Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
021-131-009
� :'i.e.,,^""r•v i fir' �"�as �'-s^- -• � � �'. _ y e {j, f � � f w � wG �'" •� • �^ WRIGHT, Joe C. 1856B� "400, W. of Frenc ` .� i- _ _ - - 1455P7,1 . rework elec, sere. R .-'LO- qS Lot 2, s/s Little 5001 west French, Gridl e�y 31-131-09 idley E,M(addition/SF) c k -13 -q9 r dley d1ey 2633=90 ?284=89) " 'ERMIT#97-2693 Cheryl a idley'�.' F u I:r ,r r N r � r M � RESIDENTIAL r 021-132-009 PERMIT#97-2693 DILLARD, William & Cheryl 587 Little Ave., Gridley PERMIT NO, Add Covered Patio/SF - j- PERMIT EXPIRES `— OWNER t CONTR. \1 * ASSESSOR PARCEL -r LOCATION } r k t Temp. Power Pole Called PG&E 'Temp. Elec. Service Called PG&E i Temp. Gas Service Called PG&E JOB FINALE (Date) Signature V=OK O = Not OK , NottRel�bye MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test•Fall-C) concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-TestANrap; / /LYt / /Nat or/ / L°ft./ /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 -Vale -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DqPKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'a 1. ioging Requirements -Setbacks -Easements Lalfoob-Ns; SodSize-DepthSpacing-Conrectors-Steel 3. Decks; Girders and/orLJoists-Decking-BracingStairs-Rails 4. Wood. Awn.; Posts Beams-Rttrs.-Connectors Shthg.-ft. Bracing S. Alum. Awn.; Columns-ConnectonsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric ( Frmg.; Sils-AnchorsStuds-Rttm-Trusses 9. Siding; Nailing-VeneerStucco-Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall.Panels Date B-1 Date Card B-1 Date Card B-1 Card B-1 Date POC31 S (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/8 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth RESIDENTIAL (Single & Duplex) 3. Fig. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth Date 4. Fig. Porches & Decks; SoilsSteel-/ P' Ftg. Depth 5. Stemwalls, Main;'Steel-Blockouts4Nrapped 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 48. 6a. Hold Downs and Special Anchors 49. 7. Slab, Steel -Wrapped 50. 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 53. 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. 12. Electric Underground 55. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 56. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation 59. Shear Walls; Nailing -Bolts Date 60. Brace Interior / Exterior Wall Panels Card B-1 Date Card B-1 Date Insulation -Walls -Ceilings Card B-1 Date Card B-1 Date Infiltration -Walls -Windows PLUMBING (Permit) OK except #'s 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 63. 21. Test Tub & Shower, Second Floor -Tub Access 64. 22. Gas Pipe; Sixe & Anchors 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection Date Bedroom Exiting Card B-1 Date Card B-1 Date G.F.I. & Bath Fixtures & Tub Access -Spa Card B-1 Date Card B-1 Date Elec. Trim & Subpanel, Breaker Sizes & Labels ELECTRICAL (Permit) OK except #'s 69. 23. Fixture & Transformer Clearance -Ins. Protection 70. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 71. 25. Size Boxes & No. of Conductors Stapled 72. 26. Romex Installed Close to Edge of Studs & C.J. 73. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes Date 82. Card B-1 Date Card B-1 Date 83. Card B-1 Date Card B-1 Date 84. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric Date Water & Sewer Connected -C/O to Grade -HD Approval Cana B-1 Date Card B-1 Date Energy Compliance Certificate -Other Certificates Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) Comments at Final: 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop4ns. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mach. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NolWalks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVEILOPMENT SERVICES - BUILDING DIVISIONV/ ` 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541,, PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT 0/7-`�/ r 1 ASSESSOR PARCEL NUMBER 021-132-009 zONI �H BUILDING PERMIT OWNER T WILLIAM AND CH�,RYL DILLARD TELEPHONE SQ. FT. OCC. BUILDING U ON OWNER'S MAILING ADDRESS P 0 BOX 847, GRIDLEY 95948 �p XINCO 3432 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 3432.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 40.95 BUILDING ADDRESS 587 LITTLE AVENUE Energy Plan Checking Fee $ $ PERMIT FEE $ ' 95 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 i` USEOFSTRUCTURE SF 7 Duplex ❑. Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition SIX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: COVERED PAZTIO Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoo, oA '.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Llc. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ¢� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 ovisions. X� � Date ature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO- OR ADDNS. ( 8 ACC. BUDS. 3.50 NEW UTLET 7,50 NON•RESrID.MULTI-OBRANCHcu �° APPARATUS 8 SINGLE OUTLET CIR. URES 2L@''50 EX. Occup. OUTLET OR FORaA L Q .30 Ex. Occup. ouliEjFTs PES p,DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ±:� PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 123.95 HAZ. D. FEES IMP y.- FLOOD X CDF y PARCEL PD D S This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. / 19 rO D tryo / c) d' d D to Receipt No. 231470 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4ir��:.4z'''`•-,'rig.=.1t'��,,�-+�y,���fvr'sA'jf j•..yit.:�rfn�zy"'. a,p�3+r�i%.+�.�:a3w,p,,•pr+�t�. ,,. , - , `�. t , .. . COUNTY OF BUTTE DEPARTMENT OF DIBWW�OPMENT SERVICES - BUILDING DIVISION A 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET O` - - OWNER: ASSESSOR PAR'beLgsubmitied ER: Cal— � � O Proposed Building Use: Building Inspector: Date: 0 At time of permit application, I was advised the following data must prior to permit race sing lmd/or issuance: Date Received By 111. All items have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ----------------- J---------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.--------------------------------------------------------- --------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------------------------------ 7---------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ Al. Flood elevation certificate. ------- ------------ -------------------------------------------------------------------- W 4. Sanitation and plot plan approval Health Department. ------------------------------------------- 1 ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for mquired. Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------- ------------------ 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Y xisting violations and/or expired permits. ---------------------------------------------------------------------- 9 0433 A, ❑Grant Deed, ❑ M.,H.,,T`itle, C1 Check to H.C.D $--------------- Other:G�/'%l�li a4oJL` c ------- When you issue the permit, process as follows El Mail to owner, []Mail t ntrac(dr. " 11' elephone '%4(o-4100 and hold for pickup at office. ❑ Deliver with inspector. APplicantOAO� ' �l�l/t 4ate: (Z Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the ab o i em 1 umbered: ❑ Plan Check List 2. Additional items required: Contractor, design , own , wasof the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by,'S Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner was� advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. g _ «= TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance B.H. USE ONLY Plot Plan AmcSad Fj Floor Pko Attached Seat to B.D. LU, 11) Ary)'Z,1) A ff n ` L u V P 13) Owner Location AP# Plan Approved for: Sewage Disposal X Water Supply: Public Private Well Clearance for bedroom mobile home. Other '�)A i--10 D 0 EY? hl A �) g Hold final for: Final clearance O.K. for: NOTE: -2-�� Environmental Health Specialist Date 2/01) LOQ OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. CQI personally plan to provide the major labor and materials for construction of the proposed property improvement: YES PK�_ NO 13 �? I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 4.' I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE . TYPE OF WORK SIGNED:. � / PROPERTYOWNER:� SOCIAL SECURITY NUMBER: DATE: f Z - Z t2 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the _ California Health and Safety Code. This ver kation must be completed and returned to our office before we are permitted to issue the permit. OVER (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ^ O t YV\ ZONING c J BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN MAID RESS COIF CTOR'S NAME TELEPH NE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER ' LENDER'S MAJUNG ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAULING ADDRESS Plan Checking Fee $Q, CA— BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition k Remodel ❑ Utilities ❑ Installation ❑ Other ❑ - E Describe Work: (�� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2�o.OR l�Ess 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR OR ADONS. ( 8 ACC. BLDS. so 3.50FT. pIO" pt°SIN ST SIR MUCT'l CLET @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @'•00 SAL p .w Ex. Occup. OFlx�e RFu+sS ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, 1 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 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures.over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ a HA2. I D. FEES IMP I FLOOD I CDF PARCEL Po HD ss UE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date para Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVEL40RMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 _.PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS ' Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo noa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 are: Carrier Main Service 200A TO Io00A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. SO 3.5¢Fr. glpT MULTI -OUTLET BRANCH '-"ITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FORUREs 2IL x' .00 BAILQ .50 .50 AUYS Ex. Occup. ouTLEETS AESI6.DFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP FLOODCOF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dale Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 2284-89B,P,E,M PERMIT NO. zz0 PERMIT EXPIRES WILLARD DILLARD i OWNER owner CONTR. 1 ASSESSOR PARCEL 21-131-09 587 Little Ave, Gridley .. LOCATION Fr 4c s� 4 4' 1� is 1 Temp. Power Pole Called PG&E e Temp. Else. Service Called PG&E Temp. Gas Service t Called PG&E JOB FINALED (Date Signature =01K 0 = Not OK ' ' MOBILE HOMES MISCELLANEOUS = Not Readyable Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES,• (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements - +J 1. Zoning Requirements -Setbacks -Easements' 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Conn_ec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 4i 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ /"L"ft./ /"LPG • 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; $ills-Anchors-Studs-Rftrs-Trusses' 9. Siding; Nailing -Veneer -Stucco -Mesh ._ _ Card -131 Date Card -131 Date ) 10. Roof; Shthg-Roofing Card -131 Date Card -81 Date r 11. Ext.; Steps -Doors -Landings -- Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card=131 Date Card -B1 Date ' 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -81 Date 3. Gas; MH Test -Demand -Valve -Connector , 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s , 5. Drain; MH Test-Fall-Flex'Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting; Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Card -B1 Date Card -131 Date Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -131 Date Card -81 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -131 Date Card -131 Date Card -131 Date ' } i= UK 0= Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) =, Not Ready Date UND FLOOR (Plans) OK except #'s Date F4qAMNG (Continued) oning-Setbacks;-Easements-Floo -Slope I JAVHangers-Post Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. deffg., Main; Soils-Steel-Elec. G -/1� Ftg. Depth Ft.Garage; Soils -Steel-/ P' Ftg. Depth ace Ties or Type A Flue -Fireplace Throat Clearance ,4. Ft ., Porches & Decks; Soils -Steel-/ /"Ftg. Depth I $KAttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles or'Stemwalls, Main; Steel-Blockouts-Wrapped r Windows or Exiting Doors -Sill Hgt. & Dimensions -,6.-Slemwalls, Garage; Steel-Blockouts-Wrapped,�Or6era a Fire Protection Framing 7. Sip teal -Wrapped arty Line Firewall &Openings i -Fireplace Ftg.-Steel Doors -One 3' -Check Garage -3rd story, 2 exits W.V.• Fall -Fittings -Test -2 way C/O -Sewer Test airs; Width -Headroom -Rise -Run -Landing -Fire Protection ipe; Size -Anchors wood on Roof Overhang -Attic Vents -Rafter Outriggers 1U^ater Pipe; Test -Anchors -Regulator -Service Test p,) iding-Nailing Veneer 32-EteCTficUnderground Mesh -Drip Screed -Fd. Vents-Underflr. Access ms & Ducts; Clearance-Material-Supprt-Ins. . Glazing Area -Glass Protection -Skylights -Plastic 1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples ar Walls; Nailing -Bolts 15. Insulation , 9�ulation-Walls-Clg. O. Infiltration -Wal is-Wndws Card -Bt Date -g'� Wy Card -B1 Date Card -B1 Dateq./,t• yjCard-B1 Date Card -B a and -B1 Date Card -B1 Date- Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FI L (P s) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 1111. E .Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection . Smoke tactor 19. Shower Pan; Test, First Floor -Tub Access nate; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors a ro 65 G c 1 R Rath F• f .es & Tub Access -Spa anel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date 68:-F earances-Hearth -fps Date ELECTRICAL (Permit) OK except #'s u et a V�Tood Panel; Int. & Ext. , lure & Transformer Clearance -Ins. Protection x & Appliance; Grnd. -Air Gap -Cooking Clearance 3 gLac. Receptacles Spacing -Lights & Switches at Doors. Outlets & Receptacles at Kit. Counter 4. Sizq Boxes & No. of Conductors -Stapled . Garage Fire Door; Swing -Landing -Closer 2§,R-bq&x Installed Close to Edge of Studs & C.J. -Damper quip. Ground made up w/Mach. Fasteners -Bond Gas &Water 7.4. In Garage; -Clearance-Comb. Air,-Connector-P.R.V.- e; Above Floor -Mach. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. ech. Equip. Listed for Location 28. Su Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. or Cu or AlAl y in Garage; (G.F.I.)-Romp*rProtec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 7 sulation-Foam-Looked in Attic crVes 7 onstruction-Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect . vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Flog ❑ Yes 31. Equip. Clearances Panels -Motors =Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light give es ❑ No; Walks es ❑ No; Planters ❑ Yes o 33. Smoke Detector own -Finish Card -13 ateW / Card -B1 Date 8 . it; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date ants Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s r ect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 8 terio lec. Trim; G.F.I. Receptacle -Underground '-M. Vent Fan; Exhaust above insulationnt' n throughout House 36. Condensate Drain & Overflow; Size & Grade Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 8&.1torrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic ers Tagged; Gas -Electric er Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Card -B1. Date Card -B1 Date ung Certificate Card -B1 Date Card -131 Date Card _-B1'_jZ Date _J Card -131 Date Date FRAMING (Plans) OK except #'s Card -B1 - Date - oEard-B1 Date (�39��Sitls, Proper Material & Anchors Card -131 Date Card -81 Date Studs -Nailing, Spacing & Bracing—Plates-Sound Comments at Final: _Walls Baring Walls over Girders & Floor Nailing }raft Stop in Walls (rat proof) fjrg5tops; Furred Ceilings -Stairs -Chases -Tub W. Header & Beam -Size & Bearing (NOTE: An entry must be -made each time you visit iob site) ,gay ;. .,o..-.-.taC ..7..:i »r•r: r e ...q c.! x _ Y: y^.u. "• a-4` at'.�a.".'. +e-''Lyi• -i�. '�'`,i"� Z.r•L .R 1 is a }*Z �,• rs ,„ ,t� a .,. k . ,. r •.i +r r . � i•,2 ,e. '!"'+�ib J..,. •x � ,� x -..2 � ���ro , A�^SG sj {1:..'f"'� ""r�"i C •tf'. yp�'q � ' :i'." .._ 1 N) • C' .. ,tr'- ' r rr 'n. .2'.. ..,�+1.�K !; °n• ?•T++'AY''T"rv�•P+._. _. 'tii� �"4— « N ,1w ENERGY CERTIFICA'LION -• 4 ^` i• a fay 'Y^.w mrtxa�. t.-n.4"t�� - it�+'+zs�..--.� ', LOCATION A P. NOS DESCRIPTION OF INSULATION . �..zzt,�:, ROOF- MATERIAL OOF _-- _ MATERIAL BRAND NAME - THICKNESS THERMAL RES. -EXTERIOR- WALL -- MATERIAL FIBERGLASS BRAND NAME CERTAINTEED- THICKNESS THERMAL RES. - CEILING " BATT OR BLANKET TYPE BRAND NAME CERTAINTEED THICKNESS - THERMAL -RES.. LOOSE FILVY�E INSUL-SAFE IIIBRAND NAME CERTAINTEED THICKNESS OV 2 P / THERMAL RES. FL00R,ELEVATED MATERIAL FIBERGLASS BRAND NAME CERTAINTEED- =_^ THICKNESS THERMAL RES. --- - FLOOR, SLAB - --- - =' -- -- MATERIAL BRAND NAME_ - THICKNESS THERM -AL RES. WIDTH _ FOUNDATION WALL - _ - MATERIAL BRAND NAME THICKNESS THERMAL RES. -- I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERC`- REQ!:'IREMENTS. SHASTA INSULATION INC. #530235 FIRM NAME OWNER .1 _�2_9u _11" TAT CONTR. ICENSE NO. I hereby certify the -'above insulation and all required items as shc,%,!I on the Building Depart. approved 'plans and attachments have been install•:=d as required by 'the State of California Energy Requirements. All equipment, devices and materials are of the qualit.., ;�rFscribed or are specifically approved by the St.atc of Calif. FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRAC•T'01" LICE?i E NC'. SI GNAT IRE OF GENERAL CONTRACTOR "OWN ER This certificate must be on file with the F1'.1.LI)IN( DEPARTr;E3Ci prior to final inspection approval and a copy shall be posted within the tinilding. _ —JANUARY 1984 i` a 4'COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ' 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 = CORRECTION NOTICE. O. NE•R— PERMIT NO. r A routine inspect n indicates. tat the following violations of County Ordinance exist at-41Ce above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Duch 7 f { Date �, /� �� Inspector6 COUNTY OF BUTTE _. DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE lit /P,1� 49OQL_/_Y-A� OAF PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, r need additional explanation, please contact this office immediately. P . 1 / / d —, - 6 ,y 1 Date �V Inspector i1J i ,y 1 Date �V Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT O. ASSESSOR PARCEL NUMBER • 21-131—,w0-9 ZONING A5 BUILDING PERMIT OWNER W1 jaY/1 144-IoP4 I. Dillard TELEPHONE 846-4100 SO. FT. OCC. BUILDING VALUATION 1st renewal OWNER'S MAILING ADDRESS 587 Little Ave. Gridley 95948 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10_00 LENDER'S MAILING ADDRESS Permit Fee @ 1 FEE $ 31.75 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 41.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [EK Duplex❑ Mobilehome❑ Other arlrlition SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ AdditionyN Remodel[] Utilities ❑ Installation❑ Other ❑ Describe work: lst renewal of BP#2234-89 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license Is In full force and effect. License No. Classification Fl 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 contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.8d OUTLET GS New CONSTR.( A 2/20sgft ULTt NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES Zo®soe eAL®30 FIXED PR\\ Ex. Occup. OUTLETS IRESID IEA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the C6untyot 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 agains said County in consequence of the granting of this permit. %X 1��,� O Cbv�-. G'—+ Date Signature of Applicant - Owner Contractor E]Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 41.75 HAz CUA PARK SCHL FLD PAR PD HD IssuE This permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKSf -� By Date PER EXPIRES Date 8-1-91 2--.3 �l Receipt No. -764-0V WHITE-D.P.W.. TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Willard Dillard 587 Little Ave. Gridley, CA 95948 Irount 4_ LAND 'OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 July 18, 1990 RONALD D. McELROY .Deputy Director RE: Building Permit No. 2284-89 Expiration Date 8-1-90 (A.P. No. 21-131-09 ) With reference to the above subject, our records indicate that your Building PermitPXT1lYPC on the above date. Building permits are valid for one year andIshould on be started but not completed by the expiration date of the permit, the permit shall be renewed for 2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit within thirty days of the expiration date, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have,any questions concerning this matter, please contact the Oroville office. For your convenience, we are enclosing a renewal application form and owner - builder form to -be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form.. Thank you for your prompt attention concerning this matter. JFG:aam_ Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Yours very truly, William Cheff Director of Public Works F. Glander ief Building Inspector Chico - 196 Memorial Way/891-2751 Paradise - 745 Elliot Rd./872-6307 COUNTY.OF BUTTE Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone \.916-538-7541 OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has-been submitted in your name listing yourself as the builder of the property improvements specified. For your protection, you .should be aware that as "owner -builder" you are the. responsible party of record on such a permit. Building.permits are not required to be signed by property owners unless they are personally performing their own- . work. If your work is being performed by someone other than yourself, you may-pro- tect ay pro-tect yourself from possible liability if that person applies for the proper permit in his.or her name: Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also - required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades.that you plan to subcontract, you should be aware of the following.information for your bene. - fit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other .costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you.are an employer, you must register with the State and Federal Governments. as an employer and you.are`subject�to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law,'contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Depart- ment of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed con- tractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed,by property owners unless they are performing their own work personally. Information about. licensed contractors may be obtained by contacting the Contrac- tors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. JFG-: dd. Enclosure Very truly ours, J.F. Glander Chief Building Inspector NOTE: This Owner -Builder Information is sent to you as required .by Section 19830 of the California Health and Safety Code. ' G COttI1TY tai' BUTTE = hepartment, of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541. OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has-been applied for in your name and bearing your signature. Please complete and return thi..s information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) — 2. I (have/have not) signed an application for a building permit. for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address _ _ City � -- Phone Contractors License No. 4...I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name _ Address _ —� _ City Phone Coo.tractors License No, 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and .19832 of the California Health and Safety Code. This verification must be completed and returned tb our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviLJ;, Cali'4ornia 95965 - Telephone: 9'16/538-7541 APPLICATION AND -PERMIT ASSESSOR PA CEL NUMBER )_ —)31.— ©Q ZONING BUILDING PERMS - OWNER 1 / W1 LC 4/Z4 ' 01 LLi4,0 TELEPHONE �,��^ Ll/00 SO. FT. OCC. BUILDING VAt=U 'ION OWNER'S MAILING ADDRESS 5- c;,, L r /� 0 C� CONTRAV/CTOR'S NAME 1114C TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 11 6760 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ (Z -v ARCHITECT OR ENGINEER LICENSE NO. 1/5-0J Plan Checking Fee $ 31.75- Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD V7 Permit fee $ - PLUMBING PERMIT Filing Fee 10.00 ��L Each Trap 2,00 Z Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent - 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other /I}rl0 0[. SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer % 5.00 Mobile Home I S I G 1W 1 0.00 ea TYPE OF WORK New ❑ Addition emodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: �, wl ws, A."? ,W-1- 1C, r -6X"_1 1 Permit Fee $ L �- Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one P I yhk : Y p ( ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER 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) EJI, as the owner, am exclusively contracting with licensed cont ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.67 , OR ADDNS. � ACC. BLDGS. ) X h¢sgft - NEW CONSTRI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea APPARATUS d (SINGLE OUTLET CIR. ) Ex. OCCup(OUTLETS OR FIXTURES zOASOC eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00ract- Misc. Wiring 9 15.00 Permit Fee $ �o WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 10.00 Heating Cooling Hood Ventilation%' - ryp Permit Fee $ �- Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou in consequence of the granting of this permit. X Date /' - Signature of Applicant - Owner n Contractor ❑ Agent ❑ pver 5'0" deep An OSHA permit is required for excavationsand demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ $,7 0ccup. CONST.TYPC JSCNLOO PARCFLJ PD ND ISS E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By r PiPAT XPIRES Date the applicable provi-_ resolutions to do fees have been paid. WORKS ' Date Receipt No. L / G WHITE-D.P.W., YELLOW -ASSESSOR. PINK PECTOR, oOLDENR D-APPLI CANT I. w `,I . Y,,- . i'Al-_ti. -+ '"I „ .�..� ti -...7r '+-i 0 • ,:�.�G'w� � r-1 ., %.. ..� • Y_ tvr _ COUNTY OF BUTTE-tDEPARTMENT OF, PU6LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVES OROVILLE, CALIF©RNIAr959 5 - TELEPHONE: 916/538-7541 PERMIT}"APPLICATION DATA SHEET Permit No. OWNER L 1 4.61 A. P. No. Proposed Building Use 1AA,0u Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. 2. All items have been submitted . ......................... Plot plans in duplicate/triplicate, signed by preparer of plan s0/ / 4, 3. Complete plans in duplicate/triplicate, signed by p eparer Pfjanso. O! 4. Complete engineered plans and calcs, with wsinate bn:� et ur ans .. 5. Energy; Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation *' instructions....................................................... 9. Fees of $- .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid .............................................. ,l 2 44 ed L X ti ,JbA' "School District fees paid .............. . Sanitation approval from 4 Health Department ... 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of ' (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... x " 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required . • • Pre-Inspec. request to p q Building, Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... a 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to ownerj4, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 4M W00 and hold for pickup at (1:2(0 office. Deliver w/inspector. Other Appl icant�Z�A *e p Date Copy of plans sent Health Dept., Fire Dept., Other Date 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--jnall—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date 1' Sets of plans on hold 'ile ca•inet AP folder _J; Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance L A RD c;2 —&Z/ Owner r ocation AP#: Plan Approved for: Sewage Disposal Water Supply: Hold final for: Water Supply Final clearance O.R. for: Clearance for Kr7' (&—* e-,Df1t1<x16 NOTE * * * Water Supply jK{,a'vsit{-"r}�ar,'yF�++�lri�nr.-+rt+•�•►�-ibt��`�'sn. �,.r.•s.�,.�. .,gas.+,r�v�r�"�^iiD'ri: '+�;1- ��I.:w 4..:*.�w- �N�'h`.s•1�='�S•r�r'.w +r��a:a..s< � ,. �� r R , f. l BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A. P. Number ?I _bD j Building Department No., (2 c7 •T School District �"9 / �o City Q County �� Jurisdiction Property Owner A! 11/0K.9. W Project Location/Address .Subdivision ..Lot Number Residential Development: . Sq • Footage`. • 05- -- # of Living MHI Addition � - (Gro\ p R) Units Commercial/Industrial: a a Sq. Footage New Addition (Including Exterior Roofed Areas) Bui,ldiiigA'Department Representative ! Date A District Id No. School District certifies that :Applicant Name) `(Phone Number i Cit ess ate Zip Code has complied with the requirements of Resolution No. { by the p yment of $ �"` representing square feet. q Schoi 1 District Representative Date PAID BY CHECK NO. ✓�/L.� / f MEN BANK NO ,f PAID 'BY CASH white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88)'. r -� COUNTY OF BUTTE - Department_of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER-BUILDER.VERIFICATION Attention Property Owner: Phone: 916-538-7541.'. An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary.delay in processing and.issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) fJ c 2. I (have/have not) signed an application for a building permit for the proposed work. KIP I have contracted.with the following person construction: Name Address Phone Contractors Li (firm) to provide the proposed ense No. City 4. ,I.plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name I C Address IU C_ City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 5/89 RESIDENTIAL PLANHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) / Bldg. Permit # 07 2 P zi OWNER I A.P. # a /131 - GENERAL ,Zoning requirements: (sideyards -2. aluation.. ".Plans signed by designer. L/+. Energy Design and Compliance. ,5---- Existing violations. on -property. Items on data sheet. and number of permitted living units). PLOT PLAN 10 Complete parcel size and dimensions.. 2% -Setbacks, sideyards, easements, etc. 3-.-__ Other buildings or structures.. --Grading, fills, drainage. --S-.-"Flood hazard. -6-.--Special conditions on creation map or compliance document. .ate FAU, & FAS road .setback. FLOOR PLAN Complete to scale plan with dimensions. -2-... Required windows for light and ventilation (Sec. 1205). -3-.--.Required windows for second exit (Sec. 1204).. -fir- Skylights (Chapter 34 & Sec. 5207). .-5-- Human impact glass (Sec. 5406). =Fn Required room.sizes, ceiling.heights.(Sec. 1207). -T'GFCIs in baths, garage, and exterior outlets (Article. 210-8). --8- Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment . -9' Locations of water heater, heating and cooling equipment, other electrical or ,,gas equipment, and plumbing fixtures. -16-.Garage firewall, door size, and closer (.Sec. 503(d)(3)). 44--1 - 3'0" exterior exit door (Sec. 3304(e)). 1 -2 -.-Fireplace and wood stove location, alcoves, and clearance. 13!Smoke detectors (Sec. 1210). STRUCTURAL DETAILS - --1-:" Foundation plan complete enough to construct building. 2.. ---Floor construction details complete enough to construct building. -3- Elevations and wall construction details complete enough to construct building. -4- Roof construction details complete enough to construct building. .�! Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). --2—G7uardrail details (Sec. 1711 & 3306(j)): 3�"Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) -4r---Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch .for roof covering (Chapter.32). Roof covering type - (fire hazard). 4.�'_Rafter ties or bearing ridge beam. �8— Garage door or porch header sizes. Z9: Adequate bracing. - .._10 ---Living area over garage - complete.l-hour separation required on garage side including supporting walls and posts, etc. -1-11:-.-Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). •1-2-. Attic access and ventilation (Sec. 3205). -1-3-.Underfloor access and ventilation (Sec. 2516). 14�-.-Combustion air for fuel burning appliances. 4 -5 -.-Noise requirements on duplexes. -1-T.--Adobe-soils - special foundation design. -1 7: etaining walls requiring design. 18: Unusual shape, size, or split-level house requiring lateral design. 1-9: Flashing at all exterior openings. t,Pa U� 1� FORM 7 ADDITIONS tO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE 'W' (Additions) Owner D /iciec Climate Zone Permit # Z A( • fl4T Floor Area / 09 The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 Z NE APPLIES TO NEW AREA p CEILING R-30 R-3 WALL - R-11 R- ® FLOOR R-11 R 9 SLAB R-7 R 7 o GLAZING U-.65 (Dual) -.65 Dual) ® SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) d INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) ® DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT ®MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating R ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) , ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump. EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: _ Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ", cooling load BTU *2 Submit T.I.P,S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF BUILDING DESI NER OR APPLICANT -: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Californla 95965 - Telephone: 918/538-7541 APPLICATIONkAND PERMIT PERMIT 40. / a ASSESSORRC L NU IBER t� -- ZO ING — BUILDING PERMIT ow E ZZIArZl)TELL HONE V^ S0. FT. OCC. BU DING VA ATION l - OWNER'S AILING ADDRESS CO CTOR'S NAME TEL{/•EPP(AH,ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ` 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 S PLUMBING PERMIT Filing Fee 10.00 - Each Trap 2.00 ]r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea ' TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other Describe work: S{J���, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SDOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSineSS and Professions Code and my license is in full force and effect. License No. Classification 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 contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e,` OR ADDNS. ACC. BLDGS. / , /2Qsq It NEW CONSTR. U '.OUTLET NON.RESID .BRANCH CIRCUITS) 2.50 ea POWER APPARATUS tr SINGLE OUTLET C'R. Ex. Occup�OUTLETS OR FIXTURES 20050t SAL030 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t said County in conseW/ence of the granting of this permit. p q X ,�!i (3 I /l�F Date J Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ SCHOOL PLOoo PARCEL PD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above or which fees !R T OF PU IC j By-6�-il PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY..OF BUTTE--DepaYtment of Public Works 7 County Center Drive,-Ordville, CA 95965 Phone: 916-538-754.1'. OWNER-BUILDER.VERIFhCATION Attention. Property Owner: An "owner -builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to•avoid unnecessary delay in processing and issuing your building permit. No building :permit will be issued until this verification is received. �'I. I personally plan to provide the major labor and materials for construction of the proposed property improvement .(yes or no) f� 2. I (have/have not) L signed an application for.a building permit / for the.proposed work. 3. I have contracted with the following person (firm) to provide the ;proposed construction: Name Address City . Phone Contractors. License No. 4. I plan to provide portions.of this work, but I have hired the following,person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some .of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. �. a ,:4 ;; �� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telfphone: t534-4541 APPLICATION AND PERMIT aU II IUI IGC ICFI ICJCI I tctt l vCJ UI 1110 \JUUllty UI OUttC IU CIItCf UPUFl tflC above-mentioned property for inspection purposes. KI Signature of Permitee or Agent Date This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Receipt No. White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N0. Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. I Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter — Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal% ll) Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ aU II IUI IGC ICFI ICJCI I tctt l vCJ UI 1110 \JUUllty UI OUttC IU CIItCf UPUFl tflC above-mentioned property for inspection purposes. KI Signature of Permitee or Agent Date This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Receipt No. White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Building permit expires Date Date COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS 15 Q — rig - 7 County Center Drive — Oroyille, California 95965 Telephone- 534-4541 APPLICATION AND PERMIT - ,22�7� - r By i i Date / —/ W — /3 Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B06ding permit expires Date ............................................ BUILDING Owner SQ. F.T. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address JPLUMBING Azle— No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 e Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C.anitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 ane ec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 i E �, - Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 5 bald Receps., switches & fix outlets 20 25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. diso. or D. W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities X5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. rI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 4Date P-,—;.ee — A.. ... TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS C)M � .� - ,22�7� - r By i i Date / —/ W — /3 Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B06ding permit expires Date ............................................ •. ;_ �ti�r� --- ,; y - r, �...�-. � fi rYa rl