HomeMy WebLinkAbout021-320-005KEVIN DOWNING 21-32-05
555W..,Liberty Rd,,;Gridle -, ZANDER', LEO 5560E* 4167
Y
— O S 5573E
yci t ti... Contr: Jay Hagberg, Gridley./ " — 3
Permit�k3496-86B E ) 4.463P
,M(add family room/SF -
r
TOR ^ a/W Corner of French and Liberty, Gridley'
L4
. ; (6onstruct fireplace) ( #Meter - ange)
stt 021-320-00 _ ; g0 - ' - r
DOWNING, NANO �- fi'/lo7Q " fi
555 WEST LIBERTY RD., EY a-`"t�'�
'CONTR: CHRIS CONKLIN CONS x, �� j. (07/ (p�
DRY ROT REPAIR,,r
9s q� _
021- OS 01-04,-
DOWNING, VIN ` `
3�. &.
555 WEST LIBER RIDLEY�:...a
CONTR: PHILS HEATI ' >'
HVAC GAS LINE & ELECTRI ^_
021-300-005t 01-0520`"�.
DOWNING,iKEVIN ; 'a
555 WEST LIBERTY GRIDLEY;
CONT: PHIL'S HEATING & AIR -'''k1
,HEATER WALL' FURNACE ��+` ,X
i
021 300-005 „ ,� : t� t.: 01-0521
DOWNING, KEVIN ; •``" �`" . „ „.
555 WEST LIBERTY GRIDLEY
CONT: OWNER -'
CARPORT / WALKWAY/ PATIO '';
.�- �
- : t�
BUTTE COUNTY DEVELOPMENT SERVICES
COMPLAINT FORM .
This information is not available to the public!!!!!!!
NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!!
The following information is required for Housing Complaints and the
Complainant MUST BE the person living at the complaint address!
Complainant:
Address:
Phone Number:
The above information is not available to the public!!!!!►►
(2)
k
a
PERMIT. NO.
'3496-86B,E,M
PERMIT EXPIRES
OWNER KEVIN DOWNING
CONTR. Jay Hagberg
21-32-05
ASSESSOR PARCEL
F LOCATION 555 W. Liberty Rd, Gridley
I.
t
i
Temp. Power Pole
I Called PG&E
Temp. Elec. Service
l
Called PG&E
Temp. Gas Service
} Called PG&E
JOB FINALED (Date)
Signature
I
J=OK
O Not -OK
Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-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 H'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
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
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
B. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. ,Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card BI
Card -BI
Date Card -BI Date
Date Card -Bl Date
Card B-1 Date Card -BI Date
Card B -I Date Card -BI Date
V = OK ,
0 = Not OK
= Not Applicable
�k = Not Ready RESIDENTIAL (Single and Duplex)
Date
UND RFLOOR Plans OK except k's
Date FRAMING Continued
Z n"ing requirements -Setbacks -Easements
Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
j.48, Property Line Firewall & Openings
049. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
-
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50. dth-Headroom-Rise-Run-Landing-Fire Protection
-
4. Ftg Porches &Decks: Soils -Steel- / /" Ftg. Depth
_
�lPlywood on Root Overhang -Attic Vents -Rafter Outriggers
r�!Srtemwalls, Main; Steel-Blockouts=Wrapped-Slab
52.• Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53S4uccn_Aesh-Drip Screed-Fdn. Vents-Underflr. Access_
7. Piers -Fireplace Ftg.-Steel
_
54.-6i4eeimg-4rea-Glass Protection -Skylights -Plastic
-
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55. IIs; fling -Bolts
-- -9.
Gas Pipe; Size -Anchors
-
10. Water Pipe: Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums &_Ducts; Clearance -Material -Support -Ins.
_
1;.--Girders-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -BI Date _�" Card -BI Date
Card -BI Date Card -BI Date
_
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
1--.
Date FINAI la OK except N's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except N's
5_ E . teps-Door & Sidelight Protection -Landings
57. Smoke Detector
Card I
Car -BI
14. Water Ht.: Vent -Access -Combustion Air
15. Water Pipe: Test & Anchors -Nail Protection
16. D.W.V.: Test-Fttngs & Anchors -Nail Protection
17. Shower Pan: Test, First Floor -Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access -
19. Gas Pipe: Size & Anchorsrs
-
Date _ Card -BI Date
Date Card -BI Date
58. Furnac arance-Comb. Air -Connector -
I arage; Above Floor -Ducts -Meth. Protection
Bedroom ExitIn
_ ath Fixtures & Tub Access
6 lec. Trim _& Subpanel; Breaker Sizes -Labels
Rails
ireplace or Sto ; Clearances -Hearth
ets at Wood Panel; Int. & Ext.
liance; Grnd.-Air Gap -Cooking Clearance
e s &Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
rage Fire Door; Swing -Landing -Closer
. Duct in Garage -Damper
.
Gard B -I
Card 8-1
20: Fix ure &Transformer Clearance -Ins. Protection
ESI Receptacles Spacing -Lights & S_witches at Doors
PYSi;eBoxes & No. of Conductors -Stapled -
`4%,n( Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Meth. Fasteners -Bond Gas &Water
2�ircuits in Kitchen _& Conductor Size
26w g11hI@ea-WiY�ze / / ga. Cu or Al-A.C. Wire Size / / ga. Cu or At
27-E1anae Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral Yes .�No
e--PiSer Conductors & Ground-MainDisconnect - -wn-Finish
29. Equip. Clearances: Pane ls-Motors_Mech. Equip. - -mt;
30. Clothes Closet Light -Shower Light
-- -- - -
----r
Date 1-�-� Card -BI Date
- Date Card -BI Date
69. Wtr. HtL VgpTs-Clearance-Comb. Air-Connector-P.R.V.-
n rage; Above Floor -Meth. Protection
70. Ib., Elec. & . Equip. Listed for Location
7 eceptacles in Garage; (G.F.I.)-RoEex Protec.
7 - Insulation- - ooked in Attic es
-
uar Is & Deck Construction -Post Caps
74.Mn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearan e
Looked under Floor ❑ Yes
75, Following instld.: Drive es [-] No: Walks Yes ❑ No;
Planters ❑Yes UTNo
D' connect-Clrnces-Brkr. & Cond. Size -115V Outlet
n s Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
ell; Disconnect, Electrical, Plumbing
ec. Trim; G.F.I. Receptacle -Underground
ton thro t House
-"s
rotection
Date
MECH AL (.Permt) OK except N's
c t rom Previous Inspections
as 7 -Meters Tagged; Gas -Electric
Card -BI
Card -BI
DA A.C. Ducts. Insulation &Support - -
32 - Ve,* Fe . Ex Mst above Insulation_
rrsat>r'Dr
33. oe-cy ain & Overflow: Size _& Grade
34. PTmrJce-Pent: Access -Comb. Air=Return Air Vent -115V outlet
35• _AAI -s-- ess & Platform if Furnace in Attic
cv�
Date( -SX � Card -BI Date
Date Card -BI Date
_
a Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
-
Card -BI ale Card -BI Date
Card -BI late Card -BI Date -_-
Card -BI Date Card -BI Date
Date
FRAMI_,G Plans) OK except p's
Com lents at Final:
;Sills; Proper Material & Anchors
:,
'i���'�'���lls: Studs -Nailing, Spacing & Bracing -Plates -Sound
!-
�e'aring Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
_ ed Ceilings-Stair_s_-Chases-T_u_b_ --
�eader & Beam -Size & Bearing
�F9 Caps -Anchors -Connectors
Ging. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthnp.-Rfng.
ce ies or Type A Flue -Fireplace Throat
45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
.!/46. .Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47_-6er8gr-FTrL'Proteclion Framing
- -- -- _- _-
(NOTE Anentrymust be made each time youvisit jobsite)
J COUNTY OF BUTTE - DEPAf TMENT OF PUBLIC WORKS PERMIT .N
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
L0
ASS_ Or`A EL�•�UMB-E.R
``CC77]]''
ZONI G
BUILDING PERMIT
OWNERTE
'2U o �u
E HONE
SO. FT. 0 C. BUILDING VALUATION
0 ERVSMAILI G : SADDR :��J`- L/-,/ �
O
CO TACTOR_ NAME
T��Q,,JJ��[.LLl77JJE�`�
CONTRA OR'N
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
f
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFL Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer5.00
Mobile Home S G W
10.00 ea
TYPE OF WORK
New ❑ Addition �p Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
r
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS10010.00
1AMP OR LESS
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare er 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 orce 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. DW UP. ad` ,
OR ADONS. IA / 2�¢SQft
NEW CONSTR. MULTI - OUT ET
NON-RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20050¢
e AL0 30
FIXED
ALNS.Ex. Occup. OUTLETSP(RESID )REAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $ (01 YO
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 ertificate of Workmen's Compensation Insurance or a Certificate
,jwrConsent 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 10.00
Heating
Ra
-ugly
Coolin g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
1s 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/r
againssaid County ' con uence f the granting of this permit.
X/—��(_ O 7
Date
Sire F Applicant — Own r ntractor ❑ Agent Elwork
An(/SHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ �.
TOTAL PERMIT FEE $ —7-,
Oc"P,
CONST.TYPC
I
I F O
P C P
ND IS U
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
DIRECTOR OF PUBLIC
By
PERUT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
/y—/— 7
�
Receipt No.
WNITE-D.P.W.. YELLOW -ASSESSOR, INK- NSPECTOR, GOLDENROD -APPLICANT
I
• CW' NTY OF.BUTTF - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541RMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT / IJP/
ASSESSOR PARCEL NUMBER
021-300-005
ZONING
A5
BUILDING PERMIT
OWNER
D01MING, KEVIN
TELEPHONE
412-0128
SO. FT. OCC. BUILDING VALUATION
1218
15,834.00
—
. OWNERS MAILING ADDRESS
555 WEST LIBERTY GRIDIFY, CA
CONTRACTORS NAME
0
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS "UNG ADDRESS
Pian Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
PERMIT FEE $
3.
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF)� Duplex ❑ Mobilehome ❑ Other
SPECIFY_
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Additi-A Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: CAR PORT / WALKWAY / PATTO
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
800V OR Main Service OA OR.
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 jor the following reason:
fiN I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
fj I certify that in the performance of the work for which this permit is Issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X % Date -� - %. — 0 i
Signa ure of Ap licant - ❑ Owner ❑ C ntractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service WDA TO tOooA 46.00so
NEW CONST. DWELLING OCCUSO
OR ADONS. 6 ACC. S. 3.50FT.
NEW QUMT
ppµR SIO.' MULTI.OUTLETBRAWH CIRCUITS @7,50
POWER APPARATUS
a sINOLE ounEr cIR.
Ex. Occup. OUTLET OR FDRURES W @'•W
SAL p .so
P.R
FIXED A '.,
Ex. Occup. ourLETs REBID. OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 8.50
Ventilation
PERMIT FEPE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 3Q2. 5
HAZ.
-
p, FE IMP D DF P CEL Po HD SS E
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.
f D!
By D e G
PERMIT EXPIRES ON 2
Date
ReceiptNo. 315005/302.15
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
J County,Center Drive a Oroviller California 95965 a Telephone (530) 538-7541 eER
Mrr No.
Rev.,?A6) APPLICATION AND PERMIT —
*RECEIPT NUMBER �/ 6 d �—
* TO BE PVT INTO COMPUTER
This permit Is hereby lamed under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been paid.
By
PERMIT EXPIRES ON
Date
'BUILDING PERMIT
' °iN"a 1 d CC J/iJ (�(J Cg
SO. F1'. OCC. BUILDING VALUATION
owrae wsM .00nps1
GU Z_je
oorrtMc+oab wA
COMPAcroae wawa sooass
00►rflMJt:'flON tO001
1DOOM waw aooaas
Fireplace
Total Valuation S
Amcmffwf OR tt>ror>,eEne N0
Film Fee
$
20.00
Abele T on EMOMMM'S waw nDoalss
Permit Fee
$
Plan Checkina Fee
S
jS
e j Z
Ener y Plan Checking Fee
S
PERMIT FEE
unrra eusonrsxrsrwt. '""ca r"'P
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
Each Trap
7.00
Solar or heat pump water heater
23.00
SF O Duplex O Mbbilehome O Other
Water i in
15.00
sP°`�
TYPE OF WORK
Each as water heater or vent
t 5.00
Gas piping systern 1 - 5 ts
15.00
New O Addition O Remodel O Utilities O Installation O Other O
Buildingcower
15.00
Describe Work: — --
Mobile e I S I G I W
@20.00
PERMIT FEE
S
il
\
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 2001on own LISLES
23.00
dl
S
Main Service aeon To moon
COMT. OWELLM 00W
on soaw. a ACC. eine.
46.00 ._
so.
:Strt.
MOKnE7to. MUITFOVndT
i
@7.50
a
Ex. Occup.amerc�roctunEa
ao. r.00
ew .»
�c �.vtie. on
Ex. Occup.5.00
ovrtFrs Esso. Ew
lS/
Tem ora . Service
23.00
i1 Home Facilities
sc. Wirin
20.00
23.00
PERMIT FEE
S
*PERMIT FEE PAID
MECHANICAL PERMIT
Filing Fee 20.00
Heating
SRA " ' $
Coolin
SHERIFF
Hood
6.50
Ventilation
OTHER _ $
PERMIT FEI:
S
Mobilea Installation Fee
i
Energy Inspection Fee
S
36 / S
occ C0r6T• TTK TOT L FEE $
�
AMOUNT RECEIVED $
D. Ft E1 n r,000 I
=.
.M ro J1j=1Aj
*RECEIPT NUMBER �/ 6 d �—
* TO BE PVT INTO COMPUTER
This permit Is hereby lamed under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been paid.
By
PERMIT EXPIRES ON
Date
1
UNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION
., _.
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER. 1 W (%U O ASSESSOR PARC ER: CW'� d''
Proposed Building Use: uilding Inspector: Date:
At time of permit applicatioil, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1.items have been submitted.-------------------------------------------------------------------------------------
02-4110t _lot plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------
-------------
mplete 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! ------------------
116. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $ ----------------------------
❑ 11. Impact fees as shown on the attached schedule. -------
❑ 12. California Department of Forestry plan approval/fees.
Flood elevation certificate. ----------------------------------------------------------------------------------------
4. Sanitation and plot plan approvtodp� Health Department. ------{-$<------------------------
❑ 15. City of Chico plumbing permit. ------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs.
❑ 17. Planning approval for (A) Use
(B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---•
❑20. Pre -inspection for
required. Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification).
022. Workers' Compensation carrier and policy number. -----------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -
024. Letter of signature authorization. --------------------------------------------
❑ 25. Recorded copy of Agricultural Acknowledgment Statement. --------------
1126. Letter of intent on building use. -------------
❑ 27. Manufactured Home utility clearance. -----
❑28. Existing violations and/or expired permits.
t
---------------------------------------------------
El 29: 1143 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
010. Other:
When you issue the rrpermit, process Ilows ❑ Mail to owner, ❑Mail to contractor.
Eq'elephone `'l�oc "G 3C7` and hold for pickup at �/ office. ❑ Deliver with inspector.
Applicant:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By;
Copy of plans'sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
J
(Date)
3-/S'-0,wol
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, ❑ mail, ❑ Building; Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, Building ivision counter, by Date:
Plans reviewed by: Date: Plans approved b . Date: —
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
0, L nes4y
Owner Location
E.H. USE ONLY
Plot Plan Anachad
Floor Plan Attached
Sant to B.D. It /c7
AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for dwelling. Other FC,-, �ci��.ulc�ypeTa �-
Hold final for:
Final clearance O.K. for:
NOTE:
/C /aI
Environmental Health Specialist Date
8/96
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ADDRESS
MISCELLANEOUS BUILDING RECORD
DESCRIPTION OF BUILDINGS
a211- 3�Z-Ipl
PARCEL., -2 �'
SHEET OF SHEET;
Bldg.
No.
Structure
Size
Found.
Wall 8 Exterior
Roo/
Floor 8 Interior Detail
Second Story
or Loft
Year
Built
Est. Tot.
Life Yrs
Type
Cover
Cost
%
Good
R. C. N
L. N. D.
Unit
Cost
If
If
RCD
L. N. u
Unit Cost
Cosf
%•
Good
R. C. N.
L. N. D.
3
6;0
Y 2-15',
1'2 00...----
7 Sbd
2 voo
_
1/a_—
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a
i l
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A
/10100
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20 4-
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COMPUTATION
Appraiser- Date
�D Sa9 Z Z % 19 0
0 - `1 /� l901
19
19
BId
Nog
Area
Unit
Co f
Cost
/•
God
R. C. N.
N.
Unit
Cost
Cost
%
Good
R. C. N
L. N. D.
Unit
Cost
Cost
`/•
Good
RCD
L. N. u
Unit Cost
Cosf
%•
Good
R. C. N.
L. N. D.
1'2 00...----
7 Sbd
2 voo
_
1/a_—
_
----
3
3 Y
/10100
X172
40
���
20 4-
7 oo
/42,
o
7i
-
—
_
r
.2/ G
S 0
__
/ o$
o
e, Ire),
/O
_
—%
_
l 44
4_°d
_ _.:Z��o
_ 30
� �3y
�n
✓dlcco
2000
Total
Appraiser- Dale
19
19
19
/9
Bldoq. Area
Unit
Cost
%
— ��-
Un $It
Cost
Cost
%�
R. i;. N.
Unit Cost
%
R.C. N.
To to l
------
--
-----
_--
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0
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�. ..� �.� ...-..j-«-.-ao�...-vr•^^^e+�.vvRc.lenr.Y`W94yFli�"'F".y`L"/-.+ '�W'Y4°j";IP�(�{fF ''�...�t '�'C"�f« .�].rtT'p•'rr-. �.. `^w.�.. .. .s... �. .... rr"v".. ^i. •.r' `-L'_'�. --�-s. ,
7
5 t 01-0520
-' - 021-
VIN
• DOWNING, KE Y = '
555 WEST LIBERTY GRIDLEY
i CONT:`PHIL'S HEATING &AIR`
HEATER WALL FURNACES
..L•
]
v
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE,A�iT
(Rev. 12/96) APPLICATION AND PERMIT -C6,`?J
ASSESSOR PARCEL NUMBER
S
ZONING
A5
BUILDING PERMIT
OWNER
KFVTN DMINING,
TELEPHONE
4 2-0328
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
S
CONTRACTOR'S NAME
p tG RE-ATING, AND AIR
TELEPHONE
908-1239
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee $
20.00'
—Filing
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
Energy Plan Checking Fee $
$
PERMIT FEE S
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities 11 Installation ❑ Other ❑
Describe Work: HEATER WALL FMTIAU
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
800VOR LESS
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 force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
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 0 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person In any manner so as to become subject to workers'
compensation laws of California, and agree that f 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 w' '' / .f-1 I Date -- r )_
Signature of Applicant - WOwner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.t
Main Service sone To
46.00
CCU000A
NEW CONST. DWEWNG OCCUP. SO
OR ( a ACC. BLAS. 3.5QFT.
ICON
NON g61D.ST. LmCUITS97,50
OWER APPARATUS
s PsINGLE oLrtLEr cIR.
.00
EX. Occup. OUTLET OR FDRURES BAL ®200 L 0
Ex. Occup. o xLmF�sR� DE 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEP_ $ •
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
I$SUF:
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above forrwhich fees have been paid.
By i i .I� t { 4 `o -t —Date >J
PERMIT EXPIRES ON
I 'Oafs
Rece'ptNo. .71� �'•
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
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
—
ZONING
'A5
BUILDING PERMIT
OWNER
KRYIN DOWNING
TELEPHONE
2-0328
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
559 W LIBERTY GRITHEY 95948
CONTRACTOR'S NAME
'
TELEPHONE
868-1239
CONTRACTORS MAULING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
1.41 LIBERTY, GRIDLEY
Energy Plan Checking Fee $
$
-5-5-5
PERMIT FEE $
LOT NO.
SUBONISIO SNAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑k. 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 !X. Installation ❑ Other ❑
Describe Work: HEATER WALL FURNACE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service noon oRR mos
23.00
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO +0000.
46.00
NEW CONST. DWELLING OCCUR
OR ( & ACCovBUDST
I
3.50so
FT.
G"�
NoµRE51D.
97.50
POWELER APPAR US
8 SI OUTLET CIR.
IN.
Ex. Occup. OUTLET OR FIXTURES
BAS @': o
OR
Ex. Occup. o. RM.) EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina 1
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed 0 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date -3' s' X3)
Si nat re of A llcant - Owner ❑ Co tractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructi
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating WALL FURNCACE, 15.00
Cooling
Hood 6.50
Ventilation
PERMIT FEt $ 35.00
Mobile Home Installation Fee Is
Energy Inspection Fee $
OCC
CONST. TYPE
$ 35.00
HAZ.
p. FEESFLOOD
[TjOjT�A�LlEE
CDF
PARCEL
I Po
I HD
SU
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ove fo I h fees have been paid.
z
B ate J
PERMIT EXPIRES ON
pgta
ReceiptNo. 315005/$35.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
f
(Rev.12J96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION "
7 County Center Drive a Oroviller California 95965 • Telephone (530) 538-7541
APPUCATION AND PERMIT - ��-�-
AesaeoarwrceLra+ra/ 1 OO „—®O
D°1M0
BUILDINGPF.AMIT
S0. FT. OCC. BUILDING VALUATION
no ff VZTONS swat Zq l
ra o� 3
oorrreAaTOR+ anaao aooress
Loom "Woo ADoona
Fireplace
Total Valuation =
AN""= OR O'°OE61 �xrAsa N0
Filina Fee
= 20.00
Permit Fee
S
AMeWacr an enoftm►s WALM Aooress
Plan Checkina Fee
i
a�0"OA00"Ma "I)
Energy Plan Checking Fee
i
PERMIT FEE
:
rot Ma
eusrsvrcMswWe
rAaca YAr
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF Duplex O Mobilehome O Other
Solar or heat pump water heater
29.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New O Addition O Ra�rrod�el 0 lMW" C3 inalalatlon O Other O
Describe Work:"
Gas piping rystam 1 - S outlets
15.00
Building sewer
15.00
Moble Home S G W
ig720.00
PERMIT FEE
_
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 2o�oAa�i Lns
23.00
'PERMIT FEE PAID �
SRA _ $
SHERIFF
S
OTHER $
�n CD
AMOUNT RECEIVED $
�---
*RECEIPT NUMBER 2/ � G � S
" TO BE PUT INTO COMPUTER
Main Service 20" TO IOWA 48.00
"LW COWT. owA04 occur. 3.51'4
ON ADONS. a AGC. aLm. R.
mw V.9m 1.MON1lOW. YYl1LOVRET 07.50
p14p1 ArrAJMTVs
a
Ex. Occu ame oe rnwo eA2Oi a i
Ex. Occup. c,r"t ° eco. a 5.00
Temporary Service 23.00
Mobile Home Faclities 20.00
Mix. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Filing Fee 20.00
He
Heating
Cooling
Hood E.sO
Ventilation
PERMIT FEE S
Moble Home Installation Fee S
Energy Inspection Fee =
°C
CONCT• TM" TOTAL FEES 3 s� d a
nAL
0. RQ rr
I 0. 0
I Cop
rArC&
ro
auc
This permit Is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest . opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the
proposed property improvement: YES[A NO[ ].
—� 2. I HAVE[,c..] HAVE NOT[ ] 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: 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.pesons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF'WORK
SIGNED:
PROPERTY OWNER:, .
ka—zi E
DATE:
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code. t s
This verification must be completed and returned to our office before
we are permitted to issue the permit.
Dear Property Owner:
An application 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 -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other'than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the foil your benefit and protection:
0 If you employ oro erwise ;ngage any persons ther than your immediate family, and the work '(including
materials and othe costs) �00 or more for the entire project, and such persons are not licensed as
contractors or subcon then you may be employer.
0 If you are an employer, o ust register the State and Federal Governments as an employer and you are
subject to several obligatio c u g state and federal income tax withholding, federal social security taxes,
workerscompensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks' for -you if you do not carry out these obligations, "and ,these risks are especially
serious with respect to worker's compensation insurance.
0 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
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by 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.
i e ly,
N is ael C. Vi ira, C.B.O.
ger, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
NOTES - RESIDENTIAL'
PERMIT NO. '02I=320=005' ""- 00=2386"`•`^` -
DOWNING; NANCY
555 WEST LIBERTY RD., GRIDLEY
CONTR: CHRIS CONKLIN CONST.
DRY ROT REPAIR.
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
./= OK
0 = Not OK
- = Not Applicable ;
= Not Ready
+ r
MOBILE HOMES
Date '
MOBILE HOME UTILITIES (Plans) OK except #'s
Zoning Requirements -Setbacks -Easements
1.
Zoning Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
2.
Soils; Special MH Support Sketch
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
3.
Sewer; Location -Test -Fall -C/O -Concrete
Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors
Shthg.-Frg-Bracing
4.
Water; Location -Test -Easement Needed (Sketch)
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Carports; Windows -Doors
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ /'LPG
Electric
7.
Well Clearance 8 Disconnect
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
8.
Utility Clearance
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
1.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
2.
5.
_
Drain; MH Test -Fall -Flex Connector
3.
6.
Water; MH Test -Regulator -Connector
4.
7.
Water and Sewer Connected -C/O to Grade -HD Approval
5.
8.
Gas and Electricity Tagged
6.
9.
Tie Downs -Type -Installation Cert.
7.
10.
Exits; Insp.-Sketch
8.
11.
Cert. of Occupancy
9.
12.
Permanent Foundation Only; License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main 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
J = OK
0 = Not OK
- = Not Applicable =Not Ready
` RESIDENTIAL ((%E
Date
46.
Underfloor (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
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
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
63.
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
70.
Fireplace or Stove, Clearance -Hearth
Date
71.
Card B-1 Date Card B-1
Date
72.
Card B-1 Date Card B-1
Date
73.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Date
86.
Card B-1 Date Card B-1
Date
87.
Card B-1 Date Card B-1
Date
88.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Comments at Final:
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
jingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Roll 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.
Bdrm. Windows or Exiting Doors -Sill Ht. & 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-Underflr. 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 -Windows
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 -Connector -
In Garage; Above Floor-Ducts-Mech. 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 & Receptacles 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 (F.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 ❑ Yes
82.
Following Instld./Drive ] Yes ] No/Walks ] Yes ] No/Planters ] Yes ] 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 Throughout 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
94.
Address Posted
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:
���c�✓' 'ct7�_..�.'! �1.{e�C�{'i%fti 4 �Y`^�^�'i+.. q,F"j•' t vr•r`. J �.
i
� COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
ER
NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
Weaae contact this office immediately.
Dates 1
REV 10192
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
• 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT o.
(Rev. 12/96) APPLICATION AND PERMIT X�5
ASSESSOR PARCEL NUMBER
021-320-005
ZONING
BUILDING PERMIT
OWNER
NANCY DOWNING
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
RFROOMST 978n
-nn
. OWNER'S "UNG ADDRESS
559 WEST LIBERTY RD, GRIDLEY 9994R
790-00
CONTRACTOR'S NAME
CHRIS CONKLIN CONSTRUCTION
TELEPHONE
846-6904
CONTRACTORS MAILING ADDRESS
PO BOX -111, GRIDT Ey 95948
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Ellin Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILSGSDDST LIBERTY RD, GRIDLEY
Energy Plan Checking Fee
$
PERMIT FEE
S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 1� 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 M
Describe Work: DRY ROT REPAIR
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
@20.00
PERMIT FEE
$ 27.00
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service "'.A OR IESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is ' fU o e and effect. / �%� /
License Class Lic. No. [� o (�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. .
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service TO
46.00So
CCUOOOA
WEE200A
NEW CONST. DWELLING OCCUP.
ACC.
NRA DNS.. (
3.SQF°:
M LET
NON•RESID. CU
@7.50
a sGiNWGER APPARATUS
INGLEOUTLETCIs
ou
Ex. Occup.BAL
20 @'•00
@ .50
LNS
Ex. Occup. OF"uTLEE°rsAREES,6 °FR
P.n
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
S
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
/�f one hundred dollars ($100) or less.)
W/0
1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with th e pr visions.
t
GVi,Date ��——�
Zgn—atureof Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 110.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
I HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
t`
y�
PERMIT EXPIRES O V
I(D-ti)
the applicable provisions
Resolutions to do work
been paid.
De
tJ
Receipt No. 110.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
y',.3
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
Z. County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 06PEc�gnry
(Rev. 12/96) APPLICATION AND PERMIT p( �j
ASSESSOR PARCEL NUMBER
/v^ S.._
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING DRE
1
1(
C CTOR'1 NAME
TE HONE
C gACT MAILING ADD S � \
W-NSTRUCTION LENDER
'
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $ S�
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ �a
ARCMTECT OR ENGINEERS
MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
SSS Wz
Energy Plan Checking Fee $
PERMIT FEE S
IDT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap7.00
SF X Duplex ❑
USEOFSTRUCTURE
Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
New ❑ Addition
Describe Work:
TYPE OF WORK
Remodel ❑ Utilities ❑ Installation ❑ Other
,�' \
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 Fling Fee 20.00
Main Service z�oo� 0 _ss 23.00
ReceiptNo.
WHITE-D.D.S.-B.D.
C
RECEIPT # 3oZsaS
SRA $
SHERRIF $
TOTAL $ //0100
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Main Service soa TO 10-A 46.00
NEW CONST. DW 7 OCCUP. 3.5
OR ADDNS. ( I ACC. BUDS.
N CONST. MULTf-OUTLET 7.50
NO.A.,..
POWER APPARATUS
8 SINGLE OUTLET CIR.
EX. Occup. OUTLET OR FD(TURESFIXED BAL ®I.so
EK. Occup. O APR .I EA 5.00
Temporary Service, --*,'23.00
Mobile Home Ilities 20.00
Misc. Wir' 23.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee $
Energy Inspection Fee $
°C`
CONST. TYPE TOTAL FEE $ (),
HA
D. FEES n
FLOOD
I CDF
PARCEL
I PD
I HD
I ISSUE
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
ro
lac•• `-'-�r.,.ns .. - .�F. .�� �,,:,.�.�;....�.,-a-�+s�,�: �...,..•�:.,nrr�+in.�..���;.��..,r-'�._r.•recwGs:r•.r,�k p-C��,-.. .s......:va m.,.� _.-.y +.� .. ,�,,,,,.T.....,- r r µ�+. y�
r �
021-320-005 01-0458
DOWNING, KEVIN
555 WEST LIBERTY, GRIDLEY
CONTR: PHILS HEATING
HVAC GAS LINE & PLECTRICAL `
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
�1
ASSESSOR PARCEL NUMBER
021-320-005
ZONING
A5
BUILDING PERMIT
OWNER KEVIN DOWNING
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
555 W LIBERTY RD GRIDLEY 95948
CONTRACTOR'S NAME
PBILS HEATING & AIR
TELEPHONE
868-1239
CONTRACTORS MAILING ADDRESS
PO BOX 33 BIGGS 95917
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
55 W LIBERTY GR DLEY
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDN610NS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF bT Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities U Installation 13Other 13
Describe work: HVAC GAS LINE AND ELEC
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home s G W
�in
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zo.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 (* ;Zi () Lic. No. 1 �I �V I
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.
❑ 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:
❑ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 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' compe_n§edior insurance carrier and policy number are:
Carrier C� %/ 7 7—&
Policy Number / +Cr.', �—
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
not employ any person In any manner so as to become subject to workers'
compensation laws of California, and agree that f I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
rthwith comply Iwith those provisions.
1L�`.. L, Q/
X � Date _/, ft
Signature of Applicant - ❑; Owner El Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction 1
of structures over 3 stories in height.
Main Service zooA To ,000A
46.00
NEW CONST. DWELJNO OCCUP. SO
OR ADDNS. ( 8 ACC. BLDS.NEW
T.
NON-RESID. MULT11 CIRCUITS T @G 7,50
POWER APPARATUS
a SINGLE OUTLET CIA.SAL
Ej(, Occu OUTLET OR FVTURES j 20®1.50
.50
FIXED APPLNS. OR
Ex. Occup. olmt�s REs,D. EA
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00 • 00
PERMIT FEE $ •VIVO
MECHANICAL PERMIT Fling Fee 20.00
Heating 5 • UV
Cooling
Hood 6.50
Ventilation
PERMIT FEP $ •
Mobile Home Installation Fee $
Energy Inspection) Fee ' $
Occ
CONST: TYPE 128.00
HAz.
FEES D. IMP
fLOOD
CDF
PARCEL
HD
IS
This permit is hereby issued under
the Butte County Code and/or
indicated abovef�which fees have
in
n
�\
By /1%%W1
�' .. �'
PERMIT EXPIRES ON
I
the applicable provisions
Resolutions to do work
been paid.
Date
Date
...tyr���waw•
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE ,
'BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
0(11—
OWNER
P—
OWNER / PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction -of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please,act this office immediately.
I���
� /-� "� � ,��,4� < TGA" •
Date �3 — /4 "LJ Inspector
REV 10/92 1
�- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT 0.
(Rev. 12/96) APPLICATION AND PERMIT �����`•�
ASSESSOR PARCEL NUMBER
021-320-005
ZONING
A5
B U I LD I NG P ER M IT
OWNER KEVIN DOWNING
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
555 W LIBERTY RD, GRIDLEY 95948
CONTRACTORS NAME
PHILS HEATING & AIR
TELEPHONE
868-1239
CONTRACTORS MAILING ADDRESS
PO BOX 33 BIGGS 95917
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
555 W LIBERTY GRIDLEY
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF IBX 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 9 Installation ❑ Other ❑
Describe Work: HVAC GAS LINE AND ELEC
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home s G W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 200, 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. �j
License Class (j 0
� N LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' co�perySansurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person In any manner so as to become subject to workers'
compensation laws of California, and agree that H I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
w co ly w'th those provisions.
°
X Date LL1/
Signature of Applicant - 54Wner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service To r000,
46. 00
DWE200ALLING so
NEW CONST. OwELLING Occup. 3.52F°;
OR (
NEW CONST_ Muircou�rLS.
ET
NON•RESID. @7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
OUTLET
Ex. Occup. SAL o I:w
Ex. Occup. ovrLtDrs aLNSID.oE. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Filing Fee 20.00
Heating SPLIT 30.00
Cooling
Hood 6.50
Ventilation
PERMIT FEi= $ 50.00
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 128.00
HAZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
I FD
HD
SU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for ich fees have been paid.
Q•,.�
PERMIT EXPIRES ON
ate
Receipt No. 314755/$128.00
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 a Oroville. California 95965 t Telephone (530) 538-7541 PEWT NO.
ADDI If&ATI^U ALM 00QUIT /'3/-(�'�i>�r1'iS`
(Rev.!2rV6) f tiavtl%■ sveIsAtvGo*
aa.eaoaporAma "
—§ • ova a a
BUILDING PERMIT
�IMO"a
SO. FT. OCC. BUILDING VALUATION
man IwMO �pDlalat co,ry
DDriTR1CTf0N 1lJOt11
Fireplace
LVOOM WARM ADDMS
Total Valuation =
N'c",n=cot OiQPdm
Filina Fee
S 20.00
Permit Fee
=
oR DoOM as MAAJM ADCFCU
Plan Checkin Fee
ft%bm 0oms � ��
Energy Plan Checking Fee
=
S ZO
PERMIT FEE
_
{OT14
auson�answus
/N1CaL IW
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
i USEOFSTRUCTURE
SF O Duplex O Mobilehoms D Other
tomOPT
Solar or heat pump water heater
29.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
Now
0 UH6tlee OInstaistion O Other O
O Addition O Re'm/od�ellj 0
Describe Work: 46 l I A/ir aL EL
Gas piping "tam 1 -5 outlets
15.00 /t5--
tjNew
"building sewer
15.00
Wble Home I S I G W 1
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
I Fiang Fee 20.00
Main Service = a
1 29.00
y�
(,/
*PERMIT FEE PAID �
SRA ' ' $
SHERIFF
OTHER
AMOUNT RECEIVED $
,--.
*RECEIPT NVMBER �7S
* TO BE PVT INTO COMPUTER
Mein Service 20m To toxon 1 48.00
w ADOML ° a .ee sat / 9.5c
14EW CONS ' Muu►arrter @7.50
►ower u►uv,Ttw
Ex. Occup. T on MCRAD GALL a t .00
�
Port° •r/+ra. o" 5.00
Ex. Occup. ouTLrm Oro. U
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
RMIT Filing Fee 200
in
Heating �
Cooling
Hood 6.50
Ventilation
PERMIT FEI: S
Moble Home Installation Fee S
Energy Inspection Fee =
CCC
COWT. TT►t TOTAL FEE $ %
K4Z 1 °. 'Ta YI
This permit Is hereby issued under the applicable provisions
of the Butte County Code and/or ResoluWns to do work
Indicated above for which fees have been paid.
By Date _—
PERMIT EXPIRES ON
ti
' -� ..�.c .q .v.r -.p. �.�+-t:^sa .0 fi'Y*+...f�±."C" _: l"..' � .—a :v Yp'• � P , �'y.�, 'l+. .i �'1'' Y ` t .. _. .. ..
COUNTY OF BUTTE - DEPARTMENTN.OF,P;IBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEETW
Permit No.
OWNER Wil// {tel ZU)4 / n— A.. P. No.
! / ` � J� Flo
Proposed Building Use�1 / Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
andJor issuance: DATE RECEIVED APPROVED
1. All items have been submitted.
-2. Plot plans i duplicat itriplicate, signed by preparer of plans.
3. Complete plans in duplicateltriplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . A
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authoriz, tion.
z" i0. Sanitation approval from i Health Dept. .
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ),
_15. Improvements may be required. . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
17. Pre -Inspection for
Pre-Inspec. request to (Date)
Required, Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement. J
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the permit, procesq as follows: -Mail to. owner, Mai�contractor.�
Iephone �u - and hold for pickup at office, Deliver w/inspector. .:
Other
Applicant ;L / <7ate
Copy of plans sent Health Dept., Fire Dep, Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit .for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone—nail counter by date
Contractor, designer, owner, was advised of above required data by_phone_mall_counter by date
Plans checked by Date Plans approved by Date L7
Sets of plans on hold in File cabinet AP folder
— Flours: 10:00 a.m. - 3:00 p.m.
Copy—DPW
Final clearance O.R. for: rater supply
Clearance for bed.roer; mobile home. OL1101• (`CJT L•
NO T',, -x
11-'anitariah pate
To:
-)-,Aiiding Department.
From.:
nvironmental ifc:lth
Subject: Sanitation Clear,,ncc
04,
OtMer
Location
AP,'/
Plan
Approved for:
�el.;af e (Jispo:;al
rater :.uppl.y
Hold
final for:
;7Z
i
t ::cer :supply
Final clearance O.R. for: rater supply
Clearance for bed.roer; mobile home. OL1101• (`CJT L•
NO T',, -x
11-'anitariah pate
INSTALLED
ENERGY SHEET
FOR
ADDITIONS TO RESIDENTIAL BUILDINGS
PERMIT NO. PACKAGE "A" (Additions)
JOB ADDRESS
TYPE OF WOR
FORM '7
SQUARE FOOTAGE
txisting Resiaence /ice
New Addition Z
New Total 137,1, —
The following information sheet, showing mandatory features and required features of
Package "A" must be completed and attached to all plans for additions. to dwellings.
Additions to dwellings include room additions, .converting garages.And patios to living
areas, house moves that add footage and attic conversions, and any space that is ex-
isting non -conditioned space that is converted to conditioned space. Remodeling of.
existing conditioned space is not included.
1 ZONE 12 ZONE lE
APPLIES TO NEW AREA
VCEILING R-30 R-30 R-38
�YFLOOR
R-11 R-11 R-19
R-11 R-11 R-19
SLAB R- 7 R-11 R- 7.
GLAZING ,65 .65 .65
SHADING
SOUTH -OPTIMUM OVERHANG
or . 36' S . C .
WEST - .36 S.C.
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UMC - Ch. 10
ZL HTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING
NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY
AND FILL OUT DATA ON BACK OF THIS SHEET
7/83
I
*1 HEATING VENTIIATING, AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity) '
❑ Heat Pump
(brand and model number) ACOP -
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector "area collector
orientation collector tilt rated y -intercept
rated slope
❑ Other
(describe)
*1 (B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
_ Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
• EER '
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ *2 Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(8), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature ', cooling load BTU
*2 Submit T.I•P.S.E. chart'or other approved system (form #5) to document sizing qf,
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
11A� qj
7T
40BUILDIA;DErR0 APPLICANT