Loading...
HomeMy WebLinkAbout022-330-0250 Z2-33-25 "** eorg,e H.'All ison '- 1801West Biggs Gridley Rd., G ridl e " OZZ!;�M M3 Permit 782-81B(add carport & open deck4j�22-3325 Permit #1083-84B t & 2nd renewal of JACKSON, Geai �54 1782-81) 22-33-25 Peimll�#1697-84B(3rd renewal/1782-81) W -Biggs Road 200 yds south of Macedo Gridley I22-33-25 erM-LL#550-00F,(upgrade eI ec ser)C, v 022-33-0-025 -93-1854 B ALLISON, George. '1801 West Biggs*Gridley.,-,,Rd, Gridley ,(reroof/ , SF,' OL I 2 /�M(..e: "i',,-i�7� ,.I✓L : `�is .... .�'�1:f1'. � ..;;..... n _ .. -�. �"T T-'T^a ! ^.. .; i... !s „.. � �.t',i -. . ��l 022-33-0-025 93-1854 B ALLISON, George 1801 West Biggs Gridley Rd Gridley (reroof/SFi rN f I � a COUNTY OF;BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT, 7 County Center Drive-'Oroville, California 95965 - Telephone: 916. r(( N�538-7541 - V APPLICAMN-AND PERMIT ASSESSOR PARCEL NUMI 022-33-0-025 1801 W Biggs Gridley Rd OWNER'S MAILING ADDRESS GEORGE ALI_.ISON CONTRACTOR'S NAME owner CONTRACTOR'S MAILING ADDRESS Sit -1 I ELEPHONE SO FT 546-5449 I ITELEPHONE BUILDING PERMIT OCC. I BUILDING VALUATION TYPE OF WORK New 7— Addition; Remodel❑ Utilities❑ Installation[ Other( Describe work: Rprnnf f romp 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. (a' 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 1 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 con a ce of the granting of this permit. Q X `. Date Signature o Appliccnt;.=_ Ov±nen❑1 `Contrhtor'❑ Agent ❑ An OSHA permit is required for, excavationjsL�over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt N&..- 143309 Y,EL�-0W-ASSEs3OR. PINA-11NsZEC'TOR. GOLDENROD -APPLICANT Permit Fee $ Contractor Fireplace ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS CONSTRUCTION LENDER NA UNKNOWN I Total Valuation $ 1440 NEW CONST. / DWELLING OCCUP.&\ OR ADONS. l ACC. BLDGS. II 3.64sq.ft. NEW CONSTR. IAULTI.OUTLET NON-RESIO BRANCH CIRC ITS LENDER'S MAILING ADDRESS Filing Fee $ Ex. Occup(OUTLETS OR FIXTURES 15.00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Misc. Wiring 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ - BUILDING1801 West Biggs GridleyRd GridleyPermit fee $ • PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEIL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [TX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New 7— Addition; Remodel❑ Utilities❑ Installation[ Other( Describe work: Rprnnf f romp 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. (a' 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 1 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 con a ce of the granting of this permit. Q X `. Date Signature o Appliccnt;.=_ Ov±nen❑1 `Contrhtor'❑ Agent ❑ An OSHA permit is required for, excavationjsL�over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt N&..- 143309 Y,EL�-0W-ASSEs3OR. PINA-11NsZEC'TOR. GOLDENROD -APPLICANT Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A1 37.50 NEW CONST. / DWELLING OCCUP.&\ OR ADONS. l ACC. BLDGS. II 3.64sq.ft. NEW CONSTR. IAULTI.OUTLET NON-RESIO BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 SINGLE OUTLET R. ( Ex. Occup(OUTLETS OR FIXTURES 20 76 A Ex. DCCUp. OUTLETS FIXED PIRESID IREA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 45.00 HAZ 10 FEES I IMP I FLOOD I CDF PARCEL IPDIHD I I This permit is hereby issued under the applicable provi- sions of tDeButte.County Code and/or solutions to do work i lo�dted a e which a ave been paid. D F U ORKS 6/1$/93 Bya� PE XPI ate J I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMI N 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT 5SOR PARCEL NUMBER , a = ZONING 022-33-0-025 SR -1 BUILDING PERMIT :R TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION 1801 W Biggs Gridley Rd Gridley 846-5449 245 s 1440 :R'S MAILING ADDRESS GEORGE ALLISON owner CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS T N N NAME Gridl UNKNOWN PARCEL MAP USE OF STRUCTURE SF [JX Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New I Addition U Remodel [:1 Utilities ❑ Installation[] Other Describe work: Reroof/rrxip 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 Ao. 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. 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 against said County in cone ce of the granting of this permit. X ✓ .�%'r/�.� — ���/�%r` 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. 143309 WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT Fireplace Total Valuation $ 1440 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 G W $ $ Filing Fee 5.00 20.00 7.00 7.00 5.00 15.00 @ 15.00 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 NEW CONST. DWELLING OCCUP.& OR ACDNS. ( ACC. BLDGS. 3.6$sq.ft. NEW CONSTR.MULTI-OU TLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APLNS. Ex. Occup. OUTLETS PIRESID IREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Venti lation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ 45.00 HA2 I D FEES I IMP I FLOOD I CDF I PARCEL I PD I HD I ISSUE/ This permit is hereby issued under the applicable provi- sions of t Butte Count Code and4KS solutions to do work i i ated a which ve been paid. By D 0 OF U Da '914 6/15/93 PE EXPI • Date 1594 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 jS2Z ZONING BUILDING PERMIT OWNER `' GEoRC-C �(-L�Sa TELEPHONE gS SO- FT. OCC.1 BUILDING VALUATION / OWNER'S MAILING ADDRESS 1940 / 1 CONTRACTOR'S NAME Ocv21�2 - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ p-6 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 60 PERMIT Filing Fee 15.00 <, �vPLUMBING Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE- SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK Newer Addition; Remodel❑ Utilities:Installation❑ Other Describe work:` QE&O C.600P, _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 200A OR LESS 18.50 Main service 200ATOI000AI 37.50 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- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.l1E OR ADONS. ( ACG. SLOGS. 3.64sq.ft. NEW CONSTR MULTI.OUT LET NON-RESID BRANCH CIRCUITS) @ 5.00 ( POWER APPARATUS 6 l SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 FIXED AP LNS Ex. Occup. OUTLETS RESID )RE A.) .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g rHood 6.50 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 excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories. in height. Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P occ CONST TYPE V5 0.6 TOTAL FEES HAz 1 DFEES I IMP I FLOOD --� I CDF PARCEL I PD I HD IssuE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT ' Receipt No. % V3569 WHITE•O.P.W.. YELLOW-A3DE3SCR, PINK -INSPECTOR, GOLDENROD -APPLICANT `gam/ zo COUNTY OF BUTTE - Department of Public Works 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Proper.ty-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 issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 0/ I (have/have not) 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 Signed: Property Owner � /'� Social Security Number/'­ Date umbe — - -` Date Z r /'S — :�r 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. y� t PERMIT NO! 4-73�B PERMIT EXPIRES y� OWNER George;Allison z e n CONTR. owner. ASSESSOR PARCEL 22-33-25 • r LOCATION 18Q1 ---West Biggs Gridley Rd., Gridley i .I. •y r . E r ,r r , t' Temp. Power Pole Called PG&E Temp. Elec. Service / Called PG&E__ Temp. Gas Service Called PG&E J _t P JOB FINALED (Dat Signatu 1� r , I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751, 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROP ERTYA KESS A routine inspection indicates that the following vioNations of County Ordingnce 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 m�fter� or need additional explanation, please contact this office immediately. ( J �. n Inspector Date "( COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-441 Skyway and Elliott Road, Paradise — Phone1$7.2j,961, Ext. 57 f CORRECTION NOTICE BUILDING OR PROPERTY AD 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. 7-- 2 2-10--Y r ti Inspector Date /�� , J C% 0 = Not OK - = Not Applicable * = Not Ready t , RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans 04 °e ce try's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg.-Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test i. 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9: Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples' Card -BI Date Card -BI L Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI ' Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date • ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 21. Receptacles Spacing -Lights &Switches at Doors 22. 23. Size Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. • Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral []Yes ❑No 75. Following instld.: Drive [I Yes ❑ No; Walks C] Yes E) No: Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections-. 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: _ 36. 37. Sills; Proper Material & Anchors _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Ring. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles -__ 46. Bdrri Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) J = OK 0 = Not OK — = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 'Date DECKS OVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/0—Concrete ` Zoning Requirements—Setbacks—Easements ootings; Size—Depth—Spacing—Connectors cks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG T 3y rports; Wi s- 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card Date % /f — C d -BI Date Card -BI Date Card -BI Date C Vd-Bl0,-%_�t e7— I Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date _ POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enc losures— Pane lboards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - O,wville,.California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N ASSESSOR PARCEL NUMBER 22-33-25 ZONING BUILDING PERMIT OWNER George H. Allison TELEPHONE SO. FT. OCC. BUILDING VALUATION 3rd Renewal OWNER'S MAILING ADDRESS 1801 West Biggs Gridley Rd, Gridley CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation$ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 2- of'original) $ 18.00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 28.00 BUILDING ADDRESS 1801 W. Biggs Gridley Rd, Gridley PLUMBING PERMIT Filin Fee 10.00 9 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Carport & Open Deck SPECIFY Building sewer 5.00 Mobile Home S G IN 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe work: 3rd Renewal of Permit #1782-81 (1st & 2nd/1083-84) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 0OV OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 2/20sq ft 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 13 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 NEW CONSTR TI -OUTLET 2,50 ea NON-RESIC, BRANCH CIRC ITS. NEW CONSTR I POWER APPARATUS &' NON-RESID. SINGLE OUTLET CIR. Ex. Occu 20®soa P�o OR FIXTURES BAL®ao FIXED A Ex. OCCUp. OUTLETS P(RESID.)LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. 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. 1 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 againstsaidCounty in consequueencce� o the granting of this permit. X _A€a� Llsf� Date b �- Zr_ .01 Signature of Applicant — Owner ® Contractor ❑ Agent ❑ An OSHA permit is required for exc�avvations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 28.00 OCCUP. GROUP I TYPE OF CONST, PARCEL PD I ND IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for w ich DIRE OR 0 BLIC 02 BY PERMIT EXPIRES Date 6/3/85 the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.._tri J:!~ '_% WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - pEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541ID APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING 22-33-25 BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION George H. Allison OWNER'S MAILING ADDRESS 1801 West Biggs Gridley Rd, Gridley CONTRACTOR'S NAME I TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER JUN LENDER'S MAILING ADDRESS BUILDING ADDRESS 1801 W Biggs Gridley Rd, Gridley LOT NO. I SUBDIVISION NAME I PARCEL MAP USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work:, 1st & 2nd renewal/carport & open deck/ 1782-81 vCONTRACTORS LICENSE LAW 1 declare under peva 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) ❑ 1, 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 lFenalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I$i1 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 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 co uence of the granting f this permit. X { Date Signature of Applicant — Ownerg Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Receipt No. IR119 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1st & 2nd renewal Fireplace Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP Total Valuation $ NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 21/20sgft NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC TS Filing Fee $ 10.00 Permit Fee i original X 2 $ 2.00 36.00 Plan Checking Fee $ 15.00 Misc. Wiring Penalty $ Permit fee $ 46.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W 10.00 e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 21/20sgft NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC TS 2,50 ea NEW CONSTR (POWER APPARATUS W) NON-RESID. SINGLE OUTLET CIR. Ex. OCCUp\OUTLETS OR FIXTURES 20@50C ALO 300 FIXED ALNS. EX. OCCUp. OUTLETS P(RESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heatinq I Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 46.00 'i. OCCUP. GROUP TYPE OF CONST. PARCEL PD 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. IR C!IGFY OF PUBLIC WORKS '1 By I Date d �� PERMIT EXPIRES D e 6/3/84 1 DEPT OOF O U3LF fturry C W04 gip•, All 127984 2,i8,91,01111V/it 2i3i4 P07 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK r 7 County Center Drive - Oroville, California 95965 - Telephone 916/53 4541 APPLICATIONAND PERMIT a ASSEiSSOR PARCEL NUMBER h pF�/ c`T,C- cJ- ZO ING BUILDING PERMIT OW NAW , TE EPHONE i SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI'ADD ESS s (0 rtcl CONTRACTOR'S NAME /1 EP O E _ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ To Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ .W ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ -0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ K�iQb BUILDING ADDRESS '�PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MA Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets ,�,� USE OF STRUCTURE SF LTJ' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 _, TYPE OF WORK New ❑ Addition [y' Remodel ❑ Uti lilies ❑ Installation ❑ Othe ❑ Describe work: If' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS1005.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.y) OR ADDNS. % ACC. BLDGS. 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1NON-RESID, I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y 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 NEW CONSTR -OU LET 2,50 ea NO N.RESID BRANCH CIRCUITS) 61 NEW CONSTF;L (POWER APPARATUS . / SINGLE OUTLET CI R 50®280 Ex. Occup OUTLETS OR FIXTURES BAL�1 Ex. OCCup.(OUTLETS P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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 �'c�1d'0 � Date-7� � ' lo�,� Signature of Applicant — Owner L0 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 $ t oCCuP. GROUPTYP M_ OFI �ONST. -(� N PARc�L �/ JPDJ ND gs This permit is hereby issued.under sions of the Butte County Code and/or work indicated above for which DIREC70POF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date6-7D Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT i Permit#558-88 4 George Allison '14801 W Biggs Gridley f OFFICE COPY Address GAS r:a: Meter By Date ELECTRIC . Meter By ate �✓ e c COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT,NO�� ASSESSOR PARCEL ,NIZ ,� ; ZONING BUILDING PERMIT OWNERS TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S -MAILING ADDRESS / CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILINGG ADDRESS Penalty BUILDING ADDRESS Permit fee !$ $ PLUMBING PERMIT Filing Fee 10.00 - Each Trap ,- Solar or heat pump water heater LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or vent USE OF STRUCTURE SF [2 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets A2* Building sewer Mobile Home S G W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[—] Other ❑ Describe work: o Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS / 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): EJI 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 21 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 NEW CONST. / DWELLING OCCUP.N\ '/z(Csgft OR ADONS. `ACC. BLOGS. I NEW CONSTR. U TI.OUTLET 2,50 ea NON.RESID BRA CH CIRC ITS /POWER APPARATUS e( (SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES .20050 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. MECHANICAL PERMIT Filing Fee 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 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 t granting of this permit. ,� ( X ��".��'�?'r� %�-*`!,� r Date Z�% Signature of Applicant — Owner2l Contractor [IAgent F1work 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 $ Energy Inspection Fee $ , TOTAL PERMIT FEE $ Occup. CONST,TYPEJ ISCHOOLIFLo a D PARCEL PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR OF PUBLIC By i .: PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date " �- Receipt No. '7 f 7 j69 WHITE-D.P.W.. YELLOW-ASSCSSOR. PINK -INSPECTOR, GOLDENROD-APPLI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone: APPLICATION .AND PERMIT WORKS p�EIT Np, 916/538-7541. J ASSESSOR PARC�MB ZONING BUILDING PERMIT OWNER �> TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S(m ING ADDR SS lJ CONTRACTOR'S NAME , ELEPRONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING AMMRESS I Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAR L MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF0— Duplex[:] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10-00 ea' TYPE OF WORK Utilities ❑ Installation ❑ Other ❑ New ❑ Addition ❑ Remodel[]— Describe work: e pq r .40-dlContractor Permit Fee $ I ELECTRICAL PERMIT Filing Fee' 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 AfW Main service EA. ACD'L 100 AMP 2.50 S 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 NEW CONST. � DWELLING OCCUP.d) , OR ACDNS. ACC. BLDGS. h2sgft NEW CONSTR. TI -OUTLET 2.50 ea NON.RESID .BRA CH CIRC TS POWER APPARATUS e (SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES DALA3o FIXED AP \ Ex. Occup. OUTLETS PLNS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ e„ 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 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 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 t against said County in consequence o e granting of this permit. rThis X Date Signature of Applicant — Owner Contractor ❑ Agent Elwork 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. ONST.TTPE Ic SCHOOL FLOOD PARCEL P11 ND ISSUE permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTO OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS %Date /� Receipt No. U�C �7Y � WHITE-D.P.W., TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD-AP►LI CANT Y. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,Woville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916 538-7541 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. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 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 ►� i'� i 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 Signed: Property OwnerC`�G . Social Security Number Date ;� — _2 y— zz 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.