The URL can be used to link to this page

Home My WebLink About021-131-0083 1 - 08 W. J. WOI�&CK 1001 t 603 -Little Ave�ue, Gridley --- WRIGHT, Joe C. .1402B 1081P Contr: Neil Gallagher, Magaliar, Permit#2297-83B(retoof/SF) '0 Lot 4, s1s Little 7501 west of U1, 021-131.-Oo .0 . 1 .8. . iCVT'o � I �f ,' French, FESLEk- BRIAN -&kiMBER Gridley 603 LMLEAVE,�GRID-LE OCON'f:'BjLt-S'_ ROOFfNG.-41, RE.R.0017 ------------- AA I A— 3 1 - 08 W. J. WOI�&CK 1001 t 603 -Little Ave�ue, Gridley --- WRIGHT, Joe C. .1402B 1081P Contr: Neil Gallagher, Magaliar, Permit#2297-83B(retoof/SF) '0 Lot 4, s1s Little 7501 west of U1, 021-131.-Oo .0 . 1 .8. . iCVT'o � I �f ,' French, FESLEk- BRIAN -&kiMBER Gridley 603 LMLEAVE,�GRID-LE OCON'f:'BjLt-S'_ ROOFfNG.-41, RE.R.0017 ------------- AA I -�Y- NCYTES. RES'IDENT'IAL PERMIT NO. �cv;') 16 �2 -05-216 0 02 -131-009 31 LER, 2 �'N &ydMBERLy RIA E LITT 0 V� "G�ajLE� 1 0 E L [F ER , B F 0 LI Ro bRIDLE�. 603 TTLE AVE,,o G CONT. L,S 1�00FING ON : L C T. BILL 00 RE P F p�E pooF 0 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE,SPRINKLERS REQ. SPE CIAL, INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M. (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO5216.2 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/12/2005 APN: 021-131-008-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. MZ�L12 License Class License Num17: Site Address: 603 LITTLE AVE GRI Map Index: Date: 5 Contractor: 'RE Description: ROOF 25 SQ.'S FROM SHAKE TO'COMP OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any City or county which requires . a Owner: FESLER BRIAN D & KIMBERLY permit to construct, alter, improve, demolish, or repair any structure, prior 603 LITTLE AVE to its issuance, also requires the applicant for such permit to file a that he or she is licensed pursuant to the provisions of GRIDLEY, CA signed statement the Contractors State License Law (Chapter 9 commencing with Section 95948-9315 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 penalty of not more than five hundred dollats ($500).): Q 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: BILL'S ROOFING intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an GRAHAM, BILL - owner of property who builds or Improves thereon, and who does 1770 KOFFORD ROAD such work himself or herself or through his or her own employees, that such improvements are not intended or offered for GRIDLEY, CA 95948 provided sale. If however, the building or improvements are sold within one 530-846-3981 year of completion, the owner -builder will have the burden of proving that he or shig did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with . licensed contractors to construct the project (Sec. 7044, Business Contractor: BILL'S ROOFING and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, GRAHAM, BILL and who contracts for such projects with a contractor(s) licensed 1770 KOFFORD ROAD pursuant to the Contractors' State License Law.). . GRIDLEY, CA 95948 13 1 am Exempt under Article 3 of the Business and Professions Code 530-846-3981 Date: Owner: License #: 801512 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: El I have and will maintain a certificate of consent to self -insure for workers' compensat ion. as provided for by Section 3700 of the Architect: ' Labor Code, for the performance of the work for which this permit Engineer: is issued. E3 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: Total Square Ft: 0 S. F. Carrier: Valuation: $0.00 Policy #: Census Code: 0 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions — Date: Applicant>e5�.Oe WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor,, code, interest, and attorney's fees. < CONSTRUCTION LENDING AGENCY This pernit-ispereby issued underAhe plIcable provisions -of the Butte County Code and/or Resolutions 16 do work indicated,ab v for ich fees have been paid. I hereby affirm that there is a construction lending agency for the is issued (Sec 3097 Civ.) 7 P_ performance of the work for which this permit Date: . 1& Name:— PERMIT EXPIRES ON: _41�2 Address: (Date) 0 1 hereby certify that the use of this facility shall comply with Sections 25505. 25533, and 25534 of the California Health and Safety Code. which regulate the storage, ; handling and use of hazardous materials. 0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable'to the scheduled construction of this project. 0 Attached are copies of the required E.P.A. notification forms. .,I hereby certify that I have read this application, that the above information all county and state laws relating to building construction. I acknowledge it Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with it unlawful to alter the substance of any official form r docu I of Butte County. I hereby authorize representatives of B71te ounty enter upon the above mentioned property for inspection purposes' Print Name: Signature: Date: 0 Owner M_Ico�tractor Agent for Owner 0 Agent for Contractor r mow;- D.—it ni -1 F;.nd m 1 4 a OK D = Not OK = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except A's I . Zoning Requirements -Setbacks -Easements 2. Soils; Specid] MH Support Sketch 3. Sewer Location -Test -Fall -C/0 -Concrete 4. Water Location -Test -Easement Needed (Sketch) S.- Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. . / f Nat or/ /" L"ItJ f LPG 7. Well Clearance& Disconnect . 8. 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 Its I . Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Detnand-Valve-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water-, MH Test-Regulator-Connecto? 7. Water and Sewer.Connected-C/O to Grade -HD Approval 8. Gas and EJectricity Tagged 9. Tie Downs -Type -Installation Eert. 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; Slize-Spacing-Marriage Line 3. Blocking 4. - Gas; MH Test -Demand -Valve 5. Electricitr; 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 Requirements -Setbacks- Easements 2. Footings; Saits-Size-Depth-Spacing-Connectors-SteeI 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg- Bracing 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclasures 6. CarDorts: Windows -Doors 7. Bectric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nail ing-Veneer-Stucco-Mesh 10. Root Shthg-Roofing 11. EXL;Steps-Doors-Landings 12. Braced Wall Panels Date Card B-1 Date Gard B-1 Date Card B-1 Date Card.B-1 Date POOLS (Plans) OK except Vs 1 . Setbacks -Easements 2. Soils; Compaction-SbijcWre Stability. 3. Pool Structure; Steel -Connections -Thickness Dead -Men -Lining 4. Bec.; Receptacles and Ughting,.Distance-GFI 5. Elec.; Pool Ughting: 15 Vofts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Ellec.; 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 - OX - N01 OK = Not Applicatda = Ntit Ready RESIDENTIAL (Single & Duplex) Date -UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Rood -Slope 2. Ftg., Main; Soils-Bec. Gmd.-/ I" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth S. Stemwalls, Main; Steel-Blockourts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Frtting-Test-2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B- I Date Card B-1 Date PLUMBING (Permit) OK except #Is 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower� Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except If's 24. Fixture & Transformer Clearance -ins. Protection 25. Elec. Receptacles Spacing-Ughts & 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 & VVater 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Sutifeed Wire Size/ /ga. Cu or AJ-A.C. Wire Sizet /ga Cu or A 31. Range Circle/ /ga Cu or AJ -Oven Circ. / /ga Cu or AJ Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Ught-Shower Ught-Spa Ught 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. 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 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Tiniss-Shting.-Rtrig. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. AtticAccess; Size & Romex Protection -Draft Stop -Ins. Baffles 51. BdrrrL Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Une Firewall & Openings 54. Ext. Doors -One T -Check Garage 3rd Stor)� 2 Exits 55. Stairs; Width -Headroom -Rise- Run- Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outrigge�s 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. Infittration-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 Dete;ctor 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.Fl. & 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 I(it. Counter 75. Garage Fire Door Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents-Clearanc b. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Usted for Location 79. Elec. Receptacles in Garage (F.El.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Cl Yes 83. Following tnstIdJDrive 0 Yes 0 No/Walks 0 Yes 0 Noi%arrters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.G. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Firepface-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior EJec. Trim, G.Fl. 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M. (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (630) 538-7541 PERMIT NO. BPO52162 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/12/2005 APN: 021-131-008-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License N License Class i OL iz Site Address: 603 LITTLE AVE GRI Map Index: Date: Contract r: C;001 Description: RE ROOF 25 SQ.'S FROM SHAKE TO COMP OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any City or county which requires a Owner: FESLER BRIAN D & KIMBERLY permit to construct, alter, improve. demolish, or repair any structure, prior 603 LITTLE AVE to its issuance, also requires the applicant for such permit to file a statement that he or she is licensed pursuant to the provisions of GRIDLEY, CA signed the Contractor's State License Law (Chapter 9 commencing with Section 95948-9315. 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 penalty of not more than five hundred dollars ($500).): 1, as owner of the property, or my employees with wages as their sole compensation, will do the work. and the structure is not Applicant: BILL'S ROOFING intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an GRAHAM, BILL owner of property who builds or improves thereon, and who does 1770 KOFFORD ROAD such work himself or herself or through his or her own employees, that such improvements are not intended or offered for GRIDLEY, CA 95948 provided sale. If however, the building or improvements are sold within one 530-846-3981 year of completion. the owner -builder will have the burden of proving that he or sh_e did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: BILL'S ROOFING not apply to an owner of property who builds or improves thereon, GRAHAM, BILL and who contracts for such projects.with a contractor(s) licensed 1770 KOFFORD ROAD pursuant to the Contractors' State License Law.). GRIDLEY, CA 95948 I am Exempt under Article 3 of the Business and Professions Code 530-846-3981 Date: Owner: License #: 801512 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit Engineer: is issued. 0 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: Total Square Ft: 0 S. F. Carrier: Valuation: $0.00 Policy Census Code: 0 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions Date: ApplicaneZ WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of damages for in Section 3706 of the Labor/. compensation, as provided code, interest, and attorney's fees. IS6 CONSTRUCTION LENDING AGENCY This permit ispereby issued unde�tfie plicable provisions of the Butte County Code and/or I p Resolutionso do work indicated abov for hich fees have been paid. I hereby affirm that there is a construction lending agency for the for this is issued (Sec 3097 Civ.) performance of the work. which permit Date: Name: PERMIT EXPIRES ON: Address: (Date) - 0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. 0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable'to the scheduled construction of this project. 0 Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official fonnJor docurpl?nt of Butte County. I hereby authorize representatives of Butte o nty enter upon e above mentioned property for inspection purposes. Print Name: Signature: Date: El Owner M --Contractor 0 Agent for Owner 0 Agent for Contractor B. C. Building Permit 01-16-04 pg 1 ...... COUNTY OF BUTTE ..... BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive 9 Oroville, CA * (530) 538-754 F CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at V. the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. SHC-A(?__ '15 A�3S -<M--( AJA1(_tAfA Iff-S PE ta CAIC' lok'fc-&/z 614 L C_ S A4 ph 7 0 �ut 0 �Ls �P =r �,cI4 �N , �Lc- e) C_ X/O Ft_ootz '501 I q S p,4" +S 0 N PAEC _R 1,10 EA161AICEIZ- Date -)-((-Os- Inspector i�)CSWZ41-1 REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIOM: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED A T TIME OFAPPLICA TION Welbsite: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Nam��.— '; / P'_ 11irst NaC . Address City State 42� Phone Fax E-mail APPLICANT NAME CONTRACTOR Name /5" �/// City Address / '7 1_7-i� r'0 7"-s, ,7 I' city V State Zip Phone Name Fax rE-mail Lic. # CKs'_3 APPLICANT NAME ARCHITECTIENGINEER Name City Address —zip City Fax State Zip Phone Name Fax E-mail State License Number APPLICANT NAME Name Address City State —zip Phone Fax E-mail APP,LICANTSIGNATURE X &r; � , �y f 'z For office use only: Zoning Flood Zone City SRA I Yes I No Occ. I Type Const. Subdivision Name Map Book I Page LENDING AGENCY Name IDate Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. 1�5_ 21 BIN N LOCATION AP# Property Address City Cross Street 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 Address Description or Scope of Work: A(511 4' Sq. rootage C1 Structure Built without Permits El Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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. 7. Bldg Received by7' Amount: / 5' Receipt#: /Y '!�5/ / / co- S Y'S' SRA SMIP Date: Othe�r I Total KAFORMS\BUILDING FORMS\BldgAppISubRqmts.doc Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 0 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! 0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. R 3. Engineered tr ' uss details and layouts in duplicate (if required). No faxes! 0 4. Energy compliance design and supporting documentation in duplicate. n 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. R 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. El 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and ca'Ics in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-si_qned bV the engineer. 0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). 0 9. Site plan and business license approval from the City of Biggs. 0 10. Letter of intent for non-residential buildings. 0 11. Detached Accessory Building Form filled out by the owner (if required). El 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) 0 1 . Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). 0 2. Impact Fees. 0 3. California Department of Forestry plan approval (if required). 4. NPDES Form. 0 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 0 6. Contractor's license information. (Number, Name Style, Classification). El 7. Worker's Compensation Carrier and Policy Number. 0 8. Owner -Builder Verification (if required). 0 9. Letter of Signature authorization (if required). 0 10. Recorded copy of Agricultural Acknowledgment Statement. 0 11. 0 Grant Deed, 0 M.H. Title/Statement of Facts. 0 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are'not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 2-24-05 Permit#2297-83B Wj Womack COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534--4541 APPLICATION ANb PERMIT ASSESSOR,PARYL NUMBER ZONING BUILDING PERMIT OWNER et, TELEPHONE SQ.FT. OCC. BUILDING VALUATION `/ " --<� ;11 e, CJ (74 OWNER'S MAILING ADDRESS CONTRACTOR'S NAME HONE CON ADDRESS i ,,;RACTOR'S MAILING Fireplace CONSTRUCTION LENDER /i;C4_ UNKNOWN Total Valuation $ C, U Filing Fee $ 10.00 — LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER k LICENSE NO. I Plan Checking Fee $ Penalty $ - ---- — ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME ARCEL MAP 1P Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFQ Duplexn Mobilehomen Other SPECIFY Building sewer 5.00 _F_F_ Mobile Home Ts -FG W 10-00e TYPE OF WORK NewF� Addition 0 R emode I Utilities[:]. InstallationD Other 0– Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Fi ling Fee 10.00 main service 110OV OR L ESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST ( DWELLING OCCUP.&) OR ADDNS. ACC.BLDGS. 21/20sqft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 0 1 am licensed under provisions of Chapt. 9, Div. 3 of the Bus I ness and Professions Code and my license is in full force and effect. ,0 k - - License No. - ( I -�- Classification F1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, 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 CONSTP (MULT'*OUTLET 2.50 ea N..-RESID, BRANCH CI.CIIITS) NEW.CONSTR. POWER APPARATUS.&) NON RESID. (SINGLE OUTLET CIR 20@50C Ex. Occup( OUTLETS OR FIXTURES BALe3OO 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 $ Contractor MECHANICAL PERMIT Fi ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] The permit is for $100.00 (valuation) or less. E] 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-Ingure. F -%J_ 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 shal I be deemed revoked. Heating Cooling — Hood 3.00 Venti lation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. .1 X Date Signature of Applicant OwnerF� Contractor 9 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 $ TOTAL PERMIT FEE $ occup. GROUP I TYPE OF CO..1. [-I PARCEL PI) No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above fo, which DIRECTO� OF PUBLIC !� 1. By' I __ - - - - PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 17 . Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDEN ROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califola 95965 - Telephone 916/534-4541 APPLIC060AND PERMIT PERMIT NO. ,-2 -:? ASSESS L ;F1PA E NUMBER /_ ok ZONING BUILDING PERMIT OW E A/0" igot/— EPHONE SQ. FT. OCC. BU OWNER'S MAILING ADDRESS CP14TRACTOR'S NAME lvaz- TELEPHONE S 73E��J CO;�YWOR'S MAILING ADDRESS 2 V4 S /,Ow /&-,- Fireplace CONSTRUCTION LEN��. UNKNOWN Total Valuation i$ /Oo- 00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGI LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 060 BUILVG Y)RESS z 0 TTt e /-)VC— PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 gy Water piping 5.00 LOT NO. SUBDIVISION NAME 1 PARCEL'MAP 1 Each qas water heater or vent 5.00 Gas piping system I - 5 outlets 5.00 USE OF STRUCTURE SF 9;��uplexn MobilehomeF-1 Other SPECIFY Building sewer 5.00 Mobile Home S I G I W TYPE OF WORK NewF_J Addition [:1 emodelD Uti lities Installation[:] Other [�J— Describe work: IlMIC Revic Permit Fee 'Contractor ELECTRICAL PERMIT Fi ling Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&) OR ADDNS. ( ACC. BLDGS. 21/20sqtt CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): P11 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full rce and effect. I License No.—n92-0-72— Classification Ap / F� 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) 1, 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 CON,STPL(MULTI-OUTLET .ON.RES . BRANCH CIRCUITS) 2.50 ea NEW.CONSTFL (POWER APPARATUS NON RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@50t FIXED APPLNS OR __BAL@30 Ex. OCCU - OUTLETS (RESI'D.) EA.) 2.00 p Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 1 1 Permit Fee $ Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F� The permit is for $100.00 (valuation) or less. El I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certifi Cate of Consent to Self-lns�ure. Na, I shal I not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: It 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 shal I be deemed revoked. 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 I liabi)i iie , Judgmen s, Cos s, and expenses which may in any way accrue 19 a i sai ou i n se ence of the granting of this permit. 2AgRE5 Date 93 S 'Jure -I/O,-,.erE1 Contractor F�:� Agent 0 ign of Applicant 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 $ TOTAL PERMIT FEE $ ,/-O-O-o occUP. GROUP I TYPE OF CONST. PARCEL PD 1 11 T.h i Klp�e)m i t iBsuhereby issued under sl 0 te C nt Code and/or 0 the t wir J P y rl� i ic abo �u for which TdR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7_z_�L! 17— Z—" Receipt No. 0/ WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT