HomeMy WebLinkAbout021-120-00321-12-3
Bert & Betty Onyett
W/S Block Rd.,a[pp.-lOO'S-of Little
Ave., Gridley
Permit #807-81BV,
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21-12-03
403-90E
ONYETT, Bert
1443 Block Road
Gridley
(new elec ser)S'
F
Or -r -ICE COPY
Address
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meter BY—
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COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Cali fornia95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
21-1 - 2-03
ZONING
A40
BUILDING PERMIT
OWrIff RT ON=
TELEPHONE
846-3766
SQ.FT. OCC. BUILDING VALUATION
OW144Ttil NGI�Dkj E
OC stridley
CONTRACTOR'SNAME
nwnpr
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation —1 $
Filing Fee
$ 10.00
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
1443 Block RA, Gridley
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
UBDIVISION NAME
is
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF[X DuplexF� MobilehomeR Other
SPECIFY
Gas piping system I - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
110-00 ea
TYPE OF WORK
New E] Addition [] R emode I [:] Uti lities [I Instal lation Ell �OtherEl
Descri be.work: New electrical service
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 8001 OR LESS
100 AMP OR LESS
10.00 10.00
Main service EA. ADD -L 100 AMP
2.50 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the.13usiness
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed Cunnaut-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NE W CONST. ( DWELLING OCCUP.&)
OR ADDNS. ACC. BLOGS.
2'/2(tsqft
N EW CONSTFL �"ULT'_OUTLET
NON.RESI., BRANCH CIRCUITS)
2.50 ea
(POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup( OUTLETS OR FIXTURES
j.20 @ 50C
AL9 309
FIXED APPLN5. OR
Ex. OCCUP- OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Pre—Insp
15.Oq 15.00
Permit Fee
Contractor
$ 37.50
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100.00 (valuation) or less.
Ej 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
FilingFee 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 County ot
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.
. I �z__ 9
x Date.
Sig-a=.r.-f Owne A Contractor [I .,Agent
An CISH)k per,mit'is r , y.1d for excavations over 5'0" deep and demolition or construct-
ion of structure s over ies in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST TYPE
I TOTAL FEE $ 37.50
HAZ
I CUA I
PARK
I SCHL
1_;TL�PD
I HE)
Th:s permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
PUBLIC
I
1 B v
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date ?-I --s - 90
Z_ 1-;—<;
AF
Receipt No.— 58683 -APPLICANT
WNITE-D.P.W.. YELLOW-ASSE3_36R� PINK -INSPECTOR, GOLOENROO
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 4F
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 536-7541'
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNE
--t746-- -
MIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify. this office
when correction of work is completed. If you have any question pertaining to this
matter, 'or need ailditional explanation, please contact this office immediately.
Pplwloa za.
F A F
M WAJ
]VAL
Al
Date— Ir)-3-4?P - Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovl�le,,Calirornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ICY �9
0. -
ASSESSOR PARCEL NUMBER
21-12-03
ZONIN
A4
BUILDING PERMIT
"'ff RT ONYETT
TELEPHONE
846-3766
SO. FT. OCC. BUILDING VALUATION
OWNf44_TAffNG AQ&aE
ock slGridley
CONTRACTOR'S NAME ITELEPHONE
Coj�WnAeff�R'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
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
1 Z4. Z4.1 R I n r k- Rd Qri fi I PV
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFEJ Duplex[] MobilehomeF_� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ed
TYPE OF WORK
NewFJ Addition [:] Remode I [] Utilities F1 Installation[] OtherEl
Describe work: New electrical service
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 10.00
Main service EA. ADD -L 100 AMP
2.50 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
of the Busines
El I am licensed under provisions of Chapt. 9, Div. 3 S
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
F] I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.&)
OR ADDNS. ACC. BLDGS.
2/20sq ft
NEW CONSTR. 14ULTI-OUTLET
NON-RESID, §,RAN CH C'�!C UITS)
2.50 ea,
P WEIR TPF�R TUS.&)
(SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
--BAL@301!
20@50c
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
2.00
—
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Pre—Insp
15.01 15.00
Permit Fee
$ 37. 59
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-] 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
FilingFee 10.00
Heating
Cooling
Hood
3.00 1
Venti lation
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 County ot
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 County in consequence of the granting of this permit.
X Date. �q 9i,_
Signature of icant OwnerX ContractorEl Age
APPT nt
An 0SHA permit is req.18 for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories i n height.
Mobile Home Installation Fee
$
Energy Inspection Fee
occ
ONST TYPE
I TOTAL FEE $
37.50
HAZ
I CUA. I
PARK
I SCHL
I FLD
I PAR
PD
HD I 4a5l,12'�
Th's permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
UBLIC
I Bv la!�x
I PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Z-17
Date �,_9
Z__ is �14_
Receipt No. rg6gl
—
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT
COUNTY OF BUTTE. - DEPAR'T'41M'1510.,odO PUB'Lld� WORKS - BUILDING DIVISION
7,COLINTY CENTER -DRIVE - OROVILLE� CALIFORNIA 95§65 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
4
Permit No.
OWNER A. P.-.No.,;�/—
Proposed Building Use Building lnspeTtZ—?-t Date;�/�—
At time of permit application, I was advised thejollowing data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPOOVED
1. All items have been submitted. . .. .: ................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans .........
3. Complete plans in duplicate/triplicate, signed by preparer of plans
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting dodumentation ..........
7. Statement of Intent for'N6-6-Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions .......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit ...............
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use:—(B) Parking: . ......
-18. Improvements may be required. Contact Land Development Section DPW
I'l 9. Driveway permit (construction approval required prior to occupancy)
20. Pre -inspection for 42k--� required ... Pre-Inspec. request to
Building Inspector
21. Contractor's license information (No., Narr�e Style, Classification) ...
-22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner cl, Mail to owner 0) .....
-24. Recorded copy of Agricultural Acknowledgment Statement
25. Letter of signature authorization .........
26. pl,:�r ./,?a
27.
Date)
when you issue tne permit, process as tollows: I/ Mai I to owner. —Mail to contractor.
Telephone —and hold for plAcp at —office. _Deliver w/inspector.
Other I
Applicant
Copy of plans sent — Health Dept., —Fire Dept., — Other— Date
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
Date* -9— 5;;"— P11 6/
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by —phone---inai I —counter by—.da
Contractor, designer, owner, was advised of above required data by —phone —ma I I —counter by— date
Plans checked by Date Plans approved by X Date
Sets of plans on hold in File cabinet —AP folder
Copy—DPW
COUNTY OF BUTTE -
_DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT I �,
ASSESSOR PAR)EL NUMBER
ZONING
BUILDING PERMIT
TELEPHONF_
SQ.FT. OCC. BUILDING VALUATION
OWNER*S MAILING ADDRESS
_ p
44 AajEl _Q
CONTRACTOR';Se2pAE ITELEPHONE
(,XA 2AY-0-1-
CON'r_kACTOR'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
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING AO�ORESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
UBDIVISION NAME
1
PARCEL MAP
Water piping
5.00
Each qas water h'eater or vent
5.00
USE OF STRUCTURE
SF Duplexo Mobilehomen Other
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer _TS_TT17W71
5.00
Mobile Home
ea
TYPE OF WORK
NewF� Addition del 0 Utilities [] Installation[] Other
Describe work:
.11
Permit Fee
$
Contractor
ELECTRICAL PERMI T
Filing Fee 10.00
main service 101V OR LESS
100 AMP OR LESS
Main service EA. ADO -L 100 AMP
2.50
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
19 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
0 1, as the owner, am exclusively contracting with licensed mapou,
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&)
OR ADONS. ACC, ELOGS.
2Y2 Osq it
NEW C NSTR. MULT'_OUTLET
ON.R2S
N I., .11.11C. CIRCUITS)
2.50 ea
POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
0050C
1.2ALC 30q
FIXED APPLNS OR
Ex. Occup_._ OUTLETS (RESI*D.) EA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
—
A610
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for S100.00 (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
FilingFee 10.00
Heating
Cool i ng
Hood
3.00
Venti lation
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 Date
Signature of Applicant — OwnerR Contractor [D Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
cc
CONST PE
TOTAL FEE $
MAZ
CUA
PARK
I SCHI
I FID
I PAR
�P. ISSUE
01
This permit is nereby issued under
sions oi the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
tne applicable provil-
resolutions to do
have been paid.
WORKS
Date
Receipt No. I - . . . - - - -
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT
\�
o
J
V. PRE -INSPECTION
OWNER: DATE- /jt�
-LOCATION: A.P. #
CONTRACTO R: ZONING 44()
----------- -------- ------------
PRE-INSPECTION FOR: ELC-. Gczz 71(f
0A1 rA44 6 -CC-e- 1-�Cf Ld4VE -7 --j
DATE TO INSPECTOR
PERMIT HISTORY: NONE AS FOLLOWS:- 106'kO
d- t --�- �A2J�-
-iz7 06--eio Q -A,::: -
TYPE OF OCCUPANCY_
FIELD - INFORMATION
BUILDING USAGE:
TENNANT:
E::] OCCUPIED HAS ELECTRIC F,]HAS GAS
E::] HEATED -COOLED PERSON CONTACTED
OTHER COMMENTS:
E:] HAS. SANITATION -FACILITIES
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N
7 County Center Drive,- Oroville, California95965 -Te'lephone9l6/534-4541 7
APPLICATION AND PERMIT
ASSESS CE BER
��NUM
VOW 113
G
ZO —40
BUILDING PERMIT
OWNER
gC_-17y Cq1Jyr_rT
y4j�Hyjj
SO. FT. OCC. BUILDING
VALUATION
Or ��.S ML 05kAD7RESS4/2/,pL
CONTRACTOR'5 NAME
ITELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LEND ___rKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$ 11),60
ARCHITECT OR ENGINE R
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ Z0,
BUIL I G.ADDR.ESS
,gccic--�
PLUMBING PERMIT
FilingFee 3.00
L'I 77 -LE A145-
Each Trap
2.00
Repair drainage or vent piping
2.00
tel /-,) I/— E+
Water piping
LOT NO.
UBDIVISION NAME
is
ARCEL MAP
1P
Each qas water heater or vent
2.00
Gas piping system I - 5 outlets
USE OF STRUCTURE,
SFP?""Duple,[] MobilehorneRA""Other QEJVQQ77i9AJ
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New [_J Add ition [:1 Remode I [I U t i I i t i es 0 InstallationD Other [i; --Contractor
Describe work: 0 " 1-70 /1-1
Permit Fee
$
ELECTRICAL PERMIT
FilingFee 3.00
Main service 600V OR LESS
100 AMR OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&
OR ADDNS. ACC.BLDGS.
20 sq ft
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
P11,1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
r] 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(MULTI-OUT LET
NON RESID, BRANC H CIRCUITS) 2.50 ea
NEW.CONSTR. (POWER APPARATUS &I
NON RESID. SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES 50 @ 250
BAL @ 101
FIXED APPLINIS OR
Ex. Occup.(OUTLETS (RESI*D.) EA.) 2.00
—Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
MECHANICAL PERMIT
FilingFee 3. 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
2.00
Venti lation
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 County ot
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
agpmiSt said CouWy in cons;eq e of the granting of this permit.
k FW, 4 /u nc /I/ _/;)
64 Date
Signature of Alp—pliconl — 0- Contractor F1 Age nt -1
is .,u far :er 0
An OSHA permit Je xcavations over 5'0" deep and demoliti I on or construct-
ion of structures over 3 star es in height.
or .
Mobile Home Installation Fee
$
Land Development Fee $
—
TOTAL PERMIT FEE $ 2�0.100
OCCUP. GROUP
I TYPE OF CONST.
IPARCELI PC I
HO
I ISSUE
t-11
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt NO. 3K
WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARfMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
P
A7_71
A S S E S�O/R �ARCEI_ NUMBER
Z—f 03
ZON1170
;q
AW BUILDING PERMIT
OWNER
&�� � EET711" ON YIF77-
2/E
SO. FT. OCC. BUILDING VALUATION
OPEJ)S MA��NG A RESS >/ t) &C
OZD/ 4k
CONTRXCTOR'S NAME
1 0 1A A /; f—:1Z
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION
N OWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
Is
ARCHITECT OR,���R,
LICENSE NO.
Plan Checking Fee Z/
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUIL ING ADDRESS
&—ocle P-2), loop /00 S.
PLUMBING PERMIT
FilingFee 1600
Z -17 -TI -E AV C-,
Each Trap
2.00
Repair drainage or vent piping
2.00
67RIDI-C-1111
Water piping
/49-00
LOT NO.
UBDIVISION NAME
Is
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
/40,00
USE OF STRUCTURE
SFEJ Duplexn MobilehomeE4---Other SPECIFY
Building sewer
/a �o a
Lawn sprinkler system
2.00
TYPE OF WORK
NewEl Addition [:1 R emode 10 Utilities [g"lInstallation[I Othern
Describe work:
Permit Fee
$ 410. tj t)
Contractor
ELECTRICAL PERMIT
FilingFee /,000
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&
OR AODNS. ACC.BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
icense No. Classification
M -11L, 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
NFW.CONSTR MULTI"OUT LET
NON RESID. BRANCH RCUITS) 2.50 ea,
NEW C ONSTIRL POWER APP AIRATUS &
N ON,RESID * I SINGLE OUTLET CIR.
50 @ 25c
Ex. OCCUP(OUTLETS OR FIXTURES BAL@1
(FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
. eJ P 70 Z -#F 1700
Permit Fee $ 50
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 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
Fi ling Fee 3.00
Heating
Cooling
Hood
2.00
Venti lation
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
ag t said Co ty in conse ence of the granting of this permit.
C
X Date
SiPgnature of pplican OwnerEl Contractor FJ Agent
I cc
An OSHA erm is re i d for excavations over 5'0" deep and demolition or construct-
p it i
ion of stru tures over %stories in height.
Mobile Home Installation Fee
$
Land Development Fee $
TOTAL PERMIT FEE $ 53's eD
occUP. GROUP
I TYPE OF CONST.
/Y
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. 4o? 13 V
WHITE-D.P.W., YELLOVY-ASSESSOR. PINK-IN�P ECTOR. GOLDENROD-APPL I CANT
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