plan Checking Fee $ $ PERMIT FEE $ 53.00. LOTNO. - SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF M 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 ER Other ❑ Describe Work: Composition Shingles Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service ion 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.PSINGLow License Class C-49, C -14 Lic. No. 452266 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' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �7 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 Le ion Insurance CO. 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 fort with com y wi h t se vision Date gnatur pplicant - ❑ Mw -kr ❑ fontractor Ni Agent An OS mit is required for excav-Atierfs over 60" deep and demolition or construction of structures over 3 stories in height. Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR. OR ADDNS. ( 8 ACC. B.S. SO 3.5¢,r. eN,o RID. AST.ULc c HNITLU, @7,50 cu OUTLET CER APPARATUS 8 E IR. E%. OCCU OUTLET OR FIXTURES 20 @ 1'00 BAL p .50 Ex. Occup. ourEiFrs RESID.oEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating . Cooling - Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 53.00 HAZ. D. FES IMP I FLOOD I CDF PARCEL PD I HD L This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been B Datei PERMIT EXPIRES ON provisions to do work paid. (/ Q 0 e Receipt No. WHITE-D.D.S.-B.D. C N R -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 062-21-0-045 92-3026P,E,M STEVENS, Valentine 990 Bald Rock Rd, Berry Creek W' :l contra Artic Aire furnace/sf 1 i f t i A r ' t • r { 1 0 _26-5G / �rNaL �hs�Gl (e� - gas �eS7 i•. edr Cp,�6-c�Z' . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95885 - Telephone: 918.'538-7541 APPLICATION AND PERMIT PERMIT NO. 311193SOR PAOICAL. NUMBILA 062-210-045 ZO N 11 •U BUILDING PERMIT WNCR Valentine Stevens Lc NONE 589-031.7 SO, FT. OCC. BUILDING VALUATION ` ! WNER'3 MAILING ADORK33 990 Bald Rock Rd., Berry Creek 95916 ONTRAC T DR'S NAM Artic Aire TELEPHONE 895-3330 I i I ONTRACTOR'3 MAILING AOORE33 2838 Hwy 32, Chico 95926 Fireplace i ONSTRUCTION LENOER UNKNOWN Total Valuation s Filing Fee S 15,00 ENOER'S MAILING ACORK33 Permit Fee $ RCHIT9CT OR ENGINEER LICEN26 NO. Plan Checking Fee $ Energy Plan Checking Fee $ RCHITECT OR ENGINHER'S MAILING ADDRESS Penalty S i UILOING ADDRESS _ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 990 Bald Rock Rd. , Berry Creek Each Trap I 5.00j ! Solar or heat pump water heater 1 20.00 j OT NO. SUBDIVISION NAME PARCEL MAP Water piping .7.00 Each eas water heater or vent 7.00 USE OF STRUCTURE F f Duplex❑ Mobilehome❑ Other SPECI MY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 1 15.001 I Mobile Home S G W @ 15.00 I TYPE OF WORK dew ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ )escribe work: Horizontal Furnace Permit Fee $20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 • Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): �.--y I 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code, and my license is in full force and effect. License No. �.1 6(/ Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&) OR ADONS. ( ACC. SLOGS. 3.6esq.tti 4 E c0N$T/ZUL.I.0U L VO N.R ES10. SPAN CF. r.,.C_ IR "ITS I �@ 5.00 POWER APPARATUS 6 (SINGLE OUTL.T CIR. ) Ex. OCCUO(OUTLET6 OR FIXTURES peo 76q 4PPLN5. FIXED OR 1 Ex. Occuo. OUTLSTs IRESIO.1 EA.) 1 I 3.001 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 18.00 Contractor WORKMEN'S COMPENSATION INSURANCE declare under penalty -of perjury (checkone):. ❑ .The permit is for $100.00 (valuation) or less. r , Ihave 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. dotfce to Applicant: If after making this statement, should you become subject o the W. C. provisions of the Labor Code. you must forthwith comply with such irovlsions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee I 15.00 Heating 1 9 001 9.00 HOriz ntial Furnace Cooling Hood 6.50 Ventilation Permit Fee $24.00 Contractor certify that I have read this application and state that the above information s correct. I agree to comply to all County Ordinances and State Laws relating o building construction, and hereby authorize representatives of the Countyot iutte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against .fl liabilities, judgments. costs, and expenses which may in any way accrue Igalnst said County; in consequence of the granting of this permit. Mobile Home Installation Fee S Energy Inspection Fee S Occ • CONST TYPE TOTAL FES $ 62.00 ! HAS 10FEES I IMP I FLOOD ICOF I I PARCEL I PO MO ISSUE Date )e ,igna►ure of Applicant - Owner ❑ Contractor Cj Agent ❑ ` 1. OSHA perm.1 is required for excovgt.ons over 5'0" deep and demolition or construct. on of itruc►ures over J stores In he.gnt. iecelpt No. rM. rC•O.I. W.. 122696 7CLLOM-42SC3300. •IyA. 81"ECTOW. C0L0CM0e0-AI-LIcANr This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indi ed o for which fees have been paid. R OF PUBLIC WORKS ev ` mss- Date S -;Z7 -9z PERMIT EXPIRES Date 8-.27-9"f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95985 - Telephone: 918.'538-7541 APPLICATION. AND PERMIT. PERMIT NO. x A/1 A5eis062-210-045M ZONINGI'U BUILDING PERMIT OwN6R Valentine Stevens T' LiPHONH 589-0317 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AOORESS 990 Bald Rock Rd., Berry Creek 95916 CONTRAC OR•$ NAME Attic Aire TIECEPHONE 895-3330 I CONTRACTOR'S MAILING AOORESS 2838 Hx4y 32, Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15,00 LENDER'S MAILING A00RE33 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADOR ESS- Penalty $ BUILOING AOORESS - .. Permit fee $ PLUMBING PERMIT Filing Fee 15.00 990 B&ld Rock Rd., Berry Creek Each Trap I 5.00( Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping .7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF (ff Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 15.001 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation❑ Other ❑ Describe work: Horizontal Furnace- Permit Fee $20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 " • Main service 800V OR LESS 200A OR LESS 18.50 Main, service 200ATOIOooA, 37.501 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 Co and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&) OR ADD?-AS.l ACC. SLOGS. II 364sofLi NEW CONSTFL 'AUL. • 1 -OUTLET VON-RESIO. SRANCM IIRC 'ITS @ 5.00 (POWER APPARATUS h (POWER OUTLET CIR. ) EX. OCCUP( OUTLETS OR FIXTURES i 20 76d RAI 4RA 1 EX. OCCUQ- OUTLF'XEO TS �RESIL NS.O IREA.) 1 I 3.001 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 18.04 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one):" ❑` The permit is for $100.00 (valuation) or less. �7 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. 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. t Contractor � MECHANICAL PERMIT Filirig Fee 15.00 I Heating 1 9.00 00 Horiz ntial Fu na e 1 Cooling Hood 6.50 Ventilation. Permit Fee $24.00 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, indemnify and keep harmless the County of Butte against all liabilities, judg ants, costs, and expenses which may in any way accrue agai�t Sai�f Countyn conpernce of the granting of this permit. Mobile Home Installation Fee S Energy Inspection Fee $ OCC I CONN TYPE TOTAL FEE $-62.00 nAL 0FEES i IMP FLOOD COF PARCEL PO MO tSSUE X Date Signature of Applicant — Owner ❑ Contractor EJ . Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. :on of structures over 3 stories In height. Receipt No. 122696 -rlrc•o.r.w.. TELlow-AoetSsall. PIgx•Ipe►ccroe, coLocwwoo•A►.utAwr This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indi ee&Jr— for which fees have been paid. R OF PUBLIC WORKS - By Date S127 -?Z PERMIT EXPIRES 'Date 8 -Z7 -9.F • f`�.....'ri:.v�7Ad7.{^)N+Y1�'j(�jstlr�+�„' �'ir�iH�''aJ`�R►'rl�'�.+'J#'f�F"gt�.11�1}:✓H"�� �� �, :'�j�i'�t.K"'"' ' V-.•.-YnZ�b.'3�Rt+x'`'�'r.�7.+`�1-3`, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIEE, CAL.-IFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER O HOZ 67 -;?le .��U �G� o. �--U G/ Proposed Building Use �-i�)2i-� d �% �'UdL�% Building Inspector Date K11cp6T4,e At time of pe it application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit.(construction approval required prior to occupancy). .. ...io . . 20. Pre -Inspection for to Bussing Ins re for required. . . to Building Inspector 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization. ` ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ......................................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. - When you issue the permit, process as follows: Mail to owner Telephone and hold for pickup at Other Parcel Creation Acreage Applicant _ Mail to contractor. _ office. Deliver with inspector. r Ccs Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works � j/%,?- , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Ca)lforn)a 95965 - Telephone: 916.'538-7541 APPLICAT'IOW AND PERMIT PERMIT NO. ASSESSOR �PPA7R6EL NUMBFR__ V W — O ZONING BUILDING PERMIT OWNER E TELEPHON TELEPHONE SO. FT. OCC. BUILDING VALUATION I OWNER' MAILING AOORE55 9©� 9s 9i� CONTRACTOR'S NAME TELEPHONE • 8 5=333�J CONTRACTOR'S I AILING ADDRESS _2&'3& D. Fireplace CONSTRUCTION LENOEW UNKNOWN Total Valuation $ ' Filing Fee S 15,00 LENDER'S MAILING AODRES3 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING AOORES3 Penalty $ BUIL G OORESS Permit fee ' PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or vent 7.00 USE OF STRUCTURE SF\14 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets Building sewer 15.00 Mobile Home S G W 61s.35 TYPE OF WORK New!-- Addition_; RemodelI Utilities❑ Installation[ Other ❑ Describe work: _ ± W ZQIIIIA LFilleA2fiC. f✓ Permit Fee - $ 20,0 Contractor ELECTRICAL PERMIT FiIingFee 15.00 Main service 200A OR LESS 18.50 Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury, (check one): 1911"1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 120 License No. e235�9/3 Classification as the owner, or my employees with wages•as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW ACONST. ( DWELLING OCCUP.E,\ OR OONS. ACC. SLOGS. // 3.6dsa.ft. NEW CONSTR ULTI.OUTLET NON -REST O BRANCH CIRC ITS @ 5.00 POWERAPPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 76d F V Ex. Occup. OUTLETS (RESID )REA.� I 3.00 . O Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. FprI 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating r� -2–,o A/ GeeliRi Hood 6.50 Ventilation Penult 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, indemnify and keep harmless the County of Butte against all liabilities, judgments,c ts, and expenses which may in any way accrue agains d C unty in Con quence the granting of this X � Date 14 ;LThis "O . Signature o pplican —" Owner[] Contractor El Agent An OSHA permit is required for excavations aver 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES r HAz DFEES IMP FLOOD COF PARCEL PO HO ISSUE permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date 2=a �(g 5 /' Receipt No.(% r' , emad* ot jiotwe OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: •George Roofing ng ADDRESS: P.O. Box 729 CITY & STATE: Oravi 11 P , CA A5965 IMPORTANT: DATE OF CLAIM: July 20, 1987 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE' T DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. (Bldg Permit Appin. 4194+7�B, Receipt #87143, dated 6/10/87, A.P. #62-21-45). OWNER: TINA STEVENS Total permit fees paid ----------------------------$33.50- e air tiling tee--------------------------------- TOTAL REFUND DUE ------------------------------------------- $23.50 $23.50 TOTAL $23.50 I, the undersigned. dealers under penalty of perjury that the services or articles claimed have been performed or delivered, and that this Aclaim Is true and correct as stated. ye Dated this .... 1.x(1 ..................... day of �........ 19A.71, t Calif. .:. J ........... Signature of I, the undersigned, hereby certify that, to the beet of my knowledge, the services or articles specified above he been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval [D (Check one) fo�same. Dated this 20th July 87 Oroville day of ............................. 19......, at ............................... Calif. ......ed or Authoriz eputy cde 440-003 coag 4710700 PAYABLE FROM Const. Peits ............ ........................ .........................rm........................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY �t g' PERMIT NUMBER - B P r` t r' E PERMIT EXPIRES OWNER Mrs. V. Stevens s { CONTR: owner 1 -1LOCATION (A.P. s/5 Bald Rock Rd. app. 1 mi. west -Sugar `Pine Store, Bald Rock T" .j. 7 N j i it j COUNTYsO!"BUTTE Department of - blic 'Works BUILDING INSPECTION RECORD Zoning Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing�i� 'S. l�S- —� 3 Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents — — Framing Plmg. Topout �' �" �%Rough Elec. 7'" _ Wtr. Htr. Furnace Kitchen Vent tco —7- Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary _ �-^�— 7n Temporary Cert. of Oceup. . Final Final Final '4!�' 71.) DATE REMARKS OR"CORRECTIONS t = • COUNTY OF BUTTE - �=DEP#RTMENT OF PUBLIC WORK %/-/�5�--73 7 County Center Drive — Oroville, California 95965 Tel ephoQz: 534-1541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. -1 X Date Signature of Peerr�mitee or Agent` (� Receipt No.y 7 7 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 7 S-q — % Buildingpermit expires Date ; BUILDING Owner -SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address :id �2 Tel hone No. Fireplace O Contractor Total Valuation d Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ 61 $ Building Address S t�w/ Ra PLUMBING No. FEE PERMIT FILING FEE $2.. 00 Ov `f/ G �r ljyLg Each Trap 1.50 `?,, Repair drainage or vent piping 1.50 Water piping 1.50 S Each gas water heater or vent 1.50 A. P. S Zoning & Planning Gas piping system 1 - 5 outlets 1.50 " Each additional outlet .30 FeesW.C. Sanit tion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcelparcel Declaration Ma P 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ f f NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 !dd Main service incl. 1 meter IT 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 Litt fixtures 2002leo ReElfps., switc es & fixtlets 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: 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 $ $ �G 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 orkmen's Compensation Insurance. certify that in the performance of the work for which thisVentilation V prmit 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 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 $ �( authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. -1 X Date Signature of Peerr�mitee or Agent` (� Receipt No.y 7 7 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 7 S-q — % Buildingpermit expires Date ; GEORGE . ROOFI NG Don C. George Inc_., Contractors License 452266 P.O. 'Box 729 Oroville, CA 95965 Telephone <.916> 533-6393 July 16, 1987, County of Butte 7 County Center Dr. Oroville, CA 95965 To whom it may concern: We are requesting a refund for permit numbers 62-21-45 and 68-343-25 due'to the owners cancellation of these jobs. Sincerely, Donald C. George • President DCG/st z COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965- Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASS S R PA C L N B ' ZONING BUILDING PERMIT OWNER Tina Stevens TELEPHONE 589-0317 SQ. FT. QCiCi. BUILDING VALUATI OWNER'S MAILING ADDRESS 107 A Bald Rock Rd. Berry Creek CONTRACTOR'S NAME George Roofing TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS P.O. Box 729 Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 107 A Bald Rock Rd. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF a Duplex Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other] Describe work: Roofing Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 1 OR LESS 10.00 Main service EA. ADO'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. 452966 Classification r-39SAL@30 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N , OR ACDNS. (ACC. BLDGS. / 2/zQsgft NEW CONST R. RANCH TLET NON.R ESID BRANCH CIRC ITS 2,50 ea CIRCUITS) POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20®SOQ FIXED APLNS.❑ Ex. OCCUp. OUTLETS P(RESID.IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Eg I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County 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. K. %� Date _June 10 , 198 Signature of Applicant — Owner ❑ Contractor ❑ Agent 13 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ove 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONST,TYPEJ FLOOD PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D EC TO BLI By PE&tfl PI RES Date the applicable provi- resolutions to do fees h ve been paid. KS _A1 ate lLJ Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r PEWIT NO. 6806-79B PERMIT EXPIRES OWNER VALENTINA STEVENS 'CONTR. owner ,LOCATION (A.P. 62-21-45 S/S Bald Rock Rd, app 1 mi W Sugar Pine Store,Bald Rock Temp. Power Pple Called PG&E +s' Temp. Ele . Serv. Call PG&E Temp. Gas Serv. /ailed PG&E OB g X } FINALED (� !/ (Date) of t (Signa re) r • Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS _ BUILDING INSPEMON, RECORD ., BUILDING BUILDING (Cont'd) PLUMBI Firewall Soil Piping Para ets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing dT P Sewer Fdn. Vents A Fixtures Garage Vents Insulation Water Htr. Heaters Provfor ph sically handica ed _ Conformance of ex. 6u+doll 0 /(1479 a A liances Gas Piping & Test Temp. Gas OF I al Z— Sanitation FIREPLACE Final Footing I EL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRI KLERS Motors Framinq ; 2 Z 1 Flo Test I wafer Hfr RICAL Mesh MECHA NICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES -----•-----•------- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OS16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS / (NOTE: An entry must be made on this form each time you visit the job site.) r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS fY 7 County Center Drive - Oroville, California 95965 Telephone: 534;4541 APPLICATION AND PERMIT ODUIU1 Ica IUN1 OQUI I LOL VVD UI LIC ll UUllly UI OUIIC N CIRRI UPUI1 LIIU above-mentioned property for inspection purposes. X Date Signature of 46ermitee or Ag Receipt No. 300 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// • 1 -: lj�ding permit expires Date im BUILDING Owner \(A L E LEI 6J A S TEvEIJ S 5Q. FT. OCC BUILDING VALUATION d Mailing Address 107A 8,4L-t>ocv_ F -p . fJEp_p_� CEV- eA ag-1l( Tele 4n' N Contractor O (,()/0 Mailing Address Fireplace Total Valuation Telephone No. Permit Fee 20-00 Building Address S S FA•L-D E-DP, Plan Checking Fee &/or Penalty Permit Fee O.OD O bC 1 M LIC EST S U /ie- - PIWE PLUMBING No. @ FEE 1S1_p1?_C1 PERMIT FILING FEE $3.00 Each Trap 1.50 D P -OG/— Repair drainage or vent piping 1.50 _ A. P. NO. �,� � �. ZaLkPlonning Water piping 1.50 Each gas water heater or vent 1.50 Fde< W S 'o iieDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 A EQA Parking Plans Parcel Declar 'on Parcel Map 60' R/W Improvements Each additional outlet .30 -Building sewer 5.00 � J ec' Parcel A ro�ol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ $ �A e�QR�T ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 10o AMP OR LESS 5.00 Single Family ^ / Duplex Mobil Home Others L� p ❑ ❑ ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e 25.00 100 AMP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCDWELBLDGS.LING CCUP. S\ 22Sq 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 St le of: %� NEW CONSTRES'.. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID, SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES) 150L2W Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID,) EA) 1 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. 1;2/certify that in the performance of the work for which this plermi 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 Land Development Fee Is TOTAL PERMIT E FE $ L -•o a ODUIU1 Ica IUN1 OQUI I LOL VVD UI LIC ll UUllly UI OUIIC N CIRRI UPUI1 LIIU above-mentioned property for inspection purposes. X Date Signature of 46ermitee or Ag Receipt No. 300 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// • 1 -: lj�ding permit expires Date im r' r r ;qf• f t �. 4•' f �� - �M. jos'- �✓� BUTTE COUNT tRU!LnIW;- DF?ARTIv tNt MKS 5"TEVE -- 4f"; ;�" •�,�T 1, - m . 1 0 u �-v Ulf& 'A X: 7d'� cr Ml CD 'A X: 7d'� cr Ml rn IA rn Z. 'A X: 'A