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022-210-012
22-21-12 Bennie Ford E/S Nugent Rd., app., app.2 mi.N.of Gridley Colusa Hwy, Gridley contr: Aldri�e Contr., Live Oak Permit #506-78B,P,E,M(new single family) , Q� �d�� 22-21-12 1897-90B FORD, Bennie 1852 Nugent Rd, Gridley Contr: AMRE 9� (vinyl siding/sf) q 022-210-012 06-1707 FU1LU, 13ENNIE 1852 NUGENT RD, GRIDLEY Cont: RB SPENCER INC I VACi i R1 0 0 J. ' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP061707 LICENSED CONTRACTORS 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 Issued Date: 07/17/2006 APN: 022-210-012-000 the Business and Professions Code, and my license is in full force and effect. �.ZU License Li nse Number: Site Address: 1852 NUGENT RD GRI �7Class: Date: / Contractor. Map Index: Description: HVAC CHANGE OUT p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: FORD, BENNIE WAYNE to its issuance, also requires the applicant for such permit to file a 1852 NUGENT RD signed statement that he or she is licensed pursuant. to the provisions of GRIDLEY, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95948 she is exempt therefrom and the basis for the alleged exemption. Any (530) 846-5885 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).): ❑ 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 Applicant: R. B. SPENCER, INC Code: The Contractors' State License Law does not apply to an owner of property whc builds or improves thereon, and who does 1188 HASSETT AVE such work himself or herself or through his or her own employees, YUBA CITY, CA provided that such improvements are not intended or offered for 95991 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 674-8307 proving 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 Contractors' State License Law does Contractor:. R. B. SPENCER, not apply to an owner of property who builds or improves thereon, •INC and who contracts for such projects with a contractor(s) licensed 1188 HASSETT AVE pursuant to the Contractors' State License Law.). YUBA CITY, CA ❑ 1 am Exempt under Article 3 of the Business and Professions Code 95991 (530) 674-8307 LICENSE#: 664429 Date: Owner: License #: 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 Architect: is issued. Qr"' I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 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: 2&ti/%%-t— Total Square Ft: 0 S. F. Policy #: G S:F/—�33� / Valuation: $0.00 Census Code: ❑ 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 co ply wi h those provisions. ,W �2 Dn A WARNING: Failure to secure workecompensation coverage is do unlawful, and shall subject an employecriminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Brute County Code anrUpr I hereby affirm that there is a construction lending agency for the Resolut�s'o o ted a ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Indi,a Name: By: IT 0 coE Address: f7 r -Date: PERMIT PIRES ON: L Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I e owner or th duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful tc alter t e 'u lance of ffiI form or document of Butte County. I hereby authorize represe atives of Butte t�to enter upon the above mentioned property for inspe i n urp e Print Name. Signature: Date: ❑ Owner ❑ Contractor 0 Agent for Owner --ft%a_ent for Contractor r rk BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name VUL Name 6 Address % UG ` Ci St Phon Fax E-mail APPLICANT INFORMATION ARCHITECT/ENGINEER i.��'�✓UPOWN, ft L1 4 Address F M ri FAR City FaV State Zip Phone Book Fax E-mail Planner I 1 ►il APPLICANT INFORMATION ARCHITECT/ENGINEER Name ft L1 4 Address / City FaV State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Ad S ft L1 4 1 / h e7, 30 Y/ FaV E-mail ,,O,,WLICANT SIGNATURE 04W100�%/� _. For office use only: Zoning r ert Address Flood Zo a Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP BIN # PROJECT LOCATION AP# 02.2-110- 01'2- r ert Address �f Cross Street WORKER'S COMPENSATION Policy er�� Carrier If 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 K:\FORMS\BUILDING FORMS\B1dgApp1SubRgmts.doc Page 1 of 2 Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received byK6 - Amount: Receipt #4 - " &o,tw/613 Date: 7.1 l . Oo SRA Sheriff SMIP Other , Total REV 8-12-05 A. SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KIFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 Y I• 22-21-12 1897-90B FORD, Bennie' 1852 Nugent Rd, Gridley Contr: AMRE (vinyl siding/sf) E ' ' t • t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION.AND� PERMIT PERMIT NO. qty, ASSESSOR PARCEL NUMBER 11: ZONING BUILDING PERMIT OWNERTELEPHONE nq\; _ �__Orj ' �(ti.o-F4 r7 SQ. FT. OCC. BUILDING VALUATION i OWNER'S MAILING, ADDRESS 5 -), ` ,A�uuV er'1t 120C+� Vii. �P C R 5'1y CONTRACTOR'S NAME V Zcz TELEPHONE CONTRACTOR'S MAILING ADDRESS -k 00 �ciSr V ,Ae.S) (J-)fSt SCkCCafrafN_oO CA 1/5(041 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. �}rl0t( Z- Plan Checking Fee $ n. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 AJ t r,A ie'.r t",. A 61S(A Permit fee $ PLUMBING PERMIT Filing Fee 10.00 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 SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New❑ Addition[] Remodel 4PUtilities❑ Installation❑ Other Describe work: A , f\ l..•' _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [Jo I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in ful force and effect. � ? }1304:Z License No. 130 4 y� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. l ACC. BLDGS. y2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS 2,50 ea (POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20@50t AL030 Ex. Occup. our ETS PR (RESIO IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ©/I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee Contractor $ 1 certify that I have read this applicatiori and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expense may in any way accrue against said County in consequence of the granting o this permit. X - Date �— % '9 g pp ❑ Contractor Agent Signature of A I' n�— Owner ❑ ❑ An OSHA permit Is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3,,stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz CUA PARK SCHL FLD PAR PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do wor .-h dicated above for which fees have been paid. �� D T ,R OF PU U, WORKS _ Date PERMIT EXPIRES Date t t� Receipt No. f ��1 & WHITE-D.P.W.. YELLOW -ASSESSOR. PINK- INSPECTOR. 'GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAT.10KAND PERMIT PERMIT NO. ASSESSPARCEL NUMBE ZONING BUILDING PERMIT OWN R TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS I F S), /Uvvei,\t' Doav 6c:aW CA 9S9148 CONTRACTOR'S NAME ems. TELEPHONE CONTRACTOR'S MAILING ADDRESS 1400 Irr�er��S� � Z West SaGMt+len�o CA `/5(o9I , Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDF.ESS 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 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 SFE�'Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 e TYPE OF WORK New ❑ Addition ❑ Remodel4Utilities ❑ Installation❑ Other Describe work: V S \tet 1 S "t c� i r\ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2050 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in ful force and effect. License No. 4'13042 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d+ OR ACDNS. (ACC. BLDGS. 2/z¢sea NEW CONST R. NCUTLET NON -RE ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2AL SOC aO 30 FIXED PR Ex. Occup. OUTLETS (RESID IEAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bVirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �l have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation_ permit Fee $ Contractor I certify that I have'read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expense may in any way accrue against said ounty in consequence of the gra Ing o this permit. _ Date%� 9Q Signature of Appl' an — Owner ❑ Contractor ❑ Agent ❑ ion of structures over 3 stories in height. An OSHA permit Is requires for excavations over 5'0" deep and demolition or construct -C1 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ CUA PARK SCHL FLD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County. Code and/or wor dicated above for which f =7D!7:;)F P PERMIT EXPIRES Date the applicable provi- resolutions to do s have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO 5062-7 8B,P,E,M PERMIT EXPIREo S/rr/� q OWNER Bennie .Ford�, CONTR. Aldrin Contr., .j® oak 22-21-12 LOCATION (A.P. ) E/S Nugent Rd., app. z mi.N.of Gridley Coluda Hwy, Gridley Temp. 'Power Pole Catled PG&E Tem( Elea Serv. jCalled PG&E . /emp. Gas Serv. i' Called PG&E Y q JOB FINALED (Date) (Signature) i THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: I Nugent Road . Street i Lot Number Tract No. EXTERIOR WALLS Manufacturer Certainteed Thickness/Type AT" R Value 11 CEILINGS Batts: Manufacturer Certainteed 'Thickness 6�� R Value 19 I Blown: Manufacturer Thickness No. Bags Wt./Bag Sq. Ft. Covered R Valu,- alueFLOORS FLOORS Manufacturer Thickness/Type _• R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation inches i FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR LICENSE No. BY TITLE — DATE INSULATION CONTRACTOR: HAWKINS INSULATION CO., INC. LICENSE No. 215-925 -, ,, a nTLE Owner DAA Nov. 22, 1978 COUNTY CF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback Firewall 1Y -,`?`7q, — Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Flnish 2nd Floor Footings .7 Windows H 3rd Floor Stemwall Siding To out r Slab Roof Sheathin ► Water Piping6 Piers C% Roofing A0 k, Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Al 7 Garage Vents Insulation Water Htr. Heaters Slab Car rt Po Footings Slab Prov. for ph sically handicaped Conformance of ex. structure Final 51�?' A liances Gas PI in &Test y % TemD. Gas Sanitation Patio FIREPLACE ; Final Footinas Fnntinn 9. /L, - R I- -. PI F(`TOIr`AI Relnf. Steel Final Fixtures r Bond Beam FIRE SPRINKLIRS Motors aming1417 Test Water Htr. �-- ucco Final Subpanels Mesh M CHAN C Grd. Fault Prot. Scratch Heatino 00Service Brown :�, olin Temp.�i� Finish_ ---'--Ducts U t F, Underground terior Lath Ventilation Permanent Ior Closer Final z IV Final -- /l MUt3ILEHOME UTILITIES _-----•-------•---• Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 'MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ii1,31-?eCV'/P /I - qryw ,v,.o( 1f\a,� - , , !' ;P-4ME"A Wow' wmw 3 I Lvvn i y •TE: e try mus made onnorm each time you visit the job lWaR 6'1 i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner BEAIAII & Fop -D SQ. FT. OCC. BUILDING VALUATION 1:9-0-0—sr O /00 Mailing Address Telephone No. 1� Z /, Contractor 41—Dk21D1; C 6OAf PAG]7/v / 7 �A11N � � Mailing Address $ 0 Fireplace i00 O Total Valuation 41, 5 VG 0.4A✓ C - 9s95 !OI yy Dt�►p �l3l0� Permit Fee Building Address 61s khU 6-A)% R #19F f PlanFee&/or Penalty ng Permit Fee Permit ee PLUMBING No. @ FEE SOF 6el DLE`f i4 fltitl Y MSL ?`Qkep'r#calo - - ° QnlV PERMIT FILING FEE $3.00 100 Each Trap 1.50 o Repair drainage or vent piping 1.50 A. P. No. oZ.� - %� /� A'2 Zoning & Planning Water piping 1.50 /0S70 Each gas water heater or vent 1.50 s VQ,5- Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel p 60' R/W Improve ents Each additional outlet .30 Building sewer 5.00 Bldg. ns Recd Parcel royal Plans pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ '950 $ S ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 5.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single FamilyEroo- Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25,00 100 AMP OR LESS t Main service/ EA. ADD'LOO1000CC AMP 1.00NEW DWELING CONSq 1 OR ADDNST \ ACCLBLDGO((p S1 20sgft , J?J) 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:Ex. NEW RESID,CONST/ BRANCH CIRCUITS) NON-RESID 1 BRANCH CIRCUITS/ 2.50ea NEW CONSTR (POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. QCCUV(OUTLETS OR FIXTII-FS BAL@i OCCU / FIXED APPLNS. OR p•\OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.12 yi (l!!Z? Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $Si $o $ 6,519.4 WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a,certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 1-00 Heating /�Q A 6AT T-)UMp Cooling q ifs 0 Ventilation Hood 2.00 ," Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee TOTAL PERMIT FEE $a `y `►' 81 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XDate _cq Signature of Permitee or Age Receipt No. /81617 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicani 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. DIRECTB'13i OF PUBLIC WORKS BV ' Date 7—lf -- 7, ZIng permit expires Date --112 737 OWNER RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC.. ONLY) �" Q,� Bldg. Permit #v F5 :/ A. P. #k 2.7„ --t Z. A. GENERAL .1. Zoning requirements (sideyards and parking). ,2! Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN 1. Complete parcel size and dimensions. 2. Setback.5, sideyards, easements, etc. Other buildings or structures. 4f Grading, fills, drainage. C. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Seca 1405). Required windows for second exit (Sec. 1404). llowable glazing for energy requirements (20% max. per.State law). Y� Human impact glass (Sec. 5406). 6: Required room sizes, ceiling heights (Sec. 1407). .7� G.F.C.I.'slin baths and exterior outlets (Sec. 210-8). 81" Light fixtures, switches; receptacles, and exterior receptacles for maintenance of mechanicaliequipment. 9, Locations of water heater, heating & cooling equipment, other electrical or gas equipment, I and plumbing fixtures. YT' Garage,firdwall, door size, and closer (Sec. 503(d)(4)). l 1 - 3'0" exterior exit door (Sec. 3303d). 1'r Fireplace location. 14?." Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS oundationiplan complete enough to construct building. 2. Floor construction details complete enough to construct building. 3'! Elevations and wall construction details complete enough to construct Xoof construction details complete enough to construct building. 5 ireplace construction details and calcs if over one-story in height. 6f Sufficient data and details to satisfy energy insulation requirements 1 i . E. MI ELLANEOUS ITEMS TO LOOK OUT FOR �CX plywood on exposed locations and overhangs. 2 / Stairway details (Sec. 3305). 3.�Guardrail details (Sec. 1716). [4�((/Brick or stone veneer ('Chapter 30) . 5. Exterior plaster - weep screeds (Sec. 4706 & 4708). 6�/Proper roof pitch for roof covering (Chapter 32). 77 Rafter ties or bearing ridge beam. 8XGarage door or porch header sizes. building. (State law). ! ,,adequate bracing. 19 . Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. 11. Two (2) exits on three-story dwellings (Sec. 3302). 1 ................ .......... 4P j! Eii into il-i-pi-Ifli III M 'T $W PIP! ;If �I A p Oct Ic IIR 1� rI(I R 10. c Tx . . . . . . . . . . . . t-fi'ff M�r,- 71TMMI rMTrjj - '1� A f -01 O)K of t , -7 4cl-.8r-, L 4- i�cwAow- r�2 014 c) A INI)&"�K ftoT P40LNN ti tl Sr,ptic svoem end 1,ocation of bra Id- ing drair, s�ub-oij+ et Duma County HouM Dopt. quIreman,h-. .......... in Bldg. SofbacIr cull bo Erma frA") side c0l,deAone of Mf. MUM e POO Coll a 2 earn enfiroi' 00f Of ch y il PLOT PLAN A R6,151 I 6'N 1--41% 1--41% ae-IN N I GI F -b a 1410(.c Y, r -A e- I Thi's sof of plans and specificafim MUST be NOTV-.-,�All M. oforiials A WW�mOmhlp Shall Do in kopf on Ole job -of all Pim--02 and it on unlowful +0 A=savdance will Recognized Good ratficos and M040 all chunqos Or 01tert4f quatilty proscribed for the Specified Use i" the . MM an Sarno Wif houf Rffon parmita n f, 4� Plum6ing & Mechanico.1 Codes and w I io rarn fho, DepvKmon+,uf Publia worho corny of otma, -tional Codo. F, - A -4 At ry" Ij Dl-�rv,'w 8-y: L &�4 0fi 7 BUTTE COUNTY BUILDING DEPARTMENT A`R�"ED .jrj B N 5 "7 8 4. wiw I " Ig'. "-'�4�' 4o, 0 'Aj r,7 5" 1 VD o6 u 8 go to 40 o8 81 IM'far t '4 8, Li flit 111111),11 i A7 T11 ) (— 0 NO 'TMC' - N P4YWOOO 4'X -r. 7-7ZIM Ale4-zryvnI�o '�MPIJGI - R5,7Z f a a will ME= no 1�3 a 13 Ila= el 0 �11 qAT"C. s 1 7 7 7 Em, AS 3;10 P11 A:3 If L U, Ld" iTo NORTP a IF 4 III I W"M (0,',*TY BUILDING DEPARTMENT A P P*1 ROVED M., - T R.' F" Ig'. "-'�4�' 4o, 0 'Aj r,7 5" 1 VD o6 u 8 go to 40 o8 81 IM'far t '4 8, ul u, ti v a Im m TT RTM A .X -A7 . ........ ) (— 0 NO 'TMC' - N P4YWOOO 4'X -r. 7-7ZIM Ale4-zryvnI�o '�MPIJGI - R5,7Z f a a will ME= no 1�3 a 13 Ila= el 0 �11 qAT"C. s 1 7 7 7 Em, AS 3;10 P11 A:3 If L U, Ld" iTo NORTP a IF 4 III I W"M (0,',*TY BUILDING DEPARTMENT A P P*1 ROVED M., - T R.' F" A3 Ilk T�,I 4 o i7p L 7w 304 Ni (W -A 67 e. Fill F. OM "0vf QVI T, ?4 kv, S-# J/,, , e X 3 Sl_lAreeV 4-r CORN jQYwe>OO VYWA rV Ar D ........... --low 'Ot Prot Oir 77 2A;W";a :7, T-77", t. K:rr ............... rti Z4. is i L. e. r 'r Ko, f FY il 113ALL rt ql� 0— 4, U CD cD WE .10 '3 VVNDO� :3 6X-rC.VIV/,5_ 6X,r6�914>1?_ a A 7 711 e- V67V Tf4A ri 0 N 67 ,SOF-r]T DE'TA)L —FYP. so# = EA S 1 0 = t, O. -f 4 P L"El'ARTMENT p v 6`7 lSjD11\JG,, 0, -rA- IL TYR. R sgo� r NO; DIZAWN �3Y. AIAUSxr 117a 4, ---------------------- ............. I 71,777�JI a 01 If 4 v F ea P4 rw It* cs_ 04.po-", �.O*A ro Z TT 06 89 IVIj jM 08 9Z W. 'V4 64, C , I r39 j IT awl A' Z T7;j, 1`� U J�j F T, IT, T!T� 21 90/ tYK ra tO �4s I. ft t4l, I Oq�MY,R," r E D P\- 0 4) en C r (Ij v i H4 L L !7) CA- I .... . .... 4 LJV .7t- 73 1 jo 71, -3 f� w 4 P� r, z3y f'" NOVI I f40f VrC 1 .31a all 7. r door. 17 4 Cel' A t'T r 00V 11 VT v) 10 e4 /7 A 4 T-bSr /* Y AP 0 -7 A 76 m, Inimurn STATE RESIDE14TIAL ENERGY REQUIREMENTS for f6is building of._ _.Degree Dan Od Domign Tomp. are: Insulation- Stab e�lge . w . 0. 0 . P (-;lazing: Single -allowed; 4JW S1. ff. Fdn. Walls - - - - - Floors . . . . . . . . Wails - 5t or;a'- ff. not aquired, M W ds, & Drs. cort. & I Circulating plipes ICA Ducts Tijb1s, 1O.D U.M.C.' Doors wealGild Pe(i Hig. & A.Coi AP Z PM � Exhav-f Pons Gas Pips bwyck cc s, *ThfermRfPnf igri lon Typo BTU Max. Al Appliaocescnit�r ad Wfr. Hfr. Typo Other., BUTTE COUNTY BUILDINGDEPARTMENT A P P R (PIDW E D 4. vm m I / - ., ,;"� Pt . � I . � I �-. -, � I I ,�, 0 1, 1 4 . . I I ., .. q I . - � . I . I I , . I I . ; . . 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