HomeMy WebLinkAbout021-230-050A.P. 21-23-50
- -- -
STR
K' L• FULV
s1s Evans Reimer Rd. app. 900' west
of Township Rd., Gridley
Permit 3006-72B 1104
(garage
21-23-50 92-2100B
FULP, Bernice
131 W Evans Reimer Rd, Gridley ,
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541
APPLICATION AND PERMIT
PERMIT NO.
�;;-7- ge
ASSESSOR PARCEL NUMBER
21-230-50
ZONING
A 40
BUILDING PERMIT /
OWNER
BE9"9"
TELEPHONE
846-5749
$O, FT. - OCC. BUILDING VALUATION
OWNER'S MAILINGG A
ADDRESS
P.O. BOX 982 GRIDLEY
30 SO
1,800
CONTRACTOR'S NAME
OMNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $
118W
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 34.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee':.:-":;;.;,
$
Energy Plan Checki'rf Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING " S WEST EVANS REIMER ROAD GRIDLEY
131
Permit fee
$ 49. SO
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other +,
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Cl Other ❑
Describe work: RETME WITH (GME I _
i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS200AORLESS
18.50
Main service 200ATO1000A)
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 .JO. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.( OR ADDNS. DWELLING OCCUPACC. BLD -Gs. /
_37.50
3.64 sq.ft.
NEW CONSTR MULTI -OUTLET
NON -REST BRANCH CIRC ITS
@ 5 00
POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 @ 761
FIXED
Ex. Occup. OUTLETS (RESID )KEA.)\
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. bYirin 9
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
a I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of:the granting of this permit.
z ,
X, Date / - / .
Signature of Applicant — Owner 2 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 S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE
$ 49.50
HAz
1 0FEES I
IMP
I FLOOD
I CDF
I PARCEL
I PD
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ISSUQ'
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This permit is hereby issued under the applicable provi-
sions of theButte County Code and/or resolutions to do
work indicated above for which fees have been paid.
�+
/ DIRECTOR;Ol PUBLIC'.W,ORKS
By 0 A� 0"' 7.W- '0",'�!' . y.-�� Date
PERMIT -EXPIRES Date
Receipt No. 117161 49.50
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916,'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
21-230-50
z NIN
4
A 4U
BUILDING PERMIT
OWNER
BERNICE FULP
TELEPHONE
846-5749
SO. FT. OCC. BUILDING VALUATION
30 S 1 800
OWNER'S MAILING ADDRESS
P.O. BOX 982 GRIDLEY
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is 1,800
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $ 34.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
131 WEST EVANS REIMER ROAD GRIDLEY
Permit fee $ 49.50
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 1 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF [I Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 1 5.00
Building sewer 15.00
Mobile Home S I G I W 615.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑
Describe work: REROOF 14ITE CAMP _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service . 600V OR LESS 18.50
200A OR LESS
Main service 200A TO 1000A,
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.
y License .Jo. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure Is not intended or offered
for sale. (Sec. 7(144)
❑ 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
_37.50
NEW CONST. DWELLING OCCUPM
OR ADDNS. ( ACC. BLDGS. 3.64sq.ft.
NEW CONS TR ULTI.OUTLET
NON -REST BRANCH CIRC ITS @ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES 20 761
HAL- W 46
FIXED APPLNS. OR
EX. OCCUp. OUTLETS IRESID.I EA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g '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.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIingFee 15.00
Heating
Cooling
g
Hood 6.50
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai t said County in conse uence ofhthe granting of this permit.
XL A-�-9-� Date 6 � -
signature of Applicant — Owner Co tractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
I TOTAL FEE $ Q.50
HAz
I DFEE6 I
IMP
rOOD
CDF
PARCEL
I PD I HD
IS
This permit is hereby issued under the applicable provi-
sions of t utte County Code and/or resolutions to do I
Work I ICa d f r hick fe ve been paidion
CT U LIC RKS
.,above
By Date
PER E PIRES r Date
Receipt No. 117161 ' 4A SQ
WHITE-D.P.W., YELLOW -ASSESSOR. PINR-INSPECTOR, GOLDENROD -APPLICANT
1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovlllet California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
A!!E!! PARCEL NU...
CEJ
BUILDING PERMIT
OWNER
e
TE� EPHONE
SO. FT. OCC. BUILDING VALUATION
OW ER'S MAILING ADDRESS
r(cQ�e
CONTRACTOR'S ��)NAME
W
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ p
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS % �J es� &_V�1�Amer I n
``J (/�—/t/\
Permit fee $ ,
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W= @ 15.00
TYPE OF WORK
New ❑ Additio Ell Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: LJ
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Mairi service 200AORLESS 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
LJ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO 1000A1 37.50
NEW CONST. ( DWELLING OCCUP.&) 3.64 sq.ft.
OR ADONS. ACC. BLDGS. /
NEW CONS R ULTI-OUTLET
NON -REST TBRANCH CIRC ITS @ 5.00
POWER APPARATUS o-
(SINGLE OUTLET CIR. )
Ex. OCCUp(OUTLETS OR FIXTURES 20 15d
A
FIXED
Ex. Occup. OUTLETS (RE51D IRE A.) I 3.00
Temporary service 1 15.00
Mobile Home Facilities 15.00
Misc. IYirin 9 15.00
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shaft be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating
Cooling
9
Hood 6.50
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHA over 5'0" deep and demolition or construct-
ion of structurestoverr39stories ain height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST TYPE
TOTAL FEES ST7
-
HAZ
I D 111 I
IMP
I FLOOD
I COF
PARCEL
PO
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR
DIRECTOR OF PUBLIC WORKS
BY Date
PERMIT EXPIRES Date .
Receipt No. 1716/ '77-
WHITE-D.P.W., YELLOW-A33E330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
A
COUNTY OF BUTTE--Dep'artmeent of Public Works
7 County Center Drive., Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-538-7541
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please, complete and return this information at.your earliest opportunity to avoid
unnecessary -delay. in processing and issuing your building permit. No building permit
will be issued until this verification-is.received.
1. I :personally plan to -provide the major labor and materials for constructio n.of
the proposed property improvement (yes or no) 5
2. I (have/have not) �� /Q Y signed an application -for a -building permit
for the proposed work.
3. I have contracted with the following'person (firm) to provide the proposed
construction:
Name
Address City
Phone -Contractors--License- No.
4. I plan to provide portions of this work"; but I have hired the followingperson-
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No..
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated
Name Address Phone Type of Work
Signed:.0
Property Owner
Social Security Number
Date co ( --? - % -�--
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and -Safety Code. .
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
r
`P�ERMIT NUMBER - g 3006-72B
P
�4
E
Y
j
PERMIT EXPIRES .
OWNER A. B. Fulp
CONTR: . owner
k
LOCATION (A.P. 21-23-50
s1s Evans Reimer Rd. app. 900' west of Town-
ship Rd., Gridley
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Y
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0
COUNTY OF .BUTTE
Department of, Public Works,
BUILDING INSPECTION RECORD
Zoning
Setback
Forms
Foundation
Piers & Girders
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found. Vents
Framing
Plmg. Topout
Rough Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final
Final
Final
DATE
REMARKS
OR CORRECTIONS
f
COUNTY OF BUTTE — DEPVTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 p7
Telephone: 533-1230, Ext. 259
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X r //Jt% DateLo
Z
Signature olf Permitee(Ir Agent
Receipt No. .1 1,) 0=3 l 3
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 OF PUBLIC WORKS
B;% =ilding
Date%iN-- 7-7--7 Permit Expires Date /o_Z%�%�
BUILDING
Owner
`
SQ. FT. OCC. BUILDING VALUATION
2r o
Mailing Address ! 16 E
v ��` O a /_E
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee $
$ ,dd
Building Address S f(/,z,7,V5 ql.%��.�R /7�
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
p
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. 2 '—Z 3
Zoning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitation 1--.1,
Planning
Building sewer 5.00
Plans ��
/
�
Fees L,0'/
W. C. �
R/W
Encroachment
Lawn sprinkler system 2.00
NEW ADDITION ❑ OTHER
Permit Fee
�Efl�
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
USE OF STRUCTURE . Single Family Duplex ❑ Others ❑
Range, dryer or water heater 1.00
Oven, Cook -top or space heater 1.00
Light fixtures a 2
Receps., switches & fix outlets ami
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
Misc. wiring
License No. Classification
-�-I am exempt from the Contractors License Laws of the State of California.
Permit Fee
WOCOMPENSATION 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.
❑ 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
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
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
MECHANICAL No. @
—FEERKMEN'S
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
�SPermit Fee
Pnstrurnentationirpn q Motion$0.07/$1000 Evaluation
TOTAL PERMIT
PERMIT FEE
��^^
�loo�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X r //Jt% DateLo
Z
Signature olf Permitee(Ir Agent
Receipt No. .1 1,) 0=3 l 3
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 OF PUBLIC WORKS
B;% =ilding
Date%iN-- 7-7--7 Permit Expires Date /o_Z%�%�