HomeMy WebLinkAbout022-240-131`_ i► �,,
• S.K. BROWN, Estate
KOFFORD Ave., e/s nust to ditch, Gridley r�
contr: Watson Hardware, Gridley
Permit# 859-75E(service change, etc. &
I ami sc .) az
/V", 0crrxPiti� 22-24-33
i Paul Jackson .,�1via' A 41 V07
i T/S Kofford Ave., 1000 S. of Justeson
Ave., Gridley
Permit #1294-76B,P,E,M(new single family),
01 022-240-160 06-1837
JACKSON, FAMILY TRUST
1716 KOFFORD RD, GRIDLEY r
Cont: BICB ROOFING
RE ROOF
I '
S
,
J
- ' ` BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP061837
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS 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
Issued Date: 07/31/2006 APN: 022-240-160-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number: �(^
Site Address: 1716 KOFFORD RD GRI
Date: Z3AContractor: 4
Map Index:
Description: REROOF W/COMP (39)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: JACKSON FAMILY TRUST
to its issuance, also requires the applicant for such permit to file a
1714 KOFFORD RD
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
GRIDLEY, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95948
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: BILL'S ROOFING
owner of property who builds or improves thereon, and who does
GRAHAM, BILL
such work himself or herself or through his or her own employees,
1770 KOFFORD ROAD
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
GRIDLEY, CA 95948
year of completion, the owner -builder will have the burden of
530-846-3981
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor: BILL'S ROOFING
and who contracts for such projects with,a contractor(s) licensed
GRAHAM, BILL
pursuant to the Contractors' State License Law.).
1770 KOFFORD ROAD
❑ 1 am Exempt under Article 3 of the Business and Professions Code
GRIDLEY, CA 95948
530-846-3981
Date: Owner:
License #: 801512
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
Architect:
is issued.
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
otal Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
kJ -1 certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with thoseprovisions.
Date:
Z
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
`hoer
CONSTRUCTION LENDING AGENCY
This permiti toy issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
of the work for which this is issued (Sec 3097 Civ.)
Resoluti n work i_udi ated above for which fees have been paid.
Q�
performance permit
BY:Date-.:
Name:
/).
�)
PERMIT EXPIR N: / G /
Address:
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter pon the above mentioned property for inspection purposes.
1
i
Print Name: / a.�L-d. Signature:
Date: T �— ( �) •�
❑ Owner 0-117-5-n1ractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICA TION
Website: www.buttecounty.net/dds
PERMIT
NO.
\w.'
BIN #
bm
CA
"PLEASE PRINT CLEARLY* * �'�� , d LA 0 - 1 �.# Q
OWNER INFORMATION
Last Name
C 4 5 D �l
irst Name
r t j
Address
City , 1
State A
Zip
Phone /2
Fax
E-mail
CONTRACTOR
Name
Address .7
�� Ord Q
City �✓, . / S
State
Zip.95
Phone q�l
rr !
Fax
E-mail
Lic. # ;561SI2
Clas!C;g
PPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
Flood Zone
Address
v o�
City
I No
State
Zip
Phone
p J
Fax
E-mail
Planner
State License Number
PPLICANT SIGNATURE
X
For office use only:
APPLICANT INFORMATION
Name
Flood Zone
Address
v o�
City ' f
I No
State0
Zip _Z
6
Phone
p J
Fax
E-mail
Planner
PPLICANT SIGNATURE
X
For office use only:
Zoning
Flood Zone
Property Address
SRA
I Yes
I No
Occ.
I Type Const.
Subdivision Name
Map Book
Page
Lot #>
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
i
Page 1 of 2
Descri Po r Scope f Work:
r' o�
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The.request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: Bldg
SRA
Receipt #: Sheriff
Lf -cilo45) SMIP
Date:
r Other
, I
Total
REV 8-12-05
PROJECT LOCATION
Property Address
�/w
City
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance:
LENDING AGENCY
Name
Address
Page 1 of 2
Descri Po r Scope f Work:
r' o�
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The.request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: Bldg
SRA
Receipt #: Sheriff
Lf -cilo45) SMIP
Date:
r Other
, I
Total
REV 8-12-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. \
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line. info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2.
Impact Fees.
❑ 3.
California Department of Forestry plan approval (if required).
❑ 4.
NPDES Form.
❑ 5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6.
Contractor's license information. (Number, Name Style, Classification).
❑ 7.
Worker's Compensation Carrier and Policy Number.
❑ 8.
Owner -Builder Verification (if required).
❑ 9.
Letter of Signature authorization (if required).
❑ 10.
Recorded copy of Agricultural Acknowledgment Statement.
❑ 11.
❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑ 12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
I
COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS
7 County Centet Drive '— Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
autnunce representatives or the county or butte to enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By
Receipt No. —
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date
Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
$
$
Building Address
PLUMBING
No.
@ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W. C.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel Parcel Ma
Declaration P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.1
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑, Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 51 10
Receps., switches & fix outlets 2T,'-23
10
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F. A. Furn. Motor
1.00
Evap, cooler, gar, disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$ -,
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
autnunce representatives or the county or butte to enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By
Receipt No. —
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date
Date
-Fjeose
COUNTY OF BUTTE — DEP5MNT OF PUBLIC WORKS
7 County Center Drive — Oroville' California 95965
cf?rtif A&,1A 7 Telephone: 534-4541
APPLICATION AND PERMIT
/f/L5y-
M.
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
t
X Date
Signat of Permitee or Agent
Receipt No. / -V�O 6 2.�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
�9;1=REOF PUBLIC WORKS
By Date
-'Buifdi permit expires Date/ ............ 7w
BUILDING
�l 1111
Owner S K, 13 row �fi C/ 1Y%�l�/'Ecj�Cccc�t.u�i`�h.
' -SQ. FT. OCC. BUILDING VALUATION
Mai I i n g Address J ' f r+s
yy f
Ca f f
Calif
Telephone No.
Fireplace
Contractor -0.
Total Valuation
Mailing Address60 -2-ef-
Permit Fee
Plan Checking Fee &/or Penalty
Dele�p �d b
permit Fee $
$
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $2.00 s
d , nL.3 /
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No -.� 3 3
Zoning a Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F ke sl
W. .
SSiiatis ire Dep"!
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00 300
Main service incl. 1 meter ,312�7 %O
Additional meters, each 1.00
Sub -panel (12 or less) (marathon 12)
Single Family �, Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00 j
Light fixtures 2u (a
Receps., switches & fix outlets 2
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of: _
iG►, %�Gv:�G%erllw d.
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. lisp. or D.W. 1.00
Air conditioner or heat pump
Water pump I
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No._ J` � �% 7 Classification_ C f D
Misc. wiring .6V J
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ S
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
t
X Date
Signat of Permitee or Agent
Receipt No. / -V�O 6 2.�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
�9;1=REOF PUBLIC WORKS
By Date
-'Buifdi permit expires Date/ ............ 7w
F
PERMIT NO. 1294-7&B,,P-,Fr,M
t
t PERMIT EXPIRES
iNER Paul Jackson
CONTR. owner
LOCATION (A.P. 22-24-33
E/fi Kofford Ave.,1000' S. of Justeson Ave., Gridle,
31
Temp. Power Po I e
Called PG&E 4
Temp. Elec. Serv. AW -41
Called PG& -.e
Temp. Gas ,4Serv.
Called PG&E •
B
FINALED
(Date)
(Signature)
_,-THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA-
TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 26, -STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
v6,4 -'j`
StLdt Number Tract No.
EXTERIOR ALLS'� ( <_
Manufacturer d Thickness/Type —_� L R Value J
CEILINGS ` `' r '
Batts: Manufacturer -v� Thickness R Value
Blown: �Maiufacturer Thickness No. Bags Wt./Bag
Sq. Ft. Covered R Value
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation inches
FOUNDATION WALLS
Manufacturer Thickness/Type R Value
GENERAL CONTRACTOR LICENSE No.
BY.
TITLE — DATE
INSULATION CONTRACTOR' HAWKINS INSULATION CO. LICENSE No. 215-925
BY TITLE Gv o DATE , Z �z/%7
Cf %�O`00� ' ��
Je\,\G
GO ..
0'<9
Q�Q�• ,�p�'� 1 Q�
1oz /C12,
f
t•
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
DATE REMARKS OR CORRECTIONS
Vie%
7,����7-�, c,
.C.–.-e.(�IOTE: An entry must be made on this form each time you visit the job site.)
BUILDING
BUI DING (Co!%Q
PLUMBING
Setback
2�iZ /
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Fini h
2nd Floor
Footings
Windows
3rd Floor
Stemwall
ro
Siding 36
To out
Slab
Roof Sheath in
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vent
Fixtures
Footings
4Garage
Vents -t, %
Water Htr. I
Stemwall
Slab
'
Prov. for physically
handicapped
��` Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Pi ing & Test
Temp. Gas
Slab
Final
Sanitation ? 2
Patio
FI PLAC
Final
Footings
Footing
I ELECTR A
Masonry Walls
Throat
Rou h �D
Reinf. Steel
Final
Fixturesoz
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
_
Water Htr. �—
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Pro
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
=m
Ducts
Underground
Interior Lath
Ventilation ' -
Permanent
Door Closer
Ja J
Final %%
Final
DATE REMARKS OR CORRECTIONS
Vie%
7,����7-�, c,
.C.–.-e.(�IOTE: An entry must be made on this form each time you visit the job site.)
751
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive' - Uruv1IIe, California 95965
Tp,lephonei 534-4541 76
APPLICATION AND PERMIT ��.-----�'
.-,1. ---1...-......, .,. w v..a..ay v. uuaw w o 1a 1 UP -1 u1c
above-UMntioned property for inspection purposes.
--� X
of Pergftee or Agent
FXeceipt No. i`'1-0 i L 1
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PALIC WORKS
Rv Date/6 —//— 7 1O
ilding permit expires Date
BUILDING
OwnerV
V�, A O�
SQ. FT. OCC. BU4J_Dl G VALUATION
Mailing Address 7,0
2
lele
6p_i ou- CA • C(
hone No.
1-7f? -712-
Fireplace
Contractor Q\N IN Ems.
Total Valuation
Mailing Address
Permit Fee I ( I ,gip
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $ i21 ' O�
a
Building Address 61,5 KR FFOQU AYE.
PLUMBING No. @ FEE
PERMIT FILING FEE J$3.00 pp
00d (i F JUS-rLsO+ vF
Each Trap 1.50 3 0
GP_
Repair drainage or vent piping 1.50
Water piping ✓ 1.50 ISO
Each gas water heater or vent 2 1.50 3, 0O
A. P. No. �2 _ Z4 ^ -33
Zoning &Planning
Gas piping system 1 - 5 outlets 3 1.50 f 570
Each additional outlet .30
F,<s` I
`W -C-
I Sa I
ire Dept.
LFireZone
I Use Permit
Building sewer 1 5.00 D0
EQA
I PPlans Declaratio r I Ma
60' R/W
Improveme is
Lawn sprinkler system 2.00
Bldg. Plan ec'd
Parcel Approval
Plans A royal
Permit Fee $ Z •50
$ 27 C
NEW Ja ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3
Main service 600V OR LESS 5.00'
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V
too AMP OR LESS 25.00
Main service EA. ADD'Lpt.ogo�AMP 1.00
NEW CONST. DWELINGOR ADONS. ( ACCLBLDGS.L a Z&) r 20sgft
_
NEW CONSTR. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTPOWER APPARATUS 8C)i
NON.R. RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. OccuP(OUTLETS OR FIXTURES) @�C
100
Ex. Occu FIXED APP LNS. OR
p•(OUT LETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 4%.45'
$ LI -17 WS
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
L �I certify that in the performance of the work for which this
ermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00 -
Heating 2 (rj�p BTOd
Cooling D
Ventilation
Hood 1 2.00 12.00
Permit Fee $ 1-7-50
$ ` 55
I certify that I have read'this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
.-,1. ---1...-......, .,. w v..a..ay v. uuaw w o 1a 1 UP -1 u1c
above-UMntioned property for inspection purposes.
--� X
of Pergftee or Agent
FXeceipt No. i`'1-0 i L 1
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PALIC WORKS
Rv Date/6 —//— 7 1O
ilding permit expires Date