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PHILLIP •HAYNES OM1; f o,
,f e/•.s Kirk Rd, just S. of Labor �.
Cam-"Gridiey,..;_,d,.., _._
contr: Four Counties Rfg., Chico
Permit## 4409-74B(reroof)
7;
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% PERMIT NO. 4409 -74B -
P
E
M
UTIL.
_.�PERMIT NO.
PERMIT EXPIRES. ZO-,Q 0-7
OWNER Phillip Haynes
CONTR. Four Courities Roofing., Chi C0
LOCATION (A.P. 24-22-15
e/s Kirk Rd,. -just S. of Labor Camp.,"
Gridley
Temp. Power Pole
fi Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED-4�,
(Date)
A, (Signature)
COUNTY OF BUTTE — DEPARTJIVIIENT`OF PUBLIC WORKS .
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setba4
Firewall
Soil Piping
iForms
Parapets
1st Floor
Main Idg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
StemwaII
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
] Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
I Slab
Final
Sanitation
Patio
FIREPLACE
Final
1 Footinas
Footina
ELECTRICAL
I Reinf. Steel
Final
Fixtures
I Bond Beam
FIRE SPRINKLERS
Motors
Framinq
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
I Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
COUNTY OV' -BUTTE — DEPARTMEIJT 0•F PU IC WORKS
7 County Center Privq ;r OroviIle, Californ• 5
Telephone: 534-4541
APPLICATION AND PERMIT D�
BUILDING
Owner IAI
PLV
SQ. FT. OC . BUILDING VALUATION
Mailing Address
'
Telephone No.
2=276Z
Com Re -roof
Fireplace
Contractor Four Counties Roofing Cwmpany
Total Valuation 775.00
Mai I ing Address P. 0. Box 3215
Permit Fee
Plan Checking Fee &/or Penalty
Chico California
T lephNo.
3�+3-0041
Permit Fee $
$ 8 0
Building Add r (,!�,irk RoadPLUMBING
'
No. @ FEE
PERMIT FILING FEE $2.00
Gridley, Ca i fo rn i a
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. y —626;—p —A57
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
W
Sa�titattQP
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ADDITION UTILITIES ❑ OTHER ®
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00
Comp. Re -roof
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Familyx0 Duplex Mobil Home E] Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures bal2U%10
Receps., switches & fix outlets 20 25
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Roofing
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. 271 Classification
Misc. wiring`
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
3-6have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$ 870
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X C- Ae Date 10/21174
Signature of IEVrmitee or Agent
Receipt No. /90
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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 PUBLIC WORKS •
By Date %a ' W 7,
4uilding permit expires Date ................ �....?.:`l"��