HomeMy WebLinkAbout073-130-03673-13--y 3�p
Paul Lamm
W/S pri.rd.,app.400'off SIS Forbestown
i Rd., 3/4 mi.E.of Black Bart Rd., Oro.
Permit #3587-78P,E(util.,MH)
ELEC.
44
GAS t -WV%*- I.
SUPPORT STRUCTURE REQ.
COMPACTION TEST REQ.
73-13-IY NO
Permit #3396-81E(replace rotted
power pule)'
1
r
1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATAN AND PERMIT
PERMIT NO. /
ASSESSOR PARCEL NUMBER
73 —/3 - �,
ZONING
%�y.Z
BUILDING PERMIT
OWNER
t o v l a
TELEPHONE
sd r8
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS `/
S 9 / !� iVf r.re.,•r /IC v
CONTRACTOR'S NAME V TELEPHONE
CONTRACTOR'S MAILING ADDRESS
"—
Fireplace
CONSTRUCTION LENDER /( //
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
~--
Permit Fee
$
ARCHITECT OR ENGINEER , �' /
N N �
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
---
Permit fee
$
BUILDING ADDRESSI
7S �✓'�. ��Y• ddS�r�X vv ��
PLUMBING PERMIT
Filing Fee 10.00
/ J
/`"�' i' .ws rc. $17 11irr�• /" ' ,j e n j'
Each Trap
2.00
Repair drainage or vent piping
5.00
ICv�rc,_luc/ ��rl% ,rQr✓eci
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome0 Other
E SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New El Addition [:1 Remodel❑ Utilities,aC In tallation❑ other ❑
Describe work: ttir ! �P`�+r7P 41,///09 %'�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
�.
5.00
I
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.SI)
OR ADDNS. ACC. BLDGS.
2� sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑NON-RESID.
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 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
TR.
NEW CO ID R. BRANCH CI2.50 ea
NEW CONSTFL / POWER APPARATUS S)
(SINGLE OUTLET CIR.
50 @ a¢
Ex. Occup OUTLETS OR FIXTURES BAL01
FIXED APP LNS. OR
Ex. Occup.(ouT LETS (RESID.) EA. 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ , .�i'a
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.
ivl I shall not employ any person in any manner so as to become subject
�1 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, 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.
X-�'"- �/4?7 '
_. Date
Signature of Applicant — Owner ®Contractor ElAgent❑
An OSHA permit isl 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
I TYPE OF CONST.
PARCEL
PD
HD
esuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
�Jj"
BY ,P ' �rWr s-�' r -1
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
!� `
Receipt No. ,? 6 2b; 9
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -2-2 R IT N0.
7 County Center D 'i've - Oroville, California 95965 - Telephone 916/534-4541 -
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ZING
7 3 �7j -Z
BUILDING PERMIT
OWNER ONE
Pa (� l Ila 'ICS TELEPHONE zC9
SQ. FT. OCC. BUILDING VALUATION
OW NER'(S�M AILING ADDRESS s�
a.gor
S Jew
CO TRACTOR'5 NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
A.6K
UNKNOWN
Total Valuation $
'
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
�--
Permit Fee
$
ARCHITECT OR ENGINEER/
` " a oe
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
---
Permit fee
$
BUILDING ADDRESS�TS�/ P i I�•
- d • ra X vd
PLUMBING PERMIT
Filing Fee 10.00
� — '�
; .OS u'h �' �^
Each Trap
2.00
Repair drainage or vent piping
5.00
Z(. r9�
Water piping
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex[] MobilehomeKZ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New❑ Addition❑ AmodelD Utilities& In tallation❑ Other[]
Describe work: fVtfed teaulak
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1i0av OR LESS
100 AMP OR LESS
5•00 �'Od
Main service EA. ADD'L 100 AMP
2.50 ,ZOO
NEW CONST. (DWELLING OCCUP.d)
OR ADDNS. \ ACC. BLDGS.
20 sq ft
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
W1, 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 CONSTR. TI.Ou LET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR (POWER APPARATUS 6J
NON.RESID. SINGLE OUTLET CIR.
500250
Ex. Occup OUTLETS OR FIXTURES BAL@?O0
FIXED APPLNS. OR
Ex. Occup.(0UTLETS (RESID.) EA. 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
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.
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
S
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, costs, and expenses which may in any way accrue
a id County ' ;onse ence of the granting of this permit.,
Date gc
Signature of Applicant — Owner L4 Contractor ❑ Agen ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -a
ion of structures over 3 stories in height.
g
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ ��•��
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
99UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
OR OF PUBLIC
By `22 tRE T
PERMIT EXPIRES Date _
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Q`00`C91
Date /
?
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
F
i• PERMIT NO. 3587-78P,E
PERMIT EXPIRES
OWNER Paul Lamm
CONTR. nwnpr
73-13-9
• y LOCATION (A.P. ) y
y
W/S pri.rd., app.400'off S/SForbeston Rd.,
3/4 mi.E.of Black Bart Rd., Oroville
t
,1
EE�
h
t
;i
,
Temp. Power Pole
Called PG&E /
4-maprElec. Serv.
Called PG&E
I Temp. Gas Serv.
Called PG&E
to/OB
Fl
(Date)
r
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
r
BUILDING INSPECTION RECORD
BUILDING IN BUILDING (Cont'd) PLUMBING
S back I F ewall I S11 Pininn
ro►
tion° tielM FIRE SPRINKLILRS Motors
Framina Test Water Htr.
Stucco Final Sub anel
Mesh MECHANICAL Grd. Fallt Prot.
Scratch Heatiza Servi
B n Co ng T p. Pole
F ish D is der round
In rtor Lath ntilation eananent
or Closer fF anal !nal
MOBILEHOME UTILITIES ------------------Elec. Service (j �� Elec. Pedestal
Water Piping - -?f 4, Sewer r �'7 Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE ? f REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
Parltpets
1 t Floor
Ma Bldg.
Rest om Finish
2n Floor
F tins
Windo
3rd loor 7L-
Ste2kall
Sidina
To out
Slab
Roof ShehhIng,
Water PlAg
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwal IInsulation
Garage Vents
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for phsic ly
handicapedy
Conformance of ex.
structure
Appliances
Gas PipingTest
Temp. Gas
Slab
Final A
Sanitation
Patio
IR LACE
Final
Footings
Footing
OLECTRIbAL
tion° tielM FIRE SPRINKLILRS Motors
Framina Test Water Htr.
Stucco Final Sub anel
Mesh MECHANICAL Grd. Fallt Prot.
Scratch Heatiza Servi
B n Co ng T p. Pole
F ish D is der round
In rtor Lath ntilation eananent
or Closer fF anal !nal
MOBILEHOME UTILITIES ------------------Elec. Service (j �� Elec. Pedestal
Water Piping - -?f 4, Sewer r �'7 Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE ? f REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
- e-
Owner o
Mailing Address
Contractor
Mai I i ng Address
Building Address
A. P. No. 7 -,S —
q
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO S
7 County Center Drive -. Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
T
J
elephone No.
Pe- 4 -e - SV ion I FireDept.1 Fire Zone 1-170- Use Permit
EQA I Parking I Parcel parcel Ma 60' R/W Im r
Plans Declaration p p ovements
dg. Plus Recd Pa Plarleorp-proval
NEW ❑ ADDITION ❑ UTILITIES Er OTHER ❑
Single Family ❑ Duplex [] Mobil Home oo�Others ❑
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:
License No. Classification
_ BUILDING
SO. F T.7 OCC. I BUILDING VALUATION
Fireplace
$
Total Valuation
No.1 @
Permit Fee
$3.00
Plan Checking Fee &/or Penalty
5.00
Permit Fee
2.50
PLUMBING
No.1 @ FEE
PERMIT FILING FEE
$3.00
Each Trap
1.50
Repair drainage or vent piping
1.50
Water piping
1.50 Ct
Each gas water heater or vent
1.50
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.30
Building sewer
5.00 offiz
Lawn sprinkler system
2.00
Permit Fee
$
ELECTRICAL
No.1 @
PERMIT FILING FEE
$3.00
Main service 10ov OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
Main service OVER e00v
100 AMP OR LESS
25.00
Main service EA. ADD'L 100 AMP
1.00
BRANCH CIRCU
NON-RESID. %SINGLE OUTLET CIR.
EX. OCcuo(OUTLETS OR FIXT11RES
B ase
BAL@1
EX. ('CCU FIXED APPLNS. OR
p•�OUTLETS (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wirinq
6.25
❑'ram exempt from the Contractors License Laws of the State of California. Permit
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
0_� certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
�� Date v ZZ %�
Signature of Permitee or Agent
Receipt No. 116 e%� X
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
MECHANICAL No. @
PERMIT FILING FEE J$3.00
Heating
Coo I i
Ventilation
Hood J 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE $ ZLId
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 4-2'7-7�
B ' ing permit expires Date z -Z-7 !�
fhls set of plans and. specifications
USTkept on the job at all times and it is unlawful oto
make any changes or alterations on same without / �,ri , ,
written permisson from the D n Of
Works. County of Butte. Public
Septic
system
Butte
County
quirements.
location
Itto be as per
alth Dept. Re-
'�I�iy
The >l�ij, Setback shall
side property line and 5o ft. from the
centerline of the road, permitting a maxi.
mum of a 2 ft. save overhang but entirely
cut of all easements.
NOTE:—All Materials & Worktiianship
.Accordance with Recognized Good Prc
of a quality pre5cri6Pd for the Specified
Uniform Building, Plumbing & Machanical
the National. Electrical Code.
Be in
s and
in the
,s and
04
� All utilit
-• V... located within 4 connections shall be
-third section of theum bileotsidehho rear
on the left (road) side of the mob le
h home.
i . A permit will be required for the
installation of the mokgehome.
lJ
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3
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X � Q
BUTTE COUNT'
BUILDING DEPART ENI
APPROVED