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Home My WebLink About021-070-102... i /�7"•3- ' v �" ...a••.rr*.'°-_' � .. -..*hr ', fir+:' f�� t JOE CARDOZA' Little Ave a 00 E } NIS Li pp 8 Lewis Oak Rd inter., Gridley. Contr: Burl Woodward, Grid ley _ { Permit #2388-79E (e a ser., ch .&. i; rewire ) SF g I. 021-070-102 03-,3,577., -- - , & RA s _, GATELY,-JOHN BARBA 628 LITTLE AVE, GRIDLEY ;' IN/41:� - s Cont: COMM ACTION �•' ^ x Y f ; WALLi HEATER REPL'kC rAR 5- 0485;' 021-070-102 &BARBARA; 3 ��.•, i LATELY 'JOHN'' 1 V 628 LITTLE`AVE;.GRIDLEY J -� } ` ?CONT' OWNER NEW SINGLE rAMILY i, '• f' 0 i 021'-070-102 .,� _, > j , 05-1010- 1. GATELY-, JOHN=' . x 628 LITTLE AVGRIDLEY E, ;r , Cont: OWNER ,." DEMO EX HSE: (650 SQ FT)r�r•,e 1 NOTES RESIDENTIAL PERMIT NO076 . �. GATT Ll JC7t:iN ,C;'13AR13Al2A 62S i II'I LI; ,� \%�..GItIDLEY ,. r GC>NT: QWh(r-1 � hF '1LW SL!V T r !vIIL; `` t I. F� r` ea -SPECIAL CONDITIONS y- - CHECKED BY �- -x SRA _ H SFEOOD CERTIFICATE REQ. 1 FIRE SPRINKLERS REQ Vz,' SPECIAL,INSPECTION ITEMS t - •j _ - .. _ L: VERIFY..., USE PERM IT..CONDITIONS, SUB STANDARD HOUSING LETTER`, r4 . - y I Agy OFFICE COPY Address ' GAS ji.Z • Meter By D ELECTRIC Meter By Date - *.}JOB FINALED (Date) 7 �% Si gnatur ar, J=OK 0 = Not OK . = Not Readyable Card B-1 Date Card B-1 MOBILE HOMES _ Date MOBILE HOME UTILITIES (Plans) OK except ff's 1. 1. Zoning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete Drain; MH Test -Fall -Flex Connector 4. Water; Location -Test -Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Gas and Electricity Tagged 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG 10. 7. Well Clearance & Disconnect 8. Utilitv 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 Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers --Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector . 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp:-Sketch 11. Cert. of Occupancy - .10. License Decals- . 11. Verify #'s with Office Date Card B-1 Date, Card B-1 Date Card B-1 Date Card B-1 • MISCELLANEOUS 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: Exits .10. License Decals- . 11. Verify #'s with 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 Req uirements-Setbacks=Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing 5. Alum. 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 ft 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI , 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 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. Light Niche 12. Enclosure; Fencing -Alarms i Date Card B-1 Date- Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UND F OOR (Plans) OK except #'s ing-Setbacks-Easements-Flood-Slope 000"Ftg., Main; Soils-Elec. Grnd.-/Il- /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Porches & Decks; Soils -Steel'//--/" Ftg. Depth 600'Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. P' s -Fir lace Ft .Steel .; Fall -Fitting -Test -2 Way C/O -Sewer Test , Gas Pipe; Size Anchors -Yard Gas Piping; Size Test y ter Pipe; Test -Anchors -Regulator -Service Test lectric Underground lenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation DateG.A. qrS Card B-1 Date Z Card B-1 Date / •fl jCard B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s .,11ater Htr.; Vent -Access -Combustion Air Baffle ater Pipe; Test & Anchor -Nail PEIQlartion D.W..; Test Fittings & Anch -Nail rogctiwl' • 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 Date /• •06- Card B-1 C*i,.- Date Card B-1 Date Card B-1 Date Card B-1 Date ELEC RICAL (Permit) OK except #'s 2 fixture & Transformer Clearance -Ins. Protection 2V 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 Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ jt /ga Cu or AI -Oven Circ. / " /ga Cu or All Insulated Neutral �PKes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 3 moke Detector Date 1/- 3, Or Card B-1 Cn,4,L Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s A.C. Ducts Insulation & Support V. Vent Fan, Exhaust above insulation 38' Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 CAln1, Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Sills Proper Materials & Anchors Walls Studs -Nailing Spacing & Braces -Plates -Sound PearigWWalls over Girders & Floor Nailing Stop in Walls (rat proof) Fire Stops, Furred Ceilings -Stairs -Chasers- ub Headers & Beams -Size & Bearing - Date FRAMING (Continued) 47'. Hangers -Post Caps -Anchors -Connectors 4,W Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 56. Atti ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 1 dripeWindows or Exiting Doors -Sill Ht. &jmensiaas� age Fire Protection Framing -RC Channel (/ ep. 41.- 5 . Pr perty Line Firewall & Openings xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits firs; Width -Headroom -Rise -Run -Landing -Fire Protection 56/'Plywood on Roof Overhang -Attic Vents -Rafter Outriggers "57 -Siding -Nailing Veneer 8. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Gtazing Area -Glass Protection -Skylights -Plastic 60. ar Walls; Nailing -Bolts If4j^race Interior/Exterior Wdn Panels / `' 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Win s Date f 0 q Card B-1 Date Card B-1 Date Card B- Date Card B-1 Date FINAL jBhans) OK except #'s xt. ps-Door & Sidelight Protection -Landings 6 Detector urnace Vents -clearance -Comb, Air -Connector - In C aardij-e-Above Floor-Ducts-Mech. Protection edroom Exitina 68. G.F & Bath Fixtures & Tub Access -Spa 6 c. Trim & Subpanel, Breaker Sizes & Labels -60 Stairs & Rails 1. Fireplace or Stove, Clearance -Hearth - 72!Tlepetsutlets at Wood Panej,Jak Door; Duct in Clearance nter b. 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.F.I.)-Romex Protection 80. In ion -Foam -Looked in Attic Hard Rails & Deck Construction -Post Caps 8 Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Cle a Looked under,or 0 Yes ollowing Insticl./Drive es D No/Walks es 0 No/Plante Yes O No (p, 06 JZ. . Stucco 8 n -Finish C. Unit Disconnect, Electrical -Plumbing 86 ents a Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87 -Water Well, Disconnect, Electrical, Plumbing 88. Exter' ec. Trim, G.F.I. Receptacle -Underground en ' hroughout House WrIblass Protection 91. 96rrectiop from Previous Inspections . Gas -Meters Tagged, Gas -Electric Qa-VG_je ewe onnected-C/O to Grade -HD Approval ne ompliance Certificate -Other Certificates ddress Posted 96. Fire Sprinkle Date Card B-1 Date Card B-1 Da2 I, r�,�ard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: INS .ULATION,CERTIFICAT'E `e A ; t/e, e Number and street ity Subdivision. Lot Number " County w Description of Installation 1: ROOF _ Material Brand Name Thickness (inches) Thermal Resistance (R -Value) 2, CEILING • Batt or Blanket Type 11 Brand Name �nhh_ M16Lrl0 e - Thickness (inches) I a " t- Thermal Resistance (R -Value) J12 Loose Fill Type Brand Name Contractor/s min installed weight/ft= Ib Minimum thickness ' inches ' . Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value) 3. EXTERIOR WALL - Frame TypeTr fi A. Cavity Insulation Material F-h Brand Name �etih ManiIz Ile, Thickness (inches) 3V'4- '4- Thermal Resistance (R -Value) . ` B : Exterior Foam Sheathing Material Brand Name "j Thickness (inches) ' Thermal Resistance (R -Value) 4. , RAISED FLOOR ,. r Material F►.ber cV &S Brand Name • Thickness (inches) i0"+ Thermal Resistance (R -Value) I f 5.SLAB FLOOR/PERIMETER " Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Perimeter Insulation Depth (inches) 6;. FOUNDATION WALL Material Brand Name' Thickness (inches) Thermal Resistance (R -Value) Declaration - I hereby certify that the above insulation was installed in -the building at the above location in conformance _ with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where. applicable.")Oaw , , i Z4. — W5. • to s, Signature, Date Installing- Subcontractor o. ame General Contractor (Co. Name) OR Owner tem #sSignature , ate Fnstalling Subcontractor o..ame General Contractor (Co. Name) OR Owner 't mSignature, Date nstaIling, Subcontractor.(Co.Name) • General'Contractor (Co. Name) OR Owner Revised July 1995 ; r. - f - F BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BPO50485 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION , I hereby affirm under penally 'of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/20/2005 APN: 021-070-102-000 the Business and Professions Code, and my license is in full force and effect. License Class License Number: : Site Address: 628 LITTLE AVE GRI Map Index: Date: Contractor: Description: NSF (1503), GAR (800), COV(97) 'OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the - Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code, Any city or county which requires a Owner: GATELY JOHN A & BARBARA J permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a 1261 LOSSER AVE signed statement that he or she Is licensed pursuant to the provisions of GRIDLEY, CA the Contractor's Slate License Law (Chapter 9k commencing with Section 95948 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a_ permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Applicant: GATELY JOHN A & BARBARA J Code: The Contractors' Slate License Law does not apply to an 1261 LOSSER AVE owner of properly who builds or Improves thereon, and who does such work himself or herself or through his or her own employees. GRIDLEY, CA provided that such Improvements are not Intended or offered for 95948 sale. if however, the building or improvements are sold within one year of completion, the owner -builder will -have the burden of proving that he or she did not build or Improve for the purpose of ZI.as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does Contractor: not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ lam Exempt under Article 3 f the sine nd Prof sl ns Code ^w� Dale: Owner: License #: WORKERS' COMPE • ATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certiricale 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 Architect: Is issued. Engineer: ❑ I have and will maintain workers' compensation Insurance,as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: A Carrier: Total Square Ft: 2400 S.F. Valuation: $1.18,447.00 Policy fl: , Census Code: J/ �Z 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 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. "-L 1 0!"- Date: Applicant: WARNING: F lure to secure workers' co pensalion. coverage is unlawful, and shall subject an employer to criminal penalties and one l �� _C "� 1 (2 I �( hundred thousand dollars ($100,000), In addition to the Cost of �/ 1 compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. ��j r1 /Ii�4 ` j CONSTRUCTION LENDING AGENCY there Is construction lending agency for the This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolu on o work Indicated above for yyMch fees have been paid. I hereby affirm that a performance of the work for which this permit is Issued (Sec 3097 Civ.) By. Date:- Name: PERMIT EXPI ON: Address: (Date) ❑ 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. in with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project ❑ Notification accordance ❑ Attached are copies of the required E.P.A. notification forms. 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 I hereby certify that I have read This application, and stale laws relating to building construction. I acknowledge it Is unlawful to alter the subsla ce of an offici orm or document of Butte County. I hereby all county authorize representatives of Butte County to enter upon the above mentioned property for Inspection pur ses. G- Signature: Print Name: Dale: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pri 1 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 " Oy A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY"' 1'Drlq� Name Address City Phone E-mail ARCHITECT/ENG" 1 State License W 12 'or • Namecaor i Address 2- l LOC -6f Cite' j f �( State Zip Phone \State/ C� E-mail _ W n • Name Address City Phone E-mail ARCHITECT/ENG" 1 State License W 12 'or CONTRACTOR Namecaor i Address 2- l LOC -6f Cite' j f �( State Zip Phone \State/ C� E-mail Phone G2 _D Fax - ail ic. # Class Name Address City Phone E-mail ARCHITECT/ENG" 1 State License W 12 'or APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name �d �JCJ d - Address I Yes I No City - I j f �( State Zip Phone _D Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. 1305-0 BIN #� LOCATION AP# 02-/-070- /02- Propert2drzs,,& VZ�iity Cs Street r Q WORKER'S COMPENSATION Policy Number Carrier 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 N Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ 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. OVER FOR SUBMITTAL RtUUIKtMtN 15 L K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Receive 63 Amount: Bldg SRA Receipt #: Sheriff �-Z SMIP Other Total REV 7-27-04 k1 9 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. ❑ 1. Site plans,` -8 or 4'sets, signed by the preparer of the -plans. No graph paper! ❑ 2. Complete plans, 3 or'4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 o� 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design.and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) I ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 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 engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4...NPDES Form.- ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 Butte County Department of Development Services %3Tr YVONNE CHRISTOPHER, DIRECTOR o00 \11 I / o0 o - o 7 County Center Drive o o -®: o Oroville, CA 95965 o (530) 538.7601 Telephone COU N �y (530) 538.7785 Facsimile TO: WILLDAN ' FROM: Scott Rutherford (530) 538-7160 ■ RsrutherfordCc buttecounty.net U), ® SUBJECT:, Plans Transmittal For. Review Per Contract ®DATE: 2/25/2005 ddC Applicant: Gately, John & Barbara,'. Permit No: 05-0485 Project Type: NSF/Gar/Cov, - APN: 021-070=102 100% 70% Plan Check Fees $ 1.;028.65 $ 720.05 $ 1,028.65 $ 720.05 WILLDAN Fee $ 720.05 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other ti COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERV..ICES-BUILDING..DI.VISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 6/`f7� 4�4At"ASSESSOR PARCEL NUMBER 2 7 _ '70 r /� Proposed Building Use: _ N S Counter Technician: 4�elf--:> Date: \ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. Z"S I A/ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . /" 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. \ ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. N 4. Engineered truss details and layouts in duplicate. No faxes! �❑ 5. Letter from Engineer or Architect for truss design review. �nJ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. 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 engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 16. Other r _ Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ Soils Report and/or Engineered Foundation required ........................................... ........ Erosion Control Plan Required.......................................................................: ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 2 . City of Chico Plumbing permit........................................................................ L ❑ 23. California Department of Fore try plan approval ❑ paid. Sent by: Tlanning approval (A) Use: (B)Parking: (C) Parcel Check:�' 1 '0❑ontact Land Development about _ Improvements, _ Drainage ......................... n/ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) .................. • N30. 1A/ 31. Worker's Compensation Carrier and Policy Number .......................................... Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization................................................................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36 Deed Restriction ......................................................................................... 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 8,the iyK.p D _ Other. _ When issued Telephone �" -40 and hold for pickup. /770 U6 I have been informed of the above ite sand requirements for obtaining a building permit. Applicant: ' I, t �� `. Date: - 7 1. Index permit application for the above items numbered: / Plan Check Letter 2. Additional items required Contfactor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, y Date: Plans reviewed by: Date: Plans approved by: 1A Date Structural reviewed by Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 9A. USE ONLY • Piot Plan Anachad Floor Plan Attachad Siem to ®.Q; - --�—� TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �IAr1 oy Owner Location •AP# . Plan Approved for: Sewage Dispos Water Suppt P bl'c Pri to Well- Clearance for dwelling. Other Q. Hold ;final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date COUNTY OF BUTTE, DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA • 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER PROPROSED ILDING USE /VS A.P.# .._®%®'- /0 2— DATE RECEIPT # TE REC. BUILDING PERMIT FEES (j 7 Balance Due ..................... $ --- Additional Fees Due........... $ - AseOL d Plan Checking Fee.... $ CHODISTRICT FEES S/fat%'� 6G L7 �\ (paid at School District Office) (form available affter Plan Check) V 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ ' Units Commercial (sq. ftg.)..... X $0.03 = $ Wiat Building Division Residential (per unit)..... X =$ # Units Amt. Commercial (Sq. Ftg.).... X = $ j Sq. Fig. Amt. -5. RECRE Allow DisT-FdeT FEES (paid at Recreation District Office) (form availabl6 after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) • 8. WATER TENDER FEES BATTALION,# $200.00 (paid, at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Fkmercial (sq. ftg.) ......... :> X =$ Sq" Ftg. Amt. 10. OTHERw� l �% At time of permit application, I was advised the A maybe changed d'rvtt�;r grocess. APPLICANT I fees arerequired to be paid prior to issuance of the permit. These fees DATE 2 — 2 Z ^6 Pursuant to Gbvemmen Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the projector from the imposition of the above mentioned items during which you may protest. The requirements fora l protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) Butte County Department ofDevelopnent Serviceso�uTr�o 7 County Center Drive C '` o Oroville, CA 95965 0 o °' (530) 538-7601 Telephone C o (530) 538.7785 Facsimile couN �y BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: a I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans The Building Division will process the application through the 'plans examination process, as submitted, without input from other regulatory -entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division:. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for, a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, .legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and. habitat/species). . Please print: Applicant Name:Je. ffA/ J, Building site address: G> a l� APN: 0 Z -- 1— 0 % 0/0 2 Permit Nti I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: ZCIA iv - 2 7- SlfjATURE OF APPLIC NT DATE Copy to Applicant/EH/File K:Fors/B1dgPennitwithoutClearances 020705 �® g �L10 wOpC� DePart rne.nt C o u n t J. Michael Crump,Director Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase, II Construction Storm Water Permit and Storm Water Pollution, Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE., Project Description: Project Location and/or Parcel Number: 45��r5 `Z-1- —070`O2— By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. -I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of Califorriia Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: � )AJI7 Title:. ^ Date: — L W Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 1"0 CL5!,•c'�.,r^-�nT.:S:.:S='w:.<', ^tcE.?Cr..`° '+��.^-S�+C?�._...s."'ir .• a.es .N2T: a.'�'.C:.. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity, to avoid unnecessary delay in processing and issuing your building permit. No building periiiit will be issued until this verification is received. 1. I personally plan to provide the ajor labor and material for construction of this proposed property imp veent: YES [] NO [ ]. —f 2. I HAVE [mHAVE NOT [ ] signed an application for a building.permit for the proposed work. 3. I have contracted with the. following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate; supervise, and provide the major work: NAME: } .. ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: S. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated:. ; NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 'of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 /, Butte Fount,' Department of Development Services ADMINISTRATION ` BUILDING ` GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o if you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments 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 personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners. unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. C. Vieirl C.B.O. , Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. /� /I LLDA Ma Street V v I � r'' ' ' Marysville, California 95901 Serving Public Agencies 530/749.2373 fax 530/749.2199 www.willdan.com March 24, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 Tel: (530) 538-7169 Fax: (530) 538-2140 SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL Willdan Project No: 14353-1437 Jurisdiction Job No: 05-0485 Applicant: John Gately Description: Gately NSF Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2 n page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: �k Plans: Two (2) copies sheets 1 through 6 dated 2-16-05, no author. * Energy Calculations: Two (2) copies dated 2-20-05, by Barry Rubanoff. * Truss Calculations: Two (2) copies dated 02/21/2005, by Endeavor Homes. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC". • Part 3, known as the California Electrical Code and abbreviated herein as "CEC". • . Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC". • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS". CODE ANALYSIS - Our plan review revealed the following information regarding the occupancy designation, type of 'construction, and other pertinent features. This information is consistent with that shown on the plans. CONDITIONS OF APPROVAL 1. Approval . is contingent upon the review, requirements and ..approval 'of other departments and/or agencies that have. jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. I ; All plan sheets shall be signed by. designer, or person responsible for the plans as, required by California Health &. Safety Code Section 5536.1. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted. at this time. SPECIAL INSPECTION NEEDS Our plan review reveals 'no special inspection needs pursuant to CBC 1701. Michael Carlin Brad Boehm, P.E. Plans Examiner Plan Check Engineer Cc: E-mail Alice Mefford.at: amefford@buttecounty.net John Gately '1261 Losser Ave. Gridley, CA 95948 Papel off Willdan .14353-1.437 .PC 1:P Butte Coumv 05-0485 Type of Type of 1" Floor Total Specific Use Stories Occu anc Construction Sq Ft Sq Ft 9101INVAM _ Dwellinj R-3 .. i V -N 1 1,503 NEWMis .ir .... 1-1503 Garage . U-1 V -N_ 1 800 800 Covered Porch . : R-3 . V -N 1 97 97 CONDITIONS OF APPROVAL 1. Approval . is contingent upon the review, requirements and ..approval 'of other departments and/or agencies that have. jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. I ; All plan sheets shall be signed by. designer, or person responsible for the plans as, required by California Health &. Safety Code Section 5536.1. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted. at this time. SPECIAL INSPECTION NEEDS Our plan review reveals 'no special inspection needs pursuant to CBC 1701. Michael Carlin Brad Boehm, P.E. Plans Examiner Plan Check Engineer Cc: E-mail Alice Mefford.at: amefford@buttecounty.net John Gately '1261 Losser Ave. Gridley, CA 95948 Papel off Willdan .14353-1.437 .PC 1:P Butte Coumv 05-0485 School District A.P. Number Property Owner lttti.. Property Location/Address Subdivision BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) -- -Building-Department.No Jurisdiction:A1:2 = city Residential DeVelopment Commercial/Industrial hlu Additinn Deed Restricted Sq. Footage ("ch a signed copy of Deed Restriction 'and Notice of I-irrited Use Facility document) Sq. Foocage (Including Exterior Roofed Areas) Dates Distnet Identification* No. tP 1 1 i° r .\ h ��1 P�1 ` School District certifies that (Applicini) (Street Address) (Phone Number) AA^ r -A If (P\ (City) (State) I (Zip Code) ;,-has Aa`com5lied with.the requirements of Resolution No. by payment of $ representing square feet. so JAB 2926 FULL 111111111GATION School District Representative Date, Paid by Check # Remarks: Node: You may protest the Impostilon of the fan identified above by submitting a written protest to the DkUK In compliance with Govemmort Code Section 66020(a), within 90 days from the date fen are paid. Failure to submit a tl— hiprotes VAII'prohlbh you.1forn challenging the Imposition of the fan In any court action. . , 7 . . . if, subsequent to the School District Representative signing this - Butts County Schools Impact Fee Ceirtiftation Form the School.OlstrM Is i. OR by tit applicable Local Planning Agency that this project Is being revlw*vd undarthe California Environments! Quality Act (CEGB this n js A may be subject to additional school R- fees to fully mi4iils.fts Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As (10/03)dmT 6 Ih SITE PLAN REVIEW•APPLICATION Date:�i/2z/o'� AP#� 2� azo `DZ Permit Number (if applicable) A.- Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No.: Situs Address: 4 2i�t l Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary -Travel -Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic Well ❑ Agricultural Exempt Building AgricuBuffer Form ❑ Applicable ❑ N/A ❑ Other: ND Brief F�planation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 11 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site n Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) Flood Zone: k • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=------------------------------------------------------------------------------------------------------- ❑ Detached Building, Use- Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: /� - 5- (�0 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 6 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front u� Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 6 ❑ Parcel Deemed to be legal ' ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ -Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Applicable Development Fees: ' Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ' ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel. Created By Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: . Complies with County Standards for Deed Creation:❑ No ❑ Yes:, Comments: F,"' v'_ri� 4N ... 1r ❑ Parcel Deemed to be legal ' ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ -Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision ME/Parcel Map: Map Date of Recording: i Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land. disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be'obtained from the Butte County Department of Development Services, Building Division." . ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. Page 4 of 5 1 This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 BUTTE COUNTY . DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS 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 : License Number: Dale: Contractor: 'OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code. Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed. pursuant to the provisions of the Contractor's Stale License Law (Chapler•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 for the alleged exemption. Any violation of Section 7031.5 by any applicant for permit subjects the appli�anl 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 Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Stale 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, provided that such Improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law.). ❑ 1 am Exempt under Article of the uslne nd Prof s ns Code Dale: Ll ' b __5 Owner: WORKERS'COMP64ATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: O 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: PERMIT NO. BP051010 Issued Date: 04/20/2605 APN: 021-070-102-000 Site Address: 628 LITTLE AVE GRI Map Index: Description: DEMO EX HOUSE (650 SID FT) Owner: GATELY JOHN A & BARBARA J 1261 LOSSER AVE GRIDLEY, CA 95948 . Applicant: GATELY JOHN A & BARBARA J .1261 LOSSER AVE GRIDLEY, CA 95948 Contractor: License #: Architect: Engineer: Carrier: Total Square Ft: 0 S. F. Policy It: Valuation: $0.00 Census Code: 4/1 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 the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisldns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dale: Applicant: WARNING: Fallure 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 J compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This pe IRs h reby sued under the applicable provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the ` Re of o rk Indlc led above fpr yyhich fees have been paid. performance of the work for which this permit Is issued (Sec 3097 Civ.) Date: By. CN/ Name: PERMIT EXPIRE O�I: Address: ❑ 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. ❑ Notification In accordance with Section 19827.5 of California Health & Safely Code is not appllcable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certlfy 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 slate laws relating to building construction. I acknowledge It Is unlawful to alter the subsla ce of a Officl orm or docum nl of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for-ins or inspection pur oses. Signature: Prihl Name: y � Dale:• ^ Owner C3 Contractor C3 Agent for Owner ❑ Agent for Contractor R r: Rnildina Permit 01-16-04 p0 1 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 AT TIME OF APPLICATION Website: www.buftecounty.net/dds **PLEASE PRINT CLEARLY** CONTRACTOR OWNER La 'Name 21 City First `J C) 14 Aj Address r z L T L .Z v I -Z City G L i? L State State A Zip 99? Phone 6- 0 �3 Fax Fax N E-mail AL /\ State License Number CONTRACTOR ARCHITECT/ENGINEER Name City Address Zip APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail For o 'c use only: Zoning Flood Zone Cit LIZ SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc L PERMIT NO. 654010 BIN # LOCATION AP# OD -(I Uo Property Address ( z L TLZ RUrz- Cit LIZ Cross Street — 9,Aj C- c V WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Amount: LENDING AGENCY Name Address Description or Sco a of Work: Sq. Footage ❑ Structure Built without Permits . ❑ 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 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 --Bldg Amount: SRA Receipt #: — ` I Sheriff SMTP Dat � � _ Other Total Page 1 of 2 REV 2-24-05 N 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. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper.! ❑ 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. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 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 engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ' ❑ 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.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 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 K WORMBUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 { hie '.:�. ' .. ,.;;`x.. a N:tR.r IRII3I3�]2IIC t'I0:1 ra:zsra�_'.-ru:�"•�i:e:?�:,'ms':K:-%.;t:yc::nX�<....._......::"_:. ... Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this uiformation at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the rn 'or labor and material for .construction of this proposed property imps vement: YES [VI NO [ ]. 2. I HAVE [1,1HAVE NOT [ ]' signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO:' 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO:, 5. I will provide some of the work but I have contracted (hired) the following persons to provide the -work indicated: NAME ,ADDRESS - "` PHONE TYPE OF WORK ` SIGNED: ' PROPERTY OWNER: DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/412004 e Butte County Department of Development Services ADMINISTRATION ` BUILDING t GIS `' PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than -your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments 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 personally or through their -own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. CIO � Mic el C. Vieir4 C.B.O. MaifagDer, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Demolition Permits. Asbestos Notification Statement Date AP#"l • " 1 �2- Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out*this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition. permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be -issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of'Applicant I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applica le to thi demolition project: Signature o Appl'cant 2/19/91 SHEET OF 7 BUTTE COUNTY PROPERTY RECORD I PARCEL NUMBER ...._,....,.. NAME`Lrr-.�=1y.1`� r } }yr __._t*_ �•irf43%'.2 �- .t ; 1..1'+ rd• `i�7•a Book Page Block Parcel Coda NAME PROPERTY LOCATION 6,-10 L+1P- A•v` ZONING /tij - _l tF�tJ /; Assessment Year i J L 19 �rj 19 19 y'9'-• 7"0:2 19 UTILITIES -SITE IMPS. Date (� a- .. 03-Z81 5 Electricity: Yes[�j Telephone Q' Appraiser 162 C- 162 _11 162 162 162 162 Gas: Public ❑: LPG 1 -. None L; Supp. Assessment Yes ❑ No El Yes B"No ❑ Yes No ❑ Yes ❑ No © Yes ❑ No[9 Yes ❑ No ❑ Sanitary Swr.: Public �...i Indiv. t� Use Code 160 'S51I : 160 �' ; 160 160—~ 160 �® 160~�--r�- Storm Swr.: Public �..! Natural!'''i_ Transfer Code 124 % 124 O 124 % 124 %. 124 % 124 Sheet: Conc.❑Asph, 1A Dirt L. Gravel [, Acreage 108 %%ryJ 108 108 108 108 108 Street Lights: Yes Ll No D4 Incomplete 163 P.U. 19 163 P.U. 19 163 PAJ.-14-x? ' 161-3 P.U. 19 163 P.U. 19 163 P.U. 19 C & G: Yes 1.1 No ( Building Class 161 7).o Rc 167 1 167 167 167 167 Sidevralks: ' Yes (_1 No Bedrooms 168 f 168 168 168 168 168 SITE TOPOGRAPHY Baths 169 1 169 169 169 169 169 Level [A Rolling ❑ Other[] Effective Year 170 170 170 170 170 170 Slopes tip Ll Down(_ S -S nAreo of Residence 171 �() 171 171 171 171 171 At P, Above CJ Belo- L]Grade Land Type 172 Lot❑Homesite❑ 172 Lot❑Homesite❑ 172 Lot❑Homesite❑ 172 Lot❑Homesite❑ 172 Lot❑Flomesite❑ 172 Lot❑Homesite[ View [." Of: Car Shelter 173 Yes ❑ No q 173 Yes❑ No . f] 173 Yes ❑ No ❑ 173 Yes ❑ No ❑ 173 .Yes [] No ❑ 173 Yes ❑ No ❑ WATER Pool 174 Yes ❑ No (2 174 Yes ❑ No ❑ .174 Yes ❑ No ❑ 174 Yes ❑ No ❑ 174 Yes ❑ No ❑ 174 Yes ❑ No ❑ Quantity: Quality: Partial Complete %Complete %Complete % Complete % Complete % Complete % Complete Public ❑ Well Q Ditch ❑ P.P. Acct. Checked Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Supplier Aerial Photo Year yyM V� tv Topo Map Year /-SGL-IXrf--fi-Old MARKET DATA Soi l Name Index Acres Comparable 1 j I I y 61-- Zlh-j ; Comparable 2 Comparable 3 urs Sale Date/Price V94 90 bP2> tv , PRIMARY BASE SECTION Base Year 140 rJ 140 140 140 140 140 Event Date 186 02 . 2 P - ;' 186 /-17-'4 186 186 186 186 Land 109 IC 47-Q 109 8 ?j �(�(� 109 109 109 109 Avg. Soil Rating Improvements 110 4,'0 0 U 110 JQ O 110 110 110 110 LAND REMARKS: Trees and Vines 111 111 111 111 111 111 Personal Property 11'2 112 ' 112 112 112 112 Keyed By: 06) 0C 0 Butte County Assessor i SECONDARY BASE SECTION ��® a 7nfl5 Base Year 240 _ 240 240 240 .y 240 240 Event Date 286 286. 286 286 286 ly 286 Land 209 209 209 209 209 209 Improvements 210 210 1 210 210 210 210 Trees and Vines211 211 ! 211 211 211 1 211 K.,..Aa R.,• ��-:_.-:.. .:_...._,w, :* •: -:>: .r.d-:e e-r-.�..• n •�'.�n•�.""#,�r.%,r� �o>,`3i•jpit�".`.-^��K^.e-•�; y �...,,�,.�.�iy�`... - ..rys..;y;..,�,r _ r ';' .'.t, � ., COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. 7-7 (Rev. 12/96) APPLICATION AND PERMIT if ASSES/S1O_/RPARCFL,N.UMBER-� ZONINA5 N r BUILDING PERMIT O11EjOHN & RA GATMY 846-0235 TELEPHONE SO. FT, OCC. BUILDING VALUATION OWN Q ILIU, 1.C. AVE CsRIDLEY CA 95948 COM ,CjiA TOFj;S•- � fy `crioN A y 538_7 zDCA TELEPHONE �17/f• CONif-iiAC,•A TA5iS/vDEL ADDRESS�►��. ORROO J.LrL[i 95%5 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing F@@ $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ SUILDNGADDRESS `bid LITTLE AVE "IDI"CA 91948 Ener Plan Checking Fee Energy s $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: WM.L UAMM REKACEMM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 Main Service E00V OR LESS 200A OR LESS 23.00 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,�µp�IpT' and my license is full fo cue and effect. License Class Lic. No. 7',Z_ n / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 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: ❑ 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. ❑ 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' compensationinsur nce carrier and policy number are: Carrier //l/JAit: <'1�' //1/S z�,�' V /NC Main Service 200A TO 1000A J 46.00NEW CONST. DWELLING OCCUP, OR ADDNS. ( a ACC. BLAS. SO 3.5¢FT: MULTI-OVTLEr @7,50 POWER,wP,vuTus 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES a4� 0';w Ex. Occup. ouxntrs RESID.LNSOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating 5.00 Cooling Hood 6.50 Ventilation PERMIT FEE S • Policy Number _ / G, l n,/ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. i G- f! _/�� X" __---� Date _.-Sp Signature of Applicant�Q„OWh!ir ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 HAz. D FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicatedtabove for which fees have been paid. r By: i/ Date PERMIT EXPIRES ON � Date ReceiptNo., S r. ji l� -�,�. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT S COUNTY OF BUTTE - DEPARTMENT OF DE/ELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.. 2/96) APPLICATION AND PERMIT-� - ASSES$Gji FARO d'B¢i02 ZONING BUILDING PERMIT OWNEJOHN & BARBARA GATELY 846-0235 TELEPHONE SO, FT. OCC. BUILDING VALUATION 1N%ygIu f6M AVE GRIDLEY CA 95948 cowtU ,Y ACTION AGENCY 538-7 �Et.EPHONE ((+� cGM2255 DEL ORO OROVILLE CA 95965 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checkin Fee $ BUILDIy(�I�pDRLITTLE AVE .- GRIDLEY CA 95948 66 L) SVl � Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation O Other ❑ Describe Work: WALL HEATER REPLACEMENT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 800V OR LESS 20.A OR LESS 23.00 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 * full fo ce and effect. License Class LT Lic. No. �p % 2 ® OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 Acc. BLDS. SO 3.5QFT; NON N•REDSID * MULTI.OUTLET 97,50 PowER APPArurLls 8 BINDLE OUTLET CIR. Ex. Occup. OUTIET OR FIXTURESBAL 00 9':50 Ex. Occup. DFul�e PR D GRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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' corppensation insu!pnce�a rHer and policy number are: Carrier //(/��' 14ef _�1` //Vs eNC Policy Number 49e_1 _jj�. ( (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 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 Date --� �—�� _ S' ature of Applic er ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating L5.00 Cooling Hood 6.50 Ventilation PERMIT FEE S 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD COF PARCEL Po HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work (indic4atedove for whi a have been paid. Date PERMIT EXPIRES ON / Date Receipt No. C' WHITE-D.D.S.-B.D. C NARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Te'le�ione:.534-4541 /, �; -� :..j APPLICATION AND PERMIT j BUILDING - Owner Jd N SQ. FT. OCC. BUILDING VALUATION _,C: Mailing Address t- i ]6 o / Telephone No. I Contractor Mailing Address a.Fireplace Total Valuation ' g -d , C ".4n. No. _ Permit Fee Building Address `' Plan Checking Fee&/or Penalty Permit Fee N-. f 61 A If PLUMBING No.1 @ FEE / j - IrT PERMIT FILING FEE $3.00 Q,6,,4Cly Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 41-07-2& A970.ing &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fjees -Sani4atierr Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60R/W ' Improvements Each additional outlet .30 Building sewer 5.00 --Bl4g-P1dTi3-R"— Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ 64LArCTk' 1 cs= CA• ,4 r,,J if -.2 f 1 ELECTRICAL No. @ FEE 7 f �. wt PERMIT FILING FEE $3.00 3• D O Single Family ® Duplex 1:1 Mobil Home F] Others Main service 600V OR LESS 5.00 too AMP LESS Main service EA. ADD -L 100 AMP 2.50 ' 'I7 i.i f•. a. OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST.DWELLING OC 4 OR ADDNS. ( ACC. BLDGS. 22 sq ft .COU CONTRACTORS LICENSE LAW �' sW R: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name StylJ�.oJ: 'H .1 ,14 ✓' - " rG LfiydZ/C�� NEW CONSTR MBRANCHULTI-OCI T NON -REBID (BRANCH CIRCUITS 2.5.0ea NEW.RESID CONSTR. (SINGLE OUTLETTCIRe NON R APRA Ex. Occup{OUTLETS OR FIXTIIRES 5 @250 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 i; License No., Z '.� y' Classification 1 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California:. Permit Fee $ 0a $ p WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor i,j Code which requires every employer to be insured against liability` for Workmen's Compensation. have 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. MECHANICAL NoA @ 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 Land Development Fee $ TOTAL PERMIT FEE $ / authorize representatives of the County of Butte to enter upon the :. above-mentioned property for inspection purposes. r _Date Signature of Permitee or Agent Receipt No. 4P3 4/•S 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. DI CTO. OF PUBLIC WORKS e_ BY Date'T - Building permit expires Date c__1_ �. COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: `iS4--4541 APPLICATION AND PERMIT 1112 0 0/: 7 9 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Z,4J,_,_V / IL Date Signature of Permitee or Agent Receipt No. 073 4/sgr - 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. DI CT OF PU LIC WORKS By Date wVv v- v v - r Building peexpires Date c l 6 `"' Q BUILDING Owner 4Q4 SQ. FT. OCC. BUILDING VALUATION 7,00 Mailing Address p I- / '' Telephone No. Contractor G Mailing Address Fireplace Total Valuation e 00ne To. midPermit Fee Building Address_ 5 L-! ' Plan Checking Fee&/or Penalty Permit Fee JC oAA1Uz_< QAk Rd. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 e. Repair drainage or vent piping 1.50 A. P. No.O 7 -�Each ART. ning & Planning Water piping 1.50 gas water heater•or vent 1.50 -e/ �S /�� Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer .5.00 -e+d7.'P1Sns72ec-d— Parcel -A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER'S Permit Fee $ 15LI'C•TR1 C _5JFRy1 C:gr CM 9- ELECTRICAL No.1 @ FEE PERMIT FILING FEE. $3.00 -3-00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS ; Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ( DWELING- OR ADDNS. ACCLBLDGS.0 o 20sgft 1el.OO ' 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 stye \ / / ��itvf/ � /�/(�/ !�-p2/v/('/.✓/ NEW CONSTR /MULTI.OUTL T NON -REBID ` BRANCH CIRCUITS) Q.50ea NEW CONSTR. /POWER APPARATUS a NON.RESID. SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTI1RES SAL@1 Ex. OCCUp. ( FIXED APPLNS. OR % 2,00 OUTLETS (REBID.) EAI Temporaryservice 10.00 y Mobile Home Facilities 15.00 License No.20Classification ,leg Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ . 00 O MECHANICAL No. @ 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 Wo en's Compensation. I have 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 relatinq to buildinq construction, and hereby Land Development Fee $ TOTAL PERMIT FEE, OC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Z,4J,_,_V / IL Date Signature of Permitee or Agent Receipt No. 073 4/sgr - 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. DI CT OF PU LIC WORKS By Date wVv v- v v - r Building peexpires Date c l 6 `"' Q