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HomeMy WebLinkAbout024-170-007a 24-17-7 KENNETH TANABE 405 Larkin Rd, Grid 2 Permit#4623-80B(reroof)_/Q �JII > 024-17-0-007 93-3480 P.,M TANABE, KEN 405 LARKIN RD, GRIDLEY . �%1ra� GAS LINE, DUAL PAK/SF F N 24-7-."07 TANABE, Kenneth 405 Larkin Rd,,Gridley Ag Exem tion Permit M store orchard equipment) _ D k r' i L p _ Q 1 • I � ;c.3Y,'ti.. r.-r^i s..•.+ :n .-.--•;•�s;.., rs�-e �; Tf. p ...; .r nf,. �..,.... ;:rrR; '...ru .' ,\Yrr -•v+-'+w,nw� s rp:��'-t}�-�K��'��r�`.%�4.t'�.r-.t���. r.i,R.. 0 024-1 24 :7-0-007 �93 - 3 4 �8O p� Y - ' 7 , M TANABE, KEN- 93-3480 p,M K 4 0 L 05 LARKIN RD GRIDLEY P IS EGAS LINE, DUAL PAKISF 9 OFFICE COPY LAddress GAS Meter By GAS �Da t ELECTRIC C T LECTRIC D h I te� Meter By COUNTY OF BUTTE - DEPARTMENT OF WVEkOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P MT O. APPLICATION ANN PERMIT --�' t- ASSESSOR PARCEL NUMBER 024-170-007 ZONING A--40 BUILDING PERMIT OWNER Ken Tanabe TELEPHONE 846-2719 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 405 Larkin Rd Gridley 95%8 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS 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 405 Tqrkln Rd. CrIdley PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 1 7.00 jSolar 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 J' I �� SF�1 Duplex ElMobilehome ❑ Other SPECIFY t Gas P P 9 Y 00 piping system 1 - 5 outlets 15.00 • Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK v New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O• Describe Work: Replace Dual Pack Heating }' PERMIT FEE $ 35.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 System and Gas Piping Main Service ( BOOv OR LESS ) 23.00 2OOA OR LESS Main Service ( 200A TO IOOOA ) 46.00 - NEW CONST. DWELLING OCC P. SD OR ADDNS. ( 8 ACC. BLOS. ) 3.5C. FT. NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 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. Classification ❑ 1, 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) 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL @ r.50 Ex. Occup. FIXED APPS. OR ) p' OUTLETS WIRESID.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I 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. © I 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 Dual Pack 1 15.00 15.00 Cooling bt Ton Hood 6.50 Ventilation PERMIT FEE s30—.W Contractor 1 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. 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. X ,f�l �.!ft.."Izll� , Date �U — Z� -- �� Signature of Applicant�I 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 $ 85• 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 Indic ted I bove fohigh f have been paid. DIR C�O . O � UBLIC WORKS to 1© 21 I PEFLITEXPIRESON, %O 17 - * 14 A (Date Receipt No. 153167 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF .DEVEWPMENT SERVICES - BUILDING DIVISION /� 7 County Center Drive - Oroville, Califoreaia 95965 -Telephone (916) 538-7541 �� ��M�© APPLICATION AND PERMIT �`¢¢ ASSESSOR PARCEL NUMBER 024-170-007 ZONING -. ~ A-46 BUILDING PERMIT OWNER Ken Tanabe TELEPHONE 46-271 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 405 Larkin le CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 $ BUILDING ADDRESS larkin Rd Gridley PERMIT FEE405 S 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)7 Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 15. UU Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition ElRemodel ❑ Utilities ❑ Installation ElOther CXContractor Describe Work: Replace Dual Pack Heating PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Fee 20.00 System and Gas Piping Main Service 1 BOOV OR LESS % 2ODA OR LESS 23.00 Main Service 1 200A TO t000A 46.00 NEW CONST. DWELLING OCCUP. on AODNS. 1 & ACC. BLOS. ' S0. 3.50 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 my license is in full force and effect. License No. Classification ❑ 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) gI, 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. 1 BRANCH CIRCUITS 1 @7.50 POWER APPARATUS , & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES , B20AL. @ 1.00 Ex. Occup.FIXED APPWS. OR ( OUTLETS IRESID.I EA. 1 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.i I 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 Dual Pack 1115.00 15.00 Cooling 2— Ton 1 15.00 15.00 Hood 6.50 Ventilation PERMIT FEE $ 50.00 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 permit. / X Date `(� ��� --�� Sign lure of App (cant 4 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 $ DCCCONST. TYPE TOTAL FEE $ 85.00 HAZ• I D. FEES I IMP I FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under of the Bu County C e and/or Indic ted ove f hi h f haibeenpaid. DIR C O o UBKS P ITEXPIRES.ON the applicable provisions Resolutions to do 60 work n'o uReceiptNo. 153167 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IJ a/./-- (-,:;, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7531 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 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. // ` 70 _ 00-7 /J ZONING A T -U OWNER L. /V14 6 P NE NO 2-- / OWN ER'S &DQRESS ,gQ5 L-AR D Le ---/ LOCATION OF BUILDING l o/z o f V S USE OFBUILDING � f v ,/�E -P !Yt j� ,n F(�^0� f IAP -0 N �/� SIZE OF STRUCTURE 'X SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL ✓ CONCRETE OTHER (Specify) TYPE OF SI J,NG —�� ROOF COVERI�a � FLOOR TYPE�...�� ESTIMATED COT OF STRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follow:oM �; FRONT SS SIDES 2=1-C_ 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 approvals to comply with the requirements in effect at that time and before occupancy. Date / Permit Fee - $25.00 Receipt No. Signature of Owner The above described AG Building is exempt from a building permit. F71 PARCEL P.D. ROOFI ISSUE J Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B. L, Goldenrod - Applicant c COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965- TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. r ' 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 shal'I 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. , / _ / 70-00-7 �f ZONING /] i "� OWNER _ A/A 6 PHONE NO. Z -7 I OWNER'S AaDDRESS - L_ A P -V i t, R D �- I D Le '� LOCATION OF BUILDING nkjAj P- Q9 -4 L 4 U ,.... USE OF BUILDING I v t av-t- FUY^ Ie- 0/ SIZE OF STRUCTURE D SQ. FT. X' = TYPE OF CONSTRUCTION: WOOD FRAME STEEL ✓ CONCRETE OTHER (Specify) TYPE OF SIDING � � ROO�VERIN71- G � FLOOR TYPE�._._�� ESTIMATED COST OF C STRUCTION AG Buildings shall comply with the building front, side, 'and rear yard requirements of the applicable County Ordinances as follows: / t FRONT{o^g `"r SIDES `��i REAR r- f 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 approvals to comply with the requirements in effect at that time and before occupancy. Date / Permit Fee - $25.00 Receipt No.A:719--7 Signature of Owner The above.described AG Building is exempt from a building permit. Director of Public Works FLOO PARCEL/ P.D. ROOFIyJG ISSUEi By Date White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant i,.: .' _...f,^,��-J�.��.`^Y*-��Jl��!`1"AiiKl�^�'Ni}•�^Ff 4�'wv.....,..-..ti,.,q .:A1 ay./i.k,��`;y�...r�r�1��"..�..ti,r...--,;�,.;....-. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 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. i/ _ / _ 00-7 �f ZONING y� CJ OWNER IVi /E7-4-1 /VA 8 E.. PHONE NO. '�S Z. -7 l OWNER'SgDDRE_SS LD r DLG 1 -- LOCATION OF BUILDING n IUO I?7-�4 O P 4 D US USE OF BUILDING 'cSTD ,^ E EQ 1 M E Jv r F0 V— K 0 SIZE OF STRUCTURE 42?o ' X �' SO. FT. '. = TYPE OF CONSTRUCTION: / WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDIN-�G-�� " / E E L/ ROOF COVERING / C' FLOOR TYPE 12 ESTIMATED COST OF C/O. STRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT { ��-ate'+ �'l SIDES �� 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 approvals to comply with the requirements in effect at that time and before occupancy. Date Permit Fee - $25.00 Receipt No. -/? I IF Signature of Owner The above described AG Building is exempt from a building permit. Director of Public Works FLOOD) PARCELS P.D. / ROOFING ISSUE By Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant ._. �. �-- .�-....x.. r.�...�r .�.r.- .-...s•...•wev+�rn--' - -•.. •. .. � -� . .-;•.-,•-w.--y.,,�+,.r"+w+-....+ae-..+� -..r- . .-.., COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. s 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 shal'I 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. .G/ / -700 y y 00- ! FLOOD' I/L1__'l/' ZONING 14 /j V OWNER -'F_ NAIE "T: -t __r_6IVA � E:�s ROOFING t. PHONE NO. � � Z —7 / OWNER SS PSD` ES LAW -k "t / RD cSe-I DLG �l LOCATION_ GILDING p 1 A Q t T�4 6 F 140 0'; USE OF BUILDING J T v K' E E00 P ! ` I " F0 1� r� 12(f� A ` (,� �j SIZE OF STRUCTURE C/ - SQ. FT. x TYPE OF CONSTRUCTION: % WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDIN�G ROOF COVERINGFLOOR TYPE ESTIMATED COST OF CONSTRUCTION -e;/) $ I�R� t/) AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:„ , FRONT 5�o SIDES -L REAR AG Buildings shall be a minimumof 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 approvals to comply with the requirements in effect at that time and before occupancy. Date F//'/ w/ Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. ! /,'�`7 Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant FLOOD' I/L1__'l/' I PARCEL P.D. ,� ROOFING t. I ISSUE, t'� Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Building Inspector Permit No. At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 7 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: 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 ❑, Mail to owner ❑) ..... 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 Appl icant���-;.����r�c .��� ate 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--nall—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE 7 COUNTY CENTER DRIVE. OROVILLE, CALIFORNIA 95965-3397 DEPARTMENT OF PUBLIC WORKS Kenneth Tanabe N 405 Larkin Rd Gridley CA 95948 "PERMIT NO. 4623—ROB PERMIT EXPIRES 9/8/81 'OWNER KENNETH TANABE CONTR. Owner LOCATION (A.P. 405 Larkin Rd, Gridley 24-17-7 wee 1Y Temp. Power R6le Called P &E Temp.EI c. Serv. Cal d PG&E Tem Gas llServ. Caed PG&E JOB 0 A 1h. cq FINALED (Date) (Signature Setback Forms Main Bldg. Footings Stemwal I Slab Piers Stemwa I I Slab Carport Footings Slab Patio Footinas COUNTY OF BUTTE — DEPARTMEN-r OF PUBLIC WORKS BUILDING INSPECTION.RE .ORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out ` Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically handica ed Conformance of ex. s Appliances Gas Piping &Test Temp. Gas Fina la Sanitation I RElf LACE Final ELECTRICAL Bond Beam FIRE SPRINKLERS Motors Framing 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 Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) v1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 3 - 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 - - APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Z'O ING Z � '7 -- ..Z BU1LDIN P RM leg, 670 OWNER 4 TELEPHONE T of 4G K �%� SO. FT. OCC. BUILDING VALUATION vT�t OW R'S MAILING ADDRESS O 4a,,- " C'ONTRACTOR'S NAME ELEPHON CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Ca!� UNKNOWN Fireplace Total Valuation $ , Cad LENDER'S MAILING ADDRESSS Permit Fee $ Od ARCHITECT OR ENGINEER A011; 0E v LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS — Permit fee $ 30, aG BUILDING ADDRESS p_ J (/t 44 PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other- Acp 1P SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remode � lyL� itie Installation❑ Other & Describe work: /!� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 10000 AMP OR00V OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20sgft 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 CONSTR MULTI -OUT LET NON-RESID, BRANCH CIRCUITS) 2.50 ea NEW CONSTR POWER APPARATUS & NON-RESID• (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 50 250 BA!@1 BAL�tOS FIXED APPLES. OR Ex. Occu DUTLETS (REST D.) EA.� p•( 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ 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. 1 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 3.00 Heating Cooling Hood 2.00 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 conse nce of the granting of this permit. �j� X ��— �� (f — D `� ' Date Signature of Applicant — Owner® Contractor E]Agent❑ An OSHA Permit is required for exc'av`ations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ O Pd occUP. GROUP I TYPE OF CONST. PARCEL PD HD- ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees IYE/C��O PUBLI �DWORKS l V By. ` C PERMIT EXPIRES D e the applicable to do resolutions to do have been paid. Date /y `-49 _g:e1 � Receipt No. Z �7 b WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT