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Home My WebLink About021-070-071'' ..� , f �• `; �4 _.•, .... { s � :v .- `;�" '`�,t.__ r � .:�.� :.,,.. «.,••�... ria'-. >k" „ �..� ` «.: �C �'��.'�1, �. 2— Y Y T10f C . BAKER - 7 i D. t SIS Gridley Colusa 800' E • J 4�,Lewis OakRd GridleyPermit #6174-;75B,P,E,M(new single _ � family) 1 �^ - 21-07-71 `y•.(Permit ##64Tf-7-5 (install «f nklin type fireplace7see##6174_75) s '07-71-,'* A;92 2209B, Y SEIDERS,` Elvin.' 1581`'Palm AVL Gridley `' , •* , ,{,�`- , i 1 reroof /sf - r • 1 pi %,fir ' � �_. T Y I. {Y�,.`J 41�;• '/�j/ �i J/ r'R ��.� T' A t 'f �• •' V� 3 4• � ! '. mr PERMIT NO. 6174-75B,P,E,M .�r r P E Y1 M MH UTIL. PERMIT NO. PERMIT EXPIRES��/ j !�4OWNER .T. C. Baker CONTR. owner LOCATION (A.P. 21-07-71 ) ='S/S Gridley Colusa Hwy, 800'E. of Lewis ,Oak Rd. Gridley yy!1 v i. J` 7 � 1 � i 1t �' 1 Temp. Power P e Called P E Temp. Ele Serv. .'��..`� r Calle PG&E a Temp. as Serv. �_�� % 'j-- C lied PG&E I J B .r INALED �� (Date ( (Signature) a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC -WORKS ' ,r BUILDING INSPECTION RECORD Subpanels Mesh BUILDING BUILDING (Cont'd) Scratch PLUMBING Setback 4&1Firewall -4-1 Soil Piping Temp. Pole F Forms - Parapets 1st Floor I e JK Main-Bidg. Restroom Finish 2nd Floor Final Footings Windows 3rd Floor Stemwall f Siding' To out �o Slab Roof Sheathing Water PipingO Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin sGara a Vents�3� Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances i - Carport Footings Conformance of ex. jj,� structure l�/�%l�Uu/ Gas Pi in & Test ✓`— Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footinas Footino . _ . �I ELECTRICAL Reinf. Steel I Final I Fixtures.�/r" Bond Beam a I FIRE SPRINKLERS I Motors Stucco Final Subpanels Mesh MECHA Grd. Fault Pro Scratch Heating .. Service off. Brown Cooling Temp. Pole Finish Ducts 4 Underground Interior Lath �� Ventilation Permanent Door Closer .3r/ Final Final DATE REMARKS OR CORRECTIONS 2 G� ok ww O. D l ! THIS 1S TO CERTIFY THAT INSULATION HAS BEEN•• -INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- . ' TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE '25; STATE OF CALIFORNIA, IN THE. BUILDING LOCATED AT: seve Street Lot Number Tract No. EXTERIOR WALLS �,G^ Manufacturer " Thickness/Type R Value l CEILINGS 6. 17Batts: Manufacturer Thickness R Value Blown: Manufacturer Thickness No. Bags Wt./Bag Sq. Ft. Covered R Value FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR LICENSE No. BY TITLE — DATE INSULAT02 CONT4CTOR: AWKINS INSULATION CO. LICENSE o. 215-925 4 ��DATE_ . TLE BY '.=:, COUNTY OF BUTTE — 9;EPARTMENT OF PUBLIC 7 County Center Drive` — ,O yiIle, California 95965 �� Tel ephon�: 534-4541 /OF WORKS APPLICATION AND PERMIT -715 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date 5, �5 XSignature of Permitee or Agent Receipt No. /"%/ White-D.P.W. - Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provlsions(of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS BY DatefZ j /-?— 1,P— ding permit expires Date . BUILDING Owner SQ. T. OCC. BUILDING_VALUATION Mai I i ng Address Tel p one o Fireplace Contractor Total Valuation c Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address i PLUMING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Wee "I ` Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. .� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W Sarot Fire Dept. Fire Zone I Use Permit Building sewer 5.00 EQA IParking arcel Plans Declaration parcel P 60' R/W Improve provem s Lawn sprinkler system 2.00 Bldg. Plan cd Re Parcel roval pp Plans Approval Permit Fee $ $ NEWq7r ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR A.D.S. ( ACCLBLDGS.CC P ) 20sq ft NEW CONSTR. MULTI -OUT NON.RESID. ( BRANCH CIRCUITS)2.50ea NEW CONSTR. (POWER APPARATUS & NON -RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:. Ex. Occup(OUTLETS OR FIXTURES)@L� BAL@1 FIXED APPLNS. OR ExOccu RESID.) EA) 2:00 P'(OUTLETS ( Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ $ ^ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date 5, �5 XSignature of Permitee or Agent Receipt No. /"%/ White-D.P.W. - Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provlsions(of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS BY DatefZ j /-?— 1,P— ding permit expires Date . PERMIT NO. 6491-758 ._. , • M , MH UTIL. PERMIT NO. PERMIT EXPIRES'- ,'OWNER J. C..Baker sCONTR. owner' LOCATION (A.P. 21-07-71 S/S Gridley Colusa Hwy, 800' E. of Lewis +Oak,Rd., Gridley S Temp. Power P le -' Called P E Temp. Ele Serv. Calle PG&E Temp. as Serv. C led PG&E NAILED !O (Date (Signature) - Vii. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION. RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback r Firewall Soil Pip ng ,; 1 Forms Parapets ; 1st FI or Main Bldg. Restroom Fin sh 2nd FI r Footings Windows 3rd Flo Stemwall Siding 'To out Slab Roof Sheathiii Water Pipin Piers Roofing Sewer If Garage Fdn. Vents Fixtures ' 3 Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters . Appliances Carport Footings Conformance of ex. structure Gas Piping & T t Temp. Gas Slab final Sanitation Patio FIRE • LACE Final Footings Footing EL TRICAL Masonry Walls Throat 1A Rough Reinf. Steel Final Fixtures Bond Beam FIRE.SPRINKLERS- Motors Framing Test Water. Htr. Stucco Final Subpanels Mesh ME ANICAL Grd. Fault Pro/ Scratch Heating Service Brown Cooling Temp. Pol Finish Ducts Under rou d Interior Lath Ventilation Permanerli Door Closer Final — Final DATE REMARKS OR CORRECTIONS s� .i f f r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drivw _ 04oviIle, California 95965 Telephone: 534-4541 . APPLICATION AND PERMIT 1y9� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. i X s Date /5��&Z Signatur of Permitee or Agent Receipt No. �/3_"eu White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR O/_�UBLIC WORKS ey / ice— nate Bui ng permit expires Date -7 _ �� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing ydress r I hone No. Fireplace % Contractor Total Valuation Mai I Ing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address S v PLUMBING No. @ FEE PERMIT FILING FEE $3.00 L U AM, Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.�1 Q` Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Saui.t 4" Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W p ovements Im r Lawn sprinkler system 2.00 -1-9. Flons-Tructr Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERrNA ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water, Heater or Space Heater 1.00 Light fixtures a (dd2 Receps., switches & fix outlets ,MS CONTRACTORS LICENSE LAW, I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar.disp.or D.W.. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring MI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ' rI certify that in the performance of the work for which this ermit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 r TOTAL PERMIT FEE $ '— authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. i X s Date /5��&Z Signatur of Permitee or Agent Receipt No. �/3_"eu White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR O/_�UBLIC WORKS ey / ice— nate Bui ng permit expires Date -7 _ �� i�i,l {iy�}" � - iYil� d • +r R:.h�^"• 2 �':C%h �.�}�,}iar��.7�'„(j^ i4 � `k..* vl^ :.,�1.�-1'y§:-^tyjnerifs:'>9�> :i�'" -T : e.''µ'�b�L'�ii f... { �'r2};•i':i1 ° �,r.`y'- >F�"'7��Y�'��`.:�''v� ' �i.Ma+'; ,, �' ;�}„ �.i "� "21"-0.7-Z 1 * ^ ., i' ,c � •.t; f • r`.E . '( is � � +�r,�r � n tit SEIDERS , 1vinY: Grid1'ey F 1581 Palm, AVe`,� ;�1-9 `TeTOOf/sf't F {e Z f v C^ 3 S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMI N0. 7 County Center Drlve1=°0roAble, Callfornia 95965 - Tel916:536-7541 APPLiA.T10N AND PERMIT ASSESSOR PARCEL NUMBER ZONING 021-070-071 A-5 BUILDING PERMIT OWNER TELEPHONE _ Elvin Seiders 84fi=0832 � 5'Q, FT. OCG^, BUILDING VALUATIO OWNER'S MAILING AD ESS V1 7 S 1,620.00 CONTRACTOR'S NAME TE L ZHON Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $1,620.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 33.00 ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 48.00 PLUMBING PERMIT Filing Fee 15.00 Lane, Each Trap 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 Gas piping system 1 - 5 outlets 5.00 SF U Duplex❑ Mobilehome❑ Other Building sewer 15.00 SPECIFY Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[) Other [2 Permit Fee $ Describe work:RPrnnf/Cmm� __ _ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.& 3.64 sq.ft. I declare under penalty of perjury (check one): OR ACDNS. ACC. NEW GONSTR MULTI-OUI-OUTLET @ 5.00 ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the Business NO N•RESI BRANCH CIRC ITS POWER APPARATUS &) and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. License No. Classification Ex. O( OUTLETS OR FIXTURES A20 760 I, as the owner, or my employees with wages as their sole compen- FIXED APLNS. Ex. Occup. OUTLETS (PRESID )REA.) I 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, the Mobile Home Facilities 15.00 as owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. Wiring 9 '15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Coolin g �I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 permit Fee $ provisions or this permit shall be deemed revoked. L Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. OCC CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE$ 48.00 all liabilities, judgments, costs, and expenses which may in any way accrue HAz DFEES IMP FLOOD CDF PARCEL PD HD ISS E again said ounty in consequence of the granting of this permit. X16 Date This permit is hereby issued under the applicable provi- Signature of.Ap i nt — Owner Contractor ❑ A nt ❑ sions oft Butte County Code and/or solutions to do ' An OSHA permit is required for excavations over 5'0" deep and demolition or construct- work dic ted which f s ave been paid. ion of structures over 3 stories in height. DI PUB VA0, RKS w / ^ By Date 0 Receipt NO. 0122 ,7 PE EXPIR S Date WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive - Orovllle, California 95965 - Telephone: 916,`538-7541 APPLICATION AND"'PERMIT PERMIT N0. e- A53E 3 R N 021-070-071 ZONING A_5 BUILDING PERMIT OWNER Elvin Seidere TELEPHONE 846-0832 - SO. FT. OCC. BUILDING VALUATIOIy OWNER'S MAILING AD ESS 1VIa t CON CT R'5 NAME TELE HO Owner 27 S0. 1,620.00 , CONTRACTOR'S MAILING ADDRESS ' . Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$1,620.00 LENDER:S'M.AI LING ADDRESS - ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee $ 33.00 Plan Checking Fee $ ARCHITECT OR.ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING AODR-ess Permit fee $ 48.00 Q - •• Gridley 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 SFEX 'Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ® Describe work: Reroof tr Comp. _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 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 Ao. 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 200ATO1000A, _37.50 NEW CONST. ( DWELLING OCCUP.&\ OR ACDNS. ACC. BLDGS. I 3.64 sq.ft. NEW CONSTFL ULTI.OUT LET NON -REST BRANCH CIRC ITS @ 5.00 (POWER APPARATUS h1 SINGLE OUTLET CIR. / EX. Occup( OUTLETS OR FIXTURES 20 76 ARA FIXED APPLNS. OR EX. OCCUp. OUTLETS IRESID.) EA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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. apr > 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 suchE provisions or this permit shall be deemed revoked. Contractor • MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation mit Fee $ tractor I certify that I have read this application and state that the above informationbile is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyofrgy 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 conseque ce of the granting of this permit. X Date O WI; Home Installation Fee S Inspection Fee $ CC CONST TYPE TOTAL FEE $48.00 HAz DFEES IMP FLOOD CDF I PARCEL rD HD ISS E This permit is hereby issued under the applicable provi- cions of the Butte County Code and/or resolutions to do iridic ted abovb qor which feesrh/ave been paid. DIRCTl7�R�OF PUBLIC WORKS Byi #�fr ��r`/�. %•lfs'l/i. Date ��(,' Y�1 PERMIT 1 `u �� Signature of Ap¢�1ifnt — Owner Contractor ❑ Agfnt ❑ An OSHAwork permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over in height. /3stories Receipt No. ��-/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF B OWNER 7 COUNTY CENTER DR ��y��7 ��t``A'Ya�MrT-i�sr'•�i'x� } ;lrH 1n`�1'Y�-J1t�'�I'.•aq,.,%^.,.'. 'c'�l. 1. , PARTMENT, OF, PUBLIC 'WO x4 BUILDING DIVISION OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION ELV//V 5ElDEk$ DATA SHEET A. P. No. 21 -0-1 Q1_ Proposed Building UseBuilding Inspector Date G 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. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobileho (n ma ufactrer's allat,�n instructions, 2 sets. . 10. Fees of . :-: ri. S7 , �1 .............................. . 11. Impact fees as shown on attached schedule . ............................... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit ................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19:-,: Driveway permit (construction approval required prior to occupancy). ... Pre -Inspection request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. ........ 23. Owner -Builder Verification (Given to owner , Mail to owner _). 24. Recorded copy of Agricultural Acknowledgement Statement. .. 25. Letter of signature authorization . ....................................... LD 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ................................... r... . 28. Mobilehome utility clearance . .................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the e mit��..pp��o ess as follows: Mail to own Mail Mail to contractor. Telephone�'{7�J and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant G-vhL ate 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 aii Counter t �6ate (p 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, California 95985 - Telephone: 916."538-7541 APPLICATION AND PERMIT PERMIT NO. A'RC L NUMB EA ASl E!!OR e 70 z NIN BUILDING PERMIT OWNER E–` WN — / DER \%_`J TELE HONE SQ. FT. OCC. BUILDING VALUATION 0 OWNER'S MAILING ADDRESS Witr�C41 I in —CONTRACTOR'S NAMETELEPHONE e tib CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 7 6 ZO 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 / ,t 1 - Permit fee $ PLUMBING PERMIT Filing Fee 15.00 G��(�( C - 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 �Duplex❑ Mobilehome❑ Other "$1, SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W 615.001 TYPE OF WORK New% Addition^ Remodel Fi utilities 11 Installation[] Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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- 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.g\ OR ADONS. ACC. SLOGS. II 3.6Q sq.tt. NEW CONSTR ULTI.OUT LET NON.RESI BRANCH CIRC ITS /� ` 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES RA20 76d FIXED APLINS. Ex. Occup. OUTLETS PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 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. ❑ 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant — Owner 9 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 Energy Inspection Fee $ ` DCC CONST TYPE TOTAL FEE $ 8. HAz 1 0FEES I IMP I FLOOD CDF I PARCEL PO 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 l Receipt No. / f WHITE-O.P.W.. YELLOW -^35&350R. PINK -INSPECTOR. GOLDENROD -APPLICANT ` B g i I i 'r _(soh ._�iy-�r�G• _ - _. ...... _ .._ _ .. • .. _. _ __ .• _ � . . p! , 9 ,h r" Zss� 6 p lnr 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.iss.u.ing your building permit. No building permit will be issued-until.this verification is received. 1. I. personally plan to provide the ma' r labor and materials for construction of - the-proacsed property improvement yed or no) 2. I (hav haveno -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 -Phone Contractors License -No. City 4. I plan to provide portions of 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 the following persons .to provide the work i'nd'icated: - Name Address Phone Type of Work � - < 4.e Signed: n 4 Property Owner Social Security Number Date 7- 3C/,,I- 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.