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021-060-015
21-06-15 Rodney.Jones - S/S Colusa Hwy, ap .• 800'W.of Block.0, ® I Rd., Gridley ���✓c O—.�`" /�P K �� ;'i t�� r� u� a t t,.r 4. contra �onohofrigeration, Gridley `cam 021 X060 015% Permit #4096-74B,E,M(rwmodel, elec.PERMIT• `" �`'�'':°�yR ; �• " serv.ch. , etc. /SF) LISA'McCREA _ - 2 021-'060-015' y T ,,PERMIT#95 *081 V". ,- MCCREA„ Lisa r , J. 867;;C6lusa Hwy Gridley Cont;`_ Green a Roofirig�' 'Reroof/SFfs FO2060-015: 01-2428 r ..: CREA;tLISACOLUSA HWY; GRIDLEYiNT: RICHARD HEATH �(�-�•D� CHANGE WATER -HEATER•` �' ��l � o c�� -, IjeRe7!l'Re@CPM�1'R^;!1'�'.�I J:� .^ .,�111s;.RS�iw_.....:. .. .,'��RS'- N .. .p .. ..9a, Y:IN"�"iT. �•ws r ..gy.rw. v. .r "--W} r JIlk �� ♦ _ ' � arta __ t. r~ 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 .P�RMIT�NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNERTE " $O, FT. OCC. BUILDING VALUATION OWNERS cA w CONTRACTOR ME . ii 4♦ or.t V CONTRACTMAID D CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ .00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS N Energy Plan- king Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS MIME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF , Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK ❑ Other New ❑ Addition ❑ Remodel ❑ Utilities ❑ Install3&C Describe Work: �a, „� W _ Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W 1@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service a00v OR LEss 200. OR LESS 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. / l �. -7- License Class C.Z. U (�1Z.(� Lic. No. � (.� �f, �,, 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46,00NEW CONST.DwELLNG OCCUP. SO OR ADONS. ( a , ems. 3.54 ' T. NON -REBID MULTI_OUTLET 50 POWER APPARATUS 8 SINGLE OURET CIR. Ex. Occup. Ohm.ETOR- BAL Ex. Occup.OPucEDAPPIDOREA 5.00 Temporary Se vLce 23.00 Mobile Hom acilities 20.00 Misc. W' n 23.00 .1• PERMIT FEE s 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' compepsation 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 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallT 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 those provisions. X Date / E �� Signature of Applicant - ❑ Owner ❑ Contractor XfAgent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: $ ..Ailobile Home Installation Fee s Energy Inspection Fee s PE TOTAL FEE $ z. D. PEES 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 lb -Alk Qj Date r7 V� PERMIT EXPIRES ON - / . L. V . 02— -� Dere Receipt No. L WHITE-D.D.S.-B.D. A AS ES OR NK -INSPECTOR GOLDENROD -APPLICANT .01& COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, C:1lifornid 95965 - Telephone (530) 538-7541 Q a RMI NO. (Rev. 12/96) APPLICATION AND PERMIT �- ASSESSOR PARCEL NUMBER w ® I (/O =G"I"G BUILDINGPERMIT OWNER I I IC ! . {/- TEL9"E/_}'�,�/ !� (% 10 SO. FT. OCC. BUILDING VALUATION . OWNERS G• S� CONTRACTOR' Ei %-,r- TE CONTRACT LI ORE �. � M i CONSTRUCTION LENDER Fireplace LENDER'S MAULING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 0.00 Permit Fee ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDINGADDRESS b -7 ® �(-�� J c Energy Plan king Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 27Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Icy V TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installa❑ Other Elk Describe Work: �"� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G W 920.00 PERMIT FEE E ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoo. oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class �- LZQ) NLS Lic. No. d �Z— ('e'. 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. eLDS. 3.59 ' ND REBID MULTI.,,,, .50 POWER APPARATUS 8 SINGLE OUTLET CIR. , EX. OCCU OUTLET OR PDCTU SAL @ .w RA Ex. Occup.. OPU(EDAPP.IDOE 5.00 Temporary Serv' 23.00 Mobile Hom acilibes 20.00 Misc. WWng 23.00 PERMIT FEE S 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with com y h those provisions. (� ( X c Dppa��e _ Z - y \ Signature of Applicant - ❑ Owner ❑ Contractor Tkgent An OSHA permit is required for excavations over 60" deep and demolition or constructionWMld-7 of structures over 3 stories in height. obile Home Installation Fee $ Energy Inspection Fee $ T TOTAL FEE $ o HAZ. D� IMP FLOOD CDF PARCEL PD HO 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 DDJatee o (s .O1 PERMIT EXPIRES ON V 4 �' Date Receipt No. WHITE-D.D.S.-B.D. A Y -AS ES OR NK -INSPECTOR GOLDENROD -APPLICANT 'f COUNTY. OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,.-0roville,California. 95965 `Telephone`: 538-754, APPLICATION FOR—,SPECIAL—..,INSPECTION A. P. No. a let W Te &2/- ©(0D -04T No. e46- OA16 Applicant " gkje,. 11 �/eS Telephone No Mailing. Address c`31WC n Building .Location t7 r0 / ��li�-Sa i_11a1n1. ,A v rrJt o,, PA. I:here.by request a special inspection of the following building: 1. Dwelling (ifonly a portion, specify) �%f% — C4 ,er ch,Vglre /oa l�) ti /J Q 2. Apartment House (if only a.portion, specify) 0 ..3. .Commercial (specify present occupancy) 0 4. Other (.specify) I am requesting`'a special inspection for the purpose of: u J. Moving the building. �. 2. Financing (specify agency) Case'No. j 3. Change of occupancy to Ai 4. Other (Specify) �I����c r/ ,�'NG i�SE',0 /U.SGO Ta OA//4. �e I' hereby certify, that I will obtain the necessary permits and make any necessary correc- tions, alterations; or repairs required.by the County of Butte, as a result of this inspec-, tion, to comply with building and housing code .requirements. I also certify that prior to the use or occupancy of' this building, I will complete the above required corrections,, alterations, or repairs, or, if the building is presently occupied, I will complete -the above required corrections, alterations, or repairs within 30 days. ; I certify that I have read this application and state the above information is correct and ,hereby authorize representatives of the County of Butte to enter upon the above- mentioned property for inspection purposes. ),ignarure o;, :uwp Fee' Paid x' ;',', 1st=DPW/2nd-Inspector/3rd-Applicant Date .,Receipt No. -. vim-... � .. - :,ir•'.-.- F867 -,060 015 PERMIT#95-0811'REALisa Colusa H `x,. .� h ..' t �+ wyrGridley y Cont;. Green Roofing, a tRer.00f/SE-0 L, .. IfiV '�„'.:��• ; • it , ,,_ ,. �-- _ '� ` 5 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI ON 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER. 021-06-0-015 ZONING BUI INGPERMIT OWNER LISA MCCREA TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 867 COLUSA HWY CONTRACTOR'S NAME GREEN ROOFING TELEPHONE 873-3940 CONTRACTORS MAILING ADDRESS P 0 BOX 2467 PARADISE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS FI11ng Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 867 COLUSA WY, GRIDLEY 4 PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNIS ION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF O► 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 X New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF/0" Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service OOOV OR LESS ( zooA oR LEss ) 1 23.00 Main Service ( 200A TO LooOA ) 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. .rte / License Class ^- 3 9 Lic. No. JJ G Q `'� 7 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. ❑ 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 NEW CONST. DWELLING OCCUP. so. OR ADDNS. ( & ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (8 SINGLE OUTLET CSI R. ) Ex. Occup. (OUTLET OR FIXTURES) L C° L-50 BAL SO Ex. Occup. pUTLETS(RES D.) 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. f' I have and will maintain workers' compensation insurance, as required by Section v 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensa on insur ce carrier and olicy lumber are: Carrier S' Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL 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 ith those provisions. \ _� _ —t!"' 7�'� X Date Signature of Applicant - ❑ Owne��ontractor ❑ Agent 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 Cooling Hood 6.50 Ventilatinn PERMITFEE S Contractor Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYPE FEE $ 61.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which f� have been paid. / ��� 4%24/grj By "ri 7r ate PERMITEXPI ESON 4/24/96 (Date) Receipt No. b WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIV NN 7 County Center Drive -' Oroville;:_Califo;nia 95965 - Telephone (916) 538-7 PERMIT NO. O. AND PERMIT ASSESSOR PARCEL NUMBER 021-06-0-015 ZONING BUILANGPERMIT OWNER LISA MCCREA TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 867 COLUSA WY 1 20 1710 CONTRACTOR'S NAME GREEN ROOFING TELEPHONE 873-3940 CONTRACTOR'S MAILING ADDRESS P 0 BOX 2467 PARADISE Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 41 ARCHITECT OR ENGINEER LICENSE NO. -00 Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 867 COLUSA WY GRIDLEY PERMITFEE - PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF CK 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 Xg New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF/COMP Mobile Home S I G W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service600V 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, c License Class C— 9 Lic. No. �% (, � 7 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURSO. OR ADDNS. ( & ACC. BLDS. ) _3.50N. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( PSIOWER APPARATUS ) 8 NGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 2U 0 I.50 eAl so EX. Occup. ( OUTLETS(RESD.)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. > F have and will maintain workers' compensation insurance, as required by Section v 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'��a on insur$ ce carrier an�� number are: Carrier ��p,y/ 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp ith those provisions. X Date Signature of Applicant - ❑ Owneontractor ❑ Agent An OSHA permit is required for excava i� ons over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 61.00 HAZ. I D. FEES I IMP I FLOOD [TDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutionsid to do work indicated ab ve for which f have been aid. ate 4/24/95 PERMITEXPI ESON 4/24/96 i (Date) Receipt No. 176105 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I _ o �- � �- vis c� � �� �� � ��� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICK ION AND PERMIT PERMIT NO. ASSESSORCEL NUMBER - 06- L 1, S ZONING BUILDINGPERMIT OWNER , TELEPHONE SO. FT. OCC. VALUATION �'7BUILDING OWNERS MAILING ADDRESS ADDRESS �e� u OC7 C/- CONTRACTOR'SNAM �P TELEPHONE -y7-3— CONTRACTOR'S MAID ORESS 41 O Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 7 S d PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONSNAME PARCEL MAP 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 ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Mobile Home S I G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service / 000V 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. 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 NEW CONST. DWELLING OCCUP. OR NS. ( 8 ACC. ) SO. 3.5¢ FT. NEW CT CONST. MULTI-OUUTLETLE NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FUTURES ) 20 Q 1.00 BAL 0 .SO Ex. Occup. I FIXED (RESo.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (rhe above sections need not be completed if the permit 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 shallTOTAL 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 those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent 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 Is OCC CONST. TYPE FEE $ 0 HAZ. D. FEES IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR .GOLDENROD -APPLICANT #k-` ' ,r. 41'r F='siri,cyr�"'ta►`cs,�i,q"`�r'" ""``�- + t .. COUNTY OF BUTTE _;`r PARTMENT OF PUBLIC WOR BUILDING DIVISION -- 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE (916) 538-7541 OWNER fi�/Ur- Proposed Building Use PERMIT i�ies w APPLICATION DATA SHEET A. P. No. D Zl - D/O0 - 04.C - Building Inspector Date , fZ: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY �M 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous: -Material Form. ............................................ Energy Design Compliancean6i supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof$ .......................................... Impact fees as shown on attached schedule . ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department. ...... .... . City of Chico plumbing permit . ......................................... Plot plan and business license appro�cal from City of Biggs/Gridley. ........... Planning approval for (A) Use:y (B) Parking: L � N r G Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .. ... ... . Pre -Inspection request Pre -inspection for required. .. to Building inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ) ............ Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . ......................................... . Documentation of legal access . ........................................ Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... PI a heck list. ... .... ............................... �A , p IA, ANiD �I� Te- Wh n issue the ee�� it p ocess as follows: Mail to owner. Mail to contractor. Telephone�`r (08�P and hold for pick�u�pat office. Deliver with inspector. Other :Foe o�*�AAEIJ{- Parcel C�eation Acreage Applic Date Copy of Haz-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 by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works x4-,w�k�S�a `C] Complaint -Date rt Other -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING Owner• rVXC, if rPsley A. P. # 21 -0100 -pt sr Address: (,Lca l- j Date of Inspection T—)5 - Tenant • Ins.pector Building Location: S Type of inspection'requ"es.t:66: / /. 1. - Housing'. ",2. Financing 3. Change of Occupancy to _[ 4i Work W/0 Permit /'�/• 5. Other (specify) ,� -%o Z �..ld city cwIi Present„use-of,building: j;�'3 T=_1r•e- eC.L' lOe. A. Sanitation,(Housing). 1. Water closet: 2. Lavatory: e� 3. Bathtub -or shower.:, o .A.- 4. Kitchen -sink:' 5. Hot -and cold watdr to fixtures 6.' Heating facilities: 7: Natural light and ventilation: S. Room. and space requirements: 77 9. Bedroom .window or, door for second.. exit:'', re.+�.oY�i.” ae" bo ifs 10. Infestation of insects, vermin, or rodie- nts.: ✓ 11.° Connection'to-sewage disposal:: 12.' Connection to;•water supply: ✓ _ 13 . Rubbish and :•garbage • facil-ities 14:: Stairs :(Rise, Run,. Headroom; 1HR, Tolerances; Handrails) -- 15.: Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: l/. CD Fireplaces: 6. Comments: 71 q. G;. Electrical. 1. Service and ground: IV A- 2. Receptacles 3. Fusing: : 4. Comments• D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: ✓ 3. Gas heating vents: ✓ 4. Comments: E. Other 1. Maintenance and repair: ✓ 2. Fire hazards: ✓ 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: ✓ 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): N o o < <,-a 4-9 C/o v pis -f— 1s.. .►eeu•..c� 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. C. Write letter. L_4D. Other: STATE FIRE MARSHAL COPY DISTRIBUTION: FIRE SAFETY, INSPECTION REQUEST 1-3 'STATE FIRE MARSHAL 2 -FIRE AUTHORITY SEE REVERSE OF COPIES 2 AND 5 FOR INSTRUCTIONS FOR COMPLETION STD 850 (REV. 8/86) (Continuous) 4-5 - LICENSING AGENCY L. REQUEST DATE 2. PROGRAM 9/4/92 3. AGENCY CONTACT 4. TELEPHONE NO. COMMUNITY CARE LICESNING 916 ) 895-5033 r7�VALUATORDSS 04 M.BROMLEY 6. SFM REGION 7: SFM ID. NO. 8. REQUESTING AGENCY FACILITY NO. 9. REQUEST CODE 041373219 3/A CODES 1. ORIGINAL A. FIRE CLEARANCE THIRD REQUEST - RESPONSE REQUIRED 2. RENEWAL B. LIFE SAFETY -tit DQp� 3. CAPACITY CHANGE 4. OWNERSHIP CHANGE ORN O\�` 1:0. AGENCY DEPARTMENT OF SOCIAL SERVICE"' CTT S. ADDRESS CHANGE NAME (JjVjT;�'(ARF L1C'iPiSI IC; 1 V� 6- NAME CHANGE �j�`p AND 540 (;pi:.i. S._k;`?-"-t Road, Suite 6 PREVIOUS NAME 7. OTHER ADDRESS (',j7 9592.6 ' DATE OF ORIGINAL REO. 11. AMBULATORY NONAMBULATORY TOTAL CAP. DATE OF LAST FIRE CLEARANCE CAPACITY AGE RANGE (YEARS) PREVIOUS CAPACITY AGE RANGE (YEARS) PREVIOUS TO /8 18 TO 85 AND CAPACITY TO 18 16 TO 85 AND CAPACITY t9, FACILITY 1 2 X 65 OVER 6 0 65 OVER 1 2 CODE 12. FACILITY NAME 13. NO. SLOGS. CODES LITTLE STARS FAMILY DAY CARE 1 1. GACH 7. ICF/OT 2• GACH/R 8. ICF/DD 14. STREET ADDRESS P.O. BOX 1S. RESTRAINT 867 COLUSA WY NONE 3. SH 9. ADHC 4. APH 10. CLINIC 5, PHF 11: JAIL CITY 21P CODE 16. HOURS GR�IDLEY, CA 95948 DAYS 6. SNF 13. ICF/DDN HER 17. FACILITY CONTACT PERSON TELEPHONE NO. 16A. SPECIAL MC CREA 'LISA J. (916) 846-6806 TO BE COMPLETED BY INSPECTING AUTHORITY 18. FIRE 26. CLEARANCE AUTHOR. BUTTE COUNTY PLANNING DEPARTMENT Cone 1 NAME 7 COUNTY CENTER DRIVE CODES AND OROVILLE, CA L95965 9FIRE CLEAR, GRANTED ADDRESS 2. FIRE CLEAR, DENIED 3. FIRE CLEAR, WITHHELD ' 27. DENIAL f CODE TO BE COMPLETED BY INSPECTING AUTHORITY. CODES 21. INSPECTOR'S NAME TELEPHONE NO. - 22. CFIRS 23. T-19 OCC. ' ID. NO. CLASS _ 1. EXITS - �\ ` �(n(vts G c -Il i0 53a �sy� p N /� (] R-3 2. CONSTRUCTION LJ0.v1q 3. FIRE ALARM 4. SPRINKLERS - 24. INS .D/AT� INSPECTO GNATU 25. � 9 /S a 5. HOUSEKEEPING 6. SPECIAL HAZARD 28.1EXPLAN DENIAL OR LISTOSPECIAL CONDITIONS . 7. OTHER N q 'j STATE FIRE MARSHAL USE ONLY 20. REGION, OFFICE D::PART1,41:4T OF SOCIAL AND C0M-. IHglT`:� C'ARF. ADDRESS ::�� !:i '.;:i L i !{•�::(' :.il .i r .. ., Fire and life safety requirements for:large family day care homes were developed to provide a safe environment while maintaining the home environment. Large family day care homes provide family day care for seven to twelve children, 'incIuding.chiIdren who reside at the home- for a period of less than 24 hours per day : These requirements are the minimum acceptable standards: b(C 1. O tc 2 A drawing of the dwe i 1-i ng - is requ i r'ed'-that shows the entire house, area to be used for daycare, location of exits, -fire extinguishers, .smoke detectors,. hot water .heaterl heating A-pl.�r Plo,..� �S �i+ t��u►�rtd Si.aw+�••S +L..../040,48000 e� +- -- appliances,A and pre -determined meeting place outside to be c..,.:�a.:•�k d;:i-a.roc -lo P.o P..1r i :yes used when the house must be evacuated. Rooms used for day care purposes shall not be located above the f i rst story except i n bu 4: 1 d i ngs c 1 Type I or Type 1 1 F. R. construction or ire bu i i dings Provided w it", an automat is i ire sprinkler system. NOTE Type 1- and Type I I F. R. construction are buildings made of steel and concrete. - OK 3., Provide single station residential 'type smoke detectors which are approved by the California State Fire Marshals Office The number and placement will be determined by the Fire Inspector when each home is visited. in most cases this will. be one detector in the corridor or area giving access.to the rooms used for sleeping purposes, and at the top of a stairway. O _4. Provide portable fire extinguisher's) having a minimum rating !G,'4Y . of 2A:106C.. Fire extinguishers) shall be hung on the -wall so they are readily accessible and visible. It shall be no more than five -.(5) .feet to the top of the extinguisher and no less than- three -( 3.). feet from the floor. F ire extinguishers shall be serviced annually and immediately after each use. Post signs indicating the fire extinguisher location when the extinguisher is not readily visible. psi 5 Provide. .a- device(s) suitable for. sounding a f ire alarm... t shall be attached to the structure. It shall make a distinctive tone and be audible throughout the house. The following devices are acceNtable for alarm systems: - a) A bell and switch that is battery powered. b) A bell- and switch .that.'receives its power from the residence. OX, . At least two approved exits are required from a house. Every required exit doorway shal l be of a size to permit the installation of a door not less than 32 inches in clear width and not less than 6 feet 8 inches in clear height. A manually operated horizontal 2 sliding door may be used as one of the two required exits. If there is a screen on the glass door, the lock shall be removed. el NOTE: Horizontal blinds or other window treatments which would impede emergency -evacuation --are prohibited.` Exit door(s), including manually horizontal sliding doors, sha 1 1 be openab 1 e f rom the i ns i de w i thout the use oaf a key or any special knowledge or effort. This means that door hardware must be "self -releasing" and that one single movemen, or operation of the door will uniocr and open the door. Manually operated edge or surface mounted flush bolts, thumb And key operated dead bolts, hooks and eye chains are prohibited. if a dead 'bolt is desired, it shall be "self - releasing" and unlock by just turning the door knob. A se i 10-c1 os i ng sol i d cor e door i 3/8 i nches i n th i ckness i s required between the living area and garage. The garage must be separated from the home by materials approved for one-hour fire resistive construction on the garage side, or equivalent materials as determined by the f ire department. NOTE: This is generally 5/8 inch Type X sheetrock that has been taped and sealed at the joints with no holes 3 in it. 1/ A fire evacuat i on dr i 1 1 must be conducted month 1 y and a record kept of such stating: a) Date of dr i 1 1 . b) Evacuation time. C) Number of persons part t4 records shall be maintained for a minimum of-thr-ee (3) years. iij Extension cords shall not be used as a substitute for fixed wiring of a structure. Extension cords shall be removed where they run through walls, ceilings, Floors, doorways, windows, or similar openings, where attached to building surfaces, or where concealed behind aui1:ing walls, ceilings, or floors. ?^ Every unenclosed gas fired water -heater or furnace which is within the area u s a d for chi 1.d care steal l be protected .irn such a way as to protect childrer, from making contact with those appliances. .Exception: This doesn't apply to kitchen stoves or ovens. Fireplaces, wood stoves, and open-faced heaters shall be screened to prevent access by children. See. law c t•e 13. Chimneys, flues, and stovepipes shall be maintained in a safe condition. SGe 4-F,r- cL.X C+V-V-« Provide a spark arrestor for. the''top of -a chimney, flue, or. stovepipe..: CAC Title 24,. -Sect -ion- 217.. i Storage of gasoline, fuel oil, an -d other flammable liquids shall be limited to the amount r.equir:ed for maintenance, operations, cleaning, and etc. .t shall be stored outside in.' a.private garage or approved location. Storage in excess of 10 gallons shall be stored in an approved flammable liquid storage cabinet which complies with UFC 79.201(9)• 12 approved numbers or addresses shall be placed on.the house in such a position as -to be plainly visible and legible from the street or.access road fronting the property. Said numbers shall contract with their background. They shall be illuminated or mounted next to alight source. The minimum height of numerals shall be: 2" for numbers illuminated address fixture located on 5 buildings within 25' of the property line. 3" for numbers posted on on-site mail boxes at the front property line. 4" for numbers posted on buildings within 50' from the proper. ty 1-i ne V, for numbers posted.on buildings more than 50' from the property line provided that the addressing is plainly vis-ib?e and legib':e per UBC Section 513. IT T _ . .... . _ _ . _ c�� ..�� � _�t � �rn. T: Cmc. �. _ • � .ham^ 7. �'M _+y ..r� % �,• nG• _II, .. �� t�* ,�'�. i. . � . �. _ 1 � v ,� i }- _ �. �� . . ` .1 i moi. . ,� �- - .� ��--.c:o,._.-. � _ _ .cam � _ �.:���iv)=tt,2. - �* r ` �� • `M w ♦ . fir,` - � f _ � - _ �: � F • - _ ,� � -. .. _ �. _ -., -. � - _ e � � y. 1 � • � 1 � rvO 4 � 4 ; I • Tiol LA j. o, = -Suite ount LAND_ OF NATURAL W E A L T H AND 8 E A U T 1' - 0112Department of. Development Services PLANNING DEPARTMENT - f ` 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (91'6) 538-7601 COUNTY OF BUTTE BUILDING DEPT August 11, 1992 ' Q 9 1 1992 Lisa McCrea 867. Colusa Highway Gridley, CA 95948 .. Re: "'Administrative Permit, AP 021-060-015 Dear. Ms. McCrea: Enclosed is your validated Administrative Permit No. 92-01 to allow a large day care facility for up to 12 children on property zoned A-5 located on the south side of Gridley- . 'Colusa, Highway, Gridley. Every Administrative Permit expires and is automatically null and void without further action by the County if the Activity or use for which the Administrative Permit was granted has not been actively and substantially commenced within one year of the date of its final .approval. Should you have any questions regarding this matter,- please contact this office between 10:00 a.m. and 3:00 p.m. Sincerely, B. A. Kircher Director of Paanning Paula S. Leasure Assistant Planning Director (9q — U�C� BAK:PSL:lr Enc. cc: Land Development VIvision Building Division Environmental Health Department of Forestry I r - ADMINISTRATIVE PERMIT BUTTE COUNTY PLANNING DEPARTMENT Auggst 11 1992 92-01 PERMIT NO. 021-060-015 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of_ the County of Butte and the special conditions set forth below: Lisa McCrea is hereby granted an Administrative Permit in accordance with application filed: 6/22/92 to allow a large day care facility for up to 12 children on property zoned A-5 located on. the south side of Gridley-Colusa Highway, --approximately 900 -feet, west of Block Road, Gridley. 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Section 24-62. 2. Unless otherwise provided for in a condition to an Administrative Permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which an Administrative Permit has been granted is not established within one year of the date of receipt of the countersigned .permit by the permittee, the permit shall be come null and void and reapplication shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1. The facility is a single-family residence that is the principal residence of the provider and the large day care facility for up to 12 children is clearly incidental and secondary to the use of the property for residential purposes. 2. The property approved for large family day care is located at least 500 feet driving distance from any other large family day care property and the granting of this permit shall not result in any residence being bounded on more than one side by a large family day care. 3. Large family day care homes shall meet the following traffic control measures: a. In addition to providing the required number of. parking spaces for the residential use, one off-street parking space for each employee of the facility and one off- street parking space/loading area shall be provided. The driveway area may be used to meet this requirement. b. Large family day care homes located on principal or minor arterial roads as designated by the General Plan Circulation Element shall provide drop-off and pick-up areas which prevent vehicles from backing onto such roads. C. Properties proposed for large family day care homes shall have frontage on and access off of a paved road. Roads that are constructed for the purpose of meeting this requirement shall meet the RS -4C standard as contained in the Butte County Improvement Standards contained in Chapter 20 of the Butte County Code. . 4. One sign, not to exceed 3 square feet, shall be allowed. 5. The applicant shall be licensed by the California Department of Social Services, Community Care Licensing for a large family day ' care facility. & The applicant shall meet all State Fire Marshall regulations pertaining to large family day care facilities. 7. The applicant must meet all other applicable County and State ordinances, statutes, and regulations. 8. Septic tank size and leachfield length must be submitted to the Environmental Health Department to confirm the availability of septic system area. 9. Bacteriological report must be submitted to the Environmental Health Department to confirm the availability of water. NOTE: Issuance of this Administrative Use Permit does not waive requirement of obtaining Building and Health Department permits before 1!a g construction, nor does it waive. any other requirements. , Butte County Assistant Planning Director CC: Land Development Division Building Division Health Department Department of Forestry JO BUTTE COUNTY PLANNING COMMISSION 9 J� 7 County Center Drives ; Oroville, CA 95965-3397 (916) 538-7601 TO': DATE: 6-24-92 RE: PROJECT REVIEW & ENVIRONMENTAL EVALUATION Lisa Jean McCrea ; Administrative AP021-060-015 Enclosed is preliminary data our office has received or generated concerning. the following project: Administrative permit to allow a large Day care facility for up to 12 children. Located on the S side of Gridley- Colusa Hwy.approx. 900 ft. W of Block Road, Gridley; identified as AP021-060-015. We are making an assessment of possible environmental impacts and will be preparing an environmental document, either a Negative Declaration; Negative Declaration with Mitigation Measures or an Environmental Impact Report (EIR). Please provide any factual statements,'ideas for investigation, or opinions you can offer in your area of concern or expertise that relate to either..physical, social, or economic impacts that this project.may generate. Please respond within 14 days of.'the above -noted date. ,If no response is generated by this inquiry, then it shall be assumed- that-there ssumed•that there are no significant environmental impacts which are potential from the project. Wd'appreciate any assistance you can provide. Sincerely,. Larry PaifiprCer 7 -F-e_ Planning Technician Comments: A s-9ccEaL /.vsflec:-. �s l��vir���L� L a (o r..,r, �_ t-Z� 1-t 3'. oi[ A%iei e �( L ;7 -4 -e S',4-,� �, P,,e t:i 43 JIreel. �.. sf^. cAyy-ec4, -e A-�-1i.9-. Jy .-o �Yc.c� 4", oo � —� �+ y Does your agency wish to receive a cop9/6f the environmen atm--' •document (initial study for Negative Declaration (with or without Mitigation Measures) or EIR for this project). Yes No ' t 1 PERMIT NO. 4096-76B,E,M PERMIT EXPIRES OWNER Rodney Jones CONTR. Donoho Refrigeration, Gridley. LOCATION (A.P. 21-06-15, ' SIS Colusa Hwy,app.800'W.of Block Rd,, Gridley ' " f i • 11 Power P le &E/Temp. Called P &E Temp. . Serv. 1 " Calle PG&E Temp. as Serv: tt� 1 C Iled PG&E ; INALED (Date) (Signature) Mesh Scratch Brown Finish Interior Lath Door Closer / l DATE- _ V,-4 �7 01�� REMARKS OR CORRECTIONS { COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback r Firewall Soil Piping Forms r �/ Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall i Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage I Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsicall , handica ed Conformance of ex. structure 02 4ENTemp. Appliances Gas Piping 8 Test Gas Slab Final Sanitation Patio FIREPLACE Final . Footings I Footing, ELECTRICAL Masonry Walls ! Throat Rough Reinf. Steel I Final Fixtures Bond Beam ± FIRE ShRINKLERS Motors Mesh Scratch Brown Finish Interior Lath Door Closer / l DATE- _ V,-4 �7 01�� REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) v ' r �/ . �%"'�'. (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE •DEP;,KRTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 7� Tele one: 534-4541 (� (� / APPLICATION AND PERMIT V_Signatur�i Per4itee or AAgeent U � / 7 7 By J Date -7-:- " �% Receipt No. 7- -7 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant euilding permit expires Date BUILDING 70 Owner .I SQ. FT. OCC. BUILDING VALUATION 0 • Mai I i ng Address Telephone No. Fireplace - Contractor ( Oyu ���- ���� Total Valuation Mailing Address /i� �e J� (� V Permit Fee Plan Checking Fee&/or Penalty /.VZ Telephone No. 6•z Permit Fee $ ,0G cif Building Address # �� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 b 5 Each Trap 1.50 G Repair drainage or vent piping 1.50 Water piping 1.50 " "� �' ®® �� yes Q� /jl��,i< J , Each gas water heater or vent 1.50 A. P. No. 2 G _15— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W; � Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER IR ELECTRICAL No. @ FEE PERMIT FILING FEE. $3.00 5.001 ron/ 11,5,A Main service 6001 OR LESS100 AMP OR LESS 5.00 sr, 0 Q P(/�/':�i C p%�Ct1 �- ��� G�/�/N� . Main service EA, ADD•L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main serviceVER100 6 OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 CONST.NEW ( DWELLING BLDGOCCUP, OR ADDNSACC&\ 2¢Sq ft / NEW CONSTR. MULTI -OUTLET NON -REST D, ( BRANCH CIRCUITS) 2.5Oe6 NEW CON ST R. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. 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 st le of: y L1247ta 9 250 Ex. Occup(OUTLETS OR FIXTURES)LL@1 BAL@1 Ex. Occu FIXED APP LNS, OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 I O I License No._� 4' Classification 13 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 4! 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 rkmen's Compensation. I 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 so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 00 Heating 3—/o-0.6 /3l -.L Cooling S10 Ventilation Hood 2.00 / ` �$ Permit Fee $ i I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize resentatives of the County of Butte to enter upon the above -m t•ioned property for i spection purposes. �J X. Datezoi vL6 TOTAL PERMIT FEE $ '�O QC p y issued under the applicable provisions of This permit is County the Butte County Code and/or resolutions to do work indicated Co above for which fees have been paid. DIRECTOR OF f1BLIC WORKS V_Signatur�i Per4itee or AAgeent U � / 7 7 By J Date -7-:- " �% Receipt No. 7- -7 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant euilding permit expires Date