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021-050-009
-- v - ~ j A.P. 21-05=�9 JOHN A. BONSLETT BONSLETT, Jack 215-68B i (` s Grille Colusa II i '757-688 s / y- Hwy. 1st hse. w X226-6 r Davis Rd . � Gridle ` Permit 1514-738 -$ /xi-th . - 1-05- (reroof) s/s Gridley-Colusa Hwy. at south end of Dav' Ave ., Gridley 7AP : 21-'05-9 of repairs BONSLETT, John ri (re -roof west 2 house) meter service_S/S of Gridley -olusa Hwy,�J 1app 2 mile 'E. of Farris Rd'. , GriTdle:� Permit #-1984-74 p` addition v - - •• , )-r AP 21-j05.� BON-SLETT, John A.----- s1s Gridley-Colusa Hwy approx 2 rmile E.of Farris Rd., Gridley ' Permit ## Y2126-74B/Z -S- 7-1_ (additional foots e on previous ! f. additiontpermit)- r A.P. 21-05-09 i_. JOHN A. BONSLETT S/s Gridley-colusa Hwy. lst House + + . W. of Davis Rd. ,Gridley i1 -S7 PeiEmit x2406-74BbE( famil room)' ...... .... Y . . 1� a d d i t i on=t-o._.-pe r -mi t,L9-84--7- 021-05-0-009 93-608 B-• TIDWELL, HUEY 1811 COLUSA HWY , , GRIDLEY,' CONTR: DOUBLE J ROOFING. i "REROOF/SF_ 3 '/lO 93 ` } •12/06/2008 12:55 5308464947 GARY W LITTLE S �I1 _ 17,5- i►.GRICULTURAL-WORKER MOUSING QUESTIONNAIRE r Ittfomatiot for tate ki sideniiat']?Atcel APN•: O7- 0-Sa - © Size of the proposed dwelling: 1 577O sg. Under a Williamson Act Contract. Yes O No Employed yonsite L Offsite Employee residency is Permanent O Seasonal Information for -the )Employment-Yar(1(e) APN(s): 02_1 _156-V -of/ I a D? l" 0 a �. Under a Williamson Act Contract: Yes O NoY Describe the agricultural operation, including the type of operation (crop or activity, time of year procluction takes place), and an accurate s" a in acres of the operation(s)' lype of o :ration. r e C e - Size of operation: 6 Q c#f If under a Williamson Act Contract, provide contract details such as; type (e.g., grazing, orchard, or field crop), minimum parcel sine, and any other relevant information: tioA PAGE 04 State the jots and duties of the workers to reside in the building(s), and the expected yearly work calendar. Jobs and duties: 1 1` �- Cru Yearly work calendar: Par " to, 0 Pt Signature: Date: .Z -B'-®x Owner/Operator Signature, Date: Applicant 2 12/06/2008 12:55 5308464947 GARY W LITTLE PAGE 05 AGRICULTURAL AFFIDAVIT Employer's Nam(:: 4 h �J Phone: 8�D Jt t 1 Name of Property Owner: �+ j Address of Main Office: I Z: Stock - / �? // �,��, yam• I'%....., ��: a!l� y _ l �� Employee's Name: Employee's Current Home Address: Name of Propert: f Owner (for dwelling): Address of Property Owner: 1 Address of. Proposed Dwelling: Assessor's Parcel Number: 02 We,a1� 1—i!!/C and do declare, subject to the penalty penalty of perjury, that __ is the employer of. and will be employed, identified under section 24-305.020, for at least thrity-two (32) hours per week and for at least sixte(:n (1.6) weeks per year as — e 4N.� �ol , on Assessor's parcel (WO (g) V number(s):lri'Z^ — Sd - 00 Parcel(s).Sizc: ac ee lEmptbyer's Signature: Date: 1.2 ^S ` Or Employee's Signature:on Date: �.z -T _Q Planning Division t!.>Dptrova]: Zone: �0 Genial Pl Approved Agricultural UseAr 2� Approval by: _ C Dwelling on. A] Applil io I)M_Aeculturnl Worker hnu»ing doe ROISO 08!(19106 3 Date: %Z — 12/06/2008 12:55 5308464947 GARY W LITTLE ,Butte County Department of Development ,services TIM SNELUNGS: DIRECTOR I VETE CALARCO, 4S919TANi DIRECTOR 7 County Center Drive Oroville, CA 95465 (530) 53827601 Telephone (530) 538-778S .F:ecsin►tle PAGE 09 AGRICULTURAL WORKER.HOUSING AFFIDAVIT The Agricultural Zones A-5 through A-60 allow housing .facilities for agricultural workers as a permitted, use (Section .%-90 of. the Zoning Code). Please review the zoning code sections below, fill out the attached questionnaire and affidavits, and return the complete packet to the Department of Development Services, Plar!ning Division. Note: Once completed, you must apply .for all applicable permits (including building and environmental health permits, and any other applicable permit) to establish the dwelling. 24-90 A-5 through A-160 (Agricultural) (5) Housi.ng facilities (including mobile homes) to accommodate up to twelve (12) agricultural workers and their families employed by the owner or operator of the premises or owners or operators of other agricultural lands pursuant to section 17021.6 of the California health and Safety Code and subject to state permits. 24-305.020 Agriculture Employee it and by affidavit of his employer, that he is. or will An individual who verifies, by personal affidav be, employed at least thirty-two (32) hours per week for at least sixteen. (l 6) weeks per year, or that his primary source of annual income is, or is anticipated to be, derived .from, any of the following described occupations. a. The preparation, care and treatment of .farm land, p'tpelin. es or ditches, including leveling for agriculture purposes, plowing, disci.ng and fertilizing the soil; b. The sawing and planting of any agricultural or horticultural commodity; e. The care of any agricultural. or horticultural commodity. As used in the subdivision. "care: includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning or tieing, fumigation, spraying and dusting; d. The harvesting of any agricultural or horticultural commodity including, but not limited to, piekbig, cutting, threshing, field packing and placing.in field containers or in the vehicle in which the commodity will be hauled on. the farm or to the place of first processing; e. The assembly and storage of any agricultural or horticultural commodity including but not limited to, loading, roadsiding, bankinge stacking, binning and piling; f. The raising, feeding and management of livestock, fur -bearing animals, bees, f sh, frogs and other aquatic animals, including but not limited to, herding, housing, hatching, milking, shearing, handl ing eggs and extracting honey; g. The operation, conservation, improvement or maintenance of such farm and its tools and equiF-ment. v m PERMIT=NUMBER _ B '151!-%3B P r, E P: PERMIT EXPIRES 74- -OWNER John A. Bonslett ! CONTR:. oyder LOCti;TION (A.P. 21-05-9 ) s/s Gridley-Colusa Hwy. lst Hse. west Davis Rd. Gridley Zoning --- Foundation _ Rgh. Plumbing Rein. Steel_ Froming Wt-. Htr. Firewall ELECTRIC Temporary Final Final Final DATE REMA•RKS`- OR CORRECTIONS C.,O'UNTY OF BUTT'E Department o'.f Public Works BUILDING INSPECTION RECORD Setback Forms. Piers &-Girders Fireplace Bond Beam Lath & Plaster Gas Piping & Test Found. Vents . Plmg. Topout Rough Elec.' Furnace Kitchen, Vent, Garage Vents Sanitation & Water GAS BUILDING Temporary Cert. of Occu . Final Final Final DATE REMA•RKS`- OR CORRECTIONS P.E'RMIT NFA. 2406-74B,F: . •� ;E M ,MH UTIL. PERMIT NO. S PERMIT EXPIRES —��-7 OWNER John Bonslett S CONTR. LOCATION (A.P. 21-05-09 s/s Gridley-Colusa Hwy, lst house west of Davis Rd., Gridley . s. • ff 1 Temp. Power Pole Called PG&E k Temp. Elea Serv. Called PG&E Temp. Gas Serv. yo Called PG&E _ JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS, BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings ' Windows 3rd Floor Stemwall Siding Topout Slab Roof Sheathin Water Pi p in Piers Roofing Sewer Garage Fdn. Vents Fixture Footings Garage Vents Water Mr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test -4- / Temp. Gas Slab Final — Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL -Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beapi FIRE SPRINKLERS Motors Framindge=z�Z Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fau t Prot. Scratch Heating .- Service Brown Cooli Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final '' Final DATE REMARKS OR CORRECTIONS Zi -os -o7 COUNTY OF BUTTE, — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERIMIT �uuw��c.c��cFn cacniau vca V1 MV VUurlty UI DUtle tU Cnter upUn 1ne above -me tioned property for inspection purposes. at P , ,tee oe gent_ rli ` - Receipt �VJhite-D.P�`dfr� Yellow•Assessor — Pink -Inspector — Go!denrod-Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By �s-''c�"�`'� Date Building permit expires Date....'-.?/...sem BUILDING Owner � � SO. FT. OCC. BUILDING VALUATION Mailing Address Z T Z Rec S32 r�r Telephone No. Fireplace Contractor L -c" 'nj C�7Z Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building/� Address s '�� �C-v w3 PLUMBING No. @ FEE PERMIT FILING FEE S2.00 Each Trap 1.50 G2� OGS Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 4-� '3 aping, Ian Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Sarirffion Fire Dept. Fire Zone i Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL N0.1 @ FEE PERMIT FILING FEE J$3.00 ,:?• 00 Main service incl. 1 meter I3,00 Additional meters, each 1.00 Sub -panel (12 or less) (more arr12) Z �S� Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 _201 5 Light fixtures bal(dio- Receps., switches & fix outlets 2u id 5 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 1 am exempt from the Contractors License Laws of the State of Cali fomia. Permit Fee $ $ i WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I 94 have placed on file with the County of Butte a certificate of vorkmen.'s Compensation Insurance. In 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE - PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE _ i $ �-- �uuw��c.c��cFn cacniau vca V1 MV VUurlty UI DUtle tU Cnter upUn 1ne above -me tioned property for inspection purposes. at P , ,tee oe gent_ rli ` - Receipt �VJhite-D.P�`dfr� Yellow•Assessor — Pink -Inspector — Go!denrod-Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By �s-''c�"�`'� Date Building permit expires Date....'-.?/...sem F COUNTY OF BUTTE, — DEPARTMENT OF PUBLIC W i - �% 7 County Center Drive' — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT , „— , cr, 60 entail— Vl kl.= VVUllly Ul DU1la W C11MI uNUn Lilt: above-mentioned property for inspection purposes. X X a Date s,� Signature of ermitee or Agent eceipt No. White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS I' By � �� r Date Bu ding permit expires Date ...................... ...1.-7.,S...... BUILDING Owner �� `��� SO. FT. OCC. BUILDING VALUATION 41 Mailing Address „�G j� _!'3 yj y (� Telephone No.. Fireplace_ SC) , 0 Contractor /u /z, Total Valuation Mailing Address Permit Fee P I an Checki ng Fee &/or Penal ty Telephone No. Permit Fee $ 0 $ Building Address a — PLUMBING No. @ FEE PERMIT FILING FEE S2.00 Each Trap 1.50fMo c Repair drainage or vent piping 1.50 Water piping 1.50 S Each gas water heater or vent 1.50 A. P. No.Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 FV1�, S on re Dept. Fire Zone Use Permit Building sewer 5.00 EQA j Parking Plans Parcelparcel Declaration Ma P 60' R/W Improvements provements Lawn sprinkler system .2.00 Bldg. PI s Recd Parc Approval Planpproval s A Permit Fee $ $ NEW ❑ ADDITION g---' UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 r Main service incl 1 meter ' Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family plex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20bal to roV_ avaghes & fix out CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor' 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 11�71 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ BL WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. dLi�have placed on file with the County of Butte a certificate of workmen's Compensation Insurance. 1 ify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE _ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE )r , „— , cr, 60 entail— Vl kl.= VVUllly Ul DU1la W C11MI uNUn Lilt: above-mentioned property for inspection purposes. X X a Date s,� Signature of ermitee or Agent eceipt No. White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS I' By � �� r Date Bu ding permit expires Date ...................... ...1.-7.,S...... COUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 C2 /O2(,:;, 'APPLICATION AND PERMIT BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Z. elepho No. � ��'' Z%S Fireplace Contractor t� Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty I hone No. ' Permit Fee $ $ Building Address -S/-t „��� �S PLUMBING No.1 @ FEE `. PERMIT FILING FEE $2.00 11 A71e0 1 Z lc:222 ' Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. I �- O y -� 9 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F665TIll< Sankefion FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma p 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. ldg. '?y Plans ac d Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter' Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel 0 2 or less) (more than 12) Range, Cook -top or Oven, 1.00 Water Heater or Space Heater 1.00 Light fixtures ba2 l!ao Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: _ Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code whichrequires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE - PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE autilorLe representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X CZ • Date / Signature of Permitee or Agent l/ Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS BY Date �l Z _.r —1 2— �Eil�dinaoernit expires Date.....................................�--- W COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive ' Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT w�b��9d�-�w authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of ermitee or Agent eceipt No. /67 /�- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PJdBLIC WORKS By Date Loeb Buding permit expires Date ................:..... BUILDING Owner SQ. FT. OCC. BUILDING VALUATION O 0 /� Mailing Address '67eA s3 (� Telephone No. Fireplace S"O � Qd Contractor Total Valuation 0 i) Q Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ J!v $ Building Address c PLUMBING No. @ FEE PERMIT FILING FEE $2.00 XL9C> _ Each Trap 1.50 0d t Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S� on re Dept. Fire Zone Use Pen -nit Building sewer 5.00 EQA Parking Parcel Plans Declaration parcel Ma p 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. PI s Recd Parc Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION g --'UTILITIES ❑ OTHER [:]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,06 v r 'p'L Main service incl. 1 meter ' Addi-tional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family plex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 00 Light fixturesRag ., hes & fix ou CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump I Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring y I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ ®L WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. EpThave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I ify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of ermitee or Agent eceipt No. /67 /�- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PJdBLIC WORKS By Date Loeb Buding permit expires Date ................:..... COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above rhe tioned property for inspection purposes. Date/ ,6eipf l ite-D.t,k*�-- Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By / Date 6 A, f Building permit expires Date.... j�..s............... BUILDING Owner J��/t% �a Wo SQ. FT. OCC. BUILDING VALUATION Mailing Address "e� L Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Building Address S' �t , �a 43 A9 PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 ��� 3 c � i¢o- l� . Each Trap 1.50 G2i pG� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 4-0 oning, Ian Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 -el Samlaiion Fire Dept. Fire Zone U e Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _:5�•p0 CsE /2!/f/ e ✓Cif Main service incl. 1 meter 3.pp Additional meters, each 1.00 Sub -panel (12 or less) (more an 12) Z'S(7 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven j 1.00 Water Heater or Space Heater 1.00 Light fixtures 200bol 25 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor . 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against -1iability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner tI so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above rhe tioned property for inspection purposes. Date/ ,6eipf l ite-D.t,k*�-- Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By / Date 6 A, f Building permit expires Date.... j�..s............... IL COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive — Oroville, California 95965 /�� — Telephone: 534-4541 `C2 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. CA 0 , X Date ` ~ Signature of Permitee or Agent t, Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS BY Date ,l Z — L-? ilding permit expires Date ......................................) BUILDING`S Owner L. crz-- SQ. FT. OCC. BUILDING VALUATION Mailing Address Zr 7 1407 .53 a TZ ZS_ Fireplace Contractor 4.t1 Imo- Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty dfle hone No. Permit Fee $ Building Address , S (;�et &--1, `' S4 A4d,PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 / Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. I °— t�„S -� Z Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Sankafi—o n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 pp BIldg. s ec d 7Y Parcel Approval Plane Approval Permit Fee $ $ NEW ❑ ADDITION ® UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Aju ( p r.,._F AS 11<11 Main service incl. 1 meter PFZ ,1 r _- Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex El Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20%10 bal Receps., switches & fix outlets bn CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Ifa-have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. c rtify that in the performance of the work for which this le permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $�(i QZ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. CA 0 , X Date ` ~ Signature of Permitee or Agent t, Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS BY Date ,l Z — L-? ilding permit expires Date ......................................) 0 v COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS �t o 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT hon representatives of the County of Butte to enter upon the bove- entioned prqpBav for inspection purposes. �( at i Sig oPermitee or Agent Receipt No./ l/ `/enV' White-D.P.W. — Yellow -Assessor — Pink- Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY ! "f,,U—K0� Date 5—'j-71 Building pernnif expires Dafe _-7t7- ,, BUILDING Owner -SQ. FT. OCC. BUILDING VALUATION 5-0Telephone Mailing Address �' 2 9" t . No. Fireplace Contractor Total Valuation Mailing Address �� Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ �( Building Address ,.� f PLUMBING No. @ FEE PERMIT FILING FEE J$2.00 Each Trap 1.50 A/ e Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Z Q oning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W m Improvements— provements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 h Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures pal dio Receps., switches & fix outlets llb� CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring -- I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. permit is issued I shall not employ any person in any manner YCoaI certify that in the performance of the work for which this astobecome subject to the Workmen's Compensation Laws of ifornia: MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 to Laws relating to building construction, and hereby TOTAL PERMIT FEE hon representatives of the County of Butte to enter upon the bove- entioned prqpBav for inspection purposes. �( at i Sig oPermitee or Agent Receipt No./ l/ `/enV' White-D.P.W. — Yellow -Assessor — Pink- Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY ! "f,,U—K0� Date 5—'j-71 Building pernnif expires Dafe _-7t7- ,, )r KI COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 0 KS 7 County Center Drive — OroJille, California 95965,(R 5965 r p� Telephone: 534-4541 4� j APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date X — •��— -74, Sig ature of Permitee or Agent Receipt No./1—ioplo 7_1122-1, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF FQBLIC WORKS By Date — �7r B IdIng permit expires Date ............... ....Z. t ................ B ILDI Owner S l SQ. FT. I OCC. IL ING VALUATION s Mailing Address -� pe Telephone No. Fireplace Contractor ® ` Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address UJ PLUMBING No. @ FEE PERMIT FILING FEE J$2.00 O 40E5'r- Xv&%r Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es W . Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovement P Lawn sprinkler system 2.00 Bldg. Pla s Parce ppro lI Pla royal Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3, 6 / Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex Mobil H e ❑ Others ff Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 bal 610 8� Re ps., sw' es & fix oIge s b� ofi Q CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring MI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 5 WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Istel I certify that in the performance of the work for which this �l permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 ! TOTAL PERMIT FEE $ 5 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date X — •��— -74, Sig ature of Permitee or Agent Receipt No./1—ioplo 7_1122-1, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF FQBLIC WORKS By Date — �7r B IdIng permit expires Date ............... ....Z. t ................ e# eq, r ' � -{G Y,� f � � /lice ' 0 IJ eo 0(0 60 tAj VA R Fq- 7-'l i4OTtv-jAlll Mciterla'Is' & Wolrkti:ianship S�afl Ai cor'dahce! with -Reqogniz4d !Good. PracItia of a qu6lityiprescr 'ibe . d fpr the Specified . luse Uniform hiform �Buijding Cod6, U',nifQ'rm';P1u'mbing �oc the Wationa'l Electrical Cod p'. 1 ���!L �— ; ; t ; ; f this ;et of plans and specl,Ticatior4 M w 'W, de on: t6 jolt at all PmOs and i is ;Unli wft4 to rt a ay C�anges pr�lter6tiohs an same wif6outl' n Lle enpermisson from,, the Department a: Public, Wot County of. Butte. j. c, & ( M: BUJ�DING DEPARTME 17-' 7 t -VI AP'PRO/ED ! BUTTE COUNTY i;.BUILDING: DEPARTMENT ; I I i i j I (��• � JIO j i I j pp I I D V E O \� ' i j , �" I I j ; i I I i• � I I l i I 1 l� /`` i�' I f i ���� � t I � � � I I ' � i I I ( � I � j i � i !! I ��� �P'QE'•�' 7•/Q` ' f i ! I i O^ xi� ks L I ! ! I 4 er,n P j us ;�� . I I I • i j 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 02 OWNER ZONING _40 t BUILDING PERMIT TELEPHONE PtteM K'" 27 OWNER'S MAILING ADDRESS 18 NAME Gridley95948 CONTRACTOR'S - TELEPHONE TinithPAjb MRLI6r- A CONTRACTOR'S AING AD RESS 2W. Shp1don Ave.,, Gridley g5948 SQ. FT. OCC. BUILDING VALUATION 11 So. Comm 660.00 6 S. 0 210.00 F i rep l ace CONSTRUCTION LENDER UNKNOWN fj'M Total ValuationJ$870.00 $ 8 0 ttJ0 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $'� $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS Energy Plan Checking Fee $ Penalty Permit fee $ $ 6 1811 Coltxsa HWY., Gridley 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 qas water heater or vent 7.00 USE OF STRUCTURE SF [If Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other[X Describe work: R -roof Comn and Rolled Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2600V 00A OR LESS 200A OR LESS 1 8.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Cha t. 9, Div. 3 of the BUSInesS P and Professions Code and my license is in full force and effect. License No. �(�/�?!�! Classification l- 3�_ ❑ 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) El I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. DWELLING OCCUP. �\ OR ACDNS. ACC. BLDGS. I 3.64 sq.ft. NEW CONSTFL ULTI.OUTLET NON.RESID BRAN CH CIRC ITS @ 5.00 POWER APPARATUS hI SINGLE OUTLET CIR. EX. QCC Up�OUTLETS OR FIXTURES I 76 FIXED S. OR EX. QCCUp. OUTLETTSS (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 becomesubject 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 Penult 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 ��/L1 �_ Signature of Applicant — Owner � ❑ Contractor Agent ❑ An OSHA q ` permit is required 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 $ HAZ DFEES IMP, FLOOD CDF PARCEL HD ISSUE This permit is hereby issued under the sions of the Butte Count Code and/or Y work indicated above for which fees DIRECTOR OF PUBLIC By Joee PERMIT EXPIRES Date - applicable provi resolutions to do have been aid. P WORKS Date -2, M-1? /(/►�/ Receipt No. /. `:r_53Z% WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive - Oroville, Caldif(irnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 021-050-009 'I'A-40 ZONING A-40 BUILDING PERMIT OWNER Well11 TELEPHONE 846-4275 SQ. FT. BUILDING VALUATION OWNER'S MAILING ADDRESS lusa Hw Gridle 95948 /'+OCC. S COm 660.00 6 Sq. JO/ 210.00 CONTRACTOR'S N AME Double J TELEPHONE 846-2791 CONTRACTOR'S MAILING AD RESS 280 Sheldon Ave., r' dle 95948 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1.$870.00 LENDER'S MAILING ADDRESS - ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ Z Oa $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 1811 Colusa Hwy., Gridley 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 qas water heater or vent 7.00 USE OF STRUCTURE SF [3 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: Reroof_f nmD and Rollpd _ 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): �f am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ��(r�] License No. Z%54 _ Classification �7 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) F1I, 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 200A TO 1000A). 37.50 OCCUPM NEW CONST. DWELLING OR ADONIS. ACC. BLDGS. // 3.64 sq.ft. NEW CONSTR ULTI-OUTLET NON .RES,O BRANCH CIRC ITS @ 5.00 (POWER APPARATUS 6) \SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURESFIXED 20 76 Ex. Occup. OUTLETS (PRESID,)REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring - -15.00 F_ I 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 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, costs, and expenses which may in any way accrue against id County in con quence of the granting of this permit. X Date ���za 9-_ Signat of Applicant — Owner ❑ Contractomo Agent F-1 An 0 A permit is required for excavations over 5' deep and demolition or construct - Ion structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ O4 HAz DFEES IMP FLOOD CDF PARCEL P HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated abo a for which fees R OF PUBLIC 'BY MIT PIKES Date applicable provi- resolutions to do have been paid. WORKS Date Q � 10 Receipt No.—IS-56Z-7PE WHITE-D.P.W., YELLOW-A88C990R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Dc5d �'00� -ZONING _y0 BUILDING PERMIT OWNER TELEPHONE .4�21 OCC.. BUILDING VALUATION OWNER'S MAI�NG YbOREESS 7OW ScjC"91 &S Q 210 CON90 OR's NA0 n 9 TELEPHONE CONTRACTOR'S MAILING AOOR SS ,6D helhAi � %� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING AODRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ Z/off $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS ( Permit fee $ L�6b PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF'STRUCTURE SF Duplex ❑_Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W 015.00 - TYPE OF WORK New ❑ Addition Re odel ❑ Utilities ❑ Installation❑ OtheA Describe work: Olo l'Q�`?!/% /r�/D a/& Permit Fee $ Contractor --,ELECTRICAL PERMIT' Filing Fee 15.00 Mairi service 200AORLESS 1 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 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) L1I, 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 OcCuP.ai\ NEW CONST. / DWELLING OR ADONS. ACC. BLDGS. // 1 3.6Qsq.ft. NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POER APPARATUS 6 (SINGLE OUTLET CIR. I Ex. OCCUp(OUTLETS OR FIXTURES20 @ 76d FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.I EA.) j 3.00 Temporary service 1 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. 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 ❑ ❑ 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 $ HAz I DFEES I IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. � 35Q2 -7 WNITC-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT c? s <, -")z0 -Zzo psQ_,/Z0 W.