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HomeMy WebLinkAbout021-110-012i14� •"�" ' o ' f « lk.. F , . a''� -•' 7 ✓ ' i^`'` rn i:.r r :. - �? % ^� ► K�/y�} y n K.; T:' ..� :l r i. .!.r t",r 'c✓ �•H.' .iC, � 4.- ,.. �i.:c«:lv�r '�'�'k --IO �''� � - til`�.Y�at'c• ...� i�' v� j 4 . AP- CHARLES-WRIGHT--..-. _ .-_- e/s Vermont St.,; 500'..N. of -----. Little Ave., Gridley contr: Burl Woodward, Gridley Permit# 597,-75B(install alum., wingows) c4 . 3 7� �. 021--110-017 PERMIT#96-1528 DEWSNUP; Craigs" 1452{Vermont'Su.,'Gridley Cont; Berry Electric ;~ •, t, , Ele' Ser Ch/SF'' c . l� ;. i ` ti.•= �lK'r: -- q/L 'r ' ='wi �' ` T � Y / N� .� n r � 1 + Y CopICy ,...•. � ', Pdatess • � 'Date ,' • GPset`B`1 Oate Met BSG v F McEe 6`l y. ti COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 021-110--012 ZONING BUILDINGPERMIT 1 OWNER CRAIG DAN" TELEPHONE 846-3116 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS q 1,111MY, AVE GRID117y, 95948 CONTRACTOR'S NAME TELEPHONE 747-5135 CONTRACTORS MAILING ADDRESS PO PDX '366 LIVE OAK. Q5,0551 Freplac,: CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCEL.SE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1457, VERWAT ST PERMITFEE $ IDLEY, 9_594A PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF fl Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping P P g system 1- 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK y New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other E? Describe Work: UPGRADE ELECTRIC SERVICE — Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service a00V OR LESS ( 200A OR LESS ) 23.00 YA Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and `my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 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 solecompensation, will do the work, and the structure is not intended or offered for sale. �+ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. Q. OR ADONS. ( s ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES 20 @ 1.00 ) SAL a .50 Ex. Occup. (oFIXEt-Drs PLNS..Oea) 15.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 en INSFEMON PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 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 workers' laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo , with comply with those provisions. X _ Date Signature Qf-� Ii a- Owner ❑ Contractor ❑ Agent An OSHA p�(mit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 66,00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under ttie applicable provisions of the Butte County Code and/or Resolutions to do work indicate Love r which fees have been'paid. Byof /,/ Date PERMITEXPIRESON !S (Date) Receipt No. 202040 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI ON 7 County Center Drive - Oroville, California 55965 - Telephone (916) 538 41 PERMIT—NO. APPLICATION AND PERMIT ��/CSo?8' ASSESSOR PARCEL NUMBER 021-110-012 ZONING B ILDINGPERMIT OWNER CRAIG DEWSMIR TELEPHONE 846-3116 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 179 LITTLE AVE GRIDLEY, 99945 CONTRACTOR'S NAME BERRY FIFICTRIC I TELEPHONE 747-5135 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS VERMONT ST PERMITFEE1452 S EY, 95948 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump Water heater 23.00 Water piping 15.00 Y USEOFSTRUCTURE SF t6 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: UPGRADE ELECTRIC SERVICE Mobile Home IS I G1 W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service a OV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) so. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (s SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 0 .30 Ex. Occup. FIXED OUTLETS D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION PERMITFEE s 66.00 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) JK 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo ith comply with those provisions. X Date _� Signature pp Icant Owner ❑ Contractor ❑ Agent An OSHA mit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 66.00 HA2. 1 D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicate ova for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work bee paid. fl Date C} 141? &� 6 (Date) Receipt No. 202040 WHITE -D. D.S.•R n CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET _ OWNER S h C�a1-ll d -O/ VAGI t ��t.cJ t,� o. Proposed Building Use VL P,- e,. 1-- Building Inspector Date 91, At time of permit application, I was advised the following data must be submitted prior to permit processing and!or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and'plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 1 Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (constructio approval requi ed prior to occupancy). 20. Pre -inspection for ��C >^ i c; /� . required. 1. Contractor's license information. (No., Name Style, Classification). C� 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner �. 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows: Telephone and hold for 1cl Other Mail to owner. Mail to contractor. p at office. Deliver with inspector. Applicant EXPIRATION OF APPLICATION Date Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant .-..,i�..� r,.�r�...-'rrya<a..rr.J►^h-�r.....-.+5 a.l I'+)^�'him+q7�.^t"i^P.7.{r^r'r�`�^"'�ti'�s.✓"��3"'•�«+w.��,.,..:tr.�y...•^i.-+...+"�,"1i4.r+�••.. yrY"'"'.:-I• .. _ _. ,� � . COUNTYOF BUTTE - DEPARTMENTOF DE,VELO.PMENT SERVICES - BUDDING D&I IOPSRP' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMITPPLICATION 2 ra iQ ;2wsnu r\ DATA S H E ET Building Inspector 001-1/ d - 0/ o - &o. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 8: Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construc iorp app ova( req dq�for to occupancy). . . 20. Pre -inspection for t� R '� c I� /- required. .. P-4 u �a g n.pe.!F 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner. .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. . 25. Letter of signature authorization . ......... :......................... .... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ......... . 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for ickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by_ Date Plans checked by . Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works j f I V� I TIATP: srl 9(,/ OWNER: C1, 1-0 !i.tl !I 7'- LOCATION: CONTRACTOR: ZONING: PRE -INSPECTION FOR: CV DATE TO INSPECTOR ;>18L19(1 PERMIT HISTORY: ]NONE ]AS FOLLOWS: s -P TYPE OF OCCUPANCY: �13UILDING ]NSF ECTOWS REPORT uilding Description: Commercial/Usage: Mobile Home: Yes[ N04. 4,16-sidentiaL/9 of Units: Currently 0 'edd jjj,,,<bandoneZacant lectric: tt I qY"es I No Electric is curre'ntly,:t On Off::; Condition of 6ectrical? --gaa4— ;as: •urentlyOnOf[M Naturalj/i' Propane[ ] None[ - Ali i Obvious f problems: ;anitation: Plumbing working Yes[ No( No[ Well: Yes[yj -.No[' PO - table water: Yes(] Obvious Sewage Problems: sue 11,iliold for: tis fiction Recommended: ]Is Lspedor: Date: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California, -95965 Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT ASSESSORPARNUMBER ( _ ZONING BUILDING PERMIT OWNER?) —F-,-/-T°�1ONE' �': ct: •S ti� 3li SO. FT. OCC. BUILDING VALUATION OWNERS ADDRESS L %4"" (/ Q. `� s^ i C� `9 `1� 411� i CONT NAME 1 TELEPHONE CONTRAC1 R'SMA6lNO ODRES Fireplace CONSTRUCTION LENDER - UN*4OWN Total Valuation $ Filling Fee _ '$ 20.00 ' " LENDER'S MAILING ADDRESS - - - - : _ -= _ Permit Fee - $ = ARCHITECT OR ENGINEER .. _ - - _ - — - LICENSE NO, Plan Checking Fee. Energy Plan CFiecking.F@B - ARCHITECT OR ENGINEERS MAILING ADDRESS - - _ - _ .. - Penalty - . $ ' BUILDING ADDRESS .- __- - t - PERMITFEE S PLUMBING PERMIT Filing Fee 20.00 /{ Each Trap 7.00 LOT NO. - SUBONISIONS NAME - - PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ I rstallation ❑ Other . C - T r i Describe Work: C �" 111 y� t/ ; (�= Mobile Home S G . W —4@20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service( po; oa LE ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions. of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Class Lic. NO. — OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. - I 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.Hood. ❑ . 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' compensation insurance carrier and policy number are: Carrier - Policy "Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - D Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60- deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUP. OR ADON ( a ) so. r. LTI-ACCUTLE NEW CONST. MULTI -OUTLET S NON•RESIO. ( BRANCH CIRCUITS ) 97.3.5t 0 @7.50 ER (a S GLE OUTLET C R. ) Ex. Occup. (OUTLET OR FOTTURES ) 200 I'00 BAL Q .50License FIXED APPLNs. OR Ex. Occup. _( oUTLErS (AESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 f - tZ S PERMITFEE $ Contractor' MECHANICAL PERMIT Filing Fee 20.00 Heating . Cooling 6.50 Ventilation_ PERMITFEE _ $ Contractor . Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 4• 11A2. D. FEES I IMP I FLOOD I COF PMCEL I PD I ND ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Dere) Receipt No. jC19 C /� 6/ WHITED O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, CafifoFnia 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPARC I.NUMaER ZONING BUILDING PERMIT OWNER TELEPIINONE. SO. FT. OCC. BUILDING VALUATION OWNERS ADORE v // CONTRACT S NAME CC 1E`.! GOMRAC RS MAILING ORES p i ve © Y'/ CONSTRUCTION LENDER UNKNOWN n $ rRingFee $ 20.00 LENDER'S MAILING ADDRESS - $ARCHITECTORENGINEERCENSE NO. g Fee - $ Energy Plan Checking _Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS -- Penalty $ - BUILDING ADDRESS m f9 _ PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBONIS IONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ 1 stallation ❑ Other Describe Work: C C'_ r I r c- Mobile Home S G W @20.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filinci Fee 20.00 _ R Ss ) . Main Service ( eoov DLEs 200A OR LES 23.00 ;1Y. 100 Main Service ( 200A TO IOOOA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions.of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in.full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed. contractors. to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for -this reason WORKERS' COMPENSATION DECLARATION_ - _" - I hereby affirm under .penalty of perjury one of the following declarations: _ ❑ I. -have and will maintain a -certificate of consent to self -insure -for workers'-_ he _ _ compensation, as -provided for by section 3700 of the. Labor Code, foe the- _ performance of the work for which this permit is issued. performance ❑ . Ihave and -will -maintain workers' compensation insurance: as -required by Section- 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height.'1-6 NEW CONST. DWELLING OCCUP. OR ( a ACC. ) SO. 3.5¢ FT. NEW CONST. MULTI.OUTLENS. TLE T NON-RESIO. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup: (OUTLET OR FIXTURES) 20 0 I.00 BACd .SO Ex. Occup._� Ou"XED PLNSi.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00. Misc. Wiring 23.00 - 11 e. - K 5 .D PERMITFEE s (� Contractor - MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling - Hood. - 6.50 _Ventilation - PERMITFEE _ S - - Contractor A Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ ,orl HAZ D. FEES I IMP I FLOOD I COF PARCEL PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) ry Receipt No. WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT } ;PERMIT NO. 597-75B P ^ C E i , M .MH UTIL. PERMIT NO. PERMIT EXPIRES—� —/ .'OWNER Charles Wright • i s 'CONTR. Burl- Woodward, Gridley. LOCATION (A,P. 21-11-12 ' e/s Vermont St., 500"N. of Little Ave. ►Gridley, • . 1 f t Temp. Power Pole ' Called PG&E ` Temp. Elec. Serv. Called PG&E -r Temp. Gas Serv. Called PG&E / 1 �/ JOB FINALED_� l v • (Date) ; (Signatur i i f Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa l l Slab . Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framin Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE ,. c COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING. (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathin Water Pi in Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically" handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas Final Z-7,1 Sanitation FIREPLACE Final Footing ELECTRICAL Throat Rough Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels CHANICAL Grd. Fault Prot. Heatin*g Service Cooling Temp. Pole Ducts Underground Ventilation Permanent F'm al Final REMARKS OR CORRECTIONS 4 A COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO �� 7 County Center Drive — Oroville, California 95965 // Telephone: 534-4541 APPLICATION AND PERMIT or 9 BUILDING Owner SQ. FT. OCC. BUILD NG VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ eczw Building Address D PLUMBING No. @ FEE PERMIT FIL ING FEE $2.00 l ¢ ach Trap 1.50 c Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. --► Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fs ld_TEQA Fire Dept. Fire Zone Use Permit Building sewer 5.00 Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 ane Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Familyur Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bale in Receps., switches & fix outlets 23 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State Cali rnia Business & Professio s Code under the name st I f: Hood, Ex. FanorF.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 N �,. Z 7 ��,� Classification r Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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 1I Workmen's Compensation Insurance. lecertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 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 Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Lj, /�CG0. / Date 2 A441ig/nwu�reof Permitee or Agen-t��� Receipt No. A?2 � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR PUBLIC WORKS By Date 2-2s —7 J� uilding permit expires Date..............Z.'.z:� ..� �'