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Home My WebLink About021-050-02321-05-23 GERALD PETTERSEN. 1647 West Liberty Rd., Gridle�Y Q 4" Cotn : Jack Watson permit#1232-87E(ele ser ch/SF)�� +21=05 '23 ' 2254=91 Gerald •Pet � { r ' `'-� ;' �' r on b ,1647. West- i erty Rd 1dley a'. '(re..air. weather"head)SF d Y r�. ,,021-050=023 ; - "; PERMIT#95 287:7 3 c,. LOt+IERY ; 1597 Cont; -PiydeRoofing Co.. 0 :Re`roof/SFS,•,• 021 050=023*"t '"PERMIT#98-0348 .., v PETTERSEN; Gerald" ?�1647.,West Liberty ';Rd's,: Gridley, ,,,Cb nt .North �Va1ley�Electric'''� . Repair'*Weath'erhead/SF F%AI�IL3�18 i t � . u N• 0 F 21-05-23 GERALD PETTERSEN. 1647 West Liberty Rd., Gridle�Y Q 4" Cotn : Jack Watson permit#1232-87E(ele ser ch/SF)�� +21=05 '23 ' 2254=91 Gerald •Pet � { r ' `'-� ;' �' r on b ,1647. West- i erty Rd 1dley a'. '(re..air. weather"head)SF d Y r�. ,,021-050=023 ; - "; PERMIT#95 287:7 3 c,. LOt+IERY ; 1597 Cont; -PiydeRoofing Co.. :Re`roof/SFS,•,• 021 050=023*"t '"PERMIT#98-0348 .., v PETTERSEN; Gerald" ?�1647.,West Liberty ';Rd's,: Gridley, ,,,Cb nt .North �Va1ley�Electric'''� . Repair'*Weath'erhead/SF F%AI�IL3�18 i t � . u N• 0 i t 021=050=023' PERMIT#98-0348 y, PETTERSEN , .`Gerald �.- I-647 West Liberty"Rd.,'Gridley Cont: Nor th,Valley,Electric-. Repair Weatherhead/SF 3//019� ` ` fi • rf �J ` fi COUNTY OF BUTTE- DEPARTMENT OFPEVELOPMENT SERVICES -BUILDING /DIVIfON7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-r, PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021-050-023 ZONING A40 BU I I NG P ER M I T OWNER GERALD PMERSEN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1647 W. LIBERTY RD., GRIDLEY CA 95948 CONTRACTOR'S NAME !NORTH VALLEY ELECTRIC TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER NONP. LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1647 W LIBERTY Energy Plan Checking Fee $ GRIDLEY $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ,I� Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each aas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other RR Describe Work: REPAIR WEATMHEAD Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Serviceaoov OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 commencin with Secon ovision oe usness anroessions Code, ( g ti7000 )f Di3f thBid Pf and my license is in full force and effect. License Class ��> LIC. NO.AR OWNER -BUILDER ECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLD S. SO 3.5¢x. NEW CONST. MULTI -OUTLET NON�RESID. H @7.50 POWER APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @',50 Ex. Occup. DUTEIETS gL.Ip.O� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ • 00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. JK 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 per:it is issued. My workers' compensation insurance c ier nd policy number are: Carrier f. . C, Policy tuber L/ 1 1 (The above sections need not 6e completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 se tion 3700 of the Labor Code, I shell forthwith comply with those pro 'sions'. r, X / : ate _ /_�� /6_ Signature of Applicant -_ ner X ontractoi ❑ Agee An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating :.Coolin 1. 'Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 43.00 FEES IMP I FLOOD I CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate -above for which fees h e een paid. By(114A 0 .( Date 3/10/98 PERMIT EXPIRES ON 3/10/99 Defe Receipt No. 231877 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ON 7 County Center Drive - Oroville, Calfornia 95965 - Telephone (916) 538-7 1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMITS ASSESSOR PARCEL NUMBER 021-050-023 ZONING A40 BUI ING PERMIT OWNER GERALD PETTERSEN TELEPHONE Sp. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1647 W. LIBERTY RD., GRIDLEY CA 95948 CONTRACTOR'S NAME NORTH VALLEY.ELECTRIC TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER NONE LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1647 W. LIBERTY Energy Plan Checking Fee $ GRIDLEY $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ]q( Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heatpump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other RX_Building Describe Work: REPAIR WEATHERHEAD Gas piping system 1 - 5 outlets 15.00 sewer 15.00 Mobile Home S G w 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AORLESS 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.�s Q License Class ( �� LIC. No. /V_ / OWNER -BUILDER ECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BIDS. SD 3.5¢FT. rN,DµRE IDT BRNJCI OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES Bn�p';so Ex. Occup. GurE s ....SID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring' 23.00 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. AI 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 insu nce c ier nd policy number r Carrier Policy ber (The above sections Tieed not 6e completed if the per it is for work of A valuation of one hundred dollars ($100) or less.) ❑ 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 se ion 3700 of the Labor Code, I shall th comply wit those pro, sio X ate-��^� nApplicant ner K15ontractV ❑ Age 4tur, An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or R olutions to do work indicate bove for whigh fees hJeen paid. 01 By Date 3/10/98 PERMIT EXPIRES ON 3/10/99 Date ReceiptNo. 231877 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD.APPLICANT ia': �A+'T�r.�"'R•b��r�yf.`� -`«.rEt•"^N�x':.',fi•�»-ti++i.•�j'Qdti y.�i°.;�c.'`'"+{.�A'�.�,�^", '.y y'. y� 'Y�9��. f7...�104 :YY µr ,t�w:� �K�^-•eI3,•�:.,� tr' .ir"+..f ""'�►'*l.�T""'*��'..+..i�•:e�+r .,rk�'-'1L•^Yr Y'�r.i.`.e �L„♦•``",tr�:j•/"3.dr•X+•� _ . , �•• f.•_ _�•_ _ +',�,Y rte• . 21=05-23 2254-91E l6NGERALD PETERSON l r�pairS weaftrt head) SF ley L OFFICE COPY Fdr'ess _L(4 GAS Meter By { Date ELECTRIC Meter By' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO.,,-, ASSESSOR PARCEL NUMBER 021=050=021 IA—An ZONING BUILDING PERMIT OWNER E SON TELEPHONE- SQ. FT. OCC. BUILDING•VALUATION OWNER'S MA64JpRTrBERTpOARMILEpCA CONTRACTOR'S NAME TELEPHONE CONTRACT '3 ILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S LNG ADDRESS Filing 9 Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS WEST LIBEM ROAD GRIDLEY 1647 Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SFE Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [X-1 Installation❑ Other ❑ Describe work: REPAIR WEATHi?R READ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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. as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N OR ADDNS. ( ACC. BLDGS. , /20sgft NEW CONSTR ULT"OUTLET NO N.RES,D BRANCH CIRCUITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2eL0ALO0@50C30 FIXED APLNS.I, Ex. OCCup. OUTLETS P(RESID )REA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 Permit Fee $ 25.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W..C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agairisY, said C u ty iti c� s u nce of the granting of this p rmmi"t. j r % Date v / ` , Signat' a of Applicant — Owner Contractor ❑ Agent n An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 25.OQ HAZ CUA PARK SCHL FLD CDF PAR PD ) HD ISSU This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for whichfees have been paid. DIRER OF PUOL C WORKS By ` ,A / % I,��A%/�l Date PERMIT EXPIRES Date -11-1 �ici' Receipt N094482 25.80 WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0. 7 County C®fit®F DFIV@ - OFOVIIl@t C@Ilf®fnld 0090$ - T@IO{ihonnl 010/038-7541 APPLICATION AND PERMIT 'A -An BUILDING PERMIT N 1647 WEST LIBERTY ROAD GRIDLEY CA 80. FT. 000. BUILDING VALUATION C N TB HONG CONTRACTUR43WILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S Mik ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER 7 LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermit 1647 WEST LIBER'T'Y ROAD fee 7 PLUMBING PERMIT FIIIngFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [X] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00 ea. TYPE OF WORK' New ❑ Addition ❑ Remodel ❑ Utilities [X] Installation❑ Other ❑ Describe work: REPAIR WEATHER. HEAD Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification, �<I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. I DWELLING OCCUP.N OR ADDNS.' % ACC. BLDGS. /20Sq ft EW CONSTR U TI.OUTLET NON.RESID BRANCH CIRG ITS '2,50 ea /POWER APPARATUS &) (POWER OUTLET CIR. Ex. Occup( p OUTLETS OR FIXTURES 20 L0 eA1130 FIXED APPLN Ex. ((RESID,)REA.) Ex. OCCup. OUT LE 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 Permit Fee $ 25.00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all li illties, judgments, osts, and expenses which may in any way accrue agai s said C u ty i c s u nce of the granting of this p rmit. j X ` Date 7' Signal re of Applicant — Owner KContractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ 25.00 HALcuA- PARK SCHL FLo coF PAR PD I HD. ISSU This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which s have been paid. DIR OF P WORKS By Date Y PE IT EXPIRES Date Receipt N(94482—.2AO WHITE-O.P.W.. TELLOW-ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ` 7 County Center Drive - Oroville, California 95885 - Tolephone: 018/538-7541 APPLICATION AND PERMIT (x,50 -0.23 NA -- -1/Q BUILDING PERMIT '"N ^ TELEPHONE S0. FT. OCC. BUILDING VALUATION O WNHR'! MAILING ADDRESSn �, Ti CONTRACTOR'! NAM �� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENGE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Wejr 1411 yq Permit fee $ le-® C PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFX Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities,k Installation ❑ Other ❑ Describe work: /e _ el-71hell- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 111o1 OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.a OR ADDNS. ( AGC. SLOGS. , /20sq ft NEW CONSTR ULTI-OUTLET NON-RESIO BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. 2.50 ea Ex. Occup(OUTLETS OR FIXTURES e20 0 50t ALO 30CI FIXED EX. Occup. OU LETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g - 15.00 4500 e Permit Fee $ 5 Off_ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis 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 33/sttories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE { pa TOTAL FEE E $ � HAz CUA I PARK SCHL FLD HD. PAR PD ISSUE I i permit is hereby issued unaer sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. (�( 1y°2`�Z wNITC-O.P.W., YELLOW-ASOE3300, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center.: -Drive, Oroville; CA. 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" 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. 1. I personally plan to provide the major labor and materia , for construction of the proposed property improvement (yes or no) 2. I (have/Hrfz -row`- signed anapplication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to.provide the proposed construction: Name Address City Phone Contractors License No. 0 4. I plan to provide portions of this work, but I have .hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: �✓�' j;� Property Owner. Social Se c�u -i , q� umb Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ~'3T*�jt��`�''�+fY7�7"r��,�'�' +��'�rt�'e�,:. ,�: * ,�s�r'1��tr�:.',fi�'• .i� �-� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING, DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �� / -� �`=��/`� . P. No.02 - 05- "023 Proposed Building Use 61r6v 1S0?G114_LQ Building Inspector Date %- - CY At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in.duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .................................. .... . 6. Energy Design Compliance and supporting documentation .......... - 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... - 10. Fees of $ ........................ - 11. Chico Urban Area fees paid ....................................... - 12. Park fees paid .................................................... - 13. School District fees paid .............. - 14. Sanitation approval from Health Department - 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... - 18. Improvements may be required. Contact Land Development Section DPW - 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. -27. Date) When you Issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other /1 _ . . /� - / Applicant -P.Date —/� Copy of Hdz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data bj—phone_-nail counter by ' ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW • � I OFFICE COPY + Address � 1�1_,L, 2" GAS °Meter By to I a ELECTRI Meter By Date' 1 r, w .,> COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, t7alifornlllu 95965"- Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER _ c r fr tl TELEPHONE SQ. FT. OCC. BUILDING VALUATION .'f OWNER'S MAILING ADDRESS n CONTRACTOR'S NAME V - TELEPHONE CONTRACTOR'S MAILING ADDRESS J Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS .' t , I Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS �� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF Q Duplex❑ 'Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Installation❑ Other ❑ Describe work: /4,,,,r V, r. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS x 10.00 . CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code . and my license is in full force and effect. y License No. =7 �� f / Classification r /�� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD -L too AMP 2.50 NEW CONST. DWELLING OCCUP.t♦ OR ADDNS. ACC. BLDGS. �2 , ( dsq ft NEW CONSTR. ULTI-OUTLET N ON•RESID BRANCH CIRC ITS 2.50 ea APPARATUS .&) \ / , �C• � OUTLET cIR.l Ex. Occup(OUTLETS OR FIXTURES 200930 FIXED Ex. Occup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ { 7.11 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Signature of Applicant — Owner ❑ Contractor Q Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of stuctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPC I I FLOOD PARCEL PD I HO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS DateTE-D. rReceiptrNo. r. W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive - Oroville :California 95965'- Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. — . �► ASSESSOR PARCEL NUMBER 0 rI- '"— Q.- 9 a a-,0 ZONING BUILDING PERM OW ER p a I 7'eEese iii TELEPHONE SQ. FT. OCC. BUILDI G VA DATION OWNER'S MAILING ADDRESS I 6H 17 e,a-• Wo b E r A4 G r%d i s eic 9s 9 ti� CONTRACTOR'S NAME V V 6 BSI1 0 rl-. ridlo ak 9 s9Y ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS / /12,,1417 b!!pn - r Gr�i'Q LC Penalty $ BUILDING ADDRESS IV Af Permit fee $ ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ;9 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities M Installation ❑ Other ❑ Describe work: 6U, &2"d '0r'vi ce' jr-gnt dte,c_`- '% _ 3 PC. 'gels a-J'J reWIte P any Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 100V OR LESS 100 AMP OR LESS y 10.00 /b.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and e f fect. License No.4/ 'j r+ It -)Classification C" Ill ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ElI am exempt under Sec. , Business and Professions Code for this reason LIN OCCUP.a+\ ADDNS/zQsgft 1 oR CONSTWELG / NEW CONSTULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. I Ex.Occu 20050e Occup(OUTLETS OR FIXTURES eAL®30 FIXED APPLNS Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 e_r dre �$' DD Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject LA to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiI ng Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, tcosts, and expenses which may in any way accrue again,5t said County inconsequence I of the granting of this permit. X ,7-. W . r 1 Date IJr / r g'_ _ �_,/ Sign ure Of Applicant — Owner ❑ Contract r Agent ❑ An OSHA permit is r quired�for ex vations`'a e P. gnd laon ko sttu t- ion of structures over r�i s he ght. 1tPC 'Z�►lEG Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCcUP. CONST.TYPE I FLOOD PARCEL PD ND 59UE This permit is hereby issued under sions of the Butte County Code and/or ork indicated above for which DIRECTOR OF PUBLIC �� By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date y� � Receipt No. l ' S0 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,_ "�. - '' ti., . w ,, �� A ti s�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS Nr, — 7 County Center Drive - Orovill, Calif Vrn'ra 95965 - Telephone 916/534-4541 APPLICXTION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER D01'– ^-0-023 ZONING BUILDING PERMIT QV, ER rat 7 e, e e s e n TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS AJ es'f her krielles & 9.S'9yI- CONTRACTOR'S NAME -V 0� 0 st+ Gridles Qn -9s9v TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 40.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDI E {{ Ill@ yrs d 1 Penalty $ L Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Solar or heat pump water heater 20.00 SLOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF ST UCTURE Duplex❑ Mobilehome❑ ther 5'- SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New❑ Addition[] Remodel❑ Utilities Installation❑ Other❑ Describe work:�6L✓ '5-efid Armd JfkYVicre, r c --%r' )re _ .3 PwrleLc a PE I,✓r/ettma. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 —T Main service 100 OR LESS AMP OR LESS 100 �( 10.00 /6.00 Main service EA. ADD'L 100 AMP 2.50 2, 4P t CONTRACTORS LICENSE LAW fOR 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. I% License No.k�4 Classifications /'� JD ❑ I, as the owner. Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.a;) yz¢Sgft ADDNS. ACC. BLDGS. NENOW .RECONSISTR BRANCH CIRCUITS) 2,50 ea ND ITS /POWER APPARATUS S1 � SINGLE OUTLET cIR. Ex. OCCUp(OUTLETS OR FIXTURES SALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,. Misc. tl)ring 15.00 r art Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT - FilFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnjfy and keep harmless the County of Butte against all liabilities, judgments, `costs, and expenses which may in any way accrue again t said County in consequence.of the granting of this permit. Date 15?� Sign ure of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEBLOOD PARCEL Po No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. %;z / o O WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT JACK F. WATSON,' BEATRICE H. WATSON 1767 SPRUCE ST. • GRIDLEY, CA 95948 I , 6449 --- 755 Apr( f, iSl 19 $7 11-35/1210 1 {%f t•'1 �,1'j n.:=. tai i� l �:` �,• .� '� 1 f c�.. {.:111 �,�1 • Pay to the OrdeReFS 6` 4, rl D /Z L4 ` b -� I $ r7 /y VBI�u9'✓1 Gt�yt,01 _.._.....(..D{ollars--- MBaC/nk of America Gridley Branch 0028 P.O. Box 8 ' Gridley, CA 85948 - C��Ix*'c� I 'i • • o 1. 6 2 1000 3!3131;0 7 S Se 00 25:1-0 2 7 313 i' 111'000000 S 7 SCI,,' It lol 'Inter �D� Depart em®randum x { w rp T0: J kwY d, ' FOM: Karen White, Chief Cashier F JACK w*isoAl iwicc TvR v :�R 5 " /N �loivEr o/C�E� FoQ �i. sU13JECT: Credit De osi - p t. Check ' *67 i0 (57 to,ryv.00% VA) • DATE:/ .,A check deposited by your department has been • returned by the bank and' cannot be redeposited. A copy. of the check'' ie encloeed.' It will be back gib charged to you on a credit.deposit'within the next two weeks. Please provide the information ae'to;which funds to chargee If, due -to special circumstances,'you need the actual check prior to. `,•the credit deposit, please use the form provided at -the bottom of this Q Page, -,.I t -- If.you have any (5384350) questions, please call me.. , JACK F. WATSON,' BEATRICE H. WATSON 1767 SPRUCE ST. • GRIDLEY, CA 95948 I , 6449 --- 755 Apr( f, iSl 19 $7 11-35/1210 1 {%f t•'1 �,1'j n.:=. tai i� l �:` �,• .� '� 1 f c�.. {.:111 �,�1 • Pay to the OrdeReFS 6` 4, rl D /Z L4 ` b -� I $ r7 /y VBI�u9'✓1 Gt�yt,01 _.._.....(..D{ollars--- MBaC/nk of America Gridley Branch 0028 P.O. Box 8 ' Gridley, CA 85948 - C��Ix*'c� I 'i • • o 1. 6 2 1000 3!3131;0 7 S Se 00 25:1-0 2 7 313 i' 111'000000 S 7 SCI,,' It ' 021-050-023`-_ ,PERMIT#95'2877 • +-,'r r"LOWERYfi Carl. i Yr M•.� i y 1597 W "L"iberty Rd: , Gr`.idley T _Cont,' Pryde RoofingCo.ww Reroof%SF r z ^Y Y T ., ... ..�-r. - • .. � � 1. > i t "rM�„'r�'m! i :fr;v�W ti•; �"'"��'f.^[`i,> ••�'-r.•,-.r , :o . rt{;.fF'D.i?!'.. • '4:9'�daY”" .N i�S'+ ref;:. `�. ,.-, ... COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DW SION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 541gs� PER NO. APPLICATION ANDRERMIT ASSESS9�LUMa.ER S )l{{ ZONING , ILDING PERMIT OWNER 12 TELEPHONE 3- SO. FT. OCC, BUILDING VALUATION`'. OWNER A LUNG ADDRESS 'y /. �O O CONTRACT 'QB;$ NAME TELEPHONE CONTRACTOR'S MAI -NG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 16 O v ` LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ a, 0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS ^ C/ 7 L PERMITFEE $ &00 PLUMBING PERMIT Filing Fee 1 20.00 Each Trap I 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USE OF STRUCTURE SF EV+ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other Describe Work: C tQ/SA Mobile Home ISI GI W1 j 920.00 PERMITFEE 1 $ Contractor ELECTRICAL PERMIT Filing Fee._ 20.00 Main Serviceaoov OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 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. /a kQ g OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. - Q� I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( 8 ACC. BLDS. ) so 3.5¢ FT. NEW CNS. CONST. MULTI.OUTLET NON•RESID. ( BRANCHCIRCUITS ) 97.50 (a STINWERG E OUfLETT us CIA. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 1.00 BAL so _ EX. O CCU p. OUTLETS XED (RESID.OEA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 forthwith comply with tho a provisions. X «"=f off..__ Date �Jj9S`__ Signetu`re of Applicant - Owner ❑ Contractor drAgen# / An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES T IMP FLOOD I CDF PARCEL PD 1 HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By )_Date PERMITEXPIRESON applicable provisions Resolutions to do work been paid. (Date) Receipt NO., 0 0 -Z/P WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF- DEVELOPMENT SERVICES -BUILDING D SION 7 -County Center Drive - Oroville, California 95965 - Telephone (916) 538 541 PERMIT ;N APPLICATION AND PERMIT ASSESSO�AR)HJUM�ER S l/�I CwJ'/" ZONING BOLDINGPERMIT OWNER 01 TELEPHONE OCC. BUILDING VALUATION OWNERJUNG ADDRESS ` �. O® D O CONTRACT NAME e FC TELEPHONE CONTRACTOR'S MAI NG ADDRESS Fireplace CONSTRUCTION LENDER UNIOJOWN Total Valuation $ 5 O LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHrrECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ ' Penalty $ BUILDING ADDRESS.-^ ; `� PERMITFEE $ , r� e PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MA Solar Or heat pump water heater. 23.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublites ❑ Installation ❑ Other Describe Work: Mobile Home IS I GI W1 @20.00 PERMITFEE 1 $ Contractor ELECTRICAL PERMIT FilinQ Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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. /o/.18002 License Class - Lic. No.Ex. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. J 1 am exempt under Sec. Business and Professions Code for this - reason NEW CONST. DWELLING OCCUR SO. OR ADDNS. ( 8 ACC. BLOS. ) 3.5¢ FT. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) IL Q 1.00 BnL eu Occup. ouTLEEDrsiR so.�ea. ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE 3 Contractor 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 forthwith comply with tho a provisions. "tq X �m.� Date !�5�-- Sign ure of Applican - Owner ❑ Contractor XAge An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP FLOOD CDF PARCEL 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. BY D/ate PERMIT EXPIRES ON 1 (Date) Receipt No. l 7 d (/f �i WHITE-D.D.S.-B.D. CANARY ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT