HomeMy WebLinkAbout025-200-02325-20=23 2927ea
90B
CANADY, Ralph
495 East Gridley'Rd, Gridley�I
i Contr: Vinyl Designs '
(vinyl siding/sf) '
025-20-0-02398-2936 Ralph 98-2936 PEM
495 East Gridley Road, Biggs
` (hvac)SF J & S HTG g
a
� a
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541L1 Z�� O
APPLICATION A -N.0 PERMIT t
ASSESSOR PARCEL NUMBER
_A40
ZONING
BUILDING PERMIT
OWNER
Rnlnh r
TELEPHONE
846-2869
SO. FT. OCC. BUILDING VALUATION
6500
OWNE'R'S MAILIN ADDRESS
r+ R
CO T R'S
v1 a 1—
TELEPHONE
G--
-
CON RAC 'S� LING ADDRESS
#D.
Fireplace
OtJS R C I N ENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 02.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING
49SEafat Gridley Rd Gridley
Permit fee
$ 72.50
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: Install _ Of ylinyl Aiding _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
IIIA OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declaare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full 7rce and effect.
License No. �� Classification '
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.e
OR ACDNS. (ACC. BLDGS.
2/z¢sgft
NEW CONSTRESID,MULTI-OUTLET
NO N•R ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES
a20 0 ALOSot
Ex. Occup. OUTLETS PRESID )FIXED APLNS. REA.�
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Coolin g.
Hood f
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, jgdgments, costs, and)expenses which may in any way accrue
against said Co ty in con Iquence {{ the granting of this permit.
X ; k1`. �r ��
Signature of Applicant — Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5' 'deep and demolition or construct.
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 72.50
HAz
I CUA I
PARK
I SCHL
I FLD
I PAR
I PD
HD
IssuE
Th;s permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
Ale
BY _
P IT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Dater Z -Qy
X. -2 1
Receipt No. ��) GS' � %
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
. 'nw,y�f ^ry.Ra'.a•'sF�:�: �r�:r"�?f!�.��-"5w�i{�,. :7. yv
025-20-0-023 98-2936 PEM
CASSADY, Ralph
495 East Gridley Road,,Biggs
(hvac)SF J & S HTG
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530)'538-7541 .�.1`7,JINO•
(Rev. 12/96) APPLICATION AND PERMIT ` -- . r r
ASSESSOR PARCEL NUMBER
0257200-230
ZONING
A40
BUILDING PERMIT
OWNER CASSADY, RALPH
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS495 FAST GRIDLEY ROAD, BIWS
CONTRACTOR'S NAME T q S ,ATZN,f, 4X AC
T�L�PFjON 764
(�(� L
- - -
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER -
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
Energy Plan Checking Fee $
$
-
— PERMIT FEE S -'
LOT NO.
SUBONISIONSNAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF ❑ 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 ❑ Unities ❑ Installation ❑ Other ❑
'
Describe Work: UVAr 6JTT
s
Gas piping system 1 - 5 outlets 15.00 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE $ 35.00
+�
a. 1
ELECTRICAL PERMIT Fling Fee 20.00
800VOR LESS
Main Service 200A OR LESS 23.00
r
LICENSED CONTRACTOR'S DECLARATION t
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. I
'' j'! LiC. No.
License Class tj= 03 ?Q3
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
WORKERS' COMPENSATION DECLARATION
1 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.
❑ 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.) I
St I certify that in the performance of the work for which this permit is issued, I shall
r 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.
Date %��t/^Y
Signature of Applicant - bwner + Contractor ❑ Agent'
An OSHA permit is required for excavations over 5'0" deep and demolition or construction.
sof structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWEWNG OCCUP. SO
OR ADDNS. a ACC. S. 3.5¢FT;
NEW CONST. MULTI.OUTLET
NON-RESID. CU @7.50
POWER APPARATUS
'POWER
OUTLET CIR.
zo p 1.00
Ex. Occup. OUTLET OR FIXTURES BqL @ .50
flXED APPLNS. OR 5.00
Ex. Occup. our. RESID. EA
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE i
MECHANICAL PERMIT Fling Fee 20.00
Heating 15.00.
Cooling 17
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE ••
TOTAL FEE $ 75.00
.
f IMP
FLOOD
cOF
PARCEL
PD
HD
ISs
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for high fees have been paid.
B. / Date � t4,d
PERMIT EXPIRES ON G7 /
Date
Receipt No. 1*ri 7 n
WHITE-D.D.S.-B.D.` cANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r
` COUNTY OF BUTTE - DEPARTMENT OF DtVELdPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P R T NO.
(Rev. 12/96) APPLICATION AND PERMIT
��
ASSESSOR PARCEL NUMBER 025-200-230
A40 ZONING
BUILDING PERMIT
OWNER CASSAnY, RALPH
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
�
.OWNERS MAILING ADDRESS -
495 EAST GRIDLEY ROAD, BIGGS
CONTRACTOR'S NAME T & S HEATIn10, `. ACTf�L�P�ON
`�LF 764
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Pian Checking Fee $
$
- PERMIT FEE $
LOT NO.
SUBDNISIOWSNAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: FTVA('C, TjtjTT
Gas piping system 1 - 5 outlets
15.00 1.5 , 00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
35.00
ELECTRICAL PERMIT
Fling Fee 20.00
"OOVOR LE
Main Service zoOA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 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 '� full force and effect.(
License Class Lic. No. 6 ?322 3
�
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
TO
Main Service TO
46.00
NEW CONST. DWELLOCCUCUP.
EE
OR ADDNS. ( a ACC. BLAS.
SO
3.50Fr.
=REESDT MULTI -OUTLET
97,50
POWER APPARATUS
a PSOUTLET CIR.
Ex. Occup. OUTLET OR FWTURES
20 Q 1.00
BAL @ •50
Ex. Occup. OLIT>Frs p D°E UYS
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' 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.)
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 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 com ly wi those provisions.
Date —, _
S' nature of App cant - caner Contractor 13A e
5 n OS HAA permit is required for excavations over 60" deep and demolition or construction i
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEES 5 .00
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE .
TOTAL FEE $ . 75.00
HAz.
D. FEES IMP
I FLOOD
I COF
PARCEL
PD
HD
ISS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for fees have been paid.
/y _
PERMIT EXPIRES ON
Date
Receipt No. CV 7, 7
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
" , A COUNTY, OF BUTTE - DEPARTMENT OF D60tLOoM 'NT SERVICES - BUILDING DIVISION
• 7 County`;Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev.12/96)'` APPLICATION AND•PERMIT
ASSESSOR PARCEL NUMBEAO. 25-200-230 ..
ZONING A40
a BUILDING PERMIT,
OWNER CASSADY, RALPH (
f
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
+i.•
.OWNERS MAILING ADDRESS
495 EASTGRIDLEY ROAD, $IGGS
CONTRACTOR'S NAME
J & S HEATING, & AC
LL-E�TPP
TAT60N2764
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
/LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
$
- PERMIT FEE $
—
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT • ' -
Fling Fee 20.00
a USEOFSTRUCTURE
-
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NVAC rjrrZT
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home I S G W
@20.00
PERMIT FEE $
35,00
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2o.A OR LESS
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.POWER
License Class �0� Lic. No. �
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 astheir 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
WORKERS' COMPENSATION DECLARATION
1 her 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
Main Service 200A TO 1e00A 46.00NEW
CONST. owEwNG OCCUP. sO
OR ADDNS. ( a ACC..0CC 3.5QFT;
N0,-RCEOS pT MULTI.OUTLET 97,50
APPARATUs
8 SINGIP OUTLET CIR.
EX. OCCU OUTLET OR FDRURES B20 O `�
Ex. Occu , o. ED p IES p,OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt: S 50.00
Policy Number
(The above sections need not be completed 0 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
C 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 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 w' those provisions.
Date �-q
Si - nat�&A�pprl6ciri't - wrier Q Contractor ❑ A ert
n OSHA permit is required for excavations over 60" deep aril demolition or construction
of structures over 3 stories in height. `' "
Mobile Home Installation Fee $
•-
Energy Inspection Fee $
OCC
CONST. TYPE .
TOTAL FEE $ 75.00
RAZ.
I D FEES IMP
I FOOD
CDF
PARCEL
PD
I HD
651
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for hic� fees have been paid.
Date Cryo `
PERMIT EXPIRES ON
Date
ReceiptNo.9'7 dd
WHITE-D.D.S.•B.D. 0 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i
COUNTY OF BUTTE - DEPARTMENT OF 061il-OPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO-
(Rev.12/99) APPLICATION AND PERMIT
Ex. Occup. ou ®n�"ERm.)FA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
"sc. Wirina 23.00
PERMIT FEE IS pU►
MECHANICAL PERMIT Fling Fee 20.00
Coolin
9.5o
1 Ventilation
PERMIT FEP- !
Mobile Home Installation Fee S
Energy Inspection Fee E
occ coNsT, r`Fe TOTAL FEE $ d
NAZ I D. FES I WF I FW00 I OOF 1 FARCEl FO 1a 6St;E
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 �—
ReceiptNo. Jr PERMIT EXPIRES ON
.-...---
�C-> C-)
_...
BUILDINGPERMIT
01NM°ar�"ON8
SO. FT. OCC. BUILDINQ VALUATION
awNrae MALM AD--
wNraw�oFrs RwAa
�' �_
te��,e_ pr
COMMAAWAI MUD* MOWN'
OOFeTR e"m umet
tlWOn MOAM ADOR W
Fireplace
Total Valuation $
ARCMfr=oa eaa►M
uce+se No'
Filin Fee
$
20.00
ARCMffWr OR D1001=1 www ADORER
Permit Fee
$
Plan Checkin Fee
$
euaDewAooaess
Energy Plan Checking Fee
$
i
PERMIT FEE
_
wrw. suammm"mm
FAace. NW
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
Solar or heat pump water heater
23.00
SF O Duplex D Wbilehome O Other
Water piping
15.00
�esv
Each as water heater or vent
15.00
TYPE OF WORK
s piping syshmi. 1 -5 ou"
15.00
Now 0 Addition 0
Re nodd Ute 0 Inatatiatlon 0 Other 0Ikling
sewer
15.00
Describe Work:
Mobile Home I S I G I W
.i
@?.0.00
PERMIT FEE
t
ELECTRICAL PERMIT
FRn•Fee 20.00
Main Service gcom
23.00
Main Service 20" TO 1000A
49.00
NEW CONST. oWBil10 OCCW.
OR ADONs. a ACC. dD8
3•5oFT.
mLW
NONAE9IA' YV<riOVrtEr
@7.50 -• '
Fowa� AF'PAMTtA
a a oun T cn
�
Ex. _Occup. OLAU7 OR FKTURM
20 a f.0o
Ex. Occup. ou ®n�"ERm.)FA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
"sc. Wirina 23.00
PERMIT FEE IS pU►
MECHANICAL PERMIT Fling Fee 20.00
Coolin
9.5o
1 Ventilation
PERMIT FEP- !
Mobile Home Installation Fee S
Energy Inspection Fee E
occ coNsT, r`Fe TOTAL FEE $ d
NAZ I D. FES I WF I FW00 I OOF 1 FARCEl FO 1a 6St;E
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 �—
ReceiptNo. Jr PERMIT EXPIRES ON
.-...---
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Ca;fornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
25-qn-n
ZONING
A40
BUILDING PERMIT
OWNER
TELEPHONE
846-2 69
S0. FT. OCC. BUILDING VALUATION
6500
OWN 'S M I IN ADDRESS
C R'
1694-2208
TELEPHONE
C N C LING ADDRESS
Citrus lits 95691
Fireplace
R I
UNKNOWN
Total Valuation Is
Filing Fee
$ 1000
LENDER'S MAILING ADDRESS
Permit Fee
$ 2. 0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING
495East Gridley Rd GridleyPermit
tee
$ 72:50
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: Jnstall of vin3l si di nD _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000V OR 0 AMP ORLESS10.00
Main service EA. ADD -L 100 AMP
2,50
CONTRACTORS LICENSE LAW
I de re under penalty of perjury (check one):
7
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and ProfessionsCode and my license is in full rce and effect.
License No. 111�
�� Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.5i
OR ADDNS. ( ACC. BLDGS
2hQsgft
LET.
NEW REST-,CON5TULTI.O CIRCUITS)
NO N•R ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
(SINGLEOUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES
9A 50300
Ex. Occup. OUTLETS P(RESID.)LNS REA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00Misc.
Wiring
g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of,Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement; should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against •
all liabilities,)Jdments,costs, and)expenses which may in any way accrue
again s id Cn uence 0 the granting of this permit.%� ��
Date
Signature of A licant — Owner
g pp ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5' 'deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 72.50
AL
HAZ
cuA
PARK
Fro
PAR
PD
HD
IssuE
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By _
P IT EXPIRES Date
the applicable provi-
resolutions to do
have been aid.
p
WORKS
Date JO 2 —L_R Z�
/JA Z,7—^'7
Receipt No. -76 A__� 6
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroviller California 95965 - Telephone: 916.'538-7541
APPLICATIQU AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
25-20— 023
ONING
BUILDING PERMIT
OWNER
TELEPHONE HLOVNEn/
SC. FT. OCC. BUILDING VALUATION
MAILING ADDRESS
f
/y
6OWNER'
s�
CONUA_C,TOR'5 NAME
V
TELEPHONE
CONTRACT R'S MAILINII ADDRESS � /�711—
6 36 3 �� # D 6',(/Lw r"3 . w- 6 Z,f
r
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation S
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER2.
LICENSE NO.
Filing Fee
$ 10.00
Permit Fee
Plan Checking Fee
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS.
Permit fee
-
$ -72.6a
PLUMBING PERMIT
Filing Fee 10.00 j
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME P4RCEL MAP
Water piping
5,00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G VV
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities[], Installation❑ Other ❑
Describe work: 61k4IX 6t LY./LLUI
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
OR L
Main service GtOOVAMP ORSLESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure isnot intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD -L 100 AMP
2.50
OR AOONST DDWEACCLLIN GOCCUR.&\
!iZ¢sgft
NEW CONSTR. nULTI.OUTLET
NON-RESIO BRANCH CIRCUITS
2.50 ea
(POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. OCCU OUTLETS OR FIXTURES
P
20150¢9At.030
FIXED APLNS.
Ex. OCCup. OUTLETS P(RESID,)REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self-Ihsure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with Such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 consequence of the granting of this permit.
X Date
Signature of Applicant — Owner El' Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 2" V
HAz
I CUA
PARK
I SCHL
[.F Lo I
PAR
PD
HD Issue
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W. YELLOW-AseEssOR, PINK -INSPECTOR, GOLDENROD -APPLICANT