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HomeMy WebLinkAbout025-200-115I� t. x`025-20-0-115 92-2757 E FULLER', Everett'„ E .Gridley Rd;- Gridley' •elec forwell& lot developmen j 0 r•1�'Cx-`'itYovP""n�i,�'Sc€r^'�1.a7K.:,'•r.,tcr'�'wlW++7•a+j4'?'"r7isa-..,_•.,,'Ef �r;4t�=s''4:Sr3zi:!=Tyi.I:��.:r �rt`tH:1:.3"�:rtewyl�'i=y^�'°ftnir�i"'w;`'sr`':%"`�`',iR,"�;Adr:h�i'fis;, � " •• '�7� s 92=2757 E 025-20-0-115 Everett FULLER, E Gridley Rd, Gridley { elec for well & lot development• J. . • . --------OFFICE COPY Address GAS Dat Meter By ELECTRIC y Meter By Dat���—� �` ::COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERM�U' 0. 7 County Center Drive - Orovllle, Callfornla 95985 - Telephone: 918/538-7541 APPLICATION AND PERMIT ASSESSOR N 025-200-115 2 NIN t; Z BUILDING PERMIT OWNER �, F�,E� T +D f45 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1013 FAIRVIEW DRIVE GRIMM 95948 CONTRACTOR'S NAME OWNER TELEPHONE .CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS E GRIDLEY ROAD GRIMM. 95948 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other WM SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [t Installation❑ Other ❑ Describe work: 200 AWP SERVICE M REM, 4EMI, AND MMTRV LOT DEV=PMM Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 . V Main service 200A TO IOODA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS 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 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.✓) ACC. BLD�S. // 3.64 sq.ft. NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS a, (SINGLE OUTLET GIR. Ex. Occup(OUTLETS OR FIXTURES 20 6 FIXED APPLN5. OR EX. Occup. OUTLETS (RESID.) EA.1 1 3.00 6.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 PRE P 20.00 Permit Fee $ dn - 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 MECHANICAL PERMIT Filing Fee 15.00. Heating Coolin g Hood 6.50 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 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 aga�Tt said County in consequence of the granting of this permyt. X ` �'"�� 4-- ` Date Signature of Applicant — OwnerK 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 59 50 TOTAL FEES + HAz 1 11 FEES I IMP I FOOD CDF PAflCEL PD HD ISS This permit is hereby issued under the sions of the Butte County Cofde and/or work indicated%above forr which fees /'DIRECTOR OF PUBLIC -122504 By _ , //'. / &:,Da� PERMI XPIRE Date applicable provi- resolutions to do have been paid. WORKS q� Receipt No. WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERM 0. ASSESSOR PARCEL NUMBER 025-200-115 ZONING' c 2 BUILDING PERMIT / OWNER EVERETT FULLER T' WIZ -04f45 SQ. FT. OCC. BUILDING VALUATION' OWNER'S MAILING ADDRESS 1013 FAIRVIEW DRIVE GRIDLEY 95948 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS E GRIDLEY ROAD GRIDLEY 95948 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ElDuplex[]Mobilehome❑ Other [BELT, SPECIFY Gas piping system 1 - 5 outlets Building sewer ELE Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [X Installation❑ Other ❑ Describe work: _900 AMP SERVICE,TO SERVE WELL AND F'l-M--lRE LOT DEVELOPMENT Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 18.50 Main service 200ATO1000A) 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 .Jo. Classification I, as the owner, or my employees with wages as their sole compen- I)w" 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 CONST./ DWELLING OCCUP.al OR ADDNS. ( ACC. BLDGS. 3.64sq.ft. NEW CONSTR. MULTI -OUTLET @ 5.00 NON•RESID BRANCH CIRC ITS (POWER APPARATUS &\ SINGLE OUTLET cIR. / Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. OCCU p. OUTLETS (RESID.) EA.) 1 3.00 6.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 PRE INSP 20.00 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. 14f I shall not employ any person in any manner so as to become subject J� 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 15.00 Heating Cooling g 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 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 i. agapt said County in consequence of the granting of thi18713 X � -D�., Date9 Signature of Applicant — OwnerK 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 $ Ener Inspection Fee $ Energy P occ CONST TYPE TOTAL FEE $ 59.50 HAz 0FEES IMP FLOOD CDF PARCEL Po HD Iss 4 This permit is hereby issued under the applicable provi- sions of the Bu County a and/or resolutions to do Work indica ab e r hich fees have been paid. R PUBLIC WORKS BY Date F-( -FL PE:a PRE Dater Receipt No.12250!s WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL, NUMBER S = Z©O /� ZONING C,2 BUILDING PERMIT OWNER Veru e TELEPHONE �-�r S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING AD RESS 1 o 13 2 rjew9(jp CONTRACTOR'S NAMETELEPHONE en CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESSy� / f Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE 1 SF F-1 Duplex ❑ MobHehome❑ Other (6-_� `/ 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 ❑ Addition ❑ Remodel ❑ Uti lities K Installation ❑ Other ❑ Describe work:_a00 Amp 5 rrut'ce — TO Seuc_ 6w o Ly->cUTe (_(94 UeLOQM� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR 00V OR LESS 18.50 t 6?- 56 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 Main service 20CATO IOOOA) 37.50 NEW CONST. l DWELLING OCCUP..\ OR ADONS. ACC. SLOGS. // 3.6C sq.ft. NEW CONSTR. ULTI-OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS a SINGLE OUTLET CIR, EX. Occup( OUTLETS OR FIXTURES 20 @ 75d PIXFD Ex. Occup. OUTLETS (RESID )LNS REA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 0 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 MECHANICAL PERMIT Filing Fee 15.00 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 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 Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavotions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $�°/ �� HAz 1 0FEES I IMP FLOOD COF I PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. Ion °� SOy 'NNITE•D.P.W., YELLOW-ASSF330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNERVL�t���� P. No.0A5-,Q00-,( 115 Proposed Building Uses AMT C,oll;,j�r,�e Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. oix, 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ............. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................. Energy Design Compliance and supporting documentation . ................... Statement of Intent for Non -Heated and A/C Buildings . ..................... . Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof$ .......................................... Impact fees as shown on attached schedule . ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit. ........................................ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction a proval required prior to occupancy). .. ... ... . 1j` �, Pre -Inspection reque Pre -inspection for Puzfts ( a IA-�o � ct required. . to Building Inspeor (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner _) ............ Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . Copy of recorded de of arcel creation and 60 right of way to a public road. .... . Letter of intent on se .......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ........................................ Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list . ..................................................... When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephon S and hold for pickup at Q Q_�) office. Deliver with inspector. Other Parcel Creation92 Acreage Applicant 6-1� 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 _ Date 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 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: • An "owner -builder" building permit has been applied for in your name and bearing your signature.,. Please.complete and.return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit. will be issued until this verification is. received. 1. I personally plan to provide the major labor and materials for construction of .the proposed property improvement (yes or no) 5* 2. I (have/have "not) signed an application for a building permit for the proposed work. 3. I have -contracted with.the following person (firm) to provide the proposed construction: Name Address City Phone ...Contractors License No. 4. .'I plan tQ provide portions oT this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name _- Address City ----,Phone_-.- Contractors.License No. ` 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name . Address Phone Type of Work Signed: Property Owner Social Sec it Number Date {f 9�2 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE BUILDING DEPT y! AUG 0 4 1992 '�o b i3Vr�,DrN6" B E A U T Y 7 COUNTY CENTER DRIVE i OROVILLE. CALIFORNIA 95965 ;Felepl4ome� (9161 688 ;641 - -r-) -Ale, t95C �e Fl eer�+�� ���vey �G� Amy �PiScfp�7Ce 9r� Jil�r� ��6r�� �N�L PRE -INSPECTION OWNER. �U�P�LI �Ul[c°1� DATE_ LOCATION: r JKW-D A.P. # CONTRACTOR: %����%�(� ZONING C' Z —o� PRE -INSPECTION FOR: QWtJ0r UJU+S Zoe? AtAja LP foc c)�3al, ck Coy .Dedy_-Pormely t - PERMIT HISTORY: NONE Q AS FOLLOWS: TYPE OF OCCUPANCY DATE TO INSPECTOR FIELD - INFORMATION FIS -1-52 BUILDING USAGE: /z -7'-W /r -O 1 ►.V o T 14 3 D 0 L-0 9,440, TENNANT: El-OCCUPIEDE�H-A-S—EL-ECTRIC--FD7RA.S-.GAS ,E] -HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: ACTION.RECOMMENDED:, ISSUE [:] HOLD FOR 1 A OTHER: --[�-H�cS—SANITATION FACILITIES ._ .. _:.._ ::--_-.- _ _.. .a - - t. _ r _ _ .� :., ,. .. _ . . M. _ _ ... _ _.. - _ . ,v s.. �' I . / 9 - ... . S.W. COR..RANCHO FE RNANDEZ = Q- GIs I _ ROAD _ ' .�/z -'' - ___ _ . - . 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