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Home My WebLink About022-240-075COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI ION 7 County Center Drive - Oroville, Calif&rnia- 95965 - Telephone (530) 538-7 4 mm)x(Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 022-240-075 ZONING BUILDI G PERMIT OWNERTELEPHONE ROBERT FICTL= SO, FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 946 HAUL ST GRIDLEY 95948 CONTRACTOR'S NAME RIGHT JAY CONST TELEPHONE 990-2328 CONTRACTORS MAILING ADDRESS 45 SHELTON AVE.,T95948 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS 771 JU Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ]Q Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities )p Installation ❑ Other ❑ Describe Work: UPGRADE ELFIC ZM_ 'R.EZRR SE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect. License Class z Lic. No. J� OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P J ►Y P Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. �. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR OR ADDNS. & ACC. BUDS. s0 3.5¢FT, NEW coNST. MULTI -OUTLET NON- RESID. @7.50 POWER APPARATUS 8 SINGLE OVRET CSI R. Ex. Occup. ovnEr OR FIXTURES BAS p 1.50 Ex. OCCU FIXED APPLNs. OR ourLETs R=. EII 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE `T PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date � Sig of Applicant - " ner Con for ❑ A ant An A 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 FEE $ 89.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE x This permit is hereby issued under the applicable provisions of Butte County Code and/or Resolutions to do work indi ted a ve forhhich fees have been pai B to / PERMIT EXPIRES ON ate Receipt No. 376039/$8g n0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,.., COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUIL SING Df VISION 7 County Center Drive , Orovflle, Ce.fifornia 95965 a, Telephone (53 538-1541 rotu�� APFUCATIONAHDPERMITi ="1e -5 1 BUILDING PERMIT AANM / T n L -jg-- "¢ /_/ SQ. FT. I OCC. I - SUiLDWG VALUATION O it r� esW= A=sM s=C=oea M=C= as ems a+WM AMP= area erns wase_ 1t5E0ESTeZUCNIm j 3F 0 Duplex0 k4! bnehams O Ober !I Nag o AdM= W� TYPE WWORK 0. UMMA s1W 5 s mg Fee S pmma FEE S wsler hemmer � .- _ _ m Vt. rAwy/,- ws"ri ?EST FEE PAlt> $ �� SRA $ SES« $ AMOUR R,■CC". YEb $ swvba mm%:omat � ' ae aura Da F93UM FEM 7.DD 23.DD 15.DD 15.DD 15.00 15.DD E 20.D0 2D.DD ?M- m T Fac: I s ��W�jInspe�uon Fee tb ��-E' ov " � TOTAL Fr_ S To La � � COMM ` � d FE De► I P, ==0 -DF py�g I PD HD rstF_ Vr'iM7 8 is hereby L-med udder 1ha ep?ir=Lbie pry rs of the Buft Cjunty C73e anwar Fies-alufts b do wnrk inoeet°d above fir which fees have been pain 3y Dat FE LUT 6�E� aFd PRE -INSPECTION REPORT N�' N LOCATION: CONTRACTOR: PRE-INSPETION DATE TO INSPECTOR: Building Description: C nuncrcial/Usage: Residential/# of Units: Currently Occupied Abandone&Vacant Electric: Yes No Condidon of Electric PERMIT HLSTOW.(4NONE ( ) BUILDING INSPECTOR'S REPORT Electric currently On Off DATE: 4 </& ,lam A.P. #. Dzz-G'�D DTS ZONING: A Gas: Natural Propane None Currently On Off Obvious Problems: Sanitation: / - Plumbing Working 1 Well Working Potable Water Obvious SewageProblems / Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector. Date Sketch buildings on reverse and indicate location on proper COUN—i Y OF BUT - DE.PARTMENT OF DEVELOPMENT SERVICES - BUILDING DfVISION 7 County Center Drive • Orwille, Card0mia 45965 ► Telaphon: (530),53,3-1541 541 3 rl / L- el�19 APFUCATIOAAHDPERMIT (JJ � ss D-�uA- �j_10 7 - BUILD114G PERMIT !� _ sQ. T ocx. SUtLD243 VALU ON woAlo j oat Q=Hr Da sfw� MQMQ= 7= or= sLmara=nsuu USE0FS1ir UCTURE aF 0 Duplex D hAbbDaborne D O%et �r hmN 0 Ad:r= I,IAwclft cl A TYPE ar 1NOe�DC 0.USdA0 bstal 17 Cvbw *?T FEE PAlD $ amw Km X m CE3 Yalrtation i � s 2600 t Fes � y Pkn C'fis--Idng Fee S _ PEparT FIs S pWw3wm 'pERtWr FWimg res I 2D.D0 Tm I 7.0D or hest p=p wder by, I 23.DD P%3'09 MOD pm wdw her w vard 15.00 ,lp-M1 •5 aat8ets 15.DD tre seauuwr I 15.DD " hbSSle Homo S G 141 pERW F S E_=LL3JB'��e��MU MMIT I� - 1 b !Vies =OD � 6E9m $BrVi� om 77 twon F SPSLE OIiiLR G7RCf0. .��.. • OiY173 a Da Fcmm Er FLUS A�PLIVS OA mms.m T Serves Nb56e Horns Facmm Am n�. i pb FEE S Fee 1 20.00 6,50 p�ealT r� I s Nbbbe Home histalaftn Fee s almw hmspecaon Fee a" 4rurz [TOTAL «E $ I Mt•L I d FM I UP I P=D IC➢F PAF -`S 1 PD I S I GLF. Ibis permh is herebsy t=ued under She appE--Sble prvvls rs Of 6ne Hutin Czunty Cade andior Re=hftms b do anrk bDmd--d above fir w Nr -h lies hwe beer paid 3y PSPMIT 62 2-240- 6,7N 5 RICHTER D _ , "-'7� 771 JUSTE OET 03-14 GRD- YCont: RIGHT WvC6NSTREPAIRS A'RE WIRE s. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI ING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (53 538-754 - i3 p�MIT NO. (Rev. 12/96) APPLICATION AND PERMIT r ASSESSOR PARCEL NUMBER 022-240-075 ZONING BUILDING PERMIT OWNER Richter Robert 846-6641 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 946 Hezrtl Street Grid1gy CA 95948 ��/y� /�/� est 3000.00 CONTRACTOR'S NAME Right Wa Construction 990-1G PHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 3000.00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Permit Fee $54.00 Plan Checking Fee $ BUILDING ADDRESS 771 Justeson Energy Plan Checking Fee $ $ PERMIT FEE $ 74.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.001 TYPE OF WORK New ❑ Addition ❑ Remodel❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: rewire and repair sheetrock refer to BP# 03-1069, 03-1975, 03.1076 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600VOR LESS Main Service 20 OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 commencin wecon ovision oe usness anroessions Code, ( gith Sti7000 )f Di3 f thBid Pf and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I herebyaffirm under ens of perjury that I am exempt from the Contractors License penalty P 1 TY P Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. �I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLINGOCCUP. s0 OR ADDNS. ( y ACC. BLD.. 3.5Q,: 36.7 NEW CONST. MULTI -OUTLET NON-R NS 97.50 POWER APPARATUS 6 SINGLE OUTLET CIA. Ex. Occu OUTLET OR FORURES 20 1.00 BAL- p .e0 Ex. Occup. FlXED APPLNS. OR OUTLETS PUNS REA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE t 56.75 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed 4 the permit is for work of a valuation of one hundred dollars ($100) or less.) 13- 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 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions /) l,e Date "' / — d Signature ' of Applicant' -Owner ❑ Contractor 13Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST.TYPE TOTAL FEE $ 1 0.75 HAZ. D. FEE IMP I FLOOD CDF ---- PARCEL - PD HD GSE 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 '" �� /J,Date PERMIT EXPIRES ON Dafe Receipt No. �%cy`�a WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT T<_, _ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 PERMIT NO. (Revjz/96)4 APPLICATIONAND-PERMIT' 1`��'y ASSESS PARCEL NUMBER 8�2-240-075 ZONING A5 BUILDING PERMIT OWNER Richter Robert 846-6641 TELEPHONE SO, FT. OCC. BUILDING VALUATION est 3000.00 • OWNERS MAIUNG ADDRESS 946 Hazel Street Gridley CA 95948 CONTRACTOR'S NAME Right Way Construction 990-2828 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 3000, 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 771 Justeson G Energy Plan Checking Fee $ $ PERMIT FEE $ 74.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: rewire and repair sheetrock refer to BP# 03-1069, 0_3-1975, 01-107A Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600OR LE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division,3 of the Business and Professions Code, and my license is in full force and effect.FOWER License Class Lic. No. I OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. )!6, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance 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'HAZ. 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 ith comply with rovisio _ Date �� i ature of Appl' t wner ❑ Contractor ❑ Agent kA,n OSHA -permit is required for excavations over 5'0" deep and demolition or constructionostructures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLIUP. NG OCCSO OR ADDNS. ( a ACC. S.3.50n. 36.75 ONST CES MULTI.OUTLET @7.50 APPARATUS 8 SINGLE OUTLET CIR. OIrTL.ET OR FIXTURES 20 Q 1.00 Ex. Occup.BAL- @ .50 Ex. Occup. DUTLEETSRaD)O 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 FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE TOTAL FEE $ 170.75 PT�hispermit p. FEES IMP FLOOD CDF PARC0. PD HD E is hereby issued under the applicable provisions eutte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Date Receipt No. 3?y WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �a .. ,--. rew ..j.N. '�..,,r iA,,.ti3 .. .. lw. .:!:e. b. -w � . „_ rtja..;..�. x �a r. ,t rn+}.YL.>t+!... :s.. `i�+/.tr•F ..�. .y ,�.�. yam.•-� -. 022-240.075+ 03-1075 FICHTER ROBERT t; ' -771 JUSTESON, GRIDLEY . y Cont: RIGHT WAY CONS],,,. x RE -ROOF a. y f i Y w. t 4 S S COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 /� A % Vin, D (Rev. 12/96) APPLICATION AND PERMIT ✓ ASSESSOR PARCEL NUMBER i, n n r: ZONING A c BUILDING PERMIT OWNER -� _ '� !` .7 tTr•A TELEPHONE C+IC �f SO. Fr, OCC. BUILDING VALUATION . OWNERS MAILING -ADDRE •. ` I n r n T!!• 95-941 0 NO 1, 00 CONTRACTOR'S NAME I ` 1 CONS1.Faun_ TELEPHONE ��n CONTRACTORS MAILING ADDRESS 5 C TrV'1 A14E_p G 95040 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1 20+.7 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 7[t Plan Checking Fee $ BUILDINGADDRESS 771, 1 'S1 Energy Plan Checking Fee $ $ PERMIT FEE $ q (Y) 1.0T NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PIE—ROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 Main Service zo..0.. . oa .ss 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, ( g ) and my license is ' full for a and effect. i� ..r `^ T it S l License Class Lic. No. J ^^^7T��- [J ((( OWNER -BUILDER DECLARATION �— 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR OR ADDNS. ( & Acc. BLDs. sG 3.5,sa NON IENEW MULTI.OUTLET NON-RESID. 07.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES Go BAL @': 0 Ex. Occup. oFIXF EEDrs A oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date — Si' natUfe of A lica ff' w�Contractor ❑ Agent' 9 _ pP 9 "'An OSHA permit is required for excavation s ver 5'0" deep and demolition or construction of structures 2,Z rie 3 s s in_hei t. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 49. M HAZ. D. FEES IMP FLOOD CDF PARCEL PID HD ISS)!E t/ This permit is hereby issued under the applicable provisions , of the Butte County Code and/or Resolutions to do work indicated above r which fees have been paid. I 4 J By ate cf �� EXPIRES ON Data Receipt No. UPERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t. I - J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES /BLD'NG DIVISION R. 7 County Center Drive • Oroville, California 95965 • Telephone) 538-7541 (Rev. 12/916) • APPLICATION ANDPERMIT ASSESSOR PARCEL NUMBER 922-240-075 ZONING BUILDING PERMIT OWNER OWNERS UaFggit ROBERT CONTRA NA ' ) GA 95948 LITGUT WAY CONST TE oNE p4a TELEPHONE 1990-2222 SQ. FT. OCC. BUILDING VALUATION 20 060 1,200 CONTRACTORS MAILING ADDRESS CONSTRUC ION LENDER LENDER'S MAILING ADDRESS —Fireplace Total Valuation $ 1 200 ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 29 00 Plan Checkin Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ COT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE -ROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoov OR LESS 2o0A 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 " full for a and effect. / License Class Lic. No. �\ WNER-BUILDER""DECLARAT N I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service zooA To 1000A NEW NEW CONST. DWEWNG OCCUR OR ACDNS. ( & ACC. BLDS. SO 3.50 FT, NEW CONS MULTI.OUTLET NON-RESID @7.50 POWER APPARATUS &SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES B20@'.500 Ex. Occup. oFlxvriErs'Ra Gea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth comply with lose prov' ' ns. 01 X Date _ -Po, A Ica - caner ❑ Contractor ❑ Agent/ An SHA per . "is required for excavatio ver 5'0" deep and demolition or construction of structures o s ries in i Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 49.00 HAY D PES IMP FLOOD CDF PARCEL HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate bove r which fees have been paid. //� h;� By ate 6 (�J PERMIT EXPIRES ON ate NOTES ,, PRESIDENTIAL 022-2-075 0 40 3-1069 FICHTER, ROBERT PERMIT NO. J,771 JUSTESON, GRIDLEY -_ ' Cont: RIGHT WAY CONST 3 FOUNDATION ONLY f 1 1 a� a 1 3 { t t f (JOB FINALED (Date) 1 Signature �� J=OK ' 0 = Not OK . = Not Readyable MOBILE HOMES, Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete Date PERMANENT:END SYSTEM (ONLY) 4. Water; Location -Test -Easement Needed (Sketch) Zoning Requirements -Setbacks -Easements 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Footings;.Size-Spacing-Marriage Line '6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG Blocking 7. Well Clearance & Disconnect Gas; MH Test -Demand -Valve 8. Utility Clearance Electricity; MH Test 6. Water; MH Test 7. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s License Decals' 1. Zoning Requirements -Setbacks -Easements Verify #'s with Office 2. Footings; Size -Spacing -Marriage Line 5. 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Elec.; Enclosures; Conduit Entries -Terminals -Listed 5. Drain; MH Test -Fall -Flex Connector . 7. 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 8. Gas and Electricity Tagged 9. 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Plumb.; Cir. Test -Water Supply Test 11. - Cert. of Occupancy 11. Light Niche 12. Date Card B-1 Date- Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT:END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings;.Size-Spacing-Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals' 11. Verify #'s with Office Date Card B-1 - . Date : ' - Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1. Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = NotOK - =Not Applicable Ap . = Not Ready Card B-1 Date Card B-1 RESIDENTIAL Date Date ERFLOOR (Plans) OK except #'s Fireplace Ties or Type A Flue -Fireplace Throat Clearance 1.Zoning-Setbacks-Easements-Flood-Slope 3. 4. Ff?g., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 18. Water Pipe; Test & Anchor -Nail Protection 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing -RC Channel 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 21. Test Tub & Shower, Second Floor -Tub Access 6a. Hold Downs and Special Anchors Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 7. Slab, Steel -Wrapped 57. Siding -Nailing Veneer 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Date 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 24. Fixture & Transformer Clearance -Ins. Protection 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 27. Romex Installed Close to Edge of Studs & C.J. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 15. Access & Ventilation 16. Insulation (Single & Duplex) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Fireplace Ties or Type A Flue -Fireplace Throat Clearance 17. Water Htr; Vent -Access -Combustion Air Baffle Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 18. Water Pipe; Test & Anchor -Nail Protection Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 19. D.W.V.; Test Fittings & Anchor -Nail Protection Garage Fire Protection Framing -RC Channel 20. Shower Pan; Test, First Floor -Tub Access Property Line Firewall & Openings 21. Test Tub & Shower, Second Floor -Tub Access Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 22. Gas Pipe; Sixe & Anchors Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 23. Fire Sprinkler; Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light _ 35. Smoke Detector 84. Stucco Brown -Finish Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Prooer Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes Cl No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 •Telephone (530) 538-7541 1� - / f RMlft�lo. (Rev. 12/96) APPLICATION AND PERMIT' ((j(�'� ASSESSOR PARCEL NUMBER 022-240-075 ZONING A-5 BUILDING PERMIT OWNER MUM. ROBERT TELEPHONE 846-6641 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS .946 HAZEL Sr.. GRIDIM CA 959548 •t 10 n CONTRACTOR'S NAME - RIGHT WAY CONST. TELEPHONE 990-2328 CONTRACTORS MAILING ADDRESS 45 SHELTON AVE.. GRIDM. CA 959M CONSTRUCTION LENDER - LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 126.M ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ IAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFjOJ�)[Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other TRK Describe Work: FRT MA,�,.�Y Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 ,4_ OOOVOR LE Main Service OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.` License Class I /Lic. No. y y i% S OWNER-BUILDER DECLARATION " 1 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. 'Wr 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. Bins. 3.50FT; NON.REOSIUT. MULTI.OUTLET @7.50 POWER APPARATUS 8 SINOLE OUTLET CR. Ex• OCCU . oun.Er OR FIXTURES 20®'.00 BAL @ .50 Ex. Occup. ount- PR °F . 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become?, subject to workers' compensation laws of California, and agree that 'rf I,should become subject to the wprkerg compensation provisions of section 3700 of the Labor` Code, I shall XoompL wl those rov[s ons, _ Date Signature of Applicant - ❑ Owner ❑ 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 $ occ CONST. TYPE TOTAL FEE $ 227.90 HAZ, .... D. FEES IMP o00 cDF PARC PD HD issuE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �' ` By(_ Date <7 PERMIT EXPIRES ON 4 / / Z j A) Q—, f r r % Date Receipt No. 376032/$227.90// WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI SION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- 41 --� O. (Rev. 12/96) APPLICATION ANDPERMIT ASSESSOR PARCEL NUMBER 022-240-075 ZONING A-5 UILDIN PERMIT OWNER FICHTER ROBERT TELEPHONE 846-6641 SO. FT- OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 6 HAZEL ST., GRIDLEY, CA 959548 CONTRACTOR'S NAME RIGHT WAY CONST. TELEPHONE 1 990-2328 CONTRACTORS MAILING ADDRESS 45 am.TnN AVE., GRIDLEY, CA 99948 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS - Fireplace Total Valuation $ ARCHITECT OR ENGINEER _ LICENSE NO. Filing Fee �',,$ 20.00 Permit Fee $ 126.0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ \81-90 BUILDING ADDRESS Energy Plan Checking Fee $ \ $ �. PERMIT FEE $ 997-qO LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee '20.00 USEOFSTRUCTURE SF )WxDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other RX Describe Work: FOIZZIATIM Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoov oR LE:: 2o.A 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.(' 7¢ License Class Lie. No. 7 L/ S\� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO ,IIOA 46.00NEW CONST. DWELLING OCCUR SO OR ADDNS. ( & ACC. BLDS. 3.5QFT. NONNtW RESID MULTI -OUTLET RANCH CULTS T @7,50 PowER APPARATUS b SINGLE OUTLET C1 R. 20 Ex. Occup. OUTLET OR FIXTURES BAL @ �: o Ex. Occup. D� TS ..,6 °Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compe saton laws of California, and agree that if I should become subject to the w er compe, tion provisions of section 3700 of the Labor Code, I shall mpl s� // X Date N xz— ef �� _ n r of A - ❑ wrier ❑ Contractor ❑ Agent An OS A 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 TO L FEE $ 27.90 HAZ. D. FEES I P OOD CDF P PD SU _ 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 U �2 PERMIT EXPIRES ON 'T ) L04- I IDale Receipt No. 3760321$997-901/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT h[{ 114 .r r$tx Ir IV, COUNTY OF BUTTE-DEPARTMEN®4OF4DCVELOPMENT SERVICES -BUILDING DIVISION ,» 7 County "Center Drive, Oroville, CA195965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: -Ko_ bPtt- TI - I. r ASSESSOR PARCEL NUMBER (79,"'2116-0'/5 Proposed Building Use: iU�(�) rov,,A,4�t(jrl CounterTechnician: --lip Date: /-I- It& 03 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed �y the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the l reparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plai``review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other. Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15:' -Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. " City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: O K (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility<clearance....................•........................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: - When issued Telephone = p. I C and hold for pickup. I have been informed.of he above items and requireme s -for obtaining a building permit. Applicant: / - -j z Date: i 0:r_1 I 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by, ❑ , phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner. � was advised of the above data by'j� phone, ❑ mail, ❑ counter, by Date: Plans reviewed b {C�1j Date: r, ; ;;'. Plans approved by: Date: y: �- S,. 0 3. Structural reviewed by: Date: ::; :'+1 4: `#"Structural approved by: Date: Note transfer by: Date: .Yellow: Building Division. _