HomeMy WebLinkAbout022-240-11622-24-116
Louis Roggow
SIS Justeson ve., 390'E.of Grace Ave,
Gridley . ••,�y�/��
contr: Burl Woodward, Gridley -
Perak #311-78B(reroof/SF)
22-24-116
Cont: Custom Exterior Inc. ffAAA
'Permit #1225-87B(siding/SF)�a$
022-240-1 I6;; .» PERMIT#97' 0754
CHESSON;"•Jay ; s,..
717 Justeson' Rd. ,,,° Gridley,
Cont: Bi -County -Pools �1y1
'New 'Pri Swimming_'Pool
z
022-240-116 02-21@N1
FORDS, STEVE, -717JUSTESON, GRIDLEY'
RE-ROOFr
ROGGOU, Louis- `y"'196 -72B
170-72P"
-16 - E
s/s Justeson Ave.. 4501 E. of .Grace. ve.,Gri
CONTR: Joe Wright,P.O. fox 674,Gridley
(new single family) � , -_ i:� -�2
I
� L -P
v
022-240-116 02-2115
FORDS, STEVE
717JUSTESON, GRIDLEY, -
RE -ROOF
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` - %
r 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 _ PFR,I� NO
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
022-740-11 G
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
25 1500
OWNERS MAILING Abi.9am
717 JIMESW CRT=, CA 9.5948
CONTRACTOR'S NAME TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex ❑ Mobilehome ❑ Other
SPECIIFv
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 Il.
Describe Work: REGROW
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 Fling Fee 20.00
a00OR UE
Main Service 2001 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.POWER
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.
QKI, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
/of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X f"-���—� Date �J 0�
Sigrrdture of Applicant - O Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP, SO
OR ADDNS. ( & ACC. BLDS. 3.511 FT.
T 97,50
NON-RESID. MULTI.O CIRCUITS
APPARATUS
a sINGLE OvrLEr cIR.
20 @ 1'50
Ex. Occup. OUTLET OR FIXTURES BAL @ .so
Ex. Occup. DFIx�eED�A RM DRQ 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $3L)) 55. 00
HAZ.
D. FEES
IMP FLOOD COF PARCEL PD HD
ISSUy
Y�
This permit is hereby issued under the applicable provisions
of th' utte Qounty Code and/or Resolutions to do work
indicate above'f r which fees have been paid.
�j� t /
B C � D t
Y
PERMIT EXPIRES ON �
ale'
Receipt No. � -/'�
WHITE-D.D.S.-B.D. CANARY-ASSESSORPINK-INSPECTOR GOLDENROD -APPLICANT
<f
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 07.,-
'� � fprMIT NO
(Rev. 12/96) APPLICATION AND PERMIT (� — i s
ASSESSOR PARCEL NUMBER
022-240-116
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
521-4040
SO, FT, OCC. BUILDING VALUATION
25 1500
.OWNER'S MAILING DRESS
717 JIJ-,US0N, QIDIZY, CA 95948
CONTRACTOR'S NAME
OWNTR
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
$
PERMIT FEE $
IAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF J0 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap J
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 EA
Describe Work: RE—ROOF
Gas piping system 1 - 5 outlets
15.00
sewer
15.00
—Building
Mobile Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ZDDA 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.POWER
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.
17 I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
�(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
�y
X C Date 7-y ' G �C�Z
Si ure of Applicant - ET Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service TO
46. 00
WEE200A
CCU000A
NEW CONST. DWELLING OCCUP. SO
so
OR ADDNS. ( a ACC. BLOS. 3.5¢FT;
=RESIDT. MULTI -OUTLET 97,50
APPARATUS
8 SINGLE OUTLET CI R.
EX. Occup. OUTLET OR FDCTURES
.00
BAL Q I. 0
Ex. Occu . GLIT,EF°,S REESSIp.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ. p, FEES IMP FLooD COF PARCEL PD HD
65
This permit is hereby issued under the applicable provisions
of th utte my Coe and/or Resolutions to do work
Indic to a ve f 1 fees have been paid.
By D
PERMIT EXPIRES ON
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSES PINK -INSPECTOR GOLDENROD -APPLICANT
II
4�-
RESIDENTIAL
022-240-116 PERMIT#97-0754
CHESSON, Jay
717 Justeson Rd., Gridley
Cont: Bi -County Pools
New Pri Swimming Pool
zl
A/
4.
JOB FINALED (Date)
Signature
V=OK -
O = Not OK
`=Nott ReadApply MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water. Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete ;
6. Gas; Location-TestAftap; / J'Uft.
/ /Nat. or/ /"L"ft./ /LPG •
7. Well Clearance & Disconnect
8. 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. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Can of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
,t
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts,Beams-Rftrs.-Connectors
Shthg: Rfg.-Bracing
S. 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 y
10. Roof; Shthg-Roofing
a
11. Ext.; Steps -Doors -Landings
f`
Date Card B-1 Date Card B-1
Date Car 1 Date Card B-1
Date POOL la K except #'s
ecks-Easements
oils mpaction-Structure Stability
&I Structure; Steel -Connections -Thickness
Dead Men -Lining
LA-Elec.; Receptacles and Lighting, Distance-GFI
5., Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
,_,, <lec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec'; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
umb.; Cir. Test -Water Supply Test
Date ' q Card B-1 Date Card B-1
Date(_, - %'_% Card B-1 Date Card B-1
=
OK
0 = Not No OK RESIDENTIAL (Single & Duplex)
= Not Applicable
. =
Not Ready
FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
Date
47.
UNDERFLOOR (Plans) OK except #'s
1.
Zoning-Setbacks-Easments-Flood-Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
3.
Ftg. Garage; Soils-Steel-Elec. Grnd/ PFtg. Depth
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
4.
Ftg. Porches & Decks; Soils -Steel-/ PFtg. Depth
Garage Fire Protection Framing
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
6a.
Hold Downs and Special Anchors
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
7.
Slab, Steel -Wrapped
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
8.
Piers -Fireplace Ftg.-Steel
Siding -Nailing Veneer
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
_
10.
OF Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Glazing Area -Glass Protection -Skylights -Plastic
11.
Water Pipe; Test -Anchors -Regulator -Service Test
_ o
12.
Electric Underground
Brace Wall Panels
13.
Pienums & Ducts; Clearance-Mater:al-Support-Ins.
Insulation -Walls -Ceilings -
14.
Girders -Sills -Anchor Bolts -Joists Vents-Crippies
I nfiltra tion-Wa Ils-W indows
15.
Access & Ventilation
16.
Insulation
Card B-1 Date Card B-1
Date
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card E-1
Date
PLUMBING (Permit) OK except #'s
Smoke Detector
17. Water Htr.; Vent -Access -Combustion Air Baffle
65.
18.
Water Pipe; Test & Anchor -Nail Protection
66.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
67.
20.
Shower Pan; Test, First Floor -Tub Access
68.
21.
Test Tub & Shower, Second Floor -Tub Access
69.
22.
Gas Pipe; Sixe & Anchors
70.
Fireplace or Stove, Clearance -Hearth
Date
Elec. Outlets at Wood Panel, Int. & Ext.
Card B-1 Date Card B-1
Date
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
Card B-1 Date Card B-1
Date
Elec. Outlets & Recepticales at Kit. Counter
ELECTRICAL (Permit) OK except #'s
74.
23.
Fixture & Transformer Clearance -Ins. Protection
75.
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
76.
25.
Size Boxes & No. of Conductors Stapled
77.
26.
Romex Installed Close to Edge of Studs & C.J.
78.
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
79.
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
80.
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
81.
30.
Rancie Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral 0 Yes_ 0 No.
82.
31.
Service -Riser Conductors & Ground -Main Disconect
83.
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
84.
33.
Clothes Closet Light -Shower Light -Spa Light _
85.
34.
Smoke Detector
Date
Water Well, Disconnect, Electrical, Plumbing
Card B-1 Date Card B-1
Date
Exterior Elec. Trim, G.F.I. Receptacle -Underground
Card B-1 •, Date Card B-1
Date
Ventilation Throught House i
MECHANICAL (Permit) OK except #'s
89.
35.
A.C. Ducts Insulation & Support
90.
36.
Vent Fan, Exhaust above insulation
91.
37.
Condensate Drain & Overflow, Size & Grade
92.
38.
Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet
93.
39.
Attic Access & Platform if Furnace in Attic 1
t
Date
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
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
I
Date
46.
FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rffr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng.
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 Hgt. & 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 Wall Panels
61.
Insulation -Walls -Ceilings -
62.
I nfiltra tion-Wa Ils-W indows
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-Conector-
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 & Recepticales 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 (G.FI.)-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 0 Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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 Throught House i
89.
Glass Protection t-
90.
Corrections from Previous Inspections i
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
BUILDING DIVISION
r. DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307 1
CORRECTION NOTICE
3..
Fq,:
�s
A routine inspection indicates that the following violations of Butte County Ordinances exist at §
car' a the above address and should be corrected. Please notify this office when correction of work
65t is completed. If you have any questions pertaining to this matter, or need additional explanation,
' please o act this office immediately.
'041 a
t t
liw
D2te%In
uv
T
„a REV 10/92
r•-1
i
n
D2te%In
uv
T
„a REV 10/92
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUI ING DIVISION
7 County Center Drive - Oroville, Cilifornia'95965 - Telephone (9 4) 538-7541 PE MIT o.
(Rev. 12/96) APPLICATION AND PERMIT 27�iw
ASfT_AfL4dUMTl6
ZONI
BUILDING PERMIT
OWNER
JAY CHESSON
TELEP ONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
717 JUSTESON RD., GRIDLEY CA 95948
CONTR
12,000
CONTRACTOR'S NAME
BI -COUNTY POOLS
TELEPHONE '
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
NONE
LENDER'S MAILING ADDRESS
'
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 135.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
717 JUSTESON RD., GRIDLEY
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 178.00
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other POOL
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New)a Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: MASTER #507-94
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home 1. s I G I W
920.00
PERMIT FEE
$ 50.00
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2aonoa�ss
1 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.
r1 �/ •-•�
License Class `J ?j Lic. No. � � d�
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700,of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' ;Von i erance c er and policy number are:
Carrier
Main Service 200A TO I000A
46.00NEW
CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLDs.
So
3.50FT:
NEW CONST. MULTI -OUTLET
NON-RESID. CI I
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00OWNER-BUILDER
BAL_ p .so
Ex. Occup. DFIxUTLE�°TS q�ooR�
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
15.00
PERMIT FEE
$ 35.00
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
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
ith comp with kose provisions.
_ _ Date
pplicant - ❑ Owner ❑ Contractor ❑ Agent
kA 9WHA mit 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 $ 263.00
HA2.
D. FEES IMP
FLOOD
r
CDF
PARCEL
pD
HD
IS
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By i
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
/ T /j y
to `T r
�3
(Date)
Receipt No. 218860
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
., 1�:'I'"✓��yl^(.}".:.•,y.�"+tl.t•ti..S..�i�.�'�4? »M'�r•�iw;Y"� ,.'��"�.F�'iy jl ����i-•r,�'s.)r.YM:%t�.r•..a��..�.,r:.,,. •n.; •.:.. ,
,yam ` • AT
COUNTY OF BUTTE DEPARTMENT OF DEY46PPMENT SERVICES - .
x 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHO
PERMIT APPLICATION DATA SIIEE
OWNER: ' ASSESSOR PARCEL ER:0
O` "
Proposed Building Use: T ` Building Inspector: Date:
At time of permit applic tion, I was advised the following data must be su mitted prior to permit
I
_1 , ~. s' r
VILDING DIVISION
16)538-7541
❑ 1. All items have been submitted --------------------------------------------------------------------------------------
02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑3. Complete plans, 3/4 sets, signed by the preparer of plans. '-----------------------------------------------------
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑ 6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
r
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
C1 8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications -------------------
C110. Fees of $ l -------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -----------------------------------------------------------------
❑ 12. California Department of Forestry plan approval/fees.-------------------;-------------------------------------
a
eanitation
lood elevation certificate. ----------------
and plot plan approval l Health Department. ------------------------------------
❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking: --------------- ____
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.-----------------
1119.
----------------
❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------
1120. Pre -inspection for required Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification). -----------------------------
—1/
sting and/or issuance:
Date Received By
(Date):
T
a
❑22. Workers' Compensation carrier and policy number. -----------------------------------------------------------
❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - --------------------------------------
024. Letter of signature authorization. ------------------------------------------=--------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
026. Letter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑28. Existing violations and/or expired permits. --------------------------------------- ---------------- ---------------
❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . ---------------
030. Other:-------
Wh
eyou issue the permit, process as foll ❑ it to owner, ❑Mail to c ntractor.
`713— 13 `f' an old for to
at � I office. ❑ Deliver th inspector.
13 Applican:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ olluti Date:_ By:
Copy of plans sent ❑ Health Department, 13 Fire Department, ❑Other: Date By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
= f Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑. Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divi 'op counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
E
• -� E.H. USE ONLY
rr ? Plot Plan Attached
Floor Plan Attached
+ Sent to B.D. Y 5 /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal Water SuppllW
Clearance for nreNiflg: Other c�� )i✓Yt /dia PC
Hold final for:
Final clearance O.K. for:
(VOTE:
Environmental Health Spe
8/96
list
Public Private Well
r-'2<C-�2
Date
APR -16-97 THU 09:36 AM BI -COUNTY POOLS 916+674+0412 P.01
r
BI -COUNTY POOLS
675 SUTTER STREET
YUBA CITY, CA 95991
( 916 ) 674-0405
ro
FROM: c%1�Ss 1J7�-
ATTN=->e[it 2 //'q
FAX # 5 3f -
COMMENTS 'COMMENTS
TOTAL PAGES
APR -16-97 THU 09:37 AM BI -COUNTY POOLS
L
916+674+0412 P.02
BI -COUNTY POOLS CONSTRUCTION, INC.
L.IC# 720512
675 SUTTER STREET - YUBA CITY. CA 95991
(916.)'674-0405 ( 800) 422-0405
APRIL, 16, 1997.
ATTN GEORGE KELL OG
BUTTE COUNTY BUILDING DIVISION
Mr. Kellog
This is in refrence to the property where I am constructing
�a new pool. At 717 Justeson in Gridley, CA, The slop at
the job site is flat., sandy loam, and no high ground watmr. .
I hope this is what you need. If you have any questions
contact me.
Than YOU
J Y Chesson
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oe with k?-�."9"--" 3. (3,00d Y'x'acti.^,ea 2.nd
.Ficuorcian � t -r the S ecLf7.Qd t1Fe
of , tY-prese-ribed fu_ ,h P use
the 'Uniform Bi)Odding, F1j1 nbing
REORDER FROM CALIFORNIA SURVEYING 6 DRAFTING SUPPLY 1-800-243-1414
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ALL Ern: tlCTURES
AND e
OVERHAOS SHALL Be C
LEA
A SET BACK OF
o M`- �4S FR/C
--__. FT FRO EIDE
-- FT.-FROUj THE REAR. Fid THE EIDE ANN
F= T. FROTIEM R PROPERT7 LINES
CSR OF SCENT ITR
STRUCTURES ANDERLN SHALIEOR A CUIpMj:t�tAeXC.
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BUILDER NOT RESPOf iBLE R CONCRETE, SHRUB-
BERY AND / OR UNDtOROUND OBSTRUCTIONS IN
ACCESS
THE UNDERSIGNED APPROVES THIS WORKING PLAN
AND ACKNOWLEDGES RECEIPT OF A COPY:
A BI -COUNTY POOLD SIGNED ESPECIALLY FOR
GUE SALESMAN
HOME BUSINESS �(
DRAWN 67=1&a-J����� CHECKED BT-1��
BI -COUNTY POOLS
675 Sutter Street
Yuba City, CA 95991
916-674-0405
Contractors License
555564
POOL SPECIFICATIONS
SIZE _ x _ PERIMETER _ AREA _ sq. ft.
yy �DE,PTH __TO - VOLUME GALS.
j TRUCTION SPECIFICATIONS
$'t
At1<A*ALLOW/DEEP SWIMOUT_ x
9
12%,T_ x- WALKOUT- x
MRON (COPING/CANTILEVER)
FE WN BY UP BY
HOURS OF GRADING LOADS TO DUMP
STUMPS LEAVE/HAUL CONCRETE: REMOVE _ sq. ft.
STEEL/GUNITE/TILE/PLASTER (VORTEX/ANTI-VORTEX).
RAISED BOND BEAM _ FT. x _ height
RAISED BOND BEAM _ FT. x _ height
DECK TIES TILE
COLOR OF PLASTER
CAP FOR BOND BEAM
CAP FOR RAISED BOND BEAM
SPA _ x _ LENGTH OF DAM
CAP FOR DAM SPILLWAY
PLUMBING SPECIFICATIONS
POOL: NO. OF RETURNS _ MAIN DRAIN SIZE
SIZE OF SUCTION LINE FROM SKIMMER
SLIDE _ FILL LINE _ FOUNTAIN LINE _ ft.
SOLAR HEAT 'T's _ POOL CLEANER
REVERSE FLOW PLMG. _ DIV. BRD. _ PRONG JIG
SPA MAIN DRAIN SIZE _ NO. OF JETS
LIGHT _ RETURN _ VALVE TYPE
NOTE: ALL AIR LINES PLUMBED BACK TO EQUIP. (I")
UTILITIES
ELECTRIC BY
GAS BY
POOL DECKING (CANTILEVER _ )
SQ. FT. TYPE FINISH
FOOTINGS _ x _ x _ MASTIC
DIVIDERS: TYPE DRAINS `•
'RISERS ft.
P vL EbUIPMENT
JFILTER: TYPE SIZE
PUMP: TYPE SIZE HP
HEATER: TYPE SIZE 0008TU
BLOWER: TYPE SIZE AMPS
POOL CLEANER TYPE
SEPARATION TANK
POOL ACCESSORIES
LIGHTS: POOL _ SPA _ LENSE KIT
BOARD _ BOARD STANDARDS
SLIDE STRT./LC/RC COLOR
GRAB RAILS/STEPS _ LADDER _ HANDRAIL _
POOL CLEANER TYPE
VACUUM HEAD'AND _ FEET OF HOSE
MAINTENANCE KIT AND POLE
MAP BOOK PAGE:
TRACT NUMBER: LOT NUMBER:
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`�ak'o h t'h ' l,�S
�$r�y h b at. sriB
toall
JX �/i r Cojo� or meter azld ij
b° oalit
ALL Ern: tlCTURES
AND e
OVERHAOS SHALL Be C
LEA
A SET BACK OF
o M`- �4S FR/C
--__. FT FRO EIDE
-- FT.-FROUj THE REAR. Fid THE EIDE ANN
F= T. FROTIEM R PROPERT7 LINES
CSR OF SCENT ITR
STRUCTURES ANDERLN SHALIEOR A CUIpMj:t�tAeXC.
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y0o
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a
BUILDER NOT RESPOf iBLE R CONCRETE, SHRUB-
BERY AND / OR UNDtOROUND OBSTRUCTIONS IN
ACCESS
THE UNDERSIGNED APPROVES THIS WORKING PLAN
AND ACKNOWLEDGES RECEIPT OF A COPY:
A BI -COUNTY POOLD SIGNED ESPECIALLY FOR
GUE SALESMAN
HOME BUSINESS �(
DRAWN 67=1&a-J����� CHECKED BT-1��
BI -COUNTY POOLS
675 Sutter Street
Yuba City, CA 95991
916-674-0405
Contractors License
555564
POOL SPECIFICATIONS
SIZE _ x _ PERIMETER _ AREA _ sq. ft.
yy �DE,PTH __TO - VOLUME GALS.
j TRUCTION SPECIFICATIONS
$'t
At1<A*ALLOW/DEEP SWIMOUT_ x
9
12%,T_ x- WALKOUT- x
MRON (COPING/CANTILEVER)
FE WN BY UP BY
HOURS OF GRADING LOADS TO DUMP
STUMPS LEAVE/HAUL CONCRETE: REMOVE _ sq. ft.
STEEL/GUNITE/TILE/PLASTER (VORTEX/ANTI-VORTEX).
RAISED BOND BEAM _ FT. x _ height
RAISED BOND BEAM _ FT. x _ height
DECK TIES TILE
COLOR OF PLASTER
CAP FOR BOND BEAM
CAP FOR RAISED BOND BEAM
SPA _ x _ LENGTH OF DAM
CAP FOR DAM SPILLWAY
PLUMBING SPECIFICATIONS
POOL: NO. OF RETURNS _ MAIN DRAIN SIZE
SIZE OF SUCTION LINE FROM SKIMMER
SLIDE _ FILL LINE _ FOUNTAIN LINE _ ft.
SOLAR HEAT 'T's _ POOL CLEANER
REVERSE FLOW PLMG. _ DIV. BRD. _ PRONG JIG
SPA MAIN DRAIN SIZE _ NO. OF JETS
LIGHT _ RETURN _ VALVE TYPE
NOTE: ALL AIR LINES PLUMBED BACK TO EQUIP. (I")
UTILITIES
ELECTRIC BY
GAS BY
POOL DECKING (CANTILEVER _ )
SQ. FT. TYPE FINISH
FOOTINGS _ x _ x _ MASTIC
DIVIDERS: TYPE DRAINS `•
'RISERS ft.
P vL EbUIPMENT
JFILTER: TYPE SIZE
PUMP: TYPE SIZE HP
HEATER: TYPE SIZE 0008TU
BLOWER: TYPE SIZE AMPS
POOL CLEANER TYPE
SEPARATION TANK
POOL ACCESSORIES
LIGHTS: POOL _ SPA _ LENSE KIT
BOARD _ BOARD STANDARDS
SLIDE STRT./LC/RC COLOR
GRAB RAILS/STEPS _ LADDER _ HANDRAIL _
POOL CLEANER TYPE
VACUUM HEAD'AND _ FEET OF HOSE
MAINTENANCE KIT AND POLE
MAP BOOK PAGE:
TRACT NUMBER: LOT NUMBER:
o ��
IF 1
--��. 1225-87B
LOUIS ROGGOW
717 Justeson
Gt..idley
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT Aft
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities [IInstallation❑ Other Q
Describe work: / + V/
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. 1177 / el Classification $, /.• 1 k'
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
Permit Fee $
Contractor
Permit Fee
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
Main service EA. ADD'L 100 AMP
OWNER'S MAILING ADDRESS
/ ,J ,-
CONT ACCT R'SNAME, /
TELEPHONE
2.50 ea
/ POWER APPARATUS 6 /
1 SINGLE OUTLET CIR.
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
s$
Filing Fee 10.00
LENDER'S MAILING ADDRESS
Permit Fee $ ; - •-.
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $
PLUMBING PERMIT Filing Fee 10.00
71 1
Each Trap 2.00
Mobile Home Installation Fee
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 E2 Duplex❑ Mobilehome❑ Other
SPECT FY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S G W 10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities [IInstallation❑ Other Q
Describe work: / + V/
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. 1177 / el Classification $, /.• 1 k'
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
Permit Fee $
Contractor
Permit Fee
ELECTRICAL PERMIT
Filing Fee 1 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. I DWELLING OCCUP.hd
OR ADDNS. ACC. BLDGS.
/4sgft
NEW CONSTR.ULTI.OUTLET
NON-RESID BRANCH CIRCUITS
2.50 ea
/ POWER APPARATUS 6 /
1 SINGLE OUTLET CIR.
Heating
Ex. OCcu p OUTLETS OR FIXTURES
z0esoe
SAL@30
FIXED APPLNS.
Ex. Occup. OUTLETS (RESID )REA./
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
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.
Ventilation
for this reason
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
FiIingFee 10.00
❑ The permit is for $100.00 (valuation) or less.
Heating
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
Cooling
Hood
3.00
❑ 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.
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
$
Energy Inspection Fee
$
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
TOTAL PERMIT FEE
$
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments-, 'costs, and expenses which may in any way accrue
against said County in'consequ nce of the granting of this permit.
Z
%� -'r t`"'�" I ' Date /��
Srgnoture of Applicant — jOwner ❑ Contractor ❑ Agent ❑
OCcUP.
CONST.TYPC
I
IFLOOOIPARCFLI
PO
ND
590E
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been aid.
p
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
DIRECTOR OF PUBLIC
By
WORKS
Date
Receipt No. 1+ -; ! , r/
WHITE-D.P.W.. YELLOW-ASeESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PERMIT EXPIRES Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 9965 - Telephone 916/534-4541
APPLICATION AND VERMIT
PERMIT NO.
ASSESSY PARCEL NUMBER
- y-
ZONING
BUILDING BUILDING PERMIT
OTE14
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
-
-
C a -
Em
OW ER'S MAI NG KESS
/ S�ah C/'� ��� e
CONTR TR'S - AM ) L2 -I //
TEL 'HO
CONTRACTOR'S MAILING A DRESS
16 q
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ SO
PLUMBING PERMIT
Filing Fee 10.00
i
l U_ eSG
Each Trap
2,00
cr / /e
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 PJ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilitiies/❑ Installation❑ Other ®
Describe work: =6 /J7Gl 1 A F.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1001 OR AMP LESS
10.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Y 7,9 end Classification L 6 1 ff
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)
tW I, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.8d /,z(Csgft
OR ACDNS. (ACC. BLDGS.
NEW CONST R.U OUTLET 2.50 ea
NON.R ESID BRANCHCIRC ITS
POWER APPARATUS
(ekSINGLE OUTLET CIR. I
0@50t
Ex. Occup(OUTLETS OR FIXTURES eAL030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. byirin 9 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
Eq. -I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
1
Cooling
g
Hood
3,00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte againstOcc"P.
all liabillk judgmevc costs, and expenses which may in any way accrue
agains As i Co my i cgnsequ nce of the granting of this permit._ J07
Date 7'
SIV
IgnAure of Appli caner ElContractor❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
CONST*TYPEJ
I
IFLOODIPARCELI
PD
I ND
ss
This permit is hereby issued under
sions of the Butte County Code and/or
work—
work indicated above for which
DIRECTO F UBLIC
e
By.
PERMIT EXPIRE Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
9'--���
Receipt NO. 9'--
YELLOW-A38[3sOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT,.QF.PUBLIC WORKS - BUILDING DIVISION
- 7 COUNTY CENTER DRIVE - OROVILLE, CArFFbRNtA 95965 - TELEPHONE: 916/534-4541
: • ts,-
PERMIT APPLICATION, DATA SHEET
+' ice-_.. ' Permit No.
OWNER�alyl,5 A. P. No. 0ZZ —,2 5Z
Proposed Building Use S �-- --5/ V11116: Building Inspector Date `� /�
06%
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. Plans with Energy Design Compliance Statement. . . . . .
rM
6. CUSD "F-ees Paid" Stamp on Floor Plan
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.) I
.
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ),
_15. Improvements may be required. . . . . . . . . . . .
16. Mobi lehome Installation Data.
Pre-Insp... request to
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural•Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the permit, process'as follows: Mail to owner, 4.1 to contractor.
Telephone and hold for pickup at—off ice, Deliver w/inspector.
Other
Copy of plans sent
Health Dept., Fire Dept.,
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
Date)
mzj����N
Other
Date
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by—phone
Contractor, designer, owner, was advised of above required data by—phone
Plans checked
Sets of plans on hold in
Copy—DPW
Date Plans
File cabinet AP folder
i I _counter by date
11—counter by date
Date
— Flours: 10:00 a.m. - 3:00 p.m.
fi
PERMIT NO. 311-78B
PERMIT EXPIRES
OWNER Louis Roggow
CONTR. Burl Woodward, Gridley
LOCATION (A.P. 22-24-116
SIS Justeson Ave., 390'E.of Grace Ave.,
Gridley
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp/ Gas Serv.
VCalled PG&E
j B L
FONA ED
(Date)/(',
(Sig&ture)
r _ y
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUIL ING (Co ) LUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwalI
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footin s
Stemwal I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physicallyyAppliances
handicapped
Conformance of a
structure
Gas Pi in & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELE4TIJICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE PRI KLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MEC NICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES - ----------------
Elec. Service
Elec. Pedestal
Water Piping 3
Sewer
Gas Piping
MOSILEWOME INSTAL TI N - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT AA t/
�..r,......n wuva..a , a.v vvur.ay v. amu- tv UlIICI Upull LIIC
above -mento ed property for inspection purposes.
X r� �i ,aD f8
Signature of Per l e or Agent
Receipt No. 71,1
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
DIRECTOR OF/ PUBLIC WORKS
By
B tiding permit expires Date 7%
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address627
Permit Fee
Plan Checking Fee &/or Penalty
No.
20<
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
6
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. No. a- --�1 �j
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
Sa"448 ren- Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Im provements
Lawn sprinkler system 2.00
Bled-
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 1000 AMP OR0V OR LESS5.00
Main service EA. ADD'L too AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service 1100EAMP OR LESS 25.00
Main service/ EA. ADD•L 100 AMP 1.00
NEW CONS.OR ADDNST ( ACCLBLOGS.DWELING CCUP. 9 2¢sgft
,
NEW CONSTR. MULTI.OUTLET
NON.RESID, (BRANCH CIRCUITS 2.50ea
NEW CONSTR/POWER APPARATUS &
NON RES D. (SINGLE OUTLET CIR,
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Calif rnia Business & Professions Code under the name
le
style
50
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
FIXED APPLNS. OR
EX. QCCU p.(OED TS (RESID,) EA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
License Nol- 5 Z?? Classification
Misc. Wiring 6.25�,�
❑ 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.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
F]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
$
�..r,......n wuva..a , a.v vvur.ay v. amu- tv UlIICI Upull LIIC
above -mento ed property for inspection purposes.
X r� �i ,aD f8
Signature of Per l e or Agent
Receipt No. 71,1
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
DIRECTOR OF/ PUBLIC WORKS
By
B tiding permit expires Date 7%