HomeMy WebLinkAbout022-240-06322=24=63
Lenard Jensen
.NIS Justeson Ave.,app.2000'W.of West
Biggs Gridley Rd., Gridley Colony #11,
lot #16, Gridley
Permit #1350-77P util.,MH)
'ELEC.
GAS
SUPPORT S7EURTURE REQ.
'-""COMPACTION TEST REQ.
f �t4i Z Vd/YZ 2 - 2 4 - 6 3
Lenard Jensen
N,/S 'Justeson Ave.,app.2000'W.of W.Bi g
Gridley Rd Gridley ColonykT1
lot #191 ,Gridley
Permit#1422=77B-,P_,E.,M.(.conv.carport to
fa6.rm,close in exist.porch forldininN
t
util.area & install carportSF)
- 22-24-63
Permit ##2812-78B(lst. renewal/
1422-77) SF17SI
x'022-240-063 '�PERMIT#94-169AG
KHAN,:FOUZIA '=
530 JUSTENSON,RD:, GRIDLEY
AG EXEMPT PERMIT -CANOPY FOR'AG"EQUIP
IR
IL
Tr
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
zshalolnotrbe
ERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure ded to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. Thisa 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. D
ZONING
OWNER
t
PHONE NO.
-D
OWNER'S ADDRESS
.530
n
'
LOCATION OF BUILDING
west
-r
HRIJ Aa44d we s t .-
Q
,.' 11
USt OF BUIL ING
s
SIZE OF STRUCTURE
' X �tL ' :=
SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME !� STEEL
CONCRETE
OTHER (Specdy)
TYPE OF SIDING
ROOF C VERING
401
FLOOR PE
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:
FRONT Al
SIDES
REAR
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.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date�3
C
- mit Fee $60.00
Receipt No. OU
Signature of Owner F4 /A kYA N
The above described AG Building is exempt from a buildina Dermit.
FLOO I PAR L I P.D ROOF GISSu�
Manager Building Divisi
BY Date / 2 1 9 Y
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant
PERMIT NO. 1350-77P,E
PERMIT EXPIRES �o /
OWNER Lenard Jensen
CONTR. owner
LOCATION (A.P. 22-2+-63
N/S Justeson Ave.,app.2000'W.of W.Biggs-Gridle
Rd., Gridley Colony#ll, Lot#16, Gridley
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB ,
FINALED
(Date)
(Si cfglure)
Malk Bldg.
Fo tin s
Stem all
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
isonry Walls
Reinf. Steel
Stucco
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
ewall N2n
Piping
Pa ets loor
Rest om Finish Floor
Siding
Roof Shea in
Roofing
Fdn. Vents
Garage Vents
Insulation
Prov. for phsical
handicaooed
Conformance of ex.
Footin
Throat
Final
Hea
CE
SPRINKLE
3rd oor
To out
Water Pi i
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final
E
Rough
Fixtures
Motors
Water Htr.
Sub anel
Grd. F It Prot.
Servs
TAO. Pole
F ish I Dais
Ifnderground
In rior Lath ntilation
r anal
/Permanent
al
MOBILEHOME UTILITIES- - - - - - - - - Elec. Service
Elec. . Pedestal
Water Piping 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.)
., COUNTY OF BUTTE -- DEPARTMENT OF PUBLIC WORKS
' 7 County Center Drive — Uroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authdrize representatives of the County of Butte to enter upon the
above-mentio ed property for inspection purposes.
XX Date 7
ignature of Permitee ge
Receipt No. 4M5!zt'
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 07-VUBLIC WORKS
BYDate
wI
lding permit expires Date
BUILDING
Owner �• � �
SQ. FT. OCC. BUILDING VALUATION
Mailing Address' 7+z D40
6 /�
; /
Telephone No..
Fireplace
Contractor
44 Zd OC
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address �� ®f' U�✓ �
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00. Q
>
F' ��fr , r pI
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping -'660
joning Ve_rifi" . on a
Each gas water heater or vent 1.50
A. P. No. ��
Z n
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F&sJ
#K6. Sa n
FireDept.
Fire Zone
_
Use Permit
Building sewer -"9- O G
EQA
Parking
Plans
a ratio Parcel 60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Venso Rec'd Parcel Approval
Plan pproval
Permit Fee $ 4 r1,00
$ e
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 60
Main service 800°V OR LE o AMP ORLESS5.00 DU
Main service EA. ADD'L loo AMP 2.50
Main service OVER 600V
100 AMP OR LESS 25.00
Single Family ❑ Duplex ❑ Mobil Home [A Others ❑
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST ( ACCLBLDGS.LING CCUP, &\ 22sgft
l
NEW CONSTR. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
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:
Ex. Occup(OUTLETS OR FIXTURES) @�Q
100
FIXED APP LNS. OR
Ex. Occup.(OUTLETS (RESIO.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 ; 00
License No. Classification
Misc. Wiring 6.25
53 1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 7Z 6 0$
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.
PI 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
Heating
Cooling
Ventilation
Hood 2.00
P rmit 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
_
amo
TOTAL P RMIT FEE
$
authdrize representatives of the County of Butte to enter upon the
above-mentio ed property for inspection purposes.
XX Date 7
ignature of Permitee ge
Receipt No. 4M5!zt'
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 07-VUBLIC WORKS
BYDate
wI
lding permit expires Date
The Bldg. Setback shall be 5 if. from the'
side property line and 50 ft. from the
centerline of the road, permitting a maxi-
mum of a 2 ft. eave overhang but entirely
out of all easements.
L
��
`MOTE: --All P��aterials & UVorkmans6-p Shah Be in
��
Accordance with Recognized Good Practices and
in the
4b
of a quality prescribed for the Specified use
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Code.
This set of plans and specifications MUST be
kept on the joi+ at all fi~7es and if is unlawful to
make any chin rs or a!fercrHons on same without
written perm=.snon frorn fhe Department of Public
Works, County of Bufte.
The Bldg. Setback shall be 5 if. from the'
side property line and 50 ft. from the
centerline of the road, permitting a maxi-
mum of a 2 ft. eave overhang but entirely
out of all easements.
L
t
DECLARATION REGARDING LATS OR PARCELS
I certify that as owner of the property acquired by deed in Volume
Page ,.. � '7 � Official Records of. Butte County, (AP#. t1 :kpZ"-) 3
I am requesting permission to build or install an additional living unit on this
property. I will not divide the aforementioned property for sale, lease, rent, or
financing unless all applicable land division laws and man requirements are com-
plied with.
I am conversant with the present zoning regulations affecting the aforementioned
property, and declare that I shall not violate same. I represent that the proposed
use of the additional living unit is
r 4. -
and that further I shall not change this proposed use of the additional living unit
unless and until I receive written approval therefor from the County of Butte.
I fully understand that pursuant to Chanter 20 of the Butte County Code and §11S35
et seq of the Business and Professions Code that. if [, in the future, sell, lease
or finance the area on or adjacent to said :improvement without fully complying with
the applicable laws and ordinances, that I shall be guilty of a misdemeanor and
therefore, subject to the aforesaid penalties and imprisonment pursuant to law.
Further, this statement shall be properly acknowledged and recorded at the request
of the County of Butte. -
OF I :.;.� ,� •,• . • it �'
�,i11 r I'i;l
, Owner
ICt Address
9 %V
z9�5 •-
STATE OF CA,L�FORN_ IA ) ss
COUNTY OF
On this ��I day of 197 197,, before me,,l;� %��,iu
a tary Public in and for the County of
State of California,; -.residing therein, duly commis-
sioned and sworn, personally appeared , d ( e, . known
to me to be the person_ whose name_% S_ subscribed to the within instrument and
acknowledged to me that he- executed -the same.
IN WITNESS WHEREOF -.I. have hereunto set my hand and affixed my official seal in the
County of f��.. j'.��.. the day and year in this certificate first above
written.
S96-1275;` i.
L 1979
.. � s .'•i^'.1Cc"Y•. C!!\1P ,J.rr.�; y. :ri.yi,n4:.:�RSfere .a, ..
Notary Public
.T
1, PERMIT NO. 1422-77B,P,E
PERMIT EXPIRES
OWNER Lenard Jensen
I CONTR. owner
LOCATION (A.P. 22-24'63
i N/S Justeson Ave.,app.2000'W.of W.Biggs Gridley
1•` Rd., Gridley o/f(j��/ynyy/#11 L t #16, Gridley
3`•'
i
•1
Temp. Power Pole
Called PG&E
T7?Cal
`Elec. Serv.
led PG&E
'emp. Gas Serv.
�y Called PG&E
JOB
FINALE
to
n ure)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
UILDING
BUILDING (Cont'd)
PLUMBING
Setback %
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Fin sh ft
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footin s
Prov. for ph sically
handicaped
Conformance of ex.
structure
Appliances
Gas Pf In &Test
Temp. as
Slab
Final —%
Sanitation
Patio
FIREPL E
Final T
Footings
/Footing
ECECTRJCAIL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing o2 % %
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault -Prot.
Scratch
Heatina
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Perman t
Door Closer
Final
Final
MOBILEHOME UTILITIES
---------------- Elec- Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping `
DATE REMARKS OR CORRECTIONS
OT-
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
j 7 County Center Drive – Orovi Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
signkAof Permitee�oor–Agent
Receipt No. / ` J
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
I ,IVA
Building permit expires Date
BUILDING
Owner
SQ. FT QCC. BUILDING VALUATION
L�9
Mailing Address 1 (P
FTelephone
L�
No.
1_- r
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee �b
r ..—
Building Address ��z gyp L
Plan Checking Fee&/or Penalty
Permit Fee (01W
F
,9000/ wm ��zS� F L
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
i
612Ldiffy
Repair drainage or vent piping 1.50
A. P. No. — �-'
Zonin & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F y4ell
Sa ion
I Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W I
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Rec'd
Parcel A royal
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$_
as ''7
ELECTRICAL No. @ I FEE
PERMIT FILING FEE $3.00
Main service 600V 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. AOD'L 100 AMP 1.00
NEW OR ADONST % ACCLBLOGS.LING OCCUP. 4'\ 22sgft
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
le of:
style
T
NEW RESID,CONSTBRANCH CIRCUITS
NON -REBID � BRANCH CIRCUITS 2.50ea
NEW CONSTR. (POWER APPARATUS d
NON-RESID. ,SINGLE OUTLET CIR.
EX. OCCUQ(OUTLETS OR FIXTIIRES BAL@1
Ex. Occu FIXED TSXPI(RES. 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.
V I certify that in the performance of the work for which this
x7
/' 7permit is issued I shall not employ any person in any manner
as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEEPERMIT
FILING FEE $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
authorize representatives of the County of Butte to enter upon the
above-mentionefd property for inspection purposes.
�X ate 'L3"1
Land Development Fee
$
TOTAL PERMIT FEE
$
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
abov r which fees have been paid.
D ECT PUBLIC WORKS
signkAof Permitee�oor–Agent
Receipt No. / ` J
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
I ,IVA
Building permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
OULIUF -tv IC(lleJenLttLIVe5 o1 trle t aunty of butte to enter upon the
above-mentioned property for inspection purposes.
. X Date•—J'3
Signature of Per t 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 OVPIUBLIC WORKS
BY Date_3 —_3 /— % 7
Building permit expires Date -5'— 3 /- 7 oy
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
?rDO
Mailing Address '�� �i
Z OO
Lt
ele .one No.
Fireplace ®N
Contractor
Total Valuation Q
Mailing Address
Permit Fee QQ
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address N £��� ��
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 Jr, 041
Each Trap 1.50
O'
Repair drainage or vent piping 1.50
Water piping 1.50 S�
Each gas water heater or vent 1.50
A. P. No. 5%
Z
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F s
Satq n Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
arcel
Declaration
Pa el Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. P ns Recd
arcel Approval
Plans proval
Permit Fee $
NEW ADDITION ® UTILITIES ❑ OTHER ®
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 QO
®,y j �,(�"'
L
Main service i°oo AMP ORSLESS 5.00
PV
r t
/ `
Main service EA. ADO'L 100 AMP 2.50
Single Family Fel Duplex ❑ Mobil Home ❑ Others ❑
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST ( ADWECCLBLDGS LING 0 &) 20syft 70
NEW CONSTR. MULTI -OU LET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &)
NON.RESID. (SINGLE OUTLET CIR.
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:
Ex. Occup(OUTLETS OR FIXTURES) 2051100
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
FE
/! I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 1111-240
$Xf 176
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.
❑ WI have placed on file with the County of Butte a certificate of
orkmen's Compensation Insurance.
C 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
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
TOTAL PERMIT FEE
$
OULIUF -tv IC(lleJenLttLIVe5 o1 trle t aunty of butte to enter upon the
above-mentioned property for inspection purposes.
. X Date•—J'3
Signature of Per t 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 OVPIUBLIC WORKS
BY Date_3 —_3 /— % 7
Building permit expires Date -5'— 3 /- 7 oy