HomeMy WebLinkAbout022-220-003PW
77
�4 1307-0002 022-224)-G03,
1 MISCELLANEOUS Electric Panel
ELECTRICAL SERVICE PANEL CI -IAN .
"2371 W BIGGS GRIDLEY RD �.
`/ARGAS SOI,I::D;',D 1,®✓o- Wit-_.
B07-0935" 022-220-003 `
MISCELLANEOUS HVAC Change Out
CHANGE OUT HVAC
2371 W BIGGS GRIDLEY RD
VARGAS,SOLEDAD
I
�� AP 22-22-03
� Nicholas o ez
Biggs -Gridley . idley
SHOUSiNG INSPECTION) - See .tter_)_`
AP 22-22-03
Ande on & Bihl
0 444' S. of W. Biggs -Gridley. -Rd... -at
wester turn, Gridley
Permit 109 -76B (new SF)
2-22-03
Contr: Gridley P1 ing
Permit #-1185-76P(p g_ .fo - 099 6<
r
Contr: Sweem's C
Permit #152 6M(mech for 1099
, 22-22-3�
Contr•Cody's Electric
er t #1555-76E(elect, for 1099-�
76) -SF
22-22-3
NEW OWNER
SOLEDAD NAVA
4 Permit #6108-78B(fireplace) SF
I "
Permit #66 z`i, c�t5 �"C O.,vt'Y't'garage to
family room SF)�
22-0 3 S
JUAN NAVA gg
2371 W. Biggs -Gridley Rd, rid ey
Permit#485-85B,P,E(addition/SF)
22-22-03
Permit 2.500=86B 'new ara a (s
I
1
,4,
3
N
0
-11
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 2371 W BIGGS GRIDLEY RD
Owner:
Permit No: B07-0935
APN: 022-220-003
VARGAS,
SOLEDAD
Issued Date: 05/01/2007 By KEJ
Permit type: MISCELLANEOUS
2371 W
BIGGS GRIDLEY RD
Subtype: HVAC Change Out
GRIDLEY, CA 95948
Expiration Date: 04/30/2008
Description: CHANGE OUT HVAC
Occupancy: Zoning: A40
Contractor
Applicant:
Square Footage:
GALLAGHER'S HEATING & AIR
ALL ABOUT PERMITS
Building Garage Remdl/Addn
PO BOX 35
3083 WHISTLER WAY
LOS MOLINOS, CA 96055
CHICO, CA 95973
(530)384-2444
(530)680-7619
Other Porch/Patio Total
FEE INFORMATION
DBM Heat Pump (Package Unit) $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B2865
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 04/30/2008
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
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
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
u11 force and effect.
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
05/01/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
C factors Signf vry Date
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
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE AND WILL MAINTAIN
the work himself or herself or through his or her own employees, provided that such improvements
❑I A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
EHAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
l Section 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;
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
State Fund 713-0013855 05/01/2008
Carrier: Policy Number: Exp. Date:
Contractor's License Law.).
(This section need not be completed if the permit is or one un red dollars ($100) or ess.
IAM EXEMPT under Section B. & P.C. for this reason:
❑
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'X
05/01/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owners Signature Date
provisions. �
X05/01/2007
I hereby certify that I have read this application and state that the above information is cored. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Sign a Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
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
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,
injury, including death, and property damage caused arising out of, or in any way connected with
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the
use or occupancy f any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
Countyto eater th a ove mentioned property for inspectio purposes. I hereby certify that 1 am the
o eror thori dt ac on pro ert o rsb elf.
CONSTRUCTION LENDING AGENCY
/01/2007
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
ame of a ittee [SIGN] Prmt ate
the performance of the work for which this permit is issuec. (3097 civ. code)
Owner 1:1 Contractor OR; Agent for OwnerAgent for Contractor
FILE COPY
Lenders Address City State zip I
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR rNSPECTIONff: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE {l: (530) 538-7541
A FEE WILL. BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Nam' /1 Fir N
Address G �77-3�,
City Si
Zip
Phone Fax
_Narn, _
ame
ARCHITECT/ENGINEER
Address
r 5 H VA C
r l�y�
City
SRA Yes No
State
Zip
Phone
Zi
Fax
E-mail
Fax
Stale License Number
APPLICANT SIGNATURE
For office use only:
APPLICANT INFORMATION
Name Gat
r 5 H VA C
r l�y�
Address
SRA Yes No
City
rL0L'`
Stat�
Zi
Phone
Lot #
Fax
E-mail
APPLICANT SIGNATURE
For office use only:
Zoning
Flood Zone
SRA Yes No
Occ.
Type Const.
Subdivision tJame
Map Book
Page
Lot #
Planner
Date Approved:
vv�n Fvr\ JUDIVII I IAL K1=WUIKtMtNT5
K:IFORMSIBUILDINO FORMS1BldgApplSubRgmts.doc
PROJECT LOCA IT ON
63
Cross Streei
WORKER'S COMPENSATION
Policy Number ,.
Carrier
PERMIT
NO.
W.
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
Descrip9on oryS,Fope,ofWork:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use).-
EXPIRATION
se):
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 \,ho
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 by: Amount:
Bldg
SRA
Receipt #:
_Sherif(
—
SMIP
Date:
Other
Total
Page 1 of 2
REV 8-12-05
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website:www.buttecounty.net/dds
Permit No: B07-0002 Issued: 01/03/2007
Address: 2371 W BIGGS GRIDLEY RD BIGGS
APN: 022-220-003 Permit Subtype: Electric Panel
Owner: VARGAS, SOLEDAD
Applicant: VARGAS, SOLEDAD
Description: ELECTRICAL SERVICE PANEL CHANGE
MUST BE ON JOB SITE
JOB SHALL BE READY PRIOR TO CALLING FOR
INSPECTION. THE INSPECTION CARD AND
APPROVED PLANS MUST BE AVAILABLE FOR EACH
INSPECTION OR THE INSPECTION WILL NOT BE
MADE AND A RE -INSPECTION FEE MAY BES -
ASSESSED.
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/StP�t_�o.ldo_wn. s
Di
Pre -Slab]
Gas Test
i Address
Mason}
MasonH
Underfll GA
Underfl Meter By
Shear 7 ELECTRIC
Meter By
Under �
Under I__.
Gas Piping
122
OFFICE Copy
k
r
Date
M
Do Not Install Floor Sheathing or Slab Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Roof Nail
129
Shower Pan/Tub Test
408
Fire Sprinkler
702
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Gas Test
404
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Building Fina -7-802
Electrical Final
803
M
P1
echanical Final 809 I
umbing Final 813
Pr t
oject Final 801 I.
PERMITS BECOME NULL AN VOID 1 Y R FRO
INSP
HAS
COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 2371 W BIGGS GRIDLEY RD
Owner:
Permit NO: B07-0002
APN: 022-220-003
VARGAS, SOLEDAD
Issued Date: 01/03/2007 By GLB
Permit type: MISCELLANEOUS
2371 W BIGGS GRIDLEY RD
Subtype: Electric Panel
GRIDLEY, CA 95948
Expiration Date: 01/03/2008
Description: ELECTRICAL SERVICE PANEL CI
(530) 846-3815
Occupancy: Zoning: A40
Contractor
Applicant:
Square Footage:
VARGAS, SOLEDAD
Building Garage RemdUAddn
2371 W BIGGS GRIDLEY RD
GRIDLEY, CA 95948
Other Porch/Patio Total
(530) 846-3815
FEE INFORMATION
Single Phase Service - Res $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B1350
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
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
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
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
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
X 01/03/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
check one of the following:
PZ11
Contractors Signature Date
AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
OMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I HAVE
the work himself or herself or through his or her own employees, provided that such improvements
AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑❑
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compansation insurance carrier and
The Contractor's License Law dows not apply to an owner of the property who builds or improves
policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier: Policy Number: Exp. Date:
(This section nee not a completed if the permit is or one hundred dollars ($100) or es_s
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
❑ I AM EXEMPT under Section B. & P.C. for this reason:
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'
Xlyaj 01/03/2U07
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
Signa ure Date
S/1, � 0 A A I �
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
/,, -d1/03/2007
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COM NSATION COVERAGE IS UNLAWFUL,
WARNING: FAILURE TO SECURE WORKERS'COMPNSATION COVERAGE IS UNLAWFUL,
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
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,
injury, including death, and property damage caused arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
pert
pr owner or am aWrized to act on the property owners behalf.
01/03/2007
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
a of Ferrflifte JbIUM Prt Date
the performance of the work for which this permit is issued. (3097 civ, code)
Owner ❑ Contractor OR. DAgent for Owner ❑Agent for Contractor
FILE COPY
Lender's Address City State Zip
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the 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 following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations unders state law, contact the Department of Benerit 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 thier work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL.NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. I PERSONALLY0 PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IM '
PROVEMEN (YES R NO)
2.VECONTRACTED
/HAVE N SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HWITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: ELECTRICAL SERVICE PANEL CHANGE OUT
Reference Number: B07-0002
Applicant Name: VARGAS, SOLEDAD y
Signature of Property Owner: Date)—
- , 5
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 Nam �
Lr -Nam
- P-
i I
Stat
Zi!26
Phone _r 3 f
Q J
Fax
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property Address
Flood Zone
Cross Street
S
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
MIPP Pr10 CI11PIMITTAI PFMI IIRFMFAIT_q
PERMIT
NO.
BIN !#
PROJECT LOCATION.
AP#
-
Property Address
y
Cross Street
S
WORKER'S COMPENSATION
Policy Number
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
Description or Scope of Work
C
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
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.
vv
ReceAmount: Bldg
V
SRA
Receipt #: Sheriff
SMIP
IF
j
Date: Other
15s� 1�
Total
_CI
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. ❑ LegaF 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
KAFORMSIBUILDING F0RMS\BIdgApp1SubRgmts.doc Pape 2 of 2 REV 8-12-05
SHEET_I OF
NAMr1` D11A
1
NAME
PROPERTY LOCATION Z371
BUTTE COUNTY PROPERTY RECORD
I e� rx S, - r, R. I r, LE
L PARCEL NUMBER I
Book I Page I Block I Parcel 1 I Code
ZONING
Assessment Year
19 8(0
19 Y
19
19
19
19 t
UTILITIES—SITE IMPS.
Date
o ,-a 5
Electricity: YesO Telephone
Approiser
1627'8C�
162
(j pjyl/
162
162
162
162
Gas: Public ❑ LPG ❑ None Ll
Supp. Assessment
Yes •Q No ❑
Yes Q No ❑
Yes ❑ No ❑
Yes ❑ No -E]
Yes ❑ No ❑
Ye ❑ No ❑
Sanitary Swr.: Public L.1 Indiv. IX)
Use Code
160
�%�
160
�G
160
160
160
160
Storm Swr.: Public 1_._? Natural!24
Transfer Coda
124
%
124
%
124
%
124 %
124
%
124
1 y
Street: Conc.❑Asph. f>(t Dirt[; Gravel [j
Acreage
108
108
Z. 14±
108
1
108
108
1081
1
Street Lights: Yes 0 No
Incomplete
163
P.U. 19
163
P.U. 19
163
P.U. 19
163 P.U. 19
163
P.U. 19
163
P.U119
C & G: Yes 0 No .FX
Building Class
167
167
167
167
167
167
Sidewalks: Yes ❑ No 0
Bedrooms
168
3
168
'168
168
168
168
SITE TOPOGRAPHY
Baths
169
S
169
169
169
169
169
i
LevelKj Rolling ❑ Other[]
Effective Year
170
7
170
170
170
170
170
Slopes UpL Down❑ S -S I•]
Area of Residence
171
�9��
171
171
171
171
171
At AAbove ❑ Below ❑Grade
Land Type
172
Lot❑Homesite❑ 172
LotOHomesite0f
172
Lot❑Homesite❑
172 Lot❑Homesite❑ 172
Lot❑Homesite❑
172 Lot❑;Homesite❑
View L_i Of:
Car Shelter
173
Yes ❑ No ❑
1731
Yes 0 No ❑
173
Yes ❑ No ❑
173 Yes ❑ No ❑
173
Yes ❑ No ❑
173
Yes❑ No ❑
WATER
Pool
174
Yes ❑ No ❑
174
Yes ❑ No.
174
Yes No
❑ ❑
174 • Yes ❑ No ❑
174
Yes ❑ No ❑
174
Yes' ❑ No ❑
Quantity: Quality:
Partial Complete
% Complete
% Complete
% Complete
% Complete
% Complete
% Complete
Public El Wei l Ditch ❑
Supplier
P.P. Acct. Checked
Yes ❑ No ElYes
❑ No ❑
Yes ❑ No ❑
i Yes ❑ No ❑
Yes ❑ No ❑
Yej ❑ No ❑
Aerial Photo Year
I
Topo Map Year
MARKET DATA
Soil Name Index
Acres
Comparable 1
Comparable 2
T n
Q Up
' 1 6Ap- (i
Comparable 3
Sale Date/Price
I
PRIMARY BASE SECTION
Base Year
140
6S
140
140
140
140
140
Event Date
186
0(0_16 -8,5
186
186
186
186
186
Land
109
109
109
109
109
109
Avg. Soil Rating
Improvements
110
110
110
110
110
110
I
LAND REMARKS:
Trees and Vines
111
—
111
111
111
111
111
�
Personal Property
11''2
112
112
1.12
112
112
Keyed By:
I
SECONDARY BASE SECTION
Base Year
240
240
7
240
2q0
240
1
Event Date
286
286
��- p'7-8(0
286
286
286
I
Land
209
209
F21
209
209
209
Improvements
210
210
380('
210
210
210
Trees and Vines
V_.._J 0 .
211
211
. A.
211
211
211
I —
REMARKS: '1-17-
//-
1 - /
77VO
sT GC!!%Q/t ;y c.ov �, !rI r- C,e7 •cif"7'
?5/!, �G ���` V09/�4 r �n F' p�ZEAR N0. DATE LAND IMPS?
^ J _ /003 l50 S./ 3
101-7. �141i••4il 10-7-96, 9nn
i PRIMARY LAND VALUE COMPUTATION SECONDARY
ASSMT. PRIMARY
YEAR BASE YEAR
LOT /S
VALUE
SQ. FT./
ACRES
UNIT
VALUE
VALUE
ADDED
TAXABLE
VALUE
ASSMT. SECONDARY LOT H/S SQ. FT./
YEAR BASE YEAR VALUE ACRES
UNIT VALUE TAXABLE
VALUE ADDED VALUE
61
%OOp
t
i
I
PARTIAL OWNERSHIP CHANGE
ASSMT.
YEAR
EXISTING
BASEYEAR
EXISTING
VALUE
PORTION
RETAINED
RETAINED
VALUE
EXT.%
EXTENDED
VALUE
TO
YEAR
TRANS. DATE
VALUE
PORTION
TRANS.
TRANS. EVENT DATE
VALUE VALUES
LAND COMPUTATIONS
X
= X
=
X
= LAND
IMPROVEI ENT COMPUTATIONS
X = X =
X
= IMPS.
LAND COMPUTATIONS
X
= X
=
X
= LAND
IMPROVEMENT COMPUTATIONS
X = X =
X
= IMPS
LAND COdPUTATIONS
X
= X
=
X
= LAND
IMPROVEMENT COMPUTATIONS
X = X =
X
= IMPS.
LAND COMPUTATIONS
I X =
X
=
X
= LAND
IMPROV EM ENT, COMPUTATIONS
( X = X =
X
= IMPS.
LAND COMPUTATIONS
X =
X
=
X
= LAND
IMPROVEMENT COMPUTATIONS
i X — X =
X
= IMPS.
iF I
I �' is { (:F; i _ '`� � 1 •'\c�) ITP^l_i i =. j�;r in•--z)tr.} 1Er
ft ..I � i I I f r•. i� � Imo. v t t i r + 1�
1\N
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Ip I I� _I`t Iii i' � ikr}�����•`iz;:r i '� [ I i"',rsr i
0 t I ; i^-' c i'� , is i - =` iy, I— ; ; • �' •• !
M j ( C K
d
a
F
is ! --- — _------------ -- ---� ——- — —
t
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Now
� eye
it1
11
0
an
YARD IMP*. CONSTRUCTION
.m
mm
on
omm
MEN
No
m
go
ago
M
ADDRESS—
MISCELLANEOUS- BUILDING RECORD
f)F_CrP1PT1nA1 Ar Dim nim.-ne
PARCEL
SHEET � : OF
SHEET
Bldg. Structure
No.er
Size
Found.
Wall & Exterior
Roof
Floor & Interior Detail
Type Cover
Second Story
or Loft
Yedr
But /t
Esq! To;
�LifeYr
2 49A6 E
2 0 X 2a
Codr
f -.AMC. PLY5co2e.
-
6AE>
r.,f L (-90 1 ,:1 -
i
-
i
I
R/) k9 P//Td rin A/
_Appraiser -pate
Bldg. Area
- Na
19
Unit Cost % R. C. N.
Co 1 _ Good N. D.
noW2 3//q Vr,
Unit Cost ®�� R. C. N
CosP Good L. N. D.
el 7,5 /1 25--/ 9 `d(,
Unit Cost % R. C.
Cost (good L. N. Il
I
19
Unit Cost `/o C. N.
Gose (;ood i 1. N.
Z 4 n c)
--
-
2.00
-
I
Total
-
Appraiser- Dote
19
19
19
I /9
Bldg.
No. Area
Unit
§t
Cost �/,
C. N.
r�
Cost
o
�e
C
Cnsl Cost
1 %
R. C. N.
Unit
CnsP
1. d
R. C. N.
----
Total
--
---
—
--
i
_-_.-
I
_
^Lit
_
Z
PERMIT NO. 485-85B, P, E
PERMIT EXPIRES
OWNER JUAN NAVA
k CONTR.. owner,
ASSESSOR PARCEL 22-22-03
LOCATION 2371 W. Biggs Gridley Rd, Gridley
r
' r
k
k,
,P
I
11 '
l
1 Temp. Power Pole
Called PG&E
j,
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
r
Signature
J = OK
0 o Not OK
= Not Applicable MOBILEHOMES
= Not Ready
�Tl_
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except p's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
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.-Con nec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Card -BI
Date
Date Card - BI Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
POOLS (Plans) OK except N'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
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
Card -BI
10. Plumb; Cir. Test -Water Supply Test
Date Card -BI Date
Card B -I Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
O = Not OK
= Not Applicable
�E = Not Ready RESIDENTIAL (Single and Duplex)
Date
UN L92R Plans OK except #'s
Date
FRAMI G Continued
1 Zo>krg requirements -Setbacks -Easements
%4-a,-rroperty
Line Firewall & Openings
Ir"Ptg., Main; Soils -Steel- / /" Ftg. Depth
49rERT�oor'9--One
3' -Check Garage -3rd story, 2 exits
rage; Soils -Steel- / /" Ftg. Depth
airs; Width -Headroom -Rise -Run -Landing -Fire Protection
s'& Decks; Soils -Steel- / /'' Ftg. Depth
5
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. walls, Main; Steel-Blockouts-Wrapped-
5
Ing -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
5
St co Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
I ing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
q5
hear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date b Card -BI Date
Card -BI
Date tCard-BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINA lans) OK except !1's
Card -B Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
-7 er Ht.; Vent -Access -Combustion Air
Ext. Steps -Door & Sidelight Protection -Landings
5K
58.
Smoke Detector
Fumeee-Yams-Clearance-Comb. Air-Connector-
In Garage; Above Floor-Ducts-Mech. Protection
t(5�ter Pipe; Test &Anchors -Nail Protection
:W.V.; Test-Fttngs & Anchors -Nail Protection
edroom Exiting
-1-7 Shower Pan; Test, First Floor -Tub Access
60.
G: s & Tub Access
18_ TeSt_.T:ub:-& Shower, 2nd Floor -Tub Access
61•
E el; Breaker Sizes -Labels
1 Gas PiperSize & Anchors
62.
Stgjl::Ma#s-,
63.
F'rAnlarP nr StnXp; Clearances -Hearth
64.
E4ee:-9ntFets7 Wood Panel; Int. & Ext.
Card -BI
Date 0 Card -BI Date
65.
Kit-F-wA,-&_Aeglience; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec.l3uU4t&464ieceptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
G ' g -Landing -Closer
68.
ra 6--ga m per
ure-&- Transformer Clearance -Ins. Protection
69•
nce-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
1 c. Receptacles Spacing -Lights &Switches at Doors
e Boxes & No. of Conductors -Stapled
70.
PJB o �.,ecn. equip. Listed for Location
Installed Close to Edge of Studs & C.J.
71.
Elet` rage; (G.F.I.)-Romex Protec.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
7
ulation-Foam-Looked in Attic ❑Yes
X25.-2-l�ppFiance Circuits in Kitchen &Conductor Size
73.
Gar+ o perk construction -Post Caps
�a�. Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fd oor-Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
3Z.-RertgcCirc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes F-1 No
75.
Following instld.: Drive es ❑ No; Walks es ❑ No;
Planters El Yes
211SepAce-Riser Conductors & Ground -Main Disconnect
76.
S inish
-29--EgvT es;Lig Panels-Motors-Mech. Equip.
77•
,ot-Clrnces-Brkr. & Cond. Size -115V Outlet
es Closet
,30. ['Inwes Closet light -Shower Light
78.
VeMe-Above-Roofg•-Appliance-Firepl.-Clearance to Opngs.
79.
WaEer-Vreli-DlS nect, Electrical, Plumbing
80.
Ex4e4er-E•Iec-- T'lln; G.F.I. Receptacle -Underground
Card B-
Date S -';�- Card -BI Date
81.Vervti4etien-throC0out
82.
House
Glass Protection
Card B -I
Date
Date Card -BI Date
MECHANICAL (Permit) OK except N's
0rrec7ns from Previous Inspections
84.
GasPesr--foMM Tagged; Gas -Electric
31N A.C. Ducts; Insulation &Support
85.
Water-S'SM&F-7Connected-C/O to Grade -HD Approval
32. ant' an; Exhaust above Insulation
33. C 9densate Drain & Overflow; Size & Grade
861-Energ-y Compliance Certificate -Other Certificates
34/' Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
5. Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING Plans OK except q's
3fi-SeTs; Proper Material & Anchors
377 -Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
2t --tearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_ & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
4 ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng_.-Rfn_p_._ _
44 -+4 --place Ties or Type A Flue -Fireplace Throat
45�47tic�•Access; Size & Romex Protection -Draft Stop -Ins. Baffles
461✓5clrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
--^-�arage..Eir_e Protection Framing
(NOTE:Anentrymust be made each time you visit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION ANa PERMIT
PERMITO. J
ASSESSOR PARCEL NUQIBERO
/a�
ZONI O
BUILDING PERMIT
IV
OWNER
V
TELEPHONE
SO. FT. OCC, BUILDING VALUATION
157.914()
OWNER'S A IN ADD SS
6`( t
(�
T !
CONTRALTO 'S NAME
V^
TELE HONE
I
CONTRACTOR'S MAILING ADDRESS
Fireplace
a
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDE . MAILING ADDRESS '
Permit Fee
$
ARCHITE OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ S
r�►ty
$ /S:00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 1.3
BUILDING ADDRES
r -jlp
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
(n�
Water piping
5.00 SQ
LOT NO.SUBDIVISION
NAME
PARCEL AP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
[[ SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10-00ea
TYPE OF WORK
New F-1 Addition Re odel Utilities❑ Installation❑ Other
Describe work: r"
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8000V OR 0 AMP ORLESS10.00
Main service EA. ADD'L 100 A
2.50
APOR ADDNST ACCLBLDGS.I&P
2'�2QSQ it
CION ACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus iness20es0e
and Professions Code and m license is in full force and effect.
Y
License No. Classification
2/�I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR LTI.OUTLET
NON-RESID BRANCH CIRC ITS
2,50 ea
NEW CONSTR POWER APPARATUS &
NON.RESID. SINGLE OUTLET CIR. )
Ts DR FIXTURES
Ex. OccUP.
BAL@30
FIXED PR
Ex. OCCUp. OUTLETS (RESID.)EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
�I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all Iia ities, judgments, costs, and expenses which may in any way accrue
again t s i Count in consequence of the granting of this permit.
X Date �J�—'
�/
Signa a of Applicant - Owner l Contractor ❑ Agent ❑
An HA permit is required for excavations over 5'0" deep and demolition or construct-
io of structures over 3 stories in height.
Mobile Home Installation Fee $
[►1LE S ` 11 e0 '
TOTAL RMIT FEE w
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
D
155
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF UBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
'�
Receipt No. C54
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT:OF PUBLIC WORKS - BUILDING DIVISION /
7 COUNTY CENTER DRIVE - OROVILLE, CALIF-0W1NIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET %
��-- // 11 Permit No.
OWNER -Tu Gvi /V C- I/Cc -�+ A. P. No. J� —AA -0-13
Proposed Building Use /Vdcf , DMJ (!
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other(E
Building Inspector pl Date ds Ov
At time of permit application, I was advised th following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2... Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $
Letter of signature :]WO.authorizatiop,,.l l
_. ,Sanitation approval from Vf0✓i /l P Health Dept. g
11. Planning approval for (A) Use: (Bj Parking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner0, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . .
•.
17. Pre -Inspection for Pre-Inspec. request to
Required. Building Inspector (Dote)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other
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 n
Applicant Date (9-t75 �5^
Copy of plans sent Health Dept., Fire Dept. Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone, Mail Other
By Date
Plans checked by _,:f Date
Plans approved by X Date
Other:
Copy—DPW
R -S. Clerk Data .
PERMIT NO.
PERMIT EXPIRES-%)/a;6 Zfz
OWNER MAN NAVA
CONTR. owner
ASSESSOR PARCEL 22-22-03
LOCATION 2371 W Biggs Gridley Rd,.Gridley
r
i
Temp. Power I
Called P(
Temp. Elec. S
Called P(
Temp. Gas Se
Cal led PC
i JOB FINALEI
Signature
J = OK
0 = Not OK
= Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except p's
1. Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except it's
1. Zoning Requirements—Setbacks—Easements
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 A
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 N's
1, Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1, Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
4. Electricity; MH Test—Crossovers—Breakers—Clearances
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4• Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
9 ==
V = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Sin'gle and Duplex)
* = Not Ready
Date
UNDE OOR (Plans) OK except N's
Date'
FRAMING (Continued)
oning requirements -Setbacks -Easements
48.
Proper �__ Openings
2.
Fig.,Main; Soils -Steel -Elea G d.- / /" Fig. Depth
Y
49.
Ext. s -One 3'-CheckGarage-3rd story, 2 exits
&,-rig., Garage; Soils -Steel- / Fig. Depth
50.
taL -Headroom-Rise-Run-Landing-Fire Protection
-
4.
Fig., Porches &Decks; Soils -Steel- / /" Fig. Depth
-
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
15.
Stemw Is, Main; Steel-Blockouts-Wrapped-Slab
.
Siding -Nailing -Veneer
/3- _
te_mwalls, Garage; Steel-Blockouts-Wrapped-S
53.
Stue - rip Screed-Fdn. Vents-Underflr. Access
-
7.
8.
Piers -Fireplace Ftg.-Steel
D.W.V. Fall -Fittings -Test -2 way C/O -Sewer Test
54.
-
GI ea -Glass Protection -Skylights -Plastic
55.
S , at tng- oils
_
_
9.
10.
Gas Pipe; Size -Anchors
Water Pipe: Test -Anchors -Regulator -Service Test
11.
12.
Electric; Underground
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card BI Date
_
Card -BI
Card -BI
Date Q�� Card -BI Date
Date t- Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date FINAL (Plans) OK except q's
Date
PLUMBING (Permit) OK except p's
Steps -Door & Sidelight Protection -Landings
57.
_
S e ector
Card -BI
Card -BI
14.
15.
16.
17.
18.
19.
Water Ht.: Vent -Access -Combustion Air
Water Pipe; Test & Anchors -Nail Protection
D.W.V.: Test-Fttngs & Anchors -Nail Protection
Shower Pan: Test, First Floor -Tub Access
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe: Size & Anchors
Date Card -BI _ Date
Date Card -BI Date
58.
Fur�ance-Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
59.
Be
60.
G. F. k., Access
61.
EIe u panel; Breaker Sizes -Labels
62.
Sta'
63.
Firep nces-Hearth
64.
Ele ir. Panel; Int. & Ext.
65.
K' ., ppliance; Grnd.-Air Gap -Cooking Clearance
66.
EI eceptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Gara wt g -Landing -Closer
68.
A.G-9net-in•Gerege•-Gamper
Card B -I
Card B -I
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Sat Doors
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral Yes �No -_
Service -Riser Conductors & Ground -Main Disconnect_ - _-
Equip. Clearances: Panels-Motors-Mech. Equip. _
Clothes Closet Light -Shower Light _
---- ----- -
Date Card -Bi Date -- -
Date Card -BI Date
69.
Wtr,4iUr 6 ents-C -fance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
70.
70.
Plb. z;c�a ,., tali?quip. Listed for Location
71.
EI rage; (G.F.I.)-Romex Protec.
72.
Ins�6oc%d in Attic ❑Yes
73.
Gua struction-Post Caps
74.
Fd Door -Drainage & Wood -Earth Clearance
Looked under Floor Ci Yes
75.
Following instld.: Drive_2 Yes [j' alks [Yes
Planters ❑Yes
76.
Stucco: WB ewr-F111Y5'1F
77.
A.C� - rI nces-Brkr. & Cond. Size -115V Outlet
78.
Vents Abeve-Reef, P4bg--ATpliance-Firepl.-Clearance to Opngs.
79.
Water.Wa4-@' nett, Electrical, Plumbing
80.
Exter_inr ct ,. �.F.1. Receptacle -Underground
81.
Vent i ouse
Date
MECHANICAL (Permit) OK except q's
3.
Corrections from Previous Inspections
84,
_
Ga - ed; -Gas -Electric
Card -BI
Catd-Bt
31.
32.
33.
34.
35.
A.C. Ducts. Insulation & Support - -
Vent Fan: Exhaust above Insulation
Condensate Drain & Overflow: Size _& Grade _
Furrface-Vent: Access -Comb. Air -Return Air_ Vent -115V outlet
Attic Access & Platform if Furnace in Attic
-
Date Card -BI Date -
Date Card -BI Date
85.
Wate ewer onnected-C/O to Grade -HD Approval
86.
Ene[g*..G.®repfeen Tficate-Other Certificates
--
---
-
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date __-
Date Card -BI Date
Date
FR
G(Plans) OK except p's
Com tents at Final:
ills: Proper Material & Anchors
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
58.s over Girders & Floor Nailing
39. D pin a s aI proof)
40. urred Ceilings_Stairs_-Chases-Tub -- _
ik Header ea -Size & Bearing
42. .pchors-Connectors-
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng.
44. F rejO wQ_;r A Flue -Fireplace Throat
45. All omex Protection -Draft Stop -Ins. Baffles
46. Bdrnling Doors -Sill Hgt. & Dimensions
47. Garaoe Fire Protection Framing
-
-
-
(NOTE Anentry must be made each time youvisit jobsite)
r
J
,v/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0.
7 County Center Drive - Oroville, California - 95965 Telephone 916/534-4541 _�
APPLICATION AND PERMIT
ASSESSOR P CEL N BER
ZONI G
BUILDING PERMIT
OW ER �Gv[�fTE!L
PHj j�//
�"70`
O�
SQ. FT. OCC. BUILDING VALUATION
/7'
OWg A•IL_INC� AD KESS 1
8,4
ONT ACTOR'S NAME V 14
TEL PHONE
ONTRACTOR'S MAILING ADDRESS
Fireplace
C STR C ION LE
r
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRES
Permit Fee
$ <70
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ a
Energy Plan Checking Fee
$
AR HITE OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 0 ,'7
PLUMBING PERMIT
Filing Fee 10.00
\
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL K4AP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECT v U
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW I
10.00ea
TYPE OF WORK
New k— Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.� ,
OR ACDNS. ACC. BLDGS. !z¢sgft
NEW CONSTRES'.. ULTI.O TLET
NON-RESID BRANCH CIRC ITS 2.50 ea
CIRCUITS)
/POWER APPARATUS e1
(SINGLE OUTLET CIR. / 1
/ 20@50t
Ex. Occu SA O30
p\OUTLETS OR FIXTURES DwL030
FIXED PR
Ex. Occup. OUTLETS (RESID )EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. byirin 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
/ of Consent to Self -Insure.
IrJh 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 Countyof
Butte to enter u the above-mentioned property for inspection purposes.
1 also agree sav , i demnify and keep harmless the County of Butte against
all liabilirCjud nts, costs, a d expenses which may in any way accrue
against saount in :onseque c of the granting of this permit.
Xlk�This
Date
Signature of icant — Owner Contractor ❑ Agent ❑
An OSHA er it is required for excavations over 5'0" deep and demolition or construct-
ion of str ct res over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 7 S.
Occu P.
CONST.TYPE
/ *t
FLOO
PARCE
PD
NO SSUE
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY /
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date y— LG-
Receipt No. 3 0
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) ��L/%� signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security N
Date
er
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION •DATA SHEET
NnPermit No.
OWNER 1 %� �-C I�� A. P. No. a a�
Proposed Building Use P,�• 4 -
Permit Fee Based Upon: Complete Contract Price XDPW Valuation
r (E plain)
Building Inspector Date
At time of permit application, I was advi the following data must be submitted prior to permit processing
and/or Issuance: DATE RECEIVED APPROVED
1. All items. have bee submitted. . . . . . . . . . . .
ti 2.. Plot plans i uplicate/ riplicate.
Complete plans In uplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
Letter of signature authorization.- �
Sanitation approval from 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. . . . . . . . .
. .
Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector (Date)
18. Recorded copy of Agricultural Acknowledgment Statement. . . _
19. Other
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
Applicant4�� - Date
���U
Copy of plans sent Health Dept., Fire Dept.,, Other Date
During the plan checking process, the following data mi.ist be submitted prior to permit issuance:
(For required items not checked above at i of application, circle item.)
1. Index permit for above Items No.
2., Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by Date - o�
Other: `
Copy—DPW
To: Building Department
From: !environmental Health'
Subject Sanitation Clearance
Lo
Oimer ^ Location AP//
Plan Approved for: Sewage disposal & dater supply
Hold final for: water supply
Final clearance O.K. for: crater supply
Clearance for bedroom mobile home. Other
NOTE*
Sanitarian Dat e
x
N. PRIWIT. NO. 1099-76 B
-77
PERMIT EXPIRES /
'
OWNER Anderson & Bihl
+CONTR. owner
d
�LOCATION (A.P. 22-22-03 )
^ i 444' S. of W. Biggs Gridley RdjjWlW
at westerly turn, Gridley
a I
/LE
ole
iE
erv.
E
rv.
'
�
(Date)
h' (Signature)
i
• e �
:v ,
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA-
TION , CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
5 l
Street Lot Number' Tract No.
n
EXTERIOR WALLS (/ /
Manufacturer l� Thickness/Type /Z R Value
CEILINGSP�
Batts: Manufacturer Thickness R Value /
Blown: Manufacturer Thickness No. Bags Wt./Bag
FLOORS
Sq. Ft. Covered R Value
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation inrheS
FOUNDATION WALLS
GENERAL
M
Thickness/Type RV e
LICENSE No. 119 -2-
TITLE—
TITTLE. _ DATE
INSULATION I ONTRACTO� AWKINS, INSULATION CO. LICENSE o. 215-925
BY 1
�l TLE a`'`" " DA( 7-45e'
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS.
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback ._ 1
Firewall 30
Soil Piping
Forms
Parapets -
1st Floor a
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding g
To out _.
Slab
Roof Sheathin ��
Water Pipin �j
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures ,
Footings
Garage Vents �'
Water Htr.-�'�
Stemwall
Slab l
Prov. for physicallyHeaters
handicapped �I
•-----
Appliance
Carport
Footings
Conformance of a)(
structure
Gas Piping & Test .3�3
Temp. Gas ✓�"�
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTIUCAk-
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures 3 7&�,
Bond Beam ,__ ®
FIRE SPRINKLERS
Motors --
Framing Test Water Htr. �=--
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.,,
Scratch Heating Service 461If
Brown Cooling 'R Temp. Pole
FinishDucts :. Underground -
Interior Lath -34� i , Ventilation �" Permanent
Door Closer _s"���1 Final ;� %/ Final
DATE,�j REMARKS OR CORRECTIONS
�3l ��i %'��-/�� /lig-t�%��" ��i�/ ��jA.�?��'•��i ��'�C��%G���
cw
(NOTE: An entry must be made on this form each time you visit the job site.)
ql
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO S
7 County Center Drive — AOroville, California 95965 A/
J
Telephone: 534-4541 C
APPLICATION AND PERMIT
above-mentioned property for inspection purposes.
X —,A- 4,1, �,,z -Datz-
Signature of Permitee or Agent
Receipt No./ Y-15-iQ 2-
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
7 15_610
Mailing Address 4_31'
Telep on
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee ,
Building Address Z
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
1
Each Trap 1.50
T /
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. ��.2 ���
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet 30
F
W. Safpi ion
Fire Dept.
Fire Zone
Use Pen -nit
Building sewer 5.00
EQA PPlans
Declaration
Parcel Map
60' R/W
Improve ents
Lawn sprinkler system 2.00
S
Bldg. P 6nS ec Parcel provoW/
Plans Approval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST DWELING
OR ADONS. ( ACCLBL GS.CC UP. &1 20 -sq ft
NEW CONSTR. MULTI -OUTLET
NON-RESID, BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
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- 5
Ex. Occup(OUTLETS OR FIXTURES)@L�P
BAL@1
FIXED A
LNS Ex. Occup. ( OUTLETS P(RES(D.)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
.(�
License No._. ?r) ?—� Y.3 Classification- (c��
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
F1I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and ti„ State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
'—
above-mentioned property for inspection purposes.
X —,A- 4,1, �,,z -Datz-
Signature of Permitee or Agent
Receipt No./ Y-15-iQ 2-
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
Building permit expires Date
WF5 "P Idzx
' ! NOTE:—All Materials
Accordance with R� & Workmanship Shall Be in
�o of a q l4l, c° . 'ped Good Prnctices can-'
un Orescr;ked for the Specified use in the
Uniform Building, Plum!zin
y
J/I\,
the National Electrical CodeMachanical Codes and
,t
p.I .. This sof of Morn
�- ,i kept on the bat i11 MUST u.
` Om" and it 'h unlawful to
Mahe any changes or AtOrations an soma without
'^ *""fen Permissan from the De
Works, County of Butte, pattment of �r�bh.
0
t ° ' The Bldg. Setback shat! be 5 ft. freni
! \ the side property line and 50 ft. from
1 ° Y the centerline of the road, permitting
i a maximum of a 2 ft. eave overhmq.
I \
�
r)
o
Sept;c system and location of build
Id►n9
.G
drain stub -out to be as per
Butte County Health Dept. R�-
U1
o
quirements.
O
s+
See Master Plan on file for buildino
_
I
lid 1.W
BUTTE U NTY
dus� SCOL
BUILDING DEPARTMENT
&
APPROVED
0
_ COUNTY OF BUTTE — DEEPAR?MENT OF PUBLIC WORKS
7 County Center Drive —" Oroville, California 95965
Telephone: 534-4541 z
APPLICATION AND PERMIT
.........y ... .r..aw ... ..�nc� ut.vn I
above -mention property for in tion purposes.
k -A a
XDate —
Signature of �Permitee or gent
Receipt No.`�1^4
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
kuildinag
REC OR OF PUBLIC WORKS / �7/
Date / / C�
�0 9 ,7
mit
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address`]7F
Telephone No.
Fireplace
r
Contractor '
Total Valuation
Mai Ping Address ,�
Permit Fee
Plan Checking Fee &/or Penalty
'
Teleph na/OO
Permit Fee $
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 .0
-
Q
Each Trap 1.50 4X C?o
Repair drainage or vent piping 1.50
Water piping 1,50
Each gas water heater or vent 1.50
A. P. No. .3
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
PPlans
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
BEdeg. PIan^^e^-d I
Parcel Approval I
Plans Approval
Permit Fee $
$ISE
W ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
v
Main service 600V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADO'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service 1100EAMP OR LESS 25.00
Main service( EA. ADD'L 100 AMP 1.00
NEW OR ADDNST (ACCLBLDGLING OCCUP, &) 20sgft
NEW CONSTR. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS 2.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID, (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Busin s & Profess' Code under the name
style -
Ex. Occup(OUTLETS OR FIXTURES) @'a
BAL�1
EOccup.(OUTLETS ((RESID )R00
Ex. EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License Noa, Z: �Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
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.
lave placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
Iermit is issued certify that in the performance of the work for which this
P employ y I shall not em an person in any manner
so as to become subject Io bject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ I FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
.........y ... .r..aw ... ..�nc� ut.vn I
above -mention property for in tion purposes.
k -A a
XDate —
Signature of �Permitee or gent
Receipt No.`�1^4
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
kuildinag
REC OR OF PUBLIC WORKS / �7/
Date / / C�
�0 9 ,7
mit
V
COUNTY OF BUTTE — , DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
/f 7r,
X Date <
Signature of P
AZ or Agent
Receipt No. 1, !� ?aq
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By , Date
Building permit expires Date 4-1-77
BUILDING
Owner 6 14 QELS0 81 a L
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor 1 A, G
Total Valuation
Mailing Address ,
3 (00 � ,4 O tIAL.A(g0
Permit Fee
Plan Checking Fee&/or Penalty
DQ_V t L -L .:— a
T le one o
( �
Permit Fee
Building Address `'f"� TI l _ _
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
U L 7 „j2
Each Trap 1.50
p . ►� /
GIZA �f
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
r�
A. P. No. L2 —22—
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F e
4&
SaRka4an
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
PPlans
Declaration
I Parcel Map
60' R/W
I Improvements
Lawn sprinkler system 2.00
fi
Parcel Approval
Plans Approval
Permit Fee $
NEW Sy ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
j A e
4 � Q �— b
Main service 601v OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2,50
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service 100E
EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONS. DWELINGOR ADDNST ( ACCLBLDGOCCUP. &) 20Sq ft
NEW CONSTMULTI.OUTLET
NON.RESI D, (MULTI
CIRCUITS) 12.50ea
NEW CON5TR. POWER APPARATUS &)
NON.RESID. (SINGLE OUTLET CIR.
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: , /J
Ex. Occup(OUTLETS OR FIXTURES)@�SQ
BAL@1
FIXED APPLNS.
Ex. Occup.(OUTLETS ((REBID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. �5��9� Classification �-� G�✓�
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of Cal Itom ia.
Permit Fee $
$
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.
f� I 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 ,li O
Heating
n4.00
Cooling
Ventilation
Hood / 2.00 v
Permit Fee $ L9
$ C
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 nronarty fnr incncntinn " nono
n
TOTAL PERMIT FEE
Cl
$ / d�
This permit is hereby issued under the applicable provisions
of
X Date <
Signature of P
AZ or Agent
Receipt No. 1, !� ?aq
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By , Date
Building permit expires Date 4-1-77
COUNTY OF BUTTE — ;DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965
Telephone: 534-4541
APPLICATION*AND PERMIT
X Date
gn a of Per i gent
o. `�' O�eceipt
hite- P.W..— Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
DIRE TOR OF PUBLIC WORKS
BY JA
` Date 4-7--7L_
Buil ng permit expires Date 4--2--77
BUILDING
Owner �S Q g i ��
SQ. FT. OCC. BUILDING VALUATION
Mailing Address G7201 rA H AtA . Sr;
�'
Telephone No.
Fireplace
Contractor co c) 1 F—UE-r—mv,
Total Valuation
Mailing Address `p r O , �ok 1%��
Permit Fee
PI an Checking Fee &/oPr Penal ty
` A P—AC)1
Te lephone No.
Permit Fee $
f S � _
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
AT, k4r= L.
Each Trap 1.50
F—
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. ZZ'- 2-�—
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
L- s
Ael
Sarni-te4Fett
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
provements
Lawn sprinkler system 2.00
Badg P1
Parcel Approval
Plans Approval
Permit Fee $
NEW ADDITION ❑ UTILITIES fil OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3.00
ccc���
P q `_
v
Main service 600V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 6 00V25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING OU 4..6
OR ADDNS. ACC.BLDG (J) 20Sgft SZ,7_0
NEW CONSTR. MULTI -OUT T
NON-RESID. BRANCH CIRCUITS) '2.50ea
NEW CONSTP- POWER APPARATUS &)
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professi ns Code under the name
St Y le Of:
,G
Ex. Occup(OUTLETS OR FIXTURES)50 @25a
BAL@1
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification Z171
_/O
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 3S.-zo
,7ZC
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.
I certify that in the performance of the work for which this
is issued I shall not employ any person in any manner
gs to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilationpermit
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
authorize,weKesentatives of the County of Butte to enter upon the
above- m ntion d pr y or spection purposes.
TOTAL PERMIT FEE
$ 3 S 2f:
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.
X Date
gn a of Per i gent
o. `�' O�eceipt
hite- P.W..— Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
DIRE TOR OF PUBLIC WORKS
BY JA
` Date 4-7--7L_
Buil ng permit expires Date 4--2--77
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drivt, — Qroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
Owner :'
��: � � / �- �/,/' Jr
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
_
A
Telephone No. 7
-/x,: —,.i
Contractor _i AJI
Mailing Address
Fireplace /;1� 0 �)
Total Valuation
Tel No.
Permit Fee
Building Address �- jr `Permit
PI an Checki ng Fee &/or Penal ty
Fee
PLUMBING No. @ FEE
-r- Al' ., i t � CV 4 C., �
PERMIT FILING FEE $3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
A. P. No. Z Z % "" z
Zonin & Planning
Water piping •' 1.50
Each gas water heater or vent 1.50
Fees
Wye.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
ParcelEach
Declaration
I Parcel Map
60' R/W
Improvements
additional outlet .30
Building sewer 5.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ES
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 800V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
LCY
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( OR ADDNS. ACCLBLDGS.LING CCUP. 4) 20 sq ft
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
le of:
NEW RESID, BRANCH CIRCUITS)
NON•RESID BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS.5,
NON-RESID//. (POWER
OUTLET CIR. 1 1
50@ 1� 1
Ex. OCcuDtOUTLETS OR FIXTI,RES BAL
Ex. Occup. FIXED APPLNS, OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
• I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
•
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer t`o 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.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL iNo.1 @ FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
is
TOTAL PERMIT FEE
�.
$ Co
/
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
r
Date
Signature o 'Permitee or Agent
Receipt No. a I f 3 o
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the B tte County Code and/or resolutions to do work indicated
4abo@r which fees have been paid.
IREC�TO OF P ELIC WORKS
Date 1�? � %-F
Building permit expires Date
�. +►,, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive- - Oiioville, California 95965
Telephone: 534-4541 / d
APPLICATION AND PERMIT
a.uI Il IGF/IcaGlllallVQa UI II IC l,UU11ly UI OUIIC lU CIIICI UPUIl Lnu
above-mentioned property for inspection purposes.
` X Z3�
gnature oA ay �I Date
1 ;,mitt;. or Agent
Receipt No. .& ? Q _;i o
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the B eCounty Code and/or resolutions to do work indicated
abo f r which fees have been paid.
IRE TO OF P UPLIC WORKS
Date WIVI—zeF1
Building perm(t_expires Date
BUILDING
Owner �� /� /1 ,� k),4
SO. FT. OCC. BUILDING VALUATION
Mai I i ng Address '� � � �
Telephone No.7
Contractor�7 x-63
Mailing Address
Fireplace /(3t) O 040
Total Valuation
Telephone No.
Permit Fee
Building Address �( / S G _
Plan Checking Fee&/or Penalty -.
Permit Fee
/d do
'-r,eziylny TeoeAl
PLUMBING No.1 @ FEE
�GY v
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. Z Z Z "- 3
Zoning &Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
Sanitation
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EOA
Parking
Plans
ParcelEach
I Declaration
Parcel Map
1 60' R/W
Improv ments
additional outlet .30
Building sewer 5.00
Bldg. Plans Rec'dParcel
A royal
PI Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
permit Fee $
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Sln
Single Family Duplex
9 Y p ❑ Mobil Home ❑ Others ❑
Main service 6111 OR LESS
100 AMP OR LESS 5•��
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 6101 25.00
100 AMP OR LESS
Main service EA. AOD'L 100 AMP 1.00
NEW CONST. ( DWELING
OR ADDNS. ACCLBLOGS.CCUP. Y) 20sgft
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:
NEW RES]CON'RANCH CIRCUITS)
NON -RES] BRANCH CIRCUITS) 2.50ea
NEW CONSTWE/POWER APPARATUS 6
NON-RESID. (POOUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIPES 50NI
BAL�1
FIXED
Ex. OCCU FIXED APPLNS. OR
(RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
• I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
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.
iecertify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
as to become subject to the Workmen's Compensation Laws of
alifornia.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
Is U dd
a.uI Il IGF/IcaGlllallVQa UI II IC l,UU11ly UI OUIIC lU CIIICI UPUIl Lnu
above-mentioned property for inspection purposes.
` X Z3�
gnature oA ay �I Date
1 ;,mitt;. or Agent
Receipt No. .& ? Q _;i o
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the B eCounty Code and/or resolutions to do work indicated
abo f r which fees have been paid.
IRE TO OF P UPLIC WORKS
Date WIVI—zeF1
Building perm(t_expires Date
't
f
fi
(-' ML
`Sh"I,LE STORY - f10r_X",Ae SO/L CONJITIO
N)'
EIrEM WE FLUE M.;4S
gS+CE Ui' :1.5J i GF EfiEClr'i ►•r,.�:•ura tie2 I •,, ..� ?lot lea8 than 5/8 it:(JiI t)IiC
FLUE E:•.::... r.�:: !.i I Of fr.E✓:: ;i. c•'i.°aK5 I )�. I
b9iq• ,n i,:� t� _i a Terra Cotta chimney Zirlir,g
8Si-a IE'_' 87 sq. in.
IM rtwls 91 sq in. 1032 �. in,q• in, L -
l0' s 17?j' 112 tq. in, 1120 s9 CREW
138 sq. in. 13CO sq. in. r
121i•■ IE sS' 134 sq. in. 13.0 sq. in• -'-
3241-821' . 172 sq. in. 1730 sq. in ` �-Y
tdLs•- a•. -
a slG,a 171 sq. in. 1710 sq. in.
222 1q•
li;;- m•
10.n. 2230 tn. inI
21- , 21' 269 i 2230 sn. in.. .1
OUTSIDE CO.;STRUCTIOa �. 71 F "
8" min
t ■ �- _� � RAFTED `t � . � �I11-
�=',
;Win.
Hearth
J� ��-
� JOIST
with fire brick Lining I
Built entirely outside a structure Z"
clearance from combustible material or'use
gypsur.I board•
F —T1'I-1
mood
Angle 'Iron ,-�
272"x z)s x 31i
7irebr+ ck laid with
2" face exposed
. , 11.
See table
ebar Lateral ties
r► °ntervals
�g1J '
Reinforcing Rods
Grouted in
Iron Stra^
-Brick or solid
Masonry - 8" unlined
Terra Cotta Lining 1
Strap = P •°: t
/ / 2"-4'. nailed '
to tor) of at -
least 4 joists CM
with,2-ZEd
nails 11
ANCHORA���1I
�-- A0
--
--fi--1- Rock moot . BUTTE COUNTY
20"r.Itir1= �Floor 20'► min:►-�3 I'��8� �iZo" Ivithout�$'I VNG DEPARTMENT
�—Z8'► �' ,•--Gloist Z8" .', I
.' `' _ ; ::.•\`:::,`;F- �' __ s 0 101, o.c.APPROVED
1
#3 bars \ . -- —. -- 3�/,2r
• � � � _ f Lan bars 20" min /
Provide 4-' a cal steel 'b rs , , 0 6" o. c. ,
continuous ;oing)s
f oting t tl both waysL A�'I /)uvr) --- � -o-Cleanout door (ortio):al)
f (optional)
w/#2 steel I8" 0 18 ' s _6
a11C O 4 e O 1 Ii.'.ST'=C_'IOi S
1".".!I —� mta"1
1.
•.Finic d�
i /I I 12"2 Thr^zt and
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! PERMIT NO. 6674-78B
�
� PERMIT EXPIRES
DOWNER Soledad Nava
owner
CONTR.
22-22-3
LOCATION (A.P. )
4 440'/So.of W. Biggs Gridley Rd., @ Westerly.
turn., Gridley
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Temp. Power Pole
Called P &E
Temp. EIeServ.
Calle PG&E
t Temp. ' as Serv.
C Iled PG&E
JOB
FIINALED
(Date)
(Signature)
Setback
Forms
Main Bldg.
Footings
Stemwal I
Slab
Piers
Garage
Footings
Stemwal I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Stucco
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION -RECORD
BUILDING BUILDING (Cont'd)�
PLUMBING
Firewall
Soil Piping
Parapets
1st Floor
Restroom Finiso
2nd Floor
Windows
3rd Floor
Siding
To out
Roof Sheathini
Water Piping
Roofing >Sewer
Final
— Fdn. Vents
Fixtures
Garage Vents
Insulation
Water Htr.
Heaters
Prov. for phsically
handicapped
Conformance of ex.
structure
Appliances
Gas Piping & Tes
Temp. Gas
Final QA>
Sanitation
FIREPLACE
Final
Footin
Throat
Final
F
L
mean
MECH&NICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES - - - - - - - - - - - - - - - -
- - Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC WORKS
• -7 Cr_wnty Center Drive — oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
.71
BUILDING
-
Owner
SQ. FT. OCC. BUILDING VALUATION
y
Mailing Address
T�%5
.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
r
Building Address �y� (�
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
/
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No.�Z
Zoning 8 Planning
Water piping 1.50
Each gas water heater or vent 1.50
eees—
4<'
9arrtntrort
I FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking Parcel
Plans Declaration
Parcel Map
60R/W
'
Improv ents
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Recd
Parcel royal
Plans pproval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Others
Single Family a Duplex ❑ Mobil Home ❑ ❑
Main service 600V OR LESS
10o AMP ESS 5.00
L
Main service E4. ADD -L 100 AMP 2.50
OVER
Main service 1100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( DWELING
OR ADDNS. ACCLBLDGS,CCUP. 4\ 20 sq ft
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:
NEW NON-RESIESID� BR, MULTI.OUTL T
CONSCONTRACTORS
ANCH CIRCUITS) 12.50ea
NEW CONSTR. (POWER APPARATUS a
NON-RESID• SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTIIRES 50@254!
BAL@104
Ex. OCCU FIXED APPLNS, OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
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.
I certify that in the performance of the work for which this
' permit is issued I shall not employ any person in any manner
Yo as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation �n-
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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Q�
Dat&WU
Land Development Fees:'' 4��S
$
+ ti e TOTAL�PERMIT FEE'
$ (J O(
,t i
Ttei' 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 b paid.
��• DIRECTOR OF UBLIC WORKS
bIgnature ® afVermitee'or Agent ' By
Receipt No. /v Q 1/.;,- &/
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B tlding permit expires Date
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INQTE.—AII Materials & Workmanship Shall Be Irl
Accordance with Recognized Good Practices and
I
f a quality -prescribed ngr& Meehan cal .Codes and
r the Specified use in the
�Jniform Buiiding, i
the National Electrical Code. l .` ] C) r,\
This set of plans and specifications MUST be
kept'on the job at all times and it is unlawful to
make any changes or alterations on some without
written perm:ssion from the Deparfinent of Public
Works, County of Butte,
(,674-16
BUTTE COUNTY
BUILDI !O DEP��RTtvIENT
APPROVED
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Butte, ®ung
LAND OF NATURAL WEALTH AND BEAUTY
r ^Y DEPARTMENT OF PUBLIC HEALTH
RALPH F. ERLINGHEUSER, M.D., M.P.H., DIRECTOR
DIVISION OF ENVIRONMENTAL HEALTH
Address 0'7 county center Drive, Oroville, California 95965 -Telephone: 916/534-4281
Reply to ❑ 747 Elliott Road, Paradise, California 95969 - Telephone: 916/877-0852
NTovember 25,1975
Region II Office of Migrant Education
1459 Bridge Street
Oroville, California
Attln: Carmen Hironimus
Dear Sir:
The Butte County Environmental Health and the Butte County.Building
Departments recently had occassion to .inspect the housing facilities .for
the
.i,chclas Lopez:family. The property is located on the,Biggs-Gridley
Road, at Route -2, Box 691 (A. P. r'22-22-03 ) ..
There are apparently eight people living in the dwelling which is def-
initely sio-standard. Hazardous conditions existing consist of the elec-
trical %i -ring, the .,rood burning stove ,,.lhich does not provide adequ2:te'-
heating for the house, and the improperly vented *.,rater heater. tiny one
of the above items could cause a fire at any time.
It is our opinion that the structure is in such -a state of disrepair
and general dilapidation that it is not worthy of repair.
The Lopez's in trying to alleviate their housing problem attempted to
build a. new addition, but did so •7iri thout benefit of a building permit
and without pro-er knowledge of construction practices. Consequently.all
of their efforts -,,:ere in vain as T:.,;hat they have constructed must be
torn down and rebuilt according ' to proper methods.
However due to the hazardous conditions mentioned above the Lopez family
is in dire need of immediate housing. Since they own the lard it is our
thought that a mobile home, located on the same site would best meet their
needs until such time as they could build suitable housing.
1:7e hesitate to take action to have the family evicted until they.have
assurance of adeduate housing, but they are in a potentially dangerous
situation..so long as they stay inhere they are.
Any help your agency can provide will certainly be appreciated by the
Lopez family and our departments.
Very tru-1y.yours,
4Tan]hart, R. -S.
Supervising Sanitarian
LV:lg
cc: Jim Glander, Public Works
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( COUNTY OF BUTTE
' DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
v BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter,, or_aeed additional explanation, pleassee� contact this office immediately.`
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COUNTY OF BUTTE
• DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector
Xe
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
I
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ADDITIONS TO RESIDENTIAL. BUILDINGS
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A dx i ons`
PERMITNO, PACKAGE A C � t
- _
-
NAMESQUARE- FOOTAGE
. � %�
JOB ADDRESS I _
d
Existing Residence
TYPE�„ r
` OF W ,) RK td _
New Addition
i _ I
New Total
_
The following information -sheet, showing mandator features and required features o
Package A rust be completed and attached to all plans -ror add ti ons. to dwe 11 7 n s
_ Additions to dwellings include room adds ti ons, converting garages and patios to living ,
areas, house moves that add footage and atti c convers on.. , and any space i'ex-
ex
isting_ _ _that
ist1n9 no -cond ti ned space that 7s converted t® cord�t�oned space, Remodeling o
__ f
existing conditioned space is not included, ,
SONE . 1 l ZONE 1:2_ SONE lE
INSTALI, D APPLIES TO NEW AREA
�E I. � � 30 R-30 R-38
R-11
WALL R-11 R-19
FLOOR R-1 Ire -11. R-1
SLAB R- 7 R-11 R-
_- OLAZING 65 o65 a65
SHADING
r OUTH . OPTIMUM OVERHANG
.W�S r36 S p
X��
_
DOSE FILL INSULATION (Density)
;r RQL OST w caulkzn }
ZNFILTRkTIONCONTROL (Weatherstrip doors, ���rtx.f�.ed windows,'caulking)
VAPOR BARE_ _R. (Zone _o e 6)
RI1
s UCTS PER C E UM .� Ch - ].0
LI BHKITCHEN ATH ATT
TINGLNG K C�.E & B NOT LESS THAN 2 5 LUMENS/WATT,
W
_
OF
_.�.:..�.. MAXII�i GLAZING 1:6/p QL' AREA PLUS: REMOVED GLAZING
A
NEW HVAC AND HOT WATER I CONJUNCTION WITH AN ADDITION SHALL COMPLY
AND FILL.OUT DATA ON BACK OF ' a7
rZ�I'S S.�EET.
7/83
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*- HEATING, VENT11ATING, AIR CONDITIONING SYSTEM
(A), Heating
D Central Gas Furnace
brand and model number SE
Btu hr
(heating capacity)
( g
Het Pum
E3 Heat P
_
(brand and model number) ACOP
Btu/hr
(heating capacity ati it at 47°F
p
Active Solar
type (liquid or air) Collector brand and
ft2
^ �-•---- collector
model number solar fraction collector area
_
ct r tilt rated -i eres t
orientation colle t
y o i n_ p
;.
rated slope
p 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
Gas Onlya
C7 (A) Gas _ Gallons
brand and model number)
- ( (tank size)
13 Heat Pump w/Electric Backup
(brand and model number)
Gallons
size)
(tank iz )
❑ Active Solar
_e.._
(collector brand and model. number)
(rated `- ' nterc t (rated
�.- . e r. te_ slope) solar fraction
_f't
{ (backup heater type, brand and model number) (collector area)
collector orientation' (collector tilt
ration of Solar Panels
13 Other
Describe
Submit documentation of sizing heating and cooling equipment by Manual .J; sizing
charts (form #4) or other approved methods, section 2-5352(g), and fall out the
,
following:
Heating,. Winter design temperature , elevation _ , heating load BTU
elevation, factor� x heating load maximum outlet capacity gas furnace I,
BTU
- d temperature coo ad
Cooling. Summer design temps a xe , cooling to r—�BTU
2
K Submit T.I.P.S.E. chart or other approved _s stem (form #5>) to document sizing of
solar panels. i
DESIGN COMPLIANCESTA7EMEN_T_. The above building design meets the requirements of L
Cha tee. 2-53 of the Califo a Adm3.na.stration Code.
Title 24 Part 2 P
" SI 7U OF BUILDING DESIGNER OR APPLICANT
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