HomeMy WebLinkAbout021-230-05121-23-51
INDALECIO NANEZ4e
W/S Township Rd a 600'
PP S
Evans Reimer Rd, Gridley
of
-rmit�#2394-80E (e_le -ser ch)
---SF
Prm021-23-51
�/�
�5-9P(new
gasPi in )8F
021-230-051 99-1886
NANEZ, INDALECIO & APOLO
751 TOWNSHIP ROAD, GRIDLEY
CONTR: JOHN RANDAL / x(
FIRE DAMAGE REPAIR Y y
021-230-051 99-2256
NANEZ, INDALECIO
751 TOWNSHIP ROAD, GID�2
CONTR: OWNER
ELECTRICAL & PLUMBING
/
1
k.
iii'l .;7
021-230-051 99-2256
NANEZ, INDALECIO
751 TOWNSHIP ROA'D,.GRI.DL-EY
CONTR: OWNER
ELECTRINLA PLUMBING
77 i4O
Z v -�
ji
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMITND.
(Rev. 12/96) APPLICAVON AND PERMIT f9-- -, >
ASSESSORPARCELNUM EA r�� CSS t
za o L/ U
BUILDING PERMIT '.
OWNER V\�/`
`r-•✓'j�^,U\
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNERS MALUNC� DESS 1... l r ,►'a•/��^
^, (k(OA
CONTRACTOR•.•'//S NAME TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHrTECT OR ENGINEER
LICENSE NO.
Flin Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS kWUNG ADDRESS
Plan Checking Fee $
BUILDINGADDRESS b
11
Energy Plan Checking Fee $
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCELr4AP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF. ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 3 7.00 7•uV
Solar or heat pump water heater 23.00
Water piping, 15.00 /cj OQ
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
T� , ,
Describe Work: ,'t � — (A1t1�. �. i C.2 (.] (� Z�__
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00 117.0n
Mobile Home S G W @20.00
PERMIT FEE $ (�(�
/ L
ELECTRICAL PERMIT Fling Fee 20.00
r
EDUV GR LESS
Main Service zo.AORLESS 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 II force and effect. !� 3
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.
0,,I",am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
[]--Icertify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - Owner QGoflfractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A To 1000A 46.00NEW
CONST. DWELLING OCCUP. so
OR ADDNS. ( a ACC. BLDS. `3.5oFr. �5b
L=-C-0lDT' MULTI -OUTLET @7.50
POWER APPARATUS
a SINGLE OUTLET CR.
0 @ 150
EX. OCCU OUTLET OR FIXTURES BA .
Ex. Occup. DFIxunEED�A Aa DEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 3-4 .150
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 9 5�
HAZ. D, FE IMP FLooD CDF PARCEL PD HD ISSUE
`-
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
r i r
By ( 10 741Q Date
PERMIT EXPIRES ONy ' 3o
Date
Receipt No. ,7�,4i.ig 5My'SD
WHITE-D.D.S.-B.D. CANARY -ASSESSOR ' PINK -INSPECTOR GOLDENROD -APPLICANT
i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive a Oroville, Cali?ornia 95965 • Telephone (530) 538-7541 PERMW.
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUI�@ER� 3(` G 51
=�+�(+a 4 O
BUILDING PERMIT
OWNER
TEl.77HONE
SO. FT. OCC. BUILDING VALUATION
.OWNERSMESS � �/� Cl
I , (LTJ ✓CyJ{
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 5
Energy Plan Checking Fee
$
$
PERMIT FEE
S
LAT NO.
SUBDIVISIONS MIME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
31 7.00 7,00
Solar or heat pump water heater
23.00
Water piping
15.00 /55.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: Jam— ('� _qj�
/ X sin,o 0/bUa
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 15.00
Mobile Home IS1G W
@20.00
PERMIT FEE
$ S"� v0
.�
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service noon ow LEss
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in II force and effect. �A ��
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 struct the project.
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 .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'
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 prov'sions.
X _ Date
Signa ure of Ap Icant - Owner tractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
ORADDNS. ( & ACC. BIDS. `3•5¢FT: ,SO
NEW
D. MULTI-OUTLE7 97,50
POWER APPARATUS
&SINGLE OUTLET CIR.
Ex. Occup. oLmE• OR FIXTURES
20 @ 1.00
SAL_ @ .50
Ex. Occup. OUUTTLEETSREESID.LNS.DEA 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
PERMIT FEE $3-4,50 , rjQ
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 $ qtl. <-r-\
HA2
D IMP
I FLOOD
CDFPARCEL
_
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate bove for which fees have been paid.
y 9-3x-99
B Date
PERMIT EXPIRES ON 9 30 a6Qd
Date
ReceiptNo. a
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I
NOTES
RESIDENTIAL
021-230-051 99-1886
PERMIT NO.. NANEZ, INDALECIO & APOLONIA
�a 751 TOWNSHIP ROAD, GRIDLEY
r, CONTR: JOHN RANDAL
,( FIRE DAMAGE REPAIR
O ad
i
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINA ED (Dat
i
Signatu
t
i
✓ = OK
0 = Not OK
= Not Applicable
= Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Zoning Requirements -Setbacks -Easements
1.
Zoning Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
2.
Soils; Special MH Support Sketch
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
3.
Sewer; Location -Test -Fall -C/O -Concrete
Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
4.
Water; Location -Test -Easement Needed (Sketch)
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Carports; Windows -Doors
6.
Gas; Location -Test -Wrap;-/ -/" L"ft:
/ P Nat. or / /"L"ft./ /'LPG
Electric
7.
Well Clearance & Disconnect
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
8.
Utility Clearance
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements `
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
1.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
2.
5.
Drain; MH Test -Fall -Flex Connector
3.
6.
Water; MH Test -Regulator -Connector
4.
7.
Water and Sewer Connected -C/O to Grade -HD Approval
5.
8.
Gas and Electricity Tagged
6.
9.
Tie Downs -Type -Installation Cert.
7.
10.
Exits; Insp.-Sketch
8.
11.
Cert. of Occupancy
9.
12.
Permanent Foundation Only; License Decal
10.
Plumb.; Cir. Test -Water Supply Test
Date
Light Niche
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 -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
r
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed '
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
./= OK
0 = Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single & Duplex)
Date ' Underfloor (Plans) OK except #'s Date
%1 1. Zprfing-Setbacks- Easements- Flood -Slope 46. ge
Ftg., Main; Soils -Flet. Grnd.-/ /" Ftg. Depth lin
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth i la
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Attic
5. Stemwalls, Main; Steel-Blockouts-Wrapped 5 Bdrm.
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
6a. Hold Downs and Special Anchors roper
FRAMING (Continued
;t-Rffr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring.
Ties or Type A Flue -Fireplace Throat Clearance
1;s; Size & Romex Protection -Draft Stop -Ins. Baffles
idows or Exiting Doors -Sill Ht. & Dimensions
teProtection Framing
Jne Firewall & Openings
;-One 3' -Check Garage 3rd Story, 2 Exits
dth-Headroom- Rise- Run- Landina-Fire Protection
55!Plywood on Roof Overhang -Attic Vents -Ratter Outriggers
ing- ai ing Veneer
Mesh -Drip Screed -Fd. Vents-Underflr. Access
5 mg Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
60. Br nterior/Exterior Wall Panels
62. Infiltration -Walls -Windows
Date Card B-1 Date Card B -1 -
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
3. Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
-----Z&--.r--Vents-clearance-Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
L,,,46. Bedroom Exiting
;/6T G.F.I. & Bath Fixtures & Tub Access -Spa
��68. Elec. Trim & Subpanel, Breaker Sizes & Labels
emirs & Rails
-A)-Fireptace or Stove, Clearance -Hearth
pec. Outlets at Wood Panel, Int. & Ext.
72 Kit,fixt. & Appliance; Ground -Air Gap -Cooking Clearance
V73!Elec. Outlets & Receptacles at Kit. Counter
-�4 -Garage Fire Door; Swing -Landing -Closure
, Duct in Garage -Damper
tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Mach. Protection
( Elec. & Mech. Equip. Listed for Location
@lid- eceptacles in Garage (F.F.I.)-Romex Protection
Insulation -Foam -Looked in Attic
_80rGuard'R_ails & Deck Construction -Post Caps
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
ollowing Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
,rown-Finish
X84. -A -E -Unit Disconnect, Electrical -Plumbing
1�rSis.Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86 Water Well, Disconnect, Electrical, Plumbing
b8iExter o Elec. Trim, G.F.I. Receptacle -Underground
entiLgion Throughout House
90..6er cfions from Previous Inspections
F 91. - as Test -Meters Tagged, Gas -Electric
9 Water 8 Sewer Connected -C/O to Grade -HD Approval
7 9 nergy Compliance Certificate -Other Certificates
Address Posted
Is
Date L Card B-1 . Date Card B-1
Date and 13-1 Date Card B-1
Datej/ Card B-1 Date Card B-1
Comments at Final:
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
A
17 18.
20.
21.
WAW -Pips; Test & Anchor -Nail Protection
D.W.V.; Test Fittings & Anchor -Nail Protection
Shower Pan; Test, First Floor -Tub Access
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
23.
Fixture Transformer Clearance -Ins. Protection
4
ec ceptacles Spacing -Lights & Switches at Doors
26.
27.
28.
ize Boxes & No. of Conductors Stapled
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
30.
Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral p Yes O No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34. -Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
4 .
Sits roper Materials & Anchors
4
Studs -Nailing Spacing & Braces -Plates -Sound
4
Baring Walls over Girders & Floor Nailing
3.
Draft Stop in Walls (rat proof)
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.aders
_pe& Beams -Size & Bearing
FRAMING (Continued
;t-Rffr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring.
Ties or Type A Flue -Fireplace Throat Clearance
1;s; Size & Romex Protection -Draft Stop -Ins. Baffles
idows or Exiting Doors -Sill Ht. & Dimensions
teProtection Framing
Jne Firewall & Openings
;-One 3' -Check Garage 3rd Story, 2 Exits
dth-Headroom- Rise- Run- Landina-Fire Protection
55!Plywood on Roof Overhang -Attic Vents -Ratter Outriggers
ing- ai ing Veneer
Mesh -Drip Screed -Fd. Vents-Underflr. Access
5 mg Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
60. Br nterior/Exterior Wall Panels
62. Infiltration -Walls -Windows
Date Card B-1 Date Card B -1 -
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
3. Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
-----Z&--.r--Vents-clearance-Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
L,,,46. Bedroom Exiting
;/6T G.F.I. & Bath Fixtures & Tub Access -Spa
��68. Elec. Trim & Subpanel, Breaker Sizes & Labels
emirs & Rails
-A)-Fireptace or Stove, Clearance -Hearth
pec. Outlets at Wood Panel, Int. & Ext.
72 Kit,fixt. & Appliance; Ground -Air Gap -Cooking Clearance
V73!Elec. Outlets & Receptacles at Kit. Counter
-�4 -Garage Fire Door; Swing -Landing -Closure
, Duct in Garage -Damper
tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Mach. Protection
( Elec. & Mech. Equip. Listed for Location
@lid- eceptacles in Garage (F.F.I.)-Romex Protection
Insulation -Foam -Looked in Attic
_80rGuard'R_ails & Deck Construction -Post Caps
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
ollowing Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
,rown-Finish
X84. -A -E -Unit Disconnect, Electrical -Plumbing
1�rSis.Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86 Water Well, Disconnect, Electrical, Plumbing
b8iExter o Elec. Trim, G.F.I. Receptacle -Underground
entiLgion Throughout House
90..6er cfions from Previous Inspections
F 91. - as Test -Meters Tagged, Gas -Electric
9 Water 8 Sewer Connected -C/O to Grade -HD Approval
7 9 nergy Compliance Certificate -Other Certificates
Address Posted
Is
Date L Card B-1 . Date Card B-1
Date and 13-1 Date Card B-1
Datej/ Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530)'538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and shou d be corrected. Please notice this office when correction of work is
completed. If you h any questions pertaining to this matter, or need additional explanation,
please contacts office immediately.
l J
�ti Lr K/i L --r zzL a-!7�
/VLA --J ,ul! /5 iK-D 9
T c.J?-c,-' T
57
w
Date 1 D- � —S-:;? Inspector
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT,OF DEVELOPMENT. SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530)'538-7541
CORRECTION NOTICE
Z�-
VtHMl1 NV. ir
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is N
completed. If you have any questions pertaining to this matter, or need additional explanation, '
please contact this office immediately. 3'
HtV 10/92
►v'C:�,f.?wjK.S'. +.e�.Y`q.ia7a �'•.�!•.:i'h. :- *t.1+� Ih� r ats .1++.4� �:,:.. .. �.y^w�:.a
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA E (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
n CORRECTION NOTICE
&.4 Yyt/ -
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If o'u have any questions pertaining to this matter, or need additional explanation,
please con ct this office immediately.
(d) VP-eJ---1,7C7- Pi M g, -n) 5e-
REV
REV 10/92
11/02/99 11:14 SACRAMENTO INSULATIOiN 4 8720384 NO.187 D02
CERTIFICATION OF INSULATION
ADDRESS OR TRACT
$11,109AMENTC),IN9ULATION CONTRACTORS .
LOT M
[� P.O. BOX 854, WEST SACAAMENTO, CA 95591 LIC. 0202028
T�
1309 MELODY ROAD, MARYSVILLE. CA 85901 LIC. #202026
❑ RO. BOX 9851, FRE8NO, CA 53793.9651 LIC. #202026
—?!5 t
I 6(XIAA
❑ P.O. BOX 1631, R5NO, NV 69505 LIC. I0I0676
`�_
C'TJVi.0
❑ 3326 A PONDEROSA WAY, LAS VEGAS, NV 89118 LIC. #10675
DATE INSULATION COMPIIETED
• •
SQUARE FEET) (
SQUARE PELT) ( SQUARE FEET)
TYPE OF INSULATION
TYPE OF INSULATION
TYPE OF INSULATION
MATERIAL
FIBERGLASS
MATeAIaL
FIBERGLASS
MATE14IAL
FIBERGLASS
FOAM
BATTS
FOAM SAYS S BLOW
FORM BATTS
MANUFACTURER`S PRO U i,r,.
MANUFACTURER'S PAODUCY I.D
MANUFACTURIM'S PR000C'r 10.
'MANUFACTURER.'
Tw MANUFACTUREii
MANUFACTURER
OCF
ocF
ocf
BAGS
ft -.VALUE
APPLIED .:
R -.VALUE
APPLIED
MIN. INSTALLED
R - VALUE
APPUF0
INSTALLED
THICKNESS.
INSTALI.E9
THICKNESS
WEIGHT PERINSTALLED
SOUAAE FOOT
THICKNESS
va
KNEE
WALLIS IF R -VALUE IS OTHER THAN WAI"ASQVEi
MA SRIAL
FORM
VALUE ........
MANUFACTUR;R
FIBERGLASS
BATTS
OCF
AM INFILTRATION SEALANT
MA IA4,
MANUFAVTUgpR
..�
W R GRACE
THIS IS TO C'iRTIffTHATINSULATION AND/OR SEALANT HAS BEEN INSTALLED•IN CQNFORMANCE WITH APDL!
.
MATERIAL STANDARDS AND RI1G-uLATI0NS,:';'• '
SI E—IN A I N CONTRACTOR
IT! E ' .'.
DATE I
MANAGER
Ic.NA —GENERAL CONTRACTOR
TITLE
QATE
REMARKS
SIC -303
BUILDER COPY
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
•7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE I
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 021-230-051
A 40 ZONING
BUILDING PERMIT
OWNER NANEZ, INDALECIO & APOLONIA
TE 8729006
SO. FT. OCC. BUILDING
VALUATION
EST
40,000E
OWNERS MAILING ADDRESS 751 TOWNSHIP ROAD, GRIDLEY, 95948
CONTRACTOR'S NAME
KEN BLANTON
TELEPHONE
872-9006
CONTRACTORS MAILING ADDRESS 2 LANCASTER DRIVE, PARADISE
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER JOHN RANDAL
UCENSE NO.
Fee $
20.00
—Filing
Permit Fee $
349.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
227.18
BUILDING ADDRESS 751 TOWNSHIP ROAD, GRIDLEY 95948
Energy g Fee $
Ener Plan Checking
$
PERMIT FEE $
596.68
LOT NO.
SUBDIVISIONS NAME
PARCEL. MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF N Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ U8lities ❑ Installation ❑ Other ❑
Describe Work: FIRE DAMAGE IN SITTING ROOM
TOTAL RE ROOF
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I s I G w
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200A 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 U11 force and effect. •'�
License Class Lic. No. �/% / �iZ
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
Main Service 200A TO 1000A
46.00
NEW CONST. OWELIINCi OCCUP.
OR ADDNS. ( a ACC. OCS.
SO
3.52FT.
EW
pNONREBID. T. MULTI.OUTLET
@7.50
POWER APPARATUS
b SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FDRURES
20 @ 1'50
BAu @ .so
Ex. Occup. oFlxurrED s A DOR.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier �_f,161,Kp r 4,1d
Policy Number 5at_ ` '
(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
fc with comply with hose provisions.
/of
X Date �10 7
Sign re of plica t - ❑ Owner IT Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation duct , 00
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE 668.68
TOTAL FEE $
HAZ.
D. IMPFLOG
CDF
P
PD UE
This permit is hereby issued under the applicable
the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
to
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
L
v ` -- R.�.��+"k ,6'i tir �' fifes y1i e„�r^.� k;�=�-,�n u,,, ti i-:rr�,.�•.. ,�,. .. y r � y .. ..- . -
COUNTzK,OF BUTTE - DEPARTMENT OF DEVEMP &W SERVICES - BUILDING DIVISION /
„7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 b
PERMIT APPLICATION DATA SHEET
OWNER: L-W�� ASSESSOR PARCEL NUMBER: D —46/
Proposed Building Use: A%� Z)V2o�_7_ Building Inspector: Date:
At time of permit application, I was advised the following data must be su miffed prior to permit p&sshfg and/or issuance:
11" \ Date Received By
❑ 1. All items have been submitted .----------------------"------------------------------------------------------------
t`�
V - Plot plans, 3/4 sets, signed by the preparer of plans. ------ -------------------------------------------------
�Y Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
El 4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans •. ----------
❑ 5. Engineered truss details and layout m duplicate (required prior to plan review) No faxes!
06. Energy Design Compliance and supporting -documentation. ----------------- -;;-------------------------- ------
❑7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications -------------------
El10. Fees of $-------------------------------------------------------------------------------------
„ ❑ 11. Impact fees as shown on the attached schedule. -------
❑ 12. California Department of Forestry plan approval/fees.
❑ 13. Flood elevation certificate.
❑ 14. Sanitation and plot plan approval Health Department.
Ell 5. City of Chico plumbing permit. ---------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs.
❑ 17. Planning approval for (A) Use
(B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---
❑2 Pre -inspection for required. Request to Building Inspector on
-on tractor's license information. (Number, Name Style, Classification). -----------------------------
Workers' Compe=oncMerandiapolicynumber.===-=-------------------------------------------•
23. Owner -Builder Vcation (Given to owner El, Mailed to owner EI) - -------------------------------
❑ 24. Letter of signature authorization. -------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement.
1326. Letter of intent on building use. ---------------------------------
027. Manufactured Home utility clearance. --------------------------
028. Existing violations and/or expired permits. --------------------
❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
(Date)
030. Other:
When you issue the ermit, roces as follows ❑ Mail to owner, /❑ 4il to contractor.
❑Telephone 2'-40 6 and hold for pickup at �-�`l lC0 office. ❑ Deliver with inspector. y
Applicant: Date: o el.
�/ � C
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, 11' ollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, Other: Date: By:
1. Index permit application for the above items numbered: 2 ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, o Building D ision counter, by D te:
Plans reviewed by: Date: Plans approved by: 1W Date: z,7
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: WA ` Date
Yellow Copy - Department of Development Services, Building Division.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541PEIT NO.
(Rev.12/96) �. ' APPLICATION AND PERMIT
ASSESSOR PARCELNUMSER /:, � /f .`
U C//•`
ZONING
BUILDING PERMIT
OWNER '-
Arae'
MONE
So. FT. OCC. BUILDING VALUATION
DW� MA41N0 ADD S,
W t
co CTpR•3 pIAME
ro fD�
TELEPHONE
, . 2 Dl0®
CO TOR'S MAILING ADDRESS ^
2 Irl)
��
CO NS TRUCT•I O�`N�L/�ND ER
Fir@ lace
LENDER'S MAILING ADDRESS
Total Valuation S
ARCHRE OR ENGINEER )
.
Q J% � avC
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ ,
ARC cr OR ENGWEERs MAIUNo ADoREss
Plan Checking Fee
U 7 0
BUILD, GADD ss �, �
Energy Plan Checking Fee
$
$
PERMIT FEE
_
.20.00
IGT NO.
SUBDNBIONSNAME
_
PARCEL MAP
PLUMBING PERMIT
Fling Fee
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome O Other
SPECIFY
'Eaqh Trap
7.00
Solar o at pump water heater
23.00
Water pipQ
15.00
Each as water hen vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel 13 Utilities ❑ Instigation ❑
Describe Work: /--IA C V 1��� �11y /�%�'% JJ
—�
OOW ❑
1A)
Gas piping system 1 - 5 ou
15.00
Buildingsewer
15.00
Mobile Home I S G W
0
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2200A OORR LLEESS
23.00
- _------
in Service 200A To IOWA 46.00
NEW CONST. DWEUJNO OCCUP. 3.5¢so.
OR ADDNS. ( 6 ACC. BU)3. FT.
NEW CONS . MULTI -OUTLET
NON-RESID. @7.50
POWER APPARATUS
8 SINGLE OUTLET C,0.
OUTLET OR FDCRIRES p O 1.
EX. OCCU SAL O .50
Ex. OCCU Fu(ED APPUYS. OR 5.00
OUTLETS ESID. EA
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00 ,
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilatio •6
PERMIT FEE $ i461-0
Mobile Home Installation Fee b
Energy Inspection Fee $
occ
CONST. TYPE TOTAL FEE $ t
HAZ.
p. FEES IM FLOOD
I COF
p Pp
HD I 6SUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
Data)
FIRE DAlVIAE DEPORT s•`
OWNER:
LOCATION: %S% / o" jm,,31�;7� � o�
CONTRACTOR:
DATE: 777 JInt-
A.P. # - Oz 1 Zia -oS/
ZONING: 4 4/ O
DATE TO INSPECTOR: 7 / PERMIT HISTORY:( ) NONE (FOLLOWS:
A- 1 /o / !ii 4 i Y r h h /U
BUILDING INSPECTOR'S REPORT
Building Description: '
'Commercial/Usage:
Residential/# of Units:
Currently Occupied
AbandonedfVacant r
z
Electric: i
Yes No Electric currently On { Off
Condition of Electric
Gas:
Natural Propane None Currently On
Obvious Problems:
Sanitation:. C
Plumbing Working / t '
Well Working Potable Water
Obvious SewageProblems
Description of Damaged Area:
Estimate Valuation of Damaged Area:
Condition of Foundation:
Off
Mobile Home: Condition of Utilities:
l[e�2
Inspector: Date ( — 3::f
�
Sketch building on reverse and indicate area of damage.
P"f
COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS PERMIT NO.
1 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
02— I- 2 ,3 U— S
ZING "�
O-� 4% V
BUILDING PERMIT
OWNERCk V6
�-->—" G j
TELEPHONE
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING,' ADDRESS
�(/��
41 1 C )
-
'.
CONTRACTOR'S NAME �^ -
T LEPHO E
CONTRACTOR'S AILING ADDRESS
Fireplace
CONST R�G,a;,L N LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
,$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
'
Penalty
$
BUILDING ADDRESS I
3 7-,( hC.N e ( 1
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAMERCEL MAP
'
Water piping
5.00
Each qas water heater or vent
5.00 �� n
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK t
New ❑ Addition'[], Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: h c G i I V1 E.. J
i
.6 Q
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
1
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$
and Professions Code and my license is in full force and effect.
License No. Classification
sa 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 Professlions Code
for this reason
NEW CONST. DWELLING OCCUP.ad`
OR ADDNS. (ACC. BLDGS. /
/z2sgft
NEW CONST R U TI -OUTLET
NOW CO .BRA CH CIRC ITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20000t
eAL030
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. IYirin 9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County o1
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequen a of the granting of this permit.
X 4 �!! �o Date / l
�,''
Signature of Applicant, Owns? Contractor El Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occu P.
CONST.TYP!
SCN OOLJ
FLOOD
PARCEL
I PD
ND
39UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
n
By�/i �C
,
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date'—J— C)'
l C�
,�/� /`41
Receipt No. �
WNIT!-D.P.W.. YELL"OW-ASetelOK. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS j
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIle-- Phone: 538-7541
747 Elliott Road, Paradise —Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
4-d �u-G'C(Jf `7 I�GVY'C
r, 10%A—D. LLA,10 ✓S NO 1 Qll Ol�/C'cl'
nom.
e. 3/7 // !I / 19e- O �� iso 7PP ( 8 1 Q \
cr? CDUI � ,ti.;�, is (�s r X45 Sf
Inspector Date
COUNTY OF BUTTE - DEPAR`MENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO. -
ASSESSOR PARCEL NUMBER
62 - 2 O - S
ZON NG�
BUILDING PERMIT
OWNERELEPHONE
Q C d�i'Ala. Z
S0. FT. OCC. BUILDING VALUATI N
OWNER'S MAILING ADDRESS
CONT AC TO 'S NAME
LE HO E
CON AC 'S A LING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
i
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
1
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
1
ARC EL MAP
r
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF� Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remo/del ❑ Utilities ❑ Installation[] Other ❑
Describe work: dt 5 -C'c �( A-
o
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
V OR L
Main service 1000 AMP ORSLESS
10.00
Main Service EA. ADD'L 100 AMP
2.50 '
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BUSinesS
and Professions Code and my license is in full force and effect.
License No. Classification
i 1, as the owner, or my employees with wages as their sole compen-
�
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
as the owner, am exclusively contracting with licensed contract-Misc.
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.e, ,/:¢sgft
OR ACDNS. (ACC. BLDGS.
NEW CONSTR. M ULT'_OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
(POWER APPARATUS 6\
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 209sOt
eALoao
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities
t15.00I,
�Yirin 9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
a ainst said C my in consequen a of the granting of this permit.
X r �� Date
Si nature of ApplicantOwne Contractor 13Agentwork
A OSHA permit is reVi,.dor excavations over 5'0" deep and demolition or Construct-
io of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
$ r
TOTAL PERMIT FEE J
occu P.
CONST*T*1PEJ
SCHOOL
FLOOD
PARCEL
PD
ND
15SUE
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
DIRECTOR OF PUBLIC
By
PE MI EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date%—�
Receipt No. �
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
,;� ;� , . t
..�._.•`ttJ � % i1S � � � �, �.+ � (� 600 �
.. 1 u_
��- �v �� ����
� � �'b �� ri✓�r��0 ��`�����
.. �� n �� I A �\ fV,
COUNTY OF BUTTE - DEPA13TIVIENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
-CO)
ASSESSOR PARCEL NUMBER rF
1''
ZONING
2
BUILDrNG PERMIT
OWNER
L `Z G lU
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
T 77 Gj L��- C'.�1 r !i� syr
CONTRACTOR'S NAME f /
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER �►
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER ,t
' `/���� IG �
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESStoW I-
PLUMBING PERMIT
Filing Fee 3.00
/
Each Trap
2.00
Repair drainage or vent piping
2.00
( e,'JL`c._,
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SFS Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation C OtherRI
Describe work: 4�.7zr, 5,ccrz, C-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 1000 AMP ORV OR LESS5.00
<*>O
Main service EA. ADO'L too AMP
2.50
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP.&)
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
] I, as4the 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 CONSTR ULTI.OUTLET 2,50 ea
NON.RESID, BRANCH CIRC ITS
NEW CONSTR (POWER APPARATUS &)
NON •RESID. SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 50@25`
BAL@10t
FIXED APP LNS, OR
Ex. Occup. OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
r'. 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
2.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
/'
X .� ` / -/421 � e, �t/ f%� Date �� %/
Signature of Applicant — Owner Contras or ❑ 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 $
Land Development Fee $
TOTAL PERMIT FEE $
occUP. GROUP
TYPE OF CONST.
I
HD
I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECT R bF PUBLIC WORKS
r�
By _ r. / -IDate
PERMIT EXPIRES Dater- `�
Receipt No. 'TV
--3-7
WHITE•D.P.W., YELLOW-ASSE5SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATIOLL'AND-PERMIT
ASSESSOR PARCEL NUMBER
— 3 —a
ZO ING
BUILDING PERMIT
OWNER��
t�G 1p AJY gZ
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OW ER'S MAILING ADDRESS
W 7 7 G L c.F SLS Y�
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER �
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER �
�
�
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS O ' FV I VPLUMBING
a
PERMIT
Filing Fee 3.00
-
5 O v
Each Trap
2.00
Repair drainage or vent piping
2.00
L*
Water piping
LOT NO.
SUBDIVISION NAME
PA CEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system++-L-0-0
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: �Lc�G, c✓bz2. c14I¢-52:I'.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP OR00V OR LESS5.00
6p
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
22 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULT' -OUTLET 2,50 ea
NON.RESID. BRANCH CIRCUITS)
NEW CONSTR POWER APPARATUS &)
NON.RESID, (SINGLE OUTLET CIR.
Ex. Occ Up(OUTLETS OR FIXTURES 50@2S¢
BAL@IOC
FIXED APPLNS, OR
Ex. Occup.(OUTLETS (RESID,) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 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
2.00
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.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said unty in consequence of thegranting of this permit.
X Date H+-�
Signature of Applicant — Owner ContraC ar ❑ 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 $
Land Development Fee $
TOTAL PERMIT FEE $
OcCUP. GROUP
I TYPE OF CONST.
[---�PARCEL
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
/1 IR F PUBLIC
BY
PERMIT EXPIRES Dat
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date -
Receipt No. 7Z 39 V
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT