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HomeMy WebLinkAbout021-250-03321-25-33 .0.7/ Jake & Ruth Eidson le i, SW corner of Richins Le. & Little Ave Gridleyo t/ Permit #4283-78B(ad Ratio & carport/ SF), 05-2750', 021-250-033 SbRmANb, APRIL 1393 RICHINS, GRI.DLEY-,. Cont. PF REILLY & CO WINDOWS vv"��,Jyy-,7" V-0, II p BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION.#: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO, BP052750 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 10/05/2005 APN: 021-250-033-000 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.Site Address: 1393 RICHINS AVE GRI License Class : License Number: 2// Date: 10-5-0-5 Contractor: Map Index: Description: REPLACE 6 WINDOWS OWNER -BUILDER DECLARATION r I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SORMANO APRIL & VINCENT permit to construct, alter, improve, demolish, or repair any structure, prior 1393 RICHINS AVE 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 GRIDLEY, CA the Contractor's State License Law (Chapter 9 commencing with Section 95948 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 (530) 846-4983 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).): ❑ 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 Applicant: P F REILLY & COMPANY INC Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 3028 ESPLANADE such work himself or herself or through his or -her -own employees, provided that such improvements are not intended or offered for SUITE F 95973 sale. If however, the building or improvements are sold within one 530-898-0833 year of completion, the owner -builder will have the burden of proving 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 Contractors' State License Law does Contractor: P F REILLY & COMPANY INC not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 3028 ESPLANADE Cl I am Exempt under Article 3 of the Business and Professions Code SUITE F 95973 530-898-0833 Date: Owner: License #: 711037 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 Architect: is issued. -I Engineer: ,b( have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Total Square Ft: 0 S. F. Pol;ov#. — 0© Valuation: $0.00 Census Code: ❑ 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. 11p �D 2—.CC 0 /�(1�/I Date: (% C,. a,.. Applicant: WARNING: Failure to secure workers' compensation coverage is p unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is.hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the ove for which fees have been paid. Resolutions to do work indicWh"a performance of the work for which this permit is issued (Sec 3097 Civ.) IO -5_05 Name: BY —Date: ^ PERMIT EXPIRES ON: 1\ 1- S-0 n Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the{a�bove mentioned property for inspection purposes. ' Print Name: l ` �`4 Signature: 15 Date: ❑ Owner ❑ Contractor ❑ Agent for Owner _lHgent for Contractor B. C. Building Permit 01-16-04 pg 1 Wl BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS. 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X EaE�_ For office use only: OWNER Last Name O First Name ` �/ Address / VF , V City A�e e ( 1 F W State /1 Zip l� Phone Lif CA Fax E-mail ^ // Map Book APPLICANT SIGNATURE X EaE�_ For office use only: CONTRACTOR Name Name Address WORKER'S COMPENSATION City Address e ( 1 F W City k Cio CA Zip I hone Map Book State License Number 1 E-mail Lic. # 7110 Class APPLICANT SIGNATURE X EaE�_ For office use only: ARCHITECT/ENGINEER Name a L- Q_ �fe. Address WORKER'S COMPENSATION City Zip State Zip Phone E-mail Fax E mail Map Book State License Number APPLICANT SIGNATURE X EaE�_ For office use only: APPLICANT NAME Name Address a L- Q_ �fe. CityC, WORKER'S COMPENSATION State Zip Phone <O Fax b I E-mail Subdivision Name APPLICANT SIGNATURE X EaE�_ For office use only: ' �LOCATION Zoning City Flood Zone WORKER'S COMPENSATION SRA I Yes I No Occ. LENDING AGENCY Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # Page 1 of 2 ^ Description or Scope of Work: Sq. Footage ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount:1 2-21).'00 Bldg SRA Receipt #:q $ 2 Sheriff SMIP Date: to - S_ 0 5 Other - -- 1 22a of Total REV 2-24-05 ' �LOCATION Prop rty A#ems - City Cross Street WORKER'S COMPENSATION Policy Number — aOO5 Carrier �5 If hiring anyone other than license co tractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 ^ Description or Scope of Work: Sq. Footage ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount:1 2-21).'00 Bldg SRA Receipt #:q $ 2 Sheriff SMIP Date: to - S_ 0 5 Other - -- 1 22a of Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION .,E -Mal- - - - KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 -J! CERMIT NO. 4283-78B PERMIT EXPIRES _ �• ���� OWNER Jake & Ruth Eidson CONTR. owner 21-25-33 LOCATION '(A.P. SW corner of Richins Ave. & Little Ave., Gridley 4 Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E 4 /Fol B ALED (Date) Q+rA �-i (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, California 95965 Telephone, -554-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. iea,1A Date ignature of Permitee or Agent Rece t No.T_7 E 2 C 3 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. DIRECTOR OF P BLIC WORKS By Date -� Building permit expires Date ��� 7 BUILDING Owner U SQ. FT. OCC. BUILDING VALUATION ZO� UO Mailing Address b % C14 S 2 Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Cjp Building Address,s Plan Checking Fee &/orPenalty Permit Fee O S-1 6C PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 G �` Repair drainage or vent piping 1.50 A. P. No. — ^' Zoning 8 Planning Water piping 1.50 Each gas water heateror vent 1.50 Me< W - G. Sa on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map ' R/1N Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Ions Recd Parcel AI Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ permit Fee $ $ p ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR11V OR LE LESS5.00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER eoov 25.00 100 AMP OR LESS . Main service// EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING CCUP. !Y� 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. BRANCH CIR T NON -REBID (BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS e NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUD{OUTLETS OR FIXTURES 5 L25 FIXED APPLNS. OR Ex. Occup.(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 California. MECHANICAL No @ F_EE 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 $ TOTAL PERMIT FEE $ aC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. iea,1A Date ignature of Permitee or Agent Rece t No.T_7 E 2 C 3 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. DIRECTOR OF P BLIC WORKS By Date -� Building permit expires Date ��� 7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS .5 1'. BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings o f/ Prov: for ph sically handica ped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio .. F . E FACE Final ' Footings Footino ELECTRICAL Masonr .Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test w.*e, wt. mca„ MECHANICAL Gird. 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 ng ' Sewer Gas Piping MOBILEHOME INSTALLATION - - - - Support Elec Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.)