HomeMy WebLinkAbout021-100-04410 4
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21-10-44 1941-91E
MYERS� Roma.
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021-100-044 02-25691,
MEYERS, ROMA . IN
226 LITTLEAVt.,'GRIDLEY
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RE -ROOF, REPLACE WINDOWS', O
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RESIDENTIAL /
ff02l_100-
04402-2569 YjCPERMIT NO. _„EYERS, ROMA
220 LITTLE AVE.; GRIDLEY`
CONT: NOR CAL CONST.
RE -ROOF, REPLACE WINDOWS, C/O '
HVAC
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERM IT.C,ONDITIONS
SUB -STANDARD HOUSING LETTER
0
r j
i
i _
JOB FINALED.(Date)i '; - tJ
Signature
J=OK
0 = Not OK
. = Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or / P' L "ft./ P LPG
7. Well Clearance & Disconnect
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
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. Verifv #'s with Office
Date Card B-1 Date Card B-1
Date Card 6-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -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-Connectors
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 #'s
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- Panel boards- Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not
- =Not AAppplicable
. = Not Ready
RESIDENTIAL
Date
UNDERFLOOR (Plans) OK except #'s
Date
1. Zoning -Setbacks -Easements -Flood -Slope
Date
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
50.
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
6a. Hold Downs and Special Anchors
52.
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
Property Line Firewall & Openings
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Date
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Date
11. Water Pipe; Test -Anchors -Regulator -Service Test
Date
12. Electric Underground
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
13. Plenums & Ducts; Clearance -Material -Support -Ins.
57.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
16. Insulation
(Single & Duplex)
Date
FRAMING (Continued)
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
18. Water Pipe; Test & Anchor -Nail Protection
50.
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
21. Test Tub & Shower, Second Floor -Tub Access
52.
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Property Line Firewall & Openings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
24. Fixture & Transformer Clearance -Ins. Protection _
57.
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
27. Romex Installed Close to Edge of Studs & C.J.
59.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
Shear Walls; Nailing -Bolts
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
61. Brace Interior/Exterior Wall Panels
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes 0 No
62. Insulation -Walls -Ceilings
32. Service -Riser Conductors & Ground Main Disconnect
63.
33. Equip. Clearances Panels-Motors-Mech. Equip.
Date
34. Clothes Closet Light -Shower Light -Spa Light
Card B-1 Date Card B-1
35. Smoke Detector
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
65.
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
Bedroom Exiting
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
68.
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
Fireplace or Stove, Clearance -Hearth
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
72.
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
74.
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
_
83.
Following Instld./Drive O Yes 0 No/Walks O Yes 0 No/Planters O Yes 0 No
84.
Stucco Brown -Finish -
85. A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
.7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT a to
ASSESSORPARCEL NUMBER
DWUUM 021-100-044
ZONING
SR 5
BUILDING PERMIT
OWNER
MEYERS ROMA
TELEPHONE
345-9360
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAIUNG ADDRESS
220 LITTLE AVE. GRIDLEY CA 95948
QQNT EST
4 390
20 SQUARES
1,200
CONTRACTOR'S NAME
NOR CAL CONST. INC.
TELEPHONE
743-1943
CONTRACTORS MAILING ADDRESS
12020 KIMBERLY ROAD MSVLE. CA 95901
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
5590
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
81.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
220 LITTLE AVE, GRIDTEY, CA 95948
Energy Plan Checking Fee $
$
PERMIT FEE $
101.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF IN Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 lQ Utilities ❑ Installation ❑ Other ❑
Describe Work: RE ROOF WITH COMP., REPLACE WINDOWS AND
CHANGE OUT HVAC UNIT
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 20o0AOORl�Ess
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 in full force an effect.
LILicense Class 1 Lic. NO. / /
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 `
Main Service 200A TO 1000A
46.00
NEW CONST. DV=NG OCCUP.
OR ADDNS. ( a Acc. eLDs.
SO
3.5¢Fr:
EW MULTI-OCUCur
N"
97,50
POWER APPARATUS
SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 Q 1.00
@ .50
Ex. Occup. DuT ED aa.)' ea.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
I 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.
42 ❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insur7e carrier and policy number are:
Carrier A,/.
/
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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 Co, I shall
forth ith comply ith ose pro ns.
Sign re of Applicant --b Owne ontractor ❑Agent
An OSHA permit is required for excava Ions over 60" deep and demolition or construction
of structures over 3 stories in he' ht.
MECHANICAL PERMIT Fling Fee 20.00
Heating 1125.00 25.00
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $ 70.00
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 171.00
HAZ.
D. FEES
IMP
I FLOOD
CDF
PARCEL
PD
HD
SSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EX IBES N
afe
Receipt No. '(0/a e)
WHITE-D.D.S.-B.D. CANAR A ES OR PINK -INSPECTOR GOLDENROD -APPLICANT
'/�O-FFICJE COPY ,Z
~ Addres,) L l ��r
Ci c f�
s .i -M1 GAS
.� Meter,,By Date
ELECT.
Da
Meter•By,
COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND °PERMIT
PERMIT NO
9 W—w—
ASSESSOR PARCEL NUMBER
_1-10--44
ZONING
BUILDING PERMIT
OWNER
0M r�
TE4LEPHA€
@ ��0�((�F 117
V J
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
220 A
CONTRACTOR'S NAME
JACK'S .F
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
10871 TERRACT, PINES CT GRASS VAILEY 95()4r,
Fireplace
CONSTRUCTION LENDER
NONVE
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
220 LITME, AVE aRTT)TIRYi
Permit fee
$
PLUMBING PERMIT Filing Fee 10.00
"I �
Each Trap
2.00
I
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL;MAP
ti
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE i
SFi® Duplex❑ Mobilehome❑ Other I
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities)R Installation ❑ Other ❑
Describe work: UPGRADE ELEMIC _
SERVICE TO 200 AMP
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (/check one
P. Y. P I Y 1 )•
-_i`+
❑ I amilicensed under provisions of Chapt. 9, Div. 3 of the Business
and. Professions Code and my license is in full force and effect.
License.No. Classification.
?T
❑ I, as'the7owner, or my employees with wages as their sole compen-
sation,'will do the work, and the structure isnot 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.N)
OR ADDNS. ACC. BLDGS.
, /20sgft
NEW CONSTR. ULT'-OVTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(ourLETs OR FIXTURES
20es0e
SAL030
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA./
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 37,
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F] The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection -purposes. ,
1 also agree to save, indemnify and keep harmless the County of Butte against
liabilities, judgments, costs, and expenses which may in any way accrue
against -$aid County in consequence of the granting of this per "t.
AThis
X l rte ri1/j s Date
Signature of Applicant — Owner Controctor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
ii
CONST TYPE
TOTAL FEE $ 37.50
HAz
can
PARK
SCHL
FLD
coF
PAR
PD
I HD.
IV
permit is hereby issued unoer the applicable provi-
sions of this Butte County. Code and/or resolutions to do
work i `ceted above for which fres have been paid.
DIF _ OF PUOU8 WORKS
IWql
BY Date 1
PERMIT EXPIRES Date
94U1
Receipt No. 9 M•
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
., ._ I I ,
f `
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville, California.9665 - Telephone: 916/538-7541
y...r
APPLICAT,IQNAND PERMIT
ASSESSOR PARCEL NUMBER
1-10-44
ZONING
BUILDING PERMIT
OWNER
OMA WERS
TELEPHONE
846-0419
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
22
CONTRAC TOR'S NAME
JACK1
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
10871 TF.RRACF, PINES CT GRASS VAILEY 959
Fireplace
CONSTRUCTION LENDER
U O N
C
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
NONE
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFU Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W I 1
110-00 ea
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities Installation❑ Other ❑
Describe work: UPGRADE ELECTRIC
SERVICE TO 200 AMP
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main Service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
of perjury
I declare under penalty p I y (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification.
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
N2/ Jfor 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.81
OR ADDNS. ACC. SLOGS.
, /2 OSq ft
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
20 ®50t
eAL030
FIXED
Ex. OCCUp. PR
OUTLETS (RESID.)EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again aid County T consequence of the granting of this per
X Date % /
Signature of Applicant — Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 37.50
HAz.
CUA- PARK
SCHL
FLD
COF
PAR
PD
I HD.
ISsu
This permit is hereby issued under the applicable provi-
sions of t> Butte County. Code and/or resolutions to do
work i c ted above for which f s have been paid.
�I OF PU WORKS 0
By. Date
PERMIT EXPIRES Date
9 019
Receipt No.
WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, GcFifornia 95965 - Telephone: 916/538-7541
APPLIGATION AND PERMIT
w»t„VH YAHC =L NN M=tR
1
OWN
ZONING
BUILDING PERMIT `
lPn YY1
TELEPHONE/
_
SO. FT. OCC. BUILDING VALUATION
OW E 'S MAILING ADORE S ^� ��
00 vcz ri C= C/
CONTRAC OR•S NAME 1 TELEPHONE
G C r 1^
C NTRA%;TOR'S MAILING DDR ESS�1
N R / 1 C�rract? Pi n� �t l� (bS (� FYI?
COUCTION LENDER UNK WN
_
4161
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHI ECT OR ENGINEER
Filing Fee
$ 10.00
Permit Fee
$
LICENSE No.
Plan Checking Fee
$
A CMI ECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
t^-
Energy Plan Checking Fee
$
Penalty
Permit fee
S
$
PLUMBING PERMIT
Filing Fee 10.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Each Trap
2.00
Solar or heat pump water heater
Water piping
20.00
5.00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SFX Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home
10.00ea
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utiliti '�yy Insttallation❑ Other ❑
Describe work: g na d Cn (C~ ( i I C_
FV t'(_C=
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR
AMP OS
R
0LESS
10.00 (9 0
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
I. as the owner, or my employees with wages as their sole compen-
sation, will do the work, and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2.550 IS`
.erg
NEW CONST. DWELLING OCCUP.a
OR AODNS. ( ACC. SLOGS.
'/z¢sgft
NEW CONST R. ULTI-OUTLET
P.F9FTHESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
SAL@30
BALs 30e
Ex. OCCU P• OFIXED APPLNS. OR UTLETS IRESIO.1 EJ
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 1/75
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 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures ove`r,3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee S
OCCCONST
TYPE
TOTAL FEES r3/• S^�
HAZ.
I CUA I PARK SCHL
FLO I COF I PAR I PO
I Ho. IssuE
This permit is hereby issued unaer
sions of the Butte County. Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES nate
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
ov
Receipt No. / ?TJ / 7
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APei"ICAHT
.16
t . RESIDENTIAL
1-10-44 - 2456-90B.,E
MYERS, Roma
( 220 Little Ave, Gridley
(addition/storage bldg i
ace- a
U.
f
c�
c
I
i
OFFICE COPY
I Address
GAS ------
Meter By
ELECTRI
-
Date
Meter By
Da
.
JOB FINALED (Date)
".y
Signature
U.
J=OK
O = Not OK
Not
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s _
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L"tt. '
/ /'Nat. or/ /" L" ft./ /"LPG
7. Utility Clearance
Date Card B-1 Date Card B-1 ,
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #a
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. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
k
-' :N
MISCELLANEOUS .
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.:Coonecto_rs
Shthg.-Rfg.-Bracing -
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof: Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining "
4. Elec.; Receptacles and Lighting, Distances-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-Panel boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test-Water.Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V OK
O = Not OK
-
=NotAQplicabie' RESIDENTIAL (S
= Not Ready
Date UNDER
OOR (Plans) OK except #'s
,;64oning-Setbacks-Easements-Flood-Slope
Q�ffg, Main; Soils-Elec. Grnd.-17P' Ftg. Depth
3--Ftg--Qardge; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4-FFcd ,Perches & Decks: Soils -Steel-/ /Ftg. Depth
,9- 4emwalls, Main; Steel- Bloc kouts-Wrapped
wa Is, Garage; Steel- Blockouts-Wrapped
6a. Hold Downs and Special Anchors
ab; Steel -Wrapped
8,-R4am-94aplace Ftg.-Steel
9. ®eW4U_FqI- Fitting -Test-2 Way C/O -Sewer Test
10. 6as-Ptpe-Size-Anchors
11. aAtatas_Eipe! Test -Anchor -Regulator -Service Test
"It -Eleet ic-"Mdarground
la-Irl-e-nums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
y
15. Insulation -
-
Dat
J Date
/b Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
' .
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
i
Y
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled _
Romex Installed Close to Edge of Studs & C.J.
3
26. Equip. Ground made up w/Mech. Fastners-Bond Gas &Water -
9
j
27. 2 Appliance Circuits in Kitchen & Conductor Size/GFI
`
28. Subfeed Wire Size / / ga ft or AI-A.C. Wire Size / / ga.
Cu or Al _
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Dat
Date
Card B- Date Card B-1
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan: Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
Sils, Proper Material & Anchors
0. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
Z. Draft Stop in Walls (rat proof)
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
JV 44. Headers & Beam -Size & Bearing
r
ingle & Duplex)
Date FRAMING (Continued)
35 -Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52 Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
plywood n Roof Overhang -Attic Vents -Rafter Outriggers
s -mg -Nailing Veneer
-056. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glaz'ng Area -Glass Protection -Skylights -Plastic.
58. ear Walls; Nailing -Bolts
X. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Datg*V Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL Plans OK except #'s
� Ext. Steps -Door & Sidelight Protection -Landings
ector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
4,F �ec. Outlets at Wood Panel; Int. & Ext.
76. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
75. Fib., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No;
planters 0 Yes 0 No
81., Stucco: Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
81. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
' , Openings
84. Water Well; Disconnect, Electrical, Plumbing
85.' Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
Gas Test -Meters 74ggV6, Ga lectric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Date Card B- Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE, i
DEPARTMENT OF PUBLIC ORKS
196 MemgjAal Way, Chico'-;:. Phone: 891-2751 ,
7 County Center Drive, Oroville — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
1
CORRECTION NOTICE
R a PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter�ord additional explanat' n, please contact this office immediately.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
4
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
Date Inspec, r
.,. ,...-'�... .y,,.�,,•� �_v',�}+Fi�'A',f'� ?`�+;`ik5.6caJ'sq"fi?,:.�,•.:,iyr'u-�vW �:grr':Tdi•;. r _�_ r i
+? 1-10-44 2900-90E
MYERS, - Roma
h. 220 Little Ave, Gridley
,TM (elec/stg bldg)
, F t
w1�h�l.V•F�Yrl�li>.i �a�`�''•/N�i.t{'.y'�~..�.w�T�l>Lr -i?4pqp A~Q�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P MIT O.
7 County Center Drive - Oroville, C9lifornia95965 - Telephone: 916/538-7541 —
90
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
21-10-44
ZONING
SR1
BUILDING PERMIT
OWNER
ROMA MYERS
TELEPHONE
846-0702
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
220 Little Ave., Gridley, CA 95948
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation Is
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
220 Little Ave., ridle
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Storage Bldg
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
r �1
New F1Addition ❑ Remodel [—]Uti lities L j1• Installation ❑ Other ❑
Describe work: New 100 Amp Electrical Service _
q,ELECTRICAL
9� 1
Permit Fee
$
Contractor
PERMIT
Filing Fee 10.00
.01
Main service 600V OR LESS
100 AMP OR LESS
00
10. 10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
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.B
OR ADONS. ( ACC. BLOGS.
2,/20sgft
NEW CONSTR. MULTI -OUTLET
NON•RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20@e0C
BAL@3o
FIXED
Ex. OCCUp. OUTLETS PRESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
MI
Permit Fee
$ 25.00
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
f Consent to Self -Insure.
EUI I not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
oonshall
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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
again"��Jaid County in consequence granting of this permit.
tC/ f t v�l�` _�' if e �
X f !�`2'ft./tt- T Date
Signature of Applicant — OWner
g pp � Contractor ❑ Agent ❑�
An OSHA permit is �equir.d for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE E $ 2.5.00
HAz
CUA
PARK
SCHL
PAR
PD
HD
ISSUE0
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRE9 ° SOF PUBIII
By(,
PERMIT EXPIRES Date /114 /9
the applicable provi-
resolutions to do
have been aid.
p
WORKS
Date 8/20/90
62 914AAA.-
Receipt- No. {�2
WHITE-D.P.W., 7ELLOW-ASSES OR, PINKINSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OroviJle, Califdrnia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
21-10-44
ZONING
SR1
BUILDING PERMIT
OWNER
ROMA MYERS
TELEPHONE
846-0702
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
220 Little Ave., Gridley, CA 95948
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation Is
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
,$'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
220 Little Ave., ridle
Permit fee
$
PLUMBING.PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Storage Bldg
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W I
10.00e .
TYPE OF WORK
New Addition❑ Remodel❑ UtilitiesU Installation❑ Other ❑
Describe work: New 100 Amp Electrical Service _
Ra 1��_ 9O
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 00V OR ORSLESS
10.00 10.00
Main service EA. ADD'L 100 AMP
2.50
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 No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.( DWELLING OCCUP.&
A BLDGS.
NEW CONST
2C. �xQsgft
R.MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &
(SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
20@50¢BAL@30
FIXED
Ex. l]CCUp. P
OUTLETS IRESIO.IREA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
I MIN
Permit Fee
$ 25.00
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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
again aid County 'n consequence of the granting of this per dt.
X L Date
Signature of Applicant — Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 25.00
HAz
CUA
PARK
SCHL
FLo
PAR
PD
HO
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work in ated above for which fees
DIRE F PUB
B
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
ORKS
Date 8/20/90
Receipt No.
WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OP BUTTE - department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
U. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) �
I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name N'D
Address _ _ City
Phone Contractors License No. _
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 (hired) the following
persons to provide the work Indicated:
Name Address Phone Type of Work
Signed:
Property Owner `
Social Security umber ' >
Date Z9
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be'completed and returned to our office before we are per-
mitted to issue the permit
COUNTY OF BUTTE -. DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
2-�l�Sti
9 -
ASSESSOR PARCEL NUMBER
ASSESSOR
21-10-44
ZONING
SR1
BUILDING PERMIT
OWNER
Roma M ers
TELEPHONE
SQ. FT. OCC. BUILDING
VALUATION
930 M 399n
OWNER'S MA LING ADDRESS
220 Little Ave. Gridley 95948
CONTRACTOR'S NAME
owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
nonp
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 44.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 2 2.25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
220 Little Ave.
Permit fee
$ 76.75
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other storage bldg.
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
10.00e .
TYPE OF WORK
New ❑ AdditionIN Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑NCN•RES.D
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OcQg@��
OR ADONS. l ACC. BLDGS.
2yzQsgft 5.75
NEW CON5TR ULT' -OUTLET
BRANCH CIRC ITS
2.50 ea
/POWER APPARATUS
(POWER
OUTLET C'R.
Ex. p(OUTLETS OR FIXTURES
Occu
20®50C3AL®30
FIXED APLNS.
EX. OCCUp. OUTLETS (RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 15.75
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
ag i aid Count in consequence of the granting of this per it.
(�Q
Date
Signature of Applicant — Ovar V Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DI
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST TYPE
AL E ,.
TOTAL FEE $ g -:50
HAz
cuA
PARK
PAR
HD ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
EC R�BLIC
BY- aJ
PERMIT EXPIRES ate
the applicable provi-
resolutions to do
have been paid.
WORKS
Date �®
Receipt No. 70113
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COl
NTY OF BUTTE -
7 COUNTY CENTER DRI
PERI
OWNER
Proposed Building Use
RT(VIENT.OF PUBLIC WORKS - BUILDIKG,DI�tSION'
;,,OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
``APPLICATION DATASHEET
Permit No.
s A P . !
No.
f PMZ90
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior`to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ........................ .........
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy,Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. DOI rOI v gtr. t fees paid ............. .
14. Sanitation approval from 1 Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec.request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance .................. -
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pi up at office: Deliver., w./inspector.
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:
RZ
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone—mal l counter by date
Plans checked by Date Plans approved by Date 7� y�yv
Sets of plans on hold in
Copy=DP:W:
File cabinet AP folder
1
TO'
Suildinc Department
FROM:
Environmental Health
SUBJECT: Sanitation Clearance
AA, �� s
'
n
AP#
- Owner
Location
Plan
Approved for:
Sewace Disposal
Water
Supply
?old
final for:
Water
Supply
Final
clearance.O.K. for:
Water
Supply
- �/E
.S'�D
C
ce for a---` br
er
:TOTE.
�
nitarian
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR SQL NU41 "BE L
C/
73G I
BUILDING PERMIT
OWN
Q e r
TELEPHONE
TELEPHONE
3_AJ6 _ 1 /
SO. FT. OCC. BUILDING VALUATION
OYR'S�AAILI'G' { f 7(- v& r c 959
O'R�)AACC ITOR'S
CON NAME
W"6 -r
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONS RUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filin g Fee
$ 10.00
Permit Fee
$
ARCM TECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ Cv 19
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
O t �
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
(�
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL AP
Water piping
.5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE„\nn /f�
SF El Duplex❑ Mobilehome❑ Other V�o SCC. P UK
sPECIFr
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home SI G I W I
J O.00e
• TYPE OF WORK
New ❑ Addition A Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8000 AMP OR1 OR LESS10.00
Main service EA. ADD'L too AMP
2.50
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 No. Classification
❑ I, as the owner, or my employees with wages as their sole compen- .
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.DWELLING occ
oR ADDNS. ( ACC. BLDGS.
,-2¢sgft
NEW COS.., ULTI.OUTLET
NN.RESID C
O BRANCH CIRITSPOWER
2,50 ea
APPARATUS e
( SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
20@30¢
eALe30
Ex. Occup. OU LETS FIXED ( R
RESID.IEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$ /SEll
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 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to. enter upon the above-mentioned property for inspection purposes.
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 accrueISSUE
ag inst 'd County consequence of the granting of this per mi
��
X Date v
Signature of Applicant — O er Contractor ❑ Agent FY
An OSHA permit is required for excavations over 5'0” deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE E $ a.,j (0
HAZ
CUA
PARK
SCHL
PAR
Po
HO
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. { D ZLE
WMITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE.- Department of Public Works
7 County I enter Drive, Oroville, CA 95965 Phone: 916-538-7541.
.OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit'
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building pe rmit.
for the proposed work
3. I have contracted with the'following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. .I plan 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 Cobtractors .License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Nu ber ,
Date _
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.
I
P
i
U> �j , I
if
SMOures or i
eqt� pmen# ftceryy
for e 2 ft. eave overhang. '
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