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Home My WebLink About024-110-047^C.L. COFFEY contri Burl Woodward . Gridley/ � Permit# 49' 9*5-74B(install patio 24-11-47 contr: B 67D Industries Sacramento, -47 228 Wright Ave,I_Gridle . � . .� ' � � - ( ^ | � ^ r 2 - ~ � \ / 'storage bldg Cook & Son/ � 024-110-047 02-0870 | | � ` &]AMKCB D�EY� ' }{[]E8 | VINYL SIDING' in / . . / ^ ! � / ^ . 1 �' w -sm 7 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NQ (Rev. 12/96) APPLICATION AND PERMIT O eCCFespp ep�dNUMpq, 1�1/V� TVi47 ZONING BUILDING PERMIT " OWNER GO ING BERNARD & JANICE TELEPHONE 846-5834 SO. FT. • OCC. BUILDING VALUATION CONT EST 3,637.00 . OWNERS MAIUNG ADDRESS 228 WRIGHT AVE. GRIDLEY CA 95948 CONTRACTOR'S NAMETELEPHONE K DESIGNERS 916 631-9300 CONTRACTORS MAIUNG ADDRESS 11261 SUNRISE PARK DR. RANCH CORDOVA CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 13 637.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 99.4 BUILDING ADDRESS 228 WRIGHT AVE. GRIDLEY CA 95948 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF EX 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 ❑ Installation ❑ Other IQ Describe Work: VINYL SIDING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A 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 nd Professions Code, and my license ' jn fu r and effect. �/ License Class�,O Lic. No. / b �� DE CI ARATION 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG UP. OR ADONS. ( a Acc. Blas. SO 3.5QFT; NEW CONST. MULTI.OUTLET Npt}RES,p, 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FO(TURES Occup.SAL 20 @I'00Ex. @ .soOWNER-BUILDER UNS Ex. Occup. ounFrs RESID.DEA 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: ❑ I 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 olicy number are: Carrier ""'"---' A/ 0 Policy Number /:z X�R (The above sections need not be completed .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 o California, and agree that if I should become subject to the workers' compen on provisions of section 3700 of the Labor Code, I shall th comp) it tho provisions. to of Applicant - ❑Owner �❑ ontracto� ❑Agent �Fg-aa�t,re An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hei ht. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 272.45 HAZ. D. FEES IMP I FLOOD CDF I PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By Q` PERMIT EXPIRES ON.D.S.-B.D. the applicable provisions Resolutions to do work been paid. Date Jr Date rRe7ceiptNo. �3 CANARY- SSESSOR PINK.INSP CTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 EaM1T o. :�ev.12/96) APPLICATION AND PERMIT L6 % AS SESSO R PARCEL NUMBER /%1 —O L / ZONING to BUILDING PERMIT OWNER C TE H NE -3 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS .J COI'(TijAC7-RR'S/Ty TELEPHbNE100 CONFFfi/RAC70RS MAILINoESS .AP__ L �}//� CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ f 3 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1J6`-3106) ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ �( auILDINr oREss (� Energy Plan Checking Fee $ $ PERMIT FEE $ a '/_ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF �\ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat p water heater 23.00 Water piping 15.001 Each gas water heater or nt 15.00 TYPE OF WORK New ❑ Addition ❑ `Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT j Fling Feel 20.00 LESS Main S ice zoEOOV DR oR LEss 23.001 *PERMIT FEE PA10 $--(3 7d, ' SHERIFF__ OTHER AA bVNT RECE M0 �RECEIt'T NV�lR � A TO N �i � COWVM PGOA TO IOOOA46.0011 _ Main Sery e I NEW CONST. DWELLING OcCUP. 3 S¢SO. OR ADDNS. 8 ACC�'BLOS. FT.I NEW CONST. lTl-OUTLET NON -REBID. 97.50 POWER APPAPATUS & SINGLE OUT CIR. I_ EX. OCCU OUTLET OR FIXTUR 20 � 1'0O BAL Q .SO EX. OCCU •FIXED APPLNS. OR OUTLETS RESID. EA S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heati Coolingj Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST.TOTAL FEE $ HAZ.IMP I FLOOD CDF PARCEL I PO I 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. By Date _ PERMIT EXPIRES ON pate Receipt No. WHITE -0 D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD •APPLICANT RESIDENTIAL 24=11-47 92Ti 4B,E GOEHRING, Bernard 228 Wright Ave, Gridley contr: Cook & Son storage bldg 4f -3//) JOB FINALE Signature J=OK O = Not OK NotApplicabled_ MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s P— 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'U ft. / /-Nat. or/ /" L" ft./ /"LPG I 7. Well Clearance & Disconnect 8. Utility Clearance `ate Card B-1 Date Card -6-1 ate Card B-1 Date Card B-1 ate MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, CQVERS, CARPORT ,GARAGES, 1161ans)OK except #'s oning Requirements -Setbacks -Easements otings; Soils-Size-Depth-Spacing-Connectors-Steel —97-Dbcks; Griders and/or Joists -Decking -Bracing -Stairs -Rails �Vood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing r6 Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures --9Ca rts; Windows -Doors ctric & 2Ly If Fr g; Sils-Anchors-Studs-Rftrs-Trusses Siding; Naili- eneer-Stucco-Mesh of; Roofing 1 xL; Steps -Doors -Landings ted B- _ Date -.,`_2Y 7L -Card B-1 Date % ,u .q_Qard B-1 Date Card B-1 Date V 106OLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances -GA 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK Not = Not Readyable RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except ti's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Bra c-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47, Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped ------ 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection --------- --------------- --------------------- _ 19. Shower Pan; Test, First Floor -Tub Access _ ------ 20. Test -Tub & -Shower. Second Floor -Tub Access ----------------------- ------------------- - -- 21. Gas Pipe: Size & Anchors ---------------------------- Date------------Card B 1 - Date Card B-1 Date_ _ Card B-1 Date Card B-1 Date 3 ELECTRICAL (Permit) OK except ti's - - - 22. Fixture & Transformer Clearance -Ins. Protection ------------------------ -------------------- - -______23._ Dec_ Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ------- -------- --------- ----------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------------- 26. Equip Ground made up w!Mech. Fastners-Bond Gas & Water ---------------------------------------------- ----------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------------------- ------------------------------------------- ---------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. _ Cu or At -------------------------------- - -------------------------------------------- 29. Range Circ. r I ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------------- -------------------------------- 30. ----- - ------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect - -------------------------------------------------------------- ----------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. - --------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector ---------- ----- - - ---- ----- - - -- - - --- ------------------------------ --- ---- - ---- --- Date Card B-1Date Card B-1 - -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's --------------34.-.A.-C.- Ducts Insulation- & -Support ------------------------------------------- - ----------------- 35. Vent Fan: Exhaust above insulation -------------------------------------------------- ------------------ ------------ 36._Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic -------------------------------------------------------------------------------- ------------------------------------------ ------------------------------------- Date Card B-1 Date Card -B-1 ----------------- -- -------------------------------------- ----- Date Card B-1, Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors ---- ------- --- --------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------- -------- ------------------------------------------------------- --- -- 41. Bearing Walls over Girders & Floor Nailing - - -------------------------------------------------------- --- 42. Draft Stop in Walls (rat proof) ------ ---------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------------------------------- ---- ------ ------------ ---------------------- 44. Headers & Beam -Size & Bearing _ 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing _ 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---------------------------------- - Date __ ______ Card B-1 _ _ _ Date _ Card B-1 Date - Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------- ---------- ---- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection ------------- - -------------------- 64. Bedroom Exiting ------------------------------- -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------ --------------- 67. Stairs & Rails - - 68. Fireplacee:Stove_ Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. ----------- _70.. ---------70. Kit Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer ----------------- ------------- ------------------------ - 73.-.A.C.-Duct in -Garage -Damper ---------------------------- - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -looked in Attic ❑ Yes 78. Guard Rails & Deck -Const ruction -Post Caps ----------------------- ---------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - - ... - - -- --- --------------------------------- 80. Following instld.: Drive ❑ Yes ❑ No, Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No -------------- -------------------- --- 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing - - - -- - --------------------------- 83. ------------------------83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84, Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House .. .. ------------------ ---------------- 87. Glass Protection -. - - - - ---- --------------------------------------------- 88. Corrections from Previous Inspections - - --------------------- ------------------------ 89. Gas Test -Meters Tagged; Gas -Electric -------- ----- - -------------------------- -- ------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval - - ----- ---------------- ---- 91. Energy Compliance Certificate -Other Certificates ------ ------------------------------ Date Card B-1 ------- ------ --------------- -Date-- Card -B- 1 Date -- - Card B -1 --- Comments at Final: Date _ Card B-1 Date Card B-1 Date Card B-1 f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT0. z �6 l ASSESSOR PARCEL NUMBER " 24-110-047 ZONING A 5 BUILDING PERMIT ' OWNER BERNARD GOEHRING TELEPHONE 695-2946 .SO. FT. OCC. BUILDING VALUATION 1 680 M 12 240 OWNER'S MAILING ADDRESS 22.8 WRIGHT AVE GRIDLEY 95948 CONTRACTOR'S NAME COOK & SON BUILDERS #456766 TELEPHONE 589-1446 CONTRACTOR'S MAILING ADDRESS Fireplace 4—$ CONSTRUCTION LENDER UNKNOWN Total Valuation 12,2 0 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 120.00 ARCHITECT OR ENGINEER 77_LICENSE NO. Plan Checking Fee $ 60.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 228 WRIGHT AVE GRIDLEY Permit fee $ 195.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other DET STORAGE 16FIVIffale SPECI Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S FG W @ 15.00 TYPE OF WORK New i] Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 0V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 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 Fl 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 �or 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 CUP.&\ NEW CONST. OR ADDNS. 1 ( DWELLING ACC. BLDGSoC. / _37.50 3.64 sq.ft. NEWCON5TR ULTI-OUTLET NON. R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED Ex. OCCUp. OUTLETS PIRESID,IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 38. 707— — 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 f Consent to Self -Insure. yl 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 Filing Fee 15.00 Heating Coolin g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains id County in onse ence of granting of this permi . X Date Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONS T P TOTAL FEE 233.30 HAz DFEES IMP FLOOD COF PARCEL PD HDA Issu This permit is hereby Issued under the ode and/or sio the ut4aw w rk in i d hich fees U LIC By PERMIT EXPIRES Date applicable provi resolutions to do have been paid. WORKS ate615 Z Receipt No. 117019 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,��._ a 13 •� of ., . Y�� '.. COUNTY,:OF BUTTE:-PARTMENT•OF PUBLIC WOF`� BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORgXlill , CAME® OIAr95965 TELEPHONE (916) 538-75411 PER T APPLICATION DATA SHEET OWNER /v �J j/��- AcP�. No. 27 " �� O - 0 '7 Proposed Building UseBuilding Inspector '�` f' Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ^- - DATE RECEIVED ' BY 1,. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. ^ 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior;to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, -2'�sets. .......:.. . 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . ............................... 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year floodCalifornia Engineer. ............. 14. Sanitation and plot plan approval �Wil' (11C -Health Department. ....... r . Z 15. City of Chico plumbing permit . ........................ . ............... . 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). •Pre-Inapection�equ-eg- 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement. ....:.........Ir: '... . 25. Letter of signature authorization. ........................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use ......................................... .. . 28. Mobilehome utility clearance.;?' ........................................ . 29. Documentation of legal access . ....................................:.. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ................ when you issue the per it rocess as follows: Mail to owner. Mail to contractor. ✓ Telephone d hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage,-*-,,'.,. Applicai �� _ Date �- Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date o- 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. , l 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Qounter by _ Date Plans checked by Date Plans approved by Date62% 'L - Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO Buildinv Department,, ., L FROM: Environmental Health SUBJECT: Sanitation Clearance COUNTY OF EUTTE BUILDING DEPT J u N- 0 & 1-99? . :2r►4a A, &oe.kr i vx OSB tart ` A dl( Owner Locator. AP# Plan Approved for: Sewage Disposal �~ Water Supply Water Supply Hold final for:* Final clearance O.K. for: , ears c !or =o i o h•amea. Other NOTE * *,1"* _.»-T-- Sani tare Water Supply Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drlve - Orovllle, Callfornla 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONI G BUILDING PERMIT OWNER TELEPHONE BUILDING SQ. FT. OCC.ING VALUATION OWNER 5 MAIL NG DDR/FSS/� CONTR TOR'S ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 77TUNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ OiJ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ o Q� PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTUR 1 SF [IDuplex❑ Mobilehome❑ Other I S�UI/4G� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK Neo9f Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS ESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 OC OR ADDNS. ( ACC. BLDGS. 3.6d gq.ft. NEW CON5TR. ULT' -OUTLET @ 5.00 NO N.R ESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES A20 @ 764 FIXED APLNS.F-1 Ex. Occup. OUTLETS (RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ O - 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 Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA over 5'0" deep and demolition or construct- ion of structures toverr 39storlies in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ �3I HAz DFEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 1I 01 WHITE-D.P.W.. YELLOW-A38C330R. PINN-INSPECTOR. GOLDENROD -APPLICANT PERMIT NO. 499--7_4B v% P E a �. M �MH UTIL. PERMIT NO. .PERMIT EXPIRES / —//— 'OWNER C.L. Coffey ,CONTR. Burl Woodward, Gridley LOCATION (A.P. 24-11-47 ) e s/s Wright five., 4/10 mi. E. of Hwy 99, k �a>�$x Gridley x y i; r' K- T Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E emp. Gas Serv. Called PG&E JOB / FINALED (Date) A (Signature) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwal I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING• Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 'T " 3rd Floor J Siding To out Roof Sheathing Water Piping r Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically +, handicapped Heaters Appliances Conformance of ez. structure Gas Piping & Tes Temp. Gas Final e a Sanitation ! FIREPLACE Final final , _ _ Fixtures FIRE SPRINKLERS Motors Test - Water Htr. Final Subpan E HANICAL Grd. Fault ot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —Y OroviIle, California 95965 �-7 Telephone: 534-4541 (' > ! 7 APPLICATION�AWPERMIT Z��N��cn�. 1- v� I IV �UunLy VI ouuc to CIItCI uNun olid above mention d property for inspection purposes. r Date Signature of Permitee or Agent Receipt No. 12-760,9 White-D.P.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 WD DIRECTOR OF PI�BUIC WORKS By nitp �2•`—/[— Bi Ing permit expires Date..................�11� -i�� BUILDING Owner OFF ` SQ. FT. OCC. BUILDING VALUATION as Mailing Address Telephone No. Fireplace Contractor k ((„ E��(�/;l�J f� Total Valuation 0 O0 Mailing Address P('18oX �j % Permit Fee Plan Checking Fee&/or Penalty Telephgne N� � O Permit Fee $ $ Q< Building Address�/ S .S �Gi f6 X17` VE pPx %b PLUMBING No. @ FEE PERMIT FILING FEE $2.00 , 0 fi u/ - Each Trap 1.50 y f / �C l� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. J7_� I ` _ /� "'l I �-( Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 4dl 4erti-tat+en FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans ParcelParcel Declaration Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 ec I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �(l5T/3A 1- 7, O� Main service incl. 1 meter �lili3>Ou1S JQEPJ,/4C Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20P2521 Q(L41 Receps., switches & fix outlets25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Califo nia Business & Professions Code under the name styl Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License N 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. 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 No. @ FEE 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 TOTAL PERMIT FEE $ C Z��N��cn�. 1- v� I IV �UunLy VI ouuc to CIItCI uNun olid above mention d property for inspection purposes. r Date Signature of Permitee or Agent Receipt No. 12-760,9 White-D.P.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 WD DIRECTOR OF PI�BUIC WORKS By nitp �2•`—/[— Bi Ing permit expires Date..................�11� -i�� PE'AMIT NO. PERMIT EXPIRES��/� OWNER C. L. Coffey CONTR. B & D Industries, Sacto. LOCATION (A.P. 24-11-47 ) 40 A S�i'Wright Ave., Gridley Colony#l, Gridley Temp. Power Pole Called PG&E Temp. Ele�Serv. v. Called E Temp. s C Iled PG&E FINALED (Date) (Signature) �V ry PE'AMIT NO. PERMIT EXPIRES��/� OWNER C. L. Coffey CONTR. B & D Industries, Sacto. LOCATION (A.P. 24-11-47 ) 40 A S�i'Wright Ave., Gridley Colony#l, Gridley Temp. Power Pole Called PG&E Temp. Ele�Serv. v. Called E Temp. s C Iled PG&E FINALED (Date) (Signature) �V mesn COUNTY OF BUTTE — DEPARTMENT OF"PUBLIC WORKS BUILDING INSPECTION RECORD Grd. Fault Prot. BUILDING BUILDING (Cont'd) PLUMBING Setback 'Z 7 Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaI l Insulation Heaters Slab Carport p Footin4i Prov. for phsically handica ed Conformance of ex. I structure Appliances Gas Piping & Test Temp. Gas Slab Final ^Z--�--'Z Sanitation Patio FIREPLACE Final Foot in s —2 Footing ELECTRICAL Masonry Walls Throat ► Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors mesn MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer I Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MRBILEHOME INSTALL&T I4N - - - - - - - - - - - - - - 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.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 RENEWAL OF PERMIT #2187-77 AP 24-11-47 Telephone: 534-4541 APPLICATION AND PERMIT A A ID64 ,F�y -11 — 1up— 11-1-5 uI ure Uuunty or Butte to enter upon the abo e m tione property for inspection purposes. Date Signature of Permitee or Agent / yY Receipt No < (pf(� y White-D.P.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 �p ' DIRECTOD'6F)PUB'LIC WORKS BY Date B�dingpermit expires Date BUILDING Owner . COFFEY SQ. FT. OCC. BUILDING VALUATION Mailing Address RT 2 228 WRIGHT AVE 00 GRIDLEY Telephone No. O Fireplace Contractor B & D INDUSTRIES Mailing Address 2555 EVERGREEN ST Total valuation ti • Permit Fee Plan Checking Fee /o enalty nrr T Permit Fee $. SACTO. , CA Tg �% l'S 3 Building Address 228 WRIGHT AVE PLUMBING No. @ FEE PERMIT FILING FEE $3.00 GRIDLEY Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 _ I A. P. No. --• 7 Zaninng 8 la�ning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Parcel Approval Plans Approval Permit Fee $ $ NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 22 A r� �}1 Main service i°o°o AMP V OR LOR ESS 5.00 (�7_� Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVR 600V Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 2�syft NEW CONSTR. MULTI -OUTLET NON.R ESI D. BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET 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: B & D Industries Ex. Occup(OUTLETS OR FIXTURES)@26S BAL@1 Ex. Occup.FIXED APPLNS. (OUTLETS (RESID.)OR EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 299582Misc. Classification C 61 Wiring 6.25 ❑ 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. '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. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE -11 — 1up— 11-1-5 uI ure Uuunty or Butte to enter upon the abo e m tione property for inspection purposes. Date Signature of Permitee or Agent / yY Receipt No < (pf(� y White-D.P.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 �p ' DIRECTOD'6F)PUB'LIC WORKS BY Date B�dingpermit expires Date -- December 6, 1978 A,4 D Industries RE Building permit #2187�77 2555 Evergreen St. (AP 24-1147) Sacramento, CA 95815 Dear.Sir: With reference to the above subject and the permit you obtained to install an 81 X 16.I and a 10* X 221 awning for Mr. Coffey at 228 Wright Ave. in Gridley,..the building permit has expired and you have done the work without inspections froom , this . office .' . . .Would you please contaet this office within•ten'(10)days of the date of thi's letter, renew the building permit end'arrange to have the approved plans on the job and Wrest with our inspector to conduct the final inspection. Any -corrections which might result from this inspection must be made ..and also verified by the field inspector. Your failure to comply with this request will cause me to refer the matter to the State Contractors License Board and,the office of the. Butte County District Attorney for appropriate action. Should you have any further questions, please contact us. Yours very truly, JFG.:ds cc: Building.Inspector Contractors State License Board C .L. Coffey Clay Castleberry Director of Public Works J.F. Glander Chief Building Inspector c FILE NO. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information t/) Director Dep. Dir, Sec. Rd. & Br. Mtce. Shop Equip. & Yards Ref. Disp. Bldgs. & Grds. Bldg. Insp. Admin. D & C/Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Mapping Drng./Permits Sub. Checking Right of Way � J �i c FILE NO. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information t/) Director Dep. Dir, Sec. Rd. & Br. Mtce. Shop Equip. & Yards Ref. Disp. Bldgs. & Grds. Bldg. Insp. Admin. D & C/Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Mapping Drng./Permits Sub. Checking Right of Way 0 i 0 n COUNTY OF`BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 Caunty Center Drive — Uroville, California 95965 • Telephone: 534-4541 - .. APPLICATION AND PERMIT ir7-77 J"x - Signature of Permitee or Agent �• BY Dated 3/— 7 % Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date BUILDING Owner -,v SQ. FT. OCC. BUILDING VALUATION ee2 Mailing Address ,Pr6? ' 4 Telephone No. Fireplace Contractor Total Valuation , d!�) Mailing Address Permit Fee 11,:5�0 PI an Checking Fee &/or Penal ty C�'160—rQ Telephone No. Permit Fee $ , �j Building Address %pi/ /% !J v PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �Uw/i- Each Trap 1.50 [ Repair drainage or vent piping 1.50 �.. y Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �r 00, i Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s S on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA ParkinPlans Declarration I Parcel Map 60' R/W I Improvements Lawn sprinkler system 2.00 BI tans Rec'd Parcel A vol ans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 /(� /Z16� Main service 1000 AMOR LE P ORSLESS 5.00 //_ /if ✓/�� Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Le3_ Others ❑ Main service 1OVER 600V 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW LING O OR ADONST ( ACCLBLDGS.CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS)2.50ea NEW CONST. POWER APPARATUS & NON-RESIR D. (SINGLE OUTLET 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 21 E x. Occup. FIXED APP LNS. OR p•(OUTLETS (RESID.) 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 $ 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 VI-Vorkmen's Compensation Insurance. I certify that in the performance of the work for which this ermit is issued. I shall not employ an p p y y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$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 elating to building construction, and hereby authorize represe atives of the County of Butte to enter upon the abovelment' ne perty for inspection purposes. Y '7 TO 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. DIRFCTnR nF-MIRI Ir. Wf1RKR - Signature of Permitee or Agent �• BY Dated 3/— 7 % Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date CI 91 LL6t s),,dom oilund do ail—no do xiNnoo