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HomeMy WebLinkAbout021-080-068AP 21-08-06$ � a� FE� ,'R. x _ eIGridley=l r�lusaiey =350dol-ph-A�e... ,GFidley, '# "2048 `74B'05 AP 21-08-6 ILLEY s/ s 2 Gridley -C olu sa H wy, ,700 Wo of Idaho St., Gridley_ ". r ' .. coritr: Jerry & Frank's:Lands pi ,M„ E Gridley } Permit# '1831�75P E ( install - awn AF�21=_.08 -68. _.:_:��...:..' � ': � "Pe"rnit{�-186=75B(iristall�frankliri'�" ', � i i stove). :u.��' .S • f 21-08-68 - Permit #3089-78B(repair termite damage & ry rot) SF '.'. t. 021-080-068 -1586�. E PAULSON,' ANTON L .3 i 21872 SYCAMORE GRIDLEY' -N4 i Cont: RICHARD/CARL-ROOFING; x '--.''-� i A REROOF � , t 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net%dds PERMIT NO. BP041586 LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/03/2004 APN: 021-080-068-000 the Business and Professions Code, and my license is in full force and effect. License Class G 3 9 License Number:: / ' :O Site Address: 1875 SYCAMORE ST GRI �2sm _ Date: Contractor;.o�"&� Map Index: Description: RE -ROOF (24 SQS.) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: PAULSON ANTON R & PEGGY L to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 1875 SYCAMORE 7000) of Division 3 of the Business and Professions Code) or that he or GRIDLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95948 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: PAULSON ANTON R PEGGY L j such work himself or herself or through his or her own employees, 1 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). i ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business j and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed + pursuant to the Contractors' State License Law.). Contractor: RICHARDS' AND CARL'S ROOFING ❑ 1 am Exempt under Article 3.of the Business and Professions Code Date: Owner: 2472 ELM 'STREET LIVE OAK, CA 95953 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations:f 530-695-2632 131 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 License #: 775873 1 is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: ; Engineer: ; Carrier:Ort� � S7 2i Policy #: / 9 51�9 ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' t Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' Date: Cv Applicant: WARNING: Failure to secure workers' compensation coverage is r unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. ; CONSTRUCTION LENDING AGENCY This pe it i here s d nd rt spplic ble provisions of the Butte Counfy'Coda anrVor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resol ns o d delf is fees h e been paid. / 4� O Name: By: ' Date: 3 OS' Address: PERMIT EXPIRES ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the Califomia Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I I hereby certify that I have read this application, that the above information is correct, and that I am the owner orthe duly authorized agent of the owner. 'I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of .sny official form or document of Butte County. I hereby authorize representatives of Butte to enter upon the above mentioned property for inspection purposes... County �%C114,AeQ(. Print Name: /1 1<9 /ZSignature: Date: ' 3-o1,' ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor /�UTTFo DEPARTMENT BUTTE COUNTY OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS 0 `_ � .=� 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 . CHICO: (530) 891-2834 c�UN'�yOFFICE #: (530) 538-7541 A FEE WILL BE�REQUIRED AT TIME OF APPLICATION n �)) ARCHITECT/ENGINEER 'I A/A Address 19 PUT M' City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X— - - .,., i For office use only: Zoning .) Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS. PERMIT 04-156 BP BIN # LOCATION AP# / I �/ Property Address J Cross Street WORKER'S COM PE AT/ON Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address criptio or o e ork: Sq. Footag �' s ❑ Stru ure Built without Permit ❑ )dked Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. f --I- - REQUEST -I -- IFd —iived by: Amount Bldg 3 I Le-%Cl10hfiC\0I 111 nIhIr-' A— 0—'1 ^f '> SRA /Receipt #: Sheriff '0 � SMIP Da Other 3 (J� 1 � -7 5D Total PPW d-4n_nd ,1 . SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs.in triplicate; (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must -be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER.1 ❑ 2. 2 Data sheets and installation instruction manual. -t�._____ -3: 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation -and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and 'supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the en ' eer ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 R � •:. t��ca (r�•S� '4� �� t ` .3.h _` _' .m,` .'y."'.� _; ? ` �.``.�.K'�-�'«''' „rtFa`fr'�' ;rte: -n, .S�_,�:.R.cw+-•;BayY�v'4" ��i��Y-a'"•i .000N -TY 017�'BUTTE _:1 DEPART-MENT.OF-PUBLIG.WORKS, Pf s T�County CentertDri:v&w ; Orovi I Ie Cal itornia 95965 Tel ephon� 534 `4341 AH LIC'ATI:ON , ,ERMIT, Owner. '` i BUILDING. .SQ. FT. OCC... BUILDING.VALUATION Mailing Address ti ( •=� Telephone1N,00--/t�' jf vValI&A'�r. �� - Contractor ?' `1'x..:1. �-C `_.• } .. Mai l ing Address ... ... ^s= -Telephone No z •;•'_ - - - _ Fireplace - _.__. Total Valuation - - Permit Fee /� j /�! v uill°Yht�l't?r/ttt j� Bding Address PIan 'CheckingFee &/or Penalty Permit Fee. .°' ",' Au QC In'7:11'!5 TV O.. ,:.; ' ''(C r"'3rt�►c"tl �` 'f .. PLUflABING . No. @ FEE V AA .,PERMIT FILING FEE $3.00' a Each Trap, -• :.. 1:50 Repair drainage or vent piping 1.50,E A. P. No !_ ,✓ ' :0:-1 .. 1 Zoning.&'Plcnning Water piping _ 1.50 - Each gas:water..heater.or vent . 1.50 Febef 1N.C' Sanitation Fire Dept. Fire Zone Use°Permit Gas piping=system'1 -5 outlets v 1.50 EOA' Parking' Plans - . Parcel Declaration Parcel Map ' 60' R/w " Improvemen.ts -. Each additional outlet .:30 . __Bui lding,sewer, 5.00 Bl:dg..Rlons Rec4cl :. Parcel -A" royal PI6n's.'App oval--, Lawn sprinkler system 2.00 NEW E], ADDITION' -' , ❑ ' UTILITIES❑ OTHER. ❑Y , =Permit Fee 1'Y-a+Ti V .���'Y�N�`� <2�-� 7.JT`4! ELECTRICAL No. • . @ FEE PERMIT FILING FEE $3.00 : '-Mai Single,Family ©� Duplex ❑j Moliil Home ❑ Others❑ n L- 5.00' service- 1600 AESS MP 'ORS ', Main,, .sefv ice' E4. ADD L'1-oo AMP - ,..2.50 - - - - ..., .' Mai n's&vice: O VER 6 oR LESS 25.00 e _ .. Main service EA. ADD'.L 100- -AMP '1.00NEW CONS OR ADDNST' � ACC.LBL'DGS.C.DWELING B) 20 sq ft - - CONTRACTORS LICENSE LAT --- - I am -Licensed under the provisions of Chapter O Div. 3, of the:.+ State of '.California_ Business..& Professions .Cod6,under the: name Style Of:• `-' ' -' ''' - . - NEW CONSTR MULTI-OU.TL T - ..� _. NON.RESI.D.�- %,BRANCH CIRCUITS) 2:50ea . NE W. CON STR:/POWER APPARATUS'S '. . NON-RESID. SINGLE. OUTLET CIR. Ex. Occuo{OUTLETS OR FIXTIIRES BgL@1 EX. -OCOUp FIXED APPLNS. OR. OUTLETS (REST D.) EA) 2.00. Temporary'service= 10.00 = ' Mobile Home Facilities 15.00 License No. Classification 'Misc. Wiring 6:25 . 'O 1 am exempt from the Contractors License Laws of the State•of Califomia.,•, Permit -Fee ;WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of SectionVoo of the California Labor Code which requires, every employer•to be insured=against liability for Workmen's.Compensation. 1 have placed on.file with the County of Butte,a certificate.of Workmen's Compensation Insurance. h this I oertify that -in the performance of the work for.whicVentilation permit is issued A shall not employ any person in I. any manner ' so -as to become subject to the Workmen's Compensation Laws of Cal'ifornia,. MECHANICAL'.' > No - -@. FEE PERMIT FILING'FEE ' - $3_:00 Heating Cooling . ` Hood- 2.00 Permit Fee I certifyAhat. I have. read .this •application'and state that the above' information is correct. l agree to comply. to,all•County Ordinances and 'State :Laws 'relating. to•:building construction, .and :hereby .,> Land .DeveIoprnent Fee $ TOTAL PERMIT FEE p•� �" V-( """"`r W" -"U ` �1"" "F""LIM -This permit'is.hereby issued under.the applicable provisions.of above-mentioned property for inspection purposes- the Butte County Code and/or resolutions to do work indicated i above for which, fees have been paid. ''� 1' "' --Date L �� DIRECTOR OF PUBLIC WORKS g /Signaturerof_Permitee or Agent B i^� �.,. ,t� y - i� Date r Receipt No. % `Sr' Vr `. peirnit expire White-D.P.W. ,-:Yellow=Assessor— Pink -Inspector Goldenrod.Applicant : BUlldlnj S'DBte COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — =Oroville, California 95965 Telephone:, 434-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned propert or inspection purposes. is l Date (/ Signature f_Permitee o 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 fetes have been paid. ,-nD ESR CT_OR (11Fi PUBLIC WORKS / Bu BUILDING Owner 1 l SQ. FT. OCC. BUILDING VALUATION -� J Mailing Address B �10(� Contractor P Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address N"1 S.a 'Plan Checking Fee&/or Penalty Permit Fee �C knoynx q0 0 joJ PLUMBING No. @ FEE r- PERMIT FILING FEE $3.00 Each Trap 1.50 r►t� \ Repair drainage or vent piping 1.50 A. P. No. — O �� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F 6entTaTttm 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 $ $ m, D ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 011 OR Main service 100 AMP ORSLESS 5.00 Single Family Duplex Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER eoov 25.00 100 AMP ORLESS , Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( OR ADDNS. ACCLLING BLDGS.CCUP. 7t� 2¢Sgft 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: Y NEW I CONSTR. `BRANCH CIRCUITS) 2.SOea NEW RESID.(BRANCH CIRCUITS) NEW CONST. POWER APPARATUS &, NON- RRESID. SINGLE OUTLET CIR. 50@ Ex. OccuD(OUTLET.S OR FIXTIIRES BAL EX. (FIXED APPLNS. OR Occup. P•OUTLETS (RESID.1 EA� 2•�� Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 'BI 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 @ F_EE 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 OrdinancesTOTAL and State Laws relating to building construction, and hereby Land Development Fee LLO PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned propert or inspection purposes. is l Date (/ Signature f_Permitee o 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 fetes have been paid. ,-nD ESR CT_OR (11Fi PUBLIC WORKS / Bu - K a PERMIT NO. 9 4874.B P E M ' 1 MH UTIL. PERMIT NO. 4 PERMIT EXPIRES t[J —7-7 OWNER R. Willey - i i CONTR. I LOCATION (A.P. 21--OH-OC8 ) I 1. s/side Gridley-Colusa Hwy, of Randolph Ave., Gridley Temp. Power Poli Called PG&E Temp. Elec. Serv. Called PG&E r Temp. Gas Serv. Called _PG&E JOB FINALED (Date). (Signature) Y 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 Gara a Vents Water Htr. Stemwall Slab Prov. for physically handicapped + Heaters Appliances Carport Footings Conformance' of ex. structure Gas Piping & Test + Temp. Gas Slab Final Sanitation - Patio 'FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanel Mesh MECHANICAL Grd. Fault P ot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts a Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKv� 7 County Center Drive — OroviIle-Califo n a 95965 r 5C­ Tel.ephoke: 534-4541. APPLICATION AND PERMIT ' BUILDING Owner � SO. FT. OCC. B ILDING VALUATION BGO.0 Mai I i ng Address Telephone No. Fireplace Contractor 0 60 Al E Total Valuation . ADO, V b Mailing Address Permit Fee fisq, 00 Plan Checking Fee &/or Penalty Telephone No. Permit Fee_ $ $ 8 ®( yyoo Building Address SS 'e-,- L (O U SJR PLUMBING No. @ FEE _ PERMIT FILING FEE $2.00 Y) ,35� —Q )-- D0 G 2 14 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. _ �' �Q (o Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W4e_- Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 24-- ELECTRICAL No. @ FEE PERMIT FILING FEE $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 fixturesba_ i d10 Receps., switches & fix outlets b 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. lisp. 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(IVI 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. 5,(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 $ $ 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �!'�,� /Date— Signbture bf Permitee Agent Receipt No. ,2�Z.Z 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 BLIC WORKS By Date -7—i Bul n 6— �_ 9 permit expires Date ....................... 7.�.-............ _' • ^ Tom,.----"'�� 'PERMIT NO. 1816-75B P E - t M •. • 1MH UTIL. `PERMIT NO. r PERMIT EXPIRES OWNER Ross Willey CONTR. - :LOCATION (A.P. 21-08-68 ) s1s Gridle—Colusa Hwy, 700' W. Idaho St.,., Gridley Temp. Power Pole Called PG&E > 1 Temp. Elec. Serv. i Called PG&E fi Temp. Gas Serv: L Called PG&E JOB✓f FINALED (Date) (Signature) t • r 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 Garacie Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport • Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel 'Final Fixtures i, Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpart Is Mesh MECHANICAL Grd. Fault Prot. Scratch Heatino Service . Brown Cook"— Temp. Pole Finish Ducts— Underground Interior Lath Ventilatio Permanent Door Closer Final, Final DATE REMARKS OR CORRECTIONS .. COUNTY OF BUTTE — 'DEPAIRTMENT.OF PUBLIC WO K ' r 7 County Center Drive rovi4le, California 95965 Telephone: 534-4541 r APPLICATION AND PERMIT', =� ' •, . . • ,..�. 1, BUILDING 'Owned SQ. FT. OCC. BUILDING VALUATION ` Mailing Address i .. • 4 o ele h ne o. • y , ,i , - • .� Fireplace .. Contractor Total Valuation -- ' ,Mai Ling Address. �, Permit•Fee _ ! �• ' Plan Checking Fee &/or Penalty a Telephone No.- Permit Fee Building Address t �. „l PLUMBING "No.', @ FEE . : ` �!/ 4 '$3.00 PERMIT FILING FEE .. • Each Trap .. - 1.50 7 • a . •` t Repair drainage or vent piping '1.50 . Water piping , 1.50' .. r. t . +• ' Each' gas water heater or vent 1.50, w ' x j Gas piping system 1 - 5 outlets 1.50 _. A': P. N9.1 Zoning & Planning Each additional outlet _ .30 Fe Fire Dept, •Fire Zone' ' Use Permit Building sewer '5:00 `- EQA Parking Plans Parcel Declaration • I • , Parcel Map 60' R/W Improvements. Lawn sprinkler system •,2.00 la° Bldy. Plans ec - Parc Approval P a s Approval °Perriit Fee $ $ NEW [jADDITION' Q ;' UTILITIES:[] OTHER Q • ; ' e ELECTRICAL No. ` @ �- ,FEE rMain PERMIT FILING FEE $3.00 service incl..1 meter d' l • Additional meters, each 1.00 . - ,Single Sub -panel (12 or less) (more than 12) Family Duplex Qry* Mobil,Home ❑` Others❑` Range, Cook-topor.Oven 1.00 • Water Heater or,Space Heater 1.00,E Li25 ght fixtures b a10 z o , Receps., switches &•fix outlets ,+ LICENSE YAW ' . , Hood; Ex` Fan orF.A. Furn. Motor 1.00 .CONTRACTORS ".'I am licensed' under othe provisions of Chapter'9, Div. 3, • of the Evap• cooler, gar: disp. or D.W. ,1;.00 + State of California Business &'Professions' Code. under, •the name Air,conditioner or heat pump' style of: °S• F , 1 Water pump r I ••? Mobil Home Facilities 5.00 ' r . ' Temp.'Power Pole*! 5.00 T t , Misc. wiring •� lassification License No. T 7" " Classification- - - 771 211 am exempt 'from the Contractors License taws of the State of California. Permit Fee '• • ' $ $ , MECHANICAL No. - @ FEE WORKMEN'S COMPENSATION. INSURANCE ; PERMIT FILING FEE $3.00 ' V. I am aware of the:provisions of Section3700 of the California Labor Heating ••` Code which requires every employer to be insured against Liability" for Workmen's Compensation. 1 �h•ve placed on file with the County Of•Butte a certificate' , of • Cooling rkmen's Compensation Insurance. I certify that `in,the performance of the work for which this Ventilation ' permit ,is issued I shall not'employ, any person in any, manner so asft become subject to the Workmen's Compensation 'Laws of, Hood _"'- i• 2.00 .. r California. _ ' Permit Fee $ $ • I certify. that I have read this- application and state that the above .a s - • ' information is correct. I agree to comply to all County Ordinances ' - TOTAL PERMIT FEE Is ' and State Laws+- r`elating -to building construction, *and hereby authorize'•representatives of the County,of Butte to enter upon the• ' This permit is hereby issued under,the applicable provisions of • above-mentioned property for inspection purposes.. the Butte County Code'and/or'resolutions to do.work indicated x• : ',,� , ' , , - �a .' above for which -fees have been paid. •' ' DIRECTOR OF BL IC WORKS _ r Y igno re of Per7(',,. e or enc • /'_ ,pt By Date-,5 No. ding Date White-D.P.W. - Yellow -Assessor —Pink -Inspector - Goldenrod -Applicant permit expires ss ,, .v" . ' �. ` r°, ;, y•,' f. Y. ... s BUILDING _' ill' k` ' s' 6e r'` E/�..R+V4Y•'�r'pRr'�a5w/�'3.+1+'SiY+.ae--a.�fr+ er.,�-r'`u Mai li ng Address � �� " t; y „ ° h SLY`. :.+' w• fi i 7er'% OFBUTTETMENTOF PUBLIC WO -KS' q 1r" contra,c r ��r !,, �+> A jE/ S ` ��L .�q /� i • Total Valuation Mai ting Address 7 CountyCentCalifornia'95965, 4. plan Check y �. Ing Fee.&/orPenalt " r _•, a ,.,cam-�-rc✓ w .PermitFee Telephone. No.'T ., 45411 Building Address Y- S1 S 1E t•: a7 ��Y Cf3�u `,� f-�Uj `,JN v C?F ; Sc�i9'L;b _�• PLUMBING No @ FEE. 'PERMIT FILING:FEE $3.00 x:00. c�.. Yj , t ` ••:' zl y Repair drainage or:.veni piping :1.50 « ' • APPLICATION 'AND .PERM1'T,. Each gas water heater or vent 1:50 ss ,, .v" . ' �. ` r°, ;, y•,' f. Y. ... s BUILDING _' ill' k` ' s' 6e r'` OCC . (3UILDING VALUATIONow Mai li ng Address � �� " t; y „ ° h !. • i !, - Telephone No - �+541�LY # :.+' w• fi i . Fireplace q 1r" contra,c r ��r !,, �+> A jE/ S ` ��L .�q /� i • Total Valuation Mai ting Address 4. plan Check y �. Ing Fee.&/orPenalt " r _•, a ,.,cam-�-rc✓ w .PermitFee Telephone. No.'T ., Building Address Y- S1 S 1E t•: a7 ��Y Cf3�u `,� f-�Uj `,JN v C?F ; Sc�i9'L;b _�• PLUMBING No @ FEE. 'PERMIT FILING:FEE $3.00 x:00. Each Trap. 1.50' c�.. Yj , t ` ••:' zl y Repair drainage or:.veni piping :1.50 « ' Water. piping' .1:50 Each gas water heater or vent 1:50 A R No: f - �, ; G _ c t zoning "&f I oLn. g, •Gas piping system' 1 z -6 -outlets- . 1.50 A ., Each additional outlet7�17 30 Fejes1 W C 5S tation' Fire,Dept Fire Zone, Use.Permit,� Building,sewer 5.00 EQA : Parking-. Plans ,. Parcel; Declaration . F• ' Parcel Ma P b a':' ,. 60' R/W:' Im roVements'j P Lawn sprinkler system 2.00 2:v0: ._ .. -B'Idg.•P.1ans�Rec'd `Parcel ,Approval , -pl.__ Permlt'Fee f NEW'❑ ADDITION' wtUTIL ITIES ❑ O,THER�Q �•�,,� ,pp _ $ 11Athit 1CJl1/C1C` �r`lsTfiai ` : ' ELECTRICAL ` No. @ :.FEE PERMIT FILING FEE $3:00 3.C1o. .Main service incl: 1 meter ' -... . - ga.. �F 1 - " Additional meters, each Single Family® .. Duplex.,❑'; `rsMobil Home �. Others '� ❑ - ❑ Sub -panel (124or fess) (moiethan12). .Rahge,`Cook=top`br Oven 1,.00 Yµ r.'^ },4Ay "> �' t.'• t { S Wafer. Heater or Space`Heater ' 1:00 Light fixtures .' ':. " 15, b �2 Receps„ switches ,&;fix outlets bal `Hood', ` x,CONTRACTO,RS LICENSE LAW I am licensed. under the provisions Yof;Chapter 9, Div 3,` of the `, a . State of 'California,Buslness: & Pro'fessions' Code 'under. the .name .. d y, - style of: Ex Fan or F A Furn. Motor' 1.00 y Q Ev,ap. co.oler;'gar.lisp or D W. + ,- 1.00 ' Ai'r.coriditioner,or beat. pump Water pump +5.00 Mobil Home Facilities Temp -Power Pole 5.00 Z, License No. Classification fal 7 CoTieot:L�"'- ) 1.067 4_0,0% I am`exe t:from the'Contractors License Laws of'the State of Califomia. ' Permit Fee'; i' rF .U(�. be WORKMEN,`&pCOMPENSATION.YINSURANCE ^ 4 . yw „a tam aware of the provisions of $ection3700 of the California Labor"° Code wl�i.ch requires every employer. to be insured against liability for Workmen's.Compensation t. - ; F have placed on file with'the County of.`Butte a certificate of )' Workmen=s Compensation`lnsurance ,.• , •- I�certify:that in the,Performanceof th6lwork-for which this•'., ermit is.'.issued, l.•shalI not. employ •an &son'in -an manner '� p P , Y Y:.p y, , ` .,so •-as to b(' o' '`subject -to the Workmen's-Compensation.Laws'of '' ,. 'California.. MECHANICAL: No @ FEE , PERMIT 4FILING FEE t $3.00 .:.• Heating .•`.'. • 3 Cooling a Ventilation.._, , Hood 2.00 " Permit Fee °. I certify that.I;have :read this application,and`state that. the. above ,F; information is correct: I agree.to comply to; all County .Ordinances ;and State Laws relating .to•.buildin9 construction;; and. hereby. t.: TOTAL PERMIT.FEE , $ �' ? r� i nis permit is above-mentioned property for -inspection purposes r :+the.Bufte;tour Above for whiff ;Date ,$igngfure.rof Perm i.tee,6jr Agent „ By •geceipt,No , White-.D°.P W Yellow -Assessor - PinkInspectors^- Goldenrod Applicant LB'u ldinq pel arepy.issuea under the applicable provisions of r Code'and/or• resolufions•to do, work indicated fees -have been paid >* ; ;ECTbR OF�UBLIC WORKS- , .�� Date-�:.1: - _ lit expires `Date r����o "f:�• COUNTY. OF. BUTTE — D +T OF PUBLIC WORKS 7 County Center, Drive a California 95965 / ' 5 ... Tel ephon '4t ` 3 +{ APPLICATION AND. PERMIT r autnonze representatives of the county ot. Butte to enter upon,the This permit is hereby issued under the applicable provisions.of; above-mentioned. property for inspection purposes. - the Butte County Code and/or resolutions to do work lindicated • / -,.-; L 'S above for whic es a been.p . ,' y x %-� _2: DatOR OP --PUBLIC WORKS Signature of Permitee/or Agent,—Zj7��% By17 Date Receipt No.rmi•, ;. White-D.P.W. — Yellow -Assessor —`Pink -Inspector - Goldenrod -Applicant 9' et expi"restate Owner • . + SQ. FT.,-,., OCC.. BUILDING VALUATION ^ ` Mailing Address F ,• ' + < ' VL 4S Telephone No. 6- 3 ('41 , Fireplace s i Contractor_a 'S /�(j Total Valuation . , Mailing Add ss- ,J d 6O 'Permit,Fee •._* Plan Checking Fee &/or Penalty " .Telephone No _ c� 4 Permit Fee Building Address S i a7 fU CSI PLUMBING •�"'. No: @. FEE PERMIT FILING FEE $3.00 3 07 .- ­47oe)) ©- �' �,, Each Trap. { " 1.50 L ' , Repair drainage or vent piping 1.50 Water piping ' ' " 1.50 Each gas water heater or vent 1.50 ' A. P. No. �• f — Zoning $ Planning Gas piping -system 1•-5 outlets 1.50' A;t f ,. . Each additional outlet '. .30 ' ` ' F Fire Dept. Fire Zone Use Permit Building sewer • ' '5.00 Parking EQA Plans Parcel -Lawn Declaration Parcel Map 60' R/W I Improvements 'sprinkler system i' 2.00 Z.'o0 Parcel Approval Pions Approval Permit Fee $ p0 ,$ J p( NEW,❑ , ADDITION-❑ UTILITIES ❑ OTHER �. . ELECTRICAL No. @ FEE Yr PERMIT FILING FEE ' $3.00 • ,ej SVSM Main service' incl. 1 meter Additional meters, each' 1.00 A Sub -panel (12 or less) (morethou12) Single Family ® ,Duplex ❑ Mobil Home ❑ 4 Others ❑ Range, Cook -top or Oven. 1.00 t. _Water Heater or Space Heater 1.00 1 + t Liglit fixtures 60 (d2 al 10 b Receps., switches & fix outlets 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: '� ` 'ST` f - ' . Hood; Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump _ Mobil Home Facilities 5.00 ' r ' 760"Sd Temp. Power Pole 5.00 License No.`l_'? ,•Classific n �' Misc. wiring Cd�Ti2iiil.ErL ) 1°0o j.t90 4 • ❑ lam exempt from the Contractors` License Laws of the -State of Califomia.. Permit Fee $ ¢•OG7 .No• $ ¢ O ' MECHANICAL' � � @ _ •'FEE - ; WORKMEN'S -COMPENSATION INSURANCE ,,• I am aware of the provisions of Section3700,of the,California Labor Code which requires every employer to be insured against liability for Workmen's- Compensation. 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. PERMIT FILING FEE $3.00' ~ Heating , Cooling, .. Ventilation , A Hood 2.00: Permit Fee $ $ ' '1 certify that I have read this application and state •that the,above' 'information is correct. l agree to comply•to all County Ordinances and State'.Laws- relating to building construction,- and hereby, ,- TOTAL PERMIT FEE $ r autnonze representatives of the county ot. Butte to enter upon,the This permit is hereby issued under the applicable provisions.of; above-mentioned. property for inspection purposes. - the Butte County Code and/or resolutions to do work lindicated • / -,.-; L 'S above for whic es a been.p . ,' y x %-� _2: DatOR OP --PUBLIC WORKS Signature of Permitee/or Agent,—Zj7��% By17 Date Receipt No.rmi•, ;. White-D.P.W. — Yellow -Assessor —`Pink -Inspector - Goldenrod -Applicant 9' et expi"restate