HomeMy WebLinkAbout021-131-0060
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•„ BA'I LEY; •i`GRANV I L'LE •• �< ��'.; ''
CONTR`:,''` PRYDE.�.ROOF I N.G•,;t ";
x'595" L I TTLE' AVE, ,G' R'I DLEY
RER.00F%SF ' P
1898B - =0�
1902E.
1481?,
Lot 3, s1s Little, 5501 west of French,
Gridley t :!
CONTR: Joe Wright, Rt. 2, Box 23, Gridley = -`-
--_- _ - - -
1! - --
4��"v 1% .
COUNTY OF BUTTE - DEPAR'TM,E.0 OF PUBLIC WORKS P R T N0.
T 7 County Center Drlve - Orovllle, Cellfornl$a 6985 - Telephone: 918/538.7541
APPLICATION AWPERMIT
ASSES 3 UMBER
1-
Y NIN '
A5
BUILDING PERMIT
OWNeRGRANVT= BAILEY
�04V
SQ. FT. OCC. BUILDING VALUATION
JU
O W N E 595A IL'1"'I' RA's: GRIDLEY 95948
CONTRf ji R'S &FEii___G
TELEPH;.rNFa
CONTRACTOR'S MAILING ADDRESS
PO BOX 1134 GRIDLEY 959"
Fireplace
CONSTRUCTION LENDER
-
UNKNOWN
Total Valuation $
1
LENDER'S MAILING ADDRESS -
Filing Fee
$ 15.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
B U IL D J`!I,rI,c,�5 L kD&l& AVE GRIDLEY
Permit fee
$ AQ
PLUMBING PERMIT
FilingFee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
1
SUBDIVISION NAME
7
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
SFn Duplex❑ Mobilehome❑ Other
Mobile Home S I G I W
@ 15.00
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Permit Fee
$
Describe work: RM=F WM G'OMP
Contractor
ELECTRICAL PERMIT
FilingFee 15.00
Main service 600vORLESS
200A OR LESS
18.50
_
Main service 200ATO1000AI
37.50
CONTRACTORS LICENSE LAW
NEW CONST. DWELLING OCCUP.tr`
3.6q sq.f[
I declare under penalty of perjury (check one):
OR AODNS. ACC. BLDGS. /
NEW CONSTR ULTI.OUT LET
.
@ 5.00
I am licensed under provisions Of Chapt. 9, Div. 3 of the Business
NO N-11ESID BRANCH CIRC', TS
POWER APPARATUS &)
and Professions Code and my license is in full force and effect.
SINGLE OUTLET CIR.
]AL
License No. ff�� Classification C- 3 9
OCCU.
EX. p OUTLETS OR FIXTURES
20 7 6
_f�+/.� -
EJ 1, as the owner, or my employees with wages as their sole compen-
Ex. Occup. OUTLETS FIXED (RESID )LNS.KEA.).
I 3.00
sation, will do the work„and the structure is not intended or offered
Temporary service
15.00
for sale. (Sec. 7044)
❑ I, as the'owner, am exclusively contracting with licensed contract-
Mobile Home Facilities
15.00
ors. (Sec. 7044)
Misc. Wiring
g
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this,,reron
Permit Fee
$
—
Contractor
..
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
FilingFee 15.00
❑ The permit is for $100.00 (valuation) or less.
Heating
❑ 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.
Cooling
g
I shall not employ any person in any manner so as to become subject
Hood
6.50
rJ to the W. C. laws of California.
Ventilation
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
Permit Fee
$ �,
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
S
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Energy Inspection Fee
$
Butte to enter upon the above-mentioned property for inspection purposes.
occ CONST TYPE
I
49.50
I also agree to save, indemnify and keep harmless the County of Butte against
TOTAL FEE $
all liabilities, judgments, costs, and expenses which may in any way accrue
HAz DFEES IMP FLO.J CDF
PARCEL PD HE Iss
agai aid County in consequence of the granting of this permit.
I I I
I
_< .
- `"_' / "I � Date �B" � 2%
a
This permit is hereby issued under the applicable provi-
si acture of Applicant owner Contrccto. ❑ Agent ❑
g pp ❑
sions of the Butte County Code and/or resolutions to do
An OSHA permit is required for excavations over 5'0” deep and demolition or construct-
work) ated ab v- which e • have been paid.
7
ion of structures over 3 stories in height.
DIRE F UI
ORKS
101242
!
B9 !
Date
Receipt No.
`
P PIKES Date
WNITE-D.P.W.. YELLOW-A33E330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
-"
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OrovL•Iler9aliforn;a 95965 - Telephone: 916/538.7541
• APPLICATION AND PERMIT
P R T NO.
ASSESS R PARCEL NUMB R
X11-131-06
20NING
A5
BUILDING PERMIT
OWNER
GRANVILLE BAILEY
TELEPHON
877-5e40
SO. FT. OCC. BUILDING VALUATION
3U 18UU
OWNER'S MAILING ADDRESS
595 LITTLE AVE GRIDLEY 95948
CONTRARY
DE ROOFING
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
PO BOY 1134 GRIDLEY 95948
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$
34 50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILD1595 LITTLE AVE GRIDLEY
Permit fee
$
PLUMBING PERMIT
Filing Fee 1 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF KI Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work: REROOF WITH COMP
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600v OR LESS
200A OR LESS
18.50
Main service 200ATO1000AI
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
11�•
1 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 Ao.12 E07 Classification C-3'
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST./ DWELLING OCCUP.N)
OR ACDNS. l ACC, BLDGS. /
3.64 sq.ft.
NEW CONSTR. MULTI.OUTLET
NON•RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
20 764
AL 0 46A
Ex. OCCup. OUTLETS PIRESID IFIXED APLNS.REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00Misc.
Wiring
9
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
�! to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Coolin 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
agai aid Cou ty in conseq enc' of a granting of this permit.
° 11VThis
Date
Signature A o
Applicant re of
g pp - wner ontractor❑ Agent ❑ ❑ C
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Ener Inspection Fee $
9Y P
occ
CONST TYPE
TOTAL FEE $ 49.50
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISS
permit is hereby issued under the
sions of the Butte County Code and/or
work ' ated abov r which a
DIREF UB
B
P PIRES Date
applicable provi-
resolutions to do
have been paid.
ORKS
Date j0
Receipt No. 101242
WHITE-D.P.W.. YELLOW-ASSCSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville;.California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
_
1^ 13
J
ZONING
—Jc
BUILDING PERMIT
OWNER A')' /
C lemvf��� ��`�O
TELEPHONE
B�7_5641�
SO. FT. I OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS v
S95 Z /t ' e , -/C
30 j
CONTRA �OR• M��, ^`r�
TELEPHONE
i
CONTRACT MAILIINN,G1 A.CIRE
go ok- (3 ('�(,� (e '�>94/(p
:
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation !S 0
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee g 15.00
Permit Fee g 3C G
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
S
Z%-e�BUILDING ADDRESS y �', ��
Permit fee j g .5-0
olrp/ e -le
PLUMBING PERMIT FiiingFee 1 15.00
Each TraD 5.001
Solar or heat pump '.nater heater 20.001
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water Dioing j 1 7.001
Each aas water neater or vent 1 7.00
USE OF STRUCTURE
SFV.! Duplex i_ Mobilehome7i Other
SPECIFY
Gas piping system ' - 5 outlets ! 5,00j
Building sewer I 15.001
Mobile Hone I S I G FVV @ 15.001
TYPE OF WORK
New _ Addition.— --I Remodel L; Utilities Installation[ Other �
Describe work: (e ak 6,4 D
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service SOOV OR LE55 I
200A OR LESS ! , 8.50 j
CONTRACTORS LICENSE LAW
I declare underenalt of perjury
P Y P er I Y (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 :4o. Classification
_ I, as the owner, or my employees with wages as their sole comoen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
Li
L, 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
L I am exempt under Sec. Business and Professions Code
for this reason
Main service :00A 7S 1000A, I I 37.501
JE v •_7N5-. ( C''-VEL_:NG 4;CC:J?. s\ i i3.5e sa.tt.1
OR A 17_N, 5. -%C::. 9LDGS.
'IEvv
"0rJEs:TS 1 15 5.001
r FO:.cc?o AR ATI j
Ex. OCC---(OP=iXTUREs I ; -0 @ 01
= ,.E- no_v;. oR _.) j
c::
x. Occc. !_-__-_ =aslD., 3.001
Temporary Service I i 15.00
Mobile Home=3ciiiries j j 15.00
Misc. ':Jir:rg ; 15.00
j
Permit Fee S
—
WORKMEN'S COMPENSATION INSURANCE
I dec:are under penalty of perjury (check one):
The permit is for S100.00 (valuation) or less.
I have placed on file with the County of Butte Building DepartmentLi
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
F-1 I shall not employ any person in any manner so as to become subjectHood
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
Drovlsions or this permit shall be deemed revoked.
Contrac:dr i
MECHANICAL PERMIT ling Fee 15.00
Heating I j
i
Cooling 1
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.
XDate
_ `
— Agent •—
$ignorure of Applicant - Owner Contractor
i ,
An OSHAWork
perms is reoutred for eacaver,ons over 5'0" deep and demolition or construct-
,on of structures over 3 stories in .nelgnr.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC COt,;;T -toE TOTAL FEES
AZ'0PEES IMP FLOOD ;cDr I PARCEL IPO p;jt
This permit Is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do 1
uldlCatee aoove for Which fees have been paid.
1
DIRECTOR OF PUBLIC WORKS
By Date i
j
PERMIT EXPIRES DATP
Receipt No. I
(
-,<--,gd
F"•r T"' If+ .. T .,..-.�... __ ^.f'��v4'��r��^ \ �9' X111/r7syr7Y1.'1i'r� rTi^ "}'•'`N -y. 4.- wT ., r+ y
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE-OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET ( ��
,r Permit No.
OWNER r%/ l!/L /, rA P..No,
Proposed Building Use fi &ar�:' Building Inspector (� Datea i �-
At time of permit application, I was advised the following data must be submitted prior `to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ...........................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in- duplicate/triplicate, signed by preparer. of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material-Fofm'.:'.......................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13• School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
I
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractors license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
4. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization...................................�-
26.
27.
When you issue the permit, process as follows: Mail to own/A% �r. Mail to contractor.
_ Telephone -827- SNO and hold for pickup at -ee. Deliver w./inspector.
Other 7
A p p I i c a n t -� ��aDate (0- L
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must, be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone--nall-counter by ..date
Contractor, designer, owner, was advised of above required data by -phone -ma ll -counter by date
Plans checked by
Sets of plans on hold in
Copy -DPW
Date Plans approved by
File cabinet AP folder
Date