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Home My WebLink About021-320-007I D.A.?//, RT aJ `7 � a,u� O�� _� W/S F ny, Ava, 3001 W of Liber'tY Rd., GridleyA ermit..#1615-77E-(ele ser-.-ch--)--SF 4.5 13P-01) _#1572 _,E(co._ai ic to be'ermit -8iB nv room/SF) 44 -44-4r. Permit#1 95782%B(lst renewal/1572-81) 24 Permit#1638-83B(2nd rerrewal,/1572-81)SF "a I 5-03D -0 7 1 8 LPermit #18 �XB(3rd renewal/1572-18)1) p 9 eiii�f/1572 '8 er lt#1292-;'85B(4tlf-i&i - 021-1320-007 .',,r#98--2039_.�.f_' STEWART,, DIAM6N,&'Z V'kRN �11694FRENCH-AVE.GRIDLEY' OWNER 'L;'-, ooq REROOF,FRONT PORCH. ,.CO . MP 021-'320Z7.1,' NAL 1169 FRENCH AVE, GRIDtE MCKEE, ANITA.. Ed Cont: GALLAGHERS HVAC INSTALL NEW HVAC, icwql wpm', .. �:a�;—m-.-..�-,..-.�.,.....�,,..�..o.�;�,V-��i�:4►�!,�`�'��i'.}M.�"�•w..sr�,.x:_uewr^�w:}erry;z,;'.,�R'R-��t,,�_, a....r� .,,, ,. >, �,�-�c;�rrK.o�.��...�;. ,.'1 03:3664 (321-320-001 g ANY TA )� ° �' GIUDI EY; MGIC CH Ate. 7AC -1169 FRE GHERS `.; Copt INSTAI-L z . V ti 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 /9-1, - 14 � ASSESSOR PARCEL NUMBER C .��- . — ZONING BUILDING PERMIT OWNERTELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER' A7AILING ADDRESS 4W_ 1 CONTRACTOORR' ,NAME 4 r(G -1 >< TELEPHONE d� 16. CONTRACTORS MA4ADORES I .0 Io� CA ybos t CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS r' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT CR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS I,: /. n� - �/� /'Li L /J 7 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ®/Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑J Describe Work: i Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 6000 R LESS Main Service 2o0A VOR 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 4cense is in full ' rce ano effect. t/ Lic. No. License Class o G 3a -3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 5/I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co Pe ation insurance carrier and polic numbor. are: Carrier ST4 7st; C ve 40^ 54 Policy Number ! 7 `f - U 3 (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' corripensation laws of,Calffornia, and agree that if I should become subject to the w6rkers' comp tion provis'ons of section 3700 of the Labor Code, I shall jfcrthwith o w' 'those tI f Z X t , `-'U Da < < Sig Ature of ppli a t Owner ❑ C ;tractor Agent An 9SHA permit is required for excavations over 5'0" deep and demolition or construction; of structures over 3 stories in height// Main Service zooA To ,000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADDNS. a ACC. BLDs. 3.5¢Fr: N CON. NoµgES10.. muLTI.OUTLET 97.50 POWER APPARATUS a SINGLE OUTLET CIR. zo @ ,.00 Ex. Occup. OUTLET OR FIXTURES SAL. Q" .50 FIXED APPLNS. OR 5.00 Ex. Occup. oLmErs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating P, Cooling Hood 6.50 Ventilation , PERMIT FEE S i�/• Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD CDF PARCEL Po HD ISSU This permit is reby issued under the applicable provisions of the Butte�ounty Code and/o esolutions to do work indicated ove for which fees ha been paid. / t By )Date PERMIT EXPIRES ON I 'T Date Receipt No. i �/7 C,� WHITE-D.D.S.-B.D. CANARY-AS()ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Clnter Drive • Oreville, California 95965 • Telephone (530) 538-7541 P RMIT NO. (Rev., 2/96) APPLICATION AND PERMIT v ASSESSOR PARCEL NUMBER 0 v -W ` ZONING BUILDING PERMIT OWNER i /I TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWN MAILING ADD RES CONTRACTOR'S TELEPHONE 2 / JsS,la CONTRACTOR MA NO, DRES � O� � LuS M,61I � 5 C4 -1 6 O,5 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS _,,WCII ��/ 40 Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 13 nstallation ❑ Other ❑ Describe Work: F� /a hTI& Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 LE Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full f rce an effect. -7 -7 �J License Class �i Lic. No. � / / ,3 / OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. W I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comperL�ation insurance carrier end polic numbpc,are: / Carrier ,ST 7� C.O n 4 n /1 . / 4 n e Main Service 200A TO LOooA 46.00 NEW CONST. DWELLING OCCUP.SO OR ADDNS. ( & ACC. BLDS. 3.5¢FT; NEW CONS .MULTI.OUTLET NON-RESID. @7.50 POWER APPARATUS 8 BINDLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES a00 AL 0':5050 Ex. Occup. ..ED RMID,GFR.n 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 69 Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy NumberMobile (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 a loy any perso in any manner so as to become subject to workers' co en ation laws of _Iifornia, and agree that if I should become subject to the We rkers' c mpe a ' rovisions of section 3700 of the Labor Code, I shall -7 hwi m wi those r X Da I _ Sig ure of pli a Owner ❑ ntractor AgentAn SHA permit is required for excavations over 5'0" deep and demolition or construction_of structures over 3 stories in height.ByA Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ (j, ar/ HAZ, D. FEES IMP FLOOD CDF PARCEL PD HD IS U This permit is reby issued under of the Butt unty Code and/or indicated ove for 4feesbeen PERMIT EXPIRES the applicable provisions solutions to do work paid. Date O�ReceiptNo. Mte ,eV WHITE-D.D.S.-B. CANA -AS S R PINK -INSPECTOR GOLDENROD -APPLICANT FE 320=007 =,;1#98-2039 + ' w, Y; ART; :DIAMON, &'VERN FRENCH -AVE. 'GRIDLEYR :��;.' REROOF' FRONT PORCH COMPCf _�w-G/ a . . riw. l - S•r�. - • Y • -. .. - rw - Y• ... • . ... .� • w f . � YM fr. , , � - . 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 4s?" 207c4 ASSE0Q�i�+ 1�1MF 7 jA14ON�&& ZONING BUILDING PERMIT OWN DII VVERN STEWART TELEPHONE SO, FT, OCC. BUILDING VALUATION °W"iI'"` X fdH AVE., GRIDLEY 60. COMMME 16 TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2 0.0 0 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1169 FRENCH AVE., GRIDLBY Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF NK Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ OtherjJI REROOF FRONT PORCH — 1 SQ OW Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VOR LESS Main Service 20.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 w for the following reason: Lf7' 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 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 ' T performance of the work for which this permit is issued. 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X / I - �/. Date (/ 11816_ngdre of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. Main Service 200A TO 1000A 46,00 NEW CONST. DWELLING OCCUP. S° OR ADDNS. ( a ADc. eLDs. 3.50FT: NON RE0410. MULTI.OUTLET @7,50 ROWER APPARATUS 8 SINGLE OLm.ET CIR. Ex. Occup. OUTLET OR FIXTURES 20 1.00 ar,L ,su Ex. Occup. DFIUTIEEDTA REs.'' °k 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 v HAZ. I D. FEES IMP I FLOOD I COF PARCEL PO HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have //�of By .1_.E! iJ- JJJ" 4". PERMIT EXPIRES ON 9 / the applicable provisions Resolutions to do work been paid. Date 1 Data Receipt No. = Iri ill 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) 538-7541q8PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT .59 ASSE$$ T'—nIYMbb7 ZONING BUILDING PERMIT OW"TIAMON & VERN STEWART TELEPHONE SO. FT. OCC. BUILDING VALUATION 60 OW"i'J"'ftMH AVE., GRIDLEY CONTp"f,L rME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1169 FRENCH AVE., GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF &X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)g Describe Work: REROOF FRONT PORCH – 1 SQ COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 800VMain Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License 4w 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 CO. 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. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall with comply with those sovisions. %/� �fg^ / (j Xa/1, � _ Date 77 (/ Qindicated . gof Applicant - ❑ Owner ❑ Contractor ❑ Agent 4de An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. TO Mein Service TG 46. NEW CONST . DW CU o s BLDOCCUP. SO OR ADONS. ( a ACC. S. 3.5¢FT, �NjpµgESID. ISIMuLTI.OUTLET @7.50 APPARATUS 8 SINOLE OUTLET C1 R. EX. Occup. OUTLET OR FIXTURES 20 1.00 B @ .00 FIXED . Ex. Occup. our rs R�D.1 E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES IMP I FLOOD CDF PARCEL I PD I HD ISSU This permit is hereby issued under of the Butte County Code and/or above for which .fees have By PERMIT EXPIRES ON `�.D.S.-B.D. the applicable provisions Resolutions to do work been paid. d Date Date rRecTeiptNo. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT El OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO 13 4 I HAVE 9L HAVE NOT ❑ signed an application for a building permit for the proposed P� work. I have contracted with the following person (firm) to provide the proposed construction. NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER:��Gi.{ c� SOCIAL SECURITY NUMBER: DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit • ; ft . I OWNER BUILDER INFORMATION ... _. I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property'•, improvements specified. yn3ic7 For your protection, you should be aware that as "owner -builder" you are the responsible party ofjecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing ttiei 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'...:c�. If you plan to do your own work, with the exception of various trades that you plan to subeondma, you'should' be aware of the following information for your benefit and protection: 72'',_;; . ♦ if you employ or otherwise engage any persons other than your immediate family, and the work (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 and'you are,.,... subject to several obligations including state. and. federal income tax.withholding, federal social security,°. P Ym • cQ Pe »s. workers compensation insurance, disability insurance costs, and unem to ent m nsation contributions: '= ♦ There may be financial risks for you if you do not carry y y arty out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service'.(and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perflorm"'their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally., - Information about licensed contrac!prs may be obtained by contracting the Contractors State License Board in your - community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" bn the reverse side of this form so that we can confirm that.you. _ are aware of these matters. The building permit will not be issued until the verification is returned. ro ., 1 rely, /VV Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.Injormadlon is required by Section 19830 of the Callfornla Health and Safety Code- OVER ode OVER e•I 5;L2o'r"�, E PERMIT NO. PERMIT EXPIRES_ D. Stewart OWNER CC is ' CONTR. owner 21-16-45 ASSESSOR PARCEL W/S French Ave.,app.300'S.of LOCATION West Liberty Rd., Gridley ry Temp. Power Pole_ # Called PG&E _ Temp. Elec. Service Called PG&F Temp. Gas Sei Cal led PC JOB FINALEI i Signature owner: U_� Permit No. ENERGY CERT IF ICAT ION / a.7 P. --gS ' LOCATION. A.P. No. DESCRIPTION OF INSULATION ROOF Material r-- G Thickness,(inches) G& EXTERIOR WALL` Material C�' Thickness(inches) .21 CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inche's) Area covered(ft.2) FLOOR, ELEVATED _ Material Thickness(inches) FLOOR,. SLAB Material Thickness(inches) Width(inches) _ FOUNDATION WALL Material Thickness(inches) Brand Name eO G ' Thermal Resistance (R Value) '77 Brand Name O C Thermal Resistance(R Value) -// Brand Name Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance.(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value)- I hereby certify'• that the above insulation was installed, -.in the above in conformance with the State of California Energy: Requirements. building FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO.t SIGNATURE OF INSTALLATION APPLICATOR 7 DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements-. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. y FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE,`NO.. SIGNATURE OF GENERAL CONTRACTOR OWNEER DATE THIS CERTIFICATE MUST'BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 P J = OK O Not OK - Not Applicable * Not Ready MOBILEHOMES MISCELLANEOUS = Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete `' _ 2. Footings; Size -Depth -Spacing -Connectors 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) t 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL JSingl* and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth &*h-@eery-er -9'-Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" tg. Depth tairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; So - 1- / /" Ftg. Depth 1. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; S - I kouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Gar J S e-BIockouts-Wrapped-Slab 53. S co Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers-Firepl .-SteelGlazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: F II F' Ings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas 4e, -Anchors flak cLVAX PDti *., i_014 10. W r Pi &; Test -Anchors -Regulator -Service Test 11. E r ; Underground 12. PleA&ms & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card-Bl;?��Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date FIN Date Card -BI Date (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 96' Ext. Steps -Door & Sidelight Protection -Landings 5 Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. ace; Vents -Clearance -Comb. Air -Connector - InlGarage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 64--6-�-1-8.@aSh Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access EI . Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors . Stairs & Rails. -:fg� 63. ove, Clearances-Heartli Card -B1 Date Card -BI Date 64. 65• u t Wood Panel; Int. & Ext. ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. 'Ete u�D et -s &'Receptacles at Kit. Counter 67.x-Garage-Ftre-@oer; Swing -Landing -Closer 6 uct in arage-Damper 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 69, WIF.ents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. P+b,-&sr_ & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71eptdcles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 7 ion -Foam -Looked in Attic El Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 7 ails &Deck Construction -Post Caps 74- Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 7 .: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76., co; rown- inish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77 78--V9nT97AtumRoof; 7g-WeteriXM-,-Qisconnect, isconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Plbg.-Appliance-Firepl.-Clearance to Opngs. Electrical, Plumbing 30. Clothes Closet Light -Shower Light Card B -I Date Card BI Date 80r&*teriarE'Ire. Trim; G.F.I. Receptacle -Underground ughout House Card B -I Date Card -BI Date g ecti n Date MECHANICAL (Permit) OK except N'sCorrections 31. A.C. Ducts; Insulation & Support from Previous Inspections meters Tagged; Gas -Electric ewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation nergy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except q's Card -BI Date Card -BI Date Comments at Final: 36: Sills; Proper Material & Anchors ,Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38, Bearing_ Walls over Girders & Floor Nailing _ 39. roof) 40. PUe l p F�;�d Ceilings -Stairs -Chases -Tub 41. H 4?. �gaoc�Pnct ('anc A rh�pppg�pC,q, ( Joist-_Rf_t_r_. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Ring. 44. rType AFlue-Fireplace Throat - tt Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. - 9 (NOTE: An entry must be made each time you vi sit job site) County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico —•343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 677-3435 CORRECTION NOTICE Building or.Property Address 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-'A'this office immediately. r, W' „ ............................... ........ A i ........................................................................................................................ .........................................././.........................../.J............................................... Date...................`......yInspector,....:.......................�........................ Do Not Remove This Tog farm -a\ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-275T 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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, �orrnneed additional explanation, please contact this office immediately. aAJG-- �/,�j r4L /A) Inspector / r u �4- Date 3 I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 21-16-45 ZONING BUILDING PERMIT IV OwYll. Stewart TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1169 French Ave. Gridley CON OWnAeCr OR'S NAME TELEPHONE 4th renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 16.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF[X Duplex❑ Mobilehome❑ Other cony attic SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New❑ Addition [I Remodel❑ Utilities❑ Installation❑ Other El Describe work: 4th renewal permit #1572-81 (3rd renewal permit #1874-84) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2t/2QSgft CONTRACTORS LICENSE LAW I declare under penal y of perjury (check One): ElI 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 thij r ason NEW CONSTR ULTI-OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTFL POWER APPARATUS &) NON -RES,D. (SINGLE OUTLET CIR. / 20e50a Ex. Occup(o XOR FIXTURES 6AL®so APP LNS. OR D A FIXED EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare unde natty 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. pl I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree. to comply to all County iOrdinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above -men prop_e�ty for inspection purposes. I also agree to save, indemni y��nd ke- Ina(mless the County of Butte against all liabilities, judgments, co s' and�•eKp'erhses which may in any way accrue "'d Cou ty in consequence�of�th'e granting of this permit. r , ;�`g�This 91-. Date Applicant — Owner � Contractor EJAgent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 26.00 OCCUP. GROUP TYPE OF CONST. PARCEL PD HD IssuE 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. ECT PU IC WORK/ By �ajte PER61'E IRES D e 5-7-8" Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -011p 0 I r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PE MIT NO. A ESSOR PARCEL NUMBER 21-16-45 ZONING BUILDING PERMIT OWNER D.V. Stewart TELEPHONE SO. FT. OCC, BUILDING VALUATIO OWNER'S MAILING ADDRESS 1169 French Avenue Gridley CONTR6G,JI _S NAME TELEPHONE 3rd renewal CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 2 origmal $ 16.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 26 .00 BUILV7S TF8 15Csh Ave, aGridley pp 300'S West Liverty Rd, Grey W J PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G JWJ 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: UK 3rd renewal/1572-81 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 p 2nd renewal/1638-83 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELING DWELLINGOCCUP.&\ OR ADONS. // 2y22sgft 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 NON -RESIT R BRANCH CIRCTITS) 2.50 ea NEW CONSTR. POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occu zo®soa p(ouTIETs OR FIXTURES 6AL®3o FIXED APPLNS, OR EX. Occup. OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FilingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga( t said County I o sequence of the grantin of this permit. X A� �i�y_ �fL Date Signature of Applicant — Own erV Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33�stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 2 6-00 OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which R OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS /L ate T Receipt No. ,d —A-10 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 21-16-45 ZONING BUILDING PERMIT OWNER D.V. Stewart TELEPHONE 846-5825 SQ. FT. OCC. BUILDING VALUATION n Rene a OWNER'S MAILING ADDRESS 1169 French Avenue, Gridley CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee z of original) $ 16.00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 26.00 BUILDING ADDE W/S FrenchRAvenue, app 300' S of West Liberty Rd. PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Gridley Water piping . 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ® Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other gg Describe work: 2nd Renewal of BP #1572-81 (1st - 1095-82) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCC UP.& OR ADDNS. ACC. BLDGS. 2/20sgft 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, 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. Occu 2Des0c p�o OR FIXTURES BAL®3O A FIXED APP LNS. OR FIXED EX. OCCup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi sc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabili ies, judgments, costs, and expenses which may in any way accrue 2aginst s id County in consequence of the granting of this epermit. g Date J O j Signature of Applicant — Owner F9 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3istories height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 26.00 OCCu P. GROUP TYPE OF CONST. [-IPARCELI PD HD ISSUE Thi permit is h reby issued under the applicable provi- ons of the But a County Code and/or resolutions to do ork 'nd' ted bQve for which fees have been paid. ECTOR OF PUBLIC WORKS G Date z6 �0'� PERMIT EXPIRES Date 5-7-84 /in Receipt No. x0-66 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT \O a Of t i A� \O a Of t QO A� v� a 4 J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 7C5 APPLICATION A'ND PERMIT ASSESSQJR yP AFy; L N �R /{(/(��_ ZONING` BUILDING PERMIT oW ERG// S- p, T�PH� '! aG� SQ. FT. O CC. BUILDING VALUATION OWNER'S AILING ADD� CONTRACTOR'S NAME�I/� //`// TELECPHO CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Ffee $ Penalty $ ARCHITECT OR ENGINEER'S MA LING ADDRESS Permit fee $ , �p BUILDIfJ ADDRE �Q PLUMBING PERMIT Filing Fee 10.00 S, � Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME PARC L MAP Each qas water heater or vent 55.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 ,— TYPE OF WORK New ElAddition Lys Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: /� —7 1!7/ O� /��S/ 2 —�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e0Dv OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2;50 NEW CONST. If DWELLING OCCUP.N OR ADDNS. `ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC TS NEW CONSTR.POWER APPARATUS O NON-RESID. (SINGLE OUTLET CIR, s0@259! Ex. Occup OUToR FIXTURES BAL@1 APLN S. Ex. Occup. OUTLETS P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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 of Consent to Self -Insure. a Certificate of Workmen's Compensation Insurance or a Certificate DQ 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 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 agpnst said County in consequ n e of the granting of this permit. X Date r G ]''--0 Signature of App cant — Owner ❑ Contractor ElAgentF-1rk An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �� `�� OCCUP. GROUP I TYPE OF CONST. PARCEL PD MD SSUE This ermit is hereby issued under si s f the Butte County Code and/or i !he d b` efor which CTO�' PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 9-3'� —7-9-3 Z- 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 916/534-4541 APPLICATION AND PERMIT ASS S R PA // RC L Nl.1MB_ -„ Z°"'NG r BUILDING PERMIT OWNE � -T LE�PHONE r �.s SQ. FT. - OCC. BUILDING VALUATION OWNER'S MA LING APDRESS - CONTRACTOR'S NAME 1a , • � (n CJ TELE ONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN -' 1 Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Ciro ARCHITECT. OR ENGINEER - LICENSE NO. -Plan Checking Fee $ 4 /9"00 $ ARCHITECT ORPenalty ENGINEER'S MAILING ADDRESS - , Permit fee $ 0 BUILDING DDRESS / PLUMBING PERMIT Filing Fee 10.00 (`Each -[ Trap 2.00 Repair drainage or vent piping 5.00 9 lr_Je4J).4QAA Water piping LOT NO.SUBDIVISION NAME 9 PARCEL MA Each qas water heater or vent 5.00 Gas piping system 1 --5 outlets USE OF STRUCTURE �� SF I9 Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE.9F WORK New ❑ Addition Remodel /Utilities Install ton❑ Other ❑ Describe work: 0� IJ�X ,Aa ,,c- l; '��Ir-:N� hJ v Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee ' 10.00 Main service 100 AMP OR00V R SLESS 5.00 - Main service EA. ADD•L 100 AMP 2.50 NEW CONST. ( DWELLING Ec !1) ORADDNS. 'ACG. BLD 20 sq it (XJONTRACTORS LICENSE LAW ' I declare under p� 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 1-Ou LET NON.RESID BRANCH CIRC TS 2.50 ea NEW CONSTRPOWER APPARATUS 6\ NON-RESID. (SINGLE OUTLET CIR. Jr 50 @ 25¢ , Ex. OCCUp OUTLETS OR FIXTURES BALP1 Ex. Occup.(OUTLETS P(RESID )FIXED APLNS REA. 2.00 Temporary service + 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ . Contractor MECHANICAL PERMIT Filing Fee 10.00 RKMEN'S COMPENSATION INSURANCE I declare un alty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W: C. laws of California. Notice to Applicant: If after making this statement,' should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating. Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 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 �.y/t �/!— Date Sz�� Signature of Applicant — Owner X Contractor ❑ Agent ❑ An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct- ion of structures Over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT- FEE'.. $ 701, PP. GROUP Z 1 TYPE of CONST. V I PARCEL v PD ND `i SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above. for which DIRECTOR OF BLIC ` v► By °'�. PERMIT 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 xn1. All r�terials & WorkManship Shall Be in. NOTE— NAccoscda"ce M�rescribed 7or�he 5"nciYied usce in the of a quality p p, �,r;acharsica1 Codes and Uniform Building, plumbing ' the National Electrical Code- / :os set of plans a on 'the: •ob o f "d speCifi: ations i all tirr±es and it is MUST'66 n pech. ges or'altera}ions lawful to el from tr,e ®e O11 some without Coupartmenf of pubi. :of Tutt., . ...._ . _ .._. jay.._. _ .. :moi \„t f ij , / The minimum STATE RESIDI:N`fIAL :3000.l Insulation: Slab edge - - - - - - I �s�� Fdn. Wails - - - - - Rr Floors - - - Walk--------R_/li Ceiling/Roof ..... r L • `� U Circulating pipes - - - Ducts Table I0-0 U.M4:'-. Htg, & A.C.: Type BTU Max. Wtr. Htr. Type N, 1p 74�'1: �o 6Y RE UIREMENTS for fhis..bW. ' q. 3f Days; and .. �. o- Design Temp. arcs GlIzing: inCie-allowed; sq. ft, Z® ingle-actual; sq. ft. 2 pa6al-allowed: sq, ft,,,_ .a® pecial-actual; sq, ft,_.,�-,_..._,_..,. Va or Barrier not required M,'g. Vlds. & Drs. cert. & labeled Swinging Doors weatherstripped Exhaust Fans back damp4red Gas FRots intermittent ignition All Appliances certified Other: :BUTTE COUNTY 'i BUILDING DEPARTMENT "APPROVED Cp I oe, Cie ON 0.4 0 .0 M -u o > C= 1� 0.Ln .� J BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ..J SPECIAL INSPECTION REPORT Owner: ZNMO/� /� S'%EVy��% , A.P. # 2 Address: 116,7F-RCAICII AVENUE 47ROLEy Date of Inspection ti Tenant: Inspector Building Location• 1109 i2E/�/CN AVS 4 ('RVDLEY 64 Type of Inspection requested: =.l. Housing. ,(,1 2. Financing 3. Change of Occupancy to • ZiVD. �p,PJ/ f}DD�t/. LAST �/CFi�,� 4. Other ( specify) L-%��y • �� PE,2M/T S SLAB P�y/2ED ' A t7D'L' f�LD� . Present use. of building A Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: .6. Heating 'facilities: 7. Natural light and. ventilation: 8. Room and space 11r.6quirements: 9.. Bedroom window or door for second exit: 10. , Infestation of insects, vermin, or rodents: 11. Connection. to sewage disposal: 12. Connection`to water'.supply: 13. Rubbish and garbage facilities: 14. ..Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and*roof construction: 5. Fireplaces: 6. Coma ents • C. Electrical. 1. Service ground: - 2. Receptc•c:-. 1s: 3. Fusing:_ 4. Comments, D. Pltmib ia& 1. :.�ixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4.. Comments lwr...tinnnri nn harkl .: w E. Other- 1'. Maintenance and repair: 2. Fire hazards _ 3. Safety hazards: 4. Weat}!er protection: _ 5. Unde.ifloor •and attic ventilation: -- 6. Ccm-encs: F. Conmercial Buildin&s 1. Reef covering: 2. Distance to property lines: 3. Physically handicapped: 4. : est:-oom floors anti -,calls: 5. Exits: 6. Improvements: 8. Comment G. Field Problezis or Vic>latioris 1. Problem or :violation ;give complete. descr.iptioll) : J&D400M, -AWA QWt4614-n—_- 5/ MCI 1- l ---1 O/I'-S L..JCL6S-0 —1-0 6-41 A�CS�,5A&nt .`7/ Q uZD/7_&., Sl ( -'o j/Z&D /N 6F -e -774n05 l,t L�& 0/o j Ta 212- A ?.. t+7h3t action taken (give complete. ;Jewcriptf.oxi)iCJ ef-l�Q (6wni ".`ue IS !� GJ' 3. Whitt ac.Lion recm. ec de . f(! -f 44 W43" b/J-l+tv T4,4145 f �i G�-f� 7-0 %/ A. 'I"nformation only - fi?,�, /W,B. Hold for tcn (10) days, then wri::4 letter. W ite letter. % D. other: �' -�. i � � - .. _ _' .,, ,t, ��5��7 02� cz. �� ,. ` , /;. �� .�� • COUNTY OF BUTTE, — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 / Telephone: 534-4541 APPLICATION AND PERMIT I auulUllcc ICfJICSeIIltlUVeS UI u)e %,Uun1y Ur twuc 1U enter upon 1ne above-mentioned property for inspection purposes. _ rr X , Date Signature of Permitee or Agent Receipt No. t f : _ L / � I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner �, �. LJ E it SQ. FT. OCC. BUILDING VALUATION Mailing Address �_i � 7 .� �f �J Telephone No. Fireplace Contractor it._) f�f 1 ,' Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address �; t r �' (v %.1 ; ;) f' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 r r 5 i) Each Trap 1.50 / Repair drainage or vent piping 1.50 Water piping 1.50 / Each gas water heater or vent 1.50 A. P. No. f — \ Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees" W. C. .Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans -Reed I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE .1 ' PERMIT FILING FEE $3.0000V n.r tts y� ft.,�.. OR LE Main service 100 AMP ORSLESS 5.00 (� Main service EA. ADD•L 100 AMP 2.50 a Single Family Q Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.CCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Diva 3, of the State of California Business & Professions Code under the name le of: style Ex. Occup(OUTLETS OR FIXTURES) @251104 Ex. Occu FIXED APP LNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 l/ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ /F, T < WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. O I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ auulUllcc ICfJICSeIIltlUVeS UI u)e %,Uun1y Ur twuc 1U enter upon 1ne above-mentioned property for inspection purposes. _ rr X , Date Signature of Permitee or Agent Receipt No. t f : _ L / � I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date - COUNTY I _ OF BUTTE,— DEPARTMENT OF PUBLIC WORKS _. 7 County Center Drive — Orovi lie, California 95965 %� %�71 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date' ignature of Permitee or Agent Receipt No.T� Q��/sZ, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DRECT F PUB C WORKS By 14 DatplO Bn+HiR9_permit expires Date BUILDING Owner S i e' w g e SQ. FT. OCC. BUILDING VALUATION Mailing Address Z fee io�' - Telephone No. �'y Fireplace Contractor 0 &L2 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address W ��E _ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,300 , f C e2 6/ - Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ! '— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W C. Saai4atian Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 —F erd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 111V OR L 00 AMP ORSLESS 5.00 S� Main service EA. ADD'L too AMP 2.50 2OVR Single Family N1 Duplex ❑ Mobil Home ❑ Others ❑ 600V Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 &) 22sgft NEW CONS. DWELING OR ADDNST ( SLOGS. NEW CONSTR. ( MULTI.OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON -RES,D, SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9Div. 3, of the , State of California Business & Professions Code under the name St le of: y @�¢ Ex. Occup(OUTLETS OR FIXTURES) BAL@1 Ex. Occup. FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 7 a=te $ '� WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. n I certify that in the performance of the work for which this y� permit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date' ignature of Permitee or Agent Receipt No.T� Q��/sZ, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DRECT F PUB C WORKS By 14 DatplO Bn+HiR9_permit expires Date PERMIT APPLICATION WORK SHEET OWNER YJ . �� S �{ w fr PC 0 Zoning Use Proposed Permit No. A.P. No. ,7/-/ 7 7 Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans in duplicate/triplicate. ------------- Complete plans in duplicate/triplicate. --------------------- 4. Complete engineered plans and calls. ------------------------ 5. Fees of $ ------------------------ 6. Letter of signature authorization. -------------------------- 7. Sanitation approval. ---------------------------------------- 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. --------------- 10. Contractors.license information. ---------------------------- 11. Parcel declaration, recorded copy. -------------------------- 12. Access declaration. -------------------------- : .Aunt Minnie information. ------------------------------------ 14. Deed of access, recorded copy- ------------------------------ 15. Deed of parcel creation, recorded copy. --------------------- 16. Parcel map, recording data. --------------------------------- _ 17. Pre -inspection request for 18. Improvements - plans required & DPW approval. --------------- 19. Other By of -A Date Bldg. Inspector During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date When perm't is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other Date Received Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir. Health Plans Setit A. Sanitation B. Restaurant C. Other 4. Public Works. Plans Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies Plans Sent A. Fire Dept. B. Other ,BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: 0,4 S f Address: W/S - yr rt-tn�-' o LU Tenant • /-j _ 8 fs -1- f` Gi C 42 Building Location: Type of Inspection requested: A. P. # Date of Inspection �✓�%J Inspector 1. Housing / / 2. Financing 3. Change of Occupancy to 77 4. Other (spec Present use of bui A. Sanitation (Housing 1. Water closet• 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 21. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments:- D. omments• D. Plumb in 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: (continued on back) E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments• F. Commercial Buildings 1. Roof covering: 2. Distance.to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. "Improvements: 7. Z on irg : 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for tent (10) days, then wri-re letter. C. Write letter. 7.D. Other: