HomeMy WebLinkAbout068-360-0674,
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AMES KERN, -
61 Hi.11dale hVe. vi e
Or6vi'lle
Emit# 168945B(carp6iVL'Zd:dti'.')
7
HMA ES
T1 6 1 Hilldale Ave, Oroville
Contr: Lagrone Htg & AC, Oro
Permit#1019-79E,M(replac'e htr
& AC) S
68--;36-67
GIL MORT-
-.rl6l---Hi-1 ld-a-l-e -Avenue ;,�-Orov i Ile
Con�r: Wendell Const
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Permit#3038-86B(rerook/SF)'
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AMES KERN, -
61 Hi.11dale hVe. vi e
Or6vi'lle
Emit# 168945B(carp6iVL'Zd:dti'.')
7
HMA ES
T1 6 1 Hilldale Ave, Oroville
Contr: Lagrone Htg & AC, Oro
Permit#1019-79E,M(replac'e htr
& AC) S
68--;36-67
GIL MORT-
-.rl6l---Hi-1 ld-a-l-e -Avenue ;,�-Orov i Ile
Con�r: Wendell Const
I ) ) S/
Permit#3038-86B(rerook/SF)'
..............
-A668-366-'d67-.
"'HOL
I �.A J�DrrU A D f 't';_
I'*-- -- - - '_.' 1 71 4
�4161,-HILDA , IMLE
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17
BUTTE COUNTY
DEPARTMENT OF'DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.net1dds
PERMIT NO.
BPO43183
LICENSED CONTRACTORS 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
Issued Date: 1 1/01�2004 APN: 068-360-067-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:qO—'j'(��369
Site Address: 4161 HILDALE AVE ORO
Date: Contractor: 6�& if, L_ -Z
Map Index:
Description: re roof 30 squares
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: HOLLAND CHARLES H & SANDRA D
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
4161 HILLDALE AVE
the Contractor's State License Law (Chapter 9 commencing with Section
OROVILLE, CA
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
95966
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).):
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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: GOELZ BROS ROOFING
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
14 LESLIE LANE
sale. If however. the building or improvements are sold within one
OROVILLE, CA 95966
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
530-534-0797
sale.).
1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not a0ply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: GOELZ BROS ROOFING
pursuant to the Contractors' State Licenselaw.).
14 LESLIE LANE
1 am Exempt under Article 3 of the Business and Professions Code
OROVILLE, CA 95966
Date: Owner:
530-534-0797
WORKERS'COMPENSATION DECLARATION
I h reby affirm under penalty of perjury.one of the following declarations:
License #: 805830
I have and will maintain a certificate of consent to se*lf-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.
Architect:
EJ I have and will maintain workers' compensation insurance, as
.
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
Ll I certify that in the performance of the work for which this permit is
Census Code:
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.
Date: 0
4d-
65
Applica nt
WARNING: Failure to e re workers' compensation coverage is
L I e r. w
C)
u bject n mp
unlawful, and shall subject n mployer to criminal penalties and one
Ila s
hundred thousand dollars 000), in addition to the cost of
compensation, damages as provi d for in Section 3706 of the Labor
code, interest, and attorney's fees.
CCNSTRUCTION LENDING AGENCY —
This pi�rmit is hereby issued under_the applicable provisions of the Biitte County CodFt anritor
I hereby affirm that there is a construction lending agency for the
Resoluti t 0 w for �vhich fees have been paid.
performance of the work for which thispermit is issued (Sec 3097 Civ.)
/k
Name:
B D ate:
Address:
PERMIT EXPIRES ON:—
I (Date)
El I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
• Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
• Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application. that the above information is correct. and that I am the o or th dul a thorized agent of the owner. I agree to comply with
e I
ly
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the submeowsr
I ce n offilialuoirm or document of Butte County. thereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection �es..
Print Name: L4 Signature:
Date: 0 L!
IZI Owner Q Contractor 13 AgentforOwner Agent for Contractor
I NN
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.buftecounty.net\dds
PERMIT NO.
BP043183
LICENSED CONTRACTORS 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
Issued Date: 11/01/2004 APN: 068-360-067-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number: (Zorj-Q�30
Site Address: 4161 HILDALE AVE ORO
Date: 4 Contractor 75 k ( &4� C, L -7Z
Map Index:
Description: re roof 30 squares
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: HOLLAND CHARLES H & SANDRA D
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
4161 HILLDALE AVE
the Contractor's State License Law (Chapter 9 commencing with Section
OROVILLE, CA
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
95966
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).):
LI 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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: GOELZ BROS ROOFING
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
14 LESLIE LANE
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
OROVILLE, CA 95966
proving that he or she did not build or improve for the purpose of
530-534-0797
sale.).
1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: GOELZ BROS ROOFING
pursuant to the Contractors' State License Law.).
LI I am Exempt under Article 3 of the Business and Professions Code
14 LESLIE LANE
OROVILLE, CA 95966
Date: Owner:
530-534-0797
WORKERS'COMPENSATION DECLARATION
I h reby affirm under penalty of perjury one of the following declarations:
License #: 805830
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.
Architect:
13 1 have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carder and policy number are:
Carrier.
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
(3 1 certify that in the performance of the work for which this permit is
Census Code:
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.
Date: 0
Applicant:
WARNING: Failure to e re workers' compensation coverage is
to e re w
C�
u bject n mpi
unlawful, and shall subject n mployer to criminal penalties and one
hundred thousand dollars 000), in addition to the cost of
compensation, damages as provi d for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicabil -provisions of the Butte County CodA :?nri/or
I hereby affirm that there is a construction lending agency for the
Re 1 0 w6r' i dicat for which fees have been paid.
so'ut'Z
performance of the work for which this permit is issued (Sec 3097 Civ.)
/abov
It
4
Name:
B — Date:
P ERMIT EXPIRES
Address:
O4N (Date)
L3 I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage.
handling and use of hazardous materials.
0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
0 Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the o r or h d I authorized agent of the owner. I agree to comply with
0 he ]u
tny
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substa _N_r
ce officyia form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection es.
Print Name: 't t k -,O -LA& cmclza Signature:
Date:
Ll Owner 0 Contractor L3 Agent for Owner ZZ, Agent for Contractor
Permit#3038-86B
Gil Mort
4161 Hilldale Ave
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, galiforri4a 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
_ R " - - (/_ 7
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
-
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
, i—�f r" /' - 4 (_ - I IC t., Ll 776 A—.1
TELEPHONE
NTR CTOR'S MAILING ADDRESS
kF- 7-�� 15—
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is V
Filing Fee
$ 10.00
LENCER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER 77'�
SE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SU BDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF 0 DuplexF� MobilehomeF-] Other
1 SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W 1
110-00 ea
TYPE OF WORK
NewF� Addition Remode I UtilitiesF� InstallationD Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
P1 I am licensed under provisions of Chapt. 9, Div. 3 of the B.sin,, S
and Professions Code and my license is in full force and effect.
License No. 7 Classification 771
El 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)
0 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
El I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.&)
OR ADONS. ACC.BLDGS. 21/20sqft
NEW CONSTF;L MULTI -OUTLET
NON-RESID, BRAN C H CI 5C UITS) 2.50 ea
FF — T;�
WER P, R��TUS.&)
(SINGLE OUTLET CIR
Ex. OCCUP(OUTLETS OR FIXTURES .20@50C
ALO 300
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI*D.) EA.) 2.00.-
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� 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.
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 shal I be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
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.
I
X Date
Signature of Applicant OwnerEl Contractor, Agent D
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PERMIT FEE $
occup.1
CONST.TYPrJ
I
IFLOODIPARCELI
P11 I
No
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES 06te I
I
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date J &
y C 7
Receipt No.
WHITE-O.P.W.. YELL-OW-ASSE SOM, PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Galifornha 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PJERMIT 0
ASS�SOR PARCEL NUMBER
9 -
ZONING
BUILDING PERMIT V
0 W N -I- R;� Z4 0
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
44
q 'S 0
OWNER'S MAILING ADDRESS
CONTRACTOR'SNAME
6'
J-1 Cr/6 k—' 16-3
ROM, (PAD 4DVRESS
TELEPHONE
3 -64
SM
C 440-A IAT?Otf L I N
,,/, _<
lev /44,& Q, 7 Z) I& 17,1"�
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is (41
, 15eq
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
W&L
Ea h Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
UBDIVISION NAME
is
PARCEL N_fAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF DuplexF� Mobilehomer-I Other
V_ SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G IW
10.00ea
TYPE OF WORK
New F� AdditionEl Remodel[] Utilities[:] InstallatioriM Other
Describe work:
3 -3
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
4- '13 6
License No. Classification T?,
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)
El I, as the owner, am exclusively contracting With licensed conticlut-
ors. (Sec. 7044)
F� I am exempt under Sec.-, Business and Professions Code
for this reason
NEW CONST ( DWELLING OCCUP.ad)
OR ADDNS. ' ACC.BLDGS. 2'/20sqft
NEW CONSTFIL MULTI -OUTLET
NO N.RES'.. BRANCH C'RC., TS) 2.50 ea
PO ER APPARATUS.&)
(SINWGLE OUTLET CIR
Ex. OCCUP(OUTLETS OR FIXTURES 20@50t
BAL1301
FIXED APPLNS. OR %
Ex. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 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.
1 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 shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
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
agai�ail liabili ies, ju gments, costs, and expenses which may in any way accrue
st s id County in
em conseg ence o the anting of this permit.
X ate
Signature of Applicant Owner El Contracto Agent ED
An OSHA permit is required for excavations over 5 P and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ to 0
occup,
I CO"ST,TYPEJ
I
I FLO..J
P..CEL
j-
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR PU LIC
ry 'r f
PERMIT EXPI ES
L R &te
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
7
Receipt No.
_Z42
WHITE-O.P.W.. YFL�OW-^;sE3SOR. Pitl.-INSPECTOR. GOLDEN ROD-APPL I CANT
I
lot,? -n 'i
"E -,
I
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541 W
APPLICAXION &ND PERMIT
C1ULIIU(I1V F 01 inu uuunLy oi t5utit! to enter upon ine
above-ment7opried property for inspection purposes.
X Date
Signature of Permitee or Agent
Receipt No. / �- F 07 0
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant
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.
DIRECT013-OF PUBLIC WORKS
Date
B y
,Building permit expires Date
BUILDING
Owner
SO. F T. OCC. BUILDING VALUATION
Mai I i ng Address A -,,f
.. . I
Telephone No.
- : . - -./
Contractor
Mai I ing Address
Fireplace
Total Valuation
ephone No.
Permit Fee
Building Address
Plan Checking Fee &/or Penalty
Permit Fee $
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
U
Repair drainage or vent piping 1.50
A. P. No.
rt Zoning& Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fde!§�J
we(::el
Sanitati'65'
Fire Dept.
Fii e Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
IParking
Plans
I Parcel
I Declaration
Parcel Map
I -- --L-
60' R/W
—
I Improvements
=
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Rec'd I
Parcel Approv:l T
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION UTILITIES OTHER [j]
I I a
Permit Fee $
A,
ELECTRICAL NO -1 @ FEE
PERMIT FILING FEE $3.00
600V OR LESS
Main service 100 AMP OR LESS 5.00
Single Family Duplex Mobil Home Others
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. ( DWELLING OCCU P- 1) 20sq ft
OR ADDNS. ACC. BLDGS.
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:
NEW.CONSTR. (MULTt-OUTLET al
NON RESID. BRANCH CIRCUITS)i 12.50e
NEW_CON,STF;L POWER APPARATUS fi�
NON RES D. - (SINGLE OUTLET CIR.
Ex. Occur)(OUTLETS OR FIXTI]RES 50 @ 250
BAL@1
FIXED APPLNS OR
Ei� Occup.(OUTLETS (RESI*D.) EA)_ 2., 00
Temporary service 10 too
Mobile Home Facilities 1 -1500
License No. 4 4 Classification
Misc. Wiring 6.25
I am exempt from the contractors License Laws of the State of California.
P&mit Fee $
$777
i
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions ot 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
Cal i forni a.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating "A
Cooling
Ventilation
Hood =2.O 0
Permit Fee $ 4/,
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
$
TOTAL PERMIT FEE
C1ULIIU(I1V F 01 inu uuunLy oi t5utit! to enter upon ine
above-ment7opried property for inspection purposes.
X Date
Signature of Permitee or Agent
Receipt No. / �- F 07 0
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant
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.
DIRECT013-OF PUBLIC WORKS
Date
B y
,Building permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Proville, California 95965
Tel �plfioiie:- 534-4541
APPLICATION AND PERMIT
- — t -- . _', - 1. - — - — WU11 Y W LW V11-1 UP -1 L1JV
above-mentioned property for inspection purposes.
X ze--� Date
Signature of Permitee or Agent
Receipt No. 108,020
White-D.P.W. - Yellow --Assessor - Pink -inspector - Goldenrod-Appli cant
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.
DIRECTO PUBLIC WORKS
By Date_a�.P�
uilding permit expires Date
BUILDING
Owner
SO. FT. Occ. BUILDING VkLUA,?f60N
Mai I i ng Address
7Telephone
No.
Contractor
Mai I i ng Address
Fireplace
Total Valuation
(DRO I-) � � 1,e Ce, 1-5"34
Telephone No.
3�7,0/
Permit Fee
Building Address
Plan Checking Fee &/or Penalty
Permit Fee $
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trao 1.50
—Repair drainage or vent piping 1.50
A. P. No. 3q- 52 7 4ol rt Zoning& Planning
Water piping 1.50
Each gas water heater or vent 1.50
F4ef I
vke.-
I Mnlafrio_n
I Fi re Dept.
Fi e Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
I Plans
Parcel
Declaration
I Parcel Map
1 60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
fah._` �.sfecq— I
- Parcel Approval
I Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION UTILITIES OTHER
Permit Fee $
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.001 -?.60
Single Family Duplex Mobil Horne Others
Main service 600V OR LESSE
100 AMP OR L =SS 5.00
Main service EA. ADD'L 100 AMP 2.50
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST' ( DWELLING OCCUP. 5i 120 sq f t
OR ADDNS. ACC. a LOGS.
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*
r -'I 1'r 4 /C-
NEW CONSTP_ -OUTLEET
(MULTI
NON.REr BRANCH CIRCUITS) 12.50ea
NEW.CONSTR. ( POWER APPARATUS.&
NON RESID. SINGLE OUTLET CIR. I
Ex. OCCUD(OUTLETS OR FIXTIIRES 50 @ 259�
[BAL@1
FIXED APPLNS OR
Ex. Occup.(.UTLETS (RES(D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No._2_A.,q_J classification 2— 0
Misc. Wiring 6.25
I am exempt from the contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions ot 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. @ FEE
PERMIT FILING FEE $3.00
Heating - .1,00 All
Cooling
Venti I ation
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 -S.tate Laws relating to building construction, and hereb
Land Development Fee
1$
TOTAL PERMIT FEE
$
- — t -- . _', - 1. - — - — WU11 Y W LW V11-1 UP -1 L1JV
above-mentioned property for inspection purposes.
X ze--� Date
Signature of Permitee or Agent
Receipt No. 108,020
White-D.P.W. - Yellow --Assessor - Pink -inspector - Goldenrod-Appli cant
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.
DIRECTO PUBLIC WORKS
By Date_a�.P�
uilding permit expires Date
;.,-% , , y �
T 111I I ITIOI161812i
U� 6
UR
f
i
IPERMIT NO. i689:Z75B
P
E
M
�MH UTIL.
PERMIT NO.
-4�
PERMIT EXPIRES 7"� -76
lu fOWNER James Kern
FONTR.
.'LOCATION (A.P. 34-27-67
4161 Hilldale Ave, rovi I I e
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED—
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
Ist Floor
Main Bld'g*-
Restroom Finish
2nd Floo�'
Footings
Windows
3rd Floor
Stemwall
Sidina
Topout
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwa I I
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final 7
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors -
Framing —S-L�
Test
Water Htr.
Stucco
'Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
i
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WOR
7 County Center Drive — Orovi Ile, California 95965
Tel.eph.pne: 5U-4541
ff
APPLICA 'IMN AND PERMIT
11!� �11
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
author, z epresentatives of the County of Butte to enter upon the
a bovc F,
t ioned property for inspection purposes.
)-,x )at .7r
e
S. gn.ture
o 0.
.
Sli nature of Permitee or Agent
R eipt N J+f;0 S,�s
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
TOTAL PERMIT FEE 1$ cc;;� 16
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 UBLIC WORKS
Date
I(u/ilding permfit expires Date
BUILDING
I
Owner I�KJQ -
SQ. F T. OCC. BUILDING VALHATION_
MailingAddress 4_16) 14111DALIg-
FT—elephone No
Contractor
-Fireplace—
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee&/orPenalty
Telephone No.
Permit Fee
$ PIR��
Building Address
PLUMBING
No. @ FEE
PERMIT FILING FEE
$3.00
A—"O
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. 34
------
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.30
Fwesl a I FireDept. FireZone Use Permit
. Parking Parcel
EQA �FPI an s Declaration I Parce0a 60' R/W I Improvem5pts
:,I I
Building sewer
5.00
Lawn sprinkler system
2.00
Bldg. PlanLs'oRec'd
P a r c eT'ApE ro y a
Plans kpprovol
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) (marathon 12)
Single Familyv Duplex Mobi I Home Others_W
Ranqe, Cook -top or Oven
1.00
Water Heater or Space Heater
1.00
Light fixtures
[201125
ba 10
Receps.-, swi tches & f I x outl ets
�m
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
> :U 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
Wo rkmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit Js 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
2.00F_
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
author, z epresentatives of the County of Butte to enter upon the
a bovc F,
t ioned property for inspection purposes.
)-,x )at .7r
e
S. gn.ture
o 0.
.
Sli nature of Permitee or Agent
R eipt N J+f;0 S,�s
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
TOTAL PERMIT FEE 1$ cc;;� 16
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 UBLIC WORKS
Date
I(u/ilding permfit expires Date