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HomeMy WebLinkAbout021-250-010AP 21-25-10 d =rd. Melton . _ e/s Ric ins Ave, approx. 700'.S, of Little Ave Gridley_ww - - 1x-.�-10 ermit ##4330-78B (masonry fa rep Aa., aF , `(v L 2j1- 25-10 - k, ti Permit #k452 -2B (remodel/SF)�1� 1,, ood r � o r r c i �1 7 i I 3' r � o r H T r� i, • f Y r H T r� i, • f Y LO ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/forms.htmi NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit Number 1 G y O 4C 1 District APPLICATION / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads rid highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. Applicanl!&-Name: f N la. Company Name: Address: Phone: 3 4. Assessor's Parcel Number. Z5 0 - o / G Location of Work to be Done I l J VI—S a, Applica ' Signature 7. Date:97 CONTRACTOR'S INFORMATION Contractor's Name Address D. Phone: 11. Fax: 2. Contractor's License Number. 13. Certificate of Insurance: Yes ❑ N0: ❑ 4. Contractor's Signature: 14a. Date Signed: 5. Authorized Agent: TYPE OF WORK TO BE DONE 6. Please Check: Curb: ❑ Gutter: El El 17. If Driveway List Type: 3 8. Other Work - Describe: 05/T'1 -,A_ b r 1--C 11 '—Ile 19. Plans Attached: ❑Yes ❑ No PERMIT GRANTED i compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, errnission is hereby granted. 0. Conditions a_ O r a c. -c .n a 4- C o i/ K -Ty a 4-7 o if t-, L lnderground Service Alert U.S.A. must be notified two working days prior to any excavation. 800-227-2600 1. J9 All work shall conform to accompanying: Detail Plans ❑ Special Conditions ,K 2. Date Issued O �.� O 23. Expiration Date' --'-,/,, ate O S— G-5— 24. Surety: 5. Date Paid:1.S3 G 26. Amount Paid: �) d o 'f �Ppid B�: KK £i 28. Reci tN� O Mike Crump, Director of Public Works By: 'or County 29. Final Inspection Date: 30. Inspected By: I 1 ❑ Completed - OK Completed —Not OK ❑ Additional Comments Attached Use only: 31. Comments: tote: If permits are faxed to any number besides (530) 5384356, they can be delayed up to one week. Page 1 of 2 .. '"'ERMIT No. 4330-7%B --, - ' PERMIT EXPIRES 3(o3) d �a '{r,&TOWNER FnWARn MELTON owner _ r,'C :,,�•--�coNTR. CATION (A.P. 21=25-10 V WS Richins Ave, app 700' S of Little A e•_ ' IGridley 3^ice�,��I O/T IVII IJY ' r 17. • a Y .. > Temp. P wer Pole i_ Ca led PG&E + . Tem . Elec. Serv. ailed PG&E Tmp. Gas Serv. 1 °� Called PG&E V -JOB FINALED (D1'e (Signature) l _ _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ,� BUILDING INSPECTION RECORD BUILDING BUILDING (Conl'd) PLUMBINW Setback Firewall } Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footin s Windows 3rd Floor StemwaII Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab Prov. for physicall handicapped Conformance of a structure Final Appliances Gas Piping & Telt Temp. Gas Sanitation Patio FIREPLACE Final Footings Footing /I ELECTRICAL Masonry Walls Throat .✓ Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts V Under round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILI IES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTA LAT( N - - - - - - - - - - - - - - Support Elec. Continuit Water Piping Drainage Gas Piping P 9 DATE REMARKS OR CORRECTIONS_ 1z / —1 ?–e6, />'rC�/Ji An t ast be de on this form each time you visit the job site.) (�y T _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive .,-Oro3ke, California 95965� Telephone: 534-4541��� APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x X- P=, ,1v1-Q�S-'MB D a to " 7 Signature of Permitee or Agent Receipt No. Z%&773 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. ,D�RECTQR OF PUBLIC WORKS By vL/�%r�% //�lw % Date /'0 Building permit expire.T. a /—a?,5 BUILDING Owner SO. FT. OCC. BUILDING VALPATAON Mailing Address gel epfjo=e No. (� Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee P PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 s� v� �.-�� A. P. o. d' d` Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 es Wed- Satti-teftn FireDept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BI.�.kw A-+ Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No.1 @ FEE J III- PERMIT FILING FEE $3.00 0V OR L Main service 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 . OV AMP OR LESS 25.00 Main service OVER e O Miie10 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADD NST ACCLBLDGSLING CCUP. 7i) 2¢Sgft 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: NEW CONSTR (MULTI.OUTL T NON.RESID 1 BRANCH CIRCUITS) 2.5.0ea NEW CONSTR POWER APPARATUS 8 NON.RESID.SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRFS 5 L25 FIXED ALNS Ex. Occup.( OUT ETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. 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. ❑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. 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 Land Development Fee is TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x X- P=, ,1v1-Q�S-'MB D a to " 7 Signature of Permitee or Agent Receipt No. Z%&773 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. ,D�RECTQR OF PUBLIC WORKS By vL/�%r�% //�lw % Date /'0 Building permit expire.T. a /—a?,5 tilkRMIT NO. 4522-78B ' PERMIT EXPIRES ( IWNER Edward Melton AONTR. owner t ` 21-25-10 LOCATION (A.P. y LV/S Richins Ave., app.700'S.of Little A Ave., Gridley 8—%1—DC7 -><.s LO/ ;l a; I • .4 I Temp. Power Pole Called PG&E Temp. E ec. Serv. Call d PG&E Temp. Gas Serv. C ,/ PG&E JVNLLED F Setback %Z Forms Main Bldg. Footings Stemwa l l Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS" ' BUILDING INSPECTIOMAECORD BUILDING BUILDING (Cont'd) PLUMBING 7(4K e Firewall Soil Piping . Parapets 1st Floor Restroom Finish 2nd Floor indows 3rd Floor Siding — To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physical l handicap ed Conformance of ex. structure Appliances 'Gas Piping & Te t Gas Final -Temp. Sanitation FIREPLACE Final Footing z ELECTRICAL FIRE SPRINKLERS rramin i G 7 i f Test 4 Water Htr. Stucco Final Subpanels Mesh • MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------ ----- Elec- Service Elec. Pedestal • Water Piping Sewer Gas Piping BILEH IME INSTALLATION - - - - - - - - - - - - - - Support I Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS V 2 /457" IV6 (NOTE: An entry must be made on this form each time you visit the job site.) _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel epi one. 534-4541 _ APPLICATION AND PERMIT aUlIIU11Le IVPICJCIIIa.IIVe, UI llle %,UUllly UI MUlle IU enlel upon Ine above -me 'oned property f I s ction purposes. X Date Signature o Per itee or g nt 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 ich fees have been paid. DI CT F PU IC WORKS B 944 Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address � Teleph ne No. ^o No. Contractor Mailing Addre Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee /5 — PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 .q"zdu& A. P. No. d �" �S�'( vZoni Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F6_9- &—_C_ Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Iarcel Approval F Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ $ •- G(J ELECTRICAL No.1 FEE PERMIT FILING FEE J$3.00 Main service 611V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. Y\ •ZP Sq ft OR ADDNS. ACC. BLDGS. 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 st le of: y NEW.NONCONSTR. RESID. BRANCH CBRANCH CIR T RCUITS 12.50ea NEW CONSTR POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. Occur)(OUTLETS OR FIXTURES o L ,@1@ Ex. Occu // FIXED APPLNS. OR p• (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit 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. ❑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 Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 Land Development Fee $ Is TOTAL PERMIT FEE 0 aUlIIU11Le IVPICJCIIIa.IIVe, UI llle %,UUllly UI MUlle IU enlel upon Ine above -me 'oned property f I s ction purposes. X Date Signature o Per itee or g nt 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 ich fees have been paid. DI CT F PU IC WORKS B 944 Date Building permit expires Date