HomeMy WebLinkAbout024-200-019024-20-6=019• 93-2281 BPEM
MELTON,, ALLAN-,
422 CHANDON AVE, GRIDLEY. ;
NEW'SF .
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024-20-6=019• 93-2281 BPEM
MELTON,, ALLAN-,
422 CHANDON AVE, GRIDLEY. ;
NEW'SF .
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/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive; Oroville, California 95965 - Telephone: 916.'538-75493-2281
II
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
024-200-019
ZONING
A40
BUILDING PERMIT
OWNER
ALLAN i TION
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
2861 R
154494.00
OW ER' MA ING ADDRESS
N75 9 �Sc3
723
13014.00
CONTRACTOR'S NAME
UNKNOWN
TELEPHONE
�7���M
438 OF
14892.00
1178 C
15314.00
CONTRACTOR'S MAILING ADDRESS
Fireplace A
1500.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
199214.00
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Pe m Fee
$ 947.50
ARCHITECT OR ENGINEER
LICENSE NO.
PI n Checking Fee
$ 473.75
rgy Plan Check' g Fe
,e
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
1119.
enalty
$
BUILDING ADDRESS
429 17EY T
Permit fee
$ 1456.25
PL BING PERMIT
Filing FeeGRI15.00
Each Kap
5.00
Sol or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PAtiCEL MAP
ter piping
7.00 7 nn
ach qas water heater or vent
7.00
USE OF STRUCTURE
SFf] Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New Lk Addition U Remodel ❑ Utilities ❑ Instal lation❑ ther
Describe work: SF 3BR
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
in service 200A OR LESS
18.50 18.50
Mai service 20CATO1000A)
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
El am licensed under provisions of Chapt. 9 Iv. 3 of the Business
and Professions Code and my license is in full force and effect.
License Ao. Classifi tion
❑ 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
_37.50
NEW C •NST. DWELLING oCCUP.&\ 3.6Qsq.ft. 25.45
OR ADD S. (ACC. BLDGS. I
NEW CON TR ULTI.OUTLET
_NON-RESID BRANCH CIRC ITS @ 5.00
� POWER APPARATUS 61
INGLE OUTLET CIR. /
Ex. Occup(OUTL TS OR FIXTURES 20 76
AL_ La 46
EX. OCCUp. 0UTLETPTRESIFIXED -A LNS -D .)R EA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $ 158.95
-
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
17 The permit is for $100.00 (valuation) or less.
E]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 subjectPermit
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 15.00
Heating 9.00
Cooling
g
Hood 6.50
Ventilation 2 4.50 .00
Fee $ .0
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
against said County in consequence of the granting of this permit.
X � _ c , cl
Date
Signature o4 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
$ 40.00
OCC
CONST TYPE
TOTAL FEE $
HAz
1 DFEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
I
This permit is hereby issued under
sions of the Butte County Code
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
and/or resolutions to do
fees have been paid.
WORKS
Date
Receipt No. 143634 PC 541.50
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
2 -
'72�
SLfq,r 4
Z4 tt
fspo
0 COUNTY OF BUTTE - DEPARTME Y�
� OF' PUBLIC WORKS ; /� J ��rT - _•
7 County Center Drive - Oroville. California 9 Telephone 9'F
' APPLICATION AND IT:
A SErSSOR REEL NUMB D� —
2 I
-ILDING PEPMIT
";i
OWNER _ )
TELEP oNEt
(O/ ,
SO.. .BUILDING VALUATION
/•J
O ER'S M I G ADD ESS
6
s 7
pf/1 r�
TEL2�°i
EPH
7
!
CONTRACTOR'S MAILING AODRE33
J
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ -
Filing Fee $ 5.00
LENDER'S MAILING ADDRESS ._ -
Permit Fee 3
ARCHITECT OR ENGINEER,
LICENSE NO.
Plan Checking Fee 4 73 M2 $ 0
Energy Plan Checking Fee $ aQ.Q20
ARCHITECT OR ENGINEER'S MAILING ADDRESS
' a
Penalty
BUILDING ADDRESS
2 U
Permit fee L4 Ste, ZJ S -
PLUMBING PERMIT Filing Fee 15.00
t
Each Trap 5.00 50• co
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME _ - PARCEL MAP
Water piping 7.00 74Ov
Each qas water heater or vent 7.00 j
USE OF STRUCTURE
IDuplex❑. Mobilehome❑ Other
Gas piping system 1 - 5 outlets 5.00 5. O d
Building sewer 15.00 j5'15'0,3sPECIFr
Mobile Home S I G I W I 15.00
Ne�AdditionL_j Remodel❑ Utilities Insta a
Describe work:
_Permit Fee $
ELECTRICAL PERMIT
- -- - "s• -
Main service 600VORLESS j$5O
200A OR LESS ,• Sa
Main service 20CAT01000Ai 37.50
_
= CONTRACTORS LICENSE LAW
'- h ,p` -
eclare'under penalty of'.perjury (check on
- -
❑ I am licensed^ under provisions of Chapt. 9, Div. 3 of the Business/POWER
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 Seca , Busine_ss'and_ Professions Code
for this reason
NEW CONST. DWELLING O U d 3.64sq.tt.
OR AODNS.- ACC. BLOGS
NEw CONSTR. U I.OUT ET pZ
NON.RESIO - BRANCH CIRCUITS) @ 5.00 G
APPARATUS e
(SINGLE OUTLET CIR.
/--
Ex. OCcuptOUTLETS OR FIXTURES 20 76
Ex. OCCUp. OUTLETS PIRESID ,REA.) 1 3.00
.
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
'Permit Fee $
-Contractor
—
WORKMEN'S COMPENSATION INSURANCE '
I declare under penalty of perjury (check one):
❑ Thi permit is for $100.00 (valuation) or less.
❑ I have placed on file with -the County of Buite Building Department
4 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 15.00
Heating oQ�
Cooling
Hood
Ventilation±6.50
Of.�
Permit Fee $ cC?�
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,occ
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 accrueHaZ
against said County in consequence of the granting of this permit
Date
noture of Applicant — Owner C) Contractor C3 Agent ❑
An OSHA
ion of structures rtover 3 storiesoinnhe excavations over 5'0" deep and demolition or construct-
Mobile Home Installation Fee S
Energy Inspection. Fee �� �S
CONSTTYPE
TOTAL F $
II
DfEES I
IMP
FL
CDT ARC L
P
ND.
ISSUE
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.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
L/
Receipt No. 7 3C�3`�' C 5���
WNITE•O.P.W.. YELLOW -ASB E330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
1 y/ COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
PEP --
7 County Center Drive - Uroville, California 95965 - Teiechona 9 16
0
j APPLICATION AND PERMIT
A SESSGR fL4RCEL NUMBE^
—
ZONI
�.
s_.�-
BUILDING PERMIT
OWNER
JIM
TELEP �N
SO. FT. OCC. .45UILDiNG VALUATION
OWNER'S G ADDS
019.
0�� S 7r L'
O
/Z
CON➢yR wij�$ NAAQ
TELEPHONE
/ U
CJ
/!
G&997—
CONTRACTOR'S MAI/LING ADDRESS
Fireplace 4 (( /'15_00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $
0
Filing Fee
$ T5.00
LENDER'S MAILING ADDRESS
Permit Fee
$ . 00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ Z -S-0
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
-AP
$
BUILDING ADDRESS z- Q _) ��
2 �/
Permit fee
E O i7
PLUMBING PERMIT
Filing Fee 1 15.00
t
Each Trap
5.00 5(5, 00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00 7,Q -p
Each qas water heater or vent
7.00 70 pp
USE OF STRUCTURE
Duplex[] Mobilehome❑ Other
'SPECIFY
Gas piping system 1 - 5 outlets
5.00 ter'". 007
Building sewer
15.00 15, 0,3
Mobile Home I S G W
J
615.00
/�,� TYPE OF WORK
N�aJ —Addition i_j Remodel E] pOUtilities ❑ Installation[ Other ❑
Describe work: �� �F�
1 1
Permit Fee
$ 00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service TOGA OR LESS
1$•50 1 6).,5C)
Main service 200ATO1000A1
37.50
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.SINGLE
License No. Classification
17I, 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)
11I, as the owner, am exclusively contracting with licensed cont
ors. (Sec. 7044)
ors.
❑ I am exempt under Sec. ' Business and Professions Code
for this reason
NEW CONST. / DWELLING o U a)
OR AODNS, l ACC. BLDGS.
3.6Csq.ft. j2 Q
0
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
^ 5 00
l:
POWER APPARATUS III
OUTLET CIR. /
Ex. Occup( OUTLETS OR FIXTURES
20 75d
FIXED APLNS.
EX. Occup. OUTLETS PrRESID. IRE A.�
j 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$ 1-5
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 subjectHood
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
FiIingFee 15.00
Heating
.00
Cool in g
1 150
6.50 -50
Ventilation
Z Gl,Cc�
permit Fee
$ a�
Contractor
I certify that 1 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
against said County in consequence of the granting of this permit
X Date
Si nature of Applicant - owner
g pp ❑ 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 E $
HAz
I DFEES
IMP
FLo
cDF
PARCEL
P
MO
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
eceipt No. I yt3 r� / CI 5���
L -RNITL-O.P.W.. YELLOW-ASSCSso R, PINK -INSPECTOR. GOLDENROD -APPLICANT
7 //
oZ B�L�
o78�i8
��_.� �,...�'i."�."i�.^'.� Y,:.,.,;'tiw��`;irA-...��.r.�-r.-•vw-..r+...�1�...+3i�-.('�.."..71"•+.+.Z..M.-+y t-.�'�'r1.��`�"T�FFC`K`.'r"d..'-.'i+-1 �riY"'�v-:.ac'� �'��.�"..�'ti t.-��..•�'v+�• �. .. ..-....r
COUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PE
OWNER -"
Proposed Building Use
IT APPLICATION DATA SHEET
P. No.
Building Inspector Date
CIq
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
1. All items have been submitted . ........................................
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3 omplete plans, 3/4 sets, signed by preparer of plans . ...................... d 3_
.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 arLd manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ r i' I Z7.5-. -7.... .
11. Impact fees as shown on attached schedule. ...... �S.h esif.4
12. California Department of Forestry planfapproval/fees. ....................... .
13 Flood elevation letter (100 year floo b alif rnia Engineer . ................. .
Sanitation and plot plan approval �I ikiealth Department p ............
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��
20. Pre -inspection for required. .. w Building Inspedor (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 . ...............
Existing violations/expired permits . ......................................
When fou issue the ermit, pro ess as follows: Mail to owner. Mail to contractor.
!/ Telephone and hold fo pickup at Cf%Ui(1�- office. Del' with inspector.
Other (v9.5- 5
Parcel Creation IV
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 got chec ov
1. Index permit'for above items
2. Additional items required: 3
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was/�'dvised of above required data by _ phone _ mail Counter by _ Date
Plans checked by /l Y--- _.Date )D -x-93 Plans approved by Date
,� Sets of plans on hold in v File cabinet AP folder
Copy - Department of Public Works /�
At time of permit application, I was advised the above fees are required to be paid
prior to issuance of the permit.
APPLICANT
DATE �v
i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
- BUILDING DIVISION
7 COUNTY CENTER DRIVE,. OROVILLE CA 95965 - TELEPHONE
(916) 538-7541
OWNER
AIL) 14
A.P. # CO2Cf '?00i16Vl �l
PROPOSED
BUILDING USE S �1` -
DATE
REC. # DATE REC
�.
SCHOOL DISTRICT FEES
(paid at District Office) .............. ...........
2
SHERIFF FEES
(paid at Building Department)
Residential...... x _$
unit, amt.-
mt.-Commercial
Commercial.(sqft) x _$
sq.ft. . amt.
3.
URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x =$
# units amt.
Commercial (per sq.ft) x -$
sq.ft. amt.
.4.
RECREATION DISTRICT FEES
(paid at District Office) .........................
5.
DRAINAGE DISTRICT FEES
(Contact Land Development Division) ..............
6..
SRA FIRE INSPECTION AND PIAN CHECK = $93.00..:...
(paid at Building Department)
7.
OTHER
8.
OTHER
At time of permit application, I was advised the above fees are required to be paid
prior to issuance of the permit.
APPLICANT
DATE �v