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022-240-126
- ! kN�IDIS.; John1813 Kofford Rd., Gridley/(upgrade electric service/SF)., /97-1235 BMINAIDIS,'.Thomas,. ACA 1.(2-4-011 022-240-1M. 02-3114NALED1813 KOFFORD RD., GRI I DI-Ey qjOSCONT: VALLEYSERVICS. �ELECTRIC SERV. TO WELL, ° ^ �J C5� I C5� � I 1"'T,- E z:, r.! 022-240-126 ? M' » 02;-MI4 MINAIDIS, THOMAS 1813` KOFFORD RD., GRIDLEY CONT: VALLEY SERVICES - ELECTRIC SERV. TO WELL OFFICE COPY Address GAS Date Meter By ELECTF3 Meter Byl:14Dat M " COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT C7 - ASSESSOR PARCEL NUMBER 022-240-126 ZONING IA_r� BUILDING PERMIT OWNER AIS 75117040 TELEPHONE xt229- SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRES 99 'qAN M&M RD HATE MOM CA 19 CONTRACTOR'S NAME _ VAHEY SFMCES T HONE 682 -7002 - CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1813 KOFE�RD Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Describe Work: FIJ`.MTCAT. ISEMaCE M MT J ) Ct vi L Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ IELECTRICAL PERMIT Fling Fee 20.00 600V OR LES Main Service p0A 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,!'s in full force and effect. / License Class C,- - t `J - C - Z %` Lic. No. S"401 S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 Mein Service TO tOooA 46. NEW CONST. DWELLING OCCUP. W OR ADDNS. 8 ACC. BLOS. so SO 3.50FT. NEW T. NpµRESID. MULTI CRCUITS r Qn 7.50 POWER APPARATUS i SINGLE OUTLET CIR. EX. OCCU . OUTLET OR FIXTURES 20 @ 100 BAL @ .50 FILED APPLNS. OR Ex. Occup. otmETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 pre-ingMtion 23.00 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. ❑ 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 ;T t- Policy Number .s ('Z -7 Y_ - 1 (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 whichAft permit 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' compensatiorr-*—p-rovisions of section 3700 of the Labor Code, I shall forthwith comp with those provisions. XDate ` ' 1 • d �✓ _ Signatu'rV of ,Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excAvatfdns 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 Is Energy Inspection Fee Is occ coNST. TYPE TOTAL FEE $ 66 00 HOZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISS JIV This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have �J„ _ 1k�''� r y BV Ato PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ' n Date b Date ReceiptNo.•� WHITE-D.D.S' . CAN R =A55�SSOR PINK -INSPECTOR GOLDENROD•APPLICANT i COUNTY OF BUTTE BUILDING DIVISION r- _,DEPARTMENT OF DEVELOPMENT SERVICES ' 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 . CORRECTION NOTICE y OWNER PERMIT NO. # A routine inspection indicates that the following violations of butte county Ordinances exist at the t above address and should be corrected. Please notice this office when correction of work is completed. If yo0ave ariy questions pertaining to this matter, or need additional explanation, please contact this office immediately. } --z- Date Inspector. l "� REV 10!92 U COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965:• • Telephone (530) 538-7541 9 R I (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDINGPERMIT • OWNER TCUKHONE SO. FT. OCC. BUILDING VALUATION .OWNER'S MAILING ADDRES C14 94,019 CONTRACTOR'S NAME - ONE CONTRACTORS MAILING ADDRESS P () Ba 1887 YUBA QTY, CA 95992 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1813 KO Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 commencin with Section 7000) of Division 3 of the Business and Professions Code, (commencing and my license ' in full f0 Ce and effect. �/ License Class ' t `� - Z — � Lic. No. S'6 J 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. ❑ 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 jpsurance carrier and policy number are: Carrier S' A- G. A Main Service 200A To 1000A 46.00 NEW CONST. OWE LING OCCUP. sO OR ( 6 Acc: BLDS. 3.5QFT. CNS. NEW CONS MULTI.OUTLET @7.50 NDN -REBID. c POWER APPARATUS 4 SINGLE OUTLET CIR. 20 Q 100 Ex. Occup. OUTLET OR FIXTURES BAL 50 Ex. Occup. ouriErs RM D°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 pre—inspection PERMIT FEE S 66, Q0 MECHANICAL PERMIT Filing Fee 1 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (.6��rS Z 7 ti (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 Califo n'a, and agree that if I should become subject to the workers' compensatio pr isions of section 3700 of the Labor Code, I shall jtk1tho,Wprovisions. forthwith comply wJ X _ _ Date SignaturV of Applicant - ❑ Owner—W Contractor ❑ Agent An OSHA permit is required for excavatildins over 60" deep and demolition or construction/.2 of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PD HD ISS 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 2 PERMIT EXPIRES ON 110 4(6) Receipt No. WHITE-D.D.S.- CAN /YS ftSOR PINK -INSPECTOR GOLDENROD -APPLICANT wyw.•.��w++•'r�►"iT�r,�'"►�r�0rr6+.�s.�s'*wn,yl�ly"'.�'Q"l0`�"+l°►'E t�1�'�Y,JE1F�'"�Sr�v,'�,"��'�'.':4�`��`T"1'It*Yar+it��'dr'"� Y�W"n "�r ' Stzt'� 4V ,. r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT .APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMjtj,2 O"'Proposed Building Use: f Pr r/ t L� Counter Technician: Date: 1 t 1 t3 2 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 pre parer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer 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 plan 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: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 2� Encroachment Permit or drivew fro the Pu is orks Dept. (construction approval prior to occupancy). 22. Pre -Inspection for /`W6, ) t2�( j�g,�! J I L� required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. O 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement ............................ :....... `M l]i,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 and hold for pickup. I have been informed of the above ' ms a d requirements for obtaining a building permit. Applicant: Date: -7 U 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: ` f., ' Yellow: Building, Divisibn _ Plan Check Letter Date: Date: Date: Date: OWNER PRE -INSPECTION REPORT LOCATION: i e 13 CONTRACTOR: Vr, PRE-rNSPETION S C'r 'L- �- ya r - DATE: I ( + i o A.P. #• ZZ Z�, ZONING: 14 .... .... DATE TO >rtSPECTOR:fJ= PERMIT HLSTORY:( )NONE(1.S FOLLOWS: BU LDING INSPBC?OR'S REPORT Banding Description:' e«nmetciavUsage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes_ 4 No Electric currently On Off Condition of Electric Gas: Natural_ Propane None Currently On Off Obvious Problems: 7 Sanitation: Plumbing Working / r Well Working / Potable Water Obvious SewageProblems ®'Y1 a s t-(Gea-c— rcd ILV, CC— ACTION RECOMMENDED: LSSUE: % HOLD FOR - Iaapeeton Date Sketch buildings on reverse and indicate location on p'ropert —. .,.. a •.z••.. � .4 A R 022-24-0-126 4* 97-1235 B MINAIDIS, Thorgas • 4, 1813 Kofford R'd, Gridley (reroof/SF) George, Roof/ing) p� i Y COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - 7 .County Center Drive - Oroville, California 95965 - Telephone APPLICATION AND PERMIT BUILDING DIVISION (916) 538-7541 J PERMIT N,O. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT O nomas Minaidis T oNE (41. r7l6-2561 SQ. FT. OCC. BUILDING VALUATION "j 1200 comn 72 .00 OWNERS MAILING ADDRESS 99 San Mateo Rd Half Moon Bav CA 94019 CONTRACTOR'S NAME TELEPHONE George Roofing 533-6393 CONTRACTOR'S MAILING ADDRESS 6810 Lincoln Blvd Orovill6e CA 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 720,00 Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ , r ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1813 Ro6ford Rd Gridley, CA 959AR41.,00 PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFI❑C Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK }•v New ❑ Addition ❑ Remodel ❑ Utilities 17` Installation ❑ Other ❑ Describe Work: _ 25 Yr Comp Shingles Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 C-39 Lic. No. 452266 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 NEW CONST. DWELLING OCCUR SO. OR ( 8 ACC. BLDS. ) 3.50 FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( PO WER APPARATUS SI 8NGLE OUTLET CIR. ) EX. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL .50 Ex. Occup. (OFIXEEDTS PLNS.ORA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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' compensaion in§uranc,e carrier and policy number are: Carrier uoll�iL'n c1g1e Insurance L.O. MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy NumberNWC J4 —U0 (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 cc ply w' h tho a provisions. X A 7 ` ate �� — SgI nature,of, Applicant - t10 ner ❑ Co, c or,.O-Agent An OSH4drmit is required for excav Ions o er 5'0" dee and demolition or construction of structures over 3 stories in height. p Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 4.1.00 HA2. 1 D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE r/ This permit is hereby issued under the applicable provisions in the Butte County Code and/or 6eentp id to do work indicated above for which feebeen aid. B Apt /Muv),411;yDate PERMITEXPIRESON --,%A (Date) Receipt No. �' ���t<�I✓ ___ WHITE-D.D.S.-13'.b. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .,: . _ .. . , :t i, COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 "k -f / JTS o. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT Offfomas Minaidis (41 TELEP ONE )7 6-2561 SQ- FT- OCC. BUILDING VALUATION 1200 comp 720.00 OWNERS MAILING ADDRESS 99 San Mateo Rd Half Moon Bay CA 94019 CONTRACTOR'S NAME TELEPHONE George Roofing 533-6393 CONTRACTORS MAKING ADDRESS 6 81 0 Lincoln Blvd Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 720.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 1813 Kofford Rd Gridley, CA 95948 PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFXX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uilities"fY Installation ❑ Other ❑ Describe Work: _ 25 yr Comp Shingles Mobile Home I S I G W 1 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 C-39 Lic. No. 4 5 2 2 6 6 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 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 Golden Eagle Insurance Co. NEW CONST. DWELLING OCCUR SO. OR NS. ( 8 ACC. BLDS. ) 3.5¢ FT. NEW CCONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER ( & SINGLE OUTLETT IC R. ) Ex. Occup. (OUTLET OR FIXTURES BAL Q 1.500 EX. QCCU FIXED APPLNS. OR p ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20,.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ contractor Policy NumberNWC '3 4 19 05—nQ (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 rovisions of section 3700 of the Labor Code, I shall fo with co ply h th 4tor2, ii X ate 2 S u Applicant - gent An OS rmit is required for e0"p and demolition or construction of structures over 3 storie�s/in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 41 .00 HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat bov4Le for wh'ch fees h ve een paid. B(Date .�� PERMITEXPIRESON (Date) Receipt No. C2?p? I` WHITE-D.D.S.-C.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 111 fn:f ��t.,�,,. `.,...±'�^/�KY�^''••••'..`,` 6„+is:'t7„*..t*�:..�li`,..r.e*ti'1,!►...N,FOIA.�`•�r��`'^T��..�7+.M��"�`> *'�9��s��,v, 41 ��t.,�,,. `.,...±'�^/�KY�^''••••'..`,` 6„+is:'t7„*..t*�:..�li`,..r.e*ti'1,!►...N,FOIA.�`•�r��`'^T��..�7+.M��"�`> *'�9��s��,v, _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING - 26 r BUILDING PERMIT o2&R — TELEPHON r SQ. FT. . OCC. BUILDING VALUATION John Minaidis 846-0538 OWNER'S MAILING ADDRESS 575 Vermont St., Gridley; CA 95948 CONTRACTOR'S NAME ITELEPHONF TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities)M Installation❑ Other ❑ Describe work: upgrade electric service to ZOO Amp _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the, Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. FA I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and, xpenses which may in any way accrue again§t said'County i sequence f the granting of this permit. X/X / Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I Permit Fee $ Contractor Fireplace CO STRUCTION LENDER Done UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICErjSE NO. Plan Checking Fee $ Ener Plan Checking Fee $ Energy g ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Penalty $ BUILDING ADDRESS 1813 Kofford Rd., Gridley Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ' Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FGTw I I Iln.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities)M Installation❑ Other ❑ Describe work: upgrade electric service to ZOO Amp _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the, Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. FA I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and, xpenses which may in any way accrue again§t said'County i sequence f the granting of this permit. X/X / Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I Permit Fee $ Contractor $ --'-- Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10 OQ Main service EA. ADD -L. 100 AMP 2.50 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 2/20sgft Venti lation NEW CONSTR. ULT] -OUTLET NON.RESID BRANCH CIRCUITS 2,50 ea ' /POWER APPARATUS e l SINGLE OUTLET CIR. Mobile Home Installation Fee Ex. Occup OUTLETS OR FIXTURES 20 @ 50C SAL@ 30 $ Ex. DCCUp. OUTLETS FIXED P(RESID IREA.) 2.00 TOTAL FEE $ Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 r, re—ins ection ' Permit Fee $ --'-- Contractor ' 50 MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Venti lation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I CONST TYPE TOTAL FEE $ 52.50 HAZ I CUA I PARK I SCHL I FLD I PAR I PD I HD I ISSUE / Th;s permit is hereby issued under the applicable provi- sions or the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE P TOR OF PUBLIC WORKS By ) ate PERMIT EXPIRES Date 4' ��' PRE -INSPECTION OWNER: ✓1 '` 1 M Q l 1 DATE LOCATION.. .3D,,.....:,0.. f._............�..._ .._; f.I.. `.. .A:;P.•.#.:.._.......^...fj..L:�..._.::.../. CONTRACTOR:_ t10 w K/L i ZONING -----------------------------------n---r,----------------------- PRE -INSPECTION FOR: 1� �"f {� t1 Ser V 1 Q_e �-�/ l 4 I DATE TO INSPECTOR PERMIT HISTORY:) NONE 0 AS FOLLOWS: TYPE OF OCCUPANCY 0 / /- BUILDING USAGE: 5 ��i►1�/1►f�11� [OCCUPIED HEATED -COOLED OTHER COMMENTS: FIELD - INFORMATION HAS ELECTRIC HAS GAS PERSON CONTACTED f ACTI RECOMMENDED: �ISSUEHOLD FOR OFFICE COPY ' Address ' GAS ; Meter'By DatesD-1, I ELECTRIC Meter By -Dat / BY �S SANITATION FACILITIES i DATE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cwlifornia 95965 - Telephone: 916/538-7541 / / APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONIN , _ BUILDING PERMITIV o rx TELEPHON •John Minaidis 846-0538 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS `• 575 Vermont St., Gridley, CA 95948 CONTRACTOR'SNAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER None LENDER'S MAILING ADDRESS RCHITECT OR ENGINEER None RCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS 1813 Kofford Rd., Gridley T NO. 1 SUBDIVISION NAME USE OF STRUCTURE SF a Duplex❑ Mobilehome❑ Other SPE UNKNOWN PARCEL MAP TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities}(M Installation❑ Other ❑ Describe work: upgrade electric service to 200 Amp CONTRACTORS LICENSE LAW I declare under penalty'of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification [S/1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 10 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iia Iliti. judgments, costs, and, xpenses which may in any way accrue agai s County 1 sequence he granting,of this permit. p Date SW -lure of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. 83463 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S I G I W $ Filing Fee 2.00 20.00 5.00 5.00 5.00 5.00 0.00 e Permit Fee $ 10.00 10.00 Contractor ELECTRICAL PERMIT * Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 10,00 Main service EA. ADD•L 100 AMP 2.50 2.50 NEW CONST. DWELING OR ADDNS. ACC. BLDGS.CCUPM 21h QSq ft NEW CONSTFL OLTI-OUTLET NON.RESID BRANCH CIRC ITS 12.50 ea " POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES z0ea0a eALB 30 FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 re -ins ection 88 ' nn Permit Fee Contractor MECHANICAL PERMIT Heating Cooling Hood Venti lation Permit Fee Contractor Mobile Home Installation Fee Energy Inspection Fee OCC I CONST�TYPE I TOTAL FEE H I CUA I PARK I SCHL I FLO PAR I PO I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated abo a for which fees have been paid. �—� DIRE f OR OF PUBLIC WORKS BY ate Z l / PERMIT EXPIRES Date 2 % Z_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541 APPLiCATI 'N AND PERMIT ASSESSOR PARCEL NUM R ZONI N BUILDING PERMIT owN ` CMO h it, 0- TELEPHONE k -OS SO. FT. OCC. BUILDING VALUATION OWNER'S N A 5 �S LING ADDRESS n e r m p V1+ l� i^ ' e. y 9,5-9 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CO VRR CTION LENDER - - UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ _ ARC I ECT OR ENGINEER 77 LICENSE NO. Pian Checking Fee $ Energy Plan Checking Fee - $ ARCHITECT OR ENGINEER'S MAILING ADDRESS " Penalty $ - BUIL ING AOD Ess r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 ` C Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL AP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition Remodel Utilit' In tallation❑ Other ❑ Describe work: Ci C I^ � e, 900 yn Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OR L j00VAMP OORSLESS 1 10.00 0, - CONTRACTORS LICENSE LAW - I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& New DDNS. A1.C. D ksgft LET NON. RESID BRANCH CIRC ITS 2.50 ea _ POwER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES AL@ 920@03080 Ex. OCCUp. OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mis Wiring 15.00 /5,0(3 )re- - 3, n /S Permit Fee $ 115- e9 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X - - Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An -OSHA permit is required for.excovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ECc coNST rTYPE l_ TOTAL FEE $ S •�D HAz CUA PARK I SCHL I FLo PAR Po I Ho ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC _ By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �(cL� - WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLD ENROO-APPLICANT — ,.a V r . ��°'C2;:.'�''�;+f`r� w 6��� ��'rr v.�,,A•,.�t��F`4�•'� ' '`F" *_.j.,,i4 ±�� r"�.,f� .ir �� COUNTY OF BUTTE - DEPARTMENTeF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OA-6VILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER D A Y,I A. P. No. Proposed Building Use %r Building Inspector Date Ahl 9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ................... ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form . ... ... ... ..................... . 6. Energy Design Compliance and supporting documentation .:..:..'. . 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions......................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 9 Driveway permit (constru tion pproyal required prior to occupancy) Pre -Inspection for �6L C. �^ i required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the ermit, pr�jcess as follows: Mail to owner. Telephone W1_6 / and h Id for pi up at ©'rte office. Mail to contractor. Deliver w. /inspector. Other — Appl icant Date Copy of Hez-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: r Contractor, designer, owner, was advised of above required data by_phone--nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy—DPW Date COUNTY OF BUTTE - Department of Public Works 7 County Center Dtivd,'Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. .i: I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) (/iW b 2. I (have/have not) iyJ.,,U signed an application for a building permit for the proposed work. 3. I have contracted -with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to -provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address _ Phone Type of Work c Signed: Property Owner' Social Security N tuber Date /' O NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.