HomeMy WebLinkAbout021-160-079021-160-079 99-2828
MOORE, ARDELL
1130 FRENCH AVE., GRIDLEY
CONTR: THOMAS ELECTRIC
UPGRADE ELECTRICAL,fall Y-00
COUNTY OF BUTTE
DEPARTWIENT OF DEVELOPMENT SERVICES .
BUILDING DIVISION
NOTICE
Post this job card In a safe, conspicuous place. Do
not remove until all required Inspections are made and
building is approved for occupancy. Plans must be
availableon the job site.
woni160=_079 �"""99-2828 f
M_OORE, ARDELL
1130FAVE., GRIDLEY
:"THOMAS ELECTRIC,
AUPGRADE ELECTRIC - qq=8..
PERMITTEE MUST CALL
FOR INSPECTIONS
DO NOT OCCUPY UNTIL
ALL THE ABOVE IS SIGNED
AND THE BUILDING OR MOBILE HOME
IS APPROVED FOR OCCUPANCY
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>Aldiesses >>::':: >:::' :?;Inf n.......4. Hr...lns ...::.
Oroville - 7 County Center Drive 538-7541 538-7636
Chico - 411 Main Street 891-2751 891-2834
Revised 7/94
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COUNTY OF BUTTE - DEPARTMENT OF DEVIILOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N
(Rev. APPLICATION AND PERMIT �9�i4 -p
ASSESSOR PARCELNUMBER
n
ZONING
BUILDING PERMIT
OWNER
T
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS - -
F"V01 AR >?
CONTRACTOR'S NAME -
rT 'AC FT
TELEPHONE
Q
CONTRACTORS MAIUNG ADDRESS
t .r T!? 1,1APySyT1.1.r rA 05901
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDI 3U 1DRYs1'.!ZrP= AVF' CRIDIM
Energy Plan Checking Fee $
$
PERMIT FEE $
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 as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OthervxEl
Describe Work: 7.rr qPR TTPCRATIr 200 A1tP
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
Main Service '.*.A OR LESS 23.00 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. l a.�
License Class K k `L- Lic. No. 1 ) ,
OWNER -BUILDER DECL ATION
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, 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.
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 ca ler and policy number are:
Carrier
Main Service TO I 46.00so
WEU200A
U
NEW CONST. owELLlnx+ occuP. 3.5¢F°.
ORADc�� ( & ACTICOu�TLS.
NON-RESID.XT
97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
20 .00
EX. OCCU . OUTLET OR FIXTURES SAL @ �.w
FIXED
Ex. Occup. OUTLETSRES ) Ek 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PRT? I"ISP 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number e1_ --7,,n •„ !1 a1 * • / fa' l Or 10
(The above sections need not a completed 'rffthe pe mit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performancelof 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 / Date (i\ `�L` ` `
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height. `
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $89. „R
HAz.
D FEES IMP
I FLOOD
CDF
I PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
,/�./
By4;11w�l&,111111,11 Date
/ /,� /- /
PERMIT EXPIRES ON . � /{��
ata
y�uu 0
Receipt No. R AA 9S �
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
-%COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
ti 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER N
a
(Rev.12/96f - APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDINGPERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
1130 FRENCH A GRIDLEY
-VE,
CONTRACTOR'S NAME
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 MAIUNG ADDRESS
Plan Checking Fee
$
BUILDIA(G.(�pTs�RENCH AVE, GRIDLEY
1111 �J UU r�
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Feel 20.00
USEOFSTRUCTURE
SF 11 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat um water heater
-
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtheK10
Describe Work: ELEC SER UPGRADE 200 AMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI Gl W1
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
600V OR LE
Main Service 20.AORLESS
23.00 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.P `j_�
License Class O Lic. No. 1 �.� V Z ,
OWNER -BUILDER DECL ATION
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.
❑ 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 TOING
46.00
NEW CONST. DWELL
EE OCCUP. CU
OR ADDNS. ( a ACC. BLDS.
SO
3.50FT.
=REOSDT MULTI.OUTLET
@7,50
POWER APPARATUS
a SINGLE OUTLET CIR. 1
Ex. Occup. OUTLET OR FIXTURES
20 @''0°
BAL @ .50
Ex. Occup. OFUTI TS q I� p,OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
1 23.00 23.00
PRE INSP
123.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance c •er and policy number are:
Carrier ���_�.� \\
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
S
Policy Number �Z! , q c , , _ f- n O=T i
` ' _ F�-�-� e—mac
(The above sections need not be completed if the permit is for work of evaluation
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
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
n \ _ q
X , Date U ` ��
Signature of Appli ant - ❑ 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 Is
Occ
CONST. TYPE
TOTAL FEE $89.000HUX
HAZ.
D. FEES IMP
I FLOOD
I CDF
I PARCEL
PD
HD
ISSUE
This permit is hereby Issued under
of the Butte County Code and/or
indicated above for whic fees have
By
PERMIT EXPIRES ON
I
the applicable provisions
Resolutions to do work
been paid.
Date
//', ��
—Date
Receipt No. 0
WHITE-D.D.S.-B.D. CAN SOR PINK -INSPECTOR GO DENROO-APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERS
(Rev. 12t96) ;,
APPLICATION -AND PERMIT �U�
A.SlSSORi�F9�CEL N1AlETI '
DDNNO BUILDING PERMIT
oW.1E�A �� e t I vo<< TEL@NONa y 2
$O. FT. OCC. BUILDING VALUATION
OW►s. U14jum AOORESS
1/730 FC -_e% c,l., Avt- G rJ/e
Fire lace
Total Valuation i
FiGn Fee S 20.00
Permit Fee
Plan Checking Fee S
Energy Plan Checking Fere i
CONTRACTOR'/ WAIE t _L
—A
'CMIA•S FA.(;
T� q��3I G1
ooNT 1 lot11 DAo
OON.TRUCnON LDmm
LENDER'S VA"M ADORESS
ARCNRECr OR ElrO11EH1 UCDAE NO.
ARCMff= OR INONUR'S MAt1N0 ADORESS
auaDrlo AooRE9s
C— [4
s
PERMIT FEE i
torwo
susav�loMsrw�E
PAa+eel rrAP
PLUMBING PERMIT Filing Fee 20.00
USEOF8TRUCTURE
SF plex O Mobilehom� D Other
SPECsrTYPE
Each Tr
Solar or heat um water heater
E23.
Water i in
OF WORK
New (3 Addition 0 Remodel 13 Utllltles O hstalation O Other
Describe Work: nnC'�nn• l i2i c�
Each as water heater or vent
-piping
Gas i in stem 1 - 5 outlets
sower 15.00
Mobile Home S (31 W Q20.00
PERMIT FEE _
ELECTRICAL PERMIT I Filing Feel 20.00
C I
u
1 "\
\ \
Main Service20 OOR LESS 23.00
Main Service 200A TO 1000A 46.00
NEW CONST.OLM
OR AODNS. �a ACC. OLDS. P' 3.5N"
�R
CONST.
NON•RFSiO. MULTI-OirnET Q7.SO
POWER APPAMTIA
a 9NOLE OUTLET 010.
EX. Occup. ovner OR fORuREs O 1'O0
SAL .90
Ex. OFDCED o E&OnITS (R 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring C 23.00 (�
S FEE RMIT ,
MECHANICAL PERMIT Fling Fee 0.00
Heating
lina
Hoo
Hoodd 6.50
Ventilation
PERMIT FES S
Mobile Home Installation Fee I $
Energy Inspection Fee Is Rq
occ
color. TrPTTOTALFEE $
0ES
P
cOP
PARCEL
PO
I SLE
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.
By Date
PERMIT EXPIRES ON
CAI#)
w
PRE -INSPECTION REPORT
OWNER: ArLDC21 IV_17 6 D2C
LOCATION:- / 0(f)
CONTRACTOR:
PRE-INSPETION FOR: eLLT C -t /:�:V
DATE TO TO INSPECTOR: tZ - ZEj �`J�J- PERMIT HISTOR
Building Description:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
AbandonedNacant
Electric:
Yes No
Conditionof El c
Gas:
Natural Propane
Obvious
DATE:�-
A.P. #- v� - ��p -
ZONING:
( ) AS FOLLOWS:
BUILDING INSPECTOR'S REPORT
Electric currently On Off .
None Currently On Off
Sanitation:
Plumbing Working
Well Working Potable Water
Obvious SewageProblems C
Comments-
� I
1
ACTION RECOMMENDED: ISSUE: HOLD FOR
Inspector• Date—
r au
Sketch buildings on reverse and indicate location on property.
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