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HomeMy WebLinkAbout024-282-00824-282-08 F307 . ROGERS Obermeyer AvenueGridley r:'Meyers Roofing, Y,Cl l'im.al Permit#2807-83B(reroof/SF) / 024-28-2=008 g-/_1 �f AMOS ' JACK 9-� 03 . 307 OBERMEYER, GRIDLEY CONTR:"NORTH VALLEY ELECTRIC ELECTRIC SERVICE/SF x-9.3 ,.ter z�..: ...-.-P.frt►S�'���-;,:.y���►•`,�,..-ji".xRz^�i's"`'t►'}.•'i..;t§'{'"�,.,.f�t`i� `t�r,;,..� y ,.�-��L�i'i'•�,;silt'4.��rraal wti..,:.t •-^�f�.,'r'y'^a'�u,. � 024-28-2-008- 93-803 E +, AMOS, JACK , 307 OBERMEYER, GRIDLEY , CONTR:- NORTH VALLEY ELECTRIC ELECTRIC SERVICE/SF r OFFICE COPY Address t GAS 1, Meter By Date ELECTRI i Date Meter By COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �r-1'� --�'" APPLICATION AND PERMIT 6L3 ASSESSO ARCEL NUMBER 02 $2" 008 OWNER ZONING A-5 BUILDING PERMIT Jack Atnof� TELEPHONE 846-2904 SO. FT. DCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 307 Obermeyer Ave., Gridley 95948 CONTRACTOR'SNAME North Valley Electric TELEPHONE CONTRACTOR'S MAILING ADDRESS Hay 99, Gridley 95998 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 Permit fee $ Oberme er Ave., Gridley PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. __f SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF E9 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 ❑ Utilities ❑ Installation ❑ Other Q Describe work: Upgrade Main Service to 200 Amp Permit Fee $ Contractor ELECTRICAL PERMIT FiIingFee 15.00 Main service 200A OR LESS 1 18.50 18—.750 CONTRACTORS LICENSE LAW penalty I declare under p y of perjury y (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 contac- ors. (Sec. 7044) ElI am exempt under Sec., Business and Professions Code this reason Main service 200A TO IOOOA) 37.50 NEW CONST. ( DWELLING OCCUP.yd\ OR ACDNS. ACC. BLDGS. // 3.6asq.ft.NEW CONSTR ULTI-OUTLET NON.R ESI D. BRANCH CIRC ITS @ 5•00 (POWER APPARATUS h) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REAJ 3.00 Temporary service 15.00 Mobile Home Facilities 415.00 Misc. Wiring 00 Pre-Inspectionfor 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. 4 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 Hood L 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 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 liabilii es,/judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date `•-'^ Signotujeof Applicant — Owner Contractor ❑ Agent F-1 An OSHA forover 5'0" deep and demolition or construct- ion of HAstructuresmit is required height. s Mobile Home Installation Fee S Energy Inspection Fee $ occ c"s"YPE TOTAL FEE $53.50 HAz DFEES IMP FLOOD CDF PARCEL PD HO ISSUE 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. r DIRECTOR OF PUBLIC WORKS By "/� l.�,e-r��--- . Date' PERMIT EXPIRES Date `/ ,'/ /.;, Gi ' T Receipt No. 135927 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR 7 County Center Drive - OroviIIe, C'al�5`5rnia 55965 - Telephone: 916/55 APPLICATION AND PERMIT PERMIT NO. �Q ASSESSOR PARCEL NUMBER 024-282-008 ZONING A-5 BUILDING PERMIT OWNER Jack Amos TELEPHONE 846-2904 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 307 Obermeyer Ave., Gridley 95948 CONTRACTOR'S NAME North Valley Electric TELEPHONE CONTRACTOR'S MAILING ADDRESS Hwy 99, Gridley 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 ADDRESS Permit fee $ `$3�7' Oberme er Ave. Gridley 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 EX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W@ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other® Describe work: Upgrade Main Service to 200 Amp Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Cha t. 9, Div. 3 of the Business p 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 Main service 200A TO 1000A, 37.50 NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS.NEW 3.64 sq.ft. CONSTR MULTI -OUT LET NON ESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d FIXED APP LHS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities .00 Misc. Ilyirin g 5.00 t12 Pre—Inspection .0 20.00 Permit Fee S 53.50 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 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 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 agre to ve, indemnify and keep harmless the County of Butte against all liabili s j dgment costs, and expenses which may in any way accrue against i my in nsequence of the granting of this permit. X\ Date `�— _Sy — " "' Sign u of Applicant — Owner Contractor ❑ Agent ❑ An A permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ C."Is"YPE TOTAL FEE $ 53.50 HAz DFEES IMP FLOOD CDF PARCEL PD HE ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees ADICTOR OF PUBLIC By PERI1711T EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date Receipt No. 135927 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER: JA ck LOCATION: CONTRACTOR: PRE -INSPECTION FOR: 1� PERMIT HISTORY: NONE PRE -INSPECTION DATE A. P. ZONING t, DATE TO INSPECTOR FOLLOWS: _ee /GoaIr -f-,- Nf Iewll ! / 49-3 TYPE OF OCCUPANCY 0 US .� FIELD - INFORMATION F BUILDING USAGE: TENNANT: gOCIED / HAS ELECTRIC cF= i-S_GAS S SANITATION FACILITIES HEATED -COOLED PERSON CONTACTED OTHER .COMMENTS: ACTION FCOMMENDED: ISSUE 0 HOLD FOR OTHER: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALGFORNIA95965 -TELEPHONE (916) 538-7541 .s PERMIT APPLICATION DATA SHEET OWNER c A. P. No. /f21-/ .z BZ- 06' Proposed Building Use /��f SCrUiClr Building Inspector_o Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ .2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. :...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) ImproJements (B) Drainage. ......... . �L" Driveway permit (construction proval requited prior to occupancy). . . 4, ion Pre -Inspection re for 4/ p� �l� LO Pre -inspection for E'/cet a 7 zA i vs , G /�f ion required. .. w Building -on mque `�/ % J (once 21. Contractor's license information. (No., Na a 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 A 7 office. Deliver with inspector. Other Parcel Creation V3 3� 5J Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. V 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 SUTTE - OEPARTMENIT OF PUBLIC WORKS PEI' MIT N0. 7 County Cancer Drive - Orovlile. California 95965 - i eteonone: 916:538-75,41 APFUCAT10N AND PERMIT MESSOR AAgCEL vUMM RONING 6>,2L/ -o2�,2" OQ6' 1� �-5 BUILDING PERMIT nN 6REL6 wONE 1 T �� j0. r T ! OCC. ! BUILDING VALUATION I ! NN6R•3 MA/1-1N(. 30PRE33 307 .6er-Mg, Il ! ON rRG. R•3 NA-- ` „ TELEPwON6 Gf 1 I O TR AGTOR•3 MA/L•l� G A_OCR Q33 Fireplace ONST C.10N LENOSR IUNKNOWty 1 otat valuation I S Filing Fee S 15.00 SNGER'S MAILING AGORess Permit Fee S RC"17. OR ENGINEER LICENSC NO. Plan Checxing Fee $ Energy Plan Checxinq Fee- S ACNITIMCT OR ENGINEER'S MAILING ^OGRESS P enat tv S u1LGIN6 ^ooasss Permit fee- ee- S PLUMBING PEi�MIT PLUM Fling)=es ts.00 �0 �� t / Each Trao Sotar or heat pump water heater 20.001 .OT NO.. S4BOlVIS10N NAME PARCEL ANAP- Water piping 7.001 • Each ads water heater or -vent 7.001 USF_OF-STRUCTURE: Gas piping system 1 - 5 outlets 5.001 Building sewer 15.001 6F OuptexQ Mobilehomea Other SPECIFY Mobile Home I S I G W @ i5.351 TYPE -.OF• WORK • New Q. Addltlon V R el ! Utilities Q Installation Other Permit Fee 5. Oescribe work' FrI.f, Contractor BOG✓�ryE ��✓ S'E ELECTRICA LPERMIT- I FiingFee 15.Oc Main service Gov OR LESS _DOA OR LESS 2 Main service 20GATO1000At CONTRACTORS UCF-NSE'LAWs 1 dectare under penaity of perjury (check one): I_..1 .I am licensed under provisions of Chant. 9. Div. 3 at the Business and Professions Code and my license is in full force and effect. License No. Classification Q 1. as the owner. or my employees with wages as their sole. comoen- sation. will do the work.anci the structure Is not intended or offered NEW CONST.DWELLING OCCUP.- OR AOONS. ( ACC. BLDGS. NON.R£510 R 3RANCII c1Rc Ts I (POWER APPARATUS d 1 SINGLE OUTLET CIR. I EX. OCCUp(OUTLETS OR FIXTURES e•IXEO APP LNS. OR Ex. Occup. OUTLETS IREsio.i EA_� Temoorary service- I �3.6dsa•It-f I@ 5.001 120 764 I 1 3.001 I 15.001 for sale. (Sec. 7044) Q I. as the owner. am exciusivety contracting with licensed contract- ors. (Sec. 70441 Mobile Home Facilities misc.;Bring I 15.00 1 15.001 Q I am exempt under Sec. Business and Professions Cade II �/i/5 I I.20.00 for this reason Permit Fee TZ es Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (ctlecxone): MECHANICAL PERMIT FiIiNFee 1Exc C The permit is for 5100.00 (valuation) or less. Heating I I I C I have placed an file with the County of Butte Building Department a Certificate at Wontmen's Comoensation Insurance or a Certificate of Consent to Self -Insure. Coling I I I snail not employ anv person in any manner so as. to become- subject Hooa I j S.SO 1 to the W. C. taws of California_ Nctice-to Applicant:- It atter maKing this statement. should you became -subject to (he W. C. provisions at the Labor -Code. you must toRhwltn comply with such ventilation p�tmtt F+�e- j S orovision3 or this permit snail be deemed revoxea. CJntractor I Certify that I have read this application and state that the-aoove-information I Mantle Home installation Fee- 5 i s correct. I agree- to comoiv to ail County Ordinances and State Laws retating i0 building construction, and heretiv authorize representatives at the COuntV at Energy Inspection Fee S Butte to enter upon the aoove-mentioned property tar- Insoectton purposes.. I JCC i CONST TYPE i TOTAL Ftp S 5b I also agree -to save, ndemntry and keeo narmiess the County of. Butte against ! �� - ail liantlities. JU(3gments, casts. and expenses wrior:n may in any way accrue I ^AL 1 O FEES i wo I FLOOD i COF PARCEL IPO 1 n0 against said County In consequence or the granting of this permit. I C .Cate i-cmatato or Aoorrconr — )-Of I_ _J.1'actor Imo- »ganr I_ 0S)iA oorrmrt ..ovrrea rer ..eavnrran+ o..rr 5•0" -v-o vna oamolrrron or con+rruer• nn at vru etv red over .ror.e+ •• -.M. /357%2 This eermt( is nereov issuea unser Tile aooucaote orc•_. dons of me•Butte C,)unty Code analor resoluu011s to C- :iOrK Inaica(ee aaove tar .vnicn tees nave peen palc. DIRECTOR OF PUBLIC INORKS =� Date W.S. Roge;s. -;. Permit #2807-83 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS f'_ CONTRACTOR'S NAME /I I, r r _.e. •, ir/- TELEPHONE r" CONTRACTOR'S MAILING ADDRESS r ,G �, % 7 7 •i,�; !,.-/1, - , Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is : e�f'] Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ �C r BUILDING ADDRESS, PLUMBING PERMIT Filing g Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [Z Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: <1+ r,• r- 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 NEW CONST. DWELLING OCCUR.& OR ADONS. ACC. BLDGS. 2/20sgft 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 m license is in full force and effect. y / License No..1 �'S �1 4� Classification /�-1' ( ❑ 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. MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 2,50 ea NEW CONSTR. ( POWER APPARATUS &') NON-RESID, SINGLE OUTLET CIR. / Ex. Occup(o OR FIXTURES SAL@30 eAL030 FIXED APPLNS, OR FIXED Ex. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. 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 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 inconsequence of the granting of this permit. % I�i ! �•- /� X r , Date Signature of Applicant — Ir 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 $ sir 00 OCCUP. GROUP I TYPE OF CONST, PARCEL PD ND I IS�/SUE/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees I DIRECTOR OF PUBLIC By. l-+ . "�' r� t PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date r 1 =� i Receipt No. r` % WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE ti DEPARTMENT OF PUBLIC WORKS " 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 1 + c A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contactffice immediately. Inspector%//� / ��t,. Date q, ,%-Z y_; ,,3 COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califorgi. 95965 - Telephone 916/534-4541 APPLICAT100ATERMIT 62 Y J 7 r3 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT ow S �� TELEPHONE SQ. FT. OCC. BUILDING VAI I ON OWNER'S MAILING ADDRESS 3 4!5 CONTRA OR'S NAME TELEPHO''N//E L� CONTRACTOR'S MAILING ADDRE D 6AIS7_6 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ S Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 490 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , &6 BUILDING ADD �® I��E,e��/ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 L Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFV Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S1 G W" 4:PEOO:e�, TYPE OF WORK New ❑ Addition ❑ ��Reemodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: �, _F .,� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2t/20sq ft ' CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): �I am licensed under provisions of Chapt. 9, Div. 3 of the Businesscnse n uorce neffect. and Profession Code and my lieis ifull adfft License No. 1006 1A 67 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. , Business and Professions Code for this reason NOW .RESID R BRANCH CIRCT ITS. 2.50 ea NEW CONSTR POWER APPARATUS &' NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(o X20@50C BAL®300 FIXED APP LHS, OR EX. OCCUp. OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIIng Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 shal I 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 a o agree to save, indemnify and keep harmless the County of Butte against al ' liabilities, judgmenjaNcosts, and expenses which may in any way accrue7 a inst said County ' con equence of the granting of this permit. Date Owner Contractor Erl—Agent ❑ S gnature of Applicant —�r8 n OSHA permit is req for excavations over 5'0" deep and demolition or construct- ion of structures over 3 s in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCcuP• GROUP TYPE OF CONST. PARCEL PD NO 1 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF BLIC By ` PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW-ASSE SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 12