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Home My WebLink About024-140-01624-14-16 92-1490 VAUGHN, Robert- 304'Higgins, Gridle contr: Bill Owen gas line/sf 24-14-16 92=1652M 'VAUGHN, Robe 304 Hi199. Ave, •.`Gridley, .1;. . contr: J'.s AC wal furnace/sf n • 1 24=14=16 92-1652M• VAUGHN, Robert, r 304 Higgins'Ave, Gridley contr: RJrs'AC wall furnace/sf ' I' .f r • y • s! t OFFICE COPY r Address GAS f �f Meter By Date) ` t ELECTRIC Meter By Date 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER SWIRRHM 24-14-16 ZONING A40 BUILDING PERMIT OWNER , Robert Vaughn TELEPHONE T. SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 608 Neyyrs, Gridley 95958 CONTRACT O R'S NAME RJ's Air Conditioning & Heating TELEPHONE 846-6651 CONTRACTOR'S MAILING ADDRESS 180 Vermont pt, Gridley Fireplace CONSTRUCTION .ENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 304 Higgins Ave, Gridley 95948 Permit fee $ PLUMBING PERMIT FilingFee 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 clas water heater or vent 7.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G I W @ 15.00 TYPE OF WORK New F-1 Addition❑ Remodel❑ Utilities❑ installation[] Other E:1 Describe work: new wall furnace Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO IOOOAI ` 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 Professi Co y license is in full force and effect. License .Jo. Classification � —2 �� ❑ 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 _37.50 NEW CONST. ( DWELLING OCCUP.�\ 3.64sq.ft. OR ACDNS. 1 ACC, BLDGS. f NEW CONSTRESID, BRANCH ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(ourLETs OR FIXTURES 20 76 Ex. Occup. OUTLETS ED P(RESID ILNS RE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑to The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 FilingFee 15.00 Heating 9.UU Cooling g Hood 6.50 Ventilation Permit Fee $ ' UU 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 against all liabilities, judgments, costs, and..expenses which may in any way accrue against said County in consequence"of the granting of this permit. 0 X �� /� �%�--=— -,,Dat -.fir � /1 t✓ Signature of Applicant. -1_111'0.10 Contractor Agent ❑ I /work An OSHA,>permit is required for excavations over, 0" deep and demolition or construct- ion of 'structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 24 00 • I HAz OFEES IMP I FLOOD CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County,,Gode and/or resolutions to do i indicated ab_ove..foriwhich fees have been paid. 6IRECT0R'OF PUBLIC WORKS By ` ` D 'te .r/� PERMl7 EXPIRES Date / 11f3U /ii Receipt No. WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE V &C,14� C OWNER A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleas on office immediately. / '1 c '� !FAA?- AucZ' �-O'< i,-< w A - REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. r G ASSESSOR PARCEL NUMBER X&Ji.4XXX1XX K 24-14-16 ZONING A.4C• BUILDING PERMIT OWNER ,.'TELEPHONE Robert Vaughn SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 608 Meyers, Gridley 95948 CONTRACTOR'S NAME RJ's Air Conditioning & Heating TELEPHONE 846-6651 CONTRACTOR'S MAILING ADDRESS 180 Vermont St, Gridley Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 304 Higgins Ave, Gridley 95948 Permit fee $ 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 EJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mob le HomeI S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work:_ naw wall filrnare Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS j $,50 200A OR LESS Main service 200A TO 1000A1 37.50 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 Professi s license is in full force and effect. License ;Jo. Co y Classification � �Zh ElI, as the owner, or my employees with wages as their sole compen- will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.&� OR ADONS. ( ACC. BLDGS. 3.64 sq.ft. NEW CON5TR. ULT' -OUTLET NON•RES'D BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET C'R. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 Ex. OCCUp. OUTLETS (RESID ) FIXED APPLNS. REA.) 3.00 sation, Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 E_ Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 15.00 Heating 9.00 Cooling g Hood 6.50 Ventilation permit Fee $ 24.00 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 against all liabil' costs, an expenses which may In any way accrue agai said u in cons quenc the granting of this permit. X ' Date (signatur DF plic Wne, ❑ Contractor Agent ❑ An O5 A ermit is required for excavations over 0" 'deep and demolition or construct- ion of uctures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ Dcc CONST TYPE TOTAL FEE $ 24.00 HA2 OFEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County,ode and/or resolutions to do work indi o which fees have been paid. I UBLIC WORKS By D to PER EXPIRES Date S' l8 Receipt No. 116078 '.NHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERZONING ay_ A,, 10 BUILDING PERMIT OWNER 1 - TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWf.IE AI LI G A D ES ON AjUC�TQ Fr Ifif S / 2 Cv.t//Ji f i �ti� ti /��s1 f-1 TELEPHONE CONTRACTOR'S MAILING ADDRESS lR o ('/�((�/�l-� ��An tFireplace CON TRUCTION LENDER UNKNOWN Total Valuation is - Filing Fee - _ $ _ 15.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER _ LICENSE.NO. Plan Checking Fee $ -- - Energy'Plan Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty - - $ BUILDING ADDRESS - - Permit fee $ PLUMBING PERMIT Filing Fee 15.00 30 Each Trap 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 STRUCTURE SFtSj�. Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ut Iities ❑ Installation ❑ Other Q Describe work: 1V60J (� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS j$,50 Main service 200A TO 1000A) 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 ❑ 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 CONST./ DWELLING OCCUP.aj) OR ADDNS. 1 ACC. BLDGS. 3.6d sq.}t. NEW CONSTR ULTI.OUTLET NO N•RESID BRANCH CIRC., TS @ 5•00 POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCCUp\( OUTLETS OR FIXTURES 2010 76d Ex. OCCup. OUTLETS PIRESIDIREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 -15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating U(� Cooling 9 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. 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 Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA ion of structures toveer 39stories oin height. ons over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CON ST TYPE TOTAL FEE $ �� f HAz 11 FEES IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. YJ��B v"ITE-O.P.W.. YELLOW-ASBE330M. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 969E5 - Telephone: 916/538.7541 APPLICATION AND .PERMIT PERMIT NO. 9z -/v 90 ASSESSOR PARCEL NUMBER 024-140-016 ZONING, A 40. r BUILDING PERMIT OWNER ROBERT VAUGHN TELEPHONE t 846-»2793 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 608 MEYERS AVE GRIDLEY 95948 . CONTRACTOR'S NAME BILL OM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 304 HIGGINS GRiDLEY 95948 Permit fee $ 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 1 I Water piping 1 7.00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SF f Duplex❑ Mobilehome❑ Other !. SPECIFY i• Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF n O,�1F��WORK New❑ Adk:- GAS PIPING r IAllJli i g❑.0 Isffiyjil Qgp, r❑ Describe work: ) .L'V J V ti 'J _ RANGE AND MATER HEATER, EXISTING SERVI�E .U(-) - Permit Fee $ 27.� Contractor ELECTRICAL PERMIT Filing Fee 15.00. 600V OR LESS Main service 200AORLESS 18.50 Main service 200A TO 1000A) 37.50 x CONTRACTORS LICENSE LAW penalty I declare under lt of perjury check one): p y p I y( ) ❑ 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) orsa the owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason ! NEW CONST. DWELLING OCCUP.e! OR ADDNS. ACC. BLDGS. ) 3.64sq.ft. NON.RESID R BRANCH CIRCUITS ` 5.00 S /POWER APPARATU6 I SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 20 76 EX. Occup. FIXED APP LHS. OROUTLETS IRESID.1 EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I.have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Q. 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 1 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 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 gfd'nting of this permit. I X l„_. �.t/4, j2--' �% 1 i "" ., —17 � � _�� _ Date C_ 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 27.00 HAz 1 0FEES I IMP I FLOOD I COF I PARCEL I PO I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or / work indicated above for which tees /' � k D14CTOR 4 PUBbC By' .r l al./ PERMIT EXPIRE Date 1 applicable provi resolutions to do have been paid. WORKS , Date ,} "� z -/-1 Receipt No. 115 '351 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 47�.(l n �' APPLICATI�OK AND PERMIT / ASSESSOR PARCEL NUMBER 024-140-016 ZO.ryi NG A 40 BUILDING PERMIT OWNER ROBERT VAUGHN TELEPHONE 846-2793 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 608 MEYERS AVE GRIDLEY 95948 CONTRACTOR'S NAME BILL OWEN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 304HIGGINS GRIDLEY 95948. Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 7;, 7 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SF[3 Duplex❑ Mobilehome❑ Other - SPECIFY Gas piping system 1 - 5 outlets 5-001 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: GAS PIPING kNATURAL) TO SERVICE NEW _ RANGE AND WATER HEATER, EXISTING SERVICE SLPG) Permit Fee $ 27.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO 1 OOOA, 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 ❑ 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) t[]i I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.EI` OR ADDNS. ACC. BLDGS. / 3.6d sq.ft. NEW TLET NON•RESID. BRANCH CIRCU ITS@ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES R20 76 FIXED APLINIS Ex. OCCup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 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 County of Butte to enter upon the above-mentio property for inspection purposes. I also agree to save, indemnify a kee har s the County of Butte against all liabi i s, judgments, cost and a pens which may in any way accrue against, sal Co ty i nse ence of he" riling of this permit. 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 27.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte CW my Code and/or work indicated b forh fees DI OR F PU LIC By , PE IT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date j Receipt No. WHITE-D.P.W.. YELLOW-A53[$SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovillet California 95965 - Telephone: 916.'538-7541 APPLICA, T.,IGN AND PERMIT ASSESSOR PARCEL NUMBER 4 ZONING — BUILDING PERMIT OWNER _ a(f�.-�/� TELEPHONE - Z7Ct3 SO. FT. OCC. BUILDING VALUATION OWNER'SM ILP G ADDRESS yc 61101a 9159ZCr CONTRA TOR'S NAMO,,;, ill TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER _ UNKNOWN_ Total Valuation Is LENDER'S MAILING ADDRESS _ Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER _ LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS - Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 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 -7-06 USE OF STRUCTURE SFrjo- Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5, C20 Building sewer 15.00 Mobile Home S I G I W I @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilitieso Installation❑ Other Describe work: 645 /% //U(r //1/,41: i -70 SE%U#2 Cf /I/�'GtJ /ZftNGE ff�lJp (,c/�+T� �2 t/T/Z Permit Fee $ ,�V Contractor ELECTRICAL PERMIT Filing Fee 15.00 yMain iYST1 NGS s(�'(�'• if L /,. V v service 600V OR LESS 200A OR LESS 1 a.50 Main service 200A TO 1000A, 37.50 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 FlI, 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) F1I, as the owner, am exclusively contracting with licensed con ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.tr) OR AODNS. ACC. BLDGS. 3.64 Sq.}t. NE w CONSTIt ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d A FIXED EX. Occup. OUTLETS(RESID 1APLNS.REAJ 1 .3.00 Temporary service 15.00 Mobile Home Facilities 15.00tract- Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g LHood 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. 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 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 1 CONST TYPE TOTAL FEE $ HAz DFEES IMP FLOOD CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. 15851 'NHITE-D.P.W.. TEL LOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT