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Home My WebLink About024-010-106v O 9 I I �r i t 1 February 11, 2003 Valley Financial Inc. 1214 Marin St. Corning, CA 96021 ATTN: Brandie Winter L A N D O F NATURAL WEALTH A N D BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530)538-7785 Re: Burn -down letter for 242 East Gridley Hwy., Gridley, CA, (APN 024-010-106). Dear Mrs. Winter; The above referenced parcel is currently zoned A-5 (Agricultural, 5 acre minimum). This zone allows for a single-family dwelling. Should the dwelling be catastrophically destroyed it may be reconstructed, provided it will not be placed within the required building setback areas and meets sanitation codes in effect at the time of reconstruction. The setback requirements for the A-5 zoning are 50 feet from the center of the road and 5 feet side and rear yard property lines. Should you have any further questions, please contact this office between the hours of 8:00 a.m. and 4:00 p.m., Monday through Friday, at 530-538-7977. Sincerely, Larry Painter Planning Technician II CC: Development Services, Building Division Butte County Department of Development Services Planning Division • r�,l 024-010'106 f 'PERMIT#95-2786,E ,. . HAMMAN , Howard 4 � 242 E Gridley Rd., Gridley Ele Ser Ch/SF Ao 7 , qlz- J - 1 a. s • r�,l 024-010'106 f 'PERMIT#95-2786,E ,. . HAMMAN , Howard 4 � 242 E Gridley Rd., Gridley Ele Ser Ch/SF Ao 7 , qlz- J - 1 �,. OFFICE COPY Address: GAS Meter By Date �— ELECTRIC Meter By Dat s �,. OFFICE COPY Address: GAS Meter By Date �— ELECTRIC Meter By Dat -,•r.—.�. .Qct►-k;,ga:.,7,.v�%�d""' �`7f!`�a9-«:l'i't '•�,,�f 1r �i ,�F Jnr,,. . -,. r , ��r"7ff.r�'�`.`�i�irYt+i'`�.�'"!tYd}�a.rsF't'`T�'ggKr�•c!r`� COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT% Y ASSESSOR PARCEL NUMBER024-•010--1Q6,; ZONING A-5 BU DING PERMIT' • ' • ' OWNER HOWARD MANNAN T tSairotJ -3398 SO. FT. OCC. BUILDING VALUATION " OWNERS MAILING ADDRESS 242 E.GRIDLEY GRIDLEY, 95948 CONTRACTOR'S NAME umow TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIw,WN Total Valuation $ LENDER'S MAILING ADDRESS I Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ! Penalty $ BUILDING ADDRESS 242 E. GRIDLEY RD j PER $ GRIDLEY, 95948 _PuS PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUS NAME I BDNIS ION' NAME PARCEL MA. 6Y .Solar or heat pump water heater 23.00 • USEOFSTRUCTURE tSF_.'.F.iD lex ❑ Mobilehome ❑ Other - m,. speclFv Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 1 5.00 Building sewer 'r v 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IN Other ❑ , Describe Work: INSTALL NEW MAIN ELEC SERV PA L • 200,W. Mobile Home I S I GI W 1 20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filing Fee 20.'00 ' Main Service ( z0 a oa mss ) 23.00 ' Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION i I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: i 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. I ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR NS. ( d ACC. ) SO. 3.50 FT. NEW CCONST. MULTI.OUTLETLE T '• NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL .SO EX. Occup. ( OUTLETS(RESID.)OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 1 hereby affirm under penalty of perjury one of the following declarations: I ❑ 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, fo; the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number + + (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X/'� ,,� , ....�. _ Date _ i�/ % Signature of Applicant - Q,Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 43.00 HAZ. 1 0. FEES I IMP , FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON r the applicable provisions Resolutions to do work been paid. �f 1 Date !+ " - 7 G (Date) Receipt No. 190314_ _ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD.APPLICANT COUNTY OF BUTTE- DEPARTMENT OF REVELOPMENT SERVICES - BUILDING DIVON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1 5- RM No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 024-010-106 ZONING A-5 BU ING PERMIT OWNER HOWARD THAK4AN S =E3398 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 242 E. GRIDLEY GRIDLEY, 95948 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIDJOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $'S ARCHITECT OR ENGINEERMAILING ADDRESS Penalty $ BUILDINGADDRESs 242 E. GRIDLEY RD PERMITFEE $ GRIDLEY, 95948 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF U 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 1Y Other ❑ Describe Work: INSTALL NEW MAIN ELEC SERV PANEL 200 A�IIP Mobile Home I S I GI W 1 20.00 PERMITFEE 1 $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Servicee00V OR LESS ( 200A OR LESS ) 2:J Ou 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 herebyaffirm under penalty of perjury that I am exempt from the Contractors License P tY P 1 rY p LawXr 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. 111"' 1, 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 NS. ( a ACC. ) sO. 3.50 FT. NEW CCONST. MULTI-OUUTLETLIE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL .s0 Ex. Occup. OUTLETS (RESID.) FEE ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwit comply with those p ovisions. _ X _ Date_— Signature of Applicant - Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE I TOTAL FEE $ 43.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date //-0/, (Date) Receipt No. 190314 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay mi 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[ ] 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: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: Q L/ PROPERTY OWNER:, SOCIAL SECURITY NUMBER: " DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before We are permitted to issue the permit. r.�a Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sinlrel ` �Ai Micha4l C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE /�Q all 421 a ..v 96 - a 7 E 4, OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Tk i 5 Cor /Pr 14.: z� It-./ :;L y Date Inspector &55ek� ?2 . REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT 05 DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER _ PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. )VO l rg ` w6co4�vrvv i i4r /w SL�iel/l G,F U, / 7' l,/ Uy 141 j COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT Off' DEVELOPMENT SERVICES 1469 Humboldt Road,.Chico, CA - (916) 891-2751 '- - 7 County Center Drive,broville, CA - (916) 538-7541 .: ' 747 Elliott Road, Paradise, CA - (916) 872-6307 t CORRECTION NOTICE A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately.. r kY`V ✓ - ci" t r=� �ae U_ , 6 Date In REV 10/92 COUNTY OF BUTTE '• '. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 ri 7 County Center Drive, Oroville, CA - (916) 538-7541 '. 747 Fllintt Rn;id Paradise rA - 191 Al R77-RA07 Fy-cd i CORRECTION NOTICE t; OWN9R Y PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work t" ..,is completed. If you have any questions pertaining to this matter, or need additional explanation, i1 .. please contact this office immediately. 4 .. e� ,r t :s• 024-01-- 0-105', Permit #94-1539 B HAMKON) Howard' 242 E Gridley Rd, Giidl6y (reroof/R*L. Casey) N p COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California -959@5 - Telephone (916) 538-75A _ .0 PERMIT MI No, APPLICATION AND PERMIT �-�- ASSESSOR PARCEL NUMBER ZONING AS BUILDING PERMIT OWNER MWRIJI iw TELEPHONE Ff. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 242 E GRIDLEY RD., GRIDLEY CA 95948 (S�OCOI`}. CONTRACTOR'S NAME R.L. CASEY TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO�N�STTRUCTION LENDER NE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 117,00 ARCHITECT OR ENGINEER ' LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS E. GRIDLEY RD., IDLEY PERMIT FEE241 S • PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF)p Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities ❑ Installation O Other (X Describe Work: REROOF W/TILE PERMIT FEE $• Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS I 200A OR LESS 23.00 Main Service ( 200A TO 1000A I 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. I 3.50 FSTO,. NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS I @7.50 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and_M license is in full forc and�fect. License No. "- ` Classification O I, as the owner, 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) OSI; as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason POWER APPARATUS I & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES I B2 @1.00 Ex. Occu FIXED APPLNS. OR p' (OUTLETS IRESID.1 EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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 Vnsequence of the granting of this permit. X 4 1 r� ,�.. Date4 1 — !'4 Signature of Applicant `O. Owner O Contractor O Agent - An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height.By Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for whicU_. ,tom PERMIT EXPIRES ON the applicable provisions Resolutions to do work n paid. ateReceipt n / (Date) ' 163210 WHITE•D.D.S.=B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICANT .D. COUNTY OF BUTTE - DEPARTMENT OFIDEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Or6lville, California 95965 - Telephone (916) 538-75-"91—PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ ZONING A5 BUILDING PERMIT OWNER HOWARD HAMMON TELEPHONE SQ. FT. OCC. BUILDING VALUATION CONTR OWNER'S MAILING ADDRESS 242 E I LEY RD., GRIDLEY CA 95948 CONTRACTOR'S NAME R.L. CASEY TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 117.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 949 E- GRIDLEY RD., Y PERMIT FEE $ 00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFV Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 020.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities 1:1Installation ClOther E Describe Work: REROOF W/TILE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOv OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC U OR ADONS. ( d ACC. BLOS. ) S.D.P. 3.50 T CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code an license is in full for and�fect. License No. _ Classification — L ❑ I, as the owner, or my employees with wages as their sole compensation, will do the_v.ark, and the structure is not intended or offered for sale. (Sec 7044) as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) s SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 BAL. @ r.50 Ex. Occu FIXED AP PNS. OR p' ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 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 Butte County Ordinances and California 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 onsequence f the granting of this permit. XL Datel�i'l — Signa ureAp icant - Owner ❑ Contractor O Agent An OSHA ermit 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 $ OCC CONST. TYPE TOTAL FEES ' UU HAZ• I D. FEES I IMP I FLOOD I CDF PARCEL I PO HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resol indicate ove for whi h f s have a By / PERMIT EXPIRES ON 4 rOetel provisions tions to do work paid. / Date �6 Receipt No. 163210 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT