Loading...
HomeMy WebLinkAbout026-280-01226-28-12 �� w Rafel k 75411 Occiden Ave., Palermo contr: Glauner Ma my ac�F) ey Permit ��5583-77B(fire • _— 26-28-�2r Permit 793-79B(lst. renewal/ f Place)SF ,026-28-0-012 93-1849PM CLARK;. . Ray ._ z ,ji�al 7541 Occidental, Palermo r) 13 (wtr htr & Forced .ai`r unit)SF ' 026-280=012, -,PERMIT#97-2211' CLARK,, Ray. x �.: •7541 Occidental, Palermo,�r Cont:' Bolt Concs�t ix -tion r o o f /S F _'I' L f . � 5. i ' � �: 7 026-280-012 PERMIT#97-2211 CLARK, Ray 7541 Occidental, Palermo Cont: Bolt Construction Reroof/SF, f COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 53 541 PERMIT NO. (Rev. 12/96) APPLICATION AND.PVRMIT �3� I ASSESSOR PARCEL NUMBER 026-280-012 ZONING BUILDING PERMIT OWNER I RAY CLARK - TELEPHONE SO. FT. OCC. BUILDING VALUATION 26 1,560.00 OWNERS MAILING ADDRESS 7541 OCCIDENTAL OROVILI.E CONTRACTOR'S NAME BOLT CONSTRUCTION TELEPHONE 533-5938 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. FII^ Fee $ 20.00 Permit Fee $ 37.00 ARCHITECT OR ENGINEERS MAILING ADDRESS: Plan Checking Fee $ BUILDINGADDRESS zs�czxz�aaua Energy Plan Checking Fee $ $ 7541 OCCIDENTAL OROVILLE PERMIT FEE $ 57.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each'Trep 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 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 S ELECTRICAL PERMIT Fling Fee 20.00 Main Service xo°noaEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I amlic ^e sed under provisions of Chapter l' �.d•''�n 9 (commencing with Section 7000) of,DiviSlon ,3 of the Business and Professions Code, and my license is in full force find"effect. ` M License Class 1� yo. - Lic. No. S..J V 14 - 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.Mobile ❑ 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 I000A 46.00 NEW CONST. ( DWaELLING OCCUP. OR ADONS. ACC. S. s0 3.50FT: NEW CONS MULTI -OUTLET NO RESID. @7.SO POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FDCTURES 20 @ I'O0 BAL @ .50 Ex. Occup. ouiLEE:Ts RFW.SID.OEA 5.00 Temporary Service 23.00 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ 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.) t I certify that in the'performance of the work,for *hich 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. G X _(`x 2 -A.-r— ) c_44Date �" t 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. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 57.00 HAZ. D. FEES IMP FLOOD CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. /L /� ­--Date/6/3 6 7q PERMIT EXPIRES ON 14 Date v ReceiptNo. Z14ESS6 - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF_ DEVELOPMENT SERVICES -BUILDING ISION 7 County Center Drive - Oroville,'California 95965 - Telephone (916) 53 54i- PERMIT, NO. (Rev. 12'/96) APPLICATION AND PERMIT e ASSESSOR PARCEL NUMBER 026-280-012 ZONING BUILDING PERMIT OWNER RAY CLARK TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7541 OCCIDENTAL OROVILLE (, 26 1,560.00 CONTRACTOR'S NAME BOLT CONSTRUCTION TELEPHONE 533-5938 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 37.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS , Energy Plan Checking Fee $ 7541 OCCIDENTAL OROVILLE $ PERMIT FEE $ 57.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heatpump 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: REROOF COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ion oA LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i p fullforce and effect.�O 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: ❑ 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. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. s0 3.5¢F. CONS9 rNO RESIDT MULCTI-CIRCUI TS @7,50 APPARATUS 8 PSINGOWERLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 BAL @ 1 0 Ex. Occup. ouTEiFTs 0 ARVSS1o0EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I 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. ❑ I 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 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.) 15 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 with those provisions. 2 X Date 1d- 3 _ Signature of Applicant - fF Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP FLOOD CDF PARCEL I PD I HD Is. This permit is hereby issued under of the Butte County Code and/or indicated above for ich fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate a Date Receipt NO. 224856 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 61 �1 f j ... L } ` 026-28= - -_ .� CLARK 0 012 -'93-1849p'M 7541 '.Ray Occidental (wtr htr &Forced Pair rmo i Comm Action unit)SF Agency . i a 1 n 1 j� 1 I � 1t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillef California 95965 - Telephone, 916 '538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR -PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE ". Oh SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 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 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex , Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 1 15.00 TYPE OF WORK New _ Addition _ Remodel L Utilities 'L-1 InstallationC Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ^—I J 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 is not intended or offered for sale. (Sec. 7044) Li I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) jJ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST, DWELLING OCCUP.&)( ACC. BLDGS. 3.6a sq.ft. OR ADDNS. NEW CONSTRMULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20 760 A \\ Ex. Occup. OUTLETS (RESID )ED APPLNS. REA.) I 3.00 Temporary service 15.00 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. J 1 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 15.00 Heating Cooling LHood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 Date %' Sig pp Owner ContractorE] Agent A - Applicant nature of � An OSHA ion of structures toverr 39stories oineheight ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ HAZ 1 0FEES IMP I FLOOD I CDF 77 PD HD ISSUE " This permit is hereby issued under the applicable provi- sions 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 PERMIT EXPIRES Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT -' COUNTY OF BUTTE BUILDING DIVISION .DEPARTMENT OF DEVELOPMENT SERVICES, ' 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE' f Ile/,/ . .i OWNER �-i o .PERMIT A routine inspection indicates that the following violations of Butte, Countj Ordinances exist at the above address and should be corrected. Please notify this office'whih correction of work is corr.pleted. If you have any questions pertaining to this matter, or need a-dditio nal explanation, please contact this office immediately. 7Xe. REV IQW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO, 7 County Center Drive - Oroville, CaliforniaL95965 - Telephone: 916.`538-7541 APPLICATIOWAND PERMITIF ASSESSOR PARCEL NUMBER X 026-28-0-012 ZONING UBUILDING PERMIT ow�ffW}L.yX}6yyy,�yy RAY CLARK T j` —%T42 Owr� ;.k.-. .. 75 Dad's Lane Palermo SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S NAME ffw1WWXXX Comm Action Agency TELEPHONE 538-7534 CONTRACTOR'S MAILING ADDRESS 2255 Del Oro Avenue, Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 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 7541 Occidental Palermo Permit fee $ PLUMBING PERMIT Filing Fee 15.00 B )D0WXX X&4MkXAUZdft=XXEach 4 Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 Y USE OF STRUCTURE ❑� SF Duplex❑ Mobilehome❑ Other RUMAXOM SPECIFY Gas piping system 1 - 5 outlets j 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition] jy RemodeeIIYy❑�!XXUttiilliittiie,}sC❑ InstallattiioonElLXX}Other ® Describe work: 2X WY`Ci`T`Ctii`�5 Yf`%P� '�c"iC0F _ wMEMPHR9W Permit Fee 22.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 change out w/h change out forced air unit Main service 600v OR LESS ice 200A OR LESS 18.50 Main service 20CATO1000A) 37,50 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. 6/77OZ m/ 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 OCCUPM OR ADDNS. ( ACC. BLDGS. I/ 3.64 sq.ft. NEW CONSTR ULTI.OUTLET NON•RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS .&) (SINGLE OUTLET CIR Ex. OCCUp(OUTLETS OR FIXTURES 20 CID 764 FIXED APLNS.❑ Ex. DCCUp. OUTLETS (RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. 6yirin g 15.00 XXIM Permit Fee $63.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): .17 The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department u\ 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 15.00 Heating 00 Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 OZi�.v`.' Date � � S =�1 ��_ Signature aF A licant - owner g pp ❑ Contractor ❑ Agent An OSHA ions over 5'0" deep an dem lition or construct- ion of structures tover 3q stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $9XX10— HAz DFEES IMP FLOOD CDF PARCEL U This permit is hereby issued under the P Y sions of the Butte County ode and/or wor In icated a r which f DIR F B Y P XPIRES Date applicable rovi- PP � P � r solutions to do s ave been paid. RKS Date 6/15/93 6/15/94 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT ' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER U OWNER BUILDING PERMIT /- �) /7 9\ Com..�i7� OWNER '$MAI rELEP.+ONE �' SO. FT. 1 OCC. BUILDING VALUATION LING ADORE$$ 7ly CONTRACTOR'S NAME 1 T E L E P.. ONE O NCONTRA OR'S -AILING ADDRESS - i7%=1 /"i�l>G��4__C���G� _ _ C ONSTgUC TION LENDER ---- Fireplace UN KNOWN Total Valuation g L ENOER•3 MAI LIN(. ADDRESS' Filing Fee S 15.00 ARCHITECT OR ENGINEER -`NC Permit Fee s — LICENSE Checking Fee ARCHITECT OR.ErrGINEER S MAILING AOORESS Plan Checking Fee $ EEnergy Y Our Penalty lty S _� lt lee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 LOT NO. SUBDIVISION NAME Solar or heat pump water heater 20.00 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 1.00 5.00 SFF91 Duplex Mobilehome[3 Other Building sewer SPECIFY Mobile Home S i G I W 15.00 TYPE OF WORK Newo AdditionCj Remodel Utilities❑ Installation[ Other Permlt Fee Describe work: S 1i D® l7n!i! EECTRICAL PERMIT Fili�18.50 is-00 Main�Service 2�A�glESS CONTRACTORS LICENSE LAW Main service 200ATO1000AI 37.501 declare under penalty of perjury (check one): NEW CONST,OWELL114G OCCUP.y) OR ADONS. ( ACC. BLOCS. 3.64.x.0.1 ZI am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code NEW coNSTR I. NON-RESIO BRANCH CIA ITS and my license Is In full force and effect. License No. fv% , Classification W PPARAT (9POWER ALPPARATUS,) NGE OUTLET C10. !:5.00 Ex. DCCUP(OUTLETS OR FIXTURES 2° 76d �! 1, as the owner, or m employees with wages as their sole compen- sation. will do the work,and te 9s F'xE0 APPLNS. OR Ts IREs'o.I EA.) I 3.00 structure not intended or offered for sale. (Sec. 7044)15.00 Temporary service l� 1, as the owner, am exclusively contracting with licensed contract- Ors. (Sec. 7044) Mobile Home Facilities 15.00 LJ I am exempt under Sec.15.00 Business and Professions Code Misc. Wiring for this reason Permit Fee Y WORKMEN'S COMPENSATION INSURANCE Contractor leclare under penalty of perjury (Check one): The MECHANICAL PERMIT permit is for 8100.00 (valuation) or less. Filing Fee 15.00 I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Heating insurance or a Certificate Of Consent to Self -Insure. J I shall not employ any person in any Cooling manner so as to become subject to the W. C. laws of California. Hood 6.50 lice to Applicant: If after making this statement. Should you become subject the W. C. provisions of the Labor Code• Ventilation you must forthwith Comply with Such 'visions or this Permit shall be deemed revoked. Permit Fee S 2 d COnlraClOf ertlly that I have read this application and State that the above Information Mobile Home Installation Fee -orrecl. I agree to comply to all County Ordinances and State 5 Lawsrelating )i,Ilding construction, aria hereby authorize reoresentatives ul the CDuntyot i to to enter upon the above-mentioned Energy Inspection Fee 5 property 'or Inscectlon Purposes. 1- so agree to save. indemnifyP and %_eP Il armless the County of Butte aga,ns: liabilities, occ °Ns"•of !TOTAL FEE I judgments, costs, and expenses 'wfll;.r.:nay m any way accrue Inst said County In consequence of the rami, .;l g y Ih15 Dermll. -' - - olus IMV c�000 cot $ 1 ' �AQCfL vo "o I i5vl-I _ Date / �j This permit is hereby issued under the applicable a,�Ie of APC' coni _ 0,,,,e, ; �- — o ,,''°' A ' q—, ' OSHA prove- dons of the Butte Count y Code and/or resolutions to do ; p-,, ,+ r.Q..,.d lo. ! a.co. nl,on, o.., ;.e.. :ero a..d .!c,•.or..�o,. o, co—,.mac•- i o.., 7 +Io„�, .. ;,-,qhl. .vork Indicated above for which fees have been i 'IPI No. �� DIRECTOR OF PUBLIC WORKS �y. Dale r. .. _ . >J .r.. •. i i PERMIT EXPIRES Date - -- a '> PERMIT NO. PERMIT EXPIRES Rafel Clark {OWNER ACONTR Glauner Masonry Co., Gridley .,,LOCATION (A.P. 26-28-12 7541 Occidental Ave., Palermo {t. Temp. Power Pole / Called PG&E Temp. Elec. •Sere-/ Called PG&E Temp. Gasj �. Called PG&E JOB 7LED__ (Date) (Signature) h � COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RtCORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio . FIREPLACE Final Footings Footina y7 ELECTRICAL Reinf. Steel I Final I Fixtures Stucco Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE s+ �id� REMARKS OR CORRECTIONS //p/7/0 (4) Q (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT au t rize repr sentatives of t e Count of Butte to enter upon the a ve-menti ed proper pectio purposes. C1 Dat /Signat a of ermitee or Agent Receipt No. /FY6 P7 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 fo ich fees have been paid. I UB IC WORKS B/IT, Date~ Building permit expires Date /ao r-)-tS--%9 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Addre7674 �',�� GV Te hone No / Contractor 4,� vaw Mailing Address 5 ��� 77 Fireplace Total Valuation -1 Telephone No. Permit Fee Building Address S Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 - Repair drainage or vent piping 1.50 A. P. No. — 9—� Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F&a LYV't✓ 1 5aaisatier+- Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ a ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR SLFSS5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -1- 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD -1- 100 AMP 1.00 NEW OR ADDNST %ACCLBBLD-GS.- LING CCUP. B) 20sgft 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: NEW CONSTR BRANCH CIRCUITS) NON.RESID (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON.RESID. (SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 5 L25 FIXED ALNS Ex. Occup.(OUTLETSP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Licen a No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Wor men'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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above informati s c rrect. I agree to comply to all County Ordinances and to La relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ au t rize repr sentatives of t e Count of Butte to enter upon the a ve-menti ed proper pectio purposes. C1 Dat /Signat a of ermitee or Agent Receipt No. /FY6 P7 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 fo ich fees have been paid. I UB IC WORKS B/IT, Date~ Building permit expires Date /ao r-)-tS--%9 • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS _ �`• �' 7 County Center Drive — Uroville, California 95965 Tel ephone: 5344541 APPLICATION AND PERMIT Jignoture of Nermitee or Agent _ Receipt No. 1-70399- 1�-0 3 [ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B ilding permit expires Date BUILDING Owner IR;4R edSQ. FT. OCC. BUILDING VALUATION Mailing Address 1 Telephone No. Fireplace Contractor Total Valuation t Mailing Address -- Permit Fee P I an Checki ng Fee &/or Penalty 61 Ick I 'ea C-8 Permit Fee Building Address CC PLUMBING No. @ FEE PERMIT FILING_FEE $3.00 Each Trap 1.50 in I re -Su elmn Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. NLo. — 1 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 1 Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin PlansParcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Approval Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Y" Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 �---�/ Single Family Imo' Duplex ❑ Mobil Home ❑ Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 22sgft 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 sty r Ex. Occup(OUTLETS OR FIXTURES)BA@LL @1ua FIXED ALNS. OR Ex. Occup.(OUTLETS (PPRESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No..,:2_9,E-2_3 Classification na 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. 9have 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 em p employ y an y person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. 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 authorize representatives of the County of Butte to enter upon the s. above- entioned propert9::Z:te X ?d�-hyo.'» 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"LIC WORKS Jignoture of Nermitee or Agent _ Receipt No. 1-70399- 1�-0 3 [ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B ilding permit expires Date