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HomeMy WebLinkAbout024-290-0091 _- _• AP 24-29=09 BILL PEARSALL n,/s Hollis Lane, 7 ' E. -of Hwy 99, Gridley Permit# 2219-75B,P,E,M(.n SF) -_. _ AP 24-29-09 Permit 23-75E (s) ��/a�3 35 7 (add'1 elec. for 2219-7) )24-29-9 t -B arroTl���I NN Hollis Lane, 7'00 E.of Hwy 99„�,zG-r diey >contr: Thayer Pool s4 BA -C -TTY— .< Permit #34327s7yB�`new prnate swimming 024-290-009 • • 06-0170 ONYETT, RICHARD C & AVI 65 HOLLIS LN, GRIDLEY Cont: H -H CUSTOM BUILDING REMODEL I I� A B06-2297 024-290-009 MISCELLANEOUS,�� IRe- oof. RE -ROOF 22 SQ.'S COMIz�w 65 HOLLIS LN ' 3';t--7-07 ONYETT, RICHARD C & AVIS A i r%%61 I,- I 1IRM BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION.CA" 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: B06-2297 Issued: 09/26/2006 Address: 65 HOLLIS LN APN: 024-290-009 Permit Subtype: Re -Roof Owner: ONYETT, RICHARD C & AVIS A Applicant: H -H CUSTOM BUILDING Description: RE -ROOF 22 SQ.'S COMP MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EAC 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 4118 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`I YEAR FROM THE DATE OF ISSUANCE. IF WORK HA COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy 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 H -H CUSTOM BUILDING Building Garage Remdl/Addn P.O. BOX 1341 GRIDLEY, CA 95948. Other Porch/Patio Total 530460874 FEE INFORMATION Re -Roofing $137.50 LICENSED CONTRACTOR'S DECLARATION . Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force a d effect. X � AL 09/26/2006 Contracto s _ lgnature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: - E] 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. ❑I 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 Workers' Compensation insurance carrier and policy number are; Cartier. ria. Policy Number. Exp. Date: (This sectio heed not be completed if the permit is for one hundred dollars ($100) or ass. ❑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' compensation provisions o action 3700 of the Labor Code, I shall forthwith comply with those provisions. X; 09/26/2006 Signature Date 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 ATTORNEYS 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 Total Charged: $137.50' Fees Paid: $137.50 Balance Due: $0.00 Receipt No: , B270 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 fora 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 WORD AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors 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.). E1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors 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 - Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: i 09/26/2006 Owners 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 CountFow the above mentioned property for inspection purposes. I hereby certify that I am the propeor am author'd to act on the property owners behalf. 09/26/2006 NMTtr—of Permittee [SIGN] Print - Date Owner Contractor ' OR. FlAgent for Owner ElAgent for Contractor FILE COPY, PROJECT INFORMATION Site Address: 65 HOLLIS LN Owner: Permit NO: B06-2297 APN: 024-290-009 ONYETT, RICHARD C & AVIS Permit type: MISCELLANEOUS 65 HOLLIS LN Issued Date: 09/26/2006 By TMP Subtype: Re -Roof GRIDLEY, CA 95948 Expiration Date: 09/21/2007 Description: RE -ROOF 22 SQ.'S COMP Occupancy: Zoning: Rl H -H CUSTOM BUILDING Building Garage Remdl/Addn P.O. BOX 1341 GRIDLEY, CA 95948. Other Porch/Patio Total 530460874 FEE INFORMATION Re -Roofing $137.50 LICENSED CONTRACTOR'S DECLARATION . Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force a d effect. X � AL 09/26/2006 Contracto s _ lgnature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: - E] 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. ❑I 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 Workers' Compensation insurance carrier and policy number are; Cartier. ria. Policy Number. Exp. Date: (This sectio heed not be completed if the permit is for one hundred dollars ($100) or ass. ❑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' compensation provisions o action 3700 of the Labor Code, I shall forthwith comply with those provisions. X; 09/26/2006 Signature Date 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 ATTORNEYS 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 Total Charged: $137.50' Fees Paid: $137.50 Balance Due: $0.00 Receipt No: , B270 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 fora 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 WORD AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors 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.). E1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors 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 - Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: i 09/26/2006 Owners 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 CountFow the above mentioned property for inspection purposes. I hereby certify that I am the propeor am author'd to act on the property owners behalf. 09/26/2006 NMTtr—of Permittee [SIGN] Print - Date Owner Contractor ' OR. FlAgent for Owner ElAgent for Contractor FILE COPY, 1 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.buffecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT INFORMATION OWNER INFORMATION Last Na a City irst Name Ma ling Address City City r, d I State Zip Phon Fax Fax E -mail - State License Number APPLICANT INFORMATION CONTRACTOR Name City Address Zip City City d State Zip Phone Fax Fax E-mail State License Number Lic. # :, Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Lot # Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail AP LICANT SIGNATURE X For office use only: Zoning Property Address IG ' Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. y�'22_q� BIN # PROJECT LOCATION AP# � /n I V Property Address IG ' Cit Cross Street �t 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 escription 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. Received by: Amount: �� Bldg SRA Receipt #:2 � � Sheriff SMIP Date // -- rr,✓� n Other :9 2 (�`l�t� r� ! d �� Total iButte County Department of Development Services. 1 IN O T E S 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 vnvw.buttecotinty neydds .moo DurrE.Dt" . 6.RESIDENTIAL 1APN: 024-290-009 — --- _u� t owner. ONYETT, RICHARD C & 06-0170 AVI ii 65 HOLLIS LN, GRIDLEY Site Address: _± Cont: H -H CUSTOM BUILDING j REMODEL 4Contractor. { Type of Permit: l - x •! Ar y 3 SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV FILTH CLEARANCE t DATE JOB FINALE)Ye_ Q !� I SIGNATURE: + = OK - 0 = Not OK- MANUFACTURED'HOM-ES MISCELLANEOUS.-,. DATE. PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat.[_j or LPQ. Inch Sz' Ft Lngth 7 Blckrig; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE . D E C KS -C O V E R S`C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing ' Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Si[is -An chrs-Stu ds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls °'� °� °�• DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability .3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance -GF) 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Bones-Enclsrs-pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide Pool Drawing . OK Not OK RESIDENTIAL (Single & Duplex) I DAIt JUNDERFLOOR I Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Opth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel -Bloc kouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe, Sz Anchrs-Sz Test tl Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn 14 Girders-Sills-Anchr Bolts -Joists -Vnts-Cripples 15 Acc & Vntltn 16 Insulation DA7 t F R A„M'h N G 1 Si! Proper Materials & Anchrs la'Walls Studs -Nailing Spacing & Bra s -Plate Sound 19 Bearing Walls over Girdle r Nailing 0 raft Stop in Wal rat'proo 21 Fire Stops, Furred ei mgs-Stairs-Chasers Tubs 22-Ke—aders & Beams-Sz & Bearing 23klan ers-Post Caps-Anchrs-Cnnctns eiling. Joist-Rftr Ties -Purl in -Roof Brac TrussShthg r ,�c Ties or Type A Flue-Frplc Throat Clmc 26 tti Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles drm Wndws or Exiting Doors -Sill Ht & Dimensions image Fire Prtctn Framing -RC Channel Q9-Prprfj/ Line Firewall & Opngs 30-ExMoors-One X -Check Garage 3rd Story, 2 Exits 31�S airs-, Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32-Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs ding -Nailing Veneer 34 St co Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35/Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 3B Insultn-Walls-Ceilings filtration-Walls-Wndws L4l o DATE JELECTRICAL Trnsfrmr CImc4ns Prtctn ec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled omex Installed Close to Edge of Studs & CJ rnd made up w/Mech Fstnrs E]EI XA ng Electrode Bond Gas & Wtr pint Cires in Ktchn & Cndctr Sz GFI eed Wire Sz 93 ❑ CU or DAL AC ' Sz ga D CU or DAL ange Circ ga D CU or D AL Oven Circ ga D CU or D AL Insulated Neutral DYes DNo 49 -Service -Riser Cndctrs & Grnd Main Dscnnct CImcs pnls-Motors-Mech Eqp s9-@totFes Closet Lt-Shwr Lt -Spa Lt 52 moke Detector DATE IPLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 051h "Test Fittings & Anchr Nail Prtctn i�23 d Ox wr Pan; Test, First fir -Tub Acc 57/ est Tub & Shwr, 2nd flr - Tub. Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test ¢.a and Gas Piping \C \C DATE IMECHANICAL 61^ A,fC Ducts Insultn & Support Fan, Exhaust abv Insultn ondensate Drain & Ovrflw, Sz & Grade rnace-Vent Acc-Comb Air Rtrn[Vent 115 Outlet Attic Acc & Pltfrm if Furnace in attic FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters DYes DNo 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GF1 Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous lnspctns _ 95 Gas Test -Meters Tagged, Gas-Elec _ 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060170 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 01/24/2006 APN: 024-290-009-000 the Business and Professions Code, and my license is in full force and elle°L License Class: � License Number: �� Site Address: 65 HOLLIS LN GRI Date: 4 Z1 --<--L- Contractor: Map Index: Description: REMODEL KITCHEN,2 BATHS, RETRO 9 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the WINDOWS& SLIDER Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which 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 . Owner: ONYETT RICHARD C & AVIS A (CB DVA) signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 1900 FEATHER RIVER BLVD she is exempt therefrom and the basis for the alleged exemption. Any MARYSVILLE, CA violation of Section 7031.5 by any applicant for a permit subjects the 95901 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: H -H CUSTOM BUILDING provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 195 WASHINGTON STREET proving that he or she did not build or improve for the purpose of GRIDLEY, CA 95948 sale.). (530) 846-0874 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: H -H CUSTOM BUILDING ❑ I am Exempt under Article 3 of the Business and Professions Code 195 WASHINGTON STREET Date: owner: GRIDLEY, CA 95948 (530) 846-0874 WORKERS' COMPENSATION DECLARATION 1 herW affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for License #: 299922 workers' compensation, as provided for by Section 3700 of the L bor Code, for the performance of the work for which this permit Sissued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier:_, Policy #:C!O 2��•�i�rj 3 Z .-- G t�D Total Square Ft: 0 S. F. ❑ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: — Z C Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is is ed under the applicable provisions of the Butte County ode and/ r I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolutio dicated a ove for which fees have been paid. ( 0 6 performance permit By: Date : V Name: PERMIT EXPIRES 0 v Address: Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the.substance of any official form or document of B to County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Signature: Print Name: �r- �Z, ir— Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor . B. C. Building Permit 01-16-04 pg 1 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** OWNER INFORMATION Last Name r— tame r I , X10 94 2 OdC4 Address r City r Slat ps Zi001 Phone Fax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name Name Address r Address . 0 R ox 13V State City(s,St Phone �g Zip -5 Phone o^o ? Fax 3 7 P E-mail Fax Lic. # 29�SzZ Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address 0 City I 3 / State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT INFORMATION Name Flood Zone Cross Street 0 Address I 3 / City Stat Map Book Page / Planner Date Approved: Phone Fax �I G E-mail APPLICANT SIGNATURE X For office use only: Zoning PrpperjAddre s eitu-5 Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K•\FrIRMC\RI III nimr-, Fr)RNAC\RlrinAnnl.CiihRnmtc rinn PERMIT NO. 04- 0)1 BP:_ BIN # PROJECT LOCATION AP# O� (4/. DR O PrpperjAddre s eitu-5 ly Cross Street WORKER'S COMPENSATION Policy Number Carrier p G If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Total LENDING AGENCY Name Address Description or Scope of Work: �T p + 56dYA Sq - 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. Received y: Amount: Bldg SRA Receipt v Sheriff Sheriff SMIP Date: r �� �D Other Total Pace 1 of 2 Irl"sIIirzoli SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 P?ERMIT NO. 1,,0432-77B PERMIT EXPIRES OWNER Steve Barrows .Y CONTR. 7ayer Pools, Yuba City LOCATION (A.P. 24-29-9 ' NIS Hollis Lane, 700'E.of Hwy 99E, Gridley tf v 4 t. Temp. Power Pole k ' Called PG&E Temp. Elea Serv. ii Called PG&E } Temp. Gas Serv. Called PG&E JOB } FINALED .� (Date) rk ' (Signature r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS .BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation '•Patto- FIREPLACE Final Footings "' /� %% Footing ELECTRICAL Masonry Walls Throat Rou Reinf. Steel '07V Final Fixtures Bond Beam r FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping • OR • • Qo CT c. _4 :. ioX j 4 -or, Q:� to.. (NOTE: An entry must be made on this form each time you visit the .� t6 aj4t� ft. A COX 'au U0 1 .. Stene Contractors License Bo_ and 40 clan give Cie©vilJA. CA. 95945 aster way 2 ,, 1979 Ut Vomit 05432M (oVired) (AP 24-29.9) With reference to the above subject, on March 150, 19", 1 oat the contrattov,. Stbwjttr Hole, 1632 Tma raob ftiv'e, Vuba City., a cortifted letter (copy of vhtcb Is attached) reguesci" that he melee the necessary cormtions " the Steve parr we pool an Hollis Lone in Gridlety►. Ou Match 29, .1979,. o se of our bui 4 ingk*tore oast _with the coutractor oe the ,fob 40d f0md 40 additlOUal coftection -- the owl canductors to the service more not -in conduit and he van advised to 0160 correct this trees. Stag that ttm** ve tem not heard tram the caotraoter: mould yOu phase contact him 4ftd gao 3f YOU cam "eist us in getting this pool tanstv=tUw cwVleted per code ropir+em"to6 Than" you to *&am* for your coppe' retire with this office. Should YOU biwe Amy questims c-Oncerniffis this Mttor-► please contact site. 38G:dd Attacdsent Yours very tral.yr Director of ftblic Works ,y.p . Glasuter thief W14US Inspector cc I., Thayer boobs, 1632 9¢owa rack ft. 'Yuba City 95991 Stefo barge, 55 Hollis laws, 4&441ey 9590 Chuck Patty-,. Building 1000 eictor. File No. 'B .U T. T E C OUN TY (F or Action 1, 2, 3)Public Works Dept. (For Information V )D irector Dep. Dir.*ESec. Rd* & 1r, Mtce. Shop& yard, Bldg. Insp. Admin. D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Trarisp. R/W Mapping Land Dev. Ref. Disp. Drng. S. I. Sub. & PcI. Maps Perm its f COUNTY OF BUTTE,- — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive: - Urovilla. Cali torn ia 95965 ,�J�% Telephone:,534-4541 11�L]d / / APPLICATION AND PERMIT dumurize representatives or the uount or tsutte to enter upon the above-men)ioned proper for inspect• purposes. v Signature ermitYe or Agen Receipt No. --/-A White-D.P.W. - Yello !Date %Z / 16,7S1t7 2- , , Spector - 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 0 UBLIC WORKS ey Date � � IF -717 B ding "permit expires Date 7-/�'7 " BUILDING Owner/� e W SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �-d Total Valuation MailingAddress --N Permit Fee- ee-MaiIing Plan Checking Fee &/or Penalty Telepp one o. `x N V Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50. 'LAY Repair drainage or vent piping 1.50 �jSQ Water piping f 1.50 Each gas water heater or vent 1.50 A. P. o. — —. Q Zoning 8: Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fiddes S �iion FireDept. FireZone Use Permit EOA Parking Parcel P t1l 60' R/W Improvements tans Declaration Building sewer 5.00 Lawn sprinkler system 2.00 BI e d I �c�l Ap P pproval Permit Fee $ $ •royal NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE •�� PERMIT FILING FEE $3.00 Main service soot/ OR LESS 5.00 100 AMP OR LESS Main service EA. ADD.'L 100 AMP 2.50 Main service OVER 600V 100 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ❑ Others ® Main service EA. ADD'L 100 AMP 1.00 (• NEW CONST./DWELLING OCCUP. & OR ADDNS.' ACC. BLDGS. ) 22 sq ft NEWNON-RESID R•%BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS & NON -RESID. SINGLE OUTLET CIR. 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 oi�Ex. / Ex. Occup(OUTLETS OR FIXTURES) BA@L@�1 Occup ( FIXED APP LNS. OR • OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3 ,/ G Classification i? Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 4 I 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. 51 have placed on file with the County of Butte a certificate of Q Workmen's Compensation Insurance. I certify that in the performance of the work for which this F-1 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 $• dumurize representatives or the uount or tsutte to enter upon the above-men)ioned proper for inspect• purposes. v Signature ermitYe or Agen Receipt No. --/-A White-D.P.W. - Yello !Date %Z / 16,7S1t7 2- , , Spector - 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 0 UBLIC WORKS ey Date � � IF -717 B ding "permit expires Date 7-/�'7 PERMIT NO. 2219-75B,P R,m P E M !,MH UTIL. ,"PERMIT NO. PERMIT EXPIRES :OWNER Bill Pearsall `CON LOCATION (A.P. 24 29--09 iP n/s Hollis Lane, 7001 E. of Hwy 99, Gridley -Temp. Power Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E7 JOB FINALED ~7 L (Ddte) (Signature) COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD DATE REMARK OR CORRECTIONS 7 y� c ti.` r t 1 a '7 loll D /, � 3 7 s� 4. d -k — -� � , ' iMM5_1 BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping /6 �z-- Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathin 00 Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures F o o t i n Garage Vents Water Stemwall Prov. for physically Heaters Slab handicapped A pliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE FinalFootings Footing ELECTRICAL Masonry Walls Throat Rou h --- Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Ht Stucco Final Sub anels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating���� Service C Brown5v Cooling Temp. ease Finish Ducts Underground— nder roundInterior InteriorLath Ventilation Permanent Door Closer Final JR 'L= Final X,19 DATE REMARK OR CORRECTIONS 7 y� c ti.` r t 1 a '7 loll D /, � 3 7 s� 4. d -k — -� � , ' iMM5_1 THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS Manufacturcir�/2i'3(�w ;� Thickness/Type R Va1uP CEILINGS Batts: Manufacturer Cs!21Thickness R Value Blown: Manufacturer Thickness No. Bags Wt./Bag FLOORS Sq. Ft. Covered R Value Manufacturer Thickness/Type _ R Valu,- SLAB alue SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation—inches FOUNDATION WALLS GENERAL BY TITLE — DATE R Value No. /ZG'kl,�' INSUL ION CONTRACTOR: HAWKIN',S INSULATION CO. LICENSE No. 215-925 B TITLE ��'`�� DAT la/��17J-- -v /• �•.: v .. : .t f •�* .. - • . •, �... - � - i+•.�r.r� ,...^-.".w•^.�r..r+ f••.-Y`..'+F.d -�•i- •-y-r.�' �. y� _.. • ... -- • . E ,. .. , COUNTY OF BUTTE ,=—.D-PARTMENT OF PUBLICWO 7 County Center Drive m,- Oro_ville, California 95965 w, Telephant : 534-4541 v APPLICATION AND PERMIT al1UIUI I 4 tepteJetltall ve5 of Me t..ounty of twtte to enter upon ine ,This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated -above for which fees have been,paid. x,��� pate • DIRECTOR OF ELIC WORKS ,. Signature of Permitee or Agent 7�— /�D �� � r By Data._ 7,9 1 Receipt No. / - S y�—•7/ White-D.P.W. - Yellow -Assessor,- Pink -Inspector - Goldenrod -Applicant Bazini permit expires Date, (c+ • BUILDI G - OwnerSQ. �- �4 FT. OCC.. BUILDING VALUATION. -7qyo Mailing Address 3,2/ b Telephone No. — 3.Z Z. , Fireplace Contractor (. Total ValuationO Q,Z Mailing Address Permit Fee DO Plan Checking Fee&/or Penalty Telephone No. Permit Fee ,pd di Building Address i PLUMBING No. @ FEE , PERMIT FILING FEE $3:00 3, OQ Zaa gy Each Trap' 1.50 g?.'OO& • Repair drainage or vent piping 1.50 Water piping 1.50 SD Each gas water' heater or vent 1.50 A. P. No.•!`` Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each -additional outlet .30 •Fe� WaIC. Sa i Fire De Fire Zone" Use Permit BuiIding'sewer .5.00" EQA Parking Parcel Plans . Declaration Pare Ma 6 p R/W Imrovem nts p Lawn sprinkler"system 2.00 ' Bldg. Pl2akParcel Approval PI ans'App oval Permit Feb $ r dd NEW DDITION ❑ UTILITIES ❑ OTHER ❑. ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 O Main service incl. 1 meter 3 00 Additional .meters, each -.1.00 Sub -panel .0 2.QP4V,9*S) '(more than 12) Q _ Single Family Duplex ❑ Mobil Home ❑ Others ❑ Ra Cook -top or Oven 1.00 �O® Water 1466 -ter or Space Heater 1.00 ' , Light fixture`s' 2u bala2 mZs.2S— Rec ., swit s & fi utlets CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9,- Div. 3, of the State of California Business & Professions Code under the name style .. �^-L�� H E an or F.A.Furn.Motor_ 1.00 Q 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��0, /t! Classification pL Misc. wiring.. , ❑ I am exempt from the Contractors License Laws of the State of"Califomia. Permit Fee $ ,z3..X $ 2 -3 MECHANICAL No. @ FEE r .. WORKMEN'S COMPENSATION INSURANCE I 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. ❑I have 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 • El, 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 3',00 Heating' ,00 Cooling r Ventilation Hood (1 2.001 sz, 0 0 Permit Fee $ $ DC 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 � ' E TOTAL PERMIT FE $ �`, ? 3 al1UIUI I 4 tepteJetltall ve5 of Me t..ounty of twtte to enter upon ine ,This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated -above for which fees have been,paid. x,��� pate • DIRECTOR OF ELIC WORKS ,. Signature of Permitee or Agent 7�— /�D �� � r By Data._ 7,9 1 Receipt No. / - S y�—•7/ White-D.P.W. - Yellow -Assessor,- Pink -Inspector - Goldenrod -Applicant Bazini permit expires Date, (c+ COUNTY OF BUTTE. DEPARTMENT OF PUBLIC WORKS��)^' 7 County Center Drive ' —• Droville, California 95965 �✓ Tel ephone: 5_4'4541 APPLICATION AND PERMIT V BUILDING Owner �w �/p� I SQ. FT. OCC. BUILDING VALUATION Owner Mailing Address r Telephone No. Fireplace Contractor Total Valuation ' Permit Fee Mai I i ng Address Plan Checking Fee &/or Penalty ' Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 (g0 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. —�'�"' Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 5`arti•tatun Fire Dept. FireZone, Use Permit Building sewer 5.00 EQA. Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldyr-Piv @�'d / Pa00E64Lppro al Plans Approval Permit Fee- $ $^ NEW -ADDITION ❑ UTILITIES ❑ OTHER QQ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Q® r r Main service incl. 1 meter v Additional meters, each 1.00 Sub -panel (12 or less) (morethan 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven .1.00 Water Heater or Space Heater 1.00 Light fixtures y �2 a1 1'50 Receps., switches & fix outlets CONTRACTORS LICENSE -LAW I am licensed underRthe provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name '1 style o;� Hood, Ex. Fan or F.A. Furn. Motor 1.00 E'vap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump '{l h OCA Mobil Home Facilities 5.00 Temp. Power Pole 5.00 � / License No., �� ! Classification 49 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 100 $ Q( WORKMEN'S COMPENSATION INSURANCE I 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. I have 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 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE 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 $ QU111U111t3 ICIJIebW1LdL1Ve5 of the t aunty of tsurte to enter upon me above-mentioned property for inspection purposes. OEM TW.10,21,_ 01 KWOMORA Receipt No. i 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 j. above for whic fees have been paid. E OF PUBLIC WOR�S By Date -7//e . 7S" uilding permit'aa=&o 01 a