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HomeMy WebLinkAbout024-150-05224-15-52 BUR HARDSON 596 E. E Reimer Rd, Gridley ypermit#1916 (conv stg -room to rest room/general store W"Q 07 5 Ay 24-15-32 ! Permi 8-86B(lst renewpl/1916-85). 024-15-0-052 93-3753.B PANECALDO, JOHNy,�A- 596 E EVANS REIMER RD, GRIDLEY CONTR: DOUBLE J ROOFING REROOF/STORE r f i i i i l 24-15-52 BUR HARDSON 596 E. E Reimer Rd, Gridley ypermit#1916 (conv stg -room to rest room/general store W"Q 07 5 Ay 24-15-32 ! Permi 8-86B(lst renewpl/1916-85). 024-15-0-052 93-3753.B PANECALDO, JOHNy,�A- 596 E EVANS REIMER RD, GRIDLEY CONTR: DOUBLE J ROOFING REROOF/STORE ti - -st- �-=� CJ �_� � C� oA, Department of Public Works County o.f Butte 0 J. Michael Crump, Director LAND DEVELOPMENT DIVISION 0 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 July 15, 2004 Joyce K. Panecaldo 783 Larkin Road Gridley, CA 95948 Re: Lot Line Adjustment . AP 024-150-052 & 053 Dear Ms. Panecaldo: On July 15, 2004, the Department of Public Works. made the finding that the Lot Line Adjustment on the above referenced property is exempt from environmental review, and approved the project subject to the conditions on the attached page. Should you appeal the decision of the Department of Public Works, please submit your appeal, in writing, with the appeal fee of $50.00, to the Clerk of the Board of Supervisors, 25 County Center Drive, Oroville, California, prior to 4:00 p.m., July 26, 2004. The conditions of approval must be met within thirty-six (36) months from the date of approval by the Department of Public Works or the approval will be considered null and void. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Stuart Edell Manager, Land Development Division SE/kp Attachment cc: vironmental Health Department Building Division Richard F. Sannar M4. Joyce Panecaldo, Lot Line Adjustment, AP 024-150-052 & 053, Modifying the common boundary lines between two parcels located on the southwest corner of Larkin Road and East Evans Reimer Road, Gridley area. Engineer: Richard Sannar. New lot or parcel lines shall comply with setback requirements of applicable zoning and building ordinances. 2. Deeds and plats (if required) shall be submitted to the Department of Public Works, Land Development Division for checking and approval prior to recordation and shall contain the notes specified below. 3. Provide documentation from a title company of the applicant's choice verifying that any deed of trust affected has been partially re -conveyed or modified to reflect the lot line adjustment and to prevent the creation of any additional lot or parcel. 4. Prior to recordation of deeds, provide documentation verifying payment of taxes as required by Subsection (b) of Section 20-95 of the Butte County Code and as specified in Article 8 of Chapter 4 of Division 2 of Title 7 of the Government Code, commencing with Section 66492. ENVIRONMENTAL HEALTH DEPARTMENT CONDITION: 5. Abandon existing well as it is too close to existing septic system to meet Butte County Code. New wells to be installed under permit from Environmental Health Department. Deed Note (To be placed on any deed to effect lot line adjustment) The purpose of this deed is to effect a lot line adjustment as approved_ by -the Butte County Director of Public Works on The above described lands are to be combined with and become a part of those lands as described in the deed to as filed for record in Butte County Official Records at Serial Number Book at Page No additional lots or parcels are created hereby. The scope of review of said lot line adjustment was limited as specified in Government Code Section 66412(d), and approval of it does not constitute assurance that future applications for building permits or other land use entitlements on the modified lots or parcels will be approved by the County of Butte. Plat°Note (To be placed on any required Plat) This plat does not constitute a legal description of the lots or parcels depicted and does not show all easements of record on or affecting said lots or parcels. 0 Lot Line Adjustment Conditions of Approval - Butte County ■ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENTS R S -BUILDING DIVISION v 7 County Center Drive - Oroville, -C'Afornia 9596 - e ho a (916) 538-754 PERMIT NO. APPLICATION AND P IT�:7-� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER JOHN PANECAIDO TELEPHONE SQ. FT. OCC. BUILDING VALUATION 7 @ 60 420'00 OWNER'S MAILING ADDRESS 596 E. EVANS—REIMER RD GRIDLEY CONTRACTOR'S NAME TELEPHONE DOUBLE J ROOFING 846-2791 CONTRACTOR'S MAILING ADDRESS 280 SHELDON AVE GRTDTFY q5948 Fireplace CONSTRUCTION LENDER T UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 19-00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 596 E.- EVANS REIMER RD PERMIT FEE $ 39.00 GRIDLEY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome O Other RETAIL STORE SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities O Installation ❑ Other Describe Work: REROOF W/COMP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( eO01 OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( & ACC. BLDS. ) SD. 3.50 FT. CONTRACTORS LICENSE LAW I d lare under penalty of perjury (check one) am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C de and my license is in full force and effect. License No. L Classification e compensation, will do -3!9Temporary ❑ I, as the owner, or my employees with wages as their the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) & SINGLE OUTLETCIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL @ 1.60 Ex. Occup- FIXED APPLNS. OR ( OUTLETS IRESID.I EA. ) 5.00 Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): This permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California 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 Count n consequence of the granting of this permit. X Date Sig lure of Applicant - Owner Contractor ❑ Agent A OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON �� b z 9 De tel Receipt No. 153562 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVF_40PMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT PERMIT NO. 'APPLICATION AND PERMIT 21 T _Z ASSESSOR PARCEL NUMBER >` 021A-1 2 ZONING A 40 BUILDING PERMIT OWNER tG n�t.!re t 1X1 TELEPHONE SQ. FT. OCC. BUILDING VALUATION 7 60 420.00 OWNER'S MAILING ADDRESS 1+..,_•, 596 E. EVANS—REIMER RD GRIDLEY 95948 CONTRACTOR'S NAME TELEPHONE DOUBLE J ROOFING 846-2791 CONTRACTOR'S MAILING ADDRESS 280 310,nON AVE CRTs FY 95948 - Fireplace CONSTRUCTION LENDER n �,t` T UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15,00 ARCHITECT OR ENGINEER NONE 1\l lJ a,l'. LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS, Penalty $ BUILDING ADDRESS 596 E. FVANS RF.IPiFR RD PERMIT FEE $ 15 00 GRIDI EY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE RETAIL STORE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK qq New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ElOther lJ Describe Work: REROOF W/COrP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OP. OR ADDNS. ( 8 ACC. BLDS.CCU) 3.50FSTO.. CONTRACTORS LICENSE LAW I de tare under penalty of perjury (check one) ( am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C de and m y license is in full force and effect. License No. Classification /+ O I, as the owner, or my employees with wages as theiFsole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.50 Ex. Occup. FIXED APPLNS. OR p' ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): This permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California 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. 1 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 Counntyin consequence of the granting of this permit. X1�/��/•�ii�,i DateThis Signature of Applicant—O- owner Contractor ❑ Agent - O An OSHA permit is required for excavations Qver 5"0" deep and demolition or construction of structures over 3 stories in height.\ Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. 1 D. FEES IMP FLOOD I CDF PARCEL PD HD ISSUE permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOROFPUBLIC WORKS / By ' 1�+-f- t �i� r Date �L PERMIT EXPIRES ON ��/� 291,/ (Dere) f Receipt No. {1535&`2 — WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I w 024-15-0-052 93-3153 B PANECALDO, JOHN 596 E EVANS REIMER RD, GRIDLEY CONTR: DOUBLE J ROOFING REROOF/STORE r i I r- COUNTY OF BUTTE - DEPARTMENT OeDEV LOPM E VICES - BUILDING DIVISION .x 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA .965 - TELEPHONE (916) 538-7541 PERM APPLIC .`TIO1N DATASHEET /KVq",V_ 1--Ilq Itleco.- AD Kl- Proposed Building Use Building Inspector At time of application, I was advised the following data must be submitted prior to permit processing and/or issuance: �17 DATE RECEIVED BY ,�� 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). ..P��"�.e�O" re 20. Pre -inspection for 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 checklist . ...................... " ............................. . 33. 34. When you issue the permit, process as follows: Mail to owner. 4alto contractor. Telephone and hold for pickup at ce. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Countee" by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder - Copy - Department of Public Works j P PERMIT NO. PERMIT EXPIRES OWNER BURL RICHARDSON CONTR.. owner ASSESSOR PARCEL 24-15-52 LOCATION 596 E. Evans -Reimer Rd, Gridley i l r Temp. Power Called PI Temp. Elec. S Called Pf Temp. Gas Se Called PC JOB FINALEI Signature J c OK 0 = Not OK - = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s _ 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posis-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L" ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RRESIDENTIAL(Sing•le and Duplex) Date UNDERF OOR Plans OK exce tit's Date FRAMING (Continued) oning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 52. 53. Siding -Nailing -Veneer Stucco Mesh -Drip Screed-F.dn. Vents-Underflr. Access 7. Piers -Fireplace Ft .-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts Ae D.W.V.: Fall -Fit ' s -T -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except k's 14. Water Ht.; Vent -Ac ss -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Water Pipe; T Anchors -Nail ection W.V.; Test-Fttngs & Anchors-Nai ection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive E] Yes E] No; Walks ❑ Yes [3 No; Planters ❑Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House _ Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-_Shthny.-Rfng_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASS O=PL NUMBERZ NTNG BUILDI G PERMIT OWN r. E ONE SO. FT. OCC. BUILDING VALUATION OWN 'S AILIP AD R S r `^ CONTRA OR'S N E Y ELEPH NE - CONT ACT R'S MAILING ADORE SS Fireplace CONS UCTION LENDER UNKNOWN C Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHI CT OR ENGINEER (9 11 LICENSE NO. Pian Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS5 nVQ Q l}iY — l Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 • Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PART MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTU/y,'� /! \n SFR Duplex❑ Mobilehome❑ Other f2P1,lEVQcI v�bt^C— SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ i lities ❑ Installation ❑ Other ❑ Describe work: f0 _ re) kvi Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 - Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BuslnesS 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.R New CONsrR( A ,/z¢sgft MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea - POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®30t eALO 30 FIXED APPLISIS EX. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 agai said Co in c quence of the granting of this permit. e�_ �i! — Date J Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ZZ. ge occuP, CONST.TYPe FLOoo P RCEL I PD ND seu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTORZGF PUBLIC BY PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS atewaz) Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, Nx-INSPECTOR, GOLD ENROD-APPL I CANT M OWNER A COUNTY OF BUTTE - DEPARTMENT OF�PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL-E; CALIFORNIA 95965 - TELEPHONE: 916%54-4541 PERMIT APPLICATION DATA SHEET t 1 Permit No. J Proposed Building Use ( r7 rn / trro 1' A4r, � 1 T_ P'7 /I F $ 1 11©rQ Permit Fee Based Upon: Complete Contrac't1 Price —DPW Valuation Other (Ejxp�la�in)/ Building Inspector / �1�i1 ,l�t'� Date N At time of permit application, I was advised the `following.data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate./triplicate. . �J � yomplete plans in duplicate./ riplicat��n.d (:.fi.6 4. Complete engineered plans andac cam. . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9•. Letter of signature authorization. /I Sanitation approval from �trn�,,•/I r Health Dept. 1 . Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner 0, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . r Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector ) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other "* When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. 7�,7 Other iI a J '�i Sir v— ;ul5ric ��ss%fir tL A -I 3��� �o , r:Lo Date?— 3 -7S _ Copy of plans sent Health Dept., Fire/QXpt.,1 Other Date During the plan checking process, the folilb�wing data must be submitted prior to permit issuance. (For required items not checked abov at ime f ap• lication, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date 77 /6 Other: Copy—DPW ' . To: BuildiinO Delmrtment ^ Frnm Fnvironnc!"iLal HuuIth Sanit-it.'Lon Clearance ate -T Plan Approved for: Sewage DispocaI ' Water SoppIy__________ Hold Final for: Final Clei�jruxco O.K. for: Noto^°, Water Supply ________ Water Supply_ COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) .Q 2. I (have/have not) a 'o signed an application for a building permit for the proposed not). . 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone' Contractors License No. r 4. I plan to provide portions of this.work, but I have hired the following person to coordinate, su �ervise, and provide the major work: Name , AddressCity , ,C Phone _ ontracto s License No. —� ---� 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner /Y 106e­,Z�e� Social,Security Number Date 7 3 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMI N 7 County Center Drive - Orovill@, California 95965 -Telephone 916/534-4541 �5/1�— APPLICATION AND -PERMIT ASSESSOR PARCEL NUMBER 24-15-52 ZONING BUILDING PERMIT OWNER Burl Richardson TELEPHONE 846-2590 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 596 E. 2vans Reimer Gridley CONTRACTOR'S NAME owner TELEPHONE 1st renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ i FEE $ 8,75 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 596 E. Evans -Reimer Permit fee $ i8.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Gridley Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other cony stg/general store SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: _ 1st renewal of permit #1916-85 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 -OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Busine s a d Professions Code for this :son NEW CONST. DWELLING OCCUP.p CC. BLDGS., NEW CONSTR.(AMULTI-OUTLET h¢sgft NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200e0C BAL030 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSA ON 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 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 fiK nst said County in consequence of the granting of this permit. - Date_ G Ignature of Applicant — Owner, Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 18.75 occu P, CO"ST.TYPE I 1 11100D PARCEL I PD ND I ISSUE This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY PE ROT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -87 Receipt No. WNITC-D.P.W., YELLOW-AS8C950R,PINK-INSPECTOR, GOLDENROO-APPLICANT 0 Burl Richardson 596 E. Evans -Reimer Gridley, CA 95948 Dear Mr. Richardson: Butte Count LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965 'Telephone: (916) 534-4541 RONALD D. McELROY Deputy Director July 8, 1986 RE: Building Permit No, 1916-85 Expiration Date 7-11-86 (A. P. No. 24-15-52 ) With reference to the above subject, our records indicate that your Building Permit will expire on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 '11Filing Fee")�. The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any questions concerning this matter; please contact the Oroville office. For your convenience, we are enclosing a renewal application form and an owner - builder form to be c Qmpleted and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. Yours very truly, William Cheff Director of Public Works f'f JFG:aj •`,J..F. Glander Chief Building Inspector Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Oroville Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd./872-2961, Ext. 57 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has-been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) _ (/ - 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name • Address Phone Type of Work Signed:��� Property Owner Social Security Number Date GA • �� � r1 ,Stii NOTE: This Owner -Builder Verification is sent to you as,`required by Sections 19831 and 19832 of the California Health and Safety Code;411,1. This verification must be completed'and returned to our office before we are per- mitted to issue the permit. S�a86, . z9 0 3n� f gid O -10 �Nno��o COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541 Elsie Richardson 596 E. Evans Reimer Gridley, CA 95948 With reference to the above subject: LgL Attached is: RE: Building Permit Renewal for #1916-85 A. P. # 24-15-52 Application for permit Mobilehome Utilities Installation Sheet Building Plans _ Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet X_ Owner -Builder Verification Form List of Codes Enforced OTHER Receipt We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. F of Workmen's Compensation Insurance int. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in 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 County Center Drive, Oroville, for 0 - Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. X OTHER Please complete the attached owner -builder verification form forgot to sign it and return to this office as soon as possible. us a vew certificate or worKmen s compensation insurance, rn e,;certiricate we nave on the has expired. These items are required a ore we can issue your renewal. Thankyou. Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works i" .F. Glander Chief Building Inspector STATE P.O. BOX 807, SAN FRANCISCO, CALIFORNIA 94101_ COMPENSATION I N S U R A N C E FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE JANUARY 28s 1987 POLICY NUMBER: !0477141 _ 86 CERTIFICATE EXPIRES: 2-24-87 COUNTY .OF BUTTE HI.D;G. INSPECTION DEPT. #7 COUNTY CENTER DR DROVILLE . CA 95965 L T This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California .Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon ten days' advance written notice to the employer. We will also give you TEN days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of .insurance may, be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. 00 PRESIDENT r EMPLOYER RT HARDSON° S "..MARKET 596 E. EVANS-REIMER ROAD GRIDLEY CA 95948 L SCIF 10262 (REV. 10-86) OLD 262A r � "�. f _. • � ` 7 ._ r l � ZFII o_ rd Vddr 1 � 4 \ N v�, O v6oY�, t STePs j ti �0 7�% � yUti�� �?r �%✓ %t�C r a w �_� — - cr---r � � � 'sem-' , NOTE:—Aff Materials & Workmanship Will ft ih �.' Accordance with Recognized Good Proa#fee'; and of a quality p0esaribed for the Speaified us@ In the, Uniform Building, Plumbing & Mechanlaal Cedes ed ' the National Electrical Code. i This set of Plans and specifications MusT be kept .on the job at all times and if is unlnwf::l +o { make any changes or alterations on same without 0 written a ion from the Department of Public 1V6 W I l Wu y of Butte. , f No-r#-t F 1.0012 it w rii.c.. $� L Al 6i4vA— yaooT'/f Jnr �4a Sei28F..Nr J Sio W U Be., ,Q Ngo i �.p-(' �,1wDoc1J� AliJW��� , � • dQ 4 ` L t. P o�Nl s h FSC1.5rl /Y ._..�.. ---•- --- .__.-__-- _.�_�.�..:.__,..�_ _-_-.-:�...-.... _ . i '------_-------.--•_.__�� BUTTE COUNTY BUILDING DEPARTMENT APPROVED COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovHle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ,(PERMr N7 ASSESSOR PARCEL NUMBER 24-15=52 ZONING BUILDING PERMIT OWNER _ BURL RICHARDSON TELEPHONE 846-2590 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 596 E. Evans Reimer, Gridley CONTRACTOR'S NAME 01%NER TELEPHONE 2nd renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @1FEE $ 8.75 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 596 E. Evans Reimer Permit fee $ 18.75 PLUMBING PERMIT Filing Fee 10.00 _ Each Trap 2.00 Gridley Solar or heat pump water heater_ 20.00 LOT NO. I SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each etas water heater or vent - USE OF STRUCTURE SF ❑ Dupiex❑ Mobilehome❑ Other conv stg/general store SPECIFY Gas piping system 1 - 5 outlets _5.00 5.00 Building sewer 5.00 Mobile Home S1 G I W 10.00ea TYPE OF WORK New[ -]Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: 2nd renewal of permit #1916-85 _ (1st rPnPwil nPrmi t #1948-86) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 =I MOR LESS Main service r00 AMP on LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification j ❑ 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 hi re en NEW CONST. DWELLING OCCUP.&) OR ADONS. ACC. BLDGS. / 2/20sgit NEW CONSTRMULTI-OUTLET I2.50 ea NON•RESID BH ANCIA CIRC ITS POWER APPARATUS e\ SINGLE OUTLET CIR. O c Ex. cup(ouTLETs OR FIXTURES BALD 30 E200O 9D Ex. �CCUp. FIXED APPLNS. R OUTLETS IIRESID IEAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation —_ Pertnit 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. 1 also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrue J!"'ag,st said County in consequence of the granting of this permit. X Date iynarure of Applicant — Owner ❑ Contractor ❑ Agent ❑ t An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 18.75 OCCUP. CONST.TYPEJ FLOOD PARCEL I PD ND 39UE 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 BY Date PERMIT EXPIRES Date 7-11-88 Receipt No. WNITC-D.P.W.. •CLLO W-ASeCSSOK, PINK-INePLc' feOLDlNROD-APPLICANT