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Home My WebLink About024-150-023}PAUL FURR 24-15-23 52B Evans Reimer Rd, Gridley - Contr. Watson Ele C �] Permit,#1354-87E(ele/SF) 024-150-023 PERMIT#95-2152 HAMILTON, George 522 East Evans Reimer Rd., Gridley Cont; Selig Const Vin�0 � I9 yl Siding/SF /� %�1 024-150-023 PERMIT#95=268.2 HAMILTON;'George 522 E. Evans Reimer Rd., Gridley Cont; George Roofing Reroof/SF } l NDERSON, Qrrin 5814B 4440P 2-3 247.-66E (s) 1-66E - _- s1s Eva nr Rd. 1000' east .of Larkin Rd. 3ridley 'JONTR: J.J. on, P.O. Box, 297, Biggs (addition) 9 /5(- a3, a,4, C 7 0 024-150-023 PERMIT#95-2682,;, ,-;;HAMILTON, George 522-E. Eveins Reimer Rd.,; `Gridley `Cont; George Roofing 'Rer oof/SF �o� Imo— COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville California 95965 - Telephone (916) 538-7541 PERMIT No. APPLICATION AND PERMIT - k ASSESSOR PARCEL NUMB y O ^13 ^1 �/t l ZONING j�l ht! BUILDING A ERMIT • " OWNER ,P , , r it�.� TELEPHON►1E. Rye-�� r SO. F r. OCC. BUILDING VALUATION OWNEWd'MAI&NG ADDRESS /�/� / I•� ,%{ // t G/N .L� • '�' CONTRACTOR'S NAME CR V- C2,t G r � " <� �. TELEPHONE S 33- c CONTRACTOR'S,MAIUNG ADDRESS /� / � „� 1-1,1-e , 4104101t ,( i. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ � ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS 1 Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS • PERMITFEE $ T . • . ,:.. T.._ P LIMBING PERMIT.,, „ i .., ,-Filingfga �. r 20.00, Each Trap 7.00 LOT NO. r. SUBDNIS %NS NAME- ' PARCEL MAP Solar or heat pump water heater 23.00 +% USEOFSTRUCTUR}E SF X Duplex ❑ Mobilehome ❑ Other ! SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 • TYPE OF WORK] New ❑ Addition ❑ Remodel ❑ U61ities ❑ Installation ❑ Other ❑ Describe Work: OV r — 14-4,v Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 h -, •o�w".u�. Main Service600 OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A To I000A ) + 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C - 39 , Lic. No., /,/S' ?,2G OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: . , ❑ I, as owner of the pioperty, or my employees with wages as their sole compensation, will do the work,ILand the'structure isnot intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors ;. to construct the project: L ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section. 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 5 to rt 00""'. V0 NEW CONST. DWELLING OCCUR SO. OR ADDNS. ( 8 ACC. BLDS. ) 3.5tt FT. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ) ( d SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 0 I.W aAL so Ex. Occup. OUTLEEDTS RESID.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE, _ r - Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number t/ S — (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I c tity that in the performance of the work for which this permit is issued, I shall nwo employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo Ith comply with those provsio X _� _ Date 2 /`9 Signature of Applicant - Owner ❑ Cp actor ❑'Agent An OSHA permit is requ red for excavatior4_ over 5'0"deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ • j' Uo HA2. 1 0. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ABY r1_ 1 a Date N y r .�� PERMVITEXPIRESON Receipt No. J" WHITE-D.D.S7 .Df ""CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive - Oroville, Califorfiia 95965 - Telephone (916) 538-7541 - P RMIT NO. APPLICATION AND PERMIT ASS SS PARCEL NUMB zoNING A LIABUILDING ft ERMIT OWNER TELEPHONESO, Fr, OCC. BUILDING VALUATION OWNERS MA NG ADDRE S 2.- Z &a if .I.e_j,, Clip° Ie CONTRACTOR'S NAME G o ,l T PHONE x'33- 13 cONrRACTORS IUNG ADDRESS 19*7—', � Fireplace CONSTRUCTION LENDER UNIUIOWN Total Valuation Is 33, v Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS ( C/"C' Hi d/,e PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT No. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: f9U CN — LGGS Mobile Home S G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( 2o0A OR LESS ) 23.00 Main Service ( zOOA TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C— 39' Lic. No. W.5.2. tle6 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. . ) 3.50 FaOr OR ADDNS. ( d ACC. BUDS. S NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER SINGLE OUTAPPARATUS ) & LET CIR. Ex. Occup. (OUTLET OR FIXTURES ) BAL 20 Q 1.00 so PPLNS. OR EX. Occup. ( OUTLETS RES D.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATfON DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Slyl 't ploy. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number C2&-5 — (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisi s of section 3700 of the Labor Code, I shall fo ith c mply with those pro sio X_ _�2 Signature of Applicant - Dat wner ❑ ractor Agent An OSHA permit is req red for excavatio over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE A TOTAL FEE $v� HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat above for which fe s have been paid. *Byto c� PERMITEXPIRESON✓ p (D.d) Receipt No. WHITE-D.D.S.- CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _. — . . _a ...._ I 024-150-023 PERMIT#95-2152 HAMILTON,�George 522`East Evans Reimer Rd.', Gridley Cont; `Selig Const.. Vinyl Siding/SF / 0 t i r� i 0 fM i COUNTY OF BUTTE- DEPARTMENT OF DLVriLOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 65965 - Telephone (916) 538-7541~ PERMIT NO. APPLICATION AND PERMIT - Ic7Z4 ASSESSOR PARCEL NUMBER I,24 -150-023b ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION Hamiltnn RM r 5-2107 OWNERS MAILING ADDRESS S2 Evans RP.Jimpr ' di rrid1gy, CA 99I9AA € j CONTRACTOR'S NAME TELEPHONE i i 1 Selig Construction ` CONTRACTORS MAILING ADDRESS IWO Mnrrnw 1 t4 t7 r„ p48 I Fireplace ICONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MPJUNG ADDRESS Filing Fee $ 20,00 Permit Fee $ 12-6.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS a2rz vVBAS'% PERMITFEE $ 4 '.6�ilC:i �f v2" L�ZL')T PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USE OF STRUCTURE Each gas water heater or vent 15.00 SF Duplex ❑ MobilehomeW6 Other Gas piping system 1 - 5 outlets 15.00 SPECIFY Building sewer 15.00 TYPE OF WORK Mobile Home I S I GI W @20.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherX0 Describe Work: Vinyl siding PERMITFEE g Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Y Main Service ( 200AORLLLESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 i LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter NEW CONST. DWELLING OCCUP. \ So. OR ADONS. ( a ACC. BLDS. / 3.50 FT. NEW CONST.ULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.!� / License Classy Lic. No. // G ` �7� OWNER -BUILDER DECLARATION ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL so Ex. Occup. OUTLETS (RESID.) EA. ( ) 5.00 Temporary Service 23.00 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. Mobile Home Facilities 20.00 Misc. Wiring 23.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors PERMITFEE $ to construct the project., ❑ 1 am exempt under Sec. Business and Professions Code for this Contractor reason WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Cooling Hood 6.50 Ventilation °Lr] I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier lfA�:rtjl'.T.d.f .�' �✓ter,:.yis."i � 1��..S PERMITFEE $ Contractor Policy Number Mobile Home Installation Fee Is (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 146.00 not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the HAZ. I D. FEES IMP FLOOD COF PARCEL PD HD ISSUF/ workers' compensation provisions of section 3700 of the Labor Code, I shall This permit is hereby issued under the applicable provisions forthwith comply with those provisions. X� ,/s_ ✓ __ Date _ J" Signature of Applicant - ❑ Owner ❑ Contractor ,111 Agent An OSHA permit is required for excavations over 60" deep and demolition or constru:�JB4 of structures over 3 stories in height. iJJ4C of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. S46/9-5 r/ / l <r Date�/ �� 16/96 Receipt No. PERMITEXPIRESON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Date) COUNTY OF BUTTE- DEPARTMENT OF.DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville; California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 024-150-093 ZONING A40 BUILDING PERMIT OWNER Gpor;Zp Hamilton TELEPHONE 846-2107 SO. FT. OCC. BUILDING VALUATION cont- 10350, OWNERS MAILING ADDRESS 592 Fynnq Reiner Rd-, Gridley, CA QSQ69 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS ow Ln Chico, CA 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 196-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 522 Evans Reimer Rd., Gridley PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehomdlft Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)M Describe Work: vinyl siding Mobile HomeI S I G I W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO ,000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 2 License Class S , Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO. OR ADONS. ( a ACC. BLDS. ) 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( & POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 2e @ -50 B4L .so Ex. Occup. ( OFIXED REN o.°FR.a) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier�L:fol•'.v<<i ,Z'i✓/�C--�J�v��%� l%s MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number ? (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. p — 9 Date _ / — S ` 5 Signature of Applicant - ❑ Owner ❑ Contractor &XAgent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 146.00 HA2. D. FEES IMP FLOOD CDf PARCEL PD HD ISSU 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 h e been paid. Date 9/6/95 PERMITEXPIRESON 9/6/96 (Date) ReceiptNo. 185 21 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 , k'"��4r+v'"'h'Mrs*rr•aitht•.r'Ih'viN ,... i COUNTYOF BUTTE - DEPARTMENTOkBEVELOPM'ENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER ? A. P. No. (524- 150-0a3 Proposed Building Use S,V/K 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 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 flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 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 -Inspection request 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 . ................. . 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 . ............... 31. Existing violations/expired permits . ................................... . 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. X Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy -of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works J OFF CE COPY Address GAS Meter By Date ELECTRIC r' Ate Meter By ate COUNTY OF BUTTE - DEPG�RTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,-Ci lifornio5965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ) ASSESSOR PARCEL NUMBER ZONING 0 -- U 1.3 -- U BUILDING PERMIT Ow R TELEPHONE e, SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS in c r t c, & 1 S °.� E �a� ns *e, At". CONTRACTORS NAME ASLO -v f: TELEPHONE ty6.;y b CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS iMePermit J 6�0 fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �-In V Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL AP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFEK Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G JW 1 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities.F Installation❑ Other Describe work:P ot/ 11fa are gry-4GE _ A;L4A_ /ff/19 &=10 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 OR L Main service 100 AMP ORSLESS 10.00 D Main service EA. ADO'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y i y (check one): ® 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license Is In full force and effect. �j l License No. 4"6 �, Classification C,—/pOUTLETS / F1 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 undetSec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.hI , OR ADDNS. ACC. BLOGS. /20sgft NEW CONSTR. ULTI.OUTLET 2,50 ea NO N•R ESID BRANCH CIRC ITS /POWER APPARATUS tr (SINGLE OUTLET CIR. reo Ex. Occup(zD @ 30 OR FIXTURES eAL FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 prfl T ion %��dD Permit Fee $ d 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. m 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building 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 JCouy in conseq ence of the granting of this permit. .� � X W0Date %s iA�-� �/ Signature Uf 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 $ TOTAL PERMIT FEE $ occu CONST.TYPEJ IFLOODIPARCELI PD FHD - l/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By _. P IT EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date �'—ZL`7 "f �`7� Receipt No. 4 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT LfbI & Ac, COUNTY OF BUTTE - DEPARTMENT.OF.-P;UPLIC WORKS - BUILDING DIVyISION 7 COUNTY CENTER DRIVE - OROVILLE`,`00NIA 95965 - TELEPHONE: 916/53x4-45411 PERMIT APPLICATION DATA SHEET i J C Permit No. OWNER q l / Ju Y1✓� A. P o. c2)/- Proposed Building Use �.IC�CI 1�, C� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor 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. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) , 14, Owner -Builder Verification (Given to owner0, Mail to ownerEl —15. Improvements may be required. . . . . . . . . . . . Mobilehome Installation D ta. F �C CJ Y t C� Re wired, Pre-Inspec. requ Pre -Inspection for q Building Inspecto�,e (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. "1 �- 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. r When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date 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---jnail—counter by date_ Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by �-date Plans checked by Date Plans approved by ! Date Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California'*95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING oilv _ ' - o —0 `l -- b BUILDING PERMIT ow R TELEPHONE " r- 2 �. , SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS r1, O e - t rL1— &r G, rtJ' S 2 E vans *61 -1 CONTRACTOR'S NAME o 0 44, v t" TELEPHONE gYb .y706 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN 1• Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR E E Al ING ADDRESS 1-1 Penalty $ B I GRE _ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r .- r• _ Solar or heat pump water heater 20.00 LOT NO. Olen SUBDIVISI AM PARCEL t AP Water piping 5.00 Each qas water heater or vent 5.00 OF STRUCTURE SF [K Duplex❑ Mobilehome❑ Other SPECIFY i Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 110-00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 1j Installation[] Other LA Describe work: at/ /vim t.a cr.,;eE 1�ur1 �0��1 r�,i ky FeQ �i+� �� S'�r►�j'« Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 . D Main service EA. ADD'L 100 AMP 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 C-1,0 El1, 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 OCCUPM /:Qsgft OR ADDNS. AGC. BLDGS. / NEW CONSTR. MULTI -OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS POWER APPARATUS 0 . (SINGLE OUTLET CIR. 0 Ex. Occup OUTLETS OR FIXTURES 2SOC AL .ALoao FIXED APPLNS. OR EX. OCCUp. OUTLETS IRESID.t EA.1 2.00 Temporary service '. 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 pre, Tel go ch -'an / •QD Permit Fee $ Contractor 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building 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 s id Cou y in coseq Bence of the granting of this permit. X ""''+''� Date 3 j Signature Uf Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHApermit is requirad for excavations over 5'0" deep and demolition or construct- ion of structures overr 3 stories inI height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ j OCCUP. CONST.TYPE FIAaD PARCEL I PO ND 99UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.__q/ -/ _---. . —. _..._