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WYNOKA HOMES
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STREET s s W. Liberty „f y 300' west of French Ave., A192,n:W ,Li-berty,;Gridley'*`. �� R'
�. Gridley , - store tractor.; iafmjequipment�•.
Permit 3194-7 )B ,Llezle e.J� / AG EXEMPTION `PERMIT
new single'' fam; y) r t _.�
4 PERMIT DESIGNATION
DEPARTMENT OF
BUILDING AND SAFETY
B—BUILDING
P—PLUMBING
T—TRAILER
E—ELECTRICAL U—USE PERMIT
TV — RADIO -TV ANTENNA V — VARIANCE
S/W—SIDEWALK NOTICE S_ SIGN PERMIT
HM—HOUSE MOVING
EP—ENCROACHMENT
D— DEMOLITION 600.1
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021-320-003 " ; r '04.2337, ,
CALLAWAY, ANTHONY``
1192 W LIBERTY CT, GRIDLEY
CONT: PHILS HEAT.& AIR` ""`
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REPLACE -EX ROOFUNIT
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TYPE OF
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PERMIT NO.
PLAN NO.
DATE ISSUED
TYPE
PER
` REMARKS
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4 PERMIT DESIGNATION
DEPARTMENT OF
BUILDING AND SAFETY
B—BUILDING
P—PLUMBING
T—TRAILER
E—ELECTRICAL U—USE PERMIT
TV — RADIO -TV ANTENNA V — VARIANCE
S/W—SIDEWALK NOTICE S_ SIGN PERMIT
HM—HOUSE MOVING
EP—ENCROACHMENT
D— DEMOLITION 600.1
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP042337
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 08/06/2004 APN: 021-320-003-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 1192 W LIBERTY CT GRI
Date: Contractor.
Map Index:
Description: REPLACE EX ROOF UNIT
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: CALLAWAY ANTHONY P
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
1192 W LIBERTY CT
signed statement that he or she is licensed pursuant to the provisions of
GRIDLEY, CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95948-9588
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: CALLAWAY ANTHONY P
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor: PHIL'S HEAT & AIR
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
PO BOX 33
❑ f Business Professions
2896 2ND STREET 95917-0033
I am Exempt under Artic1 the and Code
%
530-868-1239
Date: Owner:
License #: 648981
WORKERS' COMPENSATION DE LARATION
1 hereby affirm under penalty of pedury 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
Architect:
is issued.
Engineer:
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S.F.
Valuation: $0.00
Census Code:
Policy #:
A I certify that in the performance of the work for which this permit is
issued. I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: g
Applicant:
WARNING: Failure to s ure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
/
code, interest, and attorney s fees.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
This permit is hereby iss ed under the applicable provisions of the Butte County Code ?nft/
Resolutions to do c ' dicate above for which fees have been paid.
performance of the work for which this permit is -issued (Sec 3097 Civ.)
x
V
Name:
By: Date:
PERMIT EXPIRES ON: U�
Date
Address:
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the own or the duly authorized agent of the owner. 1 agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substa a any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspectioo
4P01W"1-k-,A
Print Name: A /1 �-� �ln `, /1. ttil Signatur
Date: if G
PQwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY _V,r_1
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
OWNER
Last Name
irs Name
4 S � (—
a'
Address
d . L'
City
State
Tip
Phone
Fax Al A
E-mail
as
ARCHITECT/ENGINEER
CONTRACTOR
Name
4 S � (—
Address,
O - �
City -&
Fax rA
Sta a,
Zil s -
Ph prie
,L S
Fax
E-mail
Planner
UC. #
Class Ld
ARCHITECT/ENGINEER
Name
Address
f;P
City,•.
State 7711)
Phone
Fax rA
E-mail
State License Number
APPLICANT NAME
Name
Address Z b e,r'
City � ��
State
Pho S'�
Fax rA
E-mail � �� � � • 1 ���
APPLICANT SIGNATURE
X
LA 64&t:�t
For office use only:
Zoning
Property Addres /
(�
Flood Zone
Cross Street
SRA
Yes
I No
Occ.
Type Const
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
■
PERMIT
N0. a; F13
BIN #
LOCATION
AP# nQ l
Property Addres /
(�
City
Cross Street
WORKER'S CO ENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
esc 'pti nor Scop oqr.
Sq. Foo (�
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are'not .
refundable.
Received by: Amount:
Receipt #:
L
OVER FOR SUBMITTAL REQUIREMENTS L
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2
Da.gl(40l 4
SRA
Sheriff
SMIP
Other
Total
REV 6-16-04
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND W IN%
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPERI
OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
'❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to
mobile or modular homes)
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 8. Sanitation and site plan approval from the Environmental Health Department.'
❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans. w
❑ 5. 2 Engineered Tie Downs or Foundation plans.
0 6. Sanitation and site plan approval froml& Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3. 2 Engineered truss dept ils and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineerror Architect for truss design review.
❑ 5. 2 Energy compliance,�design and supporting documentation (if required).
❑ 6. - 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
a>1. triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
9. Letter of intent. J
o s` 1�Hazardous. Material Form.
gull. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSIBUILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 J
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES /
7 COUNTY CENTER DRIVE - OROVILLE, !�',A�IF&NIA 95965 - TELEPHONE: (916) 538-7541
- AGRICULTURAL BUILDING EXEMPTION PERMIT
D=MIT NO
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. d�
� OO�
FLOOD
ZONING
OWNER
�
Gi��cJS
Receipt No.
PHONE NO.
VlG - 639
OWNER'S AUMEss
LOCATION OF BUILDING
USE OF BUILDING I
I
SIZE OF STRUCTURE
306
X 3 =
O SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL
� CONCRETE
OTHER (Specify)
TYPE OF SIDING�e��
ROOF FLING/
114 f
FLOOR TYP��
ESTIMATED C ST OF CONSTRUCTION
$ �C4�
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances
as follows:
FRONT S '-4° "` SIDES �! REAR Sd
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare'under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG
Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain
any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy.
Date 16— `f'1/ Signature of Owner
Permit Fee – $50.00 The above described AG Builing is exempt from a building permit.
1202-70
2 W 2�0
FLOOD
PARCEL P.D.
OOFING
ISSUE
Receipt No.
Manager Building Division
By Date -zb—
White — DPW, Yellow — Assessor, Pink — B. L. Goldenrod — Applicant
r.�..„
COUNTY OF BUTTE y. �PARTMENT OF PUBLIC WOR ,„ - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA S)VkEET
�� Dz / - 3Zo
No. cc,4?
> Date -� �O - S Z -
OWNER EZ 16
Proposed Building Use
Building In
At time of ermit application, I was advised the following data must be submitted pridr«to`permit processing and/or issuance:
� DATE RECEIVED BY
1. All items have been submitted . .......................�.'. ... ; r.
2. Plot plans, 3/4 sets, signed by preparer of plans. ..........
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. .. .......
5. Hazardous Material Form. ....................... ........ t.s
.
,y , ... .
6. Energy Design Compliance and supporting documentation. ............
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... .
10. Fees of$ ..........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . .............
15. City of Chico plumbing permit. ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. ............. r
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. ... ... .
st
20. Pre -inspection for to Building
Ins re for
required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _). r............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization ..........................
.
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ...................................... t.t. .
28. Mobilehome utility clearance . .......................................:. .
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34. /
When you issue the permit, process as follows: ✓ Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
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 _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
PERMIT NUMBER - B 3194-72B
l
P
r.
E
* PERMIT EXPIRES JI-15-73
3
„OWNER Wynoka Homes
CONTR• . owner
LOCATION (A.P. 21-16-9 )
s/s W. Liberty 300' west of French Ave., Gridle3
n 4
r M
1
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•Il
{
1
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r
. M1
f
Zoning
Foundation
Rgh. Plumbing o :2 2 — �;,71
Rein. Steel
Framing
Wtr. Htr.
Firewall 1�� a —/ 6
ELECTRIC
Temporary " 7
Final �(o
DATE
COUNTY OF, BUTTE .
Department of Public Works
BUILDING
/.INSPECTION RECORD
Setback
Piers & Girders
Bond Beam
Gas Piping & Test 64 G1 ::Z-6 ' 7
Plmg. Topout ®B`/
Furnace
Garage Vents CDA:f %
GAS
Temporary o oZy
Final
�" 7
FormsP'2 a ' "7
Fireplace
Lath & Plaster���
Found. Vents
Rough Elec.
Kitchen Vent
Sanitation &Water
BUILDING
Cert. of Occup. r�
Final —1161—
REMARKS
1161_'
REMARKS OR CORRECTIONS
r „
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 533-1230, Ext. 259
APPLICATION AND PERMIT
o°
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. /
X Date %i—lf 10
Signature of Perm/itee/orr Agen
Receipt No.
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By �� Date_ ,/ I J _ i 7—
Building Permit Expires Date/I—
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Addre
i
Fireplace
Contractor
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
Building Address C/ ����
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
ow
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
�r��/`�� •y ,L ��=
Each gas water heater or vent 1.50
A. P. No. ��.>�
Zoning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitation
Planning
Building sewer 5.00
Plans
Fees
W. C.
-el.
I R/W
Encroachment
Lawn sprinkler system 2.00
NEW ADDITION ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
USE OF STRUCTURE . Single Familyz Duplex ❑ Others ❑
Range, dryer or water heater 1.00
Oven, Cook -top or space heater 1.00
Light fixtures
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style
%,{f:)�Water
>ZdlC�7 �f`
Receps., switches & fix outlets _E
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
pump
Misc. wiring
License NoV O ;1' Classification
❑ 1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
KIhave placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
SSPermit
I -sr umenrati nrr�n gromion $0.07/$1000 Evaluation
$
TOTAL PERMIT
PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. /
X Date %i—lf 10
Signature of Perm/itee/orr Agen
Receipt No.
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By �� Date_ ,/ I J _ i 7—
Building Permit Expires Date/I—
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 533-1230, Ext. 259
9'. 7C /� APPLICATION AND PERMIT
authorize representatives of the t;ounty of Butte to enter upon the
above-mentioned property for inspection purposes.
X ` Date
Sign re Permit or A nt /
Receipt No. Zo 7/
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
„DIRECTTOR OF PUBLIC WORKS
By Date
Building Permit alres Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Addr s
Fireplace
Contractor
Total Valuation
Mailing Address �
Permit Fee
Plan Checking Fee &/or Penalty
ti
Permit Fee $
$
Buildingdress S��
PLUMBING No. @ I FEE
PERMIT FILING FEE V, $2.00
�.
Each Trap A 1.50
Repair drainage or vent piping 1.50
Water piping V., 1.50
Each gas water heater or vent 1.50
/ _
P. No. (D
Zoning
Gas piping system 1 - 5 outlets 1.50 57)A.
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitation
Planning
Building sewer 5.00
Plans Fees
W. C.
R/W
Encroachment
Lawn sprinkler system 2.00
NEW ADDITION ❑ OTHER ❑
Permit Fee
$$
ELECTRICAL - No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
USE OF STRUCTURE Single Family Duplex ❑ Others ❑
Range, dryer or water heater 1.00
Oven, Cook -top or space heater 1.00
Light fixtures
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of: n
4.0/--
Hood, Ex. Fan or F.A. Furn. Motor 1.00
'Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Misc. wiring
License No 62 Classification Ci 3
IT -1
❑ i am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
MI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
jPermit
Instrumentati �rr�: y Motion $0.07/$1000 Evaluation
$
TOTAL PERMIT FEE
$
authorize representatives of the t;ounty of Butte to enter upon the
above-mentioned property for inspection purposes.
X ` Date
Sign re Permit or A nt /
Receipt No. Zo 7/
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
„DIRECTTOR OF PUBLIC WORKS
By Date
Building Permit alres Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 533-1230, Ext. 259
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date %2 3 12 L
Signature of Permitee or Agent
Receipt No. 0 '^C 9 _
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS )
By �Date v
Building Permit Expires Date
BUILDING
Owner Oka
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Fireplace
Contractor i
Total Valuation
Mailing AddressPermit
Fee
Ian Checking Fee &/or Penalty
Permit Fee
$
$
Building Address
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $2.00
lab
F ach Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitation
Planning
Building sewer 5.00
Plans
Fees
W. C.
R/W
Encroachment
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ OTHER ❑
Permit Fee
$
$
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
6
Main service incl. 1 meter
3aa
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑
Q2=, dryer or water heater 1.00
,PO
Oven, Cook -top or space heater
1
1.00
Light_ixtureCalITTIT
Rerees_ swftleh es & f iM tIets i
:2
D
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:r
—I��✓�/-'t
Hood, Ex. Fan or F.A. Furn. Motor
1.00
0&
Evap. cooler, gar. disp. or D.W. % 1.00
i conditioner or heat pump
Water pump -
i ,0
Misc. wiring
License No.Classification ev--t 6
❑ i am exempt from the Contractors License Laws of the State of California.
Permit Fee
$�
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Permit Fee
$
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
tate Fee for Strpng Motion $0.07/$1000 Evaluation
nst rumentotion Yrogrom
TOTAL PERMIT FEE
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date %2 3 12 L
Signature of Permitee or Agent
Receipt No. 0 '^C 9 _
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS )
By �Date v
Building Permit Expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 53BxvCLQj&5� 534_4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X �yron.� Date /: f 7,3
Signature of Permit r ge
ont
Receipt No. A1,17 5�
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above f r which fees have been paid.
DIRECTO O PUBLIC WORKS -7
By ..n Date
Building 4rmit Expires Date
BUILDING
Owner G G
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Fireplace
Contractor g-
Total Valuation
Mailing Address W, 0 C c /
Permit Fee
Plan Checking Fee&/or Penalty
Permit Fee $
$
Building Address St- /
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
14 -ezL - a -x. C_,4,
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. l— ( ��
Zoning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitation
Planning
Building sewer 5.00
Plans
Fees
I W. G.
I R/W
Encroachment
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
USE OF STRUCTURE Single Family Duplex ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, dryer or water heater 1.00
Oven, Cook -top or space heater 1.00
Light fixtures ball gin
Receps., switches & fix outlets b
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
--> "/ le_- 'C
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. di sp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Misc. wiring
License No. /J .-. 32Ar Classification CZ 10 CSF3
❑ i am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating GO
Cooling OD
Ventilation
Permit Fee $ 1%:
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
jtate Fee for Str ng Motion
Instrumentation �rogram $0.07/$1000 Evaluation
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X �yron.� Date /: f 7,3
Signature of Permit r ge
ont
Receipt No. A1,17 5�
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above f r which fees have been paid.
DIRECTO O PUBLIC WORKS -7
By ..n Date
Building 4rmit Expires Date
30 To of UVe sT rbc T7 R4
V
-S CA I f— I's= 3O'
13U1 P'C. K I W SeTb
WC1.1
See
Alaster
plan or' file for buildir)
G P, R.
IV
11>
7.fj
3 1
00/ Ach
_R e_s_c ave
ISI �
Sept:c system- and location of build-
ing drain stub -out to be as per
Butte County Health Dept. Re-
quirements.
N.oK.
BUTTE COUNTY
BUILDING DEPARTMEMI
rSc��� APPr"'��/�'
AOTE:—All Materials & Workmanship Shall Be in
Accordance with Recognized Good Practices and 48CLR e- S _S
of a quality prescribed for the Specified use in the JD
Uniform Bu'�lcling Code, Uniform Plumbing Code, and
the National Electrical Code:
1ibePARCP'T Pprvel MAC/ 3 W C ST
A
0M ES I WC.
RO.ZO�,< 19 7
70 1) el - 0 7 9 IT76