HomeMy WebLinkAbout024-080-093'b29
2�4-68-9'3- 4 -89B
F.ALD�I'CH - 'Jeannette
CoC '-Clark-Ro6fing.
ont�:
428 Sheldop,Ave, Gridley
'(reroof Z� -7- 7 -
024-080-093 PERMIT#98-.1361
ALDRICH, Richard
428 Sheldon�Ave., Gridley
Ele Ser Ch/SF
4 7-10
—
8
024-080-0 05 1798
COTA,ART
428 SHELDON AVE, GRIDLEY
CONT: THRESHERHEAT &
C/O HVAC t -05
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Butte County Department ofDevelopment Services
PAUL MCINTOSH, INTERIM DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
August 16, 2005
Fax: 477-9127
Subject: Reconstruction of a nonconforming use
Site Address: 428 Sheldon, Gridley, CA 95948
APN: 024-080-093
Non -conforming uses in Butte County are governed by Butte County Code Sections 24-
35 though 24-35.55 inclusive. These sections of the code provide for the replacement of
a nonconforming use subject to the requirements contained therein. This applies to all
nonconforming uses in Butte County. The applicable sections of the Butte County Code
may be found on the Butte County Department of Development Services website at
www.buttecounty.net/dds, proceed to the "Online General Ordinances" link.
If you have any.specific questions please feel free to contact my office.
Sincerely Yours,
/Jim A�Cook
Planning Manager
NOTES
RESIDENTIAL
PERMIT NO. 024-080-093 05-1798
COTA,ART
428 SHELDON AVE, GRIDLEY
CONT: THRESHER HEAT & AIR
C/O HVAC
11 SPECIAL CONDITIONS _11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FI NAILED (Date)
Signature
CHECKED
BY
4 = OK
3 = Not OK
Nat Applicable
Not Ready
MOOBILE HOMES
Date
MOBILE HOME UTIUTIES (Plans) OK except #s
1 . Zoning Requirements -Setbacks -Easements
2. Soils; Speciail MH Support Sketch
3. Sewer Location -Test -Fall -C/0 -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat or/ r L"ftJ P LPG
7. Well Clearance & Disconnect
a. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1 . Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Une
3. Gas; MH Test-Dernand-Valve-Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water MH Test-Regulator-Connectoe
7. Water and Sewer.Connected-C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation 6e_rt.
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
1 . Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Blocking
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
9. E)Cits
10. Ucense Decals
11. Verify #s vvith Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks- Easements
2. Footings; Soits-Size-Depth-Spacing-Connectors-SteeI
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs- Rails
4. Wood Awn.; Posts- Beams-Rftrs-Connectors
Shthg- Frg- Bracing
5. Aum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof-, Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1 . Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men-Uning
4. Elec.; Receptacles and Ughting, Distance -GA
5. Elec.; Pool Ughting; 15 Vofts-GFI
6. Elec.; Enclosures; Conduit Entries-Terminals-Usted
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Ught Niche
12. Enclosure; Fencing-AJarms
Date Card B-1 Date Card B-1
Date Card B- I Date Card B-1
OK
Not OK
Not Appricable
Not Ready
RESIDENTIAL (Single & Duplex)
)ate UNDERFLOOR (Plans) OK except #s
1 . Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access &Ventilation
16. Insulation
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Rue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise- Run- Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Naffing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card 9-1
Date
PLUMBING (F!ermit) OK except #s
Date
17. Water Htr.; Verrt-Access-Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler, Test
70. Stairs &Rails
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Mchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or M-A.C. Wire Size/ /ga Cu or A
31. Range Circle/ /ga Cu or Al -Oven Circ. /ga Cu or Aj
Insulated Neutral 0 Yes 0 No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
85. A.C. Unit Disconnect, Electrical- Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except 4's
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Fumace-Vent Access -Comb. Alt- Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
41. Sills Proper Materials & Anchors
Date
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
Date
43. Bearing Walls over Girders & Floor Nailing
Comments at Final:
44. Draft Stop in Walls (rat proof)
45. Fire Stops. Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Rue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise- Run- Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Naffing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #Is
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs &Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door-, Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.,. Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.El.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction- Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. Following InstIdJDrive 0 Yes 0 No/Walks 0 Yes 0 WPlanters 0 Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical- Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water W-311, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle U nderg round
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected-C!O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
P4
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buftecounty.net1dds
PERMIT NO.
BP051798
.LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 07/08/2005 APN: 024-080-093-000
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
72' ? Y,
Site Address: 428 SHELDON AVE GRI
License Class Licen ,ke.yumber: -
Map Index:
Date: Contra r:
Description: CHANGE OUT HVAC
OWNER43UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Owner: COTA ART & MICHELLE
Business and Professions Code: Any -city or county which requires a
permit to construct, alter. improve, demolish, or repair any structure, prior
428 SHELDON AVENUE
to its issuance, also requires the applicant for such permit to file a
GRIDLEY, CA
signed statement that he or she is licensed pursuant to the provisions of
95948-9711
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis to r the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
1, as owner of the property, or my employees with wages as their
sole compensation, will- do the work, and the structure is not
Applicant: THRESHER HEATING AND A/C
intended or offered for sale (Sec. 7044 - Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
10 130 -Y -LE LANE
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
OROVILLE, CA 95966
year of completion. the owner -builder will have the burden of
530-534-5002
proving that he or she did not build or improve for the purpose of
thresh@usa.com
sale.).
1, as owner of the properly. am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor: THRESHER HEATING AND A/C
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Q I am Exempt under Article 3 of the Business and Professions Code
10 130 -Y -LE LANE
OROVILLE, CA 95966
Date: Owner:
530-534-5002
thresh@usa.com
WORKERS'COMPENSATION DECLARATION
glifit'aby affirm under penalty of perjury one of the following declarations:
License #: 747884
I t
I have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
Architect:
Q I have and will maintain workers' compensation insurance. as
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is issued. My workers' compensation
insurance carrier and po, Lic n mber are:
;V
Carder: A1114
Total Square Ft:
Valuation: $0.00
Policy #:_ 0 72 0,�,s
CI I certify that in the performance of the work for which this permit is
Census Code:
issued. I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California.
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: 712 OS
Applicant:_
WARNING:. Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This peni �h y issued under the applicable provisions of the Butte County Code ;.and/cwr
!Inn�dicat
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Resolu S tqA!!7bo!rk ab for which fees have been paid.
7K�q=
Name:
By: Date:
Address:
PERMIT EXPIRESW. -7 7F
(Date)
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
0 Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application. that the above information is correct. and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of anyvyicial form or document Af Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposep"',
Zpa"? —7tT17,e-1:4er-
Print Name: Signature:
Date: 7
I&IC
Q Owner ontractor El Agent for Owner CI Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED A T TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER
Last Name
r Oq6i�_
First,�lame
Address
yTe'lli")n
City
Statn
Zip
Phone
Fax
E-mail
CONTRACTOR
Name - -
FA I -lea (A
14 ;9� r4 I)d
Address
Address
City e,,�)
Statee
'4
Zin,1_
7-�
Phone
Fax
E-mail
Lic. #
-)
Cl
��Oo
APPLICANTNAME
ARCHITECTIENGINEER
Name
City
Address
Zip
city
Fax
State Tzip
I Type Const.
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANTNAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
_APPLICANT SIGNATURE
X �Z�_ —
For office use only:
Zoning
-MInK�L&--m A�
Flood Zone
Cross Street
SPA
I
�YesNo
Occ.
I Type Const.
Subdivision Name
Map Book
I Page
Address
Planner
- I Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
KAFORMS\BUILDING FORMS\BldgAppISubRqmts.doe
PERMIT
NO. no)
�. I
BIN H
LOCATION
AP# 0 "� E) . Dc�
-MInK�L&--m A�
city - 16
Cross Street
Bldg
WORKER'S COMPENSATION
Policy Number / 35c) 3 -,),OQ
Carrier 54 4- 4 dl
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
1'2174114,0
0
Sq. Footage
El Structure Built without Permits
El Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee.will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Page 1 of 2
REV 2-24-05
Received by:. Amount:
Bldg
Tip
SRA
IRc e t #:
Sheriff
-SMIP
Date:
Other
__Total
Page 1 of 2
REV 2-24-05
-t
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
0 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
F� 3. Engineered truss details and layouts in duplicate (if required). No faxes!
El 4. Energy compliance design and supporting documentation in duplicate.
El 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
0 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the enginee .
0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
0 9. Site plan and business license approval from the City of Biggs.
0 10. Letter of intent for non-residential buildings.
0 11. Detached Accessory Building Form filled out by the owner (if required).
El 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
0
1 .
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
0
2.
Impact Fees.
0
3.
California Department of Forestry plan approval (if required).
0
4.
NPIDES Form.
0
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
El
6.
Contractor's license information. (Number, Name Style, Classification).
El
7.
Worker's Compensation Carrier and Policy Number.
0
8.
Owner -Builder Verification (if required).
0
9.
Letter of Signature authorization (if required).
El
10.
Recorded copy of Agricultural Acknowledgment Statement.
0
11.
El Grant Deed, El M.H. Title/Statement of Facts.
0
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 2-24-05
024-08o-093
PERgIT#98'1361
ALDRICH, Richard - o�
428 Sheldon Ave., Ley
Grid"/
Ele Ser Ch/SF
V
4
VP AA - lwol�
70
&�----OMUNTY OF BUTTE -"DEPARTMENT OF DEVELOPMENT SERVICES�- BUILDING DIVISION
-Drive - Oroville, California 95965 * Telephone (530) 538-754,1, PERMIT NO.
7 County Center'
(Rev. 12/96) APPLICATION AND PERMIT (e!
ASSESSOR PARCEL NUM13ER
024=08=0=0C43
ZONING
A-5
BUILDINGPERMIT
OWNER
RIGIARD AT.DRT(W
TELEPHONE
SO. Fr. OCC. BUILDING VALUATION
OWNEWS MAILING ADDRESS
428 SHMMN
CONTRACTOR'S NAME
OWER
TELEPHONE
CONTRACTOWS MAILING ADDRESS
CONSTRUCTION LENDER
-Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Ft ling Fee, $ 20.00
' 61, r
1�ermit Fe'e'
ARCHITEC-fdA tNGINE&4 MAILING ADDRESS
tNit %. 0, ..
Plan Checking Fee ,v $
BUILDIN142gEgffM I
WN AVE, rnzimic.y
Eneirgy Plan Checking Feel $
PERMIT FEE
LOT NO. SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Each Trap -7.00
USEOFSTRUCTURE
SF Duplex 0 Mobilehome 0 Other
SPECIFY
Solar or heat pump water heater 2S.00
Water piping 1 &�Oo
Each gas water heater or vent 15.00
TYPEOFWORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other
------ r
.#Mr. UPGRADE IAIN SERVICF E= SER PANEL
Describe Work:
TO 200 AMP
Gas piping system I - 5 outlets .15.00
Building sewer 1-5.00
IS I GI W @Mcr 0 0
Mobile Home F
PERMIT FEE
ELECTRICAL PERMIT Filing Fee 20-00
Main Service a.O.OvA ORR L.�ss: 23.QO:!3.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirFn under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License,class Lic. No.
OWNER -BUILDER DECLARATION
+hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law f-,the.fpllowing reason-
,VJI, as own-er of the property, or my employees with wages astheir sole compensation,
illdo.th-e w6rk;,ancl-the structure is not intended or offered for sale.
0 )Was ownei of.the propdrty, am exclusively contracting with licensed contractors
io construct theproject. -
0 1 am exempt under Sec---,, -�-�Business and Professions Code for this
,reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain &;.certificate of consent to self -insure for workers'
compensation, as provided for - by section 3700 of the Labor Code, for the
performance of the work for whi6h,this permit is issued.
0 1 have and will maintain workers' coim p ensation,! I nsu ran ce, as required by Section
3700 of the Labor Code, for the performance of w ork for which this permit is issued.
My workers' compensation insurance carrier ind policy number are:
Carrier
Main Service 200A TO 1000A 46.00
'JEW CONST.
N %W .00CUP.
OR ADDNS. 3.5�s,'..
NEW
..=.T. =O
97.50
FS0WE.RAP.PA"TUS -
IN. 0 CIR.
OUTLET OR FixrURES 20 @ 1.00
Ex. Occup. ( BAL @ .50
Ex. Occup. E 5.00
( 0 "XED APPLNS OR...
Temporary Service 2S.00
Mobile Home Facilities 20.00
Misc. Wiring 23.001
PRE I' NSP f
PERMIT FEE $ 66.00
MECHANICAL PERMIT_ Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
-,<of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
R te
_k1le �f Appli&Qt�.AF�'Owner 43 6-ntrh 0
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in hpight.
M6ile �ome Jiifstallatio�)F $
E�er'g',/ - ec�tion Fee' $
OCC
-7
C T-71
77s e7 ��DTAL FEE $ 6G.00
COF
PARCEL
P0
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date cd?
PERMIT EXPIRES ON 9
(Datq)f
—R&blp�A.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA * (530) 891-2751
7 County Center Drive * Oroville, CA * (530) 538-7541
CORRECTION NOTICE
I
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 notice this office when correction of work is
compi'6ted. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
� _ e? _ /t o,' -Y '5' f ( I (!�—)
Date 7--D— inspector LZ
REV 10/92
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 - Telephone (530) 538-7541-. RMIT 0.
(Rev. 12/96) APPLICATION ANDPERMIT 17 L- /,�& /
ASSESSOR PARCEL NUMBER
024-08-0-093
ZONING
A-5
BUILDINGPERMIT
OWNER
RICHARD ALDRICH
TELEPHONE
846-4404
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
428 SHFIDON AVE. GRIDLEY 95948
CONTRACTORS NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDIN4�rE NELDON AVE, GRIDLEY
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF C�( Duplex 0 Mobilehome 0 Other SPECIFY_
Each Trap
7.00
Solar or heat pump water heater
--
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other
Describe Work: UPGRADE MAIN SERVICE ELEC SER PANEL
TO 200 AKE
Gas piping sy2tem I - 5 outlets
15.00
Building sewer
15.00
—Mobile Home ISI GI W1
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
800V OR UE:SS
Main Service ,I LE
23.00 U. 00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law f the following reason:
1, as owner of the property, ormy employees with wages as their sole compensation,
_V,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, forthe performanceof workforwhich this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X
SigrTa—ture 6f Applicant -if—owner =Contractor 0 Agent'
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
-..A
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUR so
OR ADDNS. & ACC. BUDS. 3.50FT.
NEW CONST.
m,�LcTH' OuFTLu, @7.50
—NON-RESID.
OWER AP=US
PSINOLE 0 C..
Ex. Occup. OUTLET OR FIXTURES
j
20 @ 1.00
BAL @ .50
Ex. Occup. P(PES,6.) E 5.00
O.FIXED A LNS ORA�
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wirina
23.00
PRE INSP U.00
PERMIT FEE 66.00
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEiE $
Mobile Home Installation Fee Is
Energy Inspection Fee Is
occ
CONST. TYPE
TOTALFEE$ 66.00
.P
FLOOD
I CDF
I PARCEL
I PO
I HD'J
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
BY te of 3-
PERMIT EXPIRES ON IT"
I ( (Dated
ReceiptNo. 2441'11
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPFICANT
COWNTY OF BUTTE: - DEPARTMENT OFDEVELOPMENTSERVICES - BUILDING DIVISION
7 COUNTY CENTERDRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PE"IT APPLICA TION DA TA SHEET
OWNER: Rj C � arel 14 1,4e; c 1, ASSESSOR PARCEL NUMBER: a? 0 45?
Efuifding Use: �51)-- g;e.) e -A ag Inspector: 12A Date: e,' — -Yff
At time of permit applica&n, f was advis( d t e fo o g data mw t processing and/or issuance:
Date Received By
t��Afl iiems have been submitted ----------------------------------------------------------------------------- --------
'02. Plot plans, 3/4 sets, signed by the preparer of plans - ------------------------------------------------------------
E13. Complete plans, 3/4 sets, signed by the preparer of plans - ---------------------------------------------
E14. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
06. Energy Design Compliance and supporting documentation - -------------------------------------------
El 7. Statement of Intent. for Non -Heated and A/C Buildings - ------------------------------------------------
D 8. Hazardous Material Form - ---------------------------------------------------------------------------------
1:19. Manufactured Home data and installation instructions including Tie Down Specifications ----------
1110. Fees of $ ----------------------------------------------------------------------------
0 11. Impact fees as shown on the attached schedule - -------
0 12. California Department of Forestry plan approval/fees.
0 13. Flood elevation certificate - -------------------------------
El 14. Sanitation and plot plan approval Health Department.
0 15. City of Chico plumbing permit - ---------------------------------------
0 16. Plot plan and business license approval from the City of Biggs. ---
El 17. Planning approval for (A) Use: (B) Parking:
Ell 8. Contact Land Development about 0 Improvements, 0 Drainage, El Legal Parcel - -----------------------
111.9. Encroachment Permit for driveway (construction approval prior to occupancy) - ----------------------------
��O. Pre -inspection for 15 41�quired. Request to Building Inspector on - (Date)
El 2 1. Contractor's license information. (Number, Name Style, Classification) - ---------------------- -------------
0 22. Workers' Compensation carrier and policy number - -----------------------------------------------------------
023. Owner -Builder Verification (Given to owner 0, Mailed to owner 0) - --------------------------------------
024. Letter of signature authorization - --------------------------------------------------------------------------------
025. Recorded copy of Agricultural Acknowledgment Statement - --------------------------------------------------
026. Letter of intent on building use - -----------------------------------------------------------------------------------
0 27. Manufactured Home utility clearance - ---------------------------------------------------------------------------
028. Existing violations and/or expired permits - ----------------------------------------------------------------------
029. 0433 A, OGrant Deed, 0 M.H. Title, 11 Check to H.C.D S - ---------------
030. Other: --------
_Whea4o'u issue the permit, process as follows 11 Mail to owner, OMail to contractor.
M700elephone gqj;\� qLj 0 q and hold for pickup at ore) /A&ffice. C3 Deliver with inspector.
Applican _,"/O'D�: /��
Copy of Haz-Mat form sent 0 Health Department, 13 Fire Department, 0 Air Pollut n Date: By:
Copy of plans sent 0 Health Department, 0 Fire Department, 0 Other: Date: By:
1. Index permit application for the above items numbered: 11 Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by 13 phone, 0 mail, 0 Building Division counter,'by Date:
Contractor, designer, owner, was advised of the above requir-ed data by r -i phone, o mail, o Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by 13 phone, 0 mail, 0 Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in 11 Plan Cabinet, 0 A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
- OWNER -BUILDER VERIFICATION --�
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing yoursigna!ure-
Please complete and return this information at your earliest opportunity to avoid unnecessm7 deky
in processing and issuiin'g your building permit. No building permit will . be issued until this
verification is received.
1. 1 pers O*nally plan to, provide the major labor and materials for construction of the proo�ed
property improvement : YE&tl-, NO C3
2. 1 HAVWHAVE NOT C3 signed an application for a building permit for the proposed
3. 1 have contracted with the following person (ffim) to provide the proposed constzvcfiow-�-t 4�z,,
NAMEe
ADDRESS: CITY:
PHONE: CONTRACTOWS LICENSE NO.
4. 1 plan to* provide portions of this work, but I have hired the following person to coordfifide,
supervise, and provide the major work:
NAMIE:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. 1 will provide some of the work but I have contracted (hired) the foll i to provide
owing persons
the work'indicated:
NAME ADDRESS PHONE TYPE OF WORK,.
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUM03ER: / -,)- — -,.>\ ) -
DATE:
-1V0 TE. Th i� 0 wn e r -B u ilde r Ve r ift c a tio n is re q u ire d by Sei-c-lio n 1993 r -�v-U -J9U2-q71W-
California Health and Safety Code. This verification must be -completed imd
returned to our office before we are permitted to issue the permit.
OVER
I OWNER BUILDER INFORMATION I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner-buildee, you are the responsible party ofrecord oil such
a permit. Building permits are not required to be si
0 gried by property owners unless they are personally performing their
own work. If your work is being performed by someone other thaa yourself, you may protect yourself from possible
liability if that person applies for Ehe proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontrac4 you should
be aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than, your immediate family, and the work (including materials
and other costs) is S300 or more for the entire project, and such persons are not licensed as con rs' or
subcontractors. then you may be an employer.
If you are an employer, you must register with the State and Federal Governments as an employer and y . ou' �are
subject to several obligations including state and federal income tax withholding, federal social security' "'s,
Workers compensation insurance, disability insurance costs, and unemployment compensation contributions:,
There may be financial risks for you if you do not carry out these obligations, and these 'risks are especial.ly soim
with respect to worker's compensation insurance.
For more specific information about your obligations uldepFederal Law, contract the Internal Revenue Service (and�
as under
if you wish, the U.S. Small Business Administration). For more specific information about your obliptio
State Law, contact the Department of Benefit PaymenT and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work peIrsorially or through their own employees, without a licensed contractor or subcontractor, only under Hiked
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure An "owner buildee' building
pqgnit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits arehot required to be signed by property owners unless they are performing their own work personally.
Information about licensed contrac!prs may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirrn that you
are aware of these matters. The building permit will not be issued until the verification is returned.
+ i rely,
' &k-1
Micel C. Wira., C.B.O.
IC
M M 2
ger. Zuiil?ding Inspection
NOTE.- This Owner-Builder.Information is required by Section 19830 of the Ca/Vornla Healdi and Safety Code.
OVER
-1�
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 9 Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSES..R.CEI...
ZONING
BUILDING PERMIT
OWNER La
LEPH..EL
SO. Fr. OCC. BUILDING VALUATION
OWNER'S MAILING ADOPMS
�!2E :ih elde'Al d I'sLi 959,� F
CONTRACTOR'S NAME If
TELEPHONE
CONTRACTOR'S MAJUNG ADDRESS
CONSTRUCTION LENDER
EFIrIc,
LENDER'S MAILING ADDRESS
Total Valuallon $
ARCHITECT OR ENGINEER
NSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEEFIS MAILING ADDRESS
Plan Checking Fee $
SUILDINGADDRESS
17 DAJ /14-0
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NWE
IPAfCiL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0,""Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition E3 Remodel 13 Utilities 0 Installation "er 0
Describe Work- /"s/ 6
e -le- 14- C -e aes'-ve- _�_10
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I WT_
PERMIT FEE $
—ELECTRICAL PERMIT
Filing Fee 20-00
R LESS
Main Service OR LESS
23.00 C9_3.0-0.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license Is in full force and effect
Ucense Class Uc. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
[3 1, as owner of theproperty, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale..
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
13 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is Issued.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is Issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit Is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is Issued, I shall
not employ any person In any manner so as to become subject to workers'
compensation laws of California, and agree that R I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - 0 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 5'0'deep and demolition or construction
of structures over 3 stories In height
Main Service 200A TO tOOOA 46.00
NEW CONST. DWELLING OCCUR so.
OR ADONS. & ADC. BLOS. 3.50FT.
NEW CONST.
NON-RESID. MULT.1_0=. @7.50
&PSOr AP
20 1.00
EX. OCCUp. OUnET OR FKWRES SAL .50
Ex. Occup. 5.00
.7DAPPLNS O.R.
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
oce- - > v '5 1p
PERMIT FEE $ 4,06- --0
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
—
— Hood 6.50
Ventilation
PERMIT FEIE $
Mobile Home Installation Fee is
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEE$ 0:0
IMP
I FLOOD
I CDF
PACE
PO
HD
I ISSUE
This permit is hereby Issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
I Pate)
provisions
to do work
paid.
Receipt No. q
A !V q -3 1
WHITE-D.D.S.-B.D. ' CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
PRE -INSPECTION
OWNER: DATE C9 6
aq- 0 93
LOCATION: dvA.) A. P. #_ , -
CONTRACTOR: ZONING ,47
le z ,
14
PRE -INSPECTION FOR: /V c --e
V 0
DATE TO INSPECTOR (g�
----------- - --------------------------- ---------------
PERMIT HISTORY: NONE
AS FOLLOWS:
TYPE OF OCCUPANCY
BUILDING USAGE:
TENNANT:
OCCUPIED ED
0 HEATED -COOLED
OTHER COMMENTS:
FIELD - INFORMATION
HAS ELECTRIC FD HAS GAS HAS SANITATION FACILITIES
PERSON CONTACTED,
I
AcV.,6N RECOMMENDED:
a ISSUE 0 HOLD FOR
OTHER:
24-08-93 4029-89B
ALDRICH, Jeannette.
Contr: Clark Roofing
428 Sheldon Ave, Gridley
(reroof)
211
If
COUNTY OF BUTJE - DEPAR'TMENT.OF PQRLIC WORKS
7'Cou6ty Celiter-Drive - Oroville, Ciilitorfnia 9596'5' - Telephone:,,916/538-7541
APPLICATION AND PERMIT A'
PERMIT NO.
g e-
V J/�Z
ASSESSOR PARCEL NUMBER
ZONING
A _�,
I —
BUILDING PERMIT
OWNER
J r.AIVAIC- rrE & tSKii(14
TELEPH NE
SQ.FT. OCC.1 BUILDING VALUATION
xat(
OWNER'S MAILING ADDRESS
428 S H r. 0,, ad A 0 C. G f� I h L (I CTS4.49
CONTRACTOR'SNAME
Cc A ex tZ 6o r) IvG
HONE
_�31/
CONTRACTOR'S MAILING ADDRESS
2? -1-7 GiZA-4 AVC. SACOAmilt4ro 45fs,�_33
Fireplace
CONSTRUCTION LE DER
�q /A
UNKNOWN
I
Total Valuation 1 $ ID- cl
Filing Fee
$ 10.00
—
LENDER'S MAILING ADDRESS
Permit Fee
$ �7�, --, C3
ARCHITECT OR ENGINEER
IVIA
LICEN E NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS A\)r-
Permit fee
$ 1;0
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF 5� DuplexF� Mobilehomef-I Other
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10-00ea
TYPE OF WORK
New F� Addition F� RemodeiEl Utilities[] InstallationD OtherN]
Describe work: ri- - R -0o i�� C (Z q -r 1Z 'r( L V -L
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi ling Fee 10.00
main service 600V 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. Classification C_ 59
Fl 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)
F] I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST ( DWELLING OCCJP.&)
OR AODNS.* ACC.BLDGS.
21/20sq ft
NEW CONSTP_ MULTI -OUTLET
NO N.R E S, D. BRANCH CRCL, TS
2.50 ea
(P WER APPARATJS.&)
SIONGLE OUTLET CIR
Ex. OCCUP(OUTLETS OR FIXTUREI_
A'3@5300el
N .
Ex. Occup. OU'TLETS (RESID.) EA.
2.00
Temporary service
10.00
Mobile Home Facilities
15.00-
—
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
f_� The permit is for $100.00 (valuation) or less.
Ej 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
Fi I ing 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 Countyot
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 Iiabilit.ies, judgments,. costs, and expenses which may in any way accrue
again said Cou ty in consequence of the granting of this permit.
X '�Date
I
Signatu(e of Appl,- Qn, Owner E:1 Contractor Agent 1:1
"�Nperj i t
An OSHA is required for excavations over 5'0" deep and demolition or construct-
i22 of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy, inspection Fee $
occ
CONST TYPE
ITOTALFEE $ 6
HAZ
I CUA I
PARK
I SCHL
I FLO
I PAR JPDJHD
117 -
T.h; s permit is hereby issued under
sions of the Butte County Code and/or
work J-ndi-Qaied above f2r which fees
DIRE9gTO n�b F P U
Z;Date
L ES Date
the applicable pro
resolutions tovlo
have been paid.
'WORKS
Receipt NO.
WHITE-D.P.W.. YELLOW-ASSr33OR, PINK-tNSPECTOR. GOLDENROD-APPLI CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
6ZA
V
ASSESSOR PARCEL NUMBER -
?-1 —0
ZONING
A 5,
BUILDING PERMIT
OWNER F -AIV /V rr, r -r I- At I>P_1`04
TELEPHONE
SO. FT. OCC.1 BUILDING VALUATION
39sa- vctm
OWNER'S MAILING ADDRESS _846
42,8 Sff e-IihaA/ AV q— GIP_ k I Ll 17S.5.q 9
CONTRACTOR'S NAME
C (-,4 e it r, -a,)
HONE
CONTRACTOR'S MAILING ADDRESS
GgA-4 VIE— SAe_fZAMt1,vm !j_5838
Fireplace
CONSTRUCTIOW/XER
UNKNOWN
Total Valuation - is S'700
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 5,6,50
ARCHITECT OR E INEER
7)A
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 'A as _SH E_usod A\) e
Permit fee
$ 6 -sol
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
1
PARCEL M`AP
1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF R DuplexF� MobilehomeF] Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JWT
10.00 ed
TYPE OF WORK
NewE� Addition [:1 Remode I Uti lities [:1 Installation[] OtherN
Describe work: C (L 4�-M T1 L �L
3 8
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I i ng Fee 10.00
Main service 1OOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'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. Classification C_ 349
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)
EJ I, as the owner, am exclusively contracting with licensed connou,
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&)
OR ADDNS. ACC, BLDGS.
21/2 0sq ft
NEW CONSTFL MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS.&)
-SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
j.20050C
AL0 300
OCCUP. FIXED APPLNS. OR I
Ex. OUTLETS (RESID.) EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15 -OOT
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
Fi I ing 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 ot
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
agains�\Said C u ty in consequence of the granting of this permit.
X Date kam
Signatl of ppl�i I t OwnerE:l Contractor I� AgentO
- IQ Pi
An 0 �Iit is required for excavations over 5'0" deep and demolition or construct.
structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 6, so
HAZ
I CUA
FLD
I PAR JPDJHDJ
SS
7
This permit is hereby issued under
si�i;s oi the Butte County Code and/or
work ated above fQr which fees
DIRE F PU
B(
N—l<
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
D at e4L
I QITI
Receipt No. ;!44 12
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDEN ROD-APPL I CANT