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Home My WebLink About021-230-036_� -- AP 21-23-36 � VA1`IDER LINDEN; B. _ 131-6gB NEILL MITCHELL 114-68P l.• wls Live Oak-Gridley Hwy(Township) ' 10 -68E 1 2 mi. S.of Evans Reimer R., Gridley-21=23- 6 Permict# 2534-75B(r.eroof) i'K4 ��/�f/ h w�s Live Oak-Gridle_ y Rd. app.- 1 mi. so. d!. Zgaj 021-230-036 06-1142 Reimer, Gridley I HALF MOON FRUIT & PRODUCE, CONTR.Blue Dolphin Pools, 3015 Hobart Ct , 425 TOWNSHIP RD, GRIDLEY (swirrmiing 0011))Sacramenti� , I Cont: HALL ELEC CONTRACTIO f METER RELOCATE B06-2566 021-230-036 MISCELLANEOUS Demolition IL DEMOLITION OF SF DWELLING ` °~ 425 TOWNSHIP RD t'�^ t HALF MOON FRUIT & PRODUCE CO I w f i i, o , In ter' N r N M BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES : BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 427 TOWNSHIP RD Owner: Permit NO: B06-2566 APN: 021-230-036 HALF MOON FRUIT & PRODU - Issued Date: 10/31/2006 By KCG Permit type: MISCELLANEOUS BOX 428 Subtype: Demolition YOLO, CA 95697 Expiration Date: 10/31/2007 Description: DEMOLITION OF SF DWELLING (530) 308-5060 Occupancy: Zoning: A40 Contractor Applicant: Square Footage: HALF MOON FRUIT & PROD Building Garage Remdl/Addn BOX 428, YOLO, CA 95697 Other Porch/Patio Total (530)308-5060 FEE INFORMATION Demolition $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B715 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect., of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/31/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE OMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION 0 RED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License w Law not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier. Policy Number: Exp. Date: (This section need not be completed if the permit is or on�llars ($100) or ess. I Ede�,under Section B. 8 P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SUED, I shall not employ any person in any manner so as to become subject to the Workers' Killompensation - - laws of California, and agree that if I should become subject to the workers' X 10/31/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Ow rs Signature Date provisions. X10/31/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signator Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the p oparty owner or am authorized to act on''thhe pr any owners behalf. �a ,y S L cl Es o u ati>v X 0"QQ( }�a.�,;.,�0/31/2006 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR. Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY" OWNER INFORMATION La ame., first ame Mailing Address City 'al_ Zip Phone 0 Fax E-mail - — --- - APPLICANT INFORMATION - CONTRACTOR Name Cit)L I Address Zip City FeoLo State Zip Phone Date Approved: Fax E-mail Lic. # Class - — --- - APPLICANT INFORMATION - ARCHITECT/ENGINEER Name Cit)L I Address Zip City FeoLo State Zip Phone Date Approved: Fax E-mail State License Number - — --- - APPLICANT INFORMATION - NameD— , q-0 Address'2.7.'l (Z4 Q Cit)L I e Zip Phone 530 509r— FeoLo E-mail APPLICANT SIGNATURE X / For office use only: Zoning Flood Zone SRA Yes No Occ, Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJECT LOCATION L Pr perty Addre s t-AJILY— CrossStreet WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Derno aS F Dweli Sq FT- Living Garage OpebJ Cov ❑ Structure Built without Permits. ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: 0- Amount: 55. Bldg SRA Receipt MEM5. Sheriff SMIP �0, Other Date: 1J Cv '00 Total B. E. Giovannetti & Sons ,I JVloon Fruit & Produce Cod ESTABLISHED 1713 Ronald Giovannetti, Executive vice President Cell: (530) 308-5060 FARMING / INVESTMENTS 5272 Clark Road • Live Oak, CA 95953 (530) 695-2169 • (530) 695-2767 Fax Branches: Huron • Live Oak • Yolo Butte County Department of Development Services TIM SNELLINGS, DIRECTOR( PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party 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 than 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. 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 $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government 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 contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit 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 thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor 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 requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES WOO—) (1(HAV VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTE WIT E FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESSCITY c{ PHONE ONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: DEMOLITION OF SF DWELLING Reference Number: B06-2566 Applicant Name: HALF MOON FRUIT & PRODUCE CO p Signature of Property Owner: Date: / BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BP061142 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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 Issued Date: 05/16/2006 APN: 021-230-036-000 the Business and Professions Code, and my license is in full force and effect. �� License Class: License Number: Site Address: 425 TOWNSHIP RD GRI Date: 5 IC Contractor: %l,11 Map Index: Description: MOVE METER TO PUMP HOUSE FOR WELL OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 ONLY Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: HALF MOON FRUIT & PRODUCE CO signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or BOX 428 she is exempt therefrom and the basis for the alleged exemption. Any YOLO, CA violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 95697 ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees,HALL Applicant: ELECTRICAL CONTRACTING provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 1355 C EATON RD proving that he or she did not build or improve for the purpose of sale.). CHICO, CA. ❑ I, as owner of the property, am exclusively contracting with 95973 licensed contractors to construct the project (Sec. 7044, Business 530-345-1206 and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Contractor: HALL ELECTRICAL CONTRACTING Date: owner: 1355 C EATON RD CHICO, CA. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 95973 C31 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the 530-345-1206 Labor Code, for the performance of the work for which this permit is issued. Al 1 have and will maintain workers' compensation insurance, as License #: 790783 required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: s 77 <—,c <-,c rO Architect: Carrier: Engineer: Policy #: ` —7 / 2 — o d o 6163Y L :J ❑ 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 0 S. F. become subject to the workers' compensation laws of California, Total Square Ft: and agree that if I should become subject to the workers' Valuation: $0.00 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoseprovisions. Census Code: tee Date: Applicant: - WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. / CONSTRUCTION LENDING AGENCY This permit is hereby issue)i under t4 applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions t ork rs ted abo for w 'ch fees have been paid. I �� Name: By: Date: PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. `� Print Name: Signature: «5V Date: ❑ owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last Na a ovti :;aI ��.. first Name Address 1 City / Sta�q, Zip Phone Fax Fax E-mail State License Number CONTRACTOR Name,��tf Address City Y� Staff Zi Se:� 73 Phone -3,, ZOO Fax3 7,-7 / E-mail Lich 70-7931 0-793 Classes APPLICANT SIGNATURE X_ For office use only: ARCHITECT/ENGINEER Name -SGC L Address I No City Type Const. State Zip Phone Lot # Fax E-mail State License Number APPLICANT SIGNATURE X_ For office use only: APPLICANT INFORMATI N Name -SGC L Address I No City Type Const. State Zip Phone Lot # Fax E-mail APPLICANT SIGNATURE X_ For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: UVtK FUR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO �. IIS BP BIN # PROJECT LOCATION API C)Q Property Address o 2,_5- -7:E_--1Lsl, ,l) C' y Cross Street WORKER'S COMPENSATION Policy NumberS*�tw Cz-ry' Carrier --I ) C) Gd CqC - If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description o-LS=e of Work G h cry--\ Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg Receipt #: Sheriff SMIP Dater �Cv_ G 6 Other Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. _ ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7.. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 PERMIT NO. 2534-75B P E M MH UTIL. PERMIT NO. PERMIT EXPIRES �•� OWNER Neill Michell CONTR. I OCATION (A.P. 21=23-36 ) i ' w/s Live Oak—Gridley Rd., (Township) z mi. S. of Evans Reimer Rd. , Griiley J a l i !I ,i JJ) 4 j, Temp. Power Pole i Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Se v. • Call PG&E / FINALED (Date) (Signature) DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE— DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BU -LDING BUILDING,(Cont'd) PLUMBING Setback Firewall Soil Pipin Forms Parapets 1st Flodr Main Bldg. Restroom Finish 2nd Flo r Footings , Windows 3rd Floo Stemwall Sidinci To out Slab Roof Sheathin . Water Pi in Piers Roofing Sewer !' Garage Fdn. Vents Fixtures ) Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically. v handicapped ' Heaters 1 Appliances Carport Footings Conformance orex. structure Gas Piping & Tes Temp. Gas j Slab Final Sanitation Patio FIREPLACE Final t Footings Footing P ELE TRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRIK SPP,4NKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh ME H ICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBL1fi W�� ORK �" 7� 7 County Center Drive — Orov_ille, California 9596 Tel ephorrty: X34-4541 6W / APPLICATION AND PERMIT% r/ authorize representatives of the County of Butte to enter upon the a ove-mentioned property for inspection purposes. e � X X :e&ate — Z _ 71 Signature offPPermitee Agent Receipt No. /✓��a� 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. DIR�OFIC WOR//KS ByDate/-/,- 0 ate Com— y % uilding permit expires Date �� BUILDING OwnerG S . FT. OCC. BUILDING VALUATION C Mailing Address �.X Telephone No. 13y4/_5;, Fireplace Fireplace Contractor ��,`j� Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ aL Building Address�vrT / PLUMBING No. @ FEE PERMIT FILING FEE $3.00 _ rp Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 �G Each gas water heater or vent 1.50 A. P. No. Zoning anng Zonis & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. I Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Flans Parcel Declaration parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 ' Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesb I a2 Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring J� 01 -am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the a ove-mentioned property for inspection purposes. e � X X :e&ate — Z _ 71 Signature offPPermitee Agent Receipt No. /✓��a� 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. DIR�OFIC WOR//KS ByDate/-/,- 0 ate Com— y % uilding permit expires Date ��