HomeMy WebLinkAbout024-290-02624-29-26
Bill Pearsall
E corner of Hwy.99E & Hollis Lane,
Sunset Village Sub, Gridley
E
Permit #6364-76B,PE,M(new single family)
24-29-26 C
Permit ##3.02-77P(add' 1 traps/6344)
024-29070.26 PERMIT#97-0905"�-
G 'MONTEZ,..Pete -
10Hollis Ln., Gridley
j Cont: A11 Rite Roofing (�
Reroof,/SF �I
faa..-"•'B�::Y w„a.,Tpc�;�sr�°iy�s'+as%.•`�i�rarrdl'7f.��ir.•?�;a.�i.• � Tr. �x '-r;*i9-,. r- ��';'4-'�yr-g. r41
024-290`026',.' PERMIT#97-0905
.MONTEZ, Pete.:
10 °Hollise'Lri*: ,-Gridley
Cont:' All Rite Roof in
Reroof/SF S15��8
t
•
I
COUNTY OF BUTTE- DEPARTMENT OF,DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PEFMIT NO...
(Rev. 12/96) APPLICATION AND PERMIT ,�� 97 ` )C/Us
ASSESSOR PARCEL NUMBER
024-29-0-026
ZONING
BU.( DINGPERMIT
OWNER
PETNIONIM,
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
22 Me? 1320
OWNER'S MAILING ADDRESS
6_ D
CONTRACTOR'S NAME
ALL RITE_
TELEPHONE '
CDNTR/�Cy`q,'$nu P'` RD, YB
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
33.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
D
BUILDIIUnTLLIS LANE, GRIDLEY
1tJ
Energy Plan Checking Fee $
$
PERMIT FEE $
•
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF Q Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IF
Describe Work: RER40F OOMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
LES
Main Service 200Ae00V DO R'LESS3
23.00
LICENSED CONTRACTOR'S 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 the Business and Professions Code,
and my license is in full force and effect.
License Class L' Lic. No. % i yS p7 I
OWNER -BUILDER DECLARATION �
I herebyaffirm under penalty of perjury that I am exempt from the Contractors License
P tY P 1 rY P
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed k contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers. compensatiafi'insura ce carrier and policy number are:
Carrier ti /t c f , ""
Policy Number A`AS — Ci -1
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 workers'HA2.
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 _ i .r w n U Ol Date _1S -1) ` q-7
Signature of Applicant;'- ❑'Owner 0 Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service ( 200A TO I000A
46.00
NEW CONST. DWELLING OCCUP. s0
OR ADDNs. ( a ACC. BLDS. 3.50FT.
NON -R SrIDTTI.OU CLET @7,50
POWER APPARATUS
a SINGLE OUTLET CIR.
EX. OCCU . OUTLET OR FDRURES
BAL @ '•50
@ .so
Ex. Occup. FIXEDAPPWS.OR
p• oUTLErs RLNS EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
CONST. TYPE
TOTAL FEE $
rThispermit
D. FEES
IMP
FLOOD
CDF
PARCEL
PD
HD
I UE
is hereby issued under the applicable provisions
utte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
}y��
By ., ',,Of gtel� /Date/,S s'r 7 7_
10
PERMIT EXPIRE ON / S/ ��9z
Date
Receipt No. Z? J } 7Z
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
X
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ON
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1 PERMIT NO.
(Rev. 12/96) APPLICATIONAND PERMIT CV7_
40
ASSESSOR PARCEL NUMBER
024-29-0-026
ZONING
r-1
BU,4tDING PERMIT
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
636 SADDIERACK
CONTRACTOR'S NAME
ALT, RTTF ROOFING
TELEPHONE '
749-7483
CDNTRq'4M JLI 8ff RD, YB
CONSTRRU4CTTIIOVN LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEERLI
CENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 33.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDIIG{tOTM LIS LANE, GRIDLEY
Energy Plan Checking Fee
$
PERMIT FEE
$ 53.00
LOT NO.
-
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
y
9X
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX
Describe Work: REROOF COMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service :' noa'.ss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
i .
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class �' �� LIC. No. 1 %� \
OWNER -BUILDER DECLARATION"
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING .00 S.
OR ADDNS. ( 8 ACC. BLI)S.
SO
3.50FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ANC CI CUITS
7.SO
POWER APPARATUS
8 SINGLE OUTLET CIR.
OUTLET OR FIXTURES
Ex. Occup.BAL
20 Q 1.00
9@ .so
FIXED APPLNS.
EX. OCCU . OUTLETS (R S D.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers'ompensati nsura{'ce carrier and policy number are:
Carrier 1 — O,✓
Policy Number _ — q
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL
not employ any person in any manner so as to become subject to 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.
XNJ _ Date nt
Signatur of Applican - Owner �' Contractor ❑Agent
An OSH permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
FEE $
HAZ.
D. FEES
IMP
FLOOD
COF
pARCEI
PD
HD
SUE
A
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 AP 7
PERMIT dPIRES ON
le
Receipt No. _?,Z % R 7 Z
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
(Rev. 12/96)
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
�C -Zqv- a2
20NING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS rAAiuNr ADDRESS�—
��L, d
CONTRACTOR'S NAME .,[1, /y'/�� (/y!)
TELEPHONE ' q
J ADDRESS' ( Cr
CONTRACTOR'S MA((JdG
l`J 'L 6f.
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSENO.
Filing Fee
$ 20.00
Permit Fee
$ , 3,,3, a d
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
!//�
Energy Plan Checking Fee
$
$
t
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME 7
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF p Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: � o_ m yet d
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20..00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
800V 0 R LES
Main Service 20OAORLESS
23.00
LICENSED CONTRACTOR'S 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 the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO
46.00so
cc'000A
NEW CONST. DWELLING OCCUP.
DWE200ALLING
OR ADONS. ( a Acc. sws.
SO
3.50FT.
NO-RESIDT M�ULCTI-OUTLET
97,50
PO ER APPARATUS
8 SINGLE OUTLET CIR.
EX. Occup. OUTLET OR FDCTURES
.00
BAL @ I.S0
Ex. Occup. OtEEDrsA R p)EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirinq
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 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 Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE J
TOTAL FEE $ �53r
MAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
pato
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
s'
,,. PERMIT NO. — '6364-76B,P,E,M
PERMIT EXPIRES
OWNER Bill Pearsall
CONTR. owner
e;-
LOCATION (A.P. 24-29-26
SE co,r.of Hwy 99 & Hollis Lane, Sunset Village
Lot #26, Gridley
i
lTemp. Power Pole 1,/7/77
Called PG&E
y Temp. Elec. Serv. —�
Called PG&E
Temp. Gas Serv.
Called PG&E 4
VB
LED
(Date)
(Signature)
i
COUNTY OF BUTTE —,,DEPARTMENT OF PUBLIC WORKS'
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback % /3
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows = 7
3rd Floor
Stem all
Siding
To out
Slab /
Roof Sheathing
Water Pi in
Piers
Roofing y
Sewer
Garage
Fdn. Vents
Fixtures
Footings - _
Garage Vents
Water Htr.
Stemwall
Insulation
Heaters
Slab / 7
Prov. for physically --------
A liances , ra
Carport
handica ed
Gas Piping & Test
Conformance of ex. O /
Footings
structure
Tem . Gas
Slab
Final
Sanitation%� ;�
Patio
FIREPLACE
Final 37.2 7 Z47W
Footings
Footing
ELFCTRIQALe
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures .3
Bond Beam
` FIRE SPRINKLERS
Motors
Framing
Test
Water Htre
Stucco
Final
Sub anels�
Mesh 2E% _
MECHANICAL
Grd. Fault Prot.
Scratch
Heatin .N -� 7�
Service
Brown _
Cooling �� r r ✓
Temp. Pole .. 7
Finish
Ducts % ,' _
Under round
Interior Lath -� -� ��
Ventilation. 7 -�
Permanent, �
Door Closer
Final
Final S �
DATE
REMARKS OR CORRECTIONS
31%177
(NOTE: An entry must be made on this form each time you visit the job site.)
Fiber Glass Insulati®rc4t-�
BUILDERS INSULATION STATEMENT
BLOWN INSULATION
Manufacturer's minimum thickness to provide the level of insulation
resistance (R) Values as shown:
* R Values are determined in accordance with ASTM C-687 and C-236.
Conforms to Federal Specification HHI-1030A.
This insulation has been installed in conformance with the above recom-
mendations to provide a value of R using bags of insula-
tion to cover square feet of area.
Insulation Contractor (Sign)
Company Name
BATTS AND BLANKET
R
INSULATION
R
INSULATION
VALUE
THICKNESS
VALUE
&THICKNESS
R-22
61/2"
R-13
35/8"
R-19
6"
R-11
31/2"
Builder (Sign)
Company -Name
Date
Meets Federal
Specification HHI-521E
Fiber glass batts or rolls have been installed in accordanpg with the
manufactuf�er's recommendation to provide an R -Value of in the
ceiling, - in the exterior walls, . in the floor or crawl space
perimeter.
V
I nsu
latjon Contractor (Sign) Builder (Sign) .
Company Name Company Name
CSG -32-11-C
P
Date
CERTAIN -TEED PRODUCTS CORPORATION. P.O. BUX 860, VALLEY FORGE, PA. 19482
C=1
CERTAINTEED
4 !1
TO: Building- Department
FROM: Lnvironmental iiealtn
SeFra6e and/cr .4.ater Clearance
ojNLR LOCxTIOW
A .P#
Has been a.Yproved for;
r
s314Au� .DISrJSAL�
4AT IiZ sUP?LY
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965
Telephone: 534-4541 (�
APPLICATION AND PERMIT '
Signature of Pe10 a or Agent
Receipt No. L_.�S'�J Qom%
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which .fees have been paid.
DIRECTOR 0 BLIC WORKS
-."
gy Date %/— 2 y— %
ilding permit expires Date
BUILDING
Owner / eo, Yscdl
SQ. FT. OCC. BUILDING VALUATION
Mai I Ing Address 1,302,DO-Ave
S�Z J U�
tv
ele h ne�lo,
Fireplace
Cntractor Of im
Total Valuation U Dat
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee $
PLUMBING No.1 @ FEE
(/(�
Building Address S coy r
PERMIT FILING FEE $3.00X00
/L7 iq -e '—
Each Trap 1.50 c7 v
Repair drainage or vent piping 1.50
yA
Water piping 1.50 O
Each gas water heater or vent 1.50
�Gas.piping
�
A. P./No. 50 in tanning
system 1 - 5 outlets 1.5U 0
Each additional outlet .30
Fes I
WV
S i n Fire Dept.
Fire one se Permit
Building sewer 5.00
EQQ$A
Parking
Plans
Declare ion
ItSldgePlans
Parcel Map
60' R/W
Improvemen sr
Lawn sprinkler system 2.00
Recd
Parcel Approval
PI Approval
Permit Fee $ 100
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 �Q
Main service 100 AMP OR00V OR LESS5.00
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
NEW CONST. DWELLING O &
OR ADDNS. ACC. BLDGS ) 22Sq ft
NEW CONSTFL (MULTI -OUTLET
NON-RESID, BRANCH CIRCUITS) 12.50ea
NEW CONSTPOWER APPARATUS &,,
NON.RESIR. D. (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) BAL21
Ex. Occup. FIXED APP LNS, OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. >r� /
lc —% Gam- Classification
Misc. Wirin 6.25
i Oa
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
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.
ehave 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
ermit is issued I shall not employ
P p y an y person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEE
PERMIT FILING FEE $3.00 ��(� O
Heating (� fj d O
Cooling
Ventilation 2"40
Hood 2.00 2,00
Permit Fee $
$ (o
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for insnactinn n,innne ce
TOTAL PERMIT FEE
$
This permit is hereby issued under the applicable provisions
of
Signature of Pe10 a or Agent
Receipt No. L_.�S'�J Qom%
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which .fees have been paid.
DIRECTOR 0 BLIC WORKS
-."
gy Date %/— 2 y— %
ilding permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County'Center Drive — Uroville, California 95965
Tel ephpne: 534-4541
APPLICATION AND PERMIT
Owner WILL,!1•pn 4aSQLC
Mai I i ng Address 3 C)4 ibi0 Ov CL) o IeT /406'
-Q2
Contractor
Mai I i ng Address
Telephone No.
Building Address
A. P. N —
•-,;l
$
ELECTRICAL
Zoning & Planning
Fket
W.
3artiit3tien
8000 AMP ORV OR LESS5.00
Fire Dept.
Fire ZoneI
EA. ADD -L too AMP
Use Permit
EQA
Parking I
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Mons ec d
I
Parcel Approval
NEW CONSTR.
NON•RESID.
Plans Approval
NEWFJ.
ADDITION ❑
UTILITIES❑
OTHER
Single Family Duplex ❑ Mobil Home ❑ Others ❑
CONTRACTORS LICENSE LAW
I am licensed under the provisions -of Chapter 9, Div. 3, of -the
State of California Business A Professions Code under the name
style of: 01
License No. ��G O��_ Classification
,,2,=,2 9 -77
_ BUILDING
SQ. FT. I OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee _
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING'
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
FEE
Permit Fee
$
ELECTRICAL
No.1 @ FEE
PERMIT FILING FEE
$3.00
Main service
8000 AMP ORV OR LESS5.00
Main service
EA. ADD -L too AMP
2.50
Main service
OVER
V AMPP OR LESS O
25.00
Main service
EA. ADD'L too AMP
1.00
NEW CONST.
OR ADDNS. (
DACCLBLDGS.LING CCUP. &)
20sgft
NEW CONSTR.
NON•RESID.
MULTI -OUTLET
( BRANCH CIRCUITS)
2.50ea
NEW CONSTR.
NON.R ESI D.
/POWER APPARATUS &
%SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES) T'�
109 1
FIXEDEx. Occup. ( OUTLETS P(RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
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 PERMIT FILING FEE $3.00 '
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.
T I have placed on file with the County of Butte a certificate of Cooling -
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this Ventilation
permit is issued_ I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of Hood 2.00
California. . $ 7._ $
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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X -`` Date
Signature of Permitee or Agent
Receipt No. 7 O a
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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 OF PUBLIC WORKS
By ( Date J Z-
g permit expires Date 3 G% —76
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County -Center Drive - Uroville, Calitornia 95965
Tel ephone:.534-4541
APPLICATION AND PERMIT'
y """ """ UP— "'u 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
�Signat-'u_re
Date G above for which fees have been paid.
zz DIRE OR OF PUBLIC WORKS
of Permitee or Agenntt
Receipt No. �T / li
Date
White•D.P.W. — Yellow -Assessor —Pink -Inspector — Goldenrod -Applicant lding permit•
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address d U�.
gT I e-rh one No,
Fireplace
Contr ctorTotal
Valuation
Mailing Address rt e
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address c� Q�•
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50 .�
-Repair drainage or vent, piping 1.50
Water piping 1.50
S V C ,&• - A k�
S
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
F
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
I Parking
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
�A ovPla�n%s
'YI .`Plans Ke
Parcel Approval
Plans Approval
Permit Fee $ ,Qo
Qi
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER,®
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
-,
ain service 600V OR
100 AMP LOR ESS 5•00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service R 600V
1100EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADONST ( ACC. BLDGSDWELLING O.CCUP. &� 20 sq ft
NEW CONSTR MULTI.OUT LET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON•RESI D. (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 u der the name
st le
@75C
Ex. Occup(OUTLETS OR FIXTURES)BAL@1
FIXED A PLN OR
Ex. Occup. ((ESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
/�} �, p/�
License No.&:� I - � � Classificationy
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ .
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
Ifoor Workmen's Compensation.
f!2 1 have placed on file with the County of Butte a certificate of
YYY��u�u 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.1 @ 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
$
y """ """ UP— "'u 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
�Signat-'u_re
Date G above for which fees have been paid.
zz DIRE OR OF PUBLIC WORKS
of Permitee or Agenntt
Receipt No. �T / li
Date
White•D.P.W. — Yellow -Assessor —Pink -Inspector — Goldenrod -Applicant lding permit•