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HomeMy WebLinkAbout021-134-012�' S` � S� •-• • ter, • � .�� -,y, - 1.. M .., `: �f � / f w ! ° -c, � .. r 1 S a.^Y.... roti M:' � —+r> —r'k,* f • ...i tW��� } {! ' • .ter. .. - 21-134-12 �� _ ''r ����.{• 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 _ l�`, 1294 BLOCK RD;'4GRIDLEY CONTR - PRYDE RFG 4r . } o M M -r �- a � .,v .. ,. , _ _ ..� . _ ; -.. �• ..w TW,-';iyt' v . �r.e,�- ; 'i'Yi�' V}.'�jyfi'.? A ry 021-13- --012 -- 93-2334'B �f %-VYSCUSO, 'JDE " "�, `. 1294 BLOCORD GRIDLEY; CONTR: kYDE REG • v ' REROOF/SF n ;� 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