HomeMy WebLinkAbout021-133-017i
A -.P -21-133-17
,BA MANN
,I)ANA... ...... .........
.... �** W.
N �** W. ibdtlty 250', E. of 4
r `�'. 16y
lDewsnip '.G id
Permit 2422-74B (carport)
21-133-1
3b Irt iC� a �we s
N/S W. Liberty Rd.,250' ewsnup,
� *dl
3 e -T#35 8-
rm t 8 E(addition to storage
04-& don
W_ -INNW I
21-13-3-017 2�1,93-2158, --B
-VA".00
JURADO, LILIA.
428 W LIBERTY'RI), GRIDLiY /SF
I WINDOWS9',IN.SULATION
STUCCO'
-96-281
-4
1 '0 7.
`0 2 13:-- 3 -
'ROAD,-GRIDLEV
42.8-WESTJJBERTY�
,JURADO, ALDO/�ILA.
CONTR: OWNER
ADD COV PORCH
.51
..............................
0 21 13 3 017
'�E
LiL
ER Y G
�D
14%
jURADO, LILIA
'kD, GRIDLEY-
428 W LIBERTY
i: _, 0 NER 0 4
W M
0
Cd.i:10WNER
S L �Y 0
-NDRY
GAS �rNll IN LAU ,ROOM , A
4
CW2
PERMIT NO. 2422-74B
P
E
M
MH UTIL.
PERMIT NO.
PERMIT EXPIRES 6'
OWNER Donald Wayne Bauman
CONTR.
21-133-17
OCATION-(A.P.
n/s W. Liberty 250'. east of
Dewsnup, Gridley
T
-Temp. Power Pole,
Called PG&E
Temp. Elec. Serv-
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
.(Signature)
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setbackzjq�,
Firewall Sol I Piping
Forms Parapets 1st Floor
Main -9ldg. Restroom Finish 2nd Floor
Footings Windows 3rd Floor
Sternwall Siding Topout
Slab Roof Sheathing Water Piping
Piers Roofing Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
-Stemwa I I Prov. for physically Heaters
Slab handicapped Appliances
Carport Conformance of ex. Gas Piping & Test
Footings !W- structure Temp. Gas
Slab Final Sanitation
Patio FIREPLACE Final
Footings Footing - ELECTRICAL
Masonry Walls Throat Rough
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
DA iE REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC RKS
7 County Cen!qr Drive, - Oroville, California 9596
. ' I
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X alP"4-1912- Date
Signature of Permitee or Agent
Receipt No. Z 8
White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF P LIC WORKS
By
Date Z,2— _Ze-1 _2
B6�i/ld4ing'perrrlit expires Date .................. 6 _. 7_F_. ?
..... . ........
BUILDING
Owner T)a rv,-g I - D W 1-1 V AJ E- R_ iq ul A4 to �J,
SQ. F T. OCC. BUILDING VALUATION
Z/ 0 0
Mai I ing Address V
_-F—Tel
ephon e No
Fireplace
Contractor
Total Valuat ion
Mai I ing Address
Permit Fee
Plan Checking Fee&/orPenalty
Telephone No.
Permit Fee $
$
Building Address Lo Le
PLUMBING No.1 @ I FEE
PERMIT FILING FEE J$2.00
A-7
Each Trap 1.50
ArRe
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 43 3 7
Zoning & Planning
–
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fvs I
W<14S�i
on
Fi re Dept.
I Fi re Zone
Use Permit
Building sewer 5.00
EQA
1 Parking Parcel
Plans -1 Declaration
I Parcel Map
�60' R/W
I Improvements
-
Lawn sprinkler system 2.00
Bldg. Plans Re�d I
-
Parceg'Ao'pproval
PlinsZpproval
Permit Fee $
$
NEW ADDITION 0 UTILITIESE] OTHERg'
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
–
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel 0 2 or less) (more than 12)
–
Single Family Duplex Mobil Home Others
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
20 1@ 2T
Light fixtures lbal 010
Receps., switches & fix outlets 120(-125
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapte _r 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. di sp. 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
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.
E] 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
VfZ plermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
Ca I i to rn i a.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood =2.O 0
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
TOTAL PERMIT FEE
s7 77a
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X alP"4-1912- Date
Signature of Permitee or Agent
Receipt No. Z 8
White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF P LIC WORKS
By
Date Z,2— _Ze-1 _2
B6�i/ld4ing'perrrlit expires Date .................. 6 _. 7_F_. ?
..... . ........
rhis set, of plans and specific
ations MU�T bp
kep"t on the job at all times and it is
unla,��ful to
make any changes or alterations
on same without
written permisson from the Department of Pl+(;�-
Wnrks, Co,,intV of R!,++.�
e -S 7
440
al, 0 0 rz
4�2
0
The Bldg. Setback's all be '5 ft. f rom
'the side property lin and 50 ft: f rom
the centerline of th road, permitting.
eay.e overhang.
BUTTE COUNTY
:BUILDING. DEPARTKNI.
ti
-kept I on the job at all times and it is untawful'to
-Fos
make any changes or alterations on same without 04/
written permisson from the Department qkFublic ("a lowe to All
Works, County of Butte.
Ae-P,44n:�i3 7Ze,
v
w r�o
manship Shall Be in
x C
—All Materials & Work
NOTE:
�_ o
Accordance with RecognizedlMood Practices and
v T, f
of a quality prescribed for th4 Specified use in the
Uniform Building Code, Uniform Plumbing Code, and
6
the National Electrical Code. _�!'.V
Ua'
Aol
(7L
U411 -
A,
K Y/ox
"O/e
7�
J
;;� t
lvr-
4
Ir I cou
7x "i,
BUTTE COUNTY
BUILDING DEPARTMENT
J
APRROVFDA�
vp
oo! %$'loop 0.
go 0, ��
6'e.,q p 0 e
ep PZ
- '0�
,�) 01-
1 0 5 volp
0
,A.Dc I I
'10c .-Au
Qr "t.24
44
-414
4104z
Q��-C, pc3Q-A-,-
t--�cpvv-v e—
e-1 �g ci - j-) b -fl- V-1
f
APPROVED ro
Butte County
-ntal * Health
Environme
—( 9 --
Date
-------- �Ignature
BUTTE Cot
,vi W -p
Gbb
8 (?,%
'Oe, , Ae
k c4Q0,j ce's I�h
e&* Qee "OCI
00cle.
zY P41 -
AL
S -k
W vi-
zo
"Y
T 10
Wf
0
Z 5
c')
C�j 'T cy
0 V E
ks
:::7 vP'
�- Z-'
vp %
03
41 '�Zl
A
t
It$ -C-1
Ise
CP
i
'-RESIDENTIAL
�021-13-3-017 96-2814
JURADO, ALDO/LILA
CONTR: OWN�R
428 WEST LIBERTY ROAD, GRIDLEY
ADD COV PORCH
;z
JOB FINALE
Signature
j
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
CORRECTION NOTICE
\.A 1-0-jo 96
OWNER PERMIT No.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed * If yWo.uhna any questions pertaining to this matter, or need'additional explanation,
please contact t f f. ce immediately.
"'4-L4 jr) , 71;0'!:�' fi,4-
FAI
�5) V f-"
NO -7c-191A ".0 �--
Date nAw Inspector
it—
REV 10/92
V =.PK
0 = Not OK
Not Applicable
Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer; Locabon-Test-Fall-C/0-Concrete
4. Water Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmcl-/ /Amp -Concrete
6. Gas; Location-Test0rap; / jVft.
/ /Nat. or/ /'Llft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Size-Spacing-Marfiage 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/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
Date
Card B-1 Date Card B-1
f
MWELLANEOUS
Date DEC52=ERS, CARPORTS, GARA ' GES (Plans) OK except #'s
,o4ng Requirements -Setbacks -Easements
Girders
5. Alum. Awn.; Columns-Connecbons-Splice-Decal-Enclosures
. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-Anchors-Studs-Rttrs-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.'�- Lo '7 Card B-1 g 6 Date Card B-1
Date POOLS (Plans) OK eicept Fs
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GA
5. Elec.; Pool Lighting; 15 Volts -GA
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/V 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
pa roo 0 >
V = OK
0 = ftOK RESIDENTIAL (Single & Duplex)
- = Nn'mlir,�hl.
Not FVdy
Date
UNDERFLOOR (Plans) OK except Vs
1 .
Zoning-Setbacks-Easments-Flood-Slope
2.
Ftg., Main; Soils-Elec. Gmd.-/ t'Ftg. Depth
48.
3.
Ftg. Garage; Soils-Steel-Elec. Gmd/ t'Ftg. Depth
49.
4.
Ftg. Porches & Decks; Soils -Steel-/ 11 Ftg. Depth
50.
5.
Sternwalls, Main; Steel-Blockouts-Wrapped
51.
6.
Sternwalls, Garage; Steel-Blockouts-Wrapped
52.
6a.
Hold Downs and Special Anchors
63.
7.
Slab, Steel -Wrapped
54.
8.
Piers -Fireplace Ftg.-Steel
55.
9.
D.W.V; Fall-Fii;ng-Test-2 Way C/0 -Sewer Test
56.
10.
UP Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
57.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
58.
12.
Electric Underground
59. Shear Walls; Nailing -Bolts
13.
Pienums & Ducts; Clearance-Mater:al-Support-Ins.
Brace Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation-Walls-Ceifings
15.
Access & Ventilation
Infiltration-Walls-Winclows
16.
Insulation
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card E-1
Date
PLUMBING (Permit) OK except #'s
Ext Steps -Door & Sidelight Protection -Landings
17. Water Htr.; Vent -Access -Combustion Air Baffle
64.
18.
Water Pipe; Test & Anchor -Nail Protection
65.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
66.
20.
Shower Pan; Test, First Floor -Tub Access
67.
21.
Test Tub & Shower, Second Floor -Tub Access
68.
22.
Gas Pipe; Sixe & Anchors
69.
Stairs & Rails
Date
Fireplace or Stove, Clearance -Hearth
Card B-1 Date Card B-1
Date
Elec. Outlets at Wood Panel, Int. & Ext.
Card B-1 Date Card B-1
Date
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
ELECTRICAL (Permit) OK except #'s
73.
23.
Fixture & Transformer Clearance -Ins. Protection
74.
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
75.
25.
Size Boxes & No. of Conductors Stapled
76.
26.
Romex Installed Close to Edge of Studs & CJ
77.
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
78.
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
79.
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size ga Cu or Al
80.
30.
Range Circ. / / ga Cu or Al -Oven Circ. ga Cu or Al
Insulated Neutral 0 Yes 0 No
81.
31.
Service -Riser Conductors & Ground -Main Disconect
82.
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
83.
33.
Clothes Closet Light -Shower Light -Spa Light
84.
34.
Smoke Detector
85.
Vents Above Roof. Plbg-Appliance-Fireplace-Clearance to Openings
Date
Water Well, Disconnect, Electrical, Plumbing
Card B-1 Date Card B-1
Date
Exterior Elec. Trim, G.F.I. Receptacle -Underground
Card B-1 Date Card B-1
Date
Ventilation Throught House
MECHANICAL (Permit) OK except Ws
89.
35.
A.C. Ducts Insulation & Support
90.
36.
Vent Fan, Exhaust above insulation
91.
37.
Condensate Drain & Overflow, Size & Grade
92.
38.
Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet
93.
39.
Attic Access & Platform if Furnace in Attic
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
FRAMING (Plans) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties-Pudin-roff Brac.-Truss-Shfing.-Rfng.
48.
Fireplace Ties or 1�lae A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
63.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width-iTea-droom-Rise-Run4-anding-Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh-Ddp Screed -Fd. Vents-Underffr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls; Nailing -Bolts
60.
Brace Wall Panels
61.
Insulation-Walls-Ceifings
62.
Infiltration-Walls-Winclows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #a
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-RR.V
In Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mach. 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 [] Yes
82.
Following InstId./Drive 0 Yes 0 NoMalks 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-Elecii7c_
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 - Oroville, California 95965 - Telephone (916) 538-7541- PERMIT 140.
APPLICATION AND PERMIT '�� 6 -
ASSESSCO2r�Lr_T!J_0 17
ZONING
A-5
BUILDINGPERMIT
OWNERALDO AND LILA JURADO
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
C 2340
OWNERTILA04GE"S1 003, GRIDLEY CA 95948
CONTRACTOR'S NAME 717ONE
OWNER
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
N NE,
UNMOWN
Total Valuation Is 2340
Filing Fee $
20.00
LENDER'S LING ADDRESS
Permit Fee $
54.00
ARCHITECT OR ENGINEER
N NE �
LICENSE NO.
Plan Checking Fee $
35.10
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER's MAILING ADDRESS
Penalty $
BUILDIN�A2UEVEST LIBERTY ROAD, GRIDLEY
PERMITFEE $
109.10
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDrVtSION'S NAME
IPARCEL MAP
— Solar or heat pump water heater
23.00 —
USEOFSTRUCTURE
SF OX Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
—
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition OX Remodel 0 Ublities 0 Installation 0 Other 0
Describe Work: ADD COVERED PORCH
Mobile Home—TS �GW
@20.00
PERMITFEE
Contractor
ELECTRICAL PERMIT
Filina Fee 2 0.'0 0
R LIE
0
— Main Service _0�0000VA OR LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class 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, asownerof theproperty, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. a ACC. BLDS.
0.
3.5,t ST.
NEW CONST. MULTI -OUTLET
— NON-RESID. RANCH CIRCUITS
97.50
,POWER us
( SINGLEA071PALREArr'CIR.
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
BAL 0 .50
FIXED APPLNS OR
Ex. Occup. ( OUTLETS (RES16 .) EA
5.00
_ Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITIFEE $
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.
0 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
Heating
Cooling
Hood
6.50
Ventilation
PERMITIFEE $
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.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date ILle _
Signature of Applicant - 0 Wner 0 Contractor 0 Agent F -
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
I
TOTAL FEE $ 109.10
HAZ.
1 0. FEES
1. IMP
I FLOOD
_ I PARCEL
I �DF
1Z I �J
ISSUE
j7
This permit is hereby issued under 1�ie applicable
of the Butte County Code and/or Resolutions
indi� been
By
PERMITEXPIRESON
(Date)
provisions
to do work
paid.
Date
7,
ReceiptNo. 209601
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENR D-APPLIEANT
FA,
r
CbATY�DF BUTTE - DEPARTMENTOFD'EVELOPM ENT SERVICES -BUILDING DIVISION/,
7 COUNTY CENTER DRIVE - OROVILL9,GALtORNIA95965 -TELEPHONE (916)538-7541
M I
T
14, 1 6
PERMIT APPLICATION DATASHEET
OWNER ado A D No.
Proposed Building Use CC) U PO r C h _Building Inspector _A6 Date 115 //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
1. All items have been submitted . ........................................
2. Plot plans, 3/4 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) . ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
10. Fees Of $ . .........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees .........................
13. Flood elevation I-effer (100 year floo by C fil Engineer ...................
V, �rnia
14. Sanitation and plot plan appri 2�1 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. Contact Land Development about (A) Improvements (B) Drainage ............
19. Driveway permit (construction approval I required prior to occup�lncy). l6r�!��e�6on'
20. Pre -inspection for required. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authoriza ' tion . ........................................
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 theprfttryps as follows: Mail tp owner I Mail to contractor.
Telephone and holidd for, pic u at V; office. Delivgr with inspector.
Other & L4,0
Parcel Creation Cz jT5
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: (Circle new item not checked above). 7'
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
0
IE.H. USE ONLY,,-"
Plot Man Attached ';;P-
�oor Plan Attached
Sent to S.D.,
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
t 4" — / P'�_:
'-TLAJ"Js�
Owner Location AP#'
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
dwelling. Other
Clearance for
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
Date
Attention Property Owner:
An "owner-bui.ldee' 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 win
be issued until this verification is received.
1. 1 personally plan to provide the major labor and materials for construction of the
proposed property improvement - YES� NO[
.2. 1 HAVE[ ] HAVE NOT[�] signed an application for a building permit for the
proposed work.
3. J have contracted with the -following person (firm) -to provide the proposed
construction:
NAME:
ADDRESS:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, anf provide the major work:
ADDRESS: I CITY:
PHONE: - I CONTRACTOR'S LICENSE NO.
5. 1 will provide some of the work but I have contracted (hired) the following persons to
provide*the work indicated:
NAMM I ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:_6�,� c:K1.
SOCIAL SECURITY NUMBER:—
DATE: CJLo
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
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 f6r the propq 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 uiisurance, disability insurance costs, and unemployment cornpensation 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 structiire 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 profegsing to be contractors is to secure an "ownerbuildee,
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.
SincEbrely
Nfichail C. Vieiia, C.B.O.
Mana�er, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
11
BUTTE.COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION All: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buftecounty.net1dids
PERMIT NO.
BP042930
LICENSED CONTRACTORS 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
Issued Date: 10/18/2004 APN: 021-133-017-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 428 W LIBERTY RD GRI
Date: Contractor:
Map Index:
Description: GAS LINE FOR DRYER
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: JURADO ALDO & LILIA
to its issuance, also requires the applicant for such permit to file a
MANZO ANA MARIA
signed statement that he or she is licensed pursuant to the provisions of
P 0 BOX 1003
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
GRIDLEY, CA 95948
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: MANZO, VICTOR
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
308 RIDGE CREEK CT
such work himself or herself or through his or her own employees,
ROSEVILLE, CA
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
95661
year of completion, the owner -builder will have the burden of
916-788-8318
proving that he or she did not build or improve for the purpose of
sale.).
1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contracton.
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 am Exempt under Article � 9f the �usiness and Professions Code
) 0 Owner:
Date:
License #:
WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty of pedury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
0 1 have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carder and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
Census Code:
EQ 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 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.
�
Datei 101 211�4
4
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Bijtte County Code and/or
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
R olutl to do work indicated above f9r which fees have been paid.
Name:
Date:
Address:
PERMIT EXPIRES ON: /0
(Dide)
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
0 Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner o7 the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance 9rany,01ficial form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos , .
Print Name: PAM lin Signature: _ ZjAC-D
Date: 10
0 Owner 13 Contractor 01 Agent for Owner (3 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
A.ND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CI-1ICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REO UIRED A T TIME OF APPLICA TION
**PLEASE PRINT CLEARLY"
OWNER
Last Nam
Ust -Na a
( m
r1l
Address
V lobzo-�-101
City
Stat
10115-5qV
Phone
5— 30 7-5-5-- q qj
Fax
E-mail
D-3
APPLICANTNAME
CONTRACTOR
Name. 6wtlte 40
Pce-P6-9-l"k WO? -K.
Address
1 75p� S--&
city
ND
State -Tzjp
Zip
Phone
Map Book
Fax
E-mafli
Planner
Uc. #
piss
APPLICANTNAME
ARCHITECTIENGINEER
Name
r-11 R o -�e V'3 I -e-
Address
1 75p� S--&
city
ND
State
Zip
Phone
Map Book
Fax
E-mail
Planner
SUte Ucense Number
APPLICANTNAME
Name V
Address 301( 9�Jye CY)ee-K- c,-�.
r-11 R o -�e V'3 I -e-
S -4—
1 75p� S--&
Phone
ND
E-mail
APPLICANT SIGNATURE
X A^
'�A'z � -- � >
For office use only:
Zoning
Property Address
Lf 1V
Flood Zone
Cross street
SRA
I Yes
ND
Occ.
Type Const.
Subdivision Name
Map Book
I Page
Planner
I Date Approved:
BP"191,30
%--7
BIN #
LOCATION
AP#
0 7-1 —1 —01 -�-00 0
Property Address
Lf 1V
Cross street
WORKER'S COMPENSATION
Policy Number
41Z&
Carfier I
11hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
t?UAJ &4-5 ib�e 6,+5 DrYe�r ;A)
900
Sq. Footagi
0 Structure Built vithout Permits
0 Proposed Change of Occupancy
(Note preVious use):
EXPIRATION -OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expirafion, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
pem-dt and DO construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received bt—�W Amount Bldg
SRA
Receipt P m r) Sheriff
SMIP
Date: Other
Total
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit, INCOMPLETE SUBMITTALS WILL NOTBEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
0 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. Ivo graph paper!
0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (Ato graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0 3. Engineered truss details and layouts in duplicate (if required). No faxes!
0 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
0 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
0 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be StarriDed and wet-s�jgned by the engineer.
0 8. Flood Elevation Certificate, wet -.stamped and signed, in duplicate (if required).
0 9. Site plan and business license approval from the City of Biggs.
0 10. Letter of intent for non-residential buildings.
El 11. Detached Accessory Building Form filled out by the owner (if required).
0 12. Hazardous Material Form (for Commercial Buildings only).
0 13. Sanitation and site plan approval from the Environmental Health Department.
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
0 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
El 2. Impact Fees.
0 3. California Department of Forestry plan approval (if required).
0 4. NPDES Form.
0 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
0 6. Contractor's license inform atilon. (Number, Name Style, Classification).
0 7. Worker's Compensation Carrier and Policy Number.
0 8. Owner -Builder Verification (if required).
0 9. Letter of Signature authorization (if required).
0 10. Recorded copy of Agricultural Acknowledgment Statement.
11 11. 11 Grant Deed, 11 M.H. Title/Statement of Facts, 11 Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an applicatJon after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Ketunds can oniy be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing'fees, plan
,heck fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDOG
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER:
ASSESSOR PARCEL NUMBER Da/ - 13 3 - n 7
Proposed
Building
Use: Counter Technicia Date: 0
4WD
Items required in order t&ipply for a permit, All boxes MUST be checked OR marked NA(in er o apply.
0
1 .
Site plans, 3 or 4 sets, signed by the preparer of the plans. .
0
2.
Complete plans, 3 or 4 sets, signed by the preparer of the plans.
0
3.
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0
4.
Engineered truss details and layouts in duplicate. No faxes!
0
5.
Letter from Engineer or Architect for truss design review.
0
6.
Energy compliance design and supporting documentation in duplicate.
0
7.
Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0
8.
Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or firid plans, all in
duplicate.
0
9.
Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
0
10.
Flood Elevation Certificate, wet -stamped and signed, in duplicate
11
11.
Site plan and business license approval from the City of Biggs
0
12.
Letter of intent for non-residential buildings V
0
13.
Detached Accessory Building Form filled out by the owner
0
14.
Hazardous Material Form
0
15.
Sanitation and site plan approval from the Environmental Health Department in 0 Chico 0 Oroville, as applicable.
0
16.
Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
0 17. Fire Sprinklers ............................................................................................
0 18. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by_.,
0 19. Soils Report and/or Engineered Foundation required ........................................... ........
0 20. Erosion Control Plan Required ............................................... * ........... **''*** ... ........
0 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
0 22. City of Chico Plumbing permit .......................................
0 23. California Department of Forestry plan approval 0 paid. Sent by:
0 24. Planning approval (A) Use: -(B)Parking: _(C) Parcel Check:
0 25. Contact Land Development about - Improvements, - Drainage ..........
0 26. NPDES Form .............................................................................................
0 27. Encroachment Permit for driveway from the Public Works Dept ...........................
0 28. Pre -inspection for required .......
0 29. Contractor's license information. (Number, Name Style, Classification) ...................
0 30. Worker's Compensation Carrier and Policy Number ... Z ........................... * ........ _4
31. Owner -Builder Verification (_ Given to owner, --,Kailed to owner) ............. * ....... C -AH& -
32. Letter of Signature authorization ....................................................................
0 33. Recorded copy,of Agricultural Acknowledgment Statement ........................
0 34. Manufactured home utility clearance ...............................................................
0 35. Existing violations and/or expired permits .........................................................
El 36. Deed Restriction .........................................................................................
0 37. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D. $
0 38. Other:
0 39. Other:
When issued Telephone.,� -and hold for pickup.
I have been inform A60f h above items and requirements for obtaining a building permit.
' Of
Applicant: Date:
r
1.1ndexpermita lication for the �bove items numbered:
2. Additional items required
Contractor, designer, owner, was advised of the above data by 0 phone, 0 mail, 0 counter, by Date:
Contractor, designer, owner, was advised of the above data by 0 phone, 0 mail, 0 counter, by Date:
Plans reviewed byi -Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
IZ12. _D I
Plan Check Lett6r "
Yellow: Building Division
BUTTE
COUNTY
OCT 1 12004
DEVELOPMENT
SERVICES
October 7, 2004 1
County of Butte -Department of Development Services
Building Division
7 County Drive
Oroville,. CA 95965
To Whom It May'Concem:
Parcel Number: #021-133-017
I Lilia Jurado, give my permission to Victor Manzo to request any *information and
apply for a permit (#042930) for the property at 428 West Liberty Road, Gridley,
CA 95948.
If you have any questions, you can reach me at work at (530) 822-3270 ext. 20 or
Cell (530) 713-2603.
Sincerely,,
Lilia Jurado
� - - il;' .
O.B.- I
.............
. .. .......... ...... ...........................
UM RIV
Comm
. . .........
..... .........
Attention Property Owner:
An "owner-builde.r" building p6rmit 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.
personally plan to provide the major labor and materials for construction of the
.proposed property improvement: YES NO[
-I HAVE[)<]— HAVE NOT[ �--] signed-an-apphcation,-for-a--building-penrdt-for-.'Lhe—
proposed work.
3. 1 have contracted with the followine nerson (firm) t6 nrovide thp nmnnQP_ri
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICIENSE, NO. -
I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, -and provide the major work:
NAMIE:
ADDRESS:
CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5_ 1 will provide some of the work but I have contracted (hired) the follo
wing persons to
provide the work indicated:
NAMEE ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SULIAL-MGMEN is E Rr
DATE: -
NOTE: This owner -Builder Verification is required liy Section 19831 and
19832- of th.e.California Health -and Safety Code. -
This verification must be completed and returned to our office before
we are permitted to issue the permit.
May 1995 2.26
13 -7
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 permiL 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 subcontram 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 esp*ecially
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. S i mail 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 fi-equent 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 tlia we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
- I
C. Vieirft, C.B.O.
-,'Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
May 1995 2.27
"17 A
71
021�13-�3-�
93-21-58-
021-13-3--7
JqRADO, LILIA-
428 W LIBERTY -RD,' GRIDLEY
STUCCO, WIND'bws'
INSULATION/SF
-21719
1.
COUN,TY OF BUTTE - DEPARTMEN-t OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916.*538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
021-133--017
ZONING
A-5
BUILDING PERMIT
OWNER
Lilia Jurado
TELEPUZ�
755—
SQ. FT. OCC. BUILDING VALUATION
5, OM. W
OWNER': MAILING AJORESS
P 0 - Box W3, Gridley 95948
CONTRACTOR'SNAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 5,U00.(X
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $W.M
ARCHITECT OR ENGINEER
E NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee s75.00
PLUMBING PERMIT FilingFee 1 15.00
428 W. Liberty Rd., Gridley
Each Trap 5.001
Solar or heat pump water heater 20.001
LOT NO.
UBOIVISION NAME
1
PARCEL MAP
1
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF[� DuplexF� MobilehomeF-1 Other
SPECI FY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W 615.00
TYPE OF WORK
New -_ Addition — RemodeID( utilities[] InstallationE: Other E]
Describe work: Side w/Stucco//Replace Windows//Insulate
Permit Fee $
Contractor
ELECTRICAL PERMIT FilingFee 15.00
Main service 600V OR LESS
200A OR LESS 18.50
Main service 200A TO 1 OOOA) 37.501
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F—i I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&) 3.5* sq.ft.1
OR ADDNS. ( ACC. BLDGS.
NEW CONSTR. MU LT' -OUTLET @ 5.00
NON-RESID, BRANCH CIRCUITS)
(POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES 20 X 764
!iAL 46di
FIXED APPLNS
— Ex. Occup. OUTLETS (RESI*D'.)"EA.) 1 3.001
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
17 The permit is for $100.00 (valuation) or less.
E] I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
7. e
0,, 1 shal I not employ any person in any manner so as to becorn subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT Fi I ing Fee 15.00
Heating
Cooling
Hood 6.50
Venti lation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X , L
i, _,Z� o ek Date
Signature of Applic'ant Owner Q Contractor El Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST TYPE
I
! TOTAL FEE $ 75.00
___,
Z
I D FEES I
IMP
I FLO..
PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
D EfOA—UFF F!UBLIC WORKS
By ate _L_Z
PERMIT EXPIRES Date
14:349/
Receipt No.
WHITE-O.P.W.. YELLOW -ASSESSOR, PiNK-INSPECTOR, GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBOLR)Ks PERMIT NO.
Orovidle, Cal4fornia 95965 - Teleph 6",5 8 -7541 _11
7 County Center Drive
APPLICATION AND PERMIT
AJSESS9FR
PARCEL NUMBER
1021-133-017
ZONING
A-5
BUILDING PERMIT
0 VL*E R
Lilia Jurado
TELEPHONE
755-4445
SQ.FT. I OCC. BUILDING VALUATION
Est. 5,000.00
OWNER'S MAILING ADDRE-SS
P.O. Box 1003, Gridley 95948
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
___JUNKNOWN
Fireplace
CONSTRUCTION LENDER
Total Valuation is �),Uuuxo
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
s60.00
ARCHITECT OR ENGINEER _TFC�
E NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$75.00
PLUMBING PERMIT
FilingFee 15.00
428 W. Liberty Rd., Gridley
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Water piping
7.00
Each qas water heater or vent
7.00,
USE OF STRUCTURE
SFQ DuplexF_J MobilehomeF_J Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.001
Building s6ver
15.00
Mobile Home S I G I W I
@ 15.001
TYPE OF WORK
New r" Addition El RemodelEk Utilitieso InstallationE] OtherEJ
Describe work: Side w/Stucco//Replace Windows//Insulate
�A
I i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
1
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO 1 OOOA)
37.501
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 Jo. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUPM
OR ADDNS. (ACC.BLOG S'
—
3.64 sq.ft.1
NEW CONSTFL MU T' ET
L OUTL
NON-RESID. BRANCH CI.CUITS)
@ 5.00
POWER APPARATUS &
SINGLE OUTLET CIR.
Ex. OCCUP( OUTLETS OR FIXTURES
20 f-cD 75CI
dAL 0 4F;,g
FIXED APPLNS
Ex. Occup. OUTLETS EA
3.00
TemporarV service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
*15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
17 The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi I i ng Fee 15.00
Heating
Cooling
Hood
6.501
Ventilation
—
I
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Date ;7 — 6 - '57d
Signature of Applicant - Owner [��' Contractor F� AgentO
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 75.00
HAZ
I D FEES
IMP
I FLOOD
I CDF
I T��HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
D E OF UBLIC
By
PE IT EXPIRES Dat&
applicable provi-
resolutions to do
have been paid.
WORKS
I te
Receipt No. 143497
WHITE-D.P.W.. YELLOW -ASSESSOR, PiNK-INSPECTOR. GOLDEN ROD-APPL I CANT
--------------- J
COUNTYOF BUTTE - DEPARTMENTOF; ELOPMENTS7
L! fE� - BUILDING DIVISION,
7 COUNTY CENTER DRIVE - OROVILLE,'cALIFORNIA95965 - ONE (916) 538-7541
PERMIT APPLICATION DATASHEET
OWNER 'J ux /f -D - A.
Proposed Building Use F7ACr__MAQn � Building Inspector W-7, Date 714
At time of permit application, I was 6dvised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3, Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and caics, 3/4 sets, with wet signature on plans . .............
5.. Hazardous Material Form . ............ r ..................................
6. Energy Design Compliance and suppo , rting 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). 0
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
10. Fees Of $ . .........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees .........................
13. Flood elevation letter (100 year flood) by California Engineer ...................
14. Sanitation and plot plan approval . 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) Us'e: (B) Parking:
18. Contact Land Development.about (A)Improvements (B)Drainage ............
19. Driveway permit (construction approval required prior to occupancy) . ........
F;re4A ech
20. Pre -inspection for required. t, 8"Itnq lonap'ector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner Mail to owner ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....... I
.................................
26. Popy of recorded deed of parcel creation and 60 right of way to a public road . .....
27. Letter of intent on building use . .........................................
W
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... ; ..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel m etsz ea and frontage requireme t
's . ...............
pe�
emits
�x�i=red
IGZ31. Existing violations/
., . . 4 f. s 7' QMV,
32. Plan check list . ................
33.- P190 4
-34.
When you issue the permit, process as follows: Lolf' Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Appli6ant 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, �Iesigner, owner, was advised of above required data by _ phone'� mail Counter gy 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 Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
-BUILDER'VERIFICATION
OWNER
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. 1 personally plan to.provide the major labor and materials for construction of
the proposed property"improvement (yes or no)'.(/6:-S
2. 1 (have/have not) X.&X 4AO signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
.-Phone Contractors License No.
4: 1 plan to orovide*portions.of this.work,.but'I have hired,the following person
to coordinate', supervise, and provide the major work:
Name
Address City
Phone' Contractors' Li�6*nse -No'.
5. 1 will provide some of the work but I have contracted (hired) the following
persons to provide -the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner dd
Social Security Number '
Date 2-d 6-9.2
NOTE: This Owner -Builder Verifi cation is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
Insulation Certificate
BUILDING OWNER: BUILDING PERMIT #:
BUILDING LOCATION: L4r,,,� 1� /— t 6
Description of Installation
ROOF -
Material.
Thickness (inches)
CEILING
Batt or Blanket Type
Thickness (inches)
Loose Fill Type
Contractor's minimum installed weight/ft� lb
Brand Name
Thermal Resistance (R -Value)
Brand Name -
Thermal Resistance (R -Value)
Brand Name
Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
�CEXTERIOR WALL
Material ABrandName &Vens' en 'I M
Thickness (inches) R
ThermalResistance(R-Value)
RAISED FLOOR
Material Brand Name
Thickness (inches) Thermal Resistance (R -Value)
SLAB FLOOR
Material
Thickness (inches)
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)
Declaration
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R-Vaiue)
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency S tandards for new residential buildings contained in Title 24 of the
California Administrative Code.
Gofieral ConEracEor (Buiider) License Number
S i,�n,�=e �nduTido, u u�
gnarure and Tide --Daie..—
Sub-Contractor (Insulafion InsEaller)
SignaLure and Tide
License Number
DaLe
THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECrION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
Installation Certificate: Residential CF -6R
BUILDING OWNER: BUILDING PERMIT #:
BUILDING LOCATION:
An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form
may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that
the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of
Compliance (CF -1 R). This candicate (or its 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
t�at 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 Candied Actual Distribution Ductor I-Isating Load Heating
Type (furnace, Manuf. Make & Eff Iclency Type and Pip!ng Before Over- Equipment
heat pump, etc.) Model Number (A UE, etc.) Location R-Vaiue Sizing (Btuh) Capacity (Btuh)
CEC Certif led
Cooling Equip. Compressor Unit' Actual Distr , ibution Duct or. A
Type (air cond., Manuf. Make & Eff Iclency Type and Pl�lng
heat ourno. etc.) Model Number (SEER) Location R-, alue
The building design heat loss and design heat gain rate have been determined using a method specff ied in Section 150(h) of
the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection.
Signature Date HVAC Subontractor (Co. Name) or General Contractor or Owner
WATER HEATING SYSTEMS
1. For small gas storage (rated input:� 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor.
For large gas storage water heaters (rated input >75,000 BtLvhr), list Rated Input, Recovery Efficiency and Standby Loss.
For instantaneous gas water heaters, list Rated Input and Recovery Efficiency.
For Instantaneous electric water heaters. list Rated Input.
FAUCETS & SHOWER HEADS
All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads,
pursuant to Title 24, Part 6. Subchapter 2, Section 111.
Signature Date plumbing Subcontractor (Co. Name) or General Contractor or Owner
THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECrION
APPROVAL AN -D A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993 li.,.
Energyl
External
Water Heating CEC Cartif led
Rated'
Tank Factor or
Tank
System Type Manuf. Make &
Input (kW
Capacity Recovery
Standby' Insulation
(storage gas. etc.) Model Number
or Btuh)
(gillons) Eff Iciency
Loss (%) R -Value
1. For small gas storage (rated input:� 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor.
For large gas storage water heaters (rated input >75,000 BtLvhr), list Rated Input, Recovery Efficiency and Standby Loss.
For instantaneous gas water heaters, list Rated Input and Recovery Efficiency.
For Instantaneous electric water heaters. list Rated Input.
FAUCETS & SHOWER HEADS
All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads,
pursuant to Title 24, Part 6. Subchapter 2, Section 111.
Signature Date plumbing Subcontractor (Co. Name) or General Contractor or Owner
THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECrION
APPROVAL AN -D A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993 li.,.
-41
Jig
Iw
BUTTE COUNTY (For Act%in 1, 2,3)
Pub.lic Works Dept. (F r I-V rim"ation
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
I -X
Bldg. Insp. Admin.
D&C Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Transp.
R/W
Mapping
Land Dev.
Ref. Disp.
Drng. / S.I.
Sub. & Pcl- Maps
Permits
Va.
0 co
Cal
0
0 Go
Verc� 1�
4-0
jc�o 4e�p'r-
V-er-OlLcts,
NO. 3548-78B,E
4
PERMIT EXPIRES 71AO
OWNER Robert C. Hawes
owner
CONTR.
LOCATION (A.P. 2lel33-17
NIS West Liberty Rd., 250'E.of Dewsnup Rd.,
Gridley
—to
Z7_
6
Temp. Power Pole. L
Called PG&E — f
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
__,. - �� �-.�. _.- r
_ _ �
,�,
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive (4
California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
auinorize representatives or ine L;ouniy OT tiuxxe to enter upon ine
above-mentioned property for inspection purposes.
74"
X ate A^2
Signature of Permitee or Agent
Receipt No. / —7 7 �;- C; s?"
White-D.P.W. — Yellow -Assessor — Pink -inspector — Golden rod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR -OF PUBLIC WORKS
By Date
Building permit expires Date ell
BUILDING
Owner IYA W
SQ. FT. OCC. BUILDING VALUATION
IVI)f IT n n
Mailing Address
Telephone No.
Contractor e'%
Mai I ing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee C/, (nn
Building Address
Plan Checking Fee VorPenalty
Permit Fee $ cy C) C)
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trao 1.50
Repair drainage or vent piping 1.50
A. P. No.
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Feeg'I-W.C.-
Sanitation
FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
1 Parking
Plans
I Parcel
I Declaration
I Parcel Map.1
60' R/W
I Improvements
Each additional outlet .3
Building sewer 5.00
Bldg. �Ion_s Rec'd
Parcel ApprZI
�-Plclri'se"Approval
Lawn sprinkler system 2.00
NEW ADDITION UTILITIES OTHER F]
Permit Fee $
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
100 AMP OR LE 5.00
Main service 600V OR LESS SS
Single Family 0 Duplex Mobil Home Others
Main service EA. ADD'L 100 AMP 2.50
.4 cb—C
OVER 1100V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. I DWELLIN,G,Occ
OR ADDNS. % ACC.IBLDGS. up- 1) :20sq ft
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:
NEW CONSTR_ LET
.ON.RES'.. (MULTI..UT
BRANCH CI RCUITS) 12.50ea
NEW CONSTR. PO ER APPARATUS &
NON . RES I D. (SINWGLE OUTLET CIR .
Ex. Occui)(OUTLETS OR FIXTIIPES 50 @ 250
BAL@1
FIXED APPLNS OR
Ex. Occup.(OUTLETS (RESI*D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt f rom the Contractors L i cense Laws of the State of Cal i forn i a.
Permit Fee $
MECHANICAL No. FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
EJI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
FXJ 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.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
1$
TOTAL PERMIT FEE
auinorize representatives or ine L;ouniy OT tiuxxe to enter upon ine
above-mentioned property for inspection purposes.
74"
X ate A^2
Signature of Permitee or Agent
Receipt No. / —7 7 �;- C; s?"
White-D.P.W. — Yellow -Assessor — Pink -inspector — Golden rod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR -OF PUBLIC WORKS
By Date
Building permit expires Date ell
COUNTY 01�, BUTTE — DEPARTMENT OF, PUBLIC WORKS
BUILDiNG INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback Firewall Soil Piping
Forms Paranat-q Ist Floor
Main Bldg. Restroom Finish 2nd Floor
Footings Windows 3rd Floor
Sternwall Siding Topout
Slab Roof Sheathing Water Piping
Piers Roofing Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
Stemwa I I Insulation Heaters
Slab Prov. for physically Appliances
Carport handicappe
Conformance of ex. Gas Piping Test
Footings structur Temp. Gas
Slab Final Sanitation
Patio FIREPLACE Final
Footings Footing ELECTRICAL
Masonry Walls Throat Rough
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
.Stucco Final SubDanels
Mesh MECHANICAL Gird. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation anent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
ng Sewer Gas Piping
.............. Support Elec. Continuity
Wate r Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COJJNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drill�6 — Droville, California 95965
Telephone: 534-4541 2c,>
c�: Z _/_1d
APPLICATION AND PERMIT 3 A �j
liA V
authori ze sen�x lvt�s ot tne County ot Butte to enter upon the
r: . y for inspectionvpurpos s.
above-ment9,opn r P
x 01
Date Z.4
Signature of Permitee or Agent
Receipt No. ' / 7 2 s -!i LE
White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appli cant
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 -
DIRECTORZ�JZLIC WORKS
B
Y2ing��permit exp�ires Date
B
BUILDING
Owner go W &-c.
SQ. FT. OCC. BUILDING VALUATION
Mai I ing Address
4,
Telephone No.
Contractor
Mai I i ng Address
Fireplace
Total Valuation 011!:�$
Telephone No.
Permit Fee CIo
Building Address 4,L 65S2�1�7_ le—tt I
Plan Checking Fee &/or Penalty
Permit Fee $
9,
6215-6, AE el oe�_ dz �AS
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trao 1.50
ct L
Repair drainage or vent piping 1.50
A.P.No. Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F--esj
_Sqq_tt,(on
FireDept.
FireZone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
1 Parking
Plans
I' �)arcei
Declaration
I Parcel Map 60' R/W
Imp ements
2 :
Each additional outlet .30
Building sewer 5.00
Bldg. A'an—s' Rec'd
7
Parcel Aur I
Pli?s Approval
Lawn sprinkler system 2.00
NEWE] ADDITION U T ILITIESE] OTHERE]
Permit Fee $
$
ELECTRICAL No.1 FEE
PERMIT FILING FEE $3.00 C ->O
Main service 600V OR LESSr
100 AMP OR L =SS 5.00
Single Family Duplex E] Mobil Home C-11
Others PS
Main service EA. ADD -L,100 AMP 2.50
service OVER 600V 25.00
Main 100 AMP OR LESS
Main service EA. ADO -L 100 AMP 1.00
NEW CONST ( DWEL
OR ADDNS.' Acc G4V C U P. '�)J :20 sq ft
B6f
'PA
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:
NEW.CONSTF;L MULTI -OUTLET
NON RESID, BRANC H C1 RCUITS) 12.50ea
NEW.CONSTR. POWER APPARATU�_ &
NON RESID. SINGLE OUTLET CIR.
50 @ 250
Ex. OCCUr)(OUTLETS OR FIXT11RES)" BAL@104
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.001
Temporary service 10.00
Mobile Home Facilities
License No. Classification
_WI
Misc. Wiring
m exempt from the Contractors License Laws of the State of Cal ifornia.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
Cal i forni a.
MECHANICAL N0.1 j@ FEE
I
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 1 2.001
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 reAing -to, building construction, and hereby
Land Development, Fee
$
L TOTAL PERMIT FEE
s 79T&1
authori ze sen�x lvt�s ot tne County ot Butte to enter upon the
r: . y for inspectionvpurpos s.
above-ment9,opn r P
x 01
Date Z.4
Signature of Permitee or Agent
Receipt No. ' / 7 2 s -!i LE
White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appli cant
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 -
DIRECTORZ�JZLIC WORKS
B
Y2ing��permit exp�ires Date
B
I U; 0"4..L%A.L"6 LMYG6&
From: Enviro=ental Health
Rega-rding: Sewage and/or Water and/or Addition' Clearance (s)
f-
,P�L)Q)k kD L
Owtaq 1, 0 CAT
Lf N A.P. No.
Plans are approved for:
Hold up Final f or:
Final Clearance OK for: . ,
Sewage Disposal
Clearance is for a -bedroom (home or mobile home).
Tha addition(s) will be 7LZ
t, q% ro ri A
0
Sanita!�ian-
Water Supply
Water Supply
Water Supply
Other J)
tat e
PERMIT APPLItATIOX WORK SHEET
Permit No.
OWNER A. P. 'No. -,7, J j _77- -7.
Zoning Use Proposed Approved
Not approved
Permit fee based upon: 1. Complete contract.price.
2. Partial contract price (explain).
3. DPW Valuation (show):
During plan checking process, the following data
or information must be submitted prior to permit
issuance:
1. Index permit for items
above and in addition the following:
2. Applicant advised by Telephone
Mail
ther
3. Plans checked by. Date
4. Plans approved by :>AAA471A,--`_ Dat
t permit
1.
2.
3.
4.
LS issuea, process as roiio
Mail to owner.,
Mail to contractor.
Deliver.with inspection.
Telephone
,for pickup @
5. Other
s :
and hold
of f ice.
Betore permit issuance, all of the following
items must be signed or marked NA:
1. Zoning use
2. Legal parcel
3. Envir.Health - Date Plans Sent
A. -Sanitation
B. Restaurant
C.'Other
4... Public Works - Date Not iae Sent
A. Street Imp.
B. Drainage
C. Permits & Fees
D. Other
5. Planning
A. Use Permit -
B. Variance
C. Other
6. Other Agencies Date Plans Sent
A. Fire Dept.
B.' Other
t time of permit application, the applicant was a.dvised the following
data'or information must be
submitted prior
to permit processing and/or issuance:
Date received
1.
All items have been submitted - --------------------------
2.
Plot plans in duplica -Ltriplicate -- ---------------------
tB
�W��3.
Complete plans i triplicate -- -----------------
trid
4.
Complete enginee`rp��Ians calcs - --------------------
5.
Fees of $_� --------------------
6.
Letter of signature authorization - -----------------------
7.
Sanitation approval - ----------------------------------
Planning approval for
9.
Workmen's Compensation Insurance Certificate - -----------
10.
Contractors license information - ------------ m--,; --------
11.
Parcel declar ' ation, recorded copy - ----------------------
12.
Access declaration - -------------------------------------
13.
Aunt Minnie information - --------------------------------
14.
Deed of access, recorded copy - ---------------------------
15.
Deed of parcel creation, recorded copy - -------------
16.
Parcel map, recording data - -----------------------------
17.
Pre -inspection request for
18.
Improvements - plans required & DPW approval - -----------
--
her ------
By
Dat
77 Bf-dg. Insoft-or
During plan checking process, the following data
or information must be submitted prior to permit
issuance:
1. Index permit for items
above and in addition the following:
2. Applicant advised by Telephone
Mail
ther
3. Plans checked by. Date
4. Plans approved by :>AAA471A,--`_ Dat
t permit
1.
2.
3.
4.
LS issuea, process as roiio
Mail to owner.,
Mail to contractor.
Deliver.with inspection.
Telephone
,for pickup @
5. Other
s :
and hold
of f ice.
Betore permit issuance, all of the following
items must be signed or marked NA:
1. Zoning use
2. Legal parcel
3. Envir.Health - Date Plans Sent
A. -Sanitation
B. Restaurant
C.'Other
4... Public Works - Date Not iae Sent
A. Street Imp.
B. Drainage
C. Permits & Fees
D. Other
5. Planning
A. Use Permit -
B. Variance
C. Other
6. Other Agencies Date Plans Sent
A. Fire Dept.
B.' Other
PROPOSED ADDITION.. -.TQ S-TORAGE BLDG.
PROPOSED 'STPUCTUPAL CHANGES
EXISTING STORAGE BLDG.
AT*- RT 2 BOX
WEST. -LIBERTY.,, RD.
GRIDLEY, CA. 95948
BY/F0. P,': ROBEP\T C, HAWES*
1`14 846- 3544
FINISHED SIZE 12" X 2 2 / - ___ -1 __ - ___�
EX I T ING PROPOSED
�STO AGE ADDITION
12'X 12"
IB WLDU T.
i 2'x 14'
G
NO G/�,J,
\�,A%5-Vrk, I 1 11. 0/
V7- 4!->l -12 R f
REWSED 5 IZE
NOTE:—All Materials & Workmcnship Shall Be in
Accordance' with Recognized Good Prccfices and
of a qualify prescri6ed for the Spacified use in the
Uniform Building, Plum6ing.& Mech nical Codes and
the National Electrical Code.
N
Wf E
S
Tk:s set of plans and spec*,f',t*,nns MUST 6e
A it * unlriwful to
kept on the iob of all ��Hmes and i is
make any cNnrqes or alfern+ions on some w1thout
written permissi . on from f Ve Department of Public
x Works, County of Butte.
0
BNG\
0 Septic system location of build-
po ing, -4. ai. . ano _ _ to be as
Butte County Health Dept.
quiremenfs.
S4Fprl e.
rAoVit
/S./
1411
IV, ee-
. Ao e-,
11
clart A
14 P/a ///
77 'PROPERTY 4
7he Bldg. Se
, ide pr6perl
�;enferline of
mum of a 2 f
04f of all ec
BUTTE COUNTY
BUILDING DEPARTMFNT
EXISTING HOMF
APPROVED
Or0' , �Wgl 4
104
1
o
fft from the
ff- from the
ffi ,
1 9 a maxi -
I b f entirely
C-7.9-
4— 5 0 -> I
PAGE 10FIA I
Itc, HAWES, j
NEW ADDITION
CONSTRUCTION�
.0
TE R
..24 CEN
2"X 4"�FRAMI'NG-)6 CENTER.
DOUBLE 2X 4"s, IN DOO FWAY
.COR-NERS)'VERTICAL VVINDOW..
FRAMING
DOUBLf_ -.2 X, 8,5 FOR HORIZONTAL
FP
\AMI.NG OF DOORWAY'AND WINDOW.
FINISH MATERIALS
M'X 90 '45 MI.NUTE FIRE -RES ISTIVE.
E'XTERIOR-TYPE "'S'IDING 'USED'O,N
lll'qTERIO R AND.- EXTERIQ_':R WALLS
N.
4E
S
-JiUK UR/AUL f-"LYW USED
0. R LX I Lf\
Y2
FOR CEILING COVERING. -AND ROOF
FLOO R PLAN
12 x 1.2
ADDITION
0 , a
CONC RE TE
J BOLTS . FO f?
ANCHORING WALLS
r
I U r
SHEATHING, &cX moll 4�lhev6p, r
ez
CORRIGATED GALVA N I Z E D, ALUMINUM SHEETING
FOR, ROOF COVEERING.'
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
PAGE A OF _*_
R.c. HAwes
S-_2
4
CHANGE 10 EXISTING BLD
STEP'I: NEW WEST WALL.
14V
A'�
06
C
.0
< Pin
BUTTE COUNTY
,BUI 1 -0 -tPARTMr-N.T
APPROVIED
E X I S- T I N G
CONCRETE
L
FLOO PX
S TEP
4 REMOVED
FROM WEST END
OF BLDG.
PAGE .3
HAWES
."-FROPOSED ELECTRICAL SERVICE TO STORAGE BLDG.
2,2
10
EXISTING BLDG, PROPOSE 77
ADDITION,
(P 12"
BREAKE
PANEL
IN
WfE
e/exi,
PROPOSED
INCOMING
-'--'---UND E RGROUND
LINE BUTTE COUI
BUILDING PEPA
SYMBOLS., epol4c,
------ INTERIOR GLOBE,
v__. - I - -
cmm---.DOUBLE I LT SWITCH
--,--.DOUBLE OUTLET
LT SWITCH
'e�7Wl' EXTERIOR GLOBE
4* --WP EXTERIOR OUTLET
W P = WEATHEIRPROOF
J- L16HT
AmD
r-N'T
Fouk-SE PEP, ATE
CIRCU17-9
_8REAkf'R-
PANEL
PAC,EY- CF-_J�_
S-- ZP - 7k )?- e- - HAWES
ov"i
ItA
4b
1�3