HomeMy WebLinkAbout024-130-089•. M GERALD & DOREEN WILL
,Thresher Ave, Gridley
Permit#107-91A(_Agricultural Bldg Exemp)
tactor sta etc
024-130-089 02-1979
NEWTON, KERRIE & SETH �O
844 THRESHER AVE., GRIDL
PARTIAL RE -SIDING i
024-130-089
03-2196
NEWTON, KERRIE
844 THRESHER AVE, GRIDLE
Cont: AHI ROOFING INAI.ED
RE -ROOF 7 -Z3'0 .
i
•. M GERALD & DOREEN WILL
,Thresher Ave, Gridley
Permit#107-91A(_Agricultural Bldg Exemp)
tactor sta etc
024-130-089 02-1979
NEWTON, KERRIE & SETH �O
844 THRESHER AVE., GRIDL
PARTIAL RE -SIDING i
024-130-089
03-2196
NEWTON, KERRIE
844 THRESHER AVE, GRIDLE
Cont: AHI ROOFING INAI.ED
RE -ROOF 7 -Z3'0 .
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 hRMIT NO.
Rev. 12/96) APPLICATION AND PERMIT 03-21%,.—
ASSESSOR PARCEL NUMBER ^
094-1-10-08 Y
ZONING
BUILDING PERMIT
OWNER
MPTE
TELEPHONE
3221-8435/'��
SO, FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
Q Q
23 00
CONTRACTOR'S NAME
ART RO7146978
TELEPHONE
-6445
,_QFTNr
CONTRACTORS MAILING ADDRESS
y 1 MWE 92W
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $ -�•
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee $ •
Plan Checking Fee $
BUILDINGADDRESS
844 UMESEIl�1t AVE,GRIDLEY
Energy Plan Checking Fee $
$
PERMIT FEE $ 43.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)Q
Describe Work: RER-00F IN 1980 W10 EMMTT
9QA ROTLT,
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
LES
Main Service zo.A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
�Taf I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A To 1000A 46.00
NEW CONST. DWELLING OCCUR SO
OR ADDNS. ( 6 ACC. BLDS. 3.5Q FT.
NEW9
NO.RESID MULTI -OUTLET BRANCH CIRCUITS @7,50
OWER APPARATUS
8 SINGLE OUTLET CR.
Ex. Occup. OUTLET OR FIXTURESB� p l; o
Ex. Occup. OFU(�ES AESI6.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo hwith comply withs provisions.
KX .. Date Z.2- Q
Signture of Applicant - Owner ❑ Contractor ❑ 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 $ 43.00
HAz.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
L4SUE
�.�
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Indic ed ab A which fees have been paid.
• • ��
By l Date
PERMI EXPIRES`077•a? - UITE•D.D.S.-B.D.
Date
rReceiptNo. tLSi%/yy�Fs•c
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 41 PERMIT NO.
(86.12/96) APPLICATION AND PERMIT 03-2.196
ASSESSOR PARCEL NUMBER
094-130-099
ZONING
BUILDING PERMIT
OWNER
KERR TE Nh=N
TELEPHONE
121-8435
SO, FT, OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
844 UMESHER AU, GRIMEY 95968
23 SQ 805.00
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
13106 C-11APMAN AVE 94-919, GARDEN GIRCM 92640
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 805. 00
ARCHITECT OR ENGINEER
LICENSE NO.
Flin Fee $ 20.00
Permit Fee $ 23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
844 THRESHER AVE GRIDLEY
Energy Plan Checking Fee $
$
PERMIT FEE $ 43.0
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF JI Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
-
Solar or heat um water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other'
Describe Work: RF200F IN 19,90 W/0 PERMIT
901 -ROT.T
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
eo.A OR LESS
Main Service 200,9 OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby�laffirm under penalty of perjury that I am exempt from the Contractors License
Law= following reason: .
❑ ' I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46,00NEW
CONST. DWELLING OCCUP, SO
OR ADDNS. ( d ACC. BLDS. 3.5¢FT.
NON-RESID. MULTI.OUTLET (G 7.50
OWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES BAS p �. 0
Ex. Occup. oFurLE'(RR6.)0 � 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirin 23.00
PERMIT FEE _
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo with comply with t provisions.
_ Date 2.2 �j _
Sign tura of Applicant - Owner ❑ Contractor ❑ AgentAn OSHA permit is required for excavations over 5'0" deep and demolition or constructionof structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ
D PEES IMP
I FLOOD
CDF
PARCEL
I PD
I HD
E
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indic Aabwhich fees have been paid.
ByDateReceiptNo.
PERM - 9'3 • Q
Date
382576/$43.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
,024 1 -130-089 J
NEW ION, KERRIE Esc SETH
844 THRESHER AVE., GRIDLEY,
PARTIAL RE -SIDING_
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING'DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
024-130-089
ZONING j
1
BUILDING PERMIT
OWNER
NEHON KERRIE AND SE1N
TELEPHONE
M6-7913
SO- FT, OCC. BUILDING VALUATION
00W EST
OWNERS MAILING ADDRESS
844 THRESHER AVE. GRIDLEYO CA 95948
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
1 000.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filin Fee
$ 20.00
Permit Fee
$ 27.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
SIN 1 -IR SHER AVE. GRIDI.>_,'Y CA 95948
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 47.00
LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT
USEOFSTRUCTURE N Each Trap
} Solar or heat pump water heater
SF IN Duplex ❑ Mobilehome ❑ Other i Water piping
SPECIFY ' Each gas water heater or vent
TYPE OF WORK
1 Gas piping stem 1 - 5 outlets
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑''i Building sewer
Describe Work: PARTIAL RE SIDING Mobile Home ISI GI W1
PERMIT FEE
ELECTRICAL PERMIT R LESS
Main Service p A OR LESS
Fling Fee 20.00
7.00
23.00
15.00
15.00
15.00
15.00
@20.00
S
Fling Fee 20.00
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service To ,000A
46.
NEW CONST. DWELLING OCCUP.
EE
OR ADDNS. ( d ACC. BUDS.
o s
SO
3.50FT.
NON- REOSID. MULTI-OCIRCUITS UTLET
@7,50
POWER APPARATUS
a SINGLE OUTLET C,R.
Ex. Occup. OUTLET OR FIXTURES
g2' g I, 0
FIAPPLNS. OR
Ex. Occup. otmETs RESID. EA
5.00.
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirin
]T:::!!!
PERMIT FEE
$
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisjons of section 3700 of the Labor de, I shall
forthwith comply with those provisions. 0
_ -
Signatu ofApplicant, Owner Contractor ❑ Agent I
An OSHA permit is required f r excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Doc
CONST. TYPE
TOTAL FEE $
FEESIMP
FLOOD
CDF
PARCEL
PD
HD
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.
L_
B Q .v 'f' Date • ,1y ' ,�-
PERMIT EXPIRES ON -7 eZ 44 •
Date
Receipt No360607/$47.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER
PERMIT NO.
A routine inspection indicates that the fog: Lwin violations of butte countyOrdinances exist at the
r,Qmpleted. If you have --�
above address and should bo 4^;i1ected. Please notice this office when correction of work is
-- ^tent^•,t thiI ..y questions pertaining to this matter, or need additional explanation,
-..ice immediately.
_L� r
r
Date / - 4�"� '--LZ�) Inspector
REV 10/92
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 2/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
024-130-089
ZONING
BUILDING PERMIT
OWNER
NEWTON KERRIE AND SETH
TELEPHONE
846-7913((��
SO. FT. OCC. BUILDING VALUATION
CO NT EST
1,000.00
OWNER'S MAIUNG ADDRESS
844 THRESHER AVE. GRIDLEY CA 95948
CONTRACTOR'S NAME
0 W LV
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
1,000.00
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee $
20.00
Permit Fee $
27.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
844 THRESHER AVE. GRIDLEY CA 95948
Energy Plan Checking Fee $
$
PERMIT FEE $
47.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00 ..
USEOFSTRUCTURE
SF M Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX
Describe Work: PARTIAL RE SIDING
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I G I W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoOA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
II, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BUDS.
So
3.50FT.
NOµRESID. MULTI -OUTLET
97,50
POWER APPARATUS
s SINGLE OUTLET cIR.
EX. Occup. OUTLET OR FIXTURES
.00
BAL O I. 0
ED
Ex. Occup. oFu`uT REQS o�
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE _
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation proviSI/
' ns of section 3700 of the Labo� I shall
fort ith cc ly with se ,S 'ons. .� t7
_to
Signatu of Applica caner ontractor O Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE .$
HAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL
PD
HD
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.
B Date -
PERMIT EXPIRES ON 7 -- a _
Date
Receipt No360607/$47.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
O`VNER-BUILDER VERIFICATION
Attention Property Owner:
Aa "owner -builder" building permit has been applied for in your name and bearing YO,* si�ga+e,
Please complete and return this information at your earliest opportunity to avoid uoaeoessarydelsy
in processing and issuing your building permit. No building permit will be issued unM .this
nrification is received.
1 I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES)Z( NO C3
I HAI
NOT 0 signed an application for a building permit for the proposed vvo&
3. I have coed with the following person (firm) to provide the proposed consOrticti®:
a
NAME:
DRESS: CITY:
PH CONTRACTOR'S LI E-IYO.
4. I plan to prove rtions of this work, but ve hired the following person to coordinate,
supervise, and provi a major work:
NANIE:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LI NO.
5. I will prov' some of the work but I have contracted (hired) the followin ns to provide
the w9K indicated:
INAME ADDRESS PHONE TYPE OF WORK
.. • . • ♦ �ar�rr
SOCIAL •
•
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 o%l8t
California Health and Safety Code. This verification must be competed and
returned to our office before we are permitted to issue the permit
OVER
OWNER BUILDER INFORMATION . I
Cea: ?rocer^-, Ow-":
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as -owner-builder" you are the responsible party of record oa such
a permit. Building permits are not required to be signed by property owners unless they are personally performieg Keir
own work.. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.If you plan to do your own work, with the exception of various, tf-ades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the wont (including materials
and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors. then you may be an employer.
♦ If you are an emplover, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
Sate Law, ccntact the Department of Benefit Payments and the Division of Industrial Accidents.
If the srrucn:re is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your .
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that. we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
ly.
Mic el C. Vi4ra, C.B.O.
,%.Janfiger„Building Inspection
NOTE: This Owner -Builder Information is required by Section 19810 ojthe California Health and So ay Codes
OVER
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
107-91
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a 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.
24-13
ZONING
Ain
OWNER
PHONE NO.
Gerald & Doreen Will
OWNER'S ADDRESS
844 Thresher Ave Gridley 95948
LOCATION OF BUILDING
same Property—behind main house
USE OF BUILDING
Ag building — tractor, storage, wood
SIZE OF STRUCTURE
20 x 30 = 600 SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME X STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
FLOOR TYPE
wood siding
metal
concrete
ESTIMATED COST OF CONSTRUCTION
$3,000
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows:�c
FRONT Sb� -J- SIDES J 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.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and apiprovals to
comply with the requirements in effect at that time and before occupancy.l,
s��/
Dateo Signature of Own cG'f✓
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
Receipt No. 97013
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
FLOOD ARC P.D., ROOFI I ISSUE
Director of Public Works
By l Date
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COUNTY OF BUTTE - DEPARTMENT, -;OF PUBLIC WORKS - BUILDING DIVISION
- 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
/ Permit No. /
OWNER err A. P. No.
Proposed Building Use Building Inspector Date 429 g�
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�P10 ans in duplicate/triplicate, signed by preparer of plans ........
Comp ete 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 .........
a7., 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: ......
18. Improvements may be required. Contact Land Development Section DPW '
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner o, Mail to owner 0)* ... .
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
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 ///' —7 a,
Applicant _& to / � l g%
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--jnail_counter by .date
Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW