The URL can be used to link to this page

Home My WebLink About021-250-00421725-04 21-257--4--- ser CATHERINE-BENEDICT 3f L TOM & LOIS AMOS 267 Little Avenue, Gridley S/s Little Ave, 1001 w of Losser 9 Permit#lf-88A(A&Lr�icgltural Bldg Exemp T Ave, Gridley 11-,29 - ;;77 tractor stg & �®rks Contr :, Granti'luist Elect. SerGrid. Permit #6121-77E(ele ser c1i) SF 21-25-04 3047-90B AMOS, Tom �267_Little Ave, Gridle-y Contr: Double j Roofing reroof/sf 00 7�7 �b _IT#98-023��71 0 2 EVANS' B6 iidldy' 2 6 7 -'fit �l e ve Cont H- H-,Cdst6� BAdling Rer6of/Garage /V A; WfT/,�e/- 021-250-004 01-1041 EVANS, BOB 267 LITTLE AVE., GRIDLEY CONTR:H&H CUSTOM BUILDTJ1 REROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive * Oroville, California 95965 9 Telephone (530) 538- 41 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT P0 (4 ASSESSOR PARCEL NUMBER 021-250-004 ZONING BUILDING P OWNER BM EVAM TELEPHONE SO. Fr. OCC. BUILDING VALUATION V OWNERS MAILING ADDRESS 267 LrMl� AWK., GREIN", CA 195W C NTRACTOR'S NAME 0 H-Haz"M BUMIM TELEPHONE 184&-0874 CONTRACTORS MAILING ADDRESS P.O. BOK LU1, GUM", CA 95%8 CONSTRUCTION LENDER Fireplace LENDERS MAJUNG ADDRESS Total Valuation 1s020 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 20.00 Fee $ 27.00 ARCHITECT OR ENGINEERS MAILING ADDRESS —Permit Plan Checking Fee $ BUILDING ADDRESS 267 LXr= AVE_. GRIDIFY Energy Plan Checking Fee PERMIT FEE $ 47*()0 LOT NO. SUBDIVISIONS NAME IPARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF a Duplex 0 Mobilehome 0 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 New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other)0 Describe Work: RE -R" W/ mm. Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @?20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service *."..v O.RR :ss 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: 0 1, 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. 0 1, 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 Main Service 200A TO 1000A 46.00 NEW CONST DWELLING OCCUP OR ADONS. & ACC. BLDS. so. 3.50Fr. ==.T' =,, 0ciZcLu%, 97.50 PSOW.E.RAP.PARATUS IN 0 CIR. Ex. Occup. oLmET OR FIXTURES 20 @ 1.00 SAL Q .50, O.FIXED APP . OR Ex. Occup. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: [bl-111 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. 0 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' corn�p ance carrier aMd policy number are: Carrier vation insur �r I .) / W re-, J, Policy Number e- - il. (The above sections neied not OeFcCmpleted if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 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,. Signat6re of Applicant - 0 Owner 0 Contractor 0 Agent An OSHA permit is required for excavations over.60" deep and demolition or construction of structures over 3 stories in hei MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee s Energy Inspection Fee s OCC CONST. TYPE TOTAL FEE$ 47.00 E ES IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated ove for Ehich fees have r., By PERMIT EXPIRES ON - the applicable provisions Resolutions to do work been paid ate t (D, tT ReceiptNo. P0 4 `% 14:7 WHITE-D.D.S.-B.D. CANARY-AgSESSOR - ��PECTOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DFZLOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive * Oroville, California 95965 9 Telephone (530) 538 -7r -Al IT NO. (Rev.12/96) APPLICATION AND PERMIT D - ASSESSOR PARCEL NUMBER 021-250-004 ZONING BUILDINGPERMIT OWNER BOB EVANS TELEPHONE so. Fr. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 267 L= AVE_, GRIDLEY, CA 9594A CONTRACTORS NAME H -H CUSTOM BUII-DING TELEPHONE 1846-0874 CONTRACTORS MAILING ADDRESS P.O. BOX 1341. GRIDLEY, CA 95948 CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 19020 ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $ 27.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 8UILDINGADDRESS 267 L=.E AvF-- GRIDIFY Energy Plan Checking Fee $ $ , PERMIT FEE s41-00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CK Duplex 0 Mobilehome 0 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 0 Addition 0 Remodel 0 Utilities 0 Installation 13 Other ]Q Describe Work: RE -ROOF W GOMP- Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home JTJ_GT`WF_' 920.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20-00 ' FILE Main Service .A OR LE:: 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 -%I force and effect. License Class _tz) 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: 0 1, as owner of the property, ormy employeeswith wagesastheir sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with Ncensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 here��affirm under penalty of perjury one of the following declarations: P11 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. 0 1 have and will maintain workers' compensation Insurance, as required by Section 3700of the Labor Code, for the performance of work for which this permit is issued. ensa on insurance rrier MY workers' comp d policy number are: Carrier '�:3Z 22 - -C6 & '7X-- 4r -ac) - Policy Number OfZ864; _<>C) (The above sectioEs- neieanot-li-e-do-mpleted if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 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 com ly With those pro isions. 7 X Date%. signatd-re OT Applicant - 6 dwrier ff- contractor 11 Agent An OSHA permit is required for excavations 56'00" deep and demolition or construction of structures over 3 stories in heig Main Service 200A TO 1000A 46.00 NEW CONST. OW ,�LJNG gCUP. SO. OR ADONS. ACC S. 3.50FT. NEW CONST. MULTI - NON-FIESID. BRANCHO @7.50 POWER APPARATUS & SINGLE OLM-ET CIR OUTI.Er OR FIXTURES 20 @ 1.00 Ex. Occup. ( @ .50 ( 0 FIXE D A 0" Occup. P(PRI%.) E -I 5.00 -Ex. Temporary Service 23.00 Mobile Home Facilities 20.00 Wiring 23.00 -Misc. PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee s Energy Inspection Fee s Occ CONST. TYPE ITOTAL FEE$ 47. 00 F77 COF PARCEL I PD HD ISSUE - This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work ind d ov for hich f es have been paid. By PERMIT EXPIRES ON I I(D, J ReceiptNo. �045(04-7 WHITE-D.D.S.-B.D. CANARY-AVSESSOR _��(;TOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION (Rev. 12/96) 7 County Center Drive * OrovilL,�,' CA*ornia 95965 9 Telephone (530) 538-7541 ASSESSOAPARCELNUMSEMA APP.LICATION AND PERMIT --------- ZONING BUILDING PERMIT OWN Mg — — �� _�� S TiE_L:D'"HONE A, SO. Fr. OCC. —FUILDING—VA MNER Vj OwNERM7,A-00"Ess I A Vj ni CONSTRUCTION LtNOER 1 $ — ELECTRICAL PERMIT Fee 20.00 LENDER'S MAJUNG ADDRESS _Elling 23.00 Main Service 200A TO I OOOA --VEW —CONST Fireplace ARCHITECT OR ENWNEER 3.5jfO- 0. N ONST. MULTI-OUTLEr R ULT. -O LET ES NON-RESID. Total Valuation POWER APPARATUS P0:_ APPARATUS LICENSE No. Filing Fee ARCWTECT OR ENGWEERS MAILIND, ADDRESS 20 @ 1.00 Permit Fee SUILDINGADDRESS UILETS ES, 6 I -=.I EA. Plan Checking Fee $ �77q -7 T Energy Plan Checking Fee $ Misc. Wirina 23.00 LOT NO. NAM S PARCEL MAP PERMIT FEE $ PLUMBING PERMIT USEOFSTRUCTURE Each Trap SF 0 Duplex 0 Mobilehome 0 Other Solar or heat pump water heater —Water piping TYPE OF WORK ach as water heater or vent New 0 Addition 0 Remodel 0 Utilities [3 installation 0 Other (3 Gas piping system I - s outlets Building sewer Describe Work: F Mobile Home IS G W *PERMIT FEE PAIb SPA SHERIFF OTHER. AMOUNT RECEIVED *RECEIPT NVMBE;t 32,L(4 * TO k PVT INTO coMpVTER PERMIT NO. TION _20-00 20.00 7.00 --i-3OO — 15.00 15.00 15.00 15.00 020.00 PERMIT FEE 1 $ — ELECTRICAL PERMIT Fee 20.00 I 'I LESS "a RLE 000" 0' LESS ' in LE SS Se rvice Main Service OR 0 SS _Elling 23.00 Main Service 200A TO I OOOA --VEW —CONST 46.00 N co NsT DWELLM OCCU O_UP. r A ACC. SMS. �R �DNS. S 3.5jfO- 0. N ONST. MULTI-OUTLEr R ULT. -O LET ES NON-RESID. LM7.50 POWER APPARATUS P0:_ APPARATUS s-GLE MET CIR A SINGLE ourLET ciR Ex. Occup. oZOR FIXTURES 20 @ 1.00 BAL .50 0 PP on CCU _I_ 0, Ex. Occup. A,2 Z UILETS ES, 6 I -=.I EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 6.50 PERMIT FEIE $ Mobile Home Installation Fee $ Energy nspection Fee S — occ CONS' TYPE ITOTAL FEE$ KAIZ. I D. FEES I IMP I FLOOD I CDF I PARCEL I P. - J. 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 021-250-004 EVANS,.,,Bob 267 Little Ave., Gridley Cont:- H -H Custorh Buidling Rei-oof/Garage COUNTY OF BUTTE - DEPARiME'NT OF DEVELOPMENT SERVICES -BUILDING DIVISION I 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT N (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021-250-004 ZONING A5 BUILDINGPERMIT OWNER BOB EVANS TELEPHONE SO. Fr. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 267 LJTrU AVE, GRIDLU CA 95948 - --T—TELEPHONE 780 coNTRAdrOR'� _7EC 6 A.,o C, I o? ?q TS MAIUWDRESS P 0 BOX 1 Is GRIDLEY, CA 95948 CONSTRUCTION LENDER NONE LENDER'S MAJUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. I Filing Fee $ 20.00 Permit Fee $ 21 -W ARCHITECT OR ENGINEER*S MAILING ADDRESS Plan Checking Fee $ BUILDINGAIDDRESS 267 LIME AVE, GRIDLU Energy Plan Checking Fee $ PERMIT FEE $ 41.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other GAUGE 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 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Otherya Describe Work: REMP W/CW Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @D20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800 0" LESS Main Service �.OVA 0. �S 23.00 LES LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing �tith Section 7000) of Division 3 of the Business and Professions Code, and my license is inju,111 force and effect. License Class Lic. No. -2 -.0 — OWNER -BUILDER DECLARATION I I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of the property, or my employees with wages as their sole compensation, will do 4he work, and the structure is not intended or offered for sale. 0 1, 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP 0. OR ADDNS. & ACC. BILDS. 3.50FT. NEW CONST. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS 97.50 POWER APPARATUS % & SINGLE OUTLET CIR. J Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 FIXED APPUNS OR Ex. OCCUP. TLET. E., 5.00 U - Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 - PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 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. I 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 7 e- e_.- \I Policy 1��umber �' /— t2 '-,e — , - (The above section�'nie4d ribot 6e-cOmpl dif the pi�rmit is for work of A valuation of one hundred dollars ($100) or less.) 0 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 2 Date 7�1_ Signature of Applicant - 0 Owner 0 Contractor 0 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 TOTALFEE$ 41.00 IMP I FLOOD I COF PARCEL 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 _2- If 'flqo PERMIT EXPIRES ON Ac, 75—.1.) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV1,$ION Oroville, California 95965 - Telephone (916) 52 - 7 County Center Drive 1875 PERMIT NO. (Rev. 1 V96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021-250-004 ZONING A5 BUILDIDdG- PERMIT OWNER BOB EVANS TELEPHONE SQ. FT. OCC. BUILDING VALUATION 13 96-0-- 780 OWNERS MAILING ADDRESS 267.LITTLE AVE, GRIDLEY CA 95948 C:�CRS NAME — & 0 !�e � TELEPHONE P 0 B OX 1341, GRIDLEY, CA 95948 CONSTRUCTION LENDER NONE Fireplace LENDER'! MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 21 Q-0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 267 LITTLE AVE, GRIDLEY Energy Plan Checking Fee $ PERMIT FEE $ 41.00 LOT NO. SUBDIVISIONS NAME I PARCEL MAP I PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other GARAGE 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 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Othedff Describe Work: REROOF WCOMP Gas piping system 1 - S outlets 15.00 Building sewer 15.00 Home I S I G I W 920.00 —Mobile PERMIT FEE ELECTRICAL PERMIT Filing Fee 20-00 Main Service ".."A RR B , 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing kith Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License C Lic. No. 'lass '2 q 9-9 -z r- OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: CI 1, 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. 0 1, 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. & ACC. BLDS. a 3.50' FT. NEW CONST. B=OUTLET NON-RESID. CIRCUITS 97.50 POWER APPARATUS % SINGLE OUTLET CIR. J Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 SAL @ .50 Occup. ( u"TLEr:'rA '(g.,6.)OER, ) 5.00 —Ex. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.0 PERMIT FEE WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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 io(performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of workforwhich this permitis issued. My workers' compensation insurance car ' r a * policy number are: Carrier 7- Al 7- Policy Number—;Q� 4,;,5 (The above sectiongnee�d iTo-t 654-c6-mpreTeFif the peYmit is for work of a valuation of one hundred dollars ($100) or less.) 0 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 -ompl ith those provisions. X Date 5�-!_ Z 2_-_ 52 69 — Signature of Applicant - IT Owner 0 Contractor 0 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 FEiE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTALFEE$ 41.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PD I HID ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EX/IRE'S' ON 1 the applicable provisions Resolutions to do work been paid. Date -2- -7 lqg / V 7 & e) , (Dar Receipt No. 231763 WHITE -D. D.S.- B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT eOUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BULEDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PE"IT APPLICA TION DA TA SHEET OWNER: ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 111. All items have been submitted. 02. Plot plans, 3/4 sets, signed by the preparer of plans. 113. 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. C1 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! 06. Energy Design Compliance and supporting documentation. 117. Statement of Intent for Non -Heated and A/C Buildings. 118. Hazardous Material Form. 0 9. Manufactured Home data and installation instructions including Tie Down Specifications. 0 10. Fees of $ 1111. impact fees as shown on the attached schedule. 1112. California Department of Forestry plan approval/fees. C3 13. Flood elevation certificate. 0 14. Sanitation and plot plan approval Health Department. 0 15. City of Cluco plumbing permit. El 16. Plot plan and business license approval from the City of Biggs. 0 17. Planning approval for (A) Use: (B) Parking: _ 0 18. Contact Land Development about C1 Improvements, 0 Drainage, C3 Legal Parcel. 0 19. Encroachment Perrru'*t for driveway (construction approval prior to occupancy). 020. Pre -inspection for required. t; �2 Contractor's license information. (Number, Name Style, Classification). 22. Workers' Compensation carrier and policy number. , ' 1123. Owner -Builder Verification (Given to owner 0, Mailed to owner 0). 024. Letter of signature authorization. 1:125. Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on building use. 1127. Manufactured Home utility clearance. 028. Existing violations and/or expired permits. 0 29. 0 43 3 A, C1 Grant Deed, 0 M.H. Title, 0 Check to H. C.D $ El 3 0. Other: When you issue the permit, process as follows 0 Mail to owner, 0M[ail to contractor. Telephone and hold for pickup at office. 1:1 Deliver with inspector. Applicant: Date: EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one yearafter date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. 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 checking fees for work plan checked and other department costs are not refundable. Original - Applicant VIE UNTY OF BUTTE '-DEPARTMENT OF'ii4LOPMENT SERVICES - BU L SION I 7 COUNTY CENTER DRIVE - OROVELLE, CALIFE)RNIA 95965 -TELEPHONE (916) IDIH 4! PERMIT APPLICA TION DA TA SHEET OWNER: ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By El 1. All items have been submitted ----------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans - --------------------------------------------------- El 3. Complete plans, 3/4 sets, signed by the preparer of plans - --------------------------------------------- E14. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. El 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation - ------------------------------------------- 1--] 7. Statement of Intent. for Non. -Heated and A/C Buildings - ------------------------------------------------ 0 8. Hazardous Material Form - --------------------------------------------------------------------------------- El 9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- 0 10. Fees of $ ---------------------------------------------------------------------------- 0 11. impact fees as shown on the attached schedule - ------- 0 12. California Department of Forestry plan approval/fees. Ell 3. Flood elevation certificate - ------------------------------- El 14. Sanitation and plot plan approval Health Department - ------------------- Ell 5. City of Chico plumbing permit. ---------------------------------------------------- 0 16. Plot plan and business license approval from the City of Biggs - ---------------------- 0 17. Planning approval for (A) Use: (B) Parking: El 18. Contact Land Development about 0 Improvements, 0 Drainage, El Legal Parcel. 1119, Encroachment Permit for driveway (construction approval prior to occupancy). 0 20. Pre -inspection for required. Request to Building Inspector on �1--121 ontractor's license information. (Number, Name Style, Classification) - ------------------------------------ �2vWorkers' Compensation carrier and policy number - ----------------------------------------------------------- 1123. Owner -Builder Verification (Given to owner 0, Mailed to owner 0) - -------------------------------------- E124. Letter of signature authorization - -------------------------------------------------- 7 ----------------------------- E125. Recorded copy of Agricultural Acknowledgment Statement - -------------------- ----------------------------- 026. Letter of intent on building use - ----------------------------------------------------------------------------------- 027. Manufactured Home utility clearance - --------------------------------------------------------------------------- 0 28. Existing'violations and/or expired permits - ---------------------------------------------------------------------- E129. 1:1433 A, OGrant Deed, 11 M.H. Title, 0 Check to H.C.D $ - --------------- E136. Other: ------- When you issue the pernut, process as follows 11 Mail to owner, OMail to contractor. K'elephone JVTJ2 and hold for pickup 4t ?"'0 office. 0 Deliver with inspector. Applicant: Copy of Haz-Mat form sent 0 Health Department, 13 Fire Department, 0 Air Pollution Copy of plans sent 0 Health Department, 0 Fire Department, 0 Other: Date: Date: By: Date: By: 1. Index permit application for the above items numbered: 11 Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by 0 phone, 13 mail, 0 Building Division counter, by _ Date: Contractor, designer, owner, was advised of the above required data by o phone, 0 mail, o Building Division counter, by — Date: Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above -required data by 13 phone, 0 mail, 13 Buildin Division counter, by Date: �� 9 Plans reviewed by: Date: Plans approved Y Date: Sets of plans on hold in 0 Plan�Cabinet, 0 A.P. folder. Note trariffer by: bateJ Yellow Copy - Department of Development Services, Building Division. (Date) 5W. 21-25-04 3047-90B. AMOS, Tom 267 Little Ave, Gridley Contr: Double J Roofing (reroof/sf)' N4 V I r COUNTY OF BUTTE - DEPARTKENT OF PUBLIC WORKS 7 County Center Drive - Oroville, &alilln ia 95965 - Telephone: 916/538-7541 I APPLICAT D PERMIT PERMIT NO. ,:5'0'/7— �6 ASSESSOR PARCEL NUMBER 21-25-04 ZOIIMNG BUILDING PERMIT T c 6,1RAMOS TELEPHONE SQ. FT. OCC. BUILDING VALUATION 19 sq 150 1,140 OWNER'S MAILING ADDRESS 267 Little Ave, Gridley 95948 CONTRACTCR'S NAME Double J Roofing ITELEPHONE CONTRACTOR'S MAILING ADDRESS 280 Sheldon Ave Gridley 95948 Fireplace CONSTRUCTION LENDER! UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 210 50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee _$ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 81.��J!Slt�fffESS e Avenue, Gridley Permit fee $ qn-r%o PLUMBING PERMIT Fi ling Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20-00 LOT NO. SU BDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[�XDuplex[] MobilehomeF] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer _FS7G 5.00 Mobile Home I !NL 10-00ed TYPE OF WORK NewF� Addition [:] R emode i Q Uti lities [:1 InstallationD Other [A Describe work: Reroof/with comp Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 main service 6001 OR LESS , 00 AMP OR LESS 10.00 Main service EA. AOD'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 Busines S 19 and Professions Code and my license is in full force and effect. License No. Classification Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed C01111aut- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. DWELLING OC C U P'81 OR ADONS. ( ACC. BLOGS. 21/20sqft NEW CONSTR. M ULT'_OUTLET NON*RESIO, BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS.&) SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTURES 20 @ 50C j BAL@ 30C FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Wiring 15.00 —Misc. Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Fi ling Fee 10.00 Heating Cooling Hood 3.00 Ventilation — Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liab�,kties, judgments, costs, and expenses which may in any way accrue again C y in con ence of the granting of this perm . t X Date Sig no tuir of Applicant Owner Z Contractor EJ Agent An A permit is required for excavations over 5'0" deep and demolition or construct- ion o2rtItctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ — CONST TYPE I TOTAL FEE $ 30.50 HAZ I CUA I PARK � SCHL I FLII I PAR I Th's permit is nereby issued under sions oi Jhe, Butte County Code and/or work indicated a ove for w ich fees X A I I DIRECOT PUBLIC BI PERMIT EXPIRES Date the applicable provi- resolutions to do ve been paid. I RK�S Ilk -2 Receipt No. WHITE-O.P.W.. TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT COUNTY OF BUTTE.,- DEP,ARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviQe�% ' 1"211ifornia 95965 - Telephone: 916/538-7541 APPLI6 I " JIN-AND PERMIT PERMIT NO. '3 OV -7-90 ASSESSOR PARCEL NUMBER 21-25-04 Z09ING BUILDING PERMIT 'foARAMOS TELEPHONE SQ. FT. OCC. BUILDING VALUATION 19 sq 1,140 OWNER'S MAILING ADDRESS 267 Little Ave, Gridley 95948 CONTRACTOR'S NAME TT�HONE Double J Roofing CONTRACTOR'S MAILING ADDRESS 280 Sheldon Ave, Gridley 9594,9 Fireplace CONSTRUCTION LENDER OWN Total Valuation Is _F I I i ng Fee $ 10.00 LENDER'S MAILING ADDRESS Permit -Fee $ 20. 50 ARCHITECT OR ENGINEER ____7NSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ B 10NUTtHeEssAvenue, Gridley Permit fee $ qn r;r) PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20-00 LOT NO. UBDIVISION NAME 1 PARCEL MAP 1 Water piping 5.00 Each cias water heater or vent 5.00 USE OF STRUCTURE SFJXDuplexF� Mobilehomer-1 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00e I TYPE OF WORK New El Addition n R emode I E:1 uti iities D installationEl Other Describe work: Reroof/with comp Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 6 Main service 100V OR LESS 00 AMP OR LESS 10.00 Main service FA. 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 Professions Code and my license is in full force and effect. License No. 6?%J: — Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licenseU 1,UiILI0L;L- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) OR ADONS. ACC.BLOGS. 21/20sqft NEW CONSTIRL MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50 ea POWER APPARATUS.&) SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTURES .20@50C AL@30.t FIXED APPLNS. OR __. Ex. Occup. OUTLETS (_RESI 0 .) E A.) 2.00 Temporary service 10.00 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 ',or $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. F-1 I shal I 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 FilingFee 10.00 Heating Cooling Hood 3.00 Venti lation Permit Fee $ Contractor I certify that I have read this application and state that the above informati n is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot 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 liabi t.ies ojudgments, costs, and expenses which may in any way accrue again dd y in c n ence of the granting of this P;17? t. X ;W4 - Date of Appl-ica' Signotr nt Owner4 Contractor 11 Agent 'a A 0 n 0, A permit is required for excavations over 5'0" deep and demolition or construct- 0 St ion structures over 3 stories in height. Mobile Home Installation Fee $ r=nergy Inspection Fee occ CONST YPE TOTAL FE E $ 30.50 HAZ I CUA I PARK I SCHL I FLD I PAR PD HD I ISSUE This permit is hereby issued under s I ons B tte County Code and/or )r wo if - �c- edu above for hich fee IREC UE L ZIA I Af 71r B L,,,f,1mw PERMITEXPIRES Date— the applicable provt'- resolutions to do ve been paid. S I -)n sate C �4_d U4 C Receipt No. ll�351,5 24 ,4, WHITE-O.P.W.. YELLOW -ASSESSOR. PINK-tNSPECTOR. GOLDEN ROD-APPL I CANT COUNTY OF BUTTE - DEPAR 0 TMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916,,"538-7541 APPLICATION AND PERMIT ASSESSD�PARCIEL NUMBER I _ J 5 -01- ZONING 1 BUILDING PERMIT 0 N /�) PM AM 0 TELEPHONE SO. FT. OC(:;, BUILDING VALUATJQN OWNER -'S AILI G �ADOR!7s- A V& 10— V ?S,9 4a- CO,17ACTO�S 0 t, NAME ) 0- —7. N (!) e), � I ki TELEPHONE CO TRACTOR�54ILIN7 DRESS 4 v&, Gr'Jlo-v Fireplace cc TION LENDER rNKNOWN Total Valuation Is Filing Fee $ 10.00 NDEFPS MAILING ADDRESS Permit Fee $ 15,0 ARCH T CT OR ENGINEER 0200L LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. is UBDIVISION NAME PAR Water piping 5.00 Each Cias water heater or vent 5.00 USE OF STRUCTURE SFX Duple,F-I MobilehomeFj Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10-00eJ TYPE OF WORK New f_� Addition [] R pe -de 10 Ugil i t ie s [I Install i nE] Other Describe work: r Permit Fee $ Contractor ELECTRICAL PERMIT Fi ling Fee 10.00 Main service 600V OR LESS , 00 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): Fj I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 0 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed CUIILIdLJ- ors. (Sec. 7044) I am exempt under Sec.-, Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ADONS. ACC.BLDGS. 21/2(tsclft NEW CONSTR. "ULT' -OUTLET NO .R E S, 0, BRANCH CI.CUITS) 2.50 ea I (POWER APPARATUS.&) SINGLE OUTLET CIR Ex. OCCUP(OUTLETS OR FIXTUREL 201950, SALO 30; FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring :T 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: It 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 Fi I ing Fee 10.00 Heating Cooling Hood 3.00 Venti lation 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, indemnity 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 Signature of Applicant — O�ner El Contractor E] Agent F� An OSHA permit is required for exco�otions o�er 5'0" deep and demolition or construct- ion of structures o�er 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ C NST TYPE TOTAL FEE $ HAZ I CUA PARK � SCHL I FLD T.h's permit is nereby issued under sions oi the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date tne applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITX-D.P.W.. TELLCW-ASS�SSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC VVORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT //_ rl�_ Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSE*,0R PARCEL Oe' ZONING A5 Owr, 4- PHO E NO. Lly — OW Is ilt TZICG) LOCAJt�ON OF BUILDING CD(2 Pn el &_1k1AJA TE5 USE OPBUIL9ING �v VlOtAp&J.* I yar- To v, a raq ccl- OFSTRUCTURE V . J- Q 'X SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME J� STEEL —CONCRETE —OTHER (Specify) TYPE OF SIDINP/, ROOF COV RING _T LOOR TY n ESTIMATED COST'OF CONSTRUCTION 11000 $ AG Buildings shall comply With the building front, side, and rear yard requirements of the applicable County Ordinances as follows: . '501 - / FRONT— SIDES IS REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shal I be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greaterthan 1000 sq. ft. in floorareashall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date X'� — / 7 �i/s' — Signature of Owner X "L" Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. Director of PL;b Qi Wc_r�s / , B f�wv6k� Date Ig 'Zmeoo White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant OWNER COUNTY OF BUTTE - DEPARTME-NT,,.PF PUBLIC WORKS - BUILDING DIVISION/ ' – 1 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE: 916/538-7541 4 —_ dl$ �: I PERMIT APPLICATION DATA SHEET Permit No. ro W Proposed Building Use Building Ins,pector I At time_Vpermit application, I was advised the following data must be submitted prior to permit processing an7d/ssuance: 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 ownerD, Mail to owner E] 15. Improvements may be required . . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-ln:pec. request to 17. Pre -Inspection for . ..... Required. Building ins pector (Date.) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. .20. Plot plan approval from city of Engineered trusses in duplicate (required prior to plan'check) 21� 22. When you issue the permit, process as follows: Mai I to owner, —Mail to contractor- -Telephone and hold for pickup at—off ice, —Deliver w/inspector. Othe Applicant Date 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 ---mai I —counter by— date Contractor, designer, owner, was advised c� above required data by—phone —mai I —counter by— date Plans checked Sets of plans on hold in Copy–DPW Date Plans approved by File cabinet _AP folder Date 0 0 SUSAN ROFF COUNTY COUNSEL OFFICE OF COUNTY COUNSEL COUNTY OF BUTTE 25 COUNTY CE . NTER DRIVE / OROVILLE. CALIFORNIA 95965-3380 / (916) 538-7621 a 'February 11, 1988 Tom and'Lois Amos 267 Little Ave. - Gridley, CA 95948 Re: A.P. #21-25-4 Dear'Mr. and Mrs. Amos: It has been brought to our attention by Mr. Jim Glander Chief Building Inspector for -the Butte County Public Works Department, that you have constructed a'structure on the slab of the fire destroyed shop on your.property. Section 26-1 of the Butte County Code states that.the County has adopted the 1982 Edition of the Uniform Building Code. The Uniform Building Code requires that all persons constructing buildings within the County of Butte, except for agricultural buildings,.*are required to obtain a permit from the County Building Department. Section 26-6 of the Butte County Code states that: "(a) It shall be unlawful for any person, firm, or corporation to erect, construct, alter, repair, move, remove, improve, convert demolish or equip any building or structure in ' the unincorporated areas of the county or,to, cause the same to be done contrary to or in violation of any of the provisions of this chapter. "(b) The use' or occupancy of any building in violation of any of the provisions of this chapter is hereby declared to be a public nuisance and may be abated in the manner provided by law." 0 Tom and Lois Amos February 11, 1988... Page 2 Pursuant to Section 1-7.of the Butte County Code, violati-6ns of the above provisions of the Code constitute misdemeanors. The penalty for a misdemeanor is punishment by a fine not exceeding $500.00 or imprisonment in the county jail for a term not exceeding six (6) months, or by both such fine and imprisonment. Therefore, you'are hereby notified to cease occupying the structure you have constructed on the slab of the fire destroyed shop area, until you have obtained the proper permits, inspections and approvals from the Butte County Department of Public Works. Very truly yours, SUSAN ROFF Butte County Counsel NHM: Is cc: Jim Glander .Chief -Building Inspector By NEIL - H_. -Me_CXjz Special Counsel 67 tp, File No. -lion 1, 2, 3) BUTTE COUNTY '(Fo,'A. Public Works Dept. (For Information be Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. V Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & PcI. Maps Permits Addr. County Counsel Department of Public Works Building Permit A.P. #21-25-4 August 5, 1987 With reference to the above subject, attached are copies of correspondence sent to Tom Amos concerning a structure he constructed on the slab of a fire destroyed shop without permits, inspections, and approvals from this office. To date, we have had no reply. Would you please send him the normal letter about obtaining permits. Should you have any questions concerning this matter, please contact this office. Original 'signed bV I F. Glandrs J.F. Glander JFG:ahb Chief Building Inspector Attachments A --e h -c 0 P 292 968 371 -- ' * RECEIPT FOR Cg'ATIFIED MAIL NO INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL MAIL (See Reverse) 00 m E SENTTO Tom & Lois Amos STREETANDNO. 267 Little Ave. P.O., STATE AND ZIP CODE Gridlev, CA 95248 POSTAGE $ CERTIFIED FEE SPECIAL DELIVERY RESTRICTED DELIVERY SHOW TO WHOM AND DATE DELIVERED N SHOW TO WHOM. DATE, P'— 'R co) AND ADDRESS OF DELIVERY z ci SHOW TO WHOM AND DATE DELIVERED WITH RESTRICTED 'z co z DELIVERY SHOW TO WHOM, DATE AND ADDRESS OF DELIVERY WITH RESTRICTED DELIVERY TOTAL POSTAGE AND FEES $ POSTMARK OR DATE 7/2/87 A.P. #21-25-4 STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, XERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front) 1 . If you want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article, lej�ing the receipt attached, and present the article at a post office service window or hand it to your rural carrier. (no extra charge) 2. If you do not w�nt this receipt postmiked, stick the gummed stub on the left portion of the address si0e of the article., date, detach and retain the receipt, and mail the article. 3. If you want a return receipt, write the certified -mail number and your name and address on a return receipt card, Form 3811, and attach it to the front of the article by means of the gummed ends it space pqrmits. Otherwise, affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. PH �ou want delive'ry restricted to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. It return �eceipt is requested, check the applicable blocks in Item 1 of Form 3811. 6. Save �his receipt and present it if you make inquiry. 4 *GPO: 1980 331-003 File No. 3 BUTTE COUNTY (For Action 1, 2, 31 Public Works Dept. (For Information te Director Dep. Dir. -Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. V Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /5.1. Sub. & Pcl. Maps Permits Addr. 0 SENDER: Complete items 1. 2.3 -And 4. Put your address in thc---RE�URN 4'space on the reverse side. Failure to do this will prevent this c9rd from being returned to you. The return receipt fee will provid you the name of the person delivered to and the date of delivery. For additional fees the following services are available. Consult postmaster for fees and check box(es) for service(s) requested.. 1 . t Show to whom, data and address of delivery. 2. 0 Restricted Dalivery. 3. Article.Addressed to: Tom'& Lois Amos 267 Little Ave. Gridley, CA 95948 4. Type of Service:" Article Number. Registered 0 Insured: Certified COD P292968371 El Express Mail. Always obtain signature of addressee or agent and DATE DELIVERED. 5. Sign re —,Add7 X 6'. Signature — Agent X 7. Date ol Delivery `7- 7 -r'Y�/ .8. Add ressee's Address Y if requested and fee paid) A %_LC-:` C\ V LIMED SIMS POSTAL S&CFM OFFICIAL BUSINESA `� - ... SENDER INSTRUCTIONS - Print your name, address, and ZIP CodkidWe( space below. sto Items 1, 2, 3, and 4 on the reverse. to front of article if space permits, otherwise affix to back of article. 0 Endorse article lReturn Receipt Requeste&' MU.&MAIL PENALTY FOR PAIVATEA USE. S300 RETURN TO Department of Public Works (Name of Sender) 7 County Center Dr. (No. and Street, Apt., Suite, P.O. Box or R.D. No.) i Oroville, CA 95965 (City. State, and ZIP Code) Attn: Building Department 41 CERTIFIED,MAIL July 2, 1987 Tom and Lois Amos RE: Permits and Inspections 267 Little Ave. A.P. #21-25-4 Gridley, CA 95948 .Dear Mr. and Mrs. Amos: With reference to the above subject, on May 28, 1987, we wrote you a letter requesting that you obtain the required permits and the required inspections from this office for the work you have done as follows: The new structure you have constructed on the slab of the fire' destroyed shop. Since both Rermits and inspections are required by both State and- County laws, unless you have obtained the required permits and made arrangements for the required inspections within ten days of the date you. receive this letter, the matter.will be referred to the proper authorities for appropriate action. Should you have any questions concerning this matter, please contact us. Yours very truly, William Cheff Director of Public Works original signed OV J. F. Glandw J.F..Glander JFG:ahb Chief Building Inspector cc: Building Inspector Oroville Assessor File No. w BUTTE COUNTY (For Action 1, 2, 3, Public Works Dept. (For Information or Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub.& PcI. Maps Permits Addr. Tom and Lois Amos 267 Little Ave. Gridley, CA 05948 Dear Mr. and Mrs. Amos: May 28, 1987 RE: Building Permit A.P. #21-25-4 ' With refere ' nce to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: The new structure you have constructed on the slab of the fire destroyed shop. Since permits and inspections are required by both State and County laws, please contact this office within ten days of the date of this letter, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be, made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this of f ice. JFG: ahb cc: Building Inspector - Oroville Assessor Yours very truly, William Cheff Director of Public Works Or;ginal s;gned by J. F. Glander J.F. Glander Chief Building Inspector 0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way. Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747,E I I iott Road, - Parad i se — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NC A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need. additional explanation, please contact this office Immediately. Inspecto Date 'n J l`-'il:l"--�-.1- 77 4, Uj I Number (Rduld am ld MMMA slam ORDER NUh &/*r TIMBER &/OR A&G. kU. INCIDENT NO. ART YEAR c CID T FsT DT -7 Ivu r 4-3 .FIRE WILDLAND VEFETATION (Other than T & Y 01 t FIRE NUMBER FIRE NAME; REPORT (Other than p I th, !f &/OR CONTENTS OINSR STRUCTURES FC -118 (3/861 &/OR, CONTENTS 4�, R I ORIGIN LOCATION 2 SEC. TOWNSHIP RANGE MILES DIRECTION IN. NATIONAL FOREST, FIRE DIM CITY & STREET NO., q* "I IF cjw ETC I I ENT TYPI I! ACRES OF VEGETATION BURNED 3 FALSE ALAi�k—GO BLO 10, AGENCY DIRECT PROTECTION 8 RESPONSIBI(IT '. Ilt ACRES BURNED VEG. ACRES BURNED - STATE'WNE 5?�—�ATUTORY CDF TYPE '10 El WILDLAND'bURNED-dR —THREATENED RESPONSIBILITY TIMBER WOOD CDF LOCAL GOVT. CONTRACT AT ORIGIN) LAND UNPROTECTED t [3 STATE OTHER ASSIST OTHER AGENCY (Not City) E] U.S.F.S, TatA BRUSH LOCAL ZONE CDP LOCAL GOVT, CONTRACT cl B.L.M, -a.I.A. L . . GRASS E] ASSIST OTHER AGENCY ' (Not City)"' OTHER FEDERAL .. I AGRIC. PROD. FEDERAL ZQNE OTHER ASSIST FED, AGENCY (Not Mil.) SIZE CLASS CDF TOTAL CDP LOCAL GOVT, CONTRACT MISC..AND OTHER C] A ACRE OR LESS Q ASSIST CITY, CON TRACT CO., MIL, OTHER .25 U A TCA 8 26 -9 ACRES ESPON, OF ACRES BURNED USE (STARTS IN OR ONLY) U i 5 , L LIGHTNING DEBRIS PLAY I C 10-" ACRES STATE p;- :W/FIRE CAMPFIRE ARSON OTHER/MISC- ER/MISC] D 100-299 ACRES U.S.F.S. SMOKING EQUIPMENT' f 300-999 ACRES. B,L.M, N LAM OR USE (STARTS I ON�n F 1000-4"9 ACRES DOMESTIC FOREST INDUSTRY Q 3000 ACRES OR MORE RANC"ARM RECREATION OTHER DUMP OTHER INDUSTRY-COMRCL, FED. ROAD WILDLAND OTHER rl UTILITY, RAILROAD. NON-WILDLAND UTILITY, ELECTRIC OTHER DAMAGE 4� OR 48� ONLY) ON ARRIVAL (-<>- VEGETAT18N FIRM , ONO) SIZE DISTANCE-I[Origiri to head) 77 S 15AMAGE Number (Rduld am ld MMMA slam &/*r WIND SPEED (M.P.H.) DIREC ION (FROM) TEMPERATURE ef) OVER PLEASE QDF 7540-12" 111 A A. 77 S 15AMAGE Number (Rduld am ld MMMA slam &/*r TIMBER &/OR YOUNG GROWTH WILDLAND VEFETATION (Other than T & Y 01 --k—OD AGRICULTURAL (Other than DWELLINGS !f &/OR CONTENTS OINSR STRUCTURES &/OR, CONTENTS 4�, VE VEHICLES & CONTENTS THEIR 0 ol TOTAL WIND SPEED (M.P.H.) DIREC ION (FROM) TEMPERATURE ef) OVER PLEASE QDF 7540-12" 111 A A. CM IAO I 11PI , .. IMAM ,q RT, ER;," -Nu WON 71 - f t, MSER, Rliul-� INCIDENT,, NO,!,. AR M 0- 1 Ioc Dcrf%Dn 30 - r�4 J DATE I I OUTSIDE —17� 7OR PERSON AIRCRAFT HOURS FLT. H II -COP STATE &�LOCAL rjOVT, CONTRACT 'CREW NAME ORGAN. IZATION FIRE STARTED rFIRE Enter I ST� IST, ATK COF CREW INSIDE 4 DISCOVERED FIRST REPORT 13 Z-*�, r i ZY SECOND REPORT 54 FIRST ATTACK BY CDF lk I FIRE CONTAINED -21" GOJO LqQKOUTi .(If ISt. or 2ND. �epar4 made by Loo�ow) SITE NAME: SITE NAME: 407% CREW/OVERHEAD RECORD UrCDF STATE 7 LACCAL rOYT. CONTRACT CREW NAME ORGAN- IZATION PERSON AIRCRAFT HOURS FLT. H II -COP STATE &�LOCAL rjOVT, CONTRACT 'CREW NAME ORGAN. IZATION PERSON HOURS AIRCRAFT FLT_HR$. IST, ATK COF CREW 4 13 r i 54 % CDF OVERHEAD TOTAL —INT11 ON 4��ooj��-FHR-15, TOTALS BELOW V.S.F.S. (Ind, Overhead) TOTAL OTHER FEDERAL (Ind. Overhead) TOTAL FIRE DIST, & OTHER LOCAL TOTAL PAID HOURLY (E.F.F.) TOTAL VOLUNTEERS (Unpaid) TOTAL Now C3 FC -185 (AtIcliflonal crew octivity) ATTACHED "'F ' 0 @ OT 00 3 a agOngg GA3HH2VO\W3Sl3 /-'N DARTPIQ�) A VATE 403 "ARDRIA V, ZAUOH �iOITA sl WOO .8AH TJ3 50 f A� WOZ95q MOM -AAOAO MOITAM 3TATa 10 3 TDARTOOD JVOO JA:)OJ S 3TATa 443D " W, SMA14 W330 'D XTA .121 ), TA 11 Wiq:) �l -.Wiq:) 44 v`z JA JATOT QA3HRWO 403 t2 TP Ho WOJ38 4a I ATRO,,T JAIOT (boodiovO .1ml) XIZU A JATOT (boorfivvC W) JAM3031 IISHTO JATOT JAM 23HTO A MIG :1911 CR 03H:)ATTA (XIMbe won) lomoWUA) agr-Oi JATOT (.1.43) YJRUOH QlA4 JATOT (bloqnU) EMATAUJOV 'Z�'77 Cq�l GIVIUMMW (33Q, A IMOITOU OU04 "0 0 9AM Noof "Oltna 3 44 V, "19V Ml T510932 JA14101110 0'% '�K --;P, 3TACI 11TI �N 91 I lvo��,K �-' ,QOUNJY OF BUTTE — DEPARTMENT OF PUBLIC -WORKS 7 County Center Drive — Droville, California 95965 Telepeone:IW-4541 APPLICATION AND PERMIT -77 - — — —FI -11 � — � L — VUHLY U - IDUIL� L� �111�1 UPU.1 111t! bove-mentioned pr`�rty f�r in,p'ection purposes Date7h, 7 Signature of Permitee or Agent f Recei:)t No. Wle White-D.P.W. YIlow-Asscsr., - Pink -inspector - Goldenrod-Applicont This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By /illJ I (_ � e-: 1-51 Date 5- -Bui-lding permit expires Date BUILDING Owner ck- 4� SO. FT. Occ. BUILDING VALUATION Mai I ing Address T I ephon e No. Fireplace - Contractor a LA 15 5oyr Total Valuation Mai I ing Address ISO Permit Fee PlanChecking Fee&/orPenalty k71_8 lephone No. V %�: - 414J I rl Permit Fee $ 1$ Building Add-ess( I I e PLUMBING No. -I @ FEE I PERMIT FILING FEE $3.00 IQ 0 VJ /)L,4 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 i0v Each gas water heater or vent 1.50 A. P. No. I Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F e h_ I ,_ W. C. I Sanitation I FireDept. I FireZone I Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration I Parcel Map 1 60' R/W I Improvements Lawn sprinkler system 2.00 B I d 47P] -.-r _s - Rec'd Parcel Approval--F—Plans Approval Permit Fee $ $ NEW ADDITI.ON UTILITIES OTHER,F] ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 In C) v v 1?h1e Main service 600V OR LESS 100 AMP OR LESS 5.00 JMain service EA. ADD -L 100 AMP 2.50 'Ful Single FamilyLIJ Duplex F] Mobil Home Others OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD -L 100 AMP 1.00' NEW CONST. f DWELLING OC 'u" 120sq ft _2R ADONS. % ACC.BLDGS. NEW_CONSTF;L (MULTI -OUTLET, NON�RESID. BRANCH CIRCU TS) 12-50ea NEW CONSTR. (POWER APPARATUS NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am li--ensed under the provisions of Chapter 9, Div. 3, of the State o' California Business & Professions Code under the name S y, e' of- Ex. OCCUP(OUTLETS OR FIXTURES) 50 @ 25C BAL@109 FIXED APPLNT_. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 L i cense No.1.2 .7 7 Classification LI—A) Misc. Wiring 6.25 _1-' I am exempt from the contractors License Laws of the State of California. Permit Fee $ le $ 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. ElI -ave 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 Z 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 @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.001 Permit Fee $ $ 1 certify that I have read this application and state that the above informiation is correct. I agree to comply to all County Ordinances and State Laws re-I.ating -to- building construction, and hereby TOTAL PERMIT FEE 77YIF� - — — —FI -11 � — � L — VUHLY U - IDUIL� L� �111�1 UPU.1 111t! bove-mentioned pr`�rty f�r in,p'ection purposes Date7h, 7 Signature of Permitee or Agent f Recei:)t No. Wle White-D.P.W. YIlow-Asscsr., - Pink -inspector - Goldenrod-Applicont This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By /illJ I (_ � e-: 1-51 Date 5- -Bui-lding permit expires Date COUI`JTY.OF, BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -;z-- oroville, California 95965 -17 -7 TelaphojZ'A 1�4541 pp -.534 APPLICATION AND PERMIT auijlofize it�wuzienldiivt�ti ot ihe County of Butte to enter upon the above-mentioned property for inspection purposes. 'QZ42,�� , JV;��W DateY_oc;J?V 7 7 - Signature of Permitee�or Agent Receipt No. a �J64 'T White-D.P.M - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant 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. DIRECTTR(F PUBLIC WORKS 4 J By �J I C, 'd -.< --Date -Buildimg permit expires Date _�/_ 1-173-30011- BUILDING Owner c cJA B le dic SQ. F T. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor (3ri-ak (& 1,S ,tV<gJ Total Valuation Mailing Address tt X Permit Fee Plan Checking Fee &/or Penalty &i N_1 Permit Fee $ 1$ Building Addres 00, S/S 01/, 1 # A _06 it PLUM-BING No. @ FEE PERMIT FILING FEE $3.00 '(00 ca ()SsQk A -k Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 GVI 41pv Each gas water heater or vent 1.50 A. P. No. Zoning& P(.nning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe hSTW. C1, Sa4kel+orf I Fi re ;ept. I Fi re Zone Use Permit Building sewer 5.00 EQA I Parking Plans I Parcel Declaration I Parcel Map I 60' R/W Improvements— I Lawn sprinkler system 2.00 —I—, gldg. Flons Rec'd I —Parcel Approval Plans Approval Permit Fee $ NEW ADDITIPN UTILITIES OTHERR ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 L�O 114le 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Single Family:z Duplex 1:1 Mobil Home 1:1 Others 1:1 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD 1- 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC.BLDGS. )_20sqft NEW CONSTR. (MULTI -OUTLET S) NON-RESID, BRANCH CIRCUIT 2.50ea NLW.CON,STP- ( POWER APPARATUS.&) NON RES D. SINGLE OUTLET CIR 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 Ex. Occup(OUTLETS OR FIXTURES) 50 @ 254t BAL @ 109 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RES] D.) E A) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 L i cense NoZ2 7 17 Classification Mi-sc. Wiring 6.25 FT E] I 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. E] I 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. 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 S.tate Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ s --T- TOTAL PERMIT FEE 1$ auijlofize it�wuzienldiivt�ti ot ihe County of Butte to enter upon the above-mentioned property for inspection purposes. 'QZ42,�� , JV;��W DateY_oc;J?V 7 7 - Signature of Permitee�or Agent Receipt No. a �J64 'T White-D.P.M - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant 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. DIRECTTR(F PUBLIC WORKS 4 J By �J I C, 'd -.< --Date -Buildimg permit expires Date _�/_ 1-173-30011-