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022-240-096
22-24-96 Michael Dahl�f'7% - E/S Grace Ave. app. 4/ mn.N.of Gridk-y Colusa Hwy, Gridley Permit #3288-76B,P,E(add family room, laundry room & den/SF) rp�%% 22-24=96erml731-77E ele ser ch ( ) SF 22-24-96 1440-91B,E DAHL, Mike 4Y�6$fr Grace Ave, Gridley 1 Cont: Bob Fichter' (room for hot tub/sf) _ 022-240-096" ';PERMIT#97-1620 DAHL, Michael & Gr,overlee 1784 Grace Ave., Gridley Cont: Cliff Nims Reroof/SF 022-240-096 01-2349 DAHL, MIKE I Q-1 (,P jot 1784 GRACE RD, GRIDLEY GARAGE _ 022-240-096 02-1839 DAHL, MICHAEL• IN L D 1784 GRACE AVE., GRIDLE CONT:. CLIFF CRAFT BUIL "' REMODEL - KITCHEN, FLO NG CABINETS & SIDING GLASS DOOR 022-240=096 02-1928 DAHL, MICHAEL 1784 GRACE AVE, GRIDLEY CONT: CLIFF CRAFT,BUILDERS ADD. GAS/ELEC. TO BP/#01-1839 022-240-096 a DAHL, M[CHAEL 04-3099 . 1784 GRACE RD, GRIDLEY r C:ont:'GALLAGHERS HEA'-bAIIR H VAC C/0 ROOF MOUNT ' . � ... 11 -2Q -off I f WRIGHT, JOE C. 4757B 3732P — xc4 e/sG_race Ave app 200' S of Justeson,Gridley (new,siingle family) �P �- •F �, ��, K-� �__ BUTTE COU. TY 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 PERMIT NO/ BP043099 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: 10/25/2004 APN: 022-240-096-000 the Business and Professions Code, and my license is in full fo a and effect. '777 License Class : �— license Number: Site Address: ,1784 GRACE RD GRI Date: r;zS kontracto I I 10_K Map Index: Z Description: HVAC CHANGE OUT ROOF MOUNT 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 aDAHL Owner: MICHAEL L & GROVERLEE L 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 1784 GRACE RD 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 GRIDLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95948 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).): ❑ 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: GALLAGHER'S HEATING &AIR owner of property who builds or improves thereon, and who does PP such work himself or herself or through his or her own employees• provided that such improvements are not intended or offered for E. HWY 99 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of LOS MOLINAS, CA proving that he or she did not build or improve for the purpose of ' 800-892-3556 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 Contractor: GALLAGHER'S HEATING & AIR pursuant to the Contractors' State License Law.). O I am Exempt under Article 3 of the Business and Professions Code E. HWY 99 LOS MOLINAS, CA Date: Owner: 800-892-3556 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 777334 O 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: g 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: -e Carrier _!� r "L4 Total Square Ft: 0 S. F. Policy #. 1 � _ Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: II issued, I shall not employ any person in any manner so as to /y become subject to the workers' compensation laws of California, L and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall I V forthwith comply with those provisions. ly .O f Date: 014� i l Applican . WARNIN Failure ti 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 damages for in Section 3706 the compensation, as provided of Labor code, interest, and attorney's fees. j ��\ 5 {�`- ,J► CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Bette County Cody 8nft/Or I hereby affirm that there is a construction lending agency for the Resolution d,p work ind,icated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) j� / Ll. �� t `G Name: By: ! ✓�S`1 - Date: I �) `./1,-5 , c � Address: PERMIT EXPIR ON: l 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. 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. 1 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, docent of Butte County. I hereby authorize representatives of Bptteunty to enter upon the above mentioned property for inspectio es. ` Print Name:. ".-y i ��� '-YC Signature: �1 Date: D 1� 16 L -L �0 Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor Va �� ��� ���Z�� . 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 PERMIT NO. BP043099 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of pejury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/25/2004 APN• 022-240-096-000 the Business and Professions Code, and my license is in full foj� and C effect. , •^r License Class : License Number: r / vL Site Address: 1784 GRACE RD GRI Date: kS ( ontracto 6P=Map Index: Description: HVAC CHANGE OUT ROOF MOUNT 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 Owner: DAHL MICHAEL L & GROVERLEE L 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 1784 GRACE RD 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 GRIDLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95948 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).): ❑ 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: GALLAGHER'S HEATING &AIR owner of property who builds or improves thereon, and who does PP such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for E. HWY 99 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of LOS MOLINAS, CA proving that he or she did not build or improve for the purpose of 800-892-3556 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 Contractor: GALLAGHER'S HEATING & AIR pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code E. HWY 99 LOS MOLINAS, CA Date: Owner: 800-892-3556 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 777334 ❑ 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 g the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: k,,, Carrier: � Total Square Ft: 0 S. F. Policy #: �t Valuation: $0.00 ❑ 1 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. a5-1 0 Date: i✓ Applican . WARNIN Failure t-secure_workers_compensation coverage is- s-unlawful, unlawful,and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of damages for in Section 3706 the Labor compensation, s provided of code, interest, and attorney's fees. U CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Gods ?nrt/or I hereby affirm that there is a construction lending agency for the Resolution d work i . iitcatteed for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) above �' �!/--� 16,0,S.64,' Name: By: ^^ Date:t I U `O`� b Address: PERMIT EXPIR ON: 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 8 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 doc ent of Butte County. I hereby authorize representatives �un�tyyto enter upon the above mentioned property for inspectio es. ` .,ell Print Name: \TCiY V ��IJV ��] ��� A Signature: r' Date: ❑ Owner ❑ Contractor ❑ Agent for OwnerAgent for Contractor 1 i ' NOTES _ RESIDENTIAL ;j cX�- 022-240-6 02-1839 09 PERMIT NO. _ DAHL, MICHAEL 1784 GRACE AVE., GRIDLEY' CONT: CLIFF CRAFT BUILDERS REMODEL —KITCHEN, FLOORING, CABINETS & SIDING GLASS DOOR_ 02-1928 022-240-096, I DAHL, MICHAEL l 1784 GRACE WE, GRIDLEY CONT:. CLIFF GRAFT BUILDERS` j ADD GAS/ELEC. To BP#01-1839 11 SPECIAL CONDITIONS A CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) _ Signature - ✓ = OK ' 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date ' MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 1. 3. Sewer; Location -Test -Fall -C/O -Concrete 2. 4. Water; Location -Test -Easement Needed (Sketch) 3. 5. Electricity; Location-Clearances-Grnd-/. /Amp -Concrete 4. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ /'LPG 5. 7. Well Clearance & Disconnect 6. 8. Utility Clearance 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit Date Health Department Approval Card B-1 Date Card B-1 Date Plumb.; Cir. Test -Water Supply Test 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 Date 3. Gas; MH Test -Demand -Valve -Connector Date 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. Tie Downs -Type -Installation Can. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1. Date Card B-1 Date Card B-1 . Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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, Distance-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- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrap ped Date 6a. Hold Downs and Special Anchors Hangers -Post Caps -Anchors -Connectors 7. Slab, Steel -Wrapped 48. 8. Piers -Fireplace Ftg.-Steel Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 51. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Property Line Firewall & Openings 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. 12. Electric Underground Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 13. Plenums & Ducts; Clearance -Material -Support -Ins. 57. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Glazing Area -Glass Protection-Sk.ylights-Plastic 15. Access & Ventilation 16. Insulation 67. G.F.I. & Bath Fixtures & Tub Access -Spa Date 68. Card B-1 Date Card B-1 Date 69. Card B-1 Date Card B-1 Date 70. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection .19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access If Date 21. 2 Test T Shower, Second Floor -Tub Access s Pipe; Sixe & Anchors Card B-1 Date Card B-1 Date 76. Card B-1 Date Card B-1 Date 77. ELECTRICAL (Permit) OK except #'s 23. Fixt .e & Transformer Clearance -Ins. Protection ti. 2 EI eceptacles Spacing -Lights & Switches at Doors Size Bq*es & No. of Conductors Stapled mex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No ` 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date 90. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. cAs Proper Materials & Anchors alls Studs -Nailing Spacing & Braces -Plates -Sound Vj 4!r 43. 44. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rffr. Ties-Purlin-Roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection-Sk.ylights-Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive 0 Yes ❑ No/Walks J Yes 0 No/Planters 0 Yes 7 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card 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 DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • O� v'lle, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) AP CATION AND PERMIT 02-1839 ASS ESSOR PARCEL NUMBER 022-240-096 ZONING BUILDING PERMIT OWNER Dahl Michael TELEPHONE 846-3190 SO. Fr, OCC. BUILDING VALUATION .OWNER'S AD KESS race Avenue Gridley CA 95948 Cont 4800.00 CONTRACTOR'S NAME Cliff Craft Builders TELEPHONE 15-11-4719 CONTRACTORS MAILING ADDRESS 11450 Caster Terrace,Oroville CA 95965 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total valuation $ 4800.00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ESS 1 4 Grace Avenue Gridley. Energy Plan Checking Fee $ $ PERMIT FEE $ 92.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Remod6l kitchen, new flooring, Cabinets, sliding 1 ARS—Hoar (1'epiaco) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI Wl @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Feel 20.00 600V OR LE Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect. C��yO License Class —/�� (� Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING Occup. OR ADONS. ( & ACC. BLDS. so 3.5¢FT. NEW CONST. MULTI -OUTLET NON-RESID. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDMRES BAL @ ,.50 Ex. Occup. OFIxuTe. PPLN 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00• Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation ,6f one hundred dollars ($100) or less.) p' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith co ply-ari ose provisions. r X _ Date % —%" O 'l�� na of Applic` t - caner Contractor ❑ Agent An HA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ�D.ES IMP FLOOD CDF PARCEL Po HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic d abov for hic*have en paid. By a e PERMIT EXPIRES ON I I(Date) Receipt No. WHITE-D.D.S.-B.D. CANARY• SESS PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 'I ---*1 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541P I o• (Rev. 12/96) APPLICATION AND PERMIT 0Z -142W ASSESSOR PARCEL NUMBER 022-240-096 ZONING BUILDING PERMIT OWNER M' Dahl TELEPHONE 846-3190 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 1784 Grace Ave Gridley CA 95q48 CONTRACTOR'S NAME Cliff Craft TELEPHONE CONTRACTORS MAILING ADDRESS 11450 Caster Terrace Oroville CA 95965 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1784 Grace Ave Gridley Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF a Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Add gas/elect to by #01-1839 Gas piping system 1 - 5 outlets 15.00 15 , QQ Building sewer 15.00 Mobile Home ISI G1 W1 @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMITFling Fee 20.00 600V 0 Main Service 200.OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class r Lic. No, c S7 7d OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200AWEE To ,000A 46.00 NEW CONST. DWEWNGOCCUP. OR ADONS. ( a A.C. OCC. SO 3.5¢FT: ,N" 20NIDT MULTI.OurLET Qa 7,50 PowER APPARArus 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @''00 BAL @ .50 Ex. Occup. DFIXUT ED RES D.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 23, QO PERMIT FEE s 43.00 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 Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation yf one hundred dollars ($100) or less.) LAY I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date 7 Qc:Z- Si atur p (cant - Ow tractor ❑ Agent An OS A permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 78.00 HA GD coF D SU This permit is hereby issued under the of ke Butte County Code and/or indica d a f whi fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date �® Dae Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ro NOTES RESIDENTIAL PERMIT NO. 022-240-096 01-2349 DAHL, MIKE j 1784 GRACE RD, GRIDLEY GARAGE 4 + I . 1 i v. t I t i Z r JOB FINALE # Signatur SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. _ FIRE SPRINKLERS REQ. _ SPECIAL INSPECTION ITEMS Y VERIFY USE PERMIT CONDITIONS _ SUB -STANDARD HOUSING LETTER ./ = QK 4. 0 = Not OK Card B-1 Date Card B-1 FINAL (Plans) OK except #'s - = Not Applicable MOBILE HOMES * = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 1. Zoning Requirements -Setbacks -Easements Well Clearance 8 Disconnect 2. Soils; Special MH Support Sketch 8. 3. Sewer; Location -Test -Fall -C/O -Concrete MISCELLANEOUS Date DECKS, COVERS§,C*RPORTS GARAGES (Plans) OK except #'s oni quirements-Setbacks-Easements t ' Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 140"4-i ood Awn.; Posts-Beams-Rftrs.-Connectors F Shthg.-Frg-Bracing r 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. CarooaS� Windows-Da6rs Trusses eps-Doors-L Wall Panels Date 4. Water; Location -Test -Easement Needed (Sketch) Card B-1 Date Card B-1 FINAL (Plans) OK except #'s 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /" L'ft. / P Nat. or / /"L"ft./ /'LPG 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Well Clearance 8 Disconnect 8. Utility Clearance 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 Date Card B-1 Date Card B-1 Date 11. Light Niche Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date 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. Tie Downs -Type -Installation Cent. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS§,C*RPORTS GARAGES (Plans) OK except #'s oni quirements-Setbacks-Easements t ' Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 140"4-i ood Awn.; Posts-Beams-Rftrs.-Connectors F Shthg.-Frg-Bracing r 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. CarooaS� Windows-Da6rs Trusses eps-Doors-L Wall Panels Date AlCard B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 FINAL (Plans) OK except #'s I. Setbacks -Easements 2. Soils; Compaction -Structure Stability ( 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-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 11. Light Niche f f Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I y del -j-, V= OK 0 = Not OK - = Not Applicable Not�k?eady ' RESIDENTIAL (%c= Date FRAMING (Continued) ' Underfloor (Plans) OK except #'s 46. 1. Zoning -Setbacks -Easements -Flood -Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 49. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test " 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60., Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect i 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive J Yes ] No/Walks Q Yes ❑ No/Planters Q Yes '] No 33. Clothes Closet Light -Shower Light -Spa Light -r.o 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) ' 46. Hangers -Post Caps -Anchors -Connectors _ 47. Cling. Joist-Rhr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. r 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60., Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes ] No/Walks Q Yes ❑ No/Planters Q Yes '] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card 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: '.ti���.vr.---s•"y,n�.- �"'+v�Y+'✓+-•'-..►.--�i.��>+zr�,�'ar-T;�...�.� u.s�-r-.xr�s....--'"-r_:,'.s.-✓ys,�t,.:�`•..�� COUNTY OF BUTTE' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street Chico, CA • (530) 891-2751 '* 7 County Center Drive • Oroville, CA • (530) 538-7541 j CORRECTION NOTICE �4 l /,3 OWNER PERMIT NO. A routine inspection indicates that the following Violations of butte county Ordinances exist at the above address and should be corrected. Pleases otice this office when correction of work is ' completed. If you have any questions pertaining to this matter, orneed additional explanation, please contact this office immediately. J .4 • 1 Date D Inspector fS e REV 10/92 t 3 /3 rU vi /4 A. .4 • 1 Date D Inspector fS e REV 10/92 C COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING VISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538 541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT °1-2 49 ASSESSOR PARCEL NUMBERZONING . BUILDING PERMIT OWNER MIKE DAIZ TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MARINO ADDRESS JghCO RA R'S RANAM99 ROAD, , TELEPHONE DON SCRTBNEIR 695-8435 CONTRACTORS MAILING ADDRESS 2996 PENNINGTON RD. LIVE OAK CONSTRUCTION LENDER LENDER'S MAULING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20. DD Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 60 BUILDING ADDRESS Energy Plan Checking Fee ' $ PERMIT FEE $ 257.60 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARDE SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New CX Addition ❑ Remodel ❑ UBlifies ❑ Installation ❑ Other ❑ Describe Work: GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service E*.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in ful force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION.50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insuran a carrier and policy number are: tilCarrier Policy Number�j 1 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 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. ' X_ Date q_1 1 _ Signature of Applicant - ❑ Owner rContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service tow TO to00A 46.00NEW CONST. DWELLING OCCUR SO OR ADONS. ( a ACC. UDS. 3.50". 25.00 NON - RES D. MULTI -OUTLET @7.50 RANCH CIRCUITS POWER APPARATUS a SINGLE OUTLET CIR. FAL. Occup. OUTLET OR FD=RES s2' 0 "00 Ex. Occup.oE"LDTE�o�A .ELNss,6.) k 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling free 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 1)nn nn HAZ — D FEES IMP — — FLOOD X CDF X X X HD HD ISSUE X This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By "te O S PERMIT EXPIRES ON II �D I S 0 2 Det ReceiptNo. 3 L WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '�i.���.ia _'3 � "'�� "'1wK%1,+�'�'w"s�tr"7`MfM�►'a.� 16;-+..�'�W„���j+s'AMrri} �� �- �V��.�Rt,�„��*��'C ICOUNTY OF BUTTES DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,16.A FORNIA 95965 - TELEPHONE (530) 538-7541 .i PERMIT "PLICA TION DATA SHEET -- OWNER: ASSESSOR PAR ER: 9 Proposed Building Use: Building hispecto Jl�_Dl Date: At time of permit application, I was ad ' ed the following data m sdior to permit processing and/or issuan e: Date Received By 6:111. All items have been submitted ------------------------------------------------------ --=------------------------------ Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ P(—.- omplete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6. Energy Design Compliance and supporting documentation. ------------------------------------------- 117. ------------------------------------------ ❑7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ 118. ----------------------------------------------- ❑8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .--------- ❑ 10. Fees of $---------------------------------------------------------------------------- 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- t California Department of Forestry plan approval/fees. --------------------------------------------------------- 3. Flood elevation certificate. ---------------------------------------------------------------------------------------- Sanitation and plot plan approva_ Health Department. ------------------------------------------- 15' City of Chico plumbing permit. `�� ----------------------------------------------------------------------------------- — ❑ 16.'Plot plan and business license approval from the City of Biggs.---------------------------------------------- 1117. --------------------------------------------- ❑17. Planning approval for (A) Use: (B) Parking: !_______ ________ ______ ❑ 18. Contact Land Development about ❑ tinprovements, ❑ Drainage, ❑ Legal Parcel. ------ =;`----------I--�=- ❑ 19. Encroachment Permit for driveway construction approval prior to occupancy) re tion for required Request to Building Inspector on (Date) ntractor's license information. (Number, Name Style, Classification). ------------------------------------ Workers' Compensation carrier and policy number. ----------------------------------------------------------- 3. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - -----------=-------------------------- c❑2'4 Letter of signature authorization. ------------------------------ ;'F ",-Jn251-Recorded copy of Agricultural Acknowledgment Statement. ❑ 26 Letter of intent on building use. -------------------------------- 027. Manufactured Home utility clearance. ------------------------- ❑28. Existing violations and/or expired permits. ------------------- 9. ❑433 A; QGr1�lt_De 1vI. TitliejnC eck to .0 .D ther: When you issu�t 1 . ernliy„pXo follows 11 Mail to owner, C Telephone [LI/{ [�Cf - and hold for pickup at •------------------------------- Applicant: ` Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑r o Ailluti, n By: 11Copy of plans sent ❑ Health Department, Fire Department, ❑ Other: / ate: By: / 1. Index permit application for the 1 e b r 11 Plan Check List 2. Additional items required: y i Contractor, designer, owner,was o data by ❑ phone, 11mail, ❑ Building Division counter,. by Date: f Contractor, designer, owner, was advised of a above aired data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date” ` Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisin=co`unter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil din i Sion counter, by / D t . Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Valinisr f nnv _ llo..�.+...o..♦ ..fTle..e1.......e..a C ......:...... n..ti"t_—_ r'__._' _ _ � E.H. USE ONLY Plot Plan AttathId Floor Plan Att Chad Sant to B.D. IST F TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Dispo Clearance for dwelling. Other, Hold final for: Final clearance O.K. for: NOTE: vironmental Health Specialist 8/96 Water Supply: Public Private Well G inn r,_� Date T, COUNTY OF BUTTE - DEPARTMENT OF-UEVELOPMENT SERVICES - OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING PN: ONE: BUILDING I OWNER: / PHONE: MAIL ADDRESS: a � r e SITE ADDRESS: PROPOSED USE: PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION #) GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes: No: 2. Is the structure already built, under construction, or under notice of code violation? Yes: No: 3. Will items produced in this building be offered for sale? Yes: No: 4. Will the public have access to this building? Yes: No: 5. Will any advertising, on or off site, be associated with the use of this building? Yes: No: 6. Will this building be occupied at any time as a sleeping quarters? Yes: No: 7. Will this building be occupied at any time as an eating area? Yes: No: 8. Will this building be occupied at any time as a cooking area? Yes: No: 9. Will this building be occupied at any time as a living area? Yes: No: SITE CONDITIONS: 10. Is the structure foundation within 5' of septic tank or leach lines? Yes: No: 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: 12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No: 13. Will the proposed structure encroach within any recorded easement? Yes: No: CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? Yes: No: 15. Will this building be heated or cooled? Yes: No: 16. Will this building have a water closet/toilet? Yes: No: 17. Will this building have a sink? Yes: No: 18. Will this building have a water heater? Yes. N I 19. What type of floor covering will the building have? 20. What type of wall covering will the building have? C ADDITIONAL INFORMATION: I hearby affirm under penalty of perjury& above i require permits from the permitting a rity. I ers nd i OWNER' S ATUR 7 is true and correct. I understand that any changes to the use, or character of use, of this building will state Disclosure laws require disclosure of this information if or when offered for sale. D E OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: COMMENTS: DATE: :Jt . w_rn n7_ 07/17775% M "I Certificate Certificate 05491 _ THIS IS TO CERTIFY that the glued laminated timber prod! lots Idet ifl6d With a 661116600 fn6tit bf Entlat emd Wood Syslama (EWS) wero manufactured in ai ieotdahce with the 600116616 btandafds and associbtad specifications indicated below ANSI Standard All 00.1.1992, For Wood Ptdd jeft Sttiofural Glued Laminated Timber NER•486 Glued Laminated Tlmbet Oombinst ono And 10AW1 Computer Program For Determining Design tresses AITC 1111-93 — Manufacturing - Standard Sp oificatlons For Structural ; Glued Laminated Timber Of Softwood Speci , 3' IT IS HEREBY CERTIFIED that the APA KINS trademarkedst atural glued laminated timbale mjbmbois were produced In a manufaoturing faoility subject to regulate edits lifaccordarica with the i tdlM&6d Woesd 8yWMIP (EWE) Duality Assurahoe Program. Ro tine audits Include Iribpeclldn of this,I' manufacturing process and Mluetion of the in -plant OA pr gram with ddegUate Sampling to vatity oonfonnanoe to industry standards tot lumber grade and gluall a bond qualitI6 r i ` �W i? - %W 940 rot by XL SEAL Thomas Q, Williamson •� Executive Vice President IIIIIti�N ENOINEEW WDCD 8YSMUSle a relabd cmpmtUtm of AFA - MINEIRIrD N 7011 south 10th Yusm • P.O. Box 11100 & TwMb WA 0840-0700 T960hw* (263) SSS -5600 i Fix Number. (2 ) I &TW T/T'd Z6S'014 )C64TlON • wuss:tt 0002'9 '`nr __ _, { t I 1 c • { All,. BTRUOTtJRBS AND EQUIPMENT INCLUDINd O AN®s s ALL sE (BLEAR OF ALL EASEMENTS. `1 ••••t A SET BACK OF ` FT., FROM THE SIDE AND dunf. C'w � . FT. FR®i,I THE REAR PROPERTY LINES .AND :?a��. �NG DEPARTMO,�.. Fr., THE ROAD CENTERLINE SHALL. I CLEAR OF'STRUCTURES AND EQUIPMENT EXE APPR FOR A 2 FT. SAVE OVERHANG. ....ter ... ,.-.. .. -7-2777 FLOOR PLAN FOUNDATION PLAN 4" SLAB 012 X 12 FOOT(NG ®6X6X10X10RENIESH 1/2" REBAR 2 RUNS -4' X 34' INUM 4„ X 12" HUBER :¢�__ ,47 .1 1.6'X7' SECTIONAL DOOR z 4 D •.� `rte t � � � � �i �J� ` � J ` / _�_ fL rc BRACED WALL PANEL 5/8° 8° O.C. DURA -TEMP SIDING C i; I)EPAMVM,-- 4PPRr% VA 4„ X 12" READER o SIP NG PANEL 1 x 3 RESAW IM cm av �S 1/2" x 1 O' FDT BOLTS 6' O.C. r AND NO MORE THAN 9° FROM PLATE ENDS OR USE SIMPSON MAS FDT. ANCHORS F 31/2"X131/2" GLUE LAM 1 ,47 .1 1.6'X7' SECTIONAL DOOR z 4 D •.� `rte t � � � � �i �J� ` � J ` / _�_ fL rc BRACED WALL PANEL 5/8° 8° O.C. DURA -TEMP SIDING C i; I)EPAMVM,-- 4PPRr% VA ROOF PLAN 2" X 4" OUTRIGGEl 3 24" 0. C. AT Boni GABLEENDS !. J. P ?lot, J - � —a-. Sh r � r /. ), // : nl� Sfi e �• 12' �i r 1 C� ` Edges ��� � 1 . �2F; Id a;-&UILDING DEP -.yam APPROVED AA�7El�S 1�"I. I i l XI'-E�1N�� jai � (/TAGE�EDJETIn�G I fT;I J 0 Y sciJasTl ' A RQ O NG � !. J. P ?lot, J - � —a-. Sh r � r /. ), // : nl� Sfi e �• 12' �i r 1 C� ` Edges ��� � 1 . �2F; Id a;-&UILDING DEP -.yam APPROVED 7/16 OSB SHEETING STAGGERED 15# 36" FELT 20 YR CLASS,ROOFING-- �"" j �� I C� ll ilk 1 I + i ij � I� � i i t� - li it i � I �� If i � �I ( i �i II � I � � i� I� � II �I � SIPJN�.��'��..�� 3,.�� � � I i� �I i �� it G PANEL i ► L I I It � i I � I I I I l ;! � I I x 3 RESAWN TRIM 0, ( 1. II it 71,6 0S SUQSB SHEEn 135kGGERIED M# 360� FELT 20 YR QLASS'.': 900FA i IC �l it �� it �i NG PANEL WX 7' SECTIONAL DOOR 1 x � RESAN TRIM RIGHT ELEVATION FRONT ELEVATION bUffECOLIM.-T." DlW DEPARnNEW-ft APPROVED r L• 7/16 OSB SHEETING STAGGERED i 15# 36" FELT ` 20 YR CLASS A ROOFING IN LEFT I ( j ELEVATION 6 I I ( 'X 30WIND SIDING PANEL I ( I I 1 x 3 RESAWN TRIM - I i 7/18 OSB SHEETING STAGGERED 15# 36" FELT 20 YR CLASS A ROOFING _ _ •- - -- - - - _ -_ - - REAR ELEVATION .11 111 1 X WEN ( ( ( duTTE CUM, SI G PANEL ( . IDING DEPARTMM � I x 3 RESAWN TRIM I a I APPROVED t I I1 I x �� W'yA�T'`�8; !9✓tM. n-n :-- .� .,_,,,,.;.-.;�y�.,,.•+�g'o^`+,'r'r's",�p't^.r - 022-240-096. PERMIT#97-1620. - DAHL, Michael & Groverlee " 1784 Grace Ave., Gridley Cont: Cliff Nims - Reroof/SF —j ;S t fo^ cce'F e) g' ag- 9 7 �i ova• / (� tIc i . L� r. -C \ sf SAa( COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1.11.11 PERMIT�IO. (Rev. 12/96) APPLICATIQN AND PERMIT C7 ASSESSOR PARCEL NUMBER 22-240-096 ZONING -' AS BUIL GPERMIT OWNER / i4ICIIAL''I_ & . DMII TELEPHONE SO. FT. OCC. BUILDING VALUATION 5831 CO'"r OWNER'S MAILING ADDRESS 17&4 GRACE AVE GRIDKIEY CONTRACTOR'S NAME CI IFF �fT;1S TELEPHONE CONTRACTOR'S MAILING ADDRESS OROVII I E s CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. I Filing Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1734 GRACE AVE Energy Plan Checking Fee $ $ GRIDLEY PERMIT FEE $ 101 .CSO LOT NO. S UBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 5 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other D Describe Work: R)M 12FPnnP ip MAE OPT? R REM ACE 00(t Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S �Ci{',=,f1IN0 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that l am exempt from the Contractors License Law for the following reason: ❑ 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. X• I, as owner of the property, am exclusively contracting with licensed contractors ' \ to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. OWELUNG Occup. OR ADDNS. ( d ACC. BLDS. so 3.5¢FT. NON-REOS�D. BRANCH CIRCUITS MULTI -OUTLET 97,50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BA�@':50 Ex. Occu ouxTiETSPR'. o.OeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 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 Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall ` not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wor rs' compensation provisions of section 3700 of the Labor Code, I shall with comply with tho provisions. �— Date �l'1 �— of Applicant - ❑ Owner ❑ Contractor ❑ Agent 4ature� An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 101.(X? HAZ. D. FEES IMP FLOOD CDF PARCEL I PD HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By �ti ,. C f -r�� Date .1 PERMIT EXPIRES ON � c7 I (D,7,-) Receipt No. 2 J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT 610. (Rev. 12' APPLICATION,ANDPERMlT r ASSESSOR PARCEL NUMBER 12 22-240-096 ZONING A5 BUILD NG PERMIT OWNERMICHAEL & DAHL TELEPHONE SO. FT. OCC. BUILDING VALUATION 5831 CONT OWNER'S MAILING ADDRESS 1784 GRACE AVE GRIDKLEY CONTRACTOR'S NAME CLIFF NIMS TELEPHONE ' , CONTRACTOR'S MAIUNG ADDRESS OROVIL•LE CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS ' Plan Checking Fee $ BUILDING ADDRESS 1784 GRACE AVE Energy Plan Checking Fee $ GRIDLEY $ PERMIT FEE $ 101.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF N Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other (A Describe Work: j_>zr>?n,_, rnMp ROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE 3 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoo, oa LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter • 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIc. No. OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. X1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( g ACC. BUDS, SO 3.52FT; NEW CONST. MULTI -OUTLET NON-RESID. ANC C cu @7.50 PGWER APPARATUS 8 SINGLE OUTLET CR. Ex. Occup. OUTLET ORFUTTURES SAL9 .50 Ex. Occup. OUTELE�s P=.DFRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall ` not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wor rs' compensation provisions of section 3700 of the Labor Code, I shall o with comply withtho provisions. _ Date � nv,of S' ature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 101.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the Butte County Code and/or indicated above for which fees have By Ua,-,/' PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. cq Date Q Dee Receipt No. 22 7, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I v - RESIDENTIAL �'`W22-24-96 ��T�`p1440-91B,E ` DAHL, Mike 1Y84 Grace Ave, Gridley Cont: Bob Fichter (room for hot tub/sf) f L5 41 9 JOB FINALE Signature '1 .i N, Jt)� {{jl lL; JOB FINALE Signature '1 v=OK O=Not OK = Not Applicable,., WIBILE W(IRAES - Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Date 3. Sewer; Location -Test -Fall -C/O Concrete Date 4. Water; Location -Test -Easement Needed (Sketch) Date 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete Date 6. Gas; Location -Test -Wrap: / P L" ft. / P'Nat. or/ PVft./ /"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 Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MW J `tA MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-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 r 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 NL Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 NL ✓=OK O=Not OXY =It Applicable NoRead Not Ready RESIDENTIAL (Single & Duplex) ' =No - Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1 ts- onin -Setbacks-EasemenFlo SI ( g od - ope 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7.,,%Kab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors F-1 1. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Dat Card B- Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. _ 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector -1 Date � C 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 insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B- Date Card B-1 Date Card B-1 Date Card B-1 Date FIN Plans OK except #'s 1. Ext. Steps -Door & Sidelight Protection-Landings --6e-3m0'I6e_Detector 63. Fu ace; Vents -Clearance -Comb. Air -Connector - n Garage; Above Floor-Ducts-Mech. Protection edroom Exiting 6 .O.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door-Draia e & -Earth Clearance Looked under Floor Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Through ut House 7 Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Dat Card B- Date Card B-1 Dat Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE Cr i 1 L✓ rgLlD -�l OWNER PERMIT NO. ' A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have anyestion pertaining to this matter, or need additional explanation, plea�SexGonta this office immediately. dV��1 �l r tr: t k. �r 4 a1 ,S ih t :i I Date ��� Inspector�'Y . 11 1 r .. 1... #, .. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPL'IG�"iI�DN AND PERMIT A55E3SOR PARCEL NUMBER 22-24-96 ZONING _ BUILDING PERMIT OWNER Mike Dahl TELEPHONE SO, FT. OCC, BUILDING VA ATI • N 1116 M NER'S MAILING ADDRESS Grace Avenue Gridley 95948 CONTRACTOR'S NAME Bob Fichter TELEPHONE 846-6611 CONTRACTOR'S MAILING ADDRESS 590 Hazel St., Gridley Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ '18 50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 199.5 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS -+6ft Grace AvenueGridley Permit fee $ A-7 7q PLUMBING PERMIT Filing Fee 10.00 %%Xy 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)M Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 0.00ea TYPE OF WORK New ❑ Additionn Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: new room for hot tub Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess io s Code and my license is in full force and effect. 737G License No. Classification.__ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCInai DR ACDNS. ACC. BLDGS. 1 JU /z¢sgft 3.40 NEW RESID, U TI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS tl (SINGLE OUTLET CIR. / EX. Occup\OUTLETS OR FIXTURES 20050 eAL950 FIXED Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 Permit Fee $ 13.40 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue sa' Count in��� c. the granting of this permit. c X againstSS ✓l��'"-` Date � ` i' �j� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE 81.1 TOTAL F$ 5 HAz. cuA scHL F PAR I H , I5 This permit is hereby issued unoer the sions of the Butte County.Code and/or work indicated above for which fees DIRECTOR OF UBLIC By applicable provi- resolutions to do have been paid. WORKS e S:1 7-9G/ Receipt NO. 93601-81.15 WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT PER EXPIRES Date-- 1, 1_. r _ .. T1' .- r .Y.. ., n e ..� ._ -.. --,tiw ..j .. ,.rir.y. f"Ct k�f+`s ..: kiwrw.-,�,.. . •�a. COUNTY OF BUTTE - DEPARTMENTygF PUBLIC WORKS - BUILDING DIVISION �• 7 COUNTY CENTER DRIVE - (TAMI 7•E CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION_ DATA SHEET Permit No. / /7- KOV.N.ER / • ,,, A. P. No. Proposed Building Use 4"M 66S 4Of"T6PBuilding Inspector b Date � At time of permit application, I was advised the following .`data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........... .... .... ........ 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ............... )� 6. Energy Design Compliance and supporting documentation ......... T—Statement of Intent for Non -Heated and AC Buildings ' 1?Ifs � ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions...................................................... . 10. Fees of $ 11. Chico Urban Area fees! paid ............ ....................... . 12. Park fees paid ........................ .............................. 13. School District fees paid .............. <L.. Sanitation approval from Health Department 6-9- 9'10 � 9 15City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A)Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date). 21. Contractor's license information .(No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... + Le er of si ature uth ri do ....... ......................... . 27. When you issue the Dermit, process as follows: Mail to ner. Mail to contractor. t� Telephone �y "�� and hold for pickup at ofifice. Deliver w/inspector. Other A p p I i c a n t .�c.�s.— �,. ;Date Copy of Haz-Mat form sent "Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner;,Was?6dvlsed of above required data by—phone---Mail Contractor, designer, owner, was advised of above required data by—phone—mall PI Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet __..LAP folder Ater by ..date nter by date Date TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Y'-, 0 1- �-7 x 9 S� c, c - -- Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply ^incl clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other SQIA NOTE Sanitari n Date ,i PERMIT N0. 3288-76 B,P,E PERMIT EXPIRES r;. OWNER Michael Dahl ' CONTR. owner LOCATION (A -.P. 22'24-96 ) e/s Grace Ave. approx., 4/10 mi. N. of �Gridley-Colusa Hwy..,Gridley G . k x Temp. Power Pole Called PG&E, Temp. Elec. Serv. Called PG&E T mp. Gas Serv. Called PG&E t �C JOB FINALED � (Date) / (Si Nature) s COUNTY OF -BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD UILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor 77 Main Bldg. Restroom Finish 2nd Floor .Footings Windowsa , 3rd Floor Stemwall Sidi n `� To out /_ Slab Roof Sheathing Water Pi in v' Piers / Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents. Insulation Water Htr.`- Heaters , Slab ' Carport Footings Prov. for physically handica ed X Conformance of ex. structure i Appliances Gas Piping &Test / Temp. Gas Slab Final Sanitation Patio FIREPLACE Final i Footings Foatin LECTRICAL Masonry Walls Throat �` / �� Rou h Reinf. Steel Final Fixtures Bond Beam i� nil FIRE SPRINKLERS I Motors '%I% Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating �% ri' / /, Service Brown Cooling_'I' Temp. Pole Finish i . /_ _ Ducts ' ;�� Underground (�� r/ Interior Lath rii VentilationPermanent., Door Closer Final �, �' Final DATE _ REMARKS OR CORRECTIONS �✓� .z (NOTE: An entry must be made on this form each time you visit the job site.) 1" `r P COUNTY OF BUTTE —K. DEPARTMENT OF PUBLIC WORKS 7 County Center, Drive •— 111110roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT out race representatives or the County or Butte to enter upon the This permit is hereby issued under the applicable provisions of above- property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. Date DIRECTOR 0 P BLIC WORKS Signature of Permitee or Agent 7-1 3-24 j g9�p BY Date Receipt No. / d O White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Ulldinga permit expires Date BUILDING OwnerLe SQ. FT. OCC. BUILDING VALUATION O Mailing Address r By V 'L (, Telephone No. Fireplace o, OO Contractor Total Valuation0. d y Mailing Address /V a Permit Fee M 06 Plan Checking Fee &/or Penalty -.1 Telephone No. Permit Fee .00 QC Building Address G)-,* C_ e AVS gppi'Bte. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,60 L Each Trap 2, 1.50 , ,o W Repair drainage or vent piping 1.50 Water piping 1.50 o �i✓1 -Each gas water heater or vent 1.50 A. P. No. z .e Zoning & Planning Gas piping system 1 - 5 outlets 1.50 p Each additional outlet .30 F Sa on ire Dept. Fire Zone Use Permit Building sewer 5.00 EGA Parking Parcel60' Plans Declaration Parcel Ma R/W Im roveme is P 0 Lawn sprinkler system 2. :0:0:: Bldg Parcel Approval Plans proval Permit Fee $ .DO 00 NEW ❑ ADDITION UTILITIES ❑. OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 A H1 L ooFt �i> K adv pooA+ , ,J B00V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ OVR 600V Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L 1000 AMP 1.00 OR ADDNSNEW T (ACCLBLDGS•LING C//(pp�&) 2¢sgft 35 ' NEW CONSTR. MULTI.OUTLET NON.RESID• ( BRANCH CIRCUITS) 2.50ea NEW CONST R. POWER APPARATUS & NON.RESI D. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 104 Ex. OCCU FIXED APP LNS. OR P•(0.UTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 71 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ a 613 as 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. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 19 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 Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE oZ3 out race representatives or the County or Butte to enter upon the This permit is hereby issued under the applicable provisions of above- property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. Date DIRECTOR 0 P BLIC WORKS Signature of Permitee or Agent 7-1 3-24 j g9�p BY Date Receipt No. / d O White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Ulldinga permit expires Date J g . . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center,Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. /; X Dat (/ AZ Signature of Permitee or Agent Receipt No. Z(12 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. By�IR TOR OF PUBLIC WORKS �1 Date I-irS P9 -permit expire Date 6W, 3Z���-7� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address •�Ae Tele one Fireplace Contractor oo 46 ole Total Valuation Mailing Address ooe Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 /� u/ , Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ' / Each gas water heater or vent 1.50 A. P. o. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s SaA44&&iefr FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 B1a�.,R I n -R—=d I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER';K ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 /♦ '� main 1001 OR LESS n service 100 AMP OR LESS 5.00 Main service EA, ADD -L 100 AMP 2.50 Main service OVER 1001 100 AMP OR LESS 25.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST.DWELING OR ADDNS. \ ACCLBLDGSCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON-RESID, (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BA@L@1 FIXED APPLNSOREx. OCCUP•OUTLET(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 $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. / ® 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 Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 6 Heating S Cooling Ventilation Hood 2.00 Permit Fee $ / $ L I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. /; X Dat (/ AZ Signature of Permitee or Agent Receipt No. Z(12 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. By�IR TOR OF PUBLIC WORKS �1 Date I-irS P9 -permit expire Date 6W, 3Z���-7� J COUNTY OF-BUTfE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 tel ephone: 534-4541 APPLICATION AND 'PERMIT 1-7 / -7 Ali � % BUILDING Owner 1.1,4E L nd N L f-11 T SQ. FT.. OCC. BUILDING VALUATION Mailing Address © (oa Fireplace Contractor ^/� �% Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address�,�- , VIOLeve—� V � ' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 n /y oo& C7 e Each Trap 1.50 tJV' • Repair drainage or vent piping 1.50 Water piping 1.50 / ®L Each gas water heater or vent 1.50 `, p /2 A. P. �� —.Z ,^ / 6 r Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 WeiFire Depjl=ire Zone Use Permit Building sewer 5.00 EQAParking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 13l*7.—P+--Rec'd -Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR0V OR SLESS 5.00 s Main service EA. ADD'L 100 AMP 2.50 .0 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V I 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ' NEW CONST,DWELING OR ADDNS. ( ACCLBLDGS•CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID. (BRANCH CIRCUITS) 2.50ea ' NEW CONSTR POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@L@1 BALIai Ex. OCCU FIXED APPLNS. OR P• ( 2.00 OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 a? I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ WI have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. JizI 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 TOTAL PERMIT FEE $ auuwrlce representatives of the County of Butte to enter upon the above-mentioned property for inspe tion purposes. X ` Date' - if Signature of Pe``rmitee or Agent Receipt No. 4 '3 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 UBLIC WORKS l By � �''v'�r � Date 4.��0� R g permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive — Oroville,'Californta 95965 . Telephone: 534-4541 APPLICATION AND PERMIT auuwllcc IcNlcaantauvca UI Lilt: t_.Uunty UI Duuc to enter upun the above-mentioned property for inspection purposes. / e i ! I X f Date r / Signature of Permitee or Agent Receipt No. I I fl 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 J14 1 i/ ' -] - By f s� Date c' Building permit expires Date BUILDING Owner y L J �. l �'; 1 i+_ SQ. FT. OCC. BUILDING VALUATION Mailing Address7 1:,d J r Telephone No..^� Fireplace Contractor r"� +.,� / C7 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address C' /j ��: CE f� far PLUMBING No. @ FEE PERMIT FILING FEE $3.00 CC' L U J<.• Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ,/1 ("r /L I n L I. Each gas water heater or vent 1.50 rf `� ✓_ �� A. P. No.,.�,. Y r Zoning $, Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C- •-Sanitation' Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans•Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �✓ J17A f {4�t' A ri7 i;'�.v� 600V OR LESS Main service 100 AMP OR LESS 5•0� 7 (, Main Service EA. ADD'L 100 AMP 2.50O �! l Main service 100EAMP0OR LESS 25.00 Single Family Q Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 ' NEW CONS. DWELING OR ADDNST ( ACCLBLDGS,CCUP. &) 20.sgft NEW CONSTR. MULTI -OUTLET NON-RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le of: y c Ex. Occup(OUTLETS OR FIXTURES) 50@25 100 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 $ / 0 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. 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 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 TOTAL PERMIT FEE $ f C auuwllcc IcNlcaantauvca UI Lilt: t_.Uunty UI Duuc to enter upun the above-mentioned property for inspection purposes. / e i ! I X f Date r / Signature of Permitee or Agent Receipt No. I I fl 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 J14 1 i/ ' -] - By f s� Date c' Building permit expires Date �! b ^fit 0,, 0 . Ion,,.. M j. lit! I I-PlINI M11 11 OPP 7 AIN - `7, ',fi f 'v - I to 194 PR 0 o Itl 1'111111�11lt 92 -1 1 N"T P, Ifo r youve 41 e Oo k < id of" oo,�o At -01, �,Oz' 9. z 119 AV *si Co ow 'O's ON I NIM! N&I I J ukul -L 'IT h J11 I kl- 1" ILI ]IL11 oo. 0 7A ix NP! -7 �7 TD % �4 i /v, �x "NIM, je; "W -�j T 13 -V, iq -T !41111" 0 - Owl' US ir '77 -1 IT "T Ilk' 77 �4' 7J17 Bu j ',MUST, '4 p p "PT n rations an 4L wrl n 00 , tram, r h6 6041 1 7' 'I, W ft 4 .h �f1 i � � :. 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