HomeMy WebLinkAbout022-240-017I LYMAN HAMLIN_. =24L�-1-7 - ___._-
S/S Macedo Rd., 1650' W of West
.Biggs Gridley Rd., Gridley
C6nt;rc.'v9eyers Roofing, Yuba City
Permit #4716-B (Re3�.00f)a"?G
22-24-17 „ }
2
TERRY HAMBLIN
523 Macedo, Gridley
i 'Contr: Servamatic Solar 07pTA
i
k Permit#1953-85P(solar water heater/SF) �
022-240-017, PERMIT#94:3233
HAMBLIN, TERRY
I 527 MACEDO.RD.,,GRIDLEY
ELE SER. CH/SF
I ES'
022-240-017 02-1902 iXk-
1
HAMBLIN, TERRY _
523 MACEDO RD., BIGGS '
CONT: RICHARD HEATH & ASSOC. �
REPLACE WATER HEATER t {
C**4
FOR BUILDING DIVISION USE.
Receipt Information:
Number.
Date:
Issued To:
Amount:
17- /(a -6Q
Y!k7l. ealb
6 C,
Fees Retained:
Processing Fee:
Bldg Filing Fee:
Plbg Filing Fee*
Elec Filing Fee:
Mech Filing Fee:
Energy P/C Fee:
Plan Check Fee:
Inspection Fee:
SRA Fee:
Total Amount Retained
TOTAL REFUND DUE
REFUND CLAIM APPLICATION
C_LAIMANT'S-NAME
,.AFL-ING:ADDRESS
Ckn1-co rte S" 1ZA
ASSE-SSGR-PARCEL_#: 022-240-017
RECEIPT NUMBER --(_S) 353980
Request a refund of fees paid on the above receipt number(s) for the following reasons:
OWNER HAS CANCTIM PRn rFrr
Please refund any applicable fees in the following categories: (Check_those.catego, ries
which you: wishto--have refunded. )
( �) Building Permit Fees ( ) Sheriff Fees
( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees
Disposition -of -Plans:
( ) Plans returned to me at counter
( ) Please mail plans to me at above address.
( ) Please dispose of plans.
SIGN TUR'E
tDATE i- -;S1 O Z
PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM
FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM.
COUNTY OF BUTTE
Oroville, California
GENERAL CLAIM
CLAIMANT:
ADDRESS:
CITY & STATE:
DATE OF CLAIM:
IMPORTANT. • SEE INSTRUCTIONS ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV/CES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
TOTAL
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed Ldel ivered, and that this claim is true anas stated.` tfDated this < <dayof J u,` 120Q iT atl N��LC�Cali
rSi nature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that t
-Budget Appropriation [ J or Specific Board Approval [ ] (Check one) for the same.
Dated this day of 20_, at Calif.
Department Head or Authorized Deputy
Dept. Code
Dept. Code
Dept Code
Exp. Code PAYABLE FROM
Exp. Code PAYABLE FROM
Ex . Code PAYABLE FROM
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB.
PROJ. SUB. OBJ. CLAIM NO. - INV. NO. INV. DATE ENCUMS. GROSS AMT.
INSTRUCTIONS TO CLAIMANTS
All claims against the count/ must be it mined, givi.ng dares and character of service rendered or work
performed, quantities, description and unit prices of articles furnished or delivered.
Claims must be certified by the claimant and submitted to the Department head for approval. Uponapproval
the Department head will forward claim to County Auditorfor payment procedure. Do not file with the County
Auditor first.
Claims should be presented to officials for approval immediately upon completion of services requested or
material ordered.
Compliance with above will expedite payment of claim, failure to do so may delay payment considerably.
s
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 M��
(Rev.12/96) APPLICATION AND PERMIT Ua'"
ASSESSOR PARCEL NUMBER(^ - /�/1/ /
(/•,(_ l/
ZONING
BUILDING PERMIT
OWNER - .�/�(�
G %
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.OWNER'S MAI ,ESS
/-�
^
p SOl/•/,�„ l _S
CONTRALTO NA `, ,AX
q�li D TELEPHONI Z7
CONTRACTORS MAIUNO ADD SS
�eu" C-Vtit_co cis
CONSTRUCTION LENDER
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 $
SUILDINGADDRESS 3 G���
9
Energy Plan Checking Fee $
$
1
PERMIT FEE $
LAT NO.
SUBDNSDNS NAME
PARCEL MAP -
PLUMBING PERMIT
Filing Fee 20.00
! USEOFSTRUCTURE
SF 2' 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'❑ Remodel0 Utilities ❑ Installation -❑ Other ❑
Describe Work:
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
920.00
PERMIT FEE S
~ 47
ELECTRICAL PERMIT
Filing Fee 20.00
600VOR LE
Main Service 20OA 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.PSINGLE
License Class �}I(_�liCZO Lic. No. 620t 60 .,
OWN ER -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 Cade, for the performance of work for which this permitis issued.
workers' poWens9tion insur nce car y and olic number are:
U
Carrier ,InS . W`6
Policy Number kC1:11c1_1 S_oZ,
(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
workers' compensation provisions of section 3700 of the Labor Code, I shall
' f rthwith co ly ith those provisions.
�7
X c D G ' I,� Z
Signature of Applicant - ❑Owner ❑Contractor gent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in heigh .
Main Service TO 46.00
WEE200A
CCU000A
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a ACC. BLDS. 3.5¢FT.
NEW CONS"
NON RES D. MULTI -OUTLET 97,50
a OtlflET OWER APPARATUS
CIR.
ourLEroRFaruREs 20@'.0°
Ex. Occup.BAL. @ .50
Ex. Occup. ovi ED pESIp,OEp 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
`HD
HpZ.
D FEES IMP
FLOOD
CDF
PARCEL
PD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ve for which fees ave been paid.
By Date Ilk -2
PE MIT EXPIRES ON 7A_ 3
I I Date
Receipt No. I
WHITE-D.D.S.-B.D. CANARY- SES PI K -INSPECTOR GOLDENROD -APPLICANT
�lti'9ry`MJp1^Y�� V'.r.T—rw'saYva�s+mss{.Q�,�r.frr�:A��rN r!'
022-240-017 PERMIT#94-3rR33
HAMBLIN, TERRY
.,�.527'MACEDO RD., GRIDLEY
ELE SER CH/SF
OFFICE COPY `
[Address �'Z� 11
AS ate
er BY
LECTR peter B
i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO.
APPLICATION AND PERMIT�-- s
ASSESSOR PARCEL NUMBER 022--240-017
ZONING A5
BUILDING PERMIT
OWNER TERRY HAMBLIN
T846-5140
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
523 MACEDO RD GRIDLEY, 9594V.
CONTRACTOR'S NAME MNER
1J7E1\ER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
527 MACEDO
PERMIT FEE $
GRIDLEY
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFS Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK '•
New ❑ Addition ❑ Remodel ❑ -Utilities ]I Installation C)Other EIContractor
Describe Work: 1P 1WRADE MAIN SERVICE
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOV OR LESS )
200A OR LESS
23.00 �•
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 6 ACC. BLDS. )
SO
3.5, FT..
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
el, as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
El am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 Q 1.00
BAL. @ .50
Ex. Occup.FIXED APPWS. OR
( )
OUTLETS IRESID.1 EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
PRE INSPEC•
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure. I',
el shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Won
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state thatthe above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives 'of the County of Butte to
enter upon the above mentioried pro-perty for inspection,purposes.
I also agree to save, indemnify and`l eep harmless the. County of Butte against all
liabilities, judgments, costs, and h enses which ma In any way accrue against said
1 9 P. t Y Y Y 9
County in consequence of the granting of this permit.`
X �,J� i ` jpyx l'C1 t' '• Date
Signature of A ' licant - @'Owner ❑ Contractor LF -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 $
Energy Inspection Fee $
occ.•`
CONST. TYPE
TOTAL FEES 6�•�
HAZ;
D. FEES
r
IMP
FLOOD
CDF
PARCEL PD
HD
Issu
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/�%/��/ �%�' Date /
(Y �/ �J �'
PERMIT EXPIRES ON
(Date
Receipt No. 170793
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMEriT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Calftmia 95965 - Telephone (916) 538-754PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
022-240-017
ZONINGBUILDING
A5 s
PERMIT
OWNER TERRY HAMBLIN
846.5140
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
523 MACEDO RD GRIDLEY, 95948
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS 527 MACEDO
PERMIT FEE $
GRIDLEY
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.SUBDIVISION'S
NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFM Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New O Addition O Remodel ❑ Utilities 0 Installation ❑ Other O
Describe Work: Ir UPGRAZE MAIN SERVICE
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
BOOV OR LESS
Main Service ( 200AORLESS )
23.00 23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP,
OR ADD ( 8 ACC. BLOS. )
SO.
3.50 FT,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check ane)
O I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
cense No. Classification
B I, as the owner, 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)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
forthis reason
-NS.
NEW CONST.MULTI-OUTLET
NDN-REsID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
@ 1
B20 . /
FIXED APPS. OR
Ex. Occup.W
( OUTLETS IRESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
n
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
ertificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
66.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
'
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California 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.
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 nsequence o the granting of this permit. t
X i� �' r�-CJ -LL Date %� ` ,`i
Signature of Ap icant Owner O 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 $
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FEES 66.00
HAZ-
I D. FEES
I IMP
I FLOOD
I COF
PARCEL PD
NO
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By 1l =�� Da e /
PERMIT EXPIRES ON d AS
(Dete)
ReceiptNo. 170793
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -'INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
Department of Develothent Services
Building Division
Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751
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.
I . 1 pgsonally plan to provide the major labor and materials for construction of the proposed property improvement
� e or no)
. 2. I (have/have not) zs 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:
Name
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
Date 1-'2 - 5 ---pc/
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 permitted to issue the
permit.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBERO,,� / %I -.�" j7
y- v (I��
ZONING
yL ^
lN/EJ
BUILDING PERMIT
OWNER�n �f
VVI_ f (�
TELEPH
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING 0
el
--LJ
CONTRACTOR'S AM /1
/V�
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS _
PERMIT FEE $
vVEach
PERMIT
Filing Fee 20.00
Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G NN -1—
@20.00
TYPE OF WORK
New O Addition O Remodel ❑ Utilitieslnstallation O Other O
Describe Work: A7ELECTRICAL
t
PERMIT FEE $
Contractor
PERMIT
Filing Fee 20.00
50V OR LESS
Main Service 6
( 200A OR LESS )
23.00 ,
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.S0,
OR ADONS. ( a ACC. BLOS. )
3.5C FT,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O I am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044)
O
forthis reason
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
NEW CONST. MULTI -OUTLET
-NON.RESID. ( BRANCH CIRCUITS )
@7.50
/ POW ER APPARATUS )
1 g SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .50
FIXED APPLNs. OR
EX. Occup. (OUTLETS IRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
/ O(7
PERMIT EE S
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
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 Butte County Ordinances and California 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 gainst said
County in consequence of the granting of this permi
X _Date
Signature of Applicant - ❑ Owner O Contractor O Agent f
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee
$
0ccc11sr.
TYPE
TOTAL FEES , ��
HAZ.
1 D. FEES
I IMP
I FLOOD
I CDF
I PARCEL
PO
FO
I 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.
By Date
PERMIT EXPIRES ON
(De tel
Receipt No. x.70 '� 1
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
9CL wb
Owner Location AP#
Plan Approved for: Sewage Disposal
Hold final for:
Final clearance O.R. for:
Clearance for 3 bedroom mobil home. Other
NOTE * * *
1
Water Supply
Water Supply
Water Supply
Sanitarian Date
Permit#1953-857P-
Terry Hamblin
523 Macedo, Gridley
1.
i.
i.
Permit#1953-857P-
Terry Hamblin
523 Macedo, Gridley
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, G0alifornia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL. NUMBE
ZONING
BUILDING PERMIT
owNEf3_
IF (ZU r Ail LiIJ
T LEPHONE
V0- slit)
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
Q
CONT ACTOR'S NAME
r- Vr /r 1� Q r
ELEPHON
W3 71
C NTRACTOR'SMAILING ADDRESS// ,
14 Gf%, '1 4,` .`: e /�-Ai rA I CD
Fireplace
CONSTRUCTION LENDERN /
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
t'% t
Solar or heat pump water heater
20.00 �/ . n r I
LOT NO.SUBDIVISION
NAME
PARCEY MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF`8� Duplex❑ Mobilehome❑ Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
10.00 ea'
TYPE OF WORK
New ❑ Addition Remodell ❑ Utilities [I /Installations Other ❑
nyhA
Describe work: t.. �,J V OcRe✓ W
Permit Fee
$ ii//,rJn
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 610000'100AMP OR OLESR LS ESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code an m license is in f it orce and f_fect.
y
License No.—wJ9 Classification `� 4 ��
❑ 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.&) yZ�sgft
OR ADDNS. l ACC. BLDGS.
NEW CONSTR. MULTI -OUTLET 2.50 ea
NO N.RESID BRANCH CIRC ITS
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20e50t
eAL030
Ex. OCCUp. OUTLETS FIXED P(RESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑The permit is for $100.00 (valuation) or less.
�a I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 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.
I also agree to save; indemnify and keep harmless the County of Butte against
all liabilities, 14dgmerits, cdsts, and expenses which may in any way accrue
against said County_inconsequence of the granting of this permit.
X`�\r'
"/ — `"''��r�-- Date x
Signature of Applicant — Owner❑ Contractor ❑ Agenvl
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height..'
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $ 30 M
occuP.
CONST.TYPEJ
FLOOD
PARCEL
PD
ND
590E
This permit is herebyissued under
sions of the Butte Cunty Code and/or
work indicated above for which
/�DIRECTORrOF PUBLIC
_- � r
BY " '.` " `s' � >!/k '
PERMIT EXPIRES Date�
theapplicable rovi-
relutions to do
fees have been paid.
WORKS
I r _; (
Date.• /r, �
Receipt No. </1:-
WHITE-D.P.W., YELLOW -ASS ESOO11. PINK -INSPECTOR. GOLDENROD -APPLICANT
;.
at u COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott�Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
EaT
R
s 3 - 6T-
PERMIT
SPERMIT NO.
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.
r e-4 ,// p \\ \J /,rae- . npX_ Cr%A
1
"'> v /NS 1rn l/, -tri -1 4.►"tee_ OwTji4{.0
//V Own/
I
Inspector _ �� Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Califbrnl`a 95965 -Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR RCE NUMBE ZONING
a - BUILDING PERMIT
owN$g., ` r�(Q�ONE /Ix SO. FT. OCC. BUILD
ING VALUA ION
OWNER'S MAILING
,J GGI
4' 19 r7'L
CONSTRUCTION LENDER• c
LENDER'S MAILING ADDRE:
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEER'
BUILDING ADDRESS
OT NO. I SUBDIVISION NAME
UNKNOWN
NSE NO
q
PARCEL MAP
USE OF STRUCTURE
SFA Duplex❑ Mobilehome❑ Other
SPECIFY
TYPE OF WORK r�
New ❑ Addition emo�deII�❑1 Utti]ittiies-❑_ /I_nstallation@ Other ❑
Describe work: .Ir W�qt xlL _
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 Professio Code an my license is in fyjI force and effect.
License No. Classification ?__ —
El 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
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
eI 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.
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
0alsoagr
er upo above-mentioned prop for inspection purposes.
to ve,i a 'fy and keep rmles the County of Butte against
s, j Idgm ts,' sts, and exp nses w ich may in any way accrue
ou t e of the rantin of this permit.
Date p� "
Signature of Applicant — Owner ❑ Contractor ❑ AgentilCyJ
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Receipt No. t=6—
WHITE-O.r.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Fireplace
$
ELECTRICAL PERMIT
Total Valuation $
Main service 1000V OR 0 AMP ORLESS10.00
FiIingFee 10.00
Filing Fee
$
10.00
Permit Fee
$
2.50 ea
Plan Checking Fee
$
Ex. Occup\OUTLETS OR FIXTURES
Energy Plan Checking Fee
$
2.00
Penalty
$
Mobile Home Facilities
Permit fee
$
15.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
Water piping
5.00
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
40-00
5.00
ff
Building sewer
5.00
Mobile Home I S I G I W
ea
I Permit Fee $ _'Rn Mn
Contractor
$
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000V OR 0 AMP ORLESS10.00
FiIingFee 10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.EI
OR ADDNS. ACC. BLDGS.
2h�Sgft
NEW CONSTR.MULTI-OUTLET
NON-RESID ITS
CR
2.50 ea
/BRANCH
PFIRC
(SINGLE OUTLETTCIR.6
3.00
Ex. Occup\OUTLETS OR FIXTURES
20®500
e ALO 30
Ex. Occup. OUTLETS (RESID )REA.;
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
TOTAL PERMIT FEE
$ <16, on
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
Mobile Home Installation Fee
$
Energy Inspection Fee
$
TOTAL PERMIT FEE
$ <16, on
DCCUP. CONST.TYPC FLOOD PARCEL PD ND ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
,,-�DIRE949WOF OUBLIC WORKS , .
Date
J
PERMIT NO. 4716-74B
! P
E
I "
' M
I
IMH UTIL.
PERMIT NO.
PERMIT EXPIRES
OWNER Lyman Hamlin
CONTR. MF+vPrG Rnnfinc7 $Lmrvn+a,vc
LOCATION (A.P. 22-24,Q-7- )
Macedo
s/s NWWM Rd, 1650' W. of W.Biggs-Szkdb>s
I,y Gridley Rd, Gridley
w
e �
s
{
J.
J)
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
1 Called PG&E i.
)? Temp. Gas Serv. \ =�
b'
Called PG&E
JOB
FIINALED�!
(Date)
t e •i
(Signature)
i
i
'
' r
' t •
PERMIT NO. 4716-74B
! P
E
I "
' M
I
IMH UTIL.
PERMIT NO.
PERMIT EXPIRES
OWNER Lyman Hamlin
CONTR. MF+vPrG Rnnfinc7 $Lmrvn+a,vc
LOCATION (A.P. 22-24,Q-7- )
Macedo
s/s NWWM Rd, 1650' W. of W.Biggs-Szkdb>s
I,y Gridley Rd, Gridley
w
e �
s
{
J.
J)
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
1 Called PG&E i.
)? Temp. Gas Serv. \ =�
b'
Called PG&E
JOB
FIINALED�!
(Date)
t e •i
(Signature)
i
i
Setback
Forms
Main Bldg.
Footings
StemwaI I
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Bond Beam
Framing
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
DATE
S
COUNTY OF BUTTE — DEPARTAENT`OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Firewall
Soil Piping
Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd FI or
Siding
To out
Roof She0ag
Water Pi in
Roofi
Sewer
Fdn. Vents
Fixtures
Garage Vents
Water Htr.
Prov. for physically
handicapped
Heaters
Appliances
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Fi Zs'•
Sanitation
FIREPLACE
Final
Footing ELECT ICAL
Throat Rough
Final Fixtures
FIRE SPRINKLERS
Final
MECHANICAL
Heating
Cooling
Ducts
Ventilation
Final
REMARKS OR CORRECTIONS_
Motors
Water Htr.
Subpanels
Grd. Fault Pro
Service
Temp. Pole
Underground
Permanent
Final
d4
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W R��/^
7 County Center Drive — fbrovtit, , California 95965
Telephone: 534-4541 APPLICATION AND PERMIT ;�;z
auumizu rupresentatyves or the uounty of tsutte to enter upon the
above-mentioned' roperty for inspection purposes.
r
X Date
ignature of Peerr'mitee or gent
Receipt No. ��6 C !Y 6
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 aid.
DIRECTOR OF P BLIC WORKS
BY Date
ui.lding permit expires Date ............................................��
BUILDI
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address _ �.
1ple n e N o m
sP
Fireplace -
i
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
`
elephone No.
(y
Permit Fee
$
nn,
Build. ng Addr,��
PLUMBING No.1 @ FEE
PERMIT FILING FEE $2.00
LJ10Y 'CIQEach
Trap 1,50
/
Repair drainage or vent piping 1.50
Water piping 1.50
/
Each gas water heater or vent 1.50
A. P. Vo. — . 4/
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F s Sanitation
Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Im provements
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee $
$
NEW F-1ADDITION ❑ UTILITIES ❑ ❑
ELECTRICAL No. @ FJEOTHER
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 �.r
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures baldio
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 Co a 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.�'�`3� % 3 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.
❑ 1 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. @ I 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
$ OG
auumizu rupresentatyves or the uounty of tsutte to enter upon the
above-mentioned' roperty for inspection purposes.
r
X Date
ignature of Peerr'mitee or gent
Receipt No. ��6 C !Y 6
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 aid.
DIRECTOR OF P BLIC WORKS
BY Date
ui.lding permit expires Date ............................................��