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HomeMy WebLinkAbout022-220-02022-22-20 MELVIN &HAZEL WILES 99_W Biggs,..Gr022=220-020 PERMIT#97-115A `s .idley.�Rd,. Gridley. Permit#2855-86B(new carport) ® ®/ RIES,_William �/f/`O(Q 2299 W Biggs Gridley Rd., Gridley. 22_22_20 Ag Ex Permit--Tractors,Animal Feed }• Permit#3504-87B(reroof/SF) 22-22-20 Permit#1768-89E(elec ser ch)SF 01 022-22-0-020 96-28 5 RIES William .l ' 2299 West.Biggs Gridley R (upgrade ele ser to 200 amp)., o2 . i 4 l r 1 !ll i 4 o I , �g e � 'j a 7 i I I I v f i i f C 22-22-20 MELVIN &HAZEL WILES 99_W Biggs,..Gr022=220-020 PERMIT#97-115A `s .idley.�Rd,. Gridley. Permit#2855-86B(new carport) ® ®/ RIES,_William �/f/`O(Q 2299 W Biggs Gridley Rd., Gridley. 22_22_20 Ag Ex Permit--Tractors,Animal Feed }• Permit#3504-87B(reroof/SF) 22-22-20 Permit#1768-89E(elec ser ch)SF 01 022-22-0-020 96-28 5 RIES William .l ' 2299 West.Biggs Gridley R (upgrade ele ser to 200 amp)., o2 . i 4 l r 1 !ll i 4 o I , �g e � 'j a 7 + 1, 1111 .� 022-22-0-020 96-2845 E'. RIES; William. 299 West Biggs Gridleyy Rd upgrade•ele ser to 20U amp) OFFICE COPY Address o.� GAS. M Date ELECTRIC Meter By Dat f COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT A02ZI --:LIG NU26 ZONING BUILDING PERMIT V OwH LLIAM AND TERI RIES TELEPHONE SQ. FT. OCC. BUILDING VALUATION 02294"A Aobp'L ;S GRIDLEY RD, , GRIDLEY CA 95948 C` A!TWO 'S NAME TEl£PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CW6WUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER's MAILING ADDRESS Permit Fee $ AWK OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ E12I §JfDgESs$IGGS GRIDLEY RD., GRIDLEY LLLJ WW PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIOWS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other x] Describe Work: UPGRADE ELECTRIC SERVICE 1y) 2�O M1P — Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service ( Zoon OR LESS ) 23.00 • Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.Ex. 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BUDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER9 (a SIINGLE OUTLErT IC R. Occup. ( OUTLET OR FIXTURES ) 20BAL @ 1.00 EX. Occup. (OUTLETS (REBIFIXED D.) OR) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring3. 23.00 PERMITFEE $ 66.00 Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 4he 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 section 3700 of the Labor Code, I shall rthwith comply wi hose, provisions. C� _� Date ��=3� :Signatureof Appli ant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit Is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. 9 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL I PD I HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which f s have By ( ,y"I f J` PERMITEXPIRESON applicable provisions Resolutions to do work be 1paid. Z2�3C�� Date 12/30/97 (Date) ReceiptNo.Z( 629 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE _. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine -inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If 'you have any questions pertaining to this matter, or need additional explanation, please c9ntact this office immediately. O IJitiiv V Date /0-0_ q -� Inspector REV 10/92 COUNTY OF BUTTE- DEPARTM 'NT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 -754th-- 7�E9M� O• 'APPLICATION AND PERMIT Y TffRnt5_N}(, ZONING BUILDING PERMIT O LLIAM AANL�DJ TERI RIES TELEPHONE SO, FT, OCC. BUILDING VALUATION 0�71rr TMtS GRIDLEY RD., GRIDLEY CA 95948 CQMV'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace Cgffi7yfnON LENDER UNIwOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ TffffOR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS "UNG ADDRESS Penalty $ B�lfIRI�y �I Cy�1DL�f "BIGGS GRIDLEY RD. , GRIDLEY LL PERMITFEE S PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ff Duplex. ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other )p Describe Work: UPGRADE ELECTRIC SERVICE TO 200 AMP Mobile Home I S I GI W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service ( 000V OR LESS ) 200A OR LESS 23.00 23.00 Main Service ( 200A To 1000A ) 46.00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: IF 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 NEW CONST. DWELLING OCCUROR ADDNS. 8 ACC. BLDS. ( ) O. 3.50 FST. NEW CONST./ LTI.OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIA. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 00 BAL .50 Ex. Occup. (ounEt-. Drs PUNS.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.0023 .00 PERMITFEE s 66.00 Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 section 3700 of the Labor Code, I shall ;Zh;,,th co wi hose provisions. Date ��=c'3©f_ Signature of A a ❑Owner ❑Contractor ❑Agent An OSHA permi Is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ 1 0. FEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resol ions to do work indicated ab a for which f s have paid. ; 12/30/96 By ate PERMITEXPIRESON 12/30/97 (Date) ReceiptNo. 209629 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • O.B.-1 ;.;:.:.::•}::;-}:.;::.>:�:}:. .}:•}••}::.:•. }......: C.}.:Y•:: .,::..:.....; •:R?:•.: `�:}\\�c�t,<c..c?i::;}C?Yn:<•:.•..�}.::::•.::?•w:':.•.�::::x•}:::::::� -.7 :\ •':4i'�. \. . v ••i :•.?ti .: : y •r i v .S 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 win' 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[ NO[ ). 2. -1 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: . CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OW SOCIAL SECURITY NUMBER: -' DATE: 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. 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: _ 0 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. 0 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. 0 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 "ownerbuilder" 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. Sinc'erel Michail C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER • BUILDING DIVISION COUNTY OF BUTTE - DEPARTME& OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO ,� Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. 6 ASSESS CE4 ypQ © ZONING /) OWN E i PHONE NO. OWNERJ ADD S r J k V U,n LOCATION OF 8UILPING 'IV C A -'Z2 9 9 Ito 6 1c; USE OF BUILDING 6,, e �" res � � �� e SIZE OF STRUCTURE 11 LJ S X - s SO. FT. TYPE OF CONST U TION: �Q/ WOOD FRAME 6 STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVE ING FLOOR TYPE 'r ESTIMATED COST O r-QNSTRUCTION $ �J AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT s Ayt-" SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals tOPMOV'vv" requil effect at that time and before occupancy. 11 \ Date_ /6 - 7-y % Signature of Permit Fee 60.00 Receipt No. Q� The above described AG Building is exen;(it from a building permit. FLOOD/ PARC ROOF G ISS Manager Building Division By Date 0 /Sh 7 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLF.-CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: lel, ��� ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector: Date: At time permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: All items have been submitted. ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. 03. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! 06. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ❑ 8. Hazardous Material Form. 09. Manufactured Home data and installation instructions including Tie Down Specifications. Q 10. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. 1114. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). 1120. Pre -inspection for required. 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. ❑25. Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on building use. 027. Manufactured Home utility clearance. 028. Existing violations and/or expired permits. 029. 0433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: � .I -- When you issue the permit, process as ❑ Telephone Mail to owner, ❑Mail to contractor. for pickup at office. ❑ Deliver with inspector. Applicant: Date: EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant �N^r...A4-'� 'V-..+-�•-... „'4y.�: r.,�,. ~, �,� �, �.. ,.��: �.+..`�'�',`'`, +�`dH. r.?"'�7n+"�..;�''vii'-r`ir`7r1...�r--^ r .V �i-.-�-.. -• ,.. �., �,.S4UNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLF I, ORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATIONDATA SHEET OWNER: ASSESSOR PARCEL NUMBER: Proposed Building se: -`Building Inspectot:_p� Date: At time ermit application, I was advised the following datamust be submitted prior to permit processing•and/oi i's'suance: Date Received By All iiems have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ ❑ 3 . Complete plans, 3/4 sets, signed by the preparer of plans. ------' ---------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 1:15. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. -------------------------- =--------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12.' California Department of Forestry plan approval/fees, ❑ 13. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. -- ❑ IT Planning approval for (A) Use: (B) Parking: _ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---. 020. Pre -inspection for required Request to Building Inspector on 02 1. Contractor's license information. (Number, Name Style, Classification)- ------------------------------'----- ❑22. Workers' Compensation carrier and•policy number. ------ --11w-'------------ --;,--------------------'-== '=---�--�.. - 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑ 24. Letter of signature authorization 025. Recorded copy of Agricultural Acknowledgment Statement.---------------------------------------------------- 1126. ------------------------------------------------ - ❑26. Letter of intent on building use. ------------------------------------------------------------------------------------ ❑27. Manufactured Home utility clearance. -------------------------- ------------------------------------------------ 028. Existing violations and/or expired permits. --------------------- ------------------------------------------------ ❑29. 1143 A, 11 Grant Deed, ❑ M.H. Title ❑ Check to H.C.D $ . .--------------- E130. -------------- ❑30. Other: ------ When you issue the permit, process asfollo Mail to owner, ❑Mail to contractor. ❑ Telephone d ho for pickup at office. ❑ Deliver with inspector. Applicant: Copy.of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: Date:_ By: Date: By: (Date) 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone„❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building .Division counter, by Date: Plans reviewed by: Date: Plans ,approved by; , _� Date: Sets of plans on hold in 11 Plan Cabinet, C1A.P. folder. Note trarisfer'by: Date: ' ' ' J'?' Yellow Copy - Department of Development Services, Building Division. 3504-87 attached Permit#1768-89 Robert Wiles 2299 W Biggs Gri dley Rd COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. - 7 County Center Drive - Orovil le, California 495965 - Telephone: 916/538-7541 /2_r ,�f 1 APPLICATION AND PERMIT ASS OR PARCEL NUMeER ZONING BUILDING PERMIT , OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION iC2 OWNER'S MAILI G ADDRESS - CONTRA TOR'S NAME TELEPHONE CONSTRUCTION LENDER [UNKNOWN CHITECT OR ENGIN CHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS LOT NO. I SUBDIVISION NAME I PARCEL MAP 1 USE OF STRUCTURE SF L� Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 11 Installation❑ Other ❑ Describe work: C/,64#6f 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 114SURANCE I declare under penalty of perjury (check one): Q 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. 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. also ae I -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 Cou ty in Nnsequqnce of the granting of this permit. .Xr tC.7.i. �_.�,��CP/�., �< Date!?/ Signature oF44plicant — Owner, Contractor ❑ Agent ❑ r An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. !7{� WHITE-D.P.W.. YELLOW-ASeESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Elich Trap . i. Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S I G I W 10.00 10.00 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 / U✓ ..,,.... Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.EI` OR ADDNS. ACC. SLOGS. / 1/20sq ft NEW CONSTR. U TI.OUTLET NO N.RESID BRANCHCIRC ITS 2,50 ea POWER APPARATUS eI SINGLE OUTLET CIR. EX, Occup(OUTLETS OR FIXTURES 20e50e DAL030 FIXED APLNS. \\ Ex. Occup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee S zlrAQa ';Contractor f MECHANICAL PERMIT Filing Fee 10.00 Heating ft oling od 3.00 Ventilation Permit Fee Contractor Mobile Home Installation Fee Energy Inspection Fee TOTAL PERMIT FEE JCCQJP-1 CONST.TYPEI ISCHOOLIF S ARCELI PD I, HD I ISSU This permit is hereby issued under the applicable provi- sions of.the Butte County Code and/or resolutions to do workindicated above for which fees have been paid. DIRE. TO SOF PUBLIC,4ORKS B / / mfg /!DateXV P RMIT EXPIRES Date v ' COUNTY OF BUTTE - QUEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities1k] Installation❑ Other ❑ Describe work: __64#66 FO E.s %D 82F,4icF/tS 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) ❑ 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 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 shal I be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs and expenses which may in any way accrue agai t said Cou yin cgnseq ce of the granting of this per it. �C `J 1(�Jl Date Signature of plicant — Owner Contractor ElAgent Ll An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. `7-y WHITE-O.P.W., YELLOW-ASeESSOK, PINK -INSPECTOR. GOLDENROD-APPL I CANT I Permit Fee $ � Contractor 1,1111/0 BUILDING (PERMIT " OWNER Main service eoov OR LESS 100 AMP OR LESS TELE HOO/NE S0. FT. OCC. BUILDING VALUATION Main service EA. ADD'L 100 AMP 2.50 OWNER'S MAILING ADDRESS .,zq q ?r/ &4955elm , hdsgit NEW CONSTI-OUT NON.RES D R. BRANCH CIRCUITS 2.50ea CONTRACTOR'S NAME POWER APPARATUS &) ) SINGLE OUTLET CIR. TELEPHONE Ex. Occu p OUTLETS OR FIXTURES 20 050t 200530 FIXED APLNS.Ex. OUTLETS (PRESID )REA.) 2.00 CONTRACTOR'S MAILING ADDRESS -Occup. Temporary service Fireplace Mobile Home Facilities CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER FiIingFee LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 3.00 BUILDING ADDRESS Ventilation Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFJ ] Duplex ❑ Mobi lehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W I I ho.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities1k] Installation❑ Other ❑ Describe work: __64#66 FO E.s %D 82F,4icF/tS 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) ❑ 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 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 shal I be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs and expenses which may in any way accrue agai t said Cou yin cgnseq ce of the granting of this per it. �C `J 1(�Jl Date Signature of plicant — Owner Contractor ElAgent Ll An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. `7-y WHITE-O.P.W., YELLOW-ASeESSOK, PINK -INSPECTOR. GOLDENROD-APPL I CANT I Permit Fee $ � Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.vl 00 / p Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCC UP.y OR ADONS. ( ACC. SLOGS. hdsgit NEW CONSTI-OUT NON.RES D R. BRANCH CIRCUITS 2.50ea POWER APPARATUS &) ) SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 20 050t 200530 FIXED APLNS.Ex. OUTLETS (PRESID )REA.) 2.00 -Occup. Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 3 Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation I Permit Fee $ contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 3CCUP.1 CONST.TYPEI ISCHOOLIFLOODIPARCELf PD I ND I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work ) ed above for which tees have been paid. DIRem6AF PUBIAC/WnnORKS . . IT EXPIRES Date b 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 es, 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: m Property Owner _ 1 Social Security Numb - Date _I.c n I ) 4� F5 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. iJ� rs -•s-.�.w-s.� ^�ry�`ptfi..S .jtiy`v'_,"'e. .Tit _.. ��t'ia�'+KIM'...s�V{��'�-�`1�+�•�.�ti,,,y� �"�"wv?'b7"i -°mow t . , Permit#3504-87B .Robert wiles 2299 West Biggs Gridley Rd Gridley "►r! 1 COUNTY OF BUTTE - DEPgRTME,NT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PLERMIITT NO. ASSESSOR PARCEL NUMBER ZONING 1�✓ BUILDING PERMIT OWNER- TELEPHONE SQ. FT. OCC, BUILDING VALUATION ' 1 OWNER'S MAILING ADDRESS - CONTRACTOR'S NAME - t , 1 " TELEPHONE _ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ �- Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ /4 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Penult fee $ PLUMBING PERMIT Filing Fee 10.00 - Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 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 14 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. /DWELLING occuP.ai) yx2sgft OR ADDNS. l ACC. BLDGS. NEW CONSTR MULTI -OUTLET 2,50 ea NO N.RESID BRANCH CIRCUITS) /POWER APPARATUS e' \SINGLE OUTLET CIR. zoesoe EX. Occup(OUTLETS OR FIXTURES eALO 30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 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. d 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 shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult Fee $ Contractor I certify that I have read this. application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ,� � � X (� (,� Date f • f 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 $ UP. CONST.TYPC ISCHOOLIFL.0001PAIICE1.1 Pa Ho 59UE FTThispermit is hereby issued under ns of the Butte County Code and/or rk indicated above for which DIRECTOR OF PUBLIC � By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date + Receipt No. (� / /G. ) WHITE-O.P.W., YELLOW-AseESOOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMJT N0. � ASSESSOR PPARCEL tjUMBER ^ ^ U ZON. T,/O BUILDING PERMIT owNE PIH//ONE SO. FT. OCC. BUILDING VALUATION o OWNER'S MAILING ADORES! ag? CONTRA OR'S NA(MME/ TEL PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ SO ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Q/ Permit fee $ , go PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Othe5*�] Describe work: i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00• Main service eDOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a OR ADONS. ACC. BLDGS. , h2sq ft NEW CONSTR MULTI -OUTLET NON.RESID 2,50 ea .BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES20@500 DAL@30 FIXED APLNS. \\ EX. OCCUp. OUTLETS PR (RESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Gd 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 shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t said Couty in consequence of the granting of this permit. `D 19 X - Date Signatur of Applicant — Owner Controctor ❑ 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 $ 4..5-c? occuP, CONST.TVPEJ SCHOOL FLOOD PARCEL PO I ND. ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT OF PUBLIC WORKS //(( //// By. ��i�1,d�- �� Date PERMIT EXPIRES Date /Q'f' Receipt No. No 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: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: t 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 es or no) 2. I (G/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 (;46,av�? Social Sec ri y Numbe Date �I ? 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. ' PERMIT NO. 2855-86B PERMIT EXPIRES OWNER KELVIN & HAZEL WILES CONTR. owner ASSESSOR PARCEL 22-2220 LOCATION 2299 W• Biggs Gridley Rd, Gridley • s s i . M I Temp. Power Pole I .. Called PG&E F Temp. Elec. Service r Called PG&E Temp. Gas Service Cal PG&E led JOB FINALED (Gate) Signature _._. V=OK '0 = Not OK ' = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DEC COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements V Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs--Ra—ils-�— 3. Sewer; Location—Test—Fall-C/O—Concrete od Awn.; P�ab oQrIgDrSht` .—Ry�Bra�ing 4, Water; Local ion—Test—Easement Needed (Sketch) — 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 s; Windows—Doors 7. Utility Clearance 7. lec.Aq Card -BI Date Card -BI Date Card -BI Date04 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's Date LS (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 3. Gas; MH Test—Demand—Valve—Connector 4. Elec.; Receptacles and Lighting; Distances—GFI 4, Electricity; MH Test—Crossovers—Breakers—Clearances 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 Equipment—Heater 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. 8. Gas and Electricit�Tagged Boxes—Enc losures— Pane lboards— 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 r..I R-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) _ 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings -_ 2. Fig., 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 -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. _ Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts _ 9. Gas Pipe; Size -Anchors _ _ �11. 10. Water Pipe: Test -Anchors -Regulator -Service Test Electric; Underground 12. Plenums &_Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Card -BI Date Date _ Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test -Flings & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Date _ _ Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except Ws Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. &Bath Fixtures &Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Gard B I Card B-1 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance - Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes ,No -__ _ _ Service -Riser Conductors & Ground -Main Disconnect - _- Equip. Clearances: Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light - Date Card BI Date - Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72, Insulation -Foam -Looked in Attic E] Yes - 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor C Yes 75. Following instld.: Drive [:Yes [ No: Walks [Yes C No; Planters El Yes 0 N 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 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 H's _ 83. _ Corrections from Previous Inspections __ 84. 85. Gas -est-Meters Tagged: Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval Card -BI Card -BI 31. 32. 33. 34. 35. A.C. Ducts. Insulation & Support Vent Fan: Exhaust above Insulation - Condensate Drain & Overflow: Size & Grade 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 86, Energy Compliance Certificate -Other Certificates --- - --" - - -- --- - --- - Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI _late Date Card -BI Date Date FRAMING(Plans) OK except p's Com tents at Final - -- 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills', Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops Furred Ceili_nc�s_Stairs_-Chases-Tub- Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -Draft Stop -Ins, Baffles Bdrm. Windows or Exiling Doors -Sill Hgl. & Dimensions Garage Fire Protection Framing - -- - - - -- i- (NOTE Anentry must' be made each time youvisit jobsite) JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS N. *PET. 7 County Center Drive - Oroville, CaliforitiA `35965 - Telephone 916/534-4541 _ APPLICATION AND PERMIT ASSESS R JP ARC EL MBER ZONING,, 41) BUILDING PER KIt 77M`L PH NE SQ. FT. OCC. BUILDING VALUATION —up 10220 O NER'S ;� 9 1�� 44 Ll� C RA TOR'S NAME PIC T EPHO E CONTRACTOR'S MAILING ADDRESS Fireplace CONSjqUC TION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ +� ARCH ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ` t Permit fee $VV + PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 1^ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MA Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE _ SF Duplex❑ Mobilehome❑ Other- t/ rt— SJPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK NewX Addition[] Remodel❑ Utilities❑ InstallatiodF❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING 0 CUP.ad) OR ADDNS. C ACC. BLDGS. �z2sgft NEW RES,D,CONSTR. RANCH TLET _NON .R ESID BRANCH CIRC ITS 2.50 ea CIRCUITS) POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu 20@50t Occup(OUTLETS OR FIXTURES DAL@30 FIXED EX. P OCCUp-OUTLETS (RESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 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 expqqses which may in any way accrue again t saidounty in onsequenc f th ranting of this permit. X �-- Date Signature UO f 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 + OCCUP. CONST*TYPEJ PLooD ARCEL PD N SSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC=ROFBLIC BY P IT EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date 0 [Receipt No. 4, WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT,Q,E.P�I.BLIC WORKS - BUIL'DING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/53;4 541 ' ' PERMIT,,APPLICATION DATA SHEET `v Permit No. 1\ OWNER ALO VI P ""S A. P. No. Proposed Building Use Co no O Permit Fee Based Upon: Complete Contract Price _DPW Valuation Building Inspector -6 4,y sDate r (yy i v tr2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 44.Complete All items have beers-s.u.bmitted. . . . . . . . .Plot plans ilicati-pl�cate. .Complete plans in uplicat triplicate.S{h engineered plans and calcs. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . Statement of Int/t fNon-Heated and AC Buildings. 8� Fees of $ >( > . . . . . . . . Letter of signature authorizati n. . . . . . Sanitation approval from ;,0, V,)NeaIth Dept. . . 11, tanning approval for (A) Use: (B) Parking:- 12. arking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) , 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. • Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (pole) 18. Recorded copy of Agricultural Acknowledgment Statement . . . 19. Other Whenyouissue ther t,-prgcess �as follows: Mail t wner. Mail to contractor. Fg Telephone �f and hold for pickup at office. Deliver w/inspector. Other Applicant.��,C-� � Date -=�42' 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 Q.t t* 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 ther By Plans checked by Date . Plans approved by / ate IF Other: Copy—DPW Date To: Building Department From: Environmental Health Subject: Sanitation Clearance Owner Loc on AP# Plan Approved for: Sewage disposal a< water supply Hold final.for: .. water supply Final clearance O:K. for: water supply Clearance for bedroom mobile home. Other sn NOTE ** Sanitarian Date 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 Social Security Numb 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. NOTE.—All Materials & Workmanship Shall Be in Accordance with Recognized Good Pratfices, and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. , S A setback of Xft: from the property lines and/a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. ja6A of 4Lt- /L 7 This set of plans and specifications MUST kept on the job at all times and it is unlawful make any changes or alterations on same with, written permission from the Department of Pul Works$ County 'of BU09- 2855 .-84 BUTTE COUNTY BUILDING DEPARTMENT APPROVED y".- 1 Y -F 1 4 J UVA \-- ",d N� - ,a a Te