HomeMy WebLinkAbout022-220-0044 22-22-4
SIS West Biggs Gridley Rd., app 1
ami . S. of Gridley
Gridley
w.._.... -
Permit ##5930-7'5B (remodel & st.ucco�
SF) _ C
2L-22
Permit- #1968-77B( _ ._ren
permit #5930-7
22-22-04
erm i 6854-78B(2nd. & 3rd. --renewal
59 -75) remodel SF
22-22-4
ermit#2914-83B(partialdemo
N
screen porch) �`; lition kitchen
ag' 101-OPOS7
Permit#3462-841s _ E-. <2-22-4
� _, ,MI addition/SF)
� -22=0d � �� '.
Permit #'31_87-85B(lst ren wal)
22-22-04
Permit#22-86B(new roof struct el �QI
22-22-0 la.
Permit #3356-86B(2nd rene
1/3462-84)
PErmit#3767-87B(3r renewal0/3462-84)
- 22-22-04
Contr: Bob Fichter qb
Permi01975-88R(a.dd1..d.eck.,/.SF)
22-22-04
PErmit#36937-88B (4th re wal/3%6j)
22--04
Permit#3873-89B(5 enewal/3462-84)
Permit#46 - OB E(prd Aet''- rage )a,
22-22-04
PermitiaaY-- 90
(6th renewal/3462-84)_
022-220-004 03-2518
ONEAL FAMILY TRUST,
2351 W. BIGGS GRIDLEY, GRIDLEY
REPAIR TERMIT DAMAGE
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Permit#2914-83
L.G. O'Neal
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville#Califoriia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS J
CONTRACTOR'S NAMES,
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWNTotal
Valuation $�'
L
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS =
Permit Fee
$ ! ,
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ r
BUILDING ADDRESS
/
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0
Describe work: f' r r {_,.
-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
•
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. / DWELLING OcCUP.&
OR ADDNS. C ACC. BLDGS.
21/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business(20950e
and Professions Code and m license is in full force and effect.
y
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 CONSTR MULTI -CUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS 6
NON.RESID. SINGLE OUTLET CIR.
OR FIXTURES t L0300
Ex. OccUP.
FIXED APPLNS. OR
FIXED A
EX. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of. the.,granting of this permit.
01 / / /
X �� _ ' / r // i.li �- Date
I t ! v� j L ❑ ❑
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.By-
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP I
TYPE OF CONST.
PARCEL
PD I ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF'PUBLIC
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
D ate
Receipt No. I)
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
W
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cat foirnia95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER -
22-- _�I
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
`�-35FS
,SQ, FT. OCC. BUILDING VALUAT N
r2sT. .50.
0,0�
OWNER'S MAILING ADDRESSp `
D
S W L /l / C�/W l/
CONTRACTOR'S NAME- ELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
of 0.0
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ Z , -00
BUILD ADDRESS v
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF54 Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
.New ❑ AdditionEl Remodel❑ Utilities❑ Installation Other
Describe work: Aer/4 D&VOI-/T/OA)
Y, fc pn/]T_�w ,
kZrZffE� T JWEP—A) &ge�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
2/20sgft
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
Z -i, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR MULTI -OUTLET 2,50 ea
NON•R ESID BRANCH CIRCUITS)
NEW CON ST R. POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
Ex. Occup(o OR FIXTURES 9AL®so
DAL@30
FIXED A
FIXED APPLNS, OR
Ex. OCCUp. OUTLETS (RESID,) EA.) 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.
❑ 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.
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 Countyotre�
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 liab' iti judgments, costs, and expenses which may in any way accrue
agains ai u in que o the anting of this permit. �t
X Date �
Sign t e of App ant — Co ar ❑ 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 $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR OR OF UBLIC
,v
BY `
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
r
Receipt No. & 7l�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
1
10
PERMIT NO. B
i} P
N
E
M
`MH UTIL.
PERMIT NO.
PERMIT EXPIRES ,IZ la2e//
'OWNER L. G. O'Neal
� owner
'
6,yNTR.
}LOCATION (A.P. 22-22-04 )
/S West Biggs Gridley Rd., app 1 mm.S. of
-Farris Rd., Gridley
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
COUNTY -OF BUTTE — DEPARTMENT OF PUBLIC WORKS .
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Sidinq
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE FIEMARKS OR CORRECTIONS
d�
t) 8 ,��.
r.
• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Tel ephSne: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of
above -me ione property for inspection purposes. the Butte County Code and/or resolutions to do work indicated
bove for which fees have been paid.
X Date
E TOFJ 0 PUBLIC WORKS
gnat e o Perm' oAgent
BY Date
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Kate I L)Z [7 9
BUILDING
Owner
SQ. FT. OCC. BUILDING LUATION
Mai I i ng Address
IephN .
( —
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address W
Plan Checking Fee&/or Penalty
Permit Fee
PL MBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
-e�
A. P. No. .J►
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
W . tat' re Dept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
g. ons ec'd
Parcel fipproval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ DI ILITIES ❑ OTHER
Permit Fee $
.$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
11V OR LE
Main service 100 AMP ORSLESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service R 600V
1100EAMP OR LESS 25.00
Main service// EA. ADD'L 100 AMP 1.00
NEW OR ADDNS.r 1 ACCDWELBLDGS.LING CCUP. Y\ 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of:
Y
NEW CONSTRESID, -OUTLET
NON.R ESID BRANCH CIRCUITS 2.50ea
NEW CONSTR. (POWER APPARATUS d
NON-RESID. (POWER
OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTURES a ��
Ex. Occu FIXED APPLNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
n's Compensation Insurance.
W1.
fy that in the performance of the work for which this
�Zi
ps issued I shallnot employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
@
MECHANICAL No. FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of
above -me ione property for inspection purposes. the Butte County Code and/or resolutions to do work indicated
bove for which fees have been paid.
X Date
E TOFJ 0 PUBLIC WORKS
gnat e o Perm' oAgent
BY Date
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Kate I L)Z [7 9
I
COUNTY OF BUTTE — DEPARTMENT OF PUBLICWORKS
7 County Center Drive — Opille, California 95965
' Telephone: 534-4541
APPLICATION AND PERMIT
Owner ,
Mailing Address 10j
Contractor
Mai I i ng Address
Building Address
lye -
A. P. No. ���: O Zoning & Planning
F te W-6 I sap+s3tipn I FireDept. FireZone. Use Permit
EQA I Parking Plans I Declaration P P Parcel Parcel Ma 1 60' R/W I Improvements
t7--F+nr%"Rec'd I Parcel
NEW ❑ ADDITION ❑
arovol I Plans Approval
UTILITIES ❑ OTHER
Single Family Rf Duplex ❑ Mobil Home ❑ Others ❑
1.96�P�7
_ BUILDING " -
SQ. FT. OCC. BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee _
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBIN
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service 600V OR LESS
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
Main service OVER 600V
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
NEW CONST. / DWELLING OCCUP. S
SID, l BRANCH CIRCUITS
NSTR. (POWER APPARATUS B
SID. (SINGLE OUTLET CIR.
"I
�I
$3.00
5.00
2.50
25.00
1.00
20sq ft
FEE
FEE
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business& Professions Code under the name
Ex. Occup(OUTLETS OR FIXTURES)��
BAL@1
style of:
Ex. Occu FIXED APPLNS. OR
P• OUTLETS (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
License No. Classification
27 am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
MECHANICAL No.
@ FEE
WORKMEN'S COMPENSATION INSURANCE
PERMIT FILING FEE
$3.00
1 am aware of the provisions of Section3700 of the California Labor
Heating
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Cooling
Workmen's Compensation Insurance.
(9?certify that in the performance of 'the work for which this
Ventilation
ermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
Hood
2.00
California.
Permit Fee
$
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
i
s,
Date /77
Si nature of Permm+itee or Agent
Receipt No. 1& Q `,3r `
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE $ p
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR UBLIC WORKS
By DateZ -o
7ding permit expires Date I- 7N- 7 7
a
7,�i�!��Iili�0i�6l� J
r
.i
r r.
UVO/A viand d0 '103
sums dO AiNf100
1
�4
7,�i�!��Iili�0i�6l� J
r
.i
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UVO/A viand d0 '103
sums dO AiNf100
�4
1
t
7,�i�!��Iili�0i�6l� J
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UVO/A viand d0 '103
sums dO AiNf100
COUNTY OF BUTTE — DePARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 9�O
Tel ephoner 534-4541
APPLICATION AND PERMIT I
w .n .1VF1VQV11lauVeS VI Ule %.0UHILY UI Bu Re lU enter upon me
above-mentio d property for inspection purposes.
X Date
ure o Perrfitee r ge
Receipt No. �Yl
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR Qr PUBLIC WORKS
20d�ingper�mit
Date expires Date
BUILD NG
Owner
SQ. FT. CC. BUILDING VALUATION
Mailing Address
Telephone No -
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee70
_
Building Address S S-�• -
PLUMBING No. @ FEES
PERMIT FILING FEE $3.00
Each Trap 1.50
r
Repair drainage or vent piping 1.50
r
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. — — Q
Zoning $ Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Plans Parkin
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. Plops Recd I
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE J$3.001
Main service 600V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING OCCUP. &
OR ADDNS. ACC. BLDGS. 22sgft
NEW CONSTR. MULTI.OUTLET
NON.RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)LL@1
BAL�1
FIXED APPLNT.
Ex. Occup. (OUTLETS ((RESID.)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.Classification
Misc. Wiring 6.25
tA I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
12[P I to an certify that in the performance of the work for which this
ermit is issued I shall not em
employ y person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
@ FEEPERMIT
—No.1
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
n
1J —
w .n .1VF1VQV11lauVeS VI Ule %.0UHILY UI Bu Re lU enter upon me
above-mentio d property for inspection purposes.
X Date
ure o Perrfitee r ge
Receipt No. �Yl
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR Qr PUBLIC WORKS
20d�ingper�mit
Date expires Date
RESIDENTIAL
JOB
Sig
22-22-04 463=90B,E
0 :"NEAL , --Li-G.
2351 W. Biggs Gridley -Rd, Gridley
(pri det garage/sf)
7
j
L.G.O'Neal
2351 W. Biggs -Gridley Rd.
Gridley,.CA 95948
I
-tCount, u to
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
WILLIAM (Bill) CHEFF, Director
7 COUNTY CENTER DRIVE k OROVILLE, CALIFORNIA 95965
Telephone: (916) 538-7541
January 15, 1991 RONALD D. McELROY
Deputy Director
I
RE: Building Permit No. 463-90
Expiration Date 2-21-91
(A . P . No. 22-22-04 )
With reference to the above subject, our records indicate that your Building
Permit expires on the above date.' Building permits are valid for
one year and should construction be started but not completed by the expiration
date of the permit, the permit shall be renewed for 2 the original Building
Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the
Building Permit for an additional year from the original expiration date.
Should you not renew your permit within thirty days of the expiration date,
it cannot be renewed and all work must cease until a new building permit is
issued.
If your construction is completed or should you have any questions concerning
this matter, please contact the grovillj� office.
For your convenience, we are enclosing a renewal application form and owner -
builder form to be completed and signed by you where indicated and returned
to this office together with the fee shown. Please return all copies of the
application form.
Thank you for your prompt attention concerning this matter.
i
1
JFG:aam
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
F r
cc: Building Inspector
Yours very truly,
William Cheff
Director of Public Works
d
Glander
ief Building Inspector
Chico - 196 Memorial May/891-275.1 Paradise - 745 Elliot Rd./872-6307
J=OK
O = Not OK
Not ' =
Not Ready MOBILE
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
o"zqi3ing Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
2. Soils; Special MH Support Sketch
�,�l9ers and/or Joists -Decking -Bracing -Stairs -Rails
3. Sewer; Location -Test -Fall -C/O Concrete
4. Meed-Awn.,Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
4. Water; Location -Test -Easement Needed (Sketch)
5—Alums-4wrfCol um ns -Con nections-Spl ice -Decal -Enc losu res
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
SL_Cacpects, Windows -Doors
6. Gas; Location -Test -Wrap: / /" L"ft.
/ /"Nat. or/ P L" ft./ /"LPG
7. EJ ctric
7. Utility Clearance
01"Frmg; Sils-Anchors-Studs-Rft - uss
9. Siding; Nailing -Veneer- t o--Mekr
0. Roof; Shthg-Roofing V_
Wit' Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
'
POdLS (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test-Demand-Valve—Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Gas and Electricity Tagged
,8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
9. Exits; Insp.-Sketch
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
10. Cert. of Occupancy
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
�h.
E
MISCELLANEOUS
Date
OECW, COVERS, CARPORTS, GARAGES, Plans OK except #'s
o"zqi3ing Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
�,�l9ers and/or Joists -Decking -Bracing -Stairs -Rails
4. Meed-Awn.,Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5—Alums-4wrfCol um ns -Con nections-Spl ice -Decal -Enc losu res
SL_Cacpects, Windows -Doors
7. EJ ctric
'-
01"Frmg; Sils-Anchors-Studs-Rft - uss
9. Siding; Nailing -Veneer- t o--Mekr
0. Roof; Shthg-Roofing V_
Wit' Steps -Doors -Landings
Date,a--},/
Card B-1 DateS J.7�f Card B -i
Date
�-�('3 Card B-1 Date Card B-1
_Date
'
POdLS (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-Panelboards-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
t OK
0Noot Applicable
' = Not Ready RESIDENTIAL (Single
`
& Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel -Wrapped
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
8. Piers -Fireplace Ftg.-Steel
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. Gas Pipe; Size -Anchors
55. Siding -Nailing Veneer
11. Water Pipe; Test -Anchor -Regulator -Service Test
56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
12. Electric; Underground
57. Glazing Area -Glass Protection -Skylights -Plastic, a
13. Pienums & Ducts; Clearance -Material -Support -Ins.
58. Shear Walls; Nailing -Bolts
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
59. Insulation -Walls -Ceilings
15. Insulation
60. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
Card B-1 Date Card B-1
16. Water Htr.; Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchor -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
Date
Card B71 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clearances -Hearth
22. Fixture & Transformer Clearance -Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
24. Size Boxes & No. of Conductors -Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing -Landing -Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage -Damper
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. j
In Garage; Above Floor-Mech. Protection
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or At
75. Plb., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
30. Service -Riser Conductors & Ground -Main Disconnect
78. Guard Rails &Deck Construction -Post Caps
31. Equip. Clearances Panels-Motors-Mech. Equip.
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
80. Following instid.; Drive ❑ Yes O No; Walks O Yes ❑ No;
Planters O Yes El No
Date
Card B-1 Date Card B-1
y
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
Date
MECHANICAL (Permit) OK except #'s
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to 1
Openings
34. A.C. Ducts Insulation & Support
84. Water Well; Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
36. Condensate Drain &Overflow; Size &Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
i
90. Water & Sewer Connected -C/O to Grade -HD Approval
Date
Card B-1 Date Card B-1
91. Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Date
Card B-1 Date Card B-1
39. Sils, Proper Material &Anchors
Date
Card B-1 Date Card B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Date
I
Card B-1 Date Card B-1
41. Bearing Walls over Girders & Floor Nailing
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
each time you visit job site)
(NOTE: An entry must be made
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTICIM NOTICE
y�3-��
OWNER 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, or need additional explanation, please contact this office immediately.
v i
u ®a047
Inspector Date
J
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oryille, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ZONING
22-22-4 A40 BUILDING PERMIT
OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION
L. G. O'Neal 846-4604 672 M 9 408
OWNER'S MAILING ADDRESS
2351 W. Biggs GridleV Rd. Gridley 95948
CONTRACTOR -5 NAME TELEPHONE
NTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER (UNKNOWN
LENDER'S MAILING ADDR
ITECT OR ENGINEER (LICENSE NO
none
ITECT OR ENGINEER'S MAILING ADDRESS
ADDRESS
LOT NO. I SUBDIVISION NAME I PARCEL MAP
USE OF STRUCTURE
SF ❑ Duplex Mobilehome❑ Other Pvt. Det. Garage
SPECIFY
TYPE OF WORK
New D Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
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
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
0, 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 liab' 'ties judgments, costs, and expenses which may in any way accrue
agains ai o ty '. cc equence f the gr ing of this permit.
X Date
Sign lure of Applicant — wner❑ Co..tr r ❑ Agent
An OSHA permit is required fo ations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Receipt No. .J UOJ
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Fireplace
ELECTRICAL PERMIT
Total Valuation $
Main service sooV OR LESS
100 AMP OR LESS
10.00
Filing Fee
$
10.00
Permit Fee
$
80.50
Plan Checking Fee
$
40.25
Energy Plan Checking Fee
$
2.00
Penalty
$
Mobile Home Facilities
Permit fee
$
130.75
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
$ 26.80
2.00
Solar or heat pump water heater
MECHANICAL PERMIT
20.00
Water piping
5.00
Each qas water heater or vent
Cooling
5.00
Gas piping system 1 - 5 outlets
3.00
5.00
Building sewer
5.00
Mobile Home I S I G 1W
0.00 e
I Permit Fee $
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service sooV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( LING
OR ADDNS. DWEACCLBLDGS.cE
21/22sgft 16.80
NEW CONSTR. M ULT' -OUTLET
NON-RESID BRANCH CIRCUITS
2,50 ea
(POWER
(POWER APPARATUS .&)
OUTLET CIR.
Ex. Occup( OUTLETS OUTLETS OR FIXTURES
9AL@30 qT
FIXED APLNS.Ex. Occup. OUTLETS P(RESID )REAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 26.80
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
I Permit Fee $
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC CONST TYPE
TOTAL FEE $ 157.55
HAZ I CUA I PARK SCHL FL PA PD HD ISS
j / "o, i d
This permit is nereby 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.
1 C R OF PUBLIC WORKS
J
BY Date 7-Zf
PERMIT EXPIRES Date _21—
. p, .+.'.�; `�r'41H."_Y",�,,.. �,.'.I+r-••..,�,,,y ,.-.w-��..�,,.,, r T:. � 7. � • yy r r - s.. - _ _�.
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COUNTY ttr' "
OF BUTTE - DEPARTMENT OF PrUBLIC WORKS -BUILDING DIVISION
.
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 i
PERMIT APPLICATION DATA SHEET
-- t Permit No.
O- _Jj-0
OWNER
A� P No.
Proposed Building
Use Building•Jnspector Date
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 ................... 'r
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 DJZ'ct fees paid ..............-.2114. Sanitation approval from rr2II 1� 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 t
21.
Building Inspector (Date)
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: V Mail to owner. Mail to contractor.
TeleryFiene=��Q fan I office. Deliver w/inspector.
Otherell
Applicant Date
Copy of plans sent Health Dept., Fire Dept., Other ' Date
The following
data must be submitted prior to permit issuance:'(Circle new item'not checked above),
1. Index
permit for above items No.
2. Additional items required:
Contractor,
designer, owner, was advised of above required data by_phone—nail counter by .date
Contractor,
designer, owner, was advised of above required data by —phone _maiI—counter by -date
Plans checked by Date Plans approved by Date i22,6A
Sets of plans on hold in . File cabinet AP folder
r
Copy—DPW
4
TO Buildina.Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
,r
r
Owner Locatiob u
Plan Approved for: Sewage Disposal O�
7. Hold final for:
ZZ—'ZZ--o
Water Supply
Water Supply
Final clearance O.K. for: Water Supply
Clearance for bedroom mobile home. Other
Z Z Y -zy
NOTE
Z- L
Sanitaria Date
J'
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
1.1
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) ' 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 . 41 Phone Type of Work
Signed:
Prope
Soc is
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 per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Clr6il•le,'California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT -
ASSES ARCEL NUMBER 20N1 G BUILDING PERMIT
OWN<R ¢ EPMO SO. FT.NG VALUATION
OCC. BUILDI
e
OWNER'S
jILINJ )DORES
/ Jf
Y_ v
S MAILING ADDRESS
CONWIPUCTION LENDER IUNKN
CiJITIECT OR ENGINEER ILICENSE NO.
BUILDING ADDR
NG ADDRESS
'00,� (o f1
LOT NO.SUBDIVISION NAME - PARCEL M
USE OF STRUCT E 00
SF [:1 Duplex❑ Mobilehome❑ Other r
SPECIFY
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ • I stallation
❑. Other ❑
Describe work"
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
Fireplace
ELECTRICAL PERMIT
Total Valuation $
Main service 100 AMP ORV 01 LESS10.00
Filing Fee
$
10 00
Permit Fee
$
a0_I;-6
Plan Checking Fee
$
Ex. Occup(OUTLETS OR FIXTURES
Energy Plan Checking Fee
$
1 2.00
Penalty
$
-
Permit fee
$
T3 0
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
Water piping
5.00
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 e
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV 01 LESS10.00
Main service EA. AOD-L 100 AMP
2.50
NEW CONST. 'DWELLING OCC
OR ADONS. ( ACC. BLDGS.
Yz2Sgft
NEW CONSTR. ULT' -OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
(POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20050t
e ALO 30
FIXED APLNS.
Ex. Occup. OUTLETS PRESID )REA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
I t-ermit ree $ �Jh ?5 -If J
Contractor '
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): MECHANICAL PERMIT
❑ The permit is for $100.00 (valuation) or less. Heating
❑ I have placed on file with the County of Butte Building Department
a -Certificate of Workmen's Compensation Insurance or a Certificate Cooling
of Consent to Self -Insure. 9
„ ❑ I shall not employ any person in any manner so as to become subject Hood
-. - - to the W.`C..-laws of California. = Ventilation
Notice to Applicant: If after making this statement,- should.you become subject permit Fee
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
is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee
to building construction,-, and hereby authorize representatives of the Countyot occ CONST TYPE
$
Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE $
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 HAz I CUA I PARK SCHL D PAR I Po 1 HD I ISSUE
against said County in consequence of the granting of this permit. ,1,
This permit is nereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
Signature of Applicant — Owner[]. Contractor ❑ Agent ❑ work .indicated above for which fees have been paid.. ,
An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS
ion -of structuresover.3 stories in height. - - -
Receipt Nd. :` - - _ BY Date
PERMIT EXPIRES Date
WHITE -D.r. W•, YELLOW-ASSC340R, PINR-INSPECTOR. GOLDENROD -APPLICANT
' `
SPECIES 4 GRROE '
MRX.
0/R SPRNS
-------------------------------------
2X4
T/C
2X4
B/C
D 0 U G L R S F I
-------------------------------------
R- L
R R
C M
2490
D•S.STR• MC -1S
34'-
7'
34'-
7"
D•5•STR•
34'-
7"
34'-
7"
SEL•STR• MC -15
34'-
7"
34'-
7"
at DENSE MC -IS
34'-
7"
34'-
7"
SEL•STR•
34'-
7'
34'-
7'
at DENSE
34'-
7"
34'-
7'
al MC -IS
34'-
7'
34'-
7"
a2 DENSE MC -15
34'-
7'
34'-
7"
w1
34'-
7'
34'-
7"
■2 DENSE
34'-
7'
34'-
7'
•2 MC -15
33'-11"
34'-
7"
22
0"
34'-
7"
--------------------32--
M E M- F I R
---------------
-------------------------------------
SEL•STR•
33' -Il"
34'-
7"
al
31'-11"
34'-
5"
a2
28'-
'7"
30'-
9"
---------------------
S P R U C E- P I
N E-
F I
R
---------------------
SEL•STR•
32'-
7"
34'-
7"
at
29'-
4'
31'-
9"
a2 _------25__10_
-------------
28'-
2"
M 5 R (FOR SPECIES
---------------------------
----------
LISTED RBOVE
ONLT)
2400F-2.OE
34'-
7"
34'-
7"
2250F -1.9E
34'-
7'
34'-
7"
210OF-1.8E
34'-
7"
34'-
7'
195OF-1.7E
34'-
7"
34'-
7'
1800F -1.6E
34'-
7"
34'-
7"
1550F -1•5E
34'-
7-
34'-
7'
1500F -1.4E
33'-10'
34'-
7"
14SOF-1.3E
32'-10"
34'-
6"
W E B M E M B E R S IEOURL OR BETTER)
----------------------
2X4: a3/STUD S -P -F
Ir T JAL Is t
I[RL CL
10 4SP
FTP
I7 A
°L RTES
TOP CHORD'SPLICES:
2445 TO 34'- 7• "
BOT CHORD SPLICES:
BS -1
244S TO 34'- 7•
E!'(RT
OVD _ a�
. `oISOIISUOn4 r
_• No n5 •- f' �
%L
of
NOTE: LOCATE INTER -PANEL SPLICES
AT I/4 PANEL LENGTH ./- 12'.
a x 6�
pLLui� .�9
6 SPLICE
4860 TO 34'- 7'
lrjl�° NO SPLICE
,'. 0630 TO 34'- 7'
is N
12
TS -1
4045
PLATE ROTATED 90 DEO.
SIZE
HF/SPF
BS -1
3245
2475
26'-
32'-
1' 4860
S•
7•
326D
34'-
NO
NO SPLICE
5"
5Pp IN
C •O
2490
34'-
7• 2446 TO 34'-
7'
LIB C
OF -L
COMPLY NIiM TME COATFOL MRNUAI' OF TME :RU -S PIRTE INSTITUTE
NO TME TRUSNRL tRUSCOn AN L. CONNECTOR• PLATES SHONN ARE TRUSMAL 16. IB. OR :G OBOE AS SPECIFIED.
SnRll BE APPLIED TO BOtM FACES Of iME TRUS9 RT EACH ALL TRUSS
.... •
''�''•
pcp0 LOAD .... 1 4 • Or...r.
2445
26'-
1•
3245
34'-
5'
A T R U S
2475
34'_
7•
E ER AR
IR TERALLY BRACED BT SME AT :NO UNLESS
9E Si RT ED. THE BOTTOM MORD I$ ASSUMED 10 RE
OVERALL
LATERALLY BPAIF RI010 CEILING MRIERIRL IS ATTRCMEO
T t0 TME BOTTOM CHORD. OTHERWISE. LAIERA,LY BR RCE IHC BOTTOM CHORD At iNTEF.VALS tIOT Ef.CEE0IN0 10'-0•.
SHALL NOT BE PLACED
5 PSF CEILING10
REDUCTION TAKEN
SPAN
A Y N —
•L [J U SIB TI
fll F TM
0 OTHERS T
S 0 ASCERTAIN N TNRT THE -
1 E LOADS ul N THIS UTILIZED 0 IS DESIGN n n
MEET R E. T
•A GEED He
L'S
A
?EAD LOADS IMPOSED OS T T
ED B H TF. F
E S UcTU E RND THE LIVE LORDS IMPOSED BY THE LOCAL BUILDING CODE OR HISTOR-
'F.ATIC
MAX.PAN
CODE
5Pp IN
C •O
RECORDS. NO RESPON SIB ILITT IS aSSunED FOR D!MENS101+AL ACCURACY. VERIFY ALL DIMExS10N5 PRIOF
)CATION. FABRICATION SM, 'OURLiT•
LIVE LOAD I G O
�
34'-7 .0 "
LIB C
2
COMPLY NIiM TME COATFOL MRNUAI' OF TME :RU -S PIRTE INSTITUTE
NO TME TRUSNRL tRUSCOn AN L. CONNECTOR• PLATES SHONN ARE TRUSMAL 16. IB. OR :G OBOE AS SPECIFIED.
SnRll BE APPLIED TO BOtM FACES Of iME TRUS9 RT EACH ALL TRUSS
.... •
''�''•
pcp0 LOAD .... 1 4 • Or...r.
T R U S W R L
JOINT. JOINTS SnRLI BE T[DnT F{TYING
PLATES SMALL BE FULLT.EnBEDPACIN0E0. PERSONS ERECt•NO TRUSSES ARE [AUT[OMEL TO SEEM PROF ES SIGNAL ADV:Ci
PNICN IS RLNR,S REQUIRED TO PRE+ENT TOPPLJNO RR0 •DOMINO)NC•. REFEr
CI G WOOD TR SSES,ICO COMMENTARY NDRTIONS' 1TPI7. ONLY REOUIREO
LING HOOD TRUSSES: COMEHORAt ANO RTHE LA BRRCBAR
CEILING 0•L•■ 1 O • Or. "
S Y S T E M S
A T R U S
Df INDIVIOUR_
MEMBERS IS NOTED ON THIS ORRWTNO. THE TOP [MORD IS ASSUMED TO BE
I
TOTAL ■ 40 •0......
E ER AR
IR TERALLY BRACED BT SME AT :NO UNLESS
9E Si RT ED. THE BOTTOM MORD I$ ASSUMED 10 RE
LATERALLY BPAIF RI010 CEILING MRIERIRL IS ATTRCMEO
T t0 TME BOTTOM CHORD. OTHERWISE. LAIERA,LY BR RCE IHC BOTTOM CHORD At iNTEF.VALS tIOT Ef.CEE0IN0 10'-0•.
SHALL NOT BE PLACED
5 PSF CEILING10
REDUCTION TAKEN
!x Rt+T EW,IAONMENT IMAT NI LL CRUSE THE n0I ST URE CONTENT OF THE WOOD TD EXCEED 19:.
;A USE CONNE[t TOR PLATE [DARDS) Ow. [AMBER. wMICN IS NOT R ST RUCtURRL REOu'REMENT OF THE TR SS. r.HT BE
2 5
8925 57ERLIIJG ST•
sultE 150
/ #L
7'_ 4Fl
1D 19INIAIx UNIFORM CEILING HEIGHT AND PROPER APPEARANCE. WHEN DESIRED. CAMBER IS BEST OETERMINEi•
'`U$
2 DURATION FACTOR
IRVING. TX 75063
34._ 5 _Iy,p-x-
APPLICATION OF EXPERIENCE AND THEREFORE IS OUTSIDE THE SCOPE OF RESPONS ISILT,T OF TFWA
�i►+
. L•
7
•T.
D
C'J`.
TOP CHORD ° --
2x 4 30" H• 34' 9" !1' n• 135. 0" 3:
BOTTOM CHO J E it _
55' 1• 1 2A'II" 36' P." 131
WEB MEMBERS 2.1 STANDARD OR STUD GRADE HEM -FIR. 2.3 12 HEM -FIR OR AS NOTED ON DESIGN
214 314-0A4U OR STOI) GRADE H1H -FIN FOR NEB PEHHFRS
PEAK JOINT UETAIL A• B•
2X6 104,016.0.146 3h' R" 2.0 4,0, 4
ZXb R4.0X4.5,T54 30' 0. 2.n 4.0, 4
2X4 R4.6X4.5,T44 36' 8" 2.0 4.0, 4
OFF PANEL PI)INT SPLICE (72)
2X6 R4.Oxa,5,744 TO 36' 8"
294 R2.4Ya.5.T2•S/a TO 36' R"
PANEL POINT SPLICE (7J2)
2Xh R4,AXb.0,75b TO 36' 40
0101ERAL NOTES: (W+tss
n I l F lh9n F 1490 G ouwrwlt sp•a-ol
? 0 n F I. MM.4torr ".rw..h ti r.soonttrsn d ti r..p•cr.. an..dp,
2 w trwap. I.r.o, .ro wT . n.tw.I ur.r ac.s n a a.+a'to u.e awro•• Dr mrws
36, R" a DtsiOrr ..sun•. •bT «.raven a w • rvrorowt -rwww,w+
. 0•agr sswrrw W -Y baaq M ]' ac draw. 12' a Donorrr dv0
Be 3h' 7• 34'11" 3 2. 1 0" 3 p.v�rr a.Nrn•a w e"wq r s.�ovu`�rrn ..•oq" . rr•c"ss.ry
• C s.es b 1.'710 Dwwwr srlpons.
7. AOspult bsrrrsOt • mUrW
56' R" 34 • 7" 30• D" a tat mr.m,M wtr.aq. asno.n•
1.
IQ L&V .Co of Pate pwva rotrsop b C,-0 vera• .Ir-. Ybwr."
SPAN TO 361 A SPACED 24.0. O.C.
4.0:12 PITCH 4/3 CONFIGuRATIDN
LLInL ON ROOF 9 23,n PSF
OL ON CEILTNG -- 10.0 PSF •
TOTAL OFSIGN LOAD a 33.0 PSF •
• 5 PSF CEILINr. REOUCTION TAKEN.
AXIAL STRESS ONLY
LOAD DURATION INCRF_ASE = 1.25
44XI4d*,I TRUSS MEMBER FORCES REACTIONn 1008
T 1 •2325 d 1 2206 w 1 -434 w 2 625
T 2 -2022 R 2 1474
�- 12 2X4 R4.0Y4.5+,T54T0 36' R'
�•°0 e
A* NO SPLICE
I r2 :1,b.X3nT31 TO 36' 80
OPx3,0,T31 TO 30' 04 -I
�G�CO�
UA
V
TJ2 �
Ayo
I equal yip 1.5" MIN(Spl.) j1
equal
r---
8,2
B,J2
OFF PANEL POINT SPLICE (R2)
Symmetrical R2.4Xb.0, T2.5/6 TO 36' 8"
About. R2.4X4.5,T2.5/4 TO 30' 00
I Centerline
v v.^at till
--� ` :;,,•:-- . amass
3 EQUAL PANELS BOTTOM CHORD w•'4 S x1''''�'k
SPAN TO 3 ' B" i
PANEL POINT SPLICE (BJ2) DOUG -FIR SPRIJCE-PINE •f IR �ro+<am0•`• t4�I na•Fa
R4.BX6.0,T56 TO 36' R• R2.4X6.0 TO 36' Be R3.2x6.n. TO 36' A" grout L� 'o CA0
R4.8X6.0,T54 TO 3n' C. 42.4X4.5 TO 28' 9" R2,40.5 TO 34' 4'
R4.OX4.5,T44 TO 24' D" R2.4x6.0 TO 27'10•
NO SPLICE 40.4X4.5 TO 21' 1' By " Du
F2,4X4.5,T2.5/4 TO 36' 8• R2.4x3.0,T2,.5/4 TO 30' D•,nOUG-fIR SPRUCE -PINE -FIR
T36 TO 36' R" 136 TO 36' 11'
T2.5/6 TO 33' be T2.5/b TO 31' 2"
T2.5/4 TO 22' A" 12.5/4 TO 21' 1"
FILE ROD.:TRUSwAL CONNECTORS I R S.r r. drn,
p• ary .. 20 s -logo 3.
rr O.W.n<p sn.w sltM •ro w bspr,p.rr.e .s rp.o.s DIGITS INDICATE SIZE OF PLATE IN INCNE
T -36-4- 33• (24) 4/3 '"2flooc.Iw oyp.n. r1 EI•wn pww rn. Ir ..r my Ttwnwwr+rp so c-na..1 1o'.2s oc Mas .r. ,nu. LUMBER: SnanMdmn wm rym•Eaw �» dW IDeopu F. nu,
DAT[: R.wm (—Iop DT y.11 -n, 1101twn pw W m. 10". 32' WV Tooln we pWrdrW m pw M. .I .25". 75" o c. Hats we o one M wpsar.In -nw• .—F+ :. -hW I
5/24/79 SPF RN.N•I• (— - o, ats. 'RN") s A .pt .• R.5000 ave KYa w n w.My IMO ra• a Mor snC M - —.W HSu". G --s 13 go va. uste M anws we 20 0.
DEA BY: CK. BY:
5-25.78 TK IGyTIOM/q:H.Itl snJo.IOp.tsO onDdnl•cHa WissroyAc•0glnwr C.r.w1,WLOrflpt wmpnl c.nwsAs.Irr+w olnrwMronp '•'a Dau o•sqn rs4•s.fM IC BG RRI150]srrD RRII463
TR"t1SN 11
®���J6MN SYSTEMS
a signooe company
.
1I
k
rI
I!
i
�,
O."'. fF f
R+iJ,{,-` r)Ct ., l' =it .� Ri. < ±_'r'-• eta i�'+•. }" "
It`liti ` •'ilt,•'.Y, t i i t w t rrt... r ''w' t ^: r 1 7! K 1, 11 ' t.
Le,.Eli+ i : t • I " , .i - + I � , t. I
I
I; ijZ `� t { , ,I rS
lr ;
1p
IA
Q �IEfi
r'K
o
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
L_
_..__.._�. Owner.
Plan Approved for: Sewage Di
Hold final for:
Final clearance O.R. for:
Clearance r o•om mobile home.
C
NOTE ***
Sanitaria
.l <
Lcf . ej va
Location � � Q p„ w _ / AP# .
posal Water Supply
Water Supply
Water Supply
Other "1 �/. ��
Date
PERMIT NO. 1975-88B
PERMIT EXPIRES
OWNER L C O'NEAL
CONTR. Bob Richter
ASSESSOR PARCEL 22=2--2-04
LOCATION -- 351 W Bites Gridley Rd, Gridley
Temp. Power Pole _
Called PG&E—
Temp. Elec. Service
i
Called PGS
1
i Temp. Gas Sen
r
I
Called PGS
JOB FINALED
Signature
_ .O K' - ,
0 = Not OK
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L"ft.
/ /"Nat. or/ P'L"ft./ /"LPG
7. Utility Clearance
Card -131 Date Card -131 Date
Card -61 Date Card -B1 Date
Date MOBILEHOME 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 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
Card -131 Date Card -131 Date
Card -131 Date Card -B1 Date
MISCELLANEOUS
Date DEC ,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
an ,3 . Z i Requirements-Setbacky.Ex ements
s; SA-DepftWlfig-Connectors-Steel
CZ' Decks; Gird and/or JcKs-Decking-Bracing-Stairs-Rails
4. -Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5,onnections-Splice- Decal- Enc losures
g C,-"pQda; �n�ind_�pwys_Doors
7- E+ec-
Rftrs-Trusses
9., cco-Mesh
10.
11. Ext.; S e -Doors-Landings
Card -131 Coo Date Card -131 Date
Card -131 Dat %/ Card -B1 Date
Date OLS (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
Card -B1 Date Card -B1 Date
Card -81 Date Card -131 Date
=OK
0 = Not OK
Applicable
- =Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De
_ 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei
5. Stemwalls, Main; Steel- Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -B1 Date Card -B1 Date
Card -131 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
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 -B1 Date Card -B1 Date
Card -81 Date Card -61 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 Circuts in Kitchen & Conductor Size/G.F.I.
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
33. Smoke Detector
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -B1 Date
Card -61 Date Card -131 Date
Date FRAMING (Plans) OK except #'s
39. Sills, 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. Header & Beam -Size & Bearing
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-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 T -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-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. I nsulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -131 Date Card -B1 Date
Card -131 Date Card -B1 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. 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-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-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 Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Of. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -81 Date Card -B1 Date
Card -81 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSP RMIT NO.
'6
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPUCATI®N-AND PERMIT �7 — i
A SOR EL NUMBE
ZONING
Lin flu
BUILDING PERMIT
OWNER
TELEPHON
SQ. F . CC, BUILDING VALUATION
OWbWR'S MAILING A ESS
ON�RAnR' N M
f I
TELEPHO E
CMS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
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
b
BUILDING ADDRESS
Permit fee
b
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
PARCE yMAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF X Duplex❑ Mobilehome❑ Other
SPECT FY
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 ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service OOOV 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 (checkone
p y p i Y : )
❑ 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. % T� C 9 Classification iii
T
❑ 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCC uP.51
OR ADDNS. ACC. BLDGS. , /:2sgft
NEW CONSTR. U TI.OUTLET 2,50 ea
NON.RESID. .BRA CH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR. i
(
Ex. OCCUp\OUTLETS OR FIXTURES 20050!
eAL030
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�VI 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
Cooling
g
Hood
3.00
Ventilation
permit Fee
=
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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, judgme s, costs, and expenses which may in any way accrue•-
against s Cou n conseq a of the granting of this/permit. ^'
X Date P „�zo �d
Ig atu o pplicant — Owner ❑ Contractor ❑ Agent ❑
An 0 HA permit is required for excavations over S'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee b
Energy Inspection Fee $
TOTAL PERMIT FEE $
CONST.TYPEJ
SCHOOL
FLOOD
PARClL P
r—
ND
ssu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 6 - L3- RP
//!� �'L3 _ Q
"/�
ipt No.
-D. P. W., TCL LOW-A3e[e eO K, PINK-INDPlCTOR, GOLD[N ROD -APPLICANT
Ew
OWNER
Propose
t.,rL+y.,,.,,...,�,.,:;fr•�•^`t".ytt'''"'%'','!'-1iF'..Sip'•'„iyi"'`'l� �;iS`:rw.-,..�,^�,�lrif7i r..+'..v-n-yrnas'l. sti.�7 t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING, DIVISION
,t �), . c
7 COUNTY CENTER DRIVE - O€`iOJIFL''E5; CA IfORNIoriA 95965 -TELEPHONE: 916/538-7541 ,.,.•`�
PERMIT APPLICATION DATA SHEET
At time ofpermitapplication, I was advised the following data must be submitted prior to permit processing ,
and/or ii'&SUance: DATE RECEIVED APPROVED
)f 1. All items. have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate. /triplicate, signed by preparer of plans. .
3. Complete plans in duplicate1tripiicate,.signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6.- School District "Fees Paid" Stamp on Floor Plan.
7/Statement of Intent for Non -Heated and AC Buildings. . . . 11.1 .,/ 11 C
8. Fees of $, , , , , , , ,
9. Letter of signature auth.
orization) . .
10. Sanitation approval from Health,Dept. . .
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. r, ,
13.E Contractor's License Information (do., name style, classif.)
14. Owner -Builder Verification (Given to owner0, Mail to owner ❑•)
_15. Improvements may be"required. , , , , , , ,`
16. Mobi lehome Installation Data. . . . . . . . `f
-h Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector (Date)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot p-lan approval from city of
21. Eng neered trusses -in dupli�r'ate,(required prior to'plan check), V/
22.�
Whe you issue thec �, it, r ce s as follows: Mail to;own� f� Mail to contractor.
�TeI`ephone �C X - a and hold for pickup a, ►�� YoWce, Deliver w/inspector.
Other 7
r
ApplicntDate
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new. item not checked above).
1. Index permit for above items No.
2. Additional items,required:
Ir
L ,
Contractor, designer, owner, was advised of above required data by_phone_mall—counter by date
Contractor, designer, owner, was advised of above required data by_phone_mall_counter b date
Plans checked by Date Plans approved by Date a `"
Sets of plans on hold in File cabinet AP folder 4,
Copy—DPW
J = OK
0 = Not OK
- = Not Applicable RESIDENTIAL. (Single and Duplex)
* = Not Ready
Date
UNDERFLOOR Plans OK exce tb's
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings. .
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- /• /'' Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel -
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
Glazing Area -Glass Protection -Skylights -Plastic
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
} 12. Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
'D.W.V.; Test-Fltngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
61.
62.
G.F.I. & Bath Fixtures & Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
18. Test Tub & Shower, 2nd Floor -Tub Access
_
19. Gas Pipe; Size & Anchors
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
-
ELECTRICAL Permit OK except H's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
70.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection'
Plb., Elec. & Mech. Equip. Listed for Location
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22. Size Boxes & No. of Conductors -Stapled
-23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
oo
Insulation -Foam -Looked in Attic ❑Yes
25.
2 Appliance Circuits in Kitchen &Conductor Size
73.
Guard Rails Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
_
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / , / ga. Cu or At,
Insulated Neutral _Yes ❑No
75.
Following instld.: Drive El Yes E] No; Walks El Yes [I No;
Planters ❑Yes ❑No
_
28.
29.
Service -Riser Conductors & Ground -Main Disconnect
Equip. Clearances: Pane Is-Motors-Mech. Equip.
76.
Stucco; Brown -Finish
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
-
30..
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
- --
Card B -I
Card B -I
--
_ _
-- - - -
Date Card -BI Date
-Date Card -BI Date
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
Date
MECHANICAL (Permit) OK except #'s
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
_
31.
32.
33•
A.C_Ducts_Insulation & Support _
Vent Fan; -Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade _
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86,
Energy Compliance Certificate -Other Certificates
_ 34_.
35.
Card -BI
Card -BI
Furnace -Vent: Access -Comb. Air -Return Air Vent -_115V outlet
Attic Access & Platform if Furnace in Attic
-- - --
Date - Card -BI Date - _
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
_ --
FRAMING(Plans) OK except 4's
36. Sills; Proper Material _& Anchors
37. Walls: Studs -Nailing, Spacing _& Bracing -Plates -Sound
38.
38. Bearing Walls over Girders & FI_oor Nailing_ _
39. Draft Stop in Walls (rat proof)
40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Comments at Final:
41.
42.
43.
44.
45,
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size &Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hg L_& Dimensions_
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time you visit jobsite)
J=OK
0 = Not OK
Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
m
Date
MOBILEHOME UTILITIES (Plans) OK except q's
Date
DECKS, COVERS, CARPORTS, ETC. (P s) OK except b's
1. Zoning Requirements—Setbacks—Easementson'
equirements— cks— s u
2. Soils; Special MH Support—Sketch
otings; —D —Sp —_ onn ctor
3. Sewer; Location—Test—Fall-C/0—Concrete
jr,(b; Girders and/or Joists—Decking—Bracing—Stairs,—Rails
4. Water; Location—Test—Easement Needed (Sketch)
Jepood
Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
— s
6. Gas; Location—Test—Wrap:/ /"L"ft./ P'Nat. or/ /"L"ft./ /"LPG
OUR
7. Utility Clearance
Vic.
Card -BI
Dat f and -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card-Bf
Dgue Card- Date
Date
MOBILEHOME INSTALLATION (Plans) OK except q's
1. Zoning Requirements—Setbacks—Easements
Date
POOLS (PIAs) 09 exce t N's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining"
4. Electricity; MH Test—Crossovers—Breakers—Clearances
5. Drain; MH Test—Fall—Flex Connector
4. Elec.; Receptacles and Lighting; Distances—GFI
5. Elec.; Pool Lighting; 15 volts—GFI ;'"
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed'
7. Water and Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Podl Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
)4U4-04
3187-85
PERMIT NO. 22-86B
,1 PERMIT EXPIRES
OWNER L..G. O'NEAL
CONTR. owner
ASSESSOR PARCEL 22-22-04
# s Gridley
LOCATION 2351 W Biggs Gridley Rd , Y
i
S1
E.
i
°i
I��
Temp. Power Pole
f Called PG&E
Temp. Elec. Service
Called PG&E
ay
Temp. Gas Servic\
I Called PG&E
3 JOB FINAL
N,
Signatu
L�
�,4
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 Z �_ING
22-22-04 A 40 BUILDING PERMIT
OWNER TELEPHONE
L. G. O'Neal 846-4604 SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 6th renewal
2351 W. Biggs—Gridlev Rd. Gridlex 95948
CONTRACTOR'S NAME TELEPHONE
CONSTRUCTION LENDER
LENDER'S MAILING AD
ARCHITECT OR
LOT NO. I SUBDIVISION NAME
NG ADDRESS
USE OF STRUCTURE
SF ®X Duplex❑ Mobilehome❑ Other
UNKNOWN
PARCEL MAP
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation NX Other ❑
Describe work: 6th renewal of BP#3462-84
387.3 S
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
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
xof 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, gments, costs, and ex es which may in any way accrue
against s d ty i ns u Ce as ng of this permit.
X Date /lI Z
Signa ure Applicant — 0 r Contractor ❑ Agent ❑
An OSHA permit is required for excavatio r 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Receipt No. O -f -[ Vi7—
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Fireplace
ELECTRICAL PERMIT
Total Valuation $
Main service 100 AMP OR00V OR LESS10.00
Filing Fee
$
10.00
Permit Fee @ i FEE
$
110.00
Plan Checking Fee
$
Ex. Occu p OUTLETS OR FIXTURES
Energy Plan Checking Fee
$
2.00
Penalty
$
Mobile Home Facilities
Permit fee
$
120.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
Water piping
5.00
Each pas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W I
1
110.00 P2 1 -
I Permit Fee $
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. SLOGS.
2Ih¢spft
NEW CONST R. ULTI.OUTLET
NON•RESID BRANCH CIRCUITS)
2.50 ea
(POWER APPARATUS 6
(POWER
OUTLET CIR.
Ex. Occu p OUTLETS OR FIXTURES
2D®s0e
sAL030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIO.) EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee $
Contractor
MECHANICAL PERMIT FiIingFee 10.00
Heat i no
Cooling
Hood 3,00
Venti lation
Permit Fee $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC I CONST TYPE
TOTAL FEE $ 120.00
HAZ I CUA I PARK I SCHL I FLD I PAR 1 PD HD I ISSUE
This permit is nereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to to
work i ' ated above for whic fe s have been paid.
DI OF PU LI WORKS
Date
PERMIT EXPIRES Date 11— 3-91
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. 1 personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) �.
2. I (have/have not).. signed an application for a building permit
for the proposed work.
3. 1 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 Securi er ?'
Date / /— JI P/
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 WORKSP MI NOS f
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 _Y
APPLICATION AND PERMIT U
ASSESSOR PARCEL NUMBER ZON AN-
2- Z — ® - y0 BUILDING PERMIT
OWNER�, TELEPHONE SO. FT. OCC, BUILDIN ALUATION
OWNER'S MAILING ADDRE
CONTRACTOR'SNAME 1—T
L PHONE
CONTRA TOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADOI
ITECT OR ENGINEER
ARCHITECT OR ENGINEER'S MAILING ADDRESS
WN
a 3,5— L). ^1441 "cp/,. ,, )60 1
LOT NO. I SUBDIVISION NAME
,
PARCEL AP
USE OF STRUCTURE
SF 5'l Duplex ❑ Mobi lehome ❑ Other
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work:
' ' 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.
cense 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
f Consent 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 makin this statement should o b b
Fireplace
ELECTRICAL PERMIT
Filing Fee 10.00
Total Valuation $
Main service EA. ADD'L 100 AMP
2.50
Filing Fee
$
NO N.RESID NEW CONSTR BRANCH CIRCUITS
10.00
Permit Fee
$
110
&-O
Plan Checking Fee
$
Temporary service
10.00
Energy Plan Checking Fee
$
Misc. Wiring
15.00
Penalty
$
Permit Fee
$
Permit fee
$
MECHANICAL PERMIT
Filing Fee 10.00
PLUMBING PERMIT
Filing Fee
10.00
Each Trap
Cooling
2.00
Hood
Solar or heat pump water heater
Ventilation
20.00
Water piping
5.00
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G W
0.00 e
I Permit Fee $
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000V OR 0 AMP
100AMP10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.N`
OR ADDNS. ACC. BLDGS. /
/20sgft
NO N.RESID NEW CONSTR BRANCH CIRCUITS
2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR,
Ex. OCcu p OUTLETS OR FIXTURES
50e50e
aALO 30
EX. OCCUp. OUTLETS FIXED P(RESID )RE A.)
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
pp g u y u ecome su lect Permit Fee $
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 $
is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $
to building construction, and hereby authorize representatives of the County of occ CONST TYPE
Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE $
I also agree to e, indemnify and keep harmless the County of Butte against HAz CUA PARK SCHL FLD PAR PD HD IssuE
all liabII e j ts, costs, and expenses which may in any way accrue
against Co ' C-0mequence of the grantin of this permit. (�
X Date�l��'� d �l This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
Sig t �pplican — O ner onerac or ❑ Agent ❑ work indicated above for which fees have been paid.
An OSHA permit is required for excavations over " deep and demolition or construct- DIRErTFPUB ORKS
ion of structures over 3 stories in height.
Receipt No. .5 41 ZO M By. Date —
WHITE-S.P.W., `BELLOW -ASSES SR, PINK -INSPECTOR, GOLDENROD -APPLICANT PEkMfT EXPIRES Date= -13 0
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) 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
x
Signed:
Prope
Socia
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 per-
mitted to issue the permit.
N C
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07
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9
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center grive - 0,roville, Cali'-ornia 96965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
351—?(a
ASSESSOR PARCEL NUMBER
22-22-04
ZONING
BUILDING PERMIT
OWNER
L. GO'Neal
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2351 - ride Rd,,Gridley
CONTRACTOR'S NA
owner
TELEPHONE
2nd renewal permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
one
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee
g
$ 10.00
Permit Fee @ � FEE
$ 110,00
ARCHITECT OR ENGINEER
none
LICENSE NO.
Plan Checking Fee
$
Ener Plan Checkin Fee
Energy g
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2351 W Biggs -Gridley Rd.
Permit fee
$ 120.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Gridley
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:0 Duplex❑ Mobilehome❑ Other
" SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea '
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: 2nd renewal of permit #3462-84
(*1st renewal #3187-85)
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OROR LESS10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under pe ally 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
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-
ontract-
ors.(Sec. 7044)
ors.
❑ i am exempt under Sec. , Business and Professions Code
for this eason
NEW CONST. DWELLING OCCUR. aj ,
OR ADDNS. ( ACC. BLDGS. h2SQft
NEW CONSTR U TI -OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 5AL@3t
AL00
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. byirin g 15.00
Permit Fee $
ORKMEN'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
Cooling
g
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
0alliabi a udgments, costs, and expe ses which may in any way accrue
inst i Cu t o s ue ce of t ranting of this permit.This
Date
arur iAppllcunt — Owner ❑ nrractor ❑ Agent ❑
An OSHA permit is required for excavations -al 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 $ 120.00
ocCI1P,J
CONST.TYP!
�FLOODJPARCELJ
PD
1 ND
99U
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
B
PERMIT EXPIRE ate 11-13-87
the applicable provi-
resolutions to do
fees have been paid.
WORKS
��
Date 49
Receipt NO.
WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) 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 tv,/
Social Security u ber
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 per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION A JD PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
22-22-04
ZONING
BUILDING PERMIT
OWNER
O'Neal
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2351 W. Bi s-Gridle Rd. Grid -ley
CONTRACTOR'SN ME
owner
TELEPHONE
1st renewal permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
neRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee @ 2 FEE
$ 110.00
ARCHITECT OR ENGINEER
none
LICENSE NO.
Plan Checking Fee
,b'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 120.00
PLUMBING PERMIT
Filing Fee 10.00
7151 TJ Biggs-GridleyEach
Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other add.
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW I
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: _
list renewal permit #3462-84
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service SOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS
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 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-
ontract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this eason
NEW CONST. DWELLING oCCUP.� ,
h�sgft
New AMULTI-OUTLET
CONSTR.�
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES 20050Q
SAL@3O
FIXED APPLNS. OR
EX. Occup. OUTLETS (REST D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. lyirin g 15.00
d I I
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 declare unde nasty 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.
rVi 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
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 'udgments, costs, and expenses which may in any way accrue
a ainst s d unty inconsequence of the grant' of this permit.
_ r /p0'�
Date 7Q
gnature of Applicant — 6wrrer 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 $ 120.00
Occup,
CONST,TYPEJ
FLOOD
PARCEL
PD
1 11
ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRER OF PUBLIC
By ��C
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 1�--.� FS:7
13/86
Receipt No. 417
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature. ,
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an a lication 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
7dp_
Social -Security Vumber —
Date C--�c..� —rlr
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.
7
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
r 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATIM AND PERMIT
PERMIT NO.
ASSESSO PA CEL NU EFIa`) S _ �'
ZONING
BUILDING PERMLT
OWNER I
TELEPHONE
SQ, FT. OCC.1 BUILDING VALUATION
J.
/1
P1(,�
OWN 'S MAILING ADDRE S
S1640
CONTRACTOR'S NAME ELERHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $
D
Filing Fee
$
10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
a
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee
10.00
GQ
Each Trap
2.00
Q
Solar Water Heater
20.00
�-I ,
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
AP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets 5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building
9 sewer
5.00
^
Mobile Home JSJGJWJ 10.00 e
�,/ TYPE OF WORK
lation ❑ Ot er
New ❑ Addition Utilities ❑ InsJoy
Describe ork: �J 1, F h cJh u(I ,1
s — b
Permit Fee
$
Contractor
ELECTRICAL PERMIT Filing Fee
10.00
Main service 100 AMP ORLESS10.00"
t
Vao t
Main service EA. ADD'L 100 AMP
2.50
r
NEW CONST. DWELLING OCCUP.&OR
IhQSgft
2-10
CONTRAC RS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of theBusiness
and Professions Code and my license is in full force and effect.
_
License No. Classification
R -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 CDONSTR(A ULTBI OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
NEW CONSTR. POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR.
20®50e
Ex. Occup(ouTLETs OR FIXTURES BAL030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
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,
Heating
Cooling v
Hood 3.00
3
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liab' 'ties judgments, costs, and expenses which may in any way accrue
agains ai ount in co nce ofranting of this permit.
X Date
Signature of Applicant — Con cror ❑ Agenr
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 $
TOTAL PERMI F E t
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
ND SSOE,
`/
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
BY
PERK
XEEXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
-
Date /3-9v
�`�(
Receipt No. 3/< -6
WHITE-D.P.W.,
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
OWNER
4
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVI LLE, 1CALI�C3RNIA 95965 - TELEPHONE: 916/534-4541
' a PERMIT APPLICATION DATA SHEET
Permit No. �1
A. P. No. off- a2"FP1
Proposed Building Use / r lG .rXY1U +
Permit Fee Based Upon: C '1
—Complete Contract Price DPW Valuation
(� I �O`t'he.r(y��x�plain)_ p�
Building Inspector \ - 1 1i /Vt l ~ Date
V I
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 beee.nssubmitted.
OP. Plot plans -,in duplicate/tri.plicate. . . . . . . . . . �
3. Completep'lans''in dup�te./triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
QV--�,tale Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . .
"P@ Sanitation approval from 0( ,Y% Health Dept. ��-
11. Planningapproval for A Use: B Parkin
g:-
12.
PP ( ) ( ) 9
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner, Mail to owner ❑•)
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
.
17. Pre -Inspection for RequiredPre-Inspec. request to
. Building Inspector (pole)
18. Other '
When you issue the permit, process as follows: l Mainer. Mail to contractor.
I�Telephone ��n 3�%�� and hold for pickup at office. Deliver w/inspector.
t.opy of pans sent rlealin uepi., r Ire uepi., uiner uaie
During the plan checking process, the following data must be submitted prior to per,rnity'issuance;
(For required items not checked above t i e f application, circle'�tem.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by
By
Plans checked by
Plans approved by
Other: P *A., D,A/ I=(L
Copy—DPW
If `%
'Telephone Mail Other
Date
Date
Date' —
To a Building Department
From: Environmental Health
Subjects Sauitaeti®n. Oleararaca
Owner
Plan Approved for: SeWage Disposal �� Water b'`Upply
Hold Final for: Mater Wpply
ib.al Clearanoe O.K. far-Tater 'app.y..,.
. `Cleaanca for bedroom house/mobilehome or other
I1T0TE
' amloa�64ietlRt! Lw>aWmva9WHea�uCwvwemt�ll140oOHwetniA-�+u�a �'e>.+saep{vioT>f�B+a[Pn[n ae9.mY�m�Y'.
L
COUNTY OF BUTTE - DeTartmhnt of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing 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) signed an application for a building
permit for the pro osed 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 nu e
Date,77
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.
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ORM 7
•;`NERGY SHEET
FOR
ADDITIONS TO RESIDENTIAL BUILDINGS
PERMIT NO. ,��b �- _ PACKAGE "A" (Additions)
NAME �� Cs. O�/�'L SQUARE FOOTAGE
JOB ADDRESS ev
CsG !a/� Existing Residence
TYPE OF WORK 4 New Addition IAM
New Total_T �B 7000"
The following information -sheet, showing mandatory features and required features of
Package "A" must be completed and attached to all plans for additions. to dwellings.
Additions to dwellings include room additions,.converti'ng garages and patios to living
ureas, house moves that add footage and attic conversions, and any space that is ex-
isting non -conditioned space that is converted to conditioned space. Remodeling of
existing conditioned space is not included.
ZONE 11 ZONE 12 ZONE lE
INSTALLED 'APPLIES TO NEW AREA
✓CEIL'ING 1%).-30 R-30 R-38
WALL R-11 R-11 R-19
11-OKLOOR R-11. R-11 R-19
SLAB R- 7 R-11 R- 7
GLAZING 65 .65 .65
SHADING
&0, -'SOUTH - OPTIMUM OVERHANG
or .36 S.C.
✓ZEST - .36 S.C.
LOOSE FILL INSULATION (Density)
VNFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
_ /VAPOR BARRIER (Zone 16)
_ ✓DUCTS PER UMC - Ch. 10
✓LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
_ �IMUM GLAZING,16% OF AREA PLUS REMOVED GLAZING
vtVEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY
AND FILL :OUT DATA ON BACK OF THIS SHEET
?12W11b& R36 � R// c MUILJ� R/9 uw49C0_.Fc.edW_ Aw.&ti
TW Fps-r1A(G- #bcAO& FbA_ ov c.-GL��i r��, /N •�9-D0,
7/83
*1 HEATING, VENTILATING. AIR,QOAIDITIONING 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) Collector brand and
ft2
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 x 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 dmeets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Mn'd itration Code.
S GNA OF BUILDINCr DE IG APPLI Tl
L COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - drovitle,'Callfornia 95965 - Telephone 916/534-4541 O
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER - ZONING
BUILDING PERMIT
OWN R T LEPHONE
/,,-)i a &L1/ -ou [-4 I SQ. FT. I OCC.1 BUILDING VALUATION
CO
LE
LOT NO
SF
New
r t .l l a Il 10 ("
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.
(cense 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)
❑ 1, 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
$ 10.00
$ C 6 �S
$ 15 a
$
$
$
Filing Fee 10.00
2.00
20.00
5.00
5.00
5.00
5.00
0.00 P_B
Contractor
Fireplace
UCTION LENDER
Main service 80OV OR LESS
100 AMP OR LESS
UNKNOWN
Total Valuation $ -
FilingFee
I'S MAILING ADDRESS
��2QSgft
Permit Fee
ECT OR ENGINEER
POWER APPARATUS tr
SINGLE OUTLET CIR.
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
ECT R ENGINEER'S MAILING ADDRESS
2.00
Penalty
IG ADD ss
r
i
�
Permit fee
PLUMBING PERMIT
15.00
Each Trap
Permit Fee
roh
Solar or heat pump water heater
SUBDIVISION NAME
PAR EL MAP
Water piping
Each qas water heater or vent
USE OF STRUCTURE
Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home S G W
TYPE OF WORK
�'11tlo�i yt�modell❑ Utilities
Artptallation❑ Other
Permit Fee
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.
(cense 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)
❑ 1, 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
$ 10.00
$ C 6 �S
$ 15 a
$
$
$
Filing Fee 10.00
2.00
20.00
5.00
5.00
5.00
5.00
0.00 P_B
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 80OV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
NEW CONST. / DWELLING OCCUP.tr\
OR ADDNS. ` ACC. BLDGS. /
��2QSgft
NEWCONSTR.MULTI-OUTLET
NON •RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS tr
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
ALO 0@50
&AL@3t
Ex. Occup. OUTLETS P(RESID IFIXED APLNS.REA.1
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
to the W. C. laws of California. Ventilation
Notice to Applicant: If after making this statement, should you become subject Permit Fee
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
is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE
I also agree to save, indemnify and keep harmless the County of Butte against OCCUP. CONST.TYPE F
all liabi itie judgments, costs, and expenses which may in any way accrueIT
agains a' C my in asequence of granting of this permit.0 A.
$
$
$
LOOD PARCEL PD -67IS
This permit is hereby issued under the applicable provi-
Date sions of the Butte County Code and/or resolutions to do
Signa ure of Ap icDnt - ner Conrrootor ❑ Agent ❑ work indicated above for which fees have been paid.
An OSHA permit is required for excavations over 5'0'• deep and demolition or construct- DIRECT F PUBLIC WORKS
ion of structures over 3 stories in height.
Receipt No. '1`7_) By Date
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PER EXPIRES Date —�
V
q
COUNTY OF BUTTE - DEPARTMENT-_Qf PUBLIC WORKS - BUILDING DIVISION
Q IN r
7 COUNTY CENTER DRIV- OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916%
E534-4541
a
OWNER
Proposed Building Use
Permit Fee Based Upon
Building Inspector
A PERMIT APPLICATION DATA SHEET
Permit No.ho
A. P. No.
i
Complete Contract Price c /DPW Valuation
Other (Explain)
Date
At time of permit application�l,`was advised the following data must be submitted prior to permit processing
andJor issuance: DATE RECEIVED. APPROVED
1. All items have been submitted. . . . . . . . . . . .
2.� Plot plans in duplicate./triplicate. . . . . . . . .
_11�.. ..—Complete plans in5dup�l� ica e-j/tri.pl:icate. n`.VN , , .''fib:
4. Complete engineered plans and calcs. :�- . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . • • •
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . • . .
Pre-Insp17. Pre -Inspection for Required- Building In request to (pole)
p q Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other. TIRD%T! AY PIMNITT X1MWrTDTT=TQ7,J AUAD/IXTAT 'r)rATTTnvTN TIRIQT fM nn1111MA1.T1x'\
When you issue the permit, process as follows: V Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w./inspector.
Other
Applicant—, Date
wLOAr r
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by _ —Date •
Other:
Copy—DPW
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature. •
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
.1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed wort.
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: _gW' ;7e
-Property Owner
Social•Secur't N mb r
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 per-
mitted to issue the permit.
I
:' MOTE r AH Materials 8c Workmanship Shal e iff,
J� Accordance with Recognized Good Practices and
of at, quality prescribed
for the Specified use in the
i ► `/wldin �: Plumbin 8c Mechanical Codes auk
hefNat'na ll F44hiced Code -
00", This set of ans and specifications MUST be=
ept one l!iob 'at aH times and it is unlawful to
make a ?y ckang sot alteratikons n s o me without
writtenpermission from i,- Department of Public
Works.V V f 6,�
k
$U7E C01
UILDING DEF
APPR�O
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COUNTY OF BUTTE - DE-PARTMENT OF PUBLIC WORKS
f 7 County Center"Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBE�3
a — O �f
ZONING
- �p
BUILDING PERMIT '
OWNER 0
C, e c�
TELEPH44, ONE
off/ �
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS n I a
S W. 1 a., I ^c � 1 l e
CONTRACTOR'S NAME
6W
TELE HONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS -
Filing Fee
$ 10.00
Permit Fe
$ , 0-0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$ `� 0 ,p.:6
PLUMBING PERMIT
FiIingFee 10.00
171 �, `
Each Trap
2,00
)`��,� e
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEa MAP
Water piping
5,00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ((k Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: j0Cr-nn I -- 3t/6:2 --K(/
3 e P.CvtyP_uJOL 3��-�%�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service100 AMP ORLESS10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
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 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
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.SI ,
OR ACDNS. ACC. BLDGS. iosclft
NEW CONSTR. U'.OUTLE
NON-RESID CBRANCH ITS 2.50 ea
IRC T
POWER APPARATUS tr
SINGLE OUTLET CIR.
Ex. OCCU OUTLETS OR FIXTURES 20050t
p eALesD
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Penult Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
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
Cooling
g
Hood
3,00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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
agai st s C 'unty ' o eque a of the granting of this permit.
X d P�1` �(I
Date i
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 $
TOTAL PERMIT FEE $ /p-0, ®—:)
OCCUP.
CONST.TYPC
SCHOOL
FLOOD
PARCEL
I Po
I NO
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOROFgi�HPUBLIC
BY
the applicable provi-
resolutions to do
fees have been paid.
WORKS
ate Y
Receipt No. 9-7a 9 3
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
PE E PIKES Date 11-13
x.
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) 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 Number
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 per-
mitted to issue the permit.
1
COUNTY OF -BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT °NO,,
ASSESSOR PARCEL NUMBER
22-22-04
ZONING
BUILDING PERMIT
OWNER
L. Q. O'NEAL
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2351 W. B' Q —Gr' Rd., Gridley
CONTRACTOR'S ME
QWNFR
TELEPHONE
3rd renewal permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NnNF
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee @ i FEE
$ 110.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 9191 W- RIGGS—GRIDI-Ey IR -D-
Permit fee
$ 120.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF RR Duplex❑ Mobilehome❑ Other
sPECI Fv
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Homey
ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: 3rd renewal of permit #3462-84
(2nd renwal permit #3356-86)
EA
I0.00
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6OOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under enal of perjury check one):
P Y P I Y( )
F -1I 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. ClassificationSA
-FIXED
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 thif reason
It
NEW CONST. II DWELLING OCCuP.a ,
OR ADDNS. 1 ACC. BLOGS. /s¢sgft
NEW CONSTR. U I.OUTLET 2.SOea
NON.RESID .BRA C CIRCUITS
/ POWER APPARATUS a\\
(SINGLE OUTLET CIR. J
@50t30
Ex. Occup OUTLETS OR FIXTURES 200030
APPLNS. OR
Ex. QCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 1'5.00
g
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare underroenalty 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
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilit' s, j dgments, costs, and expenses which may in any way accrue
Inst s C n y i consequenccee of the gr 1 of this permit.
^� gyp?
X Date L%
Ignature of Applicant — Contra or ❑ Agent ❑
An OSHA permit is required for excavations over 5"0" deep and demolition or construct-
ion of structures over 3 stories in heig t.
Mobile Home Installation Fee ;
Energy Inspection Fee $
TOTAL PERMIT FEE $ 120.00
OCCUP.
CONST.Tr PC
ISCHOOLIFLOO;[FZ77
I NO
I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or. resolutions to do
work indica above for which fees have been paid.
EC PUB ORKS
J/
B Date
PCOV41EXPIRES Date 11-13-88
Receipt No.
WHITL-D.P.W.. YELLOW-A3e C33o R, PINK -INSPECTOR, GOLDENROD -APPLICANT
i A'4
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materia s for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person
construction:
Name
Address
(firm) to provide the proposed
Phone Contractors License No.
City
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
persons to provide the work indicated:
Name Address Phone
S ig n ed':
Property Owner
Social Security
Date
er
(hired) the following
Type of Work
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.
t --
CO
a)
m
r-4
:.Zp
NUMBER AND STREET
SUBDIVISION
21 1=2
ENERGY CERTIFICATION
CITY
DESCRIPTION OF INSULATION
COUNTY
LOT NUMBER
MATERIAL
BRAND NAME
THICKNESS (INCHES)
THERMAL RES.
EXTERIOR WALL
MATERIAL TYPE Fiberglass
BRAND NAME CertainTeed
THICKNESS (INCHES)
THERMAL RES.
CEILING
BATT OR BLANKET TYPE Fiberglass
BRAND NAME CertainTeed
THICKNESS (INCHES)
THERMAL RES.
LOOSE FILL TYPE-- -Fiberglass..
BRAND NAME InsulSafe III
THICKNESS (INCHES)
THERMAL RES �?
FLOOR, ELEVATED
MATERIAL. Fiberglass:)
BRAND NAME CertainTeed
THICKNESS (INCHES)
THERMAL RES.
FLOOR, SLAB
MATERIAL
BRAND NAME
'THICKNESS (INCHES)
THERMAL RES.
WIDTH
FOUNDATION WALL
MATERIAL
BRAND NAME
THICKNESS (INCHES)
THERMAL RES.
HEATING SYSTEM
;!AKE _
MODEL
RATED BONNET CAPACITY
DECLARATION
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN
THE BUILDING AT THE ABOVE LOCATION IN CONFORMANCE WITH THE
CURRENT REGULATIONS SETTING ENERGY CONSERVATION STANDARDS
FOR NEW RESIDENTIAL BUILDINGS (LOCATED IN TITLE 24 OF THE
CALIFORNIA ADMINISTRATIVE CODE).
UENERAL C014TRACTOR / OWNER STATE CONTRACTOR'S LICENSE #
SIGNATURE
HAWKINS INDUSTRIES INC.
FIRT1 NAME
ATURE
0
DATE
622184
STATE CONTRACTOR'S LICENSE #
DATE
.. ,
ENERGY INSTALLATION CERTIFICATE f
Building Owner ��'}� } Building Permit #
Building Location �� (,{J , , f (o (S '6,e(01 6:
DESCRIPTION OF INSULATION
ROOF '
Material
Thickness(inches)
EXTERIOR WALE / ? 0
Material �
Thickness(inches)
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR, EL�VAT D
Material%�®cam.{'
Thickness (inches)"%Z��..
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Brand Name
Thermal Resistance (R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal.Resistance(R Value)
Brand Name
Plumber of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand NameuNy"J'�ad26izdc-z
Thermal Resist ce(R Va e)
Brand Name
Thermal Resistance(R Value.)
Material Brand Name
Thickness(inches) Thermal Resistance(R Value)_,
I hereby certify that the above insulation was installed in the above building,
- - --=2s -consistent-with -approved building - department - plans-- and -attachments and con- - -
forms with requirements of Chapter 2-53 of State of California Energy Requiremen
F 1/OWNER STATE CONTRACTOR'S LICENSE NO.
WO—I/L- let- — / 915�11
SIGXVVJRE bf I S kL TION AP ICATOR DATE
I hereby certify the required features, devices, and equipment, az� shown on the approved
Building Department plans and attachments have -been installed and conform to the appli-
ance standards and -Chapter 2-53 of the State of.California Energy .equirements.
/\t
BUILbING CONTRACTOR/OWNER (Please Print)
(FI NAME)
A0191TRE UID G 0 /OWNER
HVAC FIRM NAME/OWNER (Please Print)
SIGNATURE OF HVAC CONTRACTOR/OWNIER
STATE CONTRACTOR'S LICENSE NO.
DATE
STATE CONTRACTOR'S LICENSE NO.
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.
SEPTEMBER 1988
COUNTY'OF BUTTE
DEPARTMENT OF PUBLIC WORKS ;
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
r .,CORRECTION. NOTICE
Al C4L
R
PERMIT NO. g
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
Date ` Inspector
"'COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 3
196 Memorial Way, Chico — Phone: 891-2751
r 7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
a
CORRECTION NOTICE
.f
OWNER PERMIT NO. '?
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected.- notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
cA 1y C1 67 0Gel ,r
s
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
e
• CORRECTION NOTICE
Roll
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
_
Inspector_ s W_Date-
✓Fs �, COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector_ Date
V OK ,G
0'� PiEtOf4,.+�r
- _ tRpficable
of Ready RESIDENTIAL (Single and Duplex)
� = or
Date UNDERF OOR EkIns OK except #'s
Date FRAMING (Continued)
Hing requirements -Setbacks -Easements
4§=.&�pe ne-Firewall &Openings
WJN.,
Main; Soils -Steel -E - Y.K-/-CFtg. h,
4pe-Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
i 3.
g., Garage; Soils -Steel-// /" Ft .Depth
50. -Rise-Run-Landing-Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
Wr Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
mwalls, Main; Steel-Blockouts-Wrapped-Slab
5 er
6
t el-Blockouts-Wrapped-Slab
, St =Drip Screed-Fdn. Vents-Underflr. Access
ID
iA s-F+Fep+ece Ft Q—
AV.-Glazing Glazing Area -Glass Protection -Skylights -Plastic
D 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
5 -Bolts
s Pipe; Size -Anchors f
-kc W.
Water Pipe; Te -Anchor Regulator-Seryice Test
11.
Electric; Undergro
12.,,Plenums
& Ducts; Clearance -Material -Support -Ins.
I -t-r-
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Date and -BI Date
-
/� y
Card -BI Date Card -BI Date
0 -kr—
Card -BI
g %- "ir
Date - Card -BI Date
Card -BI Date Card -BI Date
Date (Plans) OK except N's
COd-BI Date Date 5
Date j PLUMBING (Permit) OK except q's
xt. Steps -Door & Sidelight Protection -Landings
Smoke Detector
47,411 4.
Wat Ht.; Vent -Access -Combustion Air
mace; Vents -Clearance -Comb. Air -Connector-
In Garage; Above Floor-Ducts-Mech. Protection'
, -Pipe; Test & An hors -Nail Protection
r
.W.V.; Test tt & Anchors -Nail Protection
f 9. Bedroom Exiting
17.
18.
ho e , First Floor -Tub Access
Tub & Shower, 2nd Floor -Tub Access
F. 1. & Bath Fixtures & Tub Access
61. Elec. Trim & Subpanel; Breaker Sizes -Labels
Gas Pipe; Size & Anchors ��
2--Steirs & Rails
replace or Stove; Clearances -Hearth
. Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI Q,40
Card -BI
Date ',-rd-BI Date
Dat Lm—and-131 Date
1 it. Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance
%1--LNec. Outlets & Receptacles at Kit. Counter
Date ELECT
,04CAL (Permit) OK except #'s
67. a Fire Door; Swing -Landing -Closer
uct in Garage -Damper
ture & Transformer Clearance -Ins. Protection
6 tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. ProtectionIb.,
n le Receptacles Spacing -Lights &Switches at Doors
N
iz Boxes & No. of Conductors -Stapled
Elec. &Mech. Equip. Listed for Location
•
ome ristalled Close to Edge of Studs & C.J.
lec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
p.'Ground made up w./Mech. Fasteners -Bond Gas & Water
ulation-Foam-Looked in Attic El Yes
Rails & Deck Construction -Post Caps
2 Appliance Circuits in Kitchen &Conductor Size
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
1 dn. Vents & Crawl-Flole r -Drainage & Wood -Earth Clearance
H under Floor
2�
Ranna / / na �u or AI -Oven Circ. / / ga. Cu or Al,AI
Insulatededes
Neutral ❑Yes ❑No
Following instld.: Drive F1EDes ❑ No; Walks Yes No;
Planters ❑Yes ❑No
28. Service -Riser Conductors & Ground -Main Disconnecttucco;
29.
Equip. Clearances; Panels -Motors Mech. Equip,
Brown -Finish
2a
Y
r•i.a6e&r4.,t4 :ga-Shower Lightt
r7f. .C. Unit; Disconnect-Clrnc s- rkr. & Cond. Size -115V Outlet
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
7 • Water Well; Disconnect, Electrical, Plumbing
Card B -I
Dat Card BI Date
1 -80 -Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Dat and -BI Date
Ven ilation throughout House
s Protection
Date MECHANICAL (Permit) OK except p's
83 orrections from Previous Inspections
84: Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI ate Card -BI Date
Card -BI
Date Card -BI Date
Card -B t to Card -BI Date
Card- ate Card -BI Date
Card -BI Date Card -BI Date
Date FRAMI lans OK except p's
Comments at Final:
Proper Material & Anchors
Is; Studs Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
39.
Waft Stop in Walls (rat proof)
rEROFire
Stop * Furred Stairs -Chases -Tub
1.
Header & Be ing
2.
angers -P s -Anchors- Is
Cing. Joist-Rftr. Ties-Purlin Moa -Truss-Shthnq.-Rfn_q_.
fireplace Ties or Type A Flue-Fi ace Throat
.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
47.
Exiting Doors -Sill Hgt. & Dimensions
g ire ection Framing
(NOTE: An entry must be majeeach time youvisit jobsite)
J= OK
0 = Not OK
- = Not Applicable
* = Not Ready
T
I
MOBILEHOMES '
MISCELLANEOUS
1c.
Date
MOBILEHOME UTILITIES (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except.b's
1. Zoning Requirements -Setbacks -.Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors t
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
'�,ard-BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except p's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
4
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
.Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
4
v
AID
FT
PERMIT0. "=
PERMIT EXPIRES-:::d/,l
i4
OWNER L.G. O'NEAL
CONTR. owner
ASSESSOR PARCEL 22-22-4
0 -LOCATION 2351 W. Biggs Gridley Rd, Gridley
Temp. Power Pole
Called PG&E _
s Temp. Elec. Service
i
Called P^O
1�:t�Temp. Gas Si
Called P
JOB FINALE
Signatun
O.B.-1
I OWNER BUILDER INFORMATION I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
0 . If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
rely,
Mic el C. Vi ira,�C.B.0.
M ger, Building Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
0-A- I
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
roperty improvement: YES 0 NO ❑
HAVE 10, 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:
CONTRACTOR'S LICENSE NO.
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:
5. I w
the
NA
CITY:
CONTRACTOR'S LICENSE NO.
provide some of the work but I have contracted (hired) the following persons to provide
)rk indicated:
ADDRESS PHONE TYPE OF WORK
PROPERTYOWNER:2 -, a,- e -J17% tlX3- Me, —4-00
NOTE. This Owner -Builder Verification is required by .Section 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.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION„Q�
7 County Center Drive • Oroville, California 95965 • Telephone (530) 53R-7541_�, �vPMIT No.
,
(Rev.12/96) APPLICATION AND•PERMIT
ASSESSOR PARCEL NUMBER
022-220-004
ZONING
BUILDING PERMIT
OWNER
iFAMITY MIST
TELEPHONE
Sp. Fr, OCC. BUILDING VALUATION
.OWNER'S MAILING ADDRESS _RTMFY RT), CRTMFY 99948
-351 W T
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total valuation $ 3000.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
2351 W BIGGS GRIDLEY RD GRIDLEY
Energy Plan Checking Fee $
$
PERMIT FEE _
74-00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF )JP Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Liilities ❑ Installation ❑ Other
Describe Work: REPAIR TERMITE DAMAGE TO HOT 14ATER
CLOSET, FRONT DOOR AIND ROOF FACIA
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home ISI GI W1 @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
600VOR UE
Main Service 20 OA OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of secXx
' n 3700 of the Labor Code, I shall
forth 'th co ply with those ovisions.
6/ q g 0 /
X Date / /
Signature of ican - ❑ er Contracto ❑ Agent_.f.
An OSHA permit is required for"excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a ACC. eLDS. 3.5¢Fr:
NEWCONST. MULTI.OUTLET @7,50
FGwER APPATwTL1S
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET ORFocruREs BAS •�
g 5.00
Ex. Occup. DUTELETS E1D.oE.
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
74-00
�Z
D. FEES
IMP
F 0
COF
PARCEL
PO
HD
ISSUE
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ab "ve for which fees have been paid.
By Date
PERMIT E PIR S ON 7-10
date
Receipt No. 385302/�74.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville,California 95965 • T 3 - 4
Telephone (530) 51 - P IT NO.
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT
OWNER�-�/-� ' �_ ^ TELEPHONE SQ. FT OCC. BUILDING VALUATION
� O \ \
.OWNERS IUNG DRESS
CONTRACTOR'S NAME TELEPHONE
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
—�
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$
20.00
Permit Fee •
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
1
Energy Plan Checking Fee
$
$
PERMIT FEE
S
LOT NO.
SUBDIVISIONS NAME PARCEL MAP
PLUMBING PERMIT
Fling Fee
20.00
Each Trap
7.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ erBuildin
Describe Work:
Gas piping system 1 - 5 outlets
15.00
sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE $
�Uv
ELECTRICAL PERMIT
Fling Fee
20.00
Main Service noon oo iso
23.00
�J\
$ n � __��
PERMIT FEE PAID I
SRA$
SHERIFF $ '
Il
OTHER $
$
$
AMOUNT RECEIVED $ '
1
DATE RECEIVED . 1
/)
RECEIPT # �� v
Main Service 200A To 1000A 46.00
NEW CONST. DWELLAIG oCCUP. 35¢so.
.
OR ADDNS. 8 ACC. BLDS. FT.
NEW D°"SMLILTI.GUrLEr
NODFRESID. 7.50
POWER APPARATUS
8 0 E.R OUftFT CIR.
Ex. Occup. OUTLET OR FDRURES B0 @ I'0 '
@ .SO
Ex. Occup. ounED SID �FRa 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood . 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
corer. TYPE TOTAL FEE $
HAZ
D. FEES IMP
FLOOD
I CDF
PARCEL
Po
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
Date
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