HomeMy WebLinkAbout022-240-029LSM7Ro'y Dunlap
n/s Colusa Hwy. just E of Block, Gridley
Permit 1352-71B (addi ion)a5/�jl
LOT BLOCK SUBDIV. J
TYPE OF I PERMIT NO. I PLAN NO. I DATE I
PERMIT
PERMIT DESIGNATION: B—BUILDING
P—PLUMBING
DEPARTMENT OF T—TRAILER
BUILDING AND SAFETY
ZZ.-.ZY-�t9 A.P.
ROY .DUNI;AP N A L`Z ; S- 1-7T
NIS Colusa Hwy., E. of $lock Rd.
CONTR: Buell Woodward, Gridley
Permit� '200T74B,E,M (repair firee,
dam. & complete ex. bldg.) _
AP
ROY DUNLAP F %'/V A4 L 2 - 2S_rlg'
n/s Colusa Hwy, E. of Block Rd.,
Gridley
contr: Burl Woodward, Gridley
Permit# 100-75E(elec service
—
AP 22-24-_)k;vJ
ROY DUNLAP
�h/s*Colusa' Hvvy, E. of loc Rd.,_'
Gridley
Permit# 137-75B(repa & remodel
porch)
B08-0632 022-240-029
MISCELLANEOUS Re -Roof
REROOF
1712 GRACE ROAD
JUSTESON, .TRUST
JUSTESON, Melvin
51-69B
55-69P
z - _ -24-29
e/s Grace app. 1500no. of Gridley- olusahwy,-
Gridley 1
CONTR: Joe Wright, P.O. Box 674,Gridley
(addition & remodel) FI rii� �' �,1
P
E— ELECTRICAL U —USE PERMIT HM —HOUSE MOVING
TV—RADIO-TV ANTENNA V — VARIANCE EP—ENCROACHMENT
S/W—SIDEWALK NOTICE S—SIGN PERMIT D — DEMOLITION 600.1
4
INSPECTION RECORD
BUILDING APPROVALS
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PLUMBING APPROVALS
PERMIT NUMBERS
SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
ROUGH -IN
GAS PRESSURE TEST
WATER PIPING
SEWER LINE
APPLIANCES & VENTS*
FINAL
ELECTRICAL APPROVALS
PERMIT NUMBERS
DESIGNATION SIG.
DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
ROUGH -IN
FIXTURES & APPLIANCES
METERS
FINAL
MISCELLANEOUS APPROVALS
PERMIT NUMBERS
DESIGNATION SIG.
DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
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
PROJECT INFORMATION
Site Address: 1712 GRACE ROAD
Owner:
Permit No: B08-0632
APN: 022-240-029
JUSTESON, TRUST
Issued Date: 4/8/2008 By GLB
Permit type: MISCELLANEOUS
P O BOX 651
Subtype: Re -Roof
GRIDLEY, CA 95948
Expiration Date: 4/8/2009
Description: REROOF
(530) 846-2748
Occupancy: Zoning: A5
Contractor
Applicant:
Square Footage:
JUSTESON, TRUST
Building Garage RemdUAddn
P O BOX 651
GRIDLEY, CA 95948
Other Porch/Patio Total
(530)846-2748
FEE INFORMATION
DBMSC Re -Roofing $176.00
Total Charged: $176.00 Fees Paid: $176.00
Balance Due: $0.00 Receipt No: B6947
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
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
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 4/8/2008
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's Signature Date
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
2 COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued,
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑❑
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not be competed if the permit is or one hundred dollars ($100) or es— s )
❑ I AM EXEMPT under Section B. & P.C. for this reason:
❑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'
Q y� 4/8/2008
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Signature Date
provisions.Q�ewners
X 4/8/2008
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
C unty to enter the above mentioned property for inspection purposes. I hereby certify that I am the
P Party owner or m authorized to act on the roperty owners behalf.
CONSTRUCTION LENDING AGENCY
?/!2 4/8/2008
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
me of Permittee [SIGNPrint Date
the performance of the work for which this permit is issued. (3097 civ. code)
0 Owner 1:1 Contractor OR. E]Agent for Owner DAgent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
2A, b2 C),
ba
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION*
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIAIE OFAPPLICATION
Website: www.buttecounty.net/dds
PLEASE PRINT CLEARLY,
PERMIT
NO.
BIN #
"When filed, this application and all supporting material becomes subject to the California ublic Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's eb� SaC:troni )!ZUpt02_9
OWNER INFORMATION
Last NameS 7^� V
l
Fit Name
— 1
Mailing Address
City
State
Zip�y g
Phone ki-I- 2 � $
Fax ,
1
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
City
Address
Zip
City t
Fax
StateC
Zip Ty $
Phone ,,y,� ^
7 y
Fax
E-mail
lac. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
OJ
C
T LOCATION
AP# t7 ;, qo_e),:;z
Property /address .✓ °"
City
WORKER'S COMPENSATION
Policy Number
Carrier
fhignyone other than licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
J? /4' ,3o wed
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupanc ` -
(Note previous use):
For office use only:
Zoning
FloodZone
SRA
Yes
No
Occ.
Type Const.
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
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) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
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 THE 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
Description: REROOF
Reference Number: B08-0632
Applicant Name: JUSTESON, TRUST
Owner's Name: JUSTESON, TRUST AP # : 022-240-029
Signature of Property Owner: Date: 17 g
PERMIT NUMBER — B 1352
P
d
E
-dz .
PERMIT EXPIRES
OWNER Roy Dunlap
'• r,.
CONTR• Owner
••
.;,LOCATION (A.P. 22—-38
n/s.Colusa Hwy. just E of Block Rd., Gridley
a .
COUNTY OF BUTTE
Department of' Public Works
BUILDING INSPECTION RECORD
Zoning Setback 41-tlh ^. %%;/L ' Forms
Foundation_h�� g..'�1% Piers.&Girders Fireplace
Rgh. Plumbing Bond Beam Lath & Plaster
Rein. Steel Gas Piping & Test Found. Vents
Framing Plmg. Topout Rough Elec.
Wtr. Htr. Furnace Kitchen Vent
Firewall Garage,Vents Sanitation & Water
ELECTRIC GAS BUILDING
Temporary Temporary Cert. of Occup.
Final Final Final &?Z
DATE REMARKS OR CORRECTIONS
104
l c
10�010-
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center -Drive = Oroville, California 95965
Phone- 533-1230, Ext. 259
A P P LICATION AND BUILDING PERM 1 T
1 I
I
Permittee Owner0
A. P. No.
`
F "r/''
re% /P//
Fire Zone'
at Top
Zoning
Mailing Address 1 / / _7t .��t^f'
tet'/l
0
Depth in Ground
Contractor CSC:fl 1`I r
- J \ , ` �:
Sanitation 1
OCC.
Planning
Mailing Address
SIZE IP INo
P,lans. ,
Fees
W.C.
/ r"
Address M/ t hw' --� /. a,V
r �f D� .rte? .Q 1 r
/�/ -- ,
R/W
Encioachment
BLDG. ._'/1
NEW ADDITION D REPAIRS 0 OTHER
Others
Single t MultiWidth
USE OF STRUCTURE Family [] Duplex Dwelling
k
Others
F OUNDATION
`-
_
MATERIAL
EXTERIOR
.jPIERS ,,:L
at Top
/ ��
C� ;� 0�
Width at Bottom
0
Depth in Ground
���- /r 'O�
a J
S0. FT.
OCC.
BUILDING VALUATION
R.W. PLATE (Sill)
SIZE IP INo
-,Q
Girders
0 e)
J
G' 0
joists - 1st Floor
t`
Al -
s - 2nd Floor
Joistjoists
Fireplace
Joists - Ceiling
Total Valuation
�. �� !
Exterior Studs
Permit Fee
4P cd
---
Interior Studs
Plan Checking Fee &/or Penalty
Roof Rafters
9 � \
Total Permit Fee0
00
Bearing Bearing Walls
O
CONTRACTORS LICENSE LAW " �®
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name
styleof................................................................................................................................................................................................................................................
License No. Classification ............................................... and certify that the aforesaid license is in -full force and effect.
B. OWNER -BUILDER& OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
Q I am the owner of the above property and I will contract to have all .of the above work performed by licensed contractors.
( Sec. 7044).
Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
QBasis, if any, for other statutory exemption................................................................................................................................:.................................
.................................................................................................:..................................................................................................................................................................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
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.
X.............................................................................. Date ................................
SIGNATURE OF PERMITTEE OR AGENT
Receipt No......................................................................................................
This BUILDING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By................................................................................Date .....................
Permit Expires Date,,,,,,,,,,,,,,,,,,,,,
4 � '`'�Ti .-rte( � ���
:l.�`vI`, G�
- , ' ; �`• -' �. ��.:� . -- .-.e. ti _ .r�..�' S' -- `^�'v/�""L.1> .a. .. .. y s .�^_ :� : --.ti. r� Y' rrs r^ c r, ` a� -. ^
Permittee Owner
Mailing Address
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center'Drive - Oroville, California 95965
Phone: 533-1230, Ext. 259
APPLICATION .A.N O; PLUMBING P E R MIT
A.P. No. �?_ i" — 7-C/— 3�
Contractor OL!/�* a..--
Mailing
dMailing Address SQ� e
BLDG. Address /Y/ -/> ,4111"a /S�Lyr/ %�15¢ �. D ` />� &.,lr
DESCRIPTION OF WORK
NEW ADDITION REPAIRS
OTHERS:
Remarks:
PERMIT FILING FEE
No.
@
Fee
L-
$2.00
-,7-/ pe:,
Each fixture or trap or set of
fixtures on one trap
1.50
Repair or alteration drainage
or vent piping
1.50
r �v
Installation or repair
water piping
J
1.50
�.
Each gas �water heater or
gas heat�rvent
1.50
USE OF STRUCTURE
Single Multi
RESIDENTIAL Family Duplex Dwelling 0
T
OTHERS:
Remarks:
Gas piping system 1 - 5 outlets
/
1.50
Gas piping 6 or more - Each
.30
House Sewer
4���
- 5.00 -
Lawn Sprinkler system
2.00
TOTAL FEE
E
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
styleof.................................................................................................................................................................................................................................................
License No. Classification,,,,,,,,,,,,,,,, and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
( Sec. 7044).
®. I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
0 Basis, if any, for other statutory exemption.................................................................................................................................................................,
................................ :......................................................................................................................... ......... ..................... ......................................................................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
1 certify that I have read this application and state that the
above information is correct. I agree to comply with 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.
.......
X if �' �� ,N/.. /�cT.l� Date ....� �.....�.it 9
............... ....r J.................................................... — _......�.... ....
SIGNATURE OF PERMITTEE OR AGENT
Receipt No...... „�
........................................................
This PLUMBING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
B '71
. .....
........../ Date �`�U
Y,. .� ............ /.........................
LABOR CODE
37006 Security for payment of compensation. Every employer except the State
and all political.subdivisions or'institutions thereof, shall secure the pay,
ment of compensation in one or more of the following ways:
(a) By being insured against liability to pay compensation in one or
more .insurers duly authorized to write compensation insurance in this State.
(b) By securing from the Director of Industrial Relations a certificate
of consent to self -insure, which may be given upon furnishing proof satisfactory
to the Director of Industrial Relations of ability to self --insure and to pay
any compensation that may become due to his employees. (Stats. 1937, C. 90,
P. 270, 3700, as amended Stats. 1945- C. 1431, P,2694, 63; Stats. 1946, 1st
Ex. Sess. C. 7, P. 12, 1.)
3800. Every county or city which requires the issuance of a permit as a
condition precedent to the construction, alteration, improvement, demolition
or repair of any building or structure shall require that each applicant for
such permit have on file or file
(1) A certificate of consent to self -insure isaued by the Director of
Industrial Relations, or
(2) A certificate of workmencs compensation insurance issued by an
admitted insurer, or
(3) An exact copy or duplicate thereof certified by the director or the
insurer.
The certificate' of insuranye shall state that there is in ex' istence a
valid policy of workrmmen o s compensation insurance in a fornrn .approved by the
Insurance Commissioner. The certificate shall show the expiration date of
the -policy. No insurer shall issue such certificate.uniess the full deposit
premium on the policy has been paid, and the insurer shall give the county
or city at least 10 days9 advance notice,of the cancellation of the policy.
This section shall, not apply if
(1) The permit is for one hundred dollars ($700) .or less, or
(2) The applicant for the permit signs a certificate which reads as
follows, or the wording of which has been approved ber the Director of.Industrial
Relations:
I certify that in the perforrrmance of the work for which this permit
is issued I shall not employ any person in any manner so as .to become
1 subject to the workmen" s compensation laws of California.
If after m
aking such certificate, the applicant for the permit should
become subject to ,the workmen, s compensation provisions of this code, he shall
forthwith comply with the provisions of Section 3700- or his permit Shall be
deemed revoked.
(Added by Stats. 1941, Ch. 1010; amended by Stats. 1945, Ch. 1431, by Stats,
1953,.Ch. 552, by Stats. 1959,.Ch. 361, and by Stats, 19630 Ch. 1140)
NOTE $ CERT'IFICAT'E OF IN eSURt'2ME TO BE ISSUED TO:
County o£ Butte
Department of Public Works
7 County Center Drive
Oroville, California 95965
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 / �—
PHONE: '533-1230, Ext. 259
41? f' " / 7s-2 APPLICATION AND ELECTRICAL PERMIT
Permittee OwnerA. P. No.
Mailing Address
loor
Contractor
Mailing Address
BLDG. Address / tiln -�, _ �% �� /%r/.�%.�'7✓ 17
,/ ,• �;a,�
DESCRIPTION OF WORK
NEW 0 ADDITION [ZJ�METER SERVICE
OTHERS:
Remarks:
PERMIT FILING FEE
No.
$2.00
Supplementary Filing Fee
1.00
Main Service
(12 or (more than
Sub -panel less) 12)
Each
Range, Dryer or Water Heater
Each
L00
Oven, Cook -Top or Space Heater
Each
...50
Light Fixtures
l
/.
First 20
Each Additional
.20
.10
Single
Family
OTHERS:
USE OF STRUCTURE
Multi
Ej' Duplex 0 Dwelling F__j
Race tacle_s„ Switches & Fixture Oudets
i
First
A
Each Additional
.20
.10
Hoo .Exhaust Fan or F.A. Furn. Motor
Each
.50
- —
Evap. Cooler, Gar. Disp. or Dishwasher
Each
.50
Air Conditioner or Heat Pump
Water Pum
Misc. Wirinx
Remarks:
Fee
TOTAL FEE
a
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
styleof..............................................................................»......................................................................................................._.................................................»» .
License No Classification,,,,,,,,,,,,,,, , and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt, from the Contractors License Laws of the State of California under Sec. 7031.5 because (check ones
Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
QBasis, if any, focother statutory exemption....................................................................................................._.._..........._....._ ..»....»._» .».». ..
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the above in-
formation is correct. I agree to comply with all County ordinances and
State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued tinder the appli-
sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances.
property for inspection purposes.
DIRECTOR OF PUBLIC WORKS
X.................:........:.......................................................... Date ........................................ / f
SIGNATURE OF.PERMITTEE 6R AGENT
B.............................................. Date '
Receipt No. '///J
4
IPERMIT NO.Iff 14
1 B
r
M
MH UTIL.
rPERMIT NO.
PERMIT EXPIRES eo /
OWNER Roy Dunlap
S
CONTR.
t
LOCATION (A.P. 22-24-38 �
v
+j n/s Colusa Hwy, E. of Block Rd., Gridley.
f .
I
•
Temp. Power Pole
{
Called PG&E
(
Temp. Elec. Serv.
Called PG&E
t
Temp. Gas Serv.
Called PG&E
�l I
J
JOB
q
FINALED (Q l
(D
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setbac
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service P
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
i Y
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR S'3 - c7�
7 County Center Drive '—Oroville, 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 �( /;/ ,�.c��.� Date "' J a`�D
Signature f Permiteeeoor Agent
Receipt No. ✓� e L/ P--
White-D.P.W.
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 BLIC WORKS
By—Date_l—� - �J
1-1 ilding permit expires Date......................�.........�....
BUILDING
Owner
Mai I ing Address ' to / —Z—
SQ. FT. OCC. BUILDING VAL.A N
- _
c
i
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address s
Permit Fee
Plan Checking Fee&/or Penalty -
Telephone No.
Permit Fee
$
—01-159V
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
Fees
W. C.
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
PI s
Parcel'
Parcel Map P
60R/W
Improvements
Lawn sprinkler system 2.00
Bldg. P41ns Rec'd
Parte pproval I
PI(n.provol
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 FamilyjL� Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures bal &10
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. 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. Classification
Misc. wiring
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.
❑ 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.
@ FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
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
TOTAL PERMIT FEE
$
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
X �( /;/ ,�.c��.� Date "' J a`�D
Signature f Permiteeeoor Agent
Receipt No. ✓� e L/ P--
White-D.P.W.
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 BLIC WORKS
By—Date_l—� - �J
1-1 ilding permit expires Date......................�.........�....
� o 0 75J
PERMIT NUMBER - B 200-74B,E,M
P
yJ E
PERMIT EXPIRES Z -30-%5
OWNER Roy Dunlap
CONTR: Burl Woodward, Gridley
'LOCATION (A.P. 22-24-38
E.
NIS Colusa Hwy., . of Block Rd.
r 4
r�
- s
COUNTY OF BUTTE
Department of Public Works
BUILDING INSPECTION RECORD
Zoning Setback Forms
Foundation Piers & Girders �- Fireplace
Rgh. Plumbing �/— %� Bond Beam Lath & Plaster e�-- "`7
Rein. Steel Gas Piping & Test Found. Vents
Framing Plmg. Topout C'a52 .0— —,J -/Rough Elea
Wt�. Htr. Furnace Kitchen Vent
Firewall Garage Vents Sanitation & Water
ELECTRIC GAS BUILDING
Temporary Temporary Cert. of Occu�.
FinalAi 2 ,S� 7 S_� Final Final p� '
DATE REMARKS OR CORRECTIONS
V
�f-P,
T
GMUE FIBERGLASS COMPANY
P.O. Box 1106
Yuba City, Ca. 95991
Phone (916) 6952150
7 -.—BURL—WOODWARD
F.—O-,BOX-677
LDEGRIDIM.,—CALIF-ORNIA-9AR M. WOODWARD,
THE JOB FOR ROY DUNLU WAS DONE THURSDAY, JAN.. 16, 1975.
ry SINCERELY,
I
V
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i
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — LOrpviIlet:,California 95965
Telephone: 534-4541
APPLICATION ANLIPERMIT
authorize representatives of the County of Butte to enter upon the
above-mentione,d property for inspection purposes.
Signature off PPermitee or Agent
Receipt No. � �_�
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
M-79MOCIZOP91-W.-M WW
S/
permit• expires Dere
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Addre
Telephone No.
Fireplace
Contractor
Total Valuation
11
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
'
o.
Talep6hgnz GO?
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
�� , �� Q
A. P. No. �J
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
�Sv
Each additional outlet .30
W,qs I
W 7
Sa*<ion
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
provements
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
Parcel Approval
Plans Approval
Permit Fee
$
9J� O
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0�
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 fixturesbal dio
Receps., switches & fix outlets E b2.01M
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of C ifornia Business & Professions Code under the name
s f:
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-2r� � 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 Wo men'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
y4(}
Cooling
.yr
Ventilation
Hood 2.00
Permit Fee $
UO
$
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-mentione,d property for inspection purposes.
Signature off PPermitee or Agent
Receipt No. � �_�
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
M-79MOCIZOP91-W.-M WW
S/
permit• expires Dere
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, - a0n)v611et, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
I o 0/(7S7-
BUILDING
7S
reviesen.auves ui LHe t,uunty of Butte to enter upon the
above mentioned property for inspection purposes.
Date %
Signature of Permi.tee or Agent
Receipt No./ -.� 7,`�LT—S-
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.
AA?gYK4
OF PUB IC WORKS 7
BY Date
SE,F ,?00-7y
ermit e
BUILDING
Owner p
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor �,( t�O
Total Valuation
Mailing Address e �p
Permit Fee
Plan Checking Fee &/orPenalty
L
Tele hone No.
Permit Fee
$
$
Building Address"��9gy `— O
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
L, ! _�
A. P. No. am —�
Zoning &Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
9erri-te n
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking I
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im provements
Lawn sprinkler system 2.00
z1d plan< R x'd I
Parcel Approval
PI ons Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
dJ
CE (f!G /4 At ,=—
Main service incl. 1 meter
0
70 ComP /F_ (x� p�v �r,,Q/yJ —�
ditional meters, each
1.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
b -panel (12 oto) (more than 12)
�Ran
- {3(',
ge, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 20 alo
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
sty f:
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
i
License N(�(%i 2 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.
j� I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
ElI certify that in the performance of the work for which this
permit is issued I shall not em
P to an employ y person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.1
@ I
FEE
PERMIT FILING FEE J$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
$ S�
reviesen.auves ui LHe t,uunty of Butte to enter upon the
above mentioned property for inspection purposes.
Date %
Signature of Permi.tee or Agent
Receipt No./ -.� 7,`�LT—S-
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.
AA?gYK4
OF PUB IC WORKS 7
BY Date
SE,F ,?00-7y
ermit e
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK
7 County Center Drive — Oroville, California 95965
Telephone: 534541 QD
APPLICATION ANS PERMIT
autnunce representatives of the county or butte to enter upon the
above-mentioned property for inspection purposes.
Signature of Permitee or Agent
Receipt No. Z/ (;--/? 3
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.
D 3 DIRECTOR OF UBLIC WORKS '/
BY Date J—a - 75
Building permit expires Data
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
o
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
111'a V
e phone N
Q7
Permit Fee
$
$ L
Building Address i/ — D�PLUMBING
No.
@
FEE
PERMIT FILING FEESpe, — $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. N 3
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet 30
F s
jdl j.
Sanit ion
I FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA I Parking
Plans
I Parcel
Declaration
Parcel Ma P
60''R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
RacaoLAppraval
P pproval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 1Aq�
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
I
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 bal_dl0
Receps., s itc es & fix outlets 220 225
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Califor is Business & Professions Code under the name
style
Hood, Ex an or F.A. Furn. Motor
1.00
Evap. cooler r. disp. orD.W. 1.00
Air cond tioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
i
License o Classification
Misc. 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 Wor n'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
@
FEE
—No.1
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee
F
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
$
autnunce representatives of the county or butte to enter upon the
above-mentioned property for inspection purposes.
Signature of Permitee or Agent
Receipt No. Z/ (;--/? 3
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.
D 3 DIRECTOR OF UBLIC WORKS '/
BY Date J—a - 75
Building permit expires Data
BUTTE COUNTY
BUILDING Dep ' N
PpRO�RTMENT
eD
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Recognized Go Ord,,,
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for, �je $pociflod use in tiv- �?,T 'V f. 4147,-4
prescribed
of a qualitY ode, aW
. . . . . . . ...
j1ding Code,
Uniform plumbing C
Bu
UnIform " -1
L
ode
al Electric
Natilon
is ste
of plans and specificaf
rhi i o s MIJ ST bb L)
L t
xept on the jo6 at all times and it it unlawful to
make any changes or alterations on same without
written permisson from the Department of Public
Works, County of Butte,
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