HomeMy WebLinkAbout068-300-0523o-Sz
F
homas Grevalsky Ii �/CsV
81 Edgewood Dr., Oroville
ontr: Four Counties Roofing, Chico
ermit #2094-77B(shake reroof/SF)
68 -so -$'z
on- £� �Oroville Pump & Ele, Oro
Permit##1476-79E (ele ser ch) SF
068-300-052 #98-2555
GREVALSKY, THOMAS
181 EDGEWOOD DR. OROVILL
REDWOOD PLUMBINGAYOC-
INSTALL GAS HEATER �IXIIW
068-300-052 02-0' .�
GREVALSKY, TOM t �LL ED
181 EDGEWOOD DR., OR VIltE
CONT: FOUR COUNTIES OOFING
RE -ROOF
3
>2_
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI G DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (53 i0) 38-754 PERMIT
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCELNUMBER
I
ZG G
BUILDING PERMIT
OWNER
Tom Grevalsky
TIELEPHONE
34-5461
SO. FT. OCC. BUILDING VALUATION
eroo f 1
OWNERS MAILING ADDRESS
181 Edgewood Drive Oroville CA 95969
tnd Com roo ing
CONTRACTOR'S NAME
oursquareq
ounties Roofing
TELEPHONE
43-1416
uilt up (o)
$130-00
4
CONTRACTORFINADDRESS
3 Crusader Court
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $ 1 670.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
39.0(
ARCHITECT OR ENGINEERS MAULING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
181 Ed ewood Drive Oroville
Energy Plan Checking Fee $
$
PERMIT FEE $
59.00
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 gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: Hereof existing � roof WTG9ffip61Pfi�%!:
shingles and built up roofing
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W 1
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service z�ow oRR o'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.POWER
License Class C-39 Lic. No. 774554
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TOWNG
46. 00
NEW CONST. DWE
WE OSCS.UP. CC
O ADS.
S. ( ACC.
so
3.SQ�.
M
NON-RESID.
@7.50
APPARATUS
BSINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
soa'.50
eAl p .so
Ex. Occup. ovTTtisPCPRM.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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.
93 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 State Fund
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Policy Number 234-885-T
(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
orkers' compensation provisions of section 3700 of the Labor Code, I shall
rthwith comply with those provisions.
X _ Date 2/11/02
Si ure of Appli - ❑ Owner ❑ Contractor M Agent
SHA permit is required for excavations over 5'0" deep and demolition or construction
f ructures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 59.00
HAz.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for w ' fees have been paid.
By Date
PERMIT EXPIRES ON 2 �2� —0,:J
ate
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (53538-7541 PERMIT O.
(Rev. 12/96) APPLICATION AND PERMIT If , 019_4 �
ASSESSOR PARCEL NUMBER - . .
Z70 -
BUILDING PERMIT
OWNER
Grevalskp
TELEPHONE
34-5461
SO. FT. OCC. BUILDING VALUATION
er o
+T�pom�
OWNERS MAILI.i,oi BEd ,
J.tS gmmod Drive Oroville CA 95989
-
nd Comr, r
CONTRACTOR' NAME
Four Counties RoofinLlP
TELEPHONE
43-1416
* ^
1 'J
4 scures co .00
CONTRACTORS MAULING ADDRESS
3 Crusader Court Chico, CA 95923
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 1 670.00
ARCHITECT OR ENGINEER
LICENSE NO.
$ 20.00
—FilingFee
Permit Fee $ 39.01
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
181 Ed ewood Drive Oroville
Energy Plan Checking Fee $
$
PERMItT FEE $ - 59.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling 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 gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: Rernnf wxi nt i ng mat x nom;P it p
shinkkee and built tip roofing
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE $
ELECTRICALrPERMIT Fling Fee 20.00
LES
Main Service zoo° _oA 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 irl_fuIU!wce and effect.
License Class C Sti Lig. No. 774554
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 Sea Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penally 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
Pperformance of the vOork for which this permit Is Issued.
O 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 worker ' corrrr��ppensLition iQsurance carrier and policy number are:
Carrier taL, FunQ
Main Service �� +o -A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a 9.1 BLAS. 3.5QFT:
pOH, ID MULTI.OUTLET 97,50
POWER APPARATUS
SINGLE OUTLET CIR.
EX. Occup. OUTLET OR FIXTURES .00
SAL @ +.w
Ex. Occup. DFIx�eEo�AP(PR OR E.5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
1 -
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: $
Policy Number Z -34— 15130—T
(The above sections need not be completed ff 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 ff I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date 7 f 11�®
Signature of Applicant - ❑ Owner ❑ Contractor 0 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
59.00
HAz.
o. FEES
ETOTALLFEE$
CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
_, f
By :�l.{rr ' ; r, /'C Date ) 1
PERMIT EXPIRES ON
Receipt No. f
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date)
068-300-052 V02-0362
GREVALSKY; TOM l+
181 EDGEWOOD DR., OROVILLE
CONT: FOUR COUNTIES ROOFING
RE -ROOF
1. IN
11L /,�> q
068-300-052 + #98-2555
GREVALSKY, THOMAS '
181 EDGEWOOD DR. OROVELL
REDWOOD PLUMBING
INSTALL GAS BEATER
OFFICE COPY
Addres
GAS
Meter Byzh�=-
Dated�*
EL ReTMr-
Met
0O
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ,y ,tP_ERW-No.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
1-300-052
ZONING
AR
BUILDING PERMIT
OWNER
TELEPHONE
SO. Fr, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
181 EDGEW001) DR., OROVIII.E.- CA
CONTRACTOR'S NAME
REDWOOD PARADISE
TELEPHONE
CONTRACTORS MAILING 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 $
BUILDINGADDRESS
181 ImEWMI)
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF M 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: REMOVE WOODSTOVE & INSTALL FREF STANDI'1G
GAS HEATER
Gas piping system 1 - 5 outlets 15.00 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE $ 35.00
ELECTRICAL PERMIT Fling Fee 20.00
LE S
Main Service zo.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.
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:
❑ 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.
- k 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 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 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a AGC. & S.3.50FT.
gale BRANCH MULTI -OUTLET
RCUT 97.50
POWER APPARATUS
a SINGLE OUTLET CIR. 1
20 ®,.00
Ex. Occup. OUTLET OR FIXTURES BAL .50
Ex. Occup. DFIxLI R UNIS L) OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating 15.00
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ *35.00
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 comply with those provisions.
��!
X ` ' 3'?r"'r f'� r+ Date j�/-
Sign F o Applicant "- 0 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 $ 70.000
HAZ.
I D. FEES IMP
I FLOOD
CDF
PARCEL
Po
I HD
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.
! p rr
BY . �E_�t �, s Date
PERMIT EXPIRES ON V2 y 7
ReceiptNo.2-j 1 /II
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 y;
�mw-
(Rev.12/96) APPLICATION AND PERMIT �$�a
ASSESSOR PARCEL NUMBER
-300-052
ZONING
AR
BUILDING PERMIT
OWNER
THOMAS GREVALSKY
TELEPHONE
—58 --5461
SO. FT. OCC. BUILDING VALUATION
-CL
. OWNERS MAILING ADDRESS
181 EDGEWOOD DR, DROVITLE, CA 95966
CONTRACTOR'S NAME
REDWOOD PLUMBING,
TELEPHONE
CONTRACTORS MAIUNG 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
Filing Fee 20.00
USEOFSTRUCTURE
SF IN 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 fX
Describe Work: REP'10VE WOODSTOVE & INSTALL FREE STANDING
GAS HEATER
Gas piping stem 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE $
35.00
ELECTRICAL PERMIT
Fling Fee 20.00
800V OR LE
Main Service 200" 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.
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.
• `1 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
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 comply wit se provisions
X _ Date
Si u o pplicant - ❑Owner tractor ❑Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service zoOA TO IOooA
46.00
NEW CONST.DWEWNG OCCUP. SO
OR ADDNS. ( I ACC. BLDS. 3.50 FT.
LpµgESlp T. BRANCH MULTI.OUTLET
(—W7.50
POWER APPARATUS
a SINGLE OUTLET CIR.
EX. Occup. OtmFr OR FIXTURES
BAL @ I.50
LNS
Ex. Occup. ops AEES,6.) EE 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
15.00
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ is nn
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 70.00
HAZ.
I D. FEES IMP
I FLOOD
CDF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT E PIRES ON Y
provisions
to do work
paid.
/
f,3�
TT
to
ReceiptNo.2-.7//I�
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONINGS ,f7
BUILDING PERMIT
OWNER
_,V
TELMINONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAKING ADORE�S ^
le / Ie-cQ 2 a o0,— —
CONTRACTOR'S NAME// VC7TELEPHONE
G� CJ C20 1
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
[Fire
LENDER'S MAILING ADDRESS
Ince
Total Valuation S
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
ARCHTTECT OR ENGINEER'S MATING ADDRESS
Permit Fee $
Plan Checking Fee $
SULDING ADDRESS cJ�c>�
2��--.
Energy Plan Checking Fee b
PERMIT FEE $
LOT NO.
SUBDNISIONSNLME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
ePEesr
Each Trap
7.00
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 ❑ Ubbes stalktlon ❑ Other ❑
4�—#T
pp /pt I /
Describe Work: nn ZK_ GJ D O o'<<� l
Gas piping stem 1 - 5 outlets
15.00 tp
Building sewer
15.00
Mobile Home S G W
Q20.00
PERMIT FEE t
3S,00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service pw oa LOR ESS
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 herebyaffirm under penalty of perjury that I nm exempt from the Contractors License
P nY P 1 rY P
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project
❑ I 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
Policy Number
(The above sections need not be completed d 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 1n any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over SO' deep and demolition or construction
of structures over 3 stories in height
Main Service aaoA TO 1000A 46.00
NEW CONST. O'WEl1Hfi OCCUP. SO
OR ADS• a ACC. BLDs. 3.5d�:
MWRLSID ' MULTI-OUTLET
@7 .50
POWER APPARATLIS
& SINGLE Oun.ET Ctrl
Ex. Occup. ounEr OR FDnuREs aw ®L.w
Ex. Occup. FD�DAPPLNS. oR
ovnErs LSID. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating vG
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee b
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE;
o. FEs
IMP
I ROOD
CFF
PARCEL
PO
HD
ssuE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
/a
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
PERMIT NO.
2094-77B
PERMIT EXPIRES
`OWNER Thomas Grevalsky
ICONTR. Four Counties Roofing, Chico
r
LOCATION (A.P. 34-36-52)
181 Edgewood Dr., Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
.r
Called PG&E
Temp. Gas Serv.
Called PG&E
B
INALED
(Date) a-2,tf
( nate )
l
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD -
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.
StemwaI I
Insulation
Heaters
Slab
Carport
Footings
Prov. for phsically
handicaped
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
FivhirA-.
i-raming
Test
Water Htr.
Stucco
Final
Subpanels
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
OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS_
(NOTE: An entry must be made on this form each time you visit the job site.)
l
COUNTYj017 BUTTE - DEPARTMENT OF PUBLIC WORKS
,7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
a�o9y-77
i ctn cacti iau vaa VI LHE %_,Uullll/ ul 6utte to enter upon the
above-mentioned property for inspection purposes.
i Date
Signature of Pe 'i or Agent
Receipt No. &Z !Vz�/
White-D.P.W. — Yellow -Assessor /— Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PMLIC WORKS
BY Date
wilding permit expires Date SCK- 7�
BUILDING
Owner Thomas Grevalsky
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 181 Edgewood Drive
Heavy shake re -roof
Oroville, California
Telephone No.
Fireplace
Contractor Four Counites Roofing Company
Total Valuation $i,o68.00
Mailing Address P.O. BOX 3215
Permit Fee
Plan Checking Fee&/or Penalty
Chico, California
T F'5_"s�1
Permit Fee 11.00
11 00
Building Address IftS 181 Edgewood Drive
PLUMBING No.1 @ I FEE
PERMIT FILING FEE $3.00
Oroville,California
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, 1y/_ 310Gas
Zoning &Planning
piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
Sen7tMon
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Flans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bl
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE J$3.001
Heavy shake re—roof
Main service incl. 1 meter
Additional meters, each 1.00
Single Family ❑X 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 fixtures b ,12
10
Receps., switches & fix outlets 6.1 na 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:
Four Counties Roofing Company
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._252071Misc.
Classification F3-1_C_�i9
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.
® WI have placed on file with the County of Butte a certificate of
orkmen's Compensation Insurance.
iecertify that in the performance of the work for which this
permit ,is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$ 11
00
i ctn cacti iau vaa VI LHE %_,Uullll/ ul 6utte to enter upon the
above-mentioned property for inspection purposes.
i Date
Signature of Pe 'i or Agent
Receipt No. &Z !Vz�/
White-D.P.W. — Yellow -Assessor /— Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PMLIC WORKS
BY Date
wilding permit expires Date SCK- 7�
7/40MAs G�Av��.sKy
�6
1
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Tel ephone:,534-4541
.4 p APPLICATION AND PERMIT It
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X C<s� f r i / Date 3 7y
Signature of Permitee or Agent
Receipt No. /7473 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 OF PUBLIC WORKS �
By _ Date 3 -36 - ' `
-/
/ 1
Building permit expires Date
BUILDING
Owner ,/
r� /lil/15 //_'.�4 %�/ �/%�l
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
Mailing Address /:.:>O. 15el;r %%
Fi repl ace
Total Valuation
I//G 1 �1010 i
Telephone No.
Permit Fee
BuildingPlan
Address ��� �� ®
Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trao 1.50
Repair drainage or vent piping 1.50
�r
A. P. No. 7q'° �G ^J i7�
/J/J
/7'tZoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
,W:Cl
'Sanitatlor
'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
Bldg..P.lons.Recld—
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑i r
Permit Fee $
$
11:1J1_/e1_45��/!C ��'/r��,�-�
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 :2,DU
Main service V OR LE
80000 AMP ORSLESS 5.00 6'.40
Single Family,[K Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 2.50 9,5G
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. ( DWELLING 1
OR ADDNS. ACC.-BLDGS.CCUP. S\ 20Sq ft
I
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: ��
- . -!i% (13►�� /�r ILi + .7J.� C [ 1
NEW CONSTR. MULTI.OUTL T
NON.RESID. BRANCH CIRCUITS 12.50eal
NEW CONSTR. POWER APPARATUS &,
NON.RES,SINGLE OUTLET CIR.
250
Ex. OCCUD(OUTLETS OR FIXTIIRES I Ig L 1@
FIXED APPLNS. OR
Ex. Occup. (OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.ti t! �Z 6 el Classification AJ
Misc. Wiring 6.25 /.r z 2 S
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee /( j 9 -5 W
$ t�5M
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.
asl 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.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
E2.00
Hood
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to complyy to all Count Ordinances
and State Laws relatingto building construction, and hereby
Land Development Fee
$
/
TOTAL PERMIT FEE /,rte 7`�
r-
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X C<s� f r i / Date 3 7y
Signature of Permitee or Agent
Receipt No. /7473 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 OF PUBLIC WORKS �
By _ Date 3 -36 - ' `
-/
/ 1
Building permit expires Date
v COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
—V IVII— IcFl—Q-1—LIVGQ VI UIC \IVUIILY UI OUttC LU "Ill"I U)JVII 111"
above -menti d property f ' s e tion purposes.
Date _3 �2- 0 %T
nature of Permitee—or Agent
Receipt No. -22e (o.7T It
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
abov which fees have been paid.
ECT OF P BLIC WORKS
z)mDate 3 �d
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
P!f�
Mailing Address 6
Fireplace
Total Valuation
d ?l%L Z 9
T neo O
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
pair drainage or vent piping 1.50
A. P. No. J
�„ ��
ing $ Planning
Water piping 1.50
Each gas water heater or vent 1.50
s
ire 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
1341.11 PI-wo-Reel-4—
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
&erzr �'G �//e f' �-
ELECTRICAL No. @ FEE
T
PERMIT FILING FEE $3.00 ,D
Main service 600V OR LESS 100 AMP OR LESS 5.00 10
Single Family ilm Duplex Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 2.50 a �'
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW CONST DWELING
OR ADDNS. ACCLBLOGSCCUP. 51 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Cal' rnia Business & Professions Code under the name
/ v6►'`/� U� G v co
T
NEW RESID. BRANCH CIRCUITS
NON.CONST � BRANCH CIRCUITS)12.50ea
/6
NEW C ON ST R. ( POWER APPARATUS .&
NON RES,D. SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTIIRES 9 Im 00
FIXED APP LNS. OR r2 00
Ex. OCcup.(OUTLETS (RESID.) EA)
Temporary service 110.00
Mobile Home Facilities 15.00
�O
License No. 2 q9 O O® Classificationd,
Misc. Wiring 6.25 7,71
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
441
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.
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 1 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 $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
$
—V IVII— IcFl—Q-1—LIVGQ VI UIC \IVUIILY UI OUttC LU "Ill"I U)JVII 111"
above -menti d property f ' s e tion purposes.
Date _3 �2- 0 %T
nature of Permitee—or Agent
Receipt No. -22e (o.7T It
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
abov which fees have been paid.
ECT OF P BLIC WORKS
z)mDate 3 �d
Building permit expires Date