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HomeMy WebLinkAbout021-250-025TT IT 021-250-025 99 -IF DITTY, Phyllis 1367 Richins Avenue, Gridley, i Contr: Unknown a�.a> Upgrade electric service 021-25-0-025 99-1286 E DITTY, Phillis /'.5 , .3/ ! 1367 Richins Ave, Gridleyi.Q T kmisc elec) SF r P 021-250-025 AG O1-137 AGAPIADES, TOM 1367 RICHINS AVE. GRIDLEY AG EXEMPT PERMIT 2 1 5 r. I PRE—INSPECTION OWNER: DATE WCATION: 4_36'7 •C �, s — ,` A. P. # CONTRACTOR: ZONING PRE—INSPECTION FOR: PERMIT HISTORY: Olk-K-4m� Q AS FOLLOWS:; DATE TO I TYPE OF OCCUPANCY FIELD — INFORMATION BUILDING USAGE: TENNANT: z / [� OCCUPIED Fl "HAS ELECTRIC Q HAS GAS Q HAS SANITATION FACILITIES [� HEATED—COOLED PERSON CONTACTED OTHER COMMENTS: ACT N RECOMMENDED: ISSUE HOLD FOR 1 OTHER: r� `# COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville. California 95965 • Telephone (530) 538-7541 PERMIT N (Rev.IZ516) APPLICATION AND PERMIT 20 Z - BUILDING PERMIT ora "a Of'* q - SO. FT. OCC. BUILDING VALUATION °'""°'3 "° 23.00 OOIfrMC70 WW Tue"ONe S , 0' OONTPA0TMV W1L" AOOPOW I Fling Fee 1 20.01 OOMTRlCTION t8O01 'l'QW1 ~ARAM ADDAM C Fireplace S Total Valuation = ARCWMCT Ort WOULDI ucrJsc NO. Fifina Fee S 20.01 AMCWMCT Ort 00MOMI wuuw AOOMS Permit Fee S Plan Checking Fee S sutoNOAoorless Energy Plan Checking Fee S PERMIT FEE S �Twa suaoNao�Mura PARCEL PLUMBING PERMIT Filing Fee 20.0( USEOFSTRUCTURE Each Trap 7.00 Solar or heat um water heater 23.00 SF Duplex O Mobilehome O Other Water piping I 1 S.00 srecr TYPE OF WORK Each as water heater or vent 15.00 Gas piping eyetern 1 - 5 outlets 15.00 New O Add -Rion O Remodel O LAIN" O Installation O Other O Building sewer 15.00 Describe Work: Mobile Home S G VI► Q20.00 PERMIT FEE ! ELECTRICAL PERMIT Filn Fee 20.0( Mein Service a 23.00 4% Main Service ( —TO I— F 46.00 Receipt No. ZGS �Lo Ex. OCCU . OUTW Ow FWrA0 • °° eN_ .se Ex. Occup. "Pl�' 0" ovnZ. 910.) G 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 M7sc. Wiring 23.00 P RMIT FEE S , 0' MECHANICAL PERMIT I Fling Fee 1 20.01 a.so Ventilation PERMIT FEE f Mobile Home Installation Fee S Energy Inspection Fee i F c ccFGT. r°E TOTAL FEES • 0. iiO W► 11000 1 000, p1Am /0 This permit is hereby Issued under the applicable provision of the Butte County Code and/or Resolutions to do *Or indicated above for which fees have been paid. By Date PERMIT EXPIRES ON _ nc..on0•APPI I['.1NT ., y _...... � �. . ,.+r. .--....- ..-.... ...� �++sr�.�-- --.� ..: � .... .�.,n.._ ... _ .....-. ,. -.F y.,,,. •-,t,•w�' r.� ..•-vt--.+-s�v--.�-.--r.,,- '.. �+-.'f.+�..h. +rte._ -� r..-.�_..+ BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. A-6 V-13-7 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING A OWNER (om AGPin PHONE NO. 539- 6,-�f OWNER'S ADDRESS 6 6(h►n 6' -. L , y Cn q5JqJ LOCATION OF BUILDING �S 7LJ (92 i —1 USE OF BUILDING A SIZE OF STRUCTURE -- ='X ® _ aAQ SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING f 6�� ROOF COVERING FLOOR TYPE C'A I & G ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 2 6 FRONT SIDES rREAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated AG Building definition. If any change in use or occupancy of the building obtain any necessary permits, inspections, and approvals to comply w' occupancy. Date 01 Signature of Owner the p posed use confirms with the wi ont.ct the Building Division and n effect at that time and before Permit Fee - $60.00 The above described AG Building is exempt from a building permit. Receipt No. 3a LM FIS PA L P. D. ROOF lssu Manager Buil ing Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant �w .. .. r aa-•- ,aryy...�, .� ,.� jp. ii . r. .�.J-,. s ,y:,..^..cw-•�- - rte: w.. _ ,:.+`.:..^ r ;`�' : � � ^-a �•�•.s c's•+'gjd.:e.� ^-•c,;p .. -•... -. t � 021-25=0-025` `9.9-1'286 E Y t DITTY, Phi'llis y' 1367 Richiris Ave,. Gridley, �misc elec) SF dw r, n t J OFFICE COPY „Address ♦ ' GAS Meter By t ELECTRI r Meter By Dated%7 l v �• t s i t, r , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES=`BUILDINGIIDIVISTON 7 County Center Drive • Oroville, California 95965 • Telephone (530)'i,53 1 8-7541 PERM T o. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT ✓ i OWNER PHILLIS DITTY TELEPHONE 846-4367 SO. FT,' . OCC. - BUILDING VALUATION OWNER'S MAILING ADDRESS 1367 RICHINS AVE, GRIDW, 95946 CONTRACTOR'S NAME , , TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCEN^yE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS KWUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1367 RICHIHS AVE. , GRIDLEY CA 9548 Energy Plan Checking Fee $ - $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE `� SF ❑ Duplex ❑ Mobilehome ❑ Other ,SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: MISC ELECTRICAL _ ~ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home isFdFwT I@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOVR LESS Main Service zo.A OR LESS 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. 4 License_ Class Lic. No. ' �1. OWNER-BUILDEVDECLARATION*- I hereby affirm under penalty of perjury that I am exempt from theContractors License Law for the following reason: 3 ❑ 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. Off, 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. so CCU000A WEE200A NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. SO 3.50FT_ NST NOµEW gaID. MULTI.OUTLET 97.50 POWER APPARATUS a sINGLE DUfLET CR. Ex. Occup. ouTLETORFocruREs 00 BAS@';o Ex. Occu . Gvnr°rs AM..oeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 300 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION I 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 j ,ice= 6.50 Ventilation I 1 PERMIT FEE $ Policy Number (The above sectio need n t 4e completed if the permit is for work of a valuation pf one hundred do IS less.) \\ certify that in the perfo a oft�te'.w%k=66rrwhich this permit is issued, I shall not employ any arson in any maririe� oo,, a�$�t0 become subject to workers' compensation Is all aliforrtia, end agree`that If lshould become subject to the workers' compenis ti prQv Si ns of section 3700 of the Labor Code, I shall fgrlhwith comply ith those provoi ns:, 1 % X� / Date — - q9 Signature of,Applicant - ❑ Contractor ❑Agent An OSHA permit is required fore vations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation'Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $43.00 HA2. D. FEES, .IMP,- ' FLOOD - --� CDF PARCEL PD HD 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. '7 r �f / / r B ,%;d_._. -T .Mi' -1".11 Date ti - (t V 7 Y, PERMIT EXPIRES ON 5 (.�i f ate Receipt No. art /r S n (" WHITE-D.D.S.-B.D.- CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _. r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 /179o• (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 12121-250-025 ZONING —5 BUILDING PERMIT OWNER PHILLIS DITTY TELEPHONE 846-4367 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 1367 RICHINS AVE, GRIDLEY, 95948 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1367 RICHINS AVE. , GRIDLEY CA 95948 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ 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: MISC ELECTRICAL 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 Filing Fee 20.00 Main Service z*.A OR LESS 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.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ [,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. 911, 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 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 (The above sections need not be completed if the permit is for work of a valuation �f one hundred dollars ($100) or less.) LSI 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 with comp) Lith those provisions. f X Date — Signature o plic nt - ❑ Owner ❑ Contractor gent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service To i 46.00so WEL200A U NEW CONST. DWEwNG occuP. 3.5¢F°. OR ADONS. ( ACC-OU�TLS. NEW CONST. M Er NON•RESID. H CIRCUITS 97.50 8 OUTLET CIR.OWER APPARATUS zu @ ,.� Ex. OCCU OUTLET OR FIXTURES BAL. 0 00 LNSI Ex: Occup. o urEu°Ts AD°Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.0023,00 PERMIT FEE : 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating. Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $43.00 HAz. D. FEES IMP I FLOOD I COF I PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for whit fees have B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate Date Receipt No. WHITE-D.D.S.-B.D. CANAR -ASSES OR PINK -INSPECTOR GOLDENROD -APPLICANT U MON.12:25 TEL 5308465290 l� 5/20/99 To: Butte County From: Phyllis Ditty HAMIAN REAL ESTATE Kory Harriman is my agent and has my full authority to represent me on obtaining the neccessary permits regarding my property for 1367 Richins Ave. in Gridley. i Q002 r.'Nr r. ,;le, .:a;;rte!. .�•o rr 021-250-025 j 99-1067 - ii - DITTY, Phyllis : 's 1367 Richins Avenue, Gridley ' k , Contr: Unknown Upgrade electric service ' " { wlr�'� .,' `�:'^-'!!IR>�'1�i�11�R-------T-c•.r�-�wT7R•— � -,. �-_r-s+---����1 COUNTY OF BUTTE.- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING` DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT gw_40/101t 7 ASSESSOR PARCEL NUMBER 7 ZONING BUILDING PERMIT OWNER TTTY TELEPHON - SO. FT. OCC. BUILDING VALUATION .. OWNER'S MAIUNG MESS R CONTRA O S VNAM TELEPHONE CONTRAC O 5 MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR EVGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1367 RICHINS AVEo GRI Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL'MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF' ❑l Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UBlities ❑ Installation ❑ Other a Describe Work: TTla'GRAN l R Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 000OR LESS rn Main Service 20OVA ORLESS23.00 Z3,00 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 Law.for 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. ®U"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 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 Main Service TO t 46.00 WEU200A NEW CONST. DWELLMN3 OGS. SO U OR ADDNS. ( a ACC. BLDs. 3.5QFT; N014RE -ID. MULTI-OUTLETC. @7.50 POWELER APPARATUS a SI IN. OLfTLE7 CIR. EX. OCCU OUTLET DR FDRURES 620 @ 1.000 Ex. Occup. OT F�s AsslDFIX.°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP R3.00 PERMIT FEE $ 66.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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.) 0-111, 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 forth ' h comp) th those provisions. _ Date 9 9 Signature ofjAppticant - ❑Owner ❑Contractor 'Q Agent An OSHA p rmlt is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD J.CDF I PARCEL I PD 1 HD 1 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. p.�.4X4 B//„�(j1 Dateof Y & `� V .. JC. PERMIT EXPIRES ON Date ReceiptNo. 265120 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IN COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION s . 7 Catinty Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.IV96) APPLICATION AND PERMIT ,114 NepeOR C6 NYr01 � 2 I- 215-0-02 �O S- BUILDING PERMIT OWE 'nAr"Oks �f 4 SO. FT. OCC. BUILDING VALUATION owmmi mokom Acomme t -- G 9 e 00WRAMWO FMN: TllerlgNa CONTRACTOR: 1M UM AOORge CCNsTaxil N u74O1 uNoore MAAAM ADDRESS Fireplace Total Valuation i ARCNRiCr OR ENO MM ucame NO. —Filing Fee S 20.00 ARCWTLCT OR OMMURs MAUNO ADDRESS Permit Fee Plan CheckingFee E ft$ DMAOOREesyl ; �( I Ave-, 119- Energy Plan Checking Fee i PERMIT FEE _ LOT NO. sueoMsIm mug MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Tr 7.00 Solar or heat pump water heater 23.00 SF Duplex O Mobllehome O Other Water piping 15.00 ePWsv Each as water heater or vent 15.00 TYPE OF WORK � Gas piping tem 1 - 5 outlets 15.00 New O Addition O Remodel O LVIdes O Indakdon O Other Building sewer 15.00 Describe Work: CC' C— C �—` (n—l. G.V. Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fillng Feel 20.00 Main Service °DOYm� ooR U 23.00 Main Service aooA To ISA 46.00 lr�� 6 (S Receipt No. WHITF.n no NEW CONST. OWELLA O Occur. 3.St OR ADONe. L ACC. am$. NOKRBIO.' MVETt•OlR1lr @7.50 POWER APPARAnA 1 i 9 CUL II Ex. Occup. Ouner OR FKrAZ1 a DAL .!O .50 I EX. OCCU MO AM *4 OR I ovnFrs aro. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 i Misc. Wiring 23.0 PERMIT FEE _ 43.or-) MECHANICAL PERMIT Filing Fee 20.00 i_ Heating Cooling Hood 6.50 Ventilation PERMIT FEt: f Mobile Home Installation Fee $ Energy Inspection Fee E occ COMT. TYPE FEE $ NAZ O. FEESo I COF pp ND as UE 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 3 COUNTY OF BUTTE.- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1 County Center Drive • Oroville, California 95965 - Telephone (530) 538-7541 PERMIT 0. (Rev.12/96) APPLICATION AND PERMIT 9�-/D� 7/ ASSESSOR PARCEL NUMBER 091-95-0-095 ZONING A -5i BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VAWAVON . OWNERS MARJNG ADDRESS 1367 RTICHINS AVE, GRIDLEY CA 95949 CONTRACTORS NAME TELEPHONE UNKNOWN CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1367 RICHINS AVE, GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 ❑ Installation ❑ Other EX Describe Work: TIP M. ADF FT,FC SFR Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 Ca20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600V OR LESS Main Service 2o0.OR LESS 23.00 3.00 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, I do the work, and the structure is not intended or offered for sale. 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 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 (The above sections need not be completed if the permit is for work of a valuation ,of -one hundred 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 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 th comp th those provisions. _ X Date Signature of icant - ❑ Owner ❑ Contractor Agent An OSHApi it is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 W:U200A CCU000A NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( a Acc. Bens. 3.506 NON-REOSIU. MULTI.OUTLET 97,50 APPARATUS a SINGLE ounEr CIR. 20 @ 1.00 OUTLET OR FI TURES Ex. Occu eAL @ .so Ex. Occup. Ou EETs AE�sID.,OER 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP 23.00 PERMIT FEE S C6.00 MECHANICAL PERMIT Filing 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 HAZ. I D. FEES IMP I FLOOD CDF PARCEL I M HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have �- �y By7.� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. jq (!v Dete ReceiptNo. 9(,�n WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY;QF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC (Rev. 12/96) APPLICATION AND PERMIT Temporary Service A.'es� �.AlKawl.al 20 BUILDING PERMIT 20.00 I ` SO. FT. OCC. BUILDING VALUATION 23.00 d�"s �� 3 1 - �r ,t Li CA ,?S /or i0L e . OONTMCTOR! IMI! TT0.0IIONe GC L — OONnMCTON, W IM ADOAM . come"% cTm umot 1tWE" WARM MOPCIe� �(� Fire lace �C Total Valuation = M1 CNIrf=ON DONM ucflse No. Fifina Fee i 20.00 AIICWMCr 0I1 p10 M'S W AJW ADCAUS Permit Fee ti Plan CheckingFee i < < Ener Plan Checking Fee i eUtDlq AD01�1. -� � C S 5 = PERMIT FEE S 1OTN0. suaavracwtwl►e �Ar1cR ""� PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SF Duplex 0 Mobilehome O Other Waterpiping15.00 Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets I F00 New 0 Addition 0 Remodel 0 LXN " 0 Indaktion O Other 0 Building sewer 15.00 Describe Work: �/r�' �0-- SP�'L/� Mobile Home ISIGIWI@20.00 PERMIT FEE S ee 20.00 ELECTRICAL PERMIT Flip Feel- Main Service o0 ooat p 23.00 Main Service ( a— To 1eoo► )1 46.00 Receipt No. 26S 4—"61, Ex. Occup. olrnff OR fanuata Ex. Occup. %D APPI.M on olmt, .6.,e, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PdRMIT FEE IS 46,0-) MECHANICAL PERMIT I Fling Fee 1 20.00 ventilation PERMIT FEt: S Mobile Home Installation Fee $ Energy inspection Fee S VT�hi3permit OONST• TMF TOTAL FEE $ �6r� NAZ 0. fEO W► It000 COf IAACtl f0 � �� is hereby Issued under the applicable provisions othe Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON CO[INTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNER: r ASSESSOR PARCEL NUMBER: O 2 — 2_f U — 0 Proposed Building Use:/�i�� , , �,' r✓_ 0,,,,_?., iding Inspector: G Date: 9 At time of permit application, I was advisCd the following data must be submitted prior to permit processidg and/or issuance: Date Received By 111. All iiems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. 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. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications -------------------- El10. Fees of $---------------- -------------------------------------------------------------------- 0 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: _. ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---• 020. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number. ----------------------- ler-Builder Verification (Given to owner ❑, Mailed to owner ❑). -- r of signature authorization. -------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------- 1:126. Letter of intent on building use. ------------ El 27. Manufactured Home utility clearance. ----- 1128. ---- ❑28. Existing violations and/or expired permits. �,�Onither: 433 A, ❑ ant Dee�d, -❑ M.H. Title, ❑ Check to H.C.D $ . �-'e . (Date) When you issues the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. T4-elephone O ���• r1 cr O and hold for pickup at m office. ❑ Deliver with inspector. N, -j k- � 4- P"k At -N Q o. q Applicant: P�-�✓L. Date: ,S 2D - �( Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Polluti Date: 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 counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, 11 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, 11 A.P. folder. Note transfer by: Date: 05/24/99 MON 12:25 TEL 5308465290 _ HANNAN REAL ESTATE IZOO2 5/20/99 To: Butte County From: Phyllis Ditty Kory Hamman is nay agent and has my full authority to represent me on obtaining the neccessary permits regarding my property for 1367 Richins Ave. in Gridley. 05/24/99 MON 12:25 TEL 5508485290 HAMMAN REAL ESTATE 0 FAX COVER SHEET HAMMAN REAL ESTATE Since 1946 1010 Spruce St. Gridley, CA 95949 Fax 4: (530) 846-5290 1O: �fi� , e From: Pages to Fol ow: Fax Numbec-S313-z tt D Date: Time: Phone Numbers Kory (530) 846-1940 • Howard (530) 846-2561 • Larry (530) 846-2575 Q001