HomeMy WebLinkAbout022-210-0517
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&.P. 22-21-51
EMONS HOWELL HOWELL, Emons 127-67B,
E/S of-; W. Biggs. -Fridley Rd. approx. 613-68E* '
s
1 mi. N. of Gridley-Colusa Hwy, "
Gridley - - X 2- 5
Permit # 4840-75 'B e/W. Biggs -Gridley Rd. app. 1f mi. no. o'f"
Replace.W.' ows & Ra -stucco Gridley-Colusa Hwy., Gridley -'
CONTR: American Roofing & Remodeling Co.,l
r
B08-0033 022-210-051 i 17535 Mayflo er Dr., Castro alley)
-MISCELLANEOUS Electrical (� siding ��
ELECTRICAL SERVICE REPAIRS - ST ( i�neter_change_)_�
2002 W. BIGGS GRIDLEY RD t,
HOWELL FAMILY TRUST �.� O ,
1
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0
11
&.P. 22-21-51
EMONS HOWELL HOWELL, Emons 127-67B,
E/S of-; W. Biggs. -Fridley Rd. approx. 613-68E* '
s
1 mi. N. of Gridley-Colusa Hwy, "
Gridley - - X 2- 5
Permit # 4840-75 'B e/W. Biggs -Gridley Rd. app. 1f mi. no. o'f"
Replace.W.' ows & Ra -stucco Gridley-Colusa Hwy., Gridley -'
CONTR: American Roofing & Remodeling Co.,l
r
B08-0033 022-210-051 i 17535 Mayflo er Dr., Castro alley)
-MISCELLANEOUS Electrical (� siding ��
ELECTRICAL SERVICE REPAIRS - ST ( i�neter_change_)_�
2002 W. BIGGS GRIDLEY RD t,
HOWELL FAMILY TRUST �.� O ,
1
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0
11
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 2002 W. BIGGS GRIDLEY RD
Owner:
Permit NO: B08-0033
APN: 022-210-051
HOWELL FAMILY TRUST
Issued Date: 01/08/2008 By KCG
Permit type: MISCELLANEOUS
2002 W
BIGGS-GRIDLEY RD
Subtype: Electrical
GRIDLEY, CA 95948
Expiration Date: 01/07/2009
Description: ELECTRICAL SERVICE REPAIRS •
(530) 846-3272
Occupancy: Zoning: A40
Contractor
Applicant:
Square Footage:
WATERBURY ELECTRIC INC
GENE
HOWELL
Building Garage Remdl/Addn
P O BOX 911
1143 10TH
ST
GRIDLEY, CA 95948
OROVILLE, CA 95965
(530) 846-2081
(530) 533-6113
Other Porch/Patio Total
FEE INFORMATION
DBE Single Phase Service-Resid $58.00
Total Charged: $58.00 Fees Paid: $58.00
Balance Due: $0.00 Receipt No: B5997
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
WATERBURY ELECTRIC INC 686693 / C10 / 04/30/2008
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
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
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the
X
basis for the alleged exemption. Any 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];
01/08/2008
Please check one of the following:
Contractor's Signature Date
❑ 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 Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE; as required by
I'/[ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
LJUU CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
STATE FUND 1872115 04101/2008
Carrier: Policy Number: Exp. Date:
Contractor's License Law.).
(This section nee not a competed if the permit is or oneiTundred dollars ($100) or less.
❑ I AM EXEMPT under Section B. & P.C. for this reason:
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
LJ 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'
X4L6214 01/08/2008
compensation rovisions of Se ion 3700 of the Labor Code, I shall forthwith comply with those
O nets Signature Date
provisions.
X 01/08/2008
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signat re Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the abo a mentioned property for inspection purposes. I hereby certify that I am the
prop owner or a thorized act on the pro e y owners be alf.
01/08/2008
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
erne o ittee [SIGM Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner 1:1 Contractor OR: []/Agent for Owner Agent for Contractor
FILE COPY
Lenders Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION"
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
PLEASE PRINT CLEARLY
PERMIT
NO.
BIN #
�
Do
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
OWNER INFORMATION
Last Nafnq
First Name
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Mailing Address aa 6 )
CityStaiq/v
Address
Zip
Phon ` 3 2
Fax
E-mail
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CONTRACTOR
Name'�Q
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Iva .01,7,0111r� r
Address
Address
City
City
State
State
Zip
Phone O,)
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11��
E-mail
Fax
E-mail
Lic. #
Class
yi
ARCHITECT/ENGINEER
Name
=3 f
Address
D
City
Qv
State
Zip
Phone
_ /
Fax
E-mail
State License Number
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APPLICAt4TSIGNATURE
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PROJECT LOCATION
Propert ddress
0
'City Gy /41
i
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK.
lL i/
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
APPLICAIVT INFORMATION
Name
=3 f
Address
D
City
Qv
Stats 119
Zip 6!
Phone 5
_ /
Fax
E-mail
APPLICAt4TSIGNATURE
XL��'t//
PROJECT LOCATION
Propert ddress
0
'City Gy /41
i
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK.
lL i/
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
I Yes
I No
Occ.
Type Const.
E .. .
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!}SFO -75B
PERMIT NO.
P
E
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`MH UTIL.
r, PERMIT NO.
PERMIT EXPIRES
OWNER Emons Howell
jf
.CONTR. OWrier
LOCATION (A.P. 22-21-51 )
x
e/s W.Biggs-Gridley Rd. approx. 1 mi. no.
of Gridley-Colusa Hwy., Gridley
0
n
Temp. Power Pole
Called PG&E _
Temp.�Elec. Serv..
Callyyed PG&E
Temp.f,Gas Serv.
Called PG&E
V/ JOB
FINALED
(Date)
(Sign ure)
Setback
Forms
Main
Footi
Stem
Sla
Piers
Garage '
Footings
Stemwal I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Bond Bea
Fra
Scratch
Brown
Finish
Interior Lath
Door Closer
DATE —_
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING, (5 'd) PLUMBIN
Firewall
Soil Pipi g
Parapets 7
1st Flo r
Restroom Fini
2nd Flo
Windows
3rd Floor
Siding
To out
Roof Sheathing
Water Pipin
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Water Htr.
Prov. for physically
handicapped
Heaters
Appliances
Conformance of ex.
- structure
Gas Piping & Test
Temp. Gas
Final
Sanitation
FIREPL CE
Final
Footing ELEC ICAL
Throat Rouc3h
Final Fixtures
F E SPR I JkKLERS Motors
Test
Final
M HANICAL
Heating
Cooling
Ducts
Ventilation
Final
REMARKS QR CORRECTIONS
Grd. Fault Prot.
Service
Temp. Pole
Underground
Permanent
Final I
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 75-
Telephone:
7 County Center Drive — Oroville, California 95965 fd �f-tJ
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date — 2-5
Signature f Per or Agent
Receipt No.
White-D.P.W. — Yellow -Arse sor — 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 BLIC WORKS
By Date
Builking
permit expires Date — "Z3 '7
BUILDING
Owner
Q. FT. OCC. BUILDING VALUATION
Mailing Address
o
Telephone No.
Fireplace
Contractor
Total Valuation 00
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address y� ,�
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
,61
Each gas water heater or vent 1.50
A. P. No. — �—
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
ft"itetlar
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
p
Lawn sprinkler system 2.00
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ParcaA proval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
r
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures y �2
Receps., switches & fix outlets
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:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. di sp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 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 $
$
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 J$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
TOTAL PERMIT FEE
$ —
c�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date — 2-5
Signature f Per or Agent
Receipt No.
White-D.P.W. — Yellow -Arse sor — 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 BLIC WORKS
By Date
Builking
permit expires Date — "Z3 '7
o—
u: i.-,
2_ ;2 12,
Ex ." A I I r\ c-) ovv A141L-,,E�)
I ti 'I I
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BUILDIN E?ARTM N ' �}��
NOTE:—All Materials
Recognized
&' Workmanship Sholl Be
Good Prr-�+*: es r
i
Accordrnc;e with
.
f a quality prescribed
for .the Specified use in
Uniform - Building, Plumbi
g- & Machanical Codes a
ic
he National Electrical Gode.
r
This set of plans
• MUST
e
kept on the job at
all times and it is unlawful to
on same witho
t
mn�e any changes
writ#en permission I
er alterations
rom the Department of Publ
c
Works, County of
Butte.
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BUILDIN E?ARTM N ' �}��