HomeMy WebLinkAbout021-070-1141
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1529�LEWIS OAK; GRIDLEY
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HOOGEVIEN, R D & MARILYN,`
11529. LEWIS OAK ROAD,- GRID'
Cont: SPENCER INC.; R.B. \
REPLACE HVAC/SF
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BRYANT,—TOM
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1529�LEWIS OAK; GRIDLEY
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HOOGEVIEN, R D & MARILYN,`
11529. LEWIS OAK ROAD,- GRID'
Cont: SPENCER INC.; R.B. \
REPLACE HVAC/SF
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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
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F021-07-0=114 .,. 93-3165' B
BRYANT 'TOM529 LEWIS,-OAK,","GRIDLEY = x
- CONTR`: .DOUBLE"
r # PARTIAL REROOF/SF�
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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-
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.021-070-144 , : , , r " 93=3928, ;
i ` y BRYANT, TOM � q
'CONT BUTTE ROOFING
r i=1529.n1hS OAK RD r; 'GRIDLEY '
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\// 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