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HomeMy WebLinkAbout039-550-09711 IM AN, Roy Avenue, Chico •v'`—�":�'aii 3• "� sty?" xm'' . -xi ;-'-'ham .. ! F _ y0'39-55-0-097 GROSSMAN, Roy ,93-1372 E 2309 Santa Clara -Avenue (well electric split, Besser-.Well Dri. r J C 1.1 i e o at OFFICE COPY Address OAK �� R ►c GAS Meter By Date ELECTRIC Date r.p Meter By . V tet".,-f+lT+.IR' J'�'-`i`-'>�p.�n'qR'.!''T^'T"^"�'.y�7�f"K•�ynRg7'PY7�'nrrr�+lw�:�17Ry1w+1T.�1 COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. 9 3 - /.:F__ -7a ASSESSOR PARCEL NUMBER .�' �► .,, �'.*hlbp ZONING BUILDING PERMIT OWNER - TELEPHONE oN SslsnaN OWNER'S MAILING ADDRESS e C0 SQ.FT. OCC. BUILDING VALUATION CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS j'j xI ;Ago060 `,�0 Fireplace CONSTRUCTION LENDER UNKN WN Total Valuation Is Filing Fee $ 15.00 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 �� CQ �� CCL��© Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF [_1Duplex[]Mobilehome❑ Other oT 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%_11 Addition =1 RemodelC Utilities❑ Installation❑ Other U Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 ' Main service 200AORLESS 18.50 T8_. 50 Main service 200A TO 1000A1 I37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q 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. 41F2_';_&,� Classification S7 ❑ 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, 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 OCCUPM OR ADDNS, ACC. BLDGS. / 3.60 sq.ft. NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AL. L.FIXED 76d EX. Occup. OUTLETS PIRESID.IREA.J I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 1 15.00 15.00 Pre -Inspection 20.0( 20.00 Permit Fee $68.50 — 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 r 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 FiIingFee 1 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 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 liabil'tie a ;udgments, costs and expenses which may in any way accrue in L�ohsegderice of the granting of this permit.oe against sal ('rW",-, X Date � /� _ 9 3 Signature of Applicant — Owner ❑ Contractor�l?p Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $68.50 HA2 DFEES IMP FLOOD CDF PARCEL PD HD i 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. �J DIRECTOR,OF BUBLLIC WORKS ✓�9� { By / �'�'� �+�� ��l``` � --,51 Date S 1.1 PERMIT EXPIRES Date fi /r c Al y / - /over Receipt No. / i� 3? � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT F COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 '? 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE �a-7 OWNER PERMIT NO.: A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work "_3 is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ' V- r lk MZA 2s q0 'fie Ff)2 A 6 . us e a O F ELrtf r 2 << Fal2 W rt-(-(- S-) T- A 81. 2 To' t; 2M, r4 � 1nsc o f Z r/a I-N1f-c G 4 b 2kS -5 G�Jm Q^Jr F1'b11't sr- /,f\ .'JT C /AL1 f 11Lc,3 e-iGPIc(z 3 -06 - 9 T �� \aFP T 115 In/Sr'c1�R i)ri lct2nlin/r A K 1n/AL O i- T EI t5 ('r RM IT - s Date (a -2u- 93 Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calitornia 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. AA ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS I D Q/ eco t i CONTRACTOR'S NAME _Qpffel TELL'E�PHONE CONTRACTOR'S MAILING ADDRESS KJ rf y F -Z ?D,.0 Fireplace CONSTRUCTION LENDER UN KN WN Total Valuation is Filing Fee $ 15.00 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 C� Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehome❑ Other E(. LO SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G 1W I @ 15.00 TYPE OF WORK 1 New ❑ Addition L_) Remodel E] Utilities U Installation[; Other ® Describe work: _ I,veI t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 0V OR ESS Main service 200A OR LESS 1 18.50 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declar under penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Coe and my license is in full force and effect. License No. � Classification �g7 ❑ 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.&) OR ADDNS. ACC. BLDGS. I/ 3.6asq.ft. NEW CONSTR ULT '-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS (SINGLE OUTLET cI6R. Ex. Occup( OR FIXTURES 20 7611 Ex. OCCUp. OUTLETS P(RESID )FIXED APLNS.KEA,) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 1 15.00 15.00 Pre -Inspection 1 20.00 20.00 Permit Fee $ 68,50 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. ❑ 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 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 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 liabilitie dgments, costs and expenses which may in any way accrue against ai unt in o se a ce of the granting of this permit. X Date S 93 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 S Ener Inspection Fee $ 9Y P occ CONST TYPE TOTAL FEE $68.50 HAz 1 11 FEES I IMP I FLOOD cDF PARCEL PD HD Is E This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees By 4tj DIRE GR -.F B BLIC PERMIT EXPIRES Da applicable provi- resolutions to do have been paid. WORKS ,✓ D "9te J Receipt No. WHITE-D.P.W.. Y LOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ��-���'''���.Y-J'�-I'i.'�r'.'�.�+`.,�....�..C"��"T'n+...-'C^�.r'i'��-•�-.-.�J�^'l-.^V�'�-�v'"�'`J�.."k.(,�'�""..{j••'h-..r.--f...�._��.. .. ti, COUNTY OF BUTTE - DEPARTMENT OF DEVELOP'IMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL-�E,-CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER 4%,j Proposed Building Use wC 1 c/ecP4,'C , Building Inspector A. P. No. 1Z 7 C- 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_ 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 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 Materrial'Fo'A. .%' �..................................... Energy'-DesignsGom Ip anae%nd,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 ap roval required prior to occupancy) Pre -inspection for required. .. to Building Inspector (Date) Contractor's license infor ation. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance. .....I ..................... Owner -Builder Verification (Given to owner , Mail to owner . .......... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... 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. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation _ Acreage Applicant 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 UBLIC WORKS 7 County Center Drive - Oroville, California 959 -Telephone 916 538-7541 APPLICA ERMIT Sc2ee.-/ `t7 r PERMIT NO. ASSESSOR PARCEL NUMBER ZONING 3 - S'S- 97 1 1 BUILDING PERMIT OWNER//TELEPHONE //a q 4? res S 7-Y) p "/ SO. FT. OCC. BUILDING VALUATION OWNER'S MA{Li NG,S� ADDRE,A 1� CONTRACTOR'S NAME T h, f -7-,o -e- �ss-u- �/z�c �rL �� TELEPHONE 3 �f3-r✓ 92 CONTRACTOR'S MAILING DRESS ,-, / ,3820 e� -ems �cr C� IC `)S52` Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 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- Permit fee $ PLUMBING PERMIT Filing Fee 15.00 S (� 2 ^� G p `' L� Each Trap 1 5.00 e ldG i Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE/ SF ❑ Duplex❑ Mobilehome❑ Other hJell SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home ISI GJWJ 615.001 TYPE OF WORK New r,_; Addition a Remodel,' Utilities o Installation[ Other ❑ Describe work: C. 1:; a�/y Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A 200A OR LESS Main service 20CATO t000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury y (check one): I7,FfL_ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code and my license is in full force and effect. License No. ZS 3 Classification e- S7 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'g/Le this reason NEW CONST. ( DWELLING OCCUP.51) OR ACDNS. ACC. BLDGS. 3.64 sp.ft. NEW CONST R.MULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS ( SINGLE OUTLET CI6R. ) Ex. OCCUp(OUTLETS OR FIXTURES 20 76d EX. Occup. OUTLETS FIXED PIRESID IRE A.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring _ 15.00 r "'i 5,,ac Ctre - Ifor Permit Fee or$ o — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. [<p; I have placed on file with the County of Butte Building Department /yam' 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 FiIingFee 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 liabiliti judgments, c sts, and expenses which may in any way accrue against sa" ounty i o e uence of the granting of this permit. X Date s /s' F 3 Si OSHA ion of structures rover 39stories oin height. excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 1 0FEES I IMP FLOOD COF I PARCEL PO RO 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. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT �i i s P OWNER: /I LOCATION: PRE -INSPECTION 64 o Ss V DATE ' CONTRACTOR: e;5,5 e- , C - ZONING PRE -INSPECTION FOR: I ec- �� L 5 eii ✓I LC DATE TO INSPECTOR PERMIT HISTORY:—NONE AS FOLLOWS: r TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: ®�2C�1/®2.� VQ e TENNANT Q OCCUPIED HAS ELECTRIC Q HAS GAS HAS SANITATION FACILITIES Q HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: ACTION RECOMMLn- ED: _ ISSUE Q HOLD FOR OTHER: BY . O DATE