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Home My WebLink About021-032-016021-320-016 PERMIT#98-0638 STEWART, Darrel 1148 French Ave., Gridley P�/41A Ele Ser Ch & Misc Ele/SF ill 10,11, 021-32-0-016 99-0675 BP STEMART, Darrel]. 1148 French Ave, Gridley J . re a r /wy_�i�i SF 0 320-016 99-1718 21- STEWART, Darrel 1148 French Avenue, Gridley Contr: Owner Electric Service Change 1AW �og a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Z) 9 ASSESSOR PARCEL NUMBER 021-32-__�"16 ZONING A- 9 BUILDINGPERMIT FiCE SbaT SQ. FT. OCC. BUILDING VALUATION 1,500 OWNERS MAILING ADDRESS 11W Gel Ct I i f CONTRACTORS NAME nww.g TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ IBUILDINGADDRESS 1148 ERENOT AVENUE GRIM EY Energy Plan Checking Fee PERMIT FEE 55.00 LOT NO. SUBDrVIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE - --If SF N Duplex 0 Mobilehome 0 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other IT Describe Work: WAIRS An WATIM PIPING Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G 1@20.00 PERMIT FEE 35.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service '.*' . oo RR :.s 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secton 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1�1 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 13 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, forthe performanceof work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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 0 ith C I ith th provisions. r" iti X 1A Date Signatu e l5fiblint - 4 Owner 0 Contractor 0 Agent HIA -onstructioNn AnOS A permit is required for excavations over 60" deep and demolition orc of stru6ures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELUNG OCCUP. so. OR ADDNS. & ACC. BLDS . 3.50 Fr. NEW CONST OUTLET NON-RESID. MuLT.1 CIRCUITS 97.50 POWER APPARATUS & SINGLE OUTLET CIR. I Ex. Occup. OUTLET OR FIXTURES BAIL .50 O.MXED APP . OR Ex. Occup. (.In .) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEiE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTALFEE$ 90.00 HAZ. t. FEES IMP I FLOOD I CDF PARCEL P0 I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or c indicated above f7owhi N h fees have NEI PERMIT EXPIRES ON the applicable provisions Resolutions to do work been at. I4f-- V 0 & (Date) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -4 7 County Center Drive * Oroville, California 95965 * Telephone (530) 538-754 PEN I (Rev7�,�2/96) APPLICATION AND PERMIT �2 9— el ASSESSOR PARCEL NUMBER n?1_39_()_0i6 ZONING A-5 BUILDINGPERMIT OWNER IrinE So. FT. OCC. BUILDING VALUATION 1,500 OWNERS MAILING ADDRESS it ye GoAl-ell G, tt�TEUEPHONE CONTRACTOR'S NAME mmP.R CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ gr) ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGAIDDRESS 1148 ERENCTH AVENUE, 122IDT Ey Energy Plan Checking Fee $ PERMIT FEE $ 55.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 6 Duplex 0 Mobilehome 0 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.0015.00 Each gas water heater or vent 15.00. TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 13X Describe Work: REPAIRS AND WATER PIPING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE 35.00 ELECTRICAL PERMIT Filing Fee 20.00 800V OR LESS Main Service .A .UESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: �( 1, as ownerof theproperty, ormy employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 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. 0 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, forthe performance of workforwhich this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 2000k TO 1000A 46.00 NEW CONST. DW .�LJNG OCC1.JP_ OR ADDNS. C. so 3.50FT.' NEW CONS NON-RESIDT =T.1_`CiRCUU.TS @7.50 OWELR AF= U PSIN. E . C SIR. Ex. Occup. ( OUTLET OR FUTURES 20 @ 1. BAL @ ( ..FIXED A OR" Ex. Occup. P(PRM.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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 0 h cc I ith th rovisions. X Date Signatu �Ahnt Owner [3 Contractor 0 Agent 0 k AnOS A permit is required for excavations over 60" deep and demolition orconstructi of str tures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTALFEE$ 90.00 HAZ. D.FEES IMP CDF PARCEL pD I HD I ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above fojewi%kch fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid (Da te) ReceiptNo. 264711 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive 9 Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev.;2/06) , APPLICATION AND PERMIT ASSESSOR PARCEL NUMER ZONNO BUILDING PERMIT OWN" TELAPMNE SO. Fr. OCC. BUILDING VALUATION OWMMS WSJNQ ADDRESS CONTRACTOWS HISME TELEPHONE COMrRACTGRV MAILING ADORES CONSTRUCTIONLENDER LENDER'S MAILM ADDRESS LF,,, Total Valuatlon ARCHITECT OR E=NM LICEME NO. Filing Fee 20.00 AACHITECr OR ENOWEER'S MAJUNG ADDRESS Permit Fee Plan Checking Fee $ BUILDMADDAESS Enernu Plan Checkin 6 ReceiptNo. a & " WHITE - D. D. s7j-D-.. SOR ' PINK -INSPECTOR GO 20.00 1 ELECTRICAL PERMIT - 31 Filing Feel 2�0-00 Main Service ( = N Z: 23.001 Main Service PERMIT FEE $ LOT NO. SUBDWIDAIINAW PARCEL MAP PLUMBING PERMIT Filing Pug SF 0 Duplex 0 USEOFSTRUCTURE Mobilehome E3 Other SPECIFY Each Trap 7.00 —Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent — 15.00 Now E3 Addition Describe Work: TYPE OF WORK 0 Remodel 0 Utilities 0 Installation E3 Other E3 Wed� —4�2� Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home J_S I G I W I ocouvr ccc ReceiptNo. a & " WHITE - D. D. s7j-D-.. SOR ' PINK -INSPECTOR GO 20.00 1 ELECTRICAL PERMIT - 31 Filing Feel 2�0-00 Main Service ( = N Z: 23.001 Main Service 2WA TO IOWA 46.00 NEW CONST. DW==P. so. OR ADDNS. 3.50M MW UONST' NOWRESID. Q7.50 EX. OCCUp. OUTLET OR FKTURES BA—L We ':-50 OMO APPUNIS " —Ex. Occup. I E. Ts IRES'j.0 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE I S 0 1 MECHANICAL PERMIT I Filing Fee 1 20.00 1 Hood I - 6.501 -ventilation PERMIT FEt S Mobile Home Installation Fee Energy Inspection Fee OCC CONST. TYPE TOTALF FEES I IMP I MOOD COF I PARCEL I po tj NO I ISS�VE 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. By Date PERMIT EXPIRES ON WMIAM OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing]MIN, Please complete and -return this information at your earliest opportunity to avoid' unniec in processing and issuing.your building permit. No building permit will be isstiid until ft verification is received. I personally plan to.provide th ajor labor and materials for construction of the prop6i6.d property improvement : YES NO E3 2. 1 HAVE C�'" NOT 13 signed an application for a building permit for the proposed 3. 1 have ;ontracted with the following person (fhm�) to provide the proposed construc owriy.* NA ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. .. .... 4. 1 plan to provide portioris� of this'work, but I have" hired the'follov4ng 'person to' I'd * ��Mwi siipervise, and provide the major work: �T NAME: ADDRESS: CITY: PHONE:— CONTRACTOR'S LICENSE NO. 5. 1 will provide some of the work but I have contracted (hired) the following persons to pqvide the Work indicated: NAME ADDRESS PHONE TYPE OF WORK.. SIGNED: v1, v4 QcA PROPERTYOWNER:_ - SOCIAL SECURITY NUM13ER: DATE: (,- I q 9 NOTE: This Owner -Builder Verification is r*equired by Section 19831 and 19832 of the, California Health and Sarfety Code. This verification must be -completed wd returned to our ofrice before we are permitted to issue the permit. EOW-OT1111 I OWNER BUILDER INFORMATION -1 Dear Property Owner: An applicarion for a building permit has been submitted in your name listing yourself as die builder of pro perty improvements specified. For your protection, you should be aware that as "owner-buildee, you are the responsible party ofrecord on such a permit. - Building perm its are not required to be signed by property owners unless they are personally perfo rming their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible"' .J liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which 01cy, apply. If you plan to do your own work, with the exception of various trades that you plan to sub�ontract, you ihduld*. be aware of the following information for your benefit and protection: If you.�mploy or otherwise engage any persons other than y"our immediate fiamily, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contrachots or subcontractors. then you may be an employer. If you are an employer, you must register with the State and Federal Governments as an employer and y6u"a're subject to several obligations. including state and.federal income tax.wit.hholding, f�deral social. security,taxes.:., workers compensation insurance, disability insurance costs, and unem 16*ent compensation contributions.,, - P There may be financial risks for you if you do not carry out these obligations, and these risks are especially Aerious with respect to worker's compensation insurance. I For more specific information about your obligations under Federallaw, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information' about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under'limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner buildee' building permit� erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are hot required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac!prs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street� Sacramento, CA. 95814. Please.complete the "Owner Builder Verification" �n the reverse side of this form so that we can confirrri that you.. are aware of these matters. The building permit will not be issued until the verification is returned. 4irely, ira,, C Mic el C. Vi ? B.O. 2 SI a M ger, Biuiilding Inspection CP NOTE: This Owner-Builder.in .formation is required by Section 19830 of the Calyornia Health and Sa ./ety Code. OVER (7 f 021-320-016 00-1718 s irref? TEWART, D, 1.148 l7re�nch,,Avenue� Gridl�y Contr: Owner Electric Serv"Ice Change COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1 7 County Center Drive - Oroville, C'�lifornia 95965 * Telephone (530) 538-7541 01 PERMIT No. (Rev. 12/96) APPLICATION AND PERMIT . !W-- �W_ ASSESSOR PARCEL NUMBER 021-32-0—Olt ZONING A-5 BUILDINGPERMIT OWNER DARREL STEWART TELEPHONE 846-5008 SO. FT. O=. BUILDING VALUATION OWNERS MAILING ADDRESS 137 NEVADA, GRIDLEY CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1148 FRENCH AVOM, GRIDLEY Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. S, UsDrVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 tWel SRR TOW s 0 Installation 0 Other 0 Describe Work: Gas piping system 1 - 5 outlets 15.001 Building sewer 15.00 Mobile Home I S I G I W 920.00 11" PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service *.".A ORR 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawlor the following reason: 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. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 100DA 46.00 NEW CONST. DW 0. ."NG UP. 3.5,ts OR ADONS. FT. ... agC NEW CONST. 2'E'r NON-RESID. =0NIRQUIT, 97.50 OWE.RAP= U P.IN. 0 C SIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTIJRES BAL @ .50 ..FIXED A LNS OR Ex. Occup. PPRES,6.) E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PRE INSPECTION :13 UU PERMIT FEE s 43.0t) MECHANICAL PERMIT Filing Fee 20.00 Heating ooling — Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need ndt-be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I cerfify 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 workers' compensation laws of Califbinia, and agree that it I should become subject to the Workersico m pen s4tion provisions of section 3700 of the Labor Code, I shall forthwith *wthose provisions, X Dat _a_7,A* Signat'k 91 App nt I wner [3 Contractor [] —4d' n 0 u eermit is require r excavations over 60" deep and demolition or construction A SHA es over 3 storied in height. structu _ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 4:1 TOTALFEE$ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PO HD ISSUE 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. B Date 1 yh. & �'. I I T PERMIT EXPIRES OIS rof ReceiptNo._ KtO "5-00 -73 WHITE-D.D.S.-B.D. - CANARY-ASSESSOIT - PINK -INSPECTOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-7541 PERMITNO. (Rev. 1`2/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021-32-0-016 ZONING A-5 BUILDINGPERMIT OWNER DARREL STEWART TELEPHONE 846-5008 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1J/ NEVADA, GRIDLEY CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1148 FRENCH AVENUE, GRIDLEY Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 AddiUon 0 Tn�elfl Ublities 0 Installation 0 Other 0 Describe Work: R CH Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 " LE Main Service '..A oR LES: 23.00 93 00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License LWor the following reason: 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 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. El I have and will maintain workers' compensation Insurance, as required by Section 3700of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 100 -OA 46.00 NEW CONST DWELLING OCCUP ,So. OR ADDNS. & ACC. BLDS. 3—yFT. NEW CONST — NON-ReSID. muLT,'OXcLETTs @7.50 OWE.RAF=US .11N. 0 C.. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTLIRES BAL@ .50 FIXED AP -OR Ex. Occup. OUTLETS (P.M.) E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 — Misc. Wirina 23.00 PRE INSPECTION 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' Corn n . n I of California, and agree that if I should become subject to the ,or1kreers'7"-cimp:nwss ti . . of section 3700 of the Labor Code, I shall gon provisions f rthw w those provisions. a t J[7 -.A1% iq X Va ignat App-Mant owner 0 Contractor g4ni' S I/ e, �J AnOSHA ermit is requir?dtr excavations over 60" deep and demolition or construction s of struct es over 3 stories in height. Mobile Home Installation Fee Energy Inspection Fee Is Occ CONST. TYPE TOTALFEE$ 43.00 — FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE 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. B Yd '14 PERMIT EXPIRES ON ReceiptNo. A735`0 J q9V WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT O.B.- I ...... ..... ................................. .. ...... ... . .. ...... ..... I.., ... ..... .......... Attention Property Owner: An "owner-buddee' building permit has been applied for in your name and -bearing your signature. Please complete and return this informati on at* your earliest opportunity to 'avoid unnecessary delay in processing and issuing your building permit. No budding permit -will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed pr�perty-improvement: YES[q��;[ 2. 1 HAVE[/'] HAVE NOT[ signed an application for abuilding p�irnit for the T proposed work. VT 3. 1 have contracted with the following person (firm) to provide' -the- proposed construction: NAMEE: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO; 4. 1 plan to provide portions of this work, but I have hired the� following person 'to coordinate, supervise, and provide the major work: NAMT- ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO.' 5. 1 will provide ' some of the work but I have contracted (hired) the followirig.-perisons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: _�A& PROPERTY OWNER: SOCIAL SECURITY DATE: � NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner-buildee, you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other d= yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all pern#ts for which they apply. If you plan to do your own work, with the exception of various trades that you plan.to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are'not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer'and.you are subject to several obligations micluding state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks'for-you if you do not carry out these obligations,'and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale,'property owners who are not licensed 'contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions.. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuildee, building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their ow'n' work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. f Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 I 021!'-'320-016 PERMIT#98-0638 STEWART, Darrel 1148 F - rench Ave.., Gridley Ele Set Ch Mist Ele/SF L?9 OFFICE COPY Address 7ate--� Meter BY ELECTR Dalte-:1— Meter By COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (911'�) 638-754i PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT I ASSESSOR PARCEL NUMBER 021-32-0-016 ZONING 8-5 BUILgINGPERMIT OWNER DARREL STWART TELEPHONE 846-5008 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 137 NEVADA, GRIMM CONTRACTO R'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace UENDER*! MAJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1148 FRENCH AVEWE, GRIPLEY Energy Plan Checking Fee $ $ _F PERMIT FEE $ LOT NO. SUBDIVISION'S NAME 7� MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Ij Duplex 0 Mobilehome 0 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPEOFWORK X New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0 Describe Work: ELEC SER CH Ct A) P u) -,Tti.6 ooyed 4-P eikt) op Aa J Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (_W20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service '.."A o.' :S 23.o63.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing v�ith Section 7000) of Division 3 of the Business and Profes ; sions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contract6rs License La,w,for the following reason: X1, 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. - 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. \0 I am exempt under Sec. Business and Professions Code for this reason I Main Service 200A TO 1000A 46.00 NEW CONST. D ELLING OCOUP. OR ADONS. W CC. . A So. 3.50 FT. I M Ic ION S.T. . &,,, 0 U T.LET .. .. S @7.50 OWER APPARATU PSIN.LE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES BAL Z. FIXED APPLNS OR Ex. Occup. UTLETS CRE.,6.) EA_ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring PRE INSP 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 1 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, forthe performance of work forwhich this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee- 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the worke!s compervatibn provisions of section 3700 of the Labor fofhWwithAO PI _"�visions.. X I ff Date 13 NL--- ta" At OLwner -0 Contractor 0 Agent An OSHA P rmii is;equired for excavations over 60" deep and demolition or construction of structud over 3 stories in he)ght. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTALFEE$ HAZ. I D. FEES IMP I FLOOD HD ISS 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. Date PERMIT EXPIRES ON h (//I I I (Ddlq) ReceiptNo. WHITE-D.D.S.-B.D. CANARY-fSS-ESSOK f)PINK-INSPECTOR / GOLDEN ROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI N 1(; 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 r PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT - CIA ASSESSOR PARCEL NUMBER 021-32-0-016 ZONING a-5 BUILIZ11MG PERMIT OWNER DARREL STEWART TELEPHONE 846-5008 SO. FT. OCC. BUILDING VALUATION OWNER'S mA'uNG ADDRESS 137 NEVADA, GRIDLEY CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOWS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS I Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NU. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1148 FRENCH AVENUE, GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE LOT NO. SUBDIVISION'S NAME I PARCEL MAP I PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Q[ Duplex 0 Mobilehome 0 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other C� ( SC Describe Work: ELEC SER CH q M' . LV::::: (_1 W-1 Gas piping system I - 5 outlets 15.00 Building sewer 15.00 - Mobile Home IS I GI WF_ @?20.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 Main Service '."oA O.R SS 23.0123.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing %4Iith Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License or the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, [I Ly will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP OR ADONS. & Acc. BLDs. 3.5,so. FT. N CONST NOEWN-RESID. 0 UITCL @7.50 PSO"WELR APPARATUS E CIR. Ex. Occu OUTLET OR FIXTURES 20 @ 1.00 BAL 0 .50. UFITX.ED A UNIS M, Ex. Occup. PPR.,6.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.0Q.756p PRE IMP 23.00 PERMIT FEE $ A1?tb-,76—.@0 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 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. CI I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the woir ers' compenpati�n provisions of section 3700 of the Labor Code, I shall koirkscoom fo hwith 0 plphthos Yision's.- 0 e 0 X ate X gnat t w ner 3 Agent AnOSHAP mii i's required for excavations over 60" deep and demolition or construction of structurilover 3 stories in he)ght. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TY TOTAL FEE $ I HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By UP PERMIT EXPIRES ON q-11 1 the applicable provisions Resolutions to do work been paid. D t e 44 2W 1 (DJJ4 ReceiptNo. 9'16474 6 (4, 14 � WHITE-D.D.S.-B.D. CANARY-fSMSSOFr JfINK-INSPECTOR / GOLDEN ROD -APPLICANT 11IM11111111 tie COUNTY OF BUTTE '-DEPARTMENT 6P bEWWOPMENT SERVICES - BUffD]NGPIVISION 7 COUNTY CENTER DRIVE - OROVILLE, Q4 IIA 95965 - TELEPHONE (91 ;38-1'541 PERMIT APPLICA TION DA TA SHEET OWNER: S_�"CtA ASSESS -OR PARC Proposed Building Use: _01-0- 4JI_017� T ; Building Insp, Date: q1 is 1!�i% At time of permit apptication, I was advised the foffowing data must be submitted prior to permit Orocesding and/or issuance: Date Received By El 1. All items have been submitted ----------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans - ---------------------------------------------------- E13. Complete plans, 3/4 sets, signed by the preparer of plans - --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- El 6. Energy Design Compliance and supporting documentation - ------------------------------------------- 117. Statement of Intent. for Non -Heated and A/C Buildings - ------------------------------------------------ El 8. Hazardous Material Form - --------------------------------------------------------------------------------- El 9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- El10. Fees of ---------------------------------------------------------------------------- 1. Impact fees as shown on the attached schedule - -------------------------- W -------------------------------------- 0 12. California Department of Forestry plan approval/fees - ----------------------- ----------------------------- El 13. Flood elevation certificate - --------------------------------------------- El 14. Sanitation and plot plan approval Health Department. 015 '. City of Chico plumbing permit - ------------------------------------ .0 16. Plot plan and business license approval from the City of Biggs. 0 1,7. Planning approval for (A) Use: (B) Parking:. ------- 7 -------- --- El 18. Contact Land Development about 0 Improvements, 0 Drainage, C3 Legal Parcel - ----------------- 0 1.9. ncroachment Pernuit fa driveway (construction approval prior to occupancy) - --------------------- -inspection for rtquire& Request to Building Inspector on �09pre 0 2 1. Contractor's license information. (Number, Name Style, Classification). 0 22. Workers' Compensation carrier and policy number - ----------------------- 023. Owner -Builder Verification (Given to owner El, Mailed to owner 0). - 1124. Letter of signature authorization - -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement - ------------- 026. Letter of intent -on building use - ----------------------------------------------- 027. Manufactured Home utility clearance - --------------------------------------- 1128. Existing violations and/or expired permits - --------------------------------- 029. 11433 A, C]Grant Deed, 0 M.H. Title, El Check to H.C.D $ -4 1130. Other: When you issue the permit, process as follows d'Mail to owner, []Mail to contractor. OTelephone and hold for pickup at Applicant:4 Copy of Haz-Mat form sent 0 Health Department, 11 Fire Department, 0 Air Copy of plans sent 0 Health Department, 0 Fire Department, 11 Other: 0 Deliver with inspector. (Date) Date: It 7 7d Date: By: Date: By: 1. Index permit application for the above items numbered: -0 Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by 0 phone, 11 mail, 0 Building Division counter, by — Date: Contractor, designer, owner, was advised of the above required data by o phone, 0 mail, o Building Division counter, by _ Date: Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by — Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in 11 Plan Cabinet, 11 A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. - OWNER -BUILDER VERIFICATION _� Attention Property Owner: An "owner-buildee' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to. provide th major labor and materials for construction of the proposed property im overnent : YES NO 0 I HAVE 7HAVE NOT 13 signed an appjication for a building permit for the proposed w6&': I have contracted with the following person (ffirm) to provide the proposed constructiow. NAMEe ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work, but I have hired the following person to coord�, siipervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the Work indicated: NAME ADDRESS PHONE TYPE OF WOR"'k SIGNED: PROPERTYOWNER: SOCIAL SECURITY I DATE:--..- I "'NOTE.'---*"'.'-"'-'-'-Tha'Owner-Builder Verification is req'uired by S-e—dion 19'93Fa_hd_I99J7_qJ'1hoe_ California Health and Safety Code. This verification must he -completed and returned to our office before we are permitted to issue the permit. I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listin yourself as the builder of property .9 improvements specified. For your protection, you should be aware that as "owner-buildee, you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other Ehan. yourself, you may protect yourself from possible liability if that person applies for Elie proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or. county. They are also required by law to put their license number on all permits for which they apply - If you plan to do your own work, with the exception of various trades that you plan to subcontrac:4 you s hould be aware of the following information for your benefit and protection: -- 2— If you employ or otherwise en-agge any persons other than your ininnediate family, and the work (including materials -0 and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability irisurance costs, and unemployment compensation contributions.' There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contract the Internal Revenue Service' (and, 0 if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder building permit� erroneously implying that the property owner is providing his or her own labor and material personally., Building permits arehot required to be signed by property owners unless they are performing their own work personally. Information about licensed contraqqrs; may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete die "Owner Builder Verification" on die reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +irely, Mic el C. Vidira, C.B.O. M a sti get. iBuflil?Mng CInspection NOTE. This Owner-Builder.Information is required by Section 19830 of the CalybrniaHeafflj and Safety Code. OVER * PRE -INSPECTION SA OWNER: LOCATION: CONTRACTOR: Q PRE -INSPECTION FOR: DATE A. P. # I ZONING As DATE TO INSPECTOR PERMIT HISTORY: NONE AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: OCCUPIED HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES lmekroil� HEATED -COOLED' E:l PERSON CONTACTED OTHER COMMENTS: Vfo )f dnji:5 bo &4 ((I' A sell""c-e 62 ACTIgN,RE56MMENDED: 0 ISSUE 0 HOLD FOR OTHER: DATE_q— BY &-4mg — COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411, Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE 5'-�e /' j aq, 5.aedl'u,-e-1 OWNER /PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. n f-7 Date Inspector REV I COUNTY OF BUTTE -DEPARTMENT OF DEVEI*-OPME-NT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/961' * APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0 ZONING k!S B UILDINGPERMIT TELEPHONE - Luo – so� SO. F7. OCC. BUILFING 'VALuATION OWNER'S MkMMe- ESS tan_, C CONTRACTOR'S NAME TELEPHONE CWNTRACTOR'S MAILING ADORESS I CONSTRUCTION LENOER UENDER'S MAILING ADORESS Fireplace Total Valuatlon $ ARCHITECT OR ENGINEER 0. Filing Fee $ 20.00 ARCHITECT OR ENGINEERs "UNG ADORESS Permit Fee Plan Checking Fee BUILDINGADDRESS Energy Plan Checking Fee $ _(A $ PERMIT FEE $ LOT NO. SUBONtSION'S NAME PARCEL M�P PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF K, Duplex 0 Mobilehome 0 Other SPECWY Each Trap 1 7.001 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition C3 Remodel 0 tAlities 0 Installation 0 Other A Describe Work: Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 Main Service '.*o,,OR.:s' 23.00, LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing %�ith Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. TE-_ OWNER -BUILDER CLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 11 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance of work forwhich this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A -NEW 46.00 CONST. DWELLING OCCUR OR ADONS. & ACC. -BIDS. SIX 3.50FT.. NE NO MULTH ET tR BRANC @7.50 PSO.WER AP=TUS. OLE . Ci Ex. Occup. ounzr OR FDrruREs 20 RAL .50 UF ITX�E D A P OR Ex. Occup. CR=16.1 F, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Filing Fee 20.00 Heating —Cooling C Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3760 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - 0 Owner 0 Contractor El Agent An OSHA permit is required for excavations over 50* deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. T)fPE TOTALFEE$ 7- _��ZT ES IMP I FLOOO 71 PARCEL PO NO �UE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON 1 the applicable provisions Resolutions to do work been paid. Date (Vate) ReceiptNo. Q,3(n WHITE D.O.S. -8.0. CANARY-ASFESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA * (530) 891-2751 7 County Center Drive * Oroville', CA & (530) 538-7541 CORRECTION NOTICE R r - (' PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, PIT contact this office immediately. /1-i c * L /Z— (2—Z-X-3�0 oo+ 5 47 REV 10/92