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021-230-039
| | ' AP 21-23-39 Thiara Brothers 285 Ev�ns Reimer Rd., Gridley 21-23-39 Permit#1607-81E(ele ser repair) labor camp AM0 91619V 021-2-30-039 PERMIT#96-10 New Ag Worker Living, 01-230-039 03-1195 THIERA BROTHERS, 285 WEST EVANS REIMER, Cont: KILIAM, MIKE INALE REPAIR RAFTERS/SF 021-230-039 9 � Cont: OWNER 021-230-039 06-1693 295 W. EVENS REIMER RD, 'G�IDLE Cont: OWNER \ DBpAURu(ucu REPORT)- S/S'Evans Reimer Rd. 5001 w. Live Oak -Gridley Rd., Gridley ' 021-230-039 06-1693 ? t THIARA, GURDIAL a' NOTES 295 W -:EVENS REIMER RDN, GRIDLEY _ Cont: OWNER I `REPAIRS(HCD REPORT) RESIDENTIAL APN: Permit No. Owner. Site Address: Contractor. t Type of Permit: SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE ruurvcn ov DATE JOB FINALED: SIGNATURE: ' \ =OK o = Not OK MANUFACTURED. HOMES MISCELLANEOUS- DATE PERMANENT FOUNDATION SOFT-SET'' —DQE DECKS-COVERS-CARPORTS-GARAGES 1 Zoning-Setbacks-Easements 1 ZoningSetba ks-Easements 2 Soils; Special MH Support Sketch 2 Figs; SailsSz-DpthSpadng-CnnctrsSteel 3 Sewer; Loctn-Test; FalUCIO-Concrete 3 Decks, Girders/Jotsts-0cldng-Brcing 4 Wtr, Loctn Test-Easeinent Needed-Regulator Stairs-DuardlHandratls 5 Elec Loctn-DImcs-Grnd Amp-Concrete 4 Wood Awn; Posts-Beams4Vtrs-C_nnctrsShthg. 6 Yard Gas; Loctn-Test Wrap Nat ❑ or LP❑ Frmg-Brcng Inch Sz Ft lsgth 5 Alum Awn; Columns-CnncfnsSplice-Decal-Enctsrs 7 Blckng; SzSpacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs ti Fang; Sills-AnchrsStuds4btrs Tnisses 10 Drain; MH Test-Fall-Flex Cnnctr 9 Siding; Nail-ing-VengerStucco-Lath 11 Wtr & Sewer Connected-CIO to Grade 10 Roof, Shthg-Roofing 12 Gas and Electricity Tagged 11 Ext: Steps-Doors4-andiimgs 13 Tie Downs ❑ Foundation ❑ 12 Braced Wall pnis 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers _ nATo lonni S oea d� dr" �s 1 Setbacks -Easements 2 Soils; .CompactionStrurture Stability _ 3 Pool Structure; Steel-Cnncfns-Thickness Dead Men-t.lning _ 4 Elec Rcptds/Lting; Distance-GFI 5 Elec Pool Laing; 15 volts-GF1 6 Elec.Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-CrcItng Egp-Htr _ S Elec Gmdng; Eqp w15 Crdtng Eqp-Pool Ightg Boxes-Enclsrs-pnlboaids4nsultn-to Main Conduit 9 Health Dept Apprvl 10 •Ptmb; Cir Test-Wtr Supply Test 11 Lt Niche _ 12 Endsr•, Fencing -Alarms 13 Borldmg, Diving board or Slide dA �� d'� testi 0 = Nat OK RESIDENTIAL (Single & Du0ex) UAJt (UNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Sails-Elec Gmd Ftg Dpth 3 Ftg Garage; SoilsSteel-Elec Gmd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalis (Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Btockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12_ Elec Undrgrnd 13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn 14 GirdersSills-SillsBolts-Joists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation ` s} o'er 4& da 0. DATE 15RAMING 17 Sills Proper Materials & Anchrs 18 Wills Studs-Naitirig Spacing & Braces-PlatesSound 19 Bearing Walls ovet Girders 4 flr Nailing 20 Draft Stop in Walls (rat proof) - 21 Fire Stops; Fiirrei CeilingsStairs�Chasers Tubs 22 Headers & BeamsSi &'Bearing' 23 Hangers-Posf'Caps-Anchrs�itnctns 24 Ceiling Joist-k671"-Purliit-Roof Brat TrussShthg 25 Frplc Ties or Type A Flu&RpIc Throat Clrnc 26 Attic Acc Sz &•Rina Pitch-&ifi Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Flt & Dimensions 28 Garage Fre Prtciri Framing -RC Chanel 29 Prprty Line Firewall & Opngs' . 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Land'ing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts4tftr Oritrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Are PrtctnSkyL.ts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 38 insultn-Walls-Ceilings 39 Infiltration -W alts -W ndws o'er 0`ya may. DATE JELECTRICAL 40 Fxtr & Trnsfrrnr Clmc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz oa QCU or ❑AL AC Wire Sz ya 0 Cu or ❑ AL 48 Range Circ w El CU or ❑AL Oven Circ y, 0 CU or ❑AL Insulated Neutral Dyes QNo 49 Service4t1ser Cndctrs & Gmd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Meth Eqp 51 Clothes Closet LtShwr LI -Spa Lt 52 Smoke Detector UN1c (PLUMBING 53 Wtr Htr, Vent Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail 'Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd flr - Tub Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE IMECHANICAL 61 AC Ducts Insuttn & Support 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & OvrfIw, Sz & Grade 64 Furnace Vent Acc-Comb Air RUTUVent 115 Outlet 65 Attic Acc & Pltfrin if Furnace In attic DATE FINAL 66 Ext Steps -Door & SideLt Prtctn-landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 G5.& Bath Fxtrs & Tub Acc-Spa 04FI Are+4t t• 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pni, int & Ext 76, Fxtr & Appinc; Gmd Air -Gap -Cooking Clrnc 7rtlec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct In Garage -Dampen 80 Wtr Htr, Vnts-Cimc-Com Air Cnnctr-PRY; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech. Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insults -Foam -Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clmc Dmge Planters Q Yes Q No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb.Appinc-Frpic-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgmd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler �A-L cfo� EPR�(� QIc Jul 13 06 03:22p p.l -------------- IDe artment Use Onl State of California — Business, Transportation and Housing Agency FILE IDENTIFICATION: y Department of Housing and Community Development CPT Assignment # Division of Codes and Standards ACTIVITY REPORT FAC, ID # oa ooa2EH ate 6/19/06 Report by: Glenn Gibbons LABOR DATA: AREA OFFICES DR ID 100 Date: 6/19106 �C Applicant Jesus Acosta P.O. Box 970 Yuba City, CA. 95992 PCA/ACT Code EH/POR Area NAO Activity Site Cit other than above) Thiara Brothers 295 W. Evans Reimer Road 93 Northern Area CO 04 LOC TR MILES Gridley. CA. 95948 s92 6550 Cerner Dave 4tacramento.CA95828 .TIME:INSP/ACT TR ate 255-2501 INSPECTION DATA:. Owner (I other ❑ Southern Area ❑ Time Report Only than above) Thiara Brothers Orchards 3737 Marn street. su1e400 ® Initial Inspection ❑ Re -Inspection Address: 1590 Matta Dr. Yuba City, CA R van.ide, CA 92501 95991 (951)'782-4420 # HOME/UNIT # Floors VIOLATION DATA: PURPOSE OF REPORT:. (Checked ©as appropriate) Total 4 MP Tenant ❑ INSPECTION RECORD ONLY S 3 F EIM ❑ INFORMATION ONLY P _G/O NP MH ALTERATION TYPE: ® NOTICE OF VIOLATION AND RELATED INFORMATION: This report ❑ AC ❑ ACC ❑ ROOF ❑ FP ❑ O provides notice of violations of the California Health and Safety Code, Division 13. or the MONITORING: PART RD Y Y California Code of Regulations. Title 25, Division 1, Chapter 2, Sections indicated. Copies THIRD D ❑ ❑ IP ❑ DL ❑ IS of the regulations may be obtained from Barclays Law Publishers, P.O. Box 3066, South San Francisco, CA 94083-3066 DAA # PLANS #COMPLY Violations indicated shall be corrected and a written request for further Inspection filed with MP INSPECTION. DATA: the Area -Office indicated above within 30 days. The request for inspection shall be BLG/FIX MH Lot RV Lot accompanied by a minimum fee of $196.00_ I AS - A permit shall be obtained from the Area Office identified above for work to coned items(s) EH INSPECTION:DATA: . # - ® Active : ,In'Active Max Cap54 P Cap54':.00CA4 If you believe thisreport has been issued in error or is factually incorrect, please contact the SFD5 DORM3 MH/RV Area Su ervisor at the Area Office indicated above.06 - - INSPECTION UNIT INDENTIFICATION: FEE ACCOUNTING Type of Unit Box Site Overall Size RT Decal No. COL# 4119803 USED DUE ATTACHED Manufacturer Year and Model INSPECTION 196.00 HUD Label or HCD Insignia No.:: INSIGNIA OTHER Serial No. or V.I.N. I Attached Fee I.D. Check Number. 084878 INSPECTION RESULTS'OR INFORMATION: The purpose of this report is todocument the inspection for the pre -occupancy of the employee housing facility at the above location on the above date. During .the inspection the following violations of the California Code of Regulations (CCR), Title 25 (T-25), Chapter 2, were noted and must be corrected, re -inspected. withip 30 days :and a $196.00 re -,inspection fee at time of re -inspection (check or money order only made payable to HCD). If you have questions regarding the violations cited below as a result of this inspection you may contact me at (530) 624-5889. 1. All buildings and other housing- accommodations used for habitatiori:in a labor.:camp shall be numbered or designated by street numbers or other suitable means of identification (T25CCR712). Provide room identification as needed. � 1 3� � j- 1 --y All labor camp buildings, structures, or other housing accommodations and all parts thereof, shall be maintained in a safe and sanitary condition (T25CCR710). The roof on the dormitory building is showing signs of structural failure and there is dry -rot with the rafters on the cabin structures. Repair or replace with the required building permits from the local Building Department. 0`ii 4 Electrical materials, devices, appliances fittings and equipment maintained in labor camps shall be approved for the purpose and shall be maintained to be connected and secured in an approved manner when in service (T25CCR854). The electrical receptacles located within the kitchen area do not have GFCI protection. Install approved protection. 9 BUTTE COUNTY PERMIT'NU. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP061693 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID -1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/13/2006 APN: 021-230-039-000 the Business and Professions Code, and my license is in,full force and effect. License Class : License Number: Site Address: 295 W EVANS REIMER RD GRI Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or thai he or she is exempt therefrom and the. basis for the allegkd exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law•does not apply to an owner of property who builds or Improves thereon; and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). ❑ 1 am Exempt f t under Article 3 othe Business and Professions Code Date:71Z5S�4L Owner.•art WORKERS' COMPENSATION DECLARATION I 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 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation Insurance carrier and policy number are: Carrier: Policy #: k, I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dale: Applican , 1 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (5100,000). In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. Map Index: Description: REPAIRS PER HCD VIOLATION REPORT - 6/19/06 Owner: THIARA GURDIAL S & SUKHWANT K FAMILY REVOCABLE T THIARA SUKHWANT K TRUSTEE 1537 ATKINSON CT YUBA CITY, CA 95993 -967Q - Applicant: THIARA GURDIAL S & SUKHWANT K FAMILY REVOCABLE T THIARA SUKHWANT K TRUSTEE 1537 ATKINSON CT YUBA CITY, CA 95993-9679 (530) 682-2223 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: t 5T 1-19 # y 500alo 17`15y0(n CONSTRUCTION LENDING AGENCY. This permit is hereby Issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Reso do s'to do work,indicat d abo a for which fees have been paid. ff performance of the work for which this permit Is Issued (Sec 3097 Clv.) By. Dale �` I o Name:, � � P —' - ty 1 PERMIT EXPIRES ON: 1 J Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposeis. Print Name: Signature Date: C Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor R r Rnildinn Permit 01-16-04 00 1 BUTTE COUNTY . DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT'NO. BP061693 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under 'penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/13/2006 APN: 021-230-039-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 295 W EVANS REIMER RD GRI Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or thai he or she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).): 2 /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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). O I, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code WORKERS' COMPENSATION DECLARATION I 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier: Policy #: Sk "issued, that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applican , WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Clv.) Address: Map Index: Description: REPAIRS PER HCD VIOLATION REPORT - 6/19/06 Owner: THIARA GURDIAL S & SUKHWANT K FAMILY REVOCABLE T THIARA SUKHWANT K TRUSTEE 1537 ATKINSON CT YUBA CITY, CA 95993 -9679 - Applicant: THIARA GURDIAL S & SUKHWANT K FAMILY REVOCABLE T THIARA SUKHWANT K TRUSTEE 1537 ATKINSON CT YUBA CITY, CA 95993-9679 (530) 682-2223 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: � 35`1. ply This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Reso do s'to do work lndicat d abo a for which fees have been paid. By:Alti. Date:` I ,l�llln 9..1 � _ r1r-T ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I'have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu/repo/s/�s Print Name: t Slgnature�l�L![l�[�c'` ^/lam„ Date: t O ner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor .............. .y ,....... _ . . _ _ ,-� rte` t' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF A PPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last a '� �� First �lalne A!vVk" In ✓>` G 1_11Ci � atm ?j Pho ^l , D� ax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name 42-52 ©� Address q44 City I No State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name 42-52 ©� Address q44 City I No State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT INFORMATION Name 42-52 ©� Address q44 City I No State Zip Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning AP# 02I Flood Zone Property Address SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: evairs Mr NSIA1 Ornn. blN. o4 Sq FTJ Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. x`114,197 l2--- Received by: V6 Receipt #:45M 0 614C P 321 Date:. 13 -O Amount: �� �`l Bldg SRA Sheriff SMIP Other C X14 Total REV 8-12-05 PROJECT LOCATION AP# 02I 2�0 O Property Address ty Cr� oStreet s[� WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: evairs Mr NSIA1 Ornn. blN. o4 Sq FTJ Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. x`114,197 l2--- Received by: V6 Receipt #:45M 0 614C P 321 Date:. 13 -O Amount: �� �`l Bldg SRA Sheriff SMIP Other C X14 Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd 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. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 Jul 13 OG 03:22p State of California — Business, Transportation and Housing Agency Department of Housing and Community Development *�� k Division of Codes and Standards ACTIVITY REPORT 6/19106t Report by: Glenn Gibbons lCJ �C Applicant Jesus Acosta P.O. Box 970 Yuba City, CA. 95992 AREA OFFICES Activity Site ofotherftnabove) Thiara Brothers 295W. Evans Reimer Road 93 Northern Area _Gridley. CA 95948 SW2T5�Driva eb5o •6aamnmAo. CA 95ma Owner to odw ❑ Southem Area men above) Thiara Brothers Orchards M97 Main street. sL&e 400 Address: 1590 Malta Dr. Yuba City, CA. 95991 �+ 82- PURPOSE OF REPORT:.(Chedked RIas appropriate) ❑ INSPECTION RECORD ONLY ❑ INFORMATION ONLY ® NOTICE OF VIOLATION AND RELATED INFORMATION: This report provides notice of violations of the California Health and Safety Code, Division 13. or the California Code of Regulations, Title 25, Division 1, Chapter 2 Sections indicated. Copies of the regulations may be obtained from Barclays Law Publishers, P.O. Box 3066, South San Francisco, CA 94083-3066 Violations indicated shall be corrected and a written request for further inspection filed with the Area Office indicated above within 30 days. The request for inspection shall be accompanied by a minimum fee of $196.00_ ' A permit shall be obtained from the Area Office identified above for work to coFied items(s) If you believe this report has been issued in error or is factually incorrect, please contact the Area Supervisor at the Area Office indicated above. INSPECTION UNIT INDENTIFICATION: Type of Unit Box Size Overall Size RT Decal No. Manufacturer Year and Model HUD Label or HCD Insignia No. Serial No. or V.I.N. Department Use Only FILE IDENTIFICATION: CPT Assignment # FAC, ID # 04-0042EH LABOR DATA: OR ID 100 Date: 6/19/06 PCA/ACT Code EH/POR Area NAO CO 04 LOC TR MILES TIME:INSP/ACT TR INSPECTION'DATA:. ❑ Time Report Onty ® Initial Inspection ❑ Re -Inspection # HOME/UNIT # Floors VIOLATION DATA: Total 4 MP Tenant S3F E1M P _ G/O NP MH ALTERATION TYPE: ❑ AC ❑ ACC ❑ ROOF ❑ FP ❑ O THIRD PARTY MONITORING: QAA Q ❑ HQ ❑ IP ❑ DL ❑ IS DAA # PLANS #COMPLY MP INSPECTION DATA: BLG/FIX MH Lot RV Lot AS EH INSPECTION- DATA: ® Active 6n.Xctive:.: Max Cap54 P Cap54OCC14' SFD5 DORM3 MH/RV 06 FEE ACCOUNTING:. COL# 4119803 USED .DUE ATTACHED INSPECTION 196.00 MSIGNIA OTHER Attached Fee I.D. Check Number. 084878 INSPECTION RESULTS OR INFORMATION: The purpose of this report is to. document the inspection for the pre -occupancy of the employee housing facility at -the above location on the above date. During.the inspection the following violations of the California Code of Regulations (CCR), Title 25 (T-25), Chapter 2, were noted and must be corrected, re-inspected.withip 30 days and a $196.00 reinspection fee atthe time of re -inspection (check or money order only made payable to HCD). If you have questions regarding the violations cited Below as a result of this inspection you may contact me at (530) 624-5889. 1. All buildings and other housing -accommodations used for habitatiori:in a labor.:camp shall be numbered or designated by street numbers or other suitable means of identification (T 25CCR712). Provide room identification as needed. C All labor camp buildings, structures, or other housing accommodations and all parts thereof, shall be maintained in a safe and sanitary condition (T25CCR710). The roof on the dormitory building is showing signs of structural failure and there is dry -rot with the rafters on the cabin structures. Repair or replace with the required building permits from the local Building Department. 3. Electrical materials, devices, appliances fittings and equipment maintained in labor camps shall be approved for the purpose and shall be maintained to be connected and secured in an approved manner when in service (T25CCR854). The electrical receptacles located within the kitchen area do not have GFCI protection. Install approved protection. 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 material for construction of this proposed property improvement: 'YES.[- ] NO [ ]. 2. I HAVE [/fHAVE NOT [ ] signed ah application for a building permit for the proposed work- 3. ork3. 1 have -contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CON'TRACTOR'S LICENSE NO: . 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and -provide the major work NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but Itave contracted (hired) the following persons to provide the work indicated: , NAME ADDRESS PHONE. TYPE OF WORK SIGNED: PROPERTY OWNER DATE: `%— / � —O KL) k NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. Butte County Department of Development Services cJT7- ADMINISTRATION `BUILDING `GIS ° PLANNING o �o o � a 7 County Center Drive o ./� o Oroville, CA 95965 0 =�.z=_ - o (530) 5384541 Telephone ' y OU (530) 538-2140 Facsimile .14 OWNER -(BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protectioin you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and .federal ineome' tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risk for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the 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 contractor 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 contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street', Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector Mn9rv. 'I•M a nm'sor_RnilydPr Tnfnrmatinn is rPnniri- d by Curtin I QR'10 of the ('alifnrn;a 1TPalfh and Rnfrfv rnrdP. LIS BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds JERMIT NO. BP041919 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/30/2004 APN' 021-230-039-000 the Business and Professions Code, and my license is in full force and effect. License. Class: License Number: Site Address: 285 W EVANS REIMER RD GRI Date: Contractor: Map Index: Description: SIDING (1200), INSTALL TOLIET, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 SHEETROCK Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: THIARA GURDIAL S & SUKHWANT K FAMILY signed statement that he or she is licensed pursuant to the provisions of REVOCABLE T the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or THIARA SUKHWANT K TRUSTEE she is exempt therefrom and the basis for the alleged exemption. Any i 1537 ATKINSON CT violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): YUBA CITY, CA 95993-9679 ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: THIARA GURDIAL S & SUKHWANT K FAMILY pp provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one REVOCABLE T year of completion, the owner -builder will have the burden of THIARA SUKHWANT K TRUSTEE proving that he or she did not build or improve for the purpose of 1537 ATKINSON CT sale.). YUBA CITY, CA 95993-9679 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code I Contractor: Date: Owner: WORKERS' COMPENSATION DECLARATION I 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 License #: is issued. , I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation rer: Architect: insurance carrier and policy number are: Engineer: I ce ify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. is ed, 1 shall not employ any person in any manner so as to ecome subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Census Code: 1 t forthwith comply with those provisions. r Date: � Y Applicant: JdlLLa , g ), WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of 4'0 (o,j &9 109 . ei 8 4•/30 /b .� compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Cods anrvor I hereby affirm that there is a construction lending agency for the Resolutio to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: to • 30 • epi Name: M- PEF1 EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.. Print Name: �I i<H 'it! IV Z l�11AR A Signature:�GffryGltuk io ko -Azy- 1. � Date: G ^ ,� O •- G ❑ Owner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041919 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/30/2004 APN: 021-230-039-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 285 W EVANS REIMER RD GRI Date: Contractor. Map Index: Description: SIDING (1200), INSTALL TOLIET, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 SHEETROCK Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: THIARA GURDIAL S & SUKHWANT K FAMILY signed statement that he or she is licensed pursuant to the provisions of REVOCABLE T the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or THIARA SUKHWANT K TRUSTEE she is exempt therefrom and the basis for the alleged exemption. Any 1537 ATKINSON CT violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): YUBA CITY, CA 95993-9679 ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: THIARA GURDIAL S & SUKHWANT K FAMILY pp provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one REVOCABLE T year of completion, the owner -builder will have the burden of THIARA SUKHWANT K TRUSTEE proving that he or she did not build or improve for the purpose of sale.). 1537 ATKINSON CT 1, as owner of the property, am exclusively contracting with YUBA CITY, CA 95993-9679 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Contractor: Date: Owner: WORKERS' COMPENSATION DECLARATION I 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 License #: is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: Cartier: Total Square Ft: 0 S. F. Pify that in the performance of the work for which this permit is ed, I shall not employ any person in any manner so as to ome subject to the workers' compensation laws of California, Valuation: $0.00 agree that if I should become subject to the workers' Census pensation provisions of Section 3700 of the Labor Code, I shall Code: forthwith comply with those provisions. Date: d —-3 rO 4 /D / ����- Applicant:dlrid maid -K, )i2rct l WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of 4-4046,58-9 i O R . Gj $ (./30 /d compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 40!05 9 O (O aj _ Cj CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code 8nrt/or I hereby affirm that there is a construction lending agency for the Resolutio to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 4,-3z) - a4 Name: By: ea. Date: PE I EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. 1� Print Name: �Jl /i 'Ll/ Al ��� I I IAR A Signature:S1, � Kc "7b&'64 Date: G - 30 r -G ❑ Owner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor i C BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION APPLICANT NAME OWNER Name bio S . Address'z El/4,-vSv_t 11 - iur IA City L State Statee 4- Zip Phone E-mail Fax E-mail Planner APPLICANT NAME CONTRACTOR Name ow "& le -- Address Zip City State State Zip Phone E-mail Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City State Zip Phone Fax E-mail State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail ffAPPLICANT SIGNATURE ��3� For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Fi4 Planner Date Approved: OVER FUR SUBMITTAL REQUIREMENTS KAFORMSWILDING F0RMS\81daAoo1SubRamta.dac PERMIT NO. BPZ>4 BIN # LOCATION AP# 4n l• 230 • 039 Property Address Ze 5 Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: S t 0/ nl G t c�c S F 48 t- F a1 EvN 'ro a E`T" 5 htEE-rl2ex� z r w!S P� 1 oq .98 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: 01 Amount (D . 4 6 1 a9,`I ?ldg SRA Receipt #: 44,04� 5Sc7 ,4e:>'6"590 Sheriff SMIP KA II Date: � /3D�o s—/ Other I I I z 11. 9.6 Total Pane 1 of 9 DMI A Zn AA SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND ININK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floorplans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from theEnvironmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2.. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form.. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDW F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 O.B. -1 OWNER-DUILDIER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and beam 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. I. I personally plan to provide the major labor -and materials for construction of the proposed property improvement : YES IRL NO ❑ *2. I HAVE ® HAVE NOT ❑ 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: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 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: may: PHONE: CONTRACTOR'S LICENSE NO. S. 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: NOTE: This Owner -Builder Verufucation is required by Section 19831 and 19832 of the California Health and Safety Code, This verflCation must be completed and returned to our office before we are permitted to issuce the permit OWNER BUILDER INFORMATION Dear Property Owner. .O.B.- An application for a building pemut has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should beaware that as "owner build+ yon are the responsible party ofrecord on such a P BBuiBuilding pemuits are not to be signed by Property owners unless they are personally Performing their own work. If your work is being performed by someone other than yoursel f 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 too 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. Ifyou plan to do your own wort; with the, exception of various trades that you plan to subcontract; you should be aware of the following fi fOrmation for your benefit and protection: 4 If yon employ or otherwise engage any persons other than your immediate fly, and the work (including materials and other costs) is S30D or more for the entire project, and such persons are not licensed as contractors or subconiracimT, Bien you may be an employer. ♦ If you are an employer, you must register wig. the State and Federal Govt as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compeas-Won ice, disability mmm= casts, and MMDPIoyment compensation contrNtions. ♦ There may be financial risks for you ifyou do not carry out these obligations, and these risks are especially serious with respect to worker's compensation . ♦ For more specific mon about your obligati ons under Federal Law,cm& act the internal itevem Service (and, ifyon wish, Sue U S. Small Business ). For more State Law, contact rite Department of Benefit c information about your obligations under Payments and the Division of Endnst W Accidents. If the stride is intended for sale, property owners who are Dot licensed contractors are allowed to perfDnn their work personally or Trough 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 as "owner builder" building Pew..'. e q i the property ownfris providing his or her own labor and material Personally. Building permits are not requaed to be signed by property owners unless inion about iiceased they an Pig their own work personalty. or at 1020 N may be obtained by the m State License Board in your coy Street; Ste, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this fD m so that we can confirm that you are awarematters of these . The building pe�fr will not be issued until the verification is returned. IY. . Bmldiag Inspection NOT F—Thir Owner-Brrr7derltrformrwn is req=ed by Section 14830 of the Cafffornk HwM =d Safety Code, e , COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, .Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERIT APPLICATION DATA SHEET OWNER: efk, & 1 `E \n e nr. 4ASSESSOR PARCEL NUMBER 4!5)• .23 O Proposed Building Use: S 1Div16 t,(C- w 'rd L t ET S HEFT Cooun er Technician: k tl ' Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. O 1. Site plans, 3 or 4 sets, signed by the preparer;of the plans. ❑ 2. 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. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. O 6. Energy compliance design and supporting documentation in duplicate. 0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. , ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval frdm the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in O Chico O Oroville, as applicable. O 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers...................................................... 1�...................................... ❑ 18. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or. Engineered Foundation required .............................:.. .........� ........ O 20. Erosion Control Plan Required........'......;....... .. ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. _ ❑ 22. City of Chico Plumbing permit........................................................................ _ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: _ O 25. Contact Land Development about _ Improvements, _ Drainage...-_.., ................ _ ❑ 26. NPDES Form........................................................................:.................... _ ❑ 27. Encroachment Permit for driveway from the Public Works Dept ............................_ _ ❑ 28. Pre -Inspection for ` required....... _ ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... _ -❑ 30. Worker's Compensation Carrier and Policy Number ........................................... _ O- I (ca IonIven o of o ner, _Mailed to owner).......... sk) 2. Letter of Signature authorization .... ...... ......................:.................:.. �........ ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits.......................................................... ❑ 36. Deed Restriction .......... `.N.......................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H)Title/Statement of Facts, ❑ Letter from Legal Owner, O Check to H.C.D ,�. 38. Other: ❑ 39. Other: A When issued Telephone ' r . ` and hold for pickup. I have been informedQf We above items nd requirements for obtaining a building permit. Applicant: t 1. Index permit application or tre: Je items numlieTpd: 2. Additional items required Contractor, designer, owner, was, advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised o(�the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: D Plans approved by: Structural reviewed by: /\bate: Structural approved by: Note transfer by: -Date: I Date: 4 -,Pe -d y Plan Check Letter Yellow: Building Division Date: Date: Date Date: —k� k�L3'-Fl`�'ew'.�Yv.r1.c�►ti.«. 03-'1195V-621-230-0.39 TfUERA BROTHERS, X285 WEST EV,NS REIM�R, G LEY' d6il KILIAM, MIKE REPAIR RAFTERS/ . SF, 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) O.•(Rev.12/96) APPLICATION AND PERMIT 0.3-11°S ASSESSOR PARCEL NUMBER 021-230-039 ZONING BUILDING PERMIT OWNER .,Mer+le Brothers TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAKING ADDRESS [85 Evans Reimer. RdGridle CA 95948 cont est 250.00 CONTRACTOR'S NAME - Mike TELEPHONE CONTRACTORS MAILING ADDRESS 709 Walnut Yuba City CA 95991 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 2S0.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING $SSEvans Reimer Road Grid1gy CA Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ 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 ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: rept and replace rafter ties I r 'L Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE $ t ELECTRICAL PERMIT Filing Fee 20.00 Main Service .O.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. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law)Br the following reason: /. El 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, em 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: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the • performance of the work for which this permit is issued. ❑ I 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)�IDM K -n L"as _ to `{ -a Z -03 _ 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. Main Service zoOA TO ,000. 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a ACC. BLOB. 3.5QFT: rNiONRESID. U.MULTI-OUTLET 9a 7.50 PSOWERINAPPARATUS a GLE OAP= CIR. Ex. Occup. OUTLET OR FDRURES B20 @ ,.� flXED APPINS. OR Ex. Occup. ouTLETs REBID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 $ 35.00 HAZ. D. FEES 'IMP FLOOD I CDF PARCEL Po HD SSUE 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' /i ���� .�fri. Date PERMIT EXPIRES ON Date ReceiptNo. '7j ��rr .Z.�/:� 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 0-1-1195 ASSESSOR PARCEL NUMBER 021-230-039 ZONING BUILDING PERMIT Thiara Brothers TELEPHONE SO. Fr, OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 285 Evans Reimer Rd Gridley CA 95948 cont est 250.00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS 709 WaInt It YJ ibq Ci ty CA 99991 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 250.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS - 285 W Evans Reimer Road Gridley Energy Plan Checking Fee $ $ PERMIT FEE $ 35,00 LAT NO. SUBDN6X)NS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ 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 O Describe Work: repair and replace rafter ties 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 I Filing Feel 20.00 V OR LESS Main Service . "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, ( 9 ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereb 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 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 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR so OR ADDNS. ( & ACC. BUDS. 3.5¢FT. NEW CONST. MULTI -OUTLET NON RE NS @7.50 FOWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES B20 @ 1.00 FlXED APPLNS. . OR Ex. Occup. OUTLETS RESIDEA 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: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I 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 $ 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 orthwith comply with those provisions. /J1 X 4e -a -©3 Ignature of Applicant - ❑.Owner ❑ Contractor ❑ Agent n SHA 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 $ 35.00 HAz. D FEES IMP FLAOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a ve for whi fe have been paid. B I Date PERMIT EXPIRES ON Date Receipt No. a o I 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 (916) 538-7541/-)/ PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMB 2 d ^ O3 zG74 t i"t BUILDING PERMIT OWNER -z' a TELEPHONE - 3 SO. FT. O C. BUILDING VALUATION pa o OWNERS MAILING ADD SS 3 c iqLe- 4• CONTRACTOR'S NAME'TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNINOWN Total Valuation $ 0 Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ q v p Energy Plan Checking Fee $ 019 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS n (fl A PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Oillj Each Trap 7.00 p6, LOT NO. S UBDNIS IONS NAME P RCEL MAP Solar Or heat pump water heater Water piping 23.00 15.00 1- ` �6 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other �" t 4f • SPECIFY Each gas water heater or vent 15.00 A-(� Gas piping system 1 - 5 outlets 15.00 , pv Building sewer ' 15.00I'(� 0a TYPE OF WORK New � Addition ❑ Remodel ❑e` Utilities ❑ Installation ❑ Other ❑ Describe Work: ` /f rt � � _ r _dlc�_ (�2-- Mobile Home S G W @20.00 1_ PERMITFEE $ Contractor -� ELECTRICAL PERMIT Flin Flee .'00 OOOV OR LESS Main Service ( 200A OR LESS ) (� 23.00 23, Main Service ( 200A TO I000A ) 46.00 ' LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 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 NEW CONST. / DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) SO. 3.5C FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) EX. Occup. ( OUTLET OR FIXTURES) 20 Q° 1.00 fl4L 0 .s0 EX. Occup. (oFIXEEDrs PUNS. OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will mainLpain a certificate of consent to self -insure for workers' compensation, as prcfvided 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 9 Heating — js GJ ,3p v _CoolJ_g.— Hood 6.50 .04 Ventilation PERMITFEE $ ua Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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, 1 shall forthwith comply with those provisions. X Date Signature of Applicant - ❑Owner ❑Contractor El Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in hei ht.If Mobile Home Installation Fee $ En gy Inspection Fee $ C cO T PE TOTAL FE $ aD 72L HA2. 1 0. FEES IMP FLOO CDF PAR PD HD ISSUE This permit is hereby issued under the of the Butte Coun ode an -Resolutions indicated abov or which fges hav U �J t V ' By PERMITEXPIRESO applicable provisions t do work men pa' p U / t� e (Date) ReceiptNo.2 /00U � WHITE-D.D.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT hfWs�:lR�t'7�i�+�.'9w-r•t;€r r.�-�r•";�`lw':.rcpt'�9'..i.Fr..tt,.�.'.-"",`t+1'+�t_{i:,��tyiFwlY'Sr`..�`rlr*�'"T°S�`�+W'.f�%:��i�Y..Mfr.�^•�%.�i.+�'i•'+•ria'sWt,+T.-#.++"+..i`t.^. ..ir ..,.. COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION N S 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER "— 'J It4k A. P. No. 0:24 Proposed Building Use koa04 21f'f "^'' Building Inspector Date 5��6 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted. . � , lot plans, 3/4 sets, signed by preparer of plans . ......................... Complete plans, 3/4 sets, sig , &&d by preparer of plans . ...................... Engineered plans and calcs,N-3A sets, with wet signature on plans. ............ azardous Material Form. . ;4 5. Energy Design Compliance and supporting documentation . ................. . 7. tatement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. MobilehoSe.-44M . facturer' ins al bion t ctio o- sets. .. . (- ........ Fees of $ ... ..... .................. C1.1 mpact fees as shown on attached scheduled ... ° 1`/ 12. California Department of Forestry plan approval/fees. ....................... . 1 ,34lood elevation letter (100 year flo California Engineer................... anitation and plot plan approval U' Health Department. . 15. City of Chico plumbing permit . ......................................... . }�6- lot plan and business�ioemse approval fro City of Biggs/Gridley. ............. O/�C17 tanning approval for (A� Use 5�5 a9'"(B) Parking: 0 LKQ=,e, ontact Land Development about _ ')Improvements (B) Drainage. .......... 19. Driveway permit (construction approval required prior to occupancy). . . PreanspecGon requests - re -inspection for required. . to Building Inspector (Date) { ontractor's license information. (No., Name Style, Classification) . .............. ,l 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner . ......... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization. . 26: Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed ,. i and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... Plnn rharlr liet i / A WXyou issue the er ��!!t, pr cess as follows: Mail .too wrier. Mail to contractor. V� Telephone rr -/f/ and hold for pickup at r office. A Deliver with inspector. Other Parcel Creation Vr Acreage pplicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department.of Public Works COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER I / A!. PROPOSED BUILDING USE REC. 1. SCHOOL DISTRICT FEES (paid at District Office) 2. SHERIFF F'FES (Haid at Building Division) Residential...... x =$ unit amt. Commercial (sq. ft.) . x =$ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x _$ #units amt. Commercial (sq.ft.).. x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) A.P. #.I ®2 I— ��o-- DATE ,— " # DATE REC 5. THERMALITO DRAINAGE DISTRICT FEES _..._..$400.00..(paid at Buil?:.^.(-y Division) _ 6. SRA FIRE INSPECTION AND PLAN CHECK pai a ui ing Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9(,2 1In'9 0 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOVOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublibes ❑ Installation ❑ Other ❑ Describe Work: Mobile Home I S I G W 1 @20.00 PERMITFEE Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service a00V OR LESS ( 200A OR LESS / 23.00 Main Service ( 200A TO 1000A ) 46.00 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 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. o 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 NEW CONST. DWELLING OCCUR oR ADONS. ( BLDS. ) so. 3.5(t FT. ..-& .ACC.. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL Q .50 Ex. Occup. I FIXEDs (RESIDJOR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION I 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 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ET -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' pnsation laws of California, and agree that if I should become subject to the wor rs' compensation p0ovisions of section 3700 of the Labor Code, I shall fo with comply w' th a provisions. ` Date �� �G Ignature 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 $ Occ CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES I IMP I FLOOD COF PARCEL PO HD SSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 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 (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 90 109 D ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. •_, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOJOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ -. + ✓' Energy Plan Checking Fee;-`• $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE _ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP SOIar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑' Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Mobile Home I S I GI W 1 1920.00 PERMITFEE t• Contractor ELECTRICAL PERMIT Filinq Fee 20:00 ' Main Service / EOOV OR LESS 2OOA OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed Linder 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 1 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. 1, 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 NEW CONST. DWELLING OCCUP. OR NS. ( 8 ACC. BLAS. ) SO. 3.50T. NEW CCONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( a SINGLE OUTLET CIR. ) EX. Occup. ( OUTLET OR FIXTURES ) 209 1.00 BAL 0 .50 Ex. Occup. FIXED APPWS. OR p• (OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION I 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 PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation 1 of one hundred dollars ($100) or less.) 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' o nP,e�nsation laws of California, and agree that if I should become subject to the yrs' compensation provisions of section 3700 of the Labor Code, I shall with complywth th se provisions. rfoig2natu,e Date —% �" b 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 $ OCC CONST. TYPE 1 :. TOTAL FEE $ HAZ. D. FEES IMP FLOOD M- COF ,PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 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 (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT -70 1096 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Mobile Home I S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service EOOV OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 NEW CONST. DWELLING OCCUP. OR NS. ( 8 ACC. ) SO. 3.5¢ FT. CONST. MULTI-OUUTLETLE NEW CT NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATOUTLETUS ) 8 SINGLE CIA. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 50 Ex. Occup. ( OUTLEEDrs (RESID.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation (The of one hundred dollars ($100) or less.) 00 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers compensation provisions of section 3700 of the Labor Code, I shall forthwith comply those provisions. X�{rs_— Date -!�-%,,e-- "P<? — Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee 7T$ - Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD cDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 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 (916) 538-7541PERMIT NO. APPLICATION AND PERMIT /(PERMIT o ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U iliibes ❑ Installation ❑ Other ❑ Describe Work: — Mobile Home I S I G W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( z00A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BLDS. ) SD. 3.5Q FT. NEW CCADDNONSS. ST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 SIPOWER NGLE APPARATOUTLET s US ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 SAL 9 .50 EX. Occup. (OUFIXED TLETS (RESID.OR ) 5.00 Temporary- Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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' .co fiJ1 ensation 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 r forthwith comply wi h those provisions. X �I�! �� ; , i '!. /c ,.�. Date r — / . _ 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. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HA2. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT v E 021-230-039 PERMIT#96-1099 THIARA, Gurdail -`96-1091 Rd,Gridley W Evans Reimer New Ag Worker LivingWorker) (--Laundry & Bath/Ag COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. 021-230-039 PERMIT#96-1090 i THIARA, Gurdail W Evans Reimer Rd,Gridley New Ag Worker Living I PERMITTEE MUST CALL FOR INSPECTIONS Piers Underground Conduit Pre-Gunite Underfloor Electrical Underfloor Mechanical Underfloor Framing uo moi mstan'r.ioor or.biao unm Aoove:ziiignea . Rough Electrical Rough Mechanical Framing Shower Pan Do Not Insulate.Until Above Signed l Insulation Do Not Cover Until AboveSigned...., Fireplace Footing Fireplace Throat Do. Not:Contim Fireplace Until Above'Signed Scratch and Brown Do Not Cover Until Above Signed :. Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses Information .:24=Hr tns Oroville 7 County Center Dr. 538-7541 538-7636 Chico 1469 Humboldt Rd. 891-2751 891-283.4 Revised 7/94 u.s. MAI L Important Because we know your time and money are valuable, we suggest you call your local Post Office before you install a mailbox. Ask to speak to the Carrier Supervisor, who will tell you the proper location for your box and explain current requirements for mail box installation. The location and other requirements must be approved by the Carrier Supervisor, before your carrier will begin delivery. Thanking you for your cooperation ?/W Zed sr&" ;VaQ-e sM,44e 44d ;'arm zacae ;VaQt dpe � krl . LAN : 1NATURAL WEALTH AND" BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538=7541 FAX: (916) 538.2140 Dear Property Owner: We have issued a permit to construct a new building, an addition, or to do'remodeling on your property. This letter is to inform you we have approved the building plans submitted for conformance with code requirements. We will only inspect the construction for conformance with code requirements. It is your responsibility to see that the building conforms to your plans and expectations., Should you have any questions concerning this letter or any other matter pertaining to -the construction, please do not hesitate to contact this office. Yours very truly, Micliael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection- RE: Attached Building Permit Dear Permittee: 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: 19161 538-7541 FAX: 19161 538-2140 Attached is your building permit along with the approved set of plans and a job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. Please review the approved set of plans before construction and make note of any corrections• made in red. If any of these notes or corrections are not clear to you, please contact this office - do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a temporary occupancy will be permitted. Please do not confuse gas or electrical service to the building as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector or special permission given. Your permit expires one year from date of issuance. If the work has started, but is not completed and finaled by the expiration date, a renewal permit is required. If the renewal application has not been made within 30 days of the original permit expiration date, or if the work has not commenced, .a new permit application and fees will be required. Upon completion of the work covered by this permit, please contact this office for final inspection. Should you have any questions concerning this letter or any other matter pertaining to building construction, please do not hesitate to contact this office. Micliael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments ✓=OK O = Not'OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except 1!'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; 'Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ft.q., Porches & Decks; Soils -Steel-/ /Ftg. Depth o. amemwaus, main; gleet-tstocKouts-vvrappeo 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except n's 16. Water Htr.: Vent -Access -Combustion Air -Baffle - ------------------------------------------------------------------- 17. Water Pipe: Test & Anchor -Nail Protection -------------------- 18. D.W.V : Test -Fittings & Anchor -Nail Protection -- ----- ------------------------------------------------------- 19. Shower Pan: Test, First Floor -Tub Access ----------------- -------- -------------------------- ------- 20. Test Tub & Shower. Second Floor -Tub Access --------------------------------------------------------------------_---- 21. Gas Pipe: Size & Anchors ------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 --------------------- - --- ------------- - --------------- --- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except n's _ 22. Fixture & Transformer Clearance -Ins. Protection --------------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ---------------------------------------------------------------------..._....__. 25. _Romex Installed Close to Edge of Studs & C.J. -------------------------- ----------------- 26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water -------------------------------------------------- ----- _--------- ----_. 27. 2 Appliance Circuts in Kitchen & Conductor Stze,GFI ------------------'...................... .. 28 Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ' ga. Cu or At 29. Range Circ. ga. Cu or AI -Oven Circ. r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - ------- -----------------------------------......__.._.._...... .. 30. Service -Riser Conductors & Ground -Main Disconnect ----------------- --- - --- - --...._... 31 Equip_ Clearances Panel s_Motors_Mech. Equip. ......... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light --- - 33. Smoke Detector --- -- - -- ._....... .................... _....................... .. Date Card B-1 Date Card B-1 -- -- - ....................................... ....... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL.(Permit) OK except rr's 34. A.C. Ducts Insulation & Support .... ............... .-- ....----- .............. ..... ................. ....... .. 35. Vent Fan: Exhaust above insulation ---------- - -- - __..._.......... ... ... ....... .. 36. Condensate Drain & Overflow: Size & Grade ---------- --- .-_......_......................_...... ....... .. . 37. Furnance-Vent: Access -Comb. Air -Return Air. Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic ......................................... ..... ......... ....... ... . . .. .... .. Date Card B-1 Date Card B-1 - - .............. ......... ..... .. Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except n's 39. Sils. Proper Material & Anchors ....... ....... ....... ... .. . .....I... ... ....... ... ... .. 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound - ..._ ...... ... . ... .. 41. Bearing Walls over Girders & Floor Nailing ..................................... ... ... ._ 42. Draft Stop in Walls (rat proof) ....._.._. .------.........._.._..... ...................... 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------ ............... .. _...__. .. ... .... .. 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) -----_-- 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cling. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. - --- 47_ Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing --------------------------------- - 51. Property Line Firewall & Openings 52. Ext. Doors -One 3=Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------ - - 55. Siding -Nailing Veneer ---------------------------- ----- - 56. Stucco Mesh --Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. -Insulation -Walls -Ceilings -------------------------- 60. Infiltration -Walls -Windows ...------------------------------------------------ -- Date Card B-1 Date Card B-1 --------------- ----------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except p's 61. Ext. Steps -Door & Sidelight Protection -Landings ---------------- 62. Smoke Detector ---------------------------------------------- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ---------------------------------------------- 64. ---------------------64. Bedroom Exiting - ------------------------- 65. G.F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel Breaker Sizes & Labels 67. Stairs ,& Rails 68. Fireplace or Stove Clearances -Hearth .---------------------------------- - 69. Elec. Outlets at Wood Panel: Int. & Ext. ..... ------------------- ----------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ....------------------------------------ -- 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer .. _.. _.. _ _... - - - - --------- ---- -- 73. A.C. Duct in Garage -Damper - ------------------------------------ 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage. Above Floor-Mech. Protection ....... ..... ------------------------------ ----- 75. Plb._Elec_ & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage. (G.F.I.)-Romex Protection ...... ........ -------------- ------------------------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes ---------------------------- 78. Guard Guard Rails & Deck Construction -Post Caps ...... _... ----------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld�!, Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No - - -------------------------------- 81. Stucco: Brown -Finish ..........._.._........------------------------------------------ 82. A.C. Unit: Disconnect. Electrical- Plumbing ... ... ... ... ...-------- ---------------------------------------- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings . .... ............... _.._ _ ....... -------------------------- 84. Water Well: Disconnect. Electrical. Plumbing . . . ... ... ....... ....... .....----------------------- --------- ----- 85. Exterior Elec, Trim: G.F.I. Receptacle -Underground _..- --- ------------------------------- 86. Ventilation Throughout House 87. Glass Protection _....._.. - - ---------------------- 88. Corrections from Previous Inspections -- - - ----------- ---- ---- --------------- 89. Gas Test -Meters Tagged: Gas -Electric ------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval -- -- ---------------------------- 91. Energy Compliance Certificate -Other Certificates . ----------------------- . ... .. .... ..... ..... ... -- -- - - ----------------------- Date Card B-1 Date Card B-1 ---------------------------- -------------- Date Card B -I Date Card B-1 Date Card B-1 Date Card B-1 Comments. at Final: RESIDENTIAL 021-230-039 PERMIT#96-1090 THIARA, Gurdail W Evans Reimer Rd,Gridley New Ag Worker Living JOB FINALED (Date) - Signature V=OK 0 = Not OK =-Not * 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-Gmd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap; / /°L'ft. / /Nat. or/ P'L'1t./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size-Spacing-Marriage Line 3. Gas; MH Test-DemandValve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flex Connector 6. Water; MH Test-Regulator-Connector 7. Water and Sewer Connected-C/0 to Grade-HD Approval 8. Gas and Electricity Tagged 9. Tie Downs-Type-Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Dept iSpacing-Connectors-Steel 3. Decks; Girders 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. Caroorts: Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date -Card B-1 Date 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/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval T 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I � M nQOF TRUSSES I M I CHO-L AH5 000rTA U S oo FLOOR 753 N . GEOIIGE WASHINGTON BLVD. SYSTEMSIPARALAMSI YUBA CITY, CA. 95993 CUSTOMER NAME: 'f R 1AP-A JOB NAME: _Ttt1_AILA► 14ARVEST1101&' CAMPS e LOCATION: PLAN: t LOAD: E ps f . N ELEVATION: WET SEALS >< COPIES Bulletin #4 12/12/79 STAPLES (Nails) - Plywood Walls Pneumatic & Mechanically Driven I.C.B.O. Research .j Report ;✓2403 (Sept. 1978) TABLE NO. XVIII STAPLE & NAIL NON -DESIGNED USES FOR PLYWOOD SIDING AND WALL. SHEATHING ATTACHED TO WOOD MEMBERS DESCRIPTION ATTACHED MATERIAL ATTACHED MATERIAL NOMINAL THICKNESS SPESPACING CIFICATIONS (Inlnehes) FASTENER SPECIFICATIONSI = Min LogL"h (In Inches) FastenevStv1e3 Edgm Interawdiato PLYWOOD WALL SHEATHING AND S ID ING 1/4&5/16 6 12 136 No. 14 Cauge Staple No.. 15 Gauge Staple No. 16 Gauge Staple I 6 d Box Nail .097 P -Nail 3/8 6 12 136 No. 14 CaugeStaple No.15 Gauge Staple No. 16 Gauge Staple 1% 6d Common Nail 6 d Ring Shank Nail 6d Screw Shank Nail .113 P -Nail I % 6d Box Nail .097 P -Nail 1/2 6 12 1% No. 14 Gauge Staple No. 15 Gauge Staple No. 16 Gauge Sta le 13,E 6d Common Nail Fd Ring Shank Nail 6d Screw Shank Nail 113 P -Nail I % 6d Box Nail .097 P -Nail S /8 6 12 1% No. 14 Gauge Sta le No. 15 Gauge Sta le No. 16 Gauge Staple 1% 6d Common Nail 6d Ring Shank Nail 6d Screw Shank Nail 6d Cooler Nail 113 Finish P -Nail E d Box Nail 113 P -Nail (Staples shall have a 7/16" minimum O.D. Crown Width. zFasteners exposed to weather shall be tine coated by Hot -Dip Galvanized zinc, Mechanically Deposited zinc or Eleetrodeposited zirm ~ 3Nails may have T -heads, modified round heads or standard round heads. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION s 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER — ��•,� /� I\J\� v ZONING .A i / o tet BUILDING PERMIT OWNER I^ , rri[ ICJ TELEPHONE SO. FT. OCC. BUILDING VALUATION ®� OWNERS MAIUW ADDRESS AA-ki t CONTRACTORS NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIWOWN Total Valuation I $ 0 O Filing Fee 20.00 LENDERS MAILING ADDRESS Permit Fee $ v 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ SUILDINGADDRESS , Q PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap P71 7.00 9 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 v USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 .00 Gas piping system 1 - 5 outlets 15.00 S, 6d �uilding sewer 15.00 ISU TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ r Describe Work: -7 �D/! v` �G � /17 11 f G( GZcd,vcc�i?'�� Mobile Home IS I GI W1 920.00 PERMITFEE $ Contractor , !� ELECTRICAL PERMIT Filinq Fee 20:00 Main Service ( 200VA OR LESS ) 200A OR LESS 23.00 Oa Main Service ( 200A TO IOOOA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 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' 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' 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 height. NEW CONST. DWELLING OCCUR OR ACDNS. ( a ACC. BLOB. ) SO. 3.5Q FT. NEW CONST. ULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (our1FT OR FIXTURES) BAL 0 I.5o° EX. Occup. (oFIXED PLNS. OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ J Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation „sd PERMITFEE $ 91— Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP FLOOD CDF ARC�C PD HD v ISSUE This permit is hereby issued under the of the Butte County Code and/oF—R•esataf indicated above for whi fees-h�been f BY PERMIT E ON applicable provisions o to do work pal . G Dat (Dafey�� ReceiptNo.2 (� 1 G WHITE-D.D.S.-B.D. CANA -ASSESS R PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 -County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: — Mobile Home S G Ew7 @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service 000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. 514 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 NEW CONST. DWELLING OCCUR OR BUDS) ( 8 ACC.ONST. SO. 3.5{t FT. CNS. MULTI -OUTLET NEW CT NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( g SINGLE OUTLET CIA. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 1.00 BAL .00 Ex. Occup. ( OUFIXED TLETS(RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) elcertify that in the performance of the work for which this permit is issued, I shall note I any person in any manner so as to become subject to workers' mp sation laws of California, and agree that if I should become subject to the wor rs' compensation rovisions of section 3700 of the Labor Code, I shall fo with comply with ose provisions. Tof y' Date %�- ?p fa `-J--- --- --- Ignature of Applicant - ❑ Owner ❑ Contractor ❑ gent 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 $ HAZ. 0. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 3MT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive: - Oroville, California 95965 - Telephone (916) 538-7541P RMIT NO. �6 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT .."$OWNER- - TELEPHONE SQ. FT. OCC. BUILDING VALUATION i,6WNFA`S MAILING ADDRESS A v n:.7I CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace —CONSTRUCTION LENDER UNMOWN LENDER'S MAILING ADDRESS Total Valuation $ Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets f 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Mobile Home SG W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee. 20:00 Main Service SOON OR LESS ( 2.0A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCUR OR ACDNS. ( & ACC. ) SO. 3.52 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIA. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 0 .50 Ex. Occup. (oFIXEDrs PUNS..OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION I 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 PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation ,9f -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 a loy any person in any manner so as to become subject to workers' mp sation laws of California, and agree that if I should become subject to the wor rS' compensation�rovisions of section 3700 of the Labor Code, I shall foot with comply with hose provisions. . A� ?/t�� -_—_Date%� �! G _ aignaturteof Applicant - ❑ Owner ❑ Contractor_ 11 en 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 Is Energy Inspection Fee is OCC CONST. TYPE r TOTAL FEE $ HAZ. D. FEES IMP FLOOD cOF- •=pgRCEI! PD. �7 H uE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date (Dade) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _.-..., „,�.rfi .. :�s, .. ..,p.�„-„_�yP�, .4.c+�.��a,:�*-,!1.>-q�'!.7N,7alPjT�-�..�sa' 3'e�ar+er'a :-r�,ryx..�.�,,,�,.. "4!� !b• COUNTYOFBUTTE- DEPARTMENT OFDEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 �/ ��MIT APPLICATION AND PERMIT 0 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT '-OWNER to TELEPHONE SQ. FT. OCC. BUILDING VALUATION .-OWNERS MAIUNG ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00. Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: — Mobile Home I S I GI W @20.00 PERMITFEE S Contractor v- a- ELECTRICAL PERMIT Filina Fee 20.00 a Main Service a V OR LESS ( z00A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCUP. OR NS. ( a ACC. BMS.) SD. 3.SQ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL 0 .50 Ex. Occup. (OFIXED ETS(RESD.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 fisation 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 ose provisions. t X ' ignature 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 $ HAZ. D. FEES IMP ^ L r FLOOD CDF PARCEL' PD HD [ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '�._��.� :_-��..ia, r +" Y_ ' i•�i=J.^'1i'�,,�v�sj"f 4�,a-Irtr.`r,- � -. . COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATIONAND PERMIT •• My ASSESSOR PARCEL NUMBER ZONING /TEELLEPHONE BUILDING PERMIT -OWNER i -� -tea-. % SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS };CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE rea SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets po 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: — Mobile Home I S I G1 W 1 @20.00 PERMITFEE $ Contractor -.,.,«.r.. ELECTRICAL PERMIT Filina Fee 20:00 Main Service000v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCURSO. OR NS. ( .ACC. BLDS. ) 3.5Q FT. CONST. M NEW CULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 SINGPOWER APPARATUS ) LE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL Q .50 EX. Occup. FIXED ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 g Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation �f one hundred dollars ($100) or less.) e I 9certify that in the performance of the work for which this permit is issued, I shall no, tremploy any person in any manner so as to become subject to workers' orkers' compensation, provisions of section 3700 of the Labor Code, I shall orthwith complyith those provisions. sation laws of California, and agree that if I should become subject to thericv-, It �^^ C... '�- �G� fDate _% j —=t _ 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. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP FLOOD CDF PARCEL PD• HD .ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card In a safe conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. 021-230-039 PERMIT#96-1091 ( THIARA, Gurdail W Evans Reimer Rd,Gridley Laundry & BathAg Worker F PERMITTEE MUST CALL FOR INSPECTIONS Footings Piers Underground Conduit Pre-Gunite >:UW:nU1:r7UUr.l.ancrele Ur1[118DUV.e`,41gne1a Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab i, Do Not Install Floor or Slab UntiI:Above Signed Rough Plumbing Rough Electrical Rough Mechanical Framing Shower Pan Do Not Insulate Until Above Signed Insulation Do._ of Cover UntilAbove;_ igne Fireplace Footing Fireplace Throat Do Not Continue Fireplace Until Above Signed Stucco Lath Scratch and Brown Do Not Cover Until Above Signed Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses Information UwHr Ins Oroville 7 County Center Dr. 538-7541 538-7636 Chico 1469 Humboldt Rd. 891-2751 891-2834 i Revised 7/94 RESIDENTIAL 021-230-039 PERMIT#96-1091 i THIARA, Gurdail W Evans Reimer Rd,Gridley Laundry & BathAg Worker JOB FINALED (Date) Signature V=OK 0.= Not,OK "=Not t Applicable NoReadyMOBILE HOMES - - Date MOBILE HOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 2. Footings; SoilsSize-DepthSpacing•Connectors-Steel 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.-Connectors Shthg: Rfg.-Bracing " 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap; / /'L'ft. ' / /Nat. or/ pL"ft./. /LPG _ 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric - 8. Utility Clearance 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 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 Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Une Card B-1 Date Card B-1 3. Gas; MH Test -Demand Valve -Connector POOLS (Plans) OK except #'s .4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 6: Water; MH Test -Regulator -Connector ` 7. Water and Sewer Connected -C/0 to Grade -HD Approval 4. Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged 5. Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater . 11. Cert of Occupancy 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ' MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacing•Connectors-Steel 3. Decks; Girders 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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater . 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ' s t 'J OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except N's i 1. Zoning -Setbacks -Easements -Flood -Slope I 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------- ------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------------------------------------------------ ----------- 24. Size Boxes & No. of Conductors -Stapled -------------------------------------------------- --- --- -- 25 Romex Installed Close to Edge of Studs & C.J. -------------------------------- ----------------------------- ----- ---- ------- ----- 26. Equip Ground made up w/Mech. Fasiners-Bond Gas & Water ----------------------------------- - ----- -------- -- --- - 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI ---------------------------------------- - ----.. ... .. 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At --------------------------- - -- - - .... ............. 29. Range Circ. / , ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------- ------- ...... .. 30. Service -Riser Conductors & Ground -Main Disconnect ---------_..._..----._.... _ ... .1 ....... ....... .. 31. Equip Clearances Panels-Motors-Mech. Equip. - - ------------------ ....... . _ ... ....... 32. Clothes Closet Light -Shower Light -Spa Light ---------- ---------- - --------------- ---------- 33. Smoke Detector -------------------------------- ----------------------- - ....... ....... .. Date Card B-1 Date Card B-1 ------------- .... .................. ................. ... ... ... ... ... .. Date Card B-1 Date Card B•1 Date MECHANICAL (Permit) OK except P's 34. A.C. Ducts Insulation & Support ----------------------------------------------- 35. ---------------------------- ----........35. Vent Fan: Exhaust above insulation ----------- ------ ------- ------- - ----- ------ .. ... .. 36. Condensate Dram & Overflow: Size & Grade -------------------- _ ----- _ ........ ........... .. .. . 37 Furnance-Vent: Access -Comb. Air -Return Air Vena -115 outlet -------- ............... ... 38 Attic Access & Platform if Furnance in Attic ------ -- ---- --- --. --- _ . .. ... Date Card B-1 Date Card B -t Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ir's 39 Sils. Proper Material & Anchors _..... ... ... . ... ... . .. . . . ... 40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ..... ... ... .. .. ................ ...... . 41 Bearing Walls over Girders & Floor Nailing ....... . _-_.......... . ... . . 42 Draft Stop in Walls (rat proof) ...... ... ....... ... ... ....... ..... .... ... .. 43 Fire Stops. Furred Ce kings -Stairs -Chases -Tub - ---- ..... . ....... . - 44. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) - ----- 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51.- Property Line Firewall & Openings ---------------------------------- - -------------- - 52. Ext. Doors -One -Check Garage -3rd Story, 2 Exits -------- ---------------------- __________ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------------- 55. Siding -Nailing Veneer -------------56.-Stucco Mesh -Drip- Screed -Fd. Vents-Underflr. Access ------------------ -- 57. Glazing Area -Glass Protection -Skylights -Plastic ____________ 58. Shear WalIs:-Nailing- Bolts 59. -Insulation -Walls -Ceilings ------------------------- - 60. Infiltration -Walls -Windows ------------------------------------------------ Date Card B-1 Date Card B-1 - -------------- ----------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except tr's 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------------------------ 62. Smoke Detector - ---- ------ - ----------------------------- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------------------------------ 64. Bedroom Exiting ------- ---------------------- 65 G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------------------- 67. Stags & Rails ...... ....---- ----------- ----------------------- 68. Fireplace or Stove: Clearances -Hearth .....---------------------------------- -- 69 Elec. Outlets at Wood Panel: Int. & Ext. ..--------------------------- ------------ 70. Kil.Flxl. & Appliance: Grnd.-Air Gap -Cooking Clearance ...... _.....------------------------------------ -- -- 71. Elec. Outlets & Receptacles at Kit. Counter - - - - - - - - - - - - - _ --- ----- -- - --------------------------- 72. Garage Fire Door: Swing -Landing -Closer .....----------------------------- ---- 73. A.C. Duct in Garage -Damper ------ ------------- ------ 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above floor -Meth. Protection ..... ----------------------------------------- -- 75. Plb.. Elec. & Mech. Equip. Listed for Location -.------------------------------------------ - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection - ------------- ------------------------------ 7,. Insulation -Foam -Looked in Attic ❑ Yes ------ --------------------------------------------- 78. Guard Rads & Deck Construction -Post Caps ---....--------...---------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ---------------- -- 80. Following instld i Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No . .--------------------------------------------- 81. Stucco: Brown -Finish ---- -- --- _----------------------------------- --------- 82A C Unit: Disconnect. Electrical. Plumbing --- --- --- ------------------------------------ -- ----- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ------------------------------ 84 ._-------------------------84 Water Well: Disconnect, Electrical. Plumbing 85 Exterior Elec Trim. G.F.I. Receptacle -Underground - --------------------------------- 86 -------------------------------86 Ventilation Throughout House - - - ------------------- 87 Glass Protection -- - --------------- 88 Corrections from Previous Inspections -- - ------------------- 89 Gas Test -Meters Tagged: Gas -Electric --- - -- ------ -------------------------------------- 90 Water & Sewer Connected -C/O to Grade -HD Approval ---.._.._- ..--------------------- --- ---- 91 Energy Compliance Certificate -Other Certificates -- -- -- -- --------------------- Date Card B-1Date Card B-1 . . . ..._. . ............ --------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B -t Comments at Final: 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Block outs -Wrapped 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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ir's --- ---------------- --------------------------------------------------------------- ------------------------------------------------------------------------------- Date ----------------------- Date 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection - - -------------------- 18. D.W.V ; Test -Fittings & Anchor -Nail -Protection -------------------------------------------------------- 19. Shower Pan; Test. First Floor -Tub Access ------------ ----- ------------------------- 20. Test- Tub & Shower, Second- Floor -Tub Access - 21. Gas Pipe: Size & Anchors Card B-1 Date Card B-1 --------------------------------- -------- ---- ------- Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------- ------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------------------------------------------------ ----------- 24. Size Boxes & No. of Conductors -Stapled -------------------------------------------------- --- --- -- 25 Romex Installed Close to Edge of Studs & C.J. -------------------------------- ----------------------------- ----- ---- ------- ----- 26. Equip Ground made up w/Mech. Fasiners-Bond Gas & Water ----------------------------------- - ----- -------- -- --- - 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI ---------------------------------------- - ----.. ... .. 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At --------------------------- - -- - - .... ............. 29. Range Circ. / , ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------- ------- ...... .. 30. Service -Riser Conductors & Ground -Main Disconnect ---------_..._..----._.... _ ... .1 ....... ....... .. 31. Equip Clearances Panels-Motors-Mech. Equip. - - ------------------ ....... . _ ... ....... 32. Clothes Closet Light -Shower Light -Spa Light ---------- ---------- - --------------- ---------- 33. Smoke Detector -------------------------------- ----------------------- - ....... ....... .. Date Card B-1 Date Card B-1 ------------- .... .................. ................. ... ... ... ... ... .. Date Card B-1 Date Card B•1 Date MECHANICAL (Permit) OK except P's 34. A.C. Ducts Insulation & Support ----------------------------------------------- 35. ---------------------------- ----........35. Vent Fan: Exhaust above insulation ----------- ------ ------- ------- - ----- ------ .. ... .. 36. Condensate Dram & Overflow: Size & Grade -------------------- _ ----- _ ........ ........... .. .. . 37 Furnance-Vent: Access -Comb. Air -Return Air Vena -115 outlet -------- ............... ... 38 Attic Access & Platform if Furnance in Attic ------ -- ---- --- --. --- _ . .. ... Date Card B-1 Date Card B -t Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ir's 39 Sils. Proper Material & Anchors _..... ... ... . ... ... . .. . . . ... 40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ..... ... ... .. .. ................ ...... . 41 Bearing Walls over Girders & Floor Nailing ....... . _-_.......... . ... . . 42 Draft Stop in Walls (rat proof) ...... ... ....... ... ... ....... ..... .... ... .. 43 Fire Stops. Furred Ce kings -Stairs -Chases -Tub - ---- ..... . ....... . - 44. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) - ----- 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51.- Property Line Firewall & Openings ---------------------------------- - -------------- - 52. Ext. Doors -One -Check Garage -3rd Story, 2 Exits -------- ---------------------- __________ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------------- 55. Siding -Nailing Veneer -------------56.-Stucco Mesh -Drip- Screed -Fd. Vents-Underflr. Access ------------------ -- 57. Glazing Area -Glass Protection -Skylights -Plastic ____________ 58. Shear WalIs:-Nailing- Bolts 59. -Insulation -Walls -Ceilings ------------------------- - 60. Infiltration -Walls -Windows ------------------------------------------------ Date Card B-1 Date Card B-1 - -------------- ----------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except tr's 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------------------------ 62. Smoke Detector - ---- ------ - ----------------------------- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------------------------------ 64. Bedroom Exiting ------- ---------------------- 65 G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------------------- 67. Stags & Rails ...... ....---- ----------- ----------------------- 68. Fireplace or Stove: Clearances -Hearth .....---------------------------------- -- 69 Elec. Outlets at Wood Panel: Int. & Ext. ..--------------------------- ------------ 70. Kil.Flxl. & Appliance: Grnd.-Air Gap -Cooking Clearance ...... _.....------------------------------------ -- -- 71. Elec. Outlets & Receptacles at Kit. Counter - - - - - - - - - - - - - _ --- ----- -- - --------------------------- 72. Garage Fire Door: Swing -Landing -Closer .....----------------------------- ---- 73. A.C. Duct in Garage -Damper ------ ------------- ------ 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above floor -Meth. Protection ..... ----------------------------------------- -- 75. Plb.. Elec. & Mech. Equip. Listed for Location -.------------------------------------------ - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection - ------------- ------------------------------ 7,. Insulation -Foam -Looked in Attic ❑ Yes ------ --------------------------------------------- 78. Guard Rads & Deck Construction -Post Caps ---....--------...---------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ---------------- -- 80. Following instld i Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No . .--------------------------------------------- 81. Stucco: Brown -Finish ---- -- --- _----------------------------------- --------- 82A C Unit: Disconnect. Electrical. Plumbing --- --- --- ------------------------------------ -- ----- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ------------------------------ 84 ._-------------------------84 Water Well: Disconnect, Electrical. Plumbing 85 Exterior Elec Trim. G.F.I. Receptacle -Underground - --------------------------------- 86 -------------------------------86 Ventilation Throughout House - - - ------------------- 87 Glass Protection -- - --------------- 88 Corrections from Previous Inspections -- - ------------------- 89 Gas Test -Meters Tagged: Gas -Electric --- - -- ------ -------------------------------------- 90 Water & Sewer Connected -C/O to Grade -HD Approval ---.._.._- ..--------------------- --- ---- 91 Energy Compliance Certificate -Other Certificates -- -- -- -- --------------------- Date Card B-1Date Card B-1 . . . ..._. . ............ --------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B -t Comments at Final: = f s.• THIARA BROS 285 Evans Reimer Rd, Gridley Contr : North Valley Electric Permit##160® (ele ser repair) labor camp / a. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PAR CELI,NUM_BER `_ ?� �_, ZONING BUILDING PERMIT OWNER. f TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS� r; 1 ,TELEPHONE CONTRACTOR'5NAMME 1 ►' Irk t�: !j•7fJ T— Vr'7 r' (_, - - ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS Total Valuation $ Filing Fee Permit Fee $ 10.00 $ ARCHITECT OR ENGINEER LICENSE N0. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Penalty Permit fee $ $ $ BUILDING ADDRESS r� PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 f . - Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE /, SF ❑ Duplex❑ Mobilehome❑ Otherk*bnr wN •.)P SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities.❑ Installation ❑ Other LTJ Describe work: �`� c -n rpt f r •�� r ''�r- ' r `6001 Permit Fee $ Contractor -ELECTRICAL PERMIT Filing Fee 10.00 OR LESS Main service 100 AMP OR LESS 5.00 • Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.N) OR ADONS. \ ACC• BLDGS. 22 sq ft (;,CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ ` I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Coyd/e and - m y license is in full force and effect. License No. ^ ,` 6 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 CO ID NSTR. BRANCH CTIRCTITS 2.50 ea NEWNON-R E51 D. SINGLE OUTLET CIR. CONSTR. ( POWER APPARATUS 6) Ex. Occup OUTLETS OR FIXTURES B �@@1` 00 IXED APPLN5. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 r/ -;7) Permit Fee $.� Contractor MECHANICAL PERMIT Filing Fee 10.00 ,X)WORKMEN'S COMPENSATION INSURANCE I declare under"penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. `Q• 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. H.I shall not employ any person in any manner so as to beccme 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. 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. 1 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. jXDate ) Signature of Applicant Owner ❑ 'Confracror g Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ JCCUP, CROUP I TYPE OF CONST. PARCEL PD 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which -DIRECTOR OF PUBLIC ` By l �C �1 �.YI.LJ _ PERMIT EXPIRES Date^- the applicable provi- resolutions to do fees have been paid. WORKS Date- A N- n (., f :1 Receipt No. - WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIONI ND OERMIT , /PERMIT NO ASSESSOR PA CEL NUM ER �'— 3 _- ZONING BUILDING PERMIT OWNE r -D s TELEPHONE 9 3 SQ. FT. OCC. BUILDING VALUATION N ER'S MAILING ADDRESS © 3 a �41a- s y c Ig- Ca b C NT♦ C 'S NA TELEPHONE M CO TRACT 'S AILING ADDRESS I _ �5' l/ ff Fireplace CONSTRUCTION LENDER UNKNOWN 0-Y\2 Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER I ,A LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS S Permit fee $ BUILDING ADDRESS1 1 ^ ) V �`,[` �Y d PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTU E SF ❑ Duplex❑ Mobilehome❑ OtherA96) -�� '+� SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities Installation❑ Other Er Describe work: I G _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00101 OR\\ Main service 100 AMP ORSLESS 5.00 V Main service EA. ADD'L 100 AMP 2.50 NEW CONST. \ DWELLING OCCUP.®1 OR ADDNS. ACC. BLDGS. 22 sq ft ONTRACTORS LICENSE LAW I declare under pen y of perjury (check one): �I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio>ts Cod and license is in full force and effect. y ^ License No. Classification ( J ❑ 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 CONT. .OU LET 2.50 ea NON.RESID BRA CH CIRC ITS NEW CONSTR. /POWER APPARATUS 6� NON-RESID. %SINGLE OUTLET CIR. 50 @ 25¢ Ex. Occup OUTLETS OR FIXTURES BAL@100 (FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 17, Permit Fee $ , Contractor MECHANICAL PERMIT Filing Fee 10.00 ORKMEN'S COMPENSATION INSURANCE I declare un penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. '*sza. I have placed on file with the County of Butte Building Department 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in-conseaAen1bf the granting of this permit. .� Date Signature of Applicant — Owner El cror ® Agent ❑ An OSHA permit is required for excavations er 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occu P. GROUP I TYPE OF CONST. PARCEL PO HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which CTO OF PUBLIC By. PERMIT EXPIRES e the applicable provi- resolutions to do foes have been paid. WORKS Date ^�S Receipt No.�� WNITE-D.P.W.. YELLOW -ASSESSOR., PINK-INSPECTOR,GOLDENROe-APPLICANT