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HomeMy WebLinkAbout024-010-089r,R -TO RICHARDSON 24-& 89 229 Arch6r Avenue' i ey ,.Permit#2412-91E(el'ec. ser/SF)' FiAale'd,8/13/91 a,9 rrr �::�: fG'4'=�#','-q +,�„,�,y�s �it�:i.a'``”�i'..`;."yt'1`-%SR'R.R.v''.r►`r'Y_,='t'�Ft'e ^•A.,; tr"7'e`�" iY:�;�!<'Y.�F 'll COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. a 7 County Center Drive - Orovllle• Californla 95965 - Telephone: 916/538-7541 U/ APPLICATION 00 PERMIT_r l` A$S ESSOR PARCEL NUMBER 24-010-098 ZONING A-5 BUILDING PERMIT OWNER ROSS RICHARDSON TELEPHONE 845-6703 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 'A 229 ARCM AVE GRIDLEY CONTRACTOR'S NAME u TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN"OWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS NONE Permit Fee $ ARCHITECT OR ENGINEER 11 LICENSE NO. Plan Checking Fee .$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 229 ARCHER AVE GRIDLEY Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [!] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I i�0-00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Q� Installation[] Other ❑ Describe URI�RADE F:i,I+',(:'['1 MCAT. _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6111 OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 • CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.N) OR ADONS. 1 ACC. BLDGS. y2¢sgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2AL@ eLe 300@50 3o Ex. Occup. OUTLETS FIXED P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 PRE INSP Permit Fee $ 5P Contractor WORKMEN'S COMPENSATION INSURANCE ,l declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ' r�r I shall not employ any person in any manner so as to become subject u to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all li bNlities, judgments, costs, and expenses which may in any way accrue 1 agaconsequence of the granting of this permit. 1 —� � � b- C � X/ Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ _ 37.50 HAL I CUA I PARK I SCHL I FLD I CDF I PAR I PD I HD. ISS N This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated abgve for which fees have been paid. D(RE TOR OF PUBLIC WORKS // By �1 Date4:/ PERMIT EXPIRES/Date ��..A Receipt No. 96740 37.50 WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95985 - Telephone: 918/538.7541 f . APPLICATeMAND PERMIT PERMIT NO. tAAi� aee a 24-010— ZONING A-5 BUILDING PERMIT OWNER ROSS RICHARDSON 1846-6703 TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 229 ARCHER AVE GRIDLEY CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS NONE Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 22AVEL Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [5� Installation ❑ Other ❑ Describe WFrkf;RAIIE ELECTRICAL _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. Flt, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044). I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exeropt,under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.6 DR ACDNS. (ACC. BLDGS. , NEW CONSTR U TC. CIRET NON-RESID BRANCH CIRC ITS 2,50 ea .50 ea POWER APPARATUS IN (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20®50! BAL030 FIXED APLNS. EX. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. VUirin 9 15.00 PRE INSP 1 15.00 Permit Fee $ 37.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. a I shall not employ any person in any manner so as to become subject - to the W. C. laws of California. Notice to Applicant: If,after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I Ls save, indemnify and keep harmless the County of Butte against judgments, costs, and expenses which may in any way accrue agaunty in consequence of the granting of this permit. f X -� (b-, I > Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ , Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ 37.50 HAz. cuA- PARKSCHL FLD CDF PAR PD ) HD. Isall This permit is hereby issued unser the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated ab a for which fees have been aid. p D OR F PUBLIC WORKS BY Date PERMIT EXPIRE Date v— Receipt No. 96740 37_50 WHITE -D. P. W., TELLOW-A98C390R, PINK -INSPECTOR, GOLDENROD -APPLICANT PRE -INSPECTION J OWNER: � � e( -(9h,4 LOCATION: Z- Z 1) A oeelk CONTRACTOR: (/'i� 10,W DATE A. P. # ZONING PRE -INSPECTION FOR: PERMIT HISTORY: NONE TYPE OF OCCUPANCY Ro v� BUILDING USAGE: DATE TO INSPECTOR % / V q AS FOLLOWS: FIELD - INFORMATION TENNAN OCCUPIED HAS ELECTRIC S GAS SANITATION FACILITIES C7 HEATED -COOLED j-1 PERSON CONTACTED OTHER COMMENTS: ACTION RECOMMENDED: ISSUE 0 OTHER: HOLD FOR i BY DATE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIKE,, 9ALWORNIA 95965 - TELEPHONE: 916/538-7541 5 PERMIT APPLICATION DATA SHEET Permit No. / OWNER � S A r L) SQ A. P. No. 22 Proposed Building Use 94 1pft� st 1201 �Z_'Bui lding Inspector'go Date ql At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items liave been submitted. ...... DATE RECEIVED APPROVED. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ................ 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) L. f 9. Mobilehome installation data including manufacturer's installation instructions..........."' a ....... ........................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... .16. Plot plan and business license approval from City of (see City for•othdr requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact;Land Development Section DPW ti 19. Driveway permit (construct ion,app oval required priPr.to occupancy) U ✓ 20. Pre -Inspection for UkrADfeulred Pre-Inspec. request to q ,_ / %—.e�� %'� f - Building Inspector __ (Date) 21. Contractor's'licelise information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement; ......... 25. Letter of signature authorizration .. 0 .:.....................qtr ......... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for.pickup at office. Deliver w/inspector. Other ` W� Applicant fa Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept: • Fire Dept. Other Date By The following data,Must.be_.s.ubmitted prior to permit issuance: (Circle new -:item -.not --checked above). 1. Index permit for above items No. 2., Additional items'•required: Contractor, designer, owner, was advised of above required data by_phone_—mail counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLI&TI,ONAND PERMIT ASSESSOR PARCEL NUMBER � S/ OloI_ _ G (/Id—QJ��'-J ZONING1 BUILDING PERMIT OWNERI l C o� T EPHOSNE p S0. FT. OCC. BUILDING VALUATION OWNER'S MAILIN�4 RE55� ��- ` 22 � CONTRACTOR• AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LEN��SAI G ADDRESS Y11L` Filing Fee .� 1000 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ORES G �� �� C Permit fee $ 59� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFZ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remo el ❑ IUti �l.i,tLies�,0_ I tallation ❑I Other ❑ Describe work:���dQ efec .,C. r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 AMP 1 OR ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 .5 NEW OR AODNS. CONST. DWELLING OCEUP.a;`` � ACC. SLOGS. 1 Z�,Z¢sgft NEW CONSTR. MULTI -OUTLET NON.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS.6 SINGLE OUTLET CIR. ( e0*50C Ex. Occup( OR FIXTURES 2AL23t FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 % Permit Fee $ 5'6_� Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 1 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Signature of Applicant — Owner C1 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONST TYPE TOTAL FEE $ 2? "AL u" ' rn"" ( SCHL FED , GDF PAR Po "o.;Issu_ i I permit is hereby issued unaer the applicable provi- sions 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 PERMIT EXPIRES Date Receipt No. 26tlm NWTE-O.P.W.. YELLOW- •7eE»OR. PINx-INSPECTOR, GOLDENROD -APPLICANT