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HomeMy WebLinkAbout024-150-041�4p M t 024-15-0=041. 91PGR /so DENT, JERRY CONTR : DOUBLE J ROOFING 024-15-0-041 96-0002 A ' 704 EAST EVANS REIMER-RD DLfY JERRY & VIRGINIA A DENTREROOF/SF -q) _ 718 EVANS REIMER RD, GRIDLEY ' 024-15-0-041 91-4232 ' �G EXE MPT/STG OF IMPLEMENTS FOR DENT, JERRY, VIRGINIA WALNUT HARVESTING CONTR: UNKNOWN 704 EAST EVANS REIMER R IDLE WOODSTOVE/SF 3--oD 24-15-41 92-1939B,E M DENT, Jerry. 718 E Evans Reimer Rd, Gridley 9Z . contr: Right Way Const __ addit_n.n./_-f__--.- - . _- 024-150-041 92-2600E DENT, Jerry 718 E Evans Reimer Rd, Gridley contr: Right Way Const �..a elec sery/sf - 024-15-0-041 - 92-3092B DENT,Jerry 718 E Evans Reimer, Gridley, contr: Right Way Const Z woodstove/sf B06-2408 024-150-041 MISCELLANEOUS Re -Roof REROOF W/COMP (24) j"/t' j 718 E EVANS REIMER RD DENT, FAMILY TRUST • 7�f%• / B06-2366 024-150-041 MISCEyLANEOUS HVAC Change Out GFrUI`vl',' TO R.FPLACE EX HVn.0 718'tL RVANS It 1 wER RD , DENT, FARflLY TRUST LO f. BUILDING"DIVfSION yv� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PE72T NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.O.'� L) _ /�o ' y r �� 0 ZONING (� OWNER PHONE NO. OWNER'S ADDRESS S LOCATION OF BUILDING m � USE Qf'TUILDINrJtR E'0, 1A©j)14y've6l, SIZE OF RUCTURE V 3 n ' X S1 ' �� SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL 1--' CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING F1--'o R TYPE ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: - t- FRONT S� A►w� SIDES �� /`"'"'�' REAR t AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comp)y with the requirements in effect at that time and before occupancy. Date/—.2— Permit ate/--.2L Permit Fee - $60.00 Receipt No. T9(L_�� I Signature of Owner The above described AG BLAding is exempt from a building permit. FLOOD PARC L P.D, ROOFING ISS j� Manager Building Division By �����t� White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date ��"r.`���?Y"'y���.��.r+�i'!w.4 �I'ha�.rZir,"n.�..�1r ..r'•=''�.'r''Y.ir"..ev$"^�KG7'Y'rT���+hl��rrf �P•-�w�:"G�.: *`���'4�J T7.` tri M,.r"'��„�14..�i.G.i� r .,X. e COUNTYOF BUTTE - DEPARTMENTOF I)SVEEO=PMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE.- OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMITAPPLIC TION DATA SHEET OWNER C rr � 1 , Gt ► n . No. Proposed Building Use Building Inspector Date zZ �v At time of permit application, I was advised the following Wata 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). .. .. .... 20. Pre -inspection for I, Inspection request- p required. . . to Building Inspector (Date) 21. Cont'ractor'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. 28. Letter of intent on building use. ...... ............ ....... Mobilehomeutility 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 . ............... r 31. Existing violations/expired permits . ...................................... ........... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Telephone and hold for q�cF Other / Parcel Creation Acreage Mail to owner. Mail to co at office. Applicant with inspector. Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date '�.J By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above)._,,, rt 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 VCounterlby _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder• ' Copy - Department of Public Works - BUTTE COUNTY DEPARTMENT OF. DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2408 Issued: 10/11/2006 Address: 718 E EVANS REIMER RD GRIDLEY APN: 024-150-041 Permit Subtype: Re -Roof Owner: DENT, FAMILY TRUST Applicant: GREENE & SON ROOFING Description: REROOF W/COMP (24) MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 PERMITS BECOME NULL AND VOID 1 YEAR COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY EVELOPMENT SERVICES 'TION CARD 8-7636 (Oroville) (530) 891-2834 (Chico) 68-2140 Website: www.buttecounty.net/dds MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 PERMITS BECOME NULL AND VOID 1 YEAR COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy 9 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: -718 E EVANS REIMER RD Owner: Permit NO: BO6-2366 APN: 1 024-150-041 DENT, FAMILY TRUST Issued Date: 10/04/2006 By TMP Permit type: MISCELLANEOUS 718 E EVANS REIMER ROAD Subtype: HVAC Change Out GRIDLEY, CA 95948 Expiration Date: 10/04/2007 Description: GAS UNIT TO REPLACE EX HVAC (530) 846-5233 Occupancy: Zoning: A40 Contractor Applicant: Square Footage: GALLAGHER'S HEATING & AIR GALLAGHER'S HEATING &. Building Garage Remdl/Addn PO BOX 35 PO BOX 35 LOS MOLINOS, CA 96055 LOS MOLINOS, CA 96055 Other Porch/Patio Total (800) 892-3556 (800) 892-3556 FEE INFORMATION Heat Pump (Package Unit) $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires GALLAGHER'S HEATING 8r AIF 777334 /'C20 / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Seption 7100) of Division 3 of the Business and Professions Code, and my license is L414ill force and'eff u e % i 10/04/2006 Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the ' performance of the work for which this permit is issued. HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My W ers' omp sation m urance carrier and p2licy number arep� fir/ Came (This section need not be comp elect if the permd is foris for onred dodollars ($100) or ess. ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if 1 should become subject to the workers' /1'\compensation prolisions of Section 3700 of the Labor Code, I shall forthwith comply with those 10/04/2006 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address • City State Zip Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION - 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) 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 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 (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 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: IX 10/04/2006 Owner's Signature Date I 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 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 injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County tole( m the above mentioned property for,inspection purposes. I hereby certify that I am the ,prgperty ed oraauthodized to act on the propertOflwneC?%Ir s 1alf. I i Owner Contractor OR Agent for Owner Agent for Contractor FILE COPY BUTTE COUNTY RECEIPT 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Printed: 10/04/2006 4:41 pm Receipt Number: B389 Permit Number: B06-2366 Job Address: 718 E EVANS REIMER RD Contractor: GALLAGHER'S HEATING & AIR PO BOX 35 LOS MOLINOS, CA 96055 Fee Description Account Number Fee Amount Permit Issuance 0010-440001-4210500-1010 $54.90 Total Fees Paid: $54.90 Date Paid: 10/04/2006 Paid By: ALL ABOUT PERMITS, J. GRUBER Pay Method: Check 1296 Received By: TMP BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE 1�6r office use only: OWNER INFORMATION Last Name L '( First N6mg� V Address , b V" Cityr' State �J Zi Phone _ Fax E-mail Lic. #-�.1� 3N APPLICANT SIGNATURE 1�6r office use only: CONTRACTOR Name C, ,,.,-'5 HVAC Addres / City 1 WS Stat Lpgr_�J IIDD PhonZS r I `� '-t ?4LA r I Fax E-mail Planner Lic. #-�.1� 3N Class lrng APPLICANT SIGNATURE 1�6r office use only: ARCHITECT/ENGINEER Name C, ,,.,-'5 HVAC Address Z5 City 1 WS State Zip Phone Map Bo_T ok Fax E-mail Planner State License Number APPLICANT SIGNATURE 1�6r office use only: APPLICANT INFORMATION Name CLQ C, ,,.,-'5 HVAC Address Z5 City 1 WS Statekma �� Zi Phone Map Bo_T ok Fax E-mail Planner APPLICANT SIGNATURE 1�6r office use only: Zoning Prope y Fess �1 / r V Flood Zone Cross Street SRA I Yes • No Occ. Type Const. Subdivision Name Map Bo_T ok Page Lot # Planner Date Approved: PERMIT NO. Ula- Z- e BP BIN # PROJECT LOCATION/ AP# 0 //„-11/ Prope y Fess �1 / r V ty Cross Street WORKER'S COMPENSATION Policy Number I I �) 00 I SS Carrier -e_ FLUnd f hiring anyone other than license contractors, a certificate of worker's PCompensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS Ll K:TORMSOUILDINO.FORMS1BldgApplSubRgmts.doc Page 1 of Description or Scope -of Work: YOM V 04, 45- (r(/l�f+\1 q FT- Living U Garage Open C ❑ 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 required. 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. 60Received by:~ Amount: ��. Bldg SRA Receipt #: 9 Sheriff SMIP Date: /O �19� Total REV 8-12-05 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: 718 E EVANS REIMER RD Owner: Permit NO: B06-2408 APN: 024-150-041 DENT, FAMILY TRUST Issued Date: 10/11/2006 By KEJ Permit type: MISCELLANEOUS 718 E EVANS REIMER ROAD Subtype: Re -Roof GRIDLEY, CA 95948 Expiration Date: 10/11/2007 Description: REROOF W/COMP (24) Occupancy: Zoning: A40 Contractor Applicant: Square Footage: GREENE & SON ROOFING GREENE & SON ROOFING Building Garage Remdl/Addn P O BOX 2467 P O BOX 2467 PARADISE, CA 95969 PARADISE, CA 95969 Other Porch/Patio Total (530) 873-3940 (530) 873-3940 FEE INFORMATION Re -Roofing $110.00 Total Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B465 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 GREENE & SON ROOFING CSLB-275057 / / 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 Contractors 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X10/11/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors 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 I 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, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: action 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 1753692 10/01/2007 Carrier: STATE FUND Policy Number: Exp. Date: -7 Contractors License Law.). , (This section need not be completed if the permitrs or on' a hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 10/11/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 10/11/2006 I 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 Signature Date WARNING: FAILURE 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 injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I 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. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the abo entioned property for inspection purposes. I hereby certify that I am the property r or am foorized to act on the r party owner's behalf. 10/11/2006 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner' Contractor OR. Agent for Owner ElAgent for Contractor FILE COPY Lender's 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.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last Name City d <<S irst N Mailing Add, L City E-mail StateCA Zip �� jgt Phone / _ 3 3 C� Fax �. E-mail State License Number CONTRACTOR Name ��►'`�- � ,' d` Address ` ,Z City d <<S Stat Zip q4 -m'7 Phone 3g G Fax E-mail Lic CI s� APPLI ANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City Occ. State Zip Phone Page Fax E-mail Date Approved: State License Number APPLI ANT SIGNATURE X For office use only: APPLICANT INFORMATION Name Flood Zone Address SRA City Occ. State Zip Phone Page Fax E-mail Date Approved: APPLI ANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. b-ackx BIN # PROJECT LOCATION API t/t:?: J Property Address '—C City Cross Stre 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: Sq FT- Living Garage 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. !U O Received by: Amount: --T31dg SRA Receipt #: Sheriff SMIP Date: )10 Other Total `..RESIDENTIAL'; 4 24-15-41 DENT, Jerry Gridley 718 E Evans Reime �'" contra Right Way Const addition/sf -- t , Y 2. i, T l: 1' a t s JOB FINALEDate) [l Signature J=OK O = Not OK =Not Applicable Not Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) r 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"fl. / /"Nat. or/ /"L"ft./ P'LPG 7. Well Clearance & Disconnect 8. Utility Clearance J Date Card B-1 Date Card B-1 �. Date Card B-1 Date Card B-1 I Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances e 5. Drain; MH Test -Fall -Flex Connector kA f V. 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS ., Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel `4 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 N Date Card B-1 Date Card B-1 Ni J=OK O=Not OK Not = Not Readyabler RESIDENTIAL (Single A Date U,N2ERFLOOR (Plans) OK except #'s Date 1. Z g -Setbacks -Easements -Flood -Slope a Ftg., Main; Soils-Elec. Grnd.-- ,g4tg. Depth 3. Ftg., Garage; Soils -Steel -Flet. Grnd.-/-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth e 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Ho owns and Special Anchors lab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & VentilalLon 16. Insulation Dat and B- Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent-Access-CombustioD_4C�r-Baffle 17. Water Pipe; Test & A 18. D.W.V.: Test -Fittings_ -- -------------- ---- chor-Nail Protection 19. Shower Pan: t. First Floor -Tub Access 20. Test 1� Shower. Second Floor -Tub Access 21. Pipe; Size & Anchors ----------------------------------------------------- Date _ _Card B-1 - - Date - Card B-11 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. F' re & Transformer Clearance -Ins. Protection ------------- ----- - ------------ tec. Receptacles Spacing -Lights & Switches at Doors 24 ze Boxes & No. of_Conductors-Stapled ---- - -- 2 ---------------- mex Installed Close to Edge of Studs & C.J. -- -------- - ---- - ------------------------------- --------------- 26. Equip Ground made up w!Mech. Fastners-Bond Gas & Water -------------------------------------------------------------------------------- e Circuts in Kitchen & Conductor Size!GFI ------ -------------- ------------------------------------------------------------ 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! / ga. -------- - - -------------------- --------------- 29. Range iris. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------- ------------------------------------------------------------ vice_ ser_Conductors & - Ground_Main Disconnect - ------------------------ 31 Equip. Clearances Panels-Motors-Mech. Equip. ------------ ------------------------------------ ------------ ---------------- lothes Closet Light -Shower Light -Spa Light 3. oke Detector ----------------------------- --------------------------------------------------- Date Card B-1 Date Card B-1 --------------- ------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 3+177A.C. Ducts Insulation & Support ------------------------------------------------------- �nt Fan: Exhaust above insulation -------- --------------------------------------------------------------- ondensate Drain Overflow: Size & Grade 37. Furnance nt: Access -Comb. Air -Return Air Vent -115 outlet -- -------------- --------------------------------------------------- ­ &- & Platform ii Furnance in Attic -------------- ------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------- -- ---- - - - -- - -- --------------------------------------- Date Card B-1 Date Card B-1 Date F NG (Plans) OK except #'s Sils. Proper Mater al & Anchors 4 Walt! Studs -Nailing. Spacing & Bracing -Plates -Sound -- --------------- 41 nng Walls over Girders & Floor Nailing ,-r --- 'p in (rat proof) --------- --------- ----- ----- ------ Fire Stops. Furred Ceilings -Stairs -Chases -Tub ----------- ---------------------------------------------------------- 44. Headers & Beam -Size & Bearing Duplex) MING (Conti ors -Connectors tr. ties-Purlin-roof Brac- ace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles "'- 49.--Rdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Protection Framing ------- ep-rty Line Firewall & Openings _ Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ---- Width -Headroom -Rise -Run -Landing -Fire Protection wood on Roof Overhang -Attic Vents -Rafter Outriggers -- --- -- ng- Nailing Veneer -o Mesh -Drip Screed -Fd. Vents-Underflr. Access _-Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 1 --------59. sulation-Walls-Ceilings . / 60. Infiltration -Walls -Windows Dat�iea(�" and B_ Date Card B-1 Dat and B-1 ate Card B-1 Date FINAL (Plans) OK except #'s __________ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector- In Garage: Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting _____ 65. G.F.I. & Bath Fixtures & Tub Access --Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------- 67.- Stairs -& -- Rals ---------i----------- - 68. Fireplace or Stove: Clearances -Hearth --------------------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter - -- 72. Garage Fire Door Swing -Landing -Closer 73. A.C. Duct in Garage -Damper ..----- ------------- 74. -----------74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . - In Garage: Above Floor-Mech. Protection 75. Plb.. Elec.- & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------ 78. - - --78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish ---------- - --- - 82. A.C. Unit: Disconnect. Electrical, Plumbing ..------------------------------------- 83. Vents Above Roof: Plb9- A liancpp e-firep lace. -Clearance to Openings ---------------------------------- -- 84. Water Well; Disconnect, Electrical, Plumbing -------------- -------------------------- ---- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground --- -- - 86. Ventilation Throughout House -- - --- -- -- - 87. Glass Protection --------------- ------------ 88. Corrections from Previous Inspections -- - - - ----- -- •--- ---------------------- - ------------- 89. Gas Test -Meters Tagged; Gas -Electric ----- ----------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------ --------- --------------------- Date -------------------Date Card B-1 Date Card B-1 - ----------------- ------------------------- - ----- Date Card B-1 Date Card B-1 ------ ------------------------------- Date Card B-1 Date Card B-1 Comments at Final: 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 I ( I— J ER + PERMIT NO. 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; DIP -ase contact this office.immediately`. /14AZ-0e�A/- w� N m ntv 11191 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 NER z�. PERMIT 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, please contict this office immediately. Owner Permit No. ENERGY CERTIFICATION Ae HAWKINS INDUSTRIES INC. #622184. FI Oyvce'rr- WST TE CONTR..LICENSE,NO. I her y he above insulation and all required items as shown on the Building Depart. approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are 'ofthe quality prescribed or are specifically approved by the State of Calif. r -------------------------------- ------------------------------- FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO. IGNATURE OF GENERAL CONTRACTOR/OWNER DATE This certificate must be on file with the BUILDING DEPARTMENT prior'to final inspection approval and a copy shall be posted within -the building. _ • �r �_ .—JANUARY 1984 _��: A. P. NO. DESCRIPTION OF INSULATION R')0F MATERIAL BRAND NAME f THICKNESS THERMAL RES. EXTERIOR WALL MATERIAL FIBERGLASS BRAND.NAME CERTAINTEED. THICKNESS a" THERMAL RES. " CEILING BATT OR BLANKET TYPE-FiberglasPRAND NAME CERTAINTEED THICKNESS /0 N. THERMAL RES. LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CERTAINTEED THICKNESS THERMAL RES. FLOOR,ELEVATED - MATERIAL FIBERGLASS BRAND NAME CERTAINTEED - - THICKNESS THERMAL RES. .FLOOR, SLAB MATERIAL BRAND NAME THICKNESS THERMAL RES. _ WIDTH FOUNDATION WALL MATERIAL BRAND NAME THICKNESS THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE -WITH -THE STATE OF CALIF. ENERGY REQUIREMENTS. HAWKINS INDUSTRIES INC. #622184. FI Oyvce'rr- WST TE CONTR..LICENSE,NO. I her y he above insulation and all required items as shown on the Building Depart. approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are 'ofthe quality prescribed or are specifically approved by the State of Calif. r -------------------------------- ------------------------------- FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO. IGNATURE OF GENERAL CONTRACTOR/OWNER DATE This certificate must be on file with the BUILDING DEPARTMENT prior'to final inspection approval and a copy shall be posted within -the building. _ • �r �_ .—JANUARY 1984 _��: i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. AS8E9sOR PARCEL - zoNlAG40 BUILDING PERMIT OWNER JERRY DENT TELEPHONE SQ.FT. OCC. BUILDING V UATION z 67 —291 F OWNER'S MAILING ADDRESS 718 EAST EVANS REIMER CONTRACTOR'S NAME RIGHT WAY CONST TELEPHONE 846-2328 ' CONTRACTOR'S MAILING ADDRESS 422 TURNER AVE GRIDLEY Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $275A4 X_,50. ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 137, OTI—.4_5 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 718 EAST EVANS REIMER GRIDLEY 95948 Permit tee $ g_�L5 PLUMBING PERMIT Filing Fee 115.00 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 [:X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G 1W 1 0 15.00 TYPE OF WORK New ❑ Addition � Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: FAMILY ROOM Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 Main service 20cATO1Oo0A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force a d effect. License .Jo � � �� � 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) ElI, 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 OCCUR.&) OR ADDNS. ACC. BLDGS. // ,2�n(o5 3.64 sq.ft.4-p.J'e' NEW CON5TR MULTI -OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCcUp ( OUTLETS OR FIXTURES 20 @ 764 FIXED APLNS. Ex. Occup. OUTLETS P(RESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 % Permit Fee --___/ $ 4&,30.3 Ifo, — 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 .T FXTFNTTON 9.00 Cooling 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 s id County in consequence of the granting of this permit. X �Dy ISS Date � -- i�"1 %/� Signature of pplicant — ner ❑ 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 $ J Energy Ins P Inspection Fee $ 40.00 occ CONST TYPE TOTAL FEE $SSO-15 I HAz 1 DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicat9page for ch fees OF P BLIC BY PER IT '1 1,117 Date applicable provi resolutions to do have been paid. i WORKS 01 Date all a n 2� Z r Q Receipt No.�,r�8��j S WHITE-D.P.W., YELLOW -ASSESS PI.K-INSPECTOR. GOLDENROD -APPLICANT law Krl COUNTY OF BUTTE ;'WPARTMENT OF PUBLIC WOR BUILDING DIVISION, 7 COUNTY CENTER'DRIVE , OROVIf:LE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER je(rry L I„ A._.P. No Proposed Building U., CA -1 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 t f, All items have been submitted. . Plot plans, 3/4 sets, signed by preparer of plans. .... s D. 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 $ 2 12, I U ........ , .. ,. 11. Impact fees as shown on attached schedule . ..... ��y... �t217te.t(.{.......... 12. California Department of Forestry plan approval/fees. . 11i Flood elevation letter (100 year floes b&California Engineer . ..............:: : Sanitation and plot plan approval Qt a " Health Department. <e�/S 92 fav . City of Chico plumbing permit. ....'..`................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: v (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval.required prior to occupancy). .. ... ... . 20. Pre -inspection for required. .. Pre -Inspection requestto 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 . ....................................... t rj32Plan check list. ......'.. p �4n k4 Wer you issue the , f s ollows: Mail to owner. Mail to contractor. (/\ �t Telephone — d hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant _ Date G As�-- �� 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 rior(to permit issuance: (Circle n m not checked above). 1. Index permit for above item pulrVIA 2. Additional items required:A-a0b)r-ffi ,1111c-akaAf wan Contracto , designer, owner, was advised of above required data by k/phone mail Counter by LU Date �o /Z 9Z on racto , designer, owner, was advised of above required data by (/ ones` mail Counter by G�w Date to Zy a s c ecked by �I� Date Plans approved by (� Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 'WORKr- PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone Ole '538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER — ' S�b —Q" k ZONI G � (40 BUILDING PERMIT OWNER , 1 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER; A GL SS_ iCONTR C DR'S NAME �� �' �L� HONE Y 2 CON RACT R'S MAI LIN ADORE S ` 12- Eurkow—(/e _ �^ � Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S 5 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ S -C, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2S7 t Energy Plan Checking Fee S Z0. t?0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRES iEVAN5 '�`/ - E/ Permit fee $ PLUMBING PERMIT FilingFee 15.00 69 �C C Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each aas water heater or vent 7.00 USE OF STRUCTURE SFX Dupiexi,� Mobilehome[:] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New _ Additionx Remodelj_ Utilities ❑ Installation[ Other ❑ Describe work: C Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS I 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I� I am licensed under p ,J provisions Of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License Ao. 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) Cj I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) [j I am exempt under Sec. Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. ( DWELLING OCCUP.&/ � 1 OR ADONS. ACC. BLDGS.NEW 3.6Gsq.rt. D, 3V CONSTR ULT (.OUT LET _N BRAN BRANCH CIRC ITS @ 5.00 / POWER APPARATUS h1 (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES RAO 760+ FIXED A--LNS. Ex. Occup. OUTLETS PIRESID IRE A.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bVirin g 15.00 Permit Fee $ X30 WORKMEN'S COMPENSATION INSURANCE I dec!are under penalty of perjury (check one): j The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building DepartmentX 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 FilingFee 15.00 Heating / D Coolin g Hood 6.50 Ventilation Permit Fee $ 6-0 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 — OwnerC Contractor G Agent An OSHA Dermit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. ffaBy WHITE -D. P. W,. TELL -OW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT Mobile Home Installation Fee $ Energy Inspection Fee $ C%U OCC CONST TYPE ®� ?TOTAL FEE $� I hAz!oFEES IMP I FLOOD I CDF I PARCEL PO HD ISSUE I i This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS DatePERMIT EXPIRES Date y , J/f Td' ' ' =1 Building Department iROM: Environmental Health SUBJECT: Sanitation Clearance Plan Approved for: Hold final for: Final clearance O.R. for: Sewage Disposal -Water Supply •Cepa ce f ',_,,-Ibledro°6m -m.ob•i-l-e-home,. NOTE *** Sanitar aOf Water Supply Water Supply OtherAA 26 ,,7K l Y �14_ � -11 JI(A Date _71jrkr-YI45 A4 Owner Location AP#. Plan Approved for: Hold final for: Final clearance O.R. for: Sewage Disposal -Water Supply •Cepa ce f ',_,,-Ibledro°6m -m.ob•i-l-e-home,. NOTE *** Sanitar aOf Water Supply Water Supply OtherAA 26 ,,7K l Y �14_ � -11 JI(A Date V?d 9 7 P9 1— v t (� V,,i Av r t Way CC2r\ s Environmental Health JUN 10 1992 Oroville,.Califomia ---- '� —— ----�..------------- Butte County Envi nmental Health r-----�--- 70, Wit------'-----'--"— Y--- - Date •' `� i 1: - ------- ---- ...a°ee..— 3 i Signat °° e it p w tt.4 r wl TE:T^ '" 6 APPROVED Butte County Envi nmental Health G Date •' `� i 1: - ------- ---- ...a°ee..— 3 i Signat °° e IztM4VE VJkKV{,.r/ v: Y+.w'`.7�iD'.'(?'9�i'+. '+0"° t..l_iii`:.y.IY'3"L'iJbV'.y{$Y�'I�i'f''�'i'�W'i►�`+�W'�-,n FTWWW. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District cc ►DUy - m ���-T s, ........... Building Department -No. , A.P. Number 24__I�Q=�� �.—_ Jurisdiction J City Co_untyr ti;i,ne Property Owner JE12f2 Y—p_.tJT-------------------- : �+.�IftOAM= Property Location/Address 71 �� T --S.'[ -- TVALJS__zELCYLcf= lao % f2 ( nLEV Subdivison Residential Development EE 1= No. of Living MHI Units Commercial/Industrial New Building Department Mpresentative Lot No. [::j�l Sq. Footage 67& Addition (Group R) 0 Sq. Footage Addition (Floor Plans reviewed by School District Personnel) District Identification No. School District certifies that (Including Exterior Roofed Areas) Go�Z2�92 Date (Ap (Street Address) (Phone Number) ----- ----------- 614, (City) , (State) (Zip Code) QQ q �/ 1 O has complied with the requirements of Ret;olution No. B�' ! z J by payment of $ .� e representing _—SP� _ — square feet. School District epresentative Paid by Check Number Bank Number-Z 1f Paid by Cash 1,0��� G Date : Remarks:_1.dz -Z( Q FzZ_ If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County C,nteryDrive, Oroville, CA 95965 PHONE. 916-538-7541 1Zt&Hr LuaY Com;TzUCnaN 422 lDem ee tW� Codi DI,G�, 9594} DATE & ( )2 [ 9Z RE : DENT ADOMOO A.P. #04-15D-04-1 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER �L We need the following information: Permit application signed and completed where indicated with all copies returned. ' fees of $2.1 R,16 -SEE Lr1rgrooa'ble to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in , including plot plans. Plot plans in Jiixirah — see. !49� a_LJ uC J Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 Co4nty Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Should you have any questions concerning the above, please contact of this office. Yours very truly, JFG/aj William Cheff Director of Fublic Works .F. Glander Chief Building Inspector TO CorA pLE7-ir- "; ��.� .�XAKjctiE-o 4N .06-Q? A0O rndQ, l.LOE,- W Its. �LkcE cnCl SI -I Na L.DI K4 T. _ 1FILiD kO rDil 1 a -a AS f�� eAi�./ Ati o p ri-o\) ► OL-�r wej z Io N. ® I�DpM4C&j Ta C Pp> ljlnotJ As� �P<12o.w�l 95 c� e:ea L^2�D. o� �ti��y co�� . �I.�'�o rn Xcvr,r. Looc-A,eeA - l o _$ s b lass c-�ws . I N D icATIa p� �w✓� _tw�r..Ir�ou�s �2�'1=-to��.� �o>= �mo7•l� L A\E aL r�-CrSTI (UG 96OMS Oj w` -NT- ITh tKod I ndO US 1:-::: -'AN 0 . _SIZ�,°�iU�' 'CJI ('Y��dVSI,dNS 6� 1�LL.`w"NCJoI,c.)s '�EI'�/�1lJ�IUio, o� ^�1C�6(L A<P-�k TO R E I N 6LAv )a( wi?�i 5iz� aPtyv- /acres m U P17C-C 120 5 , V4, : G�r3 c�� w IDES DoT co rn p�Y w cTi urac, e I{Ts ALL SECTIO A -F G -KJ a 4� A,6 Lr= W;k-U._'o'r.>.,,� 7C�LZUI�T �55O, LS-338.aS �7i�fiD = �Zi2.lb pw"NG. N ALU scr�o ®� � EC�r I- I s � EErpE O TO 12€FLCCT AcTUA -6,o o� ��DI'Cl•OIJ 1 April 23, 1992 a h-:ut Count L A N D O F N A T U R A L W E A L T H A N D B E A U T Y PLANNING DEPARTMENT 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 GQt1up, Otr q0,Tg stint NOJ .,, • . Mary Perry (! : G S; 1992 P.O. Box 5063 ''`'' Oroville, CA 95966 Re: Use Permit, AP # 036-310-1.10 Dear Ms. Perry: At the regular meeting of the Butte County Planning Commission held April 23, 1992, your request for a Use Permit to allow a mobile home as a temporary second dwelling on property zoned ARMH-2S, located on the south side of Self Lane north of Pinecrest Avenue east of Upper Palermo Road at 177 Self Lane, Oroville, was approved subject to the following conditions: 1. Occupancy of the mobile home is limited to Deane and Mary Perry. 2. No rent is to be charged to the occupant of the mobile home. 3. Meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. 4. The mobile home is to be a temporary use on the property pursuant to the requirements of Section 24-304 of the. Butte County Code. 5. The Use Permit shall expire two years from the date of issuance of the Use Permit. Upon application, the -Planning Commission may grant an extension of the Use Permit not exceeding one year. 6. In the event that the applicant who is residing within the mobile home or the conventional residence, for any reason, moves to another location or is deceased, then in that event, the Use Permit granted herein - shall automatically expire and the mobile home shall be removed within one hundred twenty (120) days. In the event the mobile home is not, removed within one hundred twenty (120) days pursuant to the terms of the Use Permit, the County shall remove the mobile home and store it at the owner's expense. os,7) <-- 7 r d i. LLI 1 1 h�Q os,7) <-- 7 1 ewe p la c eA! 5� )Id A -lysis MaP - asac lid pd fs-, e 601 'v-Gazzoa l BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building)� G leo C� School District -V I D trill ?a 41.( ---------------- Building Department No. A.P. Number 24 50 Jurisdiction J___J City County Property OwnerjC� Property Location/Address -7121> CA -ST -- VA) 15 etm e✓ G�k (E!/ Subdivison Residential Development Commercial/Industrial Build No. of Living MHI Units New thlOOr mans reviewed oy Scnool uistrict DistrictIdentificationNo. /V•G/. �y. School District certifies that (Street Address) (City) (State) has complied with the requirements of Resolution No. representing _y'7/_ square feet. Schoo District R presentative — Lot No. Sq. Footage 2 7 _I Addition (Group R) 0 Sq. Footage Addition (Including Exterior Roofed Areas) Date �- (Applicant). (Phone Number) 7 sy y (Zip Code) by payment of $ (� G 9 Date —� Paid by Check Number —__—_— _ Remarks: SO O Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act!(CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) r' feeform.wkl `(4/92) couf our RuTtll 444 A *1 .'*. HEATING. VENPIIATING,_AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace i (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating'capacity at 47°F) ❑ Active Solar type (liquid or air) Collectp2r brand and ft model number solar fraction collector area collector orientation, , collector tilt rated y -intercept rated slope ❑ Other (describe) *1. (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95'F) Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Other C' (describe) DOMESTIC WATER SYSTEM (A) Gas .Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) Q * Active.Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other _ _. .. (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following. Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ", cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. GNATURE UILDING DESIWR OR APPLICANT FOR M 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner Climate Zone Permit # Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 16 APPLIES TO NEW AREA CEILING R-30 R-38 WALL R-11 R-19 FLOOR R,11 R-19 SLAB R-7 R-7 GLAZING U-.65 (Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip::doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 .117 FDENT,P-Jerry a y, —041 192' 3092B _ .ans Reimer, Gridley ight Way Const e/sf 1-4 o4 g3¢ a .� �t-a '')'.u� Y.. ,'I �. �,, iS) r.t it r• 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 NUMBER 024-150--041 ZONING A 40 BUILDING PERMIT OWNER JMY um TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 718 FAST EVANS REiMER RD CONTRACTOR'S NAME RIGU WAY GONST TELEPHONE 2328 CONTRACTOR'S MAILING ADDRESS 422 TURNER AVE GRIDLEY 959483 Fireplace i' A" 1.500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 718 FAST EVANS REMM RD GRIDLEY 95948 Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFEM Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G I W 1 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationC Other ❑ Describe work: WaID S7MF Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 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. ��� z/t.�' 'k—r_ Classification �. -; C L,-' ❑ 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 Main service 200A TO 1oo0A) NEW CONST.( DWELLING 0CCUP.h) OR ADDNS. ACC. BLDGS. _37.50 3.tidsq.ft. NEWCONSTR ULTI-OUTLET NON. RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS h1 SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES L. 764 FIXED ETS ((RESID )REA.) Ex. Occup. I 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. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 gt�-- Date �,�'-- % `" �`�-" Signature of Applicant — Owner ❑ ContractorPa- Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 45.00 HAz I DFEES I IMP FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the P Y sions of the Butte County Code and/or indicated work indicated above for which fees W. Which OF PUBLIC By .r'' %�.. ..— PEFW EXPIRES Date applicable provi- PP � resolutions to do have been paid. WORKS Date Receipt No. 123045 WHITE-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 Z,_ APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 024-150-041A ' ZONIN' 40 - BUILDING PERMIT OWNER JERRY DENT TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 718 EAST EVANS REIMER RD CONTRACTOR'S NAME TELEPHONE RIGHT WAY CONST 846-2328 CONTRACTOR'S MAILING ADDRESS 22 TURNER AVE GRIDLEY 95948 Fireplace I"All 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4 Permit fee $ 45.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF[Y Duplex[] Mobilehome❑ Other Mobile Home TSTGTWT @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ Describe work: WOOD STOVE Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): {� e 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.!X�'yn5—V-_ ClassificationCa5_ Main service 200A TO t000A, 37.50 NEW CONST.( DWELLING 0CCUPM 3.6Q sq.ft. OR AODNS. ACC. BLOGS. NEW CONSTRMULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e\ (SINGLE OUTLET CIR. I 20 760 Ex. Occup(OUTLETS OR FIXTURES Fl as the owner, or my employees with wages as their sole compen- IAL 1@ 464 FIXED Ex. QCCUp. OUTTS PIRESID IREA.) 1 3.00 sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. MECHANICAL PERMIT FilingFee 15.00 Heating 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. Cooling ❑ 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. 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 s ' County in consequence of the granting of this permit. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 1 0FEES I IMP I FLOOD I CDF PARCEL PD HD I ISSUE X Date — / '-' �� This permit is hereby issued under the applicable provi- Signature D pplicant - owner ❑ Contractor Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. work indica f above hich fees have been paid. D Ef PUBLIC WORKS Receipt No. 123045 WHITE-D.P.W., YELLOW -ASSESSOR, PINx•INSPECTOR, GOLDENROD -APPLICANT BY Date 9-/-4a PE EXPIRES Date 1%'— / —1 3 I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Calltornla 95965 - Telephone: 916.538-7541 APPLICATION'AND ,PERMIT ASSESSOR PARCEL. NUMBER ^� of- %Jc0 ��%�%� ZO INS - Flo BUILDING PERMIT OWNER Sect 0eNt TELEPHONE SO. FT- OCC. BUILDING VALUATION OWNER'S MAILIN ADDRESS ' -7/1t? Efts .-,YI/Vs eelmnc i CONTRACTOR'S NAME h7` W491�oNSfi TELEPHONE 8Y6-2328 CONTRACTOR'S MAILING AODR 59 /7'Z?- TvrNLIC 1�" 6-n Fireplace fir 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 ..7 / 8 ��T Ars �'�:�e�e Permit tee $ �. O PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE - SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G I W . @ 15.00 TYPE OF WORK New❑ Addition❑ Remo�Jdel❑ Utilities❑ Installation Ci Other Describe work: ri(ilSY�465roUe. Permit Fee $ Contractor ELECTRICAL PERMIT . Filing Fee 15.00 Main service R LE 200AORLESS 18.50 Main service 200A TO 11 I 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.SINGLE 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- I (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP-1) OR AOONS. 1 ACC. SLOGS. I 3.64 sq.ft. NEW CONSTR. ULTI-OUTLET NON-RESID, BRANCH CIRC ITS I @ 5.00 POWER APDARATUS tr OUTLET CIR. J Ex. OCII OUTLETS OR FIXTURES 20 76d RA EX. Dccup. OUTLETS PI RESI O.IREA.) 1 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g I 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 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 C-1ContractorC 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 I CONST TYPE TOTAL FEES t,Az 0FEES IMP FLOOD IPARCEL PO FID ISSUE This permit is hereby issued under the sions of the Butte Count Code and/or y work indicated above for which fees DIRECTOR OF PUBLIC _ PERMIT EXPIRES n;,re applicable provi- resolutions to do have been paid. WORKS i Date j O5By eceipt No. � '�y'�Yi"'t'!'V'=` M�'"r�aN4�i&S;7L :Pf !aab'i's" yi'v�-."' ."`* 1`. ,'r'r�k-f,3at a+ .a, • it COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller C$lifornia 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT rVwlof t ��1 ASSESSOR PARCEL NUMBER 24-150-041 ZONING A 40 BUILDING PERMIT OWNER JIRY DENT TELEPHONE 846-3572, SO. FT. OCiC. BUILDING VALUATION OWNER'S MAILING ADDRESS 23 sq comp 1.380 CONTRACTOR'S NAME DOUBLE J ROOFING TELEPHONE 846-2791 CONTRACTOR'S MAILING ADDRESS 280 SHELDON AVF GRID12T 195948 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ i 380 LENDER'S MAILING ADDRESS ' Filing Fee $ 1.55,00 Permit Fee $ 28.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING 704 FEAST EVANS REIT M ROAD GRIDL ; Permit fee $ 43.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home T`STGJ W 1 015.00 TYPE OF WORK New ❑i Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: REROOF ;. — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A TO 1000A) 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 'JO. i647gk 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 licensedlcontract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) OR ACDNS. ( ACC. BLDGS. I _37.50 3.60 sq.ft. NEW CONSTRESID, BRANCH NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR, , Ex. OCCUp(OUTLETS OR FIXTURES 20 76d EX. DCCUp. OUTLETS (PRESID.)REA.) I .3.00 Temporary service 15.00 Mobile Home Facili' ` 15.00 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 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 again id Cou yin consequence of the granting of this permit. X Date l/� .Z to '� 5i nar a of Applicant — Owner �) g pp ❑ Contractor U8) Agent ❑ An 0 'HA 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 $ 43,50 HAz I DFEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicat d a .ove for which fees IR GTO OF P LIC By s PEFiMI'f1ffxPiJkEV Date applicable provi- resolutions to do have been paid. WORKS Date -t6 �1 Receipt No. ����y WHITE-D.P.W.. YELLOW-ASS[SSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CallfornFa 95965 - Telephone: 916-'538-7541 APPLICATYON AND PQRMIT ASSESSOR PARCEL NUMBER 24-150-041 ZONING -- A 40 BUILDING PERMIT ` OWNER JERRY DENT TELEPHONE 846-3572 S0. FT. OCC, BUILDING VALUATION 23 sq comp 1,380 OWNER'S MAILING ADDRESS CONTRACTOR'S NAME DOUBLE J ROOFING TELEPHONE 846-2791 CONTRACTOR'S MAILING ADDRESS 280 SHELDON AVE GRIDLEY 95948 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1,380 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 28.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 704 EAST EVANS REIMER ROAD GRIDLEY Permit fee $ 43.50 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 qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: RFRnOF Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q 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. SGG74sr Classification C'-3 9 ❑ 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.&\ OR AODNS. ACC. BLDGS. / 3.6Q sq.ft. NEW CONSTR. ULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES A_ 76a FIXED APLNS. Ex. Occup. OUTLETS P(RESID )OR EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 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. TiviiI have placed on file with the County of Butte Building Department � V 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 Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 again aid Cou y in consequence of the granting of this permit. �+ X Date �l �o ' 7 Signa a 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 $ Dcc CONST TYPE TOTAL FEE $ 43.50 HAz I DFEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicF�lj a ove for which fees TO OF P LIC PE MI XPi Date applicable provi- resolutions to do have been paid. WORK$ Date -061 Receipt No. ! f%� 7 WNITE-D.P.W., TELLOW-ASSESSOR, PINI( -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95985 - Telephone: 916.'538-7541 APPLICAT ONrAND PERMIT 7tisI ABUILDING PERMIT OWNER -.a D 2&tiT TELEPHONE S0. FT. OCC.1 BUILDING VALUATION S r% OWNER'S MAILING ADD ESS_ZS CONTRACTOR'S NAME 7 T L PHONE CONTRACT 'S MAILING ADDRESS UAe6 a,✓Ak-c- 6ti k 9s �!J Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 3J C_=- JLENDER'S Filing Fee $ 15.00 LENDER'SMAILING ADDRESS Permit Fee $ . !a ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSC � J C „ J U Permit fee $ D PLUMBING PERMIT FiIingFee 15.00 r 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 SFG4 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ® Describe work: t6 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of P Y perjury Y(check one): )� ElNON.RESID 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.& OR ACDNS. l ACC. BLDGS. \ II 3.64 sq.ft. NEW CONSTR. MULTI.OUTLET BRANCH CIRC 'ITS @ 5.00 POWER APPARATUS (SINGLE OUTLET cIeR. Ex. Occup(OUTLETS OR FIXTURES AO 76d FIXED APLNS Ex. Occup. OU LETS P(RESID )KEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin 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 net em-p!=y ,^y r: - . _ - —rte: - _ _ � _ �i.=, t to the W. C. laws of California. ^ ` .^ Notice to Applicant: If after making, this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hcrd 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 Si nature of Applicant — Owner 9 PP ❑ 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 $ 0cc CONST TYPE TOTAL FEE $ 3 S� HAz rE= CDF I PARCEL PO 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. /p 333 1— WNITC-D.P.W., T[LLOW-A99[330R, PINK -INSPECTOR. GOLDENROD -APPLICANT �3l Z°5 --6z7 on ( 2 :q =-/ - � �0=- C:)Y� � $3 — bo 3 -- Of '�y.sv2K,.r'4r"ln�`+..__•:v��;..v� 'w�i:'�:i►.v�+•.,. r '4,��..,i �s�a..i�'�d:,y�-,yt�Y'�'p7':`.:'�'��,..::+^L.�,.p�'%�:iiE"-S'*r.rjS�1'�2' s. `s `'..�'�' i�r[ ���t'T ia.�' - ��T>'tlr E 024-15-0-041 ' DENT91-4232 r , JERRY VIRGINIA CONTR: UNKNOWN - - `' 704 EAST EVANS REI MER RD,. I'D �} WOODSTOVE/SF GR I j f l `4� N . JI Fs � y 4-17- �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller Californla 95955 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. Z_ ASSESSOR ARC L NUMBER 24-15-41 ZONIN A 4Q BUILDING PERMIT OWNER ,TERRY & VIRGINIA DENT ITT V_4 " 03 SQ. FT. OCC. BUILDING VALUATION OWNER'S MA�J§G#RffEtkAZIS REROAD GRIDLEi ROAD �f j�jw,�' CONTRACT t TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace "Alt 1 00 + CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ 15,00 Permit Fee $.J ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS a. Penalty $ BUILDING ADDRESS M Permit fee $ 49, PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G W 1 15.00 TYPE OF WORK New ❑1 Addition ❑ Remodel ❑ Utilities ❑ InstallationE Other ❑ Describe work: INSTAIJ' WOODSTOVE I Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600VORLESS j$.50 200A OR LESS Main service 200A TO 1oo0A) 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 ;Jo. 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 I\ ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft. OR AODNS. ACC. BLDGS. // NEW CONSTR. ULTI-OUTLET @ 5 00 NO N.RESID BRANCH CIRC ITS POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURE$20 76d EX. OCCUp. OUTLETS FIXED P(RESID.ILNS RE A.� I 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. \`y 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 Cooling 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 agkirjst said County inconsequence of the granting of this permit. �C 7- `.rr -� .r` Date ?� /This Signature of A'pplicant — Owner Contractor E]Agent❑ s L�t7 f `� 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 FEES '45.00 HAz I DFEES I IMP I FLOOD CDF I PARCEL I PO I HDISSU permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do �`. work indicted above for which fe'save been paid. �° DIRE F PUBLI f/WORKS BY ' ':': f `r '* ' Date r � PERMlIEXPIRES Date 103532 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drivc_, �roville, California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT / ASSESSOR PARCEL NUMBER 24-15-41 ZONING A 4n, BUILDING PERMIT OWNER JERRY & VIRGINIA DENT TW 52 3 SQ. FT. OCC. BUILDING VALUATION OWNER'S M ftg Gefff EL' VANS REIMER ROAD GRIDLEY CONTRACTOR'SNAME NKOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace n r CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 00 15,00 Permit Fee $i ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 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 Water piping 1 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 Mobile Home S G W @ 15.00 TYPE OF WORK New F71 Addition Remodel❑ Utilities❑ Installation❑ Other Describe work: INSTALL WOODSTOVE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 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 Main service 200ATO1000A) 37.50 NEW CONST. / DWELLING OCCUPM OR ADDNS. \ ACC. BLDGS. 3.6a sq.ft. NEW CONSTR ULTI.OUT LET No 11 - BRANCH CIRC ITS /� 5 00 l: POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES AO 764 FIXED APPLNS. OR Ex. DCCUp. OUTLETS IRESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 16 ❑ The permit is for $100.00 (valuation) or less. EJI 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 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 ex enses which may in any way accrue agairls.r said County in-conseque a of a grantin of this permit. i Date /a - 9- %� Signature pplicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over or 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 $ 45.00 HAz I DFEES I IMP I FLOOD CDF PARCEL I PD HD ISSU This permit is hereby issued under the sions of the Butte County Code and/or Work I ted ab a fo hicyte�$ave DIR PUBRKS PE PI S Date _ - applicable provi resolutions to do I been paid. Receipt No. 103532 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive; ovllle. California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB RZONING a 0 BUILDING PERMIT OWNER j egsT TELEPHONE s 6-s SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADORE S -7 5r E CONTRACTOR'S NfAME ' 01�wlilo TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 30.E ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ?OZ/ —/� s f2 Permit fee $ mss- coo PLUMBING PERMIT Filing Fee 15.00 /se Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE S154_Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New 11 Addition ❑ Remodel ❑ Utii-ties ❑ InstallationC Other o Describe work: _TA/.5j �� /'4100 ( _G714ug Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 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 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 th(Sece owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. 3.54sq.ft. NEW CONST R.TLET NON•RESID BRANCH CIRCU ITS@ 5.00F-1 POWER APPARATUS (SINGLE OUTLET CIR.!! ) Ex. OCCUp(OUTLETS OR FIXTURES20 @ 76d FIXED AP17I, Ex. OCCUp. OUTTS PIRESID.)REA.) I 3.00 Temporary service 1 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. ❑ 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 Coolie g Hood 1 1 6.50' Ventilation Penult 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 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 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES HAz 1 0FEES I IMP I FLOOD CDF I PARCEL PO HO 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 ) //o``ver Receipt No. 1 V 3S3Z WNITE-D.P.W., YELLOW-A33CS30R, PINK -INSPECTOR, GOLDENROD -APPLICANT ',}'°��x-^3"a*eyr"-yvi3K�?y'F.+t}ti•+s*#riuv'r•``'!`'rttaur's'G,,;:.r=x.'p�.<^�,'..i's3'iG7ztkf}G:Fra•. �s ,w�wiYns.,i.rt"-K'b�,i'K'.�i�-.�;.,n., �:...:. . r Meter By 1 Date' ' ELECTRIC Dat Meter By I COUNTY OFBUTTE- DEPARTMENT OF PUBLIC WORKS P SMI NO. Q 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOIN PARCEL NUMBER 024--150-041 ZONING A40 BUILDING PERMIT OWNER �. JERRY DENT TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 718 EAST EVANS REIMER RD CONTRACTOR'S NAME �' iii V !• NST I TELEPHONE 46-2328 CON R.. CTO 'S t�AAIL G DRESS 2 AVE GUM 95948 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 ADDRESS718 AST EVANS REIM GRIDIM 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 Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: UPGRADE MAIN SERVICE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1�y5.00 Main service 600V OR LESS 18.50 8 200A OR LESS • 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 andmy my license is in full f rce and effect. License JO.�?�rJ S 1� 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) El 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 Main service 20CATO t000A) _37.50 NEW CONST. / DWELLING OCCUPM 3.64 sq.ft. OR ADDNS. 1 ACC. BLDGS. I NEW CONSTFL ULTI.OUTLET �1 NON -RE SID BRANCH CIRC ITS ` 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLINIS R Ex. Occup. OUTLETS ((RESIO.)EA.) I 3.00 Temporary service 15.00 Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 53.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Ig 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 FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor l 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 ' �" p'"..2 si Signature of liccnt – Wner g pp ❑ 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 I TOTAL FEE $33.50 HAz 1 11 FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above fop which fees have been paid. � e6TO �DIRe6TORrOF PUBLIC WORKS By Date PERMIT EXPIRES /Date 7— Zov"-- VJ 7 lam' Receipt No. 117745 WHITE-D.P.W., YELLOW-ASS[q SOR. 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 OWNER 1-7:�O-C) PERMIT NO. 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 h any questions pertaining to this matter, or need additional explanation, pie asplc— tact office immediately. INA REV 11/81 r REV 11/81 C� J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSP IT'N 6 0. l/ 7 County Center Drive - Orovllle, Callfornle 969 - Tolophone: 016/53®-7641 Q' APPLICATIQN AND PERMIT r e 024-150-041 A 40 _FW BUILDING PERMW" N_MR T EPHONE JERRY DENT S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 718 EAST EVANS REIMER RD CONTRACTOR'S NAME ITELEPHONE ; RIGHT WAY CONST 46-2328 CONTRACTOR'S MAILING ADDRESS 422 TURNER AVE GRIDLEY 95948 Fireplace CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS Total Valuation $ Filing Fee Permit Fee $ 15.00 $ ARCHITECT OR ENGINEER LICENSE No. ARCHITECT OR ENGINEER'S MAILING ADDRESS a Plan Checking Fee Energy Plan Checking Fee Penalty $ $ $ BUILDING ADDRESS 718 EAST EVANS REIMER GRIDLEY 95948 p Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas 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 S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: 11PCRAnF. MAIN SERVICE. _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR SS 200A OR LESS 18.50 18.50 Main service 200ATO1000AI 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 J0.7 _?-Zn S—' - 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.N\ OR ADDNS, l ACC. BLDGS. // 3.6Q sq.f[. NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 \\ Ex. Occup. OUTLETSP(RESI M.)R'A,/ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ 33,50 — 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 J^� 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 A 6.50 Ventilation I - 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 sai ounty in consequence of the granting of this permit. X Date --' rte Signature of pplicant — caner❑ 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 $ 33.50 HAz I DFEES I 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 f which fees I T F PUBLIC By EX IRES Date 7— Z applicable provi- resolutions to do have been paid. WORKS DatePERMIT Q,? Receipt No. 117745 WNITC-D.P.W., YELLOW-A99C390R, PINK -INSPECTOR, GOLDENROD -APPLICANT . ` "�' �+4' ��-.�,rri�'t+;rm'.,r 7 " r � K r Y y M.:t. .. rr tt,n � •�. � �,,.^�► � L'" �' � �?" 'tp.a ti �, . ;� • r 1` C6UNWY OF BUTTE DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION1 7 COUNTY CENTER�'U f�/E - OROVILLE, &ALIFORNIA 95965 - TELEPHONE (916) 538-754 Q PERMIT APPLICATION DATA SHEET OWNER 7 62,q 6 i '- oyo A. P. No. OZG/- (.���I Proposed Building Use &/C.- -- -t - Building Inspector % Date W % Z_ Attime of per .t 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. Mail to contractor. Telephone and hold for pickup at office. �_ Deliver with inspector. Other Parcel Creation t�/__ 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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0.2'-/, /S'd --O / ZON G // - 7Q BUILDING PERMIT OWNER 0_ TELEPHONE ,SQA FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD ESS s VAAY=::, E.r i62- CONTR CTOR'S NA E TELEPHONE CONTRACTOR'S MAILINGDDR'ss 'y ZZ Net �% rt 1 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 Q 'fr Permit fee $ qJr � or I'd J�e11 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF�Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesO Installation❑ Other ❑ Describe work: (JOCYr�1 AA) (%' E Permit Fee $ Contractor ELECTRICAL PERMIT ELECTRICAL Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I 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 F -1I, 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 Main service 200ATO1000AI 37.50 NEW CONST./ DWELLING OCCUP.s() OR ADDNS. \ ACC. BLDGS. 3.64sq.ft. NEW CONSTER ULTI-OUTLET N ON.RSID BRANCH CIRC ITS @ 5.00 POWER APPARATUS a SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES IAL 20 75 P K FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) ( 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 3650 — 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 the W. C. provisions of the Labor Code, you must forthwith comply with suchprovisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g od HLPermlt 6.50 tilation Fee $to tractor 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 — OwnerEDControctor ElAgent ❑ An OSHAwork 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 $� �---� I HAz I D FEEI MP FLOOD I COF PARCEL PD HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 117711S 7115 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK-INSPKETOR_ cOtn1u1nn-1001 irAIT N.�/SEC 7 T 17 1• .a c 2 NR3E MD6�M 1-5 seE 12 8 9 24- - I� M E R) a6z-4_i-is n . E. EVANS REIMER R 72515-48 /-OIL. 15-a I 69 7S6 14 Ilay �.iC al -4 I, 3e 4 4.00 36. ices I .Y� 38� 1.2a ac n., � 8.524.AC O f 0�'i 4B.S54C ; I . bat•/6 - - - -- - - -+- o----- --f------------�---------- N1 394/ o14.55AC 40©20°A� v - s IIIII VPG III, 70EAC, .00 m 66 2.OA PM -86 cm ''�C 396�S w tI1I 00 00 T I► B zoo QV E. 4.� cl e.2 ei aC e.47 ACI SZ 5� f 64.. � I i 60 is 471 C. 225 aC 28.91 AC t, /032.77 - - - 2/.9 j V6 6Q 660 -- I Ao Ac....b _ S3 _ 444 - - /320 56 66d 3:22FAC 388 11632.3I 17 1i3•