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HomeMy WebLinkAbout022-203-032'0.22=203-032; 1797-75ti , ;* "L ' John Johnso`+ �l�j 7Z s/s'00=' 9 Gridley o tr: Jerr Reed Live Oak 0 22-203-32 JACK R. & NANCY FAWCETT 23 Hastings Ave, Biggs Permit#53-89A(Agricultural Bldg Exemp hay storage)_ 022-203-032 94-049PB FAWCETT, NANCY 23. -HASTINGS AVE., BIGGS 3' 3 CONT: K -DESIGNERS VINYL SIDING/SF B08-1594 022-203-032 MISCELLANEOUS � � Repair RE-ROOF(30 SQ), HVAC C/O 23 HASTINGS AVE FAWCETT, JACK & NANCY 203 i Ci BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 23 HASTINGS AVE Owner' Pennit No: B08-1594 APN: 022-203-032 FAWCETT, JACK & NANCY Issued Date: 08/08/2008 By KCG Permit type: MISCELLANEOUS 23 HASTINGS AVE Subtype: Repair BIGGS, CA 95917 Expiration Date: 08/08/2009 Description: RE-ROOF(30 SQ), HVAC C/O (530) 868-1729 Occupancy: Zoning: A5 0( Contractor Applicant: Square Footage: SCRIBNER, DONALD LEWIS CONST. SCRIBNER, DONALD LEWIS Building Garage Remdl/Addn 254 HASTINGS AVE 254 HASTINGS AVE BIGGS, CA 95917 BIGGS, CA 95917 Other Porch/Patio Total (530) 632-3038 (530) 632-3038 7 FEE INFORMATION DBM Heat Pump (Package Unit) $59.00 DBMSC Re -Roofing $176.00 LICENSEDCONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SCRIBNER, DONALD LEWIS 0 354230 / B C20 / 02/28/2009 I 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 fulllcrce and effect. X U- L(/1 I lam(( .I A 08/08/2008 T Contract6-rs_Signatur Date WORKERS' COMPENSATION DECLARATION I 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. HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by action 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Granite State Insuralpolicy Number: 6975811 Exp. Date:03/01/2009 (This section need not be completed if the permitis oror one hundred ($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 the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those 08/08/2008 ;Signature 1 Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Balance Due: $0.00 Receipt No: B8214 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are notintended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Owners Signature 08/08/2008 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the p weer or am aut ed to act on the p party owner's behalf. 01— 0Ir. ,� 1e 1- _ YHi �,rrn 08/08/2008 Owner 1:1 Contractor OR; Agent for Owner WAgent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o -=' - o A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.nettdds c1!! OK PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All related to this application is subject to public inspection and will be posted on the County's website for electronic access. APPLICANT SIGNATURE X Oz-e�'" L4 CC -e-kAA- PERMIT NO. 80Z -15q BIN # PROJECT LOCATION AP# 092 -qn _ L Property Address City 9 i S WORKER'S COMPENSATION Policy Number Carrier _ N hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. d Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: OWNER INFORMATION Last Name • G 1 vx-,e— First Name Mailing Address City �1 City to C State h �t Zip Phone Fax Fax E-mail Pc # APPLICANT SIGNATURE X Oz-e�'" L4 CC -e-kAA- PERMIT NO. 80Z -15q BIN # PROJECT LOCATION AP# 092 -qn _ L Property Address City 9 i S WORKER'S COMPENSATION Policy Number Carrier _ N hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. d Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name G 1 vx-,e— Address 5 City �1 S to C Zp Req Phone _ b 3 Fax E-mail SC,c b Vt�� SLC, Pc # ---4-Js n Class an APPLICANT SIGNATURE X Oz-e�'" L4 CC -e-kAA- PERMIT NO. 80Z -15q BIN # PROJECT LOCATION AP# 092 -qn _ L Property Address City 9 i S WORKER'S COMPENSATION Policy Number Carrier _ N hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. d Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City S State Zip Phone _ _t 7 Fax E-mail SC,c b Vt�� SLC, State License Number APPLICANT SIGNATURE X Oz-e�'" L4 CC -e-kAA- PERMIT NO. 80Z -15q BIN # PROJECT LOCATION AP# 092 -qn _ L Property Address City 9 i S WORKER'S COMPENSATION Policy Number Carrier _ N hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. d Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name Flood Zone Address SRA City S State CA Zip Phone . Ce _ _t 7 Fax _ E-mail SC,c b Vt�� SLC, APPLICANT SIGNATURE X Oz-e�'" L4 CC -e-kAA- PERMIT NO. 80Z -15q BIN # PROJECT LOCATION AP# 092 -qn _ L Property Address City 9 i S WORKER'S COMPENSATION Policy Number Carrier _ N hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. d Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const "'-022-203-032 94-0496B .FAWCETT, NANCY 23 HASTINGS AVE., BIGGS CONT:'K-DESIGNERS VINYL.SIDING/SF 4 It I Ar rf Xt 4 It I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (91 6) 541 PERMIT No. APPLICAT1014 AND PERMIT O ASSESSOR PARCEL NUMBER 0 . I rj 20NINGA BUILDING PERMIT OWNER NANCY FAWCETT TELENE 868-1129 SO. FT. OCC. BUILDING VALUATION 23"ROMM'AVENUE, BIGGS, CA 95911TEPHO Ov k -'MY S, INC. 6L 1-9300 f:N�i.GTOp6RAILIjJGg§.)7, SACRAMENTO, CA 95821-6911 7 Fireplace tCyO,[J�SvITAICTTIIIONN LLENDEEER769 UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS N/A �, Filing Fee $ 20,00 Permit Fee $ K-FINIOUN�1 S INC. 498806 Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 11261 SUNRISE PARK DRIVE, RANCHO CORUOVA, CA 95142 Penalty $ BUILDING ADDRESS PERMIT FEE $ ' JOB SITE: 23 HASTINGS,AVENUE, BIGGS, CA 95911 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF I9 Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.0 TYPE OF WORK New ClAddition O Remodel ❑ Utilities ❑ Installation O Other Describe Work: VINYL SIDING PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600V OR LESS ) 23.00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 ' NEW CONST. DWELLING OCCUP. So- OR ADDNS. ( & ACC. BLDS. ) 3.5C FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code�atl9,tt, gicense is in full force ayld �ffiect. �7r 88 VV 1. aa! License No. Classification O 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20AL. @ 1.00 Ex. Occup.FIXED APPWS. OR (OUTLETS IRESID.I EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): 4 This permit is for $100.00 (valuation) or less. 6' 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 an keep harmless the County of Butte against all lla_Wlkies-Judgments, costs„arid exprenses which may in any way accrue against said County in cons uen a Vthe xa6ting of this permit. X ” "' Date �Z`7 Signature oMAp I cant :'Q Oqq r ❑ Contracto"r ' Agent An OSHA(permit pet is required excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ //0,00 HAZ- I D. FEES IMP I FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte ,County Code and/or Resolutions to do work indicated above for which fees have been paid. PERMIT EXPIRES ON IDerel Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVEL' OMENT SERVICES - BUILDINGr541 N 7 County Center Drive - Oroville, California 95965 - Telephone (91 is) - PERMIT NO. APPLICATION AND PERMIT O g ` �j 5�9(a ASSESSOR PARCEL NUMBER 02 toy ZONING r BUILDING PERMIT OWNER NANCY FAWCETT TELEPHONE 868-1729 SQ. FT. OCC. BUILDING VALUATION ?3 ETJi�SI,ffWd§1AVENUE, BIGGS, CA 95917 CON TW K—T�St�OM, INC. TELEPHONE 631-9300 7CONTJi:GTO7�R'$ MAILING ADDRESS SACRAMENTO, CA 95827-6977 rEJOD Fireplace jiJCT,IONN LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS NIA Permit Fee $ ARCHITECT OR ENGINEER K—DESIGNERS INC. LICENSE NO. 498806 Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 11261 SUNRISE PARK DRIVE RANCHO CORDOVA CA 95742 Penalty $ BUILDING ADDRESS PERMIT FEE $ JOB SITE: 23 HASTINGS,AVENUE BIGGS, CA 95917 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF CADuplex D Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities ❑ Installation EIOther Describe Work: VINYL SIDING PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and �r►y6license is in full force ae of fect. yy b U ( (� 1 License No. Classification D 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. , Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON -REBID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 BAL. @1.50 Ex. Occu FIXED APPWS. OR p' ( OUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): (� This permit is for $100.00 (valuation) or less. J� I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. D I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice 'to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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, indemnif n keep harmless the County of Butte against all ents, costs d expenses which may in any way accrue against said ounty in cons Lien a the ting of this permit. X Date �L ignature o Ap cant - O O r IJ Contractor Agent An OSHA mit is requir for excavations over 5"0" deep and demolition or construction of/structures 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ �Q r D HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been „ PERMIT EXPIRES ON (Date) provisions to do work paid. to 10 {over Receipt No. IS6 WHITE-O.D.S.-8.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT DESIGNERS TO: A ► fz SUBJECT: BUILDING PERMITS JOB SITE, ADDRESS: Z'�) AAPKS�) 06,'"� Ao Et�,jlaZ__, d6t (N6cS► CY+ 045-a F-7 PLEASE ACCEPT THIS AS YOUR AUTHORIZATION TO ACCEPT THE APPLICATION AND A -BUILDING PERMIT FOf THE ABOVE DESCRIBED JOB SITE SUBMITTED BY A REPRESENTATIVE OF K -DESIGNERS. ISSUE PLEASE NOTE THAT THIS AUTHORIZATION IS RESTRICTED TO THE ABOVE DESCRIBED JOB SITL ONLY AND NO OTHER PERMITS ARE AUTHORIZED uFpPT"I RESPECTFULLY.- BRIAN ESPECTFULLY, BRIAN (B.D.) VIDLOCK PRODUCTION MANAGER P.O. Box 276977 • Sacra•i-lento, California 95827 • CA Lic.r;493-806 • (916) 631-9300 • (800) 743-4642 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PM©LSO. Gk FLOOD ZONING V 3 ROOFING ISSU OWNER ��L �� F-6 Lq)C PHONE NO - I O NER'S AD KESS LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE V 'X _ SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME ✓ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED COS OF CONSTRUCTION $ ` Jn ' AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: S S FRONT o SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Perm Recei Signature of Owne� The above descri d AG Building is exempt from a building permit. Director of Public Works By Date 3^ k- Y White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant FLOOD PARCE P.D. ROOFING ISSU I Director of Public Works By Date 3^ k- Y White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant l$t$ ��.� r .,It � ` y ,:w-•'�.+..-, ..F�'t...�.::�.. +m:11::P �,Fl�jq . s � 1„ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -,TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER F_ , Ad P No.2y� Proposed Building Use id Building Inspector Date At time of permit application, I w9sldvised the following data must be submitted prior to permit processing and/or issuance: r DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered' plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid 11. Park fees paid ..............1;. 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re ulred . • • • Pre-Insperequest to p q � Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: _Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., 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 —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW T3 3 PERMIT NO. 1797-75B,P,E,M P i E M MH UTIL. PERMIT NO PERMITEXPIRES OWNER John E)X Johnson FcoNTR. Jerry Reed, Live Oak +.,LOCATION (A.P. 22-202-06 ) sl s Ha st ing s Ave. , 3001 W. of Hwy 99, Gridley is s. . Temp. Power Pv+e' Called PG&E 1��a `7 t— Temp. Elea Serv. Called PG&E —hemp. Gas Serv.�: 75 �— Called PG&E OB i..,/,Fl NALED � (D te) (Signature) TO: Building Department FROM: Environmental Health RE: Sewage and/or 4ater Clearance 2r`rX19 OWNER LOCATIN t A . P-` . Has been approved for: SE74AGE DISPOSAL d 41ATER SUPPLY G /� Sanitarian Date S95-775-1-' 6 THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT CHERGY REGULATIONS, CALIF RNID, ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: ILa o ro Number rac o, EXTERIOR WAILS ��•� 1 //Z i. ' Manufacture Thickness/Type R Value CEILINGS Batts: Manufacturer '�f41- ickness R Value Blown: Manufacturer ' Thickness No. Bags' " " " " Wt./Bag- .'' Sq. Ft. Covered R Value FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R Value e GENERAL CONTRACTOR LICENSE NUMBER t BY TITLE DATE INSULACONTRACT R l� /L /! LICENSE NUMBER -� S `Fe C j i BY- U L.TITLE QC.I_/c Pim DATE/%�� + COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING Setback Forms Main Bld Footin Slab Piers Footings Stemwa I I Slab I Carport Footings Slab Patio Footinos Reinf. Steel Bond Beam Stucco Mesh Scratch Brown Finish Interior Latt Door Closer, BUDDING (Cont'd) F i rewa I Parapets Restroom Finis'/, Windows Siding Roof Sheathing Roofin Fdn. vents Garage Vents Prov. for physically handicapped Conformance of ex. structures Fin.,51 % (3- FIREPLACE Footing Throat Final FIRE SPRINKLERS Test Final MECHANICAL Heath C001 11 Ducts Final PLUMBING Soil Piping 1st Floor —2!j — 7 2nd Floor 3rd Floor To out Water P' in r Sew Fixtur i1 Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final S ELECT Fixtures Motors Water Htr. Subpanels Grd. Fault Prot Service Temp. RSft_ Under, Perma �— Final DATE REMARKS OR CORRECTIONS �--.2 7 7S `azo Lc1 a,w �- l �� 6 1 CIA 4 -4 - 4 1- Owner/7�' Mailing Address COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 0 S 7 County Center Drive -' brbville, California 95965 / Telephone: 534-4541 APPLICATION AND PERMIT BUILDING SO. FT. 'OCC. BUILDING VALUATION pd 4o�'a. 00 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. X Date VZq1_75 $ignatur f Permitee or A ent' Receipt No. �,��r 4se © z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant MO TOTAL PERMIT FEE 1 1$,QO4011/O 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. DIRE TOR OF PUBLIC WORKS By ' Date Building permit expires Date Telephone No. Fireplace 7 S-0, or Contractor , ,`c- Total Valuation 3 Q O Mailing Address. O �T Permit Fee Plan Checking Fee &/or Penalty - Tpl na. Permit Fee ' , 0 0 Building Address S PLUMBING No. @' I FEE PERMIT FILING FEE $3.00 Q C Each Trap 1.50 " Repair drainage or vent piping 1.50 Water piping 1.50 �, g Each gas wate eater or vent 1.50 A. P. No a -C2 �,� " Zoning & Planning Gas piping system 1 - 5 outlets 1.50 -� Each additional outlet .30 4 s Sa Fir ept. F1 re Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rov ents P Lawn sprinkler system 2.00 g. Plans Rec'd Parcel Aproval Pla s Approval Permit Fee $ ®G NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 QC) Main service incl. 1 meter d Additional meters, a 1.00 Sub -panel 02 ess) (more than 12) AS o - Single Family IfX Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures ' 959, sws &fix outl �'20 12 (� , CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �­-�; !2 P', e Hood, Ex nor F.A. Furn. Motor 1.00 Evap. cooler, gar4w9p.or 1.00 —',7 O Air cod' or heat pump a ,Q Water pump r Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Lla2 Classification Misc. wiring ❑ I am exempt from the contractors .License Laws of the State of California. Permit Fee 2,r 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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. @ I FEE PERMIT FILING FEE $3.00 3. OCA Heating Q 6-.00 Cooling 79-0 Ventilation Hood 2.00 . O 0 Permit Fee $ f ] 5o 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. X Date VZq1_75 $ignatur f Permitee or A ent' Receipt No. �,��r 4se © z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant MO TOTAL PERMIT FEE 1 1$,QO4011/O 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. DIRE TOR OF PUBLIC WORKS By ' Date Building permit expires Date