HomeMy WebLinkAbout021-132-0499
ANDERSON & BIHL
s1s Social Hall Rd. 2001 west Dewsnup
Pe, rmit 972-73B -
(new single family
A
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Permit
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ANDERSON
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(new
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Social
1 1 32_, 1601�90B,t
21' 132-49
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MCKEN -Gerold
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c
'al HhU Rd', Gridley
471. Soci
tion,"
Conti oInstr
Lowell Hagber"g'. C �Ic
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RESIDENTIAL
21-132-49 1601-90BE
QQCKEN, Gerold
471 Social.Hall Rd, Gridley
Contr: Lowell Hagberg Construction
�--'(c�onv,gar to living/
7
JOB FINALE
Signature
J=OK
O = Not OK
Not Applic
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except ri's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /'L"ft.
/ /"Nat. or/ /% "ft./ /"LPG
Clearance
Date Card B-1 Date Card B-1
Date . Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-Demand-Valve—Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
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 q's
ry!Zoning Requirements -Setbacks -Easements
=4-e.-1-`ootings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs: Coonectors
Shthg.-Rig.-Bracing
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
irports; Windows -Doors
Electric
. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
Siding; Nailing -Veneer -Stucco -Mesh
-19"R-tiof; Shthg-Roofing
4-=T-oir=Steps-Doors-Landings
Date -Cf Card B- DateCard B-1 t�J
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except irs
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip'. -Pool Lghtg.
Boxes-Enclosu res -Pane I boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
✓=OK
O=Not OK
- = Not Applicable
' = Not Ready RESIDENTIAL (Single
& Duplex) -
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth
46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel -Wrapped
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
8. Piers -Fireplace Ftg.-Steel
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. Gas Pipe; Size -Anchors
55. Siding -Nailing Veneer
11. Water Pipe; Test -Anchor -Regulator -Service Test
56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
12. Electric; Underground
57. Glazing Area -Glass Protection -Skylights -Plastic.
13. Pienums & Ducts; Clearance -Material -Support -Ins.
58. Shear Walls; Nailing -Bolts
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
59. Insulation -Walls -Ceilings
15. Insulation
60. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
Card B-1 Date Card B-1
16. Water Htr.; Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchor -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
Date
Card B71 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clearances -Hearth
22. Fixture & Transformer Clearance -Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
24. Size Boxes & No. of Conductors -Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing -Landing -Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage -Damper
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
75. Plb., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
30. Service -Riser Conductors & Ground -Main Disconnect
78. Guard Rails & Deck Construction -Post Caps
31. Equip. Clearances Panels-Motors-Mech. Equip.
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
Date
MECHANICAL (Permit) OK except #'s
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
34. A.C. Ducts Insulation & Support
84. Water Well; Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
36. Condensate Drain & Overflow; Size & Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Date
Card B-1 Date Card B-1
91. Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Date
Card B-1 Date Card.B-1
39. Sils, Proper Material & Anchors
Date
Card B-1 Date Card B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Date
Card B-1 Date Card B-1
41. Bearing Walls over Girders & Floor Nailing •
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
each time you visit job site)
(NOTE: An entry must be made
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville_�California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
1601-90 /
A
ASSESSOR PARCEL NUMBER
21-132-49 1
`ZONING
A5
BUILDING PERMIT
OWNER
Gerold Gocken
TELEPHONE
S0. FT. OCC.1 BUILDING VALUATION
399 1jV{
1 t0 3,990
OWNER'S MAILING ADDRESS
471 Social Hall Rd Gridley
CONTRACTOR'S NAME
Lowell Haber Construction
TELEPHONE
CONTRACTOR' MAIL NG ADDRESS
1408 Hazel St Gridley 95948
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 44.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 22.25
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
47 1 ll
Permit fee
$1.75
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Gridley
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF U Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W I
110.00ea_
TYPE OF WORK
New ❑ Addition ❑ Remodel Utilities ❑ Installation❑ Other ❑
Describe work: garage ronv t -o living _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service BOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions .Code and my license is in full force and effect.
License No. 3,01195 Classification r]
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&`
OR ACDNS. (ACC, BLDGS. I
,
2/z�sgft
NEW R ULTI.OUTLET
NON•RES'ESI. BRANCH CIRC ITS
2,50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
eALL@30
FIXED APLNS
EX. OCCUp. OUTLETS (PRESID.)REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Iyirin g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
t� a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County inprise ce�the rantin of this permit.
XThis
��to S - /7 '- _it)
Signature of Applicant —V O
Owner ❑ Contractor Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stores in ei ht.
Mobile Home Installation Fee $
Energy Inspection Fee $
oc co
TOTAL FEE $ 111.70
HAZ
CUA PARK
SCH
FLD
Ab
H 1 5
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
P IT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date %— 2, 90
— Z—
Receipt No. 66754 qBY
WHITE-D.P.W., YELLOW -AS E 90R, PINK -INSPECTOR, GOLDENROD -APPLICANT
�"�`RR�,'1`h"L►�,i�'"�? i •e� 1+1 ':f'y�, r r.�t S �PS''�, f�N� ,`�'" . ,.
COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE ssOla CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APP,4,I'CATI0'N DATA SHEET
/ Permit No.
4.1
OWNER �oC/G � A. P..No. V -j44
Proposed Building Use Building Inspector Date s
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED,
1. All items have been submitted . ........................ .........
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions....................................................:..
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit. .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation. Insurance ..................
X23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... .
24. Recorded copy of Agricultural Acknowledgment Statement .........
_<25. Letter of signature authorization ................................... (,jjnLj90_ 72A
26.
27 / �-
(Wen you issue the permit, prop s as follows: Mail to owner.. —M ail to contractor.
v
Telephone 0 and hold for pickup at office. Deliver w./inspedtor.
t he r --- N_ 7
Applicant_ .Date S . / 7 - G b
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 submittedrior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Conitactor, designer, owner, was advised of above required data by —phone ail counter by—&L.date n
Contractor, designer, owner, was advised of above required data by—phone—maii—co u nAr 4y,L— `date
Plans checked
Copy—DPW
Date Plans approved by Xs_ tv Date
Sets of plans on hold in File cabinet AP folder
Puildino Department
Environmental Health
Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage D
Hold final for:
Final clearance O.R. for:
Clearance forAL bedroom mobile home.
posal Water Supply_
Water Supply
I 1 Water Supply
Other r C`eC` "i""' T,-- a-
COUNTY OF BUTTE - DEPARTMENT
s
OF PUBLIC
Contractor
7 County Center Drive -Oro California 95965
WORKS -
- -
Te 916 "533-7541
-
PEF290
APPLICATION AND PERMIT
-- --
Heating
AgaEg30R PAq CEI. NUMBER
Insurance or a Certificate
at Consent t0 Self -Insure.
I snarl not employ
P Y person in
Cooling
j I j
OWNER
BUILDING PERMIT
Hood
�+ ITE EPHONE
OWNER .
'
S0. FT. I OCC. j
M�
AILING AO,pq Eg3
BUILDING
�
VALUATION
Fee s
I certify that I have read this
CON RAC TC 'S NAM
i
application and state that the above information
is correct. I agree to comply to all Countes
to building
Mobile Home Inatallalfon Fee s
ana
construction, and hereby authorize representatives of he State s relating
Butte to enter upon the above-mentioned
CONTR AC TOR'3 AILIN wOOR�� t
I I
property for inspection purposesunty of
I also agree to save, Indemnify and keep
171
harmless the County of Butte against
all liabilities, judgments, costs; and expenses
CONSTR CTIONLENO ER (�
Fireolace j
which may in any wa
against saidCountyin consequence of the granting of this permit. y accruez
ANG UNKNOWN
L ENO ER•3 MILIwOOR>o3g
Total Valuation 15
X
I
Filing Fee
Date
Signature of Applicant _ Owner ❑ Contractor ❑ Agent [-j
An "-.'
ARCNtFECT OR'ENGINEER~ 0 !,. ..+.....a.r�'ti y.,,x!S '•
r �' ark. `t�" .. 3j+r
v " 5.. -!. +,rcr`.+'~i-µ. 0.Go � -ei
�. 1
Pefmlt Fee
LICENSE No•
AR CMITECT OR
Plan Checking Fee
S
I
ENGINEERS MAILING AOOR ESg
=neray Plan
S
'
Receipt No.
C`ecxlr,c Fee
•
3UILGING ACOR=$$
Penalty
S sr
Permit tee
15
PLUMBING PERMIT
j Fiii Fee I 10.00
Eacn TraoISION
NAMESOIar
or heat pump water heater
EL MAP
r—]!!
',Vater pioing
70•O
5.00
^ USE OF STRUCTURE
�,7
S I
each aas water heater or vent
as
Gas pioing system I- 5 outlets
a .00 1
Ouplex���•" Mobilehomel� Other
0
5.00
sewer
sP�c: � r
TYPE OF WORK
Mobile Home I S : G I-V j
j I 5.00 j ,>
(10.00 e�
New 71 AdditionEl' Remodel I I Utilitiescl Installations Other
Describe work: o YLI ��*111
Permit Fee
S
Contractor
ELECTRICAL PERMIT
I FilingFee 10.00
Main service;cov
,°a �pss
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of
Main service EA. Aoo'L loo AMP
NEw coNST.
Perjury
I y (check one):
I am licensed
// ACC. aING OCCUP.y)
OR AOONS. 1 ACC. SLOGS.
EW
Q
I2Y:¢sa ftl -(
under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code ana
CESIO MuL -;-OUTLE
VQN.P�SIQ 9.q.l c:RC:':Ts
12.50 eai
my license Is in full force an a effect
License No.
(POWER
POWER APPAq AT
OUTLET C1R.�
Classification
I, as the owner, or my employees with wages
Ex. OCCUp(OUTLETs OR FIXTUREg 50 115,3 LJ30 1
Iew�J'-'�rl
-IxEO
as their sole cpm en-
sation, will do the work, and the structure is not intenaea or
for sale. (Sec. 7044)
APP
Ex. Occup. +s• oR
ou . L.-� ,R sic.: EA.)
j 2.00 -j
offered
Q 1,
Temporary service
1 10.00
as the owner, am exclusively contracting with licensed contract-
Ors. (Sec. 7044)
Mobile Home Facilities
115.00 j
I am exempt under Sec. �_, Business and Professions
Mise. Firing
� 15.00
for this reason Cade
j
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of
Contractor
perjury (check one):
LI The cermet Is for 5;00.00 (valuation) orTess.
MECHANICAL PERMIT I FilinoF 10.00
f—; I have olacea on file witn the County
U a Certificate of Workmen's Compensation of 8u;;e Building pepartmentcate
Heating
Insurance or a Certificate
at Consent t0 Self -Insure.
I snarl not employ
P Y person in
Cooling
j I j
any manner so as to become subject
t0 the W. C. laws of California, •
Hood
Notice to Applicant: If after making this statement, should you become subject
10 the W. C. provisions of the Laoor Code, you must forthwith
Provisions
3,00
Ventilation j
or this permit shall be deemed revoked, suchPermit
comply with
Fee s
I certify that I have read this
Contractor
application and state that the above information
is correct. I agree to comply to all Countes
to building
Mobile Home Inatallalfon Fee s
ana
construction, and hereby authorize representatives of he State s relating
Butte to enter upon the above-mentioned
Energy Insoection Fee S
property for inspection purposesunty of
I also agree to save, Indemnify and keep
0cc CONST TYPE
harmless the County of Butte against
all liabilities, judgments, costs; and expenses
- TOTAL FEE $
which may in any wa
against saidCountyin consequence of the granting of this permit. y accruez
CUA PARK SCHt PCO PAR
PAR
X
I
Date
Signature of Applicant _ Owner ❑ Contractor ❑ Agent [-j
An "-.'
Th::s Permit is nereoy issued under ine a f'
sions or the Butte Caunt� Pp icaole
work >' Code and/or resolutions
OSHA I
pomp is required Fo'n"covlOtr)ons over 5'0" de d demolition or struet•
ion of structures over 3 star• deep an con
to do
to do
indicated' above for which tees have been paid-
-
DIRECTOR OF PUBLIC WORKS
Receipt No.
•
write -dere w.. TcL�ow...
•.ae Ca 3a •, �IKa- K!/C CTaw, Gala [M Ii00•••eliCAw7
By t: D - - —
-
PEiat ' I
RMIT-EXPIRES
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t
BUTTE COUNTY SCHOOLS DEVELOPMENT'FEE�.CERTIFICATION FORM
(One Form per.Building)
A. P.' Number 6,1-/ - OOD Building Department No.
1 P
School District /p L E. City 0 County 0' - Jurisdiction'
Property Owner F R A L.li D G /K F az
Project Location/Address' L:
Subdivision Lot Number -
Residential -,:
Development:
# of Living
r Units
MHI
Commercial/Industrial:
New
3q Sq. Footage �3 9
Addition. (Group R)
F
Sq. Footage
Addition (Including Exterior
Roofed Areas)
t/
'Iyat
• r J
`Di`str•ict` Id;`No. ':t-..,.�r�-`,-,.,_• 9'- f/ -ego yyy F 1._ t s ;,.;
~ School District certifies that
Applicant Name) (Phone Number
y
street Aaaress)
(City),
State)
has complied with the requirements of Resolution No.
(zip Cod
by the. payment of -' $ _ representing _.G -- square feet.
_ School DTstrict Representative Date
PAID BY CHECK NO.
BANK NO
PAID BY CASH
REMARKS:* �L�✓/�i� �l�l
white -applicant, yellow -building department, pink -school district,'
SCHOOL . FEE (5/88)
G
4,
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX--& MISC. ONLY)
Bldg. Permit # r U 1/ y
OWNER A. P . # /AZ
GENERAL
ideyar.ds
a/V� u mon.
s signed by designer.
4 nergy Design and Compliance.
t .
tems on data sheet.
PLOT PLAN.
and number of permitted living units).
a size and dimensions.
e ac s, sideyards, easements, etc.
er ui i.ngs or structures.
rard'ngr ,, iiTs, drainage
0o azar .
con itions on.creation map or compliance document.
7. FAU etback.
FLOOR PLAN
5/89
n mss.
5��e windows for light and ventilation (Sec. 1205).
3 windows for second exit (Sec. 1204).
4.
Required room sizes, ceiling heights (Sec. 1207).
garage, for outlets (Article 210-8).
!Light fixtures, switches, receptacles, and exterior receptacles for maintenance
of mechanical equipment.
meter-rre heating and cooling equipment, other electrical or
gas equipment, and plumbing fixtures.
size, and closer (Sec. 503(4>)(3)).,
1 ' 11-e-x-�or exit door (Sec. 3304(e)).
Yate and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210). ,
STRUCTURAL DETAILS
?plete enough to construct building.
-�r�,�u�,ian-details complete enough to construct building.
6� Elevations and I 1 :onstruction details complete enough to construct building.
details complete enough to construct building.
ce nstruc 'on details and talcs if necessary.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
1. -i±s: landings, rise and run, head clearance, handrails (Sec. 3306).
2. tails (Sec. 1711 & 3306(j)).
ric o stone veneer (Chapter 30).
5-A589
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D)
4-- Ext—eri`ar plaster - weep screeds (Sec. 4706) .
roper roof pitch for roof covering (Chapter 32).
6- -tee€�3ing type - (fire hazard).
?-.—R,aft-eryes or bearing ridge beam.
8 -6a -rag -e— or or porch header sizes.
9. Ging.
garage - complete 1 -hour separation required on garage side
includAg supporting walls and posts, etc.
-story dwellings (Sec. 3303 & see Mezannines - 1716).
ttic access and ventilation (Sec. 3205).
(Sec. 2516) .
1Y. eumbu�"'scrt7zr1 burning appliances.
n duplexes.
o pecial foundation design.
n walls requiring design.
sfiap'e, size, or split level house requiring lateral design.
•lashi
Fng at all exterior openings.
/74
C-04vo-'
2
Pb Ate
/ Z �j GG2.7�/ ice✓
70
12
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7.County Center Drive, Oroville, CA 95965 PHONE:. 916'538-7541
DATE May 30, 1990
Lowell hagberg Construction RE: Permit appin #1601-90 for garage
1408 Hazel St conversion for Gerold Gocken
Gridley, CA 95949 A.P. # 21-132-49
With reference to the above subject:
,tX]d Attached is:
Application for permit Mobilehome Utilities Installation Sheet:
Building Plans Mobilehome Installation Information Sheen
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER O KForm 7 to be signed
IXYJ We need the following information:
wi
Permit application signed and completed where.indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in _
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section'(DPW).
sets of plans in accordance with the changes marked in red.
XXX Sanitation approval from Butte County Health Department at:
196 Memorial Way,' Chico
_)M 7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
.Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
er o s gna�ture—author za i.�n
Should you have any questions concerning the above, please contact Tom May
of this office. (916-538-7541 between 3--5pm
Yours very truly,
JFG/aj
William Cheff'
Director of Public Works
/J.F. lander
Chief Building Inspector
FORM 7
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions)
Owner &c® LQ 69AWA) Climate Zone
Permit # ��t% Floor Area 9!?9
The following data showing mandatory and required features of Package "A" shall
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios to living areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
rZONE 11
APPLIES TO NEW AREA
CEILING R-
WALL R-11
FLOOR R-11
SLAB R-7
GLAZING U-.65 (Dual)
SHADING
SOUTH - OPTIMUM OVERHANG
or .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
ZONE 16
R-38
R-19
R-19
R-7
U-.65 (Dual)
INFILTRATION CONTROL (Weatherstrip_doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZLNG 16% OF AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING, AIR CONDITIONING -AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.
OTHER
BUILDiNG
AP
COUNTY
12/85
[a
*1 HEATING VENTILATING AIR CONDITIONING SYSTEM
(A) Heating
C3 Central Gas Furnace 7
(brand and model Dumber) SE
Btu/hr
(heating capacity)
❑ Heat Pump
(brand and model number) ACOP
Btu/hr I
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y-intercept
rated slope'
❑ Other
(describe)
*1 (B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER) �
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
• EER
Btu/hr
(cooling capacity at 95"F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
c ❑
.(A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ *2 Active Solar
(collector brand and model number)
(rated y-intercept) (rated slope) (solar fraction)
ft2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature °, cooling load BTU
*2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
n
*SA OF BUILD G D IGNE R APPLICANT
�:.��, e 1
I• n
1403 n 19a et S1.
Gridiey, CA 95948
I Ph. 846-3076
,
F. I
777
I i I
,
I
i
Y,1 SI�n`y. ►'105 �,. :..
This set of plans and specifications MUST -,be - -
kept on the job at all times and it is unlawful to, ;
make any changes or alterations on 'same wi` im
writtenrmission from the De !
PQ pa�rtm®nt of PuOM� -- --- � --
Works, County of Butte.:
,..
169
. �.
Ge,rc'`A G ockern
y `71 soc\,cl-1 Nal► Kd
SUTTL
DUILDING DEPA . M�I T
'- Ax—
' I i
-VA
�A
t
T'll
j '1'. f-4
SA
ProAcle I
err
6.7 sq. R.
9
r::nclv5c
door -
'140
lect
0.
idow:r
knw�'Siw
q (.0
1L
Enclose I IV IVA
.1 Cl
SUTM COLOTY
suj,.QjNG CEPA
AP
PSOVED
fizame 464b
XAE40: AkeA Pm
610C, W 6D,
AkGA
C%-
-3f�/
•
- CJ
40
--------------------------------- -
z U .G)
au
AW Ek, RA BUILDING DEPARTMEN
APPR- 0
PERMIT -NUMBER - B 272-738
P
R
tw/
E
PERMIT EXPIRES—�
TOWNER Anderson & bihl
CONTR: owner
a;l
n LOCATION (A.P. 21-132-15 )
s/s Social Hall Rd. 200' w,, Dewsnup Ave.,
Gridley
i[ P
k
f.
f
9—/,.- 73
c1 _ 7 - 73
r
COUNTY OF BUTTE
Department of Public .Works
BUILDING INSPEvCTIO,tJ,, RECORD
Zoning
Setback
Forms
Foundation
Piers & Girders
Fireplace•
' Rgh. Plumbing
Bond Beam
Lath &Plaster
Rein. Steel
Gas Piping & Test �7_ 7�
Found. Vents
Framing —
Plmg. Topout _ �'�
Rough Elec.
Wfr. Htr.
�r7
Furnace
Kitchen Vent
Firewall ��73
Garage Vents �%� 7 `�r�
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary. f v
Temporary
Cert. of Occup.
Final —
Final9 _ ` —
Final
DATE
REMARKS OR CORRECTIONS
9—/,.- 73
c1 _ 7 - 73
r
r
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Oroville, California 95965
Tel epfione: 5214-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 14 Date!T 13 " 73
Signature of Permitee or Agent
Receipt No.,L( Y"
White-D.P.W. — Yellow -Assessor — Pink- nspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR PF PUBLIC WORKS
B, Date
Date
Building permit expires Date ±-"� .7
BUILDING '
Owner alk S
'SQ. FT. OCC. BUILDING VALUATION
/ / 37
Mailing Address P
Telephone No.
C l
Fireplace
Contractor
Total Valuation p
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Tlephone No.
e
Permit Fee
$
Building Address
PLUMBING No.1 @ I FEE
PERMIT FILING FEE $2.00
C�0
Each Trap 1.50
LCL
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. •— ��— Qj�
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
4VI se—
Fees W.C.
Sani ation
FireD pt.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel'
Declaration
Par el M 60 R/W
Im r
p ovements
Lawn sprinkler system 2.00 '
'
Bldg. PIa s Rec d
�'�f�
Parcel Approva
J
Plans Approval
Permit Fee
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures p0025
Receps., switches & fix outlets :TM
b.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the.
State of alifornia Business & Professions Code under the name
style /j
p�
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
'Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No/20 3 Classifications
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
Elhave placed on file with the County of Butte a certificate of
'workmen's Compensation Insurance.
❑I certify that in the performance of the work' for which this
permit is issued I shall not employ any person in any manner
so as to become subject to.the Workmen's Compensation Laws of
California.
MECHANICAL No. @ I FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00 ,
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 14 Date!T 13 " 73
Signature of Permitee or Agent
Receipt No.,L( Y"
White-D.P.W. — Yellow -Assessor — Pink- nspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR PF PUBLIC WORKS
B, Date
Date
Building permit expires Date ±-"� .7
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS %O
v7 County Center Drive L Orovi'lle, California 95965
J� Telephone: 434-4541
APPLICATION AND PERMIT
01 -/ D '��/ BY Date % Z
Receipt No. — Building permif Wires Df
e
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant •-•••••—•••••.........�.»
BUILDING '
t
Owner _, / K
vv
-SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Addregg
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address s S
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00 to -0
�U U
Each Trap 1.50 ,
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
�� C`
A. P. No.` �7
Zoning & Planning
Gas. piping system 1 - 5 outlets 1.50 %,
Each additional outlet .30
Fees
W.C.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Im provements
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee $ ,
EW ADD1,T4,9N ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
— '7 3
Additional meters, each 1.00
Single FaM4 Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater j 1.00
Light fixtures all _ plc
Receps., switches & fix outlets 2II7(25
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business &Pro ssions Code under the name
style t
a
F
Hood, Ex. Fan or F. A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No.�2 `7 7,1./ Classification 0-2,,16r—
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
'j�'j 1 have placed on file with the County of Butte a certificate of
4� Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
i certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
DateIR
$ianature of ermitee or Anent
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood J 2.00
Permit Fee $
$
TOTAL PERMIT FEE
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
n OF PUBLIC WORKS! /�
_ / A/ �U' /'7 7
01 -/ D '��/ BY Date % Z
Receipt No. — Building permif Wires Df
e
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant •-•••••—•••••.........�.»
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
X 7 County Center Drive Oroville, California 95965 p� �
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
Owner SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contracto
Mailing A
Building Address. 5
'/ ;7, !;7,
Telephone No.
A. P. No. c� Zoning & Planning
lwS *-. I S•aMTa-flon I Fire Dept. t FireZone Use Permit
EQA Parking Parcel Parcel Ma 60' R/W Improvements
Plans Declaration P P
B I d ec'd Parcel Approval Plans Approval
NEW IK ADDITION ❑ UT ITIES ❑ OTHER ❑
r a-8 L3
Single Family Duplex ❑ Mobil Home ❑- Others ❑
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of. \
G
License No—970 / Classification (2-10
I am exempt from the Contractors License Laws of the State of California.
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize represen s of the County of Butte to enter upon the
above-,raeg,tioneO,<roperty for inspection purposes.
K4
Date 7/ /6-79
nature or Ag
apt No. L/ / L�/ / %_� Ci /
ite-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
$ •
is
PLUMBING
No.1 @
FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping
1.50
Each gas water heater or vent 1.50
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.30
Building sewer
5.00
Lawn sprinkler system
2.00
Permit Fee
$
$
ELECTRICAL
No.
FEE
PERMIT FILING FEE 3.00
5.0-0
Main service incl. 1 meter
,OZi
Additional meters ach
1.00
Sub -panel (12 ess) (more than 12)
Range, Cook -top or Oven
1.00
Water Heater or Space Heater
1.00
Light fixtures
yald1
,
s.,sw' s&fixe ets
20 (a 25
HG16d, Ex. Fan or F. A. Furn. Motor 1.00
, 0--6
Evap. cooler, gar. disp. or D.W.
1.00
Air conahtioner or heat pump_
Water pump
Mobil Home Facilities
5.00
Temp. Power Pole
5.00
Misc. wiring
Permit Fee $
MECHANICAL No. @
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
FEE
TOTAL PERMIT FEE $02Z:r1f .S
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.
DIREC 0 OF PUBLIC WORKS
BY Da/ �, /7
te
Building permit Aires Dad �,,a
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS vg
7 County Center Drive ' ; Orov0le, California 95965 C:2 l
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor G
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
—
Tlephone No.
e
Permit Fee
Building Address S
PLUMBING
No.1
@ FEE
PERMIT FILING FEE J$2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. I -- 3 �-
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W.C.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
ParcelParcel
Declaration
Ma P
60' R/W
Imp rovements
P
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
Parcel Approval
Plans Approval
PermitFee
$
NEW ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 25
hal (61
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of: r
4L+'�l� ae a,.4
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No.Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every, employer to be insured against liability'
for Wo en's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
❑ piermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Heating C2
Cooling
Ventilation
Hood 2.001 2
Permit Fee $
1 certify that i have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
PERMIT TOTAL FEE
$ �V
euL1101l Le reNresentauves or the County of Butte to enter upon the
above-mentioned pr erty for inspection purposes.
- t
X Date 4 "Y -3
- Si ature of Permit or Agent
Receipt No. C-, D
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
A DIRECTOR OF PUBLIC WORKS
Building permit expires Date
pj4Lw 71.
f f.
ROTE: -All Materials & Workm.ansh,ip Shall Be in
Accordance with Recognized Good lPrctices acid
of a quality prescribed for the Specified use in.the
Uniform Building Code, Uniform Plumbing Code, and
the National Electrical Code.
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10, -100,®v LR.JTTE COUNTY` ,
BUOING DEPARTMENT
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The Bldg. Setback shall be 5 ft. from p p 0'V.
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the side -property -line- and 5 0 -ft : from
the centerline .,of the road, perm•tting I
I740 _Wro—wrok% Iop of ?I}6 ;
maximum of a 2 ft. eave overhang.
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