The URL can be used to link to this page

Home My WebLink About021-250-0322+ ,;�� 19 �4 ILLIAM. r�,.1 =B 369 'LITTLE„aVE. REROOF/SF GRIDLEY 021-250=032 .._ JONES,.Willaim & Margie PERMIT#97-077.9Gridle 36.9,-Little Ave., O°� 3CI CBedroom"to Bath,Gas Wtr Htr Relocate Well`& P1,bg/SF , - `Y02fi. •250-032 PERMIT#97'-QJONES, `William & Margie 981f �.. �J 369 Lit- tle-Ave.., Gridley;j Cont : ;Hawkins.'Windows /d� ' Vin yl. Siding '&• Windows/SF 0214.250-032 4 PERMIT#97-0985 JONES, WilYam & Margie' 369-Little'�Ave.', ;Gridley. Cont: ” �� +' HVAC/SF B 'Spencer .��6� t _ e 0 a U .fs ... ._.. ..",".s..: ..-w;rr'iws..a-+r„l,Tx.. � „-,r: ,�,.r�w,,,,nrT� �r'.L.''S�.1'T' :F;i!..s .rr. _ ,... y„ + _ • ,a . y; •. ,.. . . ..- ,. , .'021=250-032-T . f +nERMIT#97-0,965 ' w+ JONES, 'William &, Margie 369 Little Ave., Gridley. Cont R.B. Spencer ' . • HVAC/SF 9 i yr f + r , COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION') 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 r PERMIT NO. (Rev. 12/96) APPLICAT, ON AND PERMIT ASSESSAgp FAq&yNUyB 2 L� ZONING BUILDINGPERMIT OWNER R Q TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS !. R AVEMIE, CONTRACTOR'S NAME - R -B- TELEPHONE 674-8307 CONTRACTOR'S MAILING ADDRESS 13813 11ASSET WE=, YUBA- CITY 95001 CONSTRUCTION LENDEA Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS WMIR$ Energy Plan Checking Fee $ PERMIT FEE. $. LOT NO. SUBD ISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USE OF STRUCTURE SF 9( Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap •� 7.00 Solar or heat pump water heater 23.00 Water Water piping ,, 15.00 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ffX Describe Work: HVAC Gas piping system 1 - 5 outlets ` 15.00 • Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 35 W ELECTRICAL PERMIT Filing Fee 20.00 RLESS Main Service 200A OR LESS 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.POWER License Class C Lic. No. Glp �{U OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. BusinEss%and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier, and policy number are: Carrier Main Service 200A TO Io00A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. so 3.5¢FT, NE NON -R SLID.ST. IANCTI.OUTL I TS @7,50 APPARATUS b SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 100 BAL@ ,50 `TLE,'. A Ex. Occu ourLETED s RAPPWSSID. EOR A G v�� 5.00 0.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 30, MECHANICAL PERMIT Filing Fee 20.00 Heating • Cooling • Hood 6.50 Ventilation PERMIT FEIE $ 50.00 Policy .Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certifythat in tKe performance of the work for which this permit is issued, I shall riot employ any person in any manner solas,to', become subject to workers'FES compensation laws of California, and agree that if I should become subject to the workeis' compensation provisions of section 3700 of "the Labor Code, I shall orthwlth comp)y with those pro3isio^s. I 1 I X 1r -,'' /___ Date _ ��_� _ Sig tan ure-of' Applicant,a Owner 0 Contractor ❑ .Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ nerCONST. OCC TYPE TOTAL FEE $ 115.00 IMP I FLOOD I CDF PARCEL PD I HD I ISSUE .� This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been A ' .. B �: ; , ate t + PERMIT EXPIRES ON Y ^) Qafe provisions to do work paid. ` - 7 . ] �.- ,Y v Receipt No WHITE-D.D.S.-B. D. CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE z •<. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE . OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date4-05 �Inspector REV 1019 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDING/;� 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7PERMIT O. (Rev. 12/96) APPLICATION AND PERMIT ASSE$$RYpA'j ��JJ S2JIT632 ' L u ZONING BUILD GPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS 1188 1JASSET AVENUE, YUBA CITY 95991 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAMEPARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [%X Describe Work: HVAC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoO' OR 0,V OR LESS 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 C Lic. No. 4061 t1 � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( d ACC. BUDS. 3.5¢FT. NO RESHOT ANCI CELE @7.50 POWER APPARATUS a SINGLE OUTLET CIR. 20 Q 1.00 Ex. Occup. OUTLET OR FIXTURES SAL p .so FIXED APPLNS. OR '1 O 00 Ex. Occup. OUTLETS RESID. 5,00 EA 1 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 30. 00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling - 15.00 Hood 6.50 Ventilation PERMIT FEE $ 50.00 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the rke s' com sation provisions of section 3700 of the Labor Code, I shall o h ith com with those provisions. X Date _ Signat e e ❑ Contractor ❑ Agent An OSHA permit is r q ed for exc tions over 60" deep and demolition or construction041, of structures over 3 St ries in heig Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 115.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL pD HD ISS E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated bove for which fees have been paid. J/01 �34 B ate PERMIT EXPIRES O le Receipt No. WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT " JONES;tWILLIAM 369 LITTLE.AVE; GRIDLEY t r REROOF/SF M1 , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION ANDWERMIT PERMIT NO. foil ti ASSESSOR PARCEL NUMBER 021-2'3(1-032 ZONING A-7 BUILDING PERMIT OWNER TELEPHONE Willimm ones 4! ,_ 7217 OWNER'S MAILING ADDRESS 36() Little Av.(--, Gridley 95948 SO. FT. OCC. BUILDING VALUATION Sn 1,020,00 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$1,020.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 24.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $39.00 PLUMBING PERMIT Filing Fee 15.00 '460 t r i v Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each Qas water heater or vent 7.00 USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 15.00 TYPE OF WORK NewsAddition" Remodel(_; Utilities❑ InstallationC Other` Describe work: RerooF with Comp. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 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. cense Ao. 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.E& OR ADDNS. (ACC. BLOCS. 11 3.6a sq.ft. NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS Q (POWER OUTLET CIR. ) Ex. Occup( OR FIXTURES 20 76ri P FIXED APLNS. OR Ex. Occup. OUTLETS IRESID,) EA.) 1 3.00 Temporary service 15.00 Home Facilities Mobile H 15.00 Misc. 9 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare unde, 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 cnsent 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 1 15.00 Heating Cooling Hood 6.50 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 prop,a�ty for inspection purposes. I also agree to save, ind nify and keep t1afPmless the County of Butte against all liabilities, judgment costs, and,axpenses which may in any way accrue against sand County in onseque of the granting of this-pg�nit. i ( X Date `1u�C /r -Z i Signa of Applicant — i Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE N TOTAL FEE $ 39.00 7ry•00 HAz OFEES IMP FLOOD CDF PARCEL PD HD SSUE This This permit is hereby issued under the sions of the Butte County Code and/or work indicated above fo'r which fees DIRECTORr�DF PUBLIC • By . !.;. r ..'. % PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS 1 Date 1 ;• r —� ! 143352 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califo-nia 95965 - Telephone: 916.'538-7541 APPUCATIOIV AD PERMIT PERMIT NO. ASESSOR PARCEL NUMBER 021-250-032 ZONING A-5 BUILDING PERMIT OWNER William Jones TELEPHONE 846-6721 SQ. FT. OCC. BUILDING VALUATION 17 S 1 020.00 OWNER'S MAILING ADDRESS 369 Little Av.e Gridley 95948 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $1,020.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 24.00 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 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF El Duplex❑ Mobilehome❑ Other SPECT FV Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New L; AdditionE] Remodel ❑ Utilities ❑ Installation❑ Other[N Describe work: Reroof with Comp. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 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. "dense No. Classification rUtaI, 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) ❑ orsa the owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. 3.64sq.ft. NEW CONSTR. MULTI -OUTLET NON.R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20 764 9A FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 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 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 onsent 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood I 6.50 I Ventilation Permit Fee $ LContractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Co t Ordinances and State Laws relating to building construction, and h authors representatives of the Countyot Butte to enter upon the abov entioned prop ty for inspection purposes. I also agree to save, ind nify and keep mless the County of Butte against all liabilities, judgment , cos , and enses which may in any way accrue again t s id o ty in ons e ue of the granting of this p_nit. X Sig of Applicant — Owner Contractor ❑ Agent ❑ Arr OSHA permit is r wired for excavations over 5'0" deep and demolition or construct- ion of structures ove 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 39.00 HAz 1 0 111 I IMP I FLOOD I CDF PARCEL I PO I HD ISSU This permit is hereby issued under the sions sions of t Butte County Code and/or work i is ed ab f r which fe DIRE F P BL By PER EXPIRES Date applicable provi- j re lutions to do h e been paid. KS Date Receipt No. 143352 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i COUNTY OF BUTTE - Department of Public Works 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or-er6��Z_. /2 I (have/ o-tl- signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4: I plan to'provide'portions of this work,.but I.have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone'' Contractors Lioense No'. 5. I will provide some of the work but I have contracted (hired) the following persons to provide .the work indicated: Name Address Phone Type of Work Sign NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. � , , �._�_� I � � t .._�._�.�. ._��.t ...... y_.. r .. { � I ._�.� __.._. _ r � � • � :./ ..o` ._,. •� � _. � � __ •. i �. �, � i f ..' � �_ (� _ _ _ � A .. _.._:..._..__ ._. _..___ ____ _... ..._ _ .�Q �• _- w ---- � --- ----•- --- --- ._ I � \ . � � ,..— ..._ ; __.-- - ro- _. -- - ... _ _ ._ . _ ... ...- --- _ -- --�-- - -. .. .. • s _ - - { _ �� o� { . P \. 1 O ;- - -- � -, _ . 1_'___�--�-��--- � , , �._�_� I � � t .._�._�.�. ._��.t ...... y_.. r .. { � I ._�.� __.._. _ r � � • � :./ ..o` ._,. •� � _. � � __ •. i �. �, � i f ..' � �_ (� _ _ _ � A .. _.._:..._..__ ._. _..___ ____ _... ..._ _ .�Q �• _- w ---- � --- ----•- --- --- ._ I � \ . � � ,..— ..._ ; __.-- - ro- _. -- - ... _ _ ._ . _ ... ...- --- _ -- --�-- - -. .. .. • s _ - - { _ �� o� { . P \. 1 O �. - t/ .\ Q I� `� 1 v O �' 3 c,� . �o . f•- _ ., ...+ � .:z�.:-v- .- �r» �l t�,R :.n., -.e ;uF:..,q,..>`�:..z .g.,�,t ,•_._�i�,..,a. ,.._ -.w L. ;�._F � ,y ..tom... ..;� .. ..it .,.�. r._ _ 021-250-032 f PERMIT#97-0779 1 JONES, Willaim & Margie �r r e 369 'Little Ave., Gridley 't Conv.Bedroom `to Bath,Gas Wtr Htr i Relocate Well & Plbg/SF 3.- r T r 1 f • ._ : p , -~.^ - ... - rte_ ��__'�.._r - ._�'•F 'r S--7 V -"re /OGLC�G��` r 4 R. r r y , COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION' " 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 _ PERMIT, O. (Revj.12/96) APPLICATION AND PERMIT ASSESiSORrCEL NUi.i1/1lJL ZONING Byll-DING PERMIT OWNER 1 WILLIAM AND MARGIE JONMS I TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIJNG ADDRESS { 369 LITTLE AVMJF,, GRIDLEY 95948 1 EST CONTrRAC"RR'�'SNAME VF�ii TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER INOR LENDER'? MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER NUS LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ i� BUILDING ADDRESS 369 IITlU, AVENUE GP.IDI.EY � �� Energy,Plan Checking Fee $ PERMIT FEE $'^!r • 00 LOT NO. SUBDIVISION'S NAME r PARCEI:l MAP r, PLUMBING PERMIT Filing Fee .20.0.0 USEOFSTRUCTURE Each Trap 7.00 • Solar or heatpump water heater 23,00. SF ❑�{ Duplex ❑ Mobilehome ❑ Other Water piping 15.00 �• SPECIFY J Each gas water heater or vent 15.00 TYPE OF WORK 1 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑` Describe Work: 0014V BEDROOF�I TO BATFI REI,OCAL, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W 920.00 PERMIT FEE $ MOW NEW PLBG FIXTURES1 AND CHANCE GAS WTR IiTR �N GARAGI ELECTRICAL PERMIT Filing Fes 20.00 Main Service ioon OR UEss 2300 LICENSED CONTRACTOR'S DECLARATION J' 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter l with Section 7000) of Division 3 of the Business and Professions Code, 9 (commencing w and my license is in full force and effect.( License Class Lic. No. ! OWNER -BUILDER DECLARATION Main Service 200A TO 1000A 46'00 NEW CONST. DWELLING UP. So OR ADONS. ( 6 ACC. BLOS. 3.S¢FT. NEW CONS UTLET MULTI.O NON•RESID. � c 97:50 POWER APPARATUS 8 SINGLE OUTLET C. Ex. Occup. OUTLET OR FIXTURES BAL 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License FIXED APPUJS. OR Ex. Occup. ourLETs RESID. EA. 5.00 5.00 Temporary Service 23.06 , Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. Mobile Home Facilities 20.00 Misc. Wiring23.00 XI, as owner of the property, am exclusively contracting with licensed +' contractors to construct the project. I ❑ 1 am exempt under Sec. Business and Professions Code for this reason PERMIT FEE $ 4.00 WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Fling Fee 20.00' Heating I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Cooling Hood '6.50 Ventilation ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier PERMIT FEE $ Policy Number Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in -the performance of the work for which this permit is issued, I shall not employ any person in,.any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort with comply with those 6visions. Energy Inspection Fee $ occ CONST. T TOTAL FEE $ 185.00YPE fl! FEES IMP I FLOOD I CDF PARCEL I PO I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work X Date _7` — Slgn§ture of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories 6 height. indicated above for vyhich fees have been paid. B Date 4/16/97 PERMIT EXPIRES ON 4/16/98 ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date COON OF BUTTE', BUILDING'DIVISION ,%,, DEPARTMENT OF, DEVELOPMENT SERVICES 1469 Humboldt Road,'Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-63074 CORRECTION NOTICE x E OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have.ariy questions pertaining to this matter, or need additional explanation, please contact thi fce immediately. ` ;rte h ) 1. Date — — Inspector REV 10/92 CO1UNTY;;ZF BUTTE` BUILDING'DIVISION -� DEPARTMENT OF DEVELOPMENT SERVICES .1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307- L CORRECTION NOTICE o,) o,y %%-� OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address a d should be corrected. Please notify this office when correction of work is completed. If y have any questions pertaining to this matter, or need additional explanation, please contac his office immediately. r:. Vo-5 � NQc 'r dUJA.) -1 C %--L M L �ri ,� AG �(L d7 D Y .. r eon s / i� 001-11,h i 1A 6 eA le 7-7 ny ,- }1 Ir " Dale nsctor _ - 0. `p ter— ✓ REV 10192 -4 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES . 1469 Humboldt Road, Chico, CA - (916).891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE NQS 977 77Y OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. y Date Inspector ` REV 10/92 H i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS 7 County Center Drive - Oroville, Carnia 95965 - Telephone (916) 538-7 PERMI No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021-25-0-032 ZONING B DING PERMIT OWNER WILLIAM AND MARGIE JONES TELEPHONE SO. FT. OCC. BUILDING VALUATION S T 2800 OWNER'S MAILING ADDRESS 369 LITTLE AVENUE GRIDLEY 95948 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER NONE LICENS E NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 369 LITTLE AVENUE GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE S74.00 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CIX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe Work: CONV BEDROOM TO BATH (RELOCATE WELL, NEW PLBG FIXTURES) AND CHANGE GAS WTR HTR IN GARAG Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home s G W Ca20.00 PERMIT FEE $ 86.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service ".A' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i . 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. XI, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADDNS. ( & ACC. BLDS. SO 3.5¢FT. NEW CONST. MULTI.OUTLET NON•RESID. ANC c! TS //�17.50 l POWER APPARATUS 8 SINGLE 0 TLET CSI.. Ex. Occup.2C OUTLET OR FIXTURES @ 1'50 BAL @ .so FIXED APPLNS. OR Ex. Occup. OUTLETS RESID. EA 5.001 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 25.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance the work for which this permit is issued, I shall not employ any person in ny m nner so as to become subject to workers' compensation laws of Ca' ornia, e d agree that if I should become subject to the workers' compensation provis' s of section 3700 of the Labor Code, I shall fort with c ply with t se v sions. X _ K/�C... Date _ ner ❑ Contractor ❑ Agen Sign ure of ARp nt - /Xeight. An OSHA permit is requiredcavations over 5'0" deep and demolition or construction of structures over 3 stories MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 185.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISl1E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for ich fees have been paid. 1 B ate 4/16/97 _ PERMIT EXPIRES ON 4/16/98 Dale ReceiptNo. 18875 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. • Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued untd.this verification is received. J 1. JI personally plan tck provide the major labor and materials for construction of the proposed property improvement: YES[ ] NO[ ]. ' .2..-1 HAVE[-.]- HAYS NOT[ ] signed an application for a building permit for the proposed work . 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: , ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NA11M: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: - NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCL�kL SECURITY NUMBER: �` �'-�-- � DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER - Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally Performing their own work If your work is being performed by someone other than yourself, You may Protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are. required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: I _ 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such Persons are not licensed. as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security tares, workers compensation insurance, disability insurance costs' and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only - under limited conditions. �, frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or, her own labor and material personally. Building perrtuts are not required to be si--ned by property owners unless they are performing their own work personally. e obtained by contracting the Contractors State License Information about licensed contractors may b Board in your community or at 1020 N Street, Sacramento, CA. 95314. Please complete the Owner Builder Verification" on the reverse side of this form so that can confirm that you are aNv re of these matters. The building permit will not be issued until the verification is returned. Sincerely, t Michael C. Vieiia, C.B.O. ,tilanager, Building Inspection NOTE: This 0%%-ncr-Builder Information is required by Section 19330 of the California Health and Safety Code. OVER 021-250-032 PERMIT#97-0981 JONES, William & Margie, z 36.9 Little Ave:, Gridley + _ >•, p , ' Cont Hawkins ''Windows , F,vy Vinyl Siding & Windows/SF CO i f . I • 1 • 1 , �:-...1,.. ; , ,.. .: * s rv,� ... '��'w r♦ .r. .. � .•-c-�..F'S.✓r7r; �� , xaN'. r.,.::T'R� ��,� p • COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - B. DIG DIVISION •_ 7 County Center Drive - Oroville, Cl ifornll� 95965 - Telephone (MIS) 5 -75 / PE IT NO. (Rev. 1* « APPLICATION�AND PERMIT ' i ' " X X ASSESSOR PARCEL NUMBER 021-250-032 ' ZONING '$UI ' • NG PERMIT OWNER WILLIAM AND MARGIE JONES TELEPHONE SO FT., OCC LU -: BUILDING VALUATION • OWNERS MAI'JNG ADDRESS 369 LrME AVE., GRIDLU CA -95448 EST � 13,831ALU CONTRACTOR'S NAME HAWRNS WINDOWS TELEPHONE CONTRAC ORS MAILING ADDRESS HASSMT AVE., YMA CITY CA 95991 CONSTRUCTION LENDER E ,LENDER'S MAILING ADDRESS i Fireplace Total Valuation $ ARCHITECT ORE NEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ BUILDING ADDRESS 369 LITTLE AVE.,GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ r73.M LOT NO. SUBDIVISIONS NAME PAICEI!MAP - 1.'. PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IK Duplex ❑ Mobilehome ❑ Other SPECIFY :- Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: VINYL. SIDING AND WINDOWS < t. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ` ELECTRICAL PERMIT Filing Fee 20.00 OR LEss Main -Service C. 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 BusVPProfessions Code, and my license is in full farce and effect. License Class - Lic. No. ,OWNER-BUILDER11 DECLARATI N - I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, ' will'do-the work -and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project; ❑ 1 am exempt under'Sec.' ,!Business and Professions Code for this reason Mai Service ( TO I000A 46.00SO NEW ODNST� OWE LNG OQ CUP, W OR AD NS. ( a c. BLg i BO 3.50FT. rNioN•ResID. ;+' ,� +�, TbOUTLET 7, CIRCUIT POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @':°D Ex. Occup. ouTLEEDrs RES D.I AA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S ,.,.,• WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury -brie of the following declarations: ❑ 1 have • and will 'maintain a certificate of consent to self -insure for workers' compensation, ase provided for, by section 3700 of the Labor Code, for the performance of the work for which `this permit Is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Gode, for the pe'rfo'rmance of wprk for which this permit is issued. My workers' compeAsaVonjlhsurance carrier and policy num er are - Carrier 1 v.,,. to Mh ^ Policy Number - .. (The above sections need not be completed if the permit is for work1f a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the w ars' co a sation provisions of section 3700 of the Labor Code, I shall t%rth ith co Iy with t se provisions. X - Date ��! _ Signatures/of Applicantwner ❑ Contractor ❑ Agent An OSHA permit is required fo 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 TOTAL FEE $ 173.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ! By ! iL, ;� PERMIT EXPIRES ON f the applicable provisions Resolutions to do work been paid. N Date (Date) Receipt No. �2z- 4i -y WHITE-D.D.S.-B.D. CAWAR - SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT KI X E COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS 7 County Center Drive - Oroville, Qs iforA 95965 - Telephone (916) 538-75 IT NO. (Rev.12/96) APPLICATION AND PERMIT �v ASSESSOR PARCEL NUMBER 021-250-032 ZONING BUIL f INGPERMIT OWNER WILLIAM AND MARGIE JONES TELEPHONE SO. FT. OCC. BUILDING VALUATION EST 13 831 OWNER'S MAILING ADDRESS 369 LRITTE E AVE. GRIDLEY CA95948 c HAWKINS WINDOWS TELEPHONE CONTRACTORS MAILING ADDRESS 1257 HASSETT AVE. YUBA CITY CA 95991 CONSTRUCTION LENDER NONE Fireplace LENDER'S MAIUNG ADDRESS Total Valuation is ARCHITECT OR ENGINEER NONE—Filing LICENSE NO. ' Fee $ 20.00 Permit Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 369 LITTLE AVE., GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ 173.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other Describe Work: VINYL SIDING AND WINDOWS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service Zoon oa .ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of. perjury that 1 am licensed under provisions of Chapter i . 9 (commencing with Section 7000) of Division 3 of the Busines Professions Code, and my license i in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATI N I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. Bios. 3.50FT. NEW CONST. MULTI.OUTLET NONRESID. B ANC cl c @7.50 APPARATUS 8 SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .50 Ex. Occup. ouTLEEDTs RES D.OEa 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: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comp a'onI surance carrier d olicy num er ar Carrier @N�h� , Policy Number d r — (The above sections need not be competed if the permit is for work bf a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the ters' co pe sation provisions of section 3700 of the Labor Code, I shall ith co I with se provisions. X Date _ Signatu of Applicant - wrier O Contractor ❑ Agent An OSHA permit is required excavations over 5'0" deep and demolition or construction of structures over 3 stories i 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 TOTAL FEE $ 173.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. r By Date5//,3/97 PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.-B.D. -CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT in