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Home My WebLink About021-190-037REROOF W/O PERMITS 8/28/98 U.'o lee t; o ke Se l� '0111i./9Sl 021-19-0-037 98-1992 B LOCKHART, Steve 995 Dewsnup Road, Gridley (reroof/com) SF v , IN, Mrs. Hannah- 271-67BWN21-19-37/w s - cornerDe snup & Peterson Rd., rl ey (addition) . t _ _ Tm !L 'sr,c«.,,c�lr'ver-",14"�=4r,�'%''�'�m:.�'rs.4.v:�'•":'�=�a'.'�=?�'."�.�"�F=S�°-"�P'-'�k:`:�t`;'�'Fc'a�27't++ltv'.+�!$`":."� .;,a�.�y�....:,a,....:v�w�sq.�e.-..r .�+�v.ativ,r•^v'[,+'):f-'r �} s � � / o ; t � \ ��_ � �� -� . � C� ,� � .�____ � ��'� .. �. „r �"�.,.; � i '� .� � J . ,} • t s � � / o ; t � \ ��_ � �� -� . � C� ,� � .�____ � ��'� .. �. t �� }� i s � � / o ; t � \ ��_ � �� -� . � C� ,� � .�____ � ��'� .. �. COUNTY OF BUTTE - 9EPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 - PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 2y—./g ASSESSOR PARCEL NUMBER 021-190--037 ZONING A5 BUILDING PERMIT ✓ - OWNER* M �' STEVE TELEPHONE �� Sp. FT, OCC. BUILDING VALUATION t3 comp $780.00 OWNER'S MAILING ADDRESS 661 Ord Ranch Road, Biggs CONTRACTOR'S NAME TELEPHONE Owner CONTRACTORS MAILING ADDRESS i IG CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS a Fireplace Total Valuation $ $780.00 ARCHITECT OR ENGINEER LICENSE NO. I Filing Fee $ 20.00 Permit Fee $ 21.00 ARCHITECT OR ENGINEERS MAILING ADDRESS _ Plan Checking Fee $ BUILDINGADDRESS 995 Dcwsnu Road. Gridley Energy Plan Checking Fee $ $ PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 SF I.D Duplex ❑ Mobilehome ❑ Other SPECIFY Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Cr Building sewer 15.00 Describe Work: Re -Roof Comp Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 'OA OR IESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that' I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. OWNER -BUILDER DECLARATION Main Service 200A TO iOOOA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( DVTLING BLAS. 3.50FT: t=RaID. MULTI -OUTLET @7.50 8 OUTLOWELER APPARAET TUCIR.S 0 EX. Occup. OUTLET OR FIXTURES�E @ 1.050 Ex. Occup. oimFis Aa D.OEA. 5.00 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Temporary Service 23.00 Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. Mobile Home Facilities 20.00 Misc. Wiring 23.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. i r , Business and Professions Code for this reason PERMIT FEE S WORKERS' 't MPENSATION DECLARATION MECHANICAL PERMIT Fling Fee 20.00 Heating 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance'of the work for which this permit is issued. ,� 7117- ❑ 1 have and will maintain workers' compensation Insurance, as required by Section Cooling Hood 6.50 Ventilation 3700 of the Labor Code, for the performance of work for which this permit ii, issued. My workers' compensation insurance carrier and policy number are: Carrier PERMIT FEE $ Mobile Home Installation Fee $ Policy Number Energy Inspection Fee $ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 I certify that in the performance of the work for which this permit is issued, I shall Occ CONST. TYPE TOTAL FEE w 41.00 not employ any person in`any manner so as to become subject to workers' compensation laws of Califgutia, and agree that if I should become subject to the workersi'compen sation/' ovisions of section 3700 of the Labor Code, I shall forthwiffh comply with th e provisions. HAZ. 1 D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work X Date indicated above for which fees have been paid. Signature of Applicant - 1A Owner ❑ Contractor ❑ Agent; z An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. By l I r Date PERMIT EXPIRES ON 2 — �y ReceiptNo. ;Z �duS"� / C/A clp WHITE-D.D.S.-Er D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ate ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754j �, �^ / PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021-190-037 A5 ZONING BUILDING PERMIT OWNER LOCKHART, STEVE TELEPHONE 846-0393 O. FT. OCC. BUILDING VALUATION Srn 13 sq. co$780.00 OWNERS MAILING ADDRESS 661 Ord Ranch Road, Biggs CONTRACTOR'S NAME Owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 780.00 ARCHITECT OR ENGINEER LICENSE NO. Ellin Fee $ 20.00 Permit Fee $ 21.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 995 Dewsnu Road, Gridley Energy Plan Checking Fee $ $ PERMIT FEE $ 41.00 LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF W Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other q( Describe Work: Re—Roof Comp Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Jk( I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100 or less.) 1 certify that in the Performa a of the work for which this permit is issued, I shall not employ any person ' any manner so as to become subject to workers' ee that if I should become subject to the Code, shall CI ens . n laF�T forth th` comply worker ' ompenction 3700 of t;23 X Date Signature 01 Applic Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO +000A 46.00 NEW CONST. OW ELUNO OCCUP. SO OR ADDNS. ( 8 ACC. S.3.50Fr. NO.FIEOSIUT' MULTI -OUTLET 97,50 8 E OUTLET COWERLAPPARATUS IR. OUTLET OR FDCTURES 20 O 1'00 Ex. Occup.BAL @ .w Ex. Occu . DFucs A QOR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 41.00 HAZ. D FEES IMP I FLOOD c0F PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 2— —WHITE-D.D.S.- Date Receipt No. 757 7 Z77, 7,o .D. CANARY -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT WHITE-D.D.S.-S.D. (Rev.12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _ /�� ZONINQ BUILDING PERMIT OWNER TELEPM fJ� / 3 S/O. FT. CC. BUILPING VALUATION OWNERS MAll,1/!/NG ADDRESS CONTRACTOR'S_ NAME N TELEPHONE CONTRACTORS MATING ADORES$ CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS 02 Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAJUNG ADDRESS Plan Checking Fee S BURDINGADDRESs 95 �ws,�v RiJ n�al� Y Energy Plan Checking Fee $ a PERMIT FEE _ W IDT No. SUBDNsaN3 NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other $FY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ emodel ❑ U6riBes ❑ Installation ❑ Other Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W C?20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service =OR 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LTC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers'—Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in heigh Main Service 200A TO LOOOA 46.00 NEW CONST. OWELLMIO OCCUP. SO OR ADDNs. a A=. BLDg, 3.5¢Fr: T Q7.50 NON-RESID. ' BRANCH CIRCUITS PowER APPARATUS 8 S LE OtmFr d0. Ex. Occup. OUTLET OR FIXTURES 20 Ex. Occu . ounEDrs r;�vID°Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Hood 6.50 Ventilation PERMIT FET: S Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST' TMPE TOTAL FEE $ e KA D. FEES IMP I FLOOD I COF PARCEL PD NO ssuE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Dalai Receipt No. WHITE-D.D.S.-B.D. CANARY- SES R PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO 0 2. I HAVE X HAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate* supervise, and provide the major work: NAlIME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: Z3 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 I OWNER BUILDER INFORMATION - ...I 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 ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. T s . If you plan to do your own work, with the exception of various trades that you plan to subcontract, you ibould;,-= be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. rr : ,�tl- ♦ If you are an employer, you must register with the State and Federal Governments as an employer and.�;.; youyare • .. subject to several obligations.including state and. federal income tax. withholding, federal social security;taxes,~.; workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ` ♦ There may be financial risks for you if you do not carry out these obligations, andthese risks are especially serious with respect to worker's compensation insurance. ♦ 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. '' - i If the structure is intended for sale, property owners who are not licensed contractors are allowed to perforni}dieir work personally or through their own employees, without a licensed contractor or subcontractor, only tinder limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building ' permits are not required to be signed by property owners unless they are performing their own work personally. , - - Information about licensed contractprs 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" bn 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. r rely, '�1 Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.Injormation is required by Section 19830 of the Calijornla Health and Sajety Cod& 0 1 ro Inspector must draw a plot plan with all building locationsi ._ _.. 4 Additional comments from Inspector", , 2 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, rsty W/tae RESIDENTIAL 21-19-37 1524-91B,E,M Steve, 995 Dewsnup.Ave,'Gridley' (conv patio to living/sf) Y i 6 t- i F 1 F i% A' 1 �l -f �µ A i JOB FINAL ED Date — Signature J=Ok O = Not OK = Not Applicable Not Ready MOBILE HOMES MISCELLANEOUS ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s I Date DECKS, COVERS, CARPORTS, GARAGES, (PlansjOK except #'s 1. Zoning Requirements-Setbacks-Easements 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-PaneIboards- 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 4 O O = Not OK = Not Applicable ' RESIDENTIAL (Single & Duplex) - =Not Ready � Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 4 Hangers -Post Caps -Anchors -Connectors 2.-Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth V4 6. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. tairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 4. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 5. Siding -Nailing Veneer • 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Sh r Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 4, nsulation-Walls-Ceilings 15. Insulation 0. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 q on Date d 8-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date __y and B-1 ate Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Dat FINAWlans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection Irl. ps-Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 2. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access C4. -Furnace; Vents -Clearance -Comb. Air -Connector - 20. Test Tub & Shower, Second Floor -Tub Access �- In Garage; Above Floor-Ducts-Mech. Protection 21. Gas Pipe; Size & Anchors -64-B2i7�om Exiting --65'G-F"1-&-8oth Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 X66-Er€E-Trirri &"Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 �fiZSiairs-&Rails Date ELECTRICAL (Permit) OK except #'s ,SGB Fireplace or Stove; Clearances -Hearth Fixture & Transformer Clearance -Ins. Protection ood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----za:-KIt:Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled ----7-1-EIec-0u4Iets--& Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. a oor; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas -& Water �-�3-A E-Duct-in.Garage-Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI Vents -Clearance -Comb. Air-Connector-P.R.V. ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. ----Z.4-�Vtr_Htr-; In Garage; Above Floor-Mech. Protection Cu or At5-Wb.O1� Elec.-& Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. in Garage; (G.F.I.)-Romex Protection Insulated Neutral 0 Yes ❑ No , Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect -----T8-Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. -Fdn-Vents & Crawl Hole Door -Drainage & Wood -Earth 32. Clothes Closet Light -Shower Light -Spa Light Clearance Looked under Floor Yes 33. Smoke Detector ollowing instld.; Drive O Yes ❑ No; Walks 0 Yes O No; Planters ❑ Yes 0 No Date Card B-1 Date Card B-1 eco' Brown -Finish Date Card B-1 Date Card B-1 -Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to penings 34. A.C. Ducts Insulation & Support ater Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation rior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade � r ---g6 Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet Protectio n 38. Attic Access &Platform if Furnance in Attic �8-Qfas's' �- rrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card 8-1 Date Card B-1 gl! Energy Complia a Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except If's `d Date� B-1 Date Card B-1 3 its, Proper Material &Anchors Date Card B-1 Date Card B-1 Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. ire Stops; Furred Ceilings -Stairs -Chases -Tub fi 44. Headers & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1459 Humboldt Road, diico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 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 you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date 6/-- /..Inspector REV 11/91 Owner:. L n C; < �y4A07- Permit No. / �� 4 ` -( LOCAT ENERGY C ERTIF ICAT ION CU S/ a DESCRIPTION OF INSULATION A. P. No. ROOF Material Brand Name Thickness(inches) Thermal Resistance /(R Value) EXTERIOR WALL ./Material Thickness(inches) CEILING t//"'Batt or Blanket Type i(J 1/ Thickness(inches) ' Loose Fill Type Minimum ThicknesWnches) Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width (inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R V ue) Brand Name Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with the State of California Energy.. Requirements. S -Qv,�- FIRM NAME OWNE STATE CONTRACTOR'S LICENSE NO. S-fG11ktM OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the _ - Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of -the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. , y-, :i? - s - c� 2—, S GNATURE OF GENERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 .4 / COUNTY TTE - DEPA�TMENT OF PUBLIC WORKS ✓/ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION 'AND PERMIT PERMIT N0. Z ASSESSOR PARCEL NUMBER 21-190-037 ZCNING A5 •. BUILDING PERMIT OWNER Steve TELEPHONE 846-0393 1\ SO. FT. OCC. BUILDING VALUATION 276 10,488 OWNER'S MAILING ADDRESS 995 Dewsnip ve., Gridley 95948 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN None LENDER'S MAILING ADDRESS Total Valuation $ FilingFee Permit Fee $ .0.00 $ 86.50 ARCHITECT OR LN ,WEEP. _—TIC 74 -SE NO. None ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee _ Penalty $ 43.25 $ 15.00 $ BUILDINGADDRESS Gridle 995Dewsni Avenue Permit fee $ 154.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF EK Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other n Describe work: rnnv pati a 1r2.JE1b0mry D-6-1�1 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8101 OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): El 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-EX. sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR wACC• BLDGS. 2/zQsgft 6.50 NEW CCONS. ONST R.OUTLET NON RES BRANCH CIRCUITS) 2,50 ea POWER APPARATUSe SINGLE OUTLET CI. Ex. Occup(OUTLETS OR FIXTURES 20050t BALoao FIXED APPLNS. OR Occup. OUTLETS IRESID.i EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 Permit Fee $ 16 9n Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �7( I shall not employ any person in any manner so as to become subject I�l' 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 FiIingFee 10.00 Heating lin Cooling swamp 10.00 Hood 3.00 Ventilation Permit Fee $ 00 Contractor ' 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte againstHA all liabilities, judgments, _posts, and expenses which may in any way accrue against ai County in eque ce t nting of this permit. X Date .✓ - Signature of Applicant - Owner Contractor ❑ Agent 1-1work 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 F E $ �' cu PA s F CDE A PD t� I su This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do indicated ab ve for which fees have been paid. IR TO OF PUBLIC WORKS 3- d Date PE MIT EXPIRa Date Receipt No. 93640 WHITE -D. P. W., YELLOW-ASeESSOR, PINK -INSPECTOR, GOLD ENROO-APPLICANT COUNTY OF BUTTE - DEPARTMENTNfOF'-PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIIL c AtIFORNIA 959615'- TELEPHONE: 916/538-7541 PERMIT APPLICATION ATA SHEET ' Permit No. OWNER�% l/ U /�L!� / A. P tki Proposed Building Use�h1r% Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ....................... :........ ......... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park feesp id 3.L School istrict fees paid .............. cO 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ...................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications .. 22. Certificate of Workmans Compensation Insurance ................:: 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural Acknowledgm Sta ment ......... 25. Letter of signature authorization ...... .... ............... 26. 27. When you issue the e i t, process as foil owner. Mail to contractor. Telephone and hold ick t office. Deliver w/inspector. Other 01 Applicant- Copy pplicant 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 issuanc (Circle new item n checked abov 1. Index permit for above items No. QL�,af� 2. Additional items required: F O S t � Contractor, designer, owner, was advised of above required data by4z6hoeJnail_counter byZ1L"'.date Contractor, designer, owner, was advised of above required data by—phone —mai l—count r by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet—ZAP folder Copy—DPW COUNTY OF BUTTE - Depaftment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION. Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of / the proposed property improvement yes or no) 2. IE/have not) signed an application for a building permit / f e proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date - J6__ V / 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT TE EPHO BUILDING PERMIT 2- 1 SO. FT. I OCC. I BUILDING VALUATION Describe work: I�tiLl /,114Z7p 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. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 A litany If after makin this statement sh Id b b Contractor Fireplace ELECTRICAL PERMIT Filing Fee CONSTRUCTION LENDER VNKNOWN Total Valuation $ Main service EA. ADD'L 100 AMP 2.50 Filing Fee $ y2 ¢Sq ft ;0.00 LENDER'S MAILING ADDRESS Per -nil Fee $ POWER APPARATUS e SINGLE OUTLET CIR. �n ARCHITECT OR LN :INEEP. LICENSE No• Plan Che�king Fee $ FIXED APLNS Ex. Occup. OUTLETS PIRESID.IREA.) 2.00 Energy Plan Checking Fee $ 10.00 D ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Misc. Wiring 15.00 BUILDIN AD RESS n Permit fee $ Permit Fee PLUMBING PERMIT Filing Fee 10.00 Each Trap MECHANICAL PERMIT 2.00 10.00 Heating Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Hood 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities �stallation❑ Othe4l Permit Fee $ Describe work: I�tiLl /,114Z7p 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. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 A litany If after makin this statement sh Id b b Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&) OR A.O.S. ACC. BLDGS. // y2 ¢Sq ft r NEW CONSTR.ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 0 50 BALO 30 FIXED APLNS Ex. Occup. OUTLETS PIRESID.IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ , Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation pp g ou you ecome su lect $ �� !� to the W. C. provisions of the Labor Code, you must forthwith comply with such permit Fee / V67 provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ , to building construction, and hereby authorize representatives of the Countyot occ CONST TYPE - Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE S A I also agree to save, indemnify and keep harmless the County of Butte against HAZ. I CUA PARK SCHL I FLD I CDF PAR PD 1 HD. SSUE all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. This permit is hereby issued unser the applicable provi- X Date sions of the Butte County. Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ i work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. By Date WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date ;'p-� BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form' per Building) A. P.' Number '/ �VBuilding Department No. f School District City,D County � Jurisdiction � Property Owner �/ C�y�i f 0z01'/C1hd17_ Project Location/Address qq�sr zlj 601Qt "i) Subdivision Lot Number Residential Development: a Z 6 lasq.1%,Footage # of Living MHI Addition (Group R) Units CommercialIndustrial: Sq. Footage New Addition (Including Exterior RoofedKDatse� 2 if 5Building Dep- tment Representative ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. District certifies p Code) has complied with the requirements of Resolution No. by the payment of $ representing c;2 7 p , square feet. Schoo bis PAID BY CHECK NO. BANK NO PAID BY CASH resentative Ca - /V-/� Date c white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) FORM. 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE,"A"' (Additions) Owner L Climate Zone Permit # Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 APPLIES TO NEW AREA CEILING R-30 WALL R-11 FLOOR R-11 _AKV GLAZING U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) ZONE 16 (Dual) INFILTRATION CONTROL (Weatherstrip_.doors, certified windows, caulking) Rne 1 DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK -0F THIS SHEET. SUVE COUNTYOTHER sUILMQ *1 HEATING. VENTILATING. AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1. (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ *2 DOMESTIC WATER SYSTEM (A) Gas only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ftp (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature 0,cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration C e. yfillu 1"Iflpi -1 �\ - SJXNATURE OF BUILDING DESIGNER OR APPLICANT tikF c LA 'A Y'��•+,� �� 0- 1ca,l,�e y� 3 PA'w NU lei AUC �-�e��!�w.�.�.�� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drivf — t)roviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address - PLUMBING No. @ FEE PERMIT FILING FEE $3.00 • r L Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. NO. ` _ Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. I Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. Plans Rec'd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 Main service i°o°o AMP V OR ORSLESS 5.00 Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others 0 OVR Main service 1100EAMP oR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OR ADONST [DWELLING ACCBDGS.CCUP. &\ 2¢sgft / NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea NEW CONST. POWER APPARATUS&,1 NON- R RESID. (SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES) BAL@2514t Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date Date i/ ). COUNTY OF SUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Ur6tille, California 95965 Telephone: `534-4541 APPLICATION AND PERMIT I-- Q-F__.-. F—F1W.— X Date ignature of Permmitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PL18LIC WORKS BY Date < ` B permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address S Tel g'pfriov J�o�� Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 h_ / 1 �r A. P. No. c�� Zoning & Planning Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 Fif.a.— AweiS FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. F 1rs Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER IR ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00IYU:® _ Main service 100 AMP ORLESS5.00 Arm �r�`R Main service EA. ADD•L too AMP 2.50 Single Fa ily ❑ Duplex ❑ Mobil Home ❑ Others 600V Main service t0 OEAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELING OR ADDNS, ( ACCLBLDGS.CCUP. &) 2¢sgft NEW CONSTR. MULTI.OUTLET NON•RESID• BRANCH CIRCUITS)-2.50ea NEW CONSTR. (POWER APPARATUS & NON•RESID. SINGLE OUTLET CIR. 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: a Ex. Occup(OUTLETS OR -10 0 BALF� Ex. Occu / FIXED APP LNS. OR P• (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $q 1$ 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �tI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner oas to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the ahnvE-mantinnert nrnncrty fnr ,n e,.ti— n TOTAL PERMIT FEE $ This permit is hereby P y issued under the applicable provisions of I-- Q-F__.-. F—F1W.— X Date ignature of Permmitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PL18LIC WORKS BY Date < ` B permit expires Date COUNTY OF SUTTE M- . DEPARTMENT OF PUBLIC WORKS 7 County Center Drive w--•'• Urbville, Calitornia 95965 ' Telephone:'534-4541 . APPLICATION AND PERMIT Owner Mailing Address L S Telone No� LLL• ((�� ((�J ([• Contractor Mailing Address Telephone No. Building Address — - I A. P. No. a / ! / — Zoning & Planning Fie' S Fire Dept. Fire Zone Use Permit EQA Parking Parcel �, Plans I parcel Map p 60' R/W Improvements Bldq. r"rvslartes o Parcel Approval Plans Approval NEW ADDITION 0 UTILITIES OTHER !/ Single F ily ] Duplex f Mobil Home'D Others CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: __ BUILDING SQ. FT. OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 e 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE �. Main service 6001 OR LESS 100 AMP OR LESS Main service Main service EA. AOD•L 100 AMP 100 AMP OR LESS Main service EA. ADD•L 100 AMP NEW CONST. OR ADONS. DWELLING OCCUP. & ACC. SLOGS. NEWCONST NON=RESID. _ ( MULTI -OUTLET `BRANCH CIRCUITS_ NEWCONSTR NON -RESID. POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTUR EX. OCCUp, ( FIXED APPLNS. OR OUTLETS (RESID.) E Temporary service Mobile Home Facilities License No.Misc. Wiring Classification 1 am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. qI certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner as to become subject to the Workmen's Compensation Laws of Hood California. Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property inspection purposes. X � Date --/-D gnoture off Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink-Insnecter @ 83.00 1.50 1.50 1.50 1.50 1.50 30 5.00 2.00 $3.00 5.00 _2.50 25.00 1.00 FEE FEE e.buea o@2s; 3AL@1 2.00 10.00 15.00 6.25 @ FEE $3.00 2.00 TOTAL PERMIT FEE 1$ 47 1 -- This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do wort; indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date .. ... .c. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS •w %_ 7 County Center Drive. - 09VT11le, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT .21 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ' Signature of Per�miitteoe�'or'Agent Receipt N/ r� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By QX�� Date Building permit expires Date �-S BUILDING t Owner — C � SQ. FT. OCC. BUILDING VALUATION Mailing Address L�Q .C,-) h io C - /77 Telephone No. Contractor f .t pit - Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee 0 10 rC 1 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. �- 3 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees WfCr �S Ua ion •fmireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1 1.50 JM, EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg-Pians-Rec d— Parcel Approyal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q' Permit Fee $ 4M is Ro �_ % ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 80oV OR LESS 100 AMP OR LESS 5•�� Single Family 0' Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. 51)p�sgft OR ADDNS. 1 ACC. BLDGS. 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 RESID. BRANCH CIRCUITS) NON-RESID. ( BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS p NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(ou TLETs OR FIXTI1RES IB SMI FIXED ALNS Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 RR.1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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./ ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation' Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation 12.001 Hood 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 'buildinq construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ iT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ' Signature of Per�miitteoe�'or'Agent Receipt N/ r� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By QX�� Date Building permit expires Date �-S COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Dri%7 • =- 0r®Ville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT au(nurize representatives or the county of Butte to enter upon the above-mentioned property for inspection purposes. X Date Si a of Permitee r Agent Receip o. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI OR F PUBLIC WORKS By ° Date 1 r _ Building permit expires Date I BUILDING Owner yYin SQ. FT. I OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address I[A) W—N PIanCheckingFee &/orPenal ty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Tt Repair drainage or vent piping 1.50 A. P. N0. Zoning $Planning Water piping 1.50 Each gas water heater or vent 1.50 F W — ire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BI Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ !R ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 SlnSingle Family Duplex g y p ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACC.-BLDGS.LING CCUP. S) 2�sgft 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 st le of: y NEW (MULTI -OUTLET NON.CRESID.ONSTONSTR BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS a NON•RESI D. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXT11RES 5 L 1� Ex. QCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 Land Development Fee $ TOTAL PERMIT FEE $ au(nurize representatives or the county of Butte to enter upon the above-mentioned property for inspection purposes. X Date Si a of Permitee r Agent Receip o. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI OR F PUBLIC WORKS By ° Date 1 r _ Building permit expires Date I Y t PERMIT NO. 3557-M,E PERMIT EXPIRES OWNER TROY & STELLA PRICE CONTR. owner ASSESSOR PARCEL 21-19-37 LOCATION 995 Dewsnup Avenue, Gridley _ t I Temp. Power Pole Called PG&E I Temp. Elec. Service • Called PG&E ► Temp. Gas Service _ t Called PG&E JOB FINALED (Date) :S Signature = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) _ 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI I Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test=Crossovers- Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc losures- Pane lboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel _ 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55, Shear Walls; Nailing -Bolts 11 n 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground Card- CardAl Card -BI Date Card -BI Date- Date Card -BI Date Date Card -BI Date 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s _ 14. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth -� Card -81 Card -BI Date Card -BI Date Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Perrrit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes - - 27. _ 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral r- ,.Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Followinginstld.: Drive EJ Yes No; Walks ❑Yes ❑ No; Planters ❑Yes 0 -No 76. Stucco; Brown -Finish -- 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light - 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ---- -------- 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I _ ------- ---- -___- Date_ Card -BI Date 81. 82. Ventilation throughout House Glass Protection _ _ Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except #'s 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support _ 85. Water & Sewer Connected -C/0 to Grade -HD Approval _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overilow; Size & Grade _ 86. Energy Compliance Certificate -Other Certificates 34._Furnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date Card -BI Date __ Date Card -BI Date Card -BI �s Date Card -BI Date Card -BI Date Card -BI Date Card -BI NIJ Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: _36. Sills; Proper Material & Anchors 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ Bearing War's over Girders & Floor Nailin_g____ Draft Stop in Walls (rat proof) _ _40. _Fire Stops: Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors _ Cing. Joist-Rfir. Ties-PLTOT -Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions______ Garage Fire Protection Framing - (NOTE: An entry must be made each time you visit jobsite) COUNTY OF. BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive`- OroviI10, Califorgia J5965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. SS SSOR P R L NUMBER -�/� ZONING _ BUILDING PERMIT y S —I—E—u_14 pp4� T L PHONE �� -s30 VALUATION Q. FT. OCC. BUILDING VALUATION S O M ILIK�i ADDR SAVP �r ,•�' ��, �I , ^ „ CONTRACTOR'S NAME TELI/EEPPHHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is bve/-©0 Filing Fee $ 10.00 LENDER'S MAILING ADD 55 , Permit Fee $ / ;aq ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee -$ Penalty $ ARCHITECT OR ENGINE 'S MAILING ADDRESS I" Permit fee $ ��v BUILyr, A�RESSpr S�up "/ V PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar.Water. Heater 20.00 CJ Water piping 5.00 LOT NO.SUBDIVISION NAME - ___JPA EL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other ' SPECIFY' Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Additioon ❑ R'em/odel � Utilities ❑ Installation Other❑ Describe work: I�iG(r-�y �� - ,al5Ti4LL S!7>/Al e4l 97—IS/DE L9 VZ) P41WIP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service loo AMOR L P ORSLESS 10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& ORADDNS. ACC. BLDGS. 21/20sgft - CONTRACTORS LICENSE LAW I declare under penaltyNON-RESID.R( of perjury y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen. sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TULTI.OUTLET `BRANCH CIRC ITS2.50 ea NEW CONSTR. (POWER APPARATUS .&) NON.R ESIDr (SINGLE OUTLET CIR. RESID. Ex. ou TNGLELETS OR FIXTURES 9AL 5 OQ ��C7 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.)' 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 -Permit Fee $ . 00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and.State Laws relating' to building construction, and hereby authorize representatives of the 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 liabi ities, judgfnen sts, and expenses which may in any way accrue against ai C ty in ons uence of the granting of this permit. , PGT •X Date,��G �— oof. Signature of Applicant — Owner ❑ Contractor ElAgent1:1wok An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over33,sttories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 36t0d Oc CuP. GROUP I TYPE OF CONST. PARCEL PD I rD I ISSUE This permit is hereby issued under the applicable provi- sio f the Butte County Code and/or resolutions to do ted above for which fees have been paid. RECTOR OF PUBLIC WORKS Da Z PERMIT EXPIRES Date - W1'77 Receipt NO. / `�� / WHITE-O.P.W., YELLOW -ASSESSORS PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,,California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT F ZONING BUILDING PERMIT FjA RgL NUI.IBER 1 T L Pr1DNE S . FT_ OCC. BUILDING. VALLIAT[ON PPliCE 53v,T. Cc, 06 R'S M ILII• ADDR S / �� r/L �i(r/ %% .moi TELEPHGt1E CONTH CONTRACTOR'S MAILING ADDRESS UNKNOWN CONSTRUCTION LENDER / LENDER'S MAILING ADO SSL i LICENSE NO. ARCHITECT OR ENGINE -- ARCHITECT OR ENGINEE 'S MAILING ADDRESS BUIL Ate' R E 55..E r _ _ � ^/ V {/� ! / , v �-----•-- �A EL MAP LOT NO. SUBDIVISION NAME USE OF STRUCTURE SF 125: Duplex❑ Mobilehome❑ Other SPECIFY -- /�_ TYPE OF WvRn _ New F] Addition Remodel Utilities❑ Installation EJ Ctiter��-j Describe work: & T -my i✓c—ty �t>onte— j r) ji1%'T�4LG s f PIAA aN CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): mProfessions provisions my license pt. 9Dlthe tBusiness isinfull forceand andeffect License No. Classification I, as the owner, or my employees with wages as their sole cotr,pen- ` sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) 01 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 Total - -- FIIinc; -ee Peruii ee Plan Checking Fee Penalty _ Permit fee PLUI)JIBING PERMIT Each Trap _ Soiar *cV.eler Heater Jfater p:pir,g Each aas water ;seater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S I=w WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 0 The permit i5 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 ' ithprovisions or this permit shall be deemed revoked. _ I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities judgmen � sts,cand expenses which may in any way accrue against at C ty in ons uene of the granting of this permit. X _ Date -G—'—� Signature of Applicant - Owner El Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct ion of structures over 3 stories in height. Receipt No. 1 -7 WHITE-D.P.W., YELLOPI-ASSESSOR, P INK -1 M SPECTOR. GOLDENROD-AP'LICAMT 110.00 $ ?� _ Filing Fee 10.00 t2 2.00 — - 0.00 --- 5.00 --5.00 5.00 5.00 10.00 e Permit Fee Cortractor _ ELECTRICAL PERD411T FiiingFee j f� Ji l SerViCe 600V OR OR SS LESS 1%0 A11. 10.171 Main service EA. ADO'L 100 AMP 2.50 NEW CONST.( O'�IELLIN OCCUR..) eLDCs. 2�/2�Syft OR AD7NS. \ ACC. NEP• CONSTR.j mi L1L T1.OUTL. ET 2.5[12a DION-R.51 J. `L'RA_NC.i CiRCUITS) N EY: CCINSTR. t- V;F-R A?PAR 4'f U� &1 n10'�,•RFS10. %511 GL O',1T1_ET CIR. / - 2 0 0a 0—i-- / Ex. Occup\ OUl LETS OR FIXTURES DA_@»^. _ F:',-0 APR LNS. OR ll Ex. OCC UP__CUTLETS (RESID.)EA.1 2 0 - --Te-;aporary 1Q.00r-- service ---- ,m,obile Home Facilities 1�•�, P:4isc. Miring 15 00 Permit i'ee Contractor DJIECHANJICAL 10.00 Heating _ I Ccoling -- j Hood 3.00 Ventilation ---I Permit Fee — $ Contractor Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0`iO DCCUP. GROUR TYPE OF COM ST. PARCEL PO ,IFIL ISSVE This permit is hereby issued under the applicable p.-ovi- sior f the Butte County Code and/or resolutions to do wo h _ ed above for which fees have been paid. D �ReC(TO�R OF PUBLIC WORKS Z. PERFe1T EKPiRES Date__ �----- r �/'�iC� _ _--�. ),�- � r �z c�� - BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECPrION REPORT Owner: Address: A.P. Date of Inspection Tenant: e3*f Inspector Building Location: Type of Inspection requested: T71. Housing. /7'2. Financing L.L 3. Change of Occupancy to f_[ 4. Other (specify) Present use of build 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. -Rom and space requirements: " 9.. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection sewage disposal: 12. Connection to water.supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Cacmnents: C. Electrical 1. Service and ground: 2. Receptac es: ' 3. Fusing: 4. Continents• D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4.. Comments E. Other 4, -i 1 . Maintenance and repair: 2. Fire hazards:. 3. Safety hazards: —_-- 4: Weatl?er protection*— 5. Underfloor and attic ventilation: 6. Consents: F. Cmmercial Buildings 1. Roof covering:_ 2-." Disnince to property lines: 3. Physically handicapped: 4. -Restroom floors and walls: 5. Exits: 6--- Improvements: 7: Zon-ing:-7 8. Conmeftts:— bl-em---or Viclations Clem or-riolatiori (give nomplete description): 0 �s e r .3.. wralc aci-j.on recuumie-naeu., T7 A. 7nfomation only aKB. Hold for ten (10.) days, then write letter. I I C. Write letter. 7 D. other': 21-19-37 4130-89B PRICE, Troy 995-Dewsnup Ave, Gridley (roof over exist) 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 1 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 L/ { o C% APPLICATION AND PERMIT 7 ✓ / ASSESSOR PARCEL NUMBER r �. ..'It ZON N BUILDING PERMIT OWNER TEL V MHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILI G_�AD/DRESS CONTCTO •S yAME TELEPHONE CONTRACTOR•'$ MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ U ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS rAISAI v Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 l�L Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME __JPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF IN Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.002 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other io Describe work: S 11a SQA +2o«- Re09-4-46 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) �] I, as the owner, am exclusively contracting with licensed contract- f- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.111) OR ADDNS. ACC. BLDGS. , /20sq ft NEW CONSTR. ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu p�OUTLETS OR FIXTURES SA 20@030 @50C30 Ex. Occup. OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. AI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this `statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 Qf the granting of this permit. r ^- y %� - E4' • G� RsA r - Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3CCstori is in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE 010-i TOTAL FEE $ Oar E HAZ CUA PARK SCHL I PAR I PD 1 HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees TO D ROOF P ELIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date T Z -syn Receipt No.� WNITC•D. P. W.. YELLOW -088 [980R, PINK -INSPECTOR, GOLDENROD -APPLICANT v ' COUNTY OF BUTTE - DEPAATMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 /� �1� l�G� APPLICATION P..B PERMIT / [/ ASSESSOR PAR CEL [DUMBER Z 0 NE& BUILDING PERMIT OWNER 'j T L HONE D �53C SO. FT. OCC. BUILDING VALUATION I OWNER'S MAILIN qq AD RESS �. ' Q2 CONT C R IJ� T LEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Aoe S rA, L/ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 L� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PA CEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF t9 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W 0-00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: S'Lz ST Foes _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&` OR ADDNS. ( ACC. BLDGS. / 21/2 dsq ft NEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20®60Q eAL(SP 30 FIXED APPLNS. Ex. Occup. OUTLETS (RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Oyirin 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. j I shall not employ any person in any manner so as to become subject E 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 FiIirig Fee 10.00 Heating Coolin g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilitl s, judgments, c ts, and expenses which may in any way accrue against sa C un y in con eq nee of the granting of this permit. _ $`_ X Date Signature of Applicant — Owner Contractor ElAgent❑ An OSHA permit is required or ex avations over 5'0" deep and demolition or construct- ion of structures over 3 stori s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ —:O HAz CUA["HL FLD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees D TO OF BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. vn p WORKS �p Date p a / Z . D — Receipt No. WHITE-D.P.W.. YELLOW-ASSLSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT • Ir PERMIT NO. 5999-76P,E PERMIT EXPIRES OWNER Stella Price CONTR. owner LOCATION (A.P. 21-19-37 SW corner of Peterson & Dewsnup Ave., Gridley d R t Temp. Power Pole Called PG&E Temp. Elec. Serv. 1 - Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED Z/115117- � (Date) � (Signature) ' DATE REMARKS OR CORRECTIONS lam �7 . % / ,�� .Gu,.�r2.•' .�� ,gid > -�� - -4d.,e--C1C1f -41 /,/ ,1��-�`'� Qom" ��• ��`.1, «,r>;�r�7 �4•��' ',2o� 1 , -1'� ( OTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD - BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor, Main Bldg. Restroom Finish 2nd Floor, Footings Windows 3rd Floor StemwaII Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test �z Temp. Gas . ,rrt•�4 : ,� Slab Final Sanitationr' 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 r ' v Service Ov Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final V1111'1%/IAy DATE REMARKS OR CORRECTIONS lam �7 . % / ,�� .Gu,.�r2.•' .�� ,gid > -�� - -4d.,e--C1C1f -41 /,/ ,1��-�`'� Qom" ��• ��`.1, «,r>;�r�7 �4•��' ',2o� 1 , -1'� ( OTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, underpermit number "'�% ,� for Ithe following location: =? �= ` , " Owner • O Owner's Address Mobilehome Mfg. 1 - �� -' Model , Y Year,�L,�� Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date ,%- s� ,� B �! '�t_� •� �,•f.. y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED t 9. Electrical A. Is service large enongli to provide adequ:l.te ampc:�rage to mobilehome. (must equal rating; of mobilehome with a ::iinii-um of 100 amp) and o"cher facilit%e:> on lot, i•e., water pumps, g :rat,e, cabana, etc.", Yes No B Is ther.-� proper clearances ground panels? Yes/V No C. Is power supply cord or feeder assembly properly fused? Yes No_ D. Is, continuity test satisfactory as per the following procedure? Yes_ G 1. De -energize electrical wiring, syste:a of the mobilehome at the pedest 2. Puke sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one 1 --:ad of a test instrument to the mobilehome grounding conductor and , •, - 1. , 2uYiy tie G ui' .i.eau i'.0 eauir ❑ivi7l.L%=-11L1e Siipfjty conuuctU'i, including Yte�l�'Yzlt. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, w.ater line), including fixtures'and appliances, shall be tested for continuity from such equipment and the grounding conductor. b. Upon completion of: the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity tett ;hall.then be made between the ,grounding electrode and the chassis of the vlobilehome.. UDOrl satisfactory completion of-theelectrical tests, the lot or site service equipment may be approved for energizing. Is Job card si'ned by Health Department for water and sanitation? 1:.. If everything; okay, sign off card and ta- services. MOBILE;?OME DATA Manufacturer and/car Namestyle Length �� Width .12, Vehicle Serial No. _b2 State Identification No. 1' del 4 t ional Information or Cormp.ents : 'M0BT1,1.HQ,%1G DVS`LAL;LATIM4 TNSPECTIOJ4 CHECK LIST 1. Is the mobilehome located wi.Hh required separation from lot lines and buildings and generally conform to plot plan? Yes' No! 2. Doe:; the mobilehome have requir<-d clearances above ground? (Sec.5085) Ye S4 No 3. Are foot.in;s and supports properly sized, spaced, and braced as per approved plans?. (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes XNo 4. Is the mobilehome level.? (Sec. 5088) Ycs-,X- No� 5. I tadl�-l�riit, aru s e�seere connections properly installed? (Sec. 5088) Yes No 5. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes -Y No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes -Y No C.Fa-ekff ow--- I--c0Z hMis not -91 -ate ofCalifornia approved, does station have backflow device and pressure -relief valve? Yes No Wastes and Drains A. Is co *� ori made with Schedule 40 DWV and have flex connectors at each end? YeSV No B. Does it have minimum per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ Noy D. If coach i.- not Smote of-C-a-3-tforn a-a-ppr-oved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas 'supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes 741 No B. Test OK as per following procedure? Yes_ N 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. ' 4.' Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes4L No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 5344541 APPLICATION AND PERMIT BUILDING Owner �' C �� , �-- SQ. FT. OCC. BUILDING VALUATION Mailing Address O Q �_ e�gphone No. �O Fireplace Contractor C -t" C Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty ot Telephone No. Permit Fee Building AddreC ©� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 d E Ee�)�tV5AI'OD Each Trap 1.50 e Repair drainage or vent piping 1.50 Water piping 1.50 ilo, 0O Each gas water heater or vent 1.50 lzpwA. P. No _ n�Cerification pn Zoni g & ianning Gas piping system 1 - 5 outlets 1.5U 6, Q h additional outlet .30 Building sewer 5.00 ,(�Q F s �, �/ a W. . get�F-tat/ , Fire Dept. Fire Z Use Permit EQA Parking � � Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bld Ions Recd Parcel g. pproval Pia - proval Permit Fee � 3• NEW ❑ ADDITION ❑ UTILITIESJ4 OTHER EJELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 j 0d Main service 111V OR 100 AMP ORLESS5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 QD^ (� 1' SQ. FL MINIMUM NEW CONST. // DWELLING OCCUP. & OR ADDNS. % ACC. BLDGS. ) 2¢sgft NEW CONSTR. MULTI -OUTLET NON.RESI D. ( BRANCH CIRCUITS) 2.50ea EOWAR MOBILES NEW CONSTR. (POWER APPARATUS & NON -RESID. SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)�� BAL@1 Ex. Occu / FIXED APPLNS. OR p•\OUTLETS (RESID.1 EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 + 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. ave placed on file with the County of Butte a certificate of rkmen's Compensation Insurance. �certify that in the performance of the work for which this ylp'ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of • California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE Ci auns uwrrce represerahveor me County or Butte to enter upon the above mentioned property for inspection purposes. Date Signature of Permitee�ofr Agent Receipt No,,—[.'7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F UBLIC WORKS Beuilding permit expires Date%— d COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS " 7 County Center Drive — Oroville, California 95965 .: . Telephone: 534-4541 APPLICATION AND PERMIT all LHorLe IeNresentauves of the County of Butte to enter upon the above mentioned property for inspection purposes. X Date 1,9 Signature of Permitee or Agent Receipt No. / v% Z 15��7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT F PUBLIC WORKS By —Date/ 7 % uilding permit expires Date >— 7F BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Tele hone No. Fireplace Contractor c Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address-V—a 6 /# az PLUMBING No. @ FEE FILING FEE $3.00 ,t/ S Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 / 6G7� r� Each gas water heater or vent 1.50 A. P. No. 9V-19— -37 Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s I W. Tffn FireDept. Fire Zone Use Permit Building sewer 5.00 EQA IParking Plans ParcelParcel Decl ration Ma p 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Re d Parcel Ap r Plonproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 Main service 600V OR 100 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑Duplex ❑ Mobil Home Ivr Others ❑ J.NEW Main service 1O00EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 Y C.J CONST.(DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 22syft NEW CONSTR. (MULTI-OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS &) NON -RESID. SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES) @@1( BAL Ex. Occu FIXED APPLNS. OR P• ( 2.00 OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �f I certify that in the performance of the work for which this A" V permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby v TOTAL PERMIT FEE all LHorLe IeNresentauves of the County of Butte to enter upon the above mentioned property for inspection purposes. X Date 1,9 Signature of Permitee or Agent Receipt No. / v% Z 15��7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT F PUBLIC WORKS By —Date/ 7 % uilding permit expires Date >— 7F MOBILEHOME SUPPORT DATA Mobilehome Mfr. r�<L GYLoV4E�_ f Setup Model No. —Year Width (ft.) Length (f (ft.) Expando Si t.x (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). �m Sin l Footings (check one) S 1. Wood either {� pressure treated or en t r Center Sup ort i fdn. grade. uppo t Footing S zes j 12. ocati ns (in.) Concrete pad. 3. Other, specify t e) (-Tri. ( in.) ( iri.) Supports (check one) 01. Concrete block _^ x i % / 2. Concrete piers t) (in) in in.) 3. Steel piers 4. Other, specify --- ,� -- Typical Support x Footing Size in.) (ifs.) (in.) in. i I Max. Pier Spacing (in.. (in.)(in.) __....._ Maxe. Ovrhang - - - z l`ztn..) If center piers are other than drawn above, BUTTE COUNTY draw in locations, spacing, and dimensions. BUILDING DEPARTMENT APPROVED t .l . BUTTE COUNTY DEPARTMENT OF PUB:U-IC' WORKS 7 County Center Drive, Orovill-e;.. CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number ��Q �� ) OR Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /X/ No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome 9. site service? --------------------------------------------------- Ye- (If yes, identify the load and size: -oad) _. What is the mobilehome site gas pipe size? ----------------------y 10. What is the type of gas service? ----------------------------- X, 12. ---------------------------- What is the gas pipe length from meter or tank to the mobil What is the mobilehome gas demand? --------------------------- (This information not required if pipe length less than 6 or'less than 50 ft. on LPG.) t r k N J, No ,(Amps) 0r�'`-'P Mx U s M . CLEARED �, DATE I a� S;ppoec- compaction Permit struogo, �3�� R�qo �P 11�� ..� 9�..,Ca GQsS YEs HiQ_ i�5 �ti NOTE:—All Materials & Workmanship Shall Be in Accordance wiih Recoanized Good Practices and of a quai:ty prescribea for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. This set of plans and specifications MUST be kepf,an tho jrb at a'.i iir;tcs and i„ is unlawful tc tna!,' zny or al;crzilons on sarne withou+ wri? `en perm:;:: n rosin ino Department of Pub- lic Works, County of Butte. The Viitr. Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. `' } PC -1k7 -t7 i 4AS, 9 1? 01 !% Alf utility conrexf ions shall be loco+ed within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. A permit will be required for the installation of the mobilehome. j 1112 -471-19-3 7 V 7-/,I r( Septic system and-i.V ti' Ml of baild- ..��ie-wit to be as per Butte County Health Dept. Re- quirements. BUTTE COUNTY '�UILDING DEPARTMENT APPROVED r Y DECLARATION REGARDING LOTS OR PARCELS I certify that as owner of the property acquired by deed in Volume Serial # 14 3 T4s 2116 Page 601 Official Records of Butte County, (AP# 21 -19 —37 I am requesting permission to build or install an additional living unit on this property. I will not divide the aforementioned property for sale, lease, rent, or financing unless all applicable land division laws and map requirements are com- plied with. am conversant with the present zoning regulations affecting the aforementioned � property,, -and, declare that I shall not violate same. I represent—that the proposed use. of the additional living unit is a home for my parents and that-,further.I shall not change this..proposed use of the additional living unit unless and until:I receive written approval therefor from the County of Butte. I fully understand that pursuant to Chapter 20 of the Butte County Code and §11535 .et,seq of -the Business and Professions Code that if I, in the future, sell, lease or finance the area on or adjacent to said improvement without fully complying with the applicable laws and ordinances, that I shall be guilty of a misdemeanor and t bt`therefo;e,'subjMect to the, aforesaid penalties and imprisonment pursuant to law. '�-Further, this statement shall be properly acknowledged and recorded at the request of the County of Butte OFFICIAL RECORDS Owner , I TiE COUkTY- ALIT n' R O. ;E t �0197�6 1,pRT 2 BOX 9 GRIDLSOV U 49 3 5 EY,CALIF. 95948 f ' Address LOsf 5 h TEN COUNTY RECORDERv FEE 11-5-76 1483 Date r STATE .OFCALI�A j ss -COUNTY OF On this —5-th� day ofr NOV. 1976 , before me,riYELla Ao GII,I,. BTITTE a Notary Public in and for the County o State of California, residing therein, duly commis- sioned an sworn, personally appeared EUGENE PRICE known 7. to me to be�the person whose name is subscribed to the within instrument and acknowledged to me that he_ executed the same. IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal in the County of BUTTE the day and year in this certificate first above written. OFFICIAL SEAL MYRLr A. G`11 s� * NOTARY PUBLIC - CALIFORNIA s BUTTE COUNCf \ My CMM. expires DEC 30, 197E / �1 r �� i Notary Pub c S96-1275 77 �11111 Jill III Ill 111111111 Jill III I I IIIIIIIIIIIIII11110111111 III III 111111111 111111 [ill 1111111111111111 !1111111111111 �111 111 I'll Jill 12 13 MICRO -CUT ACCURACY GAUGE MIC-r,!O-,Cl�ff'�IAMMERI�ViIIJ. GRAPHIC"',01)y PNERS Pre ream to relam for accuracri ond, unifwroity t:a ( rs that feed better, you p4 = low for the 1�esf in PAPE I R and the best in SERVICE call your Hamnleri'Tllff Marc, ha�t SV31d 06 88 99 'V$ Z8 08 84 94 V4 44 OL 89 99 V9 N0009 es pp 4V ov ge ge VE ZF oc Be 9z Vz zz 0z 81 91 0,� ZI 01 9 9 0 z ffl F[TVI7ffh_F1Wflfh' floil I iTFil"i"111077MITH FITI 11711 FF MITI 1,711—Ff 1. 1111117117 FiFiTTIT11 1 777H I] I I I 12 7� —7 ? 7 1_7 --- - ... �._: — —, , - - , - - _: - 'L — , 7 11 1 : " , . , _v_ 177 - �77, 7- -777- v OVA A J; Waranpq* Flue, DA 0 OIL t, o* 4. 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