HomeMy WebLinkAbout021-160-064AP 21-16-64
Daniel H. Evenson
French Ave., Gridley
(SPEC.-INSPEC. #41-77 Convert private
garage to machine shop)
21-16-64
Permit #2307?-78B;P,E,M(remodel, reroof
& reppir/SF)
21-16 24
�Contr: Jim Clanton q1q1O.
PErmit#3241-87B(new garage)
16
2 1 - -�6 4
912-89B,P
EYENSON,
1093 French-Ay6,,,,-GridieYI',I,-
_ - �" NIII.
C:bntr:.,'
-�St'�n Perry
-(new.'pi'iiv'a�e de�q&hed'garage)
n �tan'P6rry_
P.brmit#2040789E(ele/912-89)ga age
M014ERMkI�,'bAVID
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21-16-64
S093 Trencll-L-Avenue;' Gridley'--�-----"
Permit#75-88A(Ap,ricultu-ral Bldg Ex
emp-
(storage of farm�'
I
-- Y -
Butte County Department of Development Services
N 0 T E S 7 County Center Drive, Oroville, CA 95965
(530) 538-7601 v"^y.bqtteC0Ltnty neyo4s
R E S VUE N T I A.L
AP N: Permit No.
Owner 021-160-064 --�6-0385,/)
MOHERMAN,-DAVID
Site Addre�s: 1085 FRENCH AVE, GRIDLEY
CONT: BILL'S ROOFING
Contractor. RE ROOF
Type of Permit.
SPECIAL CONDITIONS
CHECKED BY
F—IsRA
F I FLOOD CERTIFICATE EQUIRED
F -I FIRE SPRINKLERS ROQUIRED
DSPECIAL INSPECTIOI� ITEMS
F --j VERIFY
USE PERMIT CONDrnoNs
r I SUB-sTANDARD HOL;SING'LETTER
ENCROACHMENT PERMIT
r j REINSPECTION FEE PAID
Q ENV HLTH CLEARANCE
f
L
Nt, 01
DATE JOB FINALED:
SIGNATURE: &Law
= OK
MANUFACTURED HOMES
M I S C E L L A N E 0 U S
—7DECKS*COVERS*CARPOR
DATE j Lj PERM NENT FOUNDATION " SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Sp cial MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easement Needed-Re6ulator
5 Elec Loctn-CIrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-T6st-Wrap. NatE] or LPO
Inch Sz Ft Lngth
7 BIckng; Sz-Spacing-M.arriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs - ED Foundation F-1
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers. Serial Numbers
DATE S -GARAGES
1 Zoning -Setbacks -Easements
2 Ftgs; Soils-Sz-Dpth-Spacing-Cnnctrs-SteeI
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Seams-Rftrs-Cnnctrs-Shthg
Frmg-Brcng
5 Alum Awn; Columns-Cnnctns-Splice-Decal-Encisrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Si I Is-Anchrs -Stu ds-Rftrs-Truss es
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors-Landings
12 Braced Wall pnis
DATE JPOOLS
I Setbacks -Easements
2 Soils; CompactionStructure Stability
3 Pool Structure; Stee I-Cn nctns -Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec EncIsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding-, Metal w15'-CrcItng Eqp-Htr
8 Elec Grndng; Eqp w/S'Crcltng Eqp-Pool Ightg
Bdxes-EncIsrs-pnIboards4nsuItn to Main Conduit
9 Health Dept Apprvl
10 P[mb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Encisr; Fencing -Alarms
13 Bonding, Diving board or Slide
41
Pool Drawing
OK
Not OK
RESIDENTIAL (Slngle-
& Duplex)
DATE JUNDERFLOOR
DATE
IP LU i�iB ING
1 Zoning -Setbacks-Easements-Flood-S lope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Opth
54 Wtr Pipe; Test & Anchr-Nail Pr-tctn
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth..
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg PorchesfDecks; Soils -Steel Fig Opth
56 Shwr Pan; Test First fir -Tub Acc
5 Sternwalls Main; Steel-Blockouts-Wrapped
57 Test Tub & Shwr, 2nd fir - Tub-Acc
6 Sternwalls Garage; Steel-Blockouts-Wrapped
58 Gas Pipe; Sz & Anchrs
69 Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab. Steel Wrapped
60 Yard Gas Piping
8 Piers-Frpic Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
Ij Wtr Pipe; Test-Anchrs-Rgitr-Service Test
12 Elec Undrgrnd
DATE
IM HCHANICAL
13 Plenums & Ducts; Cfmc-Material-Support-Insultri
61 AC Ducts Insulin & Support
14 Girders-Sills-Anchr Bolts-Joists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insultri
15 Acc & VntItn
63 Condensate Drain & Ovrflw. Sz & Grade
16.lnsulation
64 Furnace -Vent Acc-Comb Air Rtrn[Vent I IS Outlet
65 Attic Acc & PItfrm if Furnace in attic
DATE IFRAMING
17 Sills Proper Materials & Anchrs
1B Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops, Furred Cei Ii n gs -Stairs.-Chasers -Tubs
22 Headers & Beams-Sz & Bearing '
23 Hangers -Post Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-Truss-Shthg
25 FrpIcTies or Type A Flue-Frpic Throat CImc.
26 Attic Acc; Sz & Rrnx Prtctn-Draft Stop4ns Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtcm Framing -RC Cliannel
29 Prprty Line Firewall & Opngs
30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fn�tn Vnts-UndrfIr Acc
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnIs
38 Insultn-Walls-Ceilings
39 Infiltration-Walls-Wndws
DATE JELECTRICAL
40 Fxtr & Trnsfrmr CImc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled .
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 AppInc Circs in Ktchn & Cndctr Sz: GFI
47 Subfeed Wire Sz. 93 CU or AL
AC Wire Sz ga CU or AL
48 Range Circ ga [::] CU orF_1 AL
Oven Circ 93 E] CU or F-1 AL
Insulated Neutral [:]Yes MNo
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp CImcs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
FINAL
66 Ext Steps -Door & SideLt Prtctn-L2ndings
67 Smoke Detector
68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Acc-Spa
71 GFI Arc Fault
72 Elec Trim & Subpnl, Breaker Szs & Labels
73 Stairs, Guard[Handrails
74 Frplc or Stove, Cirnc-Hearth
75 Elec Outlets at Wood Pril, Int & Ext
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cirnc
T7 Elec Outlets & Rcpitcls at Ktchn Counter
.78 Garage Fire Door; Swing -Landing -Closure
.79 AC Duct in Garage -Damper
80 Wtr Htr; Vnts-CImc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3- drain
.81 PImb; Elec & Mech Eqp Listed for Lottn
.82 Elec Rcptcls in Garage (GFI) Romex Ortctn
.83 lnsultn-Foam-Looked in Attic
.84 Guard Rails & Deck Cnstrctn-Post Caps
- 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
.86 CIrnc Drnge Planters Dyes E)No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
- 89 Vnts aby Roof, Plmb-Appinc-Frplc-Clrnc to Opngs
90 Wtr Well, Dscnnct, Elec, Pimb
91 Ext Elec Trim, GFI Rcptel-Undrgrnd
92 VntItn thru House
93 Glass Prtctn
94 Corrections from previous lnspctns
- 95 Gas Test -Meters Tagged, Gas-Elec
- 96 Wtr & Sewer Cnnctd-C10 to grade -HD Apprvl
97 Energy CmpInc Cert -Other Certs
98 Address Posted
- 99 Fire Sprinkler
BUTTE COUNTY PERMIT NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP060385
OFFICE #: (530) 538-7541
PERMITS BECOME NULL_AND VOID I YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
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: 02/17/2006 APN: 021-160-064-000
the Business an2rofessionAsode, and my license is in full force and
effect.
License Class L cense umb
Site Address: 1085 FRENCH AVE GRI
trcto,
Date:.;,? 17-0 on ractor:.a;ZW
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: RE -ROOF (14 SQ)
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: MOHERMAN DAVID L & SUSAN L
to its issuance, also requires the applicant for such permit to rile a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
1093 FRENCH AVE
7000) of Division 3 of the Business and Professions Code) or that he or
GRIDLEY, CA
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
95948
applicant to a civil penalty of not more than five hundred dollars ($500).):
El 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, Buqlness and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: BILL'S ROOFING
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
GRAHAM, BILL
sale. If however, the building or improvements are sold within one
1770 KOFFORD ROAD
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
GRIDLEY, CA 95948
sale.).
530-846-3981
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,
and who contracts for such projects with a contractor(s) licensed
Contractor: BILL'S ROOFING
pursuant to the Contractors' State License Law.).
GRAHAM, BILL.
1 am Exempt under Article 3 of the Business and Professions Code
1770 KOFFORD ROAD
Date: Owner:
GRIDLEY, CA 95948
530-846-3981
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for
License #: 801512
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
Archite&
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:—
Policy
Total Square Ft: 0 S. F.
I certify that in the performance of the work for which this permit is.
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
Census Code:
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
co
forthwith comply with those provisions.
110
1'7
Date:
2-1�-06
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 Butte County Code and/or
I hereby affirm that there is a construction lepding agency for the
Resolu lio to do wor in ca e a ov which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
MM -1-7-o 6
Name:
B L \J A A Date:
2-- 1 -7- o
Address:
PERMIT EXPIRES ON:
(Date)
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 or 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 o any o icial r ordocument of Butte County. I hereby
authorize representatives of Butte County to enter upon e above mentioned property for inspection purposes.
Print Name: Signature:
Date:
0 owner &?-C`ont,.ctor 0 Agent for Owner El Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
BUTTE COUNTY
/0 0 DEPARTMENT OF DEVELOPMENT SERVICES
0 0 BUILDING PERMIT APPLICATION
0 0 AND SUBMITTAL REQUIREMENTS
0 0 24 HOUR [NSPECTIONg: OROVILLE: (530) 538-7636 - CHICO: (530) 991-2834
OFFICE #: (530) 538-7541
CDP 0
A FEE I-VILL BE REO UIRED A T TIME OFAPPLICA TION
01i t4
Website: wwvv.buttecounty.net/dds
"PLEASE PRINT CLEARLY"'
OWNER INFORMATION
Last Name /A/ 14
--irst Name
Address
city
State.
Zip
Phone
Fax
Lic. # 1?0 13 12
CONTRACTOR
Name -7 _(
& /7 A
Address "7 0 0.
City
State
(��
I Zip
Phone
Fax
E-mail
Lic. # 1?0 13 12
1 Cl e ss'�'
APPLICANT INFORMATION
ARCHITECTIENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPL19ANT SIGNA TURE
X
For office use only:
Zoning
AP#
Flood Zone.
Property Address'A2o-
SRA
I Yes
No
Occ. I
Type Const.
Subdivision Name Map
Book
I - Page
Planner
Date Approved:
PERMIT
NO.
-/V"
BIN 4
,P Drption q Scope of Work:
Sq FT- Living Garage Open Cov
C3 Structure Built without Permits
El Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF ATPLICATION
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 expiration, a new application, plans and fee will be
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
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: Ai 10 oo —,Bldg
SRA
Receipt#: Sheriff
SMIP
Other
Date: �- 17- 0 G. 11001)'0 Total
PROJECTLOCATION
AP#
02-
-I 0_ OCDIA
Property Address'A2o-
/7 441, ity
Cross Street
WORKER'S -COMPENSATION -
Policy Number
Carder
If hiring anyone other than license contractors, a certificate of worker's
�ompensation must be shown at the time of permit issuance.
LENDINGAGENCY
Name
Address
,P Drption q Scope of Work:
Sq FT- Living Garage Open Cov
C3 Structure Built without Permits
El Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF ATPLICATION
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 expiration, a new application, plans and fee will be
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
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: Ai 10 oo —,Bldg
SRA
Receipt#: Sheriff
SMIP
Other
Date: �- 17- 0 G. 11001)'0 Total
21-16-'64 912-89B, P
EVENSON, Dan�
1093 French -Ave, Gridley
Contr: Stan Perry
(new private detached garage)
PERM FINALED:
PERMIT EXPIRES'
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
V,
Temp. Power Palo
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
= OK
>40 "'ovi
0 = Not OK'
=Not Applicable V �beeRjo&4
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gliilmopl .1RE?
!19-'blso SJ80
l'6-bi;30
ej so
M-bis.0
1`8-bizO
einr;
VVfJq')oxe NO (an.s!�,qj PWRAAW�
2�1
M-b�is' 0. ki 0
r IE�_ C1 i�y
-ir
�_vrior,.A A ishals,vi ieqo 4',aMc? C
:NMI Is eff*mmoo ,(?n1flsl,4-?.bui8 PllsW .0b
M19-:-�?niomE3 ia g
nobil@ ip
goilis0i iQoR 9 wo'bllsW CrfihseEl
'W 11' jtrl(2
- ----------
duT-aspnd' )eiist8-zj)rJ1:e, -nul :,-,qof2 9)il Cl�
bs
pnhsq8 Z sx!3-rrissEl A iebssH - 4,
lgfiP df); IiPiV L10V nmit
V'Onq ni& q'MIA1
= UK
0 = Not OK
- = Not Applicable
= Not Ready
Date ---UND191
RESIDENTIiL (Single and Duplex)
#'s
r. Lon ing-betbaCks;-I:asements-Flood-Slope
2. Ft"
, ain; Soils-Steel-Elec. Grnd.-/ Ftg. De
�rTtg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del
S. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, Garaqe; Steel-Blockouts-Wrapped
k 8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test
10. Gas Pipe; Size -Anchors
1 1._W
Ater Pipe; Test -Anchors -Regulator -Service Test
12. g!ectric; Underground
11 Plenums & Ducts; Clearance-Material-Supprt-Ins.
1*-etrdef"ills-Anchor Bolts -Joists -Vents -Cripples
15. Ingdation
Card-131(?Ov-, DateS�--Card-131 Date
Card -B1 Card -131 Date
", IV
Date ,411.11.11MOING (Permit) OK except #'s
'--Alemt-Access-Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -B1 Qateytd-, &F Card- B 1 Date
Card -B1 �-� Date Card -131 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size ga. Cu or A[-A.C. Wire Size / /ga.
Cu or Al
29.RangeCirc./ /ga.CuorAl-OvenCirc./ /ga.CuorA[.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panel s -Moto rs- Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -131 Date
Card -131 Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Ong. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
48. Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers'
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -BI Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Land i ngs
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor- D ucts-Mech. Protection
64. Bedroom Exiting
66. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 13 Yes
80. Following instid.; Drive -0 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 0 No
Si. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; PI bg.-App I iance-Fi rep I. -Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/0 to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -131 Date Card -B1 Date
Card -131 Date Card -B1 Date
Card -B1 Date Card -131 Date
Comments at Final:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS'
196 Memorial Way. Chico — Phone: 891-2751
7 County Center Drive. Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE'
0 1 c,(,� W -1
WNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be.,corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
M-1, �), .9 �� I ;, — - ev 0 O—t% - '+
0 Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751--
7 County Center Drive. Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
-�J
WNER PERMIT NO.
A routine Inspection Indicates that the following violations of County Ordinance ----
exist at the above address and should be corrected. Please notify 'this o - ffice,
when correction of work Is completed. It you Nave any question pertaining to-thid
matter, or need additional explanation, please contact this office Immediately.
I �11 I N WIN "10 - & 011 11 1
R�
COUNTY OF BUTTE - DEPAR-TIVIENT OF PUBLIC WORKS
7 County Center Drive - Oroville, C��Jllforri*95965 - Telephone: 916/538-7541
. APPLICATION AND PERMIT
P RMIT NO
100105r�-�
U R
ASS.JS--,PCCE1 - E
24
BUILDING PEWIT
1" 'EWLK-J-�
T ELS PH"ON E
SQ. FT. OCC. BUILDIRt-IrAll UATION
r yl V
0 !�AILLLtfi ADDRESS.# I" —
rn L;6 �-� _, "tg.A4 18
��OR12
ITMHONE
,Ar 0 R'S G DDX
P,O :!.-Pir36
(5.R
Fireplace
CONSTRUCTION LENDER I
LihfK'NOWN
Total Valuation $
Filing Fee
$ 10 .00
LENDER'S MAILING ADDRESS
Permit Fee
CV;.
ARCHITECT OR ENGINEER —[CFFE–NSE
NO.
PI -an Checking Fee___
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
F i i ng Fee 10.00
09 -3 P,74-�-k- QU--e-
Each Trap
2.00
Solar or heat pump water heater
20. -
LOT NO.
SUBDIVISION NAME J�ARCEL MAP
Water piping
--15. 00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFOJCDuplexF� Mobilehomel--] Other-$,�d g
SPECIFY V
Gas piping syste6 1 - 5 o ts
5.00
Building se er,!e�
b.0 L) "S. (M
--TO-00ea"
Mob i I e S I G W
TYPE OF WORK
Newt—Addition[] RemodelEl Utilities[] Installation[:] OtherD
Describe work:
plea,
$
Contractor
ELECTRICAL PERMIT
Fi ling Fee 10.00
Main service 600V OR LESS
100AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
License No. Classification 13
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.81) —
OR ADDNS. ( ACC.BLDGS. 21-10sq ft
NEW CONSTR. MULTI -OUTLET 6
NON,R E S I D, BRANCH CIRCU I TS) 2.5D4'a
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETs OR FIXTURge' 20050c
DAL@ 30C.
FIXED APPLNS.
Ex. Occup. OUTLETS (RESI�A�.A.) 2.00 1
Temporary service 11", 10.00
Mobile Home Facil*ries 15.00
Misc. Wirins,01' 15.00
"I"
Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): .
[] 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.
I shal I 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 'mu'u"
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
-�Ifontractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
vent!
---
PtOr-mit Fee
$
Contractor
certify that I have read this application and state that the above information
1 s 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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgmen costs, and expenses which may in any way accrue
again� �aid Pounty in �sequence of the granting of this permit.
X JL�— V-�P" Date
Signature of Applicant o4er El Contractor A Agent ID
An OSHA permit is required fo! e ovations over 5'OYYe Ver;*'on or construct-
ion of structures over 3 stories I n eight.
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PERMIT FEE $
occ".
I CON;TPEI
ISCHOOL
F�TAR
17
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for hich
I CT PUBLIC
By--
0
PERMIT EXPIRES Date—
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dg
Receipt No. ML -,3 / 93 '02 73 Q .
WHITC-D.P.M.. YELLOW-ASSESSC!f PINK -INSPECTOR. 4f0/DF.NR0D-APPLI CANT
COUNTY OF BUTTE DEPARTMENT-OFVV . - WORKS BUILDING DIVISION
.13LIC
7 COUNTY CENTER Dj3.lvE -.013 . OVILLE, CALlFd1i`tNlA 95965 -�TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
4
OWNER
Permit No.
ffim
ill :: 1111� IN
7,roposed Building Use 14-YRIWA-11IM1,111 r.
Li �A� IIIIIiiiIIIIIIIII15A
At time of permit application, I was advised the following data must be submitted prior to l3erm it 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. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions .......................................
9. Fees of $ . ..........................
0. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
"12. chool D' trict fees paid .............
t-1,13. Sanitation approval from Health Department*
14. City of Chico plumbing permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: -(B) Parking: . .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Inspection for required ...... Pre-Inspec. request to
Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verifi'cation-l(Given to owner 13, Mail to owner 0) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24.� Letter of signatu_re authon ation ... .................................
z?,K,V25. ln-"- Qt 144- r
When you issue the permit, process as follows: - Mail to owner, -Mail to contractor.
Telephone -av, -qnri hnid for pickup at office. -Deliver w/inspector.
Other,
Applicant- Date 3 -al -R?
Copy of plans sent Health Dept., -Fire Dept., Other -Date
The following data must be submitted prior to permit issua ce: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above requ red data by hone ---mal I —counter by date—
�ate
designer, owner, was advised of above requ:red data by2pphone —mal I —counter bym
Plans checked by Date Plans approved by 45L�__ Date
_�_Sets of plans on hold in ZFi . le cabinet _AP folder
Copy—DPW
TO Buildina Department
FROM: , Environmental Health
SUBJECT: Sanitation Clearance
-a llf-�,C�
owe, r. Location AP#
Plan Approved for.: Sewage Disposal' Water Supply
Hold final for:
Final clearance O.K. for:
clearance for bedroom mobile home.
NOTE
V
Sanitarian
. Water supply
Other a ric-a-C e-
�j LI/
Water supply _.
I / �;6
30 a I
Date
Al
cx
tv,
COUNTY OF 6UTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION'AND PERMIT
ASSES�7PARCEL NUMBER
ZONING
BUILDING PERM
OWNEb
CL _ Veo !�; 0 A-�
TELEPHONE
-IT
SQ. FT. OCC. BUILDING VAL TI?A
�&
OWNER'S MAILING ADDRESS
q7 te
09 0 � /
I R'S N A
C 0 NT R 'ITELE
KQAE
CONTRACTOR'S MAILING ADORE
__TF�
Fireplace
CONSTRUCTION LENDER
OWN
Total Valuation is
LENDER's MAILING ADDRESS
FTIlng Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
SE NO.
Plan Checking Fee
$
ARCHITECT OR EN - GI - NEER*S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$ —
d I
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
1
SUBDIVISION NAME
—
PARCEL MAP
I
Water piping
5.00
Each qas water heater or vent
5.00
—
USE OF STRUCTURE
SF DuplexF� MobilehomeE] Other
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
�0-00ea
TYPE OF WORK
Ne Addition [:1 Remodel[] UtilitiesO Installation[] Othe,-E�-
Describe work: Z�r__A_ r_ Far—
T(I t�� C4 P -Ink r -a r4 Q
Permit Fee
$
contractor
ELECTRICAL PERMIT
Filing Fee 10.00
600V OR LE
Main service 100 AMP ORSLESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
Sa 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)
El 1. as the owner, am exclusively contracting with licensed L,WIILIGCt-
ors. (Sec. 7044)
Fl I am exempt under Sec.—, Business and Professions Code
for this reason
Main service EA. ADO -L 100 AMP
2.50
NE W CONST *
OR ADONS. DACWE�&G so,&c4pPdL- 21/4sqft ':T7, S -C
N IL w C ONSTF;L MULTI-OUTLI37 2.50 ea
NON.RESID. BRANCH CIRCUITS)
POWER APPARATUS.&)
SINGLE OUTLET CIR
0050ti
Ex. Occup(OUTLETS OR FIXTURES 02ALO 30t
OCCUP. FIXED APPLISIS OR
Ex. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100-00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
I
Hood
3.00
Ventilation
Permit Fee
— _T
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnity and keep harmless the County of Butte against
all liabM!t.ies, judgments, costs, and expenses which may in any way accrue
again aid Coun in consequence of the granting of this permit.
Date
nature of Applicant OwnerO (Contractor [I Agent
An OSHA permit is ryuired for excavations over 5'0" deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PERMIT FEE $ Z_
occup.
� CONST,TY
LOODIPARCELI
PO
I H
This permit is hereby issued under
sions of the Butte County Code and/oL
work ve o
d above which
IR PUB
B
P&SAI 'EXPIRES tate
the applicable provT
resolutions to do
f have been paid.
ORKS
Receipt No. 01
WHITE-D.P.W.. TEL LOW-AS'Stslsfo R, PiNK-twsprCTOR. rOLDENROD- APPLICANT
COUNTY OF BUTTE -.-Deoartment.of Public Works
7 County Cent& Dr*ive', Oroville, CA 95965 Phone: 916-538-'7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for i.n.your name and bearing..
your signaturel�
Please complete -and return this information at your -earliest opportunity to avoid.
p
u . nnecessary*delay in . proce . ssing andissuing your building permit. No building permit
will be issued until this verification is received.
1. 1 personally plan to ction.of
providethe major labor and materials for constru
the propo-sed.propert y impro vement (yes or no)
2. 1 (have/have not) signed an application for a building permit
for the proposed woik.*
I.have cont . racted with the following person-(firm).to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
-\4- I plan to provide portions of this work, but 1 have hired the following perso n
to coordinate, supervise, and provide the.major work:
Name
Address City
Phone Contractors, License No.
I will provide some of the work but,I have contracted (hired) -the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed:
Property Owner
Social SecurityfNumber
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
= OK
0 = Not OK
Not Applicable
Not Ready MOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME UTiLITIES (Plans) OK except #'s
Date
DEPIKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Req u i reme nts-Setbac ks- Easements
In III,
[I - f_7
C.1"Zoning Requirements -Setbacks -Easements
pZ Footings; Soils-Size-Depth-Spacing-Connectors-Steet
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
_3_.DeGke��ders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4_WoGd--Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing '
5. Electricity; Location-Cl.earances-Grnd.-/ Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
5.-A+unr-AWM--CbI u m ns -Con necti ons-SpI ice- Decal- Enclosures
6.-Caqx;As--_Wmdows-Doors
7. Utility Clearance
Z-Elac-
7
L-e-rrmg; Sills-Anchors-Studs-Rftrs-Trusses
L-�iqing; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -131 Date
Lle-l'koof; Shthg-Roofing
Wd-1311
Date Card -131 Date
11. -W.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
:>
1. Zoning Requirements -Setbacks -Easements
Card -131
Cjft Date/6-/V_f�7Card-131 Date
2. Footings; Size -Spacing -Marriage Line
'Card-13CjWV-,
Date 11-CA4?-,X,ard-131 Date
3. Gas; MH Test -Demand -Valve -Connector
k r- /
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
"VOOLS (Plans) OK except #'s
5. Drain; MH Test-Fall�Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/0 to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GIFI
10. Cert. of Occupancy
5. Elec.' Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Encl osu res -Panel boards- Ins. to Main in Conduit
Card -131 Date Card -131 Date
Card -131
Date Card -131- Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -1311
Date Card . 131 Date
Card -131
Date Card -131 Date
= OK
0 = Not OK
- = Not Applicable RESIDENTIAL (SIngle'and Duplex)
* = Not Ready q
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
45. CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
46. Fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks; Soils-Steek/ /"Ftg. Depth
47. Attic Access; Size & Romex Protectl on- Draft Stop -ins. Baffles
5. Sternwalls, Main; Steel-Blockouts-Wrapped
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
51. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
54. Siding -Nailing Veneer
12. Electric; Underground
55. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
56. Glazing Area -Glass Protectio n-Skyl ig hts- Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15. Insulation
58. Insulation-Walls-Clg.
59. Infiltration-Walls-Wndws
Card -B1
Date Card -131 Date
Card -131
Date Card -131 Date
Card -B1
Date Card -B1 Date
Card -B1
Date Card -131 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
Date
FINAL (Plans) OK except #'a
17. Water Pipe; Test & Anchors -Nail Protection
60. Ext. Steps -Door & Sidelight Protection -Land I ngs
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
61. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access-
21. Gas Pipe; Size & Anchors
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -131
Date Card -B1 Date
66. Stairs & Rails
Card -131
Date Card -B1 Date
67. Fireplace or Stove; Clearances -Hearth
Date
ELECTRICAL (Permit) OK except #'s
68. Elec. Outlets at Wood Panel; Int. & Ext.
22. Fixture & Transformer Clearance -ins. Protection
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
71. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
72. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuits in Kitchen & Conductor Size
74. Plb., Elec. & Mach. Equip. Listed for Location
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral Yes No
76. Insulation -Foam -Looked in Attic 0 Yes
77. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
78. Fdn. Vents & Crawl Hole Door-Draina & Wood -Earth
Clearance Looked under Floor 0 S
�!e!
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
79. Following instid.; Drive 0 Yes 0 No; Walks 0 Yes 0 No;
Planters (3 Yes 0 No
80. Stucco; Brown -Finish
Card -B1
Date Card -131 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -BI Date
82. Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to
Openings.
Date
MECHANICAL (permit) OK except #'s
83. Water Well; Disconnect, Electrical, Plumbing
33. A.C. Ducts Insulation & Support
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
34. Vent Fan; Exhaust above insulation
85. Ventilation throughout House
35. Condensate Drain & Overflow; Size & Grade
86. Glass Protection
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Corrections from Previous Inpections
37. Attic Access & Platform if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -131 Date
Card -B1
Date Card -131 Date
Card -131
Date Card -131 Date
Date
FRAMING (Plans) OK except #'s
Card -131
Date Card -131 Date
38. Sills, Proper Material & Anchors
Card -131
Date Card -BI Date
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rat proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
I
43. Header & Beam -Size &_Bearing�_ _
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DE�ARTMENT OF PUBLIC WORKS PERMIT 0
7 County Center Drive - Orovil-le., Cal,�fornia 95965 - Telephone: 916/538-7541 le l -7
APPLICATION AND PERMIT
ASSESSOR �ARCEL UMBER
Z NIN
BUILDING PERMIT01
OWNER
H ONE
PA
SQ. FT. OCC. BUILDINCkVLL -TIZ71
OWNER'S MAILIN�J M -,,a
/ o
122 13
60 r
CONTRACTOR
EP 0
CONTRACTO" MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
!=f2a
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
—
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
F i I i ng Fee 10.00
V
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME ARCEL MAP
1 1P
Water piping,
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
S_ Pd? DuplexF� Mobilehome[:] Other
`�F` SPECWY
Gas piping system 1 - 5 outlets
5.00
Building sewer
-F -T
5.00
Mobile Home G WT
Ts
0.00 ea.
TYPE OF WORK i
Ne AdditionE:1 Regiodel[�] Utilities[] InstallationEl OtherEJ
W;� 11
Describe work: q"4 4!�e,
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00.
600V OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I de la under penalty of perjury (check one):
Col 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 0
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)
0 1, as the owner, am exclusively contracting with licensed cont,aut-
ors. (Sec. 7044)
1 am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.&)
OR ADONS. * ( ACC. BLDGS. 21/20sqft
NEW CONSTF;L MU LT'*OUTLET 2.50 ea
ON-REsID,
N BRANCH CIRCUITS)
-
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURE! 1.20@50t
AL930C
FIXED APPLISIS OR
Ex. Occup. OUTLETS (RESI'D. ) E A.) 2.00
Temporary, sery ice 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
[] The permit is for $100.00 (valuation) or less.
Ej I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
I 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 suuJr.C1
to th.e.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
P ermit 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, indemnity and keep harmless the County of Butte against
a I liabilities , judgments costs, and expenses which may in any way accrue
against said unty in c sen f ting of this permit.
� A- I _/,J /9 fi
(� = Date
Sig of Applicant Owner 0 Contractor Agent
An 7HA permit is required for excavations over 5'0" deep and demolition or construct-
ion ctures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PEBMIT FEE $
B.1
C, El
SCHOOL
I
FOffil
PARl
PD
ISSUE
JZ
This pbrmit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
I
D RECT OF PUBLIC
By—C _**-1
PEROWT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/b - '74 t
/ --7—.?g
V /_ 01
Receipt No. I 41�5
W"ITZ-D.P.W.. YELLOW�A!181!330ft. PIdR-INSPkCT0R. 'GOLDENROD-APPLI CANT
y�
COUNTY OF BUTTE DEP�JkRTMENT OF PUBLIC WORKS BUILDING DIVISION
7 COUNTY CENTER DRIVE - O�OVIE_Lt4aAl�#.:OR"95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET Permit No.—
OWNER a., A. P. N o. z
Proposed Building Use ector Date �2_1�5?1��
Building Insp
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/orissuance: 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. Plans with Energy Design Compliance Statem6nt . . . . . .
6. School District ''Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of, $ . . . . . . . .
9. Letter of signature author izat ion'. . . . . . . .
10. Sanita(tion approval from, Q:6��f,� Health- Dept.
11. Planni ng approval for (A) Use: — (B) Parking: -
12. Certificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
—14. Owner -Builder Verification (Given to ownerEL mail to ownerE]
___15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . .
,17- Pre -Inspection for-- Required Pre-Inspec. request to (Date)
- Building Insnector
-18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
0. PI m city of
d2a
2.
4
When you issue the pern�,t, �c as follows: —Mail to owner, —Mail to contractor.
I 2V office, —Deliver w/Inspect6r.
Telephone ��g and hold for pickup a-flif:ya—
/1 Other
--70JOVIN 1-1 '9 _
Applicant
Cop—y—oT—plans sent — Health Dept., _Fireffl�bpt_/
/_ Other— Date
The following data must be submitted prior to per
1. Index permit for above items No.
2. Additional items required:
it is uanc-- 1('ircle new item not checked above).
Contractor, designer, owner, was advised of above required data by—phone---mai [—counter by— date
Contractor, designer, owner, was advised ci above required data by —phone —ma i I —counter bd I date
bq7--
Plans checked by Date Plans approved by— /1111 K --Date to -r-17
Sets of plans on hold in —File cabinet _AP folder
Copy—DPW
TO Buildincr Department Tip
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owne Location P#
A
Plan Approved for: 'Sewage Disposa'l Water Supply
Hold final for: Water Supply
Final clearance O.K. for:. Water Supply
Clearance for bedroom mobile home. Other
NOTE
I
V,
Sanita lan
Date
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSOR PARCEL NO.
21-16-64
ZONING
A-5
OWNER
PH E NO.
DANTEL H- RVENSON
-C
616
OWNER'S ADDRESS
tl0c)'l Frpnch Aypniip, Grid`IP3�
LObATION OF BUILDING
1093 Frpnch Aypnilp, Gr.idlpy
(USE OF BUILDING
In JA (,2 li
<SIZE OF STRUCTURE�—.
. (/ -7
SQ. FT.
)CTYPE OF CONSTRUCTION:
WOODFRAME STEEL CONCRETE -OTHER
(Spe6ify)
.�TYPE OF SIDING
*AOOFCOVERING
LOOR TYPE
I oj,!�FOZ2
e�zj 1;7V
.-ESTI MATED COST OF CONSTRUCTION.
$
AG Buildings shall comply With the building front, side, and rear yard requirements of the applicable County
Ordinances as follows: -rke-, S
FRONT Jh S
.
I,--- I
- -4:J9 IDES
RE AR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floorareashall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greaterthan 1000 sq. ft. in floorareashall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed' use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
VDate 7// cl, /, g i(ignature of Owner
Permit Fee �-�$2506 The above described AG Building is exempt from a building permit.
Receipt No. r� 2- / //7 Director of Public Works
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant By. Date 7-,
N
n
&
December 5,, 19717
Daniel H.'Evenson RE: Spe'c'ial �'In6peiition #41-77
Rt. l,'Box,505' (AP"21-*'16"64)
Gridley,"CA.'95948'
Dear Mr.'iven'son:
With reference to the above subject and your.proposal to conveit t�e private garage
on your pi6oerty,oni French Avenue into a machine shop, the following items must'be
done:
Thebuilding.must be modified or rdconstructed'to-meet pi�sent'code.
structural requirements including proper foundation, wall framing,
and -roof framing systems.
2. The hiLlding t�ust be rewired to meet present code requiiements.
3. Provide lig�t and ventilation and exiting per code requirements.
If you decide to proceed with this change of occupancy and if zoningpermits this
use, please submit three (3) complete sets of plans to thiioffice incorp9rating-the
above,items, apply for the required permits, and pay the�appropriate fees.
Should you have any questions concerning this, please contact us.
Yourl very truly,
Clay I Castleberry
Director of Public Works
J.F. Glander
JFG:dd Assistant Director
File No.
BUTTE COUNTY (For Action 1, 2, 3)
Public Works DePt. (For Information
Director
Dep. Dir.
f i Sec.
Rd. & Br, Mtce.
ShoP & Yards
Bldg. Insp. Admin..
D&C / Traffic
Const.
Rd. Des.
Br. Des. _,.r
Sur. & Loc.
Transp.
R/W
F Land Dev.
Ref. DisP.
orng. / S.I.
Sub. & PcI. M S
� I,-
41WI7
BUTTE-eOUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
Owner:— r'. 'e A. P. #
Address:
Tenant:
Building Location: k-Aj
� �r_ '�;� �- Cs-" , '�
Type of -Inspection requested:
Date of Inspection
A
Inspector
T71. Housing Ll 2. Financing -/7/ 3. Change of Occupancy to
4. Other (specify)
Present use of building:
A. Sanitation (Housing)
1. water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Connection to sewage disposal:
'12. Connect -ion to water supply:
13. Rubbish and garbage facilities:
14. Comments:
B. Structural
Piers and footings:
2: Floor construction:
3. Wall construction:— 2-6 tZ2L-A -5
4 . Ceiling and roof construction:
5. Fireplaces: 2 =
.6. Comments: A
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fus ing:
4. Comments: -
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments:
E. Other
1. M ' aintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. C ents:
F. Commercial Buildings
1. Roof covering:
2. bistance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:
5. Exits:
6. improvements:
7. Zoning: — Iz-
8. Comments:
G'. Field Problems or Violations
1. Problem or violation (give complete description):
2. What, action taken (give.cpmplete description):
3-., What action recommended:
71A. Information only f i'U2.
77 B'. Hold for te:'i (10) days' then write letter.
C. Write letter.
7 D. Other:
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 7 7
Telephone: 534-4541
APPLICATION FOR SPECIAL INSPECTION
Owner 10" -',' 0 h A. P. No. Ll
Mailing Address Telephone No. Rq4-5-7-52
*r i
Applicant 1), 0 - u Fyy� Telephone No.
Mailin� Address
Building Location wbs Fr rA /� v 9- a -o i� ro r)
I I (I -
PAPxS. r) v) 14 J (2 - n �- I j ) 4e1j Ay 4c A,
I hereby request a special inspection of the following building:
/ / 1. Dwelling (if only a'portion, specify)
/ / 2. Apartment House (if only a portion, specify)
/ / 3. Commercial (specify present occupancy) _
4. Other (specify) wlvaLe 710
I am requesting a special inspection for the purpose of:
/ / 1. Moving the building.
/ / 2. Financing (specify agency)
1_L1:"'3. Change of occupancy to
/ / 4. Other (specify)
Case No.
I hereby certify that I will obtain the necessary permits and make any necessary corrections,
alterations, or repairs required by the County of Butte, as a result of this inspection, to comply
with building and housing code requirements. I also certify that prior to the use or occupancy
of this building, I will complete the above required corrections, alterations, or repairs, or,
if the building is presently occupied, I will complete the above required corrections, alterations,
or repairs within thirty (30) days.
I certify that I have read this application and state the above information is correct and hereby
authorize representatives of the County of Butte to enter upon the above-mentioned property for
insp,ection purposes.
Date
Signature of'Owner
Fee paid $ 41 i:�', r) 0
lst-DPW - 2nd -Inspector - 3rd -Applicant
Receipt No.
ljl:�,rle Aoo'
xz
01
b-
0 R
,
tp
I
Iz
ib
01
b-
0 R
,
tp
I
TO Buildina Department
FROM: -' Environmental Health
SUBJECT: Sanitation Clearance
Location AP#
Owner
Plan Approved for: sewaqe Disposal Water supply
Hold final for:
Water Supply _
Water Supply
Final.clearance, O.K. for: . . &�
Clearance for bedroom mobile home. other 0,
U
NOTE ***,
'bate(
nitarian
-4
'PERMIT NO. 2307-78B,P,E,M
PERMIT EXPIRES
Daniel H. Evenson
T1,1 !OWNER
�CONTR. owner
LOCATION (A.P. 21-16-64
W/S French Ave., app.1/3 mi.S.of West
LiVerty Rd., Gridley.
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 Or PUBLIC WORKS
BUILDING INSPECTION REC..ORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Heating
Soil Piping
Forms
Brown
Cooling
1'st Floor
Main Bldg.
-Parapets
Restroom Finish 7
V_ :Z 9
2nd Floor
Footings
Windows
Ventilation
3rd Floor
Sternwall
Siding
Final
Topout A,
Slab
Roof Sheathing
Water Piping -V o-/
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
_.tandicappe
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final —_7
Sanitation
Patio
FlRkPLACEN
Final —7 Q4=: -
Footings
Footing
7T EI.,ECTSX��4,\J
Masonry Walls
Throat
I Rounh
Bond Beam " / I FIRE S1411CINKLERS Motors
9 F01q
Framing 4zz,1';1UZPk Test Water Htr.
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
ro -21- -79 W
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
C7 CA:>
Final —7— CArN
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
%�ater Piping Sewer Gas Piping
I E ME INS—" Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE /511 REMARKS OR CORRECTIONS
;eIl
Alp X,
6f
oe
4010,
� z, -
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE .— � DEPARTMENT OF PUBLIC WORKS
CountV Center Drive - Oroville, California 95965
Telephone' 5j4-4541
APPLICATION AND PERMIT.
;,7-7P
11A t,-"
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
XV1Z12?d-ez4:,Z / Date
SignaturAfof Permitee or Agent
Receipt No. / / / 4�2ZF-_-- -7
White-D.P.W. — Yellow -Assessor — Pi4-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 D a t e
Building permit expires Date
BUILDING
7w I
Owner
SQ. FT. OCC. BUILDING VALUATION
Z;5,- (20-0
Mai I i ng Adp ess
T I hone No.
Contractor
lFireplace
Mai I ing Address
Total Valuation
Telephone No.
Permit Fee
Building Address
Plan Checking Fee &/or Penalty
Permit Fee
$
-
-7 2—
1
PLUMBING
No.1
@
FEE
_21L
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
Ike)
Each gas water heater or vent 1.50
FAWJ���J
FireDep't.
I Fi re Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
IParking
Plans
I Parcel
I Declaration
I Parcel Map
60' R/W -1
Impro
Each additional outlet .30
Building sewer 5.00
Bldg. P4M—.R`e.a L
Parcel Ap r. K.
P I A_�
ons Approval
Lawn sprinkler system 2.00
rjEW F1 ADI�ITION UTILITIES OTHER
Permit Fee $
ELECTRICAL
No -1
@ I
FEE
PERMIT FILING FEE
$3.00
600V OR LESS
Main service 100 AMP OR LESS 5.00
aft
Single Family Duplex LJ Mobi I Home Others El
Main service EA. ADo'L 100 AMP 2.50
Main service OVER 600V
100 AMP OR LESS
25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST DWELLING OCCUP. N)j
OR ADDNS.' ( ACC. 8 LOGS. 20sq ft
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
UL
NEW CONST __ !-OUTLET
NON-RESID,�� (M.RANCH CIRCUITS)J
12.50ea
NEW.CONSTR. ( POWER APPARATUS .8.�
NON RESID. SINGLE OUTLET CIR
@
Ex. OCCUD(OUTLETS OR FIXTtIRE S 50 25' 1
BAL@1
FIXED APPLISIS OR
Ex. Occup. (OUTLETS (RESI*D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring?�14._ UA4-�ZZ , 2, 6.25
I
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 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
'NO.
@
FEE
PERMIT FILING FEE $3.00
.00
Heating
9
Cooling
Ventilation
Hood 2.00
_�;�o
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
$
TOTAL PERMIT FEE
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
XV1Z12?d-ez4:,Z / Date
SignaturAfof Permitee or Agent
Receipt No. / / / 4�2ZF-_-- -7
White-D.P.W. — Yellow -Assessor — Pi4-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 D a t e
Building permit expires Date
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(py-u�e CA)
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Owner:
Address:
Tenant:
Building Location: W/
Type of Inspection requested:
BUTTE COUNII'DE?ARD VT OF PUBLIC WORKS
.__q_
SPECIAL IN�PECTIOV REPORT
L:! � -'- �' C9 / s
A. P. #' ' oZ /- 16 -
Date of Inspection,
Inspector
/ / 1. Housing T-1 2. Financing " 3. Change of Occupancy to
�a 4. Other (specify)
Present use of building: -
A. Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light andventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Connection to sewage disposal:
'12. Connection to water supply:
13. Rubbish and garbage facilities:
14. C, ents:
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fus ing:
4. CUUULents:-
D. Plumbin
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments:
Ao�
E. Other
\ 1. Maintenance and repair:
N2. Fire hazards:
3. Safety hazards:
4. Weather protection:
-5. Underfloor and attic ventilation:
6. Co ents:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:
5. Exits:
6. fm�provements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem or violation (give complete descriptioli):.
2. What action taken (give.cpTnplete description):_
3. What action recommended:
77A. Inf ormat ion' only - f i1e.'
B. Hold for.tea (10) days, then write letter.
C. Write letter.
7 D. Other: