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Home My WebLink About024-130-07924-13-79 2664=90E RICHARDSON,.Elsie 863 Keith Ave, Gridley Contr: Fred Brown (elec sery/sf ) B07-0033 U24- l JU-U IV MISCELLANEOUS Re -Roof REROOF 25 SQUARES 863 KEITH AVE RICHARDSON, ELSIE B07-0854 024-130-079 MISCELLANEOUS Water Heater C/O INSTALL WATER HEATER & GAS LI1 863 KEITH AVE CASEY, RUFUS L & NANCY C �1� � V � ; J � � � `:� r: , BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.liuttecounty.net\dds PROJECT INFORMATION Site Address: 863 KEITH AVE Owner: Permit No: B07-0854 APN: 024-130-079 CASEY, RUFUS L & NANCY Issued Date: 04/23/2007 By KCG Permit type: MISCELLANEOUS 863 KEITH AVE Subtype: Water Heater C/O GRIDLEY, CA 95948 Expiration Date: 04/22/2008 Description: INSTALL WATER HEATER & GAS (530) 846-3324 Occupancy: Zoning: A10 Contractor Applicant: Square Footage: _CASEY, RUFUS L & NANCY Building Garage RemdUAddn 863 KEITH AVE GRIDLEY, CA 95948 Other Porch/Patio Total (530) 846-3324 FEE INFORMATION DBP Water Heater (qty) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2745 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the - basis for the alleged eke tion. Any violation of Section 7031.5 by any applicant for a permit subjects X 04/23/2007 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please eck one of the following: Contractor's Signature Date 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements 11I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number. Exp. Date: (This secton nee not be comple ited if the permit is or one hundred ollars ($100) or less. ❑IAM EXEMPT under Section B. 8 P.C. for this reason: ERTIFY 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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' 04/23/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those _ ner's gnature Date provisi 04/23/2007 I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building � Sigh -614— Date WARNING: AILURE TO SECURE WORK S' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER T CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with the issuance of this permit. 1 hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. 1 hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property fMect,rposes. Ihereby certify that I am the Property owner or am au r'zed to act or�th�behalf. CONSTRUCTION LENDING AGENCY Z-Vr + :- = 04/23/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of er e [ IGN Print Date the performance of the work for which this permit is issued. (3097 civ. code) " wner ❑ Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lender's Address ' City State ' Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTI LL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY P O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMEN7R NO) I (POW'NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY. PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: INSTALL WATER HEATER & GAS LINE Reference Number: B07-0854 Applicant Name: CASEY, RUFUS L & NANCY Owner's Name: CASEYJWfUL AP # Signature of Property Owner: Date: 024-130-079 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OW .,E _ INFORMATION Last Name Address Ste. First Name Mailing Addr ss City v State Zi Phone Fax E-mail CONTRACTOR Name Address Ste. City State Zip Phone Fax E-mail Zip Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail El APPLICA1Y.T SIGNATURE X PROJECT LOCATION AP# 0 2A -130- or7q Property Address City �— �s �' = PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a.certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. C-c.rO fin.. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use onI Zoning Flood Zone SRA I Yes I No Occ. Type Const. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 863 KEITH AVE Owner: permit No: B07-0033 APN: 024-130-079 RICHARDSON, ELSIE Issued Date: 01/08/2007 By GLB Permit type: MISCELLANEOUS 863 KEITH AVE Subtype: Re -Roof GRIDLEY, CA 95948 Expiration Date: 01/08/2008 Description: REROOF 25 SQUARES Occupancy: Zoning: A10 Contractor Applicant: Square Footage: CASEY R L CONSTRUCTION CASEY R L CONSTRUCTION Building Garage Remdl/Addn 1213 LARKIN ROAD 1213 LARKIN ROAD GRIDLEY, CA 95948 GRIDLEY, CA 95948 Other Porch/Patio Total (530) 846-3324 (530) 846-3324 FEE INFORMATION Re -Roofing $137.50 Total Charged: $137.50 Fees Paid: $137.50 Balance Due: $0.00 Receipt No: B1418 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License CASEY R L CONSTRUCTION 353979 / B / 03/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and ffect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the , basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 01/08/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Sign Lure Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are notintended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section nee a completed if the permit is or one a hundred ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: RTIFY 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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' 3�7- 01/08/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those s Signature Date ovisions. 01/08/2007 X nz 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building aess, Sign Date WARNING: FAILUR TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 5100,000 IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused arising out of, or in any way connected with , DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. 1 hereby certify that I am the Pr a wne r m orized to act on the property owners behalf. CONSTRUCTION LENDING AGENCY - A -Cam 01/08/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for [SIGN] t Date the performance of the work for which this permit is issued. (3097 civ. code) Na;;Vw:�-P�erm'a caner Contractor OR; E]Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buftecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT INFORMATION OWNER INFORMATION Last NameirstM. 11 Q e r J S Mailing Address City City City Zip State Phone 4 —3 3 2 E-mail E-mail �-- 1940 APPLICANT INFORMATION CONTRACTOR Name Q Address - City Fax City Zip State Zip _ Fax E-mail Date Approved: 1940 Phone may. (, 3 Fax E-mail _ Lic. 3 Class` APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Lot # Fax E-mail Date Approved: State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: AN / - 130'6-75 Zoning Flood Zone SRA I Yes No Occ. SRA Type Const. Subdivision Name Carrier Map Book Page Lot # Planner Date Approved: PERMIT NO. m a��3 BIN It PROJECT LOCATION AN / - 130'6-75 Property AddressCi E4 V_v r7 Lev Cross Street SRA WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Desc 'ption or Scope of Work: Sq FT_ Living rage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receiv d by: Amount 1� U Bldg `/ SRA Receipt #: Sheriff SMTP Date: 1 l"v� ! TOotal s: * i� A- >+i'i%'# l,'•�p::i�D�"s-.{l*'-'�`YSsycF.i"'�`�F+.k`"`fi�''skp"ire'''D"Mr,:?i:�'f„i°^►t�i'"ritT7n*..1• A-_'�fiiT..l�wi•i�'.. I � 4 �t 24,13-79 2664-90E RICHARDSON, Elsie 863 Keith Ave,,Gridley Contr: Fred Brown (elec sery/sf) COUNTY OF BUTTE - DEPARTME•NT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AJND PERMIT '7 ASSESZCJA PARCEL NUMBER 24,413-79, ZONING A-10 BUILDING PERMIT OWNER TELEPHONE ELSIE RICHARDSON 846-591 OWNER'S MAILING ADDRESS _ 863 Keith Avenue, Gridley 95948 a SQ. FT. OCCi. BUILDING VALUATION CONTRACTOR'S NAME TELEPHONE Fred Brown 846-3849 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS Total Valuation $ ' Filing Fee Permit Fee $ 1000 $ ARCHITECT OR ENGINEER LICENSE NO. ( Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 863 Keith Ave, Gridley Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 o Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP i Water piping Each Qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF L•'P'XDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets Building sewer Mobile Home S G W 5.00 5.00 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: new electrical gervictm _ , Permit Fee $ I Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD -L 100 AMP 2 2.50 2..50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the, Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oR ACDNS. L DWEACCLLING DGOCCUR.&� S. 2'/z2sgft NEW 1ESID, RANCH CIBCU NON.R ESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCU o Occup(OUTLETS OR FIXTURES aAL030 2AL@ FIXED APLNS Ex. Occup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 15.00 pre inspection 15.00 Permit Fee $ 52.50 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. t❑ 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 g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County, in consequence of the granting of this permit. ��l��a�a �� Date' ( iJ %� .4 �'; ^ Signature of Applicant — Owner.Z Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- n of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL AL E FEE $ 52.50 HAZ CUA PARK PAR PD HD ISSUE Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR O PUBLIC BY PERMI, EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date�-,HITE-D.P.W.. 70499 eceipt No. L YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 4 A�4'AND. PERMIT PERMIT NO. ASSESYOR PARCEL NUMBER 24-13-79 ZONING A-10 BUILDING PERMIT OWNER ELSIE RICHARDSON TELEPHONE 846-5919 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 863 Keith Avenue,Gridle 95948 CONTRACTOR'SNAME Fred Brown TELEPHONE 846-3849 CONTRACTOR'S MAILING ADDRESS •. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee Permit Fee $ 10,00 $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Checking Fee 1 Penalty $ $ BUILDING ADDRESS 863 Keith Ave Gridley' Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE r�t1 SF ENXXDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: naw P1 Petri Cgl gPryi rp _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS10.00 10,00 Main service EA. ADD'L 100 AMP 20 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST.// DWELLING OCCUP.<! OR ADONS. ( ACC. BLDGS. , 2/22sgft NEW CON5TR ULT' -OUTLET NON-RES'D BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET C'R. Ex. Occup(OUTLETS OR FIXTURES 20®80¢ 9 AL®30 FIXED APLNS EX. Occup. OUTLETS P(RESI0.IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bVirin g 15.00 15.00 pre inspection 15.00 Permit Fee $ 52.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): [:J The permit is for $100.00 (valuation) or less. E] 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 g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit X _ r/) �g �J� 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 CONST TYPE TOTAL FEE $ 52.50 HAz I CLIA I PARK I SCHL 11 I PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR O PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date- Receipt No. 70499 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT '+;a;.�c�.tif..3';e=`Fps'Y�.,sr.,�.L'`'��g:-''1�:�:� � .�' .-., r�'i�j!:�� -i. c.,.., � - . �'.• •.,, .. COUNTY OF BUTTE - DEPARTMENTI OF')PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,'IkALIFOR'NIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATIOIfDATA SHEET Permit No. 24--130-679 OWNER �I.SI.e i� /�LC�C�LCl/iGUJI/i'1 A. P. No. Proposed Building Use SF new Building Inspector Date 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, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 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 check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 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 (constructs n 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. C�Telephone0'(p- 5919 and hold for pickup at 046 office. Deliver w/inspector. Other c vJ Applicant Date sh [ C) Copy of Haz-Mat Torm 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_-naiI—counter by ..date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by Date File cabinet AP folder ._ �l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 24-156 _ 019 7 County Center Drive - Orovill.e, California 95965 - Telephone: 916.'538-7541 APPLICATIONAND`PERMIT PERMIT NO ASSESSOR PARCEL NUMBER 130- ZONING A46 BUILDING PERMIT OWNER ��^^ - / TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONT ACTOR'S NAME TELEPHONE P4Co 3 B CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee ,5 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee S ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS lr✓ec %�vL • �5� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SU801VISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF O/ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti liities ❑ Installation ❑ Other Describe work: 13&L2 QQO/�.LI�Y .p-f)I,GP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 —� Main service 610ov OR OR L ESS 100 AMP OR L Main service EA. ADD 'L 100 AMP 10.00 2.50 CONTRACTORS LICENSE LAW of p I y (check one): I declare under penaltyperjury ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.e\ OR ADONS. ACC. BLOGS. 20SQ it NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.SOea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20e5Oc eALe 30¢ FIXE❑ Ex. OCCUp. OUTLETS PRESID 1REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc.lVirin 9 15.00 S, (5b NUMagc1t.9rn 1 5.J*0 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for S100.00 (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. ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte againstIssuE 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 ❑ I 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 CONST TYPE TOTAL FEE S52, � ALSCHL HAz CUA PARK rlo PAR JP0JHD This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ov Receipt No. l Uel% WHITE-O.P.W.. TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PRE -INSPECTION WN LOCATION: DATE 6-f-9() CONTRACTOR: Em ZONING 19-16 PRE -INSPECTION FOR:QLai .oDvG�A,Lla1 d��,cJ�GP DATE TO INSPECTORS 8j 2Z9G - ------------------------------------ PERMIT HISTORY: NONE AS FOLLOWS: i r TYPE OF OCCUPANCY S FIELD - INFORMATION BUILDING USAGE: TENNANT: 0 OCCUPIED D HAS ELECTRIC �_] HAS GAS HAS SANITATION FACILITIES [j HEATED -COOLED ED PERSON CONTACTED OTHER COMMENTS: ��tUE ECOMMENDED: Q HOLD FOR OTHER: BY U1 it�n eZ DATE