HomeMy WebLinkAbout021-260-04221 26 B7
GILBERT WILLIAMS
E/S' icl-�ihs ' Ave : ,1100' N. of West
Permit B,P,E',M-(New,SF)
1=74
021-260=042
KIJHL &BAKER TRUSTEE'
1284 RICHINS, j"GRIDLEYI "u �L�g.`.,,a
�WIDENERS.-ROOFING� .c
IREROOF
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21 26 B7
GILBERT WILLIAMS
E/S' icl-�ihs ' Ave : ,1100' N. of West
Permit B,P,E',M-(New,SF)
1=74
021-260=042
KIJHL &BAKER TRUSTEE'
1284 RICHINS, j"GRIDLEYI "u �L�g.`.,,a
�WIDENERS.-ROOFING� .c
IREROOF
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P T NO.
(Rev. 12/96) APPLICATION AND PERMIT ��
ASSESSOR PARtJyUf�-
[, j L
!T6O042
ZONING
BUILDING PERMIT
OWNER KUHL &BAKER TRUSTEE
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
11900
OWNER'S MAIUNPt?DiAft 728, GRIDLEY, CA 95948
CONTRACTOR'S MENER' S ROOFING
T� �"�098
CONTRACTORS 18!2YD C1 HARD RD., LIVE OAK
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 41.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 1984 RIC-14INS. GRIDI EY
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDMSION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.0023.00
USEOFSTRUCTURE
SF KX Duplex ❑ Mobilehome ❑ Other
SPT
Solar or heat um water heater
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other OLX
Describe Work: REROOF 30 SQ COMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
600VOR LE
Main Service 20.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code,
(and my license is full force and effect.
icense Class �—, �L�`.�`l9
OWNER -BUILDER CLARATION
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.
❑ 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
Main Service 200A TO 1000A
46.00
NEIN CONST. DWEWG OCUP.
OR ADDNS. ( DVTNC
ACC. S.
SO
3.5¢FT.
NO..EOSIUT. MULTI.OUTLET
@7,50
POWER APPARATUS
S SINGLE OUTLET CIR.
Ex. Occup. ounEr OR FIXTURES
Q 1.00
BAL @ .50
Ex. Occup. oFIXunErs RES16J E.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
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 permitis 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
fo Ith comply with those provisions.
Jas C�
Za-«L Date/ p — /
ign ur o Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 61.00
HAZ.
I D. FEES IMP
I 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.
l
p
B ,t ate O
PERMIT EXPIRES O
to
Receipt No.
WHITE-D.D.S.-B.D. C NA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r v 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
ASSESSOR PARCEL NUMBER ra(001
ZONING
BUILDING PERMIT
OWNER -
TELEPHONE
SO. FT. OCC. BUILDING
VALUATION
OJIM
WNS ADDRESS
COM CTO 1 NAME
t
TELEPHONE
CO TORS MAID ISD
CORSfiILICTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation S
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee S
20.00
Permit Fee
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
C ,
BUILDINGADDRESs QLel 0
Energy Plan Checking Fee $
$
PERMIT FEE $
c
LAT NO.
SUBDNBIONSNAME
PARCEL MAf
PLUMBING PERMIT Fling Fee 20.00
Each Tra
7.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFYEach
Solar or heat pump water heater
23.00
Water piping
15.00
gas water heater or vent
15.00
TYPE OF WORK
New O Addition O Remodel O Utilities ❑ installation O Other k
_ ic1, (.
Describe Work:
U IF /t, lJ�e
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
(920.00
PERMIT FEE i
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service = OR tEss
23.00
LICENSED CONTRACTOR'S DECLARATION
1 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.
❑ 1, 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
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
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.)
❑ 1 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'
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.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor O Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Main Service sow TO IOWA
46.00
NEW CONST. DWEl1M10 OCCUP. SO
OR ADONS. a ACC. eLos. 3.5¢Fr:
T @7,50
NOPFRew 61p, T. BRANCH CIRCUITS
PS0 APPovnET =U.S
a SINGLE
EX. OCCU OUTLET OR FIXTURES BAL ) 201.00
Es
FaEOAPPws OR
Ex. Occup. ovnE. 616. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FES f
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE /
TOTAL FEE; /
KAZ
D. FEES IMP
FLOOD
CDF
PARCEL
Po
HD
ISSUE
This permit is hereby Issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
re
ReceiptNo.
WHITE-D.D.S.-S.D. CANA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i
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5
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 ?, »9' S
ASSESSOR PARCEl(f(r�{T`F260-042
ZONING
BUILDING PERMIT
OWNER 1tiUM & MER TRUSTEE
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
IRM
OWNERS MAIUWOItft 728, GRIDLM, CA 95948
CONTRACTOR'S 4nENER IS
ROOFING
{�AI�I�Z1JJ�C}�' jAD��LD
L�Ep Ory7� p
60TO98
CONTRACTORS
RD., LIVE OAy
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 41 00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
T
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO. ' SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF II( Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK I
_ I
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other C]x
Describe Work: REPROOF 30 SQ WMP
Gas piping stem 1 - 5 outlets
1 5.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ' A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
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 M CLARATION
I 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,
will do the work, and the structure is not intended or offered for sale.
❑ 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
46.00so
CCU000A
NEW CONST. DWELLMX� OCCUP.
DWE200ALLING
OR ADDNS. ( a ACC. BLDS.
SO
3.5¢x,
NON -EW REOSID. T.MULTI.OLRCUITS T
@7,50
PowER APPARArus
d SINGLE OUTLET CIR.
Ej(, Occup. OUTLETORFDCTUREs
BA0 @ 1.50
FOLED APPLNS. OR
Ex. Occup. ounETs RESID. EA
S.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
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.)
p 1 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
'�fo Ith comply with those provisions.
j� �,.,� c�
—X'�L�"'%� T_�--__ Date' 1
ignati.T of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or constructionL:
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 61.00
HAZ
D FEES IMP
I FLOOD
I CDF
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
N� !r
B 1 i, : , vl Jt _
V ((.
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
V(
Date C1
Date
ReceiptNo. / -7
WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1-74 B,P,E.,M.:.
PERMIT NUMBER -. B
P
E
,PERMIT EXPIRES
OWNER
Gilbert Williams
CO N T R: Own e r
'LOCATION (A.P. 21-26-37
•E/S Richins Ave-., 1100' N. of West
Liberty Rd., Gridley
4
t
,k
5 '
's
Y.
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE '
' -
Department ' of�Publ*ic Works
BUILDING INSPECTION RECORD
Zoning
Setback — %%�
/ /���/�
Forms. 429—/ / Z141
Foundation
Piers &
Fireplace
Rgh. Plumbing�
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping &' Testi — %�_
Found. Vents
Framing
Plmg. Topout
Rough Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
T'—
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final L S� ��—�
Final Z —Z:!2 - ��'
Final
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — �rt roviIIe, California 95965
Tel ephone:'534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
2 X Date 3
Signature of Permitee or Agent
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 which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By
Date^7�
Building permit expires ate
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
fi6
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
o�
Building Address —
PLUMBING No.1 @ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
e
Repair drainage or vent piping 1.50
Water piping 1.50 ,s L
Each gas water heater or vent 1.50 .r -J
A. P. No. �,L� .—�
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Rsev- 1
W -C—
io
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
parcel Ma P
60' R/W
Im r
p ovements
Lawn sprinkler system 2.00
B1.. lans Recd
Parc rovol
Plan pproval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 -i
Main service incl. 1 meter 3 °�
Additional meters, each 1.00
Sub -panel (12 or less) (moredban 12) _
Single Family JZDuplex ❑ Mobil Home ❑ Others ❑
f}ange, Cook -top or Oven 1.00 ov
Water Heater or Space Heater 1.00
Light fixtures 1�1l_o J,_ r.—
R,*cps., sw,goOes & fix %0ets Zoe1 Q a
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:
Ind, Ex. Fan A. Furn. Moto- 1.00
Evap. cooler, garZzLisp. orcD W. 1.00
it con i loner r heat pump/
Water pump %f
Mobil Home Far6ilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ c
WORKMEN'S COMPENSATION INSURANCE
I 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. @ FEE
PERMIT FILING FEE $3.00 3 "�
Heating
Cooling
Ventilation
Hood -- 2.00
Permit Fee $ 13 Cit/
$ 3
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
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
2 X Date 3
Signature of Permitee or Agent
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 which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By
Date^7�
Building permit expires ate