HomeMy WebLinkAbout021-120-0065%
A.P. 21-12-6
t lohman
STR orner of West Liberty & Block Rd.
FAILURE TO FINAL REMO DEL -Gridley 42 - eoO - 75
11/18/98 low Permit 5-72�B e;t old school to
(co
e, 5
liUn
21-12-06
SUBDIV. ,CUP
_7 B... LOHMN
TYPE OF
PERMIT
PERMIT NO.
PLAN NO.
DATE ISS
d
PERMIT DESIGNATION: B—BUILDING
DEPARTMENT OF P—PLUMBING
T—TRAILER
BUILDING AND SAFETY
%iridley
Permit#3346-85E(new_,e'1,e ser.1for 1athf!,,;,j
operations)
.--021-120-006' PERMIT#95-3_7_60-_
7 1ITTLE, �Gary'-&'Janet
1215 -,Block Rd.-,;
Corit D Urrson
le of/SF
021-120-006 Pf.,RMIT#95-2761'
�LITTL&,, GaryS --anelf-
Mlock Rd 1
�ji' qont'; Dah-Munson-��,,
Add.&',R.4mo"�e vj./41
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21 1-00
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'Gar�'& Janet
LITTLE
1215 Blo�k kd.,-.�Gridley-
C t
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0
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0, e' Gas,,Line/SF
Relocat
f
E—ELECTRICAL
TV — RADIO -TV ANTENNA
S/W—SIDEWALK NOTICE
U —USE PERMIT
V—VARIANCE
S—SIGN PERMIT
REMARKS
HM— HOUSE MOVING
EP—ENCROACHMENT
D — DEMOLITION 600.1
I � F�tfe.
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PERMIT DESIGNATION: B—BUILDING
DEPARTMENT OF P—PLUMBING
T—TRAILER
BUILDING AND SAFETY
%iridley
Permit#3346-85E(new_,e'1,e ser.1for 1athf!,,;,j
operations)
.--021-120-006' PERMIT#95-3_7_60-_
7 1ITTLE, �Gary'-&'Janet
1215 -,Block Rd.-,;
Corit D Urrson
le of/SF
021-120-006 Pf.,RMIT#95-2761'
�LITTL&,, GaryS --anelf-
Mlock Rd 1
�ji' qont'; Dah-Munson-��,,
Add.&',R.4mo"�e vj./41
�7-
0 "l 20 6 PERMIT#9 8
21 1-00
L
1
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0
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1
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5
t
d -8
02 1
'Gar�'& Janet
LITTLE
1215 Blo�k kd.,-.�Gridley-
C t
;nt; �Pa'� Mu'ns'6n`�,
0
4,
0, e' Gas,,Line/SF
Relocat
f
E—ELECTRICAL
TV — RADIO -TV ANTENNA
S/W—SIDEWALK NOTICE
U —USE PERMIT
V—VARIANCE
S—SIGN PERMIT
REMARKS
HM— HOUSE MOVING
EP—ENCROACHMENT
D — DEMOLITION 600.1
I � F�tfe.
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RESIDENTIAL
021-120-006 PERIMIT#95-2761c/-)
LITtLE,'Gary &'Janet
1215 Block Rd., Gridley
Cont; Dan Munson
p Add & Remodel/SF
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-------- -----------
OFFICE COPY
Adidress-i—
GAS
Meter BY Date---
ELECTR���. DateI5,2�-&
Meter By
CkJOB FINALED (DaW
Slinature —!�� 4
I v I
V OK
0 Not OK
Not Applicable
Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer, Locaton-Test-Fall-C/0-Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Locafion-Clearances-Gmd-/ /Amp -Concrete.
6. Gas; Location -Test -Wrap; / /"Uft.
/ /Nat. or/ PLft.1 /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 #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-Demand-Vatve-Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test-RegulatormConnector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8.- Gas and Electricity Tagged
9. Tie Downs -Type -1 nstalla don Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date Card B-1 Date Card B-1
Date Card B -I Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements-Sethacks-Easements
2. Footings; Soils-Size-Depdi-Spacing-Connectors-SteeI
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rttrs.-Connectors
4
Shthg.-Rfg.-Bracing
5. Mum. Awn.; Columns-Connectons-Splice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-Anchors-StUds-Rttrs-Trusses
9. Siding; Nailing-Veneer-StLicco-Mesh
10. Root; 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 #'a
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/6 -Circulating Equip. -Heater
8.'Elec.; Grounding; Equip. w/6 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-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
4
rv�:- 0��
0 =Not OK,
Not Applicab�j
Not -Ready RESIDENTIAL (S
Date 4 LMERFLOOR (Plans) OK except If's
1. Zoning-setbacks-Ea'sements-Flood-Slope
2. Ftg., Main;'Soi11I -Elec. Grnd.-/ /" Ftg. Depth
3. Ftg.. Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Sternwalls, Main: Steel -Bloc kouts-Wra pped
6. Stemwalls, Garage: Steel-Blockouts-Wrapped
9a. Hold Downs an Specia nc ors
/'
/,;-Slab: Steel -Wrapped ;/
t,,,-8. Piers -Fireplace FtgAteel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. OF. Gas Pipe: Size -Anchors - yard gas piping- I size -test
1. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support- Ins.
ichor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUJABING (Permit) OK except #'s
errer Htr.: Vent -Access -Combustion Air -Baffle
AWF'Pipe: Test & Anchor -Nail Protection
--------------------------------- ------
W.V.: Test -Fittings & Anchor -Nail Protection
19. hower Pan: Test. First Floor -Tub Access
P�
----------------------------------------- ----- --
20. >�t 8, Shower. Second Floor -Tub Access
--�ei Gas Pipe: Size & �nchors
---------- -------------- ---- --- -
J�J
C rd
Ddle Card B-1
----------
Date Card B -I JL4 Date Card B-1
Date ELECTRICAL (Perm - it) OK except s;'s
Clearance -Ins. Protection
_��2j_--&1!5�2.!ceptacles Spacing - - - Lights . & S - witc . h . es a - t - Do - ors --------------
------------------------------- ----------
i s & No. of Cond ucto rs- Stapled
----------------------------------------------- --- ------
U--_25.,Rerf�_I!jstallecl Close to Edge of Studs & C.J.
--------- ���round . m . ade - up - w/Mec - h. - Fastners-Bond - G - as - & . Water .....
--------- --------------------------------------- -------- - --
k�7. 2 Appliance Circuts in Kitchen & Conductor Size,GFI
-�;'� ------------------------------------------------------- --
3�'Subfeecl Wire Size/ /ga. CuorAI-A.C. Wire Size. /ga.
Cu or At
--------------------------------------- --
29. Rang'e'Circ. ga. Cu or Al -Oven Circ. / I ga. Cu or Al.
Q--l'nsulated Neutral 0 Yes 0 No
----------- ----------------------------------------------- --------------- --
30. Service -Riser Conductors & Ground -Main Disconnect
----------- ........................... ........ ....... ..
Panels-lMotors-Mech. -Equip._
----------- ------- ....... ....... ...
Light -Shower Light -Spa Light
or.
oke Detect _(pV 6
. ......... � Ci,:T(I
---------- ..... ... ...........
... ... ....... .. .... ..
-Date -------------- Card B-1 --------- -Date Card B-1
.......... -------------- '- ''' ''' ''' ' ' '' I
Date Card B-1 Date Card B-1
Date MECHANICAL.(Permitl OK except ;;'s
A -C. I nsulation & Support
----------- ................. .... . . ... .. .... ..
Du �!
an:1-'Xhaust above insulation
.. . . ... ............... ..
�A�ondensate Drain & Overflow: Size & Grade
......... ....... ........ .... 777�
5mfKa`in�e_-v.enl: Accsf(6omb. -,'�Return Air Vent- 1 15 outlet
Attic Access & Platform if Ftirnance in Attic
---------- -----------
------ ------- ----- ...... ... .. .. .... ......... ..
D-a.fe- -1-2-, 9 Card.B- I Date q -.7 -I -q4 Carct-B-1
Date f�-J7- 91, Card B- I C1j Date Card B- I
Date FRAMING (Plans) OK except P's
L'15- S I Proper Material & Anchors
....... ... .. ... ... ........ ... ... ...
I
Z;,;-M,Studs-NaiIjng. Spacing & Brac,ing-Plates-SOLind
.. .. . ........... ...
n Wills over Girders & Floor Nailing
lop""n Walls (ral'proof) ...
.. ... ... ........ ..... .... . . .
e Stops: Furred Ceitings-Stairs-Chases-Tub
4. Headers & Beam -Size & Bearing
ingle & Duplex)
Date ,FRAMING (Continued)
Han,4er�pPost Caps -Anchors -Connectors
I . Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
ru, la -6 Ties or Type A Flue -Fireplace Throat clearance
----------
Atlic. Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
arage Fire Protection Framing C C&
,-L---5�iProperty-Line Firewall & Openings
Doors -One T -Check Garage -3rd Story, 2 Exits
L I . .
__52,� room -Rise -Run- Landing
C�� �4plywood on Roof Overhang -Attic Vents -Rafter Outriggers
-------- -------
E��- �55S'4 9 Nailing Veneer
co Mesh -Drip Screed -I'd. Vents-Underfir. Access!50e Aro-f-4�_
-Glass Protection -Sky[ ights- Plastic
5 lazing Area
58. Shear Walls: Nailing -Bolts
59. Insylation-Walls-Ceilings
In I iltration-Walls-Windows
--------------- : --- - - -----------------
-----------------------------------
Dat; 6CO-a B-1 )ate
ird C Card B- 1_
Date Card B-1
Date 11 Card B-1 10
Date FINAL (Plans) OK except #'s
t. Ste s -Door & Sidelight Proteclion-Landings
Smoke Detector
.......... ----------------------------
Furnace: Ve learance-Comb. Air -Connector -
in Gara . Above Floor-Ducts-Mech. Protection
- - --- --- - -- -- --
F u rna ce Ve
��_�n Ga �raAbov'
- - - --- --------------------
&-�S4. ed room Exiting
-------------- --
.1. & Bath Fixtures & Tub Access -Spa
r & Su
Trip)-& Subpanel: Breaker Sizes & Labels
-----------
St & Rails
eplace or Stove: Clearances -Hearth
--------------
69. pec -Outlets at Wood Panel, Int. & Ext.
Gap -Cooking Clearance
------------------
�1'6ec. Outlets & Receptacles at Kit. Counter
-Landing-Closer
��age Fire Door: Swing
--�.C. Duct in Garage -Damper
--------------------------------------
,,_7A-VVtr. HIr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
------ -----------------------------------------
!�1?5. & M ech. Equip. Listed for Location
t,�6. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
------------------ I ------------------------
Insulatio
-j�Kcam --Looked in..At1-ic----- 0 -Yes----.------
- -------- --------- -- -
78 Rails & Deck Construction -Post Caps
--------------------------------
Vents & Crawl Hole Door -Drainage & Wood -Earth
clearance Looked under Floor 0 Yes
.. ... ... ...
V- ------------------------
�80. Following instid.: Drive 0 les 111 -Nb: Walks 0 Yes 19 -No:
Planters 0 Yes, 0
. ... ... ......
< ----------------
a). Ej�, n-!'F"iA'i's'h ze - /9- :
--------------
A Disconnect. Electrical, Plumbing
Uni:1
- ------------------------- ------
Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
. . . .. ... ........... - ------------------------------- -------
84 Water Well: Disconnect. Electrical. Plumbing
le -.2E'� ec. Trim: G.F.I. Recepta c le- Underground
�x rior El
'::::� . .. .. .. ..... - ------------------------------------------
Ventilat.ion Thr0L.Jgh.out House. ------------------
L--Iaw�la SS Pr ote Clion
i��Iions !rom Previous inspections
6 Gas Test -Meters Tagged: Gas -Electric
a ter & Sewer Cbn n e cle d C/O to G rade -HID A pproval
91 nergy Compliance Certificate -Other Certificates
. . ....... .... ...
- --------------------
Da Id B-1 Date Card B-1
ard B'-1 D - a . te --------------- Card -B- 1 -----------
D2
Da e gf?Card B -I RJ$ Date Card B-1
Comments. at Final
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street * Chico, CA * (530) 891-2751
7 County Center Drive e Oroville, CA * (530) 538-7541
CORRECTION NOTICE
A 1 99 -'02 7 41 z
OWNER PERMIT �O.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
compi'6ted,, If you have any questions pertaining to this matter, or need additional explanation,
please cor)act this office immediately.
C�-
4' C2 -,J
PLC /111
— 9 F— Inspector
Date7 /3
REV 10/92
t
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center, Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRE&ION NOTIC"IE
OWNER PERMIT NO.
-A routine in
the above a
is complet
pleas
.V two(
Date
REV 10/92
pectOn indicates that the follov
d P"I's and should be corrected.
4f you have any questions perta
ct this office immediately.
A
violations of Butte County Ordinances exist at
;*sle notify this office when correction of work
j to this matter, or need additional explanation,
I A
-7 T 2�L C_—"WWn-T—
X!
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES -
1469 Humboldt Road, Chico, CA: (916) 891-2751
A
7 County Center Drive, Oroville, CA - (916) 538-1541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
4- -7
OWNER PERMIT NO.
'q.
A
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the -above address and should be corrected. Please notify this office when correction of work
is completed. If you have -any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
-7 T 2�L C_—"WWn-T—
C105e —/.5
boo 0 a't' SC '9
I
Date 1(" Inspector '4
REV 10/92
A
L—
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road,...Chico, CA - (916) 8S1-2751
7 County Center Drive, 6r&�ille, CA - (916) 538-7 641
747 Elliott Road, Pgiadise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If.you have any questions pertaining to this matter, or need additional explanation,
pleVase": ac, this office immediately.
7??/0
Date
REV 1
i.-
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
CORRECTION NOTICE
Z' z JeF
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this offl.*C'e when correction of work
is completed. If you have any questions pertaining to this matter, or�eed idditi6rial dxplanation,
Please contact this office immediatelv.
REV 10/92
CERTIFICATION OF INSULATION
ADDRESS OR TRACT
SACRAMENTO INSULATION CONTRACTORS
LOT #
Z>
P.O., BbX 854, WEST SACRAMENTO, CA 95691 LIC. #202026
I
3243 INDUSTRIAL DRIVE, YUBA CITY, CA 95993 LIC. #202026
P. 0. BOX 9651, FRESNO, CA 93793-9651 LIC. #202026
P.O. BOX.1631, RENO, NV 89505 LIC. #10675 -
3326 A PON DEROSA WAY,
LAS VEGAS, NV 89118 LIC. #10675
x7l
DATE INSULATION COKrLETED
fTs L7
SQUARE FEET)
SQUARE FEET)
SQUARE FEET)
TYPE OF INSULATION
TYPE OF INSULATION
TYPE OF INSULATION
MATERIAL
MATERIAL
MATERIAL
FIBERGLASS
FIBERGLASS
FIBERGLASS
FORM
FORM
FORM
BATTS
BATTS & BLOW
BATTS
MANUFACTURER'S PRODUCT I.D.
MANUFACTURERS PRODUCT I.D.
MANUFACTURERS PRODUCT I.D.
MANUFACTURER
MANUFACTURER
MANUFACTURER
OCF
OCF
OCF
BAGS -
R - VALUE
APPLIED
R - VALUE
APPLIED
MIN. INSTALLED
R - VALUE
APPLIED
INSTALLED
THICKNESS
INSTALLED
THICKNESS
IC'
WE GHT PER
SQUAREFOOT
INSTALLED
THICKNESS
3 >
L/
ct-.,2_,
KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE
MATERIAL
FORM
R.VALUE'
MANUFACTURER
FIBERGLASS
BATTS
OCF
AIR INFILTRATION SEALANT
MATERIAL
MANUFACTURER -
C)
W R GRACE
THIS IS TO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES,
MATERIAL STANDARDS AND REGULATIONS.
SIGNATURE -INSULATION CONTRACTOR 77—
TITLE
DATE
MANAGER
. �'-)
SIGNATURE -GENERAL CONTRACTOR
TITLE
DATE
C REMARKS:
E
c
SIC -303
BUILDER COPY
L\�
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Carif=6 '95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
AS ESSOR PARCEL NUMBER
0!1- 0-006
�?
ZONING
A40
BUILDING PERMIT
OWNER
GARY & JANET LITTLE
TELEPHONE
846-4195
SQ. Fr. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
287 O'BRIEN AVE, GRIDLEY 95948
1173 R 63,342
912 M 16,416
CONTRACTOR'S NAME
DAN MUNSON
TELEPHONE
846-2004
CONT 79,758
Cg�7T67�AIU�rl)
0 ;E�S, GRIDLEY 95948
Fireplace 2 3,000
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$ 162,516
LENDER'S MAILING ADDRESS -
_Filing Fee $
20.00
Permit Fee
$860.0
XMIXE
ARCHITECT OR ENGINEER
LICENSE NO.
-
Plan Checking Fee $
-Energy
559.00
Plan Checking Fee $
23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS -
Penalty $
BUILDING ADDRESS 1215 BLOCK RD, GRIDLEY
PERMITFEE $ 1.462.00
PLUMBINGPERMIT Filing Fee
20.00
Each Trap 1 7-00
112.00
LOT NO.
SUBDrvisION'S NAME
IPARCEL MAP
-
Solar or heat pump water heater 23.00
-
USEOFSTRUCTURE
SF 11 Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping 15.00
15.00
- Each gas water heater or vent 15.00
15.00
- Gas piping system 1 - 5 outlets 15.00
15.00
Building sewer 15.00
lci_no
TYPE OF WORK
New 0 Addition IN Remodel IN Ublifies 0 Installation 0 Other 0
Describe Work: REMODEL EXTERIOR & INTERIOR OF EXISTING
INFILING. ADDITION 2 UPSTAIRS BEDROOMS & DOWNSTAIRS
Mobile Home I S I GI W 1 (9?20.00
1
PERMITFEE $
192-00
Contractor
ELECTRICAL PERMIT Filinq Fee
2 0.'0 0
REC ROOM AND ATTACHED GARAGE.
OV OR LESS
Main Service �OOOOA OR LESS ) 23.00
23.00
Main Service 200A TO 1000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No. S!�np
OWN UILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employeeswith wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCC
OR ADDINS. & ACC. BLDS'.P' ) 4 49 5 3.5p ST"
157.30
NEW CONST. MULTI.OUTLET
NON-RESID. BRANCH CIRCUITS 97.50
&POWER APPARATUS
SINGLE OUTLET CIR
OUTLET OR FIXTURES 20 @ 1.00
Ex. Occup. ( aAL .50
Ex. Occup. OFIXED APPLNS. OR N
( OUTLETS (RESID.) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
200. 3C
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of workforwhich this permitis issued.
My workers' compengation insurance rarrier and policy number a e:
Carrier
MECHANICAL PERMIT Filing Fee
20.00
Heating 2 15.00
30.0(
Cooling 2 15.00
30.0
Hood 1 6.50
6. 5C
Ventilation 6
27.00
PERMITFEE $
113.5CI
Contractor
Policy Number . _
144M S: S- :& C
(The above sections need not be-complefedTitl�-e permil"is-for work Of valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, 1 -1-11
f comp y with those provisions.
r-
X Date A
i
S gnatIJ e��� �an 0 Owner Contractor 0 Agent
ir -W
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $ 46.0
occ
CONST. TYPE
[TOTAL FEE $ 2,013.8
HAZ.
I C'. /FS
I IMP
I FLOOD
I CDF PARCEL
PO
ISSUE1
This permit is hereby issued under me applicable provisions
of the Butte County Code and/or Resolutions to
ind ve been paid.
B y ate
PERMITEXPIRESO N 7)�( 3; F6
(Datre)
do work
ReceiptNo./ 9d' 3 1/1 �'WJO 3,5 1, ?. i
WHITE-D.D.S.-B.D. CWRY-A!�SES!§01`11 '/PINK -INSPECTOR ' GOLDENFT00-APPLICANT
Dan Munson
650 Ohio Street #3
Gridley, CA 95948
RE: Building Code Violation
1215 Block Road, Gridley
Dear Mr. Munson:
BEAUTY
Ur-FAK I MM I Ul- UtVt:LUFMtNY SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
December 4, 1998
A.P. #: 021-12-0-006
This is a courtesy notice to notify you that you are in violation of the
Butte County Code, as follows, at the above referenced location:
Failure to obtain approval of previous corrections and failure to obtain
final inspection prior to occupancy and permit expiration for
construction of addition and remodel of single family residence.
Since permits and inspections are required for the above work, apply for
the required permits to make corrections and complete project and pay the
appropriate fees.
All work must stop until these permits are issued and you are authorized
by our field inspector to proceed. This field authorization cannot be made
until the existing work is inspected and approved.
It is the County's goal to obtain voluntary compliance with the Butte County
Code. However,. you should be advised that Butte County has an active Code
Enforcement Program which provides an effective means of enforcement if
voluntary compliance is not obtained. Enforcement may be pursued through
the issuance of citations, fines and the recording of a Notice of Violation
including a description of the action necessary to abate the violation.
You have thirty (30) days to voluntarily comply with the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you.
Should you have questions concerning this matter, please contact Michael
Vieira or Scott Rutherford in this office at the address or telephone number
listed above.
MCV: dms
cc: Assessor
Yours very truly,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
Gary W. & Janet Little, 1215 Block Road, Gridley, CA 95948
Z,
COUNTY OF BUTTE - DEPARTMENT OF D
ENT SERVICES - BUILDING DIVISION
7COUNTYCENTER DRIVE - OROVILLE,CALIFORNIA95965 -TELEPHONE (916)538-7541
PERMIT APPLICATION DATA SHEET
OWNER tA 0-V t�� A. P. No. 0 0 0-(,
Proposed Building ClIse IV- r ewovl-e Building Inspector 122S, Date - 9<
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Ils DATE RECEIVED By
All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans ...........................
A Complete plans, 3/4 sets, signed by preparer of plans . ......................
16,41 Engineered plans and calcs, 3/4 sets, with wet signature on plans. .......
5. Hazardous Material Form . ..........
6 ' Energy Design Compliance and supporting documentation.
7. Statement of Intent for Non -Heated and A/C By ' ildings . ......................
8. Engineered truss details and layout i * n duplicate (required p�ior to plan check). . 21 .
9. bilehom@ dataLand_tnanufacturer's installation instructions, 2 sets . ...........
19. ees of $ 0 ......... 2- 3- 9s, X 6.
Impact fees as shown on attached schedule. . t5c-li. a v 1 .5
Califo nia Department of Forestry plan approval/fees ............. /:*Irp
J 1 Flood elevation letter (100 year flood) by California Engineer ...................
__zjjj2L'5'-14. Sanitation and plot plan approval 6725 6 � �&_ Health Department . ............
Z '_ 15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley . .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about _ (A) Improvements (B) Drainage . ...........
19. Driveway permit (construction approval required prior to occupancy).
P��4A.Wc�.� r6cluest
20. Pre -inspection for required. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner Mail to owner .............
24. Recorded copy of Agricultural Acknowledgement Statement . ....................
25. Letter of signature authorization . ....................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road ......
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . .......................................... w,-
29. Documentation of legal access . ..................... ; ..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . .......................................
32. Plan check list . ..................... . _* �" .50 ................
33. 1VWA1sa'J aL(JE gg��
34. VIA- 3 -70 14dr.-�
V�hen you issue the permit, process as follows: Mail to owner. Mail to co
Telephone and hold for pickup at office. Deliver with inspecto
Other 4oc-A;� ggvA,02_r_ / -
Parcel Creation -rffZ - ess-CD C_
Acreage S' C Applicant
A
Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution Date
Copy of plans sent Health Dept. _ Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by phone mail
Contractor, designer, owner, was advised of above required data by I
phone ail
y
,�bPlans checked by Date Plans approved
0(
Sets of plans on hold in File cabinet AP folder 40"
Copy - 'Department of Public Works
.Counter by _ Date.
.Counter by _ Date
!!!t Date
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIMION'
7 COUNTY CENTER DRIVE, OROVULLE CA 95965 TELEPHONE (916) 538-7541.
-OWNER G -i Ct--r- C_� A.P. # 0,�- I - 12 -
PROPOSED BUILDING USEISAE adWzvvr,,t,, DATE
�1. SCHOOL DISTRICT FEES
(paid at District Office)
SHER07 FEES (paid at Building Division)
Residential ....... x
unit amt.
Commercial (sq.ft.). x =$
3. URBAN AREA FEES
(paid at Building Division)
Residential (per unit). x =$
#units amt.
Commercial (sq.ft.). ._X =$
sq.ft. amt.
4. RECREATION DISTRICT FEES
(paid.at District Office)
5. THERMALITO DRAINAGE DISTRICT FEES
$400.00 (paid at Building Division)
6. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
7. WATER TENDER FEES
(BATTALION #
$200.00 (paid at Building Division)
8. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
9. OTHER�
REC. # DATE REC
12-13-95-
12 0 3 5 ? 1.2- _-/ 2) - 55
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
permit.
APPLICANT DATE
BUTTE-COLINTY- SCHOOLS IMPACTFEECERTIFICATION FORM
,Gln_! Form Per Building)
School District gr-; Peal, Building Department No.
A.P. Number OLI - 0-0 0' Juri§diction:",,�,_ City E4�� County
PropertyOwner Q',' _\otje_+ It:"
Property Location/Address
el JL- 15
le)e_
cZ
4
Subdivison
Lot No.
Residential Development
Sq. Footage
No. of Living
MHI
�Addition
(Group R)
Units
Commercial/Industrial
Sq. Footage
New------------
(Including Exterior
-Addition
Roofed Areas)
Bulilding Department R4pksentative
Date
(Floor Plans reviewed by School District Personnel)
District Identification No.
�816hool/District certifies thdt�',�
V. (Applicant):
Fstreet Address) (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Re�'oluition\N'o' by payment of $
.7
representing square feet. AB 2926 $
FULL MITIGATION $
Scl�oof District ReVfesentative Date
Paid by Check* Remarks: eae�7,1214�� < 9-�no
Bank Number
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fuliv mitigate its impa6t on the school district's schools.
White (applicant), Yellow (building department),' Pink (school district) feefor'mmkl (11/94)dmm
E.H.
Plot Pl= Aft"ed
Floor Plan Anschal
Scat to. B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public' Private Well__�,/
Clearance for 'bedroom meWleeDDther
Hold finalfor:
Final clearance O.K. for:
NOTE:
Environmental Health: Specialist Date,
0 1 �0-006
2 �LE ""Ga�y'&-- p
21- - - - - - ERMIT#95-2857
120-006.
IT - IF
2 Rd.
1 10 1
:�t ba�; Mu -n -s
do n'��, :' , u�so
n �an M n on
LITTLE;",Gary,&'Jan t.
e
C 0 '
14.
-'�215,;Block Rd.,tGridle
y
Re 1 t S, Lj
locat6e-Gas�.Line
oca
7
14
1--m7p MIT -7 -
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Orovilld�-C_alitfnia 95965 - Telephone (916) 538-754-1
APPLICAT10h AND PERMIT 771
ASSESSOR PARCEL NUMBER 021-120-006
ZONING A40
BUILDKGPERMIT
OWNER GARY & JAM LIT1U
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 287 O'BRIM AVE GRIDLEY, 95948
CONTRACTORS NAME DAN MOSIN
=lW4
SS
CONTRACTORS MAIUNG ADORE U50 MO ST #3 GRIDLEY, 95948
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDERS MAJUNG ADDRESS
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Penalty $
BUILDINGADDRESS 1215 BLOCK RD
PERMITFEE $
GRIDLEY, 95948
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
NAME
PARCEL MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF [K Duplex 0 Mobilehome 0 Other
SPECIFY A.—
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets .00
Building sewer 115.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0. Other EI
Describe Work: RELOCATE GAS LINE (REF#95-2761)
Mobile Home I S I GI W 1 920.00
PERMITFEE $
35.00
Contractor
ELECTRICAL PERMIT Filina Fee 20.00
Main Service OOOV OR LESS
200A OR LESS 23.00
Main Service 200A TO 1000A 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class R Lic. No. S-0
OWNER -BUILDER DECLARATION A
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, asownerof theproperty, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed, contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR so
OR ADONS. I ACC. BLDS. 3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS 97.50
POWER APPARATUS
& SINGLE OUTLET CIR.
OUTLET OR FIXTURES 20 @ 1.00
Ex. Occup. ( BAL 0 .50
Ex. Occup. 0 S (.
( UTXLE APPLNs RA
ET ES,6.)OE 5.00
Temporary Service.. 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE
Contractor
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 Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number argi
Carrier I
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number IW �'71 C--5!34_
(The above sections need not b6lcompTet6d if tHe permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Cc__ -
forthwith comply with those provisions.
X Date
Signature -of Applicant---- 0 Owner KContractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee T$
_77:
Energy Inspection Fee Is
occ
CONST. TYPE
TOTALFEEs 35.00
HAZ.
I D. FEES
I IMP
I FLOOD I
CDF I PARCEL
This permit is hereby issued.under tt)e applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Datei
PERMIT EXPIRES ON
(Date)
ReceiptNo. 6_9
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -AP �_T
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
,7 County Center Drive - Oroville, Cali%rnia St5965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 021-120-006
ZONING A40
BUILDKGPERMIT
OWNER GARY & JANET LITTLE
TELEPHONE -
SQ. Fr. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 287 O'BRIEN AVE GRIDLEY, 95948
CONTRACTORS NAME DAN NUNSON
I 19MN� 0 0 4
CONTRACTOR'S MAILING ADDRE t50 OHIO ST #3 GRIDLEY, 95948
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDERS MAJUNG ADDRESS
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 1215 BLOCK RD
PERMITFEE $
GRIDLEY, 95948
PE—UMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDNISIONS NAME
1PARCEL MAP
Solar or heat pump water heater
23.00 —
USEOFSTRUCTURE
SF (:1,7, Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets
15.00 .15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other
Describe Work: RELOCATE GAS LINE (REFA,95-2761)
Mobile Home I S I G1 W 1
920.00
PERMITIFEE
35.00
Contractor
ELECTRICAL PERMIT
Filina Fee 20.00
Main Service %-A -R LESS )
v R 'ss
23.00
Main Service 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class B — Lic. No. _,g-er�'CFSM
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCC'P. )
OR ADDNS. a AC . BLOS.
3.5,t SO
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS
97.50
8.PSOIWER APPARATUS
NGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTUAES
20 @ 1.00
BAIL .50
Ex. Occup. FIXED APPLNS. OR
OUTLETS (RESID.) FA 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
I
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I 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' compensatiop ins�ra ce carrier and wlicy umber
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number I L4en
(The above sections need not b�`CompTete_d if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor C__ I ... all
f ith comply with those provisions.
X —Date
Signatue_���_ �Owner KContractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
1 0. FEES
IMP
I FLOOD
I COF PARCEL
PD
This permit is hereby issued under tile
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRESON
applicable provisions
'Resolutions to do work
been paid.
Datei(-13—--'
— 13
(Date)
ReceiptNo._ -P,10&46 19nt4N2
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DQVELOeMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California -95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSVO�712LNLIMSEFII o o
ZONING
BUILDING PERMIT
OWNEr
_.;, .0 V, L" 7,�
�OOL � 4; #
TELEPHONE
SO. Fr. OCC. BUILDING VALUATION
owN7r r7 46oREss Y\ rid k- -v 95- 9 8-
0011MRIS N"I
E fly/ (A ri (Z)o r\
CON1rTORS rNG ADO!n -IT-
�5-- ) — S
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
SULONGADDRESS/ /0 C- PC(
d L5
PERMITFEE $
G r ;0110 V
PLUMBINGPERMIT
Filing F88 20.00
Each Trap '
1 7.00
LOT NO.
SUBDIVISIONS N"E
PARCEL MAP(/
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.001S.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other
Describe Work:
Mobile Home ISI GI W1
@20.00
PERMITFEE J$
Contractor
ELECTRICAL PERMIT
Fiflinci Fee 20.00
C-
Main Service 600V OR LIE S
200A OR LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class R Lic. No. st 5- &-s 0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. OWE-ING OCCUR
OR ADONS. & ACC. BUDS.
so
FT.
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS
_3.5c
@7.50
0 ER APPARATUS
Nr,
(&PSIW OUTLEr CIA.
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
BAL Q .50
( FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation. as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance. as required by Section
3700 of the Labor Code, forthe performance of work forwhich this permit is issued.
My workers' compensation insurance carri po icy number ar .
S - 11111
Carrier - Z�� -
Policy Number (,-40 C57 -72A - =f
(The above sections need not OcornpFeted Fthe pe-rmit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
I 2,th comply with those provisions.
X Date
C*—
Signatuj,e.�I`Cant - 0 Owner eK Contra tor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITIFEE $
Contractor
Mobile Home Installation Fee Is
Energy Inspection Fee Is
OCC
CONST. TYPE
I TOTAL FEE $
HAZ. 1 0. FEES I IMP
I FLOOD I COF PARCEL
PID HO ISSUE
This permit is hereby issued under me applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By —Date
PERMITEXPIRESON
provisions
to do work
paid.
I � 0 0 (" I
021-420-006i PERMIT#9542760''.7,
LITTLE 'Gary',' et'
B
1215 lock Rd'.,, "Gridl�y�
Y Cont Dan Mifns-on'
Reroof /SF".' �i-
-;h
COUNTY OF BUTTE -PEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI
7 County Center Drive - Oroville, California 95965 -' Telephone '(916) 538-754 PERMIT NO.
APPLICATION AgDPERMIT Q
ASSESSOR PARCEL NUMBER
021-12–O–W6" 1
ZONING
A140
BUILD
P4GPERMIT
OWNER
GARY AND JANET Ll?=
TELEPHONE 4
846-4195
S T. OCC. BUILDING VALUATION
OWNE
W-MBMNSAVE., GRIDLEY CA 95948
2700
7101,.F
CONTRACTOR'S NAME
DAN MIMN
TELEPHONE
846-2004
C�NTRACTORS MAILING ADDRESS
6.50 01110 ST.0 #3, GRILIM CA 95948
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ 54.0(T—
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDINGAIDDRESS
1= R71rX RD, GRIDLEY
PERMITFEE $ 74.00
19,11
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIOWS NAME
PARCEL'MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
X
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
- TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other E9
Describe Work: RERMF WCOM
Mobile -Home S I G I W
@20.00
PERMITIFEE
Contractor
ELECTRICAL PERMIT
Filina Fee 2 0.'0
OR LE
Main Service -oA - R L E Ns
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S. DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License'Class r Lic. No.
OWNER-BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am 6xempt from the Contractors License
Law for the following reason: . I -
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the,'work, and the structure,is not i6t�nded or offerey for saI4.
0 1, as owner of the property, am �xclusively Jontractin'g-�;iilh licen sed7con tract I ors
to construct the project. 11 16
0 1 am exempt under Sec. Business and Professions Code for this
reason,----- I I
NEW CON$T. DWELLING OCCUR
OR ADDNS. & ACC. BUDS.
so.
3.50 Fr.__
NEW CONST, MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS
@7.50
&POWER APPARATUS
SINGLE OUTLET CIR.
—Ex.
Occup. OUTLET OR FIXTURES
20 @ 1.6-0—
BAL Q ..
FIXED APPLN - 0
Ex. Occup. OUTLETS (FIESSID E'A"
— ---
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 1
Misc. Wiring
23.00
PERMITFEE
$
Contractor
..WOAKERS'.COMPENSATION� DECLARATION
I hereby affirm under p�nalty of'�p6rjur� one,6�, the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section'3700 of the Labor Code, for the
performance of the work for which this permit is issued.
W I have and will maintain workers' compensatioln insurance, as required by Section
3700 of the Labor Code, forthe performance of work forwhich this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT.,
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number r ;?.-4-,
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Sign atuTe-�,�f�Kp'Flid—ant 0 Owner XContractor 0 Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 74.00
HAZ.
I D. FEES
SF
P
IMP
'M
I FLOOD
I CDF
PARCEL I PD
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRESONU —J I
I
Oie applicable provisions
Resolutions to do work
been paid.
Date
(Date)
1903U4–/4.UU
ReceiptNo.
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENTPF DEkELOPMENT SERVICES -BUILDING DIVISI
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-A754,� :PERMIT NO.
APPLIGATION AND PERMIT 27 4, 0
ASSESSOR PARCEL NUMBER
021-12-0-006
ZONING
A40
BUILPAGPERMIT
OWNER
GARY AND JANET LITTLE
TELEPHONE
846-4195
SO. FT. OCC. BUILDING VALUATION
____r5____7q6T
OWNERS MA LING ADDRESS
287 6BRIEN AVE., GRIDLEY CA 95948
4
2/UU
CONTRAcTOR'S NAME
DAN MUNSON
TELEPHONE
846-2004
CONTRACTOR'S MAILING ADDRESS
69n nHTO ST, .93, GRIDLEY CA 95948
Fireplace
CONSTRUCTION LENDER
NONE
UNMOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ 54.00
ARCHITECT OR ENGINEER
NONP,
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
BI RD GRIDLEY
PERMITFEE $ 74.00
-012K ,
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCELMAP
Solar or h eat pu . mp water heater
23.00 —
USEOFSTRUCTURE
SF 4 Duplex 0 Mobilehome 0 Other
SPECIFY
. .
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other
Describe Work: REROOF WCOMP
Mobile Home IS I GI W1
@20.00
PERMITFEE
Contractor
ELECTRICAL PERMIT
Filina Fee 1 2 0:0 0
Main Service 800v OR LESS N
200A OR LESS i
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class J3 — Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1. as owner of the property, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. 8, ACC. BLDS.
so
3.50 Fr.
NEW CONST. MULTI -OUTLET
— NON-RESID . BRANCH CIRCUITS
@7.50
,POWER APPARATUS X
SINGLE OUTLET ciR. I
—Ex.
OCCUP. ( OUTLET OR FIXTURES
Q 1.00
BA -L Q .50
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESID.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for -workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, forthe performance of workforwhich this permitis issued.
My workers' compensation insurance carn policy number are:
Carrier 4r
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for wor�`of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I _1_11
fonrth'th comply with,.thase 'provisions.
X Date _0*41KIIAr
SignsluW=_�E�ant - 0 Owner XContrac r 0 Agent r /
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 74.00
HAZ.
I D. FEES
IMP I FLOOD
I CDF
PARCEL I PO
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
C__�
By
PERMIT EXPIRES ONU I I
applicable provisions
Resolutions to do work
been paid.
—Date
I —
(Date)
ReceiptNo. 190304-74.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
.j
COUWY 01F BUTTI
BUU-DING DEPT
NOV 3 0 1995
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Cllifornigi,95965 - Telephone 916/534-4641
APPLICATION AND PERMIT
ASSESSOR_PA7CEL NUMBER
!/ / ( 11
ZONING
BUILDING PERMIT
OWNER
, J_ / . )
TELEPHONE
Il!' 9
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
fl, li
Y . J Z
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
1, , I ....
UNKNOWN
I
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
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFFJ Duplexn Mobilehomen 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 n AdditionFl. Remodel[] UtilitiesE:1 I nstallationF'l Other
Describe work J :tW I I o I( t Ir- L, I C V,
I I I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
110-00 e
Main service EA. ADD'L 100 . AMP
250
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
of the Busines
F1 I am licensed under provisions of Chapt. 9, Div. 3 S
and Professions Code and my license is in 'full force and effect.
License No. Classification
nx 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contl8ict-
ors. (Sec. 7044)
El I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUPM
OR ADDNS. ACC.BLDGS. 21/2 Osq ft
NEW CONSTF;L MULTI -OUTLET
NON-RESID, 2RA NCH C5C UITS) 2.50 ea
PF
WER TPF-�RTITUS.&)
(SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES 20@50t
BAL0 30q
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI*O.) EA.) 2.00
—
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
I , - I I - I
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n 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 -insure.
F:;l 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
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00 1
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit
X e. A4_,k� //
- Date
Signature of Applicant — OwnerEl —Contractor El Agent El
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 $
TOTAL PERMIT FEE $ 4 1; r
occup.�
CONST.TYPrJ
I
I FLOOD1
PARCEL
I P13
I No
I 1-15UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above fo which
A -
DIRECTOR 0 PUBLIC
By
PEWIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
-1 1 ;, - -L - y k-,
Receipt No.
WHITE-O.P.W.. YELLOW-ASSE,35OR J , PINK -INSPECTOR. GOLDEN ROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, (_—aTlf;:knji,.f)5965 - Telephone 916/534-4541
APPLICATION ANb PERMIT
PERMIT 0,,/—
ASSWR_P))CEL NUMBER
_66
Z0,4GCf0
BUILDING PERMIT V
OWT_ A . Jr) � U/7 a 0
TELEPHONE
6, -
SQ.FT. OCC. BUILDING VALUATION
OWN MKILINP-)A!��_+ESS�
X ya C
OWA NAME I
HONE
CONTRACT ILING ADDRESS
Fireplace
C UCTION LENDER
S 14 6:
Total Valuation $
Filing Fee
$ 10.00
LPNDIf_R*S NTAILING ADDRESS
Permit Fee
$
AR
,VTECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS /A 16— 2
Permit fee
$
PLUMBING PERMIT
FilingFee 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
SFE:1 DuplexD MobilehomeF_J Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S FGTW�__
10.00e�
TYPE OF WORK
New F-1 Addition[], RemodelE] (.4tilitiesp Install 'on[:] Other
Describe worowel CA Y, I a 0 0 e I) I C_ t 0 v�
I_Z(Ap n A A Y1,16 Q6
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I i ng Fee 10.00
f
main service 600V OR LESS
100 AMP OR LYS
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 S
F Busines
and Professions Code and my license is in full force and effect.
License No. Classification
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)
D I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
Fl I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST 0 ELLING OCCUP.&)
OR ADDNS. ' ( ACWC. BLOGS. 21/20sq it
NEW CONSTR. MULTI -OUTLET
NON*RESID, 2RANCHCIBCUITS .2.50 ea
P3WER PF R7
'TUS.&)
(SINGLE OUTLET CIR
0050c
Ex. Occup(OUTLETS OR FIXTURES 1.2AL0 30C
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI'D.) EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00-
Mis$, Wiring 15.00
11(o -J- Iq Sig
Permit Fee f $
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 shal I be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
aga? said C uence of the granting of this permit
X Date-
Signature of Applicant Owner -E] �ontroctor R Agent F-1
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 $
TOTAL PERMIT FEE $
occup.1
CONST,TYPKJ
I
JFLOO.JPAR1r1J
1.
t NO
13—SUE'
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE_-��CTOPUIBLIC
B
PEPAT E'
XPIRES Date — :��
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Y A=o
Receipt No. 5-16o q
WHITE-O.P.W., YELLOW-ASSESSO I
.. PINK -INSPECTOR. GOLDENROD-APPL I CANT
J
COUNTY OF' BUTTEJ - DEPARTMENT QF'PUBLIC WORKS - BUILDING DIV'IS-ION
J R��' j t-.=_%; I -
7 COUNTY CENTER DRIVE OROVILLE2: C-ALIPOKNIA 95965 - TELEPHONE: 9164/534-4541�
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER— A. P. N o.
Proposed Building Use
Permit Fee Based Upon: —Complete Contract Price DPW Valuation
Building Inspector IZA��_ & 41,aZZ Date 114 /7 / 15
At time of permit application, I was advised the followin"g data must be submitted prior to permit processing
andJor issuance: DATE RECEIVED. APPROVED
1.
All items have been submitted . . . . . . . . . . . .
2ii,
Plot plans.in duplicate/triplicate . . . . . . . . . . .
3.
Complete plans in duplicate./triplicate. . . . . . . . .
4.
Complete engineered plans and calcs . . . . . . . . *. 0
5.
Plans with Energy Design Compliance Statement . . . . . A
6.
State Energy Forms No.
7
Statement of Intent for Non -Heated and AC Buildings.
8.
Fees of $ . . . . . .
tter of signature authorization
9. e . . . . . . . .
1 .
Sanitation approval from— Health Depk,
11-
Planning approval for (A) Use: (B) Parking:
12.
Certificate of Workmen's Compensation Insurance . . . . . .
13.
Contractor's License Information (no., name style, classif.)
14.
Owner -Builder Verification (Given to owner[], Mai I to owner
15.
Improvements may be required . . . . . . . . . . . .
,6.
k I'l 7.
Mobilehome Installation Data.
Pre -Inspection for *,'--L6q'1-ired. Pre -Ins request to
U
(Date)
18.
Building"I'n'spector
Recorded copy of Agricultural no\�Iedgment Statement.
19.
Other Drivewav oermit & const. aooroval reauired prior to occupancy.
When you issue the permit, process as follows: Mai I to owner. —Mail
to contractor.
Telephone and hold for pickup at —office. —Deliver
w/inspector.
Othe
Applicant5_"' Date,
Copy of plans sent —Health Dept., —Fire Dept., —Other Date
During the plan chec ' king pro_ce__ss,_t_he foil -owing data must be submitted prior to,permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by —Telephone —Mail —Other
By Date
Plans -checked by Date
Plans approved by Date
Other:
Copy—DPW
Ca� � � �
FJ Q,�vp� ,��-Pw^�d
�� , v
� � ,� ' .
,�
' � � - • • �� �j •
c; � .�
1 � �' � � � � .� �
1- �-�o �'�-..
s
COUNTY OF BUTTE - . DEF%&RTMENT OF PUBLIC WORKS PERMIT 0
7 County Center Drive - Oroville, Cfl�lfornla 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT --I—i
ASSESS R PA EL NUMBER
ZONING
BUILDING PERMIT
TELEPHONE
6 1
_C)790
SO.FT. OCC. BUILDING VALUATION
OWN 'S ILINYA�D�ESS' C
C0r,RAC7OR'S NAME f
ULL-1 I'
FTF LEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
c0NS7R CTION LENDER
UNKNOW,�
Total Valuation Is
1-11-NOCRUS NTAILING ADDRESS —
Filing Fee
$ 10.00
Permit Fee
$
T
A ECT OR ENGINEER
,
NSE N 0.
Plan Checking Fee
Energy Plan C ecking Fee ,
OR
ARCHITECT IN
ENGINEER'S MAIL ZVDDRESS
Penalty
$
BUILDING ADDRESS I
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT N6,
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCVURt
SF El .6upl,exF-1 MobilehomeF] 66'er
SPECIFY
Gas,pip.ing system -1 -�5 outlets
5.00
Building sewer
5.00
46bile Home G I W
10-00ea
TYPE OF WORK
Ne'w.,'! - Ad'd*ition R emode I gti.lities InstaliVonO Other
Describe wo4l'A'eq Y'le el eo I C 6- 0 Vr,
P Ar Yal ;C 't S
Permlt,Fee
$
Contractor
ELECTRICAL PERMIT
—
FilingFee 10.00
—
OOV
6 01 LESS
Main service 00 AMP OR LE4S
—
10.00
Main service EA. ADD -L 100'AMP
2.50
CONTRACTORS LICENSE LAW
i -declare under penalty of -per)dry (ch�6k o;e'")'
I am lice6ied under provisions of Chapt. 9, Div. 3 of the Business
and- Professions .�Code and ..my licensd. is in full force and effect.
I
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-
or s. (Sec. 7044) . - I
F -I I am exempt under Sec. Business and Professions Code
for this reason
I;NEYV,CCNST. DWELLING OCCI
OR ADDNS. ' ( ACC. BLDGS. . UP"') 21/4scift
NE C ON ST R. MULTI-OUTLE T
NO W E" 2.50 ea
-R D. BRANCH CIRCUITS)
PO ER APPARATUS
(SNWGLE OUTLET CIR
Ex. OCCUP(OUTLETS OR FIXTURES 0050c
eAL@ 30#
FIXED APPLINIS OR
Ex. Occup. OUTLETS (RESI*D.) EA.) 2.00
Temporary service 10.00
. I
- Mobile Home Facilities 15.00
Misr, Wiring 15.00
Pep -J-11S IQ
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.
f;;�J I shall not employ any person in any manner so as to become subject
�A" 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. I
Contractor
MECHANICAL PERMIT
—Heating
Fi I ing Fee 10.00
. 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
aga . t said.C!�=uence of the granting of this permit
. 7, g� L�_ ' — Date — // 7n
Signature of Applicant — Owner [] Contractor 0 Agent 1:1
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 $
—
TOTAL PERMIT FEE $
OCCUP.1
CONST.TYP91
I FLOODIPARCELI
I'D
No
ilrbur
This permit is hereby 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. 5)66q
.HITE-D.P.W.. YELLOW-A3aE330"#, PINK-IN3PECTOR. GOLDENROD-APPLI CANT
PERMIT NUMBER B --5L--72B
P 3-72P
E 4-72E
PERMIT EXPIRES
:�',,OWNER Everett Lohman
CONTR: owner
LOCATION (A. P. 21-12-6
-,Ww corner of West Liberty & Block Rd.., Gridley
COUNTY' OF, 'BUTTE
Departmeei, of, P'jkblic Works
BUILDING INSPECTION RECORD
-Zoning -Setback Forms
Foundation Piers & Girders 'Fireplace
Rgh. Plumbing Bond Beam, Lath & Plaster
Rein. Steel Gas Piping & Test Found. Vents
Framing Plmg. Topout Rough Elec.
Wi.r. Htr. Furnace 'Kitchen Vent
Firewall Garage Vents- Sanitation & Water
ELECTRIC GAS BUILDING
Temporary Temporary Cert. of Occup.
Final Final Final
DATE REMARKS OR CORRECTIONS
11�
COUNTY 0 IF 6.1,17 T E
DEPARTMENT OFK'P6eLIC WORKS
7 Cou-nty Center Drive - Oroville, California 95965
Phone: 533-1230, Ext. 259
APPLICATION AND BUILDING PERMIT
tA
Pennittee Owner
F 0 U N D A T 1 0 N
A. P. No.
EXTERIOR
Mailing Address
Width at Top
Fire Zone
Width at Bottom
Zoning
Depth in Ground
SQ. FT.
OCC.
Contractor
R.W. PLATE (Sill)
SIZE
Sanitation
SPAN
Planning
Girders
Plans
Fees
W.C.7)
Mailing Address
r
BLDG. Address
1". ee
R/W
Encroachment
Fireplace
NEW 0 ADDITION D REPAIRS 0 OTHER E-1
Others
Single Multi —1
USE OF STRUCTURE Family Duplex Dwelling F
Others
F 0 U N D A T 1 0 N
MATERIAL
EXTERIOR
PIERS
Width at Top
Width at Bottom
Depth in Ground
SQ. FT.
OCC.
BUILDING VALUATION
R.W. PLATE (Sill)
SIZE
SPACING
SPAN
Girders
joists - Ist Floor
joists - 2nd Floor
Fireplace
joists - Ceiling
Total Valuation
Exterior Studs
Permit Fee
Interior Studs
Plan Checking Fee &/or Penalty
Roof Rafters
Total Permit Fee
Bearing Walls
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
styleof ................................................................................................................................................................................................................................................
License No . .............. ; ........... . Classification .............................................. . and certify that the aforesaid license is in -full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
I am the owner of the above property and I will contra.ct to. have all of the above work performed by licensed contractors.
(Sec. 7044).
Fy -� I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
F7Basis,, if any, for other stat4tory exemption ................................................................................... : ...............................................................................
.............................................................................................................................................. . . .... ....... . . .. . .. . . ..................................................................
WORKMEN'S COMPENSATION INSURANCE
I am- aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. lhaveplacedon f;le with theCounryof Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
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 con-struction,
and hereby authorize representatives of the County of Butte
to enter upon the above-mentioned property for inspection
purposes.
X Date
.......................................................................... ................................
SIGNATURE OF PERMITTEE OR AGENT
ReceiptNo . ......... ...................................................................................
L
This BUILDING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By ... Date
........................................... ! ......................... ................................
Permit Eitpires Date ..................................
L
COUNTY OF. A,,,,UTTE
DEPARTMENT �� -PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Phone: 533-1230, Ext. 259
APPLICATLON AND PL,U,MBING P E R M I T
Permittee Owner
A.P. No.
Mailin2 Address
Contractor
Mailing Address
BLDG. Address,
DESCRIPTION OF WORK
NEW F_ -j ADDITION 0 REPAIRS 0
OTHERS:
Remark s:
USE OF STRUCTURE
Single Multi
RESIDENTIAL Family Duplex Dwelling
OTHERS:
Remarks:
PERMIT FILING FEE
@
Fee
$2.00
Each fixture or trap or set of
fixtures on one trap
1.50
Repair or alteration drainage
or vent pLping
1.50
Installation or repair
water piping
1.50
Each gas water�heater or
gas heater vent
1.50
Gas piping system I - 5 outlets
1.50
Gas piping 6 or more - Each
.30
House Sewer
5.00
1 awn Snr*nkler system
2.00
TOTAL FEE $
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
styleof ................................................................................................................................................................................................................................................ #
License No . ............................ . Classification .............................................. . and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
F__j I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
Basis, if any, for other statutory exemption ................................................................................................................................................................
.............................. w .......... . ........... ........ ................................ . . . ... . ...................................... I ...................................................................................................
WORKMEN'S COMPENSATION INSURANCE
I axn aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the
above information is correct. I agree to comply with 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.
.......... ............... .................. Date
... . ....... ............... ................ ; .....................
SIGNATURE OF PERMITTEE OR AGENT
Receipt No..
................ :� ..... . .........................................
This PLUMBING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By............................................ ! ............. I ......................... Date ............... ..............
COUNTY OF BUTTE
DEPARTMENT OF P,�-IBLIC WORKS
7 County Center D64- Or6ville, California 95965
PHONE: 533-1230, Ext. 259
APPLICATION AND ELECTRICAL PERMIT
4 7
Permittee Owner A. P. No.
Mailing Address
Contractor
Mailing Address
BLDG. Address
DESCRIPTION OF WORK
No.
Fee
S2.00
NEW r__j ADDITION F-1 METER SERVICE F__j
PERMIT FILING FEE
Supplementary Filing Fee
1.00
Main Service
OTHERS: ev
Sub -panel (12 or (more than
less) 12)
Each
Range,- Dry4ir dr Water Heater
4
Each LOO
Remarks:
Oven, Cook -Top or Space Heater
Each ....50
Light Fixtures
".10
First 20 20
Each Additional 10
USE OF STRUCTURE
/11, /"7,/
eceeacies., Switches & Fixture Outlets
First 20 .20
Each Additional .10
Hood, Exhaust Fan or F.A. Furn. Motor
Each .50
Single Multi
-Family F-1 Duplex ED Dwelling F__j
Evap. Cooler, Gar. Disp. or Disl�i;asher
Each .50
Air Conditioner or Heat Pump
,OTHERS:
Water Pump
Misc. Wirin2 -0.�;,/,57 'r,
Remarks:
TOTAL FEE I -Z C)f /
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
styleof .............................................................................. .......................................................................................................................................................... . . .
License No . ............................ . Classification .............................................. . and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check oneY
I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
F-1 Basis, if any, forother statutory exemption ........................................................................................................ ...................
WbRKMENIS COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Se�ction 3800.
I certify that I have read this application and state that the above in-
formation is correct. I agree to comply with all County ordinances and
State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli-
sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances.
for ina�e�ction �Ou�rposes* DIRECTOR OF PUBLIC WORKS
............................................ 9 .......... Date
;: ................................
SIGNATURE OF PERMITTEE OR AGEWt
By ........................
................................................... Date ....................... . ...... ....
Receipt No . .......... k." - , , -
.........................................................
BUTTE COUNTY DEVELOPMENT SERVICES
Complainant:
Inspector must draw a plot plan with all building locations:
Additional comments from Inspector:
2
A.P. 21-12-6
_V1 OF
41,
Everet
t Lohman
�'STR n/w corner of West Liberty & Block Rd.12
Gridley
Permit 5-7 (co rt old school to
21-12-06
S
F, LOT
13LOCK E.B. LOHMAN
1215 Gridley
TYPIE
_M:A R 45 S:
:C)F PlUkMri HO. PLANINO.' 1 If
T Pzkmrr. Permit#3346-85E(new-e e s_�-� , or lathe -
opera
tions)
021-120-006 PERMIT#95-27
LITTLE, Gary & Janet
T 1215 Block Rd. idteyf f -fl -OL
C on
t D �rrs�on)
i TF
A�of I/ S I
021-120-006 gRMIT#95-2761
2 1;
LITTLE, �ary &'Janet
Xl
1215 Bl'ock Rd., Gridley
Cont; Dan Munson
Add & Remodel/SF
021-120-006 PERMIT#95- 857
LITTLE, Gary & Janet
1215 Block Rd., Gridle
Cont; Dan Munson
Relocate Gas Line/SF
, � F�tmmmlx