HomeMy WebLinkAbout022-220-021A.P. 22-22-21 _
Liberato Flores
s1s W.Biggs-Gridley Rd.. jju t of
westerly turn, Gridley • '
CONTR. Glen Barrington, Gridley
Permit 577-71B (remodel)
22-22-21
2331 W Biggs,Rd, Gridley
ontr: J.L. Hagberg 5 a 8
PErmit#3431-87B,E(add garage co
co'
deck/sF)
- 22`22,21
uontR: J L Hagberg ��-/ S
Permit#1241-88B(reroof/SF)
t
-� PERMIT NUMBER - B
577-71
P 554-71
_ ..- E
522-71
i PERMIT EXPIRES
OWNER Liberato Flores
"I CON
Glen Barrington, Gridley
_ . '
LOCATION (A.P. 22-22-21
s/s West Biggs -Gridley Rd. just east of
westerly turn, Gridley
r
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COUNTY OF BUTTE
Department of Public Works
BUILDING INSP,ECTJON RECORD
Zoning -Setback Forms
Foundation Piers & Girders iFirepllaceRgh. Plumbing Bond Beam /ath 8( Plaster �%
Rein. Steel Gas Piping & Test Found. Vents
Framing Plmg. Topout Rough Elec.
Wtr. Htr. Furnace Kitchen Vent
Firewall Garage Vents Sanitation & Water
ELECTRIC GAS BUILDING
Temporary Temporary Cert. of Occup.
Final Final Final
DATE REMARKS OR CORRECTIONS
-2/7 red'
r
1
q
COUNTY OF BUTTE
/ DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - ,Oroville, California 95965
Phone: 533-1230, Ext. 259
APPLICATION AND BUILDING PERMIT
Permittee Owner
Mailing Address — '�—+� 1 '� ,t-^
A. P. No.
Fire Zone
Zoning
Contractor .'f �. _ a . , r `_ i p
Sanitation -
Plannin
Mailing Address f �t ..` / .-�^ /j� t�
ans
Fees ✓
W.C.
BLDG. Address '!'� - - ✓� %� . — - /tom �.--- �^W
#/R
Encroachment
17,
NEW D ADDITION REPAIRS ED OTHER
Others - -.- .. `� .� -_ ��
Single Multi
USE OF STRUCTURE Family [5 -Duplex 0 Dwelling Q /'
Others -•��- - �-- �✓ -. - r. ._ _ _ G
_ . ►
FOUNDATION
-� MATERIAL
EXTERIOR
�F�ER
Width at Top
r L a
Width at Bottom
`aL 5� w
Depth in Ground
0�
a G C
--SQ. FT.
OCC.
BUILDING VALUATION
R.W. PLATE (Sill)
SIZE IN01.
AN
Girders
joists - 1st Floor
\r?
Joists- 2nd Floor
SOC �O a
Fireplace
Joists- Ceiling
L', CJS
Total Valuation
�� p G w—
Exterior Stdds
Qj �Cra
Permit Fee
Interior Studs
Plan Checking Fee &/or Penalty
Roof Rafters
Total Permit Fee
O
ti. ---'- —
Bearing Walls O�
UUMTRAGTORS LICENSE LAW `S+
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name
styleof .............................................. :................. :.............................................................................................................................
:.................................................
License No. ..:..:................... . Classification..Z , and certify that the aforesaid license is in -full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
QBasis,, if any, for other statutory exemption..................................................................................................................................................................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the
above information is correct. I agree to comply to all County
ordinances and State Laws relating to building construction,
and hereby authorize representatives of the County of Butte
to enter upon the above-mentioned property for inspection
purposes.
X.............................................................................. Date ................................
SIGNATURE OF PERMITTEE OR AGENT
Receipt No,,,,,,,,,;,,,,,
..........................................................................................
This BUILDING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By..................:...................'..........'.........-................... Date ...........!...:........:.......
Permit Expires Date.,,;;,,,,,,,I
....................
COUNTY OF BUTTE
r DEPARTMENT OF PUBLIC WORKS
7`County Center Drive : Oro'ville, California 95965
Phone: 533-1230, Ext. 259
APPLICATION AND PLUMBING P E R M I T
Permittee Owner ,�-,s`�" ��,,�-�� A.P. No. ? ?
Mailing Address .!✓ --. , ! S S ��4r `�-'�.,
Contractor
Mailing Address l� w'
BLDG. Address ..l��
DESCRIPTION SOF WORK
NEW 0 ADDITION � REPAIRS 0
OTHERS:
Remarks:
PERMIT FILING FEE
No.
@
Fee
_.
$2.00
� .:.cr.
Each fixture or trap or sec of
fixtures on one trap
Repair of alteration drainage
or vent piping
1.50
Installation or repair
water piping
L
1.50
Each gas water heater or
gas heater vent
1.50
USE OF STRUCTURE
Single Multi
RESIDENTIAL Family Duplex � Dwelling 0
OTHERS:
Gas piping system 1 - 5 outlets
1.50
Gas piping 6 or more - Each
.30
House Sewer
5.00
Lawn Sprinkler system
2.00
Rem atk s:
TOTAL FEE I $
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name
style of
.................................................. ...........................................................................................................................................................................
....................
License No. Class fication,/,?,.-4 .................,,,,,,,,,,,,,, and certify that the aforesaid license is in full force and effect.
.............. . ..
B. OWNER -BUILDER 8 OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (cheek one):
Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
0 Basis, if any, for other statutory exemption
.................................................................................................................................................................,
...........................................................................................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County
of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800. '
I certify that I have read this application and state that the
above information is correct. I agree to comply with 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.
....................................:' ...... ...........................Date......................................
SIGNATURE OF PERMITTEE OR AGENT
This PLUMBING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS •
Receipt No.,,,,,;, ,-
C"' - COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS4.
7 County Center Drive - Oroville, California 95965
PHONE: 5.31•1280, Ext. 259
APPLICATION AND ELECTRICAL PERMIT
Permittee Owner.�.g'> ,r-._ �_.� �. A. P. No. -Z
Mailing AddressContractor
Mailing Addressr
BLDG. Address ,.� � ,._.„'�,, ,,,. �,,.,/ !✓�._ �%• �' / � ^„—, � " i' i
DESCRIPTION
NEW 0 ADDITION F__j
OTHERS:
Remarks:
OF WORK
METER SERVICE 0
PERMIT FILING FEE
No.
Fee
_
S2.00
7
Supplementary Filing Fee
1.00
Main Service
Sub -panel (12 or (more than
P less) 12)_
Each
Range, Dryer or Water Heater
Each LOO
Oven; Cook --Top or Space -Heater
Each :..50
—Light Fixtures
g
First 2D
Each Additional
20
10
Single
Family
OTHERS:
Remarks:
USE OF STRUCTURE
Muld
0 Duplex Q Dwelling 0
Race les., Switches & Fixture Outlets
y%
First 20
Each Additional
.20
.10
�� c
Hood, Exhaust Fan or F.A. Furor Motor
Each .50
Evap. Cooler, Gar. Disp. or Dishwasher
Each .50
Air Conditioner or Heat Pum
Water Pum
Misc. Wiring
_
�v
TOTAL
FEE
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
style of...r.:./, -
r
License No. ` %> G ;, Classification 25. and certify that the aforesaid license is in full force and effect.
...............
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one}
I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
QBasis, if any, for. -other statutory exemption....................................................................................................._..»...._......».... _._.. ....
.WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the above in-
formation is correct. I agree to comply with all County ordinances and
State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli-
sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances.
property for inspection purposes.
DIRECTOR OF PUBLIC WORKS
X .................................... ............... ....................
................ Date ..:.....................................
SIGNATURE OF PERMITTEE OR AGENT -��
By...`............................."................J............. Date .... � ...........:.,....». , ».
Receipt No ` %
...................................................................
PERMIT NO. 1491-97R, F
{
PERMIT EXPIRES
OWNER 2 ORES
t
CONTR.
ASSESSOR PARCEL 22-22-21 ,
LOCATION 2-2?1- W Biggs, Gridley
1
Temp. Pow
Called
Temp. Elea,
Called
Temp. Gas
canes
t : i JOB FINAL
Signetu
= OK
0 = Not OK
Not Not Readyiable
MOBILE HOMES MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK'except #'s
Date
DEC* S,COVERS,CARPORTS,GA9AGES, (Plarys)OK except #'s
1. Zoning Requirements -Setbacks -Easements
K Zo ing Requirements -Seeks- s
2. Soils; Special MH Support -Sketch .
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location-Test-Fall-C/O-Concrete�3-Beckz-,
&rders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
-4: -Wood- w�Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P1 ft.
/ /"Nat. or/ PVft./ /"LPG
5. AtaTr . Awn., C51ummnns-Connections-Splice-Decal-Enclosures
6._Ca:pcfts-Windows-Doors
7. Utility Clearance
1--7_Elee
t 1
18.�-Frmg; Sills-Anchors-Studs-Rftrs-Trusses
�.
O: Siding; Nailing -Veneer -Stucco -Mesh
Card -81
Date Card -131 Date
i+
&W75oof; Shthg-Roofing
Card -B1
Date Card -B1 Date
`11. Ext.; Steps -Doors -Landings '
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
Cv, Date9.x ig Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -131
Dated'. Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
OOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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
Card -131 Date Card -131 Date
Card -61
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -131 Date
Card -131
Date Card -131 Date
= OK
0 = Not Applicable
- =Not Applicable '
RESIDENTIAL (Single and Duplex)
' = Not Ready
Date UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
46. Fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel- Bloc kouts-Wrapped
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
51. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
5,4. Siding -Nailing Veneer
12. Electric; Underground
55. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
56. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15. Insulation
58. Insulation-Walls-Clg.
59. Infiltration-Walls-Wndws
Card -131 Date Card -B1 Date
Card -Bt Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -B1 Date
Card -61 Date Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
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/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuits in Kitchen & Conductor Size
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 Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
Card -131 Date Card -B1 Date
Card -131 Date Card -81 Date
Date MECHANICAL (Permit) OK except #'s
33. A.C. Ducts Insulation & Support
34. Vent Fan; Exhaust above insulation
35. Condensate Drain & Overflow; Size & Grade
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
37. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -81 Date
Card -B1 Date Card -81 Date
Date FRAMING (Plans) OK except #'s
38. Sills, Proper Material & Anchors
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rat proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
Card -B1 (S6 Date A -\j -Gard -B1 Date
Card -B1 Date Card -B1 Date
Date FINAL (Plans) OK except #'s
60. Ext. Steps -Door & Sidelight Protection -Landings
61. Smoke Detector
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
66. Stairs & Rails
67. Fireplace or Stove; Clearances -Hearth
68. Elec. Outlets at Wood Panel; Int. & Ext.
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
70. Elec. Outlets & Receptacles at Kit. Counter
71. Garage Fire Door; Swing -Landing -Closer
72. A.C. Duct in Garage -Damper
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
74. Plb., Elec. & Mech. Equip. Listed for Location
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
76. Insulation -Foam -Looked in Attic ❑ Yes
77. Guard Rails & Deck Construction -Post Caps
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
79. Following instld.; Drive D Yes O No; Walks ❑ Yes ❑ No;
P nters O s ❑ No
Stucc -Fi '§fi;�
81. A.C. Un t; isconnect, Electrical, Plumbing
82. Vents Ali Roof; PIbg.-Appliance-Firep I. -Clearance to
Openings.
83. Water Well; Disconnect, Electrical, Plumbing
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
85. Ventilation throughout House
86. Glass Protection
87. Corrections from Previous Inpections
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Card -131 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
,j COUNTY OF BUTTE - DEPAR'TMENT OF PUBLIC WORKS PERMIT NO' �y
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754 /
APPLICATION AND -PERMIT
ASSESSOR PARC L BER
Z NI GO
BUILDING PERMIT
OWNER
d�U
TEL PHONE
SO. FT. CCC, BUILDING VALUATION
OWNE NNG_Q� RESS -
azp
CONTRACTOR' NNIAAiAM /j-
TELEPH NE
�Z(�
'
CONTRALTO S MAIL G ADDRE -
Fireplace
CONSTRUCTION LENDER
JVNKNOWN
Total Valuation $
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECTORENGINEER'S MAILING ADDRESS
Penalty
$Va
BUILDING ADDRESS /
Permit fee
$
PLUMBING PERMIT
Filing Fee10.00
Each Trap
2.00
Solar or heat pump water heater
A0
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 O
Each qas water heater or vent bd
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome ❑ Other
SPECMY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G IWI
110-00ea
TYPE OF WORK C7
NewO Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
-4-
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
500V OR LESS
Main service 100 AMP OR LESS 10.00
Main service EA. AOD'L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declare u r 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. �` I ` Classification 60".
❑ 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.a\ yzQsgft
OR ADDNS. \ ACC. BLOGS. /
NEW CONSTR U I.OUTLET 2,50 ea
NON-RESID .BRANCH CIRCUITS)
POWER APPARATUS s)
SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 20050(
BALI 30q
FIXED
Ex. OCCUp. OUTLETS PR
(RESID IEA.I 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of onsent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
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 accn�e
against said County in con quence of the granting of this permit.
X Date��"/3—�
Signa hof plicant — Own ntractor ❑ Agent ❑
An Ot is required for excavations over 5'0" deep and demolition or construct-
ion o s over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCcuP.JSCH00LJFL0JPA"L11J_,:�
.�
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR F PUBLIC
By .., �'
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �/`��P
':/ v im
r
Receipt No. 6 3 — �+�J
WHITE-O.P.W.. YELLOW-A38E33OR. PINK -INSPECTOR. a0 NROD-APPLICANT
-3 1/ -I�f - li� 2
1,2
70�-
/0
ca 11(4-d
wt W Ul OJ
i Cl fo
coq
02 V`
SUPPORT PIERS
(T) 1 20006 1 121lx24" 1 9 1 . - - 8000n 1 4V
'AJPPORT DETAILS, SEE DWG`S. 5-1 and S-3 OF !NSTALI.ATION MANUAL.
r -•+c y` 1w -;C Y'rr:.s�jr'.z'�'� r.y,iy1k`:-1C%":e,r # t�✓ i�r'M :.1r"`
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDINGVD;IVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
t
PERMIT APPLIR T11UN DATA SHEET
Permit No.
OWNER_ '`=%'i�C� �iC,A`i���/ r'. "" A. P. No.
i
Proposed Building Use Building Inspector Date XeV- R
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/ • te, signed by preparer of plans.
mplete plans i 1ka 'plicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy,lDesign Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings. . . . .
8. Fees of $ . . . . . . . .
Letter of signature authorization. . . . . . .
itation approval from Health Dept A.04). QB
0 anning approval for (A) Use: (B) Parking:
Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner❑, Mail to owner ❑)
_.__-..._15. Improvements may be required. • . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec.request to (Date)
17. Pre -Inspection for------ ___ __ __ -. _.____ _ Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit. —
`"' 20. Plot plan approval from city of _
21. _ —
22.When you issue the permit, process as follows: Mail to owner, �il to contractor. s
Telephone and hold for pickup at office, Deliver w/inspector.
,1
Other
AppIica ��
— —
/Copy of plans sent Health Dept.; Fire Dept., Other Date
The following data must be submitted prior to p /remit issuance: (Circle new item not checked above).
1. Index permit for above items No. 3 p �I — y�
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone---mail —counter by date
Contractor, designer, owner, was advised c, above required data by_phone_maiI c unter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Buildina,�-0epartment
FROM: Environmental Health
SUBJECT: Sanitation Clearance
--...� Com► -Grp �'
Owner/G/
ation AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for bedroom mobile home. Other
NOTE * * *
NOTE:—AI) Materials & Workmanship Shall Be in This set of plans and specif:.- ,titans MUST be
Accordance with Recognized Good Practices and kept on the job at all times and it is unlawful to
of a quality prescribed for the Specified "use in the
Uniform Building, Plumbing &Mechanical Codes and make any changes oral+erations on same without
written permission from the Department of Public
the National Electrical Code. V/orks, County of Butte.
Cri�dCA. �lore�
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Cs� id\c•y Vic+.. .
A setback ot^ from. the Q
property lines and a stback
of 50ft. from the rood
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang. dCA40"
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BUTTE COUNTY
BUILDING DEPARTMENT �
APPROVED
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Prbv'Ide adequate bracing.
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J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
4 APPLICATAN ANO PERMIT
PERMIT NO. /
ASSESSOR-ARCEL NUMBER
'�� — '01 ,
rj � _
ZONING
BUILDING PERMIT
OWNER
I inr�--S
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
r
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME V ( TELEPHONE
ql
CONTRACTOR'S MAKING ADDRESS
14r�� ;;� �a 4 ,
Fireplace
CONSTRUCTION LENDER I
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ (�
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
BUILDING ADDRESS
Permit fee
!$ $
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
V
Solar or heat pump water heater
20.00
LOT NO. -
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF �_ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation(] Other N
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
— ( /
-Main service OOV OR LESS
.100 AMP OR LESS
10.00
me serviCe`EA. ADD'L'1_00 AMP
2.50r. -
_
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 Coe and my license is in full force nd effect.
License No. r Classification �Pti1
FJ 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, 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.a) �20sgft
OR AD0NS. ACC. BLDGS. ,
NEWCONSTR I -OUTLET 2.50 ea
NON -R ESID BRA CH CIRC ITS
POWER APPARATUS el
(SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES SALO 30
EX. OCCUp. OUTLETS FIXED P(RESILNSR
D IEA.� 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc.' Wirin 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
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
[P/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 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.
"� /J,- d
X Date
Signature Applicant — Owner❑ Contractor�Agent ❑
An -OSHA permit is required for excavdtions.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.TYP[
ISCHOOLIFLOODIPARCELI
Po
I ND
[ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work Indicated above for which
DIRECTO �F PUBLIC
By i / r\ >'/LL! Z,"
I
PERMI1 EXPIRES Date
the applicable provi-
resolutions to do
feeS:haVe been paid.
WORKS
�y�
Date �" �� - 0 1,
tl
Receipt No.
WHITE-O.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541.
APPLICATION AIdD PERMIT
of ;,G— col -001- _ v'L
OWNER
OWNER'S MAILING ADSS
3 ,
CONT A TOR' AME
O
CON RCTOR' MAI NG AD R S
1 10
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
rrn
LOT NO. SUBDIVISION NAME
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
New ❑ Addition ❑
Describe work:
UNKNOWN
PARCEL MAP
SPECIFY
TYPE OF WORK
Remodel❑ Utilities ❑ Installation❑ Other
CONTRACTORS LICENSE LAW
I declare rider penalty of perjury (check one):
5( am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Cop and my license is in full force end effect.
License No. Classification GPi1.1- 19
❑ 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.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
Consent to Self -Insure.
171-1/ 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''proper�ty for inspection purposes.
I also agree to save, indemnify:and�keep harmless the'County of Butte against
all liabilities, judgments, costs +arid expenses which may in any way accrue
again t said County 'n conseq ce'oYthe;grarl�ting,of.this permit.
/Y_ 9V
X Date
$ig ure o Applicant — Owner ntractor�/Agent ❑
An SHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3stories in height.
Receipt No. ' 4 0 dff
WHITE-D.P.W.. YELLOW-A32ESSOK, PINK -INSPECTOR, GOLDENROD -APPLICANT
PERMIT
BUILDING PERMIT
SO. FT. I OCC. 1 BUILDING VALUATION
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
Permit Fee
$
$ss nn
Filing Fee
2.00
20.00
5.00
5.00
5.00
5.00
0.00 e
10.00
10.00
II Contractor I
ELECTRICAL PERMIT
Filing Fee 10.00
Main service GOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. f DWELLING OCCUP.y)
OR ADDNS. 1 ACG. BLDGS.
��2QSgn
NEW CONSTR. MULT I-OUTLET2,50
NON-RESID. BRANC4 CIR CU ITS)
ea
/POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. Occu p OUTLETS OR FIXTURES
SAL@20@20@03030
FIXED NS
Ex. Occup. OUTLETS APP
(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
Mobile Home Installation Fee
$
Energy Inspection Fee
$
TOTAL PERMIT FEE
$ C2
OCCUP.1 CONST.TTPZl ISCHOOLIFLOODI PARCEL I PD I NO I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
wor;l2n',d above for hich f s ave been paid.
IRE PUB RKSSQ1
10, Date 1 _V
PIRES Date
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