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HomeMy WebLinkAbout022-240-12422-24-124 MAY DUNLAP FAILURE TO FINAL WOODBURNING STOVE 1609 Grace Road, Gridley 3/2/94(Aunt Minnie Variance, 7/22/83) a d, eSalU� /0`�� f 022-24-0-124 92-3607B FORD, . Jorge & Rosalie 1609 Grace, Gridley woodstove/sf 022-240-124 -PERMIT#94-3148 z FORD. JORGE &'ROSALIE 1609 GRACE RD.', GRIDLEY COMPLETE BP#92-3607 022-240-124 04-0991 MOSS, JON&TONI 1609 GRACE RD, BIGGS INALE� CONT: OWNER RE -ROOF 022-240_�1�24 {PERMIT#96-96AG FORD, Jorge & Rosalie "N f 1609 Grace Rd., Gridley AG EXEMPT PIItMIT#StR Tractor. & Feed WN 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.netkdds PERMIT NO. BP040991 v 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: 04/09/2004 APN: 022-240-124-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1609 GRACE RD BIG Date: Contractor: Map Index: Description: REROOF 17 SQ 8 WINDOWS 1 SLIDER p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: MOSS, JON & TONI ANN to its issuance, also requires the applicant for such permit to file a PO BOX 1006 signed statement that he or she is licensed pursuant to the provisions of GRIDLEY, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95948-1006 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: MOSS, JON & TONI ANN Code: The Contractors' State License Law does not apply to an , owner of property who builds or improves thereon, and who does PO BOX 1006 such work himself or herself or through his or her own employees, GRIDLEY, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95948-1006 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code _k EA _OLiOwner.�-,1h� Date: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy#: eV I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, I and agree that if I should become subject to the workers' C compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. —1 Off'' Date: Applicant:_^ �� fid 0\Sc +3.� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one - hundred thousand dollars ($100,000), in addition to the cost of O compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY and/or This permit is hereby issued under the applicable provisions of the Butte CZ7o I hereby affirm that there is a construction lending agency for the Resolutio t o work indicat d ove for hi fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Date: By:0 PERMIT EXPIRES ON: D to Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purp es�rv�� e Print Name: _MA (� l hr `pSS ` Signature: � _l 7 rv� do to I / {%�L�Z, Date: ` 6` ❑ Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor 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.netWds PERMIT NO. BP040991 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: 04/09/2004 APN: 022-240-124-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1609 GRACE RD BIG Date: Contractor: Map Index: Description: REROOF 17 SQ) 8 WINDOWS 1 SLIDER P OWNER-BUILDERDECLARATION I hereby affirm under penaltyenaltyoffperjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: MOSS, JON & TONI ANN to its issuance, also requires the applicant for such permit to file a PO BOX 1006 signed statement that he or she is licensed pursuant to the provisions of GRIDLEY, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95948-1006 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: MOSS, JON &TON) ANN Code: The Contractors' State License Law does not apply to an PP owner of property who builds or improves thereon, and who does PO BOX 1006 such work himself or herself or through his or her own employees, GRIDLEY, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95948-1006 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and ProfessionsCode Date: L1.� o – u,� A Vin Owner. aL� License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. O 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 !S? I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. —1 flc,) Date: ` , Applicant: �� C�0Y1�:� wn 0 /! '7� �� 6o WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of O compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Cod and/or I hereby affirm that there is a construction lending agency for the Reso bo worts indicat d ove for hi fees have been paic. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: PERMIT EXPIRES ON: D to Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. e dnnPrint Name:���j11(� l Y `�S� Signature:_ Date: LA ` - c -:>q 13 Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor ,-) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP D DATE:©�- , APN: O^^ _ �r ' �� ZONING: OWNER'S LAST NAME: 'M05 5 OWNER'S FIRST NAME: � PHONE: 6- `O sc STREET ADDRESS: FAX C TY, ZIP: E-MAIL: SITE ADD SS:.,1 C ZIP: . . NEAREST CROSS STRE TRACT/LOT P. APPLICANT NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADORES& FAX CITY, ZIP: E-MAIL:- -MAIL:LICENSE LICENSENUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: PYD s i-�s ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes:' ' Application Received by: 'l' ` Date: Receipt number: Seo Amount Recelvet 330. dD Master application 3-4-04 r -i O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESe' NO ❑ I HAVR-V HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to. provide the proposed construction: NAME: ADDRESS: - PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but. I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACT'OR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNERT ( RIC i —SEQII TM NUMBER: DATE:__ LA - C� -co x , NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit OVER I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" yon are the responsible party ofrecord on such a permit: Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability ifthat person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs). is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you ifyou do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously inmpiying that the property owner is providing his or her.own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner guilder Verification!' on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic 1 C. Vi ira, C.B.O. ger, Building Inspection NOTE. YhIs Owner -Builder Information is required by Sectwn 19830 of the Cagornia Health and Safety Code OVER BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE – OROVILLE, CALIFORNIA 95965 – TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ,- P P RMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designe and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This stru ure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 0 �2– – % y Q A / y` ZONING i/► OWNER O _©r / ., "-- / PHONE NO. l0 OWNER'S A RESS 1009 y C-7 ra Ce- LOCATION OF BUILDING r USE OF BUILDING r SIZE OF STRUCTURE TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF §IDING ROOF COVE ING FLOOR TYPE ESTIMATED COST OF c6fiSTRUCTION $ -S o AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT / �� > — / SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. ate Y-2-2 2 – 94, Nignature of Owner �- Permit Fee - $60.00 The above descri ed AG Building is exempt from a building per it. FLOG PARC L I Py ROOF G ISS Receipt No. 000 Manager Building Division / BY Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTYOF BUTTE - DEPARTMENTOFDENELdPM ENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 0,oe -(U tI'A A D. 19 o. 09) -J"l® Proposed Building Use r` A100, Building Inspector Date At time of perm i pplication, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance.. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows: Telephone and hold for is Other Mail to owner at Applicant Mail to contractor. office. Deliver with inspector. Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application; plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE`CALIFORNIA 95965 -TELEPHONE (916) 538-7541f s PERMITAPPL CATION DATASHEET�a' OWNER �O F- o Proposed Building Use Building Inspector fC Date =1. 'application, I was advised the following data must be submitted prior to permit processing and/or issuance: !' DATE RECEIVED BY All items have been submitted. ....... ................................ 2. Plot'plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans. ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ............. 5. Hazardous Material Form............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non-Heated and A/C Buildings. ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer............. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . st 20. Pre-inspection for to Buil Building Ins ecto required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). .............. 22. Certificate of Workmans Compensation Insurance. .......................... 23. Owner-Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ...,. . .• v x , f ;f •. � , 27. Letter of intent on building use........................................�- 28. Mobilehome utility clearance. .......................................... . 29. • Documentation of legal access . ..................... :................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............... 31. Existing violations/expired permits.................................... . 32. Plan check list. ............................ . . 33. 34. When you issue the permit, process as follows: A Mail to owner. Mail to contractor. Telephone and hold for ickbp at office. Deliver with inspector. Other Parcel Creation Acreage `'" Applicant 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 advised of above required data by _ phone -mail Ckounterby _Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date 4 Plans appr'oved bye abate Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works , 022-24-0-124 FORD, Jorge.& Rosalie 92-3607B 1609 'Grace-, Gridley 4 woodstove/sf 5 i AvoWC-n f • ,r f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,'California 95965 - Telephone: 916/538-7541-/ v""1`"7 % APPLICATION AND PERMIT 1 ASSESSOR PARCEL NUMBER (ZONING 1 0'22w24U-124 A 5 I BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION JORGE & ROSALIE FORD, 846'-4108 % OWNER'S MAILING ADDRESS !� / 1609 GRACE ROAD GRIDLEY 95948 CONTRACTOR'SNAME TELEPHONE r y OWNER CONTRACTOR'S MAILING ADDRESS TYPE OF WORK New ❑ Addition ❑ Remmodel Uti lities ❑ Describe work: Installation❑ Other ❑ CONTRACTORS LICENSE LAW I declare under penalty of perjury . (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s$id County in consequenceAf the granting of this permit. (J Date Si$ turf Applicant — Owner, Contractor 11Agent ❑ A/ OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No WHITE-O.P.W. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OF LESS 18.50 Main service 200A TO IOOOAI 37.50 NEW CONST./ DWELLING OCCUP.&\ 3.6Q sq.ft. OR ADDNS. 1 ACC. BLDGS. / NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRCUIT @ 5.00 (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 761 Ex. Occup. OUTLETS (RESID,)REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee Contractor MECHANICAL PERMIT I FilingFee I _15.00 I Heating l Cooling Hood Ventilation Permit Fee Contractor $ Mobile Home Installation Fee S 6.50 Energy inspection Fee $ OCC CONST TYPE TOTAL FEE $ 45.00 HA2 10 FEES IMP I FLOOD I CDF I PARCEL I PD I HD I ISSUE I This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indica aboveor which fees have been paid. /,,61REC-'OR'OF PUBLIC WORKS By _��,(,/� '% Date /r3 -/Z-9 PERMIT EXPIRES Date Fireplace "All 1 raOQ CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1609 GRACE ROAD GRIDLEY 95948 Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF n Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 IMobile Home I S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remmodel Uti lities ❑ Describe work: Installation❑ Other ❑ CONTRACTORS LICENSE LAW I declare under penalty of perjury . (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s$id County in consequenceAf the granting of this permit. (J Date Si$ turf Applicant — Owner, Contractor 11Agent ❑ A/ OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No WHITE-O.P.W. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OF LESS 18.50 Main service 200A TO IOOOAI 37.50 NEW CONST./ DWELLING OCCUP.&\ 3.6Q sq.ft. OR ADDNS. 1 ACC. BLDGS. / NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRCUIT @ 5.00 (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 761 Ex. Occup. OUTLETS (RESID,)REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee Contractor MECHANICAL PERMIT I FilingFee I _15.00 I Heating l Cooling Hood Ventilation Permit Fee Contractor $ Mobile Home Installation Fee S 6.50 Energy inspection Fee $ OCC CONST TYPE TOTAL FEE $ 45.00 HA2 10 FEES IMP I FLOOD I CDF I PARCEL I PD I HD I ISSUE I This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indica aboveor which fees have been paid. /,,61REC-'OR'OF PUBLIC WORKS By _��,(,/� '% Date /r3 -/Z-9 PERMIT EXPIRES Date COUNTY OF BUTTE BUILDING DIVISION 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 CORRECTION NOTICE PERMIT NO: A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. if you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. C- V h -r W6o0 s Ta L'//S } Date REV 10192 .. ._s .. r-�. „� .�a.....yP•'Y'..'� �1 - t � 022-240-124 PERMIT#94-3148 FORD, JORGE-_& ROSALIE 1609 GRACE RD., GRIDLEY fr i � • ♦ i 11 r i r � ♦ c Al � . T r r . t � i r, ­4-tpr�.?wcc COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ON " 7 County, Center; Drive - Oroville; California 95965 - Telephone (916) 538- 1 PERMIT NO. .�APPLICATION AND PERMIT � r ASSESSOR PARCEL NUMBER 022-240-124I ZONING AS BUILDING PERMIT OWNER• JORGE & ROSALIE 'ORD:�z�J g §�1 E SO, FT,._ , _OCC. ` -BUILDING VALUATION OWNER'S MAILING ADDRESS +' '• " "+fT TCI- •r4••t.}•-•+•n++-�•rtw: 1609 GRACE ROAD GRIDLEY, 95948 x.••Nf-i`-n%4%4i '^t CONTRACTOR'S NAME MiR TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplacen tr 1 .500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 5 00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1609 GRACE ROAD G , .DLEY,- 95948 d PERMIT FEE $0. 55.00 1; • t _ _ a PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar'or �eaf'purnp watef"heater`' _.' r • 23.00' LOT NO.SUB DIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE , ti SF Cl Duplex ❑ Mobilehome ❑ • Other y SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home JS I G I W 1 @20.00 TYPE OF WORK New ElAddition ❑ Remodel ❑ Utilities; 0*' nstallation ❑ Other C3Contractor Describe Work: PERMT TO COM.PLEW, 92-3607 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600V OR LESS ) 200A OR LESS 23.00 • Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( & ACC. BLOS. ) S0, 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and p p Professions Code and my license is in full force and effect. License No. Classification D° I, as the owner, or my employees with wages as their sole compensation, will do r the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON.RESID. ( BRANCH CIRCUITS ) @7.SO ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPwS. OR ( OUTLETS IRESID.) EA. ) 5.00. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑This permit isfor $, 7.00 00 (valuati_on)roraess....• ;r. —4 '- .,_. _,.1 s.... I. •_--- ❑"f.,have placed on file with'th'e County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California.-`) Noti a to Applicant: If after making thisfstatement, slibuld you become subject to the orker's Compensation provisions ofahe Labof Code; you musi'forthwith comply with such provisions or this permit will W`revoked. a f tfr PERMIT FEE $ Contractor -. -.. ;'MECHANICAL PERMIT' Filing Fee' ' 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have readltheis applicat on and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes.- 1 also agree to save, indemnify and keep harmless the County of Butte against all - liabilities, judgments, costs, and expenses which may in any way accrue against said Count 'n consequence of the granting of this permit. /� Date��)�/�%" 97 Sig. at of App (cant - ❑ Owner ❑ Contractor ❑ Agent Aln 211111�OSHA 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 $ 5500 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSU Y This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abo4forwhifees have be, n paid. Date •1 j�/0Aps PERMIT EXPIRES ON / !Dote) / / Receipt .D. () (/} WHITE-D.D.S.-B.D. �A'�RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT \ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ON 7 County Center Drive - OroviiHe, CIlifornia 95965 - Telephone 19161 538- 1 PERMIT NO. APPLICATION AND PERMIT `74 - 3Ny ASSESSOR PARCEL NUMBER 022-240-124 ZONING A5 BUILDING PERMIT OWNER JORGE & ROSALIE FORD &4TNE SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1609 GRACE ROAD GRIDLEY, 95948 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace n n 1. 500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ .00 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $119-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1609 GRACE ROAD GRIDLEY, 95948 PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PERMIT TO COMPLETE 92-3607 PERMIT FEE $ Contractor ' ELECTRICAL PERMIT Filing Fee 20.00 Main Service I BOOV OR LESS 200A OR LESS 23.00 Main Service ( 200A TO ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. OLDS. S0. 3.50 Fr. CONTRACTORS LICENSE LAW I declare lare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions my license is in full force and effect. License No. Classification I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-REslo. ( BRANCH CIRCUITS @7.50 I POW Efl APPARATUS 1 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 1 BAG @'.00 Code and Ex. Occup.FIXED APPLNS. OR 1 O I UTLETS (RESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. oti a to Applicant: If after making this statement, should you become subject to the orker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said ;Zont consequence of the granting of this permit. Date IA -19:9— C%y S to of App (cant - ❑ O ner ❑ Contractor ❑ Agent OSHA 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 I TOTAL FEE $ 95-00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD HO I This permit is hereby issued under of the Butte County Code and/or indicated above for whic fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work be n paid. D to /� �! (Dastj A / �� S.•B.D.CAN RY-ASSESSOR PINK•INSPECTOR GOLDENROD -APPLICANT [R:ece,'�tNo. �7 no COUNTY OF BUTTE DenarWwnt df Development Services Building Didision Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) V'rA_ I (have/have not) %,q signed an application for a building permit for the proposed work. �. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I, plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed Property Owner Social Security N er . Date / USO--S� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Jorge & Rosalie Ford 1609 Grace Road Gridley, CA 95948 RE: Building Code Violation 1609 Grace Road, Gridley Dear Mr. and Mrs. Ford: BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538.2140 March 28, 1994 A.P. #: 022-24-0-124 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above referenced location: Failure to obtain final inspection prior to use and permit expiration for installation of woodburning stove. Since permits and inspections are required for the above work, apply for the required permits to make corrections and complete project and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. .However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. Yours very truly, MCV:dms Mich el C. Cieira, C.B.O. Manager, Building Inspection cc: ,Assessor u COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 022-240-124 ZONING A 5 BUILDING PERMIT OWNER JORGE & ROSALIE FORD TELEPHONE 846-4108 S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 1609 GRACE ROAD GRIDLEY 95948 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace "All 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADORESS - Filing Fee $ 15,00 Permit Fee $ 30,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 160 GRACE ROAD GRIDLEY 95948 Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: WOODSTOVE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service ?OOAOflLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. p� License No. Classification IXIEx. 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 Main service 200ATO1000AI 37.50 NEW CONST. ( DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. / 3.64 sq.f[. NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 16L 0 FIXED APPLNS. Occup. OUTLETS ((RESID IRE A.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation iPermit Fee Contractor $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in copse uence f the granting of this permit. I X 8'^! Date %©�°-. Si tur of Applicant — Owner Contractor ❑ Agent ❑ A 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 TOTAL FEES I HAZ I DFEES IMP FLOOD CDF PARCEL I PD I HD ISSUE i This permit is hereby issued under the e County C de and/or sions of the tIR work indicaabov hich fees E F PUBLIC By PEMIT EXPIRES Date /d r applicable provi- resolutions to do have been paid. WORKS Date - 2-f Receipt No. 126220 WNITE•D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD -APPLICANT ���rne„SER.,r�t':rlt�R7lI'''�"4a�i'N1T''+T►'�'�� ,rir'fi„��" _ '°' 'r!r,�"grF_'"' SE{t a COUNTY OF BUTTE"P�F PARTMENT OF PUBLIC 7 COUNTY CENTER DRIVE"= OROVILLE, CALIFORNIA 95 F OWNER Proposed Building Use PERMIT APPLICAVON C{ i,ti d l q , 0/f- I,> W00aST BUILDING DIVISION PHONE (916) 538-7541 ATA SHEET Building Inspector Date At time of pe t application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. .'.......................................... . 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturers installation instructions, 2 sets. ........... 10. Fees of $ ......................................... . 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. o i3 �d;�9Inspector (Date _ 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner_) ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance. 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creationc� Acreage Applicant �-e-010, Date Copy of Haz-Mat form sent Health Dept. Fire Dept. AVAir Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date i r 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 advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBE — � ®— ZONING A BUILDING PERMIT OWNER��� O� ^ TELE HO a� SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS cop AC TSO fj S,t�� TELEPHONE CONTTRRACCTTOOR'S MAILING ADDRESS , Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15,00 Permit Fee Plan Checking Fee $ D, pp $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ Q d PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P4RCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFV Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G IW @ 15.00 TYPE OF WORK New ❑ Addition ❑ RemodeI D. Utilities [�_ Installation ❑ Other, Describe work: ��U %�%/�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20GATOI000A1 37.50 NEW CONST. ( DWELLING OCCUP. lc� OR ADDNS. 1 ACC. BLDGS. 3.6Q sq.ft. NEWCONSTR UL -OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e1 SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES 20 76d FIXED APLNS. Ex. Occup. OUTLETS PIRESID IKEA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEWS COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certifica'e 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 FilingFee 15.00 Heating Cooling 9 Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and'State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. .-1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. C� X Date /0 / signature of Applicant — Owner❑ Contractor Cj 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 S Energy Inspection Fee $ OCC CONST TYPE / TOTAL FEES S, � HAz OfEES IMP FLo00 CDF PARCEL PD HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. / 2L& 7,Z, WNIT!•D. P. W., ►lL LOW-A39C7 5O R, PINI( -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention.Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your.signature.' Pleas& complete and return this information at your earliest opportunity to avoid unnecessaiy'delay -in'processing and issuing your building permit. No building permit will be issued until this verification."is received.. I. I personally.plan to provide the major labor and materials for.construction..of the proposed property improvement (yes or no) e S 2. .I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No.— 4'. .1 plan to -provide portions of this work,- but I have hired the following person to coordinate, supervise, and provide the major work: --Name-. _,. _ Address City Phone - Contractors License No.. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the -work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Date C_�� 9- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. - .._Butte ®f lA -'�0 LAND OF NA7Ur:Al WLALTH AND 6EAU1 Y DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 695 Oleander Avenue, P.O. Box 1100 )D 7 County Center Drive ❑ 747 Elliott Road Reply to Chico, California 95927 Oroville, California 95965 Paradise, California 95969 Telephone: 916/891-2727 Telephone: 916/534-4281 Telephone: 916/ 872-2961, Ext. 58 July 22, 1983 May Dunlap 1609 Grace Road Gridley, CA 95948 Dear Mrs. Dunlap: This is to advise you that pursuant to Section 19-19 of the Butte County.Code, the Board of Supervisors has approved a variance to Sections 19-10 and 19-12 of the Butte County Code for the placement of a mobile home on your property located at 1609 Grace Road Gridley area and identified as Assessor's Parcel Numbe, 22-24-124. This variance was granted on July 12, 1983 and includes the following conditions: 1. The variance is granted only for a term of one year. At the end of one year you must apply for a new variance if the use is to continue. 2. If the applicant residing in the mobile home or conventional residence moves to another location or is deceased, the variance automatically expires and the mobile home shall be moved within 120 days. If the mobile home is not removed within 120 days, the County may remove said mobile home and store it at the owner's expense. 3. The mobile home shall be placed on the property without violating any of the setback requirements of the zone in which the property is located. 4. The applicant shall secure all necessary sewage disposal, electrical, plumbing and building permits necessary to install the mobile home. Very truly yours, Lynn E.. Vanhart, Director Division of Environmental Health IEV/lld -cc: Clerk of the Board Planning Department Build ne`Department:�