HomeMy WebLinkAbout021-131-033AP 21-131-33
ANDERSON & BIHL
U
--Ave,
S
s/6 Little 30.0' E. of Lewis
02-1
O�
Oak 'Rd, .Gr �Ile
T' ne!4 single family)
'PE /
P er'. f:ft-- YYn7E
2 -13
C ONTR: Gridley' Plumbin;j'&'Htingf
Permit #4526r775P 1-1bg only f or
permit #4085-75
.2 1='l 31 =, 3.3 -- -------
CIONTR: Cody's Elec.,,.A, Paradise,
�Permit #486O-.!t�(el6c;�.onlKfor_,
'Permit 4f4085-75
21-131-33
CONTR:Sweem's A/C & Hting, Oro.
Permit #478!P-75M(ffiec.h.._ for- permit
#4085-75),6��/
72 -91 B
.21-131-33
�AVID, Randy %
669 Little,Ave, Gridley
Contr: AMRE
(Vinyl sidi.ng/sf,)
c w
�,,PERMIT NO.
P
E
M
)MH UTIL.
-PERMIT NO.
I PERMIT EXPIRES -7C
�OW'NER LAjaderson & Bihl
Y
�CONTR.
"ILOCAT16N (A.P. 21-131-33
s1s Little Ave., 3001 E. of Lewis Oak Rd.,,
Gridley
'000'
A
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp /Ga s Serv. Z Z'
r -3
7,5 1-e
I
ailed PG&E
OB
0
/FI
N AL E D
(D te)
(rignature)
'ol/
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
-BUILDING INSPECTION RECORD
PLUMBING
BUILDINIG BUILDING (Cont'd)
Setbackq,/5-
7,f F I rew a I
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Foot in
Windows
3rd Floor.
Stemwallf
Siding
Topout
Slab
Ro of Sheathing �r�
Water Piping
Piers
Roofin
Garage
Fdn. V;-nt�'-
Fixturtrs
Footings
Garacie Vents
Water Htr.&I-/-
Stemw,a I 1!�F:
Prov. for physically
Heaters
Slab A=nt
handicapped
Appliances
Carport
Conformance of ex.
Gas Piping & Test/7 7 7
Footings
structure
Temp. Gas
Slab
Final —7-
Sanitation
Patio
FIREPLACE
Final e�—! -3--7
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rouqh%2!:/
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heatinq
Service
Brown
r-7
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final '7
FinalZ/ !:4, 37 —7 �z
DATE
REMARKS OR CORRECTIONS
-7 z
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA-
TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
), -7 #6 4t -
Street
Lot Number Tract No.
EXTERIOR WALLS
Manufacturer- —Thickness/Type R Value.
CEILINGS . I I
Batts: Manufacturer Thickness R Val
Blown: Manufactur Thickness No. Bags Wt./B
FLOORS
S,q. Ft. Covered - R Value
Manufact Thickness/Type R Value
SLAB ON GRADE .
Manufactur Thickness/Type R Val up
Width of Insulation ---inches
FOUNDATION WALLS
Manufacturer Thickness/Typp R Val P
GENERAL CONTRACTOR 0 ?S�& LICENSE No. ::3 0 2 -
BY TITLE— IJATE - �2 -
INSULATION CONTRACTOR: HAWKINS INSULATION CO. LICENSE No. 215-925
BY _TITLE DATE—
COUNTY OF BUTTE DEPARTMENT OF PUBLIC S
7 County Center Drive — Orovillej California 95965
Telephbne: 53*4541
APPLICATION AND PERMIT-
7J-7-
authorize representatives of the County of Butte Jo enter 'upon the
above-mentioned property for inspection purposes.
X e_l�—� Date
Signature of Perm i tee�o_rAgent
Receipt No.
White-D.P.W. Yellow -Assessor.— Pink -inspector Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OFLBLIC WORKS
% -Datp
�ildihg permi�t'expires Dalte
BUILUING-
Owner /�nve/zsotN/ 1,A,1-1&
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address S 7 0 1
S34 e )9 11�Tielephone
No.
.2 —23IL-2 3
Fireplace
Contractor _SAMEr
Total Valuation
Mai I ing Address
Permit Fee
Plan Checking Fee Vor Penalty
T lephone No.
Permit Fee $ 9,;2
$ Y21
Building Address,ls & 4-iTri—c Aue- _200
PLUMBING No.1 '@ FEE
PERMIT FIL ING FEE $3.00
—I
or-, o #4 ie—,
Each Trap . 1.50
6/21 / L LIF/;L Q Ues— 6g j*1V t-6>-
Repair drainage or vent piping' 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. ;2/ —131 -33,
ioning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F&s4
ffn - J+ FireDept.1
Fire -Zone
Use Permit
Building sewer 5.00'
EQA
1 0 arking
P I ans
Parcel
Declaration
I 0TA`lMTp9
60' R/W
Improvern s
-
Lawn sprinkler system 2.00
1h14S7_tF_ JAIZ-07
Bldg. Plans Rec'd 411r.rcel Apprcer--
Plans %pproval
Permit Fee $
NEW ADDITION UTILITIES OTHER E]
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl..l meter
Additional meters, each 1.00
Sub -panel 0 2 or less) (more than 12)
Single Family Duplex Mobi I Home Others
Ra6qe, Cook -top or Oven 1.00
1W,ater
Heater or Space Heater 1.00
Light fixture 2u fat 2T
s bgl �d
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 -
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
L i cen se No.2 I) Z C4 C4'7� Classification AZ -4
Misc. wiring
I am exempt from the Contractors License Laws of the State of Cal ifornia.
Permit Fee $
MECHANICAL No. @ 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.
certify that in the performance of the work for which this
El plermit Js 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
Per mit 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 relatinq to buildinq construction, and hereby
.
TOTAL PERMIT FEE
................
$
authorize representatives of the County of Butte Jo enter 'upon the
above-mentioned property for inspection purposes.
X e_l�—� Date
Signature of Perm i tee�o_rAgent
Receipt No.
White-D.P.W. Yellow -Assessor.— Pink -inspector Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OFLBLIC WORKS
% -Datp
�ildihg permi�t'expires Dalte
COUNTY OF 8U-TTE- - DEPARTMENT OF PUBLIC WORKS
.7 County Center Drive — Oroville, California 95965 -7
A Teleph6nE!: 53*4541
APPLICATION AND PERMIT
BUILDING
Owner &.9111r_12S6e7
SQ. FT. Occ. BU ILDING VALUATION
- .
Mai I ing Address
ITelephone
No.
Fireplace
—
a
Contractor Y(lV6147111119-1
Total Valuation
CIA4
Mai I i ng Address 5-2( V 644 1 7-1'
Permit Fee
PlanChecking Fee&/orPenalty
&
phone No.
Permit Fee $
1$
Building Address J/s,
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
IT
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.
Zoning & Planning
Gas piping.system 1 - 5 outlets 1.50
Each additional. outlet .30
F44W.'C:f,Se�
I FireDept. I
FireZone
Use Permit
Building sewer 5.00
EOA
1 Parking
Plans
I Parcel
Declaration
_T
I Parcel Map
_-IT
1 60' R/W
I Improvements
Lawn sprinkler system 2.00
13Ld9_P4."-ft-,-d
Parcel Approv
Plans Approval
Permit Fee $
!t To7
NEW ADDITION UTILITIES OTHER
ELECTRICAL No. @ 'FEE
PERMIT FILING FEE $3.00
lha 5� (:26cl-c- Lt�: Z9 0,02 6tot7 g
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Famil y DuplexE] Mobi I Home E] Others E]
Range, Cook -top or Oven 1.00
,,Water Heater or Space Heater 1.00
'W,025
Light fixture ba (a 10
Receps.., switches & fix outlets 20P25
b.1010
CONTRACTORS LICENSE LAW
I am licensed under the provisions (49hapter 9, Div. 3, of the
State of California Bus' §S r "ons Code under the name
s t y I
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. coo I er, gar. d i sp. 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 Ce --3,4,_
Misc. wiring
I am exempt from the contractors L i cense Laws of the State of Cal i forn i a.
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.
ave placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for.which this
Elp'ermit 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 $
$
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
above-mentioned property for inspection purposes.
r"I
cf 4X 4 �& -9 0;- CC- 1Z Date
571_9n_of`ure_of —Per - e. or Ag-ent
Receipt No. 136,32 60'
White-D.P.W. - Yellow -Assessor - Pink -Inspector Goldenrod -Applicant
TOTAL PERMIT FEE 1$ -If IS10
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.
CTOR OF PUBLIC.WORKS
By 0. =I, Date-
e. '5' . 4C4^� _-0 -
*mg-pe9k expires Date 1095,
COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 LI -8-6, 0
TelepHonL,:,534-4541
APPLICATION AND PERMIT
above for which fees have been paid.
CTOR OF PUBLIC
X natur . 2mi t e � �9 :en It --Date By 0
ceipt No.. /5 / 0
White-D.P.W. Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant permit expires Date
WORKS
Date_'-:q�Z-2X7S_.
— 71!�78
BUILDING
Owner 40"e -
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor O&V 3 a-
Total Valuation
Mai I ing Address/P 6, do)c / 734,
Permit Fee
Plan Checking Fee Vor Penalty
11elephon
gq fols, 6 - t,Z
7'
Permit Fee $
1$
Building AddressS/9-kV/Z&- guL 3 -co
PLUMBING No. @ FEE
FILING FEE $3.00
-PERMIT
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.,V—/3/-33?
Zoning & Planning _
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F4esl
A--
I Safl+�n
I FireDept.
I Fi re Zone
Use Permit
Building sewer 5.00
EQA
IParking
Plans
I Parcel
I Declaration
Parcel Map
60' R/W
I Improvements—
Lawn sprinkler system 2.00
W49_��
Parcel Approval
Plans Approval
Permit Fee $
NEW ADDITION UTILITIES OTHER tff
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
I
Additional meters, each 1.00
Sub -panel (12 oL4ess) (more than 12)
Single Family Duplex Mobi I Home E] Others 1:1
Ranqe, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures 114 20 10 3
b. I I
dqs & fix q(j4*ts M 7
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & ro essions Code under the name
style of-
re )1/ C
H2pd, Ex. Fan or F.A. Furn Motor 1.00 a —
Ev'ap. cooler, gar. i sp. orbjw. too g —
Air conditioner or heat pump,27X
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No.2:::: -7d _37 Classification (?
Misc. wiring
I am exempt f rorn the contractors L i cense Laws of the State of Cal i forn i a.
Permit 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
ermit Js issued I shall not employ any person in any manner
_;Iso�rs to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.001
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I a ree to comply to all County Ordinances
aws ing construction, and hereby
:nd ing o build
ut ho ize rep ntatives the County of Butte to enter upon the
abov ment' ed prope or inspection purposes.
TOTAL PERMIT FEE is
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.
CTOR OF PUBLIC
X natur . 2mi t e � �9 :en It --Date By 0
ceipt No.. /5 / 0
White-D.P.W. Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant permit expires Date
WORKS
Date_'-:q�Z-2X7S_.
— 71!�78
I
Owner
Mailing Address
Contractor "I
_4tz_r��
Mailing Address Z-760 4
Building Address
COUNTY OF B`UTTE, DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, Cal ifornia 95965
Teleplibrile:'534-4541 L
APPLICATI.ON AND PERMIT P-101 I
Telephone No.
A
Telephone No.
A. P . No,. _5 Zoning & Planning
Fk6s-TW-61 SeA4 �'Firebept. Fir'*Zone Use Permit
EQA I'Parking I Parcel Parcel Map 60' R/W I Improvements
Plans I Declaration I I
1311*V. Plamr-R-e-c-F—F Parcel Approvoi----.F—Plons Appr..,.l
BUILDING
SQ. FT. I' OCC. BUILDING VALUATION
Fireplace I
Total Valuation
Permit Fee
PlanChecking Fee&/orPenalty
Permit Fee
01 PLUMBING
— PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
— Water piping
Each gas water heater or vent -
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit
NEW ADDITION UTILITIES OTHE� DU
ELECTRICAL
PERMIT FILING FEE
-725'
Main service incl. 1 meter
5.00
Additional meters, each
§ub-panel 0 2 or less) (more than 12)
Single Family JZ Duplex Mobi I Home Others
Range, Cook -top or Oven
$
Water Heater or Space Heater
Light fixtures
$3.00
Receps.-, swi tches & f i x outl ets
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
Evap. cooler, gar. disp. or D.W.
Air conditioner or heat pump
Water pump
Mobil Home Facilities
Temp. Power Pole
License No. n
Classificatio
Misc. Wiring
E] I am exempt from the contractors License Laws of the State of California.
Permit Fee
MECHANICAL
:=
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 Olaced 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 Js issued I shall not employ any person in any manner
so -as to become subject to the Workmen's Compensation Laws of
California. —1
PERMIT FILING �EE
Heating M
Cooling
Ventilation
Hood
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 Codnty of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date 7
Si nature of Per7)`Zee or Agent
�0.
Rec i Yt J.�r/
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
I @
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
FEE
@ ' FEE
$3.00
1.00
,1.00
1.00
1.00
1.00
5.00
5.00
$
$
@ �EE
$3.00
10-0
2.00 —7-00
$ IF, 19-0 .1$
TOTAL^PERMIT FEE is
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
Building permit
[ 21-131-33, 7.2-91B,
d
DAVID, Ram y
3
2 1 3 1-3
1
DA ID� Randy
Lit 1 e Ave.
V: Gridley
669 Little Ave
C Co.
AMRE
ontr
(vi yl i i g
(vinyl siding/sf)
a
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95,965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT 0
-7.-;0 --� V
ASyjSOR PA R CEL NUMBER
_131-33
ZONING
A5
BUILDING PERMIT
OWNER
Randy David
Y�C44g
SO. FT. OCC. BUILDING VALUATION
OWggR*S MAILING ADDRESS
9 Little Ave., Gridley, CA 95948
C 0
,J&CTOR'S NAME
T Sff I&J�
COf4RACTOR'S MA LING ADDRESS
W Enterp�ise Blvd. Suite D
Fireplace
CONSTRUCTION LENDER
UNKN3WN
Total Valuation Is
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $ --A) J U
ARCHITECT OR ENGINEER 771E-�
SE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 669 Little Ave., Gridley
Permit fee $ An C;n
PLUMBING PERMIT FilingFee 10.00
Each Trap 2.00
Solar or heat pump water heater 20-00
LOT NO.
UBDIVISION NAME
I
PARCEL MAR
Water piping 5.00
Each clas water heater or vent 5.00
USE OF STRUCTURE
SF [ft DuplexE] lvlobilehomeFj Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home T�Sw 110.00 ea
TYPE OF WORK
New n Addition [J R emode I [:] Uti lities [:1 InstallationNI Other
Describe work: v*ml siding
Permit Fee $
Contractor
ELECTRICAL PERMIT FilingFee 10.00
main service 6101 OR LESS
100 AMP OR LESS 10.00
Main service EA. ADO'L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professigs C de a d my license is in full force and effect.
License No. Classification
1, as the own
F1rr, 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 OCCUR.&)
OR ADDNS. ACC. BLOGS. 21/2 Osq It
NEW CONSTR. MULTI -OUTLET S)
NON-RESID. BRANCH CIRCUIT - 2.50 ea I
(POWER APPARATUS.&)
SINGLE OUTLET CIR
20050C
Ex. Occup(OUTLETS OR FIXTURES BAL& 3091
Ex FIXED APPLNS. OR I
. Occup. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15::0:0
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 Filing Fee 10.00
Heating
Cooling
Hood 3.00
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 County ot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
againsLsaid C nty in consequence of the granting of this permit.
Date,-
A:Za / R;� —
Signature of Applicant — OwnerE:1 Contractor X Age
An OSHA permit is required for excavations over 5/0"%deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
occ
CONST TYPE
TOTAL FEE $ 60.50
HAZ
I
I CUA
PARK
I SCHL
I 1LD
I PAR
PD
H11
I ISS
This permit is hereby issued under the applicable 1�ro,-6-
si�ns of the Butte County Code and/or resolutions to do
work (ndiiiated above for which fees1have been paid.
DIRE;CTVC(R F PUBLIC WORKS
By—. jo) t e Iq
PERMIT EXPIRES Date
Receipt No._ 84989--$60.50--
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT
COUNTY OF BUTTE - DEPAZTMENT OF PUBLIC'WORKS
7 County Center Drive - Orovifie, California 95965 - Telephone: 916/538-7541
APPLICATI10N AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
21-131-33
Z NIN
A5
BUILDING PERMIT
OWNER
Randy David
TELEPHONE
846-4456
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
669 Little Ave., Gridley, CA 95948
4-h!
f6i 14;
CONTRACTOR'S NAME
AMRE
ITELEPHONE
371-6151
CONTRACTOR' s MAILING ADDRESS
1400 Enterprise Blvd. Suite D
___7NOWN
Fireplace
CONSTRUCTION LENDER
Total Valuation - I $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$ 5U. 5u
ARCHITECT OR ENGINEER 777F�
SE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 669 Little Ave., Gridley
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
UBDIVISION NAME
I
EL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFU DuplexF_J Mobilehome[:] Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S
12-:2�
TYPE OF WORK
New M Additiono R emode I [I Utilities [I InstallationM( Other' E:1
Describe work: vynal siding
L
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professiq, Cade and my license is in full force and effect.
License No. 730 Classification
IF
I, as the owner, or my �mployees 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.&)
OR ADDNS. ( ACC.BLDGS
2/20sqft
NEW CONSTRL I"ULT'-OUT LET
NON-RESID, BRANCH CIRCUITS)
2.50 ea
(PO ER APPARATUS.&)
SINWGLE OUTLET CIR
Ex. O�CUP(OUTLETS OR FIXTURES
20@50t
BALO 300.
FIXED APPLNS. OR I
Ex. Occup. OUTLETS (RESIO.) EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15-00
Misc. Wiring
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.
F-� 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
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
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 County ot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
ag i id C ence of the granting of this permit.
X Zain"sai. V�o,.nty in consequ
Date eg, 11 /
Signature of Applicant — 0 A.
An OSHA permit is required fo eep and demolition or construct-
ion of structures over 3 stories
Mobile Home Installation Fee $
Energy Inspection Fee
occ
ONST TYPE
TOTAL FEE $ 60.50
HAZ
I CUA
PARK
I SCHL
I FLD
I PAR
JPDJHDJ
ISS
This permit is nereby issued under
si�ns of the Butte County Code and/or
work i ted above for which ffeews
DIRE R PUBLI
B� Z&M &&ate
PERMIT EXPIRES Date
the applicable piovi
resolutions to 'do
have been paid.
RKS
Iq
Receipt No. 84989-$60.50
WHITE-D.P.W.. YELLOW-ASSE,SSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DIEP-,,2�RTMENT OF PUBLIC WORKS
7 County Center Drive - Orov6lle, CIliforlia 95965 - Telephone: 916/538-7541
APPLICAT'I"ON AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER -Z,/- /3/---3,-e3
BUILDING PERMIT
OWNER
V/
TELEPHONE
,3 (/�^ �Ivv
SQ. FT. OCC. BUILDING VALUATION
OWNER-SMAILING ACORIS1
CONTRACTOR'S NIAME e'
TFLEPHO NE
IN— 9 /5
CONTRACTOR'S MAILINGfADDRESS
o o /�,� —n — Anah,
Z
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total valuation 1$
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
—Filing Fee
$ 10.00
Permit Fee
Plan Checking Fee
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT N
UBDIVISION NAME
is
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
S!5e DuplexF� Mobilehome[] Other SPECIFY
Gas piping system I - 5 outlets
5.00
Building sewer -F
5.00
i I e Home S I G I W
10.00 ea
TYPE OF WORK
New R AdditionEl RemodelE] Util . itiesEJ Instal latio9,e Other E]
Describe work:
—!�ob
Permit Fee
$
Conlractor
ELECTRICAL PERMIT
FilingiFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
1 10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
0 1 am licensed under provisions of Chapt. 0, Div. 3 of the Business
and Professions Code and my license. is in full force and effect.
License No. Classification
El 1, 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)
0 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F� I am exempt under Sec.—, Business and Professions Code
for this reason
Main service EA. ADD -L 100 AMP
2.50
NEW CONST DWELLING OCCUP.&)
OR AODNS. ACC. BLOGS.
0�tsqft
NEW CONSTFL �T
0 N. R E." 0, MULT'-O�TLF
N BRAN'::- CIRCUITS)
12.50 ea
POWER APPARATUS.&)
SINGLE OUTLET SIR
Ex. Occup( OUTLETS OR FIXTURES_
20 e5Ot
SALO 30t
FIXED APPLNS. OR %
Ex. Occup. OUTLETS (RESID.) EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
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
-
FilingFee 10.00
Heating
Cooling
Hood
3.00
Venti lation
ermIt 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
Signature of Applicant Owner E] Contractor Agent El
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
occ
CONST YPE
TOTAL FEE $ 5-c -
HAZ
I CUA
PARK
I SCH,
.1)
1 ISSUE
T.h'.s permit is nereby issued under
sions oi the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. �2 117 -41� 6
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD-APPLI CANT
SEARS
CALlowmill4r3m
S" Ucwm
SIDING
If this is a cash transaction. the purchase price shall be paid as follows:
*Xff M
nd
a a=
OOVAN
��AM RE
If this Is a credit transaction. the agreement for credit to contained in a separate document which is incorporated herein byraference andmade ad.
":a.'I'nd
'h;r
A Sears Authorized Contractor
pen -
R CTOR) to verity and review mylour credit record with pe
Itwe the undersigned are hereby authorizing AMRE (A SEARS AUTHORIZED CONT A
1400 Enterprise Blvd. Suits 0
NO.:
Verbal understandings and agreements with representatives shelf not be binding. All understandings and agreements must be got forth In writing In this
ARE STATED ON REVERSE SIDE AND ARE PART OF THIS FACT
watt Sacramento, CA 95691
Contract. ADDITIONAL PROVISIONS
9 CID and
(916) 371-6151 Job. No.:
acknowledges r*cslpt of a true copy oll this Contract.
CA& NV Toll Free I -aoo-445-3222
UNLESS OTHERWISE SPECIFIED. ITIS U AT TH FOR THIS WORK TO BEGIN. THE PURCHASE PRICEGUOTED
NDER ER�?
L11i - 0-16!
Name
Phon
ZI
City State P.
j
of cancellation form for an explanation of this right.
Signature affixed below also act$ as receipt that Purchaser($) received
it". the owners of the premises described below. hereinafter referred to as "Purchaser" offer to contract with AMRE( A SEARS AUTHORIZED CONTRAC-
arrange forinstaffallon of all materials necessary IoImProy61h@ P1*mls82i0c*t*d fit
TOR). hereinafter referred to as "O�ntractor". to
furnish. todefivefand
4
(city)
(street)
(zip)
according to the following specifications;
SPECIFICATIONS
tv P/f 4,9xv,
Terms: CashO CredhQ�.jSublW to the 8PProval of the Credit Sales Department)
If this is a cash transaction. the purchase price shall be paid as follows:
Balance Payable IS
Cash Down Payment S
If this Is a credit transaction. the agreement for credit to contained in a separate document which is incorporated herein byraference andmade ad.
":a.'I'nd
'h;r
pen -
R CTOR) to verity and review mylour credit record with pe
Itwe the undersigned are hereby authorizing AMRE (A SEARS AUTHORIZED CONT A
dent credit reporting agency and release them from all liability incurred from Inadvertent omlasions or arrora.
Verbal understandings and agreements with representatives shelf not be binding. All understandings and agreements must be got forth In writing In this
ARE STATED ON REVERSE SIDE AND ARE PART OF THIS FACT
Contract. ADDITIONAL PROVISIONS
9 CID and
EREOF Purchaserfs) have hereunto signed their name(s) this—Oday of
IN WITNESS WH (PROVISIONS ARE STATED OW—FIEVERSE)
acknowledges r*cslpt of a true copy oll this Contract.
UNLESS OTHERWISE SPECIFIED. ITIS U AT TH FOR THIS WORK TO BEGIN. THE PURCHASE PRICEGUOTED
NDER ER�?
ABOVE WILL BE HONORED ONLY UNTII
IF DATE
MESSAGE APPLIES TO DOOR-TO-DOOR SALES ONLY. You the Purchaser(s) may cancel this transaction
THIS date of this transaction. See accompanying notice
at any time prior to Midnight of the third business day after the
of cancellation form for an explanation of this right.
Signature affixed below also act$ as receipt that Purchaser($) received
separate cancellation forms.
SUBMITTED
By
REG. N
Lic. =473042Phone (918) 371 -6151
Accepted for
AMSE
1400 Enterprise Blvd., Suite D
rp
7
" 0.
west Sacrarriento. CA 95691
By
SIGNED
SIGNED
q o
Date
Do—to
I
i If T14 6 COINTRACT to
IN ANI HAVIII T"I ROW
A PRAVORNMACIIII AND
-COFJ(S OF WARRANT WHICH MAY PEATAIN TO Tiffs SALE MAY It
INSPECTED AT ANY TIME OuAINO THE SALES PRESENTATION.
'AMSE is a servicamark of American Remodeling. Inc.
-t. -': . .: I . .. . I . . a
P..
j -