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21-134-6
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Block Rd., Gridley ti
Permit #759 79B,P,E(azstall bathroom
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Permit#241-80M(m zh/7597-79)SF ,a
21-134-6 .
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ermit#' 67-81B (lst-'renewal/7597= .
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021=134006
LITTLE" HAZEL �'P laces
1230 BLOCK RD; GRIDLEY
C 5NT:-NORTH-VALLEY ELECT
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021-11r1-666.t INALE
LITTLE; GARY
' 121 BLOCK RD`'f GRIDLEY
RE-TAG.GAS
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT
(Rev.12/96) APPLICATION.AND PERMIT---�
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAIUNGr..LRESS
CONTRACTOR'S NAME
TELEPHONE
t
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS _
Energy Plan Checking Fee $
l a pi
PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
sPCCW_y
Solar or heat um water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ��,—Tf1U (W L. C�i.
Gas piping system 1 - 5 outlets 15.00
sewer 15.00
—Building
S
Mobile Home G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service zoos oA '.ss 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is 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.
(00 1 am exempt under Sec. , Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
J/0,-0 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
ll 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'
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.
.- -, N "'IN
t,
X �— lD_Ate r.._ (: -
jnatu—re o anb t -wrier ❑ Contractor ❑ Agent
An OSHA permit is requireA for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLINGOCCUP. SD
OR ADDNS. ( a ACC. BLOB. 3.5¢FT.
NON-RESID. - MULTI -OUTLET 97,50
8 POWESM10LE R AOUTLET PPARAnS
CIR.
OUTLET OR FIXTURE.
Ex. Occup. BAL ®1:50
FlXED APPLNS. OR 5,00
Ex. Occup. OUTLETS RESIDEA
.
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirin 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES IMP
I FLOOD
I CDF
PARCEL
PO
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
3vy\yyl /Date
PERMIT EXPIRES OITE•D.D.S.-B.D. (Date)
rReceiptNo-_,:,"3_/k-t,1moi'; X)
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
(Rev. 12/96) APPLICATION AND PERMIT 04 0!71
ASSESSOR PARCEL NUMBER
-OD
ZONING
_c
BUILDING PERMIT
OWNER
TELEPHONE
RZ1.6-41 O
39
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSENO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
J;M�ryyBLOCL RD
Energy Plan Checking Fee $
$
02 oC
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 1 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RF—TAC' S LTNT.
Gas piping sy2tern 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
R LESS
Main Service 200AORLESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
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.
❑ I am exempt under Sec. Business and Professions Code for this
reason
Mein Service WEA TO 46.00so
CCU000A
NEW CONST. DWELLING OCCUP. SO
OR ADONS. ( a ACC. Bins. 3.5¢FT;
No" N.RESID. T.MULTI-OUTLET @7,50
APPARATUS
a SINGLE ourLEr cw.
Ex. Occup. OUTLET OR FIXTURES BA2L(''50
L (P .SO
Ex. Occup. OFIX�E AP -=.) E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
PERMIT FEE $
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
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'HAZ.
compensation laws of California, and agree that if I should become subject to the
w ers' compensation provisions of section 3700 of the Labor Code, I shall
Orth ith comply with se provisions.
// _
X to Y1'
gnat pp' caner ❑Contractor ❑Agent
An OS A ermit is requir or excavations over 5'0" deep and demolition or construction
of stru es over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
O. FEES IMP
I FLOOD
I CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
y lDate
PERMIT EXPIRES
Oafe
ReceiptNo.153796 Q5R 0171
WHITE-D.D.S.-B.D. CAN'ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
f
COUNTY OF BUTTE -DEPARTMENT OF0EVE�OPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA"95965 Phone530)518'27541• Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBEER
a r 0
L
Proposed Building Use: I &+. Counter Technician: Date: (O r
Items:required in or r to apply for a permit. All bogs MUST be checked OR marked NA in order to apply.
❑ 1.. Plot plans, 3 or 4 sets, signed by the preparer of the pla�nS. �"` {', o
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calcpl3tions in triplicate-, (C Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet-si ng e by4he en 'neer, 0
Items required for initial plan reyigw. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up whe required items are received.
.............
.. Date Received By
❑ 8. Flood Elevation Certificate; -wet -stamped and signed; in duplicate ................................
❑ 9. Plot plan and businesswlicense approval from the�Citjr'bf Biggs ....................................
❑ 10. Letter of intent for non-residential buildings......................................:..................
❑ 11. Detached Accessory Building -Form filled out by the owner .....................................
❑ 12. Hazardous Material Form..... "".,"�................'..............................................
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................`
❑ 15. Statement of Intent foron-heated'and A/C Buildings .................................`..,,.........
❑ 16. Sanitation and plot plan arproval from the Enyironmental Health Department in ,rte•
❑ 17. City of Chico Plumbing permit....................`....................................................
❑ 18. California Department of Forestry plan approval O paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about O Improvements, ❑ Drainage ...............................
❑ X. Encroachment Permit-forA fivewa fro P/u4lic Works Dept. (construction approval prior to occupancy).
e 22. Pre -Inspection for 0 VLA%I jL l t ( t &.S required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
O 24. Worker's Compensation Carrier and Policy Number ..............:..............................
O 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits..............°R.....!.................................
❑ 30. O Grant Deed, ❑ M.H. Title/Statement of Facts, O Letterfr4m Legal Owner, 0 Check to i.C.D. $
❑ 31. Other:
When issued Telephone and hold for pickup.
I have been infor ed o the above it ms and requirements for obtaining a building permit.
Applicant: Date: �v
1. Index permit app' ation for the above items numbered:
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by
Contractor, designer, owner, was advised of the above data by O phone, ❑ mail, ❑ counter, by
Plans reviewed by: Date: Plans approved by:
Structural reviewed by: Date: Structural approved by:
Note transfer by: Date:
Yellow: Building Division„
Plan Check Letter
_Date:
Date:
Date:_
Date:
IML
PRE -INSPECTION REPORT
OWNER-
LOCATION:.
WNER
LOCATION: OC IA 1,P,
CONTRACTOR: f i
DATE: _ ]� ' �O o 2
ZONING:
PRE-INSPETION FOR: I U Ve(L t— j (J -f t I I I I
DATE TO INSPECTOR: lo— — PERMIT HISTORY:( ) NONE FOLLOWS:
ACTION RECOMMENDED: ISSUE: HOLD FOR
Inspector.
Date
Sketch buildings on reverse and indicate location on property
BUILDING INSPECTOR'S REPORT
Building Description:
CommerciaMage:
Residential/# of Units:_
Currently Occupied
'
Abandoned/Vacant
Electric:
/
Yes No
Electric currently On Off
Condition of Electric
Gas:
On Off
Natural�Propane
None Currently
Obvious Problems:
Sanitation:
Plumbing Working
Well Working
Potable Water /
Obvious SewageProblems
Comments:
ACTION RECOMMENDED: ISSUE: HOLD FOR
Inspector.
Date
Sketch buildings on reverse and indicate location on property
e
I
COUNTY OF BUTTEF- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PEIMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
HAZEL I JITLF TRI IMF
TELEPHONE
c r
SO, Fr, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1215 BIOCTI 141 0TD11,Y. CA 9590
CONTRACTOR'S NAME
NM'rr1 V246-2081
TELEPHONE
CONTRACTORS MAILING ADDRESS
1290 WY 99, GRIDLEY. CA (11591A8
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 1230 BULK RD., GRIDLEY
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SFXX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
EP
Describe Work: REPLACE.FIE, SERVICE R tifTSC'. E7EC
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
OOOVMain Service 2o.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat I am exempt from the Contractors License
kfor the following reason:
as owner of the property, ormy employees with wagesastheir 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
construct the project.
am exempt under Sec. Business and Professions Code for this
reason.00
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
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'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions ction 3700 of the Labor Code, I shall
forthw' h mply with those pro '
Date ,P;,— tip' dZ__
Ligrfature of Xnt - Owner ❑ Contractor ❑ Agent
An OSHA permuired for excavations over 5'0" deep and demolition or construction
of structures oories in height.
Main Service TO
46.00
CCU000A
W:L200A
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. a ACC. S.3.50FT.
1NjON-p61D. NST MULTI -OUTLET
97,50
POWER APPARATUS
a SMILE OUTLET CIR.
OUTLET OR FIXTURES
Ex. Occup. SAL @ r:so
AA 5.00
Ex. Occup. GFIx� Es GE
Tem orar Service 23.00I,
Mobile Home Facilities
20.00
Misc. Wirin 23.00to
PRE -INSPECTION 7-1-001
PERMIT FEE $ 319
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 89. Cg�)
HAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL PD
HO
ISSUE
Wool
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.
,
Y I r
Byf� �',. t!" ` / Date
PERMIT EXPIRES ON'
ate
Receipt No. 343562
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
- 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754100 PER IT No.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
021 -134-006
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
1215 BIOCK ED GIRTMEY, CA 9994R
CONTRACTOR'S NAME
NORTH V
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
1290 HW 99, GIRTMEY, CA 95948
CONSTRUCTION LENDER
Fireplace
LENDER'S MAJUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
12-30 BLOCK RD-, GET=
Energy Plan Checking Fee $
PERMIT FEE S
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SFXX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REPLACE M.F. -,ERUICE & MISG EJ R=_IC
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE S
ELECTRICAL PERMIT Fee 20.00
RLEFling
800VMain Service 20 A OR LESS 23.00 2_3 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.
At I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service zooA To ,000A 46.00
NEW CONST.DWELLING OCC. SO
OR ADDNS. ( & ACC. BLAS. 3.5QFT.
NOWN-RESINCOD. OUTLET
CIRCUITS MULTI- @7,50
POWER APPARATUS
& SINGLE OUTLET CIR.
20 @ 1'00
Ex. Occup. OunET OR FIXTURES SAL p .50
OR
Ex. Occup. ouxTtEEOTSA PP M.) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PRE—INSPEC110N 21-W
PERMIT FEE _
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 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
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'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions s ction 3700 of the Labor Code, I shall
forthwi h bmply with those pro) roon
e �� Date - d,.,
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee I $
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $
HAz.
D PEES IMP
FLOOD
CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By lel Date
PERMIT EXPIRES ON
a e
_ _
nt - Owner ❑Contractor ❑Agent
Ig ature of /er3
An OSHA peruired for excavations over 5'0" deep and demolition or construction
of structuresories in height.
Receipt No. 343969
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
��.^^'� ���"�'�.�'��w+y�ti��^II!'�'Trry.,�rh,SF���� �, "C.Y"�'""p.�.�:�„•..'•v."did„;'x.�•.`,��Lv�irq�.J'`,ya.%eS� . ... Y .
COUNTY OF BUTTE -DEPARTMENT OF.DEVFLOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
l p PERMIT APPLICATION DATA SHEET
OWNER: {^G Z ASSESSOR PARCEL NUMBER.
Proposed Building Use: J Counter Technician: CW Date: 3 I
Items required in order to apply for a p mit. All boxes MUST be checked OR marked NA in ord r to Lpply.
❑ L. Plot plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. :No faxes'.
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet-si ng_ed_b the he en ineer.
Items required for initial plan "review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate.......' ........................
❑ 9. Plot plan and business, Iicense approval from the Gityof Biggs ....................................
❑ 10. Letter of intent for non-residential buildings........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 15. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
44�
Encroachment Permt f driveway from the Public Works Dept. (construction approval prior to occ ancPre-Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits..........................................................
(]� 0. ❑ Grant D e M. ” e/S14tement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
L( 31. Other:
When issued Telephone and hold for pickup.
I have been inform o he above items and rets for obtaining a building permit.
Applicant: Date: 6
1. Index permit application for the above items numbered:
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by
Plans reviewed by: Date: Plans approved by:
Structural reviewed by: Date: Structural approved by:
Note transfer by: Date:
Yellow: Building Division
Plan Check Letter
_Date:
_Date:
Date:
Date:..
IPRE-INSPECTION REPORT
OWNER:
LOCATION: I gzo i?
'
CONTRACTORIhA e I C
A n
PRE-INSPETION FOR:
DATE TO
Building Description:
Electric:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
Abandoned/Vacant-
PERMITHLSTORY:( ) NONE (
BUILDING INSPECT'OR'S REPORT
Yes No Electric currently On Off
Condition of Electric
Gas:
DATE: 3 q 0 •
A.P. #_
ZONING:
Natural Propane None Currently On Off
Obvious Problems:
Sanitation:
Plumbing Working
Well Working Potable Water
Obvious SewageProblerns
Comments:
ACTION RECOMMENDED: ISSUE: HOLD FOR
Inspector.
Date
Zoxetcn buud►s on reverse and indicate location on property
PER VVN(O
PERMIT EXPIRESf
-.. t,OWNER Walter, Little
owner
!A CONTR.
• ''LOCATION (A.P. 21-134-6 )
NE corns of West Liberty & Block Rd.,
Gridley
al•r�yc�
iJ U
' ` f ;tier. - •'�.. r f
• ; .. • •. ,
Alf.
• - , .•i' fY�'`: . • • to
./4t.. f. I
,Temp. Power Poi/
Called PG&E
+a; Temp. Eled&Serv. RC1' C
y
' � Called PG&E
= � " Temp. Gas Serv. v
0" led PG&E
v,44, e VJB LED
yr .(D t
(Signature)
Stucco
COUNTY OF BUTTE — DEPARTMENT OP -PUBLIC WORKS
BUILDING INSPECTION RECORD
Subpanels
Mesh
BUILDING BUILDING (Cont'd)
Grd. Fault Prot.
PLUMBING .
Setback
Firewall
Soil Piping
Cooling
Forms
Parapets
1st Floor
I I..ae......—A
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Sidinq
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Car ort
p
Footings
Prov. for ph sically
handlca ed
Conformance of ex.
structure
Appliances
Gas PI In
Temp. as
&Test
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
I I..ae......—A
Interior Lath Ventilation Permanent df
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMA KS OR CORRECTIONS
-/7- 3. Cv
0 It
�f �
�. MV
--
(NOTE: An entry must be made on this form each time you visit the job site.)
V COUNTY OF BUTTE -DEPARTMENT OF' PUBLIC WORKS PERMIT N
7 County Center Drive - Oroville; California 95965 - Telephone 916/534-454
APPLICATION AND PERMIT 7`
o•
ASSESSOR PAR :jVWR ZONING
BUILDING PERMIT
ow R I TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
O R'S MAILING ADDRESS
- r��
`a/
CONTRACTOR'S NAME
TELEPHONE
,
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDERUNKNOWN
Total Valuation $
Filing Fee
$ 10.00'
LENDER'S MAILING ADDRESS
Permit Fee 2
$ 11 no
ARCHITECT OR ENGINEER
e'
LICENSE No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDR SS
Permit fee
$ oZ 1
BUILDING A DRESS /1
PLUMBING PERMIT
- Filing Fee 10.00
1
d
Each Trap
2.00
Repair drainage or vent piping
5.00
r -n 11-11 JQ1QAJ
Water piping
LOT NO.
SUBDIVISION NAME -
PARCEL mJkP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR SLESS5.00
-
Main service EA. ADD'L 100 AMP
2.50 F
NEW CONST. ( DWELLING OCCUP.Dj�
OR ADDNS. \ ACC. SLOGS.
22 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 BusinessDD
and Professions Code and m license is in full force and effect.
y
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
NON-RESID BRANCH CIRC TS
NEW CONSTF POWER APPARATUS e\
NON.RESID. 'SINGLE OUTLET CIR. /
Ex. Occup OUTOL 25s
OR FIXTURES • gAL@t00
A LN
Ex. Occup.�pUTLETSP(RESID )RE A. 2.00 '
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
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 beccme 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
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 `-/'- V
Signature of Applicant — Owner X 'Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
IRE F PUBLIC
By.
PERMIT EXPIRES Da e���I
the applicable provi-
resolutions to do
fees have been .paid.
WORKS
Date —
.���
Receipt No. q77)ri' 2�
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
11 cm, f
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, - Oroville, California 95965
r Telephone: 534-4541
' APPLICATION AND PERMIT
7��5�17-v
AA
autnorize representatives or the county or tsutte to enter upon the
above-mentioned property for inspectionnppjurposes.
X �!/!/ PJLJ R. 4 ./ ® Date /g —4f_ 4
Signatur9ofCPer itee or Agent
Receipt No. � 9,[ ? Q_
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.
DIRECT-DJMF PUBLIC WORKS
BY Date 7 1
;�:illng permit expires Date
BUILDING 711
Owner WA0_6R 6R L��-r
SQ. FT. OCC. BUILDING VALUATION
Mailing Address kr 2 B4O )� 33
G (-1eLc- q C+ qsy
`1i10
,C-5; •
Contractor W /)
Mailing Address
Fireplace
Total Valuation 2/ 90. 00
Telephone No.
Permit Fee Z , O
Building Address CoeW6-g
Plan Checking Fee&/or Penalty /2•0
Permit Fee (P • 00
3616C
,
L,( Se; -R q itry.. Alack %2,Q
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 ,08
Each Trap +.�6- .p0
aay
Repair drainage or vent piping 1.50
A. P. o. �
'–" 3q—
--
Zoning & Planning
Water piping 456 z,OO
Each gas water heater or vent / 4-614 2.00
F s I
vi/c,.
ire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets /4.59 Zoe/
EQA
Parking
P ns
Parcel
Declaration
Parcel Ma
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. lans Rec'd
Parcel Approval
Plans A oval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $ SOO
$ bt
//) STj4-(l__� 16/9-7-/;-PZ®M (f PS jai-/p_S
ELECTRICAL No. @ FEE
_16PERMIT
FILING FEE $3.00 ,QQ
Main service 100 AMP OR101 OR SLESS - 5.00
�/
Single Family [ Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
W C=
OVER e OV
OV O AMP OR LESS
Main service 25.00
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. DWELLING O 1
OR ADDNS. ( AN. BLDG . / 203gf • ZS
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:
NEW CONSTR BRANCH IR T
NON.CONST � BRANCH CIRCUITS) 12.50ea
NEW CONSTR. POWER APPARATUS d
NON-RESID. SINGLE OUTLET A.
Ex. OccuD(OUTLETS OR FIXTURES) 5 L25
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 37. 2S
$ ,% 1Z -c
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.
�j
EDI 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.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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 Development Fee
$
TOTAL PERMIT FEE
$ ff8 I `Li
autnorize representatives or the county or tsutte to enter upon the
above-mentioned property for inspectionnppjurposes.
X �!/!/ PJLJ R. 4 ./ ® Date /g —4f_ 4
Signatur9ofCPer itee or Agent
Receipt No. � 9,[ ? Q_
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.
DIRECT-DJMF PUBLIC WORKS
BY Date 7 1
;�:illng permit expires Date
.. • f.... � .. • � �, ,�[i .4. + �• ¢c Sef'1+"Ir �_•;k'!-,aa .t -t: `+ ' Url �.?y*�
S,_.._ ,"'��� �—_._�_._ s ♦ x �c.-0-•. is S i,r- a . u•• -•t---,- -� .�:I . - - 14�j «,��W 9`��
t O
7a ice.
d 0.
Lu Lu
UJ
W
CL
41
7.1
a+ / ? (/;J
:)gl'►
I
t
a6UTTr,
C.
BUILDING i
`
.
; K
I I
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1. 3
�r
BUTTS COLTY
BUIL.>)1►�IC
l .R' V
t.
- p,
COUNTY OF BUTTE --' DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
;Z�// ��,
_f6
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X moi!/iL'c XiZ,4-O�-� ?� Date
Signature of Permitee or Agent
Receipt No. � ,c�-,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 h e been paid.
DI EC R OF PUBLIC WORKS
BY o Date f
Building permtt xpires Date�ZI V
k
BUILDING
Owner ���syL.-i1-V�
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
R- p
g
T �-nZ'S / U
Contractor 5 C.0_�- J,1�Z--.
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address1C w�''
Plan Checking Fee&/or Penalty
Permit Fee
t C46a
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
cQL
Repair drainage or vent piping 1.50
A. P. No. [—C-2)
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
FluesW
G�'
Sar"et+err
FireDept.
FireZone
Use Permit
Gas piping system 1 -5 outlets 1.50
EOA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Rec'd
Parcel Approyal
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR 5.00
100 AMP ORSL=SS
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( DWELING
OR ADDNS. ACCLBLDGS.CCUP. Y) 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
st le of:
Y
TLET
NEW CONSTR BRANCH CIRCUITS)
NON-RESID. � BRANCH CIRCUITS) 2.50ea
NEW CONSTR (POWER APPARATUS B
NON -RES,D, SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES) g L 1� 25*
Ex. QCCU FIXED APPLNS, OR
p• OUTLETS (RESID•) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit 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.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
9 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 the Workmen's Compensation Laws of
California.
@
MECHANICAL No. FEEPERMIT
FILING FEE $3.00
Heating
J I A.5
Cooling
Ventilation
Hood 2.00
Permit Fee $ v
$
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
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X moi!/iL'c XiZ,4-O�-� ?� Date
Signature of Permitee or Agent
Receipt No. � ,c�-,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 h e been paid.
DI EC R OF PUBLIC WORKS
BY o Date f
Building permtt xpires Date�ZI V
k