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Home My WebLink About021-060-0321 21-06-32 "JAMES ;& 'SALLY ANDERSON - 819' Colusa Hwy, Gridley P -Permit#1545-86B p(ne 'E w ;sw mmi nool) JON -al17C� +GOun�.tJ :KING, Earl _35.6-698# 87-948 o r6, 789-6F %- D% - 802-68E P 1 slw, corner Colusa II IDwy. B16ck 'd:Gri .t new single ly) -(*patio -roof). e}_ , �� 1'�� ` PERMIT NO. 1545-86B,P,E PERMIT"'EXPIRES w1%�2// OWNER JAMES. &f SALLYt'ANDERSON CONTR. owner -ASSESSOR PARCEL 21-06=32 819 Coluse Hw • Gridley LOCATION y� Y F i Temp. Power Pole ` PERMIT NO. 1545-86B,P,E PERMIT"'EXPIRES w1%�2// OWNER JAMES. &f SALLYt'ANDERSON CONTR. owner -ASSESSOR PARCEL 21-06=32 819 Coluse Hw • Gridley LOCATION y� Y Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp.. Gas Service • . , Called PG&E • JOB FINALED (Date). Signature _.—. f J = OK 0 = Not OK = ot'Read bee N = Not Readv RESIDENTIAL (Single and Duplex) � . •{. Date UNDERFLOOR Plans OK except k's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits _ 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Fig. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 5. Stemwalls, Main: Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6.Stemwalls, 7_ Garage; Steel -Bloc kouts-Wrapped-Slab Piers-Fireplace Ftg.-Steel 53. 54. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access _ Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts _ 10. Gas Pipe; Size -Anchors Water Pipe: Test -Anchors -Regulator -Service Test 11. 12. Electric: Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date y Card -BI Date Card -BI Date, Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's _ Card -BI Date Card -BI Date Date Card -BI Card -BI PLUMBING (Permit) OK except N's 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V. Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors - - - - - Date _Card -BI Date, Date Card -BI / Date 56. Ext. Steps Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt.•&.Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Gard B -I Card B -t 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. - Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral _,Yes .]No _- _ Service -Riser Conductors & Ground -Main Disconnect_ - - Equip. Clearances: Panels-Motors-Mech. Equip. Clothes Closet Light -Shower -Light - - Date Card -BI_ Date Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 76. Stucco; Brown -Finish •77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date Card -BI Card -BI MECHANICAL (Permit) OK except N's 31 • A.G. Duces. Insulation &Support 32. Vent Fan: Exhaust above Insulation - 33. Condensate Drain & Overflow: Size _& Grade 34. Furnace -Vent: Access -Comb. Air -Return Air_ Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date 83. _ Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates -- --- - -' Card -BI Card -BI Date Card -BI Date _ 7,n le Card -BI Date _- Card -BI Dote Card -BI Date Date FRAMING(Plans) OK except q's Com: lents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills: Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Posit Caps -Anchors -Connectors Ging. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthnq.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Anic Access: Size -& Romex Protection -_Draft Stop -Ins. B_a_ff_les Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions Garage Fire Protection Framing - (NOTE: Anentrymust be made each time youvisit jobsite) JGOK O = Not OK — = Not Applicable MOBILEHOMES MISCELLANEOUS '^ * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special.MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal=Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI D Card -BI Date gate MOBILEHOME INSTALLATION (Plans) OK except N's Date PO S (Plans) OK except k's 1, Zoning Requirements—Setbacks—Easements . S cks—Easements 2. Footings; Size—Spacing—Marriage Line S ompaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 5. Drain; MH Test—Fall—Flex Connector . Elec.; Receptacles and Lighting; Distances—GFI . Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 7. Water and Sewer Connected—C/O to Grade—HD Approval 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged jk,,�_!Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10, Cert. of Occupancy 9. Ith Department Approval . Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI to Card -BI Date —2,j Card B -I Date Card -BI Date Card -BI Date Card -BI Date ff or .`Yarw•_YF.:I :..,,,,�:,�.+r�_;s.�r.� � :u.%S'AF;'�f"..6 "'`._�•�r'.^d-x—•'Q� `fi �iY� .+-fi`+� t�'rGr.I *R'Yp -�w•s"{'°".� _$w COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NI A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additinonal explanation, please contact this office immediately. Inspector Dated. �o�� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ;r = 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 COnnRRECTION . NOTICE AA l T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or n,Od�additional explanation, please contact this office immediately. v Inspector r Date /� k COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS 3 P;40, 7 County Center Drive - Oroville, Calllf&nld 95965 - Telephone 916/534-4541 APPLICATION AND.PERMIT ASSER ARC NUMBER J ZONIN BUILDING PERMIT OWNS _e T EP ONE SO. FT. OCC. BUILDING VALUATION O ER' AI Lr A RESS rt CO RA TOR'S NAME TE PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS UCTION LEN UNKNOWN Total Valuation $ Flling Fee 10.00 LENDER'S MAILING ADDRESS Permit Fee $ slo ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $1 0q PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 6/+ ta LlSolar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MA Water piping 5.00 QO Each qas water heater or vent 5.00 USE OF STRUC F t SF ❑ Duplex❑ Mobilehome❑ Other SPECT m Gas piping system 1 - 5 outlets 5.00 Building sewer' 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV 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. Icense 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. DWELLING OCCUP.✓Y , New CONSTR.� A ) �z2sgft MULTI -OUTLET NON.RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu 20@50C Occup(OUTLETS OR FIXTURES BAL030 FIXED APPLINIS Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facili ies 15.00 Misc. Wiring 15.00 / 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 Consent to Self -Insure. �f' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee - 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilIt judgments, costs, and expenses which may in any way accrue againstrsCu y in sequen of the granting of this permit. _�%� X 4212 Date Signature of Appli ant — Owner GkContractor ❑ 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 $ , Occ"P. CONST.T TPC 1 FLOOD PARCEL I 9911 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Lr Receipt No. WHITC-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT t OWNER P.P D 1 COUNTY OF BUTTE - DEPARTMEIVzTf,OEj-I�':UBLIC WORKS - BUILDINCDI BION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 9P65/5-334 -4541 PERMIT APPLICATION DATA SHEET -_ Permit No. A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Ex-nl i ) Building Inspector Date o At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED All items have beer_ ubmitted. �3mplete ot plans in duplicate./ replicate. . . . . lans in,du licate/tri. licate.P P P . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . Letter of signature authorizati (I/i 10. Sanitation approval from 0 U-.ealth Dept. • — {o—�� lanning approval for (A) Use: (B) Parking: ertificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. 17. Pre -Inspection for Required. Pre-Inspec. request to (Dote) P q Building Inspector 18. Recorde i8 r �tur�I Astruc�e�lRh approval required prior o occupancy , 19. Other onstruc n Wheryyou issue the a mit, process as follows: Maill Ao�w�ner. Mail to contractor. _ Telephone nd hold for pickup at S�office. Deliver w/ins�ector. Other Applicant Date 12�2Y D Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: d (Contractor, Designer, Owner) was advised of above required data by Telephone Maims,— Other By -Date Plans checked by Date '`f Plans approved by Date Other: r r Copy—DPW To: Building Department 1 From: Environmental Health ti Sub'ect: Sanitation Clearance / Ownei Location AP,# Plan Approved for: :Sewage disposal water supply Hold final for: water supply Final clearance O.K. for: water supply Clearance for NOTE *** Date e COUNTY OF BUTTE --Department of Public Works 7 County Center Drive, Oroville, CA 95965, Phone: 916-534-4541 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 1 will be issued until this verification is received. -_.1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes errs 2. I (have %--n;a ) signed an application for a -building permit for the proposed work. r 3. I have contracted with the following person.(firm) t6 provide, the proposed construction Name Address City 4 Phone Contractors License No. 4. I.plan to provide portions of this..work,--but I have hired the following person to coordin e, supervi , and provide the major work: Name Address O a eC City Phone j�t/(o 33S/S' Contractors License No. 3 Z, 91&_ 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: Property Owne Social Secur iPymber $- - , Date o NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 1983,2 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. Vs ?sz a tg +.,t' •++,,Qy4rxc .f k� =r '' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION N ,.. sem ` 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965- TELEPHONE: 916/534-4541 } PERMIT APPLICATION DATA SHEET Permit No. OWNER C! IM ..S ( C ✓�� P7 A. P. No. Proposed Building Use Permit Fee Based Upon Complete Contract Price DPW Valuation Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or suance: V. All items have be bmitted. —b` `. Plot plans i duplicate/ replicate. 3. Complete plans in duplicate/triplicate. 4. Complete engineered plans and calcs. 5. Plans with Energy Design Compliance Statement. 6. CUSD ''Fees Paid ' Stamp on Floor Plan. 7. Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ Letter of signature author 1zati Pn. 10. Sanitation approval from Health Dept. t/ Planning approval for (A) Use: (B) Parking: i 12. ertificate of Workmen's Compensation Insurance. 1 . Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner❑. 15.. Improvements may be required. Contact Land Dev. Sec. of D.P.W. (see address below). 16. Mobi lehome Installation Data. 17. Pre -inspection for required. 18. Record d Q ��ff A ric IItur�I Acknowledgment Statement. , 19. Other $RfVRV P�i t;Construction approval required prior to occupancy Wheryyou issue the ermit, process as follows: Mail IQ owner. Mail to contractor. Telephone 2nd hold for pickup at �-office. Deliver w/inspector. Other C16 0 ° Applicant OLTDate GENERAL INFORMATION BUILDING DEPARTMENT OFFICES HEALTH DEFARTMENT OFFICES Chico. . . . 196 Memorial Way Chico. . . .. i196 Memorial 'Nay Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - 9:30 a.m. OroviIle . . . 7 County Center Drive Oroville . . . 7 County Center Drive Phone: 534-4541 Phone: 534-4281 Hours: 8:00 a.m..- 5:00 p.m. Hours: 8:00 a.m. - 9:30 a.m. Paradise. . 747 Elliott Road Paradise. . . 747 Elliott Road Phone: 872-2961, Ext. 57 .Phone: 872-2961, Ext. 58 Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - 9:30 a.m. - PLANNING DEPARTMENT — 7 County Center Drive, Oroville.— Phone: 916/534-4601 CALIFORNIA ENERGY COMMISSION— 1516 - 9th Street, Sacramento.— Phone: 916/324-3000 LAND DEVELOPMENT SECTION. t ``K DEPARTMENT PUBLIC WORKS— 7 County Center Drive, Oroville -. Phone: 916/534-4339 4 .,T.«• ,,' .y ...`sC R :..�. '' ni ". n ...: i} .,!,~.E.. %.�. 8 'f' :$'x.31 Y;� r ,tr`,?i•. w` `r"J,� ?°-i...,.r e ,„^r,•'•::. Original—Applicant-;:x� ,. _.,.,�,:;�� _..0 M��-.� . �,, ��:�„� :,��.�-..� � ��-,�..._ .-.d.. �.�°'-`�•. - 0 r3 � 6a 7r O q COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIQN, AND PERMIT ASSESSOR PARCEL NUMBER 91-06-39 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTR ACTOR'SN AM TELEPHONE Ist renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER CTNTRAT RANK UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee sFFR $ 70-291 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking ree $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 819 Colusa Hwy Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Gridley Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other pri. swimming pool SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 1st renewal of permit #1545-86 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 _ CONTRACTORS LICENSE LAW I declare under pens of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for th-isielson NEW CONST. DWELLING OCCUP.51 yz¢sgft OR ADDNS. ACC. BLDGS. I NEW CONSTR U TI.OUTLET 2,50 ea NON -R ESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. zo®t)oa Ex. Occup OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor ,)"-WORKMEN'S COMPENSATION INSURANCE I declare und,4r enalty 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. ❑ 1 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 Filing 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue st said County in consequence of the granting of this permit. X Date ignature 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 $ 80.25 OCCUP. CONST.TYPEJ I IFLOODIPARcrL.1 PD I ND I ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date 6-72-88 the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNITE-O. P•W:, YELLOW -ASSES 30 R. PINK -INSPECTOR. GOLDENROD -APPLICANT