HomeMy WebLinkAbout040-222-008+
40-222-8 _ _
ROGER HAMILTON
9364 Goodspeed, NUNN Durham/�
Contr: George Roofing _ '
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40-222-8 _ _
ROGER HAMILTON
9364 Goodspeed, NUNN Durham/�
Contr: George Roofing _ '
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Err,it2203=37B-(-reroof/SFY` .. ,_
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0140722-27008 93-206B
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040.-22-27008:
'HAMILTON,
93-206B`
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9364 Goodspeed,
Durham'`
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•� COUNTY'OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
040-222-084r
ZO ING
BUILDING PERMIT
OWNER ger Hamilton
J4j_E &Wy
SQ. FT. OCC. VALUATION
OWNER'S AILING ADDRE s
936 Goodspeed St., Durham 95938
/B�UILD�IIN�G
16 1/3 60 978.00
CONTRACTORn NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$978.00
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee $ 15,00
Permit Fee $ 22.50
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee $37.50
9364 Goodspeed St., Durham
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME __TPARCEL
MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF ff Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G JW1@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN
Describe work: _ Reroof With C,OR1U.
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
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
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 -
(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000A) 37.50
NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft.
OR ADDNS. ACC. BLDGS. //
NEW CONSTR.MULTI-OUTLET
NON-RESID BRANCH CIRCUITS) @ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(our LEL.TS OR FIXTURES 20 76
Ex. OCCup. OUTLETS P(RE SID ,)REA.) .3.00
Temporary service 15.00
00
Mobile Home Facilities 15.ors.
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.
❑ 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 1 15.00
Heating
Cooling
Hood 6.50
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, cosfis, and expenses which may in any way accrue
against said County in cons(egq nce of the granting of this permit.
X C_Date �'� ? — 9
Signature of Applicant — Owner❑ Contractor EDAgent Eln
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 S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $37•M
HAz
1 0FEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sios of the B 00 -dee County 'de and/or resolutions to do
work In
Indic t above,f r4hich fees have been paid.
QI4CTOR'0F PUBLIC WORKS
By Date%�
PERMIT EXPIRES Date ; `�-
Receipt No. 135206
WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION ANPLPERMIT
PERMIT NO.
i
ASSESSOR PARCEL NUMBER
040-222-08�
-
ZONIr G
R--3
r.
BUILDING PERMIT
OWNER
Roger Hamiiton
TELEPHONE
342-6547
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
9364 Goodspeed St., Durham 95938
16 1/3 60 978.00
CONTRACTOR'S NAME
Unknown
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$978.00
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE No.
Filing Fee $ 15,00
Permit Fee $ 22.50
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee $37.90
9364 Goodspeed St., Durham
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each gas water heater or vent 7.00
USE OF STRUCTURE
SF 9 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ®
Describe work: Re -roof With Comp.
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
am licensed under
El p
provisions of Cha t. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification
ElFIXED
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
Ze for sale. (Sec. 7044)
1, 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 200ATO1000AI 37.50
NEW CONST. /DWELLING OCCUP.&�
OR ADO NS, ( ACC. BLDGS. 3.64 sq.ft.
NEW CONSTR.-MU
ULTI.OUT LET @ 5.00
NON.RESID BRANC CIRC ITS
/POWER APPARATUS e\
\SINGLE OUTLET CIR. /
Ex. Occup(ouTLETS OR FIXTURES 20 76
APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA.) 3.00
Temporary service 15.00
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 shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIingFee 15.00
Heating
Cooling
Hood 6.50
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, c s , and expenses which may in any way accrue
agai t said Count. n cons nce of the granting of this permit.
XDate / N ;2 $ -`� 3
Signatur 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 S
Energy Inspection Fee $
Li
CONST TYPE
TOTAL FEE $ 37.50
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
I
This permit is hereby issued under the applicable provi-
sions of the Bu a Count/C de and/or resolutions to do
work Indic ov�or hich fees have been paid.
� ECT F PUBLIC WORKS
By Date��
PERMIT EXPIRES Date —
Receipt No.- 139206
WNITE-D.P.W., TELLO W-A58[850R, PINK -INSPECTOR, GOLDENROD -APPLICANT
�.. �.y ..t u,:.i• .�• :'�?^^..rt "' ii,�'-i+:.k.u� r.k'r...
COUNTYOF BUTTE - DEPARTMENTOF DEVE�OPMEI(TSERVICE-S -BUILDING _ DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,d tOkNIA95965 - TELEPHONE (916) 538-7541
PERMITAPPLI'CATION DATASHEET
4
OWNER Q GI/i%/ /� C/Y J A. P. No. 70 -2,? 2
Proposed Building Jses , A:_ , Building Inspector Date -�
At time of permit application, I,was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1.
2.
3_
.4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
22.
23.
24.
25.
26.
28.
29.
30.
All items have been submitted. ......... .
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
Complete plans, 3/4 sets, signed by preparer of plans. ................' ..... .
Engineered plans and calcs, 3/4 sets, with wet signature on plans. ..............
Hazardous Material Form . ........................................... .
Energy Design Compliance and supporting documentation . ..................
Statement of Intent for Non -Heated and A/C Buildings . ..................... .
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data:and manufacturer's installation instructions, 2°sets. ...........
Fees of $ ............... ...................... .
Impact fees as shown on attached schedule . .................. ... .... .
California Department of Forestry plan approval/fees. .................-...... .
Flood elevation letter (�00 year flood) by California Engineer . ................. .
Sanitation and plot plan approval Health Department. ............
City of Chico plumbing prmit....................................... .
Plot plan and business license approval from City of Biggs/Gridley. .............
Planning approval for (A) Use: (B) Parking: . .........
Contact Land Development.about (A) Improvements (B) Drainage. ........... .
Driveway permit (construction approval required prior to occupancy). .. .. .. .
Pre -inspection for Freanspect'on request -
p required. . . to Building Inspector (Date)
Contractor's license information. (No., Name Style, Classification) . ..............
Certificate of Workmans Compensation Insurance. ..........................
Owner -Builder Verification (Given to owner Mail to owner _). ...........
Recorded copy of Agricultural Acknowledgement'Statement. ...................
Letter of signature authorization. :.. .
Copy of recorded deed of parcel creation and 60 right of way to a public road.. .
Letter of intent on building use. .......... .
Mobilehome utility clearance . .......................................... •�'
Documentation. of legal access . .........................................
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage
requirement-. ...............
31. Existing violations/expired permits . .......................................
32. Plan checklist ...............................................
33.
34.
e and hold
to owner. Mail to contractor
. ' Applicant
ver with inspector.
Date % ? Y_7,7�>
Copy of Haz-Mat form sent Health Dept. Fire Dept. IAir Pollution Date
Copy of plans sent Health Dept-' Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit,for above items No. �� t
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by s`* Date
Sets of plans on hold in File cabinet AP folder
Copy - D6partment of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
U '22-2' C)
OWNER
ZONING
BUILDING PERMIT
RQ Gam' PCLVn i
TELEPHONE
z6S4'
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAI G ADDRESS
(?,'36`-( -cam ' S 12ed Sfi_ f4,VL
C� �
CONTRACTOR'S NAME TELEPHONE
v
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee $ 15.00
Permit Fee $ 22
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS ^-36 p
(/
/ C
Permit fee $ 5
iJ �iM
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each gas water heater or vent 7.00
USE OF STRUCTURE
SF54, Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G W@ 15.00
E1
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other �K
Describe work: (Onon f Imo_
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OOR ss 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under
Elp
provisions of Cha t. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
F1FIXED
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)
r_11 am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000A) 37.50
NEW CONST, ( DWELLING OCCUP.y\
OR ADDNS. ACC. BLDGS. II 3.60 sq.ft.
NEW CONSTR. MUCTI-OUTLET
NON-RESID BRANCH CIRCUITS) @ 5.00
POWER APPARATUS
(tr1
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 76d
AL- 4SA
APPLNS. OR
Ex. Occup. OUTLETS (RESID,) EA.� 3.00
Temporary service 15.00
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.
❑ 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 15.00
Heating
Cooling
Hood 6.50
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.
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
against said County in consequence of the granting of this permit.
X Date
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
CONST TYPE
V�
TOTAL FEE $3 %,
HAz
1 0FEES
IMP
FL000
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby 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
By Date
PERMIT EXPIRES Date
Receipt No. IL3�2O�
WNITC-a. r. W., TCL LOW-A3D[3 s0 R, PINK -INSPECTOR. COLD EN ROD•APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
• 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
s APPLICATION AND PERMIT
- .
ASSESSOR PARCEL NUMBER- s
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
t/1 -•~I
��
OWNER'S MAILING ADDRESS
t,, - ' ryooclgl-a*r.. ,
CONTRACTOR'S NAME
TELEPHONE
533--u3 n3
CONTRACTOR'S MAILING ADDRESS
^ t P` 'fti"y
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
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
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-'if-nt, 1•
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea.
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other 0
Describe work:_-7t+ni'1rt7
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eoov 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):
)
❑ 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. �'"ah
Classification
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)
❑ I, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.h ,h2sg
DR ACDNS. (ACC. BLDGS.
NEW CONST R. MU LT'-OUTLET
a
NO N•RES'D BRANCH CIRCUITS2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 8AL@30
FIXED APLNS.
Ex. Occup. OUTLETS (PRESID IREA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. 6Yirin 15.00
9
Permit Fee $
Contractor
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 shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 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.
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
against said County in consequence of the granting of this permit.
'
X Date "
Signature of Applicant — Owner ❑ Contractor ❑ Agent Q
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 $
occu P.
CONST.TTPc
FLOOD
PARCEL
PD
ND
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 Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
' ''
Receipt No.
WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, I:OLDEN ROC -APPLICANT
' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
NPERMIT NO
ASSESSOR PARC NUMB
ZONING
BUILDING PERMIT
OWNER
Roger Hamilton
TELEPHONE
342-6547
,SQ, FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
9364 Goodspeed Durham,
CONTRACTOR'S NAME
ofin
TELEPHONE
533-6393
RAC
CONTT 'S MAILING AD RRESS
P-0- Box 729 Oroville
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$ cw
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
9364 Goodspeed
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 Rental
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW I
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®
Describe work: Roof i_nq _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service V OR LE
1000AMP AMP ORSLESS
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 Business
and Professions Code and my license is in full force and effect.
License No. 452266 Classification C-39
Fl1, 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 OCCUP.N
OR ACDNS. (ACC. BLDGS.
, �z¢sgft
NEW CONSTRES'D. U NCH C LET
NON.RESID BRANCH CIRC ITS
2,50 ea
(POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
920 A 090
FIXED APPLNS
Ex. Occup. OUTLETS IRESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
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.
® 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 ounty in consequence of the granting of this permit.
/,/ Date 6-30-87
X - �`�
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 $
TOTAL PERMIT FEE $
Oc CUP.
CONST.TYPEJ
FLOOD
PARCEL
I PD
ND
I ISS
This permit is hereby issued under
sions f the Butte County Code and/or
woi i dicated bove for which fees
IF TOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
/
Date.144 se
Receipt No. 5F7" �/
WHITE-D.P.W.. YELLOW-ASSrSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
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2626 Fair Street
Chico, CA. 95928
Phone: (530) 343-2928
Cell: L(530) 520-3170
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Provide SMOKE DETECTORS/ALARMS
As required by 2007 CBC 907.2.10.1.2
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REQUIREMENTS
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OWNER
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