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HomeMy WebLinkAbout022-240-120d Building code violation 30 day 2 G�2U-OI , 022-240-120 PERMIT#98-1487 HAMBLAM, Terry I 523 Macedo Rd., Gric�jjley, Ele��Ser Ch/SF uJEL�CjS�cv�, L.Jii^(.tOUJj� 5i A', September 20, 2001 Mr. Terry Hamblam 523 Macedo Rd. Gridley CA 95948 RE: Building Code Violation 523 Macedo Rd., Gridley CA 95948 AP # 022-240-120 Dear Mr. Hamblam: B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for permits issued but not finaled. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, IAZ- *Micael Vieir Manager, Building Inspection MCV: tp cc: Assessor r'• 6� aS,6 I rj 2001 1VIf. Terry Hamblam 523 Macedo Rd. Gridley CA 95948 } 6,attv Cowify /LAND OF NATURAL WEALTH AND BEAUTY RE: Building Code Violation 523 Macedo Rd., Gridley CA 95948 ` AP # 022-240-120 Dear Mr. Hamblam: r BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for t permits issued but not finaled. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain -voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty '(30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief Building Inspection SR: tp cc: Assessor r � t ` Y 1�gSued out YIa COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI ION A 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- 41 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT -zq -37 ASSESSOR PARCEL NUMBER 022-24-0-120 ZONING BUfLDINGPERMIT OWNER TERRY HAMBLAM TELEPHONE SO. FT. OCC. BUILDING VALUATION ^ eX . OWNERS MAILING ADDRESS 523 MACEDO ROAD, GRIDLEY CONTRACTOR'S NAME OWNER TELEPHONE 846-3362 CONTRACTORS MAILING ADDRESS WORK 846-9121 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace ' A r Total Valuation ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 40 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 523 MACEDO ROAD GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDNLSIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑X 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 ❑ Installation ❑ Other CJ( Describe Work: ELECTRIC SER CH Lrn _11 �) AA T Siv\ C__ ,�t—LA 1I INAhi ti i Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZD'.A. R 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 Lic. No. OWNER -BUILDER DECLARATION 1. hereby affirm under penalty of perjury that I am exempt from the Contractors License La 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 SO OR ADDNS. ( & ACC. BLDS. 3.5QFT; NO.R.1UT' MULTI.OUTLET @7,50 8 OUTLET CIR.OWER APPARATUS Ex. OCCu OUTLET OR FDRURES BAL Ex. Occup. ourLEEDTSA P=JOEw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE TNSP 23.00 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 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.) 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' 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. � O G 5� X ([ice Date Signa re of Applicant - ❑ Owner ❑ Contractor ❑ Agent 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 $ in 7 occ CONST. TYPE TOTAL FEE $ HAZ, I D. FEES I IMP I FLOOD I CDF PARCEL PD I HD 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 /� ° [/ D to PERMIT EXPIRES ON (polo) Receipt No. 244438/& up WHITE-D.D.S.-B.D. CANARY -ASSESSOR K-INSPECTOR OLDENROD-APPLICANT , OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your 46uutre.. Please complete and return this information at your earliest opportunity to avoid unnecessary do*' in processing and issuing 'your building permit. No building permit willbe issued until this verification is received. ,1. I personally plan to provide the major labor and materials for construction of the proposed ; property improvement: YEAW NO ❑ 2• I HAVER HAVE NOT O signed an application for a building permit for the proposed Mkjjj� • 3. I have contracted with the following person (fun) to provide the proposed consttUCtio= .; * =V1:',__ ... _ Y.••• - - .,: ADDRESS: CITY:.. ; PHONE: CONTRACTOR'S LICENSE NO. -; r 4. I plan to provide portions of this work, but I have hired the following person to cooWhM- tk S., and provide the major work: NAME: w ADDRESS: CIZy; •. 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: PROPERTYOWNER: SOCIAL SECURITY NUMBER:_ DATE: 7✓� �9 NOTE: -This Owner -Builder Verification is required by Section 1993I-7983 California Health and Safety Code. This verification must be -completed orrd returned to our office before we are permitted to issue the permit. OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, -you should be aware that as "owner-buildee, you are the responsible parry of record on such' a permit. Building permits are not required to be signed by property owners unless they are personally perfoitning t6c" own work. If your work is being performed by someone other than yourself, you may protect yourself Brom 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 w 'th the exception of various trades that you plan to subcontract, you should be aware of the following in tion for yo refit and protection: ♦ If you emplofotther7wise engage any pe ns other than your immediate family, and the work (including mateeials . and other os50 or more for a entire project, and such persons are not licensed as contractorsor subcontra orsyou may be an a ployer. ♦ If you are an emplo r you m register with the State and Federal Governments 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 for you if you do not c out these obligations, and these' are especially 'i' y y y arty , esp tally senQw with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations ur derFederal Law, contract 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 Paymen! 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 their own employees, without a licensed contractor or subcontractor, only under limned conditions. A frequent practice of unlicensed persons professing to be contractors 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 contracprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, '�1 Mic el C. Vi iia, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.Injormatlon is required by Section 19830 of the California Healdr and Safety Coda OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATEON AND PERMIT ASSESSORPARCELNUMBER d ZONING BUILDING PERMIT OWNER A-tf 4M Z— ' V 1 TEUPNONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS © ^ CONE R'S NEW ® ai zu CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S HUNG ADDRESS 0. Fireplace Total Valuation S AR°NrrEcr OR ENGINEER tx ENSE No. Filina Fee S 20.00 Permit Fee S ARCMTECT OR ENGINEER'S HALING ADDRESS Plan Checking Fee S BUILDING ADDRESS Energy Plan Checking Fee S S PERMIT FEE $ LOT NO. 9UBDNBIDN9NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 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 ❑ Insintlptlon ❑ Odw ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W Q?20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service ao= o°RR L� 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. Class Lic. No. 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 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work forwhich 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.) ❑ 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 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 90' deep and demolition or construction of structures over 3 stories in height Main Service TO -1000A 48.0SO NEW CONST. DwaL a NG occuP. OR ADWS• I AUC 3.5Q NO"ESID.' °�TNO1^�T @7.50 oR C., 20 Ex. Occu • ° TORFKnxm MLL®'Z .eo Ex. Occup. = C.E9I6.°ER, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 MsA Wiring , RMIT FEE $ /17 NFiHng MECHANICAL PERMIT 20.00 Heating Cooling Hood 8.50 Ventilation PERMIT FEI= S Mobile Home Installation Fee $ Energy Inspection Fee S OCC CONST. TYPE TOTAL FEE _ KA o FEES IMP I FLOOD I CDF PARCkqW ND E This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Mate) ReceiptNo. WHITE-O.D.S.-B.D. CA ARY•A SESSOR PINK -INSPECTOR GOLDEN R50 -APPLICANT PRE -INSPECTION OWNER: .7---�� DATE y LE LOCATION: !� �I A. # CONTRACTOR: ZONING PRE -INSPECTION FOR: 5 0 c- ACTION RECOMMENDED: ISSUE r ti' HOLD FOR OTHER: BY P .11 /)-1 n � I . W. DATE :Z� S' --r � DATE TO INSPECTOR �^ PERMIT HISTORY: NONE Q AS FOLLOWS: E2 e2 TYPE OF OCCUPANCY 5 FIELD - INFORMATION BUILDING USAGE: TENNANT: [� OCCUPIED HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES [� HEATED -COOLED PERSON CONTACTED 410 a M< 6 5,"k OTHER COMMENTS: lVeLi I .. i % ti J • "-e— .. 1 / 1 _ / // r _ / _ c _ _ .,/- _ _/, 5 0 c- ACTION RECOMMENDED: ISSUE r ti' HOLD FOR OTHER: BY P .11 /)-1 n � I . W. DATE :Z� S' --r � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER Z_- POTE EPMNE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS © ^ COM R'9 MUM © CONTRACTOR'S MITRING ADDRESS CONSTRUCTION LENDER LENDER'S MNUNG ADDRESS Fireplace Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHnECT OR ENGINEERS WILING ADDRESS Plan Checking Fee $ BUILAINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE t LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPL�sv 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 ❑ Inst llption ❑ Oth ❑ Describe Work: Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W (g?20.00 PERMIT FEE : ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( .AD L'M 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penally 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 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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories In height Main Service aooA To + 48.00 NEW corNsr. owaLwo Occup. so. OR "oma a ACC..0c 3.501fr, NEW N MULTwLmET @7.50 OWRESID. PowER APPARATvs a SINGLE ovnEr cera .00 Ex. Occup. ounEr OR FKTmEs aAL ®+.50 Ex. Occup. o E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 MI Wiring 23.00 W. RMIT FEE _ 6 MECHANICAL PERMIT Fling Fee 20.00 Heatin Cooling Hood 6.50 Ventilation PERMIT FEPE $ Mobile Home Installation Fee S Energy Inspection Fee S occ CONST. TYPE TOTAL FEE $ D. IMP R Doo Cor: PARC HD 6SUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By EXPIRES ON i the applicable provisions Resolutions to do work been paid. Date Mato) ReceiptNo.PERMIT WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California' 95965 • Telephone (530) 538-7541 PERMIT N0. pERVIT,(Rev.12/96) ". D "PP r ASSESSOR PARCEL NUMBER _r, • .* r r r 022--24-0-120' ZONING BUILDING PERMIT OWNER TERRY HAMELA14 TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESS 523 M.ACEDO ROAD, GRIDLEY AM CONTRACTOR'S NE OWNER TELEPHONE 846-33623362 CONTRACTORS MAILING ADDRESS WORK 846-.93.21 CONSTRUCTION LENDER Fireplace �,�IL,1L✓w p\. 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 $ BUILDING ADDRESS 523 i•IACEDO ROAD, GRIDLEY Energy Plan Checking Fee $ .,, f $ PERMIT FEE $ LOT NO. SUBDNE IONS NAME PARCEL MAP • PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other ! SPECIFYAl 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 ❑ Uli ifies ❑ Installation ❑ Other Describe Work: ELECTRIC SER CH�s4a. i CSI h `� I alt r� 1 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 OOVOR! Main Service zo.A OR LESS 23.0013(� • 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 Lic. No. OWNER -BUILDER DECLARATION I 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: . , • I ;qI, 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 +000A 46.00 NEW CONST. DWEWNG OCCUP.SO OR ADDNS. ( 6 ACC. BLDS. 3.5¢x. N"�Ia6D MULTI -OUTLET @7.50 y:� POWER APPARATUS ; 8 SINGLE OurLET CIR Ex. Occup. OUTLET OR FIXTURES 20 @ I'00 BAL @ .50 Ex. Occup. oLIxEEDTSA A _oE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRF, INSP Z3.00 PERMIT FEE $ 66.00 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. ❑ I 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' 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 ! �� I�.yft ! r. l�'. %/i�r'�Ca�ls, Date r /I� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height./ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ .66..= HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HD 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. , By1YAVAJ �LC ��Date PERMIT EXPIRES ON �Jl ` Da(e Receipt No. �`� �%�`t r WHITE-D.D.S.-B.D. CANARY -ASSESSOR PjI)fK-INSPECTOR GOLDEN ROD -APPLICANT r. 022-240-120 PERMIT#98-T487 HAMBLAM, Terry iy 523 Macedo Rd., Gridley Ele Ser Ch/SF oocL"fstw—e, Lot r aeLs Ila OWNER COUNTY OF BUTTE BUILDING DIVISION i DEPARTMENT OF DEV IIOPMENf SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE -� la PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date REV 10/92 Inspector s.-.- .,r.as. „ti'�:7 `^v ..i a�'tti•"Y �.r��4S"•'•�`�!'a-,ir'r.x'r�". .�•�ii� .• '• f: ` COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES* 411 Main Street • Chico, CA • (530) 891-2751. z > = 7 County Center Drive • Oroville, CA -,(53.0),538-15. 41 CORRECTION NOTICE OWNER ; PERMIT NO." �7z A routine inspection indicates that the following violations of butte county Ordinancesexist at the above address and should be corrected. Please notice this office.when-correction of work is.,':' _ completed. If you have any questions pertaining to this matter, or need additional. explanation, ?� please contact this office immediately. u R- _?1�h.Ph 1 T h k 4-J,,-,- —r 9--G )�.. •fes 0901-4_t Date P r 7 'e::�� REV 10/92 " 4th )�.. •fes -"; Date P r 7 'e::�� REV 10/92 " 4th