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HomeMy WebLinkAbout021-250-003r1. .t,- 21'-25-,03p J. B. FLORES4 i'), 11'1417.7 t W/S Losser' Ave, app 250'-S of • b Little Ave; Gridley r• Permit #2901-78B(replace existing. siding with stucco)SF' side. 3 qi L+, �� 21-25-03port Permit #2902-78B(replace existing siding with stucco) S x,021-25-0-003 'n,w` 98-2011^fBR" I,O .FRES, J.G. • •",, ' �,' � }' s. -1383 Losser,- Gridley,s y " n • �,. '(upgrade,'elec)SF: John M de •� y/,.,�'. M 1' t j. . v�^ t� tr 1 � �uri'fJcr� Lt'D '021-25-0-003 98-201'1.B ..FLORES, •J.G. Losser, Gridley = ,iuPgrade elec)SF !ohn Munde . bpY A Address GAS c �—.— Meter By Date ELECTRI -� �. DatA -.Meter By � Nmµ i � _ _ - • elo i COUNTY OF BUTTE - DEPARTMENT OF. DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541" PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT � _ zo ASSESSOR PARCEL NUMBER 021--2 ZONING BUILDING PERMIT OWNER J.G. R. TELEPHONE 00 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME Jti0 WME TELEPHONE I 866464a_ CONTRACTORS MAILING ADDRESS 1391 11A, SER AVE- r.RTn1.VV CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS .- Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING s t�SSPA� GRIDIMEnergy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CIT 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 ❑X Describe Work: EIM UPGRADE 100 AMP Gas piping system 1 - 5 outlets o 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 LESS Main Service OO200AOV OR OR IESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, 12/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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA TO lOooA 46.00 NEW CONST. DW ."NG OCCUP. OR AODNS. ( a Acc. stns. SO FT. ptO" RAID MULTI.OUTLETTs . @7,50 POWER APPARATUS a swGLE oLn1FT cIR. EX. OCCU OUTLET OR FDRUREs BAL @ 209 .00 I. 0 LNS OR Ex. Occup. ouriFTs RES D.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP 23.00 PERMIT FEE $ 66.00 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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 T/1C , s. .ery Date Signature of pplicant - P Owner ❑ Contractor ❑ Agent An OSpe mit is required for excavations over SO" deep and demolition or construction HA of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 66.00P TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD I HD I 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 s r� �l /�/�� f Date �- PERMIT EXPIRES ON Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Caiifornia 95965 • Telephone (530) 538-754 PE MIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021-25-0-003 ZONING BUILDING PERMIT OWNER J.G. FLORES TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS "UNG ADDRESS EDSSE CONTRACTOR'S NAME JOHN MUNDER46-0648 TELEPHONE CONTRACTORS MAILING ADDRESS 1391 L CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING'19 SSLOSSER AVE, GRIDLEY 1 .J O.� Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAA£ PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑X 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 ❑X Describe Work: ELEC UPGRADE 100 AMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service :..A R L.ss 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. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, 0/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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I 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 f one hundred dollars ($100) or less.) 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 fort with comply with those provisions. X Date SignatureApplicant - In Owner ❑ Contractor ❑ Agerft An OSHA pe mit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service ZODA TO lOooA 46.00 NEW CONST. DW EWNG OCCUP. SO OR ADDNS. ( 8 ACC. S.3.5¢FT; NOµp°SIDT' MULTI.OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OITTLET OR FDRURES 00 BA20 Q 1..00 Ex. Occup. ° RAID. °E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP 23.00 PERMIT FEE $ 66.00 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 $ 66.00 HAZ. D. FEES IMP I FLOOD I CDF PARC0. Po HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ByDate PERMIT EXPIRES ON—� ' the applicable provisions Resolutions to do work been paid. `O (Date) Receipt No. 250472 WHITE-D.D.S.-B.D. CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PRE -INSPECTION OWNER: () LOCATION: / ?,?s DATE C ` ( '6 _ F A. P. # CONTRACTOR:_ZONING G PRE -INSPECTION FOR: lC Q_ AG �Ve PERMIT HISTORY: F2 NONE AS FOLLOWS: TYPE OF OCCUPANCY BUILDING USAGE: TENNANT: 0 OCCUPIED F-] [] HEATED. -COOLED OTHER COMMENTS: DATE TO INSPECTOR / U FIELD - INFORMATION HAS ELECTRIC HAS GAS T PERSON CONTACTED " t ACTIO ECOMMENDED: i ISSUE HOLD FOR t 0 HAS SANITATION FACILITIES COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) af— 25'-063 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 2ON1NO BUILDING PERMIT OWNERTa"NONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAULING ADDRESS - CONTMCTO S NAME TELEPNONE L coNiRACTO MAu1No ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Flre IaCe Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee b SULLDINO ADDRESS � - Energy Plan Checking Fee b $ PERMIT FEE _ LOT NO. SUBDIVISIONS NAME PARCEL MAP _ PLUMBING PERMIT Filing 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0__� Describe Work: d If L L,,w!g-/ ©tJ V 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 Filin Fee 20.00 Main Service o,Mes 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. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project 0 1 am exempt under Sec. ,Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I 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.) ❑ 1 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 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60• deep and demolition or construction of structures over 3 stories in height Main Service 20" TO L000A 46.00 NEW CONST. OW91LNo OCCUP. 3.5¢go. OR ADDNS. i ACC. BLAB• NON-AESIO.EW CONST. MULn'oLmUT CIRCUITS @7.50 POWER APPARATUS a SINGLE oLmEr as Ex. Occup. ounrr OR FwTmEs SA2L ®'•0° L .so APPLNSI Ex. Occup. OUTLETS (REST °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ �,QCS MECHANICAL PERMIT Fling Fee 20.00 Heatin Coolin Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE / TOTAL FEE $ �p -L'J9 HAz 1 D FEB IMP FLODD COF PARCEL PO )m 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 Date PERMIT EXPIRES ON ReceiptNo. �� Z WHITE-D.D.S.-B.D. CANARY -ASSES OR PINK -INSPECTOR GOLDENROD-APPLICANTMore) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SEEKES= B���fi1 6 IN 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - LEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER:'? &6e ` ASSESSOR PARCEL ER: di arip - 0"_-3 3 Proposed Building Use: 5 Building Inspector: Date: G' -,F At time of permit application, I was advised the following data must be su mitted prior to permit processing and/or issuance: Date Receiver d By ❑ 1. All iiems have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications --------------- 0 ------------❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. 1115. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: _ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 1.9.F-ncroachment Permit for driveway construction approval prior to occupancy) - - 2/ Y ( PP P P Y)�---------------- -- - ❑� 0. Pre -inspection for rGT �.— required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ El 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. ------------------------------ 025. Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on;building use. -------------------------------- 027. Manufactured Home utility clearance. ------------------------- 028. Existing violations and/or expired permits. ------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ Other: (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at o eliver with inspector. Applicant: _ Date: Y Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Po on Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan'Clieck- List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by `Date:'. Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signarm Please complete and return this information at your earliest opportunity to avoid unnecessary delay 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 ❑ 2. 1 HAVE ❑ HAVE NOT ❑ signed an application for a building permit for the proposed wodL 3. I have contracted with the following person (firm) to provide the proposed construction: ' NAZME ADDRESS: U CITY:_ PHONE: 6Z _ 06 !�l S:::� CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate; supervise, and provide the major work: NAiME: ADDRESS: PHONE: CITY: 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: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER• 1214. SOCIAL SECURITY NUMBER: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER I OWNER BUILDER INFORMATION - I Dear Property Owner: An application 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 party ofj=rd 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 but license from the city or county. They are also required by law to put their license number on all permits. for which they apply X •j s If you plan to do your own work, with the exception of various trades that you plan to subcontract. Y"... . 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+,nnateaials' and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors, or subcontractors, then you may be an employer. 1 If you are an employer, you must register with the State and'Federal Governments as an employer and'you aie subject to several obli ations.includin state and federal income tax.withholdin federal social securi J g g & _!a±�:.:. workers compensation insurance, disability insurance costs, and unemployment compensation contributions: ♦ There may be financial risks for you if you do not c .ZN;rte' y y y arty out these obligations, and�these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service:(and, 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 tpeir work personally or through their own employees, without a licensed contractor or subcontractor, only under limited 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 ersonally.Information about licensed contraggrs 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" bn 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. +Micel Vi ira, C.B.O. uilding Inspection NOTE: This Owner-Builder•Information is required by Section 19830 of the California Health and Safety Coda cll COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — , Oroville, California 95965 / Telephone: 5,14-4541 /C/ APPLICATION AND PERMIT BUILDING Owner +ti 'y /. ��, t` J SQ. FT. OCC. BUILDING VALUATION - Mailing Address Tel'ephone No. Contractor V . f_t 0-L. Mailing Address Fireplace Total Valuation �/p(„ CCS Telephone No. Permit Fee Building / Address %'"1 D �sor. tt� ,ILJ�- �t1�9�D�t Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 I<A41, �Lz Repair drainage or vent piping 1.50 A: P. No. +I!% 4�' ` n�/;L- Zarin & Planning g Water piping 1.50 1 Each gas water heater or vent 1.50 Fees W.C� • Sanitation- 'FireDept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parting Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 ' Bldg. -Plane Recd' Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ��trzfJb>�CcS CYvts•jit•5 'itrCi,ft,� tr.sr %% ELECTRICAL No. @ FEE sT%VG-L� PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -L 100 AMP 2.50 it ER 600V Main service 10 0 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONSTDWELING OR ADDNS. ( ACCLBL GS,CcuP. h) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9. Div. 3, of the State of •�alifornia Business & Professions Code under the name style of: NEW RES,.,t BRANCH CIRCU NON.RESID ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS d NON.RESID. (SINGLE OUTLET CIR. 250 Ex. Occup(OUTLETS OR FIXT11RE5 g L lin FIXED APP—LN S. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑/ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No @ FEE NORKMEN'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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. POI 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 Cali fornia• I 4 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 Land Development Fee $ TOTAL PERMIT FEE $ �% rj( authorize representatives of the,County of Butte to enter upon the above-mentioned property for inspection purposes. Date/%.r4 �(.r Signature of Permitee or~Agent �f / Receipt No. � 177 —ro -7/_ (/ 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. �r� DIRECTOR OF PUBLIC WORKS By/ 1%/1� / /11. / Date *7V" w ✓r — - Building permit expires Date d S'plzwe ��yev c Q' COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 0 Telephone: 5f1,4-4541 APPLICATION AND PERMIT BUILDING Owner ' f �� f-=� ��� F- S SQ. FT. OCC. BUILDING VALUATION rr.-,. rte, fcT % ��. 6& - - Mailing Address T ' / 1 Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. r Permit Fee Building Address t C. x Plan Checking Fee&/or Penalty Permit Fee ! 4 err �i�71_ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 4(00-41 Wi IF Repair drainage or vent piping 1.50 A. P. No. v Zonin 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. -c-- I Sanitation- Fire Dept. Fire'Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Par<ing I Plans ParcelEach I Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg..Plana-Reed Parcel A royal I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Permit Fee $ $ fea��r�tLx %�s� =rc .s.ct.,--.es t•••.T�� ELECTRICAL No. @ FEE r r PERMIT FILING FEE $3.00 V OR Main service 100 AMP ORSLESS 5.00 Single Family 0 Duplex ❑ Mobil Home E] Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS ' Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST ACCLBLOGS.LING CCUP. 'I)20sgft 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 CONSTR (MULTI -OUTLET NEW CO ID BRANCH CIRCUITS) 12.50ea NEW CONSTR POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETs OR FIXTIiRES B �@1 FIXED APLNS Ex. Occup. (OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 OI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am awa-e of the provisions of Section3700 of the California Labor Code wh ch requires every employer to be insured against liability for Workmen's Compensation. , t ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the woik 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 $ 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 oftthe County of Butte to enter upon the above -menti oned,property for inspection purposes. X r/ri� �) i�� t" }/.l>�i? Date )y//l..11Gl7U Signaturerof Permitee or Agent �} U Receipt N / o. Z-72 ? 7 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. //� /?_DIRECT�OFBLIC WORKSy/I. .,w � Date ��J Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7, County Center Drive - Oroville, California 95965 Tel ephore: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X • Date i $ignatur orPermitee or Agennt Receipt NO./ 77 3 ;?(,.E 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 yabovewhich fees have been paid. REC 0 OF Pl BLIC WORKS + Date/ Building permit expires Date C a BUILDING Owner SQ. FT. OCC. BUILDING LUATION Mailing Address a 1�) r TeYiv`e GS Contractor Mailing Address Fireplace Total Valuation D, B� Telephone No. Permit Fee 71 Building Address W 40 Plan Checking Fee&/or Penalty Permit Fee r}� PLUMBING No. @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �y Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 R&es I C. &aRltattt7R Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach I Declaration I Parcel Map 1 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 BI.4-P4vna-Rv d Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER (�J Permit Fee $ jQ[: L�ecrz es "� s'�•l �,_,r ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVEAMP OR P OR LESS 25.00 100 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELING OR ADDNS. ACCLBLDGS.CCUP. 71) 20sgft 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 st y le of: NEN CONSTR BRANCH NON.CONS 1 BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON.RESI D. SINGLE OUTLET CIR. 50@ Ex. OCCUD(OUTLETS OR FIXTIIRES BAL E x. QCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Lice.,,pse No. Classification Misc. Wiring 6.25 0"lam 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. ❑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. MECHANICAL No. @ FEE 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X • Date i $ignatur orPermitee or Agennt Receipt NO./ 77 3 ;?(,.E 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 yabovewhich fees have been paid. REC 0 OF Pl BLIC WORKS + Date/ Building permit expires Date C a BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS t SPECIAL INSPECTION REPORT Owner:, A. P. # Address: Date of n Inra Tenant: Inspector -.Z:: � Building Location: Type of Inspection requested: 1. Housing L 2. Financing / 4. Other (specify) - Present use of building: / = 3. Change of Occupancy to A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and. ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit:, 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: •12. Connection to water supply: 13. Rubbish.and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Caim, ents• C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Continents D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: (continued on back) E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: Field Problems or Violations 1'. Problem or violation give complete description) :-- 2. What action taken (give .complete description) 3. What action recommended: T % A. Information only - file. / B. Hold for tea (10) days, then write letter. C. Write letter. /% D. Other: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 Cbunty Center Drive - Orovi,lle, California 95965 Tel ephon6: 534-4541 APPLICATION AND PERMIT a9o2 �� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Dat & - Signature Permitee o Agent Receipt No J 77 3 7 62t 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. OIREC OF P ELIC WORKS AA 1AA7- B Date VIv– -v —Z – ---- – v / ' Building permit expires Date 7 BUILDING OwnerA ZS SO. FT. OCC. BUILDING V UATION Mailing Address C - TelephoneNo.� Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee �,s Building Address C7 �!� Plan Checking Fee &/or Penalty Permit Fee 6 p, ;. Xd_iL- W/ ­4e5, PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 )� d-at Repair drainage or vent piping 1.50 A. P. No. S •--• © T Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F . e 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 ass ec Parcel Approval -Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ 64Ces zl_*egftA.�' CFAd ELECTRICAL No. @ FEE vC� PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER s 25.00 100 AMP O OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST V ADWECCLBLDGS.LING CCUP. Y� 2¢Sgft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: %� NEW RESCO .. BRANCOUTL T NON-RESID BRANCH CIRCUITS/ 2.50ea NEW CONSTR POWER APPARATUS&J NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETs OR FIXTtIRES g @ , Ex. OCCU FIXED APPLNS, OR Occup.(RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 01_1am 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 217 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.1 @ FEEPERMIT 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 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-mentioned property for inspection purposes. Dat & - Signature Permitee o Agent Receipt No J 77 3 7 62t 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. OIREC OF P ELIC WORKS AA 1AA7- B Date VIv– -v —Z – ---- – v / ' Building permit expires Date 7