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HomeMy WebLinkAbout073-210-055:.m, 5 ZtO --055 073-2-10-045573-21-555. 862= OE' DREISBACH Frank & Carol 335oBDREISBACH,Ronald ``_ — - ;2683P12451 LaPorte,Rd•, Contr: Fowler Electri y�11/7Selectric toy um -4- w�s LaPorte Rd. app. 1 mi. no. of 1pperie.' 73-21- (new,, single family) - 07—DREISBACH, Ronald + q� / . 12451 LaPorte Rd, Clipper Mills (new power pole for cabins A &_B) r r I 372.11 f M (V �'� 1 COUNTY OF BUTTE- DERARTMENT OF PUBLIC WORKS PERMIT NO. ' 1 7 County Center Drive - Oroville; California 95965 - Telephone: 916/538-7541 �jr► .11�0_(� j APPLICATION IND PERMIT c✓Lr4.� �i�l ASSESSOR WA"RCEL NUMBER 73-21-35 ZONING U , BUILDING PERMIT OWNER Ronald Dreisbach TELEPHONE 675-2299 S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 80, Clipper mills 95930 CONTRACTOR'S NAME Unknown °TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Rone LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 12451 LaPorte Rd., Clipper Mills Each Trap 2.00 Cabins A & B Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP L Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Cabins SPECIFY 4 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities I Installation[] Other ❑ Describe work: Replace Power Pole Service to Cabin A & B Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS l 10.00 100 AMP OR LESS Main service EA. ADD -L 100 AMP 1 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty u p y of perjury y (Check One): El 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, .s' 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) L�if't 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.A+\ +/22sgft OR ACDNS. 1 ACC. BLDGS. / NEW CONST R. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR. / Ex. OCCu zoae p OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Ine-Ins ection 1 115-00115.00 Permit Fee $37.50 Contractor 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 =4of 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. I MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor - I 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. 1 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 ;Is said County in conse ence of the granting of this permit. Date Signature of Applicant — Owner 9 PP ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ - Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 37.50 HAz I CUA I PARK I SCHL I FLo I CDF PAR Po 1 Ho. ISS E This permit is hereby issued under the sions of the Butte County. Code and/or work indicated above for which fees �% DIREJG� ROF PUBLIC, // pqiv ♦`Date rtT IT EXPIRES Date applicable provi- resolutions to do have been aid. p WORKS 0 - - Receipt No. 94062 WNITC-D.P.W.. 7ELL0 W -Ase C330 R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENTOF PUBLIC WORKS 7 County Center Drive - Oroville, Califbrriia 959J65 - Telephone: 916/538-7541 APPLICATION -AND PERMIT yyPERMIT NO. ASSESSOR PARCEL NUMBER 73-21-35 ZONING U BUILDING PERMt OWNER Ronald Dreisbach TELEPHONE 675-2299 S0. FT. OCC. BUILDING V- ATION - OWNER'S MAILING ADDRESS P.O. Box 80, Clipper Mills 95930 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Ener Plan Checkin Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 12451 LaPorte Rd. Clipper Mills Each Trap 2.00 Cabins A & B 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 ❑ Duplex❑ Mobilehome❑ Other Cabins SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G JW I 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities EX Installation[] Other ❑ Describe work: Replace Power Pole Service to Cabin A & B Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LESS 100 1 10.00 10.00 Main service EA. ADO'L 100 AMP 1 2.50 2.50 CONTRACTORS LICENSE LAW penalty I declare under of . perjury Y(check one): ❑ I am licensed under provisions.of Chapt. 9, Div. 3 of the BuslnesS 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 NEW CONST. DWELLING OCCUP.a` OR ADDNS. ACC. BLDGS. I , h¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 2SOC eAL9ao FIXED APLNS. \\ Ex. Occup. OUTLETS P(RESID )REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Pre—Insl2ection 11115.nd 15.00 Permit Fee $37.50 Contractor 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 rovisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 agalftst said County in conseq nce of the granting of this permit. ) /7, XA Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and emolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ EHAL CONST TYPE TOTAL FEE '$ E'$ — 37.50 CUA- PARK SCHL FLD PAR PD I HD. Iss This permit is hereby issued unoer the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above for which fee have been paid. DIR O F PUB ORKS Date_/,hyA?/ 11136114li EXPIRES Date Receipt No. 94062 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT J l `� .. c z J l `� COUNTY OF BUTTE -DEPARTMENT bF P�UBrLIC WORKS - BUILDING DIVISION' 7 COUNTY CENTER DRIVE - ORQv L` -LE rG LIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER D�/y�i�/57/� Com/ A. P. No. Proposed Building Use gyt,uel f% Building Inspector U Date 6�(� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: " DATE RECEIVED APPROVED 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ........................................ 12. Park fees paid ...................... 13. School District fees paid .............. 14. Sanitation approval from Health Department `15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement _e 25. Letter of signature a thorization................................... - When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant / L �� Date Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sel t _Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (C%cle 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___nail_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—DPW /21153 I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT n»LZbU" —Mr -LL NUM13LR ZONING 7J�21 3S OWNER U / r?"i41e/ O%-elS�CA TELEPHONE OWNER'S MAILING ADDRESS A / o O8O �i- MO CONTRACTOR'S NAME BUILDING PERMIT " SO. FT. OCC. BUILDING VALUATION UNa�cJ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace Total Valuation $ CONSTRUCTION LENDER AICIAAe VNKNO WN ' LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. N�/iV� Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS ���/ O 2r Energy Plan Checking Fee $ Penalty Permit lee $ $ '� sPLUMBING PERMIT Filing Fee 10.00 /� ci/i%rf '6— E> Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP WaterIn 1 P p g 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE � Other C 1qh X%s E]Duplex[]SF DuplexMobilehome❑ / SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G IN 10.00 ea TYPE -OF WORK New ❑ Addition ❑ Redmodel ❑ Utilities Installation❑ Other ❑ 0 2t - Describe work: JP CE ,ver 1Q)/e -rO Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 101 OR 00 AMP LESS Main service 61 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ED 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. 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 Main service EA. ADD'L 100 AMP 2.50 So NEW CONST. DWELLING OCCUP.E OR AODNS. ACC. BLDGS. '/20sgft NEW CONST R. ULTI.OUTLET N 017�'R . BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 520050AL0AL9 3t 30 FIXED APPLES. OR EX. DCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 pie N.5 p Fj� 00 Permit Fee $ 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. 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 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 against said County in consequence of the granting of this permit. X " DateThis Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee ($ Energy Inspection Fee $ OCC I CONSTTYPE 2 �7 $Q TOTAL FEE $ ✓ l — HAL. I CUA PARK SCHL FLD I CDF PAR I PD I HD. ISSUE permit is hereby issued unser the applicaole provi- sions 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 PERMIT EXPIRFS Bata I Receipt No. /��°2 _ WNIYE-O.P.'W.. YELLOW -As eE]SOR. PINK -INSPECTOR. GOLDENROD-APOI. i r. ANY 1,2453 290--� 2151 W0; a C DATE: PERMIT #: FEES: Amount and Purpose REVISED PLAN CHECK: $ BALANCE OF FEES: $ ADDITIONAL FEES: $ REINSPECTION FEE: $ CHICO URBAN AREA FEES: $ ASSESSORS PARCEL #: OWNER'S NAME: IF BALANCE OF FEES OR ADDITIONAL VALUATION: VALUATION: $ ADDITIONAL VALUATION: $ COUNTY: CITY OF BIGGS: CITY OF GRIDLEY: (check one) RESIDENTIAL: COMMERCIAL: (check one) RECEIPT #: ,one- g�J, lgal "Ko' �cdm'• R . �. 1Jr2� Skx�c% Tie'• Sl�n0.�v�r�. ��Or�Lc�dYl T , Ro nO3 d ac 6x-e)o 1 asr0oo r i ZZ8 -o Sk2 n) X n MI 6DS-f-f ce � o pglt cod OnS &r �)ermi -57 tom. wvri C,1 -vt6din A -o my Pvoyar') "kc-\ G\wex 'AAs, CA J� 06vi " . 1 PRE -INSPECTION OWNER: fOAM141 DATE LOCATION: 4249�5/ /APORr"e Lr&er.4���.P. # 23-21--35 CONTRACTOR: ,1Nt1N0u4' " ZONING (J PRE -INSPECTION FOR: -/'c') eop1,qc_e // D wel- )P Me -5 LONvc e -rO , DATE TO INSPECTOR E PER14IT HISTORY :NONE AS FOLLOWS: L��eC% fi0 IpUNI l� 86. 0 0 TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: [� OCCUPIED 0 HAS ELECTRIC HAS GAS F7 HAS SANITATION FACILITIES Q HEATED -COOLED OTHER COMMENTS: = PERSON CONTACTED ACTIO RECOMMENDED: ISSUE Q HOLD FOR OTHER: BY f DATES _ 12 ' � PRE -INSPECTION OWNER: DATE 12-5 t) LOCATION: 6 A.P. # CONTRACTOR: • ZONING `�--•''� PRE -INSPECTION FOR: DATE TO INSPECTOR -------------------------------------------------------- ----------------- PERMIT HISTORY: NONE AS FOLLOWS: '211q & 1, TYPE OF OCCUPANCY Sr' FIELD - INFORMATION BUILDING USAGE: [� OCCUPIED [] HAS ELECTRIC F::] HAS GAS [] HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: % aro S +L r S Ac HAS SANITATION FACILITIES I h Fe -6 I �D v V G v U s D h 6 Is s e_ aV\ vvvs�j ACTION RECOMMENDED: J ISSUE HOLD FOR OTHER: BY DATE 3 - oZ - n1, b AR 73 -21 - OWNER ADD COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ZONING PERMIT NO. 862-90 BUILDING PERMIT HONE SQ. FT. I OCC. I BUILDING VALUATION N CONTRACTOR'S MAILING ADDRESS P.O. Box 20 Clipper Mills Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee 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 12451 LaPorte Rd. Permit tee PLUMBING PERMIT $ Each Trap Bangor Solar or heat pump water heater LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or vent USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other P1 Pr a U"�PE IFY Gas piping system 1 - 5 -outlets Building sewer Mobile Home is G W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: ';PrVicp to pump Permit Fee Contractor i CONTRACTORS LICENSE LAW j 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.S�%,�3Classification CTQ ❑ 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 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 i 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. 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 agai s Co t T consequen of the granting of this permit. X Date %7M Art Q Si n Lure of Applicant — Owner [I/ — Contractor Y\ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receiot No. 5015 ELECTRICAL PERMIT Main service 6001 OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( DWELLING OCCUP.d&) OR ADDNS. ACC. SLOGS. NON.RESID. (BRANCH CIRCUITS/POWER R\ 1 SINGLE OUTLETTCIR.e / Ex. Occup(OUTLETS OR FIXTURES FIXED APLNS. Ex. Occup. OUTLETS (PRESID)REA.) Temporary service Mobile Home Facilities Misc. Wiring 10.00 $ Filing Fee 10.00 10.00 10-0 2.50 '/20scift 2.50 ea 2.00 10.00 15.00 15.00 I Permit Fee i Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I CONST TYPE TOTAL FEE $ 35.00 HAZ I CUA I PARK I SCHL I FLD I PAR I PD I HO I ISSUE This permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS RV ------------------ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 . 7 County Center Drive, Oroville — Phone: 538-7541 r 747 Elliott Road, Paradise— Phone: 872-6307 t r CORRECTION NOTICE n n OWNER A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office + when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. f Inspector COUNTY OF BUTTE - DEP�ART 8NT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIONI,�N.;PERI IT PERMIT NO. 862-90 - ASSESSOR PARCEL NUMBER - 73-21-35 ZONING , . U ` '. BUILDING PERMIT OWNER Ronald Dreisbach 415 TELEPHONE 675-2299 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BoO%9 Oakt6nd" C O N TR A,C,T D!3! S. N A M E Fowler Electric TELEPHONE 675-2270 CONTRAC'TOR'S MAILING ADDRESS P.O. Box 20 Clipper Mills Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 12451 LaPorte Rd. Permit fee' $ PLUMBING PERMIT Filing Fee 10.00 ` Each Trap 2.00 Ban Or 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 ; r USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other elec at Dump SPECIFY I. Gas piping system 1 - 5 outlets 5.00 ► Building,sewer, 'lelf 1 5.00 s? Mobile Home S G W 10.00 e ) TYPE OF WORK' New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation[] ;Other E] Describe work: service to 12ump _ I - - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ' • I i Main service 8001 OR LESS 100 AMP OR LESS10.00 10.00 Main service EA. ADD'L 100 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 Business and Professions Code and my license is in full force and effect. License No.�� A7., Classification C / �! _T ❑ I_ as the owner, .or my employees with wages as their sole compen- sation, will do the work,and the structure isnot 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 Codenre for this reason NEW CONST. SWELLING OCCUP.&` OR ACDNS. (ACC. BLDGS. / , 2/ zQsgft NEW CONSTRESID, BRANCH NON•R ESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES ..L@BAL03030 FIXED APPLNS. OR \ EX. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 e 0 _ Permit Fee $ 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. Contractor' MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation. Permit Fee $ Contractor 1 certify that I have read•this application,and state that the above information is correct. I agree to comply to all County°Ordinances and State Laws relating to building construction, and hereby -authorize representatives of the 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 agai . s Co t in cohsequen of the granting of this permit. X Date VM A,-1 d Sign ture of Applicant — owner ❑l Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONSTTI'PE I I" TOTAL FEE $ 35.00 HAz CUA PARK SCHL FLo PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County: Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date_/� the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 59157 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 73-21-35 862-90E DREISBACH, Ronald 12451 LaPorte Rd, gwvg Contr: Fowler Electric ,\ " (electric to pump) ` OFFICE COPY Address • ! G� M' ELECTRIC Meter By Date r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 AMUCA'IMN AND PERMIT PERMIT NO. 862-90 l ASSESSOR PARCEL NUMBER 73-21-35 ZONING U BUILDING PERMIT OWNER Ronald Dreisbach 415 TELEPHONE 675-2299 SQ. FT. OCC. BUILDING V L ATI N OWNER'S MAILING ADDRESS P.O. Box7509 Oakland CONTRACTOR'S NAME Fowler Electric TELEPHONE 675-2270 CONTRACTOR'S MAILING ADDRESS P.O. Box 20 Clipper Mills Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12451 LaPorte Rd. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 S 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 ❑ Duplex❑ Mobilehome❑ Other elec at YJUM - PER Gas piping system 1 - 5, outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New Addition❑ Remodel[:] -Utilities[] Installation[] Other ❑ Describe work: service to piimn _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 - Main service 10000 AMP LESS 10.00 10-00 Main service EA. ADO'L 100 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 BUSIne$S and Professions Code and my license is in full force and effect. License No.S3 152:3 Classification _C �V • ❑ 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCU1.8d OR ADDNS. C ACC. BLDGS. , /Z'tSgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRCITS 2.50 ea, (POWER APPARATUS el \SINGLE OUTLET CIR,/ Ex. OCCU OUTLETS OR FIXTURES p( 200500 0ALo3o EX. Occup. OUTLETS FIXED P(RESID,)LNS REA./\ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g ±__ 15.00 1)rp in,-,pertinn - Permit Fee $ 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. Contractor MECHANICAL PERMIT FiIingFee 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 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 agai s Co t in consequen of the granting of this permit. X Date %Yh Ar1 Q Sin lure of Applicant — Owner �y pp ❑ Contractor Y{ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 35.00 HAZ I CUA PARK I SCHL I FLD I PAR PD [HD I ISsu This permit is hereby issued under sions of the Butte County. Code and/or work indicated a ove for which fees DIR CTOR PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. p WORKS Date 0 Receipt No. 58157 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �� r^' `` � ,' ,.. ., ,� _ ,• .r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APYLICATION:AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER , – / L5— ZONING r BUILDING PERMIT OWNER a r l TELEPHONE b 5-r229 SO. FT. OCC. BUILDING VALUATION OWNER' -T MA LING3 AOORESS CONTRACTOR'S NAE e r TELEPHONE 1675-2z o CONTRACT R'S MAILING ADDRESS Q G (—I // ,• I� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 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 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 ❑ Duplex❑ Mobilehome❑ Other 6JeC- SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 10.00e . TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ILIELECTRICAL Permit Fee $ Contractor PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 00 10.0 �!-o Main service EA. ADO'L 100 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 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code fcr this reason NEW CONST. DWELLING OCCUP.E OR ADDNS. ( ACC. BLOGS. , h2Sgft NEW CONSTR ULT' -OUTLET NO N.RES'O BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR.20@50) Ex. OCCup�OUTLETS OR FIXTURES eA10 5AL@ 0 3 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 f? -7t, Permit Fee $ 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. 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 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 against said County in consequence of the granting of this permit. X Date - Signature of Applicant — Owner ❑ . Contractor ❑ Agent ❑ I An OSHA permit is required for excavations. over 5'0" deep and demolition or construct- ion of structures over 3 stores in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONSTTYPE c� �-- TOTAL FEE $ J ALSCHL HAZ CUA PARK I FLo I PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS .._. .. . s Date ' F/ -S-2- Receipt No., /�_�/ WHIT£-D.P.W.. YELLOW-ASSC530P. P-4K-IN5PFCT0-. GOLOENP00-APP0_, CANT OWNER �TPr �. ,t. .... ��''�+YRf"��J _ � rcd` rt' � '-a'La:�f'.j�'�•N:�S'"�,i�. COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVEw9ROVILd_E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. A. P. No. Proposed Building Use Building Inspector Date At✓ \ of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Plannin approval for (A) Use: (B) Parking: ...... pr ements may be required. Contact Land Development Section DPW veway permit (construction approval required prior to occupancy) Pre -Inspection for required Pre-Inspec. r quest to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................. ............... . 26. 27: When you issue the permit, process as follows:Mail to owner. _Mail to contractor. Telephone and hold for pickup at office. Deliver w'/inspector. Other _N Applicant Dat, [-0 Copy of plans sent Health Dept., Fire Dept., Other Date 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--naiI—counter by ..date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date OLA 1 T5 UL v 0 0 `-el a� y,AA W DEPARTMENT OF PUBLIC WORKS Deposit Sheet Building Division DEPOSIT # APPROV. PERMIT N0. ACCOUNT # (BLDGS.) ACCOUNT # TOTALS $ $ GRAND TOTAL TO BE DEPOSITED $ COMPILED BY DATE APPROVED BY DATE