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HomeMy WebLinkAbout021-070-1141 -,021=07=0=114 4.93 3165,B BRYANT,—TOM f 1529�LEWIS OAK; GRIDLEY CONTR t DOUBLE J ;PARTI'AL REROOF/SF: x •}a, �, ,. �Z� 3,r1 j r M,} ,� y ,, t -"�` CONT. ' BUTTE ;ROOFING co �o l -�: / .-' r �,. -529 :LEWIS OAK RD GRIDLEY, REROOF SF - s .' "".....'....",',r. -.°"'r'•'_03-1789,: r}'k'� ,921-070-114 HOOGEVIEN, R D & MARILYN,` 11529. LEWIS OAK ROAD,- GRID' Cont: SPENCER INC.; R.B. \ REPLACE HVAC/SF I a IN a� ' e e , 0 -,021=07=0=114 4.93 3165,B BRYANT,—TOM f 1529�LEWIS OAK; GRIDLEY CONTR t DOUBLE J ;PARTI'AL REROOF/SF: x •}a, �, ,. �Z� 3,r1 j r M,} ,� y ,, t -"�` CONT. ' BUTTE ;ROOFING co �o l -�: / .-' r �,. -529 :LEWIS OAK RD GRIDLEY, REROOF SF - s .' "".....'....",',r. -.°"'r'•'_03-1789,: r}'k'� ,921-070-114 HOOGEVIEN, R D & MARILYN,` 11529. LEWIS OAK ROAD,- GRID' Cont: SPENCER INC.; R.B. \ REPLACE HVAC/SF I a IN IF7 •"�=r�r•--s.�,v-�.v;-=• a;,.. _ � .. i `; �,cy:. .;;,- f.,. y.. �-- `amu ,i ' t .. , .�., # - -� ., • a -.+ �. r COUNTY OF BUTTE - DEPARTMENT OF DF-VELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT -_63-118U ASSESSOR PARCEL NUMBER WI—J-0-114 I —; �- ZONING BUILDING PERMIT + OWNER TELEPHONE 346-54486 SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1529 lewis oak rd. ax Gridle CONTRACTOR'S NAME i;. 6. 5 rNC. TELEPHONE 674-8307 CONTRACTORS MAILING ADDRESS Mo- Hassett AVe Yub.-IW.-Jty, CA 99:1 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDINGADDRESS 1529 Lewis Oak ltd. Gridley Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF'.0', Duplex ❑ 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 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherXO Describe Work: reWzce HVAC I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S I ELECTRICAL PERMIT I Filing Feel 20.00 V LES Main Service . "OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 I hereby affirm under penalty of perjury that I am licensed under provision's of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license isll ��$$,rce and effect. License Class t:s' aiW Lic. No. � 9 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjurythat 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. fQ 1 have and will maintain workers' compensation insurance, as required by Section I 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comp ns tion 'nsurar}I�,a carrier and policy number are: / Carrier •S4 1 t -V J1> Policy Number / — D f (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' compgnsation provisions of section 3700 of the Labor Code, I shall forthwith comply with those- p5ovIsions. b. b. X _ 4 W_ '� Date —% J '" a _ 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. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. gLpS. 3.50FT, =RESID MULTI.OUTLET @7.50 POWER NGS OUPTL, CIR. :0000 Ex. Occup. OUTLET OR FDCTURES e20 @' 50 Ex. Occup. oMD.'PPLNS.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 1 5.00 Cooling1 Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D FEES I IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. I ! j'l�; By / / r ( Date PERMIT EXPIRES ON. I e Receipt No. ,410—'3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENT OF.;�EVE4�OPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville. Calif?.rnia 95965 - Telephone (530) 538-75 P NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT O TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE -8307 CONTRACTOR5 UNG ADDRESS 1188 Hassett AVe_ Yuba Ci ty� CA 99991 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checkin Fee $ BUILDING ADDRESS 1529 Lewis Oak Rd. Gridley Energy Plan Checking Fee $ $ PERMIT FEE $ IAT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF J}( 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 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Others Describe Work: rPT)l ar_P HVAC: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA 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 ' full force and effect. // / / ® License Class ID Lic. No. lQ (� 7 �� i 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. UDS. SO 3.5¢FT: NOµR61DT MULTI -OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @':50 Ex. Occup. DuTLEE'A'R'.,6.oERa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. 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 permit is issued. My workers' com ns tion in rance 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 shall not employ any person in any mannerso as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compqnsation provisions of section 3700 of the Labor Code, I shall forthwith com w' ns. p r� X Date (p % p ^ J nature of Applicant - ❑ Owner ❑ Contractor ❑ 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 Fling Fee 20.00 Heating 1 Cooling 15-00 Hood 6.50 Ventilation PERMIT FEt $ 50 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ =.AES IMP FLOOD CDF PARCEL PD HD ISSJE This permit is hereby issued under the applicable provision: of the Butte County Code and/or Resolutions to do work indiLdabove for which fees have been paid. , y ate P RMIT EXPIRES ON I IDa Receipt No. WHITE-D.D.S.-B.D. CANARY -A SOR PINK -INSPECTOR GOLDENROD -APPLICANT Jun 18 03 01:01p Betty • e� "SERVICE IS OUR BUSr,vESS" <<z o LIC. NO. 664429 AIR CONDITIONING • HEATING' COMMERCIAL REFRIGERATION 1188 Hassett Avenue -Yuba City, CA- 9599-1 Fax (530) 674-0333 • EMAIL rbsac®succeed.net April 17, 2003 Building Departments To Whom It May Concern, (530) 674-8115; YUBA SUTfER COLUSA GRIDLEY YOLO This letter is to update_ the letter sent.out on 4.115.-03., The following..persons.are now.given authority to pick up building permits for us: Craeg Hamilton Rich Bogdonoff Bob Holland Darrin Thomas Brad Battley David Carvalho Betty Schafer Sandy Featherston Thank you for your cooperation., Sincerely, Bob Spencer President (530)-674=8307. (530) 458-4200 (530) 846-4200 (530) 661.3200 • r'- " .w.�.Yv,,i��n."w�—rr:7��. � ,. 5 n -,.{,•., ., . `�•R Yv , tr `P, F021-07-0=114 .,. 93-3165' B BRYANT 'TOM529 LEWIS,-OAK,","GRIDLEY = x - CONTR`: .DOUBLE" r # PARTIAL REROOF/SF� � 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021-070-114 A-15 BUILDING PERMIT OWNER 'rte Bryant 846E SO' BUILDING VALUATION OWNER'S MAILING ADDRESS 1529 Lewis Oak, Gridley 95948 4 Com 1,440.M Sq. Comp. CONTRACTOR'S NAMETELEPHONE Double 3 Roofing846-2791 CONTRACTOR'S MAILING ADDRESS 280 Sheldon Ave. Gridley 95948 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$1.440.00 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $35.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ 5S • 00 1529 Lewis Oak Gridley PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF Gi Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition C3Remodel O Utilities L)Installation 1:1 Other Other l Describe Work: Reroof with Comp. FEE I$ Contractor ` ELECTRICAL PERMIT Filing Fee 20.00 (Partial Reroof) Main Service BOOV Ofl LESS ( 200A ofl LESS 1 23.00 Main Service ( 200A To 1000A 1 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BLDS. I 3.50 g0, FT. CONTRACTORS LICENSE LAW( I deglare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. 5 toG i y��r Classification �' _ 3 ❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS 1 @7.50 POWER APPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @1. 00 BAL. .50 FIXED APPLNs. OR EX. DCCUp. ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. Of have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 against said Count in consequence of the granting of this permit. X i1t ' /� _ Date %-21 :21 Sigh ture of Applicant - ❑ Owner Contractor ❑Agent �� An/"OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 55.00 HAZ. D. FEES IMP F160o COF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been aid. p DIRECTOR.GF-PUBLIC WORKS By r i q , vufCf`"_ /' , 0 Date _ I � //� ; • / J ,/ PERMIT EXPIRES ON I' /, /%'Y /Date! /over Receipt No. / 1 G 7 S� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 96965 - Telephone (916) 538-7541 9 3 ��IC6 APPLICATION AND PERMIT h ASSESSOR PARCEL NUMBER 021-070-114 021-070-114 ZONING A-5 PERMIT 19000 OWNER Tom Bryant TELEPHONE 846-3345 SO, FT, OCC. BUILDING VALUAT19 /� - 24 S . Comp. 1,440.00 OWNEWS MAILING ADDRESS 1529 Lewis Oak, Gridlev 95948 CONTRACTOR'S NAME Double J Roofing TELEPHONE 846=2791 CONTRACTOR'S MAILING ADDRESS 280 Sheldon Ave. Gridle 95948 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$1.440.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE S 55 -Qo 1529 Lewis Oak, Gridley PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF CX Duplex EIMobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Mobile20'00 TYPE OF WORK New O Addition ❑ Remodel O Utilities ❑ Installation ❑ Other IX Describe Work: Reroof with Comp. PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 (Partial Reroof) Main Service ( 800V OR LESS ) 23.00 2ODA OR LESS Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. SO. OR ADONS. ( 8 ACC. BLDS. ) 3.50 FT, CONTRACTORS LICENSE LAW I mare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. S�(o6�f�� Classification C- �rj' O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS I @7.50 ( POWER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ L.000 Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $ 100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 Count 'n consequence of the granting of this permit. X Date 9-9-2 4s Sig re of Applicant - O Owner Contractor ❑ Agent A SHA permit is required for excavations over 5"0" deep and demolition or construction of structures%oover 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is ocC CONST. TYPETOTAL FEE $ 55.00 HA2. I D. FEES I IMP FLOOD CDF PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. D RE/CTO 6-P4lBLtC WORKS BY i� ate 2 �� PERMIT EXPIRES ON 0 z ate) Receipt No. I WHIT E-D..D.O. S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i'P COUNTY OF BUTTE BlJILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 s 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 3 -- 3165 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleascontact this office immediately_ �'tilF,rw{�icr 'rif..,is i. ,. f� .'�y'" ` :'^`''*ir�.r-i: �:..::Y I• S,c�,+r,� ... .:r •. ,.. - � ���:.�i���wdr����'l"ytYr- ^�*•'^t"•` �} r.rS a7s.i Yr �++..r: �-,i- !M � i r _ i . •l 7 . . s. .021-070-144 , : , , r " 93=3928, ; i ` y BRYANT, TOM � q 'CONT BUTTE ROOFING r i=1529.n1hS OAK RD r; 'GRIDLEY ' REROOr SF', A'; • f + 1 7. ♦ � .. f ♦ ` '1'' ` - r fry I �/� lJ7�Joi ` r .. \// COUNTY OF.BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, CalifaMia 95965 - Telephone (916) 538-7541 PERMIT NO. �"'" APPLICATION Ab PERMIT q3_D `K ASSESSOR PARCEL NUMB / I' / � - /d ll ZONING BUILDING PERMIT OWNER LE ONE t:«• SQ. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDRESS xp,,4 9J7 tom' CONTRACTOR'S NAME - TELEPHONE ✓ \,/ G41, CO RACTOR'S MAILING ADDRESS- �.. C % Fireplace CONSTRUCTION LENDER/_UNKNOWN TOLeI V81U8tlOn $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ OD ,I; _. - PLUMBING PERMIT Filing Fee 20.00 Each Tr .. ap46 .7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE ` SF,f]� Duplex ❑ �Mobilehome ❑ Other ` SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK 1 } New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other � /1 Describe Work: -�_ 1 '/--- -Lc�C�f:-- .Gt, PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 In Main Service (600' OR L 200AORLESS ) 23.00 C) Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. so, OR ADDNS. I a ACC. BLDS. ) 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. LicenseNo.,S'�ij7�tJQ Classification - R O I, as the owner, or my employees with wages as their sole mpensation, 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 contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON -RESID. I BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Ex. Occup. FIXED APPWS. OR p• I OUTLETS (RESID.) EA. ) 5.00 emporary Service 23.00 Mobile Home Fac�i(ities 20.00 A/lisc. Wiring y R 23.00 r ! • WORKER'S COMPENSATION INSURANCE I declare jinder penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less.� I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 against said County in consequence Of the granting of.this permit. / X(iriy�y Date /�, Signature of Applicant ❑Owner O Contractor Q Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE S HAZ• I D. FEES IMP I FLOOD I COF 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. �#j;lECTOR OE PUBLIC WORKS BY Date �� If 1-7 PERMIT EXPIRES ON /4 DCC 94 (Date) Receipt No. % WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Caiiforria 95965 - Telephone (916) 538-7541 PERM T NO. 10 APPLICAPO N AND PERMIT �3_ �� ASSESSOR PARCEL NU ✓ D — ZONING v BUILDING PERMIT OWNE LE ONE SQ. FT. OCC. BUILDING VALUATIO OWNER'S LING ADDRESS �. CO CTOR'S TELEPHONE c rCRACTO R'S MAI NG ADDRESS Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ,. ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ ov R PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCELMAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation El Other Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BODA OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) 3.5, SOSo . CONTRACTORS LICENSE LAW( I d lare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Co a and my license is in full forceani eff c�t License No. Classification (e O I, as the owner, or my employees with wages as their sole mpensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.000 p Ex. Occup. FIXED APPS. OR ( OUTLETS W(RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 against said Count 12 c sequencof t o gr ti g o i permit. 6 X Date` 1�?3 Si ature of Applicant ❑ Owner ❑ ContractorAgent An OSHA permit is required for excavations over 5"0" 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 I IMP I FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and or Resolutions to do work Indic d above for w fees have been paid. DI ECT U&LIC WORKS By /CY/✓ Date�T(i� PERMIT EXPIRES ON /� SEG 9¢ /Dare) Receipt No. j WHITE-D.D.S.-a.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT