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Home My WebLink About021-170-04421-17-44 .KATHERINE,PITT' '.357,W -Liberty Rd, . Gridley) Contr: North Valley'Electric PErmit#2955-87E(ele"for spa) Y e 1.,,, . . _ ��^_ `�, . - ._ • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS t r 7 County Center Drive - Orovill%4 Califa�nia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. .. ASSESSOR PARCEL NUMBER Li U ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS -, CONTRACTOR'S NAME i TELEPHONE CONTRACT R'S MAI LINGf ADDRESS., � 7 r- �. i v ; i I , (_ (i �G._, Fireplace CONSTRUCTION LENDER If UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 34-:-)-7"f 1- �' " f 1 �: ' , , Each Trap 2.00 I f j t i Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - PARCEL MAPWater piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other.[Z Describe work: i.. �? .�,;� { Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 f - ' — Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession C d nd my license is in full force and effect. License No. 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( d OR ADDNS. ACC• BLDGS. DWELLING OCCUP.) 'h¢sgft NEW CONSTR. U '.OUTLET BRANCH CIRC 2.SOea TS •15 NON-RESID 1 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES eAL930 Ex. OCCUp. OU LETS FIXED P(RESID )LINIS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 T . Permit Fee$ , V -1 Contractor , _ n 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.wth 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 r Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all'County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgmgnts,„costs, and expenses which may in any way accrue against,said County n co sequegce of the granting of this permit. X - ` \ 7 — -� ^.� _ Date Signature of Applicq — Owner El Contractor [I Agent 9—' An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in height./5C✓EReceipt Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPIJ JSCI1OOLJ FLOOD PARCEL P11 ND 139UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which !JVIT�Ft OF PUBLIC By � �_._ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /pE /7 SCI -159 I No. - I rI WHITE-D.P.W.. TELLOW-A3e(930R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, C":)rnia�35965 - Telephone: APPLICATION AND PERMIT WORKS RMIT NO,/ 916/538-7 AS SSOR PARCEL NUMBER — 1,__7— ZONING BUILD NG PERMIT OW ER ��"i� �r ` TELEPHONE SO. FT. OCC. BUILDING VAL ATION OWNER'S MA LI G ADDR 5s f Li NTR CTOR•S N ME J,01'j7CT TELEPHONE S IN AD ESS V Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation$ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 36 L, Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARC MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is0.00ea A TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: I I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00' Main service 10OV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 Professio C nd my license Is In full orce 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a` OR ADDNS. ACC. BLDGS. I , /20sgft NEW CONSTR. '.OUTLET 2.SOea _s NON-RESID BRANCH CIRCITS)__ (POWER (POWER APPARATUS e\ OUTLET CIR. / EX. Occup OUTLETS OR FIXTURESAFL Ex. OCCUp. OUTLETS FIXED P(RESID )REA.) Temporary service ,Mobile Home Facilities Misc. Wiring 9 Permit Fee $ 13 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. g3--1-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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood , 3.00 Ventilation pelt Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgm nts, costs, Od expenses which may in any way accrue agains said County • c se ue a of the granting of this permit. Date 9 3 Signature of Applic — Owner❑ Contractor ❑ Agent94� 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 $ Occup. CONST.TTPE SCHOOL FLOOD PARCEL I Po I ND I ISSUF This permit is hereby issued under sionthe Butte ounty Code and/or worV��nnn at a ve for which RE TOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dace� % SEPB• - Receipt No.n 16 - WHITE-D.P.W., TELLOW-ASSEe3OR. PINK -INSPECTOR, GOLDENROD -APPLICANT -j,NatC,#'•,E,,t'.n ..L.^ ,..:.A r,y J `r f X ��T t2 { vat yfY y°y >`;' ✓, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS`'- BUILDING'DIV1SION L 7 COUNTY CENTER DRIVE-tROVILL-E1rL1.F0_R qIA 95965 - TELEPHONE: 916/538-7541,1r PERMIT APPLICATION DATA SHEET' Permit No. OWNER-'`'►' t f `u`.� ,�A�`P. No.�%�?/LL�1 Proposed Building Use- Building Inspectors��/f Date r `` 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. . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. . . . . 8. Fees of $ . . . , . . . . 9. Letter of signature authorization. . . . . . . . . . 10. 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. l 17. Pre -Inspection for __._. _ Required.* P`e-Inspec. request to (Dote) p q Building In 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit, — 20. Plot plan approval from city of— - —.- 21. - - 22. — — — When you issue the permit, process as follows: Mail to owner, Lail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector. Other _ -- Applica Date � 9;�! Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. --- 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone—naiI—counter by date — Contractor, designer, owner, was advised c? above required data by—phone _maiI—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy -DPW