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Home My WebLink About022-240-1411 .22-24-141 DAVID ETTLI:q✓/j 545 Justeson Ave, Gridley��/ Contr: G & M Electric ' J Permit#1776-85E(ele ser ch & cleanup/SF) 22-24-141' 3635-89P,M RANDOLPH, Betty 545 Justeson, Gridley (new elec & gas ser)SF I 7 022-240-1'41 PERMIT#96-2583 RANDOLPH, Betty- 545 etty545 Justeson, Gridley Cont: Double J Roofing Reroof/SF i7 ! s 022-240-141 PERMIT#96-2583. RANDOLPH, Betty' 545 Justeson, Gridley Cont: Double J Roofing Reroof/SF I :x COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION/ 7 .County Center Drive - Or6ville; California 95965 - Telephone (916) 538 •1 PERMIT NQ. APPLICATION AND PERMIT _k_- ff,� /�iSSEySSORgPp/pVj ByyER VL�"'GY�1� 1 ZONING BUI ING PERMIT oB EL11 L RANDOLPH T846--0158 SO. FT. OCC. BUILDING VALUATION 22 1,320 OWNERS MAILING ADDRESS 545 JDSTESON, GRIDLEY CONTRACTOR'S NAME DOUBLD J ROOFING TELEPHONE 846-2791 CONTRACTORS MAILING ADDRESS 280 SHELDON AVEMIE GRIDLEY 95948 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS - Permit Fee $ 33.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 545 JUS=N GRIDLEY PERMITFEE $ 53.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF 15X 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 Y New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑` Describe Work: REROOF/COMP — Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service / OOOV OR LESS 200 OR LESS ) 23.00 Main Service ( 200A TO I000A ) 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. "�y License Class C=J's % Lic. No. ,Sf�7Orr OWN ER -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 OR ADONS. ( s ACC. BUDS. ) SO. 3.50 Fr. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES 64L � I:w Ex. Occup. (ounEEDrs PLNS. OR 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. 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 insurepce carrier and policy number are: Carrier ST,:�fix �ii/Jel MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 6,400/0 .2 W4,r-7�j' (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 _�� ---- Datexw7 /�r'� —_ Signature"of Applicant - ❑ Owner Contractor ❑ Agent An OS �A permit is required for excavations over 5'0"deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC I CONST. TYPE I TOTAL FEE $ 53.00 HA2. I D. FEES I IMP I FLOOD CDF PARCEL PD I HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have f B ! , � Y !!! ��"` 11/12/97 PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date 11/12/96 (Date) Receipt No. 206861 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'r f COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville, Calitornia b5965 - Telephone APPLICATION AND PERMIT BUILDING DIV ION (916) 538-7 RMIT NO r ASSESSOR PARCEL NUMBER 022-240-141 ZONING BUILJ61NGPERMIT OWNER BETTY RANDOLPH TELEPHONE 846-0158 SO. FT. OCC. BUILDING VALUATION. 22 @60 1,320 OWNERS MAILING ADDRESS 545 JUSTESON, GRIDLEY CONTRACTOR'S NAME DOUBLD J ROOFING TELEPHONE 846-2791 CONTRACTORS MAILING ADDRESS 280 SHELDON AVENUE GRIDLEY 95948 Fireplace CONSTRUCTION LENDER UNIWOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 33.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 545 JUSTESON GRIDLEY PERMITFEE $ 53.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF IXX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 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 ❑ Utilities ❑ Installation ❑ Other Describe Work: REROOF/COMP Mobile Home S I G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service aoov OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 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 G3 !F Lic. No. S�?f�� 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 OR ( 8 ACC. BLDS. ) s0. 3.5¢ FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET US Ex. Occup. (OUTLET OR FIXTURES) 2U 0 I.00 BAL so Ex. Occup. ( OUTLETS (RESID.) OR 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. (2D 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 insurepce carrier and policy number are: Carrier . X41 $T� MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 6AOA? 27a Wy1r-,293 (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. XDate o? /!j'�� __ Signatur of Ilcant - ❑Owner Contractor ❑ A ant An OS A ofis required for excavations over 5'O" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 53.00 HAZ. I D. FEES I IMP I FLOOD _rT37_r7 PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Regglutions to do work indicate ve&whicfees ha a en paid. B Date 11/ 12 /96 y PERMITEXPIRESON 11/12/97 (Date) Receipt No. 206861 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �.r'xY •vr.w.-.n-var�',L�l.. y4'h.;,.` ai"'"".-s.-v._.., �-..;.,_. / .. r.. fi^F, ...w ... .. '22-24-141 3635-89P,M RANDOLPH, Betty ' '545 Justeson, Gridley (new- - & gas ser)SF 1 l �� a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS `PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7 4 / APPLICAMN AND PERMIT Jv `) ASSESSOR PARCEL NUMBER u I / / DWN!/s'yEF� (��wy��?.9•,! Dat Pte/ OW M! I` LING ADDRESS a 6 W CON ACTOR'S NAME % c rf o'or A/G CON,[3TOR'S MAILING rD�ZE55 I � I^ta CONSTRUCTION LENDER LENDER'S MAILING ADDRESS T OR BUILDING ADDRESS S «...... SO. FT. / r91I / TELEPHONE c,► 5 ss2b UNKNOWN LI 5Yt Jo crf5P .) ! G/AJ401_cue LOT NO. SUBDIVISION NAME PARCEL MAP ,i USE OF STRUCTURE SFW Duplex ❑ Mobi lehome ❑ Other } SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodels❑ Uti liitt^ies ❑ Installation Other ❑ Describe work:/:Tilt'IW 4AC X/� �%�� "G 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 No451Z1.s7c") Classification C--20 ❑ 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. ❑ I shal I 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 Countyot 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 ag n�sJt said ounM',csequence of the granting of this permit.X,�llrQ Date 10� Signature of Applicant — Owner ❑ Contractor ❑ Agent P_ 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. 9'&Z04 WHITE-D.P.W.. YELLOW -ASS E330R. PINK -INSPECTOR, GOLDENROD -APPLICANT BUILDING PERMIT OCC. I BUILDING VALUATION 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 W Permit Fee Contractor ELECTRICAL PERMIT Main service eoov OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. / DWELLING OCCUPM OR AODNS. 1 ACC. BLDGS. II POWER APPARATUS e Ex. OCCUpkOUTLETS OR FIXTURES Ex. Occup. OUTLETS P(RESID. IIRE A.) Temporary service Mobile Home Facilities Misc. Wiring Permit Fee $ Fi I i ng Fee 2.00 20.00 5.00 5.00 01 5.00 5.00 10.00 e, 10.00 10.00 / S Ja Ari rrr rr.rai-r� r�sral�l� Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating < 1-1y ffe ), " C. `' il Of 11 L 114"V 4 0014C Cooling Hood 3.00 Ventilation I Permit Fee $ l� - Contractor Mobile Home Installation Fee Energy Inspection Fee OCC I CONST TYPE TOTAL FEE $ �S-4 / HAZ I CUA I PARK I SCHL I FLO I PAR I PD I HD I ISSUE -.-I' This permit is hereby issued under the applicable provi- sions of the Butte Cou ty Code and/or resolutions to do work indicateabove for which fees have been paid. DIRECT OF.PUBLIC WORKS By Date PERMIT EXPIRES Date 1 _ t �2, 2,q 15,fv7Y R"' r �4 - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS s ° 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND -PEI MIT PERMIT N0. 65ESSOR PARCEL. ^ ZB R^ I ( zoNly� — " BUILDING PERMIT " TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION NNER'S AILING ADDRESS P, 0, dod- -63-+ 7N�j: iCr OS NAMEyr w/G TELEPHONE DNTR CTOR'S MAILING, D ESS 3/ U st G!/IC C/fr 5 f 5 2 b Fireplace DNSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 ENDER'S MAILING ADDRESS Permit Fee $ RCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ RCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ UILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 S r/;rGS Each Trap 2.00 y(/U •. Solar or heat pump water heater 20.00 OT N SUBDIVISION NAME PARCEL MAP Water piping 5.00 ti Each qas water heater or vent 5.00 USE OF STRUCTURE Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.006 TYPE OF WORK ew ❑ Addition [:],Remodel ❑ Utilities E] Instal lations Other ❑ escribe work: _ Li S�1-4 ate !�!-- PQ e'sf� S Irvyif alyI C -- Re—NS Permit Fee S !!3 Contractor ELECTRICAL PERMIT FiIin9 Fee 10.00 Main service i 61101 DR LESS 100 AMP OR LESS 10.00 Main Service EA, AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BU$IneS$ and Professions Code and my license is in full force and effect. License No.51-L�o Z� Classification C—2 ❑ 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 NEW CONST. C / DWELLING OCCUP.6 OR ADDNS. ACC. BLDGS. I/z¢sgft NEW CONSTR. MULTI -CUTLET NON.RESID BRANCH CIRC ITSPOWER 2,50 ea APPARATUS 6 SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES p—� 20930t eAL030C \ Ex. Occup. our LE(RESID.)RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ref 1 have placed on file with the County of Butte Building Department �G• 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. otice to Applicant: If after making this statement, should you become subject the W. C. provisions of the Labor Code, you must forthwith comply with such ,ovisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating L ;4'4,14 Cooling g Hood 3.00 Ventilation Permit Fee $ 6 Contractor certify that I have read this application and state that the above information correct. I agree to comply to all County Ordinances and State Laws relating building construction, and hereby authorize representatives of the County 01 utte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against I liabilities, judgments, costs, and expenses which may in any way accrue saidj1l!,pqnty,i,m,r.9n.sequence of the granting of this permit. �+ to—Z� Date gnature of Applicant — Owner ElContractor E]Agentwork n OSHA permit is required for exccvations over 5'0" deep and demolition or construct- n of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPEIZI TOTAL FEE $ HAZ CUA PARK SCHL FLD PAR Po Ho This permit is nereby issued under sions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date (3 eceipt No. ego I.� 7 41TE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT T COUNTY OF BUTTE Y. DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico —Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE"^ A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ILI 716 ��7 l ! )ems; -�- . ►. r :T .s ,y .1 t'Y 'G Inspector. �� /fTL Date J 4 - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS E MIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7 4 J APPLICATI6N ANb PERMIT ),'L J_ f 41 f � �,�"� � BUILDING PERMIT/ / I I OWN EA yy, TELEPHONE SQ. FT. OCC. I BUILDING VALUATION 1 0, f J - N ACTOR'S NAME �G Via/ CONSTRU LENDER'S MAILING ADDRESS BUILDING ADDRESS 14 TELEPHONE Q LOT NO. I SUBDIVISION NAME 9 r5 2_6 Fireplace UNKNOWN Total Valuation Is Filing Fee Permit Fee LICENSE NO. Plan Checking Fee DRESS Energy Plan Checking Fee Penalty Permit fee z, —) A0L6 PARCEL MAP USE OF STRUCTURE SFW Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel[:]Utilities[—] Installat R4.9 Describe work: LIt�W r. 4.9 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 W Other LJ Permit Fee a/4r4 L-- 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 Classification Classification Cr2.6 ❑ 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) $ 10.00 Contractor $ Filing Fee 1 10.00 $ Filing Fee 10.00 2.00 t/20sclft 20.00 2.50 ea 5.00 5.00 0' 5.00 2.00 5.00 10.00 10-00e4 15.00 Misc. Wiring , $ Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service ,00 AMP ORV OR LESS10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.tr OR ADONS. ( ACC. BLDGS. t/20sclft NEW CONSTR. U TI -OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS tr SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 0@50 e2AL SOS FIXED APLNS Ex. Occup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring , ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating .91P`( d �' 41 -1 - Cooling Cooling Hood 3,00 Ventilation 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. ❑ 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 expenses which may in any way accrue a said ounty =sequence of the granting of this permit. XDate Io/Z7---ol Signature of Applicant — Owner ❑ Contractor ❑ Agent U7 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over /3 stories in height. 7 Receipt No. b--DI WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT rermri ree 5 `o - Contractor - Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE �, TOTAL FEE $ S HA2 CUA PARK SCHL FLD I PAR PD HD I ISSUE This permit is hereby issued under the applicable provi- - - - of the Butte Cou ty. Code and/or resolutions to do work indicated above or w ich fees have been paid. 1 T BLIC WORKS BY Date PERMI E I ES Date Al, COUNTY OF BUTTE-'DEPARTMENTr,OF-PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 .� x PERMIT APPLICATION DATA SHEET Permit No. OWNER J_ .,l �L/',:• a. S� Date a 7 Proposed Building Use �(l.-� ��s_�/./c Building Inspector 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 calm,"'rith 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 ................... an and bL1si�G Uc4- Rse 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 19. Driveway permit (construction approval required prior to occupancy) Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) C actor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0,,Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. nr&, Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted pr 1. Index permit for above items No. a 2. Additional items required: to pe!gi ance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by -date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked Date - Plans approved by Sets of plans on hold in . File cabinet AP folder `A Copy—DPW Date 1776-854E-, DAVID ETT 545 Justeson'Av. Gridley i OFFICE COPY Address r GAS Meter By Date R ELECTI ' + Meter TR 1 Date 4 i � r 3 _ 1776-854E-, DAVID ETT 545 Justeson'Av. Gridley i OFFICE COPY Address r GAS Meter By Date R ELECTI ' + Meter TR 1 Date 4 i ASSESSOR PARCEL NUMBER- °-'l UMBER° I ;a -.0 L-1 --_)`qa i OWNER ,) a I l/ d `C `A- I OWNER'S MAILING ADDRESS i'7 q� rl 't'en r0,0 CONTRACTOR'S NAMEv ( - cd .P llc 11P G CONTRACTOR'S MAILING ^ADDOR'. CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Vl COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Californ:4a 9.5965 •Telephone 916/534-4541 M .t APPLICATION AND PERMIT zoNING BUILDING PERMIT r' TELEPHONE SQ. FT. I OCC. BUILDING VALUATION CHITECT OR ENGINEER'S MAILING ADDRESS t� cc �3►n0c UNKNO S BUILDING ADDRESS l A A h t4 U e %1 r1'�IQ'..f LOT NO. SUBDIVISION NAME I PARCEL' MAP USE OF STRUCTURE SF 0 Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utiliti,Ies ❑ Installation❑ Other P. Describe work: /� ' 4 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q 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. `� 7� �` r'� u Classification rf tt ❑ 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. QI 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 expenses which may in any way accrue against said County in consequenceofthe granting of this permit. X I ')f �.�t �� k. -k7! tt , -� Date �,' /I r, ly <- Signature of Applicant — Owner❑ -Contractor ❑ Agent' /❑ f 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. y ��5 0 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar Water Heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home TSTG W Permit Fee $ $ $ $ Fi ling Fee 2.00 20.00 5.00 5.00 5.00 5.00 10.00 e $ 10.00 10.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 /h.n Main service EA. ADD'L 100 AMP 2.50NEW ,rn CONST. DWELING OR ADDNS. ACC`BLDGSCCUP.&\ / 21/20sq ft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 2,50 ea NEW CONSTR. POWER APPARATUS &) NON-RESID, SINGLE OUTLET CIR. / Ex. DCCup(OUTLETS OR FIXTURES 20050C BAL®30 Ex. OCCUp. OUT LETS P(RESID )REA•) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 L�;.t1i1 4). 4P -L.. - 0 L!�.n I nn Permit Fee I $ (`}� Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 1 1 3.00• Ventilation Permit Fee Contractor Mobile Home Installation Fee I TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I IPARCELIPD I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. / DIRECTOR OF PUBLIC WORKS By Gil . Date PERMIT EXPIRES Date COUNTY OF BUTTE e. DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 0'r'a OWNER o� A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. n 11' n t rll .^�1� ✓ Vt �'' �tl�lli✓i1,1� }<�l- �'� v Inspector_ �� / `�_ t Date /1' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE =tel /77r�-fir` A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. /0Lk/Nr -Q-O/n T jr� C r C- e '`- s nc C-R- /0 N -!'e e 6` v 11— // be c h��a Inspector_ V (,"� Date:7;�/ / COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way,'Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE VER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. n/rn ci t *)-nl?,� �— r�VhI rd 40t �� Date_ Inspector___ y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cahifo n a,95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N AS SSOR PARCEL NUMBE 0—/L1 IM°' ZONING , BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC, BUILDING VAL ATION OWNER'S MAILI ADDRESS I — �(g r r Ca - CO R CT R• ME Q.G ' TELE HONE SS' ' C RACTOR'S MAILING ADDRESS O Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ _ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Permit fee $ BUILDING ADDRESS tdS s e_ PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCELI MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF LE'J Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home IS W G 10.00 e TYPE OF WORK - New ❑ Addition ❑ Remodel ❑ UtiI ti s El Installation❑ Other [� Describe work: I` �(' (Z C tu`VaY)(- _ 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 1000 AMP ORSLESS 10.00 t Main service EA. AOD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADONS. \ ACC. BLDGS. t 2/20sgft 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 y license is in full force and effect. License No. Classification l �� V ❑ 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 NEWi.CONST R BRANCH CIRCTITS 2.50 ea NEw CONSTR POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. 20®500 . Ex. Occup(o TS OR FIXTURES BAL®30 FIXED APPLNS. OR IXED Ex. OCCup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ^ 9ve- win Permit Fee $ Sp M Contractor 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. 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 authorize representatives of the Countyot 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. AA Date / Signatur of Appliant — Owner F1 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. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND ISSDE This permit is hereby issued under sions of the Butte County Code and/or work indicated above .for which DIRE R OF P By PERMIT EXPIRES Date the applicable provi-. resolutions to do fees have been paid. IC WORKS Dat -� Receipt No. '� �cj WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Califor la 95965 - Telephone 916/534-4541 APPLICAVON'AIM PERMIT ASSSSOR PARCEL NUMBE r L7- � ZONING BUILDING PERMIT OWNER,^ �1 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S AI ItyG ADDRESS r TQR�J' ME CoONRAC(TOR'S TELE, NONE C7i MAILING ADDRESS 1 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS 11 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. 1i Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ( Water piping 5.00 LOT NO. SUBDI VISION NAME PARCE MAP I Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTUREBuilding SF RD""Duplex ❑ Mobi lehome ❑ Other' SPECIFY sewer 5.00 Mobile Home I S1 G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel IF Utiliti s ❑ Installation❑Other Describe work: 1 • [ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 800V OR LESS Main service 100 AMP OR LESS 10.00 1 �d t Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.@ OR ADDNS. \ ACC. BLDGS. , 2h2sgft CONTRACTORS LI NSE 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 Iicensed'contraci- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI.OUTLET NON-RESID BRANCH CIRC TS 2,50 ea NEW CONSTR. POWER APPARATUS .&) NON-RESID, SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES BAL003U FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. ! ❑ 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; MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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 Countyot 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 El 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. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST.PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- ' resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT