HomeMy WebLinkAbout021-230-001FISTER, Walter 327-70B* 955-69E. -
325-70P*
340-70E*
B08-0766 021-230-00V
k n/s Evans Reimer east of Block Rd., Gridley
MISCELLANEOUS , Re Roo
REROOF W%COMP GARAGE ONLY (1 CONTR: Watso Hdwe. & Elec.
�r s 955-69E-. -
635 EVANS'�REIMER RD
PFISTER CHARLES J &, (�additi NTR: Royce Guhl, 210 Sycamore oto 9
Gridley). to
B08-1044 021-230-001
MISCELLANEOUS Re-RoofQ , - I_ Now
! ;i
RE-ROOF SF (20 SQ)
647 W EVANS REIMER RD��
PFISTER, CHARLES J & GAIL 21-23�01 4321
------------
PFISTER,, Charles &.Gail -
641 West 1Eva.ns Reimer, Gridley q "
(elec ser`Vsf) ka'�
J
-� li � .
J
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION (IVR): (530) 538-4365
OFFICE: (530) 538-7541 FAX#: (530) 538-2140
ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds
Contractor Applicant: Square Footage:
BILL'S ROOFING BILL'S ROOFING Building Garage . Remdl/Addn
1770 KOFFORD RD 1770 KOFFORD RD
GRIDLEY, CA 95948 GRIDLEY, CA 95948
Other Porch/Patio Total
(530) 846-3981 (530) 846-3981
FEE INFORMATION
DBMSC Re -Roofing $119.00
LICENSED CONTRACTOR'S_ DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
BILL'S ROOFING 801512 / C39 / 11/30/2009
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000 of Division 3 of the Business and Professions Code, and my license
sin full fob and eff :v
Contractor's
06/05/2008
Date
I WORKERS' COMPENSATION DECLARATION I
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I 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.
HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Cartier: State Fund Policy Number: 238-0004005 Exp. Date:12/0112008
(This section need not be completed if the permit is for one Funred dollars ($100) or less.
❑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 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. I /
X
06/05/2008
Signature — Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address
City State Zip
$1
Balance Due: $0.00 Receipt No:
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior 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 License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any 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];
Please check one of the following:
❑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 Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.). _
❑ 1 AM EXEMPT under Section B. & P.C. for this reason:
X 06/05/2008
Owner's Signature Date
I hereby certify that I have read this application and state that the above information is correct. I agree'
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above rpentioned property for inspection purposes. I hereby certify that I am the
06/05/2008
❑ Owner FKontractor OR. DAgent for Owner ElAgent for Contractor
FILE COPY
PROJECT INFORMATION
Site Address:
647 W EVANS REIMER RD
Owner:
Permit No: B08-1044
APN:
021-230-001
PFISTER, CHARLES J & GAIL
Permit type:
MISCELLANEOUS
635 W EVANS REIMER RD
Issued Date: 06/05/2008 By KCG
Subtype:
Re -Roof
GRIDLEY, CA 95948
Expiration Date: 06/05/2009
Description:
RE -ROOF SF (20 SQ)
(530) 846-3735.
Occupancy: Zoning:
Contractor Applicant: Square Footage:
BILL'S ROOFING BILL'S ROOFING Building Garage . Remdl/Addn
1770 KOFFORD RD 1770 KOFFORD RD
GRIDLEY, CA 95948 GRIDLEY, CA 95948
Other Porch/Patio Total
(530) 846-3981 (530) 846-3981
FEE INFORMATION
DBMSC Re -Roofing $119.00
LICENSED CONTRACTOR'S_ DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
BILL'S ROOFING 801512 / C39 / 11/30/2009
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000 of Division 3 of the Business and Professions Code, and my license
sin full fob and eff :v
Contractor's
06/05/2008
Date
I WORKERS' COMPENSATION DECLARATION I
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I 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.
HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Cartier: State Fund Policy Number: 238-0004005 Exp. Date:12/0112008
(This section need not be completed if the permit is for one Funred dollars ($100) or less.
❑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 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. I /
X
06/05/2008
Signature — Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address
City State Zip
$1
Balance Due: $0.00 Receipt No:
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior 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 License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any 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];
Please check one of the following:
❑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 Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.). _
❑ 1 AM EXEMPT under Section B. & P.C. for this reason:
X 06/05/2008
Owner's Signature Date
I hereby certify that I have read this application and state that the above information is correct. I agree'
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above rpentioned property for inspection purposes. I hereby certify that I am the
06/05/2008
❑ Owner FKontractor OR. DAgent for Owner ElAgent for Contractor
FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION"
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
PLEASE PRINT CLEARLY
PERMIT
NO.
BIN N
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
OWNER INFORMATION
CONTRACTOR
Last Name
First
e�
Mailing Address
1 �
City r( Q J
StateS�
Dhom
Phone A
14Co- �R
Fax
E-mail
E-mail
Lic. 1g,90
APPLICANT INFORMATION
CONTRACTOR
Name
City
Address / 6,11
l cqr-
//-/
City
1 �
State
Zip
Dhom
Phone
Fax
E-mail
E-mail
Lic. 1g,90
/ //7
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
A PLIC NT S/ NATURE
X
PROJECT LOCATION
AN 2-1-22D_00
Property Addre
City U
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone -ft& than licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTOP OR SCOPE OF WORK.
Sq FT- Living Garage Open Cov,
O Structure Built without Permits
O Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
Yes
No
Occ.
Type Const.
Complaint. Date
C( Other Date ` A_f�e
BUTTE COUNTY
l ,
OWNER'/ C� /T41
S�`CG` A.P.#
Address Zoning
--� ' 4- Location E plays �P i Mle Taken By :
VIOLATION TYPE Q BUILDING Q HEALTH; Q PLANNING OTHER
r-�
yPaw 6,12 P. w 15- k v W'U ('w
PERMIT HISTORY ON FILE Q NONE 'AS FOLLOWS: �e le L S7a rV A_�
------------
FIELD INFORMATION
TENANT: Name Address
Description of Violation i
OTHER COMMENTS:
Approx. Bldg./MH Size A:.>prox. Bldg./MH Age
Under Construction Built By/For-E:] Present Owner Q Previous Owner Occupied
Q Has Power Q Has Gas Q Has Sanitation Facilities
QWritten Notice Given & Attached Person Contacted
w
Describe Action Taken: 1
ACTION RECOMMENDED:
Information only, file 10 Day Letter
Letter ' Hold for Days
1
Other
BY: DATE ('3
i
COMPLAINANT
ADDRESS:
PHONE NUMBER:
OTHER COMMENTS:
CDF/BCFD DAILY INCIDENT LOS
Day/Date from 8880,12 ____/_ -_:� _ta sees--4et-2•1__/_ ��- � P ge -of
i*1i*is*.t*ske
lncb2F r _ Name ____iYpe-. � - ---�f
Report-ticaep2 ��f%-Start ti Con)t�rol t^me _,___k.0. Gt�______-Stat
---
LorationsL lS��t.�is _�_%!t`_-_ — �24aviL- - �� --7---------------------
-•--------•-------RattN-s3
Cause _ E Bines: F_--_BCFD�_.;Co#7�/Officer......
Saved --------------------------------------- Sq/Atk,!_ilT Dox __•_Crew __-AA ---
AT ---
HC---
G
Damage Other
------- ------
Land use !Acre/type
C4 ----- -----
........................
Total
Owner/Ton,an/t--= - -- - --- - - -- NRA: _/--
--CC'-�---------------------------------------------------------- BI:-------
Misc.Info
*•*•�•*4•*if•*****4,,++*$A•NLL/$I$i416#***{4$#**�**'***fi$*!h**•**4****fiH•iF$$$$M**$11F91� 1F4*$*0#k44i**
Inc ��_`_'�)_FireiE�Y��Y--
-Nawe--- �=L7__ Type ��i _Js 11 r✓-)-----
Report tine ?1 Start time -Control time R.O._ ____-______-Sta42_
Location `BattN
n �' --------------
*'Damage
use---__•_-•-_----____---.______________..___EnginessCDF_..._BCFD,,-;Cot 4Q_Officer
Saved-----------------------------gq/Atk___UT__•-Poz---Creer___AA--AT---HC---
------------------------------------ Other Eq ......................................
____ land use Acre/Type! Total
----------------------------------------------
OwnHRAs_-.�ct.
Misc.Info
**•*ee91a**ais**a•*!&®A•�40tI$$16$41•,1}*?rat}s@Qr6�16Q1F$$46BnfF�9$a1r?il4$*♦S St1ifiR•iSl}iF?riFAr $ji4f4t• i**$*Qr*tl4**
Qa � _ '
Inc FJ Fire{�lam+eTy6re__lv�...�
Report ti�t aenl _(. `�Sttrttier _Control time, R.C. �/'L��------6
---a-0-Czr
_
LOC:AtiOni•Q&LCtli_. f�ccu� �7�8�as[1_!Kflr�s�lcl_��_���...._��oZ..�'.__`'.�cm���_''1�-•---•--Bettf}
Cauca _Engicoast CDF BCF))_. _;Co@_____Officer____--
Saved!Iq/A1kE 1dTDuYCr®6r__ AAAT HC
Dameqe-------------------------------_----Ather FqG18----------------------._
Land ume 0Misc.
_______Arr-e/Tygre__.._._.._._..________.._.___..._--•Total_ __
----'-Owner /�enent WHAT_g -_ R. P. __ �o�_G
t9i sc. Infa_-----•_.---__--•
�'�**a*♦*a1+**rrs*eetees,F$•a}ee•vesr+rl:�s•e+�t�e•tte/�a��$gas$uee+eacma•+*aa6R�c;fs•at..b..* rc rtmlr��6rt*rsmv,sa�+a*•**4e
�incA,,z---Firer# lq/.aZy!S Namar _L�tJSe�.. -_ - - Byte!'_ -----------
Repart tiadQt)Y__l3tawrt ti®er�OIJX C. I timrr�/� Gi.O, _ C�_J(,!Stag_7
_-• _
Location -4-12—
Causea ------�'i�JO __. Enyinesa CDF pt ED y Ca *.2v Of f i cer ___--
Saved_ _ Com" 'Sq/AOther t:k_E.L_.i96 Dox CrN AA AT HC
�Dama ge - - - --- j�.--------- ���, - --- --- ---
_-- -._
- - _ ?Q-- q.e�� J �i-------------------
- p
---------------- Land raael�h— _�.C�%Acre/Type--_----------------------Yotal
Owner/Tenant'�}' ___ _CJS _'�_.___ _ _ _ LIRA:
R.F. .J_tV.Q rl_1nc..if_1�.77' J '—------------Bj-------
M1sc, Info L�Y�I�Jt_ .
**••* *o•,r*s*****a *asasa*a�slrn•eet.$*�6$ri'1rn*xamlaff*�saads•e�a•�s1r•�*ararta* �t�r1��•earse;�*aa*$,�*s
Inc • _(�Fire9____ __9tarmm Type_"
-._ _-----___--_____________ _
Report tioeJ_3Qr8tasrt mar 'Con roI
/ ----- -
_� _ _ __-C,.1a__.S� -------- Bath _
LOCatlOflL 3L j,�. � � —
Causr --_-_ __`Engines:CDF.__•_BI:FD7--;- #Z/_Offieer__--
avard--- ------ -- - --- -----------------------8q/Atk---IIT-.._.Doz---Crew--- AA-- AT ---HC
---
Damage -----------------------•---------Othtar Eq..r°�
_____-___.__.__-______.._____
Land use AcrelT
-------•------------------------- yp ------------------------Total----
OwnPer/Tent-- ------------------ NRA:R.
._-3_Z
l
Mi ac. Info ---""
rev.(7/16/86)
1
21-2,3-01
4321-90E,
PFISTER, Charles & Gail ,
641 West Evans Reimer, -Gridley
(elec serf/sf) /cl_cj
i
k .
i I r
OFFICE COPY
r L i Address f
•i
GAS
ter By
r ELECTRI Date -----�
Meter By /
Date 0�
t j.
T
U COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville. Celifor6ie,95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR P R.C' NUMBER
21-2 O1
ZONING
AA0
BUILDING PERMIT
OWNER
Charley and Gail Pfister
TEL Ply
84-�373€S
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
635 West Evans Reimer, Gridley, CA 95948
CONTRACTOR' S NAME
unknown
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
641 West Evans Reimer, Gridley
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑
Describe work: electrical service
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS100
10.00 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 Professions Code and my license is in full force and effect.
License No. Classification
F1I, 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. 5i
OR ADONS. ( ACC. SLOGS.
2/vtsgft
NEW CONSTR. MULTI -OUTLET
NON.RESID BRACCIRC ITS
12.50ea
(POWENR APHPARATUS e�
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 50¢
eALeao
FIXED
EX. Occup. OUTLETS PIRESID IREA.�
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. IYirin g
15.00 15.00
nreins ection
15.00
Permit Fee
$ 50.00
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
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this applica"tion 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.
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
against said County -in -co a uence of the granting of this permit.
X 6 - I A// 7/�y
i ' Date
Signature of Applicant —K-;OWner [A Contractor ❑ Agent ❑
An OSHA permit is required for'excovations 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 $
50'00
HAz
CU,A,
PARK
I SCHL
I FLD
PAR
PD
HD
I Issue
j
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY r
PE, IT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date I
t H` -f
Receipt No. 84800
WHITE-D.P.W., YELLOW -ASST SSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,•i,alifo0ia 95965 - Telephone: 916/538-7541
e
APPLICATION AND PERMIT
PERMIT NO.
KAP
ASSESSOR P RCEL NUMBER
21-23-001
ZONING
A40
BUILDING PERMIT
OWNER
Charles and Gail Pfister
TELEPHONE
846-3735
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
635 West Evans Reimer, Gridley, CA 95948
CONTRACTOR'S NAME
unknown
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
641 West Evans Reimer, Gridley
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W I
1 110-00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: electrical service
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORLESS100
10.00 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 Professions Code and my license is in full force and effect.SINGLE
License No. Classification
Fl1, 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.h
OR ADDNS. ACC. BLDGS.
,
2/2QsgIt
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2.5 ea
POWER APPARATUS &)
OUTLET CIR.
EX. OCCU OUTLETS OR FIXTURES
p
20@30C
eAL@30
FIXED APPLNS.
EX. Occup. OUT ETS ((RESID 1REA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00 15.00
preinspection
15.00
Permit Fee
$ 50.00
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 10.00
Heating
Cooling
g
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 of
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
against s'id CQo�unt equence of the granting of this permit.
%�"�' Date--) �1` 7 %
1
Signature of Applicant — r Owner Contractor ❑ Agent ❑
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 $ 50.00
HAz
I CUA
PARK
SCHL
FLD
PAR
PD
HD ISSUE
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
Byp
PEI IT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date/
/z—I. 9—
Receipt No. 84860 1
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER A. P. No. _ 6 2! —230 —GYS l
Proposed Building UseQ!2�lGe Building Inspector %fit/ Date 12—/7- Sb
At time of permit application, I was advised.the following data must be submitted prior to permit processing and/or issuance:
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 Form.
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 of DPW.
19. Driveway permit (construction approval required prior to occupancy).`
_20. Pre -Inspection for �Q��-ra .P �r,Ui40 required.
21. Contractor's license information (No., Name Style, Classification).
22. Certificate of Workmans Compensation Insurance.
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑).
24. Recorded copy of Agricultural Acknowledgment Statement.
25. Letter of signature authorization.
26.
27.
When you issue the permit, process as follows: �l to owner.
Telephone 840- 3%�y� and hold for pickup at t1202_office.
Other
Applicant
GENERAL INFORMATION
Mail to contractor.
—Deliver w/inspector.
Date L�/ % a
BUILDING DEPARTMENT OFFICES HEALTH DEFARTMENT OFFICES
Chico. . . . 196 Memorial Way Chico. . . . 196 Memorial Way
Phone: 891-2751 Phone: 891-2727
Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m.
Orovi I le . . . 7 County Center Drive Orovi I le . . . 7 County Center Drive
Phone: 538-7541 Phone: 538-7281
Hours: 8:00 a.m. - 5:00 p.m. Hours: 8:00 a.m. - 10:00 a.m.
Paradise. . . 747 Elliott Road Paradise. 747 Elliott Road
Phone: 872-6307 Phone: 872-6308
Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m.
PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 538-7601
— Hours: 10:00 a.m. - 3:00 D.M.
Original — Applicant
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
.._.___.. --- _ ..____ _
ZONING
_ ....BUILDIN_G_PERMIT_. -
OWNER 2
TELEPHONE
,6 373 S
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADORE
0 3S LrJ �v 9'5
CONTRACTOR'S NAME ,p
07G(/iGL� Rei mer
TE EPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$'
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING
//ADDRESS
(O�f
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW 1
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.Q0
Main service 600V OR LESS
100 AMP OR LESS
10.00 i
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 Professions Code and my license is in full force and effect.
License No. Classification
FlI, 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.e
OR ADONS. ( ACC. BLDGS.=¢sgft
,
NEW CONSTR MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20030C
eALe 30C
FIXED
Ex. Occup. OUTLETS(RESID 1APLNS.REAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
(Pm
,a
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
g
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 of
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.
XThis
Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
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
Ell
TOTAL FEE $
HAZ
I CUA
PARK
SCHL
I FLO
I PAR
7HO
ISSUE
permit is hereby issued under
sions of 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
W0610
Receipt No.* �'t 0610
WHITE-D.►.W.. YELLOW-AS3r330R, PINK -INSPECTOR. GOLDENROD -APPLICANT
PRE -INSPECTION
OWNER: �O�t�/2dG til' DATE-
'LOCATION:
ATE.LOCATION
CONTRACTOR:. lfiLriY1Gu/Y] ZONING`
-
-----------
PRE-INSPECTION FOR:
r
DATE TO INSPECTOR
PERMIT HISTORY: NONE AS FOLLOWS: -* q5 s-(, f r,Qe6n .
e
I
TYPE OF OCCUPANCY
4 -------
FIELD - INFORMATION
BUILDING USAGE:
/ 1
TENNANT:
OCCUPIED HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES
HEATED -COOLED PERSON CONTACTED
OTHER COMMENTS:
ACTION RECOMMENDED:
ISSUE 0
OTHER:
HOLD FOR