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HomeMy WebLinkAbout024-054-046JOHN KEARSING n/s S?Ileldon Ave., 250' W/Gilstrap Ave. , Grindley contr: Albert Knox, Yuba City ' Permit$# 3578-74B,P,E,M of (new single family)�Q t 024-05-4-046 93-73�B PETERSON, DAVID & PAULA 277 SHELDON AVE, GRIDLEY CONTR: K -DESIGNERS VINYL SIDING/SF 3- .3 ' % ✓� 024-054-046. 94-1012B k/ PETERSON, DAVID GRTDLEY 4 277 SHELDON AVE., CONT: DOUBLE J -ROOFING REROOF/SF 024-054-046 05-1017 SHORT, DAVID i 277 SHELDON AVE, GRIDLEY Cont: OWNER 5 WNDWS & MISC ELEC C BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP051017 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891=2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION , 1 hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/20/2005 APN: 024-054-046-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 277 SHEL'DON AVE GRI Date:- Contractor: _ _ Map Index: , Description: 5 NEW WINDOWS & MISC. ELECTRICAL OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter. Improve, demolish, or repalr'any structure, prior Owner: SHORT DAVID E & KAREN A to Its Issuance, also requires the applicant for such permit to file a 277 SHELDON AVE signed statement that he or she Is licensed pursuant to the provisions of GRIDLEY, CA the Contractors Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95948 she is exempt therefrom and the 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 live hundred dollars ($500).): I, as owner of the properly, 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 Applicant: SHORT DAVID E &KAREN A PP Code: The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who does 277 SHELDON AVE such work himself or herself or through his or her own employees, GRIDLEY, CA provided that such Improvements are not Intended or offered for 95948 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ' ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does Contractor: not apply to an owner of properly who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Conlract6rs' Slate License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Dale: Owner: License #: WORKERS' COMPENSATION bECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to sell -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: Is Issued. ❑ I have and will maintain workers' compensation Insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy If: Valuation: $0.00 Census Code: 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 workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisidns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dale: Appllca WARNING: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor interest, attorney's fees. / A7&41 / code, and % CONSTRUCTION LENDING AGENCY This permit Is he by Issued under th p icable provisions or the Butte County Code and/or Resol Mona to work Indlcatgd a ve fo v.yhich fees have been paid. I hereby affirm that there Is a construction lending agency for the is issued (Sec 3097 Civ.) performance of the work for which this permit Dale: By: Name: ,- PERMIT EXPIRES ON: Address: a e ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. Notification in accordance with Section 19827.5 of California Health & Safely Code Is not applicable to the scheduled construction of this project. ❑ ❑ Attached are copies of the required E.P.A. notification forms. that the above Information Is correct, and that I am the owner the duly authorized agent of the owner. I agree to comply with I hereby certify that I have read this application, . all county and slate laws relating to building construction. I acknowledge It Is unlawful to allerlhe subs a of any oHiclal form or document of Butte County. I hereby 'fir authorize repro nlatives of Butte County to enter upon the above mentioned props inspection purp se Signa Prlhl Name: Date: `Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 on 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER 1. CONTRACTOR Last Name j LO j irsl ie Ctre Address ---1 C_ City r^L G« e ' State CA Zip a req I Pho _ L4 l0 L4 ( Fax 53 U_ 4t_o' Sj 101 Email CIK L Gide-pr- SCJ C f CA_M � A, coyn APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Type Const. Fax E ail Map Book Lic. # Class APPLICANT NAME ARCHI TECTIENGI NEER Name City Address Zip City Fax State Zip Phone Type Const. Fax E -m ' Map Book State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail _m -�APPLICANT SIGNATURE For office use ly: AP# Zoning .. Flood Zone WORKER'S COMPENSATION SRA I Yes If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Occ. LENDING AGENCY Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. 05- /6 BIN # LOCATION AP# Property Addre s Ciiy f Cross Street v WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license 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: Footage 0 Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit arid no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Received b� Amount: [ . ! Bldg I I Page 1 of 2 Receipt i LL SRA SMIP //D7 • / Total 11 REV 2-24-05 w SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 �:.q,s-.�. :-..; ...n F:r.:,,_:*.v�7'rM',4�?.P+�'ws'."'s.?F:�`rak;+.�?t*A_";r�i-ttt"z'T,'.T.r`4`-.."ar_ry�sc+nr�:�efv, ,•.-,��:t'k'.Y �ir:v tir;t.a't..r5."d`.'�+'i "'.,���r..: �,..;,.;1,�"`t.. �.-_i.,� 024-054-046 94-1012B _ { PETERSON, DAVID ' 277 SHELDON.AVE., GRIDLEY CONT: DOUBLE J ROOFI G REROOF/SF r k 4 j i y j 7 ' �•'�'-^-'•+'�� .l: ��p�'.�-'�S � 4 -v ,.. ' T COUNTY OF BUTTE - DEPARTMENT 9F•OEVfLOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, Cal,lornia'95965 -Telephone (916) 538-754 L� D PERMIT N0. APPLICATION AND PERMIT 0 '" ASSESSOR PARCEL NUMBER02 05' 046 ZONING A5 BUILDING PERMIT OWNER DAVID PEIPERSON '=%678 SQ. FT. OCC. BUILDING VALUATION 31 Q 60 1,860.00 OWNER'S MAILING ADDRESS 277 SHELDON AVE GRIDLEY, 95948 f CONTRACTOR'S NAME DOUBLE J ROOFING TAW- 791 CONTRACTOR'S MAILING ADDR!M N AVEL Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 43.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 27 7 SHELDON PERMIT FEE $ 63M GRIDLEY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SOU Duplex ElMobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W ` 20'00 TYPE OF WORK New ElAddition 1:1Remodel ElUtilities ❑ Installation ❑ Other IN Describe Work: REROOF W OOR PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( OOOV OR LESS I 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ► 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. OLDS. ► 3.50 SD. FT - CONTRACTORS LICENSE LAW I de lare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and m license is in full force and effect. License No -5--4-6-2 Classification Ir—•3`/ O I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON.flE$ID. ( BRANCH CIF.CUITS ► @7.50 ( POWER APPARATUS ► a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ► OA20 P 1.000 Ex. Occup. FIXED APPLNS. OR p ( OUTLETSIflESID.IEA. ► 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): This permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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. 1 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 enc County in consequof the grant ng of this permit. I X K Date e: •/' �� �+�= Signature -of Applicant Owner ontractor ❑ Agent / An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 63.00 HAZ• D. FEES IMP I FLOOD I COF PARCEL I PD 7D 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. � e . /� Date PERMIT EXPIRES ON 4/12/95 IDatel Receipt No. 162463 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF -DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, � iforr�'�-'95965 - Telephone (916) 538-754 L' 1 D IPERMIT N0. APPLICATIOWAND PERMIT p I' - ASSESSOR PARCEL NUMBER 024-054-046 ZONING A5 BUILDING PERMIT OWNER DAVID PETERSON TELEPHONE 8 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 277 SHELDON AVE GRIDLEY,95948 CONTRACTOR'S NAME DOUBLE J ROOFING TELEPHONE 846-2791 CONTRACTOR'S MAILING ADDRESS 280 SHELDON AVE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 277 SHELDON PERMIT FEE $ 63.00 GRIDLEY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFY Duplex ElMobilehome ElOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other QJ Describe Work: RFROOF WIC:OMP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 260 0V OR LESS ) 20OA OR LESS 23.00 Main Service I 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. SLOS. ) SO, 3.5C FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and m license is in full force and effect. /�-3 Q License No.4-66-2 Classification l_ 7 ❑ I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. , Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 I POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ I.00 Ex. Occup. FIXED APPLNS. OR f ' (OUTLETS IRESID.) EA. ) Temporary Service 3.00 00 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): This permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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. 1 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 co equenc of the gra ng of this permit. X DateThis Signature pp is t - Owner ontractor ❑Agent An OS permit is required for excavations over 5"0" deep and demolition or const r ction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 63.00 HAZ• I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE 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. Date PERMIT EXPI ES ON 4/12/95 /Date/ Receipt 162463 WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .D. A IPERMIT NO. 3 5,7 8 - 7 4B P:,,p m P E M ni MH UTIL. PERMIT NO. PERMIT EXPIRES J .'}OWNER , jobn Kin -rqinq CONTR. Albert Knox, Yuba City LOCATION (A.P. 24-054-43 ot C! 1-% 1d 7% 250' w -P f I on V strap Ave., Gridley Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB -;7 FINALED 16 — (Date) (Signature) I . a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING. _ BUILDING (Cont'd) PL MBING Setback ' - Firewall Soil Piping Forms p%C Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheath in g.0117V Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Foot in s Garage Vents Water Htr. Stemwall. Slab Prov. for physically handicapped Heaters A pliances , Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas ZZ% Slab Final - Sanitation Patio If FIREPLACE Final Footings Footing ELECTRI AL Masonry Walls Throa R o u q h' Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framin — Test Water Htr. Stucco ° Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service % ✓ Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent % .Door Closer Final f 4Z_. % Final /l /. S` 7 ► ATE REMARKS OR CORRECTIONS EGci`Vi , COUNTY OF BUTTE — DBP,ARIPEN; OF PUBLIC 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WO S 1 OC BUILDING Owner S� SQ. FT. OCC. BUILDING VALUATION sOr d O Mailing Address 3 04_ ©Q Telephone No. Fireplace SQ. 00 Contractor �A16 A Total Valuation C� Mailing Addresb2/U 671 . Permit Fee Plan Checking Fee &/or Penalty Cir Qb�/ Telephone 140. 7 301 Permit Fee $ $ Building Address ,S/ G' ,DO PLUMBING No. @ FEE PERMIT FILING FEE $2.00 S—Q Q S"� Each Trap 1.50 2.00 Repair drainage or vent piping 1.50 Water piping 1.50 S-40 Each gas er heater or vent 1.50 A. P. No. X05 — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 �j Each additional outlet .30 F s Sani ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Parcel PI Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. tans Rec'd c� Parcvt'Approval PIL—lan" provol Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 (PQ Main service incl. 1 meter 16. 01) Additional meters, each 1.00 Sub -panel (12 or less) (more t Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Q� Water Heater or Space Heater 1.00 Light fixtures bal__?0 R w' c1U& fix o tIM& S3ZZ�o f(�d22�5 g CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of � � 4- %� 7 � H x. Fan or F. A. Furn. Motor 1.00 vb Evap. cooler, gar. disp. or D.W. 1.00 Air co ti ner or heat pump /.6-6 Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 N.17ka P1d R License 6Classification I Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3� 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. 01 1 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 - 06 Heating Cooling -Q-Q Ventilation Hood 2.00 Qd 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 $ i authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitteee or Agent Receipt No. ,J 7 7 — 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 OA PUBLIC WORKS By Date 0 - -7 �W//Idlng permit expires Date s`/ ".. J� -ne"' ' #:s 4Jt y,�i�v'rrAr rv"T;�r.a 024-05-4-04' DAVID&PAU93-73g3 'i 277 SHELDON AVE LA CONTR: K-DESIGNERSRIDLEY t + VINYL SIDING/SF i 1 r ail s 1 r ail COUNTY OF BUTTE.= D9PAR.TMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drlve - Orovlller Callfornla 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT AS ES O PARC L MB R -• -» ZONING 1846-6678 BUILDING PERMIT OWNER DAVID 9 PAULA PETERSON TELEPHONI--- so. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 211 SNELDON AVENUE GRIDLEY CA. 95946 CONTRACTOR'S NAME K—DESIGNERS TELEPHONE 631-9300 CONTRACTOR'S MAILING ADDRESS PABOX 216911 SACRAMENTO CA. 95621 Fireplace CONSTRUCTION LENDER C N UNKNOWN Total Valuation $ , . Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ 60.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 SNEL�ON AVENUE GRIDLEy � 27 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME I - PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 _fit USE OF STRUCTURE( (Y-,1�--�'L_..� SF% Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition Remodel❑ Utilities ❑ Installation❑ Other ❑ Describe work: VINYL SIDING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service soot/ OR LESS 18,50 200A OR LESS Main service 200A TO t000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �y ,Od I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions C de and my license IS In ful fgr e and effect. License No. 49866 Classification �•Df ❑ 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 OCCUP3.64 sq.ft. OR ACDNS. ( ACC, BLDGS. .� NEW CONSTRULT LOUT LET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20S79-1 dAL- 45A Ex. DCCUp. OUTLET((RESID,)REA.) 3.00 S Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wirii9 15.00 Permit Fee $ — 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. Contractor MECHANICAL PERMIT Filirig Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Penult 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 I,kabilitfes, judgments, costs, and expenses which may in any way accrue against.saiJdCounty in consequence of the granting of this permit. �i X Date i �v �}7 Signature of Applicant - Owner ❑ g pp ❑ Contractor Ag 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 75 • DO HAz I DFEES I IMP I FLOOD I CDF I PARCEL I PDHD ISSUE This permit is hereby issued under the applicable provi sions of the -Butte County Code and/or resolutions to do + f work i die ted abo-vg) f r which fees, have been paid. DIRECTgR PUBLIC WORKS By ,� Datefj PERMIT` PIRES Date s Receipt No. ! r. r WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 COUNTY OF BUTTE - DEPART NT OF PUBLIC WORKS 7 County Center Drive - Oroville, CAllfornla 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. AS S PA RC L MB R ZONING BUILDING PERMIT OWNER DAVID DAVID 8 PAULA PETERSON [TELEPHONE 846-6678 SQ.FT. OCC, BUILDING VALUATIO q4 OWNER'S MAILING ADDRESS 277 SHELDON AVENUE GRIDLEV CA. 95948 CONTRACTOR'S NAME K—DESIGNERS TELEPHONE 631-9300 CONTRACTOR'S MAILING ADDRESS P.O. BOX 276977 SACRAMENTO CA. 95827 Fireplace CONSTRUCTION LENDER CASH UNKNOWN Total Valuation is 4,35q.81 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 60.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS, Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS SHELDON AVENUE GRIDLEY Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF>P9 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New ❑ Additionn Remodel ❑ Utilities ❑ Installation[]Other ❑ Describe work: VINYL SIDING Permit Fee $ Contractor ELECTRICAL PERMIT FiiingFee 15.00 Main service R LESS 200A OR LESS 18.50 Main service 200A TO IOOOAI 37.50 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 for a and effect. License .do. 498806 Classification C-6 ❑ 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 ADDNS. ACC, BLDGS. I/ 3.64 sq.ft. NEW CON5TR ULTI.OUTLET NON•RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS (RESID.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin g '15.00 Permit Fee $ — 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. Contractor MECHANICAL PERMIT FiiingFee 15.00 Heating Cooling Hood 6.50 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 constructio.-and hereby authorize representatives of the Countyot Butte to enter upon t e above-mentioned property for inspection purposes. I A �qce save indemnify. and keep harmless the County of Butte against aludg ents, costs, and expenses which may in any way accrue in consequence of the granting of this Mit. X Date sicant –owner Contractor AgenAn is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 75.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUEgunty This permit is hereby issued under the sions of t utteCounty Code and/or work i Ica d aI f • r ich fee DIREC UBLIC By I • PERMIT E S Date applicable provi- re olutions to do h e been paid. KS Da Receipt NO. S WHITE-D.P. W„ YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD -APPLICANT 8 ,A � ' 1 rs ,r r- ¢A� k. � LF Y{ 4t I u% t �NF w I� 'A X i t � ' 1 k ¢A� k. t. p r R I 1 4 f 7 P'197- "W-ITIMP'll-ly,17iZi _ r 1 . } r : r a e A I 1 4 f I 1