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Joe cuso MEGUEL, Norman 5013B
1294 B1 Rd., Gridley
3882P,
i Permit #2 81B,P,E,M(add living room, ( 82 E
bedroom & ba /SF)
21-134-12 e�s Block -Rd. app...1300.!.so. Litt a ve., '
Permit # 2187=82B( t rene 1 /22 -81) Gridley
—� CONTR: Joe Wright, P. . ;Box 674, Gridley
'2 34-12' (new single family) C� 3 ^a - S
Permit#577784B(2nd enewal/2187-82)
21-134-12 i
Permit#260 4B(3rd renewal/2201
t -- 21-134-12
Perm' X1368-85B,P,E(new private swimming
p -021-13=4-012 ;. ,. 93=23348 s
,V ISCUSO, 'JOE
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1294 BLOCK RD;'4GRIDLEY
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1294 BLOCORD GRIDLEY;
CONTR: kYDE REG
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMI NO.
APPLICATION AND PERMIT """ 3�v
ASSESSOR PARCEL NUMBER 021-134-012
ZONING
BUILDING PERMIT
OWNER
Joe Viscuso
TELEPHONE
846-2255
SQ. FT. OCC. BUILDING VALUATION,,, -
OWNER'S MAILING ADDRESS
1294 Block Rd., Gridley 95948
2,040.00
CONTRACTOR'S NAMETELEPHONE
Pr de Roofing846-0502
CONTRACTOR'S MAILING ADDRESS
P.O. Box 1134 Gridley 95948
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$2,040.00
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $ 54.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
j
Penalty $
BUILDING ADDRESS
PERMIT FEE $ 74.00
1294 Block Rd.. Gridley
PLUMBING PERMIT Filing Fee 20.00
Each Trap 1 7.00
Solar or heat pump water heater 23.00
Water piping 15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SFS] Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W 20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities EIInstallation ❑ "Other ❑
Describe Work: Reroof w/Comp •
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( 20000AA OR LESS OR LESS ) 23.00
2
Main Service ( 200A TO IOOOA ) 46.00
NEW CONST. DWELLING OCCUP. D.
OR ADDNS. ( a ACC. BLOS. ) 3.50 FST.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force/ �and effect.
License No. Classification ` - a 15?
❑ I, as the owner, or my with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS ) @7.50
( POWERAPPARATUS )
& SINGLE OUTLETCIR.
Ex. Occup. ( OUTLET OR FIXTURES ) B 20 00
AL @ 1.500
Ex. Occup.FIXED APPLNS. OR
( OUTLETS IRESID.) EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become.subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked. 7
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
Count consequence of the g�rantiing of this permit.
X� 1 Date- //. 9
Signature of Applicant - ❑ Owner Contractor EI Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
CONST. TVI'E
TOTAL FEE $7400
•
HAZ•
I D. FEES
I IMP
I FLOOD
CDF
PARCEL PD
HD
Issu
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated.gbove for which fees have bee%paid.
1 DIRECTOR 'OF PUBLIC"WORKS
By ,Ath 0 \JJh/0 1 Date
��
PERMIT EXPIRES ON
-(Date!
143668
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
;CNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION.
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERWJT NO.
APPLICATIOI_ AND PERMIT GG
ASSESSOR PARCEL NUMBER
021-134-012
ZONING
BUILDING PERMIT
OWNER
.Joe ViScuSO
TELEPHONE
X46-2255
/
SO. FT' OCC. BUILDING VALUATION
1
OWNER'S MAILING ADDRESS
1294 Block Rd., Gridlev 95948
34 2,040.00
CONTRACTOR'S NAME
Pr de Roofing
TELEPHONE
846-0502
CONTRACTOR'S MAILING ADDRESS
P.O. Box 1134 Gridley 95948
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$2,040.00
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $ 54.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $ 74.00
1294 Mork Rd-, Gridlpy
PLUMBING PERMIT Filing Fee 20.00
Each Trap 1 7.00
Solar or heat pump water heater 23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping 15,00
Each gas water heater or vent 15.00
USE OF STRUCTURE
SFj{7_) Duplex O Mobilehome O Other
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
`- 20'CC
TYPE OF WORK
New O Addition ❑ Remodel ❑ Utilities O Installation O Other O
Describe Work: Reroof w/Comp.
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( 11V OR LESS ) 23.00
200A OR LESS
Main Service ( 200A TO t000A ) 46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLDS. SO, ) 3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
pi( I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force nd effect.
License No. Classification — a❑ I, as the owner, or my employees with wages as their sollbwill do
the
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
( POW ER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00
BAL. 50
Ex. Occup' FIXED APPWS..OR
OUTLETS (RESID) EA5.00
(. )
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
IXI shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certifythat I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
Cou consequence of� granting of this permit.
X Date,/�/ 9
Sig ature of App Icant O Owner Contractor O Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occCONST.
TYPE
TOTAL FEE $ 74.00
HAZ-
I D. FEES
I IMP
I FLOOD
I CDF
I PARCEL PD
HD
Issu
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate bove for which ees have ee aid.
DIRE R F PUBLI RKS
BY Date :P "y
PERMIT EXPIRES ON �
lDatel
Receipt No. 143668
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Z / - /3c./— O / Z i/ / /
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 PARCELMB / __�>Lj _0 l �� zOMIN
BUILDING PERMIT
OWNER / ,S TE(,; -^!ONE
SO, FT C. BUILDING VALUATION
OWNER' AIUNG ADOR �laG (:gle G
G
CONTRA N E �
1�2
TELE E
0
CON R TOR'S MAILING ADDRESS G
Fireplace
CO TR 10 R
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
UC ENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS O
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Duplex ❑ Mobilehome O Other T
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition O Remodel O Utilities O Installatio O Other O
Describe Work:
PERMIT FEE 1 $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( WOV OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO IOOGA )
46.00
NEW CONST. DWELLING OCCUR
OR ADDNS. ( & ACC. BLDS. )
3.50 PTSD. .
CONTRACTORS LICENSE LAW(
I declare under penalty of perjury (check one)
O I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
O I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
•NON-RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS t
8 SINGLE OUTLET CIR. /
Ex. Occup. ( OUTLET OR FIXTURES )
p
8120 @ 1:00 50
Ex. Occup.FIXED APPLNS. OR
( O UTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20,00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
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.
Date 7 %%
S
Signature of Applicant - ❑ Owner O Contractor El Agent_
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAz.
I D. FEES
IMP
1. F1001
COF
I 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.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES ON
!Dere!
/ 3 6 4 k
Receipt No. [%
WHITE-D.D.S.-.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
rr Temp. Power Pole
Called PG&E _
Temp. Elec. Service
Called P(
a! Temp. Gas Se
Called PG
JOB FINALEI
Signature
i
ZbUl=tS4
r
1368-85B,P,E
PERMIT NO.
�
r
Q
PERMIT EXPIRES
v•
JOSEPH
VISC SO
OWNER
CONTR.. owner
21-1342
ASSESSOR PARCEL
1294
Block Rd, Gridley
LOCATION
O
r
�4{
k
e
f:l
rr Temp. Power Pole
Called PG&E _
Temp. Elec. Service
Called P(
a! Temp. Gas Se
Called PG
JOB FINALEI
Signature
i
J OK
0 = Not OK
— = Not Applicable MOBILEHOMES
* = Not Ready
e
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except q's
1. Zoning Requirements-Setbacks—Easements
2. Soils; Special MH Support—Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements—Setbacks—.Easements
2. Footings; Size—Depth—Spac.ing—Connectors.
3. Sewer; Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7. Utility Clearance
7. Elea
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOL tans) OK except k's
Se acks—Easements
2. Footings; Size—Spacing—Marriage Linej9--Soil
paction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector&--Pool
4. Electricity; MH Test—Crossovers—Breakers-Clearances
Structur onnections—Thickness—Dead Men=Lining
Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex ConnectorItr
ng; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
Enclosure ; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade—HD Approval
EI c.; on ing; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
lec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9f-�h Department Approval
1@—'Plumb; Cir. Test—Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card-BICDateL_ a_5— Card -BI Date
. � v
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL` (Single and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK exce t N's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except k's
14. Water Ht.; Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
65.
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except q's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
Insulation -Foam -Looked in Attic ❑Yes
25.
2 Appliance Circuits in Kitchen &Conductor Size
73.
Guard Rails &Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes El No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks E] Yes E] No;
Planters El Yes F-1 No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except q's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING Plans OK except N's
36.
37.
Sills; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_._
44. Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
47.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS d,
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT 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 additional explanation, please contact this office immediately.
s
Inspector_- _ _ Date—,___ c�
- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville,,Califorrt7a 95965 - Telephone 916/534-4541
APPLICATION ANb PERMIT
ASSESSOR ARCEL NU BER
ZONING
BUILDINd PERMIT
OWNERTELEPHONE
S -. b
r �S
SO. FT, OCC, BUILDING VALUATION
OWNER'S MA LIf1G A DRES
CONTRACTOR'S NA T EPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOw�a,
f/
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARC
TE T OR EN EER
LICENSE NO.
Plan Checking Fee
$ r
Penalty
$
ARCHITECT OR ENGINEER'S AIL NG ADDRESS
Permit fee
$ , 7
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL M P
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome ❑ Other rl �%al 1 1M R&D 1
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New V Addition ❑ Remodel ❑ Uti lilies ❑ Installation ❑ Other ❑
Describe work: —
Permit Fee
$ S '
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main Service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. SLOGS.
t
24sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElNON
I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
fff"' , ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI-OUTLET 2,50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR. (POWER APPARATUS &
-RESID, SINGLE OUTLET CIR.
Ex.'Occup OR FIXTURES BA ®30
FIXED APPLNS. OR
EX. OCC — OUTLETS (RESID,) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00
.
Permit Fee $
Contractor ,
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑, The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 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
FiIingFee 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 of
Butte to upon 'e above -menti ned property for inspection purposes.
I al agree to e, indemnify a eel armless the County of Butte against
al liabilities udgments, 'os , n penses which may ny way accrue
ainst sail C my in c s u ce a g of this e I. Z
Date
Si ature Applic — Owner Contractor ❑ A ent ❑
n OS permit is required for ex va ions over 5'0" deep and demolition or construct-
i structures over 3 stories in fight.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ ,
OCCUP. GROUP
TYPE OF CONST,
PARCEL
PD
ND ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
�CT PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. q�
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
1/
}
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE'.GALIF%RNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
OWNER
I
I
Permit No._
A. P. No. -$2 J - I 3 4 --1
Proposed Bus /ding Use�V �z
Permit Fee Based Upon: Complete Contract Price _DPW Valuation
/j Other (Explain)
Building Inspector. Date k! SJ
I
At time of permit application I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED, APPROVED
All items have been submitted
Plot plans irf'duplicat /triplicate. . . . . . . . . . .
3. Complete plans In duplicate./triplicate.
P�-, Complete engineered pand calcs. . . . . . . . . . .5-77 �S
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $
Letter of signature authorizatio . . . . . . . . . .
Sanitation approval from �- Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner, Mail to owner ❑.)
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . .
•
17. Pre -Inspection for RequiredPre-Inspec. request to
. Building Inspector (Date)
18. Recorded copy of Agricultural Acknowledgment Statement. r
19. Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor. 4
Telephone and hold for pickup ab—office. _ Deliver w./inspector,
Other_
ant
Copy of plans sent Health Dept., Fire Dept., / Other Date
During the plan checking process, the follow_ing-data must be submitted prior to permit issuance.
(For required items not checked above t 'me tion, circle item.)
1. Index permit for above items No.
2. Additional items required:
49
(Contractor, Designer, Owner) as advised of above required data by Telephone Mail Other
By !%j . Dated -S'
Plans checked by Date
Plans approved by — Date
Other:
Copy—DPW
4
To: Building Department
From: Environmental Health
Subject: Sanitation Clearance
LIE
mer Location Al'
Plan Approved for: Sewage Disposal _ Water Supply
Hold Final for: Water Supply
Final Clearance 0. K. for: 4Jater Sup}l.y
Clearance for bedroom house/
mobiletlome or other
Note***
R.S. Clerk
Date
0
7 '
a
l' ERMIT NO. p��p b TS;P.,E,I
P
PERMIT EXPIRES
OWNER Joe Viscuso
owner
CONTR.
ASSESSOR PARCEL 21-134-12
LOCATION 1294 Block Rd., Gridley
4AW 1cr
I
v
P.
e�
f,
7
ar
' fp Temp. Power Pole
Y
Called PG&E
Temp. Elec. Service
Called PG&E
t1
¢. Temp. Gas Service
�CalledPG&E
+R
JOB FINALED (Date)
0. Signature
^`= _ RESIDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION
AT1294-Block.R -- REGULATIONS
, (location) '
BUD -DING PERMIT NO. A.P. N0.
-------------
,... '
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge Single Clazed
1'dn. Walls Special (Insulated)
add to old ceili g 2AMM CT/FG 32" R-11 CERT. & LABELED WDS.
Walls CT/FG 32,1 R-11 & SLIDING DRS.
Ceiling/RoofC_T/OC'1F�1G 8 3/4WEATI1LRSTRIPPL••D DRS.
Ducts__ R-19 - BACK DAMPERLD FANS
Circulating Pipes _ INTERMITTENT IGNITION DEVICES
APPROVED HEATERCERT. APPLIANCES
APPROVED 14TR.11TR.
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
T11E COMPLETENESS OF, THIS CER
. �. - _:. ... TiFICATE AS. SUIIMITTED .",. .,
Insulation Applicator Name HaMktne Insula ion Co 7nc�
Signature of (plea4a jwin
Insulation Applicato
State Luntracwrk,
Licen e N 407
General Contractor Owner Nam
Signature of tint)
Cen,�ral Contrac Owner
ate
4ZZ
State Contractors
License No. —
THIS CERTIFICA'ZE MUST'$ ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
RLQUESTINC FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
Wrr111N TIIC L44rLLINC.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector` Date /
'` COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 594-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
(,!, (��'; • /`' �,!� 'r r.!/ t/) .,�--ri+-i • tet. - /,
r o0F d
G�
l
Inspector.,
Y
V = OK I
0 = Not jOK
Not Applicable MOBILEHOMES
= Not Ready
�Y
MISCELLANEOUS.
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Locatiort-Test-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec.
Card -BI
Card -BI
Date
Date Card -BI Date'
Date Card -BI Date,
MOBILEHOME INSTALLATION (Plans) OK except'#'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
Card -BI
Card -BI
Date
Date Card -BI Date _
Date Card -BI, Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI '
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater,
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test �.
Card B -I
Date Card -BI Date.
Card -BI
Date Card -BI Date
Card B -I
Date: Card -BI Date
Card -BI
Date Card -BI Date
s
J =.QK 7
0 = Not OK
- = of Readcable RESIDENTIAL (Single and Duplex) ,
Ready
Date UNDE L-OOR Plans OK except #'s
Date FRAM I Continued
Zoning requirements -Setbacks -Easements
4 roperty Line Firewall 8, Openings
2. Fig., Main; Soils-Steel-Elec. Grnd.- / Ftg. Depth
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg. Deptheadroom-Rise-Run-Landing-Fire.Protection
4. - - / /" Ftg. Depth
11 -.-Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
temwalls, Main; Steel-Blockouts-Wrapped-Slab
52. Siding -Nailing -Veneer
6. s, arage; teel-Blocko s -Wrapped -Slab
53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
ter -Fireplace Fig. Steel
54. Glazing Area -Glass Protect ion-Skylights-PlasQc
W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55. Shear Walls; Nailing -Bolts
r . Gas Pipe; ize- chors
ttj r+-L'L_
Water e; Te -Anchors-Regulator-Service Test
1. Electric; Underground
len & Ducts; Clear e -Materia pport-Ins.
� 3. Girqps!Sil{A,-Anc or P-fjPr--V�bia"Cr+�rpf>�5
and -BI Date rd -BI Date
S'C
Card -BI to -y and -BI Date
Ca -B Date Card -BI Date
Date FINAL (Plans) OK except q's
/
Card -B Date. Card -BI Date Q14
Card -BI Vd==Date "a Card -BI Date
Date PLUMBING (Permit) OK except p's
_ 1f. Water Ht.; Vent -Access -Combustion Air
56. Ext. Steps -Door & Sidelight Protection -Landings
57. SmO--Detector
urnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
1&e -Water Pipe; Test & Anchors -Nail Protection
1 W.V.; Test-Fttngs &Anchors -Nail Protection
59. Bedroom Exiting
7 Shower Pan; Test, First Floor -Tub Access
.I. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
a1,,-E)ec. Trim & Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Size &Anchors
6a 4tairc R R^iIs
----
. Fire ace or Stove; Clearances -Hearth
6--Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI Date Zr✓ard-BI Date
p i nce; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
tacles at Kit. Counter
Date ELECTRICAL Pe .it OK except q's
Swing -Landing -Closer
ge-Damper
Fixture & Transformer Clearance -Ins. Protection
earance-Comb. Air-Connector-P.R.V.-
Inarage; Above Floor-Mech. Protection
1 lec. Receptacles Spacing -Lights &Switches at Doors
71 Ib., Elec. & Mech. Equip. Listed for Location
ize Boxes & No. of Conductors -Stapled
sin Garage; (G.F.I.)-Romex Protec.
i Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
. Insulation -Foam -Looked in Attic C] Yes
73. Guar Rails & Deck Construction -Post Caps
lance Circuits in Kitchen & Conductor Size
--
dn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance
Lpoed under Floor ❑ Yes
_ 26. Subfeed Wire Size 12-1 ga. Cu or A -A.C. Wire Size / / ga. Cu or AI
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral r --,Yes 1:1 No
Following instld.: ive VoYbs ❑ No; Walkses ❑ No;
Planters es 0 N
28. Service -Riser Conductors & Ground -Main Disconnect
rown- inish
. A.0 Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
29. Equip. Clearances; Panels-Motors-Mech. Equip.
_ 30. Clothes Closet Light -Shower Lighttoe-Vents
Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s.
connect, Electrical, Plumbing
Ex for Elec. Trim; G.F.I. Receptacle -Underground
Card B -I Da!eZ-2.Cerd-BI Date
ntilation throughout House
Card B -I DatJ Card -BI Date
Date MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation & Support
p, GI ss Protection
_
-VA,--Corrections from Previous Inspections
est- eters Tagged; Gas -Electric
ater & Sewer Connected -C/O to Grade -HD Approval
32_ Vent Fan; Exhaust above Insulation
C8V Energy Compliance Certificate -Other Certificates
Condensate Drain & Overflow; Size & Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access_ & Platform if Furnace in Attic
N '—/-Eq�-
— / roe{
Card- I -_*= and- er
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Co ments at Final:
Date FRA G P s) OK except q's
Proper Material & Anchors
Ur. -Walls;
yv.-
- Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
_--� Draft Stop in Walls (rat proof)
4 ire Stops; Furred Ceilings -Stairs -Chases -Tub
Bader & Beam -Size & Bearing _
42. Hangers -Post Caps- nchors-Connec rs
Jois i s-Purlin- f Brac.-Truss-Shthng.-Rfng.
ireplace Ties or Type F Fireplace Throat
*-;A-'fic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
ge ire Protection Framing
(NOTE: Anentry must be made each time you visit job site)
J - -
COUNTY OF BUTTE APARTMENT OF PUBLIC WORK PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/5' -4541 _2% 7 O{— /
• APPLICATION AN PERMIT Com— �/
ASSESSO
,.7 PAR :� _ 14' M EF3
(�f�/ I,jJ[ `f-r�" // 7/
ZONI -G
Z
BUILDING
BUILDING PERMIT
OWN
VJs,G$/'/�,O
Vli/�.
J
T/ ZN�/
SQ. FT. OCC. BUILDING VALUATION
O WjJJ�R I L I N G CS V /���. • � R[ pt rl/ C
CONTRACTOR'S
2&
.0 a. 0 V
NAME
�
TELEPHONE/_
iG
wO V
CONTRACTOR'S MAILING ADDRESS
Fireplace
000. Q b
CONSTRUCTION LEN ER
UNKNOWN
Total. Valuation $
�� 0
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ Sv
Penalty
$
ARCHITECT OR E INEER'S MAILING ADDRESS
Permit fee
$
BUILDI N� DRESS&� �•�
/rGL�J f//J
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 �O0
Repair drainage or vent piping
5.00
Water piping
s 00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
• .
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
S Duplex❑ Mobilehome❑ Other
SPECI FY
Building sewer
_ 00
Lawn sprinkler system
5.00
TYPE OF WORK
New❑ Addition Remodel❑ Utilities Installation❑ Other
Describe work:y1 �
Permit Fee
$ 04
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
011 OR
Main service 100 AMP ORSLESS
5.00 4
Main service EA. ADD•L 100 AMP
2•50
NEW CONST. (DWELLING OC •M\
OR ADDNS. \ ACC. BLDGS. /
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1 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
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 contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NON RESBRANCH TLETCIRC IrS 2.50 ea
NEw CONSTR POWER APPARATUS e\
NON.RESID. SINGLE OUTLET CIR, /
sD @ 25¢
Ex. OccupOUTLETS OR FIXTURES BAL@1
Ex. OCCup.(OU LETS P(RESID )REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
_
Permit Fee $ .S0
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
/Certificate of Workmen's Compensation Insurance or a Certificate
Of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the 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
6A 7-E D jj U 6T5
Cooling
Hood
3.00
Ventilation
Permit Fee
$ 15'_00
Contractor
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 authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities to. , co ts, a enses which may in any way accr
is per .
against said ounty I co ue of the granting of thIle
Date erl
Signature of Ap cont - Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or Construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ Z57-oa
OCCUP. GROUP
��
TYPE OF CONST,
✓,��
PARCEL
PD
HD
ISSUE
L/
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date G,
6 Z
Receipt No. I / l
WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
t-OUNTY OF BUTTE - DEPARTMENT,OF PUBLICWORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIF T9:NIIA'.V965. - TELEPHONE: 916/534541
fiPERNfiT APPLICATION DATA SHEET
OWNER k/0& IV/$G(%,
Proposed Building Use
Permit Fee Based Upon 1�1
Building I
Permit No. '/
A. P. No. 2 �-13 `f - / �-
Complete Contract Price,!. ' DPW Valuation
Other (Explain)
Date G
J
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
___d*2'5?Plot plans in dye to triplicate. . . . . . . . . . .
3. Complete planscate./triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
f�7 SS atement of Intent for Non -Heated and AC Buildings.
"'8. Fees of $ 0 D . • • . •
,y 9. etter of signature authorization. "
Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . .
13 - Contractor's License Information (no., name style classif.) '` I
14. Owner -Builder Verification (Given to owner ,Mail to owner ❑) / ��
15. Improvements may be required. . . . . . . . . . I
16. Mobilehome Installation Data. . . . . . . . .
Pre-Inspec. request to
.
17. Pre -Inspection for Required. Building Inspector (pole)
18. Other
Whe y • is ue the permit, process as follows:, _. , Mail to owner. Mail to contractor.
hold
ep a _. z ��/and or pickup at office. Deliver w/inspector.
Other
DYlicant
Copy of plans sent Health Dept., Fi, a Dept., - Other Date
During the plan checking process, the fo lowingi data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for aboveI(Lterfi No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail
By
Plans checked by 4Z Date
Plans approved by Date
Other:
Copy—DPW
Date
Other
To: Building Department
Froa►s Environmental Health
Subject: Sanitation Clearance
Owner Location
P1ar approved for:
Hold. final for
Final. clearance O.K. .for:
sewage disposal water supply
Clea:.-ance for bedroom mobile home. Other
Clea:.: ante for addition of
Note"*
water supply
water supply
a••w' a tOe
- C
COUNTY OF BUTTE -DEP-;>RT��IENT F PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PA CEL�y;y�ER
`/—/��l--�Z
ZONy�G
BUILDING PERMIT
Owner OE ��C.G(�Q
TSL PHONE
Ute(
SO. FT. OCC. BUILDING VALUATION
O W�ER'S AILING ADDRESS
%Z9;� ,BLoC/C�-
CONTRACTOR'SNAME JW_/�
ELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 4,0-9-0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ a,!�D
Bul}�'r DRESS
/ L`� r
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
55.00
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 ElRemodelD/ Utilit/}'43SL _..Installation❑ Other
Describe work: _ 57, � C�—/V ��J �yI �� � ��
!�ermlt Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR0V OR LESS5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELING
OR ADDNS. ACCLBLDGS.CCUP.B)
20sgft
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.
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 contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR -OU LET
NON.RESID BRANCH CIRC ITS
2,50 ea
NEW CONSTR. (POWER APPARATUS S1
NON-RESID. SINGLE OUTLET CIR. /
EX. OCCUp OUTLETS OR FIXTURES
80 a 250
gAL�i
/ IXED APPLES. OR
Ex. OCCU p•\OUTLETS (RESID.) EA.�
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
7.50
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned pronedy for inspection purposes.
I also agree to save, indemnify aXkee arm ss the CountyofButte against
li ies, judgment cost ,pens s which may in a way accrue
st said C unty in on ne a ting of this p County/
.
X Dat
Sign ur App' nt — Owner Contractor ❑ Agent ❑
S permit is required For excavations over 5'0" deep and demolition or construct-
'on structures over 3 stories in height.I'W'
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ %O.
occuP, GRouP
TrPE oP CONST.
PARCEL
PD
ND
ssuE
This permit is hereby issued under
sion f the Butte County Code and/or
wo dicated bove for which fees
Di ECTOR OF PUBLIC
B
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Dat
�j —2Z-83
Receipt No. /J0 f�Z-�
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
r
`1,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0.
- 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
21-134-12
1846-2255
ZONING
BUILDING PERMIT
OWNER
Joe ViActign
TELEPHONE
SO. FT. OCC. BUILDING VAL ATION
2nd Renewal
OWNER'S MAILING ADDRESS
1294 Block Rd Gridley, CA
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee 2- of Original)
$ 60.50
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 70.50
BUILDING ADDRESS
1294 Block Rd.
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Gtidley _
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ® Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home I S1 G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other
Describe work:_ 2nd Renewal of Permit #2201-81
(1st - 2187-82)
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. DWELLING OCCUP.&
OR ACDNS. ( ACC. BLDGS. )
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
d Professions Code and my license is in full force and effect.
license No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U TI.OUTLET 2,50 ea
NO N.RESID BRANCH CIRC ITS,
NEW CONSTR (POWER APPARATUS &'
NON.RESI D. (SINGLE OUTLET CIR,
20Q50a
Ex. Occup(
P\OUTLETS OR FIXTURES eAL®ao
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
`.
Permit Fee $
Contractor
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
Certificate of Workmen's Compensation Insurance or a Certificate
our
f Consent to Self-Inse.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
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 authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also a save, indemnify an keep r ess the County of Butte against
alIIi Ilities, 'ud ents, "ost n pe es which may in any way accrue
agai st said Co in cosVuice the a t'ng of thi Pff mil
Signatur of plica - Own r Contractor ❑ Agent ❑
An A rmit is required for exca tions over 5'0" deep and demolition or construct-
io of str tures over 3 storiest i/n height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 70.50
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
C R OF PUBLIC
By.
PERMIT EXPIRES Ilate
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date — 'g
6-22-84
ceipt No. 13 �� 71
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT NO.
/✓ =� _ �, 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 _
APPLICATION AM PERMIT dZ
ASSESSOR PARCEL NUMBER
3XI" 21-134-12
ZONING
BUILDING PERMIT
OWNER
Joe Viscuso
TELEPHONE
SQ- FT. OCC. BUILDING vALUAFTION
OWNER'S MAILING ADDRESS
1294 Block Rd, Gridley, CA
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee 1- original
$ 60.50
ARCHITECT OR ENGINEER
LICENSE ND.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 70.50
BUILDING ADDRESS
1294 Block Rd, Gridley
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other addition
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other ❑
Describe work: 3rd renewal/2201-81
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service i$o AMP ORV OR LESS10.00
2nd renewal/577-84
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. SLOGS.
2t/20sq 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.
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 CONSTRL I MULT'_OUTLET
NON-RESID BRANCH CIRCUITS) 2,50 ea
NEW CONSTR POWER APPARATUS &)
NON.RESI D. SINGLE OUTLET CIR.
Ex. Occu 20050¢
P�oX Ts DR FIXTURES SALO 30
IED
OCCUp.
EX. OUTLETS PR
RESID.)EA.� 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, c sts, a d expenses which may 'n any way accrue
again aii County in con Lof the grantin of this /,remit.
at GY
Sig ur of Ap cant — caner ❑ Contractor ❑ Agent ❑
A A permit is required for excavations over 5'0" deep and demolition or construct-
io of structures over 3 stories in hei ht.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
ND
SS
)
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
By
PER19T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
6%32 85
Receipt No.
WNITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
t t�t�tZt�t��t0�t�t8C
9tC �i
aa V66G Sl �(1d
on0.10 u�
,N���a
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroviller California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ERM( T/kO.
ASSESSOR PARCEL NUMBER
21-134-12
ZONING-'
BUILDING PERMIT
OWNER
Joe Visctisn
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1294 Block Rd.- Gridley. CA
CONTRACTOR'S NAME
TELEPHONE
-4th renewal permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee 1, FEE
$10 60.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 70-50
PLUMBING PERMIT
Filing Fee 10.00
1294 Blonk Rd-
Each Trap
2,00
Gridley
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5,00
Each pas water heater or vent
5,00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other addition
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: Loth ranpwa 1 pArmit #22n1 -i31 _
(Ird renewal #2601 94)renewal #260194)
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
FIONON-RESID
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
El 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 contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
LIN 0 CUP.y\ 21/22sgft
oa ADDNSCONST. DDWEACCLG /
NEW CONSTR.ULTI-OUTLET
BRANCH CIRC ITS 2.50 ea
/PWER APPARATUS of
(SINGLE OUTLET CIR, /
Ex. Occup(OUTLETS OR FIXTURES 200501
eALO 30
FIXED APPLNS,
Ex. Occup. OUT LE
Ex. II RESID .)OR EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
qP
ORKMEN'S COMPENSATION INSURANCE
I declare under enalty 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.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
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 of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
a ainst said County in consequence of the granting of this permit.
XThis
Date
Signature of Applicant — Owner ❑ Contractor ❑ Agont ❑
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 $
TOTAL PERMIT FEE $ 70.50
Occup.
CONST,TYPEJ
I
IFLOOOIPARrFLI
PD I
ND
I ISSUE
permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
Y Date
PERMIT EXPIRES Date 6-22-86
Receipt No.
wNITC-D. P. W., TCLLOW-AleC770R, PINx•INSPCCTOR, GOLOCNROD-APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
21-134-12
ZONING- -
BUILDING PERMIT
OW ER
doe Viscuso
TELEPHONE
SO. FT. OCC. BUILDING
VALUATION
OWNER'S MAILING ADDRESS
1294 Block Rd.,Gridley,
CONTRACTOR'S NAME
TELEPHONE
4th renewal
permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee @ �- FEE
$ 60.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 70.50
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
1294 Block Rd-, c�ridipy
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SFTI Duplex❑ Mobilehome❑ Other arirl
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 4th renewal permit #2201-81 _
3rd renewal #2681-84)
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00 v DR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCU1.11
OR ADDNS. ACC, SLOGS.
t
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penal y of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
y
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 contract-
ors. (Sec. 7044)
❑ i am exempt under Sec. , Business and Professions Code
for Ni ason
NEW CONSTR2.50 ea
NO N•RESID BRANCH CIRCUITS)
NEW CONSTR / POWER APPARATUS
NON•RESID. \SINGLE OUTLET CIR.
Ex. Occu 20 It 50C
OR FIXTURES 9AL®3o
P.
FIXED APPLNS, OR
FIXED
EX. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service ' 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under enalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
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 authorize representatives of the Countyot
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
.ns said County in consequence of the granting of this permit.
Date
re of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ 70.50
OCCUP. GROUP
I TYPE OF CONST,
JPARCFLJ
PD
I HD
I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code ano/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date 6-22-86
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT