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HomeMy WebLinkAbout021-250-014r Y 21-25-14 -.PeVONA -PACE---_---------------------- ----<. v 345 Losser Ave.,'Gridley i (burned house/condemned) •., ;, 21-25-14. R OND FILLMORE 1343 sser Avenue, Gridley - 21-25-14 Contr: R �R Const Contr -R-& R - Const. �r Permit#277-8 replace fire damaged Permit#860-88P ' g (gas Piping/277-88) ,electric ser/SF _ •' 21-25-14; ,•. ,�x 1345 Losser Ave,Gridle ' s Contr: R & R Const.-.-. Permit#278-88E(repair re da aged, _ well circuit) ` 21-25-14' 1347 Lossser As e, Gri:dle Conti: R & Const 2125-1; Contr: R & R .Const PErmit#2�°-88B,E(reroof &repair fire -88P(gas piping/279=18$ M I *,- amao.- siding, --replace windows-&`door''I.Permit#861 , *, .) m� sc wiring/SF) 4 i t . 4 t v , 1 v ! • Y 21-25-14 -.PeVONA -PACE---_---------------------- ----<. v 345 Losser Ave.,'Gridley i (burned house/condemned) •., ;, 21-25-14. R OND FILLMORE 1343 sser Avenue, Gridley - 21-25-14 Contr: R �R Const Contr -R-& R - Const. �r Permit#277-8 replace fire damaged Permit#860-88P ' g (gas Piping/277-88) ,electric ser/SF _ •' 21-25-14; ,•. ,�x 1345 Losser Ave,Gridle ' s Contr: R & R Const.-.-. Permit#278-88E(repair re da aged, _ well circuit) ` 21-25-14' 1347 Lossser As e, Gri:dle Conti: R & Const 2125-1; Contr: R & R .Const PErmit#2�°-88B,E(reroof &repair fire -88P(gas piping/279=18$ M I *,- amao.- siding, --replace windows-&`door''I.Permit#861 , *, .) m� sc wiring/SF) 4 i t . t v , C�I � � �� � �_-.,'`""...�...�;'�y�`7G�'��'1�v'►l�'�i"f:�,j''�R3y`�`��"'t"t'`"Sr:r,,-+31.-.�� _'��.a�r aid ::�— � .:•,.. �,. ry��',, �+':'�gi�"(�4�'��f� a Al� ' t - w - OFFICE COPY -Address GAS.,;.;''"� • �� Meter By`y' ' ELECTRIC Da e� �. Meter By`14 r—: Date.:':.r.: f � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS V. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION.AND PERMIT .".;1. 1 •::v .. ". Ate'. 1r._ �P7ER/MMII/T�NO. ASSESSOR . 5, -L NUMBER J,(�/ ZONING f%G BUILDING PERMIT OWNER) - Kit :/ r/' �+r,/ n� Yl - TELE ONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI LZIG ADDRESS .-) q 5 ,/ k- /� r t 1 15 y CONTRAFTOR' S NAME / '0 nc, TELEPHONE CONTRACTOR'S IMAt IMG A DRESS V / (- 7 �, Fireplace CONSTRUC-10 "LENDER / UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL P Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is 110.00ea TYPE OF WORK New❑ Addition❑ Remodel -0 Utilities[ --1 Installation❑ Other Describe worx: l ✓� J/i t ' �� ✓ (/ t CF Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 (j / Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare unde- penalty of perjury (check one): Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Drofessions Code and my license is in full force and effect. L i c e r s e No. `A • Classification �' ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLINGoCCUP.y\/xQSgft OR ADDNS. ACC. BLDGS. II NEW CONSTF;L MULTI.OUTLET 2,50 ea NON.RESID .BRA CH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES eALO 30 FIXED LNS Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /_5 (� PV,, - e. ' Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. a' I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to+the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed4revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee Contractor $ a I certify that I have read;this�applicat), On and state that the above information is correct. 1 agree to comply to all,Couhty Ordinances and State Laws relating to building construction, and hereby'authonze representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree t6 save; indemnify and keep harmless the County of Butte against all liabilities, judgments, -costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. / X'..{ .' A' !� �.. Date /` %':� Signature of AppliC3nt — Owner El Contractor Er Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 st/orriess in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP, CONOT.TYPC - SCHOOL FLOOD PARCEL I PID NO 139UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC B1? ''tti ER PMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Recei t No. / j/ p WNIT[-D.P.W.. YlLL01Y-A7e! eOR, PINK -INSPECTOR. aOLDCNROa-APPLICANT its ---COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 " 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise - Phone: 872-6307 CORRECTION NOTICE OWNER M— (5 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. A n . A Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviile, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT 0�,� ASSESSORPARCEL UER AT ZONI BUILD ERMITV OWNE _ r& TELE oNE SO. FT. OCC. BUILDING VALUATION OWNER'S WAIL G AD KESS CON ACTOJq NTELEPHONE 0� C A TOR'S MA�{(NG RE55 LCI ✓IQ V ` 1191 /a Fireplace CONSTRUCTION- LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING. ADDRESS / l -os 3 � Permit fee $ PLUMBING PERMIT Filing Fee .10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL 74P Water piping 5.00, Each gas water heater or vent 5.00 USE OF STRUCTURE SFP Duplex❑ Mobilehome❑ 'Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ ImodeIR Utilities InstallannO Other i Describe work: 16 el✓� r V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Q Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I ydeclare under penalty of perjury (check one): (� I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code Bqand my license is in full force and effect. License No. 7.5� °J�/C18SSIfiCatlOn /� El 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 contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.EI) yzQsgft OR ADDNS. ACC. SLOGS. NEW CONSTR. U I.OUTLET 2.50 ea NON.RESID BRATCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occ Up(OUTLETS OR FIXTURES 5AL9AL030 90 Ex. OCCUp. FIXED PR OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 06- ' I / Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 authorize representatives of the Countyot 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 liabilities, judgment osts, and expenses which may in any way accrue against County in o equen a of the gSanting of this permit. X Date `^� %� Signature of Applicant — Owner ❑ Contractor � Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stori s In height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCcUP. CONST.TYPEJ ISCHOOLIFL0001PARCrLI P11 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which DIRECTOR OF PUBLIC N B PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 1XV=, Receipt No.122 WHITE-D.P.W.. TELLOW-ASZ SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT � '1=i /r''+i- z y � ! w, f �? � t L !•k. •[ _ ... .. l zT3 +4"- ^ t. 'iv r • � ,}�yy �.! r^ � �+i(,�''�,,iiF-;��'��4 t'�1AtifK '��.�f�Z f "� `7w �� �i•�i 9rr ryi4�;-•. �,aw,i'a�: �s rS a y�,�t�.;,�s: � .,i .:. �, ° °y�rT� COUNTY OF BUTTE - DEPARTMEN:TOF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROU,11)E, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APP.I�ON DATA SHEET lPermit No: OWNER �Q Mon �,' MQ Y" A. P. No. J `,) 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 APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) -14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) ___15. Improvements may be required. . . . . . . . . . . . Mobilehome Installation Qata. Pre - I _ • ' spec. request to 7. Pre -Inspection for_.'�' C t. Ir 1 Com._ _.._._.__ _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit, 20. Plot plan approval from city of 21 Engineered trusses in duplicate (required prior to plan check) 22. _ en you issue the permit, process as follows: Mail to owner: Mail to contractor. Telephone,5a3-5)8'q- and hold for pickup ataO office, Deliver w/inspector. Other Dote.) 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_—naiI—counter by date Contractor, designer, owner, was advised ci above required data by —phone _maiI—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy -DPW i 279-88B, E F•",,..`-.,p'�',�;�;,,�•a;�/,�rl�'�fir-f�""�c�e`,'�,i�r�,17-7=88!.'�`�-"�� J ,278-88 • Raymond Fillmore 1' ! ' '' 1343, 1345, 1347 Losser Ave. :, kp t 4 Gridley OFFICE COPY Address GAS ' Meter By Date ELECTRIC Meter By Date,� ` = F ct s e i• , ' r+ 1 ' OUNTY OF'' BUTTE-'DEP•ARTMENT OF PUBLIC WOS r i ' :7,�CoSnty Center Drive - Oroville. California 95965 -Telephone: 9161 .38,5441' S„ r APPLICATION AND PERMIT ASSESSOR PARCEL NUM ER" ` "' ZONI G.._:-. '• r - BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC-.� �� BUILDING VALUATION n •tet' r� OWNERS MAILING AD RESS CONTRACTOR'S NAME kJ TEE�LE PHO N E� ' CONT RACTOR'S AILJNG DRESS I Inr+ h Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ 11" Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee b ARCHITECT OR ENGINEER LI CEIySE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT ORENGINEER'S MAILING.,AD,D�RESS r Penalty . E BUILDING ADDRESS • ; F .- Permit fee - $ PLUMBING PERMIT FiIingFee 10.00 t ` ` Each Trap 2.00 r fir, f Solar or heat pump water heater 20.00• LOT,NO.°,.. SUBOIVI.,SION-NAME- .' PARCEL AP P Water piping 5.00 Each qas w ter heater or vent 5.00 ! ^" USE OF STRUCTURE IF SFRI Duplex❑ -Mobilehome❑ Other ;, ' - - SPECIFY -7 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G 1W I 10.00ea TYPE OF WORK .p New Addition❑ Remodel Utilities❑ Installation[] Other j CF -EE Describe work: - r r �l row t3 o, r ' trF ����� tri .yam Permit Fee $ i Contractor ELECTRICAL PERMIT Filing Fee ; 10,00. �) c `� n✓ `'�- `�F i lir I 1 600V OR LESS Main service 100 AMP OR LESS `i 10.00 (/ V Main service EA. ADO'L 100 AMP 2.50 ' CONTRACTdRS 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^dnd .effect. License No._l_//__ L 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 -6r offered yfor sale. (Sec. 7044) ❑ I.,r as the owner, am exclusively contracting with licensed Contract- ors. (Sec. 7044). 1 ❑ `ham exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.Ed) +h¢sgft OR ADDNS. 1 ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS) ( POWER APPARATUS e\ ' SINGLE OUTLET CIR. / EX. Occup(OUTLETS OR FIXTURES BAL@300 FIXED APPLNS. OR EX. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00. Misc. Wiring 15.00 C1 Permit Fee $ / Contractor ' WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. -- a,el 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 emRloy any person in any manner so as to become subject to the W. C. laws of.California. Notice'to,Applicant: If afterlmaking this statement,. should you become subject to the W.ib” provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. - MECHANICAL PERMIT Filing Fee 10-'00 Heating Cooling Hood 3.00 Ventilation permit Fee = Contractor I certify that I have red this applicati and state that the above information is correct. I agree to co ply o all Cctun y rdinances and State Laws relating to building construction, dr, •y alth'r`e representatives of the Countyot Butte to enter upo the above-mentioned p �Operty for inspection purposes. I also agree to sa e, ind mnif and keep harmless the County of Butte against all liabilities, ju ment costs ap expe ses which may in any way accrue againstaid Coun y inacons quenc�f theanting of this permit X /f Date �' . % Signature of Applicant — O er Contractor EB/ Agent ❑ An OSHA permit is required f r excavations over 5'0" deep and demolition or construct- ion of structures over 3 storie In height. Mobile Home Installation Fee $ Energy Inspection Fee $ c� TOTAL PERMIT FEE ' $ OCCUP. CONST.TYPL ISCHOOL PLDoo PARCEL PD ND 59UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which (RECTOR OF PUBLIC By 1.ti.....v- PERM(T�EXPiRES Date / "` the applicable provi- resolutions to do fees have been paid. WORKS Date ,%-7•- ••7 / Receipt No. %�/? / WHITE-D.P.W., YlLLO W-ASOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ER I �Oe ,� 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-75 APPLICAMN, AND PERMIT ASSESSOR PARCEL NUM ER ,y- - / ZOkl' BUILDING PERMIT OW R r'./ . TELEPHONE SO. FT. OCC. BUILDING VALUATION OWI,J ER MAILING AD RE/SS / '�/ CL C077ACT.RANAMIEP f TELEPHO CONTRACTOR'S-MITG RESS Ora r2)0 A _ Fireplace CONSTRUCTIO LENDER UNKNOWN Total Valuation I $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ if ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL fAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF g Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New Addition E:1 Remodel Utilities❑ Installation ❑ ther� Describe work: ti^© C.) p q% ` V,1 _ l� OWS ' EJ I I Permit Fee $ Contractor ELECTRICAL PERMIT, Filing Fee 10.00 e- Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACT RS 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 foyGe and effect. �YT License No. �� 6-4 3 Classification s ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OR ADDNS. ACC. BLDGS. / OCCUP.a` , �22sgft NEW CONSTR. I -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS e (SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES 8AL@ 30 Ex. Occup. OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 / Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any' person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation FF F penult Fee $ Contractor I certify that I have read this application and state that.the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi ' ies, judg ts, costs, and expenses which may in any way accrue a sins S id County i cons quence of the granting of this permit. ate /�� % dr -Y" Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , CO Occup. CONST.TYPC SCHOOL FLOOD PARCCL PD ND s3u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which (RECTOR OF PUBLIC By PERM T XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — - -g Receipt No. empT WHITE-O.P.W.. YELLOW -ASS ESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT r :., ilk 1 COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC', WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLIVT49-V-DATA SHEET / Permit No. " OWNER 4� A. P. No. Proposed Building Use Building Inspector Date //C_� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner❑, Mail to owner ❑) _.._155 Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Da. ,. . . . . . . . . . e�(,C_t Ctr 1 Pre-Inspec. reques ' (Date) _ Pre -Inspection for _.. __ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. _ 20. Plot plan approval from city of _4�F­— 21. Engineered trusses in duplicate (required prior to plan check 22. _ _ — en you issue th rr,LLtr ess as follows: —Mail to owner, Mail to contractor. Telephone— g� and hold for pickup C/o—office, Deliver w/inspector'. Other )L4? 4? �r Applicant /�./�Date ��%2� Copy of plans sent Health Dept.: Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. -- 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---naiI—counter by date Contractor, designer, owner, was advised c.' above required data by—phone—mail—counter by date 4 Plans checked by Date Plans approved by t Date Sets of plans on hold in File cabinet AP folder Copy—DPW 1 t `t -;fir• �- } •mss OFFICE COPY 'Address ` GAS Meter gy f MeterCg RSC EL y 'eF :Date- .. . . - ^s . i ' h COUNTY OF'BUTTE - DEPARTMENT OF PUBLIC WORKS , ,PERMIT/ Oa { r �Y 7.County Center Drive - Oroville, California 95965 -Telephone: 916/538-2541%� APPLICATION -AND PERMIT � f ASSESSOR PARCEL NUMBER ZONING �"•- - BUILDING PERMIT OWNERTE M EPH"ONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING A DR SS r 1) ;" ; f % 9S C7RAC TCIR'S N JITELEPHON CONTRACTOR -S MAILING DRESS _ i i 0 /a �r� oylp v r- Fireplace ONSTRUCTION LENDER-� UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. +, s. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Penalty $ BUILDING ADDRESS' Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00. Solar or heat pump water heater 20.001 LOT NO. t � SUBDIVISION NAME PARCEL M r Water piping 5.00 Each qas water heater or vent 5.00 " It USE OF STRUCTURE` � ' SF [IDuplex❑ Mobilehome❑ Other . SPECIFY Gas pipingsystem 1 - 5 outlets 5.00 Building 5.00ng Mobile Home S I G I W O.00ea TYPE OF WORK' New ❑ Addition[:]' Remodel ❑ Utili/t�i-es ❑ Installation❑ Other Describe work: � fl -,a V- / ✓nr I ),a ioA Wf ( I {� fw .�'-�" Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fe 10.00" Main service 1000 AMP ORV OR LESS10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW r I declare under penalty of perjury (check one): NJ 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. J� License No. �" �� � �' 3 Classification U ❑ I, as the owner, or my employees with wages as their sole•compen- sation, will do the work,and the structure is not intended'or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 'I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8d) '/aQsgft OR ADDNS. ACC. BLDGS. NEW CONSTR. TI -OUTLET 250 ea NON-RESID BRANCH CIRC ITS .' (POWER APPARATUS el SINGLE OUTLET CIR. / Ex. Occupzo a soe p OUTLETS OR FIXTURES eAL030 FIXED PR Ex. Occup. OUTLETS (RESID )A� 2.00 Temporary service 10.00' Mobile Home Facilities 15.00• Misc. Wiring 15.00 Permit Fee $ 4 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �r I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of.Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of'California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit.shall be deems revoked. 4 MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult Fee $ Contractor f I certify that I have rea", hi applicatio nd state that the above information is correct.,l-agree o comp aunty cdi.pances and State Laws relating to building co• st uction, an h re y �authon a representatives of the County of Butte to enterupo he,abe- gtioned ro arty for inspection purposes. 1 also agree (to save,, indgmnit nd,.kee armless the County of Butte against all liabilities, judgments costs, a4gt perses which may in any way accrue against said,County in c enc of the g7anting of this permit. X - Date/ " r% %% Signature of Applicant —rwner ❑ Contractor CeAgent❑ An OSHA permit is requir fir excavations over 5'0" deep and demolition or construct- ion of structures 3 stories in height. Mobile Home. Installation Fee $ Energy Inspection,Fee " $ TOTAL PERMIT FEE $ aCCu P. CONST.TYP.k ISCH?OLIFLOODIPARCELI P11 I HD I ISSUE This permit is hereby issued``under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC PERMIT the applicable provi- resolutions to do fees have been paid. WORKS Date—/0 yJ, Date/_/0 over Receipt No. f9r � WHITL-D.P.W., TLLLOW-A7eC3eOR, PINK-IN9PlCTOR, OOLOLNROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT �P MIT. O! %�'I y� ASS SSOR PARCEL NUMBER - —a -- ZONING BUILDING PERMIT OW R YJr- TE E NE SQ. FT. OCC. BUILDING VALUATION 0 ER' MAILIN ADDR SS �` r 9 CO RACT 'S NA �- TELEPH N s CO TRA OR'S A ING DRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee - $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / LIS©ss�Y' vc- Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �h Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL M Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other el SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10-00ea TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Instal tion❑ Other j Describe work: I v -j We- (_' r U i +— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6OOV OR LESS 100 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 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full for and effect. r License No. �f�� �3 Classification If ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.al yx¢sgft OR ADDNS. ACC. BLDGS. NEW CONSTR. MULYI.OUTLET 2,50 ea NON-RESID ,BRA C CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES .220 FIXED APPLNS00030 Ex. Occup-, OUTLETS RESID )R 2.00 .O0 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ JVJ Contractor 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 LP' a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing 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 Countyot 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 osts, and expenses which may in any way accrue all liabili ' judgmentgnequenc against id ounty in of the granting of this permit. X v ate % l�7�lL� Signature of Applicant - Wner❑ Contractor Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE JSCIIOOLJ /'LOOD PARCEL P11 ND ISSUE This permit is hereby Issued under sions of the Butte County Code and/or work Indicated above for which RECTOR OF PUBLIC B- PERM( PIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date —q r! Receipt No.� WNITE-D.P.W., YELLOW -ASS Qe30K, PINK -INSPECTOR. GOLDENROD -APPLICANT --L4 "I ' # r��..' .ii}� ti ff rI.1I t t -"moi t ,. r MJ, ,N�. 4; ..l '3' �•'�jr, COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC.WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - dROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 r PERMIT APP IC 51' DATA SHEET / 1U)#10111(14_, J Permit No. t OWNER R4 monel/ l % )#iOr(14_ A. P. No. 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 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. I . . . . . . . 10. Sanitation approval from _ Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12, Certificate of Workmen's Compensation Insurance. . . . 13. Contractor's License Information (no., name style, classif.) –14. Owner -Builder Verification (Given to owner 0, Mail to owner ❑) 15. Improvements may be required. ' 16. Mobilehome Installation Data. 17. Pre -Inspection for C_ `_�' C� -r__. _ Re Required. Pre - Inspec. r quest to (Date) p q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — _ 20. Plot plan approval from city of 21.Engineered trusses in duplicate (required prior to plan check) – 22. — — — -- r, you issue the itt pIOC ss as follows: Mail to owner, Mail to contractor - 4 Telephone/gand hold for pickup 6)'/'0 office, Deliver w/Inspector. Other _ Applicant �Date r 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---nail_counter'by date — Contractor, designer, owner, was advised c? above required data by—phone _mai1_counter by date - r Plans checked .by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder > Copy–DPW V,`t�. i• Y, * i t � t OFFICE COPY i - - ''- Address GAS ` Meter By Date/ ELECTRIC ! Meter By Date COUNTY OF BUTTE - DEPARTMENT dF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AN& PERMIT PERMIT NO. i�� ASSESSOR PARCEL NUM ER ' S -/ ZONING BUILDING PERMIT OWNER h, h rP- TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'5 MAILING AD R '9S 1 -� i5' i ,n v P f 1 CONTRACTOR'S NAM f5 TELE HO �? / CONTRACTOR'S MAI 'ING AODRESS Wo 4 /i L/ n�'5 Fireplace CONSTRUCTIO LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 `n'C� 'T " ' Each Trap 2.00 �l 1� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME JPARCEL MA Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF � Duplex❑ Mobilehome❑ Other t SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home TS—FG-517 0.00 ea TYPE OF WORK New F-1 Addition Remodel[D Utilities[] Installation❑ Other, Describe work: / Penult Fee $ `J Contractor w ELECTRICAL PERMIT Filing Fee 10.00 Main service e10V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTO j I declare under penalty of perjury (check one): �' I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. �S" Classification �J ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SI\ '�2QSgft OR ACDNS. ACC, BLOGS. // NEW CONSTR MUETI.OUTLET 2,50 ea NON.R ESID .BRA CH CIRC ITS A POWER APPARTUS l SINGLE OUTLET CIR.e EX. OCCUp�OUTLETS OR FIXTURES .ALO 30 L9 30 Ex. Occup. OUTLETS FIXED PIRESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑y ­'l have, placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall.not,employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant, If after making this statement, should you become subject to the W. C. provisions of 'the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult 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 authonZe representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgmegvs,�costs. and expenses which may in any way accrue against sdic} County in/conseq nce of the granting of this permit. C' X / —"(f/-��1� '7 D to a ' Signature of Applicant — Owner ❑ Controcto. Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ (d oCCUP. CON ST.T7; SCHOOL I FLOOD PARCEL I PD ND SSUE This permit is hereby issued under the applicable provi- sions of the -Butte County Code and/or resolutions to do work indicated above for which fees have been paid. II,,EdT6FR OF PUBLIC WORKS Qo _ . Date D �' r1 � t P RMIT EXPIRES Date F p �_JCGt'/ Receipt WO, YELLOW -ASS L33 , PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPFRTMENT dF PUBLIC WORKS PERMIT NO 7 County Center Drive . Oroville,.California 95965 - Telephone: 916/538-7541. / APPLIGATIAN+'AND PERMIT c ASS SSOR PARCEL NUM ER ZONING BUILDING PERMIT fv o 1-^ TELEPF40NE SO. FT. OCC. BUILDING VALUATION OWN MAILI NLrG AD R S ^� VC �^ CO RAA�CCTO S NA 1 710 ms TE HO� C RA TOR'S I �NG nR.SS ` Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS I Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 fe�'J /c 'T Each Trap 2.00 tr1 ` C Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MA Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFX Duplex[-] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New❑ Addition RemodelE Utilities❑ In lation❑ Other,M i Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V oR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty p y of perjury y (check one): �I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full for4_and effect. 5 /� License No. �Classification - ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.01 OR ADDNS. 1 ACC. BLDGS. '/z¢sgft NEW CONSTR. I.OUTLET 2.50 ea NON.RESID BRANCH CIRC TS /POWER APPARATUS &) (SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES 200030 Ex. Occup. OUTLETS FIXED P(RESID )REA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n Tie permit is for $100.00 (valuation) or less. E!r II have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation FF T penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabili ' s, judgme s, costs, and expenses which may in any way accrue against ai County i c se nce of the granting of this permit. _7 • ^ X ' . D > �+� Signature of Applicant — `Owner ❑ Cantracror Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-1101OF ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCU P. CONST.TYP! SCHOOL FLOOD PARCEL PD HD 39UE This permit is hereby Issued under sions oft tte County Code and/or work i cate above or which PU P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date✓ Receipt No. - WHITE-D.P.W., YELLOW-ASe633. PINE -INSPECTOR. GOLDENROD-APPLI CANT 0V i-• ,• • • - �. ,M1` � •, ••;� /'~ ' , `,'• .ai=d. ••_, ; •La' ' t COUNTY OF BUTTE - DEARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAT4UN AICD PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER (y ! ZONING BUILDING PERMIT OWNER: �, / � �� Q Vmf1>7 TELE H ONE SO. FT. OCC. BUILDING VALUATION OWNERM'AILINIG ADDR SS 'S CONTRACTOR'S NAME) 1- /Al C1 1 TELEPHONE„ `` ��l!- COI•}TR CTOR'S M IL1 - AD S _ (%, N J .(� l% f 910 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS f /� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 I.• Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAY Water piping 5.00 Each qas water heater or vent 5.00 r� I USE OF STRUCTURE SF 91 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instalf3tion❑ Other] Describe work: C, - �! Permit Fee $ ` Or/ Contractor ELECTRICAL PERMIT Filing Fee 10.00 CONTRA TORS LICENSE LAW 1 decla a under penalty of perjury ( ck 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. f r/' License No. �` Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered # for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code .for this reason Main service e00V OR LESS 10.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.a\/zQsgft OR ADDNS. ACC. BLDGS. I NEW CONSTR.U TI.OUTLET 2,50 ea NON-RESID .BRA CH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. 20@50# Ex. OCCup(OUTLETS OR FIXTURES eAL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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 -I'n'sure. ❑ I shall not employ anyCoerson in any manner so as to become subject to the W. C. law's of Califo-rnW 1, Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the.Labor Code, you must forthwith comply with such provisions or this permit shall'be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permlt Fee $ Contractor I certify that I have read,thi§ application and stateCthat 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. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments;'/ccosts, and expenses which may in any way accrue against J�saaiid%County i%�`cohise ence of the granting of this permit. X /r•�i� �/ • I ate ? a 7- "r( �� o Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ - '% l OCCUP. CONST.TYPEJ SCHOOL PLOOD PARCEL P13 I ND I 139UE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which work // „/ i /I DIREC R OF PUB y •�/�' ,/ ERMIT EXPIRES Date the applicable provi- resolutions to do fee$ have been paid. /f // IC WORKS Date - Cr/ 9 / WReceipt /. NITEi D.P WO, YELLOW-ASSr3504, PINK-INePECTOR. 00LDENROD-APPLICANT COUNTY OF BUTTE - DEPARIENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califorhia 95965 - Telephone: 916/538-7541 APPLICA SON AD PERMIT PE MIT NO. A5505 RPA CNU� R //^ ZONIN BUILDING PERMIT OWNN /L � r� TELE HONE ALU SO. FT. OCC. BUILDING ATION AILI ADD 55 CO RI�CT 'S NAM YI, rJA TELEPHON COR OR'S M IL AD f%2 n cc V` Fireplace C NSTRUCTION L NDER UN OWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS .%� (^^� "OlZiC I `- 7 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r ` _ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 c0 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ model ❑�ilities ❑ Instal ion❑ Other Describe work: V I Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, DIV. 3 of the Business and Professions Code -Land my license is in full f�prce and effect. License No. ��� oi7 I Classification o� T- ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.y OR ADDNS. ACC. BLDGS. , �Zdsgft NEW CONSTR. U I -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. I p 20950* EX. OCCU OUTLETS OR FIXTURES eAL930 FIXED Ex. Occup. OUTLETS (RESID )LISIS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): L_1 permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. -Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Fi ling Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult 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 of 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 liabil' ' judgme osis, and expenses which may in any way accrue against aid County i c se ence of the granting of this permit. s X ate 3 , �i-' Signature of Applicant - Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures.over//3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 0CCUP. CONST.TTPEJ SCHOOL FLOOD PARCEL PD I No ISSUE This permit is hereby issued under si0ns of Butte County Code and/or work )c d above for which DIR R PUB Y RMIT EXPIRES Date the applicable provi- resolutions to do f have been paid. ORKS Date _ Receipt No. ��7117 WNITE-O.'.W.. YMLLOW-A38ESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT s�— Jury Gounrg �. IAND OF N'AT U AL W EA! T AND 3. EAU TY 1.�DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 196 Memorial Way CX7 County Center Drive ❑ 747 Elliott Road Reply to Chico, California 95926 Oroville, Colifor Paradise, California 95969 Telephone: 916/891-2727 Telephone: 916 — Telephone: 916/872-6308 538-7281 December 9, 1987 DeVona Pace 245 East Evans -Reimer Road Gridley, CA 95948 RE: Burned'House - 1345 Losser Avenue, Gridley, CA - AP# 21-25-14 Dear Mrs.'Pace: On December 7, 1987, I visited the above listed site to inspect a dwelling unit recently damaged by fire. My inspection revealed a completely burned and destroyed structure. The building cannot be occupied and is condemned as unsafe for human occupancy. If you have any questions concerning this letter please contact me at the above listed address or telephone number. Sincerely, oward J. Ay er , S. Supervising Sanitarian Division of Environmental Health HJS/mif cc: Public Works - Jim Glander ORDER NUMBER INCIDENT NO. START P / FIRE NUMBER KOOMPORT IR -T"- I R,,u. I N-0- F^C-1 a lr3A4u) D O1DCTION SF3VN0-j RANGE ( E ritir.� iJ tk t .+,LAxm -tics tW BLOCK 10 MILES DIRECTION 5a FROM- ❑ IN. NATIONAL FOREST. FIRE DIST., CITY &'STREET t J.Gfi OTHER INDUSTRY•COMRCL. DATE _ YEAR .. COUNTY ,[ V7�e. ❑STATE FIRE OTHER FED. [A� % �NAME: ❑ B.L.M. car LOCAL GOVT. CON TCT /r MILES DIRECTION 5a FROM- ❑ IN. NATIONAL FOREST. FIRE DIST., CITY &'STREET ❑ COT LOCAL GCVT. CONTRACT UW'POTECTED OTHER INDUSTRY•COMRCL. ♦ ETC / r r S7ATE XOJy�E STATUTORY ❑ WILD'AND BURNEI) OR THREATENED -1 RESPONSIBILITY ❑ COT LOCAL GCVT. CONTRACT UW'POTECTED OTHER INDUSTRY•COMRCL. ( i AT ORIGIN) 1 WII€1LAN6 (MUTY. RAILROAD iJ NON-WILOLAND ❑STATE ElASSIST OTHER AGENCY (Not Gly) OTHER FED. ❑ U.S.F.S. © &LCAL ZONE ❑ B.L.M. car LOCAL GOVT. CON TCT ❑ B.I.A. CSStSi OTHER AGENCY (N -t W Cl OTHER FEDEF ®f3ERQL XOt�EE ,r t' JS'f �I� Frfl ^'f �1-r ktj�y [7 OTHER ' Q, �r tLj( At %1l4Vf, CONfRAL..1 MISC. AND OTHER ❑ ASSIST CITY, COWRACT CO., MIL, OTHER (STARTS iAt i OR 5 8 ONLY) ❑ DEBRIS Cl PLAY W/FIRE {� C.WPFIRE ❑ ARSON OTHER/MISC. LAf%tJ Ubt (&'TAM IN `% V V OR V ONLY) DOMESIC C1 FOREST INDUSTRY ❑ RANCM-FARM r-1 RECREATION OTHER OTHER INDUSTRY•COMRCL. k` 91i 1 WII€1LAN6 (MUTY. RAILROAD iJ NON-WILOLAND Cl UTILITY, ELECTRIC ❑ OTHER .. Nan. !licr TIAAL7E:T 8/02 YOUNG GROWTH r WWLAND V€G4TAT*N od;ff 9= T a Y G mll i�HtcLG'i � Cbi�'E�ITTI �' , OTHER - -- TOTAL > t { ACRES OF VEG€TATION BURNED AGENCY DIRECT PROTEcnoi4 ACRES BURNED CDF 1 OTHER TOTAL WOOD LAND 017T CW16' ❑ A .25 ACRE OR LESS ❑ B .26 -9 ACRES ❑ C 10-49 ACRES ❑ D 100-299 ACRES ❑ E 300-M ACRES ❑ F 1000-4999 ACRES ❑ G WW ACRES OR MORE 8 YEG. TYPE ACRES BURNED STATE TIMBER B.LM. WOOD LAND B.LA, BRUSH OTHER FED. GRASS »rwca AGWC. PROD. CDV vT gD STATtiT. RESPON. OF O ACRES BURNED STATE U.S.FB. B.LM. B.LA, R. OTHER FED. »rwca �&TAL ON ARRIVAL ( zvwLrrATION FIRES ONLY) S DISTANCE (ft% Eo kod) WIND SPEOD (M.P.H.) DIRectION (TRAM) 10 - OVER PLEASE al:Ea�sao.Taa.ol>Ia 1� ORDER NUMBER REGI R.U. I INCIDENT NO. YEAR FIRE RECORD Mo. DATE TIME OUTSIDE o © g GO TO 1© flRE STARTED frdm 15T. CD Diip INSIDE O 0 V $ t �t a FIRE DISCOVERED w + - LOOKOUT: H 1 ST. or 2ND. report mcdeby lookout FIRST REPORT v,< ,fIRST ATTACK BY CDF DATE SITE NAME SECOND REPORT _ - a NAME i t p n , n ORIGINAL REPORT BY:' APPROVE) BY: l ,fIRST ATTACK BY CDF DATE �'j�TfA1NED f DATE tSIGNATUIRE4 OVERHEAD RECORDTE 8 lOC/11 GOVT_ CONTRACT ORGAN PERSON AIRCRAFT CDF STATE 8 LOCAL GOVT_ CONTRACT ORGAN PERSON AIRCRAFT AME RATION HOURS FLT. HRS.. CRFW NAME RATION. HOURS FIT. HRS. FCRW A Alg, ax OVERHEADTOTAL w /� p ON � L H ��• ENTER L 1!ft•<v:;/:ryj.,�:.:r4'+:. ti- f-C-tiwi: `�:H�NfJ� C TOTALS MOW .: i.: USES. (kKL Overhead) TOTAL - '� z� OTHER fEDERAI (kxt Ovabead) TOTAIL " '► a.;, Y4 A FIRE DIST. 8 OTHER.10M TOTAL, PAID HOURLY (E.J:f.) TOTAL •`: ;4`"; $? f •(Unpaid) TOTA1` cr? ❑ FC -18B (Additional crew activity) ATTACHED VOLUNTEERS p n , n ORIGINAL REPORT BY:' APPROVE) BY: l TITRES - DATE INiL'D DATE tSIGNATUIRE4