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HomeMy WebLinkAbout025-200-022A.P. 25-20-22 Anthony LaBarbera -.400,. f.t :.. of f. n/s .Oro-Gridley..Rd .........,@ app. 600 ft. W. of SNRR, Gridley Permit 884-73 (utilities for m bi e, home)jl 5�a5y 7.5 25 0-22.. CONTR: Upstate Awn' __Permit':#�2b18-76B(g, .Sacramentow c Vered eck/MH)_, -25-20-22 HENRY LABABAREA 48.1.^Fast-Gridley Road,, Gridley Contr: Robert Fichter ` Permit#3171-86B(reroof/SF) Z_ 025-20-"22 00-0824 CHEEMA, BABIR 481 EAST GRIDLEY RD., GRIDLEY ELEC SERC C);L eo- Oa.a 9 � w ��r■ rM IN nll 025-20-0-022 00-0824 CHEEMA, BABIR 481 EAST GRII:LEY RD., GRIDLEY ELEC SER CH I OFFICE COPY Address GAS . Meter By Da e ELECTRI _ Meter By Dat • tee, e ° Y �-'�. IJ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION q 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541mPEMIT No. (Rev. 12/96) APPLICATION AND PERMIT . ASSESSOR PARCEL NUMBER _ RT/-7 i` ZONING BUILDING PERMIT OWNER L61 R Tt 11 AVRNTM iR rTTV CA nRQf TELEPHONE 1 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS d CON RA4 0_R;S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDREA, LAST GRIDLEY ROAD, GRIDLEY L� Ener Plan Checking Fee $ Energy g $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Iff 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 Q Describe Work: M.F(' CRP M Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 4:@20:O::01 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 7 f7 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 I am exempt from the Contractors License Law for the following reason: C� 1, 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: ❑ 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 TO 46.00 NEW CONST. DWWELLICU E NG OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.50FT. RE°SI. NST MULTRANCI-OUTLET @7,50 aPSIOWERLE APOUTLET PARATUS NGCIR. OUTLET OR FDTTURES 20 @ 1.00 Ex. Occup.SAL @ .50 Ex. Occup. o IxLI EDAPPM. °EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 f1r,111, IN611 CJ . PERMIT FEE $ 66 .00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ -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.) 0` 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 �_, f t 1 {Ltd( -,Date z f /'P ignature off Applicant -A0 Owner ❑ Contractor ❑ Agent An OSHAermit is required for excavations over 5'0" deepand demolition or construction -• of structures over 3 stories in height. . Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE t)b TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PO 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 t �{ J Date 4 zf d D PERMIT EXPIRES ON tDete Receipt No. Cove WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT el t f e I COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION -� 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541R,M}NO. (Rev. 12/96) APPLICATION AND PERMIT �"10 ASSESSOR PARCEL NUMBER ZONING BU I LDI NG P ER M IT OWNER TELEPHONE 3463 RATTROAD AVENUE, YUBA CITY CA 959 0- SO. FT. OCC. BUILDING VALUATIGN . OWNERS MAILING ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 481 EAST GRIDLEY ROAD, GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 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 7 Describe Work: ELEG2EI? Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service iooA oa'ss 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 I am exempt from the Contractors License Law for the following reason: 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 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. so 3.50FT. NEW REBID. MULTI.OUTLET @7.50 POWER APPARATUS 8 SINGLE 0 _Er CIR. Ex, OCCU OUTIFr OR FIXTURES g21 4 1.50 Ex. Occup. .FIXsRES OR EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP 23.00 PERMIT FEE S 66.00 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ 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 co wit " ose provisions. fof X Date �( ����� gna 1ofppIica)471& Owner ❑ Contractor ❑ Agent An OSHAs required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE66.00 TOTAL FEE $ HAZ. D FEEs IMP I FLOOD I CDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By�&11111tor—V Dae PERMIT EXPIRES ON Z� Data ReceiptNo. 28 597 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. -.- Please complete : and . returnthis information at your earliest opportunity .to avoid unnecessary delay in processing and issuing your building permit. No building permit will - be issued until this verification is received. 1. I personally plan to provide the proposed propertyimproyement 02. I HAVE J HAVE NOT[ proposed work..-: . 3. I have contracted with the fc construction: major labor and materials for construction of the YES[ ] NO[ J. J signed an applicati J"fo`r-_,a building permit -for the )llowing person (firm) to provide the proposed NAME: ADDRESS: ; .. CM: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide' portions of this work, but I have hired_ the following person to coordinate, supervise, and provide the major work: �i-i l , ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following-peisons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: /���(�/ ep U - NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 r Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as.the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with. the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any'persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you. are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations,"and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an `bwnerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Mav 1995 2.27 'r'y+��,yrr�-.,,,f..%`.v. vtr..•i`'r"7..,7rrz�lYy`lT'y��r.....Y .��-��,� ,�`l+yM''�•. '+i'`��"+r'tl��r.a r��,' F..}. ;��-.i£��R.Asn--+>•il"�a�`f..a'�'Y"r-r�i4�'I �,�v'�r1i �1C+• �'F-i�j`�'i✓-1kJ~"�,�'�?. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: 0D h- 0_ Qao;Z Proposed Building Use: Ia Q Building Inspector: M4evin Date: Lj At time of permit application, I was advised he following data must be submitted prior to permit iroce sing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 1:14. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------- ------. ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. 1115. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ----- ❑ . Encroachment Permit for driveway (construct' n approval prior to occupancy). --------------------- 0. Pre -inspection for �iE Jb� uired. Request to Building Inspector on E121. Contractor's license information. (Number, Name Sty e, Classification). ----------------------------- El 22. Workers' Compensation carrier and policy number. ----------------------------------------------------- E123. Owner-Builder ---------------------------------------------------. ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑24. Letter of signature authorization. ------------------------------------------ ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ----------- El 26. Letter of intent on building use. -------------------------------------------- ❑ 27. Manufactured Home utility clearance. ------------------------------------. ❑28. Existing violations and/or expired permits. ------------------------------- ❑29. 0433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue the permit, process as follows 9 Mail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at -.office. ❑ Deliver with inspector. Applicant: Date: _ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:_ 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: (Date) Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. OWNER: PRE -INSPECTION REPORT LOCATION: CONTRACTOR: (� PRE-INSPETION FOR: DATE TO INSPECTOR: Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes No Condition of Electric Gas: PERMIT HISTORY ) NONE KAS BUILDING INSPECTOR'S REPORT Electric currently On Off Natural Propane None _ Currently On Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: Inspector: HOLD FOR r Date DATE:*c2D A.P. Off Sketch buildings on reverse and indicate location on property. e v "60UNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538.754} o�� PERMIT NO. ay.12/96) APPLICATION AND PERMIT (�4 AMSSOR►ARCELNUMM — o—as QcoZONING BUILDING PERMIT J 1�7� "E SO. FT. OCC. BUILDING VALUATION a"NER _ 6 e e ltit q S3 0 ��i i ,wNER7 MAu►a ADDRi . MALJNG ADDRESS ^,ONSTWXMN LENDER u:N001s MNUNO ADORES$ Fireplace Total Valuation = ARC"ffECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee E e09v OR LESS 200A OR LESS ARC1fTFCT GR ENGINEER? MAILING ADORES$ Plan Checking Fee $ 46.00 su�.+oADOREs$ e Energy Plan Checking Fee $ ADONS. A ACC, $IDS. $ MW c0paT. .n u„�nO ) PERMIT FEE _ 6.50 IDT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 Each Trap 7.00 USEOFSTRUCTURE SF O Duplex Mobilehome Other $p�Iry Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel 0 UtiGties0 Installation O Other O Describe Work: I q Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 1 (20.00 EX. OCCU . SET OR FDRURES PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service e09v OR LESS 200A OR LESS n 23.00 oC Main Service 20" TO 1000A 46.00 NEW CONST. DWE LPQ DOCuP. 3.52 F°, ADONS. A ACC, $IDS. OR MW c0paT. .n u„�nO ) 07.50 EX. OCCU . SET OR FDRURES a,LL .yo Ex. Occup. I= ES 6. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt t Mobile Home Installation Fee $ Energy Inspection Fee 1 $ Occ j00N1SjTjTAYPETOTALFEEWp FLOOD I cOf I pARCEL p0 I NO I 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 t permit#3171-86B Henry LaBabarea 481 East Gridley Rd. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ' ZONING BUILDING PERMIT OWNER TELEPH•ON,E SQ. FT. Q�iCi. BUILDING VALUATION - /•/' J OWNER'S MAILING ADDRESS CONTRA CTOR•'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 'Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00• Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 77� 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 FGTW 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: / G �/ 'r / � "�/�' ! Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 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 or ❑ 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.& , DDNS.A ) h�sgft New CCONSTR( ULTC.BI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES .20050t 030 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): r-1 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 subjectPernit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation 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, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X'" - � i — r-' � Date �� " �` f . J� Signature of Applicant - ' Owner ❑ 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 $ TOTAL PERMIT FEE $ occu P. CONST.TYPc I FLOOD PARCEL I P11 HD 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /= c •� Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIONIAND PERMIT PERMIT yNO.,� ASSESSOR PARCEL NUMBER �_ ZOWG� BUILDING PERMIT OWNER -� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CON R,�TOR'2�ME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER V KNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD NG ADDRESS JY a Permit fee $ 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 SFn Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other A Describe work: /�� 2�� $/i7/L�GLE-� �_'' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): t9_1 am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Profess i%fod� 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 is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8d OR ADDNS. ACC. BLDGS. , /20sgIt NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 SINGLE OUTLET cIR. ) EX. OCCUp�OUTLETS OR FIXTURES aALC 30 FIXED APLNS. EX. OCCUp. OUTLET'S (PRESID )REA.) - 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor 1 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgment costs, and expenses which may in any way accrue agaiid;C n onsequence of the granting of this permit. Date �—� Sig lure ofp ;.Cant - Owner ❑ 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 $ TOTAL PERMIT FEE OCCUP. CONST.TYPE �FLOODIPARCELI PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi• resolutions to do fees have been paid. WORKS Date�� eceipt No. /, HITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT F 1 2618 -T6B `:PERMIT NO. PERMIT EXPIRES .OWNER Anthony LaBarberg !CONTR. Upstate Awning, Sarrnmpnto -LOCATION (A.P. 25-20-22 400'off N/S Oro -Gridley Rd., app.600'W.of I SNRR, Gridley j� Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. f ' Called PG&E ° s JOB FINALED (Dat (Sig nftre) a 1 2618 -T6B `:PERMIT NO. PERMIT EXPIRES .OWNER Anthony LaBarberg !CONTR. Upstate Awning, Sarrnmpnto -LOCATION (A.P. 25-20-22 400'off N/S Oro -Gridley Rd., app.600'W.of I SNRR, Gridley j� Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. f ' Called PG&E ° s JOB FINALED (Dat (Sig nftre) 4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Setback , Forms Main Bid Footin Stemw, DATE REMARKSIOR CORRECTIONS O�Z��rr (NOTE: An entry must be made on this form each time you visit the job site.) th ,COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Urovllie, California 95965 Teleptthone:5Y4-4541 / / —7th APPLICATION AND PERMIT lC� nay tri -- u ttr cntul upull tilt:above-mentioned property for ins ection purposes. I X Date 5_/ gnature of Permi •ee[orA ent/'� 2 Receipt No. /% 1O J 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. DIREC OR OF PUBLIC WORKS By '7 Date Building permit expires Date BUILDING Owner�� U SQ. FT. OCC. BUILDING VALUATION Mailing Address To Cluj Q _ ` C Telephone No. Fireplace Contractor — Total Valuation Mailing Address 16—' 'Z Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address 4­qto i= ' AIS PLUMBING No. @ FEE j Q z � i(l lRA, PERMIT FILING FEE $3.00 Each Trap 1.50 �C. r Repair drainage or vent piping 1.50 1L�� 47 Water piping f :•• 1.50 Each gas water heater or vent 1.50 A. P. No. 04� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 additional outlet .30 A --Each Fees W.C. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans I Parcel Declaration parcel Ma p 60' R/W Improvements 2.00 Lawn sprinkler system==F1 Bldg. Plans Rec'd Parce Approval Plans ppravaI Permit Fee $ NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 N _� (6y�i` + Main service 1101 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home 10 Others ❑ Main service OVER 1100 AMP OR LESS 25.00 Main service EA. ADD'L loo AMP 1.00 NEW OR ADDNS. ( ACCLBLDGSLING CCUP. &) 2¢syft NEW CONSTR. MULTI -OUTLET NON-RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 Ex. Occup. (ouT OUTLETS IX ED AP(IiESID ORA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.,., Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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. vee 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 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 anthnri7a ronrec—tnti—c of the r,..,...t.. ,.r n.. — . TOTAL PERMIT FEE $ dZ nay tri -- u ttr cntul upull tilt:above-mentioned property for ins ection purposes. I X Date 5_/ gnature of Permi •ee[orA ent/'� 2 Receipt No. /% 1O J 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. DIREC OR OF PUBLIC WORKS By '7 Date Building permit expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive o— OroyiIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 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. 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. By DIRECTOR OF PUBLIC WORKS Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing dress Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ I FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N0. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home.❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20-(@25 b 1110. Receps., switches &fix outlets b -a �" 75 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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. 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 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 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. 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. By DIRECTOR OF PUBLIC WORKS Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK � 7 County Center Drive - Oroville, California 95965 ! Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe tion purposes. - G�`���Date ©� Signature of Pe. or A�g%ent Receipt No. �!• T 6 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 QF PUBLIC WORKS BY � �-�---•� �.c_ Date- 4- / 0 --7 �/- Building permit expires Date���� -7T BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address TelepGtlhone No. Contractor O Fireplace Total Valuation Mailing Address !iX� Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address fr ` PLUMBING No. @ FEE PERMIT FILING FEE J$2.00 fd'� C�(✓l/ �% �Pz Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. a �•2— Zani a Gas piping system 1 - 5 outlets 1.50 j Each additional outlet .30 Fees W.C. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 .fes Plans Rec'd Parcel Approval Plans rpproval Permit Fee $ $ NEWADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ad Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal023 1 Receps., switches & fix outlets 2�f�25 in 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: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 GU License No. Classification Misc. wiring , —m exempt from the Contractors License Laws of the State of California. Permit Fee $ 77 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 Wo en's Compensation Insurance. 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. @ I FEEPERMIT 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 yy � p= 4 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe tion purposes. - G�`���Date ©� Signature of Pe. or A�g%ent Receipt No. �!• T 6 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 QF PUBLIC WORKS BY � �-�---•� �.c_ Date- 4- / 0 --7 �/- Building permit expires Date���� -7T s , � �_�� l ff•y��� AII—utility Ed - connections shall be located wit iin 4 ft. outside the -rear third-secti n of the mobile home 0 on the left {road) side of the mobi le home. - • y .1eLed.725z— -Septi system a to be -as -per. -- -'Butt County Health Dept. Re- quire nents. p J � Th = `Setback shall -be 5 -ft -from the side grope •- the centerline of the road, permitting BUTTE-COONTY - a-maximum -of_a_2_ft.-eave_overhang. BUILDING"DEPARTMENT ihv set of plans and specifications MUST -be A ,/ P'VR DV F D ------kept n-the_job-at_all -times and it is unlawful to i • make any dianges or alterations on same without writte`permisson-from -the -Department�of_Public . Work , County , of . Butte. I ' r . 41 i r r ' r { } J f' "i • r ' BUTTE COUNTY DEPARNENT OF PUBLIC HEALTH Division of Sanitation 695 Oleander Avenue P. 0. Box 1100, Chico 343-4211`, Ext'. 51 MOBILE HOME SITE PROPERTY USE AUTHORIZATION To: Butte County Health Department 2430 Bird Street Oroville 533-1230, Ext.. 297 Date:_ I am the legal owner or person in charge of the following property: (Property description, location, or address) and have the author'ty to give;7. hereby do give my permission to: to camp ( ); live in ._(Name a mobile home /V; on the above mentioned property, and to construct, main- tain and use such sanitary facilities as the Butte County Health Department deems necessary. This permission extends from J- to - (Dat e) o(Date) (Date) I understand that under the provisions of the California Health and Safety Code, it is illegal to charge rent for a mobile home on the above mentioned property unless I hold a valid permit from the State Division of Housing to operate a mobile home park. I will not charge rent for the placement or occupancy of a mobile home on this property. Signature ,1 3t C DECLARATION REGARDING LOTS OR PARCIr'LS I certify that as owner of the property acquired by deed in Volume, `Page, Official Records of Butte County, (AP, _t - C ), I am requesting permission to build or install an additional living unit on this property. I will not divide the afore- . fore- E mentioned property for sale, lease, rent, or financing unless all -•--applicable -land-division-laws-and-•map--requirements-are-complied with. I r Z am conversant with the preseat zonii,g regulations affecting the aforementioned property, and declare that I shall not violate same, I proposed represent that the ro osed use of the additional living unit is I P - , i and that further I -shall -not-change this proposed use of -the additional living unit unless and until -I receive written approval therefor from 1 the County of Butte. I •• Ilully understand -that pursuant to Chapter 20 of the Butte County .j . Code and §11535 et seq of the Business and Professions Code that if I, in the. future, sell, lease, or finance the area on or adjacent to said lnprovement.without fully complying with the applicable laws and 'ordinances, -',that L shall be guilty of a misdemeanor and therefore, subject 1 G , to the. aforesaid ---penalties and imprisorLment pursuant to. law.. Further, j this stitement•shall.,•oe-properly acknowledged and recorded at the request of. -the -County. -of Butte. .. 0;.Tlr(I'.HTY-0AI1r _ Owner ' , � • . �..,h - ,_ . � _ }�'�:11...at�-Wit_ � 5 ,� •��-�/ �,�� . res CGL:. i 25206• ate STATS OF CALIFORNIA ss. COUNTY OF Sutt-r Co On this l::)t?l day of :•larch , 19.%.3before me, Oval i -palters, a Notary Public in and sor the :,c,:^.ty o Sutter _ , State of California, residing therein, duly commissioned anTsworn, personally appeared Domenic LaBarbera known to me to be t e person whose name subscribedsubscrig-e-d to the in instrument and acknowledge3 to me that—' � he- executed -the same. I," WITlI� 13S WtILREOF I have hereunto set my hand and affixed my official seal in the -County of Satter the -day and year in this C' itten. orr a �'ERS ' f'71­`41ARY ?l-a_�C-CALRLTIFQRMA ; 1 SUTTER COUNTY c My Comm issionEzplresAug.3,1973 7167�4,—, � ]. C