HomeMy WebLinkAbout021-250-010AP 21-25-10
d =rd. Melton .
_ e/s Ric ins Ave, approx. 700'.S, of
Little Ave Gridley_ww
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ermit ##4330-78B (masonry fa rep Aa.,
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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