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Home My WebLink About024-100-078/ | ^ | / Al 7 C J ADAMS^ � iLarkin Rd, app. lOOO' S. of o Ane.,��le --�----�---- 'Permit 3239-�74P,E 1 ( Ut 1 * 24-10-78 ,1112,Larkin--Rd, Gridley Per it ADAMS,.Alicet 97-0252 B'-- cc9p)SF Double v � � Vo " ` , � U ' | | / / | ^ | / Al 7 C J ADAMS^ � iLarkin Rd, app. lOOO' S. of o Ane.,��le --�----�---- 'Permit 3239-�74P,E 1 ( Ut 1 * 24-10-78 ,1112,Larkin--Rd, Gridley Per it ADAMS,.Alicet 97-0252 B'-- cc9p)SF Double v � � Vo " ` , � U ' I CN R m 024-10-0-078 ADAMS,, Alice 97-0252 B;, w 1112. Larkin Road, Gridley . (reroof/comp)SF Double J Rfg COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AD RERMIT 9%- ASSESSOR PARCEL NUMBER 024-100-078 LICE ZONING BUILDING PERMIT / OWNER ADAMS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1112 LARKIN RD GRIDLEY CONTRACTOR'S NAME DOUBLE J ROOFING TEV /INE2791 CONTRACTOR'S MAILING ADDRE1729 BILLIE RD PARADISE 1 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ Rfl(1 tl() ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 41.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1112 LARKIN RD Energy Plan Checking Fee $ GRIDLEY $ PERMIT FEE S 61.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF EI Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heatpump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: REROOF 30 SQ COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home JTJ G W 1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service =.A ORLEss 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. License Class l ,� rl Lic. No. `' QO �/ 7 �� 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 Main Service To 46.00so WEIL200A CCU000A NEW CONST. OWEWNG OCCUP. SO OR ADONS. ( 6 ACC. BLDS. 3.50FT. NON-RESID. MULTI-OUTLET'ITS @7,50 POWER APPARATUS & SINGLE OUTLET CIR. EX. OCCU OUTLET OR FVTURES B20 @ I..00 0 FIXED APPLNS. OR Ex. Occup. ouTLETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 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 1r, �� rJ�' MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number Cvr" yu p aA>/ r 0? `> 3 (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. i X _�:��"r4�" • —�Date.^/�. / S S7 _ Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. `� Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 61.00 HAZ. 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 bove for which fees have been paid. By &41 ate ,� L PERMIT EXPIRES ON -?h3 I d Difa Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J j COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 — O PERMIT NC (Rev. 12/96) APPLICATIbN AND PERMIT c7 ASSESSOR PARCEL NUMBER 024-100-078 ' ZONING BUILDING PERMIT OWNER ALICE ADAMS TELEPHONE SO, FT, OCC. BUILDING VALUATI N OWNER'S MAILING ADDRESS 1112 LARKIN RD GRIDLEY p 1 000.00 CONTRACTOR'S NAME DOUBLE J ROOFING T 877.2791 CONTRACTORS MAILING ADDRESS 1729 BILLIE RD PARADISE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1112 LARKIN RD Energy Plan Checking Fee $ GRIDLEY $ PERMIT FEE $ 61.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 1 20.00 USEOFSTRUCTURE SF )] Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: REROOF 30 SQ COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I 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.POWER License Class �- 3 �1 Lic. No. Seo lo% 5�.f� 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 Main Service 200A TO IOOOA J 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BUDS. SO 3.5QFr. NEW CONST. MULTI -OUTLET NON-RESID. .=0 ANC c 97.50 APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL p .so Ex. Occup. oUITEI�°�"PR.Io,) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ® I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insulja� c mer and policy number are: Carrier L Cf Policy Number 6XOy p 2 %;- a&j/T .2 43 (The above sections need not Ke 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 fo with comply with those provisions. Date '/ _ gnat a of pplicant - ❑ Owner ontractor ❑ Agent FAnO A permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee Is Occ _ CONST. TYPE TOTAL FEE $ 61 0 HAZ. D. FEES IMP FLOOD COF PARCEL HD ISUUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated b ve for which fees ave been By at &W fir PERMIT EXPIRES ON 3 1 4n provisions to do work paid. �� /� `> a, Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSES R PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT,OF PUBLIC WORKS ` 7tCounty Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 .. APPLICATION AND PERMIT auuwiicc i icacniauvca ui uie i,uuniy ui Gutta to enter upun ine above -m ti ne rope" for inspection purposes. Date /3 -- Ig of Permitee or Agent �^ -eipt o. ��"� ��_ to -D. .W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date ............................................ BUILDING Owner J , 057 1 -24/ -JS SQ. FT. OCC. BUILDING VALUATION Mailing Address 4 � IV el fo 4^o ® ( Fireplace Contractor C -c/ rtJ �7L� Total Valuation Mailing Address �; Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address C SX—cif% ,eo PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Z.�D / /� BO �j O� / L G/1. 1ep Each Trap 1.50 C Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 , A. P. No. y [7zoni i �� Gas piping system 1 - 5 outlets 1.50 , Each additional outlet .30 F Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 700 EQA Parking Plans arce ecla Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Recro d Parce yal Plan rov pal Permit Fee $ $ D Q( NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Qv Main service incl. 1 meter .pd Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures balR(d10 TT�d22SS Receps., switches & fix outlets 2Elh- CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 .00 Temp. Power Pole 5.00 Lic a No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑men'I hav placed s Compensation Insurance. VIced on file with the County of Butte a certificate of certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cogoling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ •Zf QC auuwiicc i icacniauvca ui uie i,uuniy ui Gutta to enter upun ine above -m ti ne rope" for inspection purposes. Date /3 -- Ig of Permitee or Agent �^ -eipt o. ��"� ��_ to -D. .W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date ............................................ ;reement are hereby forever waived. .ime as I/we may become financially Lty of Butte on demand, the full amount �d as herein mentioned. be made in the payment of any one of entire principal sum of this"agreement ,te, become due and payable, anything ,anding, no notice of such election ,19 C Cr Mimeo #168-A •. J wti �a coal N ,., . ,.✓G� Del �i�.- (5) WELL— Ems—Septic Septic system and location oU4,AsM_ i Butte County xoo�t_to be as per Health Dept. Re- . quirements. MoCi1c- utility -- The Wig.. Setback shall. be. 5 ft. from All uy connections - shall I located'within be the side property line and 50 ft: from M' N p p Y 4. ft, outside the third section of the mobile hcrne ear the centerline of the road, permitting on "the left (road) side of the mol)ile.. . a maximum of a 2 ft, eave overhang. - _home,w G. . CY Q . O. • Phis set of plans- MUST be kept the M S Lu Q� on job at all times'.and it is unlawful mto v ' Z ' make any changes or alterations on same without written, permisson from the. 'Department. of Public 37 _�� ^S CO _j Works, County of Butte. /_ m I. 2242-82B,E PERMIT NO. PERMIT EXPIRES s OWNER C.�Joe Adams COMTR. y Owner 1 ASSESSOR PARCEL 24-10F 8 LOCATION 1112 Latkin Rd, Gridley i j i N Temp. Power Pole Called PG&E Temp. Elec: Service Called PG&E Temp. Gass . Service CEIIed PG&E JOB FINALED (Date) V Sicnature V = CK O = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) O:. except 6 _ 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rfirs.-Connec.-Shthg.-Rfg. -Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Encfos res 6. Gas; Locatiort-Test-Wrap:/ /"L"ft./ /"Nat. or/ /"L" ft./ /" LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -Bl Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10, Cert. of Occupancy ' 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) � Date UNDERF OR AVI`s) OK except #'s _Date FRAMING (Continued) oni equirements-Setbacks-Easements 48.Prelpeky-Irim Firewall & Openings tg., Main; Soils-Steel-Elec. Grnd.- / Ftg. Depth 49.s- ne 3' -Check Garage -3rd story, 2 exits g a Soils -Steel- / /" Ftg. Depth 50. -6eeirs--Wrdth-Headroom-Rise-Run-Landing-Fire Protection 4., orc es & Decks; Soils -Steel- / /" Ftg. Depth ywood on Roof Overhang -Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped-Slab . Siding -Nailing -Veneer �.% ^"s, Garage; Steel-Blockouts-Wrapped-Slab 53- Stucco IvIeSh-urlp Screed-Fdn. Vents-Underflr. Access - SrPie s -Fireplace Fig.-Steelc lazing Area -Glass Protection -Skylights -Plastic 8--&-W-V -Fall-Fittings-Test-2 way C/O -Sewer Test 55. %hear wail%; Nailing -Bolts 97;Qv�-Pipe; Size -Anchors 107 -17=r -Pipe; Test -Anchors -Regulator -Service Test 111.5�s; Underground 12.-+HerMMs•& Ducts; Clearance -Material -Support -Ins. 13. -&""tem-Sills-Anchor Bolts -Joists -Vents -Cripples BI Date -3D Y rd -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Q,Ifd-BI Datejrd-BI Date Date FINAy(f'ians) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's 66�Ext. Steps -Door & Sidelight Protection -Landings 5 _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - ove oor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59• 17. Shower Pan; Test, First Floor -Tub Access 60 Bath Fixt urPc R Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access Vic. Trim & Subpanel; Breaker Sizes -Labels _ - 19. Gas Pipe; Size & Anchors 62. moire-C�7Setfs� - - 63. �Igeplese-ereieua; rIPnrP r•Pc-Hearth ec. Outlets at Wood Panel; Int. & Ext. 65. '< it. Fixt. & Appri-an-MGrnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Card -BI Date Card -BI Date S6 -c'^^ ^^"^'�_ aP�r„Pntacles at Kit. Counter Date ELECTRICAL Permit OK except k's 67. On age Fi e Beei, ing-Landing-Closer 68. in arage- per xture & Transformer Clearance -Ins. Protection 69. Wir Nr. i ur=n*c-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Receptacles Spacing -Lights &Switches at Doors 2�ze_j3joxes & No. of Conductors -Stapled 70. uip. Listed for Location o nstalled Close to Edge of Studs & C.J. 71. FIPr IPc age; (G. F.I.)-Romex Protec. 2 quip. Ground made up w/Mech. Fasj,epars�-Bond Gas &Water 72. ti^mRPrF-e oked in Attic E) Yes 25ee-Gircuits in Kitchen & Conductor Size 73. c 'P`+ aaitc s D k •n ctruction-Post Caps 61�/sf 26t-6abfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI be tern. Vents & Crawl Hole D -Drainage & Wood -Earth Clearance Looked under Floor 464,fes 27. irc. ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75, Followinginstld.: Drive Yes o; Walks 1y' ❑ ❑YesNo; Planters ❑Yes //xLo K-K(C_,F 28. Service -Riser Conductors & Ground -Main Disconnect 76 29. , Panels-Motors-Mech. Equip. 77, @'eeennect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30.-6fctitet_CTos�Ct Light -Shower Light 78, i0ents f; Plbg.-Appliance-Firepl.-Clearance to Opngs. -- -- 79. Electrical, Plumbing - C B-1 te_ -'�_�rd-BI Date 29ge :yell;�ieeonnect, erior Elec. Trim; G.F.I. Receptacle -Underground 81, to n,eqhout House Card B-1 Date Card -BI Date 82 GL-acc4arolev"= Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. revious Inspections 84. Gas..T.ee!-4teters Tagged; Gas -Electric 85. CVUMM-Sewe"Connected-C/0 to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade 86, EaeRyy-Genfpliance Certificate -Other Certificates _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access .& Platform if Furnace in Attic Card -BI Card -BI ---- - - ----- --- -- --- Date - - _Card -BI Date Date Card -BI Date C I at and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMI Plans) OK except N's _ it roper Material & Anchors _ _T Wa tuds-Nailing, Spacing & Bracing -Plates_ -Sound _. Bearing Walls over Girders & Floor __ Nailing -Br9f`rSMp in Walls (rat proof) - _ _3_i _ 40. f -ire -3 ', Furred CZngs-Stirs-Chases-Tub 44 r1ead�& Beam- e & Bear n Ha s -Post Caps -Anchors -_Connectors 44. CIng. Joist-Wtr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng 44. Firephmv-M777I5r-Fype A Flue -Fireplace Throat 45. /rrriL'7{L'LEss Size & Romex Protection -Draft Stop -Ins. Baffles 46. 5tnr-A4iadcqGS or Exiting Doors -Sill Hgt. & Dimensions - 47. Garage-F#e-Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPART-MENT OF PUBLIC WORKS PER IT N0. �. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 / APPLIGATION AND PERMIT ASSESSOR PV .NUMBER = ®— Z Q N I N G BUI NG PERMIT owN R �r DE ADO MS TELE ONE S=3�0 S0. F . OCC. BUILDING V UATION .old MAI LIN DR ,9 CONTRACTORS NAME�,Vw TTE/LEPHONE CON7RACTOR•S MAILING ADDRESS Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation Is 49e) Filing Fee $ 10.00 LENDER'S MAILING DDRESS 4.Permit Fee $ ,Q ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ 2 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ z.So Bul 7y�,DDR�gSj Al �r ! l/ `/7 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 �r 7� Water piping LOT NO. SUBDIVISION NAME ARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Add itionRemodel ❑ Utilities ❑ installationOther ❑ Describe work: III�S�� VVV Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR 00 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( 27 DWELINGOR ADDNS. ACCLBLDGS.0 qft�C� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business a 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 CONSTR I.OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR. / POWER APPARATUS D) NON-RESID. %SINGLE OUTLET CIR. Ex. OCCURourLETs OR FIXTURES a �� 00 /FIXED APPLNS, OR Ex. Occup. (0UTLETS (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. 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. C 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 shal I 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 upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liat:iliti judg nts, costs, and expenses which may in any way accrue again said C i consequence of the granting of this permit. _ `1. �• �Z X Date Signature f Applicant — Owner Contractor ❑ Agent ❑ An OSH permit is required for excavations over 5'0" deep and demolition or construct- io of ructures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP, GROUP J TYPE OF ONST. �V-/' PARC PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PgWIT EXPIRES Date_ii the applicable provi- resolutions to do fees have been aid. P WORKS Date J ,S • S Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT