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HomeMy WebLinkAbout024-090-068�-------- � - - - - _ - AP 24-09-68�-�.�.•24' 0 9:- .68 16ters Har 9=90',f. �` V l n/s Nielsen a p MICHELET;"Raymond,.•Jr. Hwy. 99E, Gridley 107 Nielson ridley Permit 3436-77E (serv'ce ch Ave,' Pr�rmi t OArIV 24'-09-68 (store misc ag equipment) ohn Lozensky /S Nielson Ave., arp. 1100'E.of Hwy 99 idley Pe it #496-80B,P,E,M(add 3 bedrooms, laun- y, garage & remodel exis.bath/�� _ SF) 24-09-68 - Permit##855 1B (lst renewal/496- 80) �- NEW OWNER 24-09-68� I RAYMOND MICHELET 107 Nielson Avenue, Grid ey Permit##460782B,P,E,M(2 d renewalJKO 0 & chane of owners p)SF — - - 2 -09-68 Permit-# 1601-82P,E emodel reloc/bath ti .fixtures, rewire a st port of SF) 24-09-68 Permit##4130-� B(3rd renewal/496-80) 24-09-68 Permit#23 4-84B(3rd renewal/4130-83) 24-09-68 Perm' #972-85B(5th renewal/496-80) 24-09-68 - rmit#1008-86B(6th renewal/496-80) 024-090-068 PERMIT#97-0320 MICHLET, Raymond 107 Nielson Ave., Grf6dley Cont: Skyline Ent. i ew HVAC SF JJ • 024-090-068 PERMIT#97-2323 MICHELET,-Raymond & Christine y 107 Nielson Ave., Gri gy :/P Cont: Larry Tinker Ele Ser Ch/SF o� (� �cs�; �'� O Coil .. a u •.. ... ..per �., _.. -. r ..' .,..... ; r 'iib.. + � ,j, fr.-• y .i.. f'r: yty ,i7..� ,.+„ rs.• tta ice' JwY^ 't`y"i::u.T^�.w1Tt:^', A•v:°r r � s. .. .. 024-090-068 ' PERMIT#97-2323. MICHELET, Raymond & Christine ' . } _ 107 Nielson Ave., Gridley r Cont: Larry Tinker Ele Ser Ch/SF %0/ : R 1 A i r ca, /U4 4` ei 4 r j)l V3 t w• w n. 1 COUNTDEVELOPMENT -BUILDING DIVISIO 7 County Center" Drive - Oroville, California 95965 - Telephone (916) 538-7541 - PEMITNO. (Rev. 12/96) APPLICATION AND PERMIT o[ ASSE�S�SORMPARCEL NUMBER „•, 90-068 ZONING I BUILDING P RMIT OWNER RAYMOND TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 107 NELSON AVE. CRTEILRY, GA 05048 , CONTRACTOR'S NAME LARRY TINKER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking . Fee $ BUILDING ADDRESS 107 NIFUSON AVE, GRITHEY Energy Plan Checking Fee $ t. �... $ i PERMIT FEE , S I LOT NO. SUBONISDN'S NAME PARCEL MAP PLUMBING PERMIT Ming Fee 20.00 USEOFSTRUCTURE SF :Q -C Duplex ❑ Mobilehome ❑ Other - SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑xlnstallation ❑ Other ❑ Describe Work: UPGRADE EI.FMIC SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee' 20.00 Main Service EOOV OR LESS 2ooA OR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.6 License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law.,for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, Will do the work, and the structure is not intended or offered for sale. I 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 : `' `, '. < Main Service (, zooA TO 46.00o CCUOOOA NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACc. BLos. 3.5QFT. NON -RES D, MU Ocu, TLE,rrs @7.50 OWER APPARATUS PSINGLE OUTLET CIR. OUTLET OR FIXTURES 20 @ I'0° Ex. Occup.BAL .so Ex. Occup. OUTLEEDTS(REES o.oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 , P.ERMITIFEE S h WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury onelof 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. O1 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.) I certify that in the performance of the work for which this permit is issued, I shall / not employ any person in any manner so as to become subject to 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. /// f X _�I 11-4 ,2 o L4 _ Date m=�+1_ Signature of Applicant - ❑ 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 Fling Fee 1 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.04 HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. v , By ! ; f I Date I,,) 'i PERMIT EXPIRES ON 06fe Receipt No. WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEQ LORMENT SERVICES - BUILDING DIVIS11`1_Z 7 County Center Drive - Oroville, California 65965 - Telephone (916) 538-7541P MIT NO. (Rev. 12/96) APPLICATIO NAND PERMIT ASSESSOR PARCEL NUMBER 024-090-068 ZONING BUILDING P RMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 107 NIELSON AVE, GRIDLEY, CA 9994R CONTRACTOR'S NAME LARRY TINKER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 107 NIETSON AVE- GRIDLEY Energy Plan Checking Fee $ ' PERMIT FEE S LOTNO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF P( Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities IhInstallation ❑ Other ❑ Describe Work: UPGRADE ELECTRIC SERVICE Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service i..Aoa.ss 23.00 93,00 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 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 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 reason66.00 Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP, SO OR ADDNS. ( d ACC. BLDS. 3.50FT. N COSUTS NON-RESIDT AULCTI-OUTCEr @7,50 POWER APPARATUS d SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 Q 1.00 Ex. Occup.BAL- @ .50 Ex. Occup. OUTFIXs RES ID LETS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 93 op PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the rkers' compensation provisions of section 3700 of the Labor Code, I shall rth with comply with those provisions. Date aSiature4of Applicant - ❑ 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE r This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. \ ByXJCC1JQ4___,11? - / PERMIT EXPIRES ON �� (Oita) Receipt No. WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center give - Oroville, Califofnia 91-4965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NU oa _.MB6 (�o -o6 ZONING BUILDING PERMIT OWNERTELEPHONE C� e r i$� !? �C La �t SQ. FT. OCC. BUILDING VALUATION OWNERS MAIUN10 ADORES A /09 vP CONTRACTOR'S NAMETELEPHONE .^ r Tin/ie,,- i e r/` ' CONTRACTORS MAW ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation S ARCHITECT OR ENGINEER LICENSE NO, Ellin Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checkin Fee $ BUILDING ADDRESS 10 f� SD Energy Plan Checking Fee $ ✓ t R $ PERMIT FEE $ LOTNo. SUBDIVISIONS NAME PARCEL 1.aP PLUMBING PERMIT Filing Feel 20.00 v USEOFSTRUCrURE Sks Duplex 13Mobilehome ❑ Other ` SPECIFY --Each Trap 7.00 Solar or heat pump water heater 23.00 Water Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities kstallation ❑ Other ❑ Describe Work: /,a 41 e r ` I as water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home 1S71G W §20.00 PERMIT FEE S ELECTRICAL PERMIT Flin Fee 20.00 Main Service '" OR LES9 2ooA oR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I amt licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 d the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of tte 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 carrer 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 ($100) or less.) ❑ 9'+certify that-in'the-performence-of-the-work-for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and *agree that if I should become subject to the workers' compensation provisions of Becton 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ _ Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'Q' deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 48.00 NEW CONST, OWE1LNCi OCCUP. SO OR AODNS. ( y ,�, ems. 3.5¢Fr: NON cDNs ' MULTI OLmEr @c 7.50 NON•RESID. ��„�,� aSWGLEounET .1 Ex. Occup. ounEr OR FIXTURES a 0 @ 1.000 Ex. Occu . ouT>F°sAPaEsioI EE., 5.00 , Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00,© C% PERMIT FEET$ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEk $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST' TYPE TOTAL FEE $ HAz. D. FEES IMP FLOOD COF PARCEL Po HD 6SUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON I provisions to do work paid. to Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT —.. .•.,. .,f.�:,,., ..�.. +�..,cc. ... .... U'ry .. ,;_,.. .. ... ^r•. Y ...sae•._. ,�.. fix, `y; �v. ..H'` 5.. v .r.: .— .. v .. ....--, .. .�. fi t .. .... .- s- 024-090-068 PERMIT097-0320 MICHLET, Raymond ' _ 107 Nielson Ave., Gridley Cont: Skyline Ent. New HVAC/SF C=W j 4 { 1 e . 1 4 i COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Cggfornia. 95965 - Telephone (916) 538-7 41 PERM NO. (Rev. 12/96) APPLICATION AND PERMIT � 97- ASSEU22PW-Z68 ``!!�� amu) ZONING .� BUI ING PERMIT"' � p� OWNWAYMOND 1"lll�flLl+l TELEPHONE SQ. FT. OCC. BUILDING VALUATION Nji(�U 111 rv4 =N AVE., GRIDLEY CA 95948 CO 9M� l�'E ENT • T4TM773 cONTAl Is =929b HILLS DR., EL DORADO HILLS 95762 - - - CONMREN LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCH%,o� ENGINEER nn���nljj LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDfUOID S1IELSON AVE., GRIDLEY 1 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE e SF El Duplex ,O . Mobilehome ❑ Other ' SPECIFY Each Trap 7.00 Solar or heatpump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities.11 Installation ❑ Other ❑ Describe Work: NEW HVAC Gas piping system 1 - 5 outlets 15.00 15.00 sewer 15.00 —Building Mobile Home S G W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license ,is in full force and effect. O License Class�L80 C/,� CZ Lic. No. �� 47 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACV. sLDs. SO 3.5¢FT: NON-RESID. T.CIRCUITS MULTI -OUTLET @7.50 POWER APPARATUS d SINGLE OUTLET CIR. .LAJ Ex. Occup. OUTLET OR FIXTURES su 0 ,.� BAL @ .50 Ex. Occup. ourLEEDrAP M.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 25.001 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the I, performance of the work for which this permit is issued. U 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 insurance carrier., and policy number are: Carrier 7 T. ` '� Policy Number /dye (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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those ovisions. 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. MECHANICAL PERMIT Filing Fee ' n.00 Heating • Cooling Hood 6.50 Ventilation PERMIT FEE $ • UU Mobile Home Installation Fee 7T$ - Energy Inspection Fee $ DCC CONST. TYPE TOTAL F. -E; 120.00 HAZ. p. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a ove for which fees have be aid. P 2/ ww , 2/ 2��97 By iC IL.� Date _ 2 fM- 98 PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING;ION 7 County Center Drive - Oroville, Ealiforriia 95965 - Telephone (916) 538-7 1 PEEERRMINO• (Rev. 12/96) APPLICATION AND PERMIT97- ASSE02V 090 T88 2ON1NO BUI ING PERMIT OWNER RAYMOND MICHLET TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 107 NIELSON AVE., GRIDLEY CA 95948 CONTRACTOR'S NAME SKYLINE ENT. TELEPHONE 933-2773 - CONTRACTOR'S 6HIGHLAND HILLS DR., EL DORADO HILLS 95762 CONSTRUCTION LENDER NONE LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 107 NIELSON AVE., GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE S IAT NO. SUBDIVISION'S NAMEPARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities X3 Installation ❑ Other ❑ Describe Work: NEW HVAC Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600 OR Main Service 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license 's in full force and effect. �/A / License Class e" G/? GZLIC. NO. J 7 ! �( ? 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 Main Service 200A To 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. so 3.5¢R; NEW9 NON-FIESDT ANCI C117� TS 1 @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. ourLEr OR FIXTURES 20 p I.0Q BAL O .w Ex. Occu .DuF'xrEjEETS,Es%.) E,q 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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' com ensation insure a cern and policy number are: Carrier ;nzj! L� ,��.zl25 MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling 4T 25.00 Hood 6.50 Ventilation - PERMIT FEt S 60.00 Policy Number eyla i-0 ', (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 ovisions. 2 28 __ Date 7 Signature of Applicant - ❑Owner Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction1AA of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE ' TOTAL FEE $ 120.00 =.AFEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Bu a County Code and/or Res utions to do work indica d a ove for whic fees ha b n paid. 2/20/97 By Date _ PERMIT EXPIRES ON 2/20/98 Date ReceiptNo. l WHITE-D.D.S.-B.D. CANARY-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - dRWiTTiE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT 4 P� MIT O. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.� 1 ZONING OWNER t tsL�J PHS NO. OWNERS TAE Sy�S 0 J� LOCATION OF BUILDING �• r., USE OF BUILDING bLf i � � . 1�+� �✓ SIZE OF STRUCTURE L� �j { 1 X - ) SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPEI t� ROOF COV,�$1,NG ` FLY EST ATF DOST OF CONSTRUCTION gJA(a �(i►i�i" AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT -1-0 'Jr-, It SIDES �� REAR - i � AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a_ residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permitNinspectios, and approvals to comply with the requirements in effect at that time and before oceunancv. A Date 11-16 11) Permit Fee - $25.00 Receipt No.S-4 ¢S/ Signature of Owner The above described AG Building is exempt from a tMilding permit. White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant FLOOD PARCEL' PD.OFIN RO- ISSUE Director of Public Works l By Date . ,T. �1 �,...•^.�.w;rr��-�-.•�rt+r-s�*rv—.--e•- r.,-r„tm �_...,•........,�'�,.�1,,,e;,� t7v.. f , _ COUNTY OF BUTTE - DEFARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET _n OWNER (' (- _w A. P. No. Proposed Bui'Icing Use �6� Building Inspector Date At time of per -mit 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 . . f 4. Complete engineered plans and calcs, with wet signature on Olans .. i 5. Hazardous Material Form ............................... .I...... . 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 heck) 9. Mobilehome installation data including manufacturer's installation instructions................................................... I..... 10. Fees of $ ................ ...... 11. Chico Urban Area fees paid .............................. ...... 12. Park fees paid .......................................... ./........ 13. School District fees paid ..... 14. Sanitation approval from Health Department 15. City of Chico plumbing permit; .................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pi.ckup at office. Deliver,-w./inspector. Other ' Applicant `% CJ Date Copy of Haz-Mat form sent Health Dept. Fire Dept. ----Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: � Contractor, designer, owner, was advised of above required data by_phone---jnall—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP.folder Copy—DPW , 1 ]PE NO. PERMIT EXPIRES jehm OWNER i�i"DWD cAk—fpr �CONTR. owner LOCATION (A.P 24-09-68 V Nielson Ave.,app.1100'E.of Hwy 99E, Gridley fe Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. r. Called PG&E f. JOB FINALED (Da, i > COUNTY OF BUTTE — DEPARTMM EI OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING 2 BUILDING (Cont'd) PLUMBING Setback - Firewall SolI Piping j -Z 8d Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor /5�XIe f=ootin s L Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab, Carport p Footings Slab Prov. for ph sically handica ed Conformance of ex. structure Final A liances Gas Pipinq & Test Temp. Gas Sanitation Patio FIREPLACE Final Footings Footinq ELECTRICAL Masonry Walls _ Throat Rou h G- Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing / 3- Test Water Htr. Stucco, Final Subpanels Mesh • — Q�2 MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS / (NOTE: An entry must be made on this form each time you visit the job site.) az- Isk- "wftwi� k wc-, I -Zi 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 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 Inspector 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 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 m tter, or need additional explanation, please contact this office immediately. Date_ C COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 �y ° 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57� CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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. r 14 �. `fes ` T 1,1A L LJ/h a� r Inspector / .',i 7 [ - Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-41541 Skyway and Elliott Road, Paradise — Phone 877-3435 "A. CORRECTION N TICE 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 smatter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE - DEPARTMtNT OF PUBLIC WORKS 7 County Center Drive — Oroville, Calif.ornia 95965 Telephone: 534-4541 APPLICATION AND PERMIT AA authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. LL, r 2 v Date• Signature of P" ee r nt Receipt No. J White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provi ryryss��ff the Butte County Code and/or resolutions to do work i c`af�d c above for which fees have been paid. DIRECTORAF PUBLIC WORKS By Date euilding permit expires Date Z -e 21- "P/ BUILDING Owner 04A O-2-EAJSA�Y SQ. FT. OCC. BUILDING VALUATIO Mailing /Q ni—SOA 44 Mallin Address /V Contractor "'Z-7 q6O Mailing Address Fireplace Total Valuation Telephone No. /00, /Permi Building Address /V s /�fO� �v �Q�; Plan Checking Fee or Penalty Permit Fee p PLUMBING No.1 @ FEE /`SO-Oo PERMIT FILING FEE $3.00 3,06 Each Trap & .1,w /;Z, 00 / 4f�e! ip�`� Repair drainage or vent piping 1.50 A. P. - i% / — 6 �y zoffng-&Planning Water piping 2 .� Each gas water heater or vent Z.00 F,M,sl Wt . Sa t ire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets -'#-59 2. OD EQA Park)ng Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 B '(ding sewer 5.00 Bldg. Plans Ked Parcel Ap roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑$ Permit Fee $ ��• 0O ELECTRICAL No. @ FEE 3 $�D2®O�fS RA79LA11A/ID12Y 4,1-441(16 A1D ;EE:4 0946L 4Eu/sj /4-7 PERMIT FILING FEE $3.00 .leo 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS �j Main service EA AOD'L 100 AMP 1.00 NEW CONST. OR ADDNS. AC 22sgftQ•�o CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID. BRANCH C1 T NON-RESID. l BRANCH CIRCUITS) 2.50ea _ 3/• SSC NEW CONSTR. /POWER APPARATUS d NON - RES ID. (SINGLE OUTLET CIR. Du Ex. Occuo(OUTLETS OR FIXT(IRES BAL BAL@t Ex. Occup.(DUT ETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 D<am exempt from the Contractors License Laws of the State of California. Permit Fee $ ZO $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 ,3,00 Heating 7�i®00 ,OU A(IAti[- /AM kA $ Cooling Ventilation Hood 2.00 Permit Fee $ Zoo $ 7 OC 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 Land Development Fee $ TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. LL, r 2 v Date• Signature of P" ee r nt Receipt No. J White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provi ryryss��ff the Butte County Code and/or resolutions to do work i c`af�d c above for which fees have been paid. DIRECTORAF PUBLIC WORKS By Date euilding permit expires Date Z -e 21- "P/ "�' • COUNTY OF BUTOT..E'DEPARTMENT OF PUE tIC WORKS — BIfI-LDIN'G DIVISION r,. j .. .dam._.. ... •r W�> 7 County Center Drive' O.royille, California 95965 — Telephone 534.4541 r - PERMIT APPLICATION DATA SHEET I Permit No. OWNER ��/,y �1' A.P. No. Proposed Building Use A D%,ii %d S'�f Permit fee based upon: �� Complete Contract Price DPW Valuation Other,ain) Building Inspector �_ ��Date 3%- IsCD 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............................................................... 3� Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... -7. Statement of Intent for Non -Heated & AC Buildings ................... ` Fees of $p%Sp................................................. / — 4Letter// '' of signature authorization............................................................. l/ k sanitation approval from �'�6 Health Dept.... T 11. Planning approval for 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, ` classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection forrequired. Pre-inspec. request to 16. Other bldg. inspector (date) When.you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone—'9 ' cU'—l_6 i and.;hold for ickup atm office. Deliver w/inspection. Other 6 a /A. et/ 1 '61' j ,:-s ZE) ylt 1 Applicant� Date zt 5 / Dpy of plans sent Health Dept., Fire Dept., Other uring the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date ,Plans approved by 1 Date Z —G OTHER: 1 I•J Cnnv/r)PW ii To: :aid ding DepaT tm.ent From o Environmental. Health. Sub j ect : sanitationC'�: %. aran.oe Q n:1' Plans Approved for * A-0 Hold final .fom� Location Sewage Disposal. Water &apply ?,ater 13UPPIY - - �•-. 'anal. ';learas:.Lce O.K. for: er Supp' -Z---, C learanee for beftroom. mob: le home. Other Clearance -for a.c?dl.tion. of �Sk' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSSSO PARCEL NUMBER ZONING BUILDING PERMIT ow R C; ,A/ L v cr%/� kf' TEI,EPHONE�FSO.FT.OCC. '♦Tt6 - 41/OWNER'S BUILDING VALUATION MAILING ADDRESS 1,07' NC-L901V /AVE �;C iazCY !� %S?fid' CONTRACTOR'S NAME���� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee .p 10.00 LENDER'S MAILING AA^DDDyYRLEESS Permit Fee Z $ 50 , or) ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 0. 00 BUI ING ADDRESS IEZ— IgVE., E, a PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 g1e11D C_K Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP 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❑, Remodel ❑ Utilities ❑ installation❑ Other Describe work: �T /��jk%jL� or 13p Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y) OR ADDNS, ACC. BLDGS. 22 sq 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 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 CO ID R. BRANCH COUT 2.50 ea NEW CONSTR. / POWER APPARATUS e\ NON-RESID, %SINGLE OUTLET CIR. 1 EX. Occup OUTLETS OR FIXTURES 50 25 FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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 Consent to Self -Insure. 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 shal I 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. 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 cQnsequence of the granting of this permit. X Oayt., Date a 1L_Q&/ S nature of Applicant Owner Contractor E]Agent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -D ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL P11 ND 99UE 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. CTOR OF PUBLIC WORKS By D9ate� PERMIT EXPIRES D _ `�%!('/ -Q Z Receipt No.T�� 3�9 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ., PERMIT APPLICATION WORK SHEET / Permit No. OWNER A.P. No. TT 0?7T Zoning Use Proposed Approved Not approved Permit fee based upon: '1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation' (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permspr�ng and/or issuance: Date received �A1 i ems have been submitted. -------------------------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs. -------------------- 5. Fees of $ 60,00 . -------------------- 6. Letter of,signature authorization. ---------------------- 7. Sanitation approval. ------------------------------------ 8. Planning approval for - 11-n- 9. Workmen's Compensation to - / 10. Contractors license information. ----------- ------- -- - 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------------------------------- 13. Aunt Minnie information. -=------------------------------ 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ------------- Pre-inspection request for - 18. Improvements - plans req d & DPW ppr val. ----- --- 19. Other ------ By Bldg. Inspector During plan checking process, the following data or information must be submitted prior'to permit issuance: 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved .by Date When permit is issued, process as tollowsZ 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection.. 4. Telephone and hold, for pickup @ office. 5. Other Date Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent 'A: Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C.' Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other COUNTY OF BUTTE - DEPART�.MENT OF PUBLIC WORKS //,,PERMIT 7 County Center Drive - Oroville, California 95965 - Telephone 916/534- 541 APPLICATION AND PERMIT ASSESSO PARCEL NUM E ZO TNG BUILDING PERMIT o RELEPHON��Ejj SQ. FT. OCC. BUILDING VALUATION OW R'S AILING A RES I �Js ,d CONTRACTOR'S NAME r TELEPH NE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.0 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Jy LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS �% PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ,Db Repair drainage or vent piping 5.00 -- I Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets ,- USE OF STRUCTURE SF lye Duplex❑ Mobilehome❑ Other E SPECIFY Building sewer , D� Lawn sprinkler system 5.00 4T TYPE OF WORK New ❑ AddltIPq0 Remodel [P�Utilities ❑ Ins I tion❑ Other Describe work: IaA ' r sko100 K S f✓C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS AIR MP OR LESS 5•00 G Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OR ADDNS. ( ACC. BLD 20 Q ft S CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness and Professions Code and my license is in full force and effect. YFIXE License No. Classification 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) E:1I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) . ❑ I am exempt under Sec. , Business and Professions Code for this reason NON. RESI TK BRANCH CIRCTITS 12.50 ea NEW CONSTR. POWER APPARATUS eI NON-RESID. SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES BA21 L APP LHS. OR Ex. OCCup.(OUTLETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. INi r i ng 7.50 Permit Fee $ a S 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 agr to comply to all County Ordinances and State Laws relating to building con r ction, and hereby authorize representatives of the Countyot But to enter u o the above-mentioned property for inspection purposes. I a s agree to ind ify and keep harmless the County of Butte against .all 'abilities, u nt c is and expenses which may in any way accrue ag Inst s id C n i c se ce of the granting of this per i X Date p 4� Signatu e f Appl cant — Owner Contractor ❑ Agent ❑ An 0 A ermit is required for excavations over 5'0" deep and demolition or construct- ion of str ctures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PO No 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. OR OF PUBLIC WORKS p O By i Date ..� PERMIT EXPIRES D e `— hJ Receipt No. �7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N ASSESSOR PARCEL tMF, ZO ING --� ,- BUILDING PERMIT O 1E AA ( EPHONE P� C _ SO. FT. OCC. BUILDING VALUATION O N R'S MAILING AD RF -55 S CONTRA CTO 'S NAME gw M Y` V1 TELEPH E 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 $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIryG ADD ESS / S Qla d PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 r-1 CU Water piping LOT NO. SUBDIVISION NAME PARCEL AP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets ,/ USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other Rq SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑Iemodel ❑ Utilities ❑ Install, tiq ❑ er Descr' work:_ �- �Q/t^��.)�� �,� .rr'r �s Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 5.00 Main Service EA. ADD'L 100 AMP 2.50 NEW CONST.( DWELLING OCCUP. y OR ADDNS.S. ACC. B 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON.RES]D, 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- N)�Isation, 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. ODUG E LT NON.RESID BRANCH CIRC ITS) 2.50 ea 61 NEWCONSTR.fSINGLE OUTLET CIRPOWER APPARATUS . / ( so@zRa Ex. OCCUp(OUTLETS OR FIXTURES IBAL@100 FIXED APPLNS. OR Ex. Occup. (ouTLE TS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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. j 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 10.0 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 er u the above mentioned property for inspection purposes. BuY,ree I to a e, ind nify a d keep harmless the County of Butte against u melts co and expenses which may in any way accrue ag Cc i o se e e of the granting of this p rmit X t,7 L� Date SiAppli ant — Owner Contractor ❑ Agent ❑ Anrmit is required for excavations over 5'0" deep and demolition or construct- iores over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE o Occu P. GROUP TYPE of CONST. PARCEL PD HD IS Eales, This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which I EC 0 OF PUBLIC BY p�J PERMIT EXPIRES ate— r0G _19� the applicable provi- resolutions to do fees have been paid. WORKS Date,�Yy OS _� � Ul Receipt No. 1 . S LL WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT JCOUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT E4, PERMIT NO. 41130 - ASSESSOR PARCEL NUMBER 24-09-68 ZONING A-2 BUILDING PERMIT OWNER Raymond Michelet TELEPHONE 534-3436 SQ. FT. OCC. BUILDING VALUATION 3rd Renewal OWNER'S MAILING ADDRESS 107 Nielson Ave Gridley,CA 95948 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing g Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee (2 of Original) $ 50.00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 50.00 BUILDING ADDRESS 107 Nielson Ave. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Gridley Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFRJ Duplex ❑ Mobi lehome ❑ Other ' SPECIFY Building sewer 5.00 Mobile Home I S I G JW 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: 3rd Renewal of Permit #496-80 (2nd - 1460-82) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600 AMP LESS 10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLINGOCCUP.& OR ADDNS. ( ACC. BLDGS. I 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 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 CO ID R_ BRANCH CIRCTITS 2.50 ea NEW CONSTR POWER APPARATUS & NON -R ESID. SINGLE OUTLET CIR, Ex. Occu / 20e50a Ts P\o OR FIXTURES BAL®30 FIFIXXEEDD APP LNS. OR EX. Occup. OUTLETS (RESID.) EA.1 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 L r 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 County of Butte to enter Pon the above -me boned property for inspection purposes. I al gree t ave, inde nify a d keep harmless the County of Butte against all a ilities udg nts, cos s, a expenses which may in any way accrue agai said nt c eq f the granting of this permit. %� Date I � ���'�� Signature f A plicant — 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 $ TOTAL PERMIT FEE $ 50.00 OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D TOR OF PUBLIC By. PERMIT EXPIRES D e 2-19-84 the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. PO IG WHITE-O.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965-NTelephone 916/534-4541 • APPLICATION AND PERMIT PER NO. ASSESSOR PARCEL NUMBER 24-09-68 ZONING BUILDING PERMIT OWNER Raymond Michelet TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 107 Nielson Avenue Gridley, CA 95948 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee k original) $ 50.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 60.00 BUILDING ADDRESS 107 Nielson Avenue, Gridley PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME 77TF'�L MAP Each qas water heater or vent 5.60 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [n Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ ed —10.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 4th renewal/496-80 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 p 3rd renewal/4130-83 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLOGS. 2/2Qsgff CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 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 �l, 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. U TI -OUTLET NON-RES,.,BRANCH CIRC ITS 2.50 ea NEW -CONSTR. POWER APPARATUS .&) & NON RESID, SINGLE OUTLET CIR ExOccu zoesoa . P�OUTLETS OR FIXTURES SAL030 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 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 co ruction, and hereby authorize representatives of the Countyot Butt o enter up�n the ab ve-menti-oned property for inspection purposes. I al o greet sav Inde nif 4an ke harmless the County of Butte against alli ilities (d a ts, osnd penses which may in any way accrue aga said o t n con of a grantin of thi er X 1AY ate ^� Signature of p licant — Owner C ntractor ❑ Agent ❑ An OSH p rmit is required for exc vations over 5'0" deep and demolition or construct- ion of str tures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 60.00 OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D}R��70R OF PUBLIC (/ J By 2/19/85 E, PERMIT XPIS D to the applicable provi- resolutions to do fees have been paid. WORKS Date _ f Receipt No. �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OalCnd dO ' "lae d0 uranoo COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califorhia 95965 - Telephone 916/534-4541 APPLICATION A►NO PERMIT PERMIT O. 9 ASSESSOR PARCEL NUMBER -24-09-68 ZONING BUILDING PERMIT OWNER Raymond Michelet TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 107 Nielson Avenue, Gridley, CA CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee z original $ 50.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 60.00 BUILDING ADDRESS 107 Nielson Avenue Gridley PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 5th renewal/496-80 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SS jp0 AMP OV OR R LESS 10.00 4th ren/2394-84, Main service EA. ADD'L too AMP 2.50 NEW CONST.( DWELING DWELLINGOCCUP.&) OR ADDNS. 2'�2QSQft CONTRACTORS LICENSE LAW I declare under penal y 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 r ason NEW CONSTR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEw CONSTR POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occu 20@50a P.OUTLTS OR FIXTURES eAL®ao APP INS, OR FIXED OU 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 p natty 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. 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 enti16 iCtQui C�i, Permit F `,_ $ Coni ctor +; I certify that I read this application and state that the above information is correct. I ag e o comply to all Cou ty Ordinances and State Laws relating to building con tru tion, and ereby au horize representatives of the Countyot But to enter on the ove en one property for inspection purposes. 1 al o gree to sa e, i mni an ke harmless the County of Butte against all Iia Ilities, ju me co s, p nses whi h may in any way accrue g n said C u in se en h(L rantin of this rm•t. X r S Date Signotu a of Applicant — Owner Contractor ❑ Agent An OS A p rmit is required for excavations over 5'0" deep and demolition or construct- ion of tru ures over 3 stories in height. Mobilj,49me„hq tailation Fee $ TOTAL PERMIT FEE $ 60.00 OCCUP, GROUP TYPE OF CONST, PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which RECT PU LIC BY 2 1• PERMIT EXPIRES ate the applicable provi- resolutions to do fees have been paid. WORKS /i9ate Receipt No. WHITE-D.P.W.. YELLOW-ASSFS R, PINK -INSPECTOR, GOLDENROD -APPLICANT EM - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AN PERMIT PERMIT NO ASSES P# PARCEL N MBER ZONING BUILDING PERMIT OWN n el M r C e- 6 - TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S AILIN;a RESQ/ k J0 Jon r� 1T FCCON ACTOR'S NAME TVLEPHONE ON ACTOR AILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee YJ Ole I $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee IF $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRE 0 0 v Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump watMoutlets 20.00 LOT NO. SUBDIVISION NAME PAR L MAP Water piping 5.00 Each qas water heater 5.00 rN USE OF STRUCTURE SF L� Duplex❑ Mobilehome❑ Other [y SPECIFY Gas piping system 1 - 5.00 Building sewer5.00 Mobile Home S10.00ea TYPE OF WORK New ❑ Addition ❑ Rmode Utilities ❑ I tall l'attiion/❑-Other ( Describe work: i�Yl�ul 6 — 2 iL�(_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 0 J Main service 10001 OR 0 AMP ORLESS10.00 Main service EA. ADD'L ,Do AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.RESID 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 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. DWELLING OCCUP.tr , OR ADDNS. ACC. BLDGS. �2¢sgft NEW CONSTRMULTI-OUTLET BRANCH CIRCUITS) 2.50 ea POWER APPARATUS tr SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 5AL0ALe30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 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 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that have read this application and state that the above information is correct. I gree to comp to a I County Ordinances and State Laws relating to building nstru tion, her y authorize representatives of the Countyot Butt ent r upon he ab v me Toned property for inspection purposes. I al o gree to 'sav Inde n fy a d keep harmless the County of Butte against all iliti judg ent. , c sts, an expenses which may in any way ac ue agar st said C unty 'n co s q the granting of this p r it. X — Z. Date Signatu e o Applicant — Owner Contractor ❑ Agent ❑ An OS A ermit is required for excavations over 5'0" deep and demolition or construct- inof tru tures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE Occup. CONST.TYPE FLOOD PARCEL PD No I SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRECT PUBL B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS Date 1,1111F 5r . 6n Receipt No. WHITE-D.P.W., YELLOW-ASSE$90R. PINK -INSPECTOR. GOLDENROD -APPLICANT 3�3� -moi L COUNTY OF PUTT& — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534,-4541 APPLICATION AND PERMIT Owner •� :- cz S _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Mailing Address1. Ex. Occup(OUTLETS OR FIXTURES)@� BAL@T og Ex. Occup ( FIXED APP LNS, OR • OUTLETS (-ESID,) EA 2.00 Temporary service 10.00 Telephone No. License No. Classification Misc. Wiring 6.25 Fireplace Permit Fee $ , $ Contractor _ ' Total Valuation PERMIT FILING FEE $3.00 Heating Mai I i ng Address Cooling Permit Fee Ventilation Hood 2.00 Plan Checking Fee &/or Penalty $ Telephone No. Permit Fee $ Buildin Address �.� / • r• %r g �� r' ' ' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 4,-,r/ J ; Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �� �� J , LJ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 . Bldg. Plans Rec'd Parcel Approval I Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ' 600V OR LESS Main service 100 AMP OR LESS 5.00 �. 1 !' Main service EA. ADD'L 100 AMP 2.50 Main service OVER V AMPP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGLINGOCCUP. &) 20sgft NEW CONST-. MULTI -OUTLET NO N.RE"D. (BRANCH CIRCUITS)2.50ea NEW CONSTR. (POWER APPARATUS & NON-RES,D. SINGLE OIIT LET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@� BAL@T og Ex. Occup ( FIXED APP LNS, OR • OUTLETS (-ESID,) EA 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , $ MECHANICAL No. @ FEE ' WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date — Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date 1� COUNTY'OF — DEPARTMENT OF PUBLIC WORKS 7 County.Cente rDrive — Oroville, California 95965 Telephone: 534.4541 APPLICATION AND PERMIT o3y36 7 _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee �@1 BALD/ ELECTRICAL OwnerS- Main service 6001 OR LESS 100 AMP OR LESS Mailing Address Afd i-rA �I OVER 6001 100 AMP OR LESS T.1 hone No Contract r NEW CONST. [DWELLING OR ADDNS. OCCUP. & ACC. BLDGS. Mai I i ng Address (MULTI -OUTLET l BRANCH CIRCUITS NEW CONST R. NON RES D. (POWER APPARATUS & SINGLE OUTLET CIR. Telephone No. Building Address 0 A. P. N✓O �' a4?Zoning &Planning F461 9efl40+ien Fire Dept. Fire Zone Use Permit EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements provements Blda. PI .• A-- Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: o3y36 7 _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee �@1 BALD/ ELECTRICAL PERMIT FILING FEE Main service 6001 OR LESS 100 AMP OR LESS Main service EA. ADD -L 100 AMP Main service OVER 6001 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. [DWELLING OR ADDNS. OCCUP. & ACC. BLDGS. NEW CONSTR. NON-RESID, (MULTI -OUTLET l BRANCH CIRCUITS NEW CONST R. NON RES D. (POWER APPARATUS & SINGLE OUTLET CIR. FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 @ FEE $3.00 5.00 ,j.,QQ 2.50 25.00 1.00 2¢sq ft 2.50ea Ex. OCCUp(OUTLETS OR FIXTURES) �@1 BALD/ FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 0_2 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. Date Signal /of er {itteee orr A ent _6 ,/G Receipt No. 1 (_�✓�/ �l�`�, I White-D.P.W. �'fj�e&w-"sor/— Pink-pR� Goldenrod -Applicant $3.00 2.00 TOTAL PERMIT FEE is This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR EM PUBLIC WORKS BY Date / C( wilding permit expires Date 7-�� l� License No. Classification Xam exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this - permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signal /of er {itteee orr A ent _6 ,/G Receipt No. 1 (_�✓�/ �l�`�, I White-D.P.W. �'fj�e&w-"sor/— Pink-pR� Goldenrod -Applicant $3.00 2.00 TOTAL PERMIT FEE is This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR EM PUBLIC WORKS BY Date / C( wilding permit expires Date 7-�� l� PERMIT APPLICATION WORK SHEET b Permit No. OWNER" G E' -s � A.P. No. 9Z=14R-e5_9 Zoning Use Proposed Approved Not approved Permit fee based upon: 1. Complete contract price. �� Partial contract price (explain). c/ 3. DPW Valuation (show): At time of permit submitted prior t application, the applicant was advised the following data or information must be o permit processing and/or issuance: Date Received All items have been submitted. ------------------------------ 2. Plot plans in duplicate/triplicate. ------------------------- 3. Complete plans in duplicate/triplicate. --------------------- 4. Complete engineered plans and cales. ------------------------ 5. Fees of $ ------------------------ 6. Letter of signature authorization. -------------------------- 7. Sanitation approval. ---------------------------------------- 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. --------------- 10. Contractors license information. -----------=---------------- 11. Parcel declaration, recorded copy. ---------------------.----- 12. Access declaration. ----------------------------------------- 13. Aunt Minnie information. --------- 7-------------------------- 14. Deed of access, recorded copy. ------------------------------ 15. Deed of parcel creation, recorded copy. --------------------- Parcelmap, recording data. --------------------------------- 17. Pre -inspection request for 18. Improvements - plans required & DPW approval. --------------- 19. Other By B1 g. Ins ecto During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition the following: 2. Appliaant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date When permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 4Deliver with inspection. . Telephone and hold for pickup. 5. Other Date- �, ZZ Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir. Health Plans Setitt A. Sanitation B. Restaurant C. Other 4. Public Works Plans Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies Plans Sent A. Fire Dept. B. Other i i 9 400 9 El ... � w' } r .. i r ., r. ., �A