HomeMy WebLinkAbout022-220-01022-22-10
Go don Roda of i c
COMPLAINT TO INSPECTOR `,,/S West Biggs Gridley Rd., 2nd -house
E/of West Biggs Gridley Rd., going
11-0-03 \north from Gridley, Gridley
Permit #6355-79B,P,E(addition &/
- - -• remodel & wood stood/SF)
BUILDING CODE VIOLATION 22-22-10
LETTER 30 DAY,a! R
NICHOLAS SURJAN f /006-Y
777VT. Biggs Gridley Rd, Gridley
Contr: Craig Donaldson:
Permit #3713-83B,P,E (addition/SF)
BUILDING CODE VIOLATION F
LETTER 10 DAY 22-22-10 955-90B E'
BANKSTON, Herman & Rose '1 ,a�0
2279 W.- Biggs -Gridley Rd, Gridleyy .
-- (addition & move elec sery/sf)
UN
'
GRIDLEY i
Cont: OWNER
REPAIRS & ELEC FOR GARAGE
022-220-010 06-1279
KOEHLER, BILL
2279 W BIGGS GRIDLEY RD, BIGQJy�
Cont: OWNER *�"'-o o�
ow
RE ROOF I .
t,
022-220-010 —7----06-1828
KOEHLER, WILMAR
2279 W BIGGS GRIDLE RDI BIGGS
Cont: OWNER �I
STUCCO
022-220-010 06-2156
KOEHLER, WILMAR
2279 W BIGGS GRIDLEY RD, BIGGS
Cont: RELIANCE PROPANE
GAS PIPING(LP)
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538=2140
WEBSITE: www.buttecounty.net\dds
LICENSED CONTRACTORS 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: License Number:
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
appl7tcaa civil penalty of not more than five hundred dollars ($500).):
owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
\ pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 o ess and Professions Code
Date:oS/oV-JQI Owner:
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 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy #:
WicI rtify that in the performance of the work for which this permit is
issued, 1 shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
1 forthwith comply with those provisions.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees. .
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Address:
PERMIT NO.
BP041260
Issued Date: APN: 022-220-010-000
Site Address: 2279 W BIGGS GRIDLEY RD BIG
Map Index:
Description: REPAIRS & ELE FOR GARAGE
Owner: BRAUN PAUL M
2279 W BIGGS GRIDLEY HWY
GRIDLEY, CA
95948-9486
Applicant: BRAUN PAUL M
2279 W BIGGS GRIDLEY HWY
GRIDLEY, CA
95948-9486
Contractor:
License #:
Architect:
Engineer:
Total Square Ft:
Valuation:
Census Code:
do work
PERMIT EXPIRES
0 S. F.
$0.00
qos-(,07 3
provisions of the Butte
fees have been paid.
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official f document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection p
Print Name: 1'As--- — IMAL > Signature:
Date: C Jd q
Owner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION .
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
DATE: O (4 O
APN: Q/D
w
ZONING:
OWNER'S LAST NAME:
6zAu A-,
OWNER'S FIRST; NAME:
?A,
PHONE:
0ib).595-- S�y 34?
STREET ADDRESS:FAX
227 w ,fit s - C /+ ,,—Id 6 -,t -z 2a
CITY, 21PG`Z
E-MAIL:
94W.4;
SITE ADDRESS)
lSS /S(�-o c9 ct
CRY, ZIP:
NEAREST CROSS STREET: .�
TRACTILOT ti:
APPLICANT NAME:
PHONE:
STREET ADDRESS:
FAX
CITY, ZIP:
E-MAIL:
CONTRACTOR NAME:
PHONE:
STREET ADDRESS:
FAX
CITY, ZIP:
E-MAIL:
LICENSE NUMBER
LICENSE TYPE:
ARCHITECT/ENGINEER NAME:
PHONE:
STREET ADDRESS:
FAX
CITY, ZIP:
LICENSE NUMBER
EMAIL
DESCRIPTION OR SCOPE OF WORK:
❑ Structure Built without permits
❑ Proposed Change of Occupancy (note previous use) .
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after the date of application. In order to renew
action on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to
the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan
checked and other department costs are not refundable.
For office use only:
Notes:
Application Received by: Date:
Receipt number: v7o �3 Amount Received: b `'7
Master application 3-4-04
:iN
OWNIER-BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
I personally plan to provide the major labor and materials for construction of the proposed
property
improvement: YES NO ❑
2 I HAVE.C-1"" NOT 13 signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
_ PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
.supervise, and provide the major work:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have
the work indicated: contracted (hired) the following persons to provide
NAME ADDRESS PRONE TYPE OF WORK
SIGNED:
PROPERTyOWNER: _
DATE:
OTE. This owner -Builder Verification is required by Section 19531 and 19532 of the
California Health and Safety Codes This verification must be. completed and
returned to our office before we are permitted to issue the per7ni4
OVER
OWNER BUILDER INFORMA,TION
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 ofrecord 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 youplan 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 withholdhl& 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 cany out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
Formore 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 isto secure an "owner builder" building
pew 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
commrmity 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.
ely,
w ]V!i 1 C. Vi ira, CB.O.
M ger, Building Inspection
NOTE: This Owner-Builderinformation is required by Section 19830 offlee California Health and Safety Code
OVER
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP062156
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS 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
Issued Date: 09/08/2006 APN: 022-220-010-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Site Address: 2279 W BIGGS GRIDLEY RD' BIG
Map Index:
Date: Contractor:
Description:. GAS PIPING / PROPANE TANK CONNECT
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: WILMAR J. KOEHLER JR.
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
P.O. BOX 908
signed statement that he or she is licensed pursuant to the provisions of
BIGGS CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95917
she is exempt therefrom and the basis for the alleged exemption. Any
(530) 868-1733
violation of Section 7031.5 by any applicant for a permit subjects the
mrbillk@iglide.net
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: WILMAR J. KOEHLER JR.
Code: The Contractors' State License Law does not apply to an
P.O. BOX 908
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
BIGGS CA
provided that such improvements are not intended or offered for
95917
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
(530) 868-1733
proving that he or she did not build or improve for the purpose of
mrbillk@iglide.net
sale.).
I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor: RELIANCE PROPANE
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
6426 SKYWAY
❑ 1 am Exempt under Article 3 of theBus ess and Profe ions Code
PARADISE, CA 95969
�-y5— [n/
Date:
530-872-9200 x206
_1___� caner:
License #: 734318
WORKERS' C OMPEN�SATI 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
Architect:
is issued.
O I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labdr Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S.F.
Policy #:
Valuation: $0.00
Census Code:
1 certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
9 ✓ ' 06.
Date: 0
Applicant:
WARNING: Failure secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
/
G CJ
�16,
_
4
CONSTRUCTION LENDING AGENCY
Thiispermit i hereby issued ur�d the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
R solution�o do work�/i'hdicated bove for which fees have been paid. Q� /
Name:
B GL Date:
_ _
Address:
PERMIT EXPIRES ON: �1( f/J�
�^
2
Date
���!!!
pl I hereby certify that the use of this facility shall comply with Sections 25505,25533, and 25534 of the California Health and Safety Code, which regulate the storage,.
` \ handling and use of hazardous materials.
O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all couhty and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives ofButte County to enter upon the above mentioned property for inspection purposes.
�• L r
Print Name: W I O E t� `-e Signature: "lJ
//�i.0
Q.
Date:
Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16.04 pg 1
,r
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Las - ame J
irsNam
Mailing Agreess b�
City , S
StateCA
Zip 5— (' 7
Phone
5 -;o -'Ra -17 3
Fax
E-mail h r b/ 0 /i 0 i 1 Je— .�j e_1
APPLICANT INFORMATION
CONTRACTOR
Name
-e. 1 I C-"" C e
Address
y ZG SKKW ,,
City
mo Y_ J r�
StateZip
e n
Tl
q� 60Z
Phone
Fax
E-mail
Planner
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
"551(7
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT INFORMATION
Name 1 1 I�
Address 0 07
City
Stat
�C
"551(7
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
-
Flood Zone
Cross Street
�Ja t'_.4 0rc�aTa
SRA
I Yes
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO. [
0& -
BP
& -BP
BIN #
PROJECT LOCATION
AP#
z -22o 0/0
Property Address
ZZ 7 W, B• -6r
City
rd/� 6
Cross Street
�Ja t'_.4 0rc�aTa
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
D scription or Scope of Work:
e c ro p e,, "e 1 kij 1-l-
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
w
Received by Amount: Bldg
SRA
Receipt #: ��'� Sheriff
O b' ?_0/ SMIP
Date: Q��'" Other I
I
9 y 662 ( � . GU Total
K:\Building\WEBSITE FORMS\BldgApplSubRgmts82506.doc Page 1 of 2 REV 8-25-06
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
(E) Manufactured Home Support Data (form available on our website) all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs (if building in the City of Biggs).
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required). If your project is located in $tate
Responsibility Area (SRA), you are required to meet the SRA Fire Safe Requirements sheet.
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑ 12. Sanitation and site plan approval from the Environmental Health Department.
❑ 13. Planning Division approval for parcel check, use and parking (if required).
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
A FEE WILL BE REQUIRED AT TIME OF APPLICATION.
EXPIRATION OF APPLICATION
Applications for which a permit has not been .issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KABuilding\WEBSITE F0RMS\B1dgApp1SubRgmts82506.doc Page 2 of 2 REV 8-25-06
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4Butte County Department of Development Services
ADMINISTRATION' BUILDING t GIS' PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
February 23, 2004
Paul Braun
2279 West Biggs Gridley Road
Gridley, CA 95948
RE: Formal Warning Notice
Building Code Violation
Location: 2279 West Biggs Gridley Road, Gridley, CA
AP #022-220-010
Dear Paul Braun:
This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy
notice dated January 16, 2004, notifying you that you are in violation of the Butte County Code, at the above -
referenced location. As of this date, the following violations still exist:
Failure to obtain the required permits, inspections and approvals from this office for the installation of a
mobile home and installation of utilities and occupancy prior to final inspection.
(a) Section 28A-1/1018 Permits Required for any Plumbing or Electric
(b) Section 28A-1/1048 Inspections Required for any Plumbing or Electric
(c) Section 28A-1/1034 Permits Required for Mobile home Installation
(d) Section 28A-1/1326 Inspection Required for Mobile home Installation
The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans,
applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and
field authorization to proceed, the work must be completed and approved by this office within the permit
specified time.
This is your final warning. Unless you contact this office and make the proper arrangements to correct or
abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be
pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for
failing to comply with this warning letter.
Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines)
and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of
Violation shall include a description of the premises the violation concerns, a description of the violation, the date
of your conviction and the action necessary to correct or abate the violation(s).
COMPLAINT TO INSPECTOR
-03
BUILDING CODE VIOLATION
LETTER DAY A D
BUILDING CODE VIOLATION
LETTER 10 DAY
2-2�-1-o04
SENT TO C.E.
f, FOR CITATION
,. _
� I ,
ti
E . „
22- 2-10
Go don Roda 1A 7/1
West Biggs Gridley Rd., 2nd ou e
E/of West Biggs Gridley Rd., going
north from Gridley, Gridley
xerodel..
mit #6355-79B,P,E(addition & F'k
' & wood stove/SF)'
22-22-10 J_
NEW OWNER
NICHOLAS SURJAN
Biggs Gridley Rd, Gridley
Contr: Craig Donaldson
Permit #3713-83B,P,E (addition/SF)
22-22-10 / 955-90B E
U
BANKSTON, Herman & Rose ' aa6p
2279 W. Biggs -Gridley Rd, Gridley�
(addition & move elec sery/sf)
022-220-010 04-126-0
BRAUN, PAUL
2279 W BIGGS GRIDLEY HWY,
GRIDLEY
Cont: OWNER
i REPAIRS & ELEC FOR GARAGE
022-220-010 06-1279
KOEHLER, BILL
2279 W BIGGS GRIDLEY RD, BIGGS
Cont: OWNER
RE ROOF
022-220-010 06-1828
KOEHLER, WILMAR
2279 W BIGGS GRIDLEY RD, BIGGS
Cont: OWNER
STUCCO
w-
TO: Code Enforcement
FROM: Building DepAment
DZZ-2Z0--D /6
Citation Request - ?aa( / S(Owner)
�4"�hRE:� (A. P. N0.)
DATE:
Attached is the required documentation regarding the violation on
this property. Please proceed with 'the citation procedure on these
violations and include any other violations on the property which
may be appropriate.
3 -Z(. -o4 -
(Date) (Depa men ignature)
Owner contacted Unable to contact owner
Comments:
CEO
TO:Building Department
FROM: CEO
RE:
DATE:
Citation Request
I 1 I will hold citation process as a result of conversation above
F—INotif me if/when you wish to proceed with citation.
nInsufficient documentation for citation - request returned.
Other
DATE CEO
TO: CEO
FROM: Building Department
RE: Citation Request
DATE:
Owner did not comply - proceed with citation procedure
ElOther
DATE Dept.
COUNTY DEVELOPMENT SERVICES
COMPLAINT FORM
This information is not available to the public!!!!!!!
O NOT COPY FOR THE PUBLIC OR THE FIELD INSPE
The following information is required for Housing Complaints and the
Complainant MUST DE the person living at the complaint address!
Complainant:
Address: Y v
Phone Number: u l?) C� - O
rn'5
The above information is not available to the public!!!!!!!
(2)
r�
(APLAINT 1 V i N-,>rCc. i %jKa %—q - - : ♦ + • f `V
SfS West Biggs Gridley Rd., 2nd House
E/of West Biggs Gridley Rd., going
north from Gridley, Gridley
PC rmit #6355-79B,P,E(addition &
----- re$jodel & wood stove/SF)
22-22-10
NEW OWNER G
NICHOLAS SURJAN
. 3.ggs Gridley Rd, Gridley
Contr: Craig Donaldson
Permit #3713-83B,P,E (addition/SF)
22-22-10 955-90B E
BANKSTON, Herman & Rose
U
2279 W. Biggs -Gridley Rd, Gridley
(addition & move elec sery/sf)
i
BUTTE COUNTY DEVELOPMENT SERVICES
Complainant:
Address:
Phone Number:
Other Comments:
Inspector must draw a plot plan with all building locations:
Additional Comments from Inspector:
2
Butte County Department of Development Services
ADMINISTRATION * BUILDING * GIS * PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538.7541 Telephone
(530) 538-2140 Facsimile
November 20, 2003
Herman S. and Rose D. Bankston
2279 W. Biggs Gridley Rd.
Gridley, Ca. 95948
RE: Building Code Violation
Location: 2279 W. Biggs Gridley Rd.
AP # 022-220-010
Dear: Herman S. and Rose D. Bankston:
Pursuant to Butte County Code (BCC) Section 41-2, you are in violation of the Butte County Code, at the above -
referenced location. As of this date, the following violations exist:
Failure to obtain the required permits, inspections and approvals from this office for the installation of a
mobile home and installation of utilities and occupancy prior to final inspection.
(a)
Section 28A-1/1018
Permits Required for any Plumbing or Electric
(b)
Section 28A-1/1048
Inspections Required for any Plumbing or Electric
(c)
Section 28A-1/1034
Permits Required for Mobile home Installation
(d)
Section 28A-1/1326
Inspection Required for Mobile home Installation
The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans,
applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and
field authorization to proceed, the work must be completed and approved by this office within the permit
specified time.
It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be
advised that Butte County has an active Code Enforcement Program which provides an effective means of
enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of
citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate
the violation.
You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for
abatement or corrective actions to be taken by you. Should you have any questions concerning this matter; please
contact Bill Barron in this office at the address or telephone number listed above.
Herman S. and Rose D. Bankston
November 20, 2003
Page 2
' Sincerely,
Bill arron
Supervisor Building Inspector
SR: ms
cc: Assessor
Butte County Department of Development Services
ADMINISTRATION * BUILDING * GIS * PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538.7541 Telephone
(530) 538-2140 Facsimile
January 16, 200
Paul Braun
2279 West Biggs Gridley Road
Gridley, CA 95948
RE: Building Code Violation
Location: 2279 West Biggs Gridley Road, Gridley, CA
AP #022-220-010
Dear Paul Braun:
Pursuant to Butte County Code (BCC) Section 41-2, you are in violation of the Butte County Code, at the above -
referenced location. As of this date, the following violations exist:
Failure to obtain the required permits, inspections and approvals from this office for the installation of a
mobile home and installation of utilities and occupancy prior to final inspection.
(a) Section 28A-1/1018 Permits Required for any Plumbing or Electric
(b) Section 28A-1/1048 Inspections Required for any Plumbing or Electric
(c) Section 28A-1/1034 Permits Required for Mobile home Installation
(d) Section 28A-1/1326 Inspection Required for Mobile home Installation
The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans,
applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and
field authorization to proceed, the work must be completed and approved by this office within the permit
specified time.
It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be
advised that Butte County has an active Code Enforcement Program which provides an effective means of
enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of
citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate
the violation.
You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for
abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please
contact Bill Barron in this office at the address or telephone number listed above.
Sincerely,
er
llllBrro
Supervisor Building Inspector
cc: Assessor
Butte County Department of Development Services
ADMINISTRATION * BUILDING * GIS * PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
February 23, 2004
Paul Braun
2279 West Biggs Gridley Road
Gridley, CA 95948
RE: Formal Warning Notice
Building Code Violation
Location: 2279 West Biggs Gridley Road, Gridley, CA
AP #022-220-010
Dear Paul Braun:
This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy
notice dated January 16, 2004, notifying you that you are in violation of the Butte County Code, at the above -
referenced location. As of this date, the following violations still exist:
Failure to obtain the required permits, inspections and approvals from this office for the installation of a
mobile home and installation of utilities and occupancy prior to final inspection.
(a) Section 28A-1/1018 Permits Required for any Plumbing or Electric
(b) Section 28A-1/1048 Inspections Required for any Plumbing or Electric
(c) Section 28A-1/1034 Permits Required for Mobile home Installation
(d) Section 28A-1/1326 Inspection Required for Mobile home Installation
The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans,
applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and
field authorization to proceed, the work must be completed and approved by this office within the permit
specified time.
This is your final warning. Unless you contact this office and make the proper arrangements to correct or
abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be
pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for
failing to comply with this warning letter.
Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines)
and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of
Violation shall include a description of the premises the violation concerns, a description of the violation, the date
of your conviction and the action necessary to correct or abate the violation(s).
Paul Braun
AP#022-220-010
February 23, 2004
Page 2
Should you have any questions concerning this matter, please contact Bill Barron in this office at the address or
telephone number listed above.
Sincerely,
Bill Barron
Supervisor Building Inspector
BB: ms
U
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
PROOF OF SERVICE BY MAIL
I am a citizen of the United States and employed in the County of Butte. I am,
and was at the time of the service hereinafter mentioned, over the age of eighteen
years and not a party to the within action. My business address is Department of
Development Services, Building Division. # 7 County Center Drive, Oroville, California
95965. 1 am readily familiar with the County's practice for collection and processing of
correspondence/documents for mailing with the United States Postal Service and that
said correspondence/documents are deposited with the United States Postal Service in
the ordinary course of business on the same day.
On February 23, 2004 a foregoing 10 -Day Letter on the person(s) named below
by placing a true copy thereof in a sealed envelope, with first class postage thereon
fully paid, addressed as indicated below, and by placing said envelope
In the appropriate place within the Department of Development Services
where mail is collected for mailing with the United States Postal Services
on the same day.
X In the United States Postal Service Mail in Oroville, California.
Paul Braun
2279 West Biggs Gridley Road
a . Gridley, CA 95948
I declare under penalty of perjury under the laws of the State of California on February23,
2004 at Oroville, California. .
Butte County Department of Development Services
NOTES 7 c". 022'-220-o i o "� ; ' . '66--2/9
i.. (e :,KOEHLER, BILL
+I •2279 W BIGGS GRIDLEY RD, BIGGS I
! Cont: OWNER
.RE ROOF
y
APN: Permit No.
Owner.
Site Address:
tContractor.
Type of Permit:
CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUBSTANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
DATE JOB FINALLED�: ®� �O• -
SIGNATURE:
3 •:
+=OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE PERMANENT FOUNDATION SOFT -SET
1 ZoningSetbacks-Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd 'Am -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat or LP❑
Inch Sz Ft Lngth
7 Blckng; SzSpacing-Marriage Une
8 Gas; MH Test -Demand Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits ,-
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
'
JOE C KS -COVE R S -C A R P O R T S -G ARA G ES
1 ZoningSetbacks-Easements
2 Ftgs; SoilsSz-0pthSpacing-CnnctrsSteel
3 Decks, Girdem/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg,
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSpiice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Fnitg; Sills-AnchrsStuds4blrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 ,Roof, Shthg-Roofing
11 Ext; Steps-Doors-Iandings
12 Braced Wail pnls
DATE IPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men-Uning
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec.Enclsrs; Conduit Entries -Terminals -L -fisted
7 Elec Bonding; Metal w/5'-Crcitng Egp-Htr
8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg
Boxes-Enclsrs-pelboardsansultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche ,
12 Encisr; Fencing -Alarms
13 Bonding, Diving board or Slide
Pool Drawing
0 = Not OK
RESIDENTIAL
(Single
& Duplex)
DATE JUNDERFLOOR
I
DATE
IPLUMBING
1 Zoning -Setbacks -Easements -Rood -Slope
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
3 Ftg Garage; ScilsSteel-Elec Grnd Ftg Dpth
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
5 Stemwalis Main; Steel-Blockouts Wrapped
6 Stemwalis Garage; Steel-Blockouts Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12. Elec Undrgmd
13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn
14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples
15 Ace & Vntitn
16 Insulation
90
DATE JFRAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs-Nailirig Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops,*Furred CeilingsStalrs-Chasers-Tubs
22 Headers & BeamsSi & Bearing"
23 Hangers -Post Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
25 Frpic Ties or Type A Flue=Frpic Throat Clmc
26 Attic Acc; Sz &'Rihx Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctri Framing -RC Channel
29 Prprty Line Firewall & Opngs
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng AtUc Vnts-Rftr Outrgrs
33 Sid(ng-Nailing Veneer
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace
35 Glazing Area -Glass PrtctnSkyLts-Plastic .
36 Shear Walls; Nailing -Bolts
37 Brace InI)Ext Wall pnis
38 Insultn-W alls-Ceilings
39 Infiltration -Walls -W ndws
0
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Clrnc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz ya ❑ CU or ❑AL
AC Wire Sz ca ❑ CU or ❑ AL
48 Range Circ Qa ❑ CU or ❑ AL
Oven Circ ya ❑ CU or ❑ AL
Insulated Neutral LJ Yes [_1 No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Cirncs pnis-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
s
o"
53 Wtr Htr; VentAcc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr. Nail Prtctn
56 Shwr Pan; Test, First flr-Tub Ace
57 Test Tuti & Shwr, 2nd fir - Tub Ace
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas.Piping
UAM IMECHANICAL
61 AC Ducts Insulin & Support "
62 Vent Fan, Exhaust abv Insultn
63 Condensate Drain & Ovrfiw, Sz & Grade
64 Furnace -Vent Acc-Comb Air RtrrWent 115 Outlet
65 Attic Ace & Pltfrm if Furnace in attic
FINAL
66 Ext Steps -Door & Sidelt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Clmc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Meth Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub AccSpa
71 GFI Are Fault
72 Elec Trim & Subpnl, Breaker Szs & Labels
73 Stairs, GuardlHandrails
74 Frpic or Stove, Cimc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clrnc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door; Swing -Landing -Closure
79 AC Duct in Garage -Damper.
80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3" drain
81 Pimb; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptcls In Garage (GFI) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Dmge Planters ❑ Yes ❑ No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Pimb
89 Vnts abv Roof, PImb-Appinc-Frpic-Clrnc to Opngs
90 Wtr Well, Dscnnct, Elec, Pimb
91 Ext Elec Trim, GFI Rcptcl-Undrgmd
92 Vntltn thru House
93 Glass Prtctn
94 Corrections from previous Irispctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
COYWP —
d- r^ GC
BUTTE'COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530)891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP061279
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 05/30/2006 APN: 022-220-010-000
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.
Site Address: 2279 W BIGGS GRIDLEY RD BIG
License Class : License Number:
Map Index:
Date: Contractor:
Description: REROOF HOUSE W/COMP (15)
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: KOEHLER, BILL
permit to construct, alter, improve, demolish, or repair any structure, prior
PO BOX 908
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
BIGGS, CA
the Contractor's State License Law (Chapter 9 commencing with Section
95917
7000) of Division 3 of the Business and Professions Code) or that he or
530-868-1733
she is exempt therefrom and the basis for the alleged exemption. Any
-
violation of Section 7031.5 by any applicant for a permit subjects the
to a civil penalty of not more than five hundred dollars ($500).):
�applicant
UJB I, as owner of the property, or my employees with wages as their
�r sole compensation, will do the work, and the structure is not
Applicant: KOEHLER, BILL
intended or offered for sale (Sec. 7044, Business and Professions
pp
Code: The Contractors' State License Law does not apply to an
PO BOX 908
owner of property who builds or improves thereon, and who does
BIGGS, CA
such work himself or herself or through his -or her own employees,
provided that such improvements are not intended or offered for
95917
sale. If however, the building or improvements are sold within one
530-868-1733
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 amExemptunder Articl of the usin and Profes ins e
Date: 419—OO Owner: J
License #:
WORKERS' COMPENSATION DECLARATION
I 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
Architect:
Labor Code, for the performance of the work for which this permit
is issued.
Engineer:
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
Policy #:
I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith omply with those provisions.
D
Date:
Applicant: .t
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby iss6ed under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)�U
Resolutions for which fees have been paid
Name:
` Date.• Vb
By: l 1� � /
PERMIT EXPIRES ON :\ 1 ` �b , y/)
Address:
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
ent of the owner. I agree to comply with
I hereby certify that I have read this application, that the above information is correct, and that I am thsm-
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the subment of tte Co ty. I hereby
authorize representatives of Butte County to enter upon the abovee mentioned property for inspection
V
Print Name: Signature:
Date:
❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
BUTTE -COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROViLLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE # (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.nettdds
* *PLEASE PRINT CLEARLY*
Al'
OWNER INFORMATION
LasN
0 e- I+ F R
ustame ?me I
Adgess Y
p 5 -r
City $ a S
State erp
55-917
Phop3o `869-1713
Fax 530 •86 -/73-3
E-mail
(-o r b K 10 -
(Pcte, tue4
CONTRACTOR
Name 0 t-UVj -e
6 UL
AddressO
o
0 1D S
City 1U 1 ca
State c
Zip 25-9 17
Phone -,5-3o` z/15--:05 y5-
Fax 5-30-.968-1733
E-mail,'c
!
# �-�
� N
Class
APPLICANT SIGNATURE
X ,
v-dt & . I
For office use only:
ARCHITECT/ENGINEER
--Name---- -
- --� - - ---- --- ----------- --- --- -
Address
.
City
I
State
Zip
Phone
Page
Fax
E-mail
hoe Bb -
State License Number
APPLICANT SIGNATURE
X ,
v-dt & . I
For office use only:
APPLICANT INFORMATION
Name j
' K e i )-e-
No
11
Address
A S
o
o q93
City&
Page
S Ce A
'153 I
hoe Bb -
7
Fax
30 -$b -1 7 33
E-mail
r 6
,
aro I ;At 2-t
APPLICANT SIGNATURE
X ,
v-dt & . I
For office use only:
PROJECT LOCATION
Zoning
Flood Zone SRA Yes
No
Occ.
6 ; 'e
Type Const
Subdivision Name
+ ac
Map Book
Page
Lot #
Planner
Policy Number
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO-,-)- C.
I
BP
BIN #
Descri cion or_Scope of_Work:_._....____.._ . _.._..._._
-
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. ']n order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
I[Received-by. Amount: rJ Bidg I I
SRA
Receipt M Sheriff
SMIP
11 O� O Other
Dated
1 Total
2 -os
PROJECT LOCATION
AP# 0 22
- Z ZO - O lO
Property AddressCity
2?,
tt� • -6r; ee
6 ; 'e
Cros Stree
a
ro
+ ac
WORKER'S COMPENSATION
Policy Number
Carrier
n�
Nhiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit Issuance.
LENDING AGENCY
Name
Address
Descri cion or_Scope of_Work:_._....____.._ . _.._..._._
-
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. ']n order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
I[Received-by. Amount: rJ Bidg I I
SRA
Receipt M Sheriff
SMIP
11 O� O Other
Dated
1 Total
2 -os
SUBMITTAL & PERMIT REQUIREMENTS. C
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INIC
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual; (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and -wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
--- ❑--
--4,--NRDES-Form--------
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew oction
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE -REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan'
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KIFORMSSUILDING F0RMS161dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
n
_ff-\_ -e r
r4- P r is r Z Z 7 `i W• f3 �` .� -.
l�0N s Z AA U
ZZ ?q(
RECORDIPIG REQUESTED BY
Bidwell Title & Escrow Company
AND WHEN RECORDED MAIL TO
man Wllmar J. Koehler Jr.
Addrw P.M Bo: 908
a
P s"`° Biggs, CA 95917
Order ML 00223"0.004
Pa=[No. 022-220-010
The Undersiped Grantor(s) Declares)
0 City/Town of
0 Unincorporated Arca
t,-.)
rrd ��y
2006-0014782
bearded I NEC FEE M95
Official yRecords I TAI aL95
Butteof I 1 IL98
OHM L am I
Cowrtq Cler"et'orderl
I iP
893M 24-1 I Page 1 of Z
1111 1111110111 I1I I1 11111
SPACE ABOVE THIS LINE
GRANT DEED
THIS FORM FURNISHED BY HIDWF,LL TITLE & ESCROW COMPANY
RECORDER'S
yr
Documentary Transfer Tax is $h/. dyt 2601
computed on full value of interest or property conveyed, or
full value less value of liens or encumbrances remaining at
the time of sale
D Monun=t Fe: of $ l 0.00
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Paul M. Braun, a Married Man as His Sole and Separate Property
hereby GRANT(s) to
wilmar J. Koehler Jr.,an unmarried man
the following real property in the 0 City of 0 Unincorporated Arca
County of Butte, State of California -
SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF
Document Date: _February 27, 2006
State of California
County of Butte } SS.
On ext \ , ���� before me, Lynette Garton
Notary Public, personally appeared
Paul M. Braun
Personally known to me (or proved to me on the basis of satisfactory FOR NOTARY SEAL OR STAMP
evidence) to be the persons) whose name(s) islare subscribed to the
within instrument and acknowledged to me that he/she/they executed
the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity
upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal. LYNETTE GARTON
Comm. i 1351379
NOTARY PUBLK44UFORNM
Signature County of Butte
Comm.omE*Ires April 17, 2006
Lynette Garton
MAIL TAX STATEMENTS TO: Sarno ss Abase
stEWnnerroM .
EXHIBIT A
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
Order No. 00223990-004
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, DESCRIBED AS FOLLOWS:
STARTING AT A POINT ON THE SOUTH RIGHT OF WAY LINE OF THE EAST -WEST COUNTY
ROAD AND ON THE WEST LINE OF THE SOUTHEAST QUARTER OF THE NORTHEAST
QUARTER OF SECTION 26, TOWNSHIP 18 NORTH, RANGE 2 EAST, M.D.B. & M., SAID POINT
BEING 20 FEET SOUTH OF THE NORTHWEST CORNER OF SAID SOUTHEAST QUARTER OF
THE NORTHEAST QUARTER AND RUNNING THENCE SOUTH 89' 30' EAST, 132 FEET TO THE
TRUE POINT OF BEGINNING; THENCE SOUTH 89' 30' EAST, 317.5 FEET TO THE
NORTHWEST CORNER OF PARCEL OF LAND CONVEYED BY FIRST PARTIES TO B. HEWITT
AND DOLLY HEWITT BY DEED RECORDED NOVEMBER 19,1945, IN BOOK 371, PAGE 243,
OFFICIAL RECORDS; THENCE ALONG THE WEST LINE OF SAID LINE NAMED PARCEL,
SOUTH 0' 27' WEST, 417 FEET TO THE SOUTHWEST CORNER THEREOF; THENCE ALONG
THE SOUTH LINE OF SAID LAST NAMED PARCEL, SOUTH 89' 30' EAST, 210 FEET TO THE
SOUTHEAST CORNER THEREOF; THENCE SOUTH 0' 27' WEST, 244 FEET; THENCE NORTH
89' 30' WEST 526.6 FEET TO THE SOUTHEAST CORNER OF THAT CERTAIN PARCEL OF
LAND CONVEYED BY FIRST PARTIES TO DELFINO OROZCO AND CARMEN OROZCO, HIS
WIFE, BY DEED RECORDED NOVEMBER 1, 19459 IN BOOK 370, PAGE 263, OFFICIAL
RECORDS; THENCE ALONG THE EAST LINE OF SAID LAST NAMED PARCEL, NORTH 0' 22'
EAST, 661 FEET TO THE PLACE OF BEGINNING.
EXCEPTING THEREFROM THE NORTHERLY 455.5 FEET OF THE WESTERLY 190 FEET.
AP NO. 022-220-010
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP061828
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS 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
Issued Date: 07/31/2006 APN: 022-220-010-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 2279 W BIGGS GRIDLEY RD BIG
Date: Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: STUCCO (135)
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: KOEHLER, WILMAR J JR
to its issuance, also requires the applicant for such permit to file a
PO BOX 908
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
BIGGS CA
7000) of Division 3 of the Business and Professions Code) or that he or
95917
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
530-868-17733
applicant to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: KOEHLER, WILMAR J JR
owner of property who builds or improves thereon, and who does
PO BOX 908
such work himself or herself or through, his or her own employees,
BIGGS, CA
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
95917
year of completion, the owner -builder will have the burden of
530-868-17733
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Exempt under Article 3 o the Business and Pr fessions Code
❑ 1 a�m'Exxee
1mpptI,�
a, -0 "v
Date:
License #:
WORKERS' COMPENSATI N DECLARAT ON
I 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.
Architect:
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
I certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
` D
Date:
Applicant:�l,� �• I�rnO VA���
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY _
This.permit is hereby is_d under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
of the work for which this permit is issued (Sec 3097 Civ.)
Resolutio o 'ndicated abov for which fees have been paid.
lJe -�l - 6},
performance
Name:
By: Dat
. Q
PERMIT EXPIRES ON:
Address:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
/)
I ��� �• t `" �-AX
Print Name: ' W f V -e ll�, V` Signature:
O
Date:
Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBAtITTAL REQUIREMENTS
OFRCE #: (530) 538-754]
A FEE WILL BE REQUIRED ATTIME OFAPPLICA TION
Website: www.buttecoaoty.eeUfdds
"PLEASE PRINT CLEARLY"
OWNER -INFORMATION '
Last Name RD/
irst Name
City
�orr
Address z t-7 • T. i S- 6 r A le. o-
cityG r 'c 1-t
e
Zip 5� Y
Phoneg _ t ,� 3
Fax
E-mail
CONTRACTOR
'Name
j iiuuic53 !
i Ynone i Fax i
%y
--- --------- ----------- - -
1051 -30 670 1 E L A
I APPLICANT SIGNATURE I
X DA k
For office use
7nninn i I Mr, rt 7nnc i I CPA, I Y.e ! m
Subdivision Name i iv ap Book ! Page 6 Lot #f
i 1 !
Planner ! Date Annmved:
PERMIT
o(0 ) D-�,
BP
BIN #
PROJECT LOCATION
APIC
O2Z--Lt 0- 010-00o
Property Address
Z- -72 l�i��t S�(ori e
City
�orr
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
'i iii' %y anyone other than license contractors, a certificate of worker's
L kFVL;i#VU d' ULM; d I
! iraiTi'c j
t i
ir'.ddiEss
Description or Scope of Work:
Sq FT- L
ving I Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
t L PsazA Lf ON OF AP-PLIir _A110N. i
i ^'lopiications for which a pernut has not been issued will expire one
year after uic uuic or aiiiiiicaiiuii. ill u;ucr iJ rciii:iv 8ciiilii Oii iui i
ai;t;i.��...... a .ci- - ai:iaU;;ii; a
_ —
T. - - -- i
!nn;.i
! nrrnii in, no ^:encu irtinn work i;rc F^_ dnn^- Filinv ^.c-r.lnr. !
check tees for work plan checked and other department costs are not I
i reiiindabie. i
I I
f - �:,e7 �jl bf o other
t i J`adi 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. '
1. I personally plan to provide the major labor and material for construction of this proposed
property im rovement: YES NO [ ].
2. I HAVE] HAVE NOT[ P ] 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:
PHONE:
,CONTRACTOR'S LICENSE NO:
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
. supervise, and provide the major work:
NAME: .
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
DATE: —? - -211 - 0 (.-
NOTE:
o
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.
Rev'd 11/4/2004
Butte County Department of Development
Services
TIM SNELLINGS, DIRECTOR ( PETE CALARCO; ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their own
work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if
that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the city or county. They are also required by law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o If you are an employer, you must register with the state and federal government as an employer and you are subject
to several obligations including state and federal income tax withholding, federal social security taxes, workers'
compensation insurance, disability insurance costs, and unemployment compensation contributions. .
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance. ,
o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations 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 contractor is to secure an "owner-builder"=building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's
automated telephone information system at 1-800-321-CSLB (2752) or by accessing their website at www.CSLB.ca.gov.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Scott Rutherford �—
Manager, Building Diviion
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
022-220-010 06-1828 fl
I KOEHLER, WILMAR
E
2279 W BIGGS GRIDLEY RD, BIGGS
NOTES
Cont: OWNER
STUCCO i r ouM�
t RESIDENTIAL
APN: Permit No.
Owner.
Site Address:
Contractor.
i
Type of Permit:
/ fib D f 2h
Loc-�k . cux� SCrcL+cj /brown COOL+
tb-�- %ASpeC.Ved �rto r -b - Ft not_
r SPECIAL CONDITIONS
CHECKED BY
{ Q SRA
Q FLOOD CERTIFICATE EQUIRED
Q FIRE SPRINKLERS REQUIRED
0 SPECIAL INSPECTION REMS
0 VERIFY
Q USE PERMIT CONDITIONS
❑ SUBSTANDARD HOUSING LETTER
Q ENCROACHMENT PERMIT
Q REINSPECTION FEE PAID
f O ENV HLTH CLEARANCE
DATE JOB FINALED: - 1 s O
SIGNATURE:
BUTTE COUNTY PERMIT NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT BP061828
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS 1315CLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 07/31/2006 APN: 022-220-010-000
the Business and Professions Code, and my license Is in full force and
effect.
License Class: License Number.
Site Address: 2279 W BIGGS GRIDLEY RD BIG
Date: Contractor:
Map Index:
Description: STUCCO (135)
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that 1 am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: KOEHLER, WILMAR J JR
to its issuance, also requires the applicant for such permit to file a
PO BOX 908
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
BIGGS, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95917
she is exempt therefrom and the basis for the alleged exemption. Any
530-868-17733
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
Q 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: KOEHLER, WILMAR J JR
owner of property who builds or improves thereon, and who does
PO BOX 908
such work himself or herself or through. his or her own employees,
for
BIGGS, CA
provided that such improvements are not intended or offered
sale. If however, the building or improvements are sold within one
95917
year of completion, the owner -builder will have the burden of
530-868-17733
proving that he or she did not build or improve for the purpose of
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I a�m'Exempt under Article 3ofthe Business and Pr fessions Code
( u
Date: Own—
License #:
N CLARAT ON
WORKERS' COMPENSATI DE
I 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
Architect:
is issued.
O 1 have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
otal Square Ft: 0 S. F.
Policy n:
Valuation: $0.00
I certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if 1 should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant: �� - IL• I�r 0J"�.
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereb is d under the applicable provisions of the Butte County Code and/or.__
I hereby affirm that there is a construction lending agency for the
the for this is issued (Sec 3097 Civ.)^
'Resolutio ndicated abov for which fees have been paid. 1
performance of work which permit
By: Date
Name:
PERMIT EXPIRES ON:
Address:
t Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
O Attached are copies of the required E.P.A. notification forms. 1
I hereby certify that I have read this application, that the above information is correct, and that 1 am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize represe,nt/ativ'es of Butte County to enter upon the above mentioned property for inspection purposes.
' I
`S —`—
Print Name:. " V�/ t l ��� Q d -e V ` "" Signature:
-" O
Date:
Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
t3. G. uundmg Fermi[ ui-ib-u4 pg i
v=OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS -
DATE PERMANENT FOUNDATION Lj SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; FaIVCIO-Concrete
4 Wtr; Loctn-Test-Easeinent Needed -Regulator
5 Elec Loctn-DIrncs-Gmd ' Amp�oncrete
6 Yard Gas; Loctn-Test-Wrap • Nat ❑ or LP[—]
Inch Sz Ft Lngth
7 Blckng; SzSpacing-Marriage Une
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-DImcs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -CIO to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
-
'--,–DATE 10 E C K S`C O V E R S -C A R P O R T S •G A R A G E S
1 ZoningSetbacks-Easements
2 Ftgs; SoilsSz43pthSpacing-CnnctrsSteel
3 Decks, GirderslJoists-0cking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg.
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-AnchrsStuds-Rftrs Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing '
11 Ext; Steps -Doors -Landings
12 Braced Wall pnis
DATE IPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability.
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men4Jntng
4 Elec Rcptcls/Lting; Distanc"FI
5 Elec Pool Lting;15 volts-GFI
6 Elec.Encisrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal wI5'-Crcitng Egp-Htr
8 Elec Grndng; Eqp w1W Crcltng Eqp-Pool Ightg
BoxerEnclsrsmpnlboards-lnsultn to Main Conduit
9 Health Dept AppM
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche ,
12 Encisr, Fencing -Alarms
13 Bonding, Diving board or Slide
d� 0
oa may, dA fid,
Pool Drawing
• e
0 =Nat
RESIDENTIAL (Single & Duplex)
I DATE JUNDERFLOOR
1 Zoning -Setbacks -Easements -Flood -Slope
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
3 Ftg Garage; Soils-Steel-Elec Grnd " Ftg Dpth
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
5 Stemwalls Main; Steel-Blockouts Wrapped
6 Stemwalis Garage; Steel-Blockouts Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12. Elec Undrgrnd
13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn
14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples
15 Ace & VnUtn
16 Insulation
°
o,. m` 4P
DATE FRAMING
17 Sills Proper MateHals & Anchrs
18 Walls Studs-Nailirig Spacing & Braces -Plates-Sound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops,'Furred CeilingsStairs-Chasers Tubs
22 Headers & Beams-Sz &'Bear ing"
23 Hangers-Posf'Caps-Anchr! �Citnctns
24 Ceiling Joist-Rf>i• Ties-Purlin-Roof Brac TrussShthg
25 Frple Ties or Type A Flue=Frplc Throat Clrnc
26 Attic Ace; Sz & Rinx Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting DoorsSill Ht & Dimensions
28 Garage Fire PrIctri Frambng-RC Channel
29 Prprty Line Firewall & Opngs'
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Otitrgrs
33 Siding -Nailing Veneer
34 Stucco lath Weep Screed-Fndtn Vnts-Undrnr Ace
35 Glazing Area -Glass PrtctnSkyLts-Plastic .
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnis
38 Insultn-W ails -Ceilings
39 I nfiltration-Walls-W ndws
°
0
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Cirnc4ns Prtctn
41 Elec Rcptcis Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Gmdng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFl
47 Subfeed Wire Sz Qa 0 C or DAL
AC Wire Sz ya ❑ CU or ❑ AL
48 Range Circ ❑ CU or ❑ AL
Oven Circ ga ❑CU or ❑AL
Insulated Neutral ❑Yes No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnis-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr LI -Spa Lt
52 Smoke Detector
DATE
iPLUMBING
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr Nail Prtctn
56 Shwr Pan; Test, First fir -Tub Ace
57 Test Tub & Shwr, 2nd fir - Tub Ace
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas Piping
DATE
IMECHANICAL
61 AC Ducts Insuitn & Support
62 Vent Fan, Exhaust abv Insultn
63 Condensate Drain & Ovrflw, Sz & Grade
64 Furnace -Vent Acc-Comb Air RtmNent 115 Outlet
65 Attic Ace & Pitfnn if Furnace in attic
c'�
Sys oa rya
DATE
IFINAL
66 Ext Steps -Door & SldeLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Clmc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69 Bedroom Exiting
70 GFl 0. Bath Fxtrs & Tub Ace -Spa
71 GFl Arc Fault
72 Elec Trim & Subpnl, Breaker Szs & Labels
73 Stairs, Guard/Handrails
74 Frple or Stove, Clmc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clmc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct in Garage -Damper.
80 Wtr Htr, Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3' drain
81 Plmb; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptcls in Garage (GFl) Romex Prtctn
83 Insults -Foam -Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Cimc Drnge Planters ❑ Yes [::]No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-PImb
89 Vnts abv Roof, PImb-Appinc-Frplc-Clmc to Opngs
90 Wtr Well, Dscnnct, Elec, PImb
91 Ext Elec Trim, GFl Rcptcl-Undrgrnd
92 Vntitn thru House
93 Glass Prtctn
94 Corrections from previous Irispetns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
` RESIDENTIAL
22-22-10 955-90B,E ;
BANKSTON, Herman & Rose
2279 W. Biggs -Gridley Rd, Gridley
(addition & move elec sery/sf)
y
1
{JOB FINALE
Signature
OFFICE COPY
Address
GAS
Meter By Date
ELECTRIC q / 6' (-7
Meter By _� Date
J=OK
O = Not OK
=Not Readyable, lMOBILE HOMES � ` � MISCELLANEOUS
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements -
2. Soils; Special MH Support Sketch
3. Sewer; Lodation-Test-Fall-C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L'Yt.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Date ' Card B-1 Date Card B-1
Date . Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements `.
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex 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 OcoUDancv
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date DECKS, COVERS, CARPORTS, GARAGES, (PlansjOK except #'s
1.2oning Requirements -Setbacks -Easements . tom_
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs: Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5.Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-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
4
V OK
O=Not OK
- = Not Applicable
' Not Ready
RESIDENTIAL
=
Date UND LOOK Plans OK except #'s
Q Zo ng -Setbacks -Easements -Flood -Slope
Ftg., Main; Soils-Elec. Grnd.-/ T' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
es & Decks; Soils -Steel-/ /Ftg. Depth
Stemwalls, Main; Steel-Blockouts-Wrapped
6. Sie walls, e; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
iers-Fireplace Ftg.-Steel
-1-15r. . FaIR- itting-Test-2 Way C/O -Sewer Test
19- Qas-Pipe, Size -Anchors
14--N atef-Ripe--Test-Anchor-Regulator-Service Test
13 lee: nderg round
& Ducts; Clearance -Material -Support -Ins.
q:1(.gC) 1 . Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date t4_1rvA71 Card B-1 ('_Ap Date Card B-1
Date 4-[[-4!) Card B-1 Cf,,_7 Date Card B-1
Date PLUMBING (Permit) '5K except #'s /
16. Water Htr.; Vent -Access -Combustion Air- fle
17. Water Pipe; Test & Anchor -Nail Pr tion
18. D.W.V.; Test -Fittings & AnchpAlail Protection
19. Shower Pan; Test, First or -Tub Access
20. Test Tub & Showwr§econd Floor -Tub Access
21. Gas Pipe; & Anchors
Date Ward B-1 Date Card B-1
Date ' Card B-1 Date Card B-1
Date EL CTRICAL Permit OK except #'s
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.
26. Equip. Ground made Fastners-Bond Gas & Water
17 "Appfiit ce Circuts in Ki Conductor Size/GFI
r-28--&wb4eed-1Mre Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or At
29 ge Qw i 1 ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
Service -Riser Conductors & Ground -Main Disconnect
3L_F io Clearances Panels-Motors-Mech. Equip.
32 ClMhpg closet Light -Shower Light -Spa Light
.__33..Srao ktrD e t e c t o r
Date 4 76 Card B-1 ' Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulati
36. Condensate Drain & Overflo ,Size & Grade
37. Furnance-Vent; Access-gAmb. Air Return Air Vent -115 outlet
38. Attic Access & Platf if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
Sils, Proper Material & Anchors
4 . Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
,43-rf vStops; Furred Ceilings -Stairs -Chases -Tub
Headers & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
Single �& Duplex)
Date FRAMING (Continued)
ers-Post Caps -Anchors -Connectors
moist-Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Rfng.
es or Type A Flue -Fireplace Throat clearance .
48. Attie ze & Romex Protection -Draft Stop -Ins. Baffles
.__4Q_Bdu[L Windows or Exiting Doors -Sill Hgt. & Dimensions
.<59-@aiagtFire Protection Framing
_54,PropERy Line Firewall & Openings
PA noors_.One T -Check Garage -3rd Story, 2 Exits
r53.6lefrs^Vill Ith-Headroom -Rise-Run-Landing-Fire Protection
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
—�
ucco - p creed -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic.
ailing -Bolts
Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date lyCard B -1 2M Date Card B-1
Date Card B-1 Date Card B-1
Date FIN Plans OK except #'s
T77xt. Steps -Door & Sidelight Protection -Landings
2. Smoke Detector
---63Vents-Clearance-Comb. Air -Connector -
In Garage; A ov or-Ducts-Mech. Protection
.6d RPd� mpm Exiting-
�65- a F+-&-Rath-Fixtures & Tub Access -Spa
Elec. Trim & Subpanel; Breaker Sizes & Labels
arances-Hearth
ft Elm Outlet. at Panel; Int. & Ext.
7, rnd.-Air Gap -Cooking Clearance
7s eceptacles at Kit. Counter
ire oor; win -Landing-Closer
74., m arage-Damper
arance-Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
ec. Mech. Equip. Listed for Location
76 I rage; (G.F.I.)-Romex ELWet`fion
nsulation-Foam-Looked in Attic Yes
r ails & Deck Construction -Post Caps
n. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
80. Following instld.; Drive es 0 No; Walks es 0 No:
Planters 0 Yes o
mish
isconn ct, Electrical, Plumbing
s Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
Isconnect, lectrical, Plumbing
rim; G. .I. Receptacle -Underground
Ventilation Throughout House
8
revious Inspections
ers Tagged; Gas -Electric
W r & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
O rr)uN 4 ?Gf
Date 4t2li. and B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7141
747 Elliott Road, Paradise — Phone: 872-6307
,fy CORRECTION NOTICE
R 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.
tofSt U o 10 PAr i A00 jWe,'
G
3) Cow ►7%PT w 4 �,r o
e-1na ( J
Inspector . Date—
5/89
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
"Exterior plaster.- weep screeds (Sec. 4706).
Proper roof pitch for roof covering (Chapter 32).
Roof covering type - (fire hazard).
`7f�Rafter ties or, bearing ridge beam.
Garage door or porch header sizes.
.Adequate bracing.
+0- Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
1-17: Two.exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716).
4'Z -.--Attic access and ventilation (Sec. 3205).
4 -3'." -Underfloor access and ventilation (Sec. 2516).
combustion air for fuel burning appliances.
-S-.—N`oise requirements on duplexes.
1,6:—Adobe soils - special foundation design.
-P7-.-Retaining walls requiring design.
Unusual shape, size, or split level house requiring lateral design.
49' -Flashing at all exterior openings.
[ T '"�' =' " 1;
0.1
,fCv�,a,,d 3°f��,�esrlQu�L
0
5/89
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX &•MISC. ONLY)
Bldg. Permit # ?5,5-/b
OWNER BS i� A.P. # 0'x.)722-/4
GENERAL
/1<7Zoning requirements: (sideyards
Valuation.
Plans signed by designer.
4. Energy Design and Compliance.
,,5:� Existing violations on property.
Items on data sheet.
PLOT PLAN
and number of permitted living units).
'_," Complete parcel size and dimensions.
—2. Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
5. Flood hazard.
Special conditions on -creation map or compliance document.
FAU & FAS road setback.
FT.nnR PLAN
/'complete to scale plan with dimensions. ,
Required windows for light and ventilation (Sec. 1205).
.! Required windows for second exit (Sec. 1204).
.- Skylights (Chapter 34 & Sec. 5207).
-5.' Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
--7: GFCIs in baths, garage, and exterior outlets (Article 210-8).
-8' Light fixtures, switches, receptacles, and exterior receptacles for maintenance
of mechanical equipment.
—9!' -Locations of water heater, heating and cooling equipment, other electrical or
gas equipment, and plumbing fixtures.
kO:-Garage firewall, door size, and closer (Sec. 503(d)(3)).
-IT 1 - 3'0" exterior exit door (Sec. 3304(e)).
kZ- Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
!`Y_�Foundation plan complete enough to construct building.
LAI Floor construction details complete enough to construct building.
i4r-.- Elevations and wall construction details complete enough to construct building.
j,,4i Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
-2:�_ Guardrail details (Sec. 1711 & 3306(j)).
3- Brick or stone veneer (Chapter 30).
*1
❑
HEATING VENTIIATING AIR COND'ITIO_NING SYSTEM
(A) Heating %
Central Gas Furnace
(brand and model number) -SE
Btu/hr
(heating capacity) `
Heat Pump ►
.(brand and model number) ACOP -2
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
13 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)
' ft
(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 design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the al'fornis dministration?od1�.i rq� S ATURE OF B LDING DOR APPLICANT
i
FORM 7
ADDITIONS TO RESIDENTIAL'BUILDINGS ENERGY SHEET
PACKAGE "'A" (Additions)
Owner Aank'5 4/2 Climate Zone rz_
Permit # F,SJ�. Floor Area /a2 Q
The following data showing mandatory and required features of Package "A" shall
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios to living areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
APPLIES TO NEW AREA
p CEILING
p WALL
FLOOR
SLAB
ZONE 11
/R-30
R-11
R-11
R-7
® GLAZING U-.65 (Dual)
SHADING
SOUTH - OPTIMUM OVERHANG
or .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
ONE/ 16
R 8
R 1
-19
R-7
U-.65 Dual)
d INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
d MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER S
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS
OF THIS SHEET.
OTHER pr
12/85
ki
. r
s � 6` '`i. {;r: �-�j�.+yf "N �i�1��4F%�� i" 5' f+ V �.►h."w' if..'�:r» ri�ii7i^^+^�a•ti" y�
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(one Form per Building)
A.P. Number ��" o�-?—l[J Building Department No.
School District <5904� City` TD County �, Jurisdiction
Property Owner
Project Location/Address_-::_?2-,>!5! A/. e9R_Xc-<zy
Subdivision Lot'Number
Residential Development:
Sq. Footage /.2Q
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a Sq.•Footage .
New Addition (Including Exterior
Roofed Areas)
1�96
Building Department ep esentative Date
.(Floor Plans reviewed by School District Personnel).
District Id No.
School District certifies that
'04
(Applicant Name) (Phone Number).
4d_.
(Street Address) Q N4
9V4
(City) '(State) (Zip Code)
' R
has complied with the requirements of Resolution No.
by the payment of $ representing 17-0 ' square -feet.
`Sbhool District Representative Date
PAID BY CHECK NO. REMARKS:
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
COUNTY OF BUTTE - DepartMent of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
t
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 (hav/hav not)Lsigned an application for a building permit
for the oposed work.
3.
I•have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4-1 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 Secy ity 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.
Tsi; �rY:'`t3 6e-•1. i` ti 4
'4X..t• 1
.���`-� y�i? „� "y��. ;S.t�.. �•.+. fx^ *n y,,.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.'`
OWNER zf&MAAI 844/4 K A./P. No. 2—Z? -?—/Q
Proposed Building Use SF AQI�� Building Inspector, Date IL5110
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ........................ ..........
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
18. 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 .......................................
2. Park fees paid ....................................................
3. �� School District fees paid......•........
Sanitation approval from �� Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements) T �-
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)
r 20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor'
gicense information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner o, Mail to owner o)=./...
24. Recorded copy of Agricultural Acknowledgment Statement .........�
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to.ow;r, Mail to contractor.
Telephone X46-�g7 f and hold for pickup at office. Deliver w.
/inspector.
Other
Applican .Date
l .,.Y
Copy of Haz-Mat form.sent Health Dept. Fire Dept. Air Pollu ion Date
Copy of plans sent ___Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuanc cle ew 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---nall—counter by ..date
Contractor, designer, owner, was advised of..above required data by—phone _mall—counter by date
Plans checked by Date, ''>� Plans approved by��_Date �UN
-
Sets of plans on hold in Fil'e,cabinet AP folder
Copy—DPW
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
--
Owner
Locati
#
Plan Approved
for:
Sewage Disposal.__X
_
Water Supply
Hold final for:.
Water Supply
Final clearance
O.R. for:
`
Water Supply
Clearance for
bedroom
mobile home. Other _
b Xf�
A
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Cal,if,ornia 95965 - Telephone: 916/538-7541 9S --!go
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ZONING
22-22-10 A40 BUILDING PERMIT -
OWNER TELEPHONE SO. FT, OCC. BUILDING VALUATION
Bankston Herman S. and Rose D. 846-0871
OWNER'S MAILING ADDRESS 12Q R 4800
2279W Bi s Gridle Rd Gridley
CONTRACTOR'SNAME TELEPHONE
Owner 846-0871
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER UNKNOWN Total Valuation $
LENDER'S MAILING ADDRESS Filing Fee $ 10.00
Permit Fee $ 50.50
ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $
25-95
ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 19 nn
Penalty $
BUILDING ADDRESS Pit f
---- -- - - Permit fee $ inn -7c
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 Gas piping system 1 - 5 outlets 5.00
SF ® Duplex❑ Mobilehome❑ Other Building sewer 5.00
SPECIFY Mobile Home S I G W 10.00e
TYPE OF WORK
New ❑ Addition® Remodel❑ Utilities ❑ Installation[] Other ❑ Permit Fee $
Describe work: Extent i ; .. em /
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.
Icense 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
Consent to Self -Insure.
FIVOPI shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against id County in n quenc he ranting of this per
X Date
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.
Receipt No. 6,382a
WHITE-D.P.W., YELLOW-ASStSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
Contractor
$ 16.50
Contractor
ELECTRICAL PERMIT
Filing Fee 1
10.00
Main service 100 AMP ORV OR LESS10.00
10.00
Main service EA. ADD'L 100 AMP
2.50
2.50
NEW CONST./ DWELLING OCCUP.&\/ZQSQ
OR ADDNS. 1 ACC. BLOGS. II
ft
3.00
NEW CONSTR. ULTI-OUTLET
NO N.R ESID BRANCH CRC., TS
2.50 ea
$
POWER APPARATUS e
SINGLE OUTLET CIR.
Mobile Home Installation Fee
Ex. Occu p OUTLETS OR FIXTURES
2011 flot
BAL030
$
Ex. Occup. OUTLETS P(RESIED D IREA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 16.50
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
Mobile Home Installation Fee
$
Energy Inspection Fee
$
OCC I CONST TYPE
TOTAL FE - $ 17.25
HAZ J_=J PARK I S H FLD P PD HD I U
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date Y, q� p
PER EXPIRES Date__"Jam— r?'L
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
` 7 County Center Drive - Oroville;, Califorifia 95965 -Telephone: 9161538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PSR - ZONI G
�
BUILDING PERMIT
Ow R .__..... TELEPHONE EPHONE
SO, FT. OCC. BUILDING VALUATION
120 19-- 400-
ER' MAILING A gESS
A ,p
CONTRAC OR'S NAME ,.R;
_
Y %' Q�A!
b• (,
CON ACTOR'S AILING DDRE
Fireplace
CONSTRUCTION LEND
UNKNOWN
Total Valuation
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ frj--�
ARCH TE T �., A LING ADDRESS
� V e_ e_
Penalty
$
BUILDING ADDRESS
4&1,
Permit fee
$ OU
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,2 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I IN
10.00e
,! TYPE OF WORK
New ❑ AdditiorW I Remodel❑ Utilities ❑ Installation[] Other ❑
Describe work: <—
/ f�t°nr� ���� ��eM /inor.e__•^rircv�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
-
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
�1
2,50 i
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUslne$S
and Professions Code and my license Is In full force and effect.
License No. Classification
F-1 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, 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.tr
CONSTR.(A
h¢sgft ?� Pte"
NEW ULTB OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
APPARATUS tr
\SINGLE OUTLET CIR.
(SINGLE
Ex, Occup OUTLETS OR FIXTURES
a20@50C
AL@30C
FIXED APPLNSR
Ex. Occup. OUTLETS IRESIO IEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ S�
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.
flo 7 I shall not employ any person in•any manner so as to become subject
Vto the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County or
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 aid County in ns quence f anting of this per it.
X Date
Signature of Applicant – Owner Contractor ❑ Agent
I 1 An OSHA permit is required For excavations over 5'0"' deep and demolition or construct=
ion of res -over 3 stories in height.
Mobile Home Installation Fee $ P
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE S /
HAz
I CUA
PARK
I SCHL
I FLO I PAR
Po T HO
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By _ _ _ _ _
the applicable provi-
resolutions to do
fees have been paid.
WORKS
-Date
Receipt No. L���
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{ RECORDING REQUESTED BY
vd Bidwell Title & Escrow Company
AND WHEN RECORDED MAIL TO
r.m. Wilmar J. Koehler Jr.
,dam PA Boa 908
ZIP s"`0 Biggs, CA 95917
ordwxv 00223990404
2006-0014782
782
Official RRecords I TAX FEE 2,93
Countte f I MUM PED I& SO
ON= L 6RlllM I
County Clerk-Recorderl
INP
09MM 24 -Mr -M I Page 1 of 2
{{� I!{ III I �q { R ILII lul I u III it
SPACE ABOVE THIS LINE FOR RECORDER'S (ISE
ParrelNo. 022-220-010 GRANT DEED
THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY
The Undersigned Grantor(s) Declares) Documentary Transfer Tax is
❑ City/7own of computed on full value of interest or property conveyed, or
® Unincorporated Arca full value less value of liens or encumbrances remaining at
the time of sale
O Monument Fcc of $10.00
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Paul M. Braun, a Married Man as His Sole and Separate Property
hereby GRANT(s) to
Wilmar J. Koehler Jr.,an unmarried man
the following real property in the O City of ® Unincorporated Arca
County of Butte, State of California.
SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF
Paul M. un
Document Date: February 27, 2006
State of California ll
County of Butte J SS.
On �X>� , ��p before me, Lynette Garton ,
Notary Public, personally appeared
Paul M. Braun
Personally known'to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed
the same in his/Iter/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity
upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Lynette Garton .
FOR NOTARY SEAL OR STAMP
0 LYNETTE GARTON
Comm. 9 1351379
NOTARY PUUr--C 1LIFORNIA
County of Bute
Comm. Ezpfres April 17, 2006
Lf�—Vwv�v -9099999V
e�
MNL TAX STATEMENTS TO: Same as Above
aTEGGPANTD®
Temp. Elec. Servi
Called PG&E
Temp. Gas Servicr
Cal led PG&E
JOB FINALED (Date)
Signature /4�, k-av
j
PERMIT NO.
3713-83BO E
la l
PERMIT EXPIRES
r a- �-
'
OWNER NICHOLAS SURJAN
CrAi
Donaldson
l
CONTR.—$
f
ASSESSOR PARCEL
2222"10
t
LOCATION 2279
W- Biggs Gridley Rd, Gridley _
}
tr
-
t
Temp. Power Pole
Called PG&E
Temp. Elec. Servi
Called PG&E
Temp. Gas Servicr
Cal led PG&E
JOB FINALED (Date)
Signature /4�, k-av
1 � ,
J=Oj
O = Not OK
- = Not Applicable MOBILEHOMES
= Not Ready
•
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing__
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors'.
7. Utility Clearance
7. Elec.
Card -BI
Date, Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date
POOLS (Plans) OK except N's
1• Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI ;
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals` -•Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7, Elec.; Bonding; Metal w/5'-Circulating.Equipment-Heater"
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health DepartmentzApproval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
- = Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex) '
Date
UNDERFLOOR PI OK except N's
Date FRA"G Continued
41"Zoning requirements -Set s- Easements
480. -Property Line Firewall & Openings
tg., Main; Soils -S -Elec. Grnd.- //0/" Fig. Depth
4$/Ext. Doors -One 3' -Check Garage -3rd s ry, 2 exits
3. Fig., Garage; Soils -Steel- / /" Fig. Depth
50. Stairs; Width -Headroom -Rise -Ru nding-Fire Protection
4. Ft , Porches & Decks; Soils -Steel- / /" Fig. Depth
Plywood on Roof Overhang- t e Rafter Outriggers
temwalls, Main; Steel-Blockouts-Wrapp a
Y]!Siding-Nailing-Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.fStucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
50,Tiazing Area -Glass Protection -Skylights -Plastic
-
.: Fall -Fittings -Test -2 way C/0 -Sewer Test
5j� ear 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 Dat Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
C -BI
e Date Card -BI Date
Date FIN (P� OK except a's
Card -BI ' Date Card -BI Date
Date
PLUMBING (Permit) 4K except q's
Steps -Door & Sidelight Protection -Landings
5 . Smoke Detec
Ht.- Access -Combustion Air
ce; Vents -Clearance -Comb. Air -Connector -
I ge; Above Floor -Ducts -Meth. Protection
_14� !Water
1 -sat r st & Anchors -Nail Protection
1 Test-Fttngs & Anchors -Nail Protection
59 edroom Exiting
_
./
1 ower Pan; Test, First Floor -Tub Access
.I. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
6 Elec. Tri panel; Breaker Sizes -Labels
19. Gas Pipe; Size & Anchors
tairs & Rails
_
rances-Hearth
64. ets at�o d Panel; Int. & Ext.
Card -BI
ate --✓ Card -BI at - X75
A liance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
e s & Receptacles at Kit. Counter
ire oor; wing -Landing -Closer
Date
I-Vb
At
✓V /
TRICAL Pewfft OK except q's
e -Damper
2 Fes' ture &Transformer Clearance -Ins. Protection
age; r.; ens- a rance-Comb. Air-Connector-P.R.V.-
Ir�rAbove Floor -Meth. Protection
age;Elec
2 . E -le _Receptacles Spacing -Lights & Switches at Doors
70 Ib., &Mech. Equip. Listed for Location
. Siz oxes & No. of Conductors -Stapled
epiacles in Garage; (G.F.I.)-Romex Protec.
2 mex Installed Close to Edge of Studs & C.J.
-__
2 quip. Ground made up w/Mech. Fasteners -Bond Gas & Waterails
his aked-in Attic ❑ Yes
25. 2 Appliance Circuits in Kitchen & Conductor Size
& Deck Construction -Post Caps
_
26. S_ubfeed Wire Size / / ga. Cu or Al-A.C.-Wire Size / / ga. Cu or Al
o e oor-Drainage & Wood -Earth Clear ce
Looked under Floor ❑ Yes
_-_
_
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral _Yes 0 N
28. Service -Riser Conductors & Ground -Main Disconnect
75. Following instld.: Driv es E3 No; Walks Yes ❑ No;
Planters ❑Yes No
7 - finish
it Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
--
-_
29. Equip. Clearances; Panels-Motors-Mech. Equip.
29o' -Clothes Closet Light -Shower Light
7 , ) Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
t Well; Disconnect, Electrical, Plumbing
------
Card B -I
Card B -I
-
---------------- -----
_D_ate and -BI Date
- ---.-
Date Card -61 Date
!
t rior Elec. Trim; G.F.I. Receptacle -Underground
8 an ' ation throughout House
8 if. Gerasq Protection
Date
MECHANICAL (Permit) OK except N's
_
8 Co "cti from -Previous Inspections
as 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 _-
33. Condensate Drain _& Overilow; Size & Grade
nergy Compliance Certificate -Other Certificates
34. Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet
Card -BI
-
Card--
BI-
35. ttic Access & Platform if Furnace in Attic
-- -- - - ----- -- - - ----------.---
Date Card -BI Date
--- - - - - -
Dat -e----- Caard-Bnd-B I Date
Card -BJ Date and -BI Date
Card BI Date and -BI Date
Card -BI Date Card -BI Date
Date
FR G(F0ns) OK except q's
3V Sills; Proper Material & Anchors
3� ails; Studs -Nailing, Spacing & Bracing-Plates_-Sound
aring Wallsover Girders & Floor Nailingaft Stop in Walls (rat proof)
FFre Stops; Furred Ceilings -Stairs -Chases -Tub
Comments at Final:
der & Beam -Size & Bearing -
�angers -Post Caps -Anchors -Connectors
ng. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq.
44. Fireplace Ties or Type A Flue -Fireplace Throat
45. Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles
4P.- Bdrm.-Windows or Exiting Doors-Sill_Hgt. & Dimensions
47. Garage Fire Protection Framing
-
(NOTE:Anentrymust be made each time you visit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
V/(>_119
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION -AND PERMIT
ASSESSOR PARCEL NUMBER ZONING
'Z'Z—T2 _ Ip BUILDING PERMIT
OWNER _ T LEPHON
Miic tOLM, S�S�Jb � _(Z43 SO. FT. OCC. BUILDING VALUATIO
OWNER'S MAILING ADDRESSrn -1 ��� �� -7 Q
22 OUT %IQQS GR_kb LEq �1 Couw�
CONTRACTOR'S �E>JA� Sod TELEPHONE
CONSTRUCTION LENDER
LENDER'S MAILING ADDF
r
t
AR HITECT OR ENGINEE
i
UIL-L- ADDRESS kn t
227 '91 EW,
LOT NO. I SUBDIVISION NAM
UNKNOWN
LICENSE NO.
NG ADDRESS
CCCeS Cei211�loE�f ��.
CctWT)C1 l
PARCEL MAP
USE OF STRUCTURE
SIX Duplex❑ Mobilehome❑ Other k10,Pq0I4 V�\
SPECIFY
TYPE OF WORK
New ❑ Addition Remodel[:] Utilities ❑ Installation[] Other ❑
Describe work:
"D Sly we n�� ��-
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)
Fireplace
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee $ ,
ELECTRICAL PERMIT
Total Valuation $
10.00
Main service 600V OR LESS
100 AMP OR LESS
1000
.
Filing Fee
$
2.50
10.00
Permit Fee
$
70, 0 0
Plan Fee
$
NEW CONSTR. (POWER APPARATUS &
NON.RESID. SINGLE OUTLET CIR.
3,5_0o
,,�Checking
Lyy�a.'.'!.
$-�
20@50Q
zo L 6Da
P
Permit fee
$
Receipt No. MZ77
WHITE-D.P.W., YELLOW -ASSESSOR, P NK- INSPECTOR, GOLDENROD -APPLICANT
30.Qa
PLUMBING PERMIT
Filing Fee
10.00
Each Trap
3
2.00
,p o
Solar Water Heater
20.00
Water piping
5.00
$Fp,p
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
10.00 e
Permit Fee $ 71 . nes
Contractor
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee $ ,
ELECTRICAL PERMIT
Filing Fee
10.00
Main service 600V OR LESS
100 AMP OR LESS
1000
.
05
R
Main service EA. ADD'L 1000O AMP
2.50
OR ADDNS. ACCLBLDGS.`f'e&&)
21h¢sq it
NEW CONSTR., ULTI.OUTLET
NO N.RESID BRANCH CIRC ITS,
2,50 ea
1415p- 3O.Wo
NEW CONSTR. (POWER APPARATUS &
NON.RESID. SINGLE OUTLET CIR.
OCCUP. GROUP
'C]`7-3
TYP of Co ST.
EX. OCCU p OUTLETS OR FIXTURES
20@50Q
zo L 6Da
P
FIXED ALNS.Ex. Occup. OUTLETS P(RESID )REAJ
2.00
Receipt No. MZ77
WHITE-D.P.W., YELLOW -ASSESSOR, P NK- INSPECTOR, GOLDENROD -APPLICANT
Temporary service
10.00
`
Mobile Home Facilities
15.00
Misc. Wiring
15.00
.;7
❑ I am exempt under Sec. , Business and Professions Code
for this reason
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.
1 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
�fb(PiQ'-
Cooling
Hood 3.00
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains sai°d County in co sequence of the granting of this//permit.
XDate/�7 -%—r�3
-�
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 $
1415p- 3O.Wo
TOTAL PERMIT FEE $
OCCUP. GROUP
'C]`7-3
TYP of Co ST.
PARCE
P
ND 155
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date jlfl �g/- �/`
PE XPIRES Date_ !/'-!/ Pe/
Receipt No. MZ77
WHITE-D.P.W., YELLOW -ASSESSOR, P NK- INSPECTOR, GOLDENROD -APPLICANT
FORM J-1
Including Calculation Procedures A, B, C, D ; f
Copyright by the
r�Conditioning
retractors of America
ormerly: National Environmental
Systems Contractors Association
1228 17th Street N.W.
Plan No.
Date
Calculated by
Wushington, D.C. 20036
Printed WORKSHEET FOR MANUAL J
LOAD CALCULATIONS FOR RESIDENTIAL AIR CONDITIONING
For: Name
Address
City and State or Province
By: Contractor
- .--- --. _
Address-- '
City I ---
Design Conditions
Winter Summer
Oulsidedb --' OF Insldedb OF Outsldedb OF Insidedb °F
101
Winter Design Temperature Difference OF Summer Oesign Temperature Difference _ ., °F
Grains
Daily Ranyu __
Heating Summary
Total Heat toss for (Entire House (Line 15) 1�11� Btuh
Von tllatlon CFM +' ���3 �- ,-��� Winter Design Temperature Difference = 125"'t°F
Heat Required for Ventilation Air = 1.1 X 10CFM X % 'F = Btuh
r
Deslgn Heating load Roqulrgmept (house) !1 (Vent) _ _ Bluh
Total Senslble Gain Nh
Total 4atent Gain +
Total = Sens. + Lat. _
Cooling Summary
Btuh (Calculation Procedure 0)
Btuh (Calculation Procedure 0)
Btuh
Design Temperature Swings
Normal 3' ( )L4 �..^T---T�'
Ventilation CFM = _
Equipment Summary cw-r, ���jpp `
Make Model _. Type
Heating Input(Btuh) Heating Oulpul (Btuh) _Elllclbncy„
SunelDlu Coollno (Btult) Latont Cooling (Btuh) _.Tolal (Elul►) _
COPIEERISEER Cooling CFM Heating CFM
Space Thermostat . Heat( ) Cool ( ) HeatlCool ( ) Night Soioack
Construction Data
Windows .et(E-jy_- wj Floor . 610 I�x - -
�vr
Doors Nd ,
wally t 2 [EYP. 11z
y �•
Partitions _.Q _
Basement Walis
Ground Slab Nib
U NU1 .vt-;i t t- I
Name of Ropm
Eati_-e House
1
3
;
g
! 'Running Ft Exposed Wall
Room Dimensions. Ft
Ceiling Ht, Ft
Directions Room Faces
TYPEArea
OF
EXPOSURE
Const.
yO"
H"t
or
Length
Btuh
I area Btuh
or
Length Htg Clg
Area i
I Btuh
or
Length Htg Clg
area t
j otuh
or I I
Length ! Htg C'.g
I Area I h
Ctu
or
Lengt ii.�, Clg
Area i Ccu
or
Lrng-S (Itq T
Ht8 Clg
Hig Cig
P ;Gross
a
6WOI
i
!
Exposed
b
i t
' Walls and
`
Partitions
c
d
I
'Windows
a
!
i�pl%
!and Glass
b
I
I
I
! !
oors IHtg
c
i
d
Windows
;and
North
I
i
Glass
'Doors (Clg)
E& W or NE 3c NW
South or SE & SW
t
I I
!
Other Doors
INec
'Exposed
(Walls
al 2,�1
.�
1
-/
AWN
'
i
i a _i
b
1 -
and
c
'
t
IPartitions
d l
I
I
I I
t
1 Ceilings
Pal
'{.�
k(0
i
1
b
iFloors
b I
! t
LAM
jSub Total Btuh Loss 100
RIMA ', ;'OA 00 OHO
OO�ir�O O Oho
R� SWE
® O t
r
t
.iM
PERMIT NO.
6355-79B,P,E
I
p1
/
1OWNER
PERMIT EXPIRES
Gordon
Roda
owner
CONTR.
22-22-10
LOCATION
(A.P.
SIS West Biggs
Gridley Rd:,
2nd house E/of
Biggs, Gridley
Rd., going north from Gridley
Gridley
I
t
t
,
l
t
t
I
4r
+A
�t
4ti=
r
i,
f
t
Temp. Power Pole
Called PG&E
t
Temp/Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
/�
JO
FIINALED
(Dam
l
t
1
(Signature)
)
Mesh MEC NICAL Grd. Fault Prot.
Scratch Heating Service
Brown,7 Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES Elec_ Service Elec. Pedestal -
Water Piping Sewer Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas -Piping
DATE REMARKS OR CORRECTIONS
Valo.
� � U
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING' INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING ,
Setback /
— 'Z- Firewall
Soil Piping
Forms
Parapets
1st Floor/ �—
Main Bldg.
Restroom Finish
2nd Floor
Footings
t Windows
3rd Floor
Stemwall
Siding —
To out
Slab
Roof Sheathing —9 &42
Water Piping
Piers
Roofing h—
Sewer �---
Garage
Fdn. Vents --
Fixtures
Footings
StemwaII
Garage Vents
Insulation -
Water Htr.
Heaters
Slab
Carport
Prov. for phsically
handica e.
Conformance of ex.
k structure -��
Appliances
Gas Piping & TestFootings
Temp. Gas
Slab
Final
Sanitation —
Patio
FIREPL C
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat —
Rough
Reinf. Steel
Final —
_
Fixtures
Bond Beam
FIRE SP INKLERS U
Motors �—
Framing
Test
Water Htr.
Stucco
I/ Final
Suhnanalc _
Mesh MEC NICAL Grd. Fault Prot.
Scratch Heating Service
Brown,7 Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES Elec_ Service Elec. Pedestal -
Water Piping Sewer Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas -Piping
DATE REMARKS OR CORRECTIONS
Valo.
� � U
S
(NOTE: An entry must be made on this form each time you visit the job site.)
4'
S
(NOTE: An entry must be made on this form each time you visit the job site.)
L\
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Oroville, California 95965 _
" Telephone: 534-4541
APPLICATION AND PERMIT
a+u urv„cc ,ct/1GJc11aoU VGA VI Ilc VVUIIIy UI 0UtLW W CIIIGI UPUII IIIC
above-mentioned property for inspection purposes.
i
t ,Ile kDate d
Signature of Permitee or Agent
Receipt NoA 1517 J
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date/,-.-, -!r, % S
Building permit expires Date
BUILDING
Owner O -J TdDA
SQ. FT OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor, ®Gei/ f
Address
Fireplace ap �F 5-0,4)Mailing
Total Valuation IX48
Telephone No.
Permit Fee 724. 7 _
Building Address i9t6�o�} n
F
PIanCheckingFee&/orPenalty
g —
Permit Fee
D &)e5r B 6s—i 410
PLUMBING No.1 @ FEE
d/ �� �AepGE
PERMIT FILING FEE $3.00 by
Each Trap 1.50 I
/Yv�tG S L • L I k0A./E'�
Repair drainage or vent piping 1.50
A. P. No. »-� 0
v^
Zonin �a
g Planning
Water piping 1.50 .SO
Each gas water heater or vent 1.50 , SQ
F s
C.
S on
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50 ,>O
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Recd I
Parc2LAEproval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION UTILITIES ❑ OTHER ❑
Permit Fee $ , dC
$ � -►
n
Q RCe{ 4017 0J pEll... N�'W w140o�3�
ELECTRICAL No. @ FEE
1&O D 67
PERMIT FILING FEE $3.00 �ti0
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER e00v 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( DWELING
OR ADDNS. ACCLBLDGS.0 22sgft O
CONTRACTORS LICENSE LAW
1 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 CONSTR BRANC OUT
NON.CRESID.ONST BRANCH CIRCUITS 12.50ea
NEW CONSTR POWER APPARATUS 9
NON.RESID. SINGLE OUTLET CIR.
Ex. Occui3(OUTLETS OR FIXTURES) 50@250
BAL@1
Ex. OCCU FIXED APPLNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 8.176
$ e
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
1 certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
d
a+u urv„cc ,ct/1GJc11aoU VGA VI Ilc VVUIIIy UI 0UtLW W CIIIGI UPUII IIIC
above-mentioned property for inspection purposes.
i
t ,Ile kDate d
Signature of Permitee or Agent
Receipt NoA 1517 J
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date/,-.-, -!r, % S
Building permit expires Date
This set of plans and specifications MUST be
` kept on the job at all times and it is unlawful to
make any changes or alterations on same without
written permission from the Department of Public
Works, County of Butte.
0Z 9
1
"�he Bldg. Setback. shall be 5 ft. from the
side property line and 50 ft. from the
h\ centerline of the road, permitting a maxi-
mum of a 2 ft. eave overhang but entirely
*60 of all easements.
-1---� ' BSha6 .16.
,`
NOTE -.—All Materials & Workmanship
d r mash bract cle B and
Accordance with Recoe� i
eciied use in the
of a quality Pres Plumbingr & hMachanical Codes and
Uniform Building,
the National Electrical Code.
0. -2
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
s
41
Ole
BUILDING DEPARTMENT.
APPROVED
w
rgL-
a
A.
4A
too
'Jk
wro
�Zl
Qequai,6 i:jeaf*-c2jg*
ac; nn
t
L
ILI
10
Ole
BUILDING DEPARTMENT.
APPROVED
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BUTTE COUNTY
Bl7fLDlNG DEPARTMENT
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BUILDING DE?ARTMENI
Butte'County Department of Development
Services
TIM SNELLINGS, DIRECTOR 1 PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
www.buttecounty.netidds
OWNER -BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection, you -should be-aware.that.as_owner,builder"you_are the responsible party of record on such a
permit.. Building permits are not required to be signed by property owners unless they are personally performing their own
work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if
that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the city or county. They are also required by law to put their license number on all permits for which they apply.
If you plan.to do your own work, with the exception of various trades that your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o If you are an employer, you must register with the state and federal government as an employer and you are subject
to several obligations including state and federal income tax withholding, federal social security taxes, workers'"
compensation insurance, disability insurance costs, and unemployment compensation contributions.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations 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.Eperson_s,professing„to,be.,contiactor�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 contacting the Contractors' State License Board's
automated telephone information system at 1-800-321-CSLB (2752) or by accessing their website at www.CSLB.-ca.gov.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Scott -Rutherford
Manager, Building Divi
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
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V� 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 ma. or labor and material for construction.of this proposed
property improvement: YES [ NO [ I.
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:
PHONE:
CONTRACTOR'S LICENSE NO:
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME: _
ADDRESS:
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
SIGNS : "
PROPERTY OWNER: ( k�-
DATE: - Io
NOTE:. This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code. i1,
This verification must be completed and returned to our office before we are permitted to issue the
permit. Rev'd 11/4/2004
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