HomeMy WebLinkAbout024-290-019C
AP 24-29-19
BPearsall 9
s/s Hoa-prox. 630' E. -onf��Z it
99E, Gridley i\ ,
Permit 4691-75 B,P,E,M (new S
24-29-19
_ fh
L nn Moyle
S/S Hollis ane, a p.700'E.of Hw 99E,., ....
Gridley �+' p� �F
contr til no- t�r/ e � /
Bi -County Pool Service YubaCit
Permit #3154-79B,P,E(new private
swimming pool/SF)
024-290-019 PERMIT#94-3111_
JENKINS, RONALD &.LILA=
60 HOLLIS LN., GRIDLEY
CONT:•NELSEN CONSTRUCTION `
CHANGE 6 WINDOWS/_SF Fly '$111M y
a
4—
COUNTY
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO.
APPLICATION AND PERMIT 9q` 31
ASSESSOR PARCEL NUMBER 024— 290-019
ZONING IR 1
BUILDING PERMIT
OWNER
RONALD & LILA JENKINS
TELEPHONE
SQ. FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
60 140T,T,TS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
-1-19R SUDRITRY RD CAMEIRON PAR
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
Ri
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
-on
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
60 T
PERMIT FEE $
101.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Ck Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ElUtilities ❑ Installation ❑ OtheNR
Describe Work: CHANGE 6 WINDOWS
PERMIT FEE g
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 600V OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLOS. )
g0,
3.5C FT.
CONTRACTORS LICENSE LAW
XI decI a under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.FIXED
License No. JV4,3 Z Classification 3
❑ I, as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI.OUTLET
NON-flESID. ( BRANCH CIRCUITS )
@7.50
( POW ER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 Q 1.00
BAL. @ .50
APPLNS. OR
EX. Occup. ( OUTLETS IRESID.I EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities0.00
Misc. Wiring t2�ff.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $ 100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
OTshall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE S
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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
liabilities, judgments, costs, and expenses which may in any way accrue against said
Cour^in conse uence of the granting of this permit.
X U10 Date
Signature of Applicant - ❑ Owner CYtontractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ .
occ
CONST. TYPE
TOTAL FEE $ 101.00
HAZ•
I D. FEES
IMP
FLOOD
I CDF
PARCEL I PD
I HD
ISSUE
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.
t
BY Da e
PERMITEXPIRE ON
/Date
Receipt No. 170622
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER D ^ .� ^7 %n
O,( vC .2
ZONING
BUILDING PERMIT
BUILDING
OWNER
. /�; , ;Ys�E��O
/i/ /�/.7
�f
SQ. FT. OCC. BUILDING VALUATION
OWNER'SMAIUNGADOR
O
CONTRACTOR'S NAME
CIS6AJ V, c+' ay"
ELEPHONE
r
CONTRACTOR'S MAILING ADDRESS /�
3sa S L4 O 3L•�2 jZrQ �l�uY."�iGz(�
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
0 (/
ARCHITECT OR ENGINEER
ucENSE No.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
PERMIT FEE $
Zo
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S G I W
@20.00
TYPE OF WORK
New O Addition ❑ Remodel O Utilities O Installation ❑ Oth
Describe Work: ;''
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service11V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
3.50 SO FT,
CONTRACTORS LICENSE LAW(
I declare under penalty of perjury (check one)
O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
O I, as the owner, 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)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
POW ER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
SAL. .SO
Ex. Occup.XE
()
OUFITLETS IRESIDD APPLNS. .1 OREA.
S.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
tH6.50
Ventilation
PERMIT FEE S
Contractor
I certify that 1 have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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
liabilities, judgments, costs, and expenses which may in any way accru against said
County in consequence of the granting of this permit.
X Date
Signature of Applicant - O Owner ❑ Contractor O Agent
An OSHA permit is required for excavations over 5"0" dee, and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ (' v' U
NAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL PD
HD
ISSUE
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.
BY Date
PERMIT EXPIRES ON
Motel
7/7 /
Receipt No. 2 Z
C/ f!J
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
"r"."!%n�+':��:J«�'i^x '`�31�'�',a%.�.f'�'�^"g• €w.. y,. rryyc. + : �: .. .+. r. .ri.• a ;... i s_C-",�'. ,�u��,,i'?E::c'^rri.J`s�.. .ifinY'
'024-290=01.9 ; 1�PERMIT#94=3111
JENKINS,'.RONALD &sLILA
60 HOLLIS.-LN. GRIbLEY
CONT:-NELSEN CONSTRUCTION
CHANGE 6 WINDOWS/SF �As
/&
v�4
11 ]�
�i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISI N
7 County Center,Drive - Oroville, California 95965 - Telephone,(916) 538-75 PERMIT NO.
APPLICATION AND PERMIT 63Ll W �� I
ASSESSOR PARCEL NUMBER oza-290-019
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
60 H01 ITS
CONTRACTOR'S NAME
NFUSEN MNSWIMON
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
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 $
101.00
f
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF �_ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
Mobile Home S G W
J
K
TYPE OF WORK '
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ClOther�F
Describe Work: CHANGE 6 WINDOWS
—
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOV00A OR OR LESS
2LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( A ACC. BLDS. j
3.50 FSTO,.
NEW CONST. MULTI -OUTLET
-NON-RES1D. ( BRANCH CIRCUITS )
@7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑`I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. �.�lrr?Z Classification 1Z
El 1, as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
( POWER APPARATUS )
S SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BA20 @ 1.00000
Ex. FIXED APPS. OR
Occup. ( OWUTLETS (RESOD.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O'I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
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 Butte County Ordinances and California 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
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consee uence of the granting of this permit.
X ,7 t ."L �,/. 2,tz---.. Date /��/s
Signature of Applicant - ❑ Owner O• Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
i CONST. TYPE
TOTAL FEES 101.00
HA2.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL I PD
I HD
ISSUE
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.
r
Date
PERMIT EXPIRES ON _A
A
Receipt No. 1706iz
WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
t" PERMIT NO. 3154-79BP,F
PERMIT EXPIRES
",,;OWNER Lynn Moyle
Bi -County Pool Serv., Yuba City'
4CONTR.
LOCATION (A.P. 24-29-19
S/S Hollis Lane, app.700'E.of Hwy 99E, Gri
dleN
es
i"
Temp. Power Pole
Called PG&E
Temp lec. Sem
0
Temp.
PG&E
JTe p. Gas Serv.
Called PG&E
0
OB
FIN -79
FINALED
(Date)
(SignatureT
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Mesh
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Finish
Parapets
1st Floor
Interior Lath
Ventilation
Restroom Finish
2nd -Floor
Footin s
.—I
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
p
Footings
Prov. for ph sically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Mesh
MECHANICAL
'Grd. Fault Pri
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Under rouni
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal
Water Piping Sewer Gas Piping
M 1 EE OMEINSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE
REMARKS OR CORRECTIONS
..
,. �_ • T. ;
r 01
. —J ' ' r /
I I
i13- 91
e� CrYL ♦ ' ��
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?fN(5Yg I y i a I it t site.)
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Owner
Mailing Address
Contractor /��
Mai I ing Address 10
Building Addres s
%4
COUNTY OF BUTTE — DEPAF�TMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965
TelephxIne:,534-4541
APPLICATION AND PERMIT
ITelephone No.
7� ^
Telephone No.
o
�G�
A. P. No. _'2-9 --/v/ I Zonin & Plan
FbErs- I tt(,6e' JS Mon FireDept-1 Fire Zone I Use Permit
EQA Parking 'Parcel Parcel Ma 60' R/W
���j Plans Declaration pImprovements.
Brdg. PPan Pal A roval Plans Approval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER J•
Single Family �0 Duplex ❑ Mobil Home ❑ Others ❑
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
styl cf:
- V
License No. a d Classification
❑ I am exempt from the Contractors License Laws of the State of California.
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
forWor men's Compensation.
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.
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
�pove-mentioned propertafor pection purposes.
x Date
Signet rree of PGe�rmitee or Agent
Receipt No. � ( aU
•F
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
_ BUILDING
SQ. FT7 OCC. I BUILDING V
Fireplace
$
Total Valuation
O e O
Permit Fee
$3.00
Plan Checking Fee &/or Penalty
5.00
Permit Fee
2.50
PLUMBING
No. @
PERMIT FILING FEE
$3.00
Each Trap
1.50
Repair drainage or vent piping
1.50
Water piping
1.50
Each gas water heater or vent
1.50
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.30
Building sewer
5.00
Lawn sprinkler system
2.00
Permit Fee
$
ELECTRICAL
No.1 @
PERMIT FILING FEE
$3.00
Main service 100 AMP OLE S
ORLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
Main service OVER 600V
100 AMP OR LESS
25.00
Main service EA. ADD'L 100 AMP
1.00
NEW CONSTR. niuL I i-vU
NON-RESID, BRANCH CIRCUITS
2.50eii
NEW CONSTR POWER APPARATUS a
NON-RESID, SINGLE OUTLET CIR,
EX. QCCUp{OUTLETS OR FIXT1117E5
xBAL le OL@1
10
FIXED APPLNS, R
Ex. Occup.(O
OUTLETS (RESID,) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
6-V -.2 �? -1
ION
..-
FEE
1 0 6
SO
FEE
.C5®
Permit Fee $ Y,Z
MECHANICAL No. @ FEE
PERMIT FILING FEE
Heating
Cooling
Ventilation
Hood J 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE $
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_QF PUBLIC WORKS
By l Date (-"/— % r
B ilding permit expires Date
t-�
�r
PERMIT NO. 4691-75 B,P,E,M
P .
w
1 E
M
MH UTIL.
r' _K PERMIT NO.
? r`
�PERMIT EXPIRES
OWNER Bill Pearsall
iCONTR. owner
•LOCATION (A.P. 24-29-19 )
s/s Hollis Lane approx. 630' E..of Hwy. 99,
`
Gridley y (LOT 19)
r
4
✓11
1✓
l �'I
k
G.
1�
S
s Temp. Power eg9r7 7
Called PG&E
Temp. Elec. Serv.
Called PG&E
p : Temp. Gas Serv.
Called PG&E
JOB
FI ALED /
COUNTY OF BUTTE — DEPARTMENT: OF PUBLIC WORkS
BUILDING INSPECTION- RECORD,
BUILDING BUILDING (Cont'd) . PLUMBING
Setback# 7-�V j _ Firewall Soil Piping
Forms Parapets 1 st Floor /Q 7
Main Bldg.
Footing
Stemwal I
Slab
Piers
Garage
Footings
Stemwal )
Slab
Carport
Footings
Slab
Patio
. Footings
Masonry Walls
Reinf. Steel
Bond Beam
Restroom Finish
"
2nd Floor
D t Windows 2
3rd Floor
Siding
To out
Roof Sheathing
Water Piping -?p % r �—
Roofing l 2
Sewer
Fdn. Vents
Fixtures
Garage Vents
Water Htr. /
-Prov. for physically
handicapped
Heaters
Appliances
Conformance of ex.
structureTemp.
Gas Piping & Test Z y
Gas
Final 2
Sanitation '
FIREPLACE
Final
Footing
ELECTRICAL
Throat
Rou h r\.
Final
Fixtures
FIRE SPRINKLERS
Motors
Framing
/ %
Test
'Water Htr.
Stucco
Final
Subpanels
Mesh
'� `"""
MEC -9- ' CAL
Grd. Fault Prot.
Scratch%
2
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Z ZZE
Ducts
Under round
• Interior Lath
Ventilation
Permanent
Door Closer
Final
Final Z 9
DATE
REMARKS OR CORRECTIONS
1
• 1 COUNTY OF BUTTE — `DEPArRTMENT OF PUBLIC WORKS
7 County Center DriCe — proviIle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
rig ���1i
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X at S
Signature 0. or Agent
Receipt No. / 36 -To del
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PWVLIC WORKS
By ate
B ding permit expires Date �����
BUILDING
Owner �� �r J2 f� �,�,
SQ. FT. OCC. BUILDING VALUATION
M —
Mailing Address 0 oV W OrZ
Tel one No.
/ —
Fireplace
Contractor �(���v an .
Total Valuation
Mailing Address
Permit Fee 22
—
Plan Checking Fee &/or Penalty
Permit Fee
Telephone No.
Building Address AlR 6)(,
,sPERMIT
PLUMBING
No.
@
FEE
FILING FEE $3.00
,/L
(0;30 T. Q F= - W y }v/ J
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1 1.50
/ S:2-
'aEach
Eachgas water heater or vent 1.50
A. P. No. ^
Zoning &Planning
Gas piping system 1 - 5 outlets
t
1.50
Each additional outlet .30
Building sewer 5.00
Fe
a on
Fire Dept.
FireZone
Use Permit
EQA Parking Parcel
Plans Declaration
ako,
60' R/W
Im rovements
p
Lawn sprinkler system 2.00
g �P 6wS�R
Parce pproval
Plans Approval
Permit Fee
$
/$�
$ /� '—
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
r
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
-
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Ra"e, Cook -top or Oven1 1.00
%
Water W'asafer or Space Heater
1.00
%^
Light fixtures b0a 11 ld1
Receps., switches & fix outlets
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
styl of: _
Hol, Ex. Ff nor F.A. Furl. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump / 11
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
c�
License No. �Z�i r1'� Classification /.3'9
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
MECHANICAL
No.
@
FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
[&I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
iecertify that in the performance of the work for which this
permit .is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE
$3.00
3-
Heating ads
—
Cooling
Ventilation
Hood 2.00
_
Permit Fee $
(_
$ r(
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
47�S
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X at S
Signature 0. or Agent
Receipt No. / 36 -To del
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PWVLIC WORKS
By ate
B ding permit expires Date �����