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HomeMy WebLinkAbout021-132-012T. • r 021-132-012 PERMIT#96-0702• FONTES, Donna 1267 Dewsnup, Gridley Demo/SF 1 021-132-012 PERP9IT#96-0909 FONTES Floyd & Donna 1267 Dewstiup, Gridley,`rAh _ Cont: RB Builders ✓j, New Single. Family 021-132-012 PERMIT#97-0910 T .,. BACKER, Homer +, 1267 Dewsnup Rd. ,,Gridrey x+ Cont: H & H Const. - New Pri Det Garage `/' `Q I N _ r .V , w RESIDENTIAL s 021-132-012 PERMIT#97-0910 BACKER, Homer 1267 Dewsnup Rd., Gridley Cont: H.& H Const. New Pri Det Garage s/C ,Y i C �F '777 i3 4 t { s S JOU FINALED (Date) Signature V=OK O = Not OK Not •=Not Applicable NotMOBILE 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/0 -Concrete 4. Water, Location -Test -Easement Needed (Sketch) S. Electricity; LocationClearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /'UtL / /Nat or/ /"L'tL/ /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 t 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/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 I Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECK OVERS, CARPORTS, GARAGES(Plans) OK except #'s Zoni equirements-Setbacks-Easements tings; Soils-Size-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. um. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors ectric ( rm .; Sils-AV6ors-Studs-Wfrs-Tnissesig�W ding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing Ext.; Steps -Doors -Landings Date $ - Cy `7 Card B-1 ,e6 Dat " ani B - Date Card B-1 Da and B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool LBhtg. 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 8-1 ✓ = OK O = Not OK - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-Flood-Slope RESIDENTIAL (Single & Duplex) Date 2. Ftg., Main; Soils-Elec. Gmd.-/ C Ftg. Depth Date 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ C Fig. Depth Hangers -Post Caps -Anchors -Connectors 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 5. Stemwalls, Main; Steel-Blockouts-Wrapped Attic Access; Size & Romex Protection -Draft Stop4ns. Baffles 6. Stemwalls, Garage; Steel-BlockoutsaNrapped 51. 6a. Hold Downs and Special Anchors Property Line Firewall & Openings 7. Slab, SteeMrapped 64. 8. Piers -Fireplace Ftg.-Steel 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 58. 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Shear Walls; Nailing -Bolts 11. Water Pipe; Test -Anchors -Regulator -Service Test 61. 12. Electric Underground Infiltration -Walls -Windows 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 75. A.C. Duct in Garage -Damper Date 76. Card B-1 Date Card B-1 Date 77. Card B-1 Date Card E-1 Date 78. 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 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Suhfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Date 30. Ranje Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Date 31. Service -Riser Conductors & Ground -Main Disconect Date 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (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 prool) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date 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. Bdnn. Windows or Exiting Doors -Sill Hgt & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits 64. 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 Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Cana 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-Mech. 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-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location _ 78. Elec. Receptacles in Garage (G.F.I.)-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 Instid./Drive 0 Yes 0 No/Walks 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 DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Orovilld; California 93965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ��-- AssE0ffAPfTLLLtr 012 ZONIfX_5 BUILDING PERMIT OWN ROOMER3- KR '3aKeT- TELEPHONE SQ. FT. OCC. BUILDING VALUATION INT V t"bf J1VUP ROAD, GRIDLEY 1200 U 21,600 co"T'Rn"Aff CONST TEL gr6-4409 "'n7'WTfflff6N ST, GRIDLEY 95948 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 225.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDntEbEWSNUP ROAD, GRIDLEY Energy Plan Checking Fee $ PERMIT FEE $ 391.25 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0)( Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GARAGE Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G W @20.00 PERMIT FEE 3 ELECTRICAL PERMIT Fling Fee 20.00 800VMain Service zo.AORLESS 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 II force and effect. �y License Class Lic. No. / Z OWNER -BUILDER DECL�TION 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 hereb affirm under penalty of perjury one of the following declarations: 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS.( a Acc. BLDs. SO 3.5QFT: NON -R EW G(IN AUCI C�LEUf @7.50 PowER APPARATus 8 SINGLE OUfL, CIR. Ex. Occu OUTLET OR FORURS 20 Q 1.00 BAL .so FIX EX. OCCU OUTELETSPRESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.0 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 cc ply with those provi s. X __ Date c5 _ Z Z_ Signatu4­61/Applicant - ❑ Ow er ❑ 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 $434.25 HA2. D. FES IMP I FLOOD I CDF I PARCEL I PD I HD LAsLIE, 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. p Date ^^ / �d ate Receipt No. 22lg 7 % WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E.H. USE ONLY Wot Plan dttachTed ex Floor Plan Attached Sent to B.D. / TO: Building Department FROM: Environmental.Health SUBJECT: Sanitation Clearance IdAkr,e /2 �7 %0AWS Aaf i> 132-012 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well _1/ Clearance for Wig: Other 24'x sa' !E, w. ,-/ Af,"6.� , Hold final for: Final clearance O.K. for: NOTE: EnvironrGntaf Health Specialist 8/96 5— x-97 Date .jr;'�tY:lt°'{ .�..;,�;�,,�,., �'.�iir{f�, �.,�;'�.?yectiwl'+.1ti � . y'"�,a6.� "��(•' iw\pn• y�..iR;�':�,,.:'ti'rtL-�+y �.��1�?�`.4.r• ,�,:1��"ir^�.� , r COUNTY OF BUTTE DEPARTMENT OFDE 1iOP NOM - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLME;GLIF,QI3NIA 9565 - TELEPHONE (916) 538-7541 7, i PERMITAPPLICATIONDATA SHEET OWNER: - /L_c_ ASSESSOR PARCEL NUMBER: eD Z I - / 3 2 -- Proposed Building User _ Building Inspector: (� Date: At time of permit application, I wa advised the following data must be submitted prior to permri processing and/or issuance: Date Received By 111. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6. Energy Design Compliance and supporting documentation. ------------------------------------------- 117. ------------------------------------------ ❑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 ---------- 0 10. Fees of $-------------------------------------------------------- =------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- Ell 3, -------------------------------------------------------- ❑13. Flood elevation certificate. ---------------------------------------------------------------------------------------- 0 4. Sanitation and plot plan approval 0 o Health Department. --------------------------------------- -- . . ��—❑ 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. ----------------------- 1119. ---------------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. --inspection for required Request to Building Inspector on (Date) 090`1ontractor's license information. (Number, Name Style, Classification). ----------------------------------- Workers' Compensation carrier and policy number.----------------------------------------------------------- Y E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization.-------------------------------------------------------------------------------- ecorded copy of Agricultural Acknowledgment Statement. --------------------- - tter of intent on building use. ---'�--- ww -- �'m�'�-b --- 027. Manufactured'Home utility clearance.----------------------------------------------------------=---------------- ❑28. Existing violations and/or expired permits. ❑29. E1433 A ❑Grant D , ❑ M.H. Title, ❑ Check to H.C.D $ (fOther:When you issue the permit, process as follows El Mail to owner, ❑Mail to Telephone 9 IV y0 9 and hold for pickup at Al j e pIr- y vK i� C_ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Del Copy of plans sent ❑ Health Department, ❑ Fire Department, 1. Index permit application for the above items numbered: A Z ------- 1..�... office. ❑ ith s ecf ate: 3 By: D By: / , r, ❑Plan Chec . List 2. Additional items required: '-X17 IV ` he Contractor, designer, owner, was advised of the above required data by ❑ plidne, ❑ 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: Contractor, designer, caner a vise the above required data by ❑ phone, ❑ mail, ❑ Building Did i n co ter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on holdA ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: 3 - Yellow Copy - Department of Development Services, Building Division. 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 s CORRECTION NOTICE E � s t oW►JERZ�r ERMIT 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 ha a any questions pertaining to this matter, or need additional explanation, ; please contact t office immediately. 67-�--- .z) \i n DV dAr- 1"/ /ffL� /ti ro�� a Date I specto � I( REV 10/ 05/21/97 08:44 U916 894,0713 BTEC CHICO io 001 TO: BUTTE COUNTY BUILDING DEPT. ATT: MARTHA RE: SHOP PERMIT 1267 Dewsnup Ave. Gridley, CA. TO WHOM IT MAY CONCERN, Please be advised•that- the shop which I wish to build at 1267 Dewsnup Ave., Gridley -Ca., beinq A.P. 021-132-012 is for the purpose of storinq equipment,a boat,car, and wood working only. Said shop will not be used for living.quarters in any way, shape, or form. Very truly yours, HOMER BAKER, OWNER APPROVED Butte County vironmental Health _ Date + Signature VIEp6,1s.snr 1S n? kf°�t'�.e.. {D .-r -i 1t ! "ate 6 a. ✓ <: 5 Zit i L«i+. i' s °ti e'3sli L bE \i8.'Je.AY a Or s : o �Lei3 � UI 6a�"...S MMF;V-J' tue�iil l EXCEPT FORA s F -r. 'VE OVERHANG - .00 sor&-nce wife: Rsz:vg zizoJ' GocJ P ractic66 ap8 of M qudity pre"r%Gd t w the S<xj4ifW k•" in 0 Ike Mwim-A 'a A Code., # �sW of p►Mv emd sped; �#fl= MUS° . j&tM the job of OR times and it is Ue�P�i to MWke aay changes or alterations oat sorr:e *ifhwh waftn permission from the Departwint A ft . 3i8.7ai[�sm � s . QOis itn kitchen, bathrooms, garage, and extow Outlets per :Art. 210-8 NBC. 5M E'-■�pH- �3r 9px � ypaN pp t SAF 1 O l�r� �.gay:i a(��i�.`•6I"'kw�0 D"iE G�Nra •4�Y.Ef��y�t^��if• SHAUCMVIPLY WrM CUs RIEN a' Eoff'4 OF NWPUW4 ANO Y P06 ��- 014 MT a y TY , 1 APPROVE. i sor&-nce wife: Rsz:vg zizoJ' GocJ P ractic66 ap8 of M qudity pre"r%Gd t w the S<xj4ifW k•" in 0 Ike Mwim-A 'a A Code., # �sW of p►Mv emd sped; �#fl= MUS° . j&tM the job of OR times and it is Ue�P�i to MWke aay changes or alterations oat sorr:e *ifhwh waftn permission from the Departwint A ft . 3i8.7ai[�sm � s . QOis itn kitchen, bathrooms, garage, and extow Outlets per :Art. 210-8 NBC. 5M E'-■�pH- �3r 9px � ypaN pp t SAF 1 O l�r� �.gay:i a(��i�.`•6I"'kw�0 D"iE G�Nra •4�Y.Ef��y�t^��if• SHAUCMVIPLY WrM CUs RIEN a' Eoff'4 OF NWPUW4 ANO Y P06 ��- 014 MT a y TY , 1 APPROVE. a c� L � — — ----� ZxBJoistaj20�C%'_ _ `Men G4 fo be g�.lin Ll N 7 O ppf �y N 7 O 1680 it i1 �� r i. 1680 it i1 �� r - R, ESIDENTIAL _ 021-132-012 PERMIT#96-0909 a;- FONTES, Floyd & Donna 1267 Dewsnup, Gridley. ..' Cont; RB Builders New Single Family ��-0-70 y OFFICE COPY I Address Da EBy J ELECTRIC Date j Meter BY bee— . - �', b> E CAk eP� lolv�o r .4-1 o E� i OFFICE COPY + Address GAS Date Meter By ELECTRIC Dat I Meter By GAS eerB Y Date ELECTRIC _ Meter By Date', ate' S JOB FINALE Dat ) + Signature 1 0,01 V=OK 0 = Not OK '=Nott ReadApply MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-Dep"pacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water; Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /'L'ft. / /Nat. or/ /"L"tt./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 ' Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI `- 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip, w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 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 a MISCELLANEOUS Date s DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings bate Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI `- 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 5` J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UND LOOR (Plans) OK except #'s Zoni g -Setbacks- asemen cod -Slope g., Main; s Elpc. GKhd;V_1" Ftg. Depth g., Garage; S ' s-Steel-Elec. Grnd.-, G' Ftg. Depth 4. Ft orches & Decks; Soils -Steel-/ /Ftg. Depth t.-'S'!Galls, Main; Steel-Blockouts-Wrapped temwalls, Garage; Steel- Bloc kouts-Wrapped 6a. H owns and Special Anchors _'Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel .W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date $-/L �% Card B-1 f-/6� Date Card B-1 Date y ,�o/q Card B-lg= Date Card B-1 Date PL ING (Pe it) OK except #'s 16. Wa Htr.. Vent -Access -Combustion Air -Baffle ---- - ater Pipe: Test & Anchor -Nail Protection --- 18. D.W.V.: Test -Fittin s & Anchor -Nail Protection 19. Shower Pan; T t. First Floor -Tub Access --------- --------------------------------------------------------- Second- ------------------------ 20. T Tub &Shower. Second Floor -Tub Access ----- -------------------------------------------------- ---------- ---- 1. Gas Pipe: Size & Anchors -------------------------------------------------------------------- Date - Card B:1 - Date Card _B-1 Vate �/ ��� 1. Card B-1 Date Card B-1 /Date ELECTRICAL (Permit) OK except #'s Fixt e & Transformer Clearance -Ins. Protection --------------------------------------------------- sec. Receptacles Spacing -Lights &Switches at Doors ------------------ - - - - -- c -- - --- ---------- �24. ze Bo es & No. of Conductors -Stapled rn25. mex Installed Close to Edge of Studs & C.J. ------- " 6. ------------------------------------- F qui Ground made up w/Mech. Fastners-Bond Gas &Water - - - -- ------------ L: L2 . Appliance Circuts in Kitchen & Conductor Size,GFI -------------------------------------------------------- --- --- -- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At ----------------------------------------- ------------------------------------ .. 2r ange" irc. r r ga. Cu or AI -Oven Circ. 1 r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------------------..._. .. _-30`Service-Riser Conductors & Ground -Main Disconnect - ---- -- - --- --------- --- .....----......... ...... 31 E Clearances Panels-Motors-Mech. Equip. - - - - - - - -. . _ ... 2. CI es Closet Light -Shower Light -Spa Light --- - -- - -- - -- - ------ Smoke Detector ................................ .. ...... . ..----._.. _.. ... ....... ....... .. Date Card B-1Date Card B-1 --------------............. ---------- -- ----------- ---- --- --- ... ... ... . Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s t 34. A.C. Ducts Insulation & Support _ ent -Fa: Exhaust above insulation 3 ondensate Dram & Overflow: Size & Grade -- ... ....... ....... ........ .. u�rnaance-Vent: Access -Comb. Air -Return Air Vent -115 olrffet /attic Access & P rm if Furnance in Attic ------ ------ ---------- - - -. ....... .. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMIN (Plans) OK except #'s ls. roper Material & Anchors 7U.0, -<11s Studs -Nailing Spacing & Bracing -Plates -Sound 4 an Watts over Girders & Floor Nailing --.raft- . - in Wells_(fal prOOf)... -__ re s_ Furred .Cei_.hngs.....Iaus-Chases-Tub - e eaders & Beam -Size & Beanng single & Duplex) pate F AMING (Continued) gers-Post Caps -Anchors -Connectors _ 6. CI oist-Rftr. ties- Pudin -roof Brac-Truss-Shthng.-Ring. ------------- -- ------ Fire ce Ties or Type A Flue -Fireplace Throat clearance ----- _Attic ess; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions ---- ara a Fire Protection Framing G /✓ L- . 54- _ffro tY Line Firewall & Openings --------CSL ------------ - - Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. tdth-Headroom-Rise-Run-Landing-Fire Protection 4. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --------- -- ---- - -- 55. Sidih ding Veneer _tuc _esh-Drip Screed -Fd. Vents-Underflr. Access ---- - ----- 57. azing Area -Glass Protection -Skylights -Plastic i3. S ear Walls: Nailing -Bolts --------- --9. Insulat' n -Walls -Ceilings nfiltration-Walls-Windows Date Card -B_1- Dat_ Card B-1 Date 411ifffkk (Plans) OK B-1 B-1 61Steps-Door & Sidelight Protection -Landings ) -_ Smoke Detector - � �urnace: Vents -Clearance -Comb. Air -Connector - in Garage: Above Floor-Ducts-Mech. Protection edroom Exiting F.I. ------------ & Bath Fixtures & Tub Access -Spa - - -- --- ------ ----- 66. Elec. Trim & Subpanel Breaker Sizes & Labels .. ------ ------------------.---- taus ails ---------- eplace or Stove: Clearances -Hearth -------------------------- - - -F r----- 9 EI c. Outlets at Panel: I&Ext. .. ----------------------- Wood nt.----- - ----------------------- ----------- 0. Ki _Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance - --------------------------------- 1 EI Outlets & Receptacles at Kit. Counter 2. Garage Fire Door Swing -Landing -Closer - - A.C. Duct in Garage -Damper .. .. .....------------------------ ----- Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75 11�-Flet. &Mech Equip. -Listed for Location --- ec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------- -------------------------- Insulation -F am -Looked in Attic _ ❑ Yes u Rails & Deck Construction -Post Caps --------------- 79 ------------7 9 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth arance Looked under Floor - ❑ Yes 1 ❑ No: Walks Yes ❑ No; 0. Following instld.: Drive niers ❑ Yes 1'No ----------------- -------------------- 1. Stucco ... ...... ------------------ j --------- A Unit: Disconnect. Electrical. Plumbing ents Above Roof: PIbg -Appliance-Fireplace.-Clearance to O gs .- -------- ---- ---------------- ater Well: Disconnect. Electrical. Plumbing "or - ----------- Elec Trim: G.F.I. Receptacle -Underground - ----- - - - - - - - ----- -- -- -- -- - ----- 86 dation Throughout House . -- --- - --- ----------- ------------------------- 8" s Protection . . - ------------------------------- 88 Correcu s from Previous Inspections ... .-a - - - -- - --- --------- as est -Meters Tagged: Gas -Electric 9 r & Sewer Connected -C/O to Grade -HD Approval - - - . -- - - -- - ------------------------------ -- Energy Compliance Certificate -Other Certificates - -.... -- -- - -- --------------------- Date � �'D� Card B-1 Date Card B-1 Dat-�„Lq�/fC rd B -t Date Card B_1 V- ------ Darn d B-1 Date Card B-1 Comments at Final: V COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 RMIT NO. APPLICATION AND PERMIT l�-�M9 ASSESSOR PARCEL NUMBER 021-132-012 ZONING BUILDING PERMIT OWNER FLOYD IS DONNA FON TELEPHONE " SO. FT. OCC. BUILDING VALUATION 1717 R 92,718.00 OWNER'S MAILING ADDRESS 1640 MAN REY, 905948 606 11 10,908-00 CONTRACTOR'S NAME 1`13 TW TELEPHONE 14 '7 - 57600 1449 C 5,789 -nn CONTRACTORS MAILING ADDRESS e j Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER TIN(' ITIN NTE LICENSE NO. Plan Checking Fee $ 440 70 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'SMAILING ADDRESS Penalty $ BUILDINGADDRESS 1907 tNTIP PERMITFEE $ 1161 7(7 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 70 00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF IK Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer -15-66 15.00 TYPE OF WORK New IX Addition ❑ Remodel ❑ Ublibes ❑ Installation ❑ Other ❑ Describe Work: 3 Mobile Home ISI GI W1 @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service000V OR LESS ( 200A 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. qty License Class 8 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: ❑ 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 }wcler Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SO. DR ADONS. ( a ACC. ) 3.5¢ FT.81 30 NEW CONST. MULTI-OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup.OUTLET OR FIXTURES 20 @ 1.00 Ex. Occup. (OUTLETS (RESD.�EA ) 5.00 Temporary Service 23.00 23 00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 1 . 30 Contractor 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. D 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' cornensation insuran a carrier and policy number are: Carrier S}G,��? IF V V� Policy Number 2i 2 — D —PI'5 (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 p ovisions of section 3700 of the Labor Code, I shall forthwith comply with tho provisions. X _ ' • " __ Date Sign re 7oflplic t ❑ caner o tractor O AgenAnOSHA is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. �Q � MECHANICAL PERMIT Filing Fee 20.00 9 Heating SPLIT 15.00 Cooling 15.00 Hood 6.50 6.50 Ventilation PERMITFEE $ 56.50 Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 OCC R3 CONST. TYPE VN TOTAL FEE $ 1594-50 HAZ. . FES D-71 Y/ IMP FLOG cDF PARCE PD HD su ✓ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ► Date �SCI� ! c/y PERMITEXPIRESON (Date) Receipt No. 195513 — 543.70// ,0/7,.$0 WHITE-D.D.S.-R.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT JUL-22-96 MGN 04:38 PM HAWKINS INDUSTRIES INC 671 0204 P.02 I N_-l!-L.ATION—C-E.ULF-1 NUMPPR AND STREET CITY COUNTY SUBDIVISION LOT NUMBER �4 PESCRIPTION OF INSTALLATION ROOF: P{ATERiAi,. BRAND .NAME THICKNESS(Inches) M THERMAL EtESISTANCk:(E2-VAGCIF)_N_ ✓_ CPTLING: tIATTR OR h(..ANI*rT TYPP 8__A11'S }3ftAN17 NAME �;1.sf2'1A1N7'h;i,U 'Ci1ICKNGSS{inClyes)___.-� W------ THERMAL RESISTANCE(R-VALtIF.)__ LOOSE FIL-L-- TY -P -E- -F-I BFR-G-L--A-S-S-- 'ffRn p NAME, - I-NSULSAFE- 17- 1 CONTRACTOR'S MIN.y INSTALLED WT!�Jlb. MINIMUM THICKNESS �_y �/ _ INCHF.g: 1IArr1JI:11C�'URIa R'8 INSTALLD WT./SQ. FT. ACHIEVE THERMAL RESISTANCE (R=VALUE)` FXTERIOR, WALL: r111'I'1;RIAI,� FIBERGLASS BRAND NAME CER!'A) NTE_ED TNr.CKNE.SS.{ittchPs)`'a ^y THERMAL RESISTANCE(R-VALUE) ^� RATSE0 FI,OQi2: hTATPR.IAL F-16FHC,1,ASS THIC'KNES,S(inches) SLAB FbQQR: MATERIAL II' T1IICKNESS(1nc11es) FOUNDATION WALL: MATERIAL THICK NESS(inches) J)ECLARAT,ION: DRAND NAME ! Installation Certificate: Residential CF -611 Use of this form to satisfy the requirements of the Administrative Code Is optional, but the Information must be provided and posted. e Addrese Permit Number An installation certificate is required lobe posted at the building site prior to (fie issuance of the occupancy permit. This form may be used_lo_meet-these. raquiremenls.--AII appliance categories- listed below are the actual equipment installed. Nola that 111- efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1R). This certificate (or hs equivalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. HVAC SYSTEMS Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under Water Heating Systems. Heating Equip. CEC Certified Actual Distribution Type (furnace, Manuf. Make & Efficiency Type and heat- um -etc.-- -Model-Number-- AFUE ,etc: --Loca`(lon h -n d e_� &/%l,6L . �Ci�rn e� 1) ; , Cooling Equip. Type (air Gond., heat pump, etc. CEC Certif led Compressor Unit Manuf. Make & Model Number Duct or Heating Load Heating PIping Belor_e_Over-. Equipment-•-------- R-Value Sizing (Btuh) Capacity (Btuh) Actual Distribution Duct or Efficiency Type and PIppIn (SEER) Location R%lue The building design h at loss and design heat gain have been determined using a method specified in Section 150(h) of. the rgy Ifici fic Standards, and ar "t of th ,crit ria used for equipment sizing and sale tion. � � Signa re Date HVAC Subon(ractor (Co. Name) or General Contractor or Owner WATER HEATING SYSTEMS Water Heating CEC Certified Rated' System Type. Manut, Make & Input (I (storage gas; etc.) Model Number or Btul Sa 3G, Energyl Tank Factor or Capaclty Recovery Standby' (gallons) Efilclenov Loss (%) n2 _?S_ External Tank Insulatlon R -Value 1. For smell flus siorage (rated Input s 75,003 Stu,hr), electric reslalanoe and heat pump wator heatorc, list Energy For large gee storage water heaters (rated input > 75,000 Btu/hr). list Rated Input, Recovery Efficiency and Standby :.o:•�. For Inalantaneoua flea watar heaters, list Rated Inpu: and Recovery Efficiency. For Instantaneous electrle water heaters, list Rawd Input FAUCETS & SHOWER HEADS All faucets andshe orheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads, purshpn�Title 2 Part 6, Subchapter 2, Section 111. Date Revised January 1992 Plumbing Subcontractor (Co. Name) General Contractor or Owner lfS t COUNTY OF BUTTE r, BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (91,6) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 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 Pe, mrn�ta�ct you have any questions pertaining to this matter, or need additional explanation, s this office immediately.n. l) / n —: n I COUNT OF BUTTE -, - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891;-2751` - • 7 County Center Drive, Oroville, CA - (916) 538 754.1 -` 747 Elliott Road, Paradise, CA - (916) 87.2-007 - CORRECTION NOTICE-. ' ~` OWN R ` PERMIT ���NCCCO/// A routine inspection indicates th a following violations of Butfe County Ordinances exist at , +'§ the above address and ss d be corrected. Please notify this office when correction of work ? is completed. If you 64e any questions pertaining to this matter, or need -additional explanation,'_ %w please contact t office immediately. rrY /T .. n -r-. a .....- .o .,..r.•-r,v,,..,n..r,., ..�..nn�va..rr..: a.-........^-.R..n,n-r^r ir�.,..nv-�..+^wi,{�� r.w,s+��c�Mw.:I�r,: #'wn awnr^'M••r-T�.+•:e T tM tir: � ti .-.i ., COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 17 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER r/0 toj A. o. 0 / _ 131� _01. a Proposed Building Use 2 tx() Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. 2. All items have been submitted . ....................................... . Plot plans, 3/4 sets, signed by preparer of plans . .......................... DATE RECEIVED BY -4A43 X04 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. 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 Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. 10. Mobilehome a n nufact r 's stallation instructions, 2 sets. ........... Fees of $ �� ........ 11. Impact fees as shown on attached schedule . .................... - 12. California Department of Forestry plan approval/fees. ....................... . 13. �14. by Ca))i ornia Engineer. . . Flood elevation letter (100 year flood ✓%! Sanitation and plot plan approval d�0 v Health Department . ............ 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. i io 19. Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). ... . 20. Pia"� Inspector Pre -inspection for required. .. to Building�napdor (nate) 21. Contractor's license information. (No., Name Style, CI ssificatio 22. -Ee- rt ffeate ef-Workmans Compensation Insurance. ....I.' o y � . ............. 23. 24. Owner -Builder Verification (Given to owner , Mail to owner _) ............ Recorded copy of Agricultural Acknowledgement Statement . .................. X25. 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 . ......................................... . 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 . .................................................... . 33. 34. rocess as follows: Mail o owner. Mail to contractor. When you issue the011�600 Telephone and hold for pickup at §^a V; % office. Deliver with inspector. Other Parcel Creation �r•� Acreage Applicant Date 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: (CircleneW, item hecke a ve). 1. Index permit for above items No. 2. Additional items required: lk Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by g2t�� Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works R.H. USB ONLY _ s Plot Pbn Anochad Floor PLn Amchad Unt to B.lk J.5- M A-lr TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location /1 /J) . AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroomhome. er Hold Anal for: K. for: Environmental Health 2101 �K4 /+ Y CIL Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING_ DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER PROPOSED BUILDING USE REC. SCHOOL. DISTRICT FEES (paid at District Office) A.P. # DATE # DATE REC SHERIFF FEES (paid at Building Division) � 4. e S ` (�''"n IS//j -: x Il D = $� unit amt. vvuuii�r%'a! (sq.ft.). 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.). x =$ sq. ft. amt. El 5. RECREATION DISTRICT FEES (paid at District Office) THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 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) OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE v.4 t BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) . School District t/ i Building Department No. IQ ~A.P. Number - ��,� " iO4 Jurisdiction: City [ ] County Property Owner F�p (�� JO M /7 h f ES /� ' Property Location/Address �� (' '"LcJs �'! u � r Subdivison Lot No. Residential Development Commercial/Industrial No. o Living Q Units nte,., = . Sq. Footage Addition (Group R) CAMoljs�,d S/r - 440 0 k Sq. Footage /O °7� -AA4c-,' (Including Exterior ,�-� Roofed Areas) asA4 building Department Hepresentative Date (Floor Plans reviewed by School District Personnel) District Identification No. /� 9 /6 /V , School District certifies that (S rt eet Address) (City) (State) 44d72 40 &A (Applica t) (Phone Number) 9sy�� (Zip Code) has complied with the requirements of Resolution No. 39-V by payment of $ a, AT 7 rT representing /!I square .feet. t AB 2926 $ 11 District Representative Paid by Check # �, & Remarks Bank Number 9D�,3SZ IV— Paid by Cash FULL MITIGATION $ S' 1G Dates . 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 fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wk, (11/94)dmm 4 4 And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 96-0181641' Rec Fee 9.00 I COP 2.50 Recorded I Check 11.50 Official Records I County of I Butte I r Candace J. Grubbs I Recorder 1 i 11:52am 15 -May -96 I PUBL XX 2 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property maybesubject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides,- and fertilizers; and from the ' pursuit of agricultural operations including, but not limited to cultivatiom plowing, spraying, pruning, and harvesting which'occasionally generate dust, smoke, noise, and odor. Butte. County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary -farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: 4� — � —01 5e e PROPERTY OWNERS: State of California ) County of Butte ) On n-;1nr/AI1 before me, Lynette (Darton An c�\e0\ F1o�d For�cS OOhn0. Fo►n�cS personally appeared Floyd Fontes and Donna M. Fontes personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signaturc(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted. executed the instrument. WITNESS my hand and official seal. LYNETTE GARTON' f COMM. !1023342 -� NOTMW PUBLIC • CALIFORNIA SU =i Signature : Scar: IETTER COUNTY 1998 I A.P.# 61. I - /.3 � -�` 94-37309 2 A portion of Lot 22, according to that ccrtnin Hap entiticd, "Map Of Fridley Colony was tilf No. Q, near Gridley, Butte Co., Cal.•, which Hap ed In the otfico of the recorder of the County of Butte, State oCalifornia, February S, 1907 in Book 6 of Mnpa, at pa- r and more particularly described as follows: go 8, BECINNINQ at the Southeast corner of said Lot 22 and running thence Heat along the Southerly line. of said Lot 22 a dletance of 150 foot to a point, thence at right angles North and parallel with the East line of said Lot 22, n dlotance of 285 fact to a point, thence at right angles East and parallel with the Southerly line of sold r<ot 22, a distance of 150 feet to a Point, on the East lino of said Lot 221 thence South along the East line of said Lot 22, a distance of 285 feet to the point of beginning. APN:021-192-012 FW = W.ATER 5ERVIGE SID, m yi ffm, M. AAA M 0= SEPTIC SERVICE 0= ELECTRICAL 5ERVIGE ©.= TELEVI5I0N GABLE SERVICE F61= (5A5 5ERVIGE (IF PROVIDED) FI z FE TV 1996 RB BUILDERS Inc. LLL 256' aµ. e TAKK . X00 PATIO EXISTING WELL HOU5E nG GARAGE DRI SWAY 0 WALK EXISTING POLE Mr BUV _ Er viro ., rN �� JIILI�]ERS C O R P O RATE D J PROPOSED Iii J LEACH !!i Q — AREA I' ' J 0 � Iii o is) I I; m FI z FE TV 1996 RB BUILDERS Inc. LLL 256' aµ. e TAKK . X00 PATIO EXISTING WELL HOU5E nG GARAGE DRI SWAY 0 WALK EXISTING POLE Mr BUV _ Er viro ., rN �� JIILI�]ERS C O R P O RATE D LATERAL & FOUNDATION CALCULATIONS FOR RB Builders, Inc: 1289 Lincoln Rd., Suite A Yuba City, CA 95991 (916) 671-5600 PROJECT: PLAN FDF 1717 LOCATION: . YUBA CITY, CALIFORNIA y TOTAL PAGES: // FILE No.: 960423 DATE: April, 1996 ENGINEER OF RECORD: Tinglin Nie, Ph.D., PE T-N/E Engineering 3221 Rippey Road, Loomis, CA 95650 (916) 652-8655, (916) 652-8508 (Fax) I'. DESIGN CRITERIA (I) Uniform Building Code, 1994; National Design Specification, 1991; ACI 318-89; Applicable Local Codes. / (II) Soil Report By:. None. Allowable Foundation Pressure: 11000 psf Active: N/A Passive: 250 pcf a Concrete/Soil Friction: 0.30 (III) Foundation Concrete: / F'c = 2,500 psi (IV) Steel: Reinforcement: Fy = 40 ksi (#3 bars or smaller) Fy 60 ksi (#4 bars or larger) (V) Design Loads: Roof T.C. DL = 14 psf LL = 16 psf (w/ 125% Duration Factor) B.C. DL = IS psf LL = 1.0 psf (Non -concurrent w/T.C.LL)' Floor T.C. DL = 10 psf LL = 40 psf (w/. 100% Duration Factor) B.C. DL = 5 psf LL = 10 psf (Non-concurrent.w/T.C.LL) (VI) Lateral Load Conditions: (1) Wind Load: Basic Wind Speed: 75 mph Exposure: C (2) Seismic Design: Seismic Zone: 3 Importance Factor: 1.0 2 I 11. LATERAL CALCULATIONS <I> GOVERNING LOADS Horizontal diaphragm ratio approximately J2 :1. By inspection, wind load controls in both directions. <II> WIND LOAD CALCULATIONS (1).DESIGN WIND PRESSURE Basic wind speed = 75 mph Exposure: C Wind pressure formula: P = Ce C qs IW (Formula 18-1, 1994 UBC) where 3 1.06 (for h < 15') 1.13 (for 15'< h < 20') Ce = 1.19 (for 201< h < 25') 1.23 (for 25'< h < 30') 1.31 (for 301< h < 401) Cq = 1.3 ( Method 2, 40' or less in height) qS = 14.5 psf (By interpolation) I = 1.0 Then, 20.0 psf (for h < 15') 21.3 psf (for 15'< h < 201) P = 22.4 psf (for 20'< h < 251) 23.2 psf (for 25'< h < 301) 24.7 psf (for 301< h < 401) 3 LZ %/i UkL G�i `9Gf . 20GcG/ V 12 1rZ Cl V-3 = 2oX(y Al SSI�� ,3 z V4 .20 X C4 + 7) X L = ).32 0 # � aek V4-,4 20 X (U ,tl2.S )X /% V13 = 20 X (4 il.2 S) X 2 �7, S" _ �,l//S -��k1Cg�S-)X�� A/C— �z. c — 77) v- D _ 2aX v to 514l3 3-3t V -,- k,�. y93sw2- 1320 /5T S uJ 4-A �-Gl 3 s', Ir 8-7 Sw S -le Z/6 sw3 c -c Z z 11 /�✓ d o fin ; S � �r1 �1Yh = ' xh fi x ( AES -� 0z F— 7 -------\-- .0 \__--- .y , 0 z z1 J/V loos ,5 d" j / _ /— ---T7/-4 ' 1 — z xz,—; x (z�n f Ozer -5:�G✓ o�-X-'X6,/ = j" 6 r r l �,e [C L% 1 3 7 NIR > MaT lel ye 173i? � /VR=C� to f 336 )X �Zxa = 492& /oof else, AliTZZ 17 C'141 ly�lll It _3G MR _ ()zo-f 3 )X s 3 c%c cv,Q 3 3 o 2ZZ. Y2r/GDS �lta/alC. GLh �`O�K2�/ � 1 S�i'S 1 r 2> 44 2 X �px;,aaasy°s�' .. rzsnm+craammn w: mm=m°'r�m'' "o—, o/ to Sid sf"CCO X z,ea." net or worts,:;., yionf 57vuais �J `► w�,,/, /6 Eic� e 5� � ' 'r zip UP -P 8 G 6,1 cc ea- Ay rfA o % r0 .4 WA Scale: none /2 SW3 % C�X plwt/ w/Sol 3 0� r, y2_4z/6Hl, ,QpDf Q Si�apson TT 22 2- (or �� Is -- (er H 7 c�ir�cfion� N, I G'J III.'FOUNDATION (I) Continuous Footings TABLE 18-1-D—FOUNDATIONS FOR STUD BEARING WALLS—MINIMUM REOUIREMENTS1. 2, 3 lWhere unusual conditions or frost conditions are frnmd, fonlings and foundations shall he as required in Section. 1906.1. 2The ground under the floor may be excnvafcd In the elevation of file top of the footing. ' Tlnterior stud hearing walls may he supported by isolated footings. The footing width and length shall he twice the width shown in this table and the footings shall be spaced not more than 6 feet (1929 mm) on center. 41?mindnlions may support n roof in addition to file stipulated number of floors. rmindations supporting roofs only shall he as required for supporting one floor. Continuous footings confirm to the UBC Table above. Maximum uniform load on perimeter footing is within the allowable soil pressure.. No calculation is needed. (II) Concrete Slab 4" thick concrete slab w/ 6X6, 10/10 WWM at mid way, over 2" sand over vapor barrier over 2" gravel. F,. (III) Square Footings Typical calcultion for the square footing supporting concentrated load of Live = 2.2 k Dead = 3,3 k -1--" is presented at following page. s-, t7 k I/— "q ,eehw's e4. N: y 4 - --30 " S4— - Sizes and reinforcements of other square footings are as noted in Foundation Plan. THICKNESS OF FOUNDATION WALL WIDTH OF THICKNESS OF DEPTH BELOW (Inches) FOOTING FOOTING UNDISTURBED GROUND x 25.4 for mm (Inches) (Inches) SURFACE (Inches) NUMRER OF FLOORS — _ Unit SUPPORTED BY THE FOUNDATION" Concrete Masonry x 25.4 for mm 1 6 6 12 6 12 2 R . R IS 7 IR J 10 10 1R R 24 lWhere unusual conditions or frost conditions are frnmd, fonlings and foundations shall he as required in Section. 1906.1. 2The ground under the floor may be excnvafcd In the elevation of file top of the footing. ' Tlnterior stud hearing walls may he supported by isolated footings. The footing width and length shall he twice the width shown in this table and the footings shall be spaced not more than 6 feet (1929 mm) on center. 41?mindnlions may support n roof in addition to file stipulated number of floors. rmindations supporting roofs only shall he as required for supporting one floor. Continuous footings confirm to the UBC Table above. Maximum uniform load on perimeter footing is within the allowable soil pressure.. No calculation is needed. (II) Concrete Slab 4" thick concrete slab w/ 6X6, 10/10 WWM at mid way, over 2" sand over vapor barrier over 2" gravel. F,. (III) Square Footings Typical calcultion for the square footing supporting concentrated load of Live = 2.2 k Dead = 3,3 k -1--" is presented at following page. s-, t7 k I/— "q ,eehw's e4. N: y 4 - --30 " S4— - Sizes and reinforcements of other square footings are as noted in Foundation Plan. SQUARE FOOTING DESIGN LOADING DATA 1 Dead Load k: 3.30 Live Load k: 2.20 Short Term Load k: 0.00 Seismic Zone 0 Overburden Weight psf: 0.0 Combining Live & Short Term Loads ? No FOOTING DATA Size (Length & Width) ft: 2.50 Thickness in: 12.00 # of Bars. 4 Rebar Size Number .#: 4 Column Dimension in: 3.5 VC psi: 2500. Fy psi: 40000 Cover over rebar in: 3.0 Concrete weight pcf : 150.0 SOIL DATA Basic Allow'Soil Brg Press. psf: 1000 Short Term Duration Factor 1.33 Ftg. Depth Below Soil ft: 1.00 Soil Pressure Increases... per foot of depth increase psf: 0.00 when footing is below, -ft: 0.00 per foot of width increase psf: 200.00 when footing is wider than ft: 1.50 CALCULATED FORCES Maximum Static Soil Pressure psf: 1030.0 'Allow Static Soil Pressure- psf: 1200.0 Max. Short Term Soil Pressure psf: 678.0 Allow Short Term Soil Pressure psf: 1596.0 1 -Way: Allowable Shear psi: 100.0 Vu/Phi psi: 6.5 2 -Way: Allowable Shear psi: 200.0 Vu/Phi psi: 22.1 . Mn k -ft : 9.1 Mu/Phi k -ft: 1.0 REINFORCING Actual Bar Depth in: 8.75 Min. Allow %% Reinforcing 0.0014 200/Fy 0.0050 Req'd Per Analysis 0.0003 USE....... %%: 0.0019 Rebar Area Req'd in'/ft: 0.20 Total Area Req'd in: 0.50 REBAR CHOICES Quantity of: #4 Bars 4 #5 Bars 3 #6 Bars 2 #7 Bars 2 #8 Bars 2 #9 Bars 2 #10 Bars 1 __OPR-22-96 MON 08:52 All RE BU I Li)ERS. I 11C. 91E. -.71 P. RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY OWNER: BUILDINGPE ER: 9 PLAN CHECKER: A- P. NUMBER: GENERAL: Zoning requirements: (side vards and number of permitted living units). Valuation. Plans signed by designer. Proper description of work on application. Existing violations on property. QC Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). z Recorded notice of violation. LOT PLAN: Complete parcel size and dimensions. Setbacks, side yards, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard. Special conditions on creation map (Noise, S.R.A., Fire Sprinklers, Water Tender, Trees, etc.). F.A.U. & F.A.S. road setback. Building or utilities across lot lines (Record form). ....,f . _. - — 1-.- , Complete to scale plan with dimensions. _ Required windows for light and ventilation (Section 1203). Required windows for second exit (Section 310.4). Skylights (Section 2409 & 2603.7). Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Location of water heaters, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size and closer (Section 302.4). Minimum of one 3'0" exterior door (Section 1004.6). Fireplaccfand wood stove location, alcoves and clearance. Smoke detectors (Section 310.9.1). Plumbing fixtures, water closet clearances and shower size. Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). Standard bracing or engineered design (Section 2326.1 1.3). Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Rafter ties or bearing ridge beam. Fireplace construction details and calc. if necessary. Garage door and/or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection requirements. Eleader size. March 1996 3.2 Stairway details: landings, rise and run, head clearance, handrails (Section 1006). Guardrail details (Section 509). Brick or stone veneer (Section 1403). Exterior plaster - weep screeds (Section 2506). Proper roof pitch for roof covering (Section 1501). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts. Two exits on three - story dwellings (Section 1003). Underfloor access and ventilation (Section 2317.7). Attic access and ventilation (Section 1505). Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. Energy design. Flashing at all exterior openings. C.D.F. responsible area requirements. 46b 14w I& -fit f�C"( Gtr- ";"i t 15-I" Got t,,,.*`�t� , March l9')6 L� �! �"1L (�,! �t/ 3.3 I ROOF TRUSSES TJI FLOOR SYSTEMS CUSTOMER NAME: RF JOB NAME: FDF 171 LOCATION: GRUDLE PLAN: LOAD: 40 * psf . MICnO-LAM iTAN RUSs 753 N.GEonGE WASHINGTON BLVD. iPARALAMSI YUBA CITY, CA. 95993 KJIV i 0 t No. C 04048V BUILDERS p '50.©6 ELEVATION: WET SEALS COPIES a CERTIFICATE OF COMPLIANCE: Residential Page 1 CF -1R -------------------------------------------------------------------------------- Project Title: FDF1717E Run: 462 25 -Apr -96 Project Address: DEWSNUP ROAD FDF1717E GRIDLEY, CA Building Title: FDF1717E Buildi g Permmit # Document Author: ERIK B. JENS 9 -�UjO Telephone: (916)671-5600 Pia Check / Date Compliance Method: Climate Zone: GENERAL INFORMATION CALRES2 Version 1.31 11 A 5 5- % Field Check / Date Conditioned Floor Area: 1717 ft2 Building Type: SFD Single Family Detached Building Front Orientation: 90 deg (East) Number of Dwelling Units: 1.00 Floor Construction Type: Slab on grade BUILDING SHELL INSULATION Component Insul Assembly Type R -value U -value --=------------ Door -------- 0 -------- 0.330 Door 0 0.330 Wall 13 0.088 Wall 13 0.088 Floor 0 0.722 Floor 0 0.295 Ceiling 38 0.025 Slab Perimeter 0 0.900 Slab Perimeter 0 0.550 Slab Perimeter 0 0.720 FENESTRATION Location/Comments Outside / FRONT Unconditioned / GARAGE Outside Unconditioned Grade Grade Attic Outside Unconditioned Outside Area U- Interior Exterior Overhang Frame Orientation (ft2) value Panes Shading Shading and Fins Type ----------------- ----- ----- ----- ---------- ---------- -------- -------- Window East 10.0 0.510 2 Std Drape Bug Screen None Vinyl Window East 50.0 0.520 2 Std Drape Bug Screen None Vinyl Window South-' 44.0 0.520 2 Std Drape Bug Screen None Vinyl Window West ✓ 60.0 0.520 2 Std Drape Bug Screen None Vinyl Window North 24.0 0.520 2 Std Drape Bug Screen None Vinyl Window North 17.8 0.510 2 Std Drape Bug Screen None Metal Window West ✓ 33.3 0.500 2 Std Drape. Bug Screen None Vinyl THERMAL MASS Area Thick ���`Vj► Type Exposed. (ft2) (in) Location/Comma 'R`to ------------_---- � ----------------- Floor Yes 562.0 3.5 Grade O Floor No 1155 3.5 Grade ��� 1q CERTIFICATE OF COMPLIANCE: Residential Page 2 CF -1R Project Title: FDF1717E Run: 462 25 -Apr -96 HVAC SYSTEMS Duct Location Type Efficiency and R -value ---------- ---------- ------------- Furnace 0.80 AFUE Attic R-4.2 Air cond. -- central split 12.00 SEER Attic R-4.2 WATER HEATING SYSTEMS Distrib System Name Type---- Water Heater Name Water Heater Type # of Htrs Energy Volume Wrap ------------ --- ------------ Factor al (gal) R-val Standard—Gas Standard GAS80 ----------------- Storage gas ---- 1 ------ 0.63 ------ 50 ----- 12 WATER HEATING SYSTEMS MISC System Name ------------ Standard Gas Solar savings fraction ------------- WATER HEATER/BOILER DETAILS Solar system Wood stove Wood stove type boiler? boiler pump? ---------- ---------- -----=------- -- No No Rated Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (kBtuh) . Loss R -value (Btuh) ------------------------- GAS80 1% 1 -- 36.00 HYDRONIC DISTRIBUTION AND TERMINALS System/Name Type Number -------------- ------------- ------ None SPECIAL FEATURES, REMARKS, AND NOTES None Pipe Pipe Insul Insul run (ft) diam (in) thck (in) R -value CERTIFICATE OF COMPLIANCE: Residential Page 3 CF -1R Project Title: -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- FDF1717E Run: 462 25 -Apr -96 COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with the Energy Standards in Title 24, Parts 1 and 6, of the California Code of Regulations, and the Administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features, Remarks, and Notes section. DESIGNER OR OWNER ERIK B. JENS RB BUILDERS Inc. 1289 LINCOLN ROAD SUITE "A" YUBA CITY, CA 95991 (916)671-5600 Lic #: IZ- &446 -4 z r--0 Signed Date ENFORCEMENT AGENCY Name: .Title: Agency: Telephone: Signed Date DOCUMENTATION AUTHOR ERIK B. JENS RB BULDERS Inc, 1289 LINCOLN ROAD SUITE "A" YUBA CITY, CA 95991 (916)6.71-5600 Signed Date COMPUTER METHOD SUMMARY Page 1 C -2R Project Title: FDF1717E Run: -462 25 -Apr -96 Project Address: DEWSNUP ROAD FDF1717E GRIDLEY, CA Building Title: FDF1717E Building Permit # Document Author: ERIK B. JENS Telephone: (916)671-5600 Plan Check / Date Compliance Method: CALRES2 Version 1.31 Climate Zone: 11 ENERGY USE SUMMARY (kBtu/ft2-yr) Energy Use Standard Design Space Heating 17.23 Space Cooling 11.08. Water Heating 13.00 Total Wall 41.32 Field Check / Date Proposed Design --------------- 15.72 10.25 10.65 ------ Complies 36.62 Yes GENERAL INFORMATION- -------. Conditioned Floor Area: Building Type: Building Front Orientation: Number of Dwelling Units: Number of Stories: 1717 ft2 SFD Single Family Detached 90 deg (East) 1.00 1 Floor Construction Type: Slab on grade Number of Conditioned Zones: 1 Total Conditioned Volume: 13736 ft3 Conditioned Footprint.Area: 1717 ft2 Ground Floor Area: 1717 ft2 BUILDING ZONE INFORMATION Floor Zone Area Volume Thermostat Name (ft2) (ft3) Type Type ------------ ------- -------- ------------- ------------ HOUSE 1717 13736 Conditioned CEC Standard OPAQUE SURFACES Surface Area Type ---------- (ft2) ------ Zone = HOUSE Door 20.0 Door 17.8 Wall 202.0 Wall 262.2 Wall 333.0 Wall 285.6 Wall 6.0 Wall 6.0 Wall 121.2 Vent Vent Height Area (ft) (ft2) 2'0" 24.7 U- Insl Tru Slr Construction value Rval Azm Tlt Gns Type Location/Comments ----- ---- --- --- --- ------------ -------------------------- 0.330 0 90 90 Yes CEC_30-Wood Outside / FRONT 0.330 0 90 90 No 28WOOD Unconditioned / GARAGE 0.088 13 90 90 Yes W13.2x4.16 Outside 0.088 13 0 90 Yes.W13.2x4.16 Outside 0.088 13 180 90 Yes W13.2x4.16 Outside 0.088 13 270 90 Yes W13.2x4.16 Outside 0.088 13 225 90 Yes W13.2x4.16 Outside 0.088 13 115 90 Yes W13.2x4.16 Outside 0.088 13 90 90 No W13.2x4.16 Unconditioned COMPUTER METHOD SUMMARY Page 2 C -2R Project Title: FDF1717E Run: 462 25 -Apr -96 OPAQUE SURFACES continued Surface Area U- Insl Tru Slr Construction Glazing Type (ft2) value Rval Azm Tlt Gns Type Location/Comments ---------- Wall ------ ----- 63.0 0.088 ---- 13 --- --- 0 90 --- No -------------------------------------- W13.2x4.16 Unconditioned Floor 562.0 -- 0 -- 180 No S1ab140E Grade Floor 1155.0 --. 0 -- 180 No Slabl40C Grade Ceiling 1717.0 0.025 38 -- 0 Yes R38.2x4.24 Attic PERIMETER LOSSES 180 90 Slider Vinyl U=.52 Wind ✓15.0 180 90 Insul .Vinyl U=.52 Perimeter Length F2 Insul Depth Vinyl U=.52 Type (ft) Factor R-val Slider (in) Location/Comments ------------------- Zone. = HOUSE . . ------ ----- ------ ---------------------------------- Slider Exposed 6710" 0.900 0 0 0 Outside Hinged Exposed 2510" 0.550 0 270 0 Unconditioned Covered 10210" 0.720 0 ,✓�5.0 0 Outside 90 FENESTRATION SURFACES Fenestration Name -------------- Zone = HOUSE W2 W3 W4 W5 W6 W7 W8 W9 FDR10 W11 W12 W13 SGD14 W15 W16 W18 GLAZING CHARACTERISTICS SC Int Exterior Glazing Only ------ Glazing Shade ------ Area Tru # of Open Frame Charactr Type ---- (ft2) ----- Azm --- Tlt --- Type ------- Type- -------- Name ------------ Wind 5.0 90 90 Fixed Vinyl U=.51 Wind 20.0 90 90 Slider Vinyl U=.52 Wind 20.0 90 90 Slider Vinyl U=.52 Wind +/4.0 180 90 Slider Vinyl U=.52 Wind ✓15.0 180 90 Slider .Vinyl U=.52 Wind X5.0 180 90 Slider Vinyl U=.52 Wind /0'.0 270 90 Slider Vinyl. U=.52 Wind 10.0 0 90 Slider Vinyl U=.52 Wind 17.8 0 90 Hinged Metal U=.51 Wind L,25.0 270 90 Slider Vinyl U=.52 Wind ,✓�5.0 270 90 Slider Vinyl U=.52 Wind ✓10.0 225 90 Slider Vinyl U=.52 Wind -`33.3 270 90 Slider Vinyl U=.50 Wind '10.0 115 90 Slider Vinyl U=.52 Wind 1/14.0 0 90 Slider Vinyl U=.52 Wind '5.0 90 90 Fixed Vinyl U=.51 GLAZING CHARACTERISTICS SC Int Exterior Glazing Only ------ Shade Type ---------- Shade ------ Charactr Glazing # of U - Name Type Panes value ------------ U=.51 --------- Clear ----- 2 ----- 0.510 U=.52 Clear 2 0.520 U=.50 Clear 2 0.500 Comments ---------------- SC Gls Interior SC Int Exterior SC Ext Only ------ Shade Type ---------- Shade ------ Shade Type ---------- Shade ------ 0.880 Std Drape 0.780 Bug Screen 0.870 0.880 Std Drape 0.780 Bug Screen 0.870 0.880 -Std Drape 0.780 Bug Screen 0.870 COMPUTER METHOD SUMMARY Page 3 C -2R Project Title: FDF1717E Run: 462 25 -Apr -96 OVERHANGS Fenestration -=------------------------ Above Left Right Name Height Width Depth Glazing Extension Extension ------------ ------ ------ ------ --------- --------- --------- None FINS Left Fin Right Fin Fenestration Exten Dist Exten Dist -------------------------- Fin Fin above to Fin Fin above to Name _. Height Width Depth Height glzng g.lzing_D_epth Height glzng glzing ------------ ------ ------ ------ ------ ----- ------ ------ ------ ----- ------ None THERMAL MASS SOLAR GAIN DISTRIBUTION Fenestration Name ------------ None HVAC SYSTEMS System Name -------------- Zone = HOUSE GAS80 ACsplit10 Winter Summer Targetted Fraction Fraction Thermal Mass Comments Duct Location System Type Efficiency and R -value -------------------------- ---------- ------------- Furnace 0.80 AFUE Attic R-4.2 Air cond. -- central split 12.00 SEER Attic R-4.2 WATER HEATING SYSTEMS Distrib Water Water Vol Cond- Volume Wrap System Name Type Area Thck Heat duct- Construction Insd Mass Name -------------- (ft2) ----.- (in) ---- Cap ---- ivity Type Rval Location/Comments Zone = HOUSE ----- ------------ ---- ------------------------- FLOORI 562.0 3.5 28 0.98 Slab140E O'Grade FLOOR2 1155 3.5 28 0.98 Slab140C 2.00 Grade SOLAR GAIN DISTRIBUTION Fenestration Name ------------ None HVAC SYSTEMS System Name -------------- Zone = HOUSE GAS80 ACsplit10 Winter Summer Targetted Fraction Fraction Thermal Mass Comments Duct Location System Type Efficiency and R -value -------------------------- ---------- ------------- Furnace 0.80 AFUE Attic R-4.2 Air cond. -- central split 12.00 SEER Attic R-4.2 WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume Wrap System Name Type Heater Name Heater Type Htrs Factor (gal) R-val -------------------- Standard—Gas Standard ------------ GAS80 ----------------- Storage gas ---- 1 ------ 0.63 ------ 50 ----- 12 COMPUTER METHOD SUMMARY Page 4 C -2R Project Title: FDF1.717E Run: 462 25 -Apr -96 WATER HEATING SYSTEMS MISC Solar savings Solar system Wood stove Wood stove System Name fraction type boiler? boiler pump? ------------------------------------------------------------ Standard—Gas - -- No No WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) GAS80 1% -- . 3.6.00 HYDRONIC DISTRIBUTION. AND..TERMINALS Pipe Pipe Insul Insul System/Name Type Number run (ft) diam (in) thck (in) R -value. -------------- ------------- ------ -------- --------- --------- ------- None SPECIAL FEATURES, REMARKS, AND NOTES None i COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: FLOYD FONTES ADDRESS: 1267 DEWSNUP RD CITY & STATE: GRIDLEY, CA 95948 DATE OF CLAIM: 5/30/96 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES -u 38 . JL', I v:. Li...: V. L.C.,, IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT A.P.#021-132-012, B.P.#96-0922, RECEIPT# 195324 DATED 4/29/96/ OWNER: FLOYD & DONNA FONTES TOTAL AMOUNT PAID..........................................$63.00 RETAIN REFUND PROCESSING FEE....................$25.00 RETAIN FILING FEES... . ... .. .$40.00 ...... .. ..... ....... TOTAL AMOUNI RETAINED- -- $rs nn AMOUNT TO BE REFUNDED....................................TOTAL $00 .00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. p Dated this day of 19 /lo at Calif. 677 Sig ature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation [ I or Specific Board Approval [ I (Check one) for the same. Dated this 30TH day of MAY , 19_9Gt OROVILLE , Calif. Wed Department-Headi4i:Auih6rized Deputy_. Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. INSTRUCTIONS TO CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, description and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the Department head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure., Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services Irequested or material ordered. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. C REFUND CLAIM APPLICCATION CLAIMANT'S NAME MAILING ADDRESS I a'�KJ �fP �/ I l ♦ / J V Cil/ ASSESSOR PARCEL # Q�'�3�" ���-- PERMIT RECEIPT NUMBERS) Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those categories which you. wish to have refunded.) [� Building Permit Fees [ ] Sheriff Fees ` [ ] SRA Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address. [ ] Please dispose of plans. 7 1 1,4_101 SIGNATURE DATE FOR BUILDING DIVISION USE: ,s/s9�96 Receipt Information: Number: Date: Issued To: Amount: $ _- Fees Retained: ✓Processing Fee: $ OZS 0o Bldg Filing Fee $ ,,/Pl bg Filing Fee $ Po • 00 j/E1 ec Filing Fee $ �4 • �� Mech Filing Fee $ Energy P/C Fee $ Plan Check Fee $ Inspection Fee $ Total Amount Retained $ TOTAL REFUND DUE $ -(�5~ �021-132-012 2-012 PERMIT#96-0922 l - j FONTES, Floyd & Donna 1267 N�wsnup, Gridley Util for Temp Travel Trailer COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541�i `OEaM APPLICATION AND PERMIT 9J p_ ASSESSOR PARCEL NUMBER 021-132-012 ZONING A5 BUILDING PERMIT OWNER FLOYD & DONNA F04TES TELEPHONE SO. FT. 'OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1640 MAGNOLIA ST GRIDLEY, 95948 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23 . UU Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1267 DE14SNUP PERMITFEE S 23.00 GRIDLEY, 95948 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CN Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑X Installation ❑ Other ❑ Describe Work: 14HU FOR TF24P T.T. Mobile Home KG W 920.00 40.00 PERMITFEE g 60.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( 000V200A OR LESS 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. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Lary for the following reason: `r� 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 NEW CONST. DWELLING OCCUP. OR ADDNS. L 8 ACC. BUDS. ) SO. 3.52 FT. NEW CONST.MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) 97.50 ( EWER APPARATUS ) & SINGLE OUTLET s Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 6AL @ .50 Ex. Occup. ( 0FIXEEDrs �FESIDJ RA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20. UU Misc. Wiring 23.00 PERMITFEE $ 63. OU Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 MECHANICAL PERMIT Filing Fee 9 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor 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.) J� 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 comp with those provisions. X Date�� _ Signatu plicant - ❑ Own r ontractor ❑ Agenl — 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 $ OCC CONST. TYPE TOTAL FEE $ 146.00 HAZ. 1 0. FEES I IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do been paid. Date (Date) work Receipt No. WHITE-D.D.S.-B.D. CANARY-ASSE OR -INSPECTOR GOLDEN ROD -APPLICANT V: I � w- �C TY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION CountyCenter Drive - Oroville, California 95965 - Telephone (916) 538-7541 PE MIT NO. APPLICATION AND PERMIT �0 a ASSESSOR PARCEL NUMBER,f 021-132-012 .ZONING AS BUILDINGPERMIT }OWNER TELEPHONE ,r FLOYD & DONNA FOS,. SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ,1640 MAGNOLIA $T s • GRIDLEY, 95948 - CONTRACTOR'S NAM �f T7.y - , /� TELEPHONE CONTRACTORS MAILING ADORESS(111Vf`Sl[+ t , ,- Fireplace CONSTRUCTION LENDER Yr.- UNKNOWN Total Valuation Isr Filing Fee $ 20.00 LENDER'S MAILING ADDRESSf ��+Fs ' � Y Permit Fee $ ARCHITECT OR INEER"' Cx �' S + Ry4 4 LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING'ADDRESSq # - - Penalty $ `� BUILDING ADDRESS267DEiV5948 PERMITFEE S 23.00PLUMBINGPERMITFiling Fee 20.00 GRIDLEV, Each Trap 1 7.00 LOT NO. SUBDIVISION'S NAME I, ' PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome, C4 Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities !7X Installation ❑ Other ❑ Describe Work: MW FOR TEMP T.T.! — Mobile Home §j I G I V,' 920.00 40.00 PERMITFEE S (Q�QQ I Contractor ELECTRICAL PERMIT Filinq Fee 20:00 w Main Service ( zoono LEss ) 23.00 23.00 Main Service ( 200A TO ,000A___J 46.00 1 - 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 La 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 exclusiveiy contracting with licen ed contractors to�onstruct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADON ( a ACC. BUDS. ) sO. 3.SQ FT. NEW CONSS T.MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 SAL 0 .SO Ex. Occup. (OFI ELEDA SESE ID.0EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring I 23.00 PERMITFEE $ 63.00 I Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjurrty one of the following declarations: ❑ 1 have and will maintain a ' c; rtificate 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 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 comp y with those provisions. 11 X ___ __ Date � _ -Sign atur. plicant - ❑Owner V&Vontractor ❑ Agen% 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 Is Occ CONST. TYPE TOTAL FEE $ 146.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. y Date (Date) ReceiptNo� -- WHITE-D.D'�s.-B.D. CANARY-ASSE SOR ? t1k`INSPECTOR GOLDENROD -APPLICANT _^'T�.S 'a^Y1-Lrt,'!Rrs+R• �•n.-. a .. r...,._.. a, ...,.-nw:- _ ,. Y•.. +sfR�'a'-"'amp.: .Tq�P.,y,�•: 7 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7}.County Center Drive Oroville; 'Cal . ifornia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021-132—OI2 ZONING p5 BUILDING PERMIT OWNER FLOYD & DONNA FqtftS TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1640 MAGNOLIA $T, GRIDLEY, 95948 CONTRACTOR'S NAME' -^ OWNU TELEPHONE CONrRACTOR'S MAILING ADDRESS { r Fireplace CONSTRUCTION LENDER .. UNIwOWN Total Valuation Is Filing Fee $ 4 20.00 LENDER'S MAILING ADDRESS J '„ e' Permit Fee $ ARCHITECT OR -ENGINEER" LICENSE NO. ARCHITECT OR ENGINEERS MAIUNG'ADDRESS Plan Checking Fee L Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 112b7 DEW, W '.. �11VV PERMITFEE S GRIDLEY, 5948 PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISroNS NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome' O 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 ❑ Addition ❑ Remodel ❑ Utilities 0XInstallation ❑ Other ❑ Describe Work: MHU FOR TEMP T. T. — Mobile Home G W 920.00 40.00 PERMITFEE S 60.00 Contractor ` ELECTRICAL PERMIT Filinq Fee 20:00 Main Service OoeV OR LESS ( zooA oR LESS ) 2 M 23.00 J • VV Main Service ( 200A TO I000A 4) 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. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License La#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 NEW CONST. DWELLING OCCUP. OR ADON ( a ACC. ) so'- 3.5Q FT. T. MULTI-OUUTLETLE T NEW CONST. NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 2e @ 1.00 RAL 0 .SO Ex. Occup. ( OFIXETs RES D.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMITFEE $ 63.00 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of -perjury one of the following declarations: ❑ 1 have and will maintain a ceftificate 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 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 provisions. X Ar Date —_ Signatur , er o licant - ❑OwnContractor ❑ Agen 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 $ 146.00 [of HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PD HD ISSUE his permit is hereby issued under the the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date)': ' rReceiptNo� ^-' G HITE-D.D�S.•B.D. ANARY-ABBE OR PINjK•INSPECTOR GOLDENROD -APPLICANT 60 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 4?6 " 09�. ASSESSOR PARCEL NUMBER 021-132-032 %,ZONING AS BUILDING PERMIT OWNER FLOYD y DOWA Fq#Fc TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1640 MAGNOLIA ST GRIDLEY, 959" f CONTRACTOR'S NAME* OWs, R TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER I: UNI(NOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS �• - Permit Fee $ ARCHITECT OR ENGINEER•' Al LICENSE NO. I Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1267 DEWSW Y - PERMITFEE $ - • GRIMM0 �5%8 PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 LOTNO. SUB 10N'SNAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome O; 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 ❑ Addition ❑ Remodel ❑ Utilities ❑XInstallation ❑ Other ❑ Describe Work: M FOR T T. — ' Mobile Home G @20.00 40.00 PERMITFEE q . 00 Contractor , ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 • 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. 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 NEW CONST. DWELLING OCCUP. OR ( a ACC. ) SO. 3.S¢ FT. CNS. NEW CONST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 / POWER APPARATOUTLETUS ) 8 SINGLE CIR. Ex. Occup. (OUTLET OR FIXTURES )—,L Q 1.00 BASO EX. Occup. (oFIXEEDPPLNrs RES OR RA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 2 • Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 - MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 provisions. 1 X l - _ Date LI_"c ' Signaturef,of`Igh licant - ❑ Owner Contractor ❑ Agen4 — An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 146.00 HAZ. I D. FEES I IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Y Date +� (Date) /height. Receipt No. /1`1'3!t�L � WHITE-D.D.S.-B.D. "CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA ASHEET OWNER rlo v1d D6 1'1`tq O a`r A. P. No. 02-1 — 32—O/Z Proposed Building Use f¢JA_ �o t. 'Fe .. Building Inspector 14 1Date - � 1� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY —� II items h ve been submitted. . 4lot plans(/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. 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 Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehom ata. and manufacturer's installation instructions, 2 sets. . Fees of $ / 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 4Nlood elevation letter (100 year floq�j y,�alifornia Engineer. .. ............ . -tea KJr, .. . 1 anitation and plot plan approval Health Department . ........... . 15. City of Chico plumbing permit . ......................................... V lot plan and businesp4rejense approval from City of Biggs/Gridley. lanning approval for rvl" Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. P�an�. 20. Pre -inspection for lns revue required. . to Building lnspeaor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... 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 . ......................................... . 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 . ..................................................... 33. 34. When you issue th elepho, e Other Parcel Crea,��pn Acreage s as follows: Mail to owner and hold for pickup, Applicant Mail to contractor. ' officeDeliver with inspector. Date 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 Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER /I % ( — / Z — - Z. BUILDING PERMIT OWNER I G TELE NE SO. FT. OCC. BUILDING VALUATION r OWNERSIU ADDRE S / hg_E� N2 t CONTRACTOR'S NAME W TELE NE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN"NOWN Total Valuation $ Filing Fee $ LENDER'S MMUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS / Z —7 / PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 L Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP i Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each gas water heater or vent 15.00 Cas piping zystem, ; 5 outlets ; S.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel/ ❑ Utilities K Installation ❑ Other ❑ c,✓ Describe Work: /�-f-C� %�' `���yyy� �t / • IQ Mobile Home S G W @20.00 e� PERMITFEE g Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service ( 000V OR LESS \ 23.00 200A OR LESS / +0 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. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ( a ) 3.5¢ Fr. LTI-ACCUTLEBLDS CNSS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (d SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 0 .SO Ex. Occup. (OFIXED APPLNS. UTLETS (RESID.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 !3f Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 MECHANICAL PERMIT Filing Fee g 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE m� TOTAL FEE $ I HAZ. I D. FEES I IMP FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte Count end/or Resolutions to do indicated abov� ' en paid. By Date PERMITE I (Dare) work Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YE,4K NO[ ]. 2. I HA HAVE NOT[ ] signed an application for a .building permit for the proposed work.- 3. or .3. I have contracted with the following person (firm) to provide the .proposed construction: NAME: ADDRESS: CITY: PHONE: 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: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SOCIAL SECURITY NUMBER: _ — DATE: (4 -ZQ/ Qr —L, & NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.-1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 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. 0 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. 0 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. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento. CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this 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. SincereI , Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Oumer-Builder Information is required by Section 19830 of the California Health and Safety Code. OVER - ..CO.U.N.TY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. A. P, Nn 021-1'32::012-"-----`PERMIT#96=0922 01�FONTES, -Floyd-& -Donna Cc 267 Dewsnup, Gridley nu ­17 til 'f'dr-Te#-Travel7Trai-leL_ Permit PERMITTEE MUST CALL FOR INSPECTIONS vootings Piers Underground Conduit Pre-Gunite unaerTioor rIUMDing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab KOUgn FlurnDing Rough Electrical - Rough Mechanical Framing Shower Pan Insulation replace rooting replace Throat Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final 'Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY' ......................... ..... ... ................... Ifi, * 116, f * * m- , "a 111 *o* n..,. e. . .......... ........ Oroville 7 County Center Dr. 538-7541 538-7636 Chico 1469 Humboldt Rd. 891-2751 891-2834 7 L72 . I Revised 7194 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 5387541 FAX: (916) 5382140 RE: Attached Mobilehome Permit Dear Permittee: Attached is your mobilehome permit along with the approved set of plot plans and a job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. Please review the approved set of plans before you start work and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office -- do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should the inspector not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy the mobilehome for which this permit is issued without approval from this office. Please do not confuse gas or electrical service to the mobile as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector. Your permit expires one year from date of issuance. If the work has not commenced, a new permit application and fees will be required. Upon completion of the work covered by this permit, please contact this office for final inspection. Should you have any questions concerning this letter or any other matter pertaining to the installation of the mobilehome or utilities, please do not hesitate. to contact this office. Mi hael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments RESIDENTIAL 021-132-012 PERMIT#96-0922 FONTES, Floyd & Donna 1267 Dewsnup, Gridley Util for Temp Travel Trailer JOB FINAIED (Date) Signature V=OK O = Not OK Not Ap `=Not Readyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / P'L'ft. / /Nat. or/ P12ft./ /LPG 7. Electric . 7. Well Clearance & Disconnect 8. Frrng.; Sils-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts -GA 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric . 8. Frrng.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts -GA 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main 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 J=OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) _ Date UNDERFLOOR (Plans) OK except k's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main;'Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ft,g., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor 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 PLUMBING (Permit) OK except n's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------------------------------- --------------------------- 17. Water Pipe; Test & Anchor -Nail Protection -------------------------------- -------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ----------------------------------------------------- --- 19. Shower Pan; Test. First Floor -Tub Access ---- ------------------------------------------------ ----------------- 20. -Test--&-Shower.- & -Shower,-Second-------- ----- Floor-Tub Access __ ___ ----------------------------------- 21. Gas Pipe: Size & Anchors -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ----------------------------- - - ---------- - ------- ------------------------------------ ---------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection - ------------------------------------------- 23. Elec, Receptacles Spacing -Lights & Switches at Doors -------------------------------------------------------------------------- - 24. Size Boxes & No. of Conductors -Stapled -------------------------------------------------------------------- --- 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water --------- - ----------------------- ------ 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI -------------- - --------------------------------------- -------- -- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or AI 29. Range Circ. ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------------------- .. 30. Service -Riser Conductors & Ground -Main Disconnect --- ------------------------- ---------- I.... .. 31. Equip Clearances Panels-Motors-Mech. Equip. - .----------- - -- -. ....... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light -- --------------- 33. Smoke Detector -------------- --------------------------------- ------ --- - --- ..... ....... _...... . Date Card B-1 Date Card B-1 -- - ------ -_ ....................I ------­------------ _. ....... ... ... . Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. A.C. Ducts Insulation & Support ---------------....-- ------ .................. ...-....._ .... .... ... ....... .. 35. Vent Fan: Exhaust above insulation ------------ ----- ------ --- ----- --- -. .. .. . ... . . ...... 36. Condensate Dram & Overflow: Sze & Grade ------ ............... ...................... ..... . 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - -- - ----- .............. ... ... ....... ... .. 38 Attic Access & Platform if Furnance in Attic ------ ------- --- ------- _._ _. Date Card B-1 Date Card B -i Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except tr's 39. S Is. Proper Material & Anchors 40. Walls Studs -Nailing. Spacing & Bracing- Plates -Sound ...... ... ... ....... 41. Bearing Walls over Girders & Floor Nailing ..._.... ........... . _ .............. ... .. 42. Draft Stop in Walls (rat proof) ....... ....... ... ... ..-. 43. Fire Stops. Furred Ceilings -Stairs -Chases -Tub --------------- ....... ... _ _. _. ...._.. ..... -. .. .. .. . 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Ring. ----------------- ------ 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing -------- ----- -------------------- _ 51. Property Line Firewall & Openings -- -- -- ------- 52. Ext. Doors -One 3=Check Garage -3rd Story, 2 Exits ---------- -------------------- _____________ 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --------------- - 55.- Siding -Nailing Veneer ----------------------------------- - - 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access ----------------- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls. Nailing -Bolts ------------59.-Insulation-Walls-Ceilings --------------------- ---- 60. Infiltration -Walls -Windows ------------------ ------------------------------------------------ - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------- 62. Smoke Detector ------------ -1 ----------------- - ---------- - - - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting ...... - ---------------------- -- 65. G.F.I & Bath Fixtures & Tub Access -Spa ....... - 66. Elec. Trim & Subpanel Breaker Sizes & Labels --- -------------- 67. Sirs & Rails ........... - 68. Fireplace or Stove: Clearances -Hearth _..------------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. --- ..----------------------- -- - --------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ....------------------------------------ -- -- 71 Elec. Outlets & Receptacles at Kit. Counter . _ --- --------------------- 72. --------------------72. Garage Fire Door: Swing -Landing -Closer 73. A.C.Duct in Garage -Damper --.............. ...-------------------------------------- 74. Wir. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection _... ----------------------------------------- 75. ---------------------------75. Plb . Elec_ & Mech. Equip. Listed for Location ----------------------------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------------------------------------- 7,. Insulation -Foam -Looked in Attic ❑ Yes ------ --------------------------------------------------- 78. Guard Rails & Deck Construction -Post Caps _ . ------ ------------------------------------------------ -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _. ..... -- ll ------------------------------------ 80. Following inslld.l Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ------------------------------------ 81. Stucco: Brown -Finish .. ....... _----- .._.-------------------------- -------- ------- 82. A C. Unit: Disconnect. Electrical, Plumbing . ... ... ... ... ... .------------------------------------------- 83. Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to Openings - - - - - --- - - - - - - --- ------------------ Disconnect. 84 Water Well: connect. Electrical, Plumbing .. .. ... ..... . ... .---------------------- -------------- 85 Exterior Elec. Trim: G.F.I. Receptacle -Underground 86 Ventilation Throughout House ---- --- ------------------------------------ 8i Glass Protection - - ------------------ 88, --------------88. Corrections from Previous Inspections .. .----------- -------------------------- 89 Gas Test -Meters Tagged: Gas -Electric -------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval _....------------------------------ 91. 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: APPLICATION FOR SPECIAL USE PERMIT FOR TEMPORARY TRAILER Assessor's Parcel Number for Site N / - / -� -d - /'� � Street Address of Site Ir L Applicant's Name �✓ ('1 Applicant's Address `J Applicant's Telephone Number Building Permit Receipt Number or S (Show copy of permit signed and. issued) Date Sewage Disposal Permit Issued Se-« - c ny\ (Show copy of permit signed and issued) I certify that the above information is correct and that I have read Butte County Code Section 24-300 on the reverse side of this application. Applicant's Signature,=�� ��. 0 (?, TO BE FILLED IN BY PLANNING DIVISION Date Application Received y Zoning Verified by Permits Reviewed by S /3 Date Letter Sent File: "Mobile Home Permits - Temporary" with copy of Letter K.-WomiAmilor.frm ' Ocie ,p- VA,� -IL ( e�N3 - 0 p o rJ F O � Ocie ,p- VA,� -IL ( e�N3 - MQ,r 0.1. f1 ,. - ti� -� �`.: - - �,,,,. � M a .'`5:.� N COUNTY OF BUTTE -DEPARTMENT OFbEVELAPMENTSERVICES -BUILDING DIVISIO PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT _ c ASSESSOR PARCEL NUMBER 021 ZONING BUILDIFFG PERMIT OWNER D01111A FOSTERS TELEPHONE SO. FT. OCC. BUILDING VALUATION EST 500, OWNERS MAILING ADDRESS I95943 CONTRACT. tORR'SNAME OW7�.3 TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1267 Ttt ' PERMITFEE $ 00 -PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ;0,'. Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: US-MLISTI 640 SQ r i 'MUSE Mobile Home I S I GI W 1 920.00 PERMITFEE _ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 000V OR LESS Main Service ( 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 licensefis in full force and effect. License Class r Lic. No. i 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 l property, am exclusively contracting with,iicensed contractors . to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST, MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL 50 Ex. Occup. (oFIXEEDrs RES o.Oea) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 FT - PERMITFEE $ Contractor WORKERS' COMPENSATION -DECLARATION I hereby affirm,,under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a !certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 Filing g 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 work of a valuation of one hundred dollars ($100) or less.) Y NI 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. �� �' X1� / � / i, r.. i s �T.X r J-• _ Date _ � `Signature of Applicant - 'Owner ❑ Contractor O Agentt An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD I HD I ISSUE 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 aid. P r BY T �/ Date PERMITEXPIRESON J JC1'%' ` �13 / (Date) Receipt No. ! fi 5) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ��' ASSESSOR PARCEL NUMBER 021-132-012 ZONING BUI NG PERMIT OWNER DONNA FONTE TELEPHONE SO. FT. OCC. BUILDING VALUATION EST 500. OWNERS MAILING ADDRESS 1640MAGNOLIA ST. GRIDLEY, CA 9594A CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIWOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1967 DEWSNITIP, PERMITFEE $ 35.OIJ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDN1910N'SNAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFS( Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: DEMOLISH 640 SQ FT HOUSE — Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service a OR LESS ( zoOA OR LES ) 23.00 Main Service ( 200A TO I000A ) 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. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1( )4 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 NEW CONST. DWELLING OCCUR \ OR NS. ( 8 ACC. / SO . 3.5¢ FT. NEW CTLET CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET S Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL 0 .50 Ex. Occup. ( OUTLETS PPLNS OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 wor rs' compensation provisions of section 3700 of the Labor Code, I shall6 . fo with comply with those pro i X _ Date _ �, -- . nature 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 Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. 1 D. FEES IMP FLOOD I CDF PARCEL PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 1 �� Date t7 C (ate) Receipt No. J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner:. An "owner -builder" building permit has been applied for in your name and bearing your, ; signature. r` 'Please complete and return this information • at your; earliest - opportunity" to avoid 'unnecessary delay in processing and issuing your building 'permit. No building permit -w& _ be issued until this verification is received. I personally plan to provide the major la or and materials for construction of the proposed property improvement . S[ vf- NO[ ]. I HAVE[ J )HAVE NOT[ vJ signed an application fora building permit for the proposed work. 3. I have contracted` with the following person (firm) to provide the' proposed construction: , NAME: ADDRESS: CITY: PHONE: 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: . "DRESS: ' - CITY: ` PHONE: CONTRACTOR'S LICENSE,NO. 5.. I will provide some of•the work but I have contracted (hired),the following .persons to provide the work indicated: •r ; _ NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: , DATE: NOTE: . This owner-Builder,Verification is required by Section 19831 and; 19832 of the California Health and Safety Code. s This verification must be completed and returned to our office before ' we are permitted to issue the permit. h OVER - r� • Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For yourprotection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than, yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and Lie 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. 0 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. 0 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. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this 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. S i n & ret Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This O%Nmer-Builder Information is required by Section 19830 of the California Health and Safety Code. OVER Demolition Permits,, Asbestos Notification Statement Date An - Pursuant to section 19827..5 of. -the California Health and. Safety Code, all demolition permit applicants are required to fill out this form.. "19827.5: A demolition permit shall -not be issued by any city, county, city and county, or state and local- agency which is authorized to issue demolition permits as to any building or structure.except upon the receipt from the permit applicant of a copy of each written -asbestos notification regarding the building -that has been.required'to be -submitted to the United --States En•vir•.onmental;..:Pr..otec,tion, ,Ag6ncy...gr :ao -a, designated`. state agency, or_r • - - both, pursuant to -Part 61 of Title 40 of the Code of Federal.Regulations, or the successor to that_part�. The 'permit may be issued without the applicant submitting a copy of the written notification if the.applicarit-declares that the notification is not applicable to the scheduled demolition project. ..The permitting agency may require the applicant to make the declaration in.writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy -of my written -asbestos notification to the United.States Environmental Protection Agency for the demolition project located at Signature of Applicant R e I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable o this demolition ode Signature of Applicant 2/19/91 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive,,,Oroville CA 95965 Phone:' 91x6-538-7541 DONNA FOLATES 1640 MAGNOLIA ST. GRIDLEY, CA 95948 RE: BUILDING PERMIT APPLICATION FOR DEMO DATE: 3/20/96 A.P. # 021-132-01.2 With reference to the above subject: Attached is: XX Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes Enforced we need the following information prior to permit processing and/or issuance: XX Permit application signed and completed where indicated with all copies returned. Plot: plans, 3/4 sets., signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and talcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. XX Fees of $ 35.00 , payable to Butte County Treasurer. Impact fees paid. .California Department of Forestry plan approval/fees.. Flood -elevation -letter (100 year flood) by California Engineer. Sanitation'And plot plan approval Health -Department. City of Chico plumbing permit. Plot plan -and -business -.license approval from City of Biggs/Gridley. Planning approval for Land Development (a). Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (.No. Name Stvle. Class) or exemption statement. Certificate of Workmans Compensaticn Insurance. r -XX—Owner-Builder Verification Form. Recorded ..cry of Agricultural Acknowledgement Statement. -Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50o subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. -Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Other: ALSO, PLEASE SIGN THE ASBESTOS NOTIFICATION STATEMENT. Should you -have -,.any questions -concerning -the above, please contact== ALICE of this office: - Y rs.very t 11 Y, MCV: ahb APR 0 1 1996 ✓ -G Mic ael C. lieira, C.B.O. Manager, Building Inspection