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HomeMy WebLinkAbout021-320-036—'r in —r) -72 [ L GORDON BIHL a. EIS Dewsnizp Ave., 4. of W. =, Liberty Rd., Gridley Permit 127-74B (new_single_fam.-) 21-32-36' -5 '`' 144-91P • `LOUGHMILLER, Leon �•• q1 1172 Dewsnupi Gridley (relocate gas meter/sf)` 02:1-32'=0-.036 ` '' �' 91=4085 LOUGHM I'LLER, LEON ' CONTR : -.OWNER. 11.72 DEWSNUP„AVE,aGRIDLE,Y ���MOVE ELEC METER/SF 41 1 . J l� 1 a. s f � i r.,'"` +syr 'ii ,'#{'K""9S•' .? ,�,yg' `4mgat.4 i' l.W,l, s+'.t%T`,�y",tt 7!Ri.4:G N isi: ,'t"f14+i:� •., ,�e:is�eyy�dS('38r.�Sa��.: L € -'•'t: ie'ir ty'ff8 '^'�lv''`I:*s;-,�F ti.<„^sYi.;�t:YyY�ncy; �, *1'Y �a' I' •� !! - 021-32- Y2 LOUGHMILLER6'LEON 9�-4085" CONTRc OWN ER' 1172�DEWSNUP AVE, w i { i MOVE'_ELEC METER/S�GRfDLEY *jr`s • 1. OFFICE COPY Address f GAS Meter By i ELECTRIC Date Meter By Date=!! `;4a,.n ;7Tr°.•\;y�,l�ji;-��Djd.A'a'l (;, .� ia'.C�iy� ,•,,-, •1. COUNTY OF BUTTE - DEPARTMENT 00 PUBLfC WORKS PERMIT NO. 't 7 County Center Drive - Orovlller California 95965 - Telephone: 916/538-7541 91_4085 - APPLICATION AND PERMIT ASSESSOR PARCEL NUMB R 21--32--36 ZONING BUILDING PERMIT OWNER Leon Loughmiller TELEPHONE 846-2311 . 10. IT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1172 Dewsnug Ave. Gridley 95948 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1172 w i AVe Gridley$ Permit fee PLUMBING PERMIT Filing Fee 15.00 f Each Trap 1 5.00 F( Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [Xie Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W@ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 11 Installation❑ Other ❑ Describe work: move teeter EA I I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A200A OR LESS 18. W Main service 200A TO IOOOA) 1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification �' 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 OR ADDNS. ( M ACC. BLDGS. I 3.64 sq.ft. NEW CONSTFL ULT' -OUTLET NO N.R ESID BRANCH CIRC ITS I @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES A20 764 Ex. Occup. OUTLETS IIRESID .)R EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. 6Virin 9 15.00 i a Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject 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 1 15.00 Heating Coolie g Hood 6.50 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coultt� in consequence of the granting of this permit. X .n.► f -w_ cowt ft Date //' .2 z '�� Signature of Applicant,- ' Owner F Contractor 1:1 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height.iR Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 33 50 HAz 1 11 FEES I IMP I FLOOD I CDF PARCEL PD HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated abov r which fees TOR F PUBLIC By � PEFiJ1AIT EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date/N 1 i y/ /IL- -7 f �Z- Receipt No. 103280 WHITE-D.P.W., YELLOW -ASSESSOR, PINI( -INSPECTOR, GOLDENROD -APPLICANT 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 Y CORRECTION NOTICE �j _ass OWNER PERMIT NO. s; 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 is completed. If you have any question pertaining to this j# AT matter, or i3ional explanation, please contact this office immediately. ' "tali " 1 _ J y-. ;A •c.Y .s r Y;: .:L h Date j. Inspector ' "tali J y-. ;A •c.Y .s r Y;: .:L h Date j. Inspector COUNTY OF BUTTE • DEPARTMENT OF PUBLIC WORKS PERMIT NO, 7 County C®nt®r Drlv® - Orovlll®, California ®S@®S - Tnl@phonn, 010,1$38•7$41 91-408 APPLICATI-ON AND PERMIT VV I r 21-32-36 BUILDING PERMIT Leon Lou hmiller 846-2311 SQ. FT, OCC. BUILDING VAt.U�1T N N 9 1172 Dewsnug Ave, Gridley 95948 CON R C O 'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Gridley 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 LJX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ak Installation❑ Other ❑ Describe work: move meter Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service ZOOA OR LESS 18.50 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. License No. Classification I, as the owner, or my employees with wages as their SOIe 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. OR ADDNS. ty ACC. BLDGS. 3.64sq.ft. NEW CONSTR ULTI-OUTLET NON.RESID BRANCH C'RC', TS @ 5.00 POWER APPARATUS a (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLES. OR EX. OCCUp. OUTLETS IRESI D.1 EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: 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 Filing Fee 1 15.00 Heating Cooling g 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against said Count inconst equence of the granting of this permit. X - Date �� z 2 Signature of Applicant — Owner�, Contractor El Agent enr ❑ 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 S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ 33.50 HAz I DFEES I IMP I FLOOD I COF I PARCEL PTO I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated abov or which fees R CT R F PUBLIC By PE IT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date/i- _J -9 /�—zfr'Z— Receipt No. 103280 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .. .. . - .. .. ,r .. T- - r e�-;�-. ..M,y . w, a-�;` -.,•. .�.-.__,�. • Ta .yam—_Fy..,�;i :., ri �✓9 COUNTY OF BUTTE - DEPARTMENT OC i PUBLIC -'WORKS BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORQ/ILLEE C , I.FFORNIA 965 - TELEPHONE: 916/538-7541 PERMIP�AP�PLICATION-DATA SHEET L / Permit No. OWNER 4 (or'J/a-T/ ��L� A. P �/ 3Z- ^� Proposed Building Use EZ�I �i �'� Building Inspecto Date At time of ermit 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. Hazardous Material Form .......................................... < 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of. Chico plumbing permit ..................................... y 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval•for (A) Use: (B) Parking: ...... 18. Improvements may bevrequired. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request 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 o, Mail to owner o) ..... ' 24. Recorded copy of Agricultural Acknowledgment Statement .......... 25. Letter of signature authorization .................................... 26. 27. T When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other I��� /Jp Applicant �( a�eyrs[s .Date / Z Copy of Hdz-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---jnail—counter by .;date Contractor, designer, owner, was advised of above required data by—phone—mall—counter by date Plans checked by Date Plans approved by ` Date Sets of plans on hold in File cabinet AP folder \ Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR RCEL NUMBER — _ v? — 3 ZONING BUILDING PERMIT OWNER TEL PHO °j� f SO. FT. OCC. BUILDING VALUATION OWN MAILING ADD SS CONY OFTO NAM r^ TELEPHONE CONTRACTOR'S M (LING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ACIORESS /v C/ 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 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New.. Addition Remode 1171 U ilit Inst IIation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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.t>\ OR ADDNS. 1 ACC, BLDGS. 3.6Q sq.ft. NEW CONSTR ULT' -OUTLET NO N.RES'. BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) ( SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ lea AL S AAA FIXED APLNS. EX. OCCUp. OUTLETS PIRESID IREA.) I 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 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 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 all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr3gstoriesoineheigfattions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE I I TOTAL FEE $ 3. s HAz 1 OFEES I IMP I FLOOD CDF I PARCEL I PD HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date ` Z Receipt No. / ( l WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLOENROO-APPLICANT COUNTY OF BUTTE - Deg rt,ment of Public Works 7 County Cente't'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. 5 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 no) l 2. I (have/have not) ii�4 Y� 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 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 Social Security Number V Date // - 2 2 " Z/ 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. its ,y._li.rk•`,�,y6-d^"-'K ;!]•.' 1 a ' 6'�. i( '14' ' ty •t' A 6;.'Y •.1I.L.y' "Y yt.Y y'i. - ,:Y•t,�. r � � t �'y� --,r y w".4 . h. F Y7 �t _, 't �.f. 'T� �;1•� ° 'p. Vv 't �, . s . , tr «.» , • ti ,� � •°21=32-36 = P 144-91 tj 1 Leong" " �,. r.. LOUGHMILLER , ;. 1172.,Dewsnup, ,Gridley f ='' `.•' (relocate gas,#me}er/sf),J w i� •!.•��•� ! 1 .. c • �, .. ' OFFICE COPY -Address GAS D at Meter BY + ELECTRIC Date ` eter BY COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT O. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 _ APPLICATION AR -D PERMIT ASSESSOR PARCEL NUMBER 21-32-36 ZONING BUILDING PERMIT OWNER Lvon Louahmiller TELEPHONE 846-2311 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Gridley1172 95948 CONTRACTOR'S NAM Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN d Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ECT ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1172 Pwfgn n Gridley 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 MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF a Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Addition F1 R e mo -d eACI Utilities Installation❑ Other E]Permit Describe work: reloca88 meter n Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 - Main service io°°1 OR D AMP ORLESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjtry (check one): ❑ 1 am licensed under provisj`ons Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 11. License No. Classification �I 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.s OR ADDNS. ( ACC. BLDGS. h¢sgft NEw CON5TR ULT' -OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET C'R. Ex. OCCUp(OUTLETS OR FIXTURES 2AL@30 AL0 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. o 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin 9 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %�-'s���--���G+' Date %���i 'q� 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 $ occ CONST TYPE AL TOTAL FEE $ 2 5.00 2 HAz CUA PARK FLD PAR PD Issue Th;s permit is hereby issued under sions of the Butte County Code and/or work in(liC3ted above for r which fees /r DIRE�T.iS. Z�FDate By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS b 1 n 83970 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT L.ov6 ER COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 ` 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE L -L 144-e77 PERMIT N0. A routine inspection indicates that the following violations of County Ordinance + exist - at the above address and should be corrected. Please -notify this office z. when correction of work is completed. If you have any question pertaining to this matter, or need additional a I nation, please contact this office immediately. 17, j: 4_AI DA-,-) 0 5 p COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541 747�EIIiott Road, Paradise— Phone: 872-6307 .F CORRECTION NOTICE OWNER PERMIT IN 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. Date 'j Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. �f 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAT110 •AND"PERMIT ASSESSOR PARCEL NUMBER 21-32-36 ZONING - BUILDING PERMIT OWNER Leon Lou hmiller TELEPHONE 846-2311 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAI LIN ADDRESS Gridley5948 CONTRACTOR'S N AM nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1172 Dewsn p. Gridley 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 MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF a Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 Mobile Home I S I G I WT 110-00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ER Installation ❑ Other ❑ Describe work: relocate gas meter _ min Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 1.0.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L' too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under p provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license Is In full force and effect. 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.& OR ADDNS. (ACC. BLDGS. 2/z ¢sq ft NEW CONSTR MULTI -OUTLET NO N•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@50C 9 AL@ 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.I EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: 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 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in �consequence of the granting of this permit. %��� t�4li�iV�� Date / —�� 9y e" Signature of Applicant Owner 0 Contractor ❑ Agent 1:1 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 $ occ CONST TYPE E TOTAL FEE $ ZS,QQ 0 HAz CUA PARK SCHL PAR Po HD ISSV This permit is Hereby issued under sions of the Butte County Code and/or work in ted above r which f DIRE OF PU By PERMIT EXPIRES Date the applicable provi- resolutions to do s have been paid. WORKS // Q D to (7 lIt Receipt No. 83970 WHITE-D.P.W., YELLOW -ASSESSOR. PINIt-INSPECTOR. GOLDENROD -APPLICANT :.V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville„�-'aVfornta 95965 - Telephone: 916.'538-7541 APPLICATION AND PFRMIT ASSESSOR--- CEL�U�B ER - _ -1 OW ER ZONING - TELEPHONE µ _ - - _._BUILDING PERMIT`--- =- ---- SO. FT. OCC. BUILDING VALUATION OWNR' MAIL G ADDR S C TRACTOR'S NAME TELEPHONE ✓l P tom' CONTRACTOR'S MAILING ADDRESS Fireplace CON TR'LENDER D CL UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCH TECT OR ENGINEER- LICENSE NO. Filing Fee 10 .00 Permit Fee Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ By/IL IN ADORE r PW nu. IntCI •C1 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 MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFA Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Ct} Building sewer 5.00 Mobile Home S G' W 0.00e TYPE OF WORK New❑ Addition❑ LFelnode10 Utilit-ffl Instal atirn❑ Other [J Describe work: e l O C Q�(� (�/Gt �)^ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 _ Main service 800o amDia ORLESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ElFIXED 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 Main service EA. ADD -L too AMP 2.50 NEW CONST. DWELLING OCCUP.a f OR ACDNS. ( ACC. BLDGS. , 2/20sgft NEW CONSTR. ULTI-OUTLET --NON.R ESI. BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20030t e AL030 APP LNS. OR Ex. OCCUp. OUTLETS IRESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is 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. Contractor 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 all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X- - Date Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ i 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 $ OCC I CONST TYPE TOTAL FEE $ I�J HAZ I CUA I PARK I SCHL I FLD I PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WNITE-O.P.W.. YELLOW-ASSr330R. PINK -INSPECTOR. GOLD ENROO-APPLICANT COUNTY OF BUTTE - Da4ar`tiie t 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 no) 2.. I (have/have not) Afq U(- signed an application for a building permit for the proposed wo k. 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 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 o Social Security Number Date 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-. PERMIT NUMBER — B 127-74B I P r E 4 PERMIT EXPIRES / —�O ` OWNER Gordon Bihl '1 CONTR: Owner L, LOCATION (A.P. 21-16-58 i E/S Dewsnup Ave.,. 400' S. of ". West Liberty, Rd., Gridley ,xr , a k 1 i n Zoning Foundation Rgh. Plumbing Rein. Steel Framing _ Wtr. Htr. Firewall ELECTRIC Temporary Final DATE COUNTY OF BUTTE. Department of Public Works BUILDING INSPE(+TIIO-N, RECORD Setback o �7— Piers & Girders Forms e -94a Fireplace Bond Beam Lath & Plaster Gas Piping & TestUSZ1.111-DING Found. VentsPlmg. Topout 094<Rough Elec. �Furnace *Kitchen VentGarage VentsSanitation & Water GAS TemporaryCert. of Occup. Final —7 "��� '— Final REMARKS OR CORRECTIONS � r• 'COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —f Oroville, California 95965 Tele(5ho6e:0h4-4541 _ APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ignature of Permitee or Agent Lte Receipt No. ZZ/y3 4< White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF—PUBLIC WORKS � Date I lX�% 2s— Building permit expires Date ....... BUILDING Owner SQ. FT. OCC. BUILDING VALUATION r sr -z Mailing Address 3 �� 2-C! Z Telephone No. s Fireplace Contractor Total Valuation 6 t, Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 �� 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. 2_ .- Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s San446 I FireDept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Declaration200 Par'C�el a p 60, R/W Improvements p ovements Lawn sprinkler system 2.00 Bldg. P a 6 rcel pproval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ 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) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 aio 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 '�� Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. -724/Misc. Classification y wiring ❑ 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. I have placedpn file with the County of Butte a certificate of Or 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 E2O Hood Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE z authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ignature of Permitee or Agent Lte Receipt No. ZZ/y3 4< White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF—PUBLIC WORKS � Date I lX�% 2s— Building permit expires Date ....... 'COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspec ' n purposes. LLX .. /V— ) P —Date -2— +-4— Signature of Peermitee or Agents Receipt No. / 76�_ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR ,,,T,C OR OF PUBLIC WORKS By Dat Building permit expires Date ..__.._......_.�. �.. BUILDING Owner Mailing Address SQ. FT. OCC. BUILDING VALUATION Telephone No. Fireplace Contractor ' Total Valuation Mailang Address Permit Fee Plan Checking Fee &/or Penalty ' Telephone No. Permit Fee $ $ Building Addressge"���� PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 - rJ Each gas water heater or vent 1.50 5 ✓ A. P. No. �� ..� �j'"'� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 fees I X�SAR44etren I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ 9—Jo $ 72 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter - Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturespal �?o _+ :1 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & rofessions Code under the name style ' 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No..2- ,�23./ Classificationllb Misc. wiring ❑ 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. r,--I,.rhave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F1I certify that in the performance of the work for which this permitis issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspec ' n purposes. LLX .. /V— ) P —Date -2— +-4— Signature of Peermitee or Agents Receipt No. / 76�_ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR ,,,T,C OR OF PUBLIC WORKS By Dat Building permit expires Date ..__.._......_.�. �.. 'COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel ephone'534-4541 APPLICATION AND PERMIT / authorize representatives of the County of Butte to enter upon the above- ned for inspection purposes. !` X Date e� Si ature of P e or Agent Rec pt No. i te-D.P.W. — Yellow• Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DUBLIC WORKS (� By Date v Building permit expires Date ............................................ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor e �/ �C Total Valuation Mailing AddressA, Permit Fee Plan Checking Fee &/or Penalty 00C�� Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 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. _ — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Fire Dept. Fire Zone Use Permit Building sewer 5.00 EA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW F] ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEEPERMIT FILING FEE $3.00 ' ® Main service incl. 1 meter®(� Additional meterseach 1.00 Sub -panel (12 r less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Li ht fixtures 20 alo Re?AA. sW-telpes & fix is 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: \]1 ! Ho Ex. Fan or F.6,,. Fu96 or 1.00 Evap. cooler, gar disp. or 6W. 1.00 Air conditioner or heat pump IA-5--r- Water pump Q Mobil Home Facilities 5.00 Temp. Power Pole 5.00 '/ License No.,_70,7 7' Classification ��� Misc. wiring ❑ 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. ❑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 ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above- ned for inspection purposes. !` X Date e� Si ature of P e or Agent Rec pt No. i te-D.P.W. — Yellow• Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DUBLIC WORKS (� By Date v Building permit expires Date ............................................ "COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-.,OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature aof Permi orAgent / Receipt No. �! Z 7: �, 1� u White-D.P.W. — Yellow-Assessorl— Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By 4 )W_1NJd1t,4 Date Building permit expires Date ............................................ BUILDING Owner` � SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor S e� ► C Total Valuation Mailing AddressCj �!� !� Permit Fee PI an Checki ng Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address/� /� !7 V PLUMBING No. @ FEE PERMIT FILING FEE $2.00 o0 ` 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. v 5-8 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fel W. re Dept. Fire Zone Use Permit Building sewer 5.00 EQA Park" PI s Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plan Rec'd Parcel Approval I Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 / 1 Ak /'-et-Aq r'� Main service incl. 1 meter y Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal Bio Receps., switches & fix outlets ba 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: //�� , 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.Misc. ClassificationC �Q wiring ❑ 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 tet' Workmen's Compensation Insurance. El 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 Hoper, 2.00 0 (�• Permit Fee $ $ Q(� 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature aof Permi orAgent / Receipt No. �! Z 7: �, 1� u White-D.P.W. — Yellow-Assessorl— Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By 4 )W_1NJd1t,4 Date Building permit expires Date ............................................