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021-080-077
JUSEP;�iHUGHES �--` �Y s� ri.dley-Colusa- Hwy, app. 3001 C.of . Randolph, Gridley ' 4 • K" , - , contra Jerr ,& Frank's . Landscaping; ridley 42 -ata- Permit _'197_ 75P.Llaw.n__enr��r� 21z 08-77 r eContr: North Valley Electric, + + _ ridley 6900-78E re air wiri��g)SFfPermit # ( P r ifYs 21-08=77 �. 44 _Sycamore; Gridley Conti: Helsem AC & So1w, Yuba City,. y Permit#3628-82M(replace defective duo- �heA i f. 21708-77 KELLEY 449 Sycamore (1885.). Gridley t Permit#1787=83B,E(add - ly room/SF) { - 21-08-77"r " � �A mi Pert- 51- I I � 83P(P1bg/1789-83) • j 1787-83B,E f PERMIT NO. PERMIT EXPIRES I OWNERTITUS KELLEY CONTR. owner { ASSESSOR PARCEL 21-08-77 f LOCATION 1885. Sycamore- (449) Gridley _ i; 'Tg i' Temp. Power Pole Called PG&E r Temp. Elec. Service Called PG&E s Temp. Gas Service Cal led PG&E JOB FINALED (Date) - Signature i - P .� -. OK 0 = 'Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except'N's' 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except Vs ' 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -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 Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except H'S 1. Zoning Requirements -Setbacks -Easements '1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability r 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ Y 4, Elec.; Receptacles and Lighting: Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged •. 8. 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. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date ' Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V yQ " -. O - Not OK Not Applicable Not Ready / r RESIDENTIAL (Single and Duplex) Date UNDE OOR PI OK except hi's Date FRAMING (Continued) Zo grequirements-Setbacks-Easements 4 rewall & Openings tg., Main; Soils -Steel -Flet. Grnd.- / /' tg.- ep Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 5 oom-Rise-Run-Landing-Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Fig. Depth 94P51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -Blockouts-Wrapped-Slab S 2. ing-Nailing-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab h -Drip eed-lQ4rr.-Vents-Undeal+_Aeeese- 7. Piers -Fireplace Ftg.-Steel 4. Glazing Area -Glass Protection -Skylights -Plastic - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55..-SHeaf-14eF} , ailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples C Card -BI ate Card -BI Date Date Card -BI Date Card -BI Date Card -BI( Date Card -BI Date and -BI Date Date FINAL (P ns) K except q's Card -BI Datec'. Card -BI Date Date -_ PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. S s -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 1 ter Pipe; Test & Anchors -Nail Protection 1 .W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. F. Fixtures & Tub Access I & Subpanel; Breaker Sizes -Labels. 18. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors '62. Stairs & Rails treplace or Stove; Clearances -Hearth • ec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap-CookingClearance Ca_BI- Date( Card -BI Date Card -BI = Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except k's 68. A.C. Duct in Garage -Damper ure ransformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection - /Eiec. Receptacles Spacing -Lights &Switches at Doors - Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location Ro ex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. _ Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic s - 2 i ' Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps _ Ci,hfoo.l VJ�ra Ci�a i i a 26- __� . Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Ve a Door -Drainage & Wood -Earth Clearance oo<ed under Floor ❑Yes -_ 27�"'�-�! ga. Cu or AI -Oven Circ. / / ga. Cu or Al,n Insulated Neutral `Yes ED No 29 Sei Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks El Yes El No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 29. Equip. C797 -a -n -des; Panels-Motors-Mech. Equip. - _ 30.,2fothereloset Light -Shower Light 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 Card B-IDate - ------ Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Pe except 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric -- Xs a 31. A.C. D_ucts_Ins anon &Support 85. Wai r & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; aust above Insulation iwi�nergy Compliance Certificate -Other Certificates _ 33. Condensa Drain _& Overflow; Size & Grade Furnace Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic ccess & Platform if Furnace in Attic I I and -BI Date and -BI Date Dat Card -BI Date Dat Card -BI Date -------- Card -BI Date __Card -BI_ Date Card -BI Date------Card-BI Date Date FRAMI Plans) OK except N's Comments at Final: Sills; Proper Material & Anchors Aa �.aIls: Sto&T-TN Spacin racing -Plates -Sound -- - - -- --- --- -- ---- -- ------ -- 38. �BeariTig <�TIs_over Girders &Floor Nailing_ - 39._"4�ve Steri WaIIs (rat proof) -40. Pi.. Stops, Furred Ceilings -Stairs -Chases -Tub �_ & Beam -Size & Bearing 15 oe4ps / 4 gers- st Caps -Anchors -Connectors - - - er-43. Cing. Joist-Rfir. Ties- Purlin-Roof Brac.-Truss-Shthnq.-Ring. -W44. Fireplace Ties or Type A Flue -Fireplace Throat 45..Aui`Acsees Size & Romex Protection -Draft Stop -Ins. Baffles 46�s or Exiting Doors -Sill Hgl. & Dimensions_ 47. Gtotection_Framing- _ -_ - - - - - - (NOTE: Anentrymust be made each time youvisit jobsite) RESIDENTIAL ENERGY CONSERVATION`STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO" CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CO ORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT • (location) BUILDING PERMIT -NO• �/�` �?� A.P. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED.PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge Single Glazed Fdn. Walls' - Special (Insulated) Floors' CERT.. & LABELED WDS. Walls &`• SLIDING DRS. Ceiling/Roof WEATHERSTRIPPED DRS. Ducts BACK DAMPERED FANS �— Circulating Pipes, ---------INTERMITTENT IGNITION DEVICES APPROVED HEATER CERT. APPLIANCES APPROVED WTR.HTR. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED' IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name. Signature•of (please print) Insulation Applicator ,. State Contractors License No. , General Contrac r/ a)Name %� J T ZG 'S %( C 4 (please print) Signature of I% General Contrao Owne / Date " / 2 � tate contractors"IF License No. THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR . TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION • ' WITHIN THE DWELLING. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER /f PERMIT NO. v 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 additional explanation, please contact this office immediately 'Inspect Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING O' "PROPERTY ADDRESS 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 additional explanation, please contact this office immediately. t Inspector (d Date I —' /�-�" County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 CORRECTION NOTICE /f Vp' 17 - 1? 7 .............. ....................... ng or Property Address 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 pertaiining to this matter, or need additional explanation, please contact this office ...................................................... ....................................... ................................... I- e�l ...... .................. ...................... A ......... �- ...... A ........................................................ ........................................................................................................................ '1� YVVIV / 1____) ........................................................................................................................ Date................. I ............ Inspector .................................... Do' Not Remove This Tog (400-4) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Galifor�nie 95965,- Telephone 916/534-4541 APPLICATION AND PERMIT PERM) / Nv J' ASSESSOR PARCEL NUMBER Qom)` ZON BUILDING PERMIT OWNER TEL PH NE ,SO. FT, OCC. BUILDING VAL AT N - O OWNER'S MAILINGADDRESS 9- s�-I C11 - ' CONTRACTOR'S NAME ID r TELEPH0 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKN_ oma !� Total Valuation Is 5 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee %d $ ARCHITECT OR ENGINEER LICENSE' NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD NG ADDRESS' �— e PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 �., Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL AP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF IPl*Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10-00e TYPE OF WORK New ❑ Add itionRemodel Utilities ElInstallation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 • Main service EA. ADD'L 100 AMP 2:50 OR ADDNS. AC �., DGS 21h0sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 CONSTR. U TI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS. NEW - � CONSTR. POWER APPARATUS &' NON RESID, SINGLE OUTLET CIR. Ex. Occu 20®s0e OR FIXTURES BAL®30 P�o XED FIXED APPLNS. OR A Ex. OCCUp, OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee , Contractor .7,957 MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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/r 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 saiSI,,County in consequence of the granting of this permit. 7 Signature of Applicant — Owner [U Contractor ❑ Agent ❑ An OSHA permit is required for a covations over 5'0" deep and demolition or construct- ion of structures over 3 stories in eight. Mobile Home Installation Fee $ - TOTAL PERMIT FEE / occuP. GROUP I TYPE of CONST. I PARCEL PD 10 Issue This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC OF PUBLIC WORKS By Date PE EXPIRES Date pa/ Receipt No. �oOV Q WHITE-D.P.W., YELLOW-ASSCSS04 PINK-INSP TOR, GOLD N OD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS .. 7 County Center Drive - Oroville, Califounia.95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER �_pgG ZONING BUILDING PERMIT OWNER•-7►'/f TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER's MAILING ADDRESS Permit fee $ BUILDI y,DSEss PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Z�C90 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water. heater or .Gent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFk Duplex❑ Mobilehome❑ Other - SPECIFY Building sewer 5.00 Mobile Home S I G W I 4:r:O:e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work:_�iCUi?I//UGO��j� ��T �7 ,� Permit Fee $ fX 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. DWELLING OCCUP.& OR ADDNS, ( ACC. BLDGS. t 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of er'ur p y perjury y (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- cation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, 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 CON5TR ULTI-OUTLET NON.RESID BRANCH CIRC ITS. 2,50 ea NEW CONSTPOWER APPARATUS &' NON -REST R D. (SINGLE OUTLET CIR. Ex. Occup(o XTs OR FIXTURES 2o050e SAL®30 IEDPR 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 under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I �shall not employ any person in any manner so as to become subject ' to the W. C. laws of California. " Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT 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. 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 conse ue ce of the granting of this permit. Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -EC ion of structures over 33/ stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP, GROUP I TYPE OF CONST. PARCEL PD MD' ISSUE This permit is hereby issued under siaofthtte County Code and/or wabove for which fees F PUBLIC B PES Date the applicable provi- resolutions to do have been paid. WORKS Dater—f_gWHITE-D.P.W., ' Receipt No. ® l0 C� YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V.��l=t:4- �tvtt OF TIA4 IT tE I FICATE- OF Z ".00, :NF 0-R" A�NCE HE UNDERSIGNED MANUFACTURER'.HEREB-Y .CERT.If/ES that the products identified below and on attached.•sheets Nos—are marked with .the Collective Mark of the 'AMERICAN INSTITUTE OF TIMBER'CONSTRUCT.ION' IAITC) - and were manufactured in, conformance with applicable provisions -.of . U. • S. .Product Standard PS 5.6-73, for .Structural Glued Laminated Timber; -and that such manufacture:has been "at our plant in SP1D?fiIlPr-TEE! 0 ORM,N A �; which plant ha'sA quality-contr�ol...11 .app. . by the1rispection Bureau of the,AMERICAN 1lVST!T,UTE OF,_TIMBER CO!11STRU TLON and inspected periodically by such Bureau. The, undersigned_manufacturer*.furthOi certifies that the'worir--has been done in accordance with the applicable job specifications.,. The manufacture of these members complies with ;the ,manufacturing and fabncatirig provisions of Chapter '25 of the Uniform .•Building.Code.'' ' r J013 NAME: ' UNKNOWN CktLLER.LUMBER SALE$) UNKNOWN JOB_LOCATION: }CUSTOMER'SORD1,p. Z9OZ - DATE lI j8/83 YFGRSORDERN0.3 51-044 GE1v iPS ' t ~ G PS I:1 SER` �. ,►�,,, 'RnsBORO L 1B'ff1COMPANY • SIGNATURE TITHE :.QIIAI TTY L.ONTROL a, nooRESS:S&.22ND.; S1 REF T"; fY' DATE ..r..,-'/ i •z - i AJ.TC f IEREB Y . CERTIFIES' that the said. company at its "said pant ;s cen's bytthe AMERICAN INSTITUTE OFITIMBER`CONSI tiULTIONfousethe-AITC:'Col;z' ve`Ma k,in, es"ct f products which comply with applicable provisions of.said'Standard,"that the.-UgIcy of the quality"'.` control system in effect at said plant is periodically inspected, and verif..ied.by,the Inspection, Bureau of the AMERICAN INSTITUTE OF TIMBER COMSTRUCTION,and'.that in the judgmentof the under- signed, said company is capable of complying with applicable manufacturing and,testing .provisions of said Standard in respect of products manufactured at.said plant.-Conformance'with the'Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified•to produce a product -meeting„ the said" Standard and that its plant is -periodically inspected and; verified,by the'AITC Inspection Bureau. AITC Certificate 'No A 33496 Signed. for AMERICAN INSTITUTE- OF TIMBER. CONSTRUCTION Paul R. Seattle lark Nirmwi Exeeurive Vire Piesdait : `Diieelo► ra peemn.Bureau y .. s. .. ' 0,; 1978 AMERICANANSTITUTE OF TIMBER CONSTRUCTION AITC FORM IBCA ' a Cl c Cl c J V .. "i •-.•vra-.—v { _ ? y p �„_ .__'; --'�_. c•`v-'.'..,,'ms"'/-Tv.' "••.-•tea_ ...•-�c�w•r-,J. SQ..FT. =' OCC. BUILDING VALUATION -BUTTE P� a�71,County Telephone No.' COUNTY OF — DARTMENT Of PUBLIC WORKS Contractor- Fly Center Dri've OroviIIe, California 95965 Tele hone 4541 { /} Total V . a luation ' P k` 534 Telephone No. 1CaF 4 Permit Fee t t Building Address rt ` Plan Checking Fee&/orPenalty ..' APPLICA i �J Permit Fee . t �sJ^.iGS fit".�:c�4 ta-'tri•i�«°r, Irac ra,.,N,.v IOPrriND PERMIT �/� ,.� 00 auallullaa fvp'1 11tatlyi— ur. tim t,uunty or putte to enter upon the above-mentioned,property" for inspection purposes. pie . � sir►y' !'�}f I�sa s .. Date Z/ 0'.V IVA. Signature orf Ppewrmi�t.. e• or Agent Receipt No. . � • ' ' White-D.P.W.. –(Yellow -Assessor- Pink -Inspector – Goldenrod -Applicant This permit is hereby`issued`:un der the;'applicable provisions of the Butte County Code and/or •resolutions ;to do work .indicated above for. which feesnhave been'paid DIREGTOR OF PUBLIC WORKS t By if I %/i Bmf rt /1//%%, ,' k ' Date / //2•'7,/7 +' _ . Building pilirmit.expires Date_ -7.1-- BUILDING ii� Owner - Ff SQ..FT. =' OCC. BUILDING VALUATION Mailing Address' +' x Telephone No.' t . Contractor- Fly ', Mailing AddressI Fireplace Y;' w Total V . a luation ' !! Al'•'aic.�� Telephone No. 1CaF 4 Permit Fee t t Building Address rt ` Plan Checking Fee&/orPenalty ..' Permit Fee . t �sJ^.iGS fit".�:c�4 ta-'tri•i�«°r, Irac ra,.,N,.v PLUMBING No@-' Y ,FEE �/� ,.� 00 PERMIT FILING FEE z $3 Qb t ' 4 �- Al r + EactiTrap• tP; ,. ^ , 1 '50 Repair drainage or vent piping �y A. P. No.. /' G am► ! ./ i ZoningB�:PlennIn Water:Plping-' r'4, N Each. gas,water heater or vent z 1 .5p'- F�eesf •WAC✓�Sani'tatio Fire Dept. Fire Zone UsePermlt'f Gasplp(ngaystem°1=.5'outlets.:; 1.'50 EQA Parking Plans Parcel Declaration Parcel. Ma P 60' R/W . im rovement' P s i Each additional outlet'' ` + `:30 - 1+ q. Building•sewer •5:00 Bld'g6-PIa-ns ,- ars.4 Lawri sprinkler system 00. ;' tNEW ❑ ADDITIONS UI ES,[, UT LITIE OTHER Permit Fee..' ELECTRICAL No @': FEE c PERMIT FILING FEE $3:00 �zriCl, , ,•• ., ' Single Family ® Duplex r •Motiii Home"❑ .1 Others ❑' -' Main service 600V OR LESS 100.AMP OR Lit 5.00_ E' Main service En. ADD'L too AMP; . 2:50' " •- - ,x - 'A - '• O V E R 600V -' Maln`:Service .100 AMPOR LESS• 25�.00 - , % Main service' EA: ADD -L 100 AMP 1,•00 NE ON DWELLING OCCUP.. 4 T: O R'ADD NS. ACC. BLDGS,� 2�s•q ft _1 •. 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 ..Style Of:---. -'• -'+I - 1 NEW CONSTR' /MULTI -OUTLET..' NON-RESID; BRANCH-CIRC,UITS• 2 50.ea ' - r y - NEW CONSTR. POWER. APPARATUS :B• - - ' = NON-RESID. SINGLE OUTLET CIR.50. EX.•OCCUD(OUTLETS OR'FIXTItR ES BAL.�1 Ex. Occup.. FIXED-APPLNS. OR'. P•�OUTLETS (RESID ) EA) 2.00 Temporary service 10:00 • r- Mobile.Horrie Facilities' 15.00 ... r A`' License No: %�'��, R I Classification Mise: Wiririg': 6.25• Gam exempt from the Contractors License Laws of the State of California.' : Permit Fee WORKMEN'S COMPENSATION' INSURANCE ! am aware of provisions of Section3700 of the California Labor, : Code which .requires every.,employer to be .insured against liability for Workmen's Compensation.i, aI have -placed on filerwi,th t -fie. County of•Butte a certificate of .E Workmen's Compensation .Insurance. _� "a.. I 'certify that in the:;performance of the work' for which this permit, ,lan P issued- 'shall not.em pto y y person in any manner _ so as to become subject to therWorkmen's Compensation Laws ofd ! California. `' ' _ I certify that) have r'eadthis- application and state that the above information is, correct:,) agree: to comply to -all County Ordinances ° ! and State Laws relating .yto*ibuilding constru6tion, ,and hereby MECHANICAL' FEE ML1NG - PERMIT FEE ` $3.'00 Heating" Cooling Ventilation Hood,. r ,e, 2.00 (C t`+ $; t Permit Fees . , -: Land' Development Fee, t•,,`+ ; Sa y� '. $ TOTAL PERMIT'FEE '. a ,.: _t , $ G� auallullaa fvp'1 11tatlyi— ur. tim t,uunty or putte to enter upon the above-mentioned,property" for inspection purposes. pie . � sir►y' !'�}f I�sa s .. Date Z/ 0'.V IVA. Signature orf Ppewrmi�t.. e• or Agent Receipt No. . � • ' ' White-D.P.W.. –(Yellow -Assessor- Pink -Inspector – Goldenrod -Applicant This permit is hereby`issued`:un der the;'applicable provisions of the Butte County Code and/or •resolutions ;to do work .indicated above for. which feesnhave been'paid DIREGTOR OF PUBLIC WORKS t By if I %/i Bmf rt /1//%%, ,' k ' Date / //2•'7,/7 +' _ . Building pilirmit.expires Date_ -7.1-- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Centert2rive - Oroville, California 9965 Telephone'1,534-4541 t APPLICATION :ANQ PERMIT. 6917D7 - autnorize representatives or the county or butte to enter upon the above-mentioned property for inspection purposes. LI�— t ,CJ Date Signature of Permitee or Agent Receipt No. �1 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This p.ermi'hi -hereby issued under the applicable provisions of the Butte Cour►ty Codeefand/or-:resolutions to do work indicated above forvwhich'fees have -.been paid. j0IRE R OF P BLIC WORKS By r Date /7,7 /7,F— Building permit expires Date l 67 4'-7_ BUILDING Owner _u SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor 16 a? V14 7"1 v _ E d? f C_ ' Mailing Address Fireplace Total Valuation cj, 1' �� .H Telephone No. _ Q Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee ISO CA .S 1 r LeJv PLUMBING No. @ FEE 300 / PERMIT FILING FEE. $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. _ Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s W. . S817 taTMM FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 B I d s ec le I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER El permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Tz 00V OR Main service 100 AMP ORSL=SS5.00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 E 1 t1 t A + Q Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEWd OR ADDNST ( ADWECCLBLOGS.LING CCUP. 22sgft 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 style of: // I //f ` A1�4 �/A b/!r /'fes i<� r -+n12 NEW RESID,CONSTBRANCH CIR T NON-RESID t BRANCH CIRCUITS 2.50ea NEW CONSTR. /POWER APPARATUS'& NON.RESI D. (SINGLE OUTLET CIR. EX. OCcuo(OUTLETS OR FIXTIIRES 50025 FIXED APP LNS, OR Ex. Occup.(OUTLETS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No..27 -1 F; 3 Classification C /D Misc. Wiring 6.25 Baa ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen'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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood ci�a_^alttl�tfR; t'e.� �."� " 2.00 Permit ;Fee o>r $ $ 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 Land Deyelopmenyt Fee, ,10 1i $ TOTAL PERMIT FEE $ autnorize representatives or the county or butte to enter upon the above-mentioned property for inspection purposes. LI�— t ,CJ Date Signature of Permitee or Agent Receipt No. �1 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This p.ermi'hi -hereby issued under the applicable provisions of the Butte Cour►ty Codeefand/or-:resolutions to do work indicated above forvwhich'fees have -.been paid. j0IRE R OF P BLIC WORKS By r Date /7,7 /7,F— Building permit expires Date l 67 4'-7_ r 9tslf'12i91I1611111006181Z Wd 861 � z noN wd r ��aoM at�ana �o �aao ��nc ra ,uNnAo 1 � y :COUNTY OF; -BUTTE ' 7 County ,Center;Dri Tele �. AP P J eN +. � A �+•w � r ' Ari TMENT OF PUBLIC WORKS % oJille, California 95965t F h' dMh' - t YZx•yt P A? 45_4'1 Nb PERMIT r• y�,,...,.� u,c vvui„y w ouuc iU_cnic, uNvn L11U This permit is hereby -issued under the applicable,°provisions of, above-mentioned property for, i nspection purposes s,. tfie`butte County Code and/orresolutions;to.do work indicated. • �� : .; ti�� t above for Which -fees have.'been paid.."' °�� r•J�. �%5. S'rDIR'EC`TQR OF PUBLfC WORKS - Date 1 Signature of Pereii,ree or Agent • - 2'.%�/f . '}•, f , . •, BY '¢ ` t Dated }•, �tl! Receipt No. D. P. W.' - Yellow-Assessor-._Pmk-Inspector:- GoFdenrod-Applicant BUhlding permit expires'Date . =jr :- Owner SQ: FT.OCC. 'BUILDING VALUATION r - - r.'-✓ Maiiing'Address, F �^'7��/��lt-". ,_ Telephone No s, •.r' (:' w Y , Fireplace " J 1 Contractor -;✓r 7.C'" Elr �?�;�� ��,;.» Total Valuation Mai ling'Address%/w -Pe rmit Fee. ;,�•r �. m , Plan Checking Fee &/or Penalty. " t� r� 1 ..t cr r Teleph'one No. r Permit Fee 3 $ _ ; Buiidind:'%ddress' ' '. : , t 3' �_r�) rJC n `K %j(Q}'' ; PLUMBING No. • @.. FEE PERMIT.FILING 'FEE $3.00 p- .. Each Trap 1.50 .. /,//�//j.• rf�/�J, q�/.� .1 .. ��/+:• ..µ ', jy ._ �� , Repair drainage or;ventPipin9 :1.50 r Water -piping- 1.50' * .� Eacli .gas water heater or'vent, 1.50 t Zoning &;PIann,,ng tle ;,Gas piping system 1, 5 outs 1.5o 2''•. . Each additional'outlet r ° 30 Fees . W:tC> SaniitaUon : `Fire'Dept ;Fire Zorie. • Use Permit - , Building sewer �- , • ` "` 5.00 t `• EQA Parking Plans - Parcel '; Des,laYation'' \ 'Parcel Map 60' R/W ° -_ Improvements Lawn sprinkler system 2.00. Bldg. Plans Rec'd' Parcel Approval Plans Approval ' eerml.t Fee $ ,ovt2 NEW. ` . 'ADDITION'D" F, :UTILITI•ES ❑,,, r OTHER :� . ELECTRICAL No @' FEE '. , PERMIT FILING FEE . ,.. $3.bo _ /-7iCJiC%: .A : AieLc�;f :`'- 1>)A Tz:�1 ;'; Main service incl. 1 `meter.,_ Additional meters, each u' 1.00 • •, , Single Family Q`,.;t ;Duplex.], Mobil Home � . °Others : Sub -panel (12 or less)' (more than 12) Range; Cook=top,or Oven . - 1.00' V • , t, Water Heater or,Space Heater 1.00, , r 2'(d2 Light fixtures-,,;. b Receps;, switches & fix outlets ` CONTRACTORS .LICENSE LAW r, I am licensed under'the provisions of Chapter 9, Div N3; 'o-f,the „State of. California .Business. &•Professions Code under the name style_ of: �M', `� •, .. }.,.n 79 Uyc _ ��at�.r•.�r, Hood Ex. Favor F.A. Furn. Motor.. 1:00 ' + y. Eyap,;cooIer, gar.Aisp: or D.W.1.00 Air conditioner•or heat .pump Water pump Mobil. Home'Facilities 5:00 �/;,' Temp.,SPower Pole 5:00 LicenseNo.2- I � 2 5L5r Classification .•f - Misc. wiring Tam exempt from the Contractors License Laws of. the, State of -Cal .�' Permit Fee.{ y: .- '_ ° $',� $' 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,IJabiIfty . ` for: Workmen's Compensation: I have placed on,file with the County of Butte a -`certificate of ' �Workmen'.s Compensation''Insurance. "` i 0 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.. Cal i forni a. E ..MECHANICALt•� No, @ FEE. PERMIT FILING•FEE' $3.00 Heating Cooling, �.•• Ventilation ` �• .,• Hood'. k 2.00 Permit -,Fee" $, $ t I certify, that. have read this application and state that the above inforrnation,is correct. I agree to comply to all• County Ordinances and' State Laws .relating .to.=building construction, .and hereby " * . -•• TOTAL, PERMIT. FEE $ �j`kc r• y�,,...,.� u,c vvui„y w ouuc iU_cnic, uNvn L11U This permit is hereby -issued under the applicable,°provisions of, above-mentioned property for, i nspection purposes s,. tfie`butte County Code and/orresolutions;to.do work indicated. • �� : .; ti�� t above for Which -fees have.'been paid.."' °�� r•J�. �%5. S'rDIR'EC`TQR OF PUBLfC WORKS - Date 1 Signature of Pereii,ree or Agent • - 2'.%�/f . '}•, f , . •, BY '¢ ` t Dated }•, �tl! Receipt No. D. P. W.' - Yellow-Assessor-._Pmk-Inspector:- GoFdenrod-Applicant BUhlding permit expires'Date . =jr :- l►I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville,'.California,95965 Tel ephorre;,534.4541" ' APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applic"able` provisions of above-mentioned property for inspection purposes. the. Butte County Code and/or resolutions to. do work indicated r above for which. fees have been paid. X 6 Date'TO "PUBLIC WORKS Signature JoffPPPermitee.orAgent- By pates Receipt No: permit @Xplf@S �8t@ —93 ��� ,White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ✓ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address •�� Lft ', Telephone No. , Fireplace Contractor ,,7 Total Valuation Mailing Address Permit Fee - Plan Checking'Fee &/orPenalty' Telephone No. Permit Fee Building Address PLUMBING No. - @ FEE PERMIT FILING FEE j $3.00 p -a S Each Trap- 1.50 Repair drainage or vent piping - ° 1.50 Water piping 1.50 Each gas water heater, or vent 1.50 A. P. No. Q ? - Zoning & Planning Gas piping system 1-5'outlets 1.50 Each additional outlet, 30 F W- Berth nn Firebept. Fire Zone, Use Permit Building sewer 5.00 EQA Parking Plans ParcelLawn I Declaration I Parcel Map 60' R/W I Improvements sprinkler system / 2:00 ,2.101-0 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ .ov , NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. ' @ FEE PERMIT FILING FEE $3.00 ,44WA) ,-1 Main service incl. 1 meter Additional meters, each 11.00 Sub -panel (12 or less) (more than 12) Single Family ® Duplex ❑. Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesb I�d2 Receps., switches & fix outlets CONTRACTORS LICENSE LAW' I am licensed under the . provisions of Chapter 9, Div. 3, of the . State of California Business & oProfessions Code under -the name style of`. ✓v Hood, Ex. Fan or, F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.2 1 it Z �S Classification L � � Z Misc. wiring [:],I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE 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 Workmen's Compensation. it ®1 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,[ shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee' - $ $ I certify that I have read this application and state that the above information is correct. I agree'to comply to all County OrdinancesTOTAL° and State Laws relating to buildina construction, and hereby PERMIT FEE $ �j' authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applic"able` provisions of above-mentioned property for inspection purposes. the. Butte County Code and/or resolutions to. do work indicated r above for which. fees have been paid. X 6 Date'TO "PUBLIC WORKS Signature JoffPPPermitee.orAgent- By pates Receipt No: permit @Xplf@S �8t@ —93 ��� ,White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ✓ >�:a;u •--•,......:.�—.,..--.�'x...� .�ct,,,��.-..�...-..y:':. .•'+`.-�..v_ -...,-,.�..^"-... �`+.�v''✓:�°^'^,A,r_,�•��# r.�:�-....-�r..r.'�.�_-.�-r`'�..•,.rj.:' ,;�cW •s,.-.��.. ,.-...".�....X-w-�� r/, N, �.,..�tvl 1 Permit#3628-82M i Tnn A„•rii,eo COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 - APPLICATION _QID PERMIT ASS -SS IR PARCEL NUMB - _ i Ki ZONING BUILDING PERMIT OWNER .Toe 0 k ) 0 os TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS COJNJTRACTOR'S NAME / /'tom /TELEPHONE !'} CONTRACTORSSiMAILINU ADDRESS )) ' f Fireplace CONSTRUCTION LENDER t i) UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS •, Permit Fee $ ARCHITECT OR ENGINEER ' LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING AD RESS Permit fee $ BUILDING ADD ESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 s Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MA'P Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE — / SF L�' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S GW 10.00 e TYPE OF WORK,Permit New ❑ Addition Remodel ❑ Utilities ❑ 1 stallation ❑ Other Describe work: A t J — Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 VAMP OROR LESS10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. I 2�ZQSQft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): V[jl am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions ode and my license is in full force and effect. License No. j2- Classification- i-: C- �_ ❑ 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 NEY! CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR I POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occu zAL@30 P(ouTLETs OR FIXTURES BAL�30¢ Ex. Occup. OUTLETS ED P(RESID )REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 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 of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Inh AA BTL)� Cooling Hood 3,00 Ventilation Permit Fee —_ $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, 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��"" f�` �^^-� ✓ h� /� Date 11 % J Signature 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI'�E OR OF PUBLIC WORKS { `I _ 1, ` By Date PERMIT EXPIRES Datel_ 1 :3 Receipt No. .. is h WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT `r. d COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone 916/534=4541• APPLICATIO -0i PERMIT } P%RMITr. ASSESSOR PA,�2CEL NUMBER - - - ZONING BUILDING PERMIT owNp)`EB.r%J\ \' J) TELEPHONE. SQ. FT. OCC. 'BUILDING VALUATION OWNER'S MAILING ADORE CON RA TOR'S NAME _ 'O' •CONTRACTO TELEPHONE V - - MAIL N, A DRESS Fireplace CONSTR UCTIO'N LENDER tu N a Total Valuation Filing Fee ' $ 10,00 . LENDER'S MAILING ADDRESS , - . Permit,Fee $ ARCHITECT OR ENGINEERLICENSE NO. _ Plari'Checking Fee $ ' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ ' Permit fee. $ BUILDa. A D 55 - PLUMBING PERMIT ,. Filing Fee. 10.00 Each Trap 2:00 Solar Water'Heater' 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME -• r - PARCEL M Each qas water heater or vent' 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lefiome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S ''G W 10.00 e TYPE OF WORK,Permit New ❑ Additio Remodel ❑ ' Utilities stallation❑ Other Describe work: % Fee + $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP ORL.ESS 10.00 ' - •-NEW Main service EA. ADD•L 100 AMP 2.50 CONST. / DWELLING OCCUP.&) OR ADDNS, l ACC. BLDGS. _ 21�ZcSQft ' CONTRACTORS LICENSE LAW • I declare rider penalty of perjury (check one): ' am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions ode and my license is in full force /and effect. License No: b 2 Classification�-Z-O C —3 ❑ 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 CONSTR ULTI.OUT,LET NON •R ESI D.BRANCH •,C IRC ITS 2.50 ea NEW CONSTR. POWER APPARATUS &) NON RES D. SINGLE OUTLET CIR. / .Ex. OCCUp\OUTLETS OR FIXTURES' eA ®630Q 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 MECHANICAL`PERMIT' FiIingFee .. 10.00. WORKMEN'S COMPENSATI ONINSURANCE , I declare under penalty of4perjury (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 CertificateHood of Consent to Self -Insure. F -]I shall riot employany person in any manner so as to become subject to1he 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. Heating �0 Cooling ' 'a '3:00 Venti lation permit Fee .' $ Contractor - I certify that I have read Ithis application and state that the above information is,correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. , I 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 agai t said County in con equence of the granting of this permit. j X t -v Date 1 4(5 �i Signature di 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HO ISSUE This permit is hereby issued'under sions of the Butte County Code and/or work indicated above for which,• D E R O PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid.; i WORKS Date — i ��• g Z --7 Receipt No. �l� • ' - WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 71 "'IMMIN 'UP al v "I '1 11 Ail 4110 I.," Ii "I T 1111TIM r .Q') gl! 4" iqp 6 �,! , .1c mMi, -w-, W-1 M, I M -11W 4 tot 4 od Ofy Ito If 04 ""t 4)"t *�d .0 4*04, Clio "It 11M �N 01 42 04- fliw f"11-1 d W: irl .,i 11 1 -�", , I 't -,i[ (:�[ �"I 1� 0 ji: w t Y'r 6 on, t.21; I i I I I. � - . �-J 41. tio gtz 4 . pl- i Ca V sm ,tw� .4 vrt , Co4 i . 7'. � Il4l. .1 5 T I- '47,x4m, ji -4,, '44 V 7. ;t q I , - I - 2 1 1 1'.qi, �'Iw 40-1 04'0 k, V �!'t tl� Jl 4k V`;;" "ll' `Vr'--j' lit I 4�' oft 0 4" -T -U e N NOTE NCit-V PAP' D $TA�p Ft"') 0 Fk '7 rU;5,rF� _T CA5tsjv-T + F "llmove- Nk I K Ro kv, IN DRp-S$1),4(.T ;�,M- -vr,. 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