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HomeMy WebLinkAbout021-160-117Y r t .,:PUMPER �i�te) .,t,�'�]....+ 117 }VM- I -M i• '� MM5�'Ip. ' 4 • • t'r'4�.#+3`,' �4d'k-�.fr-��t�., int{�34i{.«jtifeL'4Yx sr'n",,�q, i 4 G"s+�,SSiOR 1 L3k['.s 021-160-029 ' DON & HAZEL BLAYLOCK , 21-16-29 t 1.042 DEWSNUP. GRIDLEY" JANKE GEE, Oil -16-0-14i' //7 93- 1 } AGRIC11LTTIRAL AFFIDAVIT Pi + 731 P, 12/4/98 E/S Dewsnu Ave, a 600' N of i P PP B YLOCK, HAZEL & DONALD-- Peterson Avenue, Gridley. j '042 EIMUP, GRIDLEY Permit##75 =79�j (ele h) SF ',,rR HTR & COOLER/SF Okl�i9 00- �3 _1 1 hp ,.4-160-029' 93-1000 P,M 021-160-11 99-2538 ■ i.A.AYLOCK, Don BLAYLOCK, DON Community Action Agency 1042 DEWSNUP, 6RIDL(1/ EiYa1pi.t� 'qq 04 ewsnup, Gridley TP 6-93 UNKNOWNf-wh, _ r. gas pipe, wall furn) + i ELECTRIC SERVICE CHANGE ` s ' 6. D1�j_ visa N�a� • <S�s7elr. �`T{-bn� . +{ .., •�� r. ij i S IJ i' � ` " .fie• 4r .1�, .. OFFICE C(JPY - �'�:. •Address',''� GAS Meter By Date ^tom ELECTRIC / • f � � nn,..... o., nom• O� i' r. ij i S IJ i' � ` " .fie• 4r .1�, .. OFFICE C(JPY - �'�:. •Address',''� GAS Meter By Date ^tom ELECTRIC / • f � � nn,..... o., nom• O� COUNTY OF BUTTE - DEPARTMENT OF DEVftOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 99�-3fS i ASSESSOR PARCEL NUMBER U21-1Ei0-118- ZONING BUILDING PERMIT OWNER DON B1AY=K TELEPHONE 845-0100 SO. FT. OCC. BUILDING VALUATION .-NE" LXX2-Li:a7YV►fIL , GRLL/LL+i CONTQACTOR'S NAME TELEPHONE CONTRACTORS MNUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS �' U A�k/ Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK NewW Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EL=C SEWICE MANGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.AL License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law^for the following reason: Q I, as owner of the property, or my employees with wages as their sole compensation, / will do the work, and the structure is not intended or offered for sale. \❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( 8 ACC. 3lDS. 3.50FT. pO�lp ' MULTI -OUTLET (97.50 POWER APPARATUS 8 SINGLE Otm ET CIR. EX. OCCU OUTLET OR FIXTURES B 20 ®I 00 w FIXED AF(I OR 5.00 Ex. Occu . ourLErs PR 06.) EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. I My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) D I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that rf I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r X�I/ , y -i i • L,- =}- Date 1 • � -'Signature of Applicant :' Pr Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMS I FLOOD I COF PARCEL r7l ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. / By 1 ll/ Date PERMIT EXPIRES ON 4�%�L3fo7Q'.�f'•i.D.S.-B.D. % pate rR7eceipttslo.k��ri CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PE MIT 0. (ReV.W2/96) APPLICATION AND PERMIT ��" �- ASSESSOR PARCEL NUMBER 021-160-118- ZONING BUILDING PERMIT OWNER DON BLAYLOCK TELEPHONE 846-0190 SO. FT. OCC. BUILDING VALUATION . OWN Td42 DEWSNIP GRIDLEY CONTRACTOR' S ME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS a • Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELECTRIC SERVICE CHANGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600VMain Service zo.A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License La w for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service To 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( & Ace. BUDS. SO .5,so NOµHESI. BRANCH CIRCUITS MULTI.OUTLET -FT. @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FaTURES SAL @':50 OWNER Ex. Occup. OUTLEEDTSA PM.)0ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43,00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date�� _ ign re of App Ican Owner ❑ Contractor ❑ Agent An OSHA permit is require for excavations over 60" deep and demolition or construction/+J of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAz. o. FEES IMP FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ^ B S Aid I PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. I I h hma Z Mate) rReceiptNo. ITE-D.D.S.-B.D. CANA Y -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF,DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N (Rev.12P911) APPLICATION AND PERMIT - MSMORS,mm1i1t1i4e1 nQi _ fmMNO 00 BUILDING PERMIT ON/1f" MAP'RDNE SO. FT. OCC. BUILDING VALUATION ORNMV imuno AD COMMAM IMI! TELSRWNE CO 1 IVAJNa ADORM OONeTftJCnM U=BR LENDER'S YNRM ADOREtt Fireplace Total Valuation S ARCNRECT OR ENOUlBR ucENSE No. Filing Fee S 20.0• AACWECT OR DIMUR'S WLLJNG ADORM Permit Fee S Plan Checking Fee S EUIU NOADORM Q Energy Plan Checking Fee t $ PERMIT FEE : RorNo suaays�Nswwe PARCEL U1 PLUMBING PERMIT Filing Fee 20.0t USEOFSTRUCTURE SF Duplex O Wbilehome O Other aPECry Each Tr 7.00 Soler or hent pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New O Addidion O Remodel O Utilities O hstalabon O Describe Work: Other Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.Ot Main Service =oo.= 23.00 Main Service 2— To 1— 46.00 NEW CONST. O'WEt1110 OOCUP. 3.50g OR ADONS. i ACO. tiD8. NOI+AESID. YULTFOUllct @7,50 POWER *"ARArA L s OVRET dR. EX. Occup. ovnET OR FKrURES 20 a �'0O ML .00 Ex. Occu VED AppR''B' OR 5.00 OtlTiE'T8 ESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.0I Heating Cooling Hood 6.50 Ventilation PERMIT FEti S Mobile Home Installation Fee $ Energy Inspection Fee I b- occ CONST. TYPE TOTAL FEE $ NA2. O. :EES IYP fL000 COf pMCE1 p0 "0 `SS C�4011")11,91 This permit is hereby Issued under the applicable provision of the Butte County Code end/or Resolutions to do wor' indicated above for which fees have been paid. By PERMIT EXPIRES ON Date OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signaptt+e. Please complete and return this information at your earliest opportunity to avoid unnecessary y` in processing and issuing your building' permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO 0 2. I HA HAVE NOT 13 signed an application for a building permit for the proposed vk. 3. I have c ntracted with the following person (firm) to provide the proposed constriwddw , ; „ ADDRESS:.CITY.: PHONE: CONTRACTOR'S LICENSE NO. :: t 4. I plan to providethe p p portions of this work, but I.have hired follo n to coo_ ' �g peso _ idtnsroq . supervise, and provide the major'work: NAME: ADDRESS: CITY: ..7. ' PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: o NAME ADDRESS PHONE TYPE OF WORK ►WULNEV: PROPERTYOWNER:\ SOCIAL SECURITY NUMBER: DATE: 7�14;0 , . 2 - 21 - NOTE: -This Owner -Builder Verification is required by Section 1993I—a-nZ79U2 o7W California Health and Safety Code. This verification must be -completed aad returned to our office before we are permitted to issue the permit Agwo, OWNER BUILDER INFORMATION 1 Dear Property Owner: An applicarion for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such ; a permit. Building permits are not required to be signed by property owners unless they are personally performing their: own work. If your work is being performed by someone other chart yourself, you may protect yourself from possible"' liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. s If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contrractors`or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation' contn'butioiis: ♦ There may be financial risks for you if you do not carry out these obligations; and these risks are especiallysaious with respect to worker's compensation insurance.. ' . . ._ "' t ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Se!y! .(sad, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under -16i d conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contac9rs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 4icy, 0_1 l C. Vi ira, C.B.O. r, Building Inspection NOTE: This Owner-Builder.lnformation is required by Section 19830 of the California Health and Safety Code- P t SE;�,-• 1,4-00 09:29P P. 02 REC "EIVED , DEC 0 4 1998 AGRICULTURAL AFFIDAVIT BUTTE BUILDING COUNT YON DIVISI ON EMPLOYER Employer sc", 'w e \ Phone Employer's Address v Name of Property Owner Property Owner's Address D ems` / Owner's Assessor's Parcel Number 09T� parcel Size G 0 Ac. I eA. /% e v d o , do declare, subject to the penalty of perjury, that I am the employer of �'ec� �:L V ` V w address (present) CqDle,w S L` 10 1C' i and that I will be14 . employer under Section 24-305.020)k, e_for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# Signed: Environmental Health Approval: Permit Description and Number Datelssued Dated: .2 (/, 6t, 7,- 9� Planning Approval: Date z)R5 Zone A -S Dwelling on AP# 021- l k;o- 0-11 BY Crop/Commodity Produced ©r�narAs ti r' r ti Sep -:14-00 09:29P AGRICULTURAL AFFIDAVIT EMPLOYEE Employee �. r Employee's Address (Present)_ /'Q Phone `W O W )2-, P.03 Name of Property Owner Property Owner's Address A,1 Owner's Assessor's Parcel Number�D�` Parcel Size I perjury, that I am the employee of �D Ac. do declare, subject to the penalty of address (present) j ' n0-\ \ C (-,)C, )� and that 1 will be employee under Section 24-305.020- C. `17 for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# 0A Signed:_ Dated:—1 Lp'FACI�— Environmental Health Approval: Permit Descdption'and Number Datelssued -1 Planning Approval: Date ti I z iqg zone pg swelling on AP# 021-1 u,o- o29 Crop/Commodity Produced drtWrd5 1ce� o der rpw �r�s .y I 1 0 NOuSE � I NJ 89°04' 10" E Co Co 3.71 ' G 33.71' OL] PARCEL I HouSE 5.02' AC5. ui. co cli c ;.. O N 8C 30' 02" E CoCO3.30' `p - ON e 655.41 ' `9 O 2 N PARCEL 2 1 '- � �i 5.02' AGS. '. (6!0'2.20' _ .. Q 891100'5111E I� ; PETFRSD3 - VE. i �li Ids.. 14 it 4w i 3y 4y, R' 021-160-0299.3-1000 P, M' BLAYLOCK, Don CONTR: Community Action Agency 1046 Dewsnup, Gridley (sf-w/h, gas pipe, wall furn) act f ' ��' .j� r °'�.�T!�','�4 ti'IS:!�{t•!! !'�.`.,�.:1�7a�''',3:��L. ,+1�.,Yys+�, .�'.� a'�a1��11aq y��.-.�sr+ �+.!i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS9^F PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 #�/ 7 APPLICATION AND PERMIT / ASSESSOR PARCEL NUMBER 0 — ZONING - A-5 BUILDING PERMIT OWNER 1111F, TELEPHONE S0. FT. OCC. BUILDING VALUATION O NER' A ADDRESS 4. h HAuse Park Way, Oroville 95965 CONTRACTOR'S NAME renc TELEPHONE 538-7534 CONTRACTOR'S AILING ADDRESS 5 Del Oro Blvd Oowille 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS i Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ MAO; t1o,a,�n (: PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 I Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL' MAP Water piping 1 7.00 7.00 Each qas water heater or vent 1 7.00 7.00 USE OF STRUCTURE1 SF[t. Duplex❑ Mobilehome❑ Other +1 SPECIFY f Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 15.00 Mobile Home S G I W I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel g Utilities ❑ Installation[] O Describe work: Install 40 Gal. Water Heater Run 10t$as pipe install Wall Furnace her ❑ _ f Permit Fee $34.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 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. G��,�G'� Classification /_7 `� ( ❑ 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 Main service 200ATO1000A) 37.50 NEW CONST. / DWELLING OCCUP.tr\ $.6y sq.ft. OR ADONS. \ ACC. BLDGS. / NEW CONSTR. MULTI -OUTLET NON -RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS (RESID,)REAJ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �l 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 15.00 Heating Wall Furnace 1 131.00 9.00 Cooling Hood 6.50 Ventilation Permit Fee Sl Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conse uence of the granting of this permit: X I `!'� "A �' `� Date -/ / c/?� Signature of Applicant.— Owner ❑ Contractor ❑ Agent19 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 58.00 HAz I DFEES I IMP I FLOOD I CDF I PARCEL I PO HD ISSUE This permit .Thereby ssued under the applicable provi- sI0r1S,0.� the Butte County Code and/or resolutions to do work indicated abo e for which fees have been .paid. k CDIR C OR`OF PUBLIC WORKS By � y"�/ --I Date PERM IT�PIRE$� Dated-1%� / e :r Receipt No. 140490 WNITE-D.r. W., YELLOW-ASSE930R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIOWAND PERMIT PERMIT NO. g- /00r)- ASSESSOR 00r)- ASSESSOR PARCEL NUMBER NIr'G- 021-160-029 1A-5 BUILDING PERMIT OWNER Don R1 TELEPHONE ,SQA FT. OCC.BUILDING VALUATION OWNER'S MAI LI G ADDRESS 1q9 Club House Park Way, Oroville 95965 CONTRACTOR'S NAME TELEPHONE c 538-7534 CONTRACTOR'S AILING ADDRE 9255 Del Oro Blvd., Oroville 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 1046 Dews--, Gridley Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7.00 Each qas water heater or vent 1 7.00 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 15.00 SF[J Duplex❑ Mobilehome❑ Other Mobile Home JSFG W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel a Utilities ❑ Installation❑ Other ❑ Permit Fee $ 34.00 Describe work: Install 40 Gal. Water Heater Run 10 t gas Contractor pipe install Wall Furnace ELECTRICAL PERMIT FilingFee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW NEW CONST. / DWELLING OCCUPM 3.64 sq.ft. I declare under penalty of perjury (check one): OR ACDNS- l ACC- BLDGS. [� I am licensed under p provisions of Cha t. 9, Div. 3 of the Business NEW CONST R.ULT'.OUTLET NON•RESID BRANCH CIRCUITS) @ 5.00 and Professions CodeA and my license is in full force and effect. (POWER APPARATUS &) SINGLE OUTLET CIR. License No. Classification Classification EX. OCcup(OUTLETS OR FIXTURES 20 @ 76 El1, as the owner, or my employees with wages as their sole compen- Ex. Occup. out OUTLETS P(RESID )REA.) .3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring -15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating Wall Furnace 1 9.00 1 9.00 � 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. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject Ventilation to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee $24.00 provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. OCC CONST TYPE I also agree to save, indemnify and keep harmless the County of tte against TOTAL FEE $ 58.00 all liabilities, judgments, costs, and expenses which may in any w y accrue HAz DFEES IMP FLOOD CDF PAflCEL PO HD ISSUE against said County in conse uence of the granting of this perm't X Date ✓ This permit i hereby 's d under the applicable provi- Signature of Applicant Owner ❑ Contractor ❑ Agent th tt@ Code and/or resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct- rk i di .ted abo for which fees have been aid ion of structures over 3 stories in height. I C 0 F PUBLIC WORKSe�B' r LR.eceipt No. 140490 PER E PIKE Date I TE-O.P.W.- YELLOW -ASSESSOR- PINK -INSPECTOR. GOLDENROD -APPLICANT -Ounty ;enter Drive - Orovtlle, California 95965 - Telephone: 916.538-7541 APPLICATION AND DERMIT NUMBER ' � O ZONING- ' PERMIT NO. 1100 Z 1 BUILDING PERMIT TELE N NE SO FT. OCC. BUILDING VALUATION dEN'S MAIL / i- c dTRAGTOR TELEPHONE i . N �7 7 S u dTRACTOR•3 MAILING ADDRESS _a�4­=L c•r-Z- ISTRUCTION LENDER UNKNOWN Al Fireplace Total Valuation $ IOER'3 MAILING DRESS �, :HITECT O�ENGI N R Filing Fee Permit Fee .LICENSE NO. Plan Checking Fee :HITECT O'/14 R•3 MAILING ADORES. LOING ADDRESS , Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT NO. SUBDIVISION NAME PARCEL MAP Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent t� USE OF STRUCTURE pl Duplex❑ Mobilehome[—] Other SPECIFY Gas piping system 1 - 5 outlets Building sewer Mobile Home S G w TYPE OF WORK Fir -1 Addition jJ Remodelo. Utilities ❑ Installation[ Other ❑ cribe work: l A1.5: l��j S�tJ(rfi1 ta�Ar/`/' /rr`�91Y�� rii,tr !G%� q5 %moi= iALIZ'-91L 3ScMhr17_4 ML12Z9 GU2.YAl%` Permit Fee Contractor ELECTRICAL PERMIT Main service 600V OR LESS 200A OR LESS CONTRACTORS LICENSE LAW :fare 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. 611,901 Classification I, as the owner, or my employees with wages as their sole compen- g 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) J I am exempt under Sec. r Business and Professions Code for this reason Main service 20GATO 1000At NEW CONST. / DWELLING occuP. y\ oR ADON3. 1 ACG. BLDG.. I NEW CONSTR UL I -OUTLET NON•RESIO BRAN IR ITS APPARATus 6 St►dGLE OUTLET CIR. Ex- OCCUp(OUTLET3 OR FIXTURES FIXED APP LN3, OR EX. Occup. OUTLETS IRESI O.1 EA.� Temporary service Mobile Home Facilities Misc. Wiring Permit Fee WORKMEN'S COMPENSATION INSURANCE rare under penalty of perjury (check one): 1 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 Contractor MECHANICAL PERMIT Heating $ 15.00 s S 4 s Filing Fee 1 15.00 5.00 20.00 7.00 7, 7.00 7, :p Z> 5.00 5_p� - l 15.00 @ 15.00 Filing Fee =MO 18.50 37.50) 3.64 Bast @ 5.00 20 76d 1 3.00 15.00 15.00 15.00 S Filing Fee F 15.00 of Consent to Self -Insure. Cooling J I shall not employ any person in any manner so as to become subject Hood to the W. C. laws of California. 6.50 e to Applicant: If after making this statement, should you become subject Ventilation W. C. provisions of the Labor Code, you must forthwith comply with such Pertnit Fee s Bions or this permit shall be deemed revoked. Contractor Ify that I have read this application and state that the above Information rect. I agree to comply to all County Ordinances and State Laws relating Iding construction, and hereby authorize representatives of the Countyot to enter upon the above-mentioned property for Inspection purposes. agree to save, indemnify and keep harmless the County of Butte against lbllities, judgments, costs, and expenses which may In any way accrue It said County in consequence of the granting of this permit. Date ,to of Appllconr - lJwner _- Contractor l._._ Agent L HA perms .s reaulred for a covnt,ons over 5'Q" Jeep and demol,tron or construct. Irrucrures ovnr J stones -n 11-ghlt. /+r//1 It No. / 11Y 7 U �.►. n., tEL'aw- ... t33o-,-...-., �1-!C')-. , LJr.k000•- ,c.., Mobile Home Installation Fee 5 Energy Inspection Fee $ OCC I CONST TYPE _i , TOTAL FEES b MAL O FEES IMP OD � fE000 COf PAgCEI PO I HO ! ISSUE I I I This 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 ) By Date PERMIT EXPIRES Date cf�g — 0� / MAJIO oe�)) I -J z 021-16-0-029• 93-731 P;M, -` ' BLAYLOCK, HAZEL & DONALD 1042 DEWSNUP, GRIDLEY CONTR: COMM ACTION AGENCY { r. WTR HTR & COOLER/SF ,. 1 arm x r r • 1 • rte,' x —'. - • . �� r r ,�'{ J .. `�"' � Y�`� h ?Y` /tom , � j���4'•y ". ta.° 4� Y f • ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7.541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 021-160-029rj ZONING _ BUILDING PERMIT ' OWNER Hazel and Donald Blaylock TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 180 Club House Pk CONTRACTOR'S NAME C.4 . A . Cutte Co. TELEPHONE CONTRACTOR'S MAILING ADDRESS 2255 Del Oro Ave. Oroville 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS .Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 1042 Sit Gridley PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL ,MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF KI Duplex❑ Mobilehome❑ Other 1 "* SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Utilities Installation,j,�._1l f0th Ln� Describe work: Install F1ew Water Heater Jwamp, �1 j Permit Fee $ 22.00 Contractor ELECTRICAL' PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under p prOVlSIOnS Of Cha t. 9, Div. 3 of the BUSIneS$ and Professions Code and my license IS In full force and effect. ) �6 License No. 7�� Classification / .( - / 4-1 ❑ 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) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI 37.50 NEW CONST. ( DWELLING OCCUP.&) 3.64sq.ft. OR ADDNS. \ ACC. BLDGS. NEW CONSTR ULTI.OUT LET @ 5.00 NON-RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. / 20 7 EX, OCCUp� OUTLETS OR FIXTURES Ex. Occup. OUTLETS IED PRESID IKEA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating il LU.LAP• Cooling Hood 6.50 Ventilation 00 permit Fee s • Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date —3—;7 ;?/-5? Signature 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 $ Energy Inspection Fee S occ CONST TYPE TOTAL FEE $ 47.00 HAz DFEES I IMP I FLOOD I CDF I PARCEL I PD HD IssuE This permit is hereby issued under the applicable pro i sions of the Butte County Code and/or resolutions to do Work indicated above-fortvy`fiich fees"rhave been paid. / DfRECTOR�O�PUBLIC WORKS By 1 W /fYT7r1 )1111W Date`5/j 3 PERMIT PIKES Date' / 4, 135719 Receipt No. WHITE-D.P.W.. YELLOW-ASSr330R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE "c K PERMIT NO. A ranine ispecCkm -nd'icates that the following violations of Butte County Ordinances exist at dm aboae address and should be corrected. Please notify this office when correction of work --scan pleted_ Wyouhave any questions pertaining to this matter, or need additional explanation, please omsaet tbs office immediately. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 9365 - Telephone: 916/538-7541 APPLICATION1r'AND PERMIT ASSESSOg/PARCEL NUMBERZONIN Ix021-160-029 BUILDING PERMIT OWNER Hazel and Donald Blaylock. TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 180 Club House Plc CONTRACTOR'S NAME C. _A,. Cutte Co. TELEPHONE CONTRACTOH-'S MAILING ADDRESS 2255 Del Oro Ave. Oroville 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 1 7.00 7.00 USE OF STRUCTURE SF® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home SI GJWJ @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation ❑ Other Describe work: Instal New Water Heater Swamp COOIE Permit Fee $ 22.00 rcontractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of P y perjury (Check one): I am licensed under provisions of Cha t. 9, Div. 3 of the Business P 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 SOIe 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 Main service 200A TO 1000A) 37.50 NEW CONST. ( DWELLING OCCUP.&) 3.64sq.ft. OR ADDNS. ACG. BLDGS. NEW CONSTR U TI -OUTLET @ 5.00 NO N•RESID BRANCH CIRCUITS) (POWER APPARATUS el (SINGLE OUTLET CIR. I Ex. Occup(ouTLETS OR FIXTURES 120076 FIXED APPLNS. OR EX. Occup. OUTLETS (RES( D.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. rUt 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 Filing Fee 1 15.00 Heating 1110.00 10.00 Cooling Hood 6.50 L Ventilation -- Permit Fee $ 25,00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrueHAz against said County in consequence of the granting of this permit. X �L� ��� Date of Signature of Applic t — Owner ❑ Contractor ❑ Agent permit is required for excavations over 5'0" deep and demolition or construct- An OSHA ion of structures over 3 stories in height. Mobile Home Installation. Fee S tj Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 47.00 DFEES I IMP I FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable pro i sions of the tte County Co a and/or r solutions to do work ind' ate abov ch fe ve been paid. REUBLI RKS By CT Dat 3 PERM LTMPIKES Date Receipt No. 1357$9 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT r Gounty Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 PERMIT NO. ASSESSOR PARAPPLICATION AND PERMIT CEL NUMB q Q ZONINp 'r/ OWNER �)w t®�� ELI- HONE iy�l b BUILDING PERMIT SO. FT. OWNER'S MAILING ADDRESS OCC. BUILDING VALUATION d ��w oK.� l9st CONTRACTOR'S NAME GE s, `I eq - TELEPHONE CONTRA -C TOR'S MAILING ADDRESS r r d� 40 �L CONSTRUCTION LENDER ..II.,yY yj Fireplace _ /AL/ LENDER'S MAILIN ADDRESS UNKNOWN Total Valuation $ J`7 Filing Fee $ ARCHITECT OR ENGINEER Permit Fee 15.00 LICENSE NO. ARCHITECT OR E GINEER'S MAILING AOOR Plan Checking Fee $ $ ESS Energy Plan Checking Fee 3 BUILDING Aoogess Penalty J AV G•/9/ ley w Permit fee =$ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 LOT NO. SUBOI VISION NAME Solar or heat pump water heater 20.00 PARCEL MAP Water piping USE OF STRUCTURE Each qas water heater or vent 7.00 7,00 7r 0p SFR -Duplex[:]Mobilehome ❑ Other Gas piping system 1 - 5 outlets 5.00 SPECIFY Building sewer 15.00 TYPE OF WORK Mobile Home S G W @ 15.00 New ❑ Addition ❑ Remodel Y.Utilities ❑ Installation[ Other ❑ Permit Describe work: /,i1,C.s i'.� ,A/,�r�� .� � Fee $ �I!/��Gde9d/r� Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V DR LESS 200A OR LESS 18,50 CONTRACTORS LICENSE LAW Main service 20GATO1000AI declare under penalt of er perjury Y P I y (check one): NEW CONST. DWELLING OCCuP.&) OR AODNS, ( ACC, BLDGS. II 3.61 >w O I am licensed under provisions of Chapt. 9, Div. 3 0( the Business and Professions Code and NEW RESIOCONSUL 1.OUTLET NON.RESID BRANC CIR ITS @ 5.00 my license is in full force and effect. License No. gym/ Classification (POWER APPARATUS O SINGLE OUTLET CtR, L: f, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is for on intended Ex. Occup(OUTLETs OR FIXTURES rs REsiD.1REA.� 20 76d ( 3.00 (Sec. 7044) not or offered ❑ I, Temporary service0 15.00 as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Mobile Home Facilities 1500 I am exempt under Sec. Business and Professions Misc. Wiring--__„ 15.00 for this reason Code Permit Fee $ WORKMEN'S COMPENSATION INSURANCE leclare under penalty of Contractor perjury (check one): The permit is for $100.00 (valuation) MECHANICAL PERMIT Filing or less. f I have placed on file with the County of Butte Building Heating Fee 15.00 Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. to. f f shall not employ an P y Y Person in Cooling to the W. any manner so as to become subject C. laws of California. Hood lice to Applicant: If after making this statement, should you become subject the W. C. provisions of the Labor Code, you must forthwith (visions Ventilation Permit 6.50 comply with such or this permit shall be deemed revoked. Fee C $ arlify that 1 have read this application and state that the above information :orrect. I agree to comply to all County Ordinances and State Laws relating Wilding construction, and hereby authorize representatives of the Countyor to to enter upon the above-mentioned property for Inspection purposes. so agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may In any way accrue inst said County in consequence of the granting of this permit. _ ogre of ApplicaDate nt _ Owner i` Contractor i Agent (_ )SHA Permit is reou,red for e.covr'ons over II structures over 3 stores a.n hci qht. '.e.. 1eeD and demol, t,on or construct. No. ' C•O.►.«.. 1EL10­­E] ow . CC '] ULJrM aD L C f ontractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE j TOTAL FEE $ I NAL 1 O FEES I lua I -- f — I "0 I ISSUE This 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. I DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date • .o s.. ........ ..n .-_ ,.., ,t. .e�• e n.. •:. :li`rL".�:Y •.. r-�.r,;;y. �. ,1�iOB'...wa-..•wl.. "+7q �t.. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel ephor*: 534-4.541 APPLICATION AND PERMIT - Looms I BUILDING Owner _TA IJIeC_ GL E SO. FT. OCC. BUILDING VALUATION Mai I i ng Address T- = 'Z Grp► = u Crk CI y Telephone No. iLI - (4 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee nn ' I Building Address S 0txu SvuP Aoc Plan Checking Fee&/or Penalty Permit Fee {�P R U 4 SOU F E rckk uN NUC- PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 G#n f %i(,( '� Repair drainage or vent piping 1.50 ^� Q A. P. No. (— 19Water Zonin &Planning piping 1.50 Each gas water heater or vent 1.50 Fes SSR4"eff Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet 30 Building sewer 5.00 .B'ITIV-PMarrs.Rgo'd I Parcel Ap royal PI s Approvo] NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Lawn sprinkler system 2.00 Permit Fee $ $ ELECTRICAL NO -1 @ FEE PERMIT FILING FEE J$3.00 3,(X) e00V OR LESS!' Main service 100 AMP OR LESS 5•�� V Single Family E?r Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER P O 25.00 V AMP V LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR A.D.S.CONST ( ACCLCCUP. BL GS. &) 22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9. Div. 3, of the State of California Business &Professions Code under the name style of: NEW CONSTP_ (MULTI. U L T NON-RESID ` BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS e NON.RESID. SINGLE OUTLET CIR. 250 1@ EX. OCCUR (OUT LETS OR FIXTIiRES so Ex. Occup. ( OUTLETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring (Z U S W 6.25 ,2 License No. Classification 0 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 4. Z MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑f have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ T4and authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XI /_ _ Date ignoture of Permitee or—Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRF,GT)OR OF PUBLIC WORKS By /%' / �1 Date _ - 7 -Building permit expires Date .� COUNTYOF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 Telepone: y34-4541 APPLICATION AND PERMIT WORKS authorize representatives of the County of Butte to enter upon the above-mentione property for inspection purposes. / Date%d - /y' 7 9 ignature of Permitee or gent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREG-WR OF PUBLIC WORKS By S� Date 12-- 7,L_ wilding permit expires Date Z. - f .` BUILDING Owner Ga -F, SO. FT. OCC. BUILDING VALUAT T_ 2 �x� Mai l i ng Alephone �ddrre�srs p�j`Z —� / ([�c c No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address .'_ s oew-500P Av(� Plan Checking Fee&/or Penalty Permit Fee P P-0 (!)CX> i 0 - OP aTC-PSON AVE PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 /� n, VP 4LO Repair drainage or vent piping 1.50 ^� Q A. P. No.-. I l� _ L� I Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 es &16- +ari I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Jttrg-1`t0r&-R4c'd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3sQ� Main service 600V ORLESS J� 100 AMP OR LESS 5.00 ,00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADONS. ACCLLING BLDGSCCUP. 5)2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: NEW RESID. (BRANCH CIR T +1 NON.CONST `BRANCH CIRCUITS/ 2.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR, Ex. Occup{OUTLETS OR FIXTIIRES 5 L25 Ex. Occup. FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring R_ A)e) S ar @,(am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. EJI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. FEE @ PERMIT FILING FEE $3.00 Heating Cooling Ventilation +2,001 Hood Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentione property for inspection purposes. / Date%d - /y' 7 9 ignature of Permitee or gent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREG-WR OF PUBLIC WORKS By S� Date 12-- 7,L_ wilding permit expires Date Z. - f .`