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Home My WebLink About024-290-01624-29-16 Bil Pearsall S/S Hollis Ln.,app.1000'E.of �Hy 99, lot #16, Gridley Perm t ;419-77B,P,E,M( ew s'e famil m pi /. B07-0552 � , �0247290-016 MISCELLANEOUS,), Re -Roof REROOF 21 SQ 82 HOLLIS LANE HALL, M&S REVOCABLE TRUST r--, _ �_1� c� .....�......._...». �_ .,,.... __.. ....... .... SF BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE 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: B07-0552 Issued: 03/21/2007 Address: 82 HOLLIS LANE Area: GRIDLEY Owner: HALL, M&S REVOCABLAPN: 024-290-016 Applicant: H -H CUSTOM BUILDIN(Map Page: Permit Type: Re -Roof Description: REROOF 21 SQ Flood Zone: None SRA Area: No Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: 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 House 404 Gas Test Yard 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 Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Finals Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation I 117 Ceiling Insulation 1 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: erial Numbers: ength x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 77 3.2 7= -rrolecf r mar is a 4-ernucafe of occupancy for (Resraennal only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy 7 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 FEE INFORMATION DBMSC Re -Roofing $137.50 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires H -H CUSTOM BUILDING 299922 / B / 12/31/2006 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Se ion 7000) of Division 3 of the Business and Professions Code, and my license s in full jer@and a ct. / X «(//// 1I //-/v 03/21/2007 Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑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. aHAVEAND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by HAVE 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; Carrier: State Fund a Policy Number: 0786532 Exp. Date:01/01/2007 (This section need not be competed if the permit is or one hundred dollars ($100) or es—T s.) ❑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 of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. - X 03/21/2007 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) Lender's Address City 1 State Zip Total Charged: $137.50 Fees Paid:' Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 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 for a 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 WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's 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.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's 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 r Contractors License Law.). ElI AM EXEMPT under Section B. & P.C. for this reason: Owner's Signature 03/21/2007 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 County to enter the ab a mentioned property for inspection purposes. I hereby certify that I am the propert wne r a authorized to ^act oytheptoperty owner's behalf. 03/21/2007 Owner ontractor OR: Agent for Owner Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 82 HOLLIS LANE " Owner: Permit NO: B07-0552 APN: 024-290-016 HALL, M&S REVOCABLE TRU Permit type: • MISCELLANEOUS 82 HOLLIS LN Issued Date: 03/21/2007 , By GLB Subtype: Re -Roof GRIDLEY, CA 95948 Expiration Date: 03/20/2008 Description: REROOF 21 SQ Occupancy: Zoning: RI Contractor Applicant: Square Footage: H -H CUSTOM BUILDING H -H CUSTOM BUILDING Building • Garage Remdl/Addn P O BOX 1341 P O BOX 1341 GRIDLEY, CA 95948 GRIDLEY, CA 95948 _ •other Porch/Patio Total (530)846-0874 (530)846-0874 FEE INFORMATION DBMSC Re -Roofing $137.50 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires H -H CUSTOM BUILDING 299922 / B / 12/31/2006 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Se ion 7000) of Division 3 of the Business and Professions Code, and my license s in full jer@and a ct. / X «(//// 1I //-/v 03/21/2007 Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑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. aHAVEAND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by HAVE 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; Carrier: State Fund a Policy Number: 0786532 Exp. Date:01/01/2007 (This section need not be competed if the permit is or one hundred dollars ($100) or es—T s.) ❑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 of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. - X 03/21/2007 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) Lender's Address City 1 State Zip Total Charged: $137.50 Fees Paid:' Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 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 for a 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 WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's 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.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's 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 r Contractors License Law.). ElI AM EXEMPT under Section B. & P.C. for this reason: Owner's Signature 03/21/2007 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 County to enter the ab a mentioned property for inspection purposes. I hereby certify that I am the propert wne r a authorized to ^act oytheptoperty owner's behalf. 03/21/2007 Owner ontractor OR: Agent for Owner Agent for Contractor FILE COPY 13TH.n BUTTE -COUNTY PERMIT o �'' C o. DEPARTMENT OF DEVELOPMENT SERVICES NO. o , o BUILDING PERMIT APPLICATION 0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 /g Q o —~ = =�' o A FEE WILL BE REQUIRED AT TIME OF APPLICATION . Website: www.buttecounty.net/dds , BIN # c�UN'�y **PLEASE PRINT CLEARLY** APPLICANT INFORMATION OWNER INFORMATION Last ,- ame Mai rind Address City City Sta a Sta Zip Phone7 Fax Fax E-mail Lic. # Z APPLICANT INFORMATION CONTRACTOR Name ,- Address S e City Phone Fax Sta a Zip Phone Fax E-mail Open CcV!! J �] `%1 0 Lic. # Z Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name a I Address S e City Phone Fax State Zip Phone Fax E-mail Open CcV!! J �] `%1 0 State License Number APPLICANT INFORMATION Name Address a I City S e Zip Phone Fax E-mail APP (CANT SIGNATURE n L� PROJECT LOCATION AN Property AddressA In f City F U WORKER'S COMPENSATION Policy Number . 6 32- a 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 DESCRIPTION OR SCOPE OF WORK: 6c3 SRA I Yes No Occ. Type Const. Sq FT- Living Garage 0 • Structure Built without Permits O Proposed Change of Occupancy (Note previous use): Open CcV!! J �] `%1 0 For office use only: Zoning Flood Zone' SRA I Yes No Occ. Type Const. u 11 PERMIT NO. 419-77B,P,E,M PERMIT EXPIRES i OWNER Bill Pearsall CONTR. owner LOCATION (A.P. 24-29-16 ) S/S Hollis Ln.,app.10001E.of Hwy 99, lot M16 Sunset Village, Gridley Temp. Power Pole Called PG&E Temp. Elec. Sery-�J 7w Called PG&E i Temp. Gas Serv. Called PG&E ° JOB FINALED (Date) (Signature) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ceth.nli Footin Stemw+ Clah Footing Stemwal Sl.h ' Patio Bond Scratch Brown Finish Interior La DATE REMARKS OR. PLUMBING ECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) V COUNTY OF BUTTE: — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 . I$ -' Telephone: 534-4541 APPLICATIONAND PERMIT -,1-19-77 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Pee or Agent Receipt No. �� 6'06 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. DIRECTO=OFLIC WORKS BY Date ilding permit expires Date '�"% BUILDING Owner s 1. [� Pis NS V LL SO. FT. OCC. BUILDING VALUATION - 7V0 - e7c7 Mailing Address � Z da eve f;A,4—. z f J O °T Telephone No. 7 3 °� Fireplace Contractor Total Valuation p a , oCO '' 11 Mai I i ng Address 'e— c/— Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ OQ Building Address S� pGG�s .Z PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Y. 00 A root 600' F OF L -e- Each Trap 1.50 6 Repair drainage or vent piping 1.50 Water piping 1.50 _1130 -- Uv'S�7 at LC.i nr, ct. 44,71—/ U„tng Q. Each gas water heater or vent 1.50 A. P. No. �/. �. 9 -- / �, /V�e`i�cation /� Z I g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s W. S ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA I Parking Plans Parcel Parcel Ma Declaration P 60' R/W Im rovements P Lawn sprinkler system 2.00 �� B4�§�� c'd i/ Parcel Approval PI s Approval Permit Fee $ S-,00 $ (J 0 NEW 0— ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,27Q Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family, Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 j OR ADONS.NEW CONST. ( AC C.BLDGS C/// &) 20Sq ft -i NEW CONSTR. MULTI -OUTLET NON.RESI D. ( BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS & NON- R 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 of : Ex. Occup(OUTLETS OR FIXTURES) BA�L�1 . Ex. Occup. (FIXED APPLNSOR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 p License No./-�(>Classification Misc. Wiring 6.25 Q 't)Lk k� ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,3p 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. FtJOT'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 I 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 3-00 Heating fjOt o00 �%� d U r Cooling Ventilation I 0 ,Z pC► Hood 2.00 2-00 Permit Fee $ OO $ �� d 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 A/d 4've1_0 p A4,0 ;:/ TOTAL PERMIT FEE $/ / 9S.3Z authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Pee or Agent Receipt No. �� 6'06 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. DIRECTO=OFLIC WORKS BY Date ilding permit expires Date '�"% This set of plans qnd W64WIaLWas MUST be Kept on the job at all times and it is unlawful to make "any eltar,ges or r `.terations on sir, -.e without E e, writtsn permisson from the Q-U:;rt,nent P ;�,li. Works. C onnty of R, mop— P/L-90 _ON D�"h':A. L� E"G5__r-_9--DM--mIV, 15:rlui Septicystem and location of build- s—� Fl�CfPEh'TY LIAR ��.SJT3�Ff Qi ing drain stub -out to be as _e utre ounty Health Dept. Re- �L £ qu�rements. 5 ,URA77Z- FIFLIT SHC7►JS_ 7 */`1aRF � _� • I��DR1= TOTAL DRA/W-F_J_r-Z_ -- -'� oo — o 5CALC- SEPTIC TANK rldg. The BSet z sha!; be 5 ft. from 4-3 Jam. side property re ons 5J Ti. from ll:cs on file for buil q, h cer;ie.lir.e of A. ode's P.I.i1h,16ij ca roo— mum of a 2 ft ve overhung but entirwy I13, o,� 4G .rut of all ease ents. - l2 -o" H0L Lis I— I � =0" C_ jean.. >i— > - TF X�Oh'1Z d1lTA-L-S EPS P, AT7C! O&TT I= -E-41 T/4E Sr-NAcF AS50PF T10AJ S YSTE/N AND AVZLL.. HAY -THE .SUPFAC� �aIL OR �i1a51L. R9 -o i:• IVI1VGa 7A Gr. _ 5rrt✓A0�=-LS r-Fr-:CTiV &LY_..___ 5EPARAT.aO ="_= FROM T1.1 t WAT&R .SUPFL_Y___ "PsORMA7r/041_Zi.Y-AA/-4XTr-y517L , C_0*kTT1 xJ 1/ CU 5 IMPERVIOUS.::_ SrPATA_ OF CLAY, HARor�/�Il, - ROCK, S-C,T. RDt-EIC' _T.A_�.1�:r'!. �'IlT>Z 57XT077A5L 1W 4?1_-!"� IUOT� =1; A UD Rr.. FC R. 7-0 F,9 R C -6L A 7101V 77G-57, BUTTE COUNTY LOT mo. *L4(3 SUIUSG.T W� TRA C T L AN EBUILDING DEPARTMEW 146zt i 5 Lq Ar g . GR;DL&V C M APPROVED,, DRAW4 SY, 54 F -T, 90V51< GZ"AIi; RO81AISou Fu:745- 8024 =0 " Jam. See Ma terjlan on file for buil q, Plans. I V H0L Lis I— I � =0" C_ jean.. >i— > - TF X�Oh'1Z d1lTA-L-S EPS P, AT7C! O&TT I= -E-41 T/4E Sr-NAcF AS50PF T10AJ S YSTE/N AND AVZLL.. HAY -THE .SUPFAC� �aIL OR �i1a51L. R9 -o i:• IVI1VGa 7A Gr. _ 5rrt✓A0�=-LS r-Fr-:CTiV &LY_..___ 5EPARAT.aO ="_= FROM T1.1 t WAT&R .SUPFL_Y___ "PsORMA7r/041_Zi.Y-AA/-4XTr-y517L , C_0*kTT1 xJ 1/ CU 5 IMPERVIOUS.::_ SrPATA_ OF CLAY, HARor�/�Il, - ROCK, S-C,T. RDt-EIC' _T.A_�.1�:r'!. �'IlT>Z 57XT077A5L 1W 4?1_-!"� IUOT� =1; A UD Rr.. FC R. 7-0 F,9 R C -6L A 7101V 77G-57, BUTTE COUNTY LOT mo. *L4(3 SUIUSG.T W� TRA C T L AN EBUILDING DEPARTMEW 146zt i 5 Lq Ar g . GR;DL&V C M APPROVED,, DRAW4 SY, 54 F -T, 90V51< GZ"AIi; RO81AISou Fu:745- 8024 I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 .Telephone: 534-4541 APPLICATION AND PERMIT 0231�� -77 EQA Plans I Declaration I Parcel Map 1 60 R/W I Improvements BI gid I Parcel Approval Plans Approval NEW ❑ ADDITION,[] UTILITIES ❑ OTHER,,n 191— Single Family X_ Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California BusinessA Professions Code under the name style of: License No. Classification Permit Fee ELECTRICAL BUILDING Main service Owner fL,t./ , M� `, SQ. FT. OCC. BUILDING VALUATION Main service OVER 600V 100 AMP OR LESS Mailing Address oZ (,()0 00 W pX7-y NEW CONST. ! OR ADDNS. \ DWELLING OCCUP. & ACC. SLOGS. if 6 elagly6pe�lq p2` �'%f �J3i T Fireplace Contractor O� (�%�GL Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty _ Telle No. Permit Fee $ Building AddressS•OL L ff PLUMBING No. @ FEE PERMIT FILING FEE $3.00 _ Each Trap 1.50r— ,� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.� ^':11 :/ Zoning & Planning Gas piping system 1 - 5 outlets . 1.50 Each additional outlet .30 RAes -w-C. _&R� I Fire Dept. Fire Zone Use Permit Building sewer 5.00 Parking Parcel Lawn sprinkler system 2.00 EQA Plans I Declaration I Parcel Map 1 60 R/W I Improvements BI gid I Parcel Approval Plans Approval NEW ❑ ADDITION,[] UTILITIES ❑ OTHER,,n 191— Single Family X_ Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California BusinessA Professions Code under the name style of: License No. Classification Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD -L. too AMP NEW CONST. ! OR ADDNS. \ DWELLING OCCUP. & ACC. SLOGS. 5.00 2.50 25.00 1.00 NEWCONSTR. MULTI.OUTLET NON -RESID. BRANCH CIRCUITS)l 12.50ea NEW CONST. (POWER APPARATUS &A I NON- R RESID. (SINGLE OUTLET CIR. FEE LJ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE' PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling 'L7' Workmen's Compensation Insurance. - ElI certify that in the performance of the work for which .this permit is issued I shall not employ any person in any manner Ventilation so as to become subject to the Workmen's, Compensation Laws of Hood California. - Permit Fee I certify that I have read this applicationand 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. Date Signature of Permitee or Agent Receipt No. J J� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant @ I FEE $3.00-9- 2.001 TOTAL PERMIT FEE 1$ f_? 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. DI R CTOR OF PUBLIC WORKS BY Datl 2,�7 dig�perrnit expires Date V% -7 �` Ex. Occup(OUTLETS OR FIXTURES) 50 BAL� FIXED ALNT. Ex. Occup.( OUTLETS PP (RESIO.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 LJ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE' PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling 'L7' Workmen's Compensation Insurance. - ElI certify that in the performance of the work for which .this permit is issued I shall not employ any person in any manner Ventilation so as to become subject to the Workmen's, Compensation Laws of Hood California. - Permit Fee I certify that I have read this applicationand 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. Date Signature of Permitee or Agent Receipt No. J J� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant @ I FEE $3.00-9- 2.001 TOTAL PERMIT FEE 1$ f_? 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. DI R CTOR OF PUBLIC WORKS BY Datl 2,�7 dig�perrnit expires Date V% -7 �`