HomeMy WebLinkAbout024-190-038, 1
24-19-38 _ _ 3090-91M o` _ I 60
O —
u HANNING,.Phyllis
Q -
12 Hwy 99, Gridley 4
cont: Andy's Heating & lair
(replace furnace/sf), n '
B08-0081 13CAJN�Dr ` 024 190-038
1
r MISCELLANEOUS' • Electric Pane14
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ELECTICAL SERVICE PANEUAND i
12 HWY 99
;'- pIAZ 'OREJEL, MARIA
rO3
COUNTY, OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovlllel California 96986 - Telephone: 916/638.7541
APPLICATI014 AND PERMIT 1
PERMIT N0.
A L0
BUILDING PERMIT
OWNER PHYLLIS HANNING
! 6
$0. FT. OCC. BUILDING VALUATION
W NIEWS `1W 99 OIDLEY
CONTRACTORANDYS HEATING & A R
TELE HONE
CONTRACTOR'S MAILING A
108ERCYAVE YUdCITY95991
Fireplace
CONSTRUCTIMbtNO ER
((�r��
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OROENGINEER
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING AOflEJ&Y 99 GRIDLEY
l j�,y�
Permit fee
$
PLUMBING PERMIT
FllingFee 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
SF5fl Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW 1
10 00 A
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other (I
Describe work: REPLACE UPMW FURNACE _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service BOOV OR LESS
100 AMP OR LESS
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. 7h/D C - ,c_
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.!!t
OR ACDNS. (ACC. BLDGS.
, /=¢sgft
NEW CONST.ES'D,MULTI-OUTLETNCHC
NON •RESID BRANCH CIRC ITS
2.50 ea
(POWER APPARATUS eI
SINGLE ourLET cIR.
Ex. Occup( OR FIXTURES
120 0 BALI 30
BALI 30C
EX. OCCUp. OUTLETS FIXED P(RESID )RE A.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �Yirin g
15.00
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.
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
FiIingFee 10.00
Heating
6.00
Cooling
g
Hood
3.00
Ventilation
9.66Notice
Permit Fee
$ 25.00
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 expenses which may in any way accrue
against said County in consequence of the granting of this permit. G
f LZZt ��z-a— Date s /�
Signature of Applicant — Owner ❑ Contractor - 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
TOTAL FEE $
-
25'00
HAz.
CUA
PARK
I SCHL
I FLD
I CDF
I PAR
I Po
I Ho.
I su
This permit is hereby issued under the applicable
sions of the Butte County. Code and/or resolutions to to do do
work indicated above for which fees have been paid.
-� �i OF PUBLIC WORKS
By �.� �� Date
PERMIT EXPIRES Date 7. /,/, -,FZ
97466
Receipt No.
WNITC-D.P.W.. YELLOW-ASBC330 R, PINK-IN9PCCTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville,,C.alif.or4a 95965 - Telephone: 916/538-7541 O`
APPLICAVION AND PERMIT All
ASSESSOR PARCEL NUMBER
024-190-038
ZONING
A 40
BUILDING PERMIT yf
OWNER PHYLLIS HANNING
T67/+ 0 86
SO. FT. OCC. BUILDING VAL19ATION
OWNER'S MAILING ADDRESS
12 HWY 99 GRIDLEY
CONTRACTOR'S NAME
ANDYS HEATING & AIR
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
108 PERCY AVE YUBA CITY 95991
Fireplace
CONSTRUCTION NENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 99 GRIDLEY
11 I171WW..LL
Permit tee
$
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
SF [y�] Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW I
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®
Describe work: REPLACE UPFLOW FURNACE
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OROOV OR LE LESS1.00
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
y and effect.
License No.�l 7-10 Classification. C r/`—�
❑ 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 AODNS. ( ACC. BLDGS.
, hosgft
NEW CONSTR. U T"OUTLET
NON.RESID BRANCH CIRC ITS
1.2.50 ea
POWER APPARATUS t}
(SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES
20@50t
SAL@ 30
FIXED PR
EX. Occup. OUT LETS (RESID 1EA.I
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. byirin 9
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.
t7t I have placed on file with the County of Butte Building Department
1� 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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
MTN
9.00
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, judgments, costs, and expenses which may in any way accrue
again5tf,gaidCount In consequence of the granting of this permit.
��f���i 2� Date �%l
Signature of Applicant — Owner ❑ Contractor � 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
TOTAL FEE $ 25.00
HAz.
CUA
PARK
I SCHL
FLD
I cDF
PAR
PD
1 HD.
I su
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
1 OF PUBLIC WORKS
BY kms_ LL Date
PERMIT EXPIRES Date - 7 Z
Receipt No. 97466
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMEN-OF tUBLIC WORKS -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVI6;.E,,QAL-tORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
A, Permit No.
OWNER / /V l /V �" - A_ r_ Nn /iZ7 ��%Q •'
Proposed Building Use
Building Inspector
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 $ i ........................
11. Chico Urban Area fees paid ............... .....................
12. Park fees paid .............................ti .....................
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 ..
7 . Certrficate.of Workmans Compensation Insurance .................. (, ) AA-'
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: 4W Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other z
Copy of Hdz-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_maiI—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
r
3g��12� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
3?O 7 County Center Drive - Oroville. Califo(hia 85865 - Telephone: 816/538-7541
3 APPLICATION'AND PERMIT
ASSESSOR PARCEL NUMBER
U 4,� � — ?
ZONING /�D
BUILDING PERMIT
OWNER
VL N !
TEL6.7yEPHONEL
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S MAI G ADDRESS
Z CI 9
CONTA�((C��TOR'S NA
/VD _�Rrlf%^ /
TELEPHONE
CONTRAC�CTO 'S MAILIN /ADDRESS
�Qp e�C l� Lj� C/it C1t �S%%
Fireplace
CONSTRUCTION L DERjol�e
UNKNOWN
Total Valuation Is
Filing Fee
10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEEF:.O��
��V/R//'S
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINE/JE
MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 12- P W , (�S7^
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
SF b" Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0,00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: If'-AINCf W0r�0!/) {U/_n1AC f / —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 11001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1NON-RESIO
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-
ontract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST, /DWELLING occuPa`
OR ACDNS. `ACC. BLDGS. I
,/z¢sgft.
NEW CONST R. UL�I.OUTLST
BRANCH CIRCUITS)
2.SOeal i
POWER APPARATUS II
(SINGLE OUTLET CIR. J
Ex. Occup(ouTLETs OR FIXTURESeAL3•3CeOt
l
Ex. OCCup. OUTLIXED TS PRESTO lREA.I
2.00
Temporary service
10.00 i
Mobile Home Facilities
15.00
Misc. Wiring
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
i
MECHANICAL PERMIT
Filing Fee 10.00_
Heating
j
Cooling
g
Hood
3,00
V_eatila>_on 114/
Q J
ertnit
PFee
$ -2S °
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 or
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 Date
Signature of Applicant — 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 he,ght.
Mobile Home Installation Fee $
Energy Inspection Fee $
Icc
CONST TYPE
TOTAL FEE $
HAZ f CUA 1 PARK SCHL I FLD i GDF i PAR PD i HD • I !SSU=
I
This permit is hereby issued unser
sions or the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the appllcaole provl-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 7L�Of0
'/NIrx-O.P.w.. YELLOW-A5eE330R. PINK -INSPECTOR. COLOCNPOO- PPL,CANr i