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
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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