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,247-11-05
'ANDERSON "Merriam
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24-11-05�
1002-90E
ANDERSON, Merriam
72 Nielson Ave, Gridley > •'
{ (elec upgrade) CONTR: North Valley Ele.
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I
1
OFFICE COPY
Address
G tet By _ Date
+ ELECTRIC-I�^YY(�
Meter By Date
i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
r 7 County Center Drive - Oroville, taiifornia 95965 - Telephone: 916/538-541
APPLICATION :AND PERMIT
ASSESSOR PARCEL NUMBER
24-11-05
ZONING
A5
BUILDING PERMIT
OWNER
Am AndprRon
TELEPHONE
846-3487
SQ. FT.. OCC. BUILDING VAL TION
OWNER'S MAILING ADDRESS
Gridley
CONTRACTOR'SNAME
TELEPHONE
846-2089
CONTRACTOR'S fly, LING ADDRESS
P0 hnx
Fireplace
CONSTRUCTION ENDER
UNKNOWN
Total Valuation is
Filing Fee $ 10,00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
77 Nielson Ave, Gridley
Permit fee $
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
Solar or heat pump water heater 20.00
LOT NO.
SU DIVISION NAME
PARCEL MAP
Water piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE I
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobil Home ISTG W 10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other
Describe work: ler- .pRrad _
Permit Fee $
Contractor �-
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS 10.00 10 00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one),:
❑ 1 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. r. _ Classification
❑ I, '.as, the owner, or my employees;with wages as their sole compen-
sati,on, will dq.tbe work,and,the structure is not intended or offered
for sale: (Sec. 1044)' .. i
❑ I, as the owner,*am *exclusively contracting with licensed contract-
ors. (Sec. 7x44)
❑ I am exempt under Sec. Business and Professions Code
for this reason
oR ADDNST DWELLIN GOCCS. UP.&� 2'/20sq ft
NEW CONSTR. MULTI -OUT LET 2,50 ea
NON.RESID BRANCH CIRC ITS
� POWER APPARATUS e1
SINGLE OUTLET CIR.
20030C
Ex. Occup(OUTLETS OR FIXTURES eAL030
EX. QCCUp. OUTLETS FIXED PRESID IRE A.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 �
00
Permit Fee $50.00
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less. I
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
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and e.penses which may in any way accrue
against s 'd Cou 'y in co se u c�of a granting of this permit.
X Date
Signature of AppOwner ❑ Con Factor ® Agent ❑
li ant —
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 $ 50.00
HAz
I CUA I
PARK
I SCHL
FLD
I PAR
JPDJHDJ
,
This permit is nereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work Indic ted abovep for which fees have been paid.
1 CTO/ OF PUBLIC WORKS
By Dat/QrL
PERMIT EXPIRES Date + -
Receipt No. 63864
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
lr
r COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial -Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise -- Phone: 872-6307
—CORRECTION NOTICE
R h 1` /(007- `9(I
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at/the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
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InspectorJ/ Date
,1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OrovilLe, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
24-11-05
ZONING
A5
BUILDING PERMI
OWNER
Am Andprsn
TELEPHONE
846-3487
S0. FT. OCC. BUILDING VALU' TION
OWNER'S MAILING ADDRESS
72 Npi Gridley
CONTRACTOR'SNAME
Pr
TELEPHONE
846-2089
C NTR0rh ACTOR'S M ILING ADDRESS
PO �y A59
Fireplace
CONSTRUCTION ENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
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
U Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home S G W
J5.00SF
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [0
Describe work: Elee upgrade_
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
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.v2%/A'� Classification C `� /a
❑ I, as the owner, or my employees with wages as their sole cc'mpen-
sation, will do the work,and the structure is not intended or cffered
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.&
OR ADONS. ( ACC. BLDGS.
, Y20sgit
NEW CONSTR. "'ULT' -OUTLET
NO N.RES'D BRANCH CIRC ITS
2,50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
(
EX. OCCup\OUTLETS OR FIXTURES
eA 0330
FIXED APLNS
Ex. Occup. OUTLETS P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. INirin g
15.00
Permit Fee
$ 5a nn
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 witn such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
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 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 liabilities, jud ments, costs, and a penses which may in any way accrue
against s 'd Coupin co se c of a granting of this permit.
4�� .
%� Date
Signature of Appl' nt — Owner ❑ Can rector ® 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
AL E
TOTAL FEE $ 50.00
.
HAZ
CLIA
PARK
PAR
HD
Is
This permit is hereby issued under
sions of the Butte County Code and/or
work Indic ted above for which fees
1 CT OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 63864
WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - OrovilW, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
S—
BUILDING PERMIT
OWNER ,A lse"�
T '-� j`°34
� v—
SO. FT. OCC. BUILDING VALUATION.
OWNER'S Al LING/q/,pDR ESSAw
/ - .�
CONT ACTOR'S NAn.t EAe TELEP,HONE
(/I/ 6 ��• Lyv�
CO TR TOR'S MAILING ADDR SS
�i t% ) 9,2142'
Fireplace
C NSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
•
Penalty
$
BUILDING ADDRESS
=
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
SFN Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other
Describe work: iT�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
LEV ORSS
Main service 100 AMP
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.ei
OR ADONS. C ACC. SLOGS.
,/20sgft
NEW CONSTR. ULT' -OUTLET
NON.RESID BRANCH CIRCUITS
2.50 ea
(POWER
/POWER APPARATUS &)
OUTLET CIR.
Ex, OCCUp(OUTLETS OR FIXTURES
eA 20@0330
APLNS
EX. Occup. OUTLETS PIRESID IRE A.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 J S�
i2>c
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
Filing Fee 10.00
Heating
Cooling
g
Hood
3,00
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
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.
X Date
Signature of Applicant -- 7-'-' Owner El Contractor ❑ Agent ❑
An OSHA permit -is required for excavations over 5'0" -.deep and demolition or construct-
ion of -structures over.3 stories in Veight.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
p
TOTAL FEE $
ALSCHL
HAz
CUA
PARK
I FLD
I PAR
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT -EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date . --
Receipt No. -:
WHITE-O.P.W.. YELLOW-ASSE330R. tINK-INSPECTOR. GOLDENROD-APVLIcANT
COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/638-7541
OWNER
Proposed Building Use
PERMIT APPLICATION DATA SHEET
Permit No.
A. P. No. =
Building Inspector
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ........................ ..........
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)
9. Mobilehome installation data including manufacturer's installation
instructions........................................................
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 other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
8. Improvements may be required. Contact Land Development Section DPW
::A9. Driveway permit (construction approval required prior to occupancy) r�
re -Inspection for aflc',y�F required Pre-Inspec. request to J
Building Inspector A P?
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
Whe you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone ,?46`xZ)and hold for pickup at office. Deliver w.
/inspector.
Other 911 4
Applicant Date— S - ;)'y
Copy of Haz-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 submitted 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_lnail—counter by ..date
Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
Date
PRE -INSPECTION
OWNER: z �ar ? ,Vi �j c�! DATE
LOCATION: -,:7-7, /U-�C�-S�'�/ /-dl/C' �/L�-pLtG�J A.P. #
CONTRACTOR: /(�� �,QGG<� C�zc� ZONING , AS
------------------------------------_______________________________
PRE -INSPECTION FOR: C�C�T //ID%�ZQiIG �/ 00A 1
DATE TO INSPECTOR
PERMIT HISTORY: NONE AS FOLLOWS:
TYPE OF OCCUPANCY
- -- ------------------------------------------
FIELD - INFORMATION
BUILDING USAGE:
TENNANT: V J7 14 kl�
[� OCCUPIED IHAS ELECTRIC t HAS GAS
[�l HEATED -COOLED PERSON CONTACTED
OTHER COMMENTS:
ACTIOECOMMENDED: 4
ISSUE [� HOLD FOR
n
OTHER:
... � t
BY
HAS SANITATION FACILITIES
DATE 4 c(j / /V