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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 " v 3 w t Jp X � Q BUTTE COUNT' BUILDING DEPART ENI APPROVED