HomeMy WebLinkAbout024-140-028024-140-028 94-,0140B
HIBBS, W & MARY
CONT-:'
HUBBART ROOFING.
178 E. 'EVANS, REIMER RD.3
GRIDLEY
REROOF/SF
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HIBBS, W & )MARY
COI'T: HUBBART; ROOFING' '
173 E. EVANS REIMER. RD. , GRIDLEY
REROOF/SF a
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .
7 County Center Drive - Oroville, California 95965 - Telephone (916),538-754 1PER T No.
APPLICATION AND PERMIT �- DI
ASSESSOR PARCEL NUMBER } ' • L ?7
ZONING _ �
BUILDING PERMIT
OWNER
W. &
TELEPHONE
SQ- FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
178 E. Evans Reimer Road Gridle CA
26 @ 60 1560.00
4 @ 35 140.00
CONTRACTOR'S NAME TELEPHONE
Hubbart Roofing Co. 674-8486
CONTRACTOR'S MAILING ADDRESS
3333 Industrial Dr. Yuba it
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $ 00,
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $ 39.0(
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
7 8 CA
PERMIT FEE $
�. ,.. ,A
{ 4r �,.� .: _ y - x 4 _ �4
PLUMB G 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
SF',Q Duplex O Mobilehome ❑ 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CX
Describework: ROOFING WITH COMP AND ROLLED
^^ /
RIJI)FTNC:
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( "v OR LESS ) 23.00
200A OR LESS
Main Service ( 200A TO t000A ) 46.00 )
NEW CONST. DWELLING OCCUP. t
ADDNS. ( S ACC. OLDS. ) 3.5C FT.O,
OR S
CONTRACTORS LICENSE LAW(
1 declare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Cpge4aflr�-ray license is in full force anc p�ffeCt.
99 j �j // U 3 9
License No. Classification
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)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET I
-NON RESID. ( BRANCH CIRCUITS ) @7.50 ;
POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. _ ( OUTLET OR FIXTURES ) B20 @ t.00
EX. OCCU 'FIXED APPWS. OR - -
p' ( OUTLETS IRESID.1 EA.-) 5.00
Temportary Service -23.00
Mobile Home Facilities "20.00
Misc:� Wifing rr 23.00
WORKER'S COMPENSATIU111-JNSURA_NCF f- .. !• .
1 declare under penalty of perjury (check one): `
❑ This permit is for $100.00 (valuation) or less.
IX I 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 $ ,
1 -
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 consequence of the granting of this parr it. . s
X / +/ Date 1/14/94
Signature of Applicant - ❑'Owner IN 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 $ 59.00
HAZ•
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL I PD
HD
I 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.
�% D�I,IRR�ECCTOR/OFF��PU//BLIC WORKS/
BY •'V7'�f�/G/ yl%�(r " `i�'%� Date
PERMIT EXPIRES ON
(Date)
l
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERM` T NO.
APPLICATION AND PERMIT Rq- D
ASSESSOR PARCEL NUMBER _
ZONING
BUILDING PERMIT
OWNER
W. & Mary Hibbs
TELEPHONE
SQ. FT. OCC. BUILDING /VAL ION
26 @ 60 1560.0
OWNER'S MAILING ADDRESS
178 E. Evans Reimer Road Gridley, CA
4 @ 35 140.00
CONTRACTOR'S NAME TELEPHONE
Hubbart Roofing Co. 674-8486
CONTRACTOR'S MAILING ADDRESS
3333 Industrial Dr. Yuba City, CA
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ I-100.
Filing Fee $ 20.00
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 $
EVan,BUILDING ADDRESS
RpiMC Roarl Gridley, CA
PERMIT FEE $ 5 9 . 0
_r
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
SF P- Duplex ❑ Mobilehome ❑ Other
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 ElOther ❑X
Describework: ROOFING WITH COMP AND ROLLED
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
]ROOFING(
Main Service600V OR LESS
200A01LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCCUP. SO,
OR ADDNS. ( & ACC. BLDS. ) 3.50 FT.
CONTRACTORS LICENSE LAW(
I declare under penalty of perjury (check one)
I�I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. 454070 Classification C 3 9
❑ 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
POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES) BAL. @x.50
Ex. Occup.FIXED APPWS. OR
( OUTLETS (RESID.) EA. ) 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.
CX I 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
County in co uence of the gr ng of this per it.
X Date 1/14/94
Signature of Applicant - Owner 1A 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 $ 59.00
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.
DIRECTOR OF PUBLIC WORKS �J
BY Date
PERMIT EXPIRES ON. yj ;/�bIf
ate
Receipt f° S�- 3 �
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICANT
1"'K"-..r�,,, v�-�+.J.•^.rr+�'""yl��. 5 ,r`ir�'t+'�..71 ��'a'�'n^`."1(i6`�(�1i"'Y�!'�.ti"`'J't4'"'"rS.�.y"�.(V�{vr..lf�r-.11: �`l..-....:�`I�.r..,,� r-�,,.._. �� . .
COUNTY OF BUTTE - DEPARTMENT`OFDEVELOPMENTSERVICES -BUILDING DIVISION
;4
7COUNTY CENTER DRIVE - OROVILLE, CALIFORNIAr95965 -TELEPHONE (916) 538-7541 /
PERMIT APPLICATION DATA SHEET
OWNER W ���`� �� �E�S A. P. No.Z `i -/ y -
Proposed Building Use 5// /ee C f"n -Building Inspector Date
. r
At time of per application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted. . .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3, Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
.4. Engineered, plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............ % ............................... .
6. Energy Design Compliance and supporting, documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule. ............................. .
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . .
Pre -Inspection requ-eff
20. Pre -inspection for required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _)............
24. Recorded copy of Agricultural Acknowledgement Statement . ........... :......
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ...........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . ......................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. !/Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
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 _ mail Counter by -D ate
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works