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HomeMy WebLinkAbout022-220-009V ERAYVERDIER //%a/$ZBiggs Gridley Rd, Gr dley 5-87B(ivood burning stove/SF) 22-22-09 2091-89E VERDIER, Ray 2287 W Biggs Gridley Rd, idley (move elec meter & install new weather head) 22-22-09 , ` ! f "<» '.92-81OP, E VERDIER,'Ray 2287 W Biggs Gridley Rd,'Gr'-idley repair per SI.#92-07 022-220-009 �.... 92 ;2417uBPEM- VERDIER, Ray 2287 W Biggs-Grid�ey Rd; Gridley addition/sf�e 022-220-009 94-0743B,E VERDIER, RAY & FRANCEAN 287.W. BIGGS GRIDLEY RD., GRID EY NEW GARAGE &CARPORT RD., GRID ! (7, y 022-220-009 PERMIT#94-1788 VERDIER, RAY & FRANCINE 2287 W BIGGS GRIDLEY RD., GRIDLEY NEW DET GARAGE t RESIDENTIAL 022-220-009 PERMIT#94-1788 VERDIER, RAY & FRANCINE 2287 W BIGGS GRIDLEY RD., GRIDLEY NEW DET GARAGE j 1 t i; RESIDENTIAL 022-220-009 PERMIT#94-1788 VERDIER, RAY & FRANCINE 2287 W BIGGS GRIDLEY RD., GRIDLEY NEW DET GARAGE j 1 t V=OK O = Not OK NotReady Applicable _ MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements - • 2. Soils; Special MH Support Sketch 3. Sewer; Locatlon-Teat-Fall-C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect B. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS COVERS CARPORTS, GARAGES, Plans OK except #'a o rad Requirements -Setbacks -Easements j?. -footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 6. Car rta; Windows- oors ric . Fr ; Sils-Anchors-Studs-Rftrs-Trusses 49.",Sl g; Nailing -Veneer -Stucco -Mesh 1. o hthg-Roofing It Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane lboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plana) OK except #'a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6s. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except N's 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except N's 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except k's 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties-Purlin=roof Bmc-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes 13 No; Walks O Yes 0 No; Planters ❑ Yes O No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95865 - Telephone (916) 538-7541! f� T NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 022-220-00 ZONING A4-0 BUILDING PERMIT OWNER RAY & FRANCINE V"RDIER TELEPHONE 846-4069 SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2287 N BIGGS GRIDLEY 480 M 8.640.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ / Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9987 W- BIGGS PERMIT FEE $ C-RIDLEY, 95948 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SR Duplex ❑ Mobilehome ❑ Other QMobile SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Home S G W @20.0 D EE TYPE OF WORK New J(_Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describework: REPLACES #94-0743 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2100V OR LESS ) 23.00 200A 0R LESS Main Service ( 200A TO 1000A ) 46.00 NEW OCCUP. OR ADDNS.T. ( D 3EACCGB DS. ) 3.50 F°; / CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underP Provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification *1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 SAL. .50 PLNS. OR Ex. Occup.FIXED APRESID.) EA. ( ) 5.00 OUTLETS I Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said CoMnsequence ofAhgranting of this permit. X Date 2 3 — �f Signature WApWcant -A Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE I TOTAL FEE $ j 6 HAZ- P. FEES IMP FLOOD COF PARCEL PD D ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By DElte UN PERMIT EXPIRES ON 0 J IDerel ReceiptNo. 167023 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE . ' BUILDING DIVISION DEPARTMENT ,GF�d VELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA . (916) 538-7541 747 Elliott Road, Paradise, CA (916) 872-6307 CORRECTION NOTICE L OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at `z the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. w rr, •S .n V l '3� • - i S r Datel Inspector REV 1012 '4+ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891.-2751. 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE /CtvD(W-- el - /Z OWNER PERMIT NO. t A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If yo ave any questions pertaining to this matter, or need additional explanation, please contac is office immediately. Date t 5 Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES - - 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County.Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any ,questions pertaining to this matter, or need additional explanation, please contact this off ige'immediately. Date7/7—""-Inspector REV 10/9 .tw' ''."r��-hy..il'r ,,.,?Vi .:r +" y""""^S',t� +{�.f ' '�" •;j. 'fti�,"'f `y� `.fi"j-.�;x T�. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET / OWNER /1�/�-�/ C=/ `� A: P.NW �o�a Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engine,red plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12 California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood bxy ifornia Engineer . ................. . nitation and plot plan approval 2 Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .."Pre -Inspection req. .uest 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: V Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant / I` Date 6-23 ` 99 Copy of Haz-Mat form sent Health Dept. Fire Dept. A r Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. N 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Dat Plans checked by Date Plans approved by Dat Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works " COUNTY OF BUTTE v Department of Development Services Building: Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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) iJ 3 I (have/have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Date 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 permitted to issue the permit. OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: F cion C P e U n e C & P ADDRESS:. 0. iGCi5 r-, 1 MPI i Pfti . CITY & STATE: IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: ' �`I ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES GATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER RESUBMITTED DIFFERENT PLANS. B.P. 94-0743 A.P. 022-22-0-00 RECEIPT #156663, DATED 3/21/94, OWNER:'RAY & FRANCEAN_VERDIER . TOTAL AMOUNT PAID.. ................................. .$367.25 RETAIN REFUND PROCESSING FEE...............$25.00 RETAIN FILING FEES........ .... .. ....$40.00 RETAIN PLAN CHECK FEES.....................$70.20 TOTAL AMOUNT TO BE RETAINED...............$135.20 TOTAL AMOUNT TO BE REFUNDED.. ........................$232.05 TOTAL $232.05 I, the undersigned, declare under penalty of perjury that the services • or articles claimed have been performed or delivered, and that this claim Is true and correct as stated. Dated this ..........US ..1 ................ day o[ . ..1/�.)�.� ....... 19 R at.`..?.\..�.�.h1.1. �... Calif. .��� ���iL /A,i:!�..(. �..�Z �...................... �..1 Signature of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or article s lied bov ve ben performed or de- livered and that there is a Budget Appropriations or Specific Board Approval E) (Check one for sa Doted this ....... 6TH ...................: day of ....JULY............. 19.94 at .OROVILLE...... Calif. ....................... .__ .......... partment ead or Authorized Deputy Dept. Exp. /� /��T�+TDTT�+ TO PERMITS ' .......... ....................... Code .......440-002 ................. code 42,1.M.,�,�Q .PAYABLE FROM...GN17.Nh.+IN.V.�i...A1..................................................... FUND DO NOT . WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. i 1. .* .2o20 -cryo BUILDING 67E APR 41994 << .. -�, �>j ; 'c� -. `r , � l� �� r � � ' ti.?i':= 4:x`5}+�`� _ ,-- ;- �'. „ ate_„' � � t �,? ! i. t z �.- , #, F-4 oj o T F 9. The only way to protect oneself infected, T F 10. Only people who are homosexual o T F 11. HIV and AIDS are the same Condit T F 12. Healthy skin is a good barrier t Additional questions/convents: 2188 + __ —z. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 25� - 0 7</,7� ASSESSOR PARCEL NUMBER 022-22-0-009 ZONING A-40 BUILDING PERMIT OWNER RAY & FRANCEAN V RDIER TELEPHONE 846-4069 S0, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2287 W, Bi22s GridleyRoad Gridley95948 ' CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation LENDEf�,¢�nLe1NG ADDRESS 1111 Filing Fee $ 20.00 Permit Fee $ 101W j ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 70„�O Energy Plan Checking Fee $ ARCHIuC�nReENGINEER'S MAILING ADDRESS 11V� Penalty $ BUILD'72rssw Biggs Gridley Rd, Gridley / /�1 PERMIT FEE $ t 'tl�) PLUMBING PERMIT Filing Fee, 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT No. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other QaranP,2 ('ar ort SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New I xAddition ❑ Remodel ❑ Utilities ❑ Installation 1:1Other ❑ Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( IIIOR LESS ) 200A 200A OR LESS 23.00 Main Service I 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC P. OR ADONS. ( a ACC. BLDS. 3.50. FTg0,, 15,40 NEW CONST. MULTI OUTLET NON -NOW ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P 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 compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason ( POWER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup. FIOUTLETS IRESID.) EA. XED APPwS. OR I ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 5 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in con�slequence ofthegranting of this permit. X /llA/V�t �fl lyV \p/�'� [�9(.(/ Date —� Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $2!13•f 10— HAZ. I D. FEES IMP F100 COF PARCEL PO SEL HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B y PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Da tel /� �y Receipt No. 156663 _3tv / e WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT II lie .� .t'` � � ' + •M,"�' 1 'i�'"'�'4��tl >L >-_49UNTY OF BUTTE —DEPARTMENT OF DEVELOPMENT, SERVICES 7 County Center Dr ve - Oroville, California 95965 Telephone APPLICATION AND PERMIT - BUILDING DIVISION_x� (916) 538-7541 PERMIT NO. ASSESSOR PARCELNUMBER �,+, 022-2220-009 ZONING :_ BUILDING PERMIT r•l7 1111Ir OWNER _ t A & FRACEAN VERBIER RAI TELEPHONE •• _„ 846-40,69 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 287 W. Bi y s Gridley Road Gridley 95948 !f1` . � --- CONTRACTOR'S NAME - ` Owner TELEPHONE C/ CONTRACTOR'S MAILING ADDRESS \, i Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $^+0F. _ DELENq',4( ,[ IgADDRESS , Filing Fee $ 20.00 Permit Fee $ Q� JAMM TTIIO{R ENGINEER ARCHITECT LICENSE NO. Plan Checking Fee $ 701�o*fflias Energy Plan Checking Fee $ ARCHI'[IfCOne NGINEER'S MAILING ADDRESS ig-11VV Penalty $ BUILIN22WN Biggs Gridley Rd, ,Gridley ° (ll� PERMIT FEE $ �'yR j ray PLUMBING PERMIT Filing Fee 20.00 Each Trap - 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'SNAME PARCEL MAP Each gas water heater or vent ; 15.00 USE OF STRUCTURE ~SFO Duplex ❑ Mobilehome O Other QqrAjZP Rt Carnort SPECIFY- Gas piping system 1 5 outlets 15.00 Building sewer 015.00 Mobile Home S G I W @20.00 - q TYPE OF WORK' New uAddition O Remodel O Utilities O Installation ❑ Other ❑ Describe Work: 1 7 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 '�. Main Service( OR LESS 1 2OOA OR LESS 11 23.00 • �� -' Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. "LDS. SO - 3.Sri FT. 15.40 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my'license is in full force and effect. License No. Classification 'f I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) EII am exempt under Sec. , . , Business and Professions Code forthis reason ' NEW CONST. MULTI -OUTLET NON.RESIo. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) SAL. @ 1.00 50 Ex. Occu FIXED APPLNS. OR p' 1 OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 5 I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to'Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating ;8 ` Cooling Hood 6.50 14 Ventilation PERMIT FEE $ Contractor J , I certify that I have read this application and state that the above information is correct. I agree to comply to all,Butte County Ordinances and California State Laws relating to building construction;'and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrueragainst said County in consequence of the granting of this permit. x JAC'sT,P..'4\ `) w AU, 4" Date 3 Signature of Applicant - P Owner ❑ Contractor El Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home' Installation Fee $ - Energy Inspection Fee $ GCC CONST. TYPEf TOTAL FEE' 52;3.6 , HA2. 1 D. FEES IMP FL00 CDF 01 PARCEL PD 1 -.-- HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have . By_ PERMIT EXPIRES ON J the applicable provisions Resolutions to do work been paid. r Date Ma tel Receipt No. 1566630 '' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 +., ` .Y`,�.t2'�4^�`•'tK'x'�4�j�Y{�i!°s �K� S-..r^e-� `e k ��'...d l rr��.� j AOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - ; 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ,PERMIT No. APPLICATION AND PERMIT` ASSESSOR PARCEL NUMBER 022-2220-009 ZONING 4. A-�4: BUILDING PERMIT OWNER RA & FRAMCEAN VERDIIR t TELEPHONE i• 846-4069 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 287 W. Biggs Gridlek Road Gridley 95948 CONTRACTOR'S NAME Wner TELEPHONE D CONTRACTOR'S MAILING ADDRESS - Fireplace ' CONSTRUCTION LENDER .T• t. .UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDERS I NG ADDRESS k7 r ' Permit Fee $ Ion Jmm ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ I0 -A) Energy Plan Checking Fee $ ARCHIT ENGINEER'S MAILING ADDRESS - :��d>� - Penalty $ BU11.112,QD 11.1 Biggs Gridley Rd, Gridley G� PERMIT FEE $ �' •� PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME ;( PARCEL MAP Each gas water heater or vent 15.00 A USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other Garage & Carnort SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer .15.00 Mobile Home S G I W @20.00 TYPE OF WORK New axAddition ❑ Remodel 1:1 Utilities ❑ Installation ❑ Other 1:1 Describe Work: ! PERMIT FEE g , Contractor ELECTRICAL PERMIT Filing Fee 20.00 , Main Service ( B00V OR LESS ) 200A OR LESS 23.00 Main Service ( 209'n To iooOA ) 46.00 NEW CONS.Dec OR ADDNST ( D LLIBEACC OLDSUP440 3.50 S,": 15.40 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my`license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) El am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR, FIXTURES ) 20 @ 1.00 BAL. so Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.1 EA. ) ' 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure.' ©. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 3-5.40 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 1y Ventilation r PERMIT FEE $ Contractor I I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and State Laws relating to building construction, and hereby authorize representatives of California.the County of Butte to enter upon the above mentioned property for inspection purposes. ' I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue,against said County in consequence of the granting of this permit. X y (, t (',1�, <, �. 1L 1, (� (t;, Date ,' `' c j! ` Signature of Applicant - 0 Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEET 3•L�r HAZ- I D. FEES I IMP FLOOD CIF 'PAS I PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) 156663 7, �>�' . Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . `►� fir, �. � + ., .tt '�� � .. ,COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7541 ,PERMIT NO. APPLICATION AND PERMIT ' ASSESSOR PARCEL NUMBER� ZONING BUILDING PERMIT OWNER .<.+-. RAY A FRANCPAN VFRDIER TELEPHONE 846-4069 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADO"ESS ' 2287 W. Blaes Gridlev Road. Crtdle 95948 •'^ CONTRACTOR'S NAME Owner TELEPHONEr-"'�-� L% . CONTRACTOR'S MAILING ADDRESS Fireplace' CONSTRUCTION LENDER , A* UNKNOWN Total Valuation $- LENDER'`,.t MNG ADDRESS 3' VVtsiC. Filing Fee $ 20.00 Permit Fee $ loy ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ' 0 "�G3 Energy Plan Checking Fee $ ARCHIT2CS DjR,ENGINEER'S MAILING ADDRESS CJ3 L" Penalty $ BUILDIN22DO .7s V 'Biggs Gridley Rd, Gridley PERMIT FEE $ PLUMBING PERMIT PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME R PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other Garage & Carport SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O,')(Addition ElRemodel ❑ Utilities ❑ 'Installation 1:1Other O Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV LESS 200A OR 0. LESS 23.00 Main Service ( 200A TO 1000A 46.00 II'�!!�!/�� OR ADDNSNEW T ( DWELLING ACC. RLDSUPtiW 3.50 F°: 15.40 + CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification O 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. , Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS / @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 1 20 @ 1.00 BAL. .50 Ex. Occu FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 A.4 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling , Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue,against said County in consequence of the granting of this permit. i X i', 1 .. Date i Signature of Applicant - El Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ Dcc CONST. TYPE TOTAL FEE'S " ?•L'3': HAZ- I D. FEES I IMP '"""- FLOOD,, cDF ; PSL PD HD ISSUE This permit is hereby issued under of the Butte y Count Code and/or indicated above for which fees have By PERMIT EXPIRES ON theapplicable provisions Resoutions to do work been paid. Date (Date) 15b663 %f }y :c^(.`�.' Receipt No. "" f + WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT JWVX eOiWs`t»w _,Zrl:mipvkvlsfo�fG COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION ` 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Q 4- n Ct ✓Ci 1 f ✓\ A P. No. Or� -01V9 Proposed Building Use Y` 6ge (' r Building Inspector Date IQA At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. of Intent for Non -Heated and A/C Buildings. . �7tatement ngineered truss details and layout in duplicate (required prior to plan check). .... g. Mobilehome data and anufacturer's installation instructions, 2 sets. ........... Fees $ 10. of . .......................................... 11. Impact fees as shown on attached schedule . ............................... 12. California Department of Forestry plan approval/fees. ....................... . --- 13. 14. Flood elevation letter (100 year floo by Ca (ornia Engineer.. . Sanitation and plot plan approval l© L Health Department. ........ S 15. City of Chico plumbing permit . .................................... . . . . . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. . ....pection Driveway permit (construction approval required prior to occupancy). ...ar 20. a_IA �. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... - 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... Plancheck list . ..................................................... 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pi kup at office. Deliver with inspector.: Other Parcel Creation ���� , 1 l Acreage Applicant .9- Gk,�w Date /tet Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, o n , was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works J" Em 11SEONIX Wo1 Plan Altndied Floor Plan Attached�i� 1 itll to B. U, _ S II_/ TO. Building Department 7� FROM: Environmental Health SUBJECT: Sanitation Clearance �,, V,,,rol,'g, \t-' ;o -P7 (jJB-pr 4rvJI-P-Y- Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other _IV x Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An "owner -builder" building permit has been applied f -r---'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 ma' labor and materials for construction of the proposed property improvementyes r no) 2. I �a�/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 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 AC�W' Social Security Number - Date 3121- QN 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 DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION -AND PERMIT _ D D ` r' AssES50flP EJfIpUMBER ^ /n ( ZONING �n C�% BUILDING PERMIT GW�o(�v� n ^ (IL ; r� TELEPHONE yo SQ. FT. OCC. BUILDING VALUATION OW R' M N ADORE \./ f I V r J 93 7 440 9 or) CON ACT011'S NAME V1 & Y'- TELEPHOVt CONTRACTOR'S MAILING ADDRESS Fireplace CON UCnON LENDER e" UNKNOWN Total Valuation I $ 14 wo 10 LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ � AflCHI C OR ENGINEER Aldo CO' LICENSE NO. Plan Checking Fee $ / Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING D ss ' f PERMIT FEE $ 3 S rC+ C PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTU SF O Duplex O Mobilehome O Other Oct r Ort SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New 1� Addition ❑ Remodel O Utilities ❑ Installation ElOther ElContractor Describe Work: PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main ServiceBOOV OR LESS I 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW OR ADONIS? ( DWELLING CB DS. ) 3.50 F°; Y. L10 NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason POWER APPARATUS 6 SINGLE OUTLET CIR. / @ 1.00 Ex. Occup. ( OUTLET OR FIXTURES ) SAL. Ex. Occup.FIXED APPLNS. OR I OUTLETS (RESID.) EA. ) 5.00 Temporary Service Y3.00 Mobile Home Facilities 20,00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any mannerso as to becomesubject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ tlL Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 36 9.jj HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PO I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do indicated above for which fees have been paid. By Date PERMIT EXPIRES ON IDe tel work f� Receipt No. C� WHITE-D.D.S.-S.D. ASSESS04 2IN -I P CTOR GOLDENROD -APPLICANT 1, 4, tiRESIDENTIAL ..._: 92-2417 BPF-"' 022-220-009 VERD-11 ,Ray Rd, Gridley S V Biggs Gridley 2287 addition/-- - V. JOB FINA /ED (Date Signature r OFFICE COPY } Address I Y GAS � i Meter By Dal ELECTRIC Meter By ` Date JOB FINA /ED (Date Signature r J=OK O=Not OK Not = Not Readyable MOBILE HOMES Y Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements i 2. Soils; Special MH Support Sketch t 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) ' 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"U'ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-11; Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connectors' 6. Water; MH Test-Regulator-Corinector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements v 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh - 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements } 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL. (Single & Duplex) ' =., Date UN RFLOOR (Plans) OK except k's -z e FING (Continued) Dat 1. Zoning -Setbacks -Easements -Flood Slope ngers-Post Caps -Anchors -Connectors Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth04-0 g. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth ; n�Eigap19Ge Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth - Attic Access; Size &Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped ' ^(,� rm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls. Garage; Steel - Bloc kouts-Wrapped ---- V -_-- arage Fire Protection Framing 6a. Hold Downs and Special Anchors ----------------- --- 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel L--9` D.W.V.; Fall- Fitting -Test- ay C/O -S w t 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric: Underaround 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access &'Ventilation 16. Insulation Date -� srd B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date UMBING (Permit),OK except a's 16. ater Htr.: Vent -Access -Combustion Air -Baffle ------------ ter Pipe: Test & Anchor -Nail Protection V.: Test -Fittings & Anchor -Nail Protection- -_ -- --_ Shower Pan: Test. First Floor -Tub Access ---- - -- 20. t Tub & Shower.- Second Floor -Tub Access -------------- - 1. s Pipe: Size & Anchors Date Card B-1 Date Card B-1 ---------------------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 4's 22. Fixture & Transformer Clearance -Ins. Protection - ----------- ------------------------------- -------------------------- 6 �y23. Elec. Receptacles Spacing -Lights & Switches at Doors .,,�4. Size Boxes & No. of Conductors -Stapled -----------=---------------------------------------------------------------------- Romex Installed Close to- Edge of Studs & C.J. ------------------------------------------------------------- --26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------- -- --- ---------------------- -------------------------------- 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------------------------- r---2Subfeed Wire Size ! ga. Cu or AI-A.C. Wire Size ! / ga. Cu or At -------------------------------------------------------- ----------------------- - 29. - Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes ❑ No - - Service -R ser Conductors & -Ground-Main Disconnect - - -- -- --- -- ------------- --- ----- -------------------------- 3 ------------------------- 3 quip. Clearances Panels-Motors-Mech. Equip. ------------- --- ----- ---------------------------------------------------- othes Closet Light -Shower Light -Spa Light --- -.. - - ----- -- ------------------------------- ------------ - - 33. moke Detector ---------------------------------------------------------------------------------- Date Card B -t Date Card B-1 ----------------------------- - ------------------------ --1-------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft's 34. A.C. Ducts Insulation & Support --------------------- ------------- -------------------------------- - --------------- 35. -------------- 35. Vent Fan: Exhaust above insulation --------------------------------------- - ------------ ndensate Drain & Overflow: Size & Grade -- 37. urnance-Vent: Access -Comb Air -Return Air Vent -115 -outlet - - ------------------------------------------ 38. Attic Access & Platform if Furnance in Attic ----------------------------------------------------------------------------------- ----------------------------------- - ------ --------------------- ---------------Card - DateCard Bt -------------Date ------------- -------t - ----- - - ---------- Date Card B-1 Date Card B-1 Date FRAM G (Plans) OK except h*s 9. Sits roper Material & Anchors ---------------------------------------------------- Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------- ---- -- -- -------------- ------------------ ----- ------------- ------ 1. Beann ails over Girders & Floor Nailing -------- --------------------------------------------------------- D t Stop in Walls (rat proof) - - ---Stop -- Wall----------------------- ------------------------ 4 re Stops: Furred Ceilings -Stairs -Chases -Tula -- - --�-- - - ------------------------SSSS--SSSS---SSSS----------- 44. Headers & Beam -Size & Bearing _ 51. Property Line Firewall & Openings --FzL_Doors_One-3'-Check Garage -3rd Story, 2 Exits 57 Claus: Width -Headroom -Rise -Run -Landing -Fire Protection -- - 54 plywood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer ------------------- -- i�co Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic -- ear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings -------------- 0. Infiltration -Walls -Windows -------------------------- Date and B-1 Date Card B-1 _, � ---- Date Card B-1 Date Card B-1 _ Date FINAL fans) OK except u's Ext. teps-Door & Sidelight Protection -Landings -----� --- oke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In_ Garage: Above Floor-Ducts-Mech. Protection --------------- 64. Boroom Exiting ----------- �a-6 Wil. & Bath Fixtures & Tub Access -Spa Vic. Trim & Subpanel; Breaker Sizes & Labels ------------------------------- .faZ ails - - - - - - -- - - - - ------ ---- - --- -63--FirepW,ee-es Stove: Clearances -Hearth - ------------- ---- ----------------- Elec. Outlets at Wood Panel: Int. & Ext. .------------ ---------------------- r70-PCitfreI-Ippliance_Grnd_Air Gap -Cooking Clearance Receptacles at Kit. Counter -- ----- --- --- Z2_r;aLage Fire Door Swing -Landing -Closer arage-Damper ir. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----•------------------------------------ - �. Elec. & Mech. Equip. Listed for Location - --_-mac. Receptacles in Garage: (G.F.I.)-Romex Protection nsulation-Foam-Looked in Attic ❑ Yes ----------------------------------------- Deck Construction -Post Caps --------------------------- - -- dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - ---- ------------------ - -- - - 80. Following instld. Drive ❑ Yes ❑"�Walks ❑ Yes No: Planters -0 -Yes ❑ No ----------------------------- ect. Electrical, Plumbing nts Above Roof: Plbg.-Appliance-Fireplace.-Clearance to -------- ------ Openings _ connect, Electrical, Plumbing -- xterior Elec. Trim: G.F.I. Receptacle -Underground -------------- -------------------------------- tion Thro ---ughout House ----- -------------- --- ---- - ---- - G s Protection Corrections from Previous Inspections - --- - - -------------- as Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval - - - --- - --------- - - --- --- ----- ------ - er compliance Certificate -Other Certificates DateCard B- Date _ Card B-1 Da Card B-1 Date Card B-1 and B-1 Date Card B-1 Com encs at Finir ^.-"-^�"r`--�"`.d''+c'!"a",,"""' - '1.x---'�+-vtw•-'"-+it�'�a/an.J`�r�=:.,r.ez�. COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES y> 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 r CORRECTION NOTICE T, _ PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. � `� t.7�/>r.►� � T � I1�1�17 Date -9 / Ins REV 111192 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES -r. 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307, - t~ CORRECTION NOTICE. <i OWNER PERMIT NO. ^s A routine ;inspection indicates that the following violations of Butte County Ordinances exist at the above .address and should be corrected. Please notify this office when correction of work his coa;p1eted.11f you have any questions pertaining to this matter, or need additional explanation, please cont Phis office immediately. .. cv,e S4�4-r6t-p u !W '? s 'Date — Inspector REV 1032 J ,f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916).891-2751 7 County Center Drive, Oroville, CA - (916) 53877541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 'g OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at , the above address and should be corrected. Please notify this office when correction of work N'; is completed. If you have any questions pertaining to this matter, or need additional explanation,;, - . y please co tact this office immgdiately. " a Date 7 X1&7- --Inspector REV 11/91 Owner: Permit No. E"N E R G Y CERTIF ICAT ION J7 Lv '6 / &C. s ,I� �-�� �/ bad, -"Z"'10 LOCATION - J A.P. No. DESCRIPTION OF INSULATION -- ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) �E ERIOR WALL terial `', 2 - L. "Brand_ Name 04.,,'ej,5 Thickne 9 s (inches) 3 Thermal Resistance(R Value) CEILING �,e.�. b / att or. Blanket -Type 7 'I r; .":t -F --grand Name_ Thickness(inches)'_= - Thermal ^Res istance(R;Value) D Loose F,i11,Type Brand Name Minimum Thicknes$(Inches), Number of Bags:, Wt: -per bag lb. Area covered(ft. )- Thermal Resistance(R Value) FLOOR, ELEVATED Material, Thickness(inches)' FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material. Thickness(inches) Brand Name_ Thermal Resistance(R,Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with the State of California Energy, Requirements. FIM NAME/OWNER - STATE CONTRACTOR'S LICENSE NO. vSfGNATLT,rXOF INSTALLATION APPLICATOR DATE I hereby certify"the above insulation and all required items as"shown"on the - Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM /OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. IGNA OF GENERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST.BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR -TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT N0. 7 County Center Drive - Orovlller California 95965 - Telephone: 916/538.7541 t� - APPLICATION AND PERMIT n, / ASSESSOR PARCEL NUMBER 022-220-009 ZONING A-40 BUILDING PERMIT OWNER Ray Verdier TELEPHONE 846=5441 S0. FT. OCC.1 BUILDING VALUATION R 18 144.00 OWNER'S MAILING ADDRESS -336 2287 W. Bios Gridley Rd. Gridley 5 48 CONTRACTOR'S NA Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ 18 144.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 165.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 82.50 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $282.50 PLUMBING PERMIT Filing Fee 15.00' pit Each Trap 41 5.00 20.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7.00 Each qas water heater or vent 1 7.00 7.0 USE OF STRUCTURE SF [:J Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 1 15-0011 5 -nn Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Bedroom and Bathroom Addition Permit Fee $69.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO t000A> 1 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the BUSIneS$ and Professions Code and my license is in full force and effect.SINGLE License ,JO. 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. 1 ACC. BLDGS. /1 _37.50 3.64 sq.ft. 12 -no NEW CONSTR. MULTI -OUTLET NO N.R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 OUTLET CIR. ) Ex. Occu Occup(OUTLETS OR FIXTURES 20 76 EX. DCCUp. OUTLETS ((RESID, IRE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 27.00 - 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 f Consent to Self -Insure. II 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 Filing Fee 1 15.00 Heating Wall Furnace 119.001 9200 Cooling g Hood 6.50 Ventilation Permit Fee $ 24.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sa'Ld County.in Consequence of the granting of this permit. X Date OZ-&'% Signature of Applicant - Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $40.00 occ CONST TYPE V TOTAL FEE$,442,/ .50 HAz I DFEES IMP FLOOD I CD F AL:CVl PD Su i - This permit is hereby issued under sions of the Butt County Code and/or o e Work indica which fees D OF PUBLIC By PERM EXPIRES Date 7 -ZZ the applicable provi- resolutions to do have been paid. WORKS Date 7-Z 2-9 Receipt No. 117299 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION A 7 COUNTY CENTER DRIVE - OROVILLE, CALdF611"i A 95965 - TELEPHONE (916) 538-75410 PERMIT AWLICATION DATA SHEET OWNER CA Ved(_ A_ : No ZZ -'Z "0 07 Proposed Build2in Use s- Q '�(6Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... ' 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . .............:p .. . 11. Impact fees as shown on attached schedule. (G<� ,r �(. �c.St . . 12. California Department of Forestry plan approval/fees. ....... rte/ 13. Flood elevation letter (100 year flEngineer. R ---- � oodLby Aifornia .. �i .�....... 14. Sanitation and plot plan approval CTJ CID Health Department. . . .. . +. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . 20. Pre -inspection for to Buispedion ecus ' required. . to Building lnspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization................................ -.!.v ........ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. ,34. WJ�ep you issue the per it voce s as follows: Mail to owner. Mail to contractor. Telephon - and hold for pickup at office. Deliver with inspector. Other g -016 q Parcel Creation ("OK) Acreage Applicant Date Copy;of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not -,checked above). 1. Index permit for above ite s No. x 2. Additional items requil p !� _ �;• �,. ",,v.1 , : ",� Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mailo nter by _ Date Plans checked by ,,Date Plans approved by Date ,% -'�/ Sets of plans on hold in V File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 95965 - Telephone: 916,'538-7541 APPLICATION AND P8RMIT PERMIT NO. A33EleOR PARCELNUMBER 22 20NI Gw BUILDING PERMIT O Gcv WNE e y -d (,e - TELEPHONE S0. FT. OCC.1 BUILDING VALUATION OWNER'SM /LING AD e-5 ` 1 5 ^ale ,( 11(7 !l//s CONTTRRACCTOR•S NAME MW ,n '/GJ TEl/LLEPHON CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER - LICENSE No. Plan Checking Fee Energy Plan Checking Fee $ 20- c9,0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ARESWS r . ' t &�Xekzl( Permit fee $ 2�Z, PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 0CA.7 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.001 70t2 Each qas water heater or vent 1 7.00 oU USE OF STRUCTURE SF Duplex[]. Mobilehome❑ Other SPECIFY TYPE OF WORK New❑ Addition gejmdel[I Utiliti"e�❑� Installation❑ Other❑ work: e✓c"C144 GWIC.�i io�Ct-� !/7?tS�l� Gas piping system 1 - 5 outlets 1 5.00 -- Building sewer 15.00 S Mobile Home JSTG W @ 15.00 Permit Fee $Describe Contractor ELECTRICAL PERMIT Filing Fee 15.00 LESS main service 200AOORLLESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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 .JO. 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 OCCUPM OR AODNS. \ ACC. BLDGS. // 3.6asq.ft. NE w CONSTR ULTI-OUTLET NON.RESID BRANCH CIITSRC 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. #AL Ex. Occup(ouTLETs OR FIXTURES0 76d 464 FIXED APLNS. Ex. Occup. OU LETS P(RESIO )REAT 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee sQ ZOD — 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 ail liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ [RO occ CONST TYPE TOTAL FEE $''; Vy I I HAz I DFEES I IMP I FLOOD I CDF PARCEL P HD ISSUE f This permit is hereby issued under sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �k7t�_Cko\ 'win, WHITE-O.P.W.. YELLOW-ASSrSSOR• PINK -INSPECTOR. GOLDENROD -APPLICANT r��fy..,w>.K,v.w.•-,.-r;;;.i:;s.e.y��:,:.,.akr'�:�,1c•�"s.+�4rF::r-..r��srr�ir:»':V�^"'^."�e':a.'s.r+c.^5.,'!�'m i-..�.rw•;wr2M ;:.+`t;i?t;:1uc x. a .iri%w yl r � .. �' z5 •.:!i+'fii��j��`iv�' ""�'•'+tit^ `k✓9''�Y't"'7�'",{,�::t'r'• C�'':'KVK M1tiC.tN:.n::;�. Y 'BUTTE COUNTY SCHOOLS DEVEL0PMENT)FEE CERTIFICATION FORM (One Form per Building) A.P. Number - 2 Q G Building Department No. t .eC/ City n County Q Jurisdiction School District 6v ,n A n Property Owner( L UV_ r(A ( e r- Project Location/Address 220, Q e v &f Subdivision Lot Number Residential Development: COUNTY OF BUTTE a Sq. FootageZ36U BUILDING DEPT # of Living MHI A .dition (Group R) JUL 10 1992 Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) { pM if O Build g DepaiNtment a resentative Date (Floor Plans reviewed by School District.Personnel).. District Id No-_ School District certifies that 6 S� ('Applicant Name) (Phone Number) (Street Address) . (City) (State) (Zip Code) has complied with the requirements.of Resolution No. g/Cl Z by the payment of $ representing square feet. /U Z School istrict Representative Defte PAID BY CHECK NO. BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) FOR N Y ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner �- ► %��/�L/1� S Climate Zone Permit # '/.P- o4 y/') Floor Area 334, The following data showing mandatory and required features of Package "A" shall . be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any.space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. _ I _ ZONE 11 ZONE 16 APPLIES TO .NEWAREA. - CEILING R-30 RV8., WALL R-11 R FLOOR R-11 -1 SLAB R-7 /R-7 .GLAZING. U-.65 (Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient . WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE -Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, -AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *l HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr- (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collectgr brand and ft model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump . EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor s heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. IG.IATURE UI ING DESIGNER OR APPLICANT . i COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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 wil. a 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) S D2. --I• (have/have not') signed an application for' a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction:. Name - Address City Phone 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 Numbe Date 7 —/O -- C12- NOTE: /z 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 , r E 7 County Center Drive - Oroville, Califor6la 95965 - Telephone: 916/538=7541. APPLICATION AND PERMIT PERIIIIIIIT U / N a ASSESSOR PAR'CEL: NUMB -ER — Q ZO IN' '"�� 7f BUIL`DING'PERMIT OWNE TELEPHON t!O SQ. FT. OCC'. i•: BUILDING VALUATION y OWNER' MAI G AD RESS . CONTRACTOR'S NAME - TELEPHONE y CONTRACT R'S IMAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 1000 Permit Fee $ ARCHITECT OR ENGINEER ., LICENSE NO. Plan Checking Fee ,$' ARCHITECT OR ENGINEER'S MAILING ADDRESS , Energy Plan Checking Fee $ Penalty $ BUILDING, ADDRESS u� G2.�.,aCF • �Q, Permit fee $ PLUMBING PERMIT Filing Fee 10.00 _ ` Each Trap 2,00 Solar or heat pump water heater 20.00 . LOT NO. SUBDIVISION NAME I`' PARCEL MAP' IEach Water piping 5.00 qas water heater or vent 5,00 I USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Com'; SPECIFY - Gas piping system 1 - 5 outlets 5.00 Building'sewer 5.00 . Mobile Home S I G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ OfiIities ❑ Installation[] Other [.� Describe work: -,41Ot /l�rd2 �` 1✓Si��C ���t� i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 B00V OR LESS tlVlain service 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW f 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 1 1, 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 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 ❑ I am exempt under Sec. , Business and Professions Code for this reason l Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.eI OR ADDNS. ACC. BLDGS. , �Z�Sq ft NEW CONSTR U TLOUTLET . NON.RESID BRANCH CIRCITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) / Ex. Occup\OUTLETS OR FIXTURES 20@501 DALO 30 FIXED AINIS Ex. Occup. OUTLETS P(RES(D )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , Misc. Wiring 15.00 $�-- s'.... - Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 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. IVentilation 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 shal I be deemed revoked. I Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 permit Fee = Contractor I certify that'l have read this application and state that the above information is correct. I'agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save,1 indemnify andtkeep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C_Otin co. sequence of the granting of this permit. _ 2 (�, O X ]:��Date Signature o Applicant - Owner El Contractor ❑ Agent Elwork An OSHA permit is "required foriexcevetions over 5'0" deep and demolition or construct- ion of structures o//er 3 stories in height.KS Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �"- OCCUP, CONST.TYP! 717��ODJ PARCEL PD NO s p! This permit is hereby issued under sions of the Butte County Code and/or indicate bove foi w ich fees I EC O OF PU LIC i By PERMIT EXPIRES Date the applicable provi-,r resolutions to do have been pair WORKS Date Receipt No. !� WHITE-D.P.W.. YELLOW-ASQLDSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT I " /• i J .,. 22-22-09 + 2091-89E VERDIER, Ray 2287 W Biggs Gridley Rd, Gridley (move elec meter & install'new weather head) j�� �sa,pa� ov�K SAV J-; a r t ' T . , ""_`;----�•^.rc-u-rrc�a..a:�y�.'�0�'�„_"Z-'"'-""'s"":.a"^"'.f°"'�"^" :nr+nt..�"Q;'�t';v.- COUNTY* OF BUT _t DEPARTMENT+OF PUBLIC WORKS � t 196 Memorial Way, Chico — Phone: 891-2751 -7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise --Phone: 872-6307 ORRECTI.ON NOTICE` . OWNER J`: o PERMIT NO. ' 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 L �� matter, pr need additional explanation, please contact this office immediately. Inspector( I - Date / ` `) -;s "s1 l' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION' AND PERMIT ASSESSOR PARCEL NUMBER ---Q ZO ING BUILDING PERMIT S0. FT. OCC. BUILDING VALUATION WNER' AIIL/LING AO RESSI [CONTRKCTOR'S NAME TELL E HONE CONTRACTOR*STAAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS CrC J�Q,, Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 55,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other _C i SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other,' Describe work: _ .?0110m —e -e— *I- 1%!%_Q� i 44 61A16 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov 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): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. )cense No. Classification V1, 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.& , /2 0sq It NEW CONSTR.� A u ,TB OUTLET .50 ea NON.RESID .BRA CH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex.Occu o 20®50s pUTLETS OR FIXTURES 5ALO 30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 S S"_...— Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Countin c equence of the granting of this permit. X �, Z�� �O Date Signature drApplicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE Occup. CONST.TYPC SCHOOL FLOOD PARCEL P11 I ND s5 l This permit is h�P�reby issued under sions of the Butt County Code and/or work indicate b•ve fo w ich EC O LIC BY PERMIT EXPI ES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r� Receipt No. - I WHIT[-D.P.W., YELLOW-ASSi330R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 I OWNER -BUILDER VERIFICATION Attention Property -Owner: Phone: 916-538-7541 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. j1. I personally plan to provide the major labor and materials for construction of l the proposed property improvement (yes or no) �s �2. I (have/have not) signed an application for a building permit for the proposed wor 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 j Signed: Property Owner Social Security umb*�7 ,�. Date Zq— 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 PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZO IN BUILDING PERMIT OWNE TELEP,HON OCC. BUILDING VALUATION OWNER' AILING ADDRESS _ CCIvTRAC. ::.FS NAMC — CONTR�I1'S' Ai LING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS LOT NO. SUBDIVISION NAME UNKNOWN PARCEL MAP USE OF STRUCTURE SF [:1 Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other, Describe work: .l'�Oi.L'E-i E 2 -/- J;,sa4YA-- ) 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. eI, Icense No. Classification 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 WORKMEN'S COMPENSATION INSURANCE i I declare under penalty.of perjury (check one): u The permit is for $100.00 (vaivation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate /of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County Inc equence of the granting of this permit. 1 Xh/ Date Signatur Applicant — Owner ❑ Contractor 11Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. / WHITE-D.P.W.. YELLOW-ASeESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each Qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S I'G I W Penult Fee $ 10.00 10.00 Contractor $= ELECTRICAL PERMIT Filing Fee 10.00 Main service 60OV OR LESS 100 AMP OR LESS 10.00 Heating Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.SI) / OR ADDNS. l ACC. BLDGS.NEW t �2�SQ ft Cooling CONST NON.RESID R BRANCH CTR CTI TS 2.50 ea Hood /POWER APPARATUS e 1 SINGLE OUTLET CIR. 3.00 Ventilation Ex. Occu p OUTLETS OR FIXTURES .0&50t eAL930 Penult Fee FIXED ALNS EX. Occup. OUTLETS P(RESID )REA.) 2.00 Contractor Temporary service 10.00 Mobile Home Installation Fee Mobile Home Facilities 15.00 Energy Inspection Fee Misc. Wiring 15.00 s $ 2 OCCUP.1 PermitFeeFee $= Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Penult Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee S TOTAL PERMIT FEE $ 2 OCCUP.1 CON3T.TYP9J ISCHOOL I FLOODI PARCEL I PD 'NO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By PERMIT EXPIRES Date Date -. �.,�...�.-.,� op, va+.Cn[p*3s:.«1 �5�}`Y'A1„t,.�'C3+�'��y:�kc-`'?C��!w��"`�"�4`1'i%n'7�'3 sr�+:g1["-'gs•L�:++4wii,i� h4'{`y.*`5,+'��`uiwf?�'nX:�1P�`.�i:;�a+,+1.:.y1%S4n�•1':�h'i'sie'a�t{"r35�!t�v�,.:-�'MYM ,.r•-. 'y'a.:'4�,.. 22-22-09 92-810P,E'° VERDIER, Ray — - - — 2287 W Biggs Gridley Rd, Gridley ., repar_per_SI #92-07 } e ..a • f v • � I I _ ..� .� . -r...� ; iw: .� .o ��'�: y'-�•<. . . �.-�, ,f* ....'Vt°y M +:. li �"tn •'f:+RR'wY`y... r: s`'u tl' - ��f'T1i�'.`; tl,� 1: IY`. " w COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlllet 9aliforn'la 95965 - Telephone: 916/538-754192410 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING 22-22--09 . A40 BUILDING PERMIT r OWNER TELEPHONE SO.'FT'. OCC. BUILDING VALUATION Ray Verdier ?846-5441 OWNER'S MAILING ADDRESS 2287 W Biggs Gridley RA Gridley CONTRACTOR'S NAMEITELEPHONE VWIICSL-_ , . _r CONTRACTOR'S MAILING ADDRESS - ,i CONSTRUCTION LENDER r LENDER'S MAILING.ADDRESS 1 BUILDING ADDRESS MAILING ADDRESS W LOT NO.'' SUBDIVISION NAME USE OF STRUCTURE SF 91 Duplex ❑ Mobi lehome ❑ Other UNKNOWN LICENSE NO. Rd, Gridley i I PARCEL MAP t /SPECIFY TYPE OF WORK -f�, New❑ Addition[] Remodel❑ Utilities❑ Installation a- Other© Describe work: repairs per SI #92-07 vt _ t' CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of thJ'`BUsiness and Professions Code and my license is in full force and,feffect. 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 Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer . Mobile Home S G W Permit Fee 15.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 20.0A OR LESS 18.50 Main service 200A TO 1o00A1 NEW CONST.(DWELLING OCCUP. OR ADONS. &+ACC. SLOGS. _37.50 3.64 sq.ft. NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRCUITS) N_ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 20.0A OR LESS 18.50 Main service 200A TO 1o00A1 NEW CONST.(DWELLING OCCUP. OR ADONS. &+ACC. SLOGS. _37.50 3.64 sq.ft. NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRCUITS) @ 5.00 - - (POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d Ex. DCCUp. OUTLETS FIXED P(RESI LNS464 D. IRE A.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.0015-UU for this reason I Permit Fee 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 makin this statement sho Id b b"A S .avow Contractor MECHANICAL PERMIT Filing Fee 15.00 t Heating Cooling Hood 6.50 Ventilation PP g I u you C.M.esu lect permit Fel to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. „ Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save indemnify and keep harmless the County of Butte against TOTAL FEE $ $ 52,00 all liabilities, judgments, costs, and expenses which may in any way accrue HAz I DFEES I IMP I FLOOD I CDF I PARCEL I PD I HD I ISSUE againsVsaid County in consequence of the granting of this permit. X , - �i f, �1 i`4C1r1 �. t 1 ,t joA Date ')r, tl This permit is hereby issued under the applicable provi- Si nature of Applicant — Owner �''y sions of the Butte County Code and/or resolutions to do Signature pp LJ Contractor ❑ Agent ❑ work indiQared aboGJfor which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Dlii 16TOR OF PUBLIC WORKS 110236 By �,Is D e Receipt No. PERM!t EXPIRES Date 3! 'y3 WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE s DEPARTMENT OF PUBLIC WORKS • i ' 196 Memorial Way, Chico — Phone: 891-2761 7 County Center Drive, Oroville — Phone: 538-7541• 747 Elliott Road, Paradise— Phone: 872{6307 CORRECTION NOTICE Ll OWNER PERMIT NO. Y l 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 ne d ' ditional explanation, please contact this office immediately. l L V LAM 1 U �F 6A1_, sT2F-,9i . ecx.-2ADC/?.GPw- Date 3 ��— -ns ,Letter to Ray and Francean Verdier RE: S.I. #92-07 (A.P. #022-220-009) Page 2 March 11, 1992 Should you have any questions concerning this matter, please contact this office. Yours very truly, DP:dj William Cheff Director of Public Works yF. Glander ,f�hief Building Inspector �f- Ray & Francean Verdier 2287 W. Biggs Gridley Rd. Gridley, CA 95948 Dear Mr. and Mrs. Verdier: DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE. CALIFORNIA 95965 Telephone: (916) 538-7541 . RONALD D. MCELROY Deputy Director March 11, 1992 RE: Special Inspection #92-07 (A.P. #022-220-009) With reference to the above subject, and your request for inspection of the conver- sion of porch to bath & laundry at 2287 W. Biggs Gridley Rd., Gridley, the inspec- tion was made on March 9, 1992. The conversion was constructed by the previous owner, without permits and inspection from this office, so we were not able to perform the required inspections during construction. We -therefore made a reasonable visual inspection, without going on the roof, under the building, or in the attic and found the conversion appears to conform to the intent of code requirements, except for the following items which must be done or resolved: ovide a ground fault interupter in bathroom outlet. �otect romex at water heater & terminate wires in an approved manner. Pressure relief line to extend outside the building in a downward position 24" above grade. This, inspection by the County of Butte does not act as a guarantee or warranty as to the internal soundness of said conversion. It is now in order for you to submit complete plans in duplicate to this office including plot plans, floor plans and structural details, apply for the required permits, and pay the appropriate fees. The permits must be obtained and above.listed items completed within thirty days of the date of this letter. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. — �7 County Center Drive - Oroville, Californ ;a 95965 - Telephone: 916/538-7541 92-810 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 22-22-09 ZONING .:• ' A40 BUILDING PERMIT 18.50 OWNER Ra Verdier TELEPHONE 845-5441 SO. FT. OCC. BUILDING VALUATION 3.6p sq.ft. OWNER'S MAILING ADDRESS 2287iJ Dim s Gridle RD Gridle @ 5.00 /POWER APPARATUS & l SINGLE OUTLET CIR. CONTRACTOR'S NA E Owner TELEPHONE 20 76 CONTRACTOR'S MAILING ADDRESS I 3.00 Fireplace 15.00 CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2287 T.T Biggs GridleyRd W Gridley Permit fee $ PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7,OC Each qas water heater or vent 7.00 USE OF STRUCTURE SF KI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition[] Remodel❑ Utilities❑ Installation❑ Other ❑$ Describe work: repairs per SI #92-07 _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said County in c nsequence of the granting of this s�permit. X�4�O��� - 2AAll ,� Date J-11) Signature of Applicant — Owner [q Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. 110236 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I Permit Fee S 22 -on Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOA/ 37.50 NEW CONST.( DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. II 3.6p sq.ft. NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS & l SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 76 EX. Occup. FIXED OUTLETS PRESID )REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 vermix vee $ JU.UU Contractor MECHANICAL PERMIT JFilingFeeJ 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ 52.00 HAZ 10 FEES IMP I FLOOD I CDF I PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work inci�iqeqd ab5og for which fees have been paid. R OF PUBLIC WORKS By -.4111,114M/ Date 30�Z— PERN11T EXPIRES Date ,.` COUNTY OF BUTTE - DEPAATMENTr017,E,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILa,,6AT IFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICA-TION DATA SHEET g Permit No. OWNER / mer /,mr A. P. No. _7 _Z' Z Z - ce7ce Proposed Building Use Building Inspector MJ0,�dDate At time of permit application, I was advised the 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, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ..........................................'.......... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit .................................. 16. Plot plan and business license approval from�City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to ' Building Inspector (Date) i21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement .......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. r Other i Applicant Jl cw (' 6eYI � Date ✓- d -9g Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). - 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 �! APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER,7Z/ ZONING BUILDING PERMIT OWNER Ve& lIi�ae TELEPHONE BY SQ. FT. OCC.1 BUILDING VALUATION OWNER'S M ILIN ADDRES 2287 Af Br 5 Cx " y&D CONTRACTOR'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 5 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS ^ V t �7rir5 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL M Water piping 7.00 .(9C) Each qas water heater or vent 7.00 USE OF .STRUCTURE SF,Z Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home S 1 G kV @ 15.00 TYPE OF WORK Newi',' ,' Addition ❑ Remodel ❑ Utilities ❑ Installation E] Other— Describe work: /ec-AAt;Is 1,04 jt OvVie-CIContractor 92-0 Permit Fee S oz- 00 ELECTRICAL PERMIT Filing Fee 15.00 Main service sOOVORLESS 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON•RESIO. 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 AODNS, l ACC. SLOGS. 3.6C sq.ft. 1 NEW CONSTR. •IULTI.OUTLET BRANCH CIRC 'ITS @ 5.00 SINGLE OUPLETTCR.8, T II I Ex. Occup(OUTLETS OR FIXTURES 120 @ 764RA I FI: ED APPLNS. OR Ex. Occup. ouTLETs IaEs1D.l EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 j_57(30I, Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. (—I I have placed on file with the County of Butte Building Department LJ a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XDate Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC I CONST TYPE TOTAL FEE $ .j Z � ( HAL 1 0FEES IMP FLOOD CDF I PARCEL I PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for -which fees DIRECTOR OF PUBLIC i p> RMIT EXPIRES Date applicable provi- resolutions to do , have been paid. WORKS Date Receipt No. I i o2_3 (o WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive., Droville, CA 95965 Phone: 916-538-7541 '. OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. (� I personally plan to provide the major labor and materials for construction of \_ the proposed property improvement (yes or no) J �i I (have/have not) signed an application for a building permit for the proposed work. 0 I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. iI 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 JACIV�CtAA J A Social Security Number Date om U 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. 00 .,.'eutte, Co, I . DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE. CALIFORNIA 95965 Telephone: (916) 538-7541 RONALD D. McELROY Deputy Director March 11, 1992 Ray & Francean Verdier RE: Special Inspection #92-07 2287 W. Biggs Gridley Rd. (A.P. #022-220-009) Gridley, CA 95948 Dear Mr. and Mrs. Verdier: With reference to the above subject and your request for inspection of the conver- sion of porch to bath & laundry at 2287 W. Biggs Gridley Rd., Gridley, the inspec- tion was made on March 9, 1992. The conversion was constructed by the previous owner, without permits and inspection from this office, so we were not able to perform the required inspections during construction. We therefore made a reasonable visual inspection, without going on the roof, under the building, or in the attic and found the conversion appears to conform to the intent of code requirements, except for the following items which must be done or resolved: 1) Provide a ground fault.interupter in bathroom outlet. 2) Protect romex at water heater & terminate wires in an approved manner. 3) Pressure relief line to extend -"outside the building in a downward position 6" to 24" above grade. This inspection by the County of Butte does not act as a guarantee or warranty as to the internal soundness of said conversion. It is now in order for you to submit complete plans in duplicate 'to this office including plot plans, floor plans and structural details, apply for the required permits, and pay the appropriate fees. The permits must be obtained and above listed items completed within thirty days of the date.of this letter. Letter to Ray and Francean Verdier RE: S.I. #92-07 (A.P. #022-220-009) Page 2 March 11, 1992 Should you have any questions concerning this matter, please contact this office. Yours very truly, William Cheff Director of Public Works y DP:dj yF. Glander Xhief Building Inspector a I Complaint -Date Other -Date Owner: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Z ONING A. P. # Address: Date of Inspection Tenant: Inspector "�$ Building Location: Type of Inspection requested: 1. Housing ".2. Financing 4. Work W/O Permit /_/ 5. Present use of building: / / 3. Change of Occupancy to Other (speciLy) A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents:. 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerances,Handrails) 15. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: e-, 3. Fusing:. 4. Comments co..'e'A eA w _b1. e.oVC-- 4*d 60Y co w.vtc.;iq" D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: QLU -hp 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3.Safety hazards: 4. Weather protection: S. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings_ 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: S. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. C. Write letter. D. Other: STANDARD Si RUCI URAL PEST COI• I RUL INSPEC I IOIJ REPtJRI (WOOD -DESTROYING PESTS OR ORr 4NISMS) This is an inspection report nl —not a Notir. of Completion. ADDRESS OF BLDG. NO. STREET CITY Gr' i c11 r•v PROPERTY 1. It t r I It OATF OF INSFFCTION INSPECTED r, ')') r• nncI Biaos• 11Iwv CO. CODE 04-`i141 7_22_f0 CEDARS TERMITE CONTROL Affix stomp here on Board copy only F. 0. lion 785 � A LICENSED PEST CONTROL OPERATOR IS AN EXPERT IN Orc:ville, Ca. 95965 Phone (916) 589-2120 HIS FIELD. ANY QUESTIONS RELATIVE TO THIS REPORT SHOULD BE REFERRED TO HIM. FIRM LICENSE NO. .1U76 CO. REPORT NO. (if any) log STAMP NO. 1402E�3K Inspection Ordered by (Name and Address) Tri rr,,,n+y Real ty, , 1672 Hwy 9C)E' gird ey, Ca- 95948 Report Sent to (Name and Address) Same 99E Gridloy / Orovi 11 e Titlo CL 1835 Robinson `it Owner's Nome and Address L1 At rt-hrinv r I'ri r (I'l ! L.r. / Ornv i 1 1 r, r C'� _ Far _ 12 C) F, 7f' Nnme and Address of o Party in Intprpst !L:i ., INSPECTED BY: LICENSE NO. Original Report Q Supplementol Report ❑ Number of Pages Y1 CODE I SEE DIAGRAM BEI OW YES CODE I SEE DIAGRAM BELOW YES CODE SEE. DIAGRAM BELOW YES CODE I SEE DIAGRAM BELOW S-Subterraneon Termites B -Beetles -Other Wood Pests Z-Dompwood Termites EM -Excessive Moisture Condition K ft,y Wood Termites FG Foulty Grode levels SL -Shower Leaks IA -Inaccessible Areas F -Fungus or Dry Rot EC-Eorth-wood Contncts CD -Cellulose Debris FI -Further Inspection Recom. I . JUbb I KU(_ I UKt AKLA (soll cOncllttonS, accessibility, etc.) ;-,nJI ;J rE low 2. Was Stall Shower water tested? tt.11, Did floor coverings indicate leaks? no 3. FOUNDATIONS (Type, Relation to Grade. etc.) Cti: - se i>e.l.ow 4. PORCHES ... STEPS ... PATIOS Concri�te 5. VENTILATION (Amount, Relation to Grade, etc.) A1)wl rrll- ,Tclecjunlc 6. ABUTMENTS ... Stucco walls, columns, arches, etc. N;,I,r,J 7. ATIIC SPACES (accessibility, insulation, etc.) Accessible 8. GARAGES (Type, accessibility, etc.) Detached. riot hi,-,ric.c_tr'd 9. OTHER Holle I DIAGRAM AND EXPLANATION OF FINDINGS (This report is limited to structure or structures shown on dingrom.) General Description 1 st or -N/ frame, masnii i t. , si d i nc1, el(-farhed claracle .x-r•u:;t..i l -•l e runt V.i.::.i l,i c• port-.,; o f Lhc l mid d:i.i ic):; or I •u.i .l.il.i.nil -shown cin d:iagr-_1111, F rrc personal effect." are noL moved on a rout:i.rv-:� Floors under vjj ishirig blc )".;(I :I n ir.'C(�Ssi . nut water tested for leaks oil a routine inspection. R•. �::s�^cti.c�ns within four months of this report will be made upon request for a fee of $25.00. Inspection tar, is located on rim joist. 1. ::u):• -soil under rear concrete slab is in contact with girder supports and rim joist. Excav,-tt(, coil to provide 4" clearance. Metal flash supports and chemicaly treat rim ioist with nenta. 2. Slab floor and sealed walls prevents inspection of inside framing (refer to graph). There Was no Outward evidence of infections or infestations. '.. S::)i l shotrlc, be graded and maintaned 4" 1Ez1.>w top of front and left foundati.ort. .l nl or!!!ation: Subarea soil is dry. C,st Lo correct Item 1.... $85.00 There was no evidence of plumbing leaks in subarea. Signature-.._._.. YOU ARE ENTITLED TO OBTAIN COPIES OF ALL REPORTS AND COMPLETION NOTICES ON THIS PROPERTY FILED WITH THE BOARD DURING TH. P/R CEDING TWO YEARS UPON PAYMENT OF A $2.DO SEARCH FEE TO: STRUCTURAL PEST CONTROL BOARD, 1430 HOWE AVE., SACRAMENTO, CA. 95825. e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, California 95965 7,07 Telephone: 538-7541 9 APPLICATION FOR SPECIAL INSPECTION Owner E(`4ti CE*0 vk I Le ir- d,-(- A. P. No. Mailing Address Z7 %% - (a,e_t f' R,c. r_ S G,,ci � Telephone No. W y6 - S-ygj Applicant q::�r0 w r eC4 V1 I %Pr d i e'r Telephone No. gy6 ^S Mailing Address 2 -2 irl (AA c C 4r,;1 /Y y '`Building Location Z 2 V i,, -e S -r' /��� S Nr �A/ /rte I hereby request a special inspection of the following building: 1. Dwelling (if only a portion, specify) !- ,VA& k 1 EQO Q 2. Apartment House (if only a portion, specify) Q 3. Commercial (specify present occupancy) 4. Other (specify) I am requesting a special inspection for the purpose of: 1. Moving the,liuilding. 2. Financing (specify agency) Q3. Change of occupancy to Case No. EW4. ,Other (specify) nNk '�bd��%r�-r���v. o d��-;'n�, PP►^y���S i I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required.by the County of Butte, as a result of this inspec- tion, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that,I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above- mentioned property for inspection purposes. f 11f Ck A �. Signature of Owner Fee Paid $ �5, 00 1st-DPW/2nd-Inspector/3rd-Applicant Date !2- `�).S-"57" Receipt No. 0 `/ ,ttr'r y,7j't�e�'S-'+rl~N';'r'i'� d��.jci�;.Pf`i-t�t�r,: n1�'i ��S'.'. ✓, •,-..+�kLI:'''']rr"�'. , ; ,.�,Jif2 *r`'Yi"!��"'".si ,+''' '�-ti ^,.,, 4 w-:..., ,. is .P.-w�...4J , .. '� -• �(/ COUNTY OF BUTTE - DEPARTMENT dF PUBLIC WORKS Moi I 7 County Center Drive, Oroville, California 95965 % —07 Telephone: 538-7541 C/ f APPLICATION FOR SPECIAL INSPECTION Owner rG ti �' C-6 ►n Ve Vr d pe d` A.P. No. '2 "2 17— Mailing Mailin Address? ,e;r, S '(a „ Telephone No. Applicant (ir Q K %•Pr d Ie r Telephone No. 5gV6 y -c// Mailing Address 2 -7 s(-7 wt Building Location Z. 2 k7 fib• .� S e4 C f Nr ,W I herebyfrequest a special inspection of the following building: 1. Dwelling (if only a portion, specify) �-���; �-:n�� i- �CR �, nCk�C 1 I for, CLN 2. Apartment House (if only a portion, specify) 3. Commercial (specify present occupancy) Q 4. Other (specify) I.am requesting a special inspection for the purpose of: 1. Moving the,building. 2. Financing (specify agency) Case No. 0 3. Change of occupancy to 4. 'Other (specify) 3�,Nk Q pq,4..t.%d !r -0 d44,ny,�,, PPrvv, 14 I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required.by the County of Butte, as a result of this inspec- tion, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that,I have read this application and hereby authorize representatives of the mentioned property for inspection purposes. e Signature of -Owner Fee Paid $ K QD lst-DPW/2nd-Inspector/3rd-Applicant I and state the above information is correct County of Butte to enter upon the above - Date !!2 - P S-- �'Z Receipt No. log 7_�-51 S. 112 OF N. E. 114 SEC. 26 T . 18 N. R. 2 E. M.D.B. & M. Ta; . 2/ ►� . 0 WEST BIGGS ♦ _ •S e90 w' E GRIDLEr ROAD S W 30'E 0 23.21 A.C. BLOCK WN N 690 30' w - IP 27.60 A.C. ws map may or may not be a survey of the land depicted hereon. You should not rely upon it for any purpose other Assessor's than orientation to the general Iocatim of ft panel or 2/ parcels depicted.BIDWELLTM.E&ESMCO,as ly County 01 disclaims any kft for WkW I= W iM p which may MA tom Mk= an Ibis OW , March, .►'`1G'iTi°'�i'"•«»:u!%1t3t5jS'`tVY'y1F:'"�Y�'""t;4'r-.t'ii,C�.-+fr+d1''x�,:".`a$,i-t""''t,�y,"'(i'Fi'1'z'ni�•.�r'+a �. 'r COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET leroL-er- Permit No.,OWNER ( A. P. No. Z 2 22 ^9 Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: IBJ 1. All items have been submitted...........................DATE RECEIVED APPROVED.......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13• School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... -.22. Certificate of Workmans Compensation Insurance .................. • 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 6 syN,/ and hold for pickup at office. Deliver w/inspector. Other �r q Applicant CcA&.CIL ` Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-jtlaiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date February 25, 1992 To Butte County Building Inspector, We are requesting a Special Inspection on our home located at 2287 W. Biggs Gridley Rd. The inspection will be to the bathroom and backroom. This is to satisfy our bank and to clear up any building code problems with this house. Thank You, Ray & Francean Verdier I jx C'M uvv� (zl 0� �' 5- WILLIAM tmm) uritrr, uireciar 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965 Telephone: (916) 536-7541 RONALD D. McELROY Deputy Director March 11, 1992 Ray & Francean Verdier RE: Special Inspection #92-07 2287 W. Biggs Gridley Rd. (A.P. #022-220-009) Gridley, CA 95948 Dear Mr. and Mrs. Verdier: With reference to the above subject and your request for inspection of the conver- sion of porch to bath & laundry at 2287.W. Biggs Gridley Rd., Gridley, the inspec- tion was made on March 9, 1992. The conversion was constructed by the previous owner, without permits and inspection from this office, so we were not able to perform the required inspections during construction. We therefore made a reasonable visual inspection, without going on the roof, under the building, or in the attic and found the conversion appears to conform to the intent of code requirements, except for the following items which must be done or`resolved: 1) Provide a ground fault interupter in bathroom outlet. 2) Protect romex at water heater & terminate wires in an approved manner. 3) Pressure relief line to extend outside the building in a downward position 6" to 24'.' above grade. This inspection by the County of Butte does not act as a guarantee or warranty as to the internal soundness of said conversion. It is now' in order for you to submit complete plans in duplicate to this office including plot plans, floor plans and structural details, apply for the required permits, and pay the appropriate fees. The permits must be obtained and above listed items completed within thirty days of the date of this letter. V Letter to Ray and Francean Verdier RE: S.I. #92-07 (A.P. #022-220-009) Page 2 March 11, 1992 Should you have any questions concerning this matter, please contact this office. Yours very truly, William Cheff Director of Public Works DP:djGlander k -Fief Building Inspector, I Ray & Francean Verdier 2287 West Biggs.Gridley Road Gridley, CA 9.5948 February 24, 1992 RE: Recent correspondence A.P. #22-22-09 Dear Mr. & Mrs. Verdier: With reference to the above subject and your letter dated February 21, 1992, the house you own at 2287 West Biggs Gridley Road, Gridley is currently in an A-40 zone which allows residential construction. If your house is destroyed by fire or other disaster, it may be reconstructed if in compliance with the building, sanitation and zoning codes in effect at the time of reconstruction. Should you have any questions concerning this matter, please contact this office. Yours very truly, DP: dms William cheff Director of Public Works zlv � David Purvis Supervisor, BVilding Inspector z z. '2 Z — Oct gy(A — Sof yl TO: COUNTY OF BUTTE We request a letter from you stating, that if our home were to be partially or substantially destroyed, you would issue us a permit to rebuild on our property, located at 2287 W. Biggs Gridley Rd., Gridley, CA. You letter of reply is to satisfy our Bank. Thank You COUNTNRay & Francean Verdier BUILDING DEEB FEB 2 ) 1991 04A - TELEPHONED PLEASE CALL 4 ` U7 "AS F%kvs-..:<�§..,.,.,... ..z,: ,a�-4f.?,. a'b»`rfi�� 31`➢1,,.�,> Y:krth�< i z< ...r x ,X'h.:; .�: .h,.�.ir. 'w..✓frFzr�,^«�' a` RE7URNE0 YOUR CAEL�� mss,.,: �A'� ��`'t�y��°^ � C�r.C:^��'' �''�`':+Z,� a ri c�.y.�C � SPECIAL�ATTENTION� � � � � � xr+�� :� ��� '' t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ARCEL in.BER ZONING BUILDING PERMIT OWNER / ij TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING -ADDRESS r mYRAr TOR'S NAME ITCI WiTZ C CONTRACTOR'S MAILING P CONSTRUCTION LENDER LENDER'S MAILING ADDRE ARCHITECT OR ENGINEER UNKNOWN LI ARCHITECT OR ENGINEER'S MAILING ADDRESS . II •1 BUILDING ADDRESS 1" r a"� 1 r � LOT NO.`SUBDIVISION NAME �j" L .F ' PARCEL MAP -� USE OF STRUCTURE_' 'f yll l SFN Duplex❑ Mobilehome❑ ,,Other 0 . f - SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [3 Installation ❑ Otherta Describe work: -.1 w, ' l - /" 1, 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 Fireplace 1 ' ELECTRICAL PERMIT Total Valuation $ Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP Filing Fee $ 'h�Sgft 10,00 Permit Fee $ ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Occup(OUTLETS OR FI%TURES Ex. OCcu Plan Checking Fee $ 2.00 Temporary service Energy Plan Checking Fee $ 15.00 Misc. Wiring Penalty -$, SCHOOL FLOOD Permit fee $ ND ISSUE PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. Water piping An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. 5.00 Receipt No. 0 ^� WHITE-D.P.W., YELLOW-A38E330R. PINK -INSPECTOR. GOLDENROD -APPLICANT Each qas water heater or vent . 5.00 ; Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home . JSFG W 10.00 ea I Permit Fee $ Contractor Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.011 OR AODNS. ACC. SLOGS. // 'h�Sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS tr l SINGLE OUTLET CIR. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Occup(OUTLETS OR FI%TURES Ex. OCcu 20e50t eALO 30 Ex. OCCUp. OUTLETS FIXED PLNS.(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 SCHOOL for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIirig Fee 10.00 Heating ❑ 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. Cooling Hood 3.00 ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Ventilation 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. permit Fee $ Contractor' ' 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 authorize representatives of the County of Butte to enter upon the above-mentioned property' for inspection purposes. I also agree to save, indemnify, and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue Mobile Home Installation Fee $ Energy Inspection Fee $ . TOTAL PERMIT FEE $ % OCCUP. CONST.TYPrJ SCHOOL FLOOD PARCEL P11 ND ISSUE against said County in consequence of the granting of this permit. This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X-�/� .AiG /sl��-� Date ,� 23 7 Signature of Applicant - Owner Contractor 11 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS By / Date PERMIT EXPIRES Date / l' �` .2 '� Receipt No. 0 ^� WHITE-D.P.W., YELLOW-A38E330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS e w196 Memorial Way, Chico — Phone: 891-275 ; 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE "'9zi-- VNER PERMIT NO. 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, oed additional explanation, please contact this office immediately. N_ N o /)0 t 4-- Inspector Date ✓ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS s 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. f ASSESSOR PARCEL NUMBER _ ZON NG BUILDING PERMIT OWNERLEPHONE SO. FT. DCC. BUILDING VALUATI OWNER'S MA IN �A,f[j Dyfl� ESS , `!J �C/r �G. r CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 1, 0 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS C r Permit tee !$ $ .150 PLUMBING PERMIT Filing Fee 10.00 Iq Or Each Trap 2.00 e Solar or heat pump water heater 20.00 LOT NO. SUBDIVISIQ E PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile HomeS G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FiiingFee 10.00 Main service 100v OR LESS t00 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 OR ADDNS. CONST. ACC. SLOGS. DWELLING OCCUP.N) yz2sgft NEW CONSTR U TI.OUTLET '2.50 ea NON-RESID .BRA CH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. I EO20oe0e Ex. ccu Occup(OUTLETS OR FIXTURES SALO 30 FIXED APLNS. Ex, t7CCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Co u ty in Spirisequence of the granting of this permit. X Date ,,�� 23 ` ,s Signature Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCcu P. CONST.TYP1J school PLOOD PARCEL I PD I NO I 133UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC By �— IPERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ete�c 47 12Z?Receipt No. 0 �3 WNITE-O.P.W.. YELLOW-AS89330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department, of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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) S signed an application for a building permit for the proposed 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 Number Date j0 — Z3 — K7 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. ''c �iF�!✓IEY- aim ��rAY --� PfG I�avvEiZ Po � cas F5711W,— LL! t� Y`( P—LL r a h` 70` �xlsT► � LZ -6c44 LINES ro t DFi N �i E I F WO SITNil i Qutte County Envir�nrncntzt Health i� Dat ii _- tax 4.L as _ `i Environmental Meas h r 4 JUN a 7777jj L,L LA. l-,11 I. �+��.�.-tel