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HomeMy WebLinkAbout021-190-009021-19-0-009 00-1958 WALLER, R.C. 744 WEST EVAN REIMER RD., GRIDLEY CONTR: OWNER y//'9L F� FrTRir CFR\/If F rHANrF .}G+t;NIF�Gyri'+�.'tyi/,C��+.kkQJt:'liif`ft�*AfrS#�:F:sf�t*�aM.'a4.wr.ku.;Y••.wr�r�a�tW,�+!"c�-�w�.��r>: ?^o'53+�"-niN1KiAL,"'y1.Ffp^+'-'htTd'�Ks�.WW+:.:...rrK.tlR�M"�+'iftY1M�F�.at'IR^.°a'��"� )t. 021-19-0-009 00-1958 �WALLER, R.C. " 744 WEST EVAN REIMER RD., GRIDLEY CONTR: OWNER OFFICE COPY Address GAS.' Meter.,.B , Da ELEC.TR A Meter By Date l COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE IT NO. (Rev. 12/96) 'd 12/96) AND PERMIT ��' R!, rsSESSO P_ UM 9 L1 ,( ZONING BUILDING PERMIT OWNEuUR R C 4JALLER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 585 COWES AVE, GRIDLEY 95948 CONTR�ACT�ORI'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 r Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 744 W EVANS RE MRs GRIDLEY � Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 2 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities )] Installation ❑ Other ❑ Describe Work: F-T.F.r SRRVmF f".im F Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service .OA ORueSS 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.41N..WER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law�r'the following reason: Irl 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. ❑ 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 Main Service zooA To i000A 46.00 NEW CONST. DWELLING OCCUP. OR AD arS. ( 3.5¢F°. MuuCo�iEr NoµRESID. 97.50 APPARATUS OUTLET CIR. EX. OCCU OUTLET OR FDRUREs BAL I. 0 FUMED APPLNS. OR Ex. Occup. ourLETs PP M.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP ION 23 00 PERMIT FEE $ 66.G0 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) El certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X t�!(sf'F( -- Date ° Signature o Applicant - ROwner ❑ Contractor ❑ Agent An OSHA OSHA permit is required for excavations over 5'0" dee and demolition or construction' of structurs over 3 stories in height. P _ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.00 HAZ. p. FEES IMP I FLOOD CDF PARCEL I PD HD ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have -•- By L PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date �/ t Date Receipt No. "MV $on. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 17 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 DD_� ?-S637 MI (Rev. 12/96) APPLICATION AND PERMIT ASSEVQ fj NUMFpq i17iSfV, /VC"� ZONING BUILDINGPERMIT OWNERRSL1 R C WALLER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS 585 COWEE AVE, GRIDLEY 95948 CONTRACTOR'S NAME OWENR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 744 W EVANS REIMER GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF X 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 JP Installation ❑ Other ❑ Describe Work: ELEC SERVICE CHANGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 a00VOR LESS Main Service zo.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. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawf the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To 46.00so WEIL200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.50FT; TLET ,,Gµp�IDT' MULTI.OCU, @7,50 8 SINPOWGLEER APPARATUS OLRLET CIR. Ex. OCCu OUTLET OR FIXTURES BAL 9 I a FIXED APPLNS. OR Ex. Occup. ounETs RESID. EA 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION -00 PERMIT FEE $ 66.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number he above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I one 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. �r X %LOADate 01 /�©a Signature of Ap licant - Winer ❑ Contractor ❑ Agen 7-T-- An An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 FEES IMP I FLOOD I COF PARCEL PD HD ISS 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 0 D to PERMIT EXPIRES ON { 0 j Det. Receipt No. 00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - UILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541DD �P�� O. APPLICATION AND PERMIT 2/96) zsOR PARCEL NU _ Z0141410 BUILDINGPERMIT A e Tn W -O -t SO. FT. I OCC. I BUILDING VALUATION No •,u,cTOR•s NAME I ;TR1/CTgN LENDER PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Fireplace °DOYOA o'R LIEss 23.00 EAS ►wu+o ADDRESS 200A TO 1000A Total Valuation $ NEW CONST. / DwE]iMO Occurs. 'RECT OR ENGINEER OR AODNS. \ IKENSE NO. Filing Fee b 20.00 Permit Fee $ tTECT OR ENONMI LOJUNO ADDRESS Plan Checking Fee b �.wADDREsa ,L((� ���rLo Energy Plan Checking Fee i PERMIT FEE _ Np. SLIeON610NSNAME I r"RCE PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Duplex ❑ Mobilehome ❑ Other. °°ECFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK w ❑ Addition ❑ Remodel 3 UdWes ❑ Installs- A !/ A -A 1. I)TA n ❑ Other A__ r -,r, Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S S G I W Ca20.00 ascribe Work: EX. OCCU . OUTLET OR FDn%AES PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service °DOYOA o'R LIEss 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. / DwE]iMO Occurs. 3.5450 OR AODNS. \ • ACC. DS. AI . MuwTwvnET 1 (@7.50 EX. OCCU . OUTLET OR FDn%AES 8Z " .� EX. Occup. OUTLETS kSID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Usc. Wirina 23.00 P0 PERMIT FEE _ WIECHANICAL PERMIT Fling Fee. 20.00 Heating Cooling Hood 1 6.50 PERMIT FEt ! Mobile Home Installation Fee 6 Energy Inspection Fee S OCC CONST' TVvE 11OTAL FEE S 62 r 6(0 NAZ I O. FEB I W► I RDOG I Cor I PARCEL I PO I ND I ISSUE This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By PERMIT EXPIRES ON Date 0 - AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 R AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date PROPERTY OWNERS: State of California ) County of ) On before me, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal Signature A.P. # Seal: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION + 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 x P9"IT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: DP' 1!9 0 — O O " Proposed Building Use: Building Inspector: Date: At time of permit application, I was advis d the following data must be submitted prior to permit p6ce&sing and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ 03. -----------------------------------------------------------❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ------------------------------------------ s"------- 117. Statement of Intent for Non -Heated and A/C Buildings.------------------------------------------------------- ❑ 8. Hazardous Material Form.----------------------------------------------------------------------- f ----------------- ❑9. Manufactured Home data and installation instructions including Tie Down Speci&ations; ------------------- El 10. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees-------------- ❑ 13. Flood elevation certificate. ---------------------------------- ----------. ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. ------------------ *------------------ ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: _. s ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑�9. Encroachment Permit fib driveway (construction approval prior to occupancy). --------------------- 20. Pre -inspection for ' required Request to Building Inspector on a E12 1. Contractor's license information. (Number, Name Style, Classification). ----------------------------- ❑ Workers' Compensation wner-Builder Verification Given to owner ❑,Mailed to owner 4. Letter of signature authorization.------------------------------------------------------------------------------ 025. Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use. ------------------------------- ❑27. Manufactured Home utility clearance. -------------------------- 1128. Existing violations and/or expired permits. -------------------- 1129. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue the permit, process as follows 9 Mail to owner, ❑Mail to contractor. (Date) ❑Telephone and hold for pickup at office. ❑ Deliver with " ector. oe &_ � /o, Applicant: �.� Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: "i By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date:` By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division co renter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data b ❑ hone, ❑ mail, ❑ Building Division counter, b " req Y P g � _ Date: Plans reviewed by: Date: Plans approved by: Date'" %tom Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: - , `f PRE -INSPECTION REPORT OWNER: Q kev- DATE: 1 O LOCATION: 1 C_7V�I�IS A.P. #- . --�90 CONTRACTOR: PRE-INSPETION FOR: DATE TO INSPECTOR: ZONING: S PERMIT HLSTORY:(k NONE ( ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT r Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes s No Electric currently Ono -2 Off Condition of Electric Gas: Natural Propane_ None Currently On ! Off Obvious Problems: Sanitation: C/ Plumbing Working Well Working Obvious Potable Water ACTION RECOMMENDED: ISSUE: HOLD FOR 4 Inspecto - (tip Cs�` Sketch buildings on reverse and indicate location on property. r 53$J/40 DEVELOPMENT '�OUi�ITY OF BUTTE -DEPARTMENT OF SERVICES - BUILDING DIVISION County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT 2/96) tsoA►ARCd NUMSO�r� )I /1 ..� �.. .+I town BUILDING PERMIT 'W�CIOAY IN1i AODF=1 .TAUCnON LENDOI +Fs wuU.0 ADOAESI -- 9 SO. FT. I OCC. BUILDING VALUATION Fireplace I I Total Valuation Is ERECT to ENNNEEA -. - - 20.00 LICENSE NO. Filin Fee b 20.00 Permit Fee : tow TO 10 A irEa oA 04CMEMI WAIUMQ ADOMSS OCCUP. OR-7 Plan Checking Fee E dDS. �a0AoOF=* NEW CONST rON•A[SID. Energy Plan Checking Fee $ 8.50 S n_ l3� ' PERMIT FEE t _ SUSDN6IOM'SWME $ rAAccL PLUMBING PERMIT $ Fling Fee 20.00 Each Trap COWT• TM`E 7.00 Duplex O USEOFSTAUCTURE Mobilehome O Other °°EC"' Solar or heat pump water heater o. fEa! 23.00 Water piping 15.00 Each as water heater or vent 1 5.00 .w O Addition TYPE OF WORK ❑ Remodel /� Utilities ❑ hsta0a� A /1 n A r , In I n/I__ O Other r-..-, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 ,scribe Work: 3oa3sa Ex. OCCU . OVrLEr OR FDfTUAES I eAL Z jo EX. Occup. �= ES10) FA S.00 Tamnnrwry -Rarviea 1 23.00 Mobile Home Facilities PERMIT FEE ! 20.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service o�A L�Ess 23.00 Main Service tow TO 10 A 48.00 NEW COMT, ( OCCUP. OR-7 3.5C FT. ORADONS. dDS. `t NEW CONST rON•A[SID. unxr rwnm @7.50 Ex. OCCU . OVrLEr OR FDfTUAES I eAL Z jo EX. Occup. �= ES10) FA S.00 Tamnnrwry -Rarviea 1 23.00 Mobile Home Facilities 20.00 sc. Wiring 23.00 PERMIT FEE _ 'ECHANICAL PERMIT Fling Fee. 20. 00 Heating `t Cooling Hood 8.50 Ventilation PERMIT FEt: _ Mobile Home Installation Fee $ Energy Inspection Fee $ D" COWT• TM`E TOTAL FEE $ NAZ o. fEa! IMI I ROOD I COF rAACEl I FO ND W -A 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