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021-260-020
%4:��,,.,,-7-92-73618Pym �7 021" �,2 6 ��O 0 2 0 '4;, BEBEMSEE'37;`W'I-;l. rfarft. (B 5893B 32 W%Libiefty1Rd',`.`Grr'-id1 BEBENSEE, Vm. 1;. 58 67B 2 C� 755-2 I�va move".Wti% htr/s'f - 7 —631--67E-- 2 -20 -1 247-67P n/s W. Liberty 1st lot east of Losser- Gridley' 021'260-020 I�PERMIT#98Z-1434A-r 1 W-1 rm-1 r 4 (foundation only)' (*S pool)- -�BEBENSEE,t,� ill, CONTR: L.L.Root 232. Wegt' Liberty,. --Rd.,; ;Gridley 7� (new single fami 1y)/I I.Co�'e*� -o'ver..E.� P6 S A �� � , �••• �? CSI RESIDENTIAL 021-260-020 ^PERMIT#98-1434 PERMIT NO. I BEBENSEE, Bill' • 232 West- Liberty -Rd:, -Gridley -- PERMIT EXPIRE Cover over Ex Patio/SF OWNER CONTR. ASSESSOR PARCEL LOCATION t CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E } v `� JOB FINALED (Date) Signature V=OK O = Not OK Not =Not Readyble+ 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/ /1 -"ft./ /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 -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 on i MISCELLANEOUS Date DECK VERS, CARPORTS, GARAGES lana OK except #'s g Requirements -Setbacks -Easements ,tVfoofings; Soils-Size-DepthSpaoing-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 ndows-Doors 7.E1 Sil s-AnchorsStud s-Rftrs-Trusses Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 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 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ /' Ftg. Depth Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purtin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ PFtgq. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-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 Siding -Nailing Veneer 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts -Joists Vents-Cdppies 61. 15. Access & Ventilation 62. 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 Ext Steps -Door & Sidelight Protection -Landings 18. Water Pipe; Test & Anchor -Nail Protection Smoke Detector 19. D.W.V.; Test Fittings & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 20. Shower Pan; Test, First Floor -Tub Access Bedroom Exiting 21. Test Tub & Shower, Second Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 22. Gas Pipe; Size & Anchors 68. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. ELECTRICAL (Permit) OK except #'s 72. 23. Fixture & Transformer Clearance -Ins. Protection 73. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 74. 25. Size Boxes & No. of Conductors Stapled 75. 26. Romex stalled Close to Edge of Studs & C.J. 76. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes p No 31. Service -Riser Conductors & Ground -Main Disconect Guard rails & Deck Construction -Post Caps 32. Equip. Clearances Panels -Motors -Meth. Epuip. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 33. Clothes Closet Light -Shower Light -Spa Light Following Instld./Drive 0 Yes Q NoNValks 0 Yes Q No/Planters 0 Yes 0 No 34. Smoke Detector Stucco Brown -Finish 84. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Exterior Elec. Trim, G.F.I. Receptacle -Underground 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purtin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -W inflows Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes Q NoNValks 0 Yes Q No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: :Y 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 ASF �GRP�c�LN020 ��U ZONING BUILDINGPERMIT OWNER BILL BEBENSEE TELEPHONE 846-4122 SO. FT. OCC. BUILDING VALUATION 8 C 5,824 . OWNERS MAILING ADDRESS 232 W. LIBERTY RD., GRIDLEY CA 95948 40 @60 2,400 CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 8,224 ARCHITECT OR ENGINEER NONE LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 108.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 70.20 BUILDING ADDRESS Energy Plan Checking Fee $ $ 232 W. LIBERTY RD., GRIDLEY PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFXX Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition R Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PATIO COVER (OVER EXISTING PATIO) AND REROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service *.*."A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or the following reason: Ly 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 ,000A 46.00 NEW CONST. DWELLING OCCUP. ( OR ADDNS.NEW 3.5QFa CONST. MULTICOu�rLS. NON.RESID.CIRCUITS 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FDRUREs BA0 Q'. o Ex. Occup.GFlXUTiErs Aalo.OeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor forthwith comply 'th those provisions. Q X '�/I.A�/l Date �- 1— / Si ature of pp icant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 198.20 HAZ. D. FEES IMP FLOOD COF PARCEL — PD HD — ISSUE X This permit is hereby issued under of the Butte County Code and/or indicat above for hich fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Q I ^*-- pate) 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 (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 99— ASSESSOR PARCEL NUMBER ZO1-NG BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATIO fi . OWNER9 ADDRESS CONTRACTOR'S NAME � � CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ )OLT ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 0.9 BUILDING ADDRESS Energy Plan Checking Fee $ d $ PERMIT FEE S YT.an LOT NO. SUBDNtSIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee20.00 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 emodel ❑ Utilities 13Installation ❑ Other ❑ Describe Work:AT v /111"0 Ll C-�xVX Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE t Ir.[ v®n F ELECTRICAL PERMIT Fling Fee 20.00 Main Service �a�oa mss 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 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. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the 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'��ALz compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories In height. Main Service 2O 46.00SO L NG CCU000A NEW CONST. DWELLING OCCUP. SO OR ADONIS. ( 8 ACC. BLDS. 3.5¢Fr; NgµRE• . ' muLTI.O,- 97,50 POWER APPARATUS a swGLE ouTL67 as Ex. Occup. OLm£r OR FDCTURES S&L ®I.50 Ex. Occup. 011TLETSS.00 O. MES,6.) Rp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ CONST TYPE ��, TOTAL FEE $ VThispermit D. FEES IMP FLOOD COF PARCEL PD HD _ L/ is hereby issued under oeutte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date fa Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 02 } COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: hLdxqPo ASSESSOR PARCEL ER: 'D Proposed Building Use: Building Inspector: Date: At time of permit application, I was advise the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted .----------------------------------------=-------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------ E]3.'Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 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.----------------------------------------------- ❑./Flood elevation certificate. ----- AP. ' anitation and plot plan approN ❑ 5. City of Chico plumbing permit. Department. ❑ 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 11 Improvements, ❑ Drainage, ❑ Legal Parcel. 1:11. 9. Encroachment Permit for driveway (construction approval prior to occupancy). ---- ❑20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). _- ------------------------------------- E124. Letter of signature authorization.-------------------------------------------------------------------------------- ; ". ❑25�Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. -------------------------------------------------------- : Existing violations aiid/o'r expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E130. -------------- ❑30. Other:------ Wheyi�you issue the permit, process as follows C3 Mail to owner, ❑Mail�to contractor. Telephone and hold for pickup a �J office. ❑ Deliver with inspector. Applicant: Date:. Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:. Copy of plans sent ❑ Health Department, o Fire Department, ❑ Other: Date: By:. (Date) 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, o 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 o phone, ❑..mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Pivision counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in o Plan Cabinet, o A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 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 &** in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the . proposed property improvement: YES NO D L 2. I HAVM HAVE NOT d signed an application for a building permit for the proposed wi dL' 3. I have contracted with the following person (firm) to provide the proposed constructiow ...r NAMEs- t, ADDRESS: CITY; -. PHONE: CONTRACTOR'S LICENSE NO. dh 4. I plan to provide portions of this work, but I have hired the following person to cooFd . supervise, and provide the major work: NAME: ADDRESS: CITY: 4:1 PHONE: CONTRACTOR'S LICENSE NO. - 5. I will provide some of the work but I have contracted (hired) the following persons to prQvide the work indicated: NAME ADDRESS PHONE TYPE OF WORK-' SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: -7 �— g - -" NOTE. This Owner -Builder Verification is required by Section 19831-179 3 off. e— California Health and Safety Code. This verification must be completed Md returned to our office before we are permitted to issue the permit. OVER I OWNER BUILDER INFORMATION I Dear Property Owner: An applicarion for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, -you should be aware that as "owner-buildee, you are the responsible parry ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. \, i If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the wgrk (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer arid you are subject to several obligations including state and. federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions:. , ♦ There maybe financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations u9derFederal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work persocially or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. qrely, el C. Viira, C.B.O. ger, Building Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Coda OVER tr 021=26-0-020. 92-3613- `r ; BEBEMSEE, William 232 'W Liberty Rd, Gridley,,' y hvac & move wtr htr/sf o.r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARC L NUMBER 02126-0--020 ZONING A5 BUILDING PERMIT ~ OWNER WILLIAM L. BEBEMSEE TELEPHONE 846--4122 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 232 W. LIBERTY RD., MOM, CA 95948 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 232 W. LIBERTY RD., (�RIDLEY Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.001 7.00 Each qas water heater or vent 7.001 7.00 USE OF STRUCTURE SF EJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 1 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: HVAC AND RELOCATE W/H Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 00v OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, 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 DWELLING OCCUP.&\ NEW CONST.OR ADONS. ( / ACC. BLDGS. II 3.64 sq.ft. NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS h (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 ,qAL- 1111 46 Ex. Occup. OU LETS ED APP(RESID IKEA.) I 3.00 Temporary service 15.00 Home Facilities 15.00 Misc. Wiring g 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 FiIingFee 15.00 Heating 9.00 SPLIT Cooling 4T T636— Hood 6.50 Ventilation permit Fee $ 40.50 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 agaaii�nsstt�s�a dd County in consequence of the granting of this permit. X��,! GN-'``' ~ Date/'-) /����� of Applicant — Owner�rVcontractor ❑ Agent Elsions 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 S Energy Inspection Fee $ occ CONST TYPE 74.50 TOTAL FEES 50 HAz 1 DFEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSu This permit is hereby issued under the sions of the"8utte County ode and/or work irlelic -ed abov ,�. hich fe DIR T %PU LI By VIP /�'` PER PIKES ate i applicable provi- r solutions to do ',s ve been paid. 1 VRKS ' Date 126138 Receipt No. WNITE-D.P.W., •ELLON-ASSE3SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA- (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE S PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, :�l ease c act this office immediately. F c Ale- 0- i i ' 11-71 L / © V v "i T%4 /rU /' "' IF Date —Gp ��� InspectorLrL-,,, ��-- v REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 36/6 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021-26-0-020 -11� ZONING A5 BUILDING PERMIT OWNER WILLIAM L. BEBEMSEE TELEPHONE 846-4122 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 232 W. LIBERTY RD., GRIDLEY, CA 95948 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 61232 GW D LIBERTY RD. GRIDLEY Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 1 7 — Water piping 7.00 7.00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SF a Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition[] Remodel❑ Utilities❑ Installation❑ Other® Describe work: HVAC AND RELOCATE W/H Permit Fee $ 34,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.�\ OR ACDNS. 1 ACC. BLDGS. / 3.64sq.ft. NEW CONSTR. MULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 SINGLE OUTLET CIR. EX. OCCU p OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS IRESID ID APPLNS.REAJ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 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 Filing Fee 15.00 Heating qPT TT Cooling 4T 16.50 Hood 6.50 Ventilation Permit Fee $ 40.50 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 againstTsa d County in conse nce of the granting of this permit. Xl�l0,���� Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ 74.50 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISsu This permit is hereby issued under the applicable provi- � Bions of t utte County de and/ r r solutions to do work i is ed abo hich fe ve been paid. DIR P LI RKS By Date PER IBES Date Q 126138 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 020 ZION ING A BUILDING PERMIT OWNER r C/... TELEPHONE �Y yl 2 SO. FT. OCC. BUILDING VALUATION OWER'S M ILIN ADDRESS 32 w. ZlacR r CONTRACTOR'S NAME qer ,1rCONTRACTOOR'S TEL PHONE MAILING ADDRESS , Fireplace CONSTRUCTION LENDER UNKNOWN Total V&luation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS CIK Permit fee $ PLUMBING PERMIT Filing Fee 115.00 _ Each Trap 5.001 Solar or heat pump water heater 1 20-0,0 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 \ Each qas water heater or vent 7.00 ' USE OF STRUCTURE SIX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel E] UtilitiInstallation Ci Other Describe work:,/d Uhl C d es o� uVy �"' , f 1. _ L&)--, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 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 sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tk\ OR AODNS. ACC. BLDGS. // 3.6Q sq.ft. NEwCONSTR ULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @76d FIXED APPLNS. OR Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating f- $ S eo,1 Cooling L( +0-/\ Hood 6.50 Ventilation permit Fee $ 5a 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 or Buite 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 Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA over 5'0" deep and demolition or construct- ion of structures toverr39stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P occ CONST TYPE TOTAL FEE $ 7Y. HAz 1 DFEES IMP I FLOOD I CDF PARCEL PD I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 19'(0 3 'NHITE-O.P.W., YELLOW -ASSESSOR. PINM'INSPECTOR. GOLDENROD -APPLICANT COUNTY- OF- BUTTE -= D"epartme-ny of- Public Works - 7 County Center Drive, Oroville, CA 95.965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing )7our 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. l.'.1 personally plan to provide the major labor and materials for construction of the proposed property, improvement (yes or no) -_� 2. I (have/have not) fi cr (/-4— signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of.this work, butI have hired the following person to coordinate, supervise, and provide the major work.- Name ork:Name Address _ _ City Phone Contractors -License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work • Signed: Property Owner Social Security Number Date IzD l /,9 / 9 Y� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the -permit. � 3 � c� .� . err �,► �d Pa 9S'9y� This set dplan$ &hd Speaftat I 10MMMbe kept on the job at &U -times card itis umlavufUl to make aj—changes or alterations on name withou% written' permission from tbe Dspw%mout of PubILO WOrks..00unV of Butts. 10roUe� �a► �k 4Vg� Pu�f �yP. Cod � J RUM �ynT `�e`a)� orki�aVa?ya�}��S4t1Y •-'.t��'�a!]x�4ti+iV\'+ Ai '�tVY1 � \a��-1�l4JVi V'lYV{.a �'RLV����l�� Of 4 Qualit Presb Vibpd for the Spedfled uad- W Me Ulld arra BUI—I lMg, PIUMbi-,V 8P MOO9� 8 qp `f, r-- Clot el x Cr G �S��N GUG 'r0 be ye'00,C4' DOW"', i /C_ tee. .. .. .. it 3� .4.� SoufG► r,��/r tic, S'5 g t u �o ,n ( y