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Home My WebLink About021-230-026021-230-026 01-3006 JOHNSON,BRUCE DLEY 97 W EVANS RE1 LED REROOF 021-230-026 01 ED JOHNSON, BRUCE 9 02 97 W EVANS REIME Y REPLACE WINDOW, ELECTRIC 021-230-026 01-3 DIALED JOHNSON,BRUCE 0L 97 WEST EVANS REI CONT: ROBERTSUTTO NEW HVAC 021-230-026 03-2991 JOHNSON, BRUCE 97 W EVANS REIMER RD, GR1D�EY CONT: OWNER GAME ROOM ADDITION 021-23®-0210 NOTES 1 RESIDENTIAL PERMIT NO.. 021-230-026 _Y /-_2991JOHNSON, BRUCE'' 97 W EVANS REINTER RD, GRIDLEY CONT: OWNER GAME ROOM ADDITION t V�4 SPECIAL CONDITIONS' t' CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS t VERIFY A USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER a 1� i !f i r 'JOB FINALED Date v (� Signature J=OK 0 = Not OK . = Not Readyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date . Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 2. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. 5. Drain; MH Test -Fall -Flex Connector 4. 6. Water; MH Test -Regulator -Connector 5. 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. 8. Gas and Electricity Tagged 7. 9. Tie Downs -Type -Installation Cert. 8. 10. Exits; Insp.-Sketch 9. 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Enclosure; Fencing -Alarms Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card.6-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s ,• 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-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-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNI LOOR (Plans) OK except #'s Z� ng -Setbacks -Easements -Flood -Slope Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wra ed i 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation OR' 16. JQWlation Date Uard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection lec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECH NICAL (Permit) OK except #'s 30'-A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors Walls Studs -Nailing Spacing & Braces -Plates -Sound 4 aring Walls over Girders & Floor Nailing C Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMIN (Continued) 4T Han -Post Caps -Anchors -Connectors 4 ling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. rrep ype A Flue -Fireplace Throat Clearance N. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles dows or Exiting Doors -Sill Ht. & Dimensions aS2-t` r�F7M Protection Framing -RC Channel ,�. operty Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 65. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection d on Roof Overhang -Attic Vents -Rafter Outriggers ,J. -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 6f. Brace Interior/Exterior Wall Panels nsulation-Walls-Ceilings Infiltration -Walls -Windows Date B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Q4,..Ext-Steps- Door & Sidelight Protection -Landings moke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - Above Floor-Ducts-Mech. Protection 67-43edroom Exiting F.I. & Bath Fixtures & Tub Access -Spa les. Trim & Subpanel, Breaker Sizes & Labels 74Stairs R Rails 71 FirPnraCP. nr Steve, Clearance -Hearth 7,2�1s at Wood Panel, Int. & Ext. I(it�Fffrf-& Appliance; Ground -Air -Gap -Cooking Clearance �s & Receptacles at Kit. Counter 75-6aratteflT2"Dbor; Swing -Landing -Closure arage-Damper -Clearance-Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection a9-- 4b--Elet^& Mech. Equip. Listed for Location es in Garage (F.F.I.)-Romex Protection 89 -Foam -Looked in Attic .84. Guard eck Construction -Post Caps 82 --Fd -VOent94 Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor O Yes Following Instld./Drive O' es�0 No/Walks es O No/Planters O Yes O No ish »nect, Electrical -Plumbing 8 . ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings nect, Electrical, Plumbing 88 Exterior Flamm Tim, G.F.I. Receptacle -Underground A9--Vemti4aUoaZhmughout House 99-8tas 3% o ec ron orrections from Previous Inspections agged, Gas -Electric r Connected -C/O to Grade -HD Approval ergy mpliance Certificate -Other Certificates 5. Tress Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: "2 a- r•. ti ^ - - . „ �._+.-.,r ,-,,..-.�-.. '�.��'n �-r �.., s. - .-• ` +�../.,'�. �. ter-.. ..� ._-•.�s3..r�.c++.a''`St.r.as 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 )0(- OWNER moil PERMIT 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, please contact this office immediately. 17 Date/ a ` Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELO S ICES - BUILDING DIVISION 7 County Center Drive Oroville, California 6 phone (530) 538-7541 (Rev.12/96) APPLICATION A MIT (2 AS$2rRff Nut F�i (IBR ZONING BUILDINGPERMIT OWN R J�HNSON, BRUCE 846-4039 TELEPHONE SO. FT. OCC. BUILDING VALUATION W MAILING ADDRESS I%AS RD GRIDLEY CA 95948 CONT�7R�A7C�-T*OpR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $16,gocl no ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee BUILDINGADDRESS 97 W EVANS REIMERS RD GRIDLEY Ener Plan Checking Fee Energy g $ $ PERMIT FEE $ 340.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAME ROOM ADDITION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A 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.FSING License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: V 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢FT. NOWREOSIUT. MULTI -OUTLET 97.50 8 OUTLET OWELER APpARATUCIR.s Ex. Occu ourLEr OR FLxruREs 20 � ' 00 BAL .50 FLXI Ex. Occup. oUr�is PM.DEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t 30.50 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation ED DUCTS 15.00 PERMIT FEE S 35.00 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.) e' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �� X ( Date G- �(P—� _ Sig ure of Applicant - ❑ Owner ❑ Con tracto p. -Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ - Energy Inspection Fee $ 46.00 occ CONST. TYPE TOTAL FEE $ HAZ D. FE I P FLOC CDF PARC ✓� ISSUE 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. Qate / L Date ReceiptNo. C �• � WHITE-D.D.S.-B.D. CANAR - "SSESSOR I PINK -INSPECTOR GOLDENROD -APPLICANT `' 1' COUNTY OF BUTTE -DEPARTMENT O PMT SERVICES -BUILDING DIVISION ,. 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 ERMIT APPLICATION DATA SHEET OWNER: V ASSESSOR PARCEL NUMB R OZ I Z 5 0_ Propose Building Us : Counter Technician , Date: uired in order t pply for a permit. 11 boxes MUST be checked OR marked NA in order to apply. 1. ite plans, 3 or 4 sets, signed by the prep rer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. gineered truss details and layouts in duplicate. No faxes! nergy eefflpNaweAesign_aad supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. i Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ff,6.':Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 18. Sanitation and site plan approval from the Environmental Health Department in V ❑ 7. Statement of Intent for Non -heated and A/C Buildings .............. !... .. � /0 -v0 19. City of Chico Plumbing permit........................................................................ f20. California. Department of Forestry plan approval ❑ paid. Sent by: ...................... Planning approval for (A) Use: o�(B)Parking: (C) Parcel Check: l e- 9- 0_1 2.ontact Land. Development about ❑ Improvements, ❑ Drainage ............................... . NPDES Form'.......................................................................................... JT • 4. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ 4 26. Contractor's'license information. (Number, Name Style, Classification) ...................... �27. Worker's CompensationiCarri and Policy Number ............................................. 28. ,Owner -Builder Verification (F6 Given to owner, ❑ Mailed to owner) ..................... 13 29. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of AgriculturalfAcknowledgment Statement .................................... ❑ 31. Manufactured home utility clekance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: k' ' When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter • 2. Additional items re ui ed Z 2 fi Contractor, design owner as advised of the above data by one, Elmail, [],counter, by te: % Q3 Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ coun r, I Date: Plans reviewed by: Date: Plans approved by: Date: i) Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H.us?E�ONLYLY 'stat Pian Attachad Rcos Plan Ajcle®d Sant to a.0 .'j — / tt�uca.�� nsvJ A�- W k� �rrq A -.,Z1 Owner Location AP# Plan Approved for: Sewage Disposa 7—, 1 Water Sup ly: Pu /ic �.\ Private Well Clearance for dwelling. Other N �� tT) �r� �(� nNL r=te Hold final for: Final clearance O.K. for: NOTE: Environmental Health 'Specialist 8/96 kts F-. ` Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OFF ES OWNER V O / _ II + A.P.# 07, I (f)-0`-�O PROPROSED BUILDING 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........ --- Revised Plan Checking Fee 2. S HOOL DISTC.T FE] c. .�e 3. RIFF FEES (paid at Buildi Rei ential............ Units Commercial (sq. ftg.)..... Sq.Ftg. 4. URBAN AREA FEES N 3 ivision) X $360.00 =$ X $0.03 = $ t&DATE RECEIPT # DATE REC. (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE-2(�'�� Pursuant to Govemmen Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per B lldlny.) School District r Building Department No. A.P. Number 6 21 2�361,62 to Juris tion: City County Property Owner Property Location/Address Subdivision Lot No. .................................... .......................... ........... Residential Development No of Living Mobile Home Rddion/ 'Supplemental to Units Installation Conversion Permit # '(No foundation inspection) lmercial/Industrial L_ New 6 Building Department Representative Irioor rians reviewea oy acnooi uismcc rersonnep 03-2-(q�'l �l I Sq. FootageO (Group R) Sq. Footage (Including Exterior Roof Area //, � Date s) (/I/� ,//(/// District Identficabon No. t / [ �.-#..x( 1_ i r� School District certifies that 1( �� (Applicant)_ (Street AAddresst t !(Phone Number) t (^ (City) has complied with the requirements of Resolution No. representing square feet. School District Representative Paid by Check # Remarks: C/� (State) 9 (Zip Code) by payment of $ '•fes AB 2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written prest will prohibit ,t you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signingeis Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm f National Pollutant Discharge Elimination SWPPP Non -Certification for Project # _ County Storm Water Permit Compliance System (NPDES) Phase II & for Butte By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a Countyofficial warrant reevaluation and revisions of the chosen BN Ps, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify'that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: w— Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan O.B.-1 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 3 ve ' cation is received. personally plan to provide thelnajor labor and materials for construction of the proposed roperiy imp�°vement : YES �/ NO 0. 2• VES HAVE NOT 0 signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: 9 ADDRESS: Cly: PHONE: ,CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, supervise, and provide the major work: NAME: but I have hired the following person to coordinate, ADDRESS: L. ,meq �.v� ti s CITY: PHONE: W6 _ Y F/ 2 CONTRACTOR'S LICENSE NO. 14'1301 �5 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 NOTE: Thu Owner Builder Veri1kation 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 OWNER BUILDER INFORMATION Dear Property Owner. O. .-1 An application for a budding permit has been submitted in your name listing yourself as the builder of property improvements specified . For your pmt =don, you should be aware that as "owner builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally perfomuing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply - If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ 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. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific mfomration 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. Ifthe structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Budding permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is retuned $'. Aa Mic 1 C. Vi ira, C.B.O. er, Building Inspection NOTE: Ykis Owner-BuilderWormadon is required by Section 19830 of the Cahfornia Health mrd Safety Code OVER - R. -s:.,3 .' ;e-. ��,.. •�.. ,sy '^�a.: -c••ro ..- _, o -,., a. ;;.. . Q..,- a,:�, > . a _. ... 021-230-026 01-3196 JOHNSON, BRUCE 97 WEST EVANS REIMER, GRID CONT: ROBERT SUTTON NEW HVAC S j. Le .•i a ' i (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 01-31% PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TE�'EP E SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESSROURT Sl 'tWt+fA/4•1 yi�✓�f:� 5xY �, -r= CONTRACTOR'S NAME 21 OROVITIE TE O CONTRACTORS MAWNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAULING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Alin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDIVfDMT EVANS REIRR RD, GRIDLEY yy� Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF J1 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities fY Installation ❑ Other ❑ Describe Work: NEW HVAC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service .BA 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 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.) 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 5t Contractor ❑ Agenf— An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in hei ht. F Main Service TO 46. 00 CCU000A NEW CONST. DWELLING OCCUP. SO so W: OR ADDNS. ( a ACC. eLDs. 3.5QFT: =RES, IDT' ANICHOUTLET 97.50 OWELER APUTLETPARATUS b OCIR. Ex. Occup. BAL 1.00 OUTLET OR FIXTURES Ex. Occup. pFlin AED AOR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 25.00 Cooling 5.00 Hood 6.50 Ventilation PERMIT FEE $ 70.00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 70.00It HAZ. p. FEES IMP FLOOD CDF PARCELPD HD This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutionsid to do work indicate abov fo which fees have been aid. By Date �S•GI 1 PERMIT E PIRE ON JC pate ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (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 01-3196 PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER O v7 /J'� RRIMP JOHNSON BOYOWNERS TELEPH E SO. FT. OCC. BUILDING VALUATION MAILING ADDRESS ROBERT SUTION QA r__321 I CONTRACTOR'S NAME TE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 97 WEST EVANS REIMER RD, GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑. Addition ❑ Remodel ❑ Utilities 11 Installation ❑ Other ❑ Describe Work: NEW HVAC'. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zooA0 S 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.b 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: 14 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' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service zooA TO ,000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. Bins. 3.5QFT: NC.RNEWCESIDT' MULTI.OUTLET 97.50 OWELER APUTLET CPARATUS PSINGO IR. Ex. Occup. OUTLET OR FDCTURES BAL .50 XED Ex. Occu . o Ir. q. D) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 25 .00 Cooling 2 5,00 Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date fSJ�Windicatefo Signature o Applicant - ❑ Owner It Contractor ❑ AgenAn OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 70.00 HA2. D. FEES IMP I FLOOD I COF PARCEL I PD I HD This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work which fees have been paid. ) Date E ON 1a 04 J Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 021-2307026 : 0 f-3'007 JOHNgb'T*�', BRUCE " .. I 97 W EVANS iRE'IM; E- R, GRIDLEY REPLACE WINDO I W, SIDING, ELECTRIC. • OFFICE COPY Address ------------ --------------- GAS Date - Meter By ELECTRIC Meter By Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION VA" 7 County Center Drive • Oroville, California 95965 • Telephone (536),538-7541, PERMIT NO. (Rev. 12/96) APPLICATION.AND PERMIT ASSESSOR PARCEL NUMBER 021-230-026 ZONING AO BUILDING PERMIT t OWNER BRUCE J01041SON TELEPHONE SO. FT. OCC..( - BUILDING VALUATION OWNER'S MAILING ADDRESS .-s PO BOX 113. rRTM.RY Q%QA8 CONTRACTOR'S NAME TELEPHONE K CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER , Fireplace LENDER'S MAILING ADDRESS �/ Total Valuation $ ARCHITECT OR ENGINEERLICENSE NO. Film Fee $ 20.00 Permit Fee $ Plan Checking Fee $ Fis ARCHITECT OR ENGINEERS MAILING ADDRESS - BUILDING ADDRESS�, \ '- ., Energy Plan Checking Fee $ $ %• I PERMIT FEE $11 r LOT No. SUBDIVISIONS NAME FARDEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE'� - ,�- SF CIC Duplex ❑ Mobilehome ❑ Other `t� SPECIFY Each Trap 7.0071 -00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK ~•' New 11 Addition 11 Remodel 13 Utilities 13Installation,❑, Other ❑ y .. -• Desc ibe Work: REPLACE WINDOWS. SIDING, .& �YCAL ! �'•""j� -' ' Gas piping system 1 - 5 outlets 15.00 Buildin sewer 1.5.00 Mobile Home S G W @20.00 PERMIT FEE $ ` 71 AI _ / r• t •- . - _.••. '� - ELECTRICAL PERMIT Filing Fee 20.00 . }= ( �. • \ i`. 1 ��..!'1 OOOV OR LESS Main Service 200A OR LESS 23.00 `�` LICENSED CONTRACTOR'S DECLARATION _ I hereby ff mjunder penalty of perjury ;that I am Ijcen'syed under provisions of Chapter 9 (commencing with Se"cion 700b)'of Dti�isign 32�f t� �giRess and Professions Code, and my license is in full force and'effeallWV's 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:/' -«- Cly, 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. ❑ l,.as owner of the property, am exclusively contracting with licensed contractors to ,construct the project. 3 I / ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46,00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. SO. 3.5¢FT. =REBID MULTI -OUTLET 97,50 POWEPPARATUS a SINGLE R AOUTLET CIR. EX. OCCU OUTLET OR FIXTURES 20 @ 1.00 BA L @ .50 FIXED APPWS. OR Ex. Occup.OUTLETS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 - Misc. Wiring 23.00 ,01 PItE-IN i - PERMIT FEE $ RA 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 wo*ers' compensation insurance, as required,by Section 3700 of the Labor Code, fo a performance of work for which this permit is issued. My workers' compensatioh�l�nsuiince carrier anapolicy number are:, Carrier i `il `t Policy Number \_IW 11, --+; i- - (The above sections needi,not bwcompla%dlif th' permit is for work of a valuation of one hundred dollars($r100),or`less.)-� 1l -i tbis permit is issued, I shall id/ 1 certify that in the performance'�of;,the w?k for wh not employ any person in any man�h$r so as to become subject to workers' compensation laws of Califorhie,�and a ee that if I should become subject to the w'orker's' compensation,}provas`ions of section 3700 of the Labor Code, I shall forthw�� omply with those provisions. _ ►// X L i Date Signahire of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. 'MECHANICAL PERMIT Filing Fee20.00 Heating ,r Cooling Hood 6.50 Ventilation I A-510 4-50 PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection,Fee $ occ CONST. TYPE TOTAL FEE $ 367.05 HAZ. D. FEES IMP FLOOD CDF PARCEL PD Ho IS This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been / ,fJ By, 0 Date) PERMIT EXPIRES ON . provisions to do work paid. k ReceiptNo. '� �' •O� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1% (Rev. 12/96) COUNTY OF BUTTE - DEPARTMEfit bF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT 01-3007 PERMIT NO. ASSESSOR PARCEL NUMBER 021-230-026 ZONING BUILDING PERMIT OWNER BRUCE JOHNSON TELEPHONE 846-4019 SO. FT. OCC. BUILDING VALUATION CONT PE CE, 7,100,00 . OWNERS MAIUNG ADDRESS PO BOX 113, GRIDLEY 95948 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAKING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ Plan Checking Fee $ 99 oo C,4 25 ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 1pq 1c; LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT i Ing ee 20.00 Each Trap 7.00 241 QQ USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Other It Describe Work: REPLACE WINDOWS, SIDING, & ELECTRICAL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15-00 Mobile Home IS I G I W 920.00 PERMIT FEE S71 On ELECTRICAL PERMIT Filing Fee 20.00 Main Service %.A 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. 'POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f5p4he following reason: E]/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 Main Service WOOL TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( DW: ACC. BLDS. SO 3.5¢Fr. NON-REOSIDT. MULTI -OUTLET1. 97.50 APPARATUS d SINGLE OUTLET CI R. Ex. Occup. OUTLET OR FDCTURES 00 BA20 @ .@ 1.00 Ex. Occup. OFIxuTLEEo�A PUNS. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE_ INSPEMON 2300 PERMIT FEE $ pQ 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation 4.50 PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation /of one hundred dollars ($100) or less.) X I certify that in the performance of the work for which this permit is issued, I shall not a loy any person in any manner so as to become subject to workers' c mp sation laws of California, end agree that 'rf I should become subject to the rke ' compensation provision "section 3700 of the Labor Code, I shall f h th ply with those Isions. X Date _ Signa of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ - 367.85 HAZ. D. FEES IMP FLOOD CDF PARCEL PD H ISS This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for w 'ch fees have been By g Date PERMIT EXPIRES ON ` (178 provisions to do work paid. 1-7 Zi re) Receipt No. 337168/$367.85 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. . .. ..r K a �.. • �•;`a n'+ .4y S.i / 1'.tt -�E f `,hi A'Y' {a �1 :^'-' ` �'v�.�.. r �t; ? d._ ,,. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: l )6 U!° , Lrn h �n ASSESSOR PARCEL NUMBER: Proposed Building Use: , 0✓%1! - Building Inspector: Date: ,//- 2 - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 1. All items have been submitted............................................................................................................. ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans............................................................................ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans................................................................... ❑ 4. Engineered plans and calculations, 3/4 sets, with wet signature on plans. All engineering must be shown on plans............................................................................................. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ❑ 6. Energy Design Compliance and supporting documentation................................................................ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings...................................................................... ❑ 8. Hazardous Material Form.................................................................................................................... ❑ 9. Manufactured Home Data and Installation Instructions including Tie Down Specifications .............. ❑ 10. Fees of $.......................................................................................................... ❑ 11. Impact Fees as shown on the attached schedule.................................................................................. ❑ 12. California Department of Forestry Plan Approval/Fees...................................................................... ❑ 13. Flood Elevation Certificate.................................................................................................................. ❑ 14. Sanitation and Plot Plan Approval Environmental Health Department.......... •. . ❑ 15. City of Chico Plumbing Permit ❑ 16. Plot Plan and Business License Approval from the City of Biggs ....................................................... ❑ 17. Planning Approval for (A) Use: (B) Parking: ........... ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel ........................... 11 ❑ Encroachment Permit for Driveway (construction approval prior to occupancy).......... .... .�/. 0. Pre -Inspection for required. Request to Bt a�spe d 1 ate) ❑ 21. Contractor's License Information (Number, Name Style, Classification) ........................................... ❑ 22. Workers' Compensation carrier and policy number............................................................................. ❑ 23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) ............................................. ❑ 24. Letter of Signature Authorization........................................................................................................ ❑ 25. Recorded Copy of Agricultural Acknowledgment Statement.............................................................. ❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................ ❑ 27. Manufactured Home Utility Clearance................................................................................................ ❑ 28. Existing violations and/or expired permits.......................................................................................... ❑ 29. ❑ 433 A, ❑ Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D. $ ..................... ❑ 30. Other .................... When you issue the permit, process as follows: ❑ Mail to Owner, ❑ Mail to Contractor. ❑'Telephone �l/�, ' <�� Cy a^nd hold for pickup at (aa..Wk-A office. ❑ Deliver with Inspector. Le -ve, J11 esS ASC, � Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: Copy of Plans sent ❑ Health Department, ❑ Fire Department, ❑ Other 1. Index permit Application for the above items numbered: 2. Additional items required: Date: ? 6- aJ By: By: ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by Contractor, designer, owner, was advised of the above required data by Plans reviewed by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder Yellow Copy - Department of Development Services - Building Division ❑ phone, ❑ mail, ❑ Building Division counter, By: Date: ❑ phone, ❑ mail, ❑ Buil g ivision counter, By: Date: Plans reviewed by: Date: L Note transfer by: Date: OWNER: DATE: ff 26 -6( LOCATION: �(��, �`/,�� 5 Il �i mil/(�U/�l� A.P. # - CONTRACTOR: ZONING: PRE-INSPETION FOR: 0 I DATE TO INSPECTOR:, PERMIT HISTORY:( ) NONE ( ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Comm�-c9a? •TJ�a�e: ResidentiaU# of Units: ' Currently Occupied AbandonedNacant Electric: Yes_-,ZNo Electric currently On Off Condition of Electric Gas: Natural Propane / None Currently On Off Obvious Problems: Sanitation: Plumbing Working % Well Working Potable Water �! Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: / HOLD FOR Inspector., Date 1,1—,2--7--1 Sketch buildings on reverse and indicate location on property. changes being made -to house Replacing windows and doors 11 windows and 7 doors.Replacing roof with compstyle roof and sheathing if needed.Adding new bathroom. Removing old bathroom. removing 2 interior walls, l header replacing wall in living room for support. adding siding over redwood sding.Replacing any and all dry rought if- ; n� �d j Vremoved siding and flooring.: -A ` W 4 . 4R 110P. d9 , 7 �e done }d replaced some, t,To $4'40'"'40T. suppqrt ' rJr replacement cost aprox. 1. sheetrock 400.00 2.roofing 1000.00 3.kitchen cab and misc.1800.00 4. eletrical- box and wiring 600.00 5 . insulation 300.00 6.- loor sheathing 400.00 7'.bathroom 800.00 8. siding 800.00 9.windows 1400.00 1 0,;plubng 200.00 l l.aprox..labor cost hmmm what ark i vyorkt} 500.00 12.total cost aprox.= 7300.00 l.replace sheetrock on ext.walls and insulate. 2.replace electrical wiring and sevice box 3.replace headers if needed (windows) 4.sheet floor with floor sheeting S.replace kitchen cabnets 6.install new bathroom with tub/shower combo and shink,toliet. 7. install siding over complet house. 8. replace roofing and sheathing if needed 9.install new plumbing in new bathroom. l0.replace windows. JAS0100MA,lain Assessor 00 Asmt # ffiFT i , I Fee #021.230-026.000 Mame I BEALS M9RIE 1� Status ACTIVE . �� Status Date Addr-I 1436 -OREGON STREET Tax 000 NO - F RMAL_OWNERSHIP� TRA 082-000 Addr2 I GRIDLEY CA 95948- __ -�� Situs 10 W EVANS REIMER RD GRI f Addr3 1 Base Dt 01!01/1978 Addr4 �i — Land 7,737 �- �� AgPres !Structure 24,332 --+-�,-r-------�---�-- +� Etal I� Fixtures 0' Comments 2123002600 CONVERTED, 09/08/88 `" Growing 0 r - -- - Notes Creating'Doc# 197581982365 Date� t___��i J Bonds -� Total L&I 32,069; Current Doc# DateJ Multi Situs I_.�--J �'0 �� Fix. RF 0 -Fla- Killing Doc#' Date' MH PP 0 A FIag2 Asmt'Desc 000.80 AC EVANS' SuplCnti PP 0 Zoning E4O Dw6ii `ate lid Asmt PP Pen Exempt 0 ' Net ti 32,069 * Tax PP Pen' Acre; 0.70 N C 021 -� R/C#F O -J Appeal Pending:' T/R Dt 7 ._.SplitPending- IfR/C Stat _ •PHY. ` ,fI p —] EXP �j IAXHp �'' �9;jlT APR. 11PCL ^ ,� _ ----- _ - JI2001 If sa; 07j25j2001 3:27:21 PM E m cry LA IV, ..-- q- -aa�r- e•, . �' _. ,... "V1W 71R lv�eeRe�FaF M,r' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive •` Oroville, California 95965 • Telephone (5,30) X38-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01-3006 ASSE S(ZIM2 , ZONX&D BUILDING PERMIT OWNE® y�,Q(,,�j�)}yQ/��{ iEa��,+AAVVG wJW TELE,�yo6_4039 i54 SO. FT. OCC. BUILDING VALUATION Li ON. 00 YIiT2I,, GRIDLEY 9,5948 OWN CONTt)WfWME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ MAILM ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 97 W EVANS REIMER, GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ A7 nn LOT NO. SUBDNISIOWS NAME PARCEL MAP 1 PLUMBING PERMIT Filing ee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF I][ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ ddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CT Descr' a Work: REROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ / ELECTRICAL PERMIT Filing Fee 20.00 "vORLE 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: &1/ 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 Main Service 200A To 1000A 46.00 NEW CONST. OWEWNG OCCUP. OR ADDNS. ( a ACC. BLDs. SO 3.5¢x. AEESINEW D T.MULTI-OUTLET CIRCUITS @7,50 APPARATUS a SINGLE OIfiLET CIR. Ex. Occup. OUTLET OR FDLTURES 20 @ 1.00 BAL @ .50 FIXED APPLNS. OR Ex. Occup. OUTLETS RESID. En 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forlitith comply with those provisions. X _` ) �'�� Date / 1 :� 1"( _ Signature/of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 47.00 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD IJUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ich fees have been paid. `. By t ^Date / V PERMIT EXPIRES ON' ! �" ✓ ' �, -- Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01-3006 ASSE$$Op�ARTPtEM6 IMUCLE JIJJOIHNNSON Z 740 BUILDINGPERMIT OWN TEL E 846E 4039 SO. FT. OCC. BUILDING VALUATION 16 lu6u.uu OWN 'tis lfyL , GRIDLEY 95948 CONTpJfjQjWME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee '$ 20•l)() Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 97 W EVANS REIMER, GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing ee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF IR Duplex ❑ Mobilehome ❑ Other SPECIFY 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 CX Describe Work: REROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600VOR LE Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law r the following reason: I, as owner of the property, or my employees with wages astheir 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 Main Service TO I000A 46.00so NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADDNS. ( a ACc. BLDs. SO 3.5¢FT; NEW RESID. 1�6MULTI-OUTLETcTS @7,50 POWER APPARATUS a sINOLE ourLEr cIR. EX. Occup. OUTLET OR FIXTURES .00 SAL p I. 0 FIXR. Ex. Occup. oUT� RESIooE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE S 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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.) L9' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' comp nsation laws of California, and agree that if I should become subject to the work s' compensation provisions of section 3700 of the Labor Code, I shall fo ith c ply with those provisions. X Date 1/— 2 A— al Signat pplicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 47.0 FEES IMP I FLOOD I COF PARCEL I PO I HD ISgUE This permit is hereby issued under of the Butte County Code and/or indicated abo f ich fees have By PERMIT UPIRES O P the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. 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