Loading...
HomeMy WebLinkAbout025-130-024v 25-13-2` BEN C OUB ERLY �/�`!" _ 2686 Larkin 'Rd, Gridley3 -Contr;..NorthValle.y Ele. / Permit#197-86E(replace damaged ele ser) 197-86 BEN COUBERLY[ 2686 Larkin Rd. MXNXIXXK, Gridley t OFFICE COPY Address¢o$. GAS Meter By Date ELECTRIC Meter By Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541'. APPLICATION AND PERMIT ASSESSO[R PARCEL NUMBER - ~- �/ r� i - /,3 ZONING ZONING BUILDING PERMIT OWNER/} f t JK0 1 A t 1411 I1to I1 1 1/ TELEPHONE SQ.FT. OCC; BUILDING VALUATION OWNER'S MAILING ADDRESS - CONTRACTOR'S NAME / •�(1,� �1 U� 110 1 . J� r it r TELEPHONE CONTRACTOR'S MAILING ADDRESS +` r%, 1 r� . %i;, ci �� yI ,' / Fireplace CONSTRUCTION L"ENDER / ,tbq `A r UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH I T, CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r)! ��� ��' ►f ���► to Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ;d4- Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL/MAP i Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[fl 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 ❑ Uti lities El- Installation❑ /Other �y Describe work: �p 11 /1 `1 P 11�p IAA Q �i i/ ��)rF fl r/ , (► F 1`�n �=►rtI t`r�c. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 a Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F''-1 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 C-10 ❑ 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) ❑ 1 am exempt under Sec. Business and Professions Code for this reason LIN OCCUP.81) oR ADDNST DWELG'/zQsgft / NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES BAL930 200030 \\ Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 tie h S 7 %i' /J/7 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury .(check one):' . ► ❑ The permit is for $100.00 (valuation) or less. a,-1' 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 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 Countyof 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 /lifl�r��!/O�Q�c�a'L�ttii-+ Date �-2k � � Signature of Applicdnt� - Owner Q' Contractor Agent EJ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories inheight. Mobile Home Installation Fee $ Energy Inspection Fee $ n TOTAL PERMIT FEE $ Occup -1 CONST.TYPC JFLOOOJPARCELJ PD I ND I 1991E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC 4r' V By. -�-�'►�s�t PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �)rX`JSr-i�-.- WNITC-D.P.W.. YELLOW-A58C390R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-•Oroville, Cnlifprnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PER 0. ASSESS R_PARCEL NUMB 5 ZONING BUILDING PERMIT OWNS TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWTISM,tILING, IT'D RE _ h/ CON AC'T^OR S NAM n ,/1 Y f2 1 1 i TELEPHONE CON AC R'S LING ADDR S Fireplace CONS UCTION D R UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH I ECT OR ENGINEER ` LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME —ARCS MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea t TYPE OF WORK New Addition❑ model❑ Utilities Installation❑ Dther Describe work: rl JAA 0 0 (� �e I I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800v DR LESS 100 AMP OR LESS 10.00 /0.00 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 Busines$ and Professionsn Code Bga.nd my license is in full force and effect. License No. 2 /Y,6n� Classification �f� ❑ 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.y+ OR ADONS. ( ACC. BLDGS. 1/2 Osq ft NEW CONSTR. ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 5AL030 OAL030 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )RE A.) 1 2.00 -Temporary service 10.00 Mobile Home Facilities 15.00 Mi W. W i r i 9k 15.00 / h Permit Fee f $ SZ21M WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Qil'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 MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 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 s id Co ty 'n consequence of the granting of this permit. X Date f —2�- %6 Sig tore of Ap is nr - 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 $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ FLOOD PARCEL I PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PU ty BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS Date r.� r. Receipt No. S_f�© WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF�,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRkVE'`�(513OVILLE',-CA ' ORNIA 95965 - TELEPHONE: 910534-4541 PERMIT APPLICATION DATA SHEET # OWNER Proposed Building Use Permit Fee Based Upon: Building Inspector l Permit No. �elgr;, S/= Complete Contract Price DPW Valuation 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. . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . ... . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9. Letter of signature authorization. . . . . . . . . . . 10. ,Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16.rMobilehome Installation Data. 1 •Pre-Inspec. request to �7. Pre -Inspection for o fir' I i �.C' _ Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other DRIMMY PERMIT 4(06NSTRUCTION APPROVAL REQUIRED PRIOR TO OCCUPANCY) When you issue the permit, process as follows: Mail to owner. Marl to contractor. Telephone and hold for pickup at office. - Deliver w./inspector. Other Applicant Date 1-2,81' is9 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by 'Date Plans approved by Date Other: Copy—DPW COUNTY OF 'TT DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Driv Orole, California 95965 - Telephone 916/534-4541 • LIC TION AND PERMIT ASSESS R PARC L NUMB NTNG S — BUILDING PERMIT oWNE TEI PHONE SO. FT. OCC. BUILDING VALUATION OW � ILING tCD R � � \/ 11 / CON ACTOR S NAMe- f ` 1/10 e 1 r HONE CONT AC R'S LI G ADDR S LCt `UCTION Fireplace CONS D R �— UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHI ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 1 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCE MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W 10-00 ea TYPE OF WORK New ❑ Addition ❑ model ❑ Utilities Installation[] ther Describe work: LU F ` F 9L r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ✓ Main service 0001 OR LESS 100 AMP OR LESS 10.00 D.IJD Main service EA. ADD'L 100 AMP 2.50 o%,y 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 Band my license is in full force and effect. License No. :�% n�� Classification G.ID El 1, 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 oa ADDNST ( DWEACCLLIN GOCCUP N) /z¢sgft . NEW CONSTR. MULTI—OUTLET2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURE eA A530 Ex. Occup. OUTLETS IPRESID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi Wirin 15.00 / h Ffermit Fee r $ Contractor WORKMEN'S COMPENSATION INSURANCE ( declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 -have placed on file with the County of Butte Building Department L 7 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood . 3.00 Ventilation Permit Fee $ 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 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 scid Co ty 'n Date consequence of the granting of this permit. X p/ i1.t1 Z�S — �-"� �� Sig ture of Ap icA — Owner a 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 $ TOTAL PERMIT FEE $ occuP. CONST.TYPc I I FLOOD PARCEL PD ND ssuc This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. _IS_00Sr0+1__ WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, f.OLDENROD-APPLICANT I I