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Home My WebLink About024-210-008- ' 24-21-8 C.E. WARNEKE 1069 Chandon Avenue, Gridley^ Permit��3OO]-81E (el' ser c. & | ycircuits for AC 6^| }7 U | � U ~~ ' V n ' ^ � N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P I No. :` 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-45 / VVV APPLICATION_ AND PERMIT 10A ASSESSOR PA C L N ER '�C�-/- ZONING BUILDING PERMIT OWgR SQ. FT. OCC. BUILDING VAI-ION"OWNER'S `TELEPHONE MAIL/OG`DJ&A/ CONTRACTOR'NAME _?s / I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING DDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR R'S MAILING ADDRESS Permit fee $ BUI DING DDRE3� E, PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti litie ❑ Installation ❑ OAer Describe work 5-tECT 6-r ITS A-0)7— �.- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee Main service 100 AMP OR10V 11 LESS5.00 ya10.00 ✓,Q� Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING CCUP..) OR ...NS. ACG. BLDGS. 20 sq 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 nc. license is in full force and effect. License No. Classification R(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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. I -OUTLET 2,50 ea NO..RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS S NON.RESID. SINGLE OUTLET CIR. / so @ ac Ex. Occup OUTLETS OR FIXTURES BA / .0 EX. Occup.\FIXED APP LNS. OROUTLETS (RES ID,) A.) 2.00 T e "00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 q. ST MW-'iNsP yI. Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I decunder penalty of perjury (check one): Tff 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 Consent to Self -Insure. 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. Heating Cooling Hood 3.00 Ventilation permit Fee Contractor 1 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 bove-mentioned property for inspection purposes. I also a ee to save, demnify and keep harmless the County of Butte against all IiiVit nts, costs, and expenses which may in any way accrue ag st ai oun nsequence of the granting of this per t. Date Sig ure of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is req Ired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 33.00 occuP. GROUP TYPE of CONST. IPARCEL17D ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE C R OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dateg—/ Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 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 in the envelope provided at your. earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major Sahor and materials for construction of the proposed property improvement yes r no) 2. I ( ave ave not)' signed an application for a building perm t for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address Phone Contractors License No. City 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 S igr 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 permitted to issue.the permit. 7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilie, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS L ' V CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER , f ", � %,_ ;�,�-: -(�, LICENSE NO. Plan Checking Fee .$' Penalty $ ARCHITECT OR ENGINE'ER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑-- `Di uplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [_1 Other ❑`' Describe work: Jr./i�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main SerVICB 100 AMP OROR LESS5•�� ' �9 C% Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.y` OR ADDNS. ` ACC. BLDGS. I 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON•RESI I am licensed under provisions of Chapt. 9, Div. 3 of the Business50@25¢ 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 CONSTR.( 1.OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS .&) D. (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL@1 Ex. Occu FIXED TS (RESAPPLNS, OR - p•�OUTLETS (REST D.) EA.)� 2.00 Temporar-y.-ser-vrce ;' c d 1.0:00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Q 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. 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 liabifities,judgments, costs, and expenses which may in any way accrue against said County/"in,-consequence of the granting of this permit. � X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ > TOTAL PERMIT FEE $% ,o OCCOP. CROUP I TYPE OF CONST, I PARCEL PD ND SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By '':" PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. - WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT C.E. WARNE KE 1069 Chandon Ave, Gridley Permit# 0 -81E