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022-240-138
tCONV AG BUILDING TO WELDING 22224-13� 2003-89E SHOP 7/28/89 COE, Lyman SPECIAL INSPECTION 44-89 465 Justeson Rd, Gridley ContR: Dunn Electric. / 'COE, LOIS LYMAN 465. JUSTESdN RD JU So 465 JU8TESON` RD, 4 SI NEW SINGLE, FAMI-hy - 022-240-138 01-2181 REPLACE Fbk,"TACE AND AC �022-240-138 0 01 '50 COE FAMILY TRUST,' 465 JUSTESON RD, GRIDLEY Cont: A TO Z PLUMBING RE ROOF m ~ " t RESIDENTIAL ' i. 022-240-138 94-2713 /COE, LOIS & LYMAN of 46� JUSTESON RD., GRIDLEY NEW SINGLE FAMILY qy_,2 �711V OFFICE COPY i Address GAS ` Meter By Date 'f I ELECTRIC Meter By Date i �4�� ;i�slt2�tl� �- ✓ ll E �yOFFICE COPY Address � i GAS M ELECTRIC D'� Meter By s JOB FINALED (Date) -- Signature t ,4 4 " t RESIDENTIAL ' i. 022-240-138 94-2713 /COE, LOIS & LYMAN of 46� JUSTESON RD., GRIDLEY NEW SINGLE FAMILY qy_,2 �711V OFFICE COPY i Address GAS ` Meter By Date 'f I ELECTRIC Meter By Date i �4�� ;i�slt2�tl� �- ✓ ll E �yOFFICE COPY Address � i GAS M ELECTRIC D'� Meter By s JOB FINALED (Date) -- Signature t ,4 J=OK O=Not OK Not = Not Readyable 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /-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 �I 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 n MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9, Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' =� Date UNDER -OO-R (Plans) OK except ti's teofog-Setbacks- Ease men ts- bd-Slope tgtMain; Soils-Elec. GK.F4." Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd. ' Ftg. Depth 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's r Htr.; Vent -Access -Combustion Air -Baffle --- - - ---- -----=------------------------ aatter,Pipe; Test & Anchor -Nail Protection ---- - - 1!SA�6�W.V.: Test -Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access ---------- - ------ ---------------------------- 20. Test Tub & Shower, Second Floor -Tub Access Size & Anchors Date Card B-1 Date Card B-1 --------------------------------------------- --------------------- Date Card B-1 �" Date Card B-1 Date ELECT AI:(Permit) OK except a's i e & Transformer Clearance -Ins. -Protection --------- _01 lec. Receptacles Spacing -Lights & Switches at Doors -------- - -- ----------------------- - ------ Siz . Boxes & No. of Conductors -Stapled _ ---- - /Romex Installed Close to Edge of Studs & C.J. - --P.� E Ground made 'up w/Mech. Fasiners-Bond Gas & Water----- - - -� lance Circuts in Kitchen & Conductor Size/GFI Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! / ga. Cu qxAl ---------------- ------ . ange Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Ins Neutral ❑ ❑ ag ------------------- ---- ted Yes No - -------- Ser -Riser Conductors & Ground -Main No Clearances Panels-Motors-Mech. Equip. ,.- ---- ------------------------------------------------------ Clot s`Closet Light -Shower Light -Spa Light moke Detector ---------- ----- -Date Date---------Card-B 4. Ft f, -Porches & Decks; Soils -Steel-/ /Ftg. Depth %ly . Ste walls, Main; Steel -Bloc kouts-Wrapped Date emwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors -------------te ab; Steel -Wrapped --................................................... 8. Pie Fireplace Ftg.-Steel .W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test - 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. W rr Pipe; Test -Anchor -Regulator -Service Test Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's r Htr.; Vent -Access -Combustion Air -Baffle --- - - ---- -----=------------------------ aatter,Pipe; Test & Anchor -Nail Protection ---- - - 1!SA�6�W.V.: Test -Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access ---------- - ------ ---------------------------- 20. Test Tub & Shower, Second Floor -Tub Access Size & Anchors Date Card B-1 Date Card B-1 --------------------------------------------- --------------------- Date Card B-1 �" Date Card B-1 Date ELECT AI:(Permit) OK except a's i e & Transformer Clearance -Ins. -Protection --------- _01 lec. Receptacles Spacing -Lights & Switches at Doors -------- - -- ----------------------- - ------ Siz . Boxes & No. of Conductors -Stapled _ ---- - /Romex Installed Close to Edge of Studs & C.J. - --P.� E Ground made 'up w/Mech. Fasiners-Bond Gas & Water----- - - -� lance Circuts in Kitchen & Conductor Size/GFI Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! / ga. Cu qxAl ---------------- ------ . ange Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Ins Neutral ❑ ❑ ag ------------------- ---- ted Yes No - -------- Ser -Riser Conductors & Ground -Main No Clearances Panels-Motors-Mech. Equip. ,.- ---- ------------------------------------------------------ Clot s`Closet Light -Shower Light -Spa Light moke Detector ---------- ----- -Date Date---------Card-B ----- ----- - ----- - --- ------------------------ ------ --- ------------ ------- 1-- --Date-------------Card B-1 Date Card B-1 Date Card B-1 Date MECH ICAL (Permit) OK except ft's A.C. Ducts Insulation & Support ------------------------------ -------------te above insulation --................................................... V�enExhaust Drain---- ---flow ize & rade---------------------- S G ccess-Comb Air-ReturnAir Vent -115 outlet ----------------------------------------------- - - - ttic Access & Platform if Furnance in Attic - ------------------------------------------------------------- ----------------------------------------- ------------------------------ Date -------------- CardB 1 --------------Date -------------- Card 8_1 Date Card B-1 Date Card B-1 Date FRAMIyiG}(P,rans) OK except 4's Is. -per Material & Anchors - - -- - ---------- --------------------------- ---- -- 4 fuds-Nailing. Spacing & Bracing -Plates -Sound ------ ------ ----- ------- ------------------------------------------------------ 4 ring Walls over Girders & Floor Nailing --- ---------- ------------------------------------ --------------------------- raft Stop in Walls (rat proof) ---------- it ops: Furred Ceilings -Stairs -Chases -Tub -- ---- - - --------------------- 4t : Headers & Beam -Size & Bearing Date RAMING (Continued) --Iers-Post Caps-Anchors-Connectors Joist-Rftr. ties -Purlin-roof Brac-Truss-Shthng.-Ring. __-AKFire e Ties or Type A Flue -Fireplace Throat clearance Atti cess; Size & Romex Protection -Draft Stop -Ins. Baffles -_ Bdr .- indows or Exiting Doors -Sill Hgt. & Dimensions ---- -- Fire Protection Framing ---- - Pro y Line Firewall & Openings x ers-One 3' -Check Garage -3rd Story, 2 Exits -- 1.33. Stairs Idth-Head room -Rise -Run -Landing -Fire Protection - - - y on Roof Overhang -Attic Vents -Rafter Outriggers d' g -Nailing Veneer ------------ ---- Stu -- kkll co Mesh -Drip Screed -Fd. Vents-Underflr. Access .Glazing Area -Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts .59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/ ard B-1 Date Card B-1 Dat Card)3 Date Card B 1 Date INA tans except ti's Ex teps-Door & Sidelight Protection -Landings Furn e; Vents -Clearance -Comb. Air-Connector- _arage; Above Floor -Ducts -Meth. Protection ---- --- 4. Be om Exiting _ G.F &`Bath Fixtures & Tub Access -Spa ec Trim & S_u_b_panel; Breaker Sizes & Labels _ St. & Rails _ -- --- ace or Stove: Clearances -Hearth Elec Outlets at Wood Panel; Int. & Ext. & Appliance; Grnd.-Air Gap -Cooking Clearance Ele utlets & Receptacles at Kit. Counter _-- Fire Door Swing -Landing -Closer in Garage -Damper tr. Htr_Vents-Clearance-Comb. Air-Connector-P.R.V. In ge: Above Floor-Mech. Protection ------------ ----------------- - r Iec. & Mech. Equip. Listed for Location 510'Keptacles in Garage; (G.F.I.)-Romex Protection ---------------- ---------------7_- ns--ion_Foam-Looked in -Attic ❑ Yes 7 and Rails & Deck Construction -Post Caps ---------------- Fd n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor-- ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; y P er_s _❑ Y ❑ No W I Stu co B n -Finish -- A.C..Unit: Disconnect. Electrical, Plumbing -- -------------------- -- ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Op Wings ater Well; Disconnect, Electrical, Plumbing -------------- --- -- --------------- xt for Elec. Trim; G.F.I. Receptacle -Underground . - ---- entil tion Throughout House 7 ass Protection Co tions from Previous Inspections — Ga - e - e ers a e : Ga ctric Water & Sewer Connected -C/O to Grade -HD Approval ergy Compliance Certificate -Other Certificates — Date�y��/ --.-- Card B-1 -- ---Date Card B-1 Date- r JJ Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California. 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AN®~PERMIT !24/ - �l ASSESSOR PARCEL NUMBER 022-240-138 ZONING :- SR BUILDING PERMIT OWNER LOIS & LYMAN COE 9'4ZT4316 SQ. Ff. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 465 JUSTESON RD GRIDLEY, 95948 7 -,,/ 188 CONTRACTOR'S NAME UNKNOWN U�I 1� 1Y TELEPHONE f CONTRACTOR'S MAILING ADDRESS Fireplace n n CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ 158 Q41 -on LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS S J JUSTESON RD PERMIT FEE $ - GRIDLEY 95948 PLUMBING PERMIT Filing Fee 1 20.00 Each Trap 1 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME` • PAR EL I Water piping 15.00 15 00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFX[ Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New}; Addition O Remodel ❑ Utilities D Installation O Other O Describework: 4 BEDROOM PERMIT FEE 1$5.00 $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2110V OR LESS ) 00A OR LESS 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONS.OR ADDNS?LLIN ( D &EACCGOLDS. ) 3.50sT1: L11.45 NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, 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) !C I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) &SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BnL. @'.50 Ex. Occu FIXED APPI.NS.OR p' (OUTLETS IREStD.I EA. F5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 TOOL ELEC. 0.00 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. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 184.45 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating SPLIT 15.00 Cooling 15.00 Hood 6.50 6.50 Ventilation4.50 13.50 PERMIT FE -L E S 70.00 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseque a of the granting of this permit. Date na re of App Icant !a" Owner El Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in heig �101 /05 '7BY/� Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 c.N T. Y TOTAL FE 109A 35 HAI I D FE IMP FL C� PARCEL PD �- HD U This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Dae (Date) ReceiptNo. 652.90 - 168750// l IL 3,). 6DWHITE-D:D.S.-S.D. CANARY -ASSESSOR PINK -IR OL OD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION y DEPARTMENT OF DEVELOPMENT SERVICES r 1469 Humboldt Road, Chico, CAS-' (916)'-891-2+751 7 County'Center Drive; Oroville, CA (3r1§� 53$'7541. 747 �Iiott Road, Paradise, CA - (9.16) 8 ,2-6307.-'' 'CORRECTION NOTICE OWNER ? PERMIT NO. "+ A routine inspection indicates that the following violations of Butte,county Ordinances exist at • the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleasq-contact this office immediately. } f Date Z 7 159S Inspector REV 10192 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA r (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 f>perta* iolati s of Butte County Ordinances exist at the above address and should be correotify this office when correction of work is completed. If you have any questions to this matter, or need additional explanation, please contact this office immediately. Date Inspector 6�-;�� REV COUNTY OF BUTTE BUILDING DIVISION DEPARTMENTobF. DEVELOPMENT SERVICES 1469 Humboldt Road,'Chico, EA - (916) 891-2751 7 County_ Center Drive, Oroville, CA - (916).538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ,. .�� -c2z7/j 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 contactl tWs office immediately. Date / v2l 5 Inspector REV 10/92 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 OWNER X7/3 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. =.4 Date i a's Inspector v " REV 10132 S f Date i a's Inspector v " REV 10132 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 4; 1469 Humboldt Road, CNpo, CA ' (916).891-2751 7 County Center Drive, Oroville, CA - (916)'538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 ' a c_ is CORRECTION NOTICE z 9. OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Inspector REV 10 92 f 1.145ULATI0N CKRTI.Fi.CATR UF.SCRIpT1ON OF :INSTALLATION R(x)F MATERIAL_ DNANn "AMR T11tCKNR85ti_nchta) TMRRNAL RRSI5TANCRiR-VAI.UP. f,P.1.1.1NG t BATTS of BLANKET TYPH BATTS ONANn NAMfi_C_E_RTA1._N'C.RI:U _ TIIICKNESS(lnchen) _ TnROMAL RRSISTAWR(R-VALUE)_ t(K)SR 1;1111' TYPE ElU- Rl;1,AS,�_BRAND NAME CERTAINTEED _ --- CONTRACTOR'S MLN INSTALLED WT 1b MINIMUM T111CK1495S MANUFACTURER'S 1NSTALLRO VT RWSQ FT ACIIgm TIIRR4l1i, RBS 1 &TANCBZ R-VA'1,UP) R- RIITRR101t WALT, MATRRI.AL `FIRERGLALS,ARANO NAMR_CER'lA,I,N..XUI ----- . Til1.CKNR55(inchen)_--TIIRRMAL h$SISTANCR(R VAi.Ur)__ RAISED R1.00R MATERIAL FIZERGLASS_ _BRAND NAME C_ER'1A1NTE_EU TIICI.KNRSS(l.nchea)_-+-YN 111ERMAL RES ISTAKE (R-VA1.UF.) R- — -` SLAII IFLOOR MATERIAL _ „ BRAND NAME _ 7111CKNRSS�i.nrhen)---- . THERMAL WInVIO.nebanY FOUNIIATION WALL MATERIAL _ DRANO NAME T11.tCKNRSS�ntTionj_ ---- Ti1RRHAL OKLARATI0N 1. hereby cpttify that the nbove fnguldtfon was nbove locdtion in confotmntICe With the tur.tent renfdentfal bu ldinge tdntn toed to T11:10 24 of �- - Gen- a.l ContrnCtvrtlliillr -���•�= -- - _ _ Signoture'nnd Title fnntalied III the bufldinl; nt the isullaing Energy fitnnddtdn .lot new the Catifornin Adminnttdtfve Code. unip HAWKINS 1NOUSTRI.ES, 1.NC. _ 622104_ Sib-CCornttactoriinsu�tlon ingtfl�et L-�enee — Sipnntulre mr ��.�`�.y1 TlF,P°d'�.R••�/ ..— —. . ..�—i•s�;— .--' —••--•—r,�..,r� r�.*r+yatii+�I�',�r�i"y4�''�(�]yiT��".'i`�i.ii$�Fi'i'�••IY�J'p"t.,s:f+if jAti COUNTYOF BUTTE - DEPARTMENTOF DEVE OPMENTSERVICES - BUILDING DIVISION 1 y F.•-. , s . N' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector A. - a7 Date At time of permit 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. .............�. ,.!p 2. Plot plans, 3/4 sets, signed by preparer of plansli" . . 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... :JjS��Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome d to and m of turer's installation instructions, 2 sets. ........... p. Fees of $ / - .......1 �1. Impact fees as sho n on attached schedule . .............................. 12. California Department of Forestry plan approval/fees...................... . 3. Flood elevation letter (100 year flood byy California Engineer . ................. . F 14. Sanitation and plot plan approval 0&0 Health Department . ........... . r 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: 8. Contact Land Development about (A) Improvements (B) Drainage. j� 9. Driveway permit (construction approval required prior to occupancy)#fq. !? !O.. . 1,1,spechon reque 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner Mail to owner ............ 4. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . .................................. 26. Copy of recorded deed of parcel creation and §0 ight.of way to a pupljc rod rho A� 27.'Letter of intent on building use.c. Q �I.. -'28. Mobilehome utility clearance. ..... .... D ....................... 0- 29. Documentation of legal access. ...,,..-.. "` 30. Documentation of.50%"subdivision developed or(A) Road improvements completed n and (B)"Parcel meets zoning area andfrontage requirements . ............... �x uI 1 Existing violations/expired :permits: ...':.. ................... . PI chec list.' :...--:. � .. . ff ........... • 33. Pe r i Gt/N �'.�.... S I7(J �D ... e.r ..Oh 34. A Wh n yoG issue the per it, oce s as follows: Mail to own Mail to contractor. Telephon and hold for pickup at.119, office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Z6&0-�— 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 1. Index permit for above items No. 2 -Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of abovIre uil!red data by _phone _ mail Counter by Date Contractor, designer, owner, was advised of abovug�c��d�at"'y _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 pto 96v F TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE _ONLY Plot PIM Attschad ll / Floor Plan ACnchal Scat to B.D. / O v -2.1 /9 Owner Location AP# / Plan Approved for: Sewage Disposal LX Water Supply: Public Private Well V Clearance for bedroom ' home. Other Hold final for: Final clearance O.I. for: NOTE: Environmental Health Specialist FAILON 0 `0 f — Date COUNTY OF BUTTE - DEPARTMEN'T OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER PROPOSED BUILDING USE SCHOOL DISTRICT FEES (paid at District Office). 2. SHERIFF FEES ......... (paid at Building Department) Residential...... x -$ unit amt. Commercial (sqft) X. -$ �3. A 117 4. RECREATION DISTRICT FEES (paid at District Office)...... 0 .................. sq.ft. amt. URBAN AREA FEES (paid at Building Department) Residential (per unit) x -$ # units amt_. Commercial (per sq.ft) x -$ sq.ft. amt. DRAINAGE DISTRICT FEES (Contact Land Development Division) ::............ SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) UYa�i' Elm A. P. # —o�Z L10 DATE g REC. # DATE REC �/5 Q /0A0h At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT —E—R® r +eF– a q 0 ., / ?� Z°" .� j BUILDING PERMIT OWNER tlma;1�� T 0 TELEPHO T qI6SQ. 'Z�i/� FT. C. BUILDING VALUATION OWNEIPS MAILING ADDRESS- - N so �^ ;' Ci YJ�� CON T R'9 N EL4J VI [PHONE C/ CONTRACTOR'S MAILING ADDRESS- Freplace �Q coNsTrtuynolkl (ENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ Od ARCHITE TO ENGINEER LICENSE NO. Plan Checking Fee $ , Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT (ling Fee 20.00 Each Trap 7.00 Q Solar or heat pump water heater 23.00 Water piping I 15.00 114-00. LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 QQ USE OF STRUCTURE- SF Duplex O Mobilehome.L7_ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home i S G W I @20.00 TYPE OF WORK New?( Addition O Remodel O Utilities O Installation O Other ❑ Describe Work: PERMIT FEE g Contractor ELECTRICAL PERMIT Fling Fee 20.0 Main Service ( "OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 ' NEW CONST. DWELLING OCC P. OR ADDNS. ( a ACC. SLDS. ) SO 3.5C CONTRACTORS t U:ENS,E-LAW of perjury (check one) I declare under penaltyl O 1 am a licensed under provisions of Chapter 9, Division 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 compensation, will do the work, and the structure -is -not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)M'sc. ❑ 1 am exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) SAp1. @ �:so Ex. Occu FILED S. OR p' (OUTLETS IRESIRESID.1 EA. ) 5•00 Temporary Service 23.00 Mobile Home Facilities - 20.00 Wiring 23.00 0 PERMIT FEE $ Contractor MECHANICAL PERMITFling Fee 20.00 Heating &rrOQ Cooling ;OD Hood 6.50 Ventilation PERMIT FEE $ O Contractor I certify that I have read this application and state that the above information is correct. I 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. I also agree to save, indemnify and keep harmless the County of Butte against all 118b111L1e3, judgments, COStS, and expenses which may in any way accr against 381d County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner O Contractor O Agentof An 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 $ 3 S H� Z. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit iv hereby issued under the Butte County Code and/or Indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. , Date (Darel Receipt No. '� WHITE-D.D.S..S.D. CANARY-ASSESSO - INK -INSPECT GOLDENROD -APPLICANT OCTOBER 20.,1994 BUTTE.COUNTY PLANNING; PARCEL # 022-240-138 WELDING SHOP HAS BEEN CONVERTED TO A AG SHOP. THE OTHER SHOP WE HAVE GOTTEN.A DEMOLITION PERMIT. THlfflK YOU LOIS COE RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX'& MISC. ONLY) Bldg. Permit #l✓'�- 7/ OWNER_ I A.P. # d,?-01r1G�/ Plan Checker -la -lq GENERAL ' �.�Valuation. ning requirements: (sideyards and number of permitted living units). Plans signed by designer. Proper description of work on application. Existing violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). 7. Recorded notice of violation. PLOT PLAN r Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. iP Other buildings or structures. tI Grading, fills, drainage. Flood hazard. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). FAU & FAS road setback. .-$ Building or utilities across lot lines (Record form). FLOOR PLAN ! . Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). . Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). • Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. . Locations of water heater, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size, and closer (Sec. 503(d)(3)). ' 1 - 3'0" exterior exit door (sec. 3304 (f). 2�Fireplace and wood stove location, alcoves, and clearance. . Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape,. size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. .7 Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. 9� Rafter ties or bearing ridge beam. fiTGarage door or porch header sizes. :- Stud heights. 31. Adobe soils - special foundation design. Retaining walls requiring design. Seci Inspection required. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec.., 3306). %Guardrail details (Sec. 1711 & 3306(j). i::5r-fck or stone veneer (Chapter 30). --Exterior plaster - weep screeds (Sec. 4706). jEroper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. 36"'halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1. Attic access and ventilation (Sec. 3205). Undrfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. Energy design. Flashing at all exterior openings. 7,:''CDF responsible area requirements. (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT o1-2181 PERMIT NO. ASSESSOR PARCEL NUMBER 022-240-138 ZONING _ BUILDING PERMIT OWNER IRIS COLE TELEPHONE SO. FT. OCC. BUILDING VALUATION • OWNERS MAILING ADDRESS # 465 JUSTESON GIRDLEY CA 95948 CONTRACTOR'S NAME HEESEM HEATING & AIR COND. TELEPHONE 673-1418 CONTRACTORS ESS 776 RICHLAND RD. YUBA CITY CA 95991 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 465 JUSTESON GIRDLEY CA 95948 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACEMENT EXISTING FURNACE & AIR COND. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W (020.00 PERMIT FEE f ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A 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. U License Class �— 2-0 Lic. NO. % b� �- (� � 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To /o00A 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. ( a ACC. BLDS. s0 3.5QFT; f1Oµp�,p MULTI.OUTLUr 97.50 POWER APPARATUS 8 SINGLE DurtET CR, Ex. Occup.OUTLET OR FIXTURES 20 ®1'110 sAl @ .50 PE A. Ex. Occup.. o�E�°,SAR D.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the /performance of the work for which this permit is issued. 02131 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 workerscc pe sation insurance carrier and policy number are: Carrier Policy Number '-G (The above sections nee 4not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with tho provisions. X Date � d _ Signature of Applicant - 0 Owner D<ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 25.00 Cooling 25,00 Hood 6.50 Ventilation PERMIT FEL: $ 70.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 70.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issue under the applicable provisions of the Butte County C de an /or Resolutions to do work indicated a ve for w Ich fee have been paid. By Date 9-4-2001 PERMIT EXPIRES ON 9-4-2002 to Receipt No. 331969 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT kI I T OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville. California 95965 • Telephone (530) 538-7541 -ley. 12/96) q APPLICATION ANDPERM IT PERMIT NO. AssawarAtcnNUMae� -- DWlfJI ' 1 >,o+ao BUILDING PERMIT m�ONQ SO. FT. owNer+� OCC. BUILDING V S1 P �S� P1 � !r -) f - . /I - _ ALUATION tENOOR'S MA&M ADORess ARCHITECT on &IONEER —.1— — c,w, umll www ADDREss auaww ADDwsn- . . LOTNO. sUWWKW*WAW 1 Fire lace Total Valuation i a. Filin Fee Permit Fee Plan Checkin Fee Energy Plan Checking Fee USEOFSTRUCTURE Each Trap SF O Duplex O kbbliehome 4VOther Solar or heat srecr Water piping TYPE OF WORK Each as Ovate New O Addition O Remodel O Ulllities O Instalation O Other ®/ Gas i In s • Buildin —"w or Describe Work: Mobile Home *PERMLIT FEE PA2b SRA •• SHERIFF OTHER AMOUNT RECEIVED *RECEIPT MOWER " TO BE PVT INTO COMPVTER ELECT TRICA� Main Service Main Service NEW COMM OR ADDW. NDN'RE9iD. I Ex. OCCU ! Ex. OCCU 1 1 Tem orar Se Mobile Home F Heetin Coolin PERMIT PERMIT > water he, star or van 1 - S outlet 0 7.00 23.00 15.00 15.00 t�'O' 2 20.00 20.00 W MIT FEE !TLer V11ngF,20.00 AMTUa catDRUREI i LEssLEss�000A°�°�.'s P' 23.00 20.00 PERMITFEE _ PERMIT Fling Fee20.00 PERMIT FEIE I Mobile Home Installation Fes i Energy Inspection Fee i i - TOTAL FEE $G L 0-na ury EtooO cw ►ARCEy I i0 r0 I asp This permit is hereby Issued under the applicable provisions Of the Butte County Code and/or Resolutlons to do work Indicated above for which fees have been paid. I By Date PERMIT EXPIRES ON �v2v CERTIFICATE OF LIABILITY INSURANC�,s$!� � DA09; 4; 1 River valley / Stirnaman Insurance Agency Lic. 0459171 PO Box 1391 Marysville CA 95901 Phone:530-742-8234 BaxIS30-741-8681 &gAirem Conditioning, Inc. 776 Richland Road Yuba City CA 95991 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURERA: State colweneation Insurance INSURER B: INSURER C: INSURER D: COVERAGES SHOULD ANY OF TNF ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING County Of Butte ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR Building Department MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 7 County Center Drive POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, Oroville CA 95958 REPRESENT $• LTR TYPE OF INSURANCE POLICY NUMBER DATE IMMO DATE(M LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Apy oae ere) E CLAIMS MADE F7 OCCUR MED EXP (Arty one PS MOA) f PERSONAL 8 ADV INJURY S GENERAL AGGREGATE S GEM. AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO S POLICY 0 IPE F7 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Ee 80Cit76ni) ANY AUTO ALL OWNED AUTOS BODILY INJURY S (Per P=n) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY S (Per seweM) NON-0WNED AUTOS PROPERTY DAMAGE S (Per acua"t) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESS LIABILITY EACH OCCURRENCE S OCCUR ID CLAIMS MADE AGGREGATE E S DEDUCTIBLE S RETENTION S WORKER$ COMPENSATION AND G -AS % TORY LIMITS ER A EMPLOYERV LIABILITY 1604146-00 10/01/00 10/10/01 E.L. EACH ACCIDENT S110001000 EL. DISEASE-EAEMPLOYE S 1, 000, 000 E.L.DISEASE- POLICY LIMIT I S1, 000, 000 oTHEa DESCRIPTION OF OPERATION$tLOCATWNsNEHICLES D=USIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS ,�enTlel�A Ud%I non I v I we,n. P—A IUVItnPn.tac"nvaIFrTF2- CANCELLATION BUTTECO SHOULD ANY OF TNF ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MALL _10 giAYSwPjrmN County Of Butte NOTICE TO THE CER ATE HOLDER NAMED TO THE LEFT, OUT FAILURE TO 00 SO SMALL Building Department IMPOSE NO OBLEN OR LIAM OP ANY KIND UPON THE INSURER, ITS AGENTS OR 7 County Center Drive Oroville CA 95958 REPRESENT $• AUTNOR72E E A :� iwwww w,.eeww��u�u •neo ACORP zs-s pled..-•- RIVER VALLEY/STIRNAMAN INSURANCE P. O. Box 1391. Marysville, CA 95901 Phone: 530-742-3283 Pax: 530-741-8681 Date: 4. � � Pages Z Company: L -Qu -r 1-1 01- n Attention: Reference: H /f, At' Policy # ; NcO41 Q 4 - 00 Fax sent by: CRETIA COOK , Message: `i'ax�lrru.�, -, �nctOse�i Cu�d GeH1f.ra-fie> 1Nork�'s C',orn�nsa.-�-�,o n t as Go U my- up rFll LA asp � W- sem R,X �I�h.u�.k_ au rryuNwAtbw LA,(d . \oUN BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 591-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.netldds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last NameFirst Name o z Name Lz> i S Address �os u ST co A-1 A45 City 6 / L2E Stat Zip Phone f D Fax E-mail Fax APPLICANT, For office use only: CONTRACTOR Name o z Flood Zone Address 2 6z/ 10R�ir lit/ City -State . No ZiP9�9%� � C 12 Fax E-mail Phone s5� a 3 Fax E-mail Fax lac S 1:� C.ss I APPLICANT, For office use only: ARCHITECT/ENGINEER Name Flood Zone Address 7— City No State . Zip Phone Zl Fax E-mail Planner State License Number APPLICANT, For office use only: APPLICANT INFORMATION Name Flood Zone ,5,,IVAIV 7— Address No CityStat G! e Zl Page Lot # Planner Date Approved: Phone Fax E-mail APPLICANT, For office use only: Zoning Property Addre^^ssr Flood Zone Cross Stre t f SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP 06, BIN It PROJECT LOCATION AP#o2Z-2y�� Property Addre^^ssr City Cross Stre t f WORKER'S COMPENSARON- Policy Number Carrier If hiring anyone other than license coriffictors, a certificate of worker's compensation must be shown at the time ofpermit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Gar ge Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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. Received by: c� Amount: Bldg Receipt #: LI 1. Date: rlI SRA Sheriff SMIP Other ?,7 Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.' No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if. required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5.. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8: Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant of (530) 538-7541: EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060150 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 01/23/2006 APN: 022-240-138-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Site Address: 465 JUSTESON RD GRI effect. License Class: Licens Number: � Map Index: Date: I-Z3—DL Contractor: Description: re roof 38 sq. 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 Owner: COE FAMILY TRUST Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior COE LYMAN TIPPETS & LOIS ANN to its issuance, also requires the applicant for such permit to file a TRUSTEES signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 465 JUSTESON ROAD 7000) of Division 3 of the.Business and Professions Code) or that he or GRIDLEY, CA 95948 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: A TO Z ROOFING pP Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 2764 LORRIE WAY such work himself or herself or through his or her own employees, YUBA CITY, CA. provided that such improvements are not intended or offered for 95993 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-301-0938 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: A TO Z ROOFING and who contracts for such projects with a contractor(s) licensed 2764 LORRIE WAY pursuant to the Contractors' State License Law.). YUBA CITY, CA. ❑ I am Exempt under Article 3 of the Business and Professions Code 95993 530-301-0938 Date: Owner: License #: 835456 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the fallowing declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 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:�/' &JD Total Square Ft: 0 S. F. Policy #: / 5 / ` 0-5 Valuation: $0.00 Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall / forthwith comply with those provisions. ' Date: D �o I Applicant: WARNING: Failure to secure rkers' compensation coverage is / 2 unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of I compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. . CONSTRUCTION LENDING AGENCY This permit is he y issued u r the a cable revisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolutions do work indi 'ted abov or whi fees have been paid. performance permit By:Date: C/J1 Name: PERMIT RES ON: Address: (Date) O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code. which regulate the storage. handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health' & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 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. Print Name: 5cP IVA Z�r�n �7N`� Signature: Date: % — Z •-0(a 0 Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor AREA A � Butte County Department of Development Services. ouT>e. IN O T E S 7 County Center Drive, Oroville, CA 95965 530 538-7601 NOUN<t ` ( ) acwev.buttEeoitntY neUdds RESIDENTIAL APN: Permit No_, -- - 022-240-138 06-0150 t Owner. COE FAMILY TRUST, Site Address: 465 JUSTESON RD, GRIDLEY I Cont: A TO Z PLUMBING I Contractor- RE ROOF Type of Permit: - 1 I c i T ( 3 /,,g c. SPECIAL CONDITIONS CHECKED BY ❑ SRA ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS } Q VERIFY O USE PERMIT CONDITIONS ❑ SUBSTANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT ❑ REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE DATE JOB FINALED: c SIGNATURE: = OK NM OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Cimcs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat 0 or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs 0 Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers DATE ID E C K S -C O V E R S`C A RP O RTS `G A RA G E S 1 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof-, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE JPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide s`5 Pool Drawing = OK = Not RESIDENTIAL (Single '& Duplex) UNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Opth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth. 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 69 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test lj Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 14 Girders-Sills-Anchr Bolts 4oists-Vnts-Cripples 15 Acc & Vntitn 16. Insulation DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties -Pu rli n -Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration -Walls -W ndws DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or ❑AL AC Wire Sz CP [] CU or 0 AL 48 Range Circ ga ❑CU or ❑AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑Yes F-1 No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clmcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector' UAIt: IPLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub. Acc 58 Gas Pipe, Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE MECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE FINAL 77771 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sis & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cirnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Lasted for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters Q Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnc% Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler 1� COUNTY OF BUTTE DEPARTMENT OF'DEVELOPMENT SERVICES J BUILDING DIVISION NOTICE Post this job'card in a safe,iconspicuous place. Do not remove until all required iris0ecti6ns are made and building is approved for occupancy. Plans must be o.n.the_job site. "•' =-022w240:138" A.R. ic6LE; LOIS" Owr�465,'JUSTESON, `G Co `tr'CONf .•,, 'fit - -- CON- HEIDT Perl,nPLACE F U&AIR _ URNACE A1VD.AC -� PERMITTEE MUS=I-C;ALL-% FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Piers Underground Conduit Sewer Service Water Service: Pool Final Plumbing Final Electrical Final Mechanical Final Buildinq or M.H. Final Revised 7/94 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES ( BUILDING DIVISION FOR YOUR CONVENIENCE USE THIS CARD WHEN CALLING FOR INSPECTION 24 HOUR INSPECTION REQUEST SERVICE Phone Numbers: Oroville Office: 538-7636 • Chico Office: (Lines will be out of service 7:30 a.m. to 8:00 a.m.) Please write down your information prior to calling this number. Speak slowly and clearly. Sequence of information required to make inspection request: l Building Permit # ^ Z l D If .In > Owner's NameL�3! Z Job Location Type of Inspection Wanted Date Inspection Wanted _ PLEASE USE THIS SERVICE FOR ALL INSPECTION REQUESTS For other business contact: Oroville Office - 538-7541 (Monday - Friday, 8:00 - 4:00) Chico Office - 891-2751 (Monday - Friday, 8:00-12:00 & 1:00 - 4:00) NAME ADDRE% BUTTE COUNTY O1-21 8'1 PLEASE POST THIS IDENTIFICATION CARD IN A CONSPICUOUS PLACE AND VISIBLE FROM THE/ ivzisa A.P.N. r'���L7U �I O COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ��"� ASSESSOR PARCEL NUMBER 022-240-138 ZONING BUILDINGPERMIT OWNER IDIS irMLJ TELEPHONE SO. FT. OCC. BUILDING VALUATION . IESS OWNER'S MAIUNG�D 4�V• FM 5 JURM GIRM �,� CA 95948 i� CONTRACTOR'S NAME M94 ' : Xt3G & AM MND. TELEPHONE 673-1418 M CONTRACTORS • 6 � 5U . YM �1 i'�.L11 CA 95991 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 465 JUMONt, GIRDI" CA 9594 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water' heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ARAM= EUSTING RWCE & AIR 0M. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Feel 20.00 LESS 1 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and -Professions Code, and my license is in�ofull force and and effect. ` License Class .( _-a `� Lic. No. ,�.� �� OWNER -BUILDER D CE LARATIO�1 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING Occup. so OR ADDNS. ( a AM. BLOC• 3.5aFT: NEW CONST. MULTI -OUTLET NoNRESID. @7.50 POWER APPARATUS a SINGLE OLIILET CIR. 20 g Ex. Occup. OUTLET ORFDCTUREs �,':� Ex. Occup.oFlxuneDrsR= ) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i 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. COY 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: CarrierS�+A:�P. (°n lm 0 Policy Number _/,C2 q J+j —6U (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. j ,% X ,Nu,�flLi i( fid , . . Date — 4 / o _ Signature ofIt Applicant - O Owner QrContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating ,Z„fr"' .00 Cooling • ou Hood 6.50 Ventilation - PERMIT FEt S IV• Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 70.()0 HAZ. D FEES IMP FLOOD 1 CDF PARCEL pO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By i l�lf .� �ld�l_ Date 9-4-2W1 PERMIT PERMIT EXPIRES ON 9--i0o2 Date Receipt No. 341 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I t, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PER-MIT01-21$1 ASSESSOR PARCEL NUMBER 022-240-138 ZONING BUILDING PERMIT OWNER LOIS COLE TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS - 465 JURI'1~SON GIRDLEY CA 95948 CONTRACTOR'S NAME .. ' HWEN HEATING & AIR CM. TELEPHONE 673-1418 _ CONTRACTORS MAIUNG ADDRESS ' 776 RIC HLAN D RD.. YM CITY CA 95991 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ Buaowo Aooaess 465 JUSTESONs GIRDI.EY CA 95948 Energy Plan Checking Fee $ $ PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP• PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping . 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 1, --a,,� Describe Work: REP AC1,3�tE�T,' EXISTING b'UitlWE & AIR UMD— Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ e ELECTRICAL PERMIT Fling. Fee 20.00 Main Service 2oOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions lof Chapter 9 (commencing with Section 7000)• of Division 3 of the Business and Professions Code, and my license is in full force and effect. /; (� License Class r -, )_ C/ Lic. No. ,z, /5Y/ �� � J OWNER -BUILDER DECLAFi-ATION s✓ 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 { I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the /performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 4 i, Niz,r1Q. Policy Number / 40,4114(Sf -e5 f) (The above sections nese not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section -3700 of the Labor Code, I shall forthwith comply with those provisions: fl , X✓�i�« Date q o ___ Signature of 4pplicant - 0 Owner 14,.Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, 3 SQSo. ADDNS. ( ACTCOU�Er FT. NOR EW CONST. M NoN•RES,D. c @7.50 POWER APPARATUS a SINGLE oun.ET CR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 �L @ .� Ex. Occup..OUTLFIXETSARa OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 25.00 Cooling 25.00 Hood 6.50 Ventilation PERMIT FEi= $ 7C).00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 70.00 HAZ. D. FEES IMP FLOOD I CDF PARCEL I PD I HD I ISSUE This permit is hereby issued—under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ab ve for which feesihave been paid. I 9-4-2001 By Date PERMIT EXPIRES ON 9»4-2002 ata ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 022-240-0 01-2181 1 465 JUSTESON,,GRIDLEY CONT: HESSEM HEATING&AIR REPLACE FURNACE AND AC . A P ' 022-240-138 .t. -94-2714 ,COE., , LOIS` &-lYMAN 4:65 JUSTESON • RD . GRIDLEY 4 DEMO SF / 02 / 9S � o COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95565 - Telephone (916) 538-754/ MIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 22-240-138 ZONING 5R1 BUILDING PERMIT OWNER xAIS p*YMAN COE T9=4316. SQ, FT, OCC. BUILDING VALUATION OWNEWS MAILING ADDRESS JUS`i'ESON RD 1000.00 CONTRACTOR'S NAME Vl\lVNV17N j� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 27. ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS .NS`I'ESON RD PERMIT FEE S 47.00 GRIDLEY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF19 Duplex ❑ Mobilehome EIOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ElUtilities ❑ Installation ElOther SCR .4 Describe Work: DD10 OLD HOUSE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( OOOVORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. OLDS. ) 3.50 FTgO. , CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. ❑ 1, 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) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 SAL. 50 FIXED APPWS. OR Ex. Occup. UTLETS (RESID.► EA. ) (O 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I 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. IJ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker'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. I 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. I also agree to save, indemnify and keep harmless the, County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in�cconsequenceof he granting of this permit. X /-/i,� �y� Date Sighd6re'of Applicant EI 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. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 47.00 I 1, HAZm I D. FEES I IMP I FLOOD I CDF PARCEL I PO HO ISJ6E This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have A --Y r-A;� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. C/ Date /j� '��' (Date! / 168751By Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPLIC ANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOJPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California. 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT '-?'q - r2!144 ASSESSOR PARCEL NUMBER 22-240-138 ZONING SR1 BUILDING PERMIT OWNER LOIS & LYMAN COE T846-4316 NE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 465 JUSTESON RD CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 27.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS JUSTESON RD PERMIT FEE $ 47.00 GRIDLEY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFS Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 1:1Other Describe Work: DEMO OLD HOUSE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2'0 OV OR LESS ) 2OOA OR LESS 23.00 Main Service ( 2O0A TO 1OOOA ) 46.00 NEW CONST. DWELLING OCCUP.So, OR ADDNS. ( & ACC. OLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do dthe work, and the structure is not intended or offered for sale. (Sec 7044) l, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. SO FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) 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 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. Qf I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker'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 thatthe 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 County in consequence of he granting of this permit. X Date / Sig ure of Applicant 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. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNST. TYPE TOTAL FEE $ [This HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD I HD I E permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By ^ PERMIT EXPIRES ON 7 ID tel provisions to do work paid. n' to `i 9r J Receipt 168751 WHITE-D.D.S.-B.D. S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Demolition.Permits Asbestos Notification Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The.permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require -the applicant to make the declaration in writing, or it.may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant OR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. ` 4 Signature of Applicant 2/19/91 ASBESTOS,DEZSOLITION/RENOVATION NOTIFICATION MAIL TO .ASBESTOS NOTIFICATION EPA/NESHAPS Region IX 1235 Mission St. A-3-3 Please check one: San Francisco, Ca .. 94103 Renovation DATE: Demolition requiring PROJECT JOB # 10 day notice (Please see reverse side) Demolition requiring Ager io. ALM Notified: ❑ 10=1 ❑ Califoraia Air Paso=zax Board ❑ Cal CSW► ❑ Building DaP rtmnt 20 day notice Revision of Original (Form on reverse side) IDE—PLEASE READ BEFORE USING THIS EPA USE ONLY DateRec Pstmrk School Del/ND ADQUTE? Code#: Doc#: FORM 1. OPERATOR: 3. FACILITY NAME: (Contractor) ADDRESS STREET ADDRESS CITY STATE CITY STATE ZIP PHONE( ) COUNTY ZIP 2. OWNER 4. FACILITY DESCRIPTION ADDRESS CITY S:'ATE AQTE QJ6 ! zip pEO:E P-R+CR ^S 5. Project`Start Date: Completion Date: 6. Estimate of Friable Asbestos: ON PIPE: Linear Feet • SURFACE OF OTHER COMPONENTS: Square Feet Nature of Materials: 7. DESCRIBE METHODS OF REMOVAL: 8. PROCEDURES USED TO COMPLY WITH 40 CFR 61.147 6 152: 9. NAME A LOCATION OF DISPOSAL SITE: ANY FURTHER PERTINENT INFO CAN BE INCLUDED BY ATTACHING ADDITIONAL SHEETS QUESTIONS??? FOR FURTHER INFORMATION CALL (415) 556-6415 8am/4pm M -F INSTRUCTIONS FOR USE OF A.SRF.RTnq DE O TTTON PENOVATTON NOnTFTCATTON FORM -v RENOVATION: means altering in any way one or more facility components. NOTICE MUST BE POSTMARKED AS EARLY AS POSSIBLE3EFORE PROJECT DEMOLITION: means the wrecking or taking out -of load -supporting structural members of a facility together with any related handli:ng•operationc 10 Day notice for MORE than 160 sq.ft.or 260 linear ft. asbestos 20 Day notice for LESS than 160 sq.ft.or 260 linear ft. asbestos, includes facilities which contain no asbestos. FACILITY: means any institutional, commercial -or industrial structure, installation; or building. Renovations on single family residences and apartment buildings with 4 units or fewer are exempt from notification to EPA. - PROJECT JOB #: Your OWN IN-HOUSE I D for a specific jobsite. Optional, but expedites communication -concerning notifications. LOCAL AGENCY: Most areas in Region 9.have local NESHAP delegated agencies. In these areas notice must be provided to both EPA and the local agency. 1. OPERATOR/CONTRACTOR: Full.information concerning person doing the work. 2. PROPERTY OWNER: Complete in full. 3. FACILITY NAME: Must have complete address OR directions to the jobsite. 4. FACILITY DESCRIPTION: Current use of building. Project location in the facility. Other descriptive information as necessary. 5. START AND COMPLETION DATE: Provide month, day and year. Must be revised if dates change. -(see revision form below) 6. Estimate of amount to be removed (must be in square or linear feet). Revisions(see form below) must be made for additional amounts uncovered. 7. Examples of methods: glovebag, scrape, remove in sections, etc. - 8. Examples: Adequate wetting prior to and during work, double bag, etc. DRY REMOVAL MUST RECEIVE PRIOR WRITTEN APPROVAL FROM EPA OR THE LOCAL DELEGATED AGENCY IF MORE SPACE IS NEEDED THAN PROVIDED, ADDITIONAL SHEETS SHOULD BE ATTACHED TO REVISE A 11470TIFICATiON ALREADY ON FILE w17-1 i -EPP_ US -E FORM p nt T DZD BELOW PROJECT NAME PR^JECT .;OB 0 ORIGINAL NOTIFICATION DATE Revision Notice #1 2 3 4 5 please circle This is to advise that the above referenced notification presently on file has been revised. Please note the revised portion listed. CHANGES FOR THIS REVISION: 1. NEW Location 2. NEW Scope of Work 3. ADDITIONAL Quantity of Asbestos 4..NEW Start Date 5. NEW Completion Date 6. NEW Disposal Site PROJECT ( ) CANCELLATION CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... 4 Bedroom - 2533 SF Res. Date........ 10/28/94 Proiect Address_______ Biggs Documentation Author... Marty Runnells Company . .... ......... Energy Calculation Svcs. Telephone............... (916) 894-8466 / 246-9522 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 9*d7-3 Bui ng Permit t /lam Plan Check Date Field Check/ Date MICROPAS4 v4.02 File -942655 Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Svcs. Run -2533 SF 3 BR. Residence GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Component Type Wall Door Roof Roof SlabEdge SlabEdge SlabEdge SlabEdge Orientation 2533 sf Single Family New Front Facing 0 1 1 Slab On Grade BUILDING SHELL INSULATION Insulation Assembly R -value U -Value R-13 0.088 R-0 � 8-71 R:3R :_3_0J R-0 R-0 R-0 R-0 Window Front (N) Window Front (N) Window Left (E) Window Back (S) Window ' Back (S) Window Left (SE) Door Back (S) Window Right (W) Door Right (W) Skylight Horz Area (sf) 102.0 54.0 52.0 65.0 59.7 11.0 17.0 66.5 17.0 9.0 0.330 0.025 0.031 0.500 0.550 0.720 0.900 U - Value 0.600 0.570 0.600 0.550 0.600 0.600 0.570 0.600 0.570 0.800 Location/Comments FRONT, KNEE WALL, BACK -LEFT, RIGHT ENTRY, TO GARAGE TO ATTIC, VAULTED VAULTED TO GARAGE TO GARAGE TO EXTERIOR TO EXTERIOR FENESTRATION # of Interior Pan- Shading/ es Description 2 Drapes.Std 2, Drapes.Std 2 Drapes.Std 2 Drapes.Std 2 Drapes.Std 2 Drapes.Std 2 Drapes.Std 2 Drapes.S'td 2 Drapes.Std 2 None Detached deg (N) (Package D) TO GARAGE, LEFT, BACK TRUSS av 0\j �p p . Over - Exterior hang/ Framing Shading Fins Type None None VinylDiv None Yes VinylDiv None Yes Vinyl None Yes Vinyl None Yes Vinyl None Yes Vinyl None Yes Glz<500 None Yes Vinyl. None ,S'Yes Wood. None None Metal av 0\j �p p . CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... 4 Bedroom - 2533 SF Res. Hata ,nioQioA MICROPAS4 v4.02 File -942655 Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Svcs. Run -2533 SF 3 BR. Residence Type SlabOnGrade S1abOnGrade InteriorHorz InteriorVert Equipment Type Gas AirCond Exposed Yes No Yes Yes THERMAL MASS Area Thickness (sf) (in) 470 4.0 2063 4.0 60 1.0 157 1.0 HVAC SYSTEMS . Minimum Duct Efficiency Location 0.800 AFUE Attic 1 i0.00 'SEER'__ Attic Location/Comments KITCHEN BATHS ENTRY DIN. TYPICAL COUNTERS KIT./BATHS SHOWER/TUB ENCLOSURES Duct Thermostat R -value Type �R=4""2 .. - --,Setback- R=4.2 Setback WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ,Storage__ �Gas.�_-___ Standard_. --J 1 _ .58 EF- _`__ -5 0 R-6 SPECIAL FEATURES/REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... 4 Bedroom- 2533 SF Res. Date........ 10/28/94 MICROPAS4 v4.02 File -942655 Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Svcs. Run -2533 SF 3 BR. Residence COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER DOCUMENTATION AUTHOR Name.... Name.... Marty Runnells Company. Company. Energy. Calculation Svcs. Address. Address. 1907 Mangrove Ave. Ste D Chico, California 95926 Phone... Phone... (916) 894-8466 / 246-9522 License. Signed.. Signed.. /028 jc� date ate ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed. . ate MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title.......... 4 Bedroom - Z533 SF Res. Date........ 10/28/94 Project Address........ Biggs Documentation Author... Marty Runnells Company ................ Energy Calculation Svcs. Telephone .............. (916) 894-8466 / 246-9522 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Building Permit Plan Check Date Field Check/ Date MICROPAS4 v4.02 File -94265S Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Svcs. Run -2533 SF 3 BR. Residence Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown.elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturers labeled R -Value. *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). *150(d): Minimum R -13 -raised floor insulation in framed floors; Design- Enforce- er ment minimum R-8 in concrete raised floors. 150(i): Slab edge insulation - water absorption rate no greater than 0.30, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and -factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. y— A NA MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R Project Title.......... 4 Bedroom - 2533 SF Res. Date ----- 1n/9Q/CIA MICROPAS4 v4.02 File -94265S Wth-CTZ11S92 Program -FORM MF -1R User##-MP1333 User -Energy Calculation Svcs. Run -2533 SF 3 BR. Residence SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce - 110 -13: HVAC equipment, water heaters, showerheads and faucets er. ment certified by the CEC. 150(i): Setback thermostat on all applicable heating systems. —�- 150(j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 7811 thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation. pump time switch. 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.). 1.50 (k) :. 40 kitchens fixtures lumens/watt.or and rooms with IC (insulati.on LIGHTING MEASURES - greater for general. water closets; and cover.) approved.. lighting, in recessed ceiling - J N/A Design Enf.orce:- er ment COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... 4 Bedroom - 2533 SF Res. Date........ 10/28/94 Project Address........ Biggs Documentation Author... Marty Runnells Company ................ Energy Calculation Svcs. Telephone .............. (916) 894-8466 / 246-9522 Compliance Method...... MICROPAS4 by Enercomp, Inc Climate Zone........... 11 Building Permit Plan Check Date Fie C ec Date MICROPAS4 v4.02 File -94265S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Svcs. Run -2533 SF 3 BR. Residence Zone Type HOUSE Residence MICROPAS4 ENERGY USE SUMMARY Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 16.38 18.78 -2.40 Space Cooling.......... 11.27 8.93 2.34 Water Heating.......... 10.31 9.61 0.70 Total 37.96 37.32 0.64 *** Building complies with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground.Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average,Ceiling Height..... Floor Area (sf) 2533 sf Single Family Detached, New Front Facing 0 deg (N) 1 1 ReducedYear Slab On Grade 1 22827 cf 2533 sf 2533 sf. 2533 sf 17'. 9 0 of FA 9 ft (Package D) BUILDING ZONE INFORMATION # of Volume Dwell Cond- Thermostat (cf) Units itioned Type 2533 22827 1.00 Yes Setback Vent Special Height Vent Area (ft) (sf) 2.0 n/a, COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... 4 Bedrool - 2,533 SF Res. Date........ 10/2R/A4 MICROPAS4 v4.02 File -94265S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Svcs. Run -2533 SF 3 BR. Residence OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location/ Surface (sf) value R-val Azm Tilt Gains Reference Comments HOUSE 1 Wall 285 0.088 R-13 0 90 Yes None FRONT 2 Wall 33 0.088 R-13 0 90 Yes None KNEE WALL 3 Wall 158 0.088 R-13 0 .90 No None TO GARAGE 4 Door 20 0.330 R-0 0 90 Yes None ENTRY 5 Door 18 0.330 R-0 0 90 No None TO GARAGE 6 Wall 508 0.088 R-13 90 90 Yes None LEFT 7 Wall 96 0.088 R-13 90 90 Yes None KNEE WALL 8 Wall 394 0.088 R-13 180 90 Yes None BACK 9 Wall 21 0.088 R-13 135 90 Yes None BACK -LEFT 10 Wall 62 0.088 R-13 180 90 Yes None KNEE WALL 11 Wall 213 0.088 R-13 270 90 Yes None RIGHT 12 Wall 140 0.088 R-13 270 90 Yes None KNEE WALL 13 Wall 51 0.088 R-13 270 90 No None TO GARAGE 14 Roof 1669 0.025 R-38 0 0 Yes None TO ATTIC 15 Roof 410 0.025 R-38 0 38 Yes None VAULTED TRUSS 16 Roof 215 0.031 R-30 90 38 Yes None VAULTED 17 Roof 215 0.031 R-30 270 38 Yes None VAULTED 18 Roof 62 0.031 R-30 0 38 Yes None VAULTED PERIMETER LOSSES Length F2 Insul Solar Surface (ft) Factor R-val Gains Location/Comments HOUSE 19 S1abEdge 28 0.500 R-0 No TO GARAGE 20 S1abEdge 10 0.550 R-0 No TO GARAGE 21 S1abEdge 226 0.720 R-0 No TO EXTERIOR 22 SlabEdge 50 0.900 R-0 No TO EXTERIOR FENESTRATION SURFACES # of Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ Surface (sf) es Type Type value Azm Tlt Only Shade Description HOUSE 1 Window 36.0 2 VinylDiv Slider 0.600 0 90 0.88 0.78 Drapes.Std 2 Window 6.0 2 VinylDiv Fixed 0.570 0 90 0.88 0.78'Drapes.Std 3 Window 7.5 2 VinylDiv Fixed 0.570 0 90 0.88 0.78 Drapes.Std 4 Window 7.5 2 VinylDiv Fixed 0.570 0 90 0.88 0.78'Drapes.Std 5 Window 12..0 2 VinylDiv Fixed 0.570 0 90 0.88 0.78'Drapes.Std 6 Window 36.0 2 VinylDiv Slider 0.600 0 90 0.88 0.78'Drapes.Std 7 Window 9.0 2 VinylDiv Fixed 0.570 0 90 0.88 0.78 Drapes.Std 8 Window 30.0 2 VinylDiv Slider 0.600 0 90 0.88 0.78 Drapes.Std 9 Window 1.2.0 2 VinylDiv Fixed 0.570 0 90 0..88.0.78 Drapes.Std 10 Window -6.0 2. Vinyl Slider 0.600 90 90 0.8.8, 0.79 Drapes.Std 11 Window -20.0 2 Vinyl Slider 0.600 90 90 0.88 0.78 Drapes.Std 12 Window 0.0 2 Vinyl Slider 0.600 90 90 0.88 0.78'Drapes.Std 13 Wind.ow 10.0. 2. • Vinyl 5 Slider 0.60Q 90 90 0.88,0..78 Drapes.Std COMPUTER METHOD SUMMARY - Page 3 C -2R Project Title.......... 4 Bedroom - X533 SF Res. Date ------- in/9Q/aa MICROPAS4 v4.02 File -942655 Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Svcs. Run -2533 SF 3 BR. Residence FENESTRATION SURFACES # of Vent SC SC Interior Surface Area (sf) Pan- es Frame Type Open Type U- Act value Azm Tlt Glass Only Int Shading/ Shade Description 14 15 Window Window - 6.0 -65.0 2 2 Vinyl Vinyl Slider Slider 0.600 90 0.550 180 90 90 0.88 0.88 0.78 0.78 Drapes.Std Drapes.Std 16 17 Window Window .45.0 -11.0 2• 2 Vinyl Vinyl Slider Slider 0.600 180 0.600 135 90 90 0.88 0.88 0.78 0.78 Drapes.Std Drapes.Std 18 19 Window Door 'r14.7 -17.0 2 2 Vinyl Glz<50o Slider Hinged 0.600 180 0.570 180 90 90 0.88 0.88 0.78 0.78 Drapes.Std Drapes.Std 20 21 Window Window -25.0 -12.5 2 2 Vinyl Vinyl Slider Slider 0.600 270 0.600 270 90 90 0.88 0.88 0.78 0.78 Drapes.Std 22 23 Door Window X17.0 2 Wood Hinged 0.570 270 90 0.88 0.78 Drapes.Std Drapes.Std 24 Window -20.0 ''9.0 2 2 Vinyl Vinyl Slider Slider 0.600 270 0.600 270 90 90 0.88 0.88 0.78 0.78 Drapes.Std Drapes.Std 25 Skylight 9.0 2 Metal Fixed 0.800 0 0 0.88 1.00 None OVERHANGS AND SIDE FINS Window- Overhang Left Fin Right Fin - Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE 2 Window 6.0 1 n/a '2 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 3 Window 7.5 6 n/a 13 4.5 n/a n/a n/a n/a n/a n/a n/a n/a 4 Window 7.5 6 n/a 13 4.5 n/a n/a n/a n/a n/a n/a n/a n/a 5 Window 12.0 2.5 n/a 13 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 7 Window 9.0 1.5 n/a 2 2.5 n/a n/a n/a n/a n/a n/a n/a n/a 9 Window 12.0 2 n/a 2 2.5 n/a n/a n/a n/a n/a n/a n/a n/a 10 Window 6.0 3 n/a 3 .67 n/a n/a n/a n/a n/a n/a n/a n/a 11 Window 20.0 4 n/a 5 .67 n/a n/a n/a n/a n/a n/a n/a n/a 12 Window 10.0 4 n/a 5 .67 n/a n/a n/a n/a n/a n/a n/a n/a 13 Window 10.0 4 n/a 5 .67 n/a n/a n/a n/a n/a n/a n/a n/a 14 Window 6.0 3 n/a 3 .67 n/a n/a n/a n/a n/a n/a n/a n/a, 15 Window 65.0 6.67 n/a 10 .5 n/a n/a n/a n/a n/a n/a n/a n/a 16 Window 45.0 5 n/a 10 .5 n/a n/a n/a n/a n/a n/a n/a n/a 17 Window 11.0 3.67 n/a 11 .5 n/a n/a n/a n/a n/a n/a n/a n/a 18 Window 14.7 3.67 n/a 7 .5 n/a n/a n/a n/a n/a n/a n/a n/a 19 Door 17.0 3 n/a 7 .67 n/a n/a n/a n/a n/a n/a n/a n/a 20 Window 25.0 4 n/a 1 .5 n/a n/a n/a n/a n/a n/a n/a n/a 21 Window 12.5 5 n/a 1 .5 n/a n/a n/a n/a n/a n/a n/a n/a 22 Door 17.0 6.67 n/a 56 .67- n/a n/a n/a n/a n/a n/a n/a n/a 23 Window 20.0 4 n/a 1 .5 n/a n/a n/a n/a n/a n/a n/a n/a 24 Window 9.0 3 n/a 3 .67 n/a n/a n/a n/a n/a n/a n/a n/a COMPUTER METHOD SUMMARY Page 4 C -2R Project Title.......... 4 Bedroom' - Z533 SF Res. Date --- 1n/31n/aa MICROPAS4 v4.02 File -942655 Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Svcs. Run -2533 SF 3 BR. Residence THERMAL MASS Area Thick Heat Conduct- Surface Mass Type (sf) (in) Cap ivity R -value HOUSE Efficiency 0.800 AFUE Attic R-4.2 0.830 1 SlabOnGrade 470 4.0 28.0 0.98 R-0.0 2 S1abOnGrade 2063 4:0 28.0 0.98 R-2.0 3 InteriorHorz 60 1.0 24.0 0.67 R-0.0 4 InteriorVert 157 1.0 24.0 0.67 R-0.0 HVAC SYSTEMS System Type HOUSE Gas AirCond Tank Type 1 Storage Location/Comments KITCHEN BATHS ENTRY DIN. TYPICAL COUNTERS KIT./BATHS SHOWER/TUB ENCLOSURES Minimum Duct Duct Duct Efficiency Location R -value Efficiency 0.800 AFUE Attic R-4.2 0.830 10.00 SEER Attic R-4.2 0.810 WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Heater Type Distribution Type System Factor (gal) R -value Gas Standard 1 .58 50 R-6 SPECIAL FEATURES/REMARKS HVAC SIZING Page 1 HVAC Project.Title.......... 4 Bedroom - 2533 SF Res. Date........ 10/28/94 Project Address........ Biggs Documentation Author... Marty Runnells Building Permit Company ................ Energy Calculation Svcs. Telephone .............. (916) 894-8466 / 246-9522 Plan Check Date Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... it Field Check/ Date MICROPAS4 v4.02 File -94265S Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Svcs. Run -2533 SF 3 BR. Residence GENERAL INFORMATION Floor Area ................. 2533 sf Volume.. 22827 cf Front Orientation.......... Front Facing 0 deg (N) Sizing Location............ OROVILLE RS Latitude. .. ........ 39.5 degrees Winter Outside Design...... 30 F Winter Inside Design....... 70 F Summer Outside Design...... 104 F Summer Inside Design....... 78 F Summer Range ............... 37 F Interior Shading Used...... Yes Exterior Shading Used...... Yes Overhang Shading Used...... Yes Latent Load Fraction....... 0.20 Description HEATING AND COOLING LOAD SUMMARY Heating (Btuh) Opaque Conduction and Solar...... 19172 Glazing Conduction ............... 10713 Glazing Solar .................... n/a Infiltration ..................... 12984 Internal Gain .................... n/a Ducts............................ 4287 Sensible. Load .................... 47156 Latent Load........ ............ n/a. Cooling (Btuh) 7369 6964 7162 5331 2325 2915 32.065 6413 Minimum Total Load 47156 38478 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. �vi` .kir. t•: • f yAIL-4 . �ir �{4C s , ��ti�'r� r;wa i"A*"r. ;'r°t�S;. i`` * •'�"N f .«! ;.�. .i :r,;.e.e F: :fT?.:f' )Fr-' r,3. r�-,�. X. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District A.P. Number - ��� -�'� Jurisdiction ' Property Owner Property Location/Address a Subdivison Residential Development No. df Living Units City Building Department -No. L��County r 11 0 Sq. Footage 5� 3 - Addition (Group R) ti. Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) 9 Building Departrrf nt Representative Dat 4, (Floor Plans reviewed by School District Personnel) District Identifica r_. (Street Address) . d. - No. School District certifies thatQ-Cd _,,;('Applicant) 'ryk ITJV& (Phone Number) (City) // (State) (Zip Code) / has complied with the requirements of Resolution No:••� I "9�%7 a by payment of $ representing square feet. 4 0 �•s � D afe Paid'by Check Number ; Remarks:�,y/� �J�llvhC Bank. Number 1fLy /ZiG --Fl Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),;this project may be subject to White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) 4 Return -to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this NOT D W NAL D0! acknowledgement be recorded prior to issuance of a building ' ORIGINAL CV permit. .:02110 The property described herein is adjacent to land or included within an area zoned -for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from94-045193 the use of agricultural chemicals, i_, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: 1 01291q4 State of California County of Butte On10 / 2 5 / 9 4 before me, personally appeared PROPERTY OWNERS: Linda J **Lyman Coe and Lois Coe** ! NDA J 0SFJC)UR.r>1^� 'I N�;;tdfY Pt �blic — C�3!i;orrna BUTTE CC?UNiY nny Cor.;nt. cxPrt;, MAR 18. 199 personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacit) ties), and that by his/her/their signature(s) on the instrument, the erson(s), or the entity upon behalf of which the persons? acted, executed the instrument. WITNESS my tW d' #nd official seal. / ~ '�'� nFr'rr 1i u)TdR� i1F 1� Signature A. P. # (� a - oZ L%0 / 5 13 r'mk IU?7,,;r.�llhi'� Seal: daMy Conus d>tatnfp MAN It) It yi 'File No. BUTTE COUNTY (For Act ionP1,,2, 3),, Public Works Dept. (For Information of Director Dep. Dir. Sec. I Rd. & Br. Mt... Shop & Yards 1 Bldg. Insp. Admin. 7 i Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. D'rng. /S.I. Sub. & Pcl. Maps Permits Addr. r ✓ °JA hl ' 465 Justeson Road Gridley, CA 9.5948 RE: Building Code Violations 465 Justeson Road Gridley, CA Dear Mr. Coe: 1 November 1.5, 1991 A.P.' #22-24-138 We sent you a warning letter dated July 11, 1989 notifying you that you are in -violation of the Butte County Code at the above referenced loca- tion. As of this date, the following violations still exist. Failure to obtain the required permits, inspections and approvals to convert an agricultural building to a welding shop in violation of the 1976 Uniform Building Code adopted by Section 26-1 of the Butte County Code as follows: (a) Section 301(a) Permits Required (b) Section 305(a) Inspections Required (c) Section 305(d) Inspection Approval Required before Use or Occupancy (d) Section .502 Change in Use Requires.Conformance to Code Butte County Code Section 24-7.5 does not permit a commercial use in an SR -1 zone. The above violations shall be corrected or abated by obtaining the necessary permits from this office to convert the building to an approved use within the zone within thirty (30) days of the date of this letter. Unless the violation(s) is (are) so corrected or abated, a citation shall be issued to you to appear in court for said violation(s) and for failing to comply with this notice. Upon conviction of said violation(s) or for failing to comply with this notice, penalties shall be imposed and a Notice of Violation recorded in accordance with Section 41-7 of the Butte County Code. Iy � exPMAS4,rt5 tL-Gt ;t WW a&+- least !-wo wee Ks �li-v /%•el� e.c+�o� kw�l a�r I -13-9! A� D%a .,,d-¢- Se v o Q j e 465 Justeson Road Gridley, CA 9.5948 RE: Building Code Violations 465 Justeson Road Gridley, CA Dear Mr. Coe: 1 November 1.5, 1991 A.P.' #22-24-138 We sent you a warning letter dated July 11, 1989 notifying you that you are in -violation of the Butte County Code at the above referenced loca- tion. As of this date, the following violations still exist. Failure to obtain the required permits, inspections and approvals to convert an agricultural building to a welding shop in violation of the 1976 Uniform Building Code adopted by Section 26-1 of the Butte County Code as follows: (a) Section 301(a) Permits Required (b) Section 305(a) Inspections Required (c) Section 305(d) Inspection Approval Required before Use or Occupancy (d) Section .502 Change in Use Requires.Conformance to Code Butte County Code Section 24-7.5 does not permit a commercial use in an SR -1 zone. The above violations shall be corrected or abated by obtaining the necessary permits from this office to convert the building to an approved use within the zone within thirty (30) days of the date of this letter. Unless the violation(s) is (are) so corrected or abated, a citation shall be issued to you to appear in court for said violation(s) and for failing to comply with this notice. Upon conviction of said violation(s) or for failing to comply with this notice, penalties shall be imposed and a Notice of Violation recorded in accordance with Section 41-7 of the Butte County Code. Iy � Letter to Lyman Coe RE: Page 2 November 15, 1991 Building Code Violations (A.P. #22-24--138) Should you have any questions concerning this matter, please contact Rod Taylor or Jim Glander of this office at (916).538-7541. DP:dms cc: Building Inspector Planning Department Yours very truly, William Cheff Director of Public Works David Purvis_ Supervising Building Inspection 1 2 3 4 5 8 8 9 10 11 12 13 14 15 18 1? 18 19 20 21 22 23 24 25 26 PROOF OF SERVICE BY MAIL I am over the age of 18 and not a party to this cause. I am a resident of and employed in the county where the mailing occurred. My business address is California. I served the foregoing Butte County Department of Public Works #7 County Center Drive Oroville, CA 95965' 30 -Day Violation Letter by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage fully prepaid on 15th. of November 19 91, and addressed as'follows: Lyman Coe 465 Justeson Road Gridley, CA 95948 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on 11/15/91 at Oroville California. BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information J) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. Bldg. Insp. Admin Design Engr. Bridge Engr. Constr. Engr. ' Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. 0 Lyman Coe 465 Justeson Rd. Gridley, CA 95948 Dear Mr. Coe: Z, July 27, 1989 RE: Special Inspection #44-89 A.P. #22-240-138 With reference to the above noted property and your request to convert an agri- cultural storage building into a manufacturing agricultural equipment, (B-2 occupancy); the inspection was made on July 20, 1989. Since you constructed the building, in :1981, without required permits, MUs office has no verification of structural code compliance. Therefore, we made a reasonable visual inspection without going on the roof and found that the building meets code requirements with the exception of the following items which must be resolved: "(1) Provide approval from the Planning Department for use in SR -1 zone. (2) Provide Health Department approval for sewage disposal and water supply. (3) Provide handicap access and sanitary facilities. (4) Verify that the structural systems comply with approved building plans after plan check including foundation, anchor bolts, and steel building structural plans. (5) Submit plans for conversion of existing structure at the rear of the parcel from single family dwelling to manufacturing use. (6) Verify that the electrical work meets the National Electric Code standards for manufacturing use. This inspection by the. County of Butte does not act as a guarantee or warranty as to the internal soundness of the building.. It is now in order fpr�y_ou to�submit�three_sets, plot plan, f-i�or,piaf�,ndstr�tnit; Maf pay the appropriate fees and penalties. Letter to Lyman Coe (RE: Special Inspection #44-89, A.P. #22-240-138) Page 2 July 27, 1989 Since the building is currently in violation of .the Butte County requirements, the above compliance process must begin within 30 days of the date of this letter. If you have any questions concerning this matter, please call Rod Taylor at (916) 538-7541. JFG:daj cc: Planning Department Assessor Department Health Department Yours very truly, William Cheff Director of Public Works i J.F. Glander Chief Building Inspector ❑ Complaint -Date ❑ Other -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT n ZONING i►C Owner: LVA$A-,Y COE A.P. # Address:_ 14(o> ��u I 5� � � l] C���QL Date of Inspection Tenant: U -94,a. Inspector Building Location:-}(p��j-S�LO�����Q(,.�c.' Type of Inspection requested: 1. Housing 2. Financing 11 3. Change of Occupancy to 11 4. Work W/0 Permit / / S. Other (specify) C. Electrical 1. Service and ground: 2. Receptacles: M. LAh,etr64'�g 3. Fusing: 4. Comments: - -- , ,,w _1�•.sn�,�-�i Present use of building: A. Sanitation (Housing) V LAV 1. Water closet: r 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: U 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerances,Handrails) 15. Comments: B. Structural 1.' Piers and footings: 2. Floor construction: 3. Wall construction: _ gp! a 4. Ceiling and roof construction: 5. Fireplaces: , 6. Comments: ' C. Electrical 1. Service and ground: 2. Receptacles: M. LAh,etr64'�g 3. Fusing: 4. Comments: - -- , ,,w _1�•.sn�,�-�i D. Plumbing I. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings S� L 1. Roof covering: 2. Distance to property lines: c1c 0 -� 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 0^" 6. Improvements: 7. zoning: 8. Comments: 1 G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description); 3. What action -recommended A. Information only - file. B. Hold for ten days,.then write letter. C. Write letter. "..D. Other: ���K����.,^����'i'�i��i.�•,,����`a"'��;1�•F�,•7a'��`I�•.'i,ii.�f..(.+������'''.�-�•r.`i'�'i�.�`,'-,iR�`_''N�;"��';Z ���i � •M 7N COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS 7 County Center'Drve, Oroville, California 95965 Telephone: 538-7541 , APPLICATION FOR SPECIAL INSPECTION OwnerCO I yIt'�rl•✓ ,,,� � A.P. No. Mailing Address - `,,% On/ / <_-yVA Telephone No., <?Y6 ' T %y, Applicant � L �!S � � � � Telephone No. Mailing Address. Building Location S,0,0074V,&Q iV4- 0"J/Vcti. ,,je4'/ kke 6c- e-4e4.c, taxi e-- 4e,, o4 C OZ I hereby request a special inspection of the following building: 1. Dwelling (if ,only .a portion, specify) 0 2. Apartment House (if only a_.portion, specify) Q 3. Commercial (specify present occupancy) © 4. Other (specify) � � eG c/L?'�2� SOt� C� 9' o'4C4? WoS C--e-P,y, I am requesting a special inspection for the purpose of: 1. Moving the building. U2. Financing (specify agency) Case No. 0 3. Change of occupancy to Q 4. Other (specify) /�ec�'U'jrto D.,"e< ":.S ,n5!K ,�d'r�.. %////eF I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as.a result of this inspec- tion, to comply with building and housing code requirements. I also certify .that prior to.the use. or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building .is presently occupied, I will complete the above required corrections, alterations,•or repairs within 30 days. ',.. ,•T• I certify that I have read this application and hereby authorize representatives of the mentioned property for inspection purposes.. Signature of Owner Fee Paid $Q lst-DPW/2nd-Inspector/3rd-Applicant and state the above information is correct County of Butte to enter upon the above - Date 0—/X, 4 Receipt No. / 3 Z 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL`LEsCALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER L yM12,j , o�L ► A. P. No. Proposed Building Use o5,egC SAL % 00��� U Building Inspectort��5/% Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/Or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... Fees r .71 .. ......... ....... 10. Chico Urban Area fees paid ...................�h...... .. e:... 11. Park fees paid ..................................................... 12. School District fees paid ................ . 13..,Sanitation-approval'-from- - Health Department .... , 14. City of Chico plumbng{permit..................................... . 15. Plot plan and business License approvalffrom City of (see City for other requirements) 16. Planning approval for (A) Use:(B) Parking: 17. Improvements may be required.'" 4_t,r 18. Drivet,w_ay.pemit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ..:.: y Pre-Insperequest to Building Inspector (Date) 20. Contracto"r's-Iicense information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. ._ When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone", and hold for pickup at office. Deliver w/inspector. Other /,- i A p p l i c a Copy of plans sent •HealtheDept.,i, zFJre Dept„,,_ The following data must a submitted prior to permit issua 1. Index.permit.for above items No. l �' 2. Add itional-itelns'Yegiaired: Date _• Other Date r e:..(Circle-new item not checked above). JC r Contractor, designer, owner, was advised of above,required! data. by -_phone__ atl_counter by date Contractor, designer, owner„was advised of above'required data by—phone —mal l—counter by date Plans checked by Date -Plans approved by Date Sets of plans qn hold in File cabinet AP folder Copy—DPW 1 t j f -s- ` , e_.._ EPIGE PREPARED BY DATE _ ____j MMMMMMMMMMMMMMMMMMMMMMMMMMMMM mMMMMMMMMMMmMMmmMMMMM ME I m MEN ■■iiui'o■MiiiMM'iiiiiiM' �:: ::C::�:::::::::: E'er � y 1 .... a t s , t 5 � � y 1 .... t s , � y 1 .... .� . PREPARED BY DATE AR r t 1. File No. BUTT 'COUNTY Public Works Dept Director Dep. Dir. Sec. Sandi Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. (For Action 1, 2, 3 ) (For Information ✓) I t' 1' Lyman Cole 4.6.3 Justeson Road \ Gridley, CA 95943 ` RE: Building Permits 465 Justeson Road,. Gridley Jury 11, 10,99 A.P. r : 22 -24 -138- -Dear Dear fir . Cole: 1 This is a warning iett_er to notify you that you are in violation of the Butte County Code at the abcve referenced loc.--tion as follows: c Converted agricultural building to welding shop Since permits and inspections are required for thr-a--1ove work, please contact tlgis o£f iCe within ten day3 of the date of this letter �-ubnit two complete sets of plans, apply for the r^mui red permits, and pay the\ -appropriate fees. All work must stop until these Dermits are issued ar:d you -are alathori zed by our field, ins-pector :o gr 3cced.. This field authorization cannot. be made urjtil the e.tiisting work is inspected and approved. P'iease be aware that Butte County ties entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides � an effective a.ea,:s of ^-:force,.ent i= such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the is ucince of c-!- ations, fines, and,the recording of a ?Notice of Vj.olat J"?.or_ � Your, cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact Jyr:1.Glar_,der � or Bob Keith of this office. Yours very truly, William Cheff Director of Public Works r 4 A&R J. F. Glander Chief Building Inspector JFG:laj cc: Assessor, Building Inspector PLANNING DEPARTMENT 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 November 3, 1989 OZZ._ zve - dal Lyman Coe 465 Justeson Road Gridley, CA 95948 Dear Mr. Coe: As you know the Butte County Planning Department is trying to make a determination regarding the zoning compliance of your orchard equipment manufacturing business. The parcel on which your business is located Is currently zoned SR -I. This zoning was adopted on June 29, 1982. The current zone clearly does not make any provision for your operation. The prior zoning was A-2. While the A-2 zone required a use permit for welding shops, other uses that may have done some accessory welding were allowed. In order for us to come to a decision In this matter, we need detailed Information about your business. Any information regarding the following will be of help: I. When was the business first established? 2. Was It substantially the same type of work then as now? 3. Was It originally done for commercial or personal purposes? 4. When did you first hire employees? 5. What types of welding are done, I.e., gas, arc, plasma, etc.? 6. Do you accept any welding Jobs off'the street. 7. Do you accept any welding Jobs not related to agricultural equipment. 8. Is your business primarily a welding shop (a detailed description of what a typical Job is may be best here as an answer). 9. What building did you use prior to 1981. Your complete and prompt responses will be appreciated and will allow us to come to an.accurate decision regarding the land use on-site. utte countq L A N D O F N A T U R A L W E A L T H A N D BEAUTY PLANNING DEPARTMENT 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 November 3, 1989 OZZ._ zve - dal Lyman Coe 465 Justeson Road Gridley, CA 95948 Dear Mr. Coe: As you know the Butte County Planning Department is trying to make a determination regarding the zoning compliance of your orchard equipment manufacturing business. The parcel on which your business is located Is currently zoned SR -I. This zoning was adopted on June 29, 1982. The current zone clearly does not make any provision for your operation. The prior zoning was A-2. While the A-2 zone required a use permit for welding shops, other uses that may have done some accessory welding were allowed. In order for us to come to a decision In this matter, we need detailed Information about your business. Any information regarding the following will be of help: I. When was the business first established? 2. Was It substantially the same type of work then as now? 3. Was It originally done for commercial or personal purposes? 4. When did you first hire employees? 5. What types of welding are done, I.e., gas, arc, plasma, etc.? 6. Do you accept any welding Jobs off'the street. 7. Do you accept any welding Jobs not related to agricultural equipment. 8. Is your business primarily a welding shop (a detailed description of what a typical Job is may be best here as an answer). 9. What building did you use prior to 1981. Your complete and prompt responses will be appreciated and will allow us to come to an.accurate decision regarding the land use on-site. "Should you have any questions regarding this matter, please call this office between the hours of 10:00 a.m, and 3:00 p.m. Sincerely, B. A. Kircher Director of Planning Craig B. Sanders Assistant Planner CBS:lr COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ERMIT N0. �f3 7 AS2�S5 OR PAR L NUMBS 1 — 1-3 ZONING SIR_ ( BUILDING PERMIT OWNER TPHONE SO. FT. OCC. BUILDING VALUATION OWN ij',S J+I ALLIN RE55 SO 747 J CONTRA 'S NAE eLEZ;1 3 SUNS TELE HONE 7)-3F.�7 CONTRA OR'S MAILING ADDRESS 7 A -f 95 Fireplace CONSTRUCTION ENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS?Permit 5 �vsiE fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MA Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other LJLC�`�C SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: � ID Le � � '�2/"l erV.CLF � ®6 %O 3 PSC t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 CONTRACTORS LICENSE LAW I declare nder penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code Qand my license is in full �force ( and effect. (yV(J License No. �J ��7 Classification b ❑ 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 EA. ADD -L 100 AMP 2.50 s0 NEW CONST. DWELLING OCCUP.JW OR ADDNS. ACC. BLDGS. ,/20sgft NEW CONSTRMUTI-OUTLET NON-RESID .BRA CH CIRC ITS 2.50 ea POWER APPARATUS a (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 9AL030 ED ALNS Ex. Occup. ou LETS P(RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirin 15.00 �-- y `�' J Permit Fee S $, WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again it unty n c nse nce of the granting of this permit. XDate (q — �0� �O Signature of Applicant — Owner Contractor gent ❑ 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 oceuP, CON ST.TYPE JSC.00LJ FIa OD PARCEL PD ND 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNITE-D.P.W.. YELLOW-ASe ED3OK, PINK -INSPECTOR. , GOLDENROD -APPLICANT COUNTY OF BUTTE-.DEPARThIENT OF PUBLIC WORKS 7 County Center Drive-40rovi-Ile, California 95965 - Telephone: 916/538-7541 'APPLICATION AND PERMIT A OR PAR -CEL NUMB f ZONING ( BUILDING PERMIT OWNER- TELEPHONE ,SO. FT. occ.1 BUILDING VALUATION OWNER'S,ILING O�ORESS I " {fTJ,[E/LEPHONE CONT%RACTOR'S NAME t CONTRAC'TOR'S MAILING ADDRESS IF/A-s ";::AA -re Fireplace CONSTRUCTION`LENDER UNKNOWN Total Valuation .� LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1�,5�� 3 Permit tee $ ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 1 74 5 Solar or heat pump water heater 20.00 LOT NO. SUBOI VISION NAME PARCEL MAR Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [:]Duplex❑ Mobilehome❑ Other ({�r`'-r(Z SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5:00 Mobile Home,..I S 1 G W r 10-00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Q Describe work: 416(;—"A Or— FLE .Z/"1 91i✓�94p �i�ASc� �o p�4rs;S� Permit Fee $ Contractor , ELECTRICAL PERMIT Filing Fee 10.00 ' 0V OR L Mairi.service 10000 AMP ORSLESS 10.00 , d_u� CONTRACTORS LICENSE LAW I declare ,.t9 nder penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license is in full force and effect. w License License No. �� (� Classification %fJ ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, asthe owner, am exclusively contracting with licensed contract- ors. Sec. 7044 ❑ I am exempt under Sec. , Business and Professions Code for,this reason Main service EA. ADO'L too AMP 2.50 sd NEW CONST. DWELLING OCCUP.e, rr , OR ADDNS. ACC. BLDGS. �J' vtsq ft NEW CONSTR. U "OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcU OUTLETS OR FIXTURES 20050t p( 1.20050t FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirin ,...� 15.00 le -t 1 1 Permit Fee L2 5� $ 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. l shall not employ any person`in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. i agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id,OCunty n c ss,,egquence of the granting of this permit. (� %��%r�� Date Ot 1CX j� —z-- ��° Signature of Applicant — Owner IlJ<�" Contractor W- 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 $ 5� TOTAL PERMIT FEE OCCUP. CONST.TYPC SCHOOL FLOOD PARCEL Po ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNITC-D.P.W.. TCLLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT .,i,IvP.�.r,.,,,,n.,t.,..n.l7..rc^.r,.+^.+•.r--�... ,.-'e„tan-.:�. ^.r•T-i'y'--'�.ry,.0---r^-.....-- r.. ,`r+, ;;.'Yjr^•Y+-' � , 'r"'i'r.' �"r- �t �Y`�titytir>r�•k'T,m-n-..,�tT.-..r'Y'r-• � ^. .e'+7 ; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS a� waf 7 County Center Drive—Zroiiille. California 95965 Telephone: 916/538-7541. r r. A,PPLIGRTION AND PERMIT AS® OR PAR ,EL NUMBE ,) +- y ZONING ^- �" sit � BUILDING PERMIT OWNER TELPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING 4DORESS - ik 595 11 u- - CONTRACTOR'S �ME � 1 � `- TELEPHONE j CONTRACTOR'S MAILING ADDRESS 1 CONSTRUCTION 'LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S BUILDING ADDRESS_,/ T NO. l SUBDIVISION NAME UNKNOWN LICENSE NO. r" ING ADDRESS r PARCEL MAP USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Others C� SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other n Describe work: U%� (�2'C �' 646 , �f�JYt �' ,�9,4 AN S6 2, V 3 P44 sc 3 CONTRACTORS LICENSE LAW I declare nder penalty of perjury (check one): 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. ZS%S (90 Classification C `16 ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ©� shall not employ any person.in any manner so as to becometsubject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. I certify that i have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte -to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains- aiq .6 Int n c nsegoence of the granting of this permit. (} X N ib:+�' tDate I<— f - C9 7 Signature of Applicant — Owner Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - r. ion of structures over 3 stories in height. f '•I' ` Receipt NO. cry ��- WHITE-D.P.W., YELLOW-ASEEOIOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Fireplace Total Valuation $ EX. OCCUp(OUTLETS OR FIXTURES 20@0 3 300 5AL Filing Fee $ Temporary service 10.00 Permit Fee $ Misc. Wirinq3 15.00Y-- Plan Checking Fee $ Permit Fee Energy Plan Checking Fee $ Penalty $ 3 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap ' 2,00 Solar or heat pump water heater 20.00 Water piping 5,00 Each Ras water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobi le Home I S-1 G I W 0.00 ea rf � Permit Fee, ` $ , Contractor-• '. ELECTRICAL PERMIT Filing Fee 10.00 Main service 80011 OR LESS 100 AMP OR LESS 10:00 a L- Main service EA. ADD'L 100 AMP 2.50 t� NEW CONST. DWELLING OCCUP.aJ j OR A.D.S. ACC. BLDGS. �., , �2QSQft (POWER (POWER APPARATUS &) OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20@0 3 300 5AL FIXED APPLNS. OR Ex. DCCUp. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirinq3 15.00Y-- Permit Fee Contractor MECHANICAL PERMIT Filing Fee •10.00 Heating Cooling Hood 3.00 / Ventilation I r-ermni ree i contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE4,2s $. OCCUP-1 CONST.TYPEI ISCHOOLIFLOODIPARCELI PD I NO I ISSUE This permit is hereby issued under: the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By PERMIT EXPIRES Date Date v 22-24-138 - . 2003-89E COE, Lyman 7 465 Justeson Rd, Gridley ContR: Dunn Electric (upgrade elec) 22-24-138 - . 2003-89E COE, Lyman 7 465 Justeson Rd, Gridley ContR: Dunn Electric (upgrade elec) AOR F �o OWNER d =L N _ J i COUNTY OF BUTTE - DEPARTkENT,OFIPUBLIC WORKS 7 County Center Drive;Oroville, California,95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO!rJ 1CZ. { BUILDING PERMIT TELEPHONE, S0. FOCC. BUILDING VALUATION ,. ` C�_yS�T. DWN/-Rff'5. MAILING =D'DRESS CONTRACTOR'S NAME TELEPHONE �L%l1{R� f .' L. 5:11r, L110.1—a',_,�jC` CON, HAC,UR'S MAILING ADDRESS C_A-� " Ai _ � � �`-' , for this reason Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee Permit Fee ARCHITECT OR ENGINEER LICENSE NO. * Plan Checking Fee ARCHITECT OR ENGINEERS MAILING ADDRESS t Energy Plan Checking Fee Penalty BUILDING AODRESS_/ r , Permit fee Ventilation PLUMBING PERMIT Each Trap • �) Solar or heat pump water heater LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or vent USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other (e ,&- Z ,- SPECIFY Gas piping system 1 - 5 outlets Building sewer Mobile Home Is G W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Q Describe work: (/iJ C�}�� 1� =a� 64C T'—,Z-q G,_ -V64(, �� Permit Fee Contractor 15.00 CONTRACTORS LICENSE LAW I declare,,under penalty of perjury (check one): QUI 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. �-�. 'Mn Classification C � t� ❑ 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) F1 I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code $ 10.00 s s $ s ' s Filing Fee 10.00 2.00 20.00 5.00 5.00 5.00 5.00 0.00 ea S for this reason ' I ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 10.00 f Main service EA. ADD'L 100 AMP 2.50 2 NEW CONST. DWELLING OCCUP.ad j OR ADDNS, ACC. SLOGS. Jr" I h2Sgft NEW CONSTR. TI -OUTLET NON-RESID BRANCH CIRC TS 2.50 ea Ventilation POWER APPARATUS e l SINGLE OUTLET CIR, Contractor • �) Ex. OCCUp(OUTLETS OR FIXTURES 20030t eALO 30 ; �. TOTAL PERMIT FEE -" $ :--- Ex. Occup. OUTLETS ED APPLNS (RESID.)REA.) 2.00 Temporary service 10.00 I Mobile Home Facilities 15.00 PARCEL Misc. Wirin j 15.00 f� %- This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. • r� X Date �� Signature of Applicant — Owner Contractor5000"Agent ❑ for this reason Permit Fee_; $a__y=•--. WORKMEN'S COMPENSATION INSURANCE Contractor MECHANICAL PERMIT Filing Fee 10,00 I declare under penalty of perjury (check one): ❑ 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. 1 [®'I shall not employ any person in any manner so as to become 'subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Cooling g Hood 3,00 Ventilation permit Fee $ Contractor • �) I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of •,Butte •to enter upon the above-mentioned property for inspection purposes. Mobile Home Installation Fee $ Energy Inspection Fee $ ; �. TOTAL PERMIT FEE -" $ :--- ` 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 againnsst�-said.Cdunty n consequence of the granting of this permit. OCCUP, CONST.TYPC I JSCI1OOLJ FLOOD PARCEL I PD ND I3sUe This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. • r� X Date �� Signature of Applicant — Owner Contractor5000"Agent ❑ - ^I 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 WORKS Receipt No. ori ��n By Date + WNITE-D.P.W., YELLOW-A3eE33OR„PINK-INSPECTOR, 4OLDENROD-APPL I CANT PERMIT EXPIRES Date } COUNTY OF BUTTE - DEPARTMENT.OF OUSLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER C oc— A. P. No...Q Proposed Building Use 6-40 :.% UP-62A0!E� Building Inspector Ltd Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. ew ermit (construction approval required prior to occupancy) . 19. Pre -Inspection for �-� -� *�� required .... Pre-Inspe°.;qu ° —z W Building Iris gate 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: ✓ _ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other lt4A41 &66 y51,�5 s �' r! Applicant : ''.� Copy of plans sent Health Dept., Fire Dept., Other Date 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 _maII—counter by date , I Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE 7 COUNTY CENTER DRIVE ORCDVILLE, CALIFORNIA 95965-3397 DEPARTMENT OF PUBLIC WORKS 11 J/ 11 i f Lyman Coe 4566 JustesenRd Gridley, CA 95948 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS NOTICE Post Job card In a safe, conspicuous place. Do not remove until all required Inspections are made and building Is approved for occupancy. Plans must be available on Job. A. P. No. 22-24-138 Owner LYMAN COE Contractor Dunn Electric Permit No. 2003-89E Expires PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings Piers Underground Conduit Do Not Pour Concrete Until Above Signed Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Do Not Install Floor or Slab Until Above Signed Do Not Cover Until Above Signed Fireplace Footing Fireplace Throat Do Not Continue Fireplace Until Above Signed Stucco Lath Scratch and Brown Do Not Cover Until Above Signed Sewer Service Water Service Plumbing Final Electrical Final Mechanical Final Buildinq or MH Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILEHOME IS APPROVED FOR OCCUPANCY CHICO - 196 Memorial Way - 891-2751 OROVILLE - 7 County Center Dr. - 538-7541 PARADISE - 747 Elliott Road - 872-6307 r- 2003-89E 22-24-138 :COB Lyman Gridley I "Justeson Rd, ContR: Dunn_Eleotric (upgrade ,elec) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.,, .—,,\. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT OR A72ASS1-, 2OR PARSG L NUMB ZONING, 1 ` BUILDING PERMIT OWNER TE,L HONE �6_93i6 SO. FT. OCC. I BUILDING VALUATION .. I L� �i OWNER'$ LIN RESS ' ! LTR aCTJR'S NAME •., TELEPHONE -7 j , CONTRACT:; b MAIL:\:r ACDRE55 ^y �4-1 `rJ 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 Pomaity $ BUILDING ADDRESS vJ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 e\�? Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MA Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE ' Gas piping system 1 - 5 outlets I 5.00 j Building sewer 5.00 SF ❑ Duplex[]Mobilehome❑ Other (— LT�C SPECIFY Mobile Home I S I G JWT 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ ' Other ( Permit Fee $ Describe work: U/^ G2ArIC— F,n�1i16C— Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 VAMP ORSLESS 10.00 &7121-'. Main service EA. ADD'L 100 AMP 2.50 a �� CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP.81 I2¢Sgh OR ADDNS. ACC. BLDGS. II I declare nder penalty of perjury (check one): NFW CONSTR.LTC-OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS I am licensed under provisions of Chapt. 9, Div. 3 of the Business POWER APPARATUS b (SINGLE OUTLET CIR, � and Profession Code and my license is in full force and effect. / 209sOt Classification EX. t,JCCUp\OUTLETS OR FIXTURES SALO 30c S,5"780 i License No.C FIXED APPLNS, OR ❑ 1, as the owner, or my employees With wages as their sole compen- Ex. OCCUp. OUTLETS (RESIO.1 EA. 2,00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wirin=-- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code Permit Fee for this reason Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 10.00 I declare under penalty of perjury (check one): The Parma is ?cr $103.00 (vaivation; or less. Heating i ❑ I have placed on fiie with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Cooiing of Consent to Self -Insure. shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor. Mobile Home Installation 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 Energy Inspection Fee $ —,—��_,,�. TOTAL PERMIT FEE ` $ -F to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. oCCUP, CONST.TYP[ SCHOOL FLOOD PARCEL PO NO 39UC 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 I again i� OUnty- n c nse nca of the granting of this permit. �I �,nQ This permit is hereby issued under the applicable provi- to do x ` L� - to2_� Bions of the Butte County Code and/or resolutions Signature of Applicant — Owner Contractoryenr ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over S stories in height. �,/ By Date Receipt No. PERMIT EXPIRES Date WN17[•D.P. W., TELLOW-ASSESSOR• PINK -INSPECTOR. GOLDENROD -APPLICANT I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE e VER r A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, olease contact.this office immarfiafaiv Q Inspector. Date lA U A 94-45193 Retun`to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT fBuilding Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. ----� The property described herein is adjacent to land or included 194-04519:31' Rec Fee 6.00 within an area zoned for agricultural purposes, and residents I Cash 6.00 of this property may be subject to inconveniences or I Recorded . I discomfort arising from the use of agricultural chemicals, Official Records 1 including, but not limited to herbicides, pesticides, and County of I fertilizers; and from the pursuit of agricultural operations Butte I including, but not limited to cultivation, plowing, spraying, Candace J. Grubbs I pruning, and harvesting which occasionally generate Recorder, I dust,smoke, noise, and odor. Butte County has established ( 2:23 Pm 27-Oct-94 I PUBL XX 1 agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: 10/29/94 State of California County of Butte PROPERTY OWNERS: i 0n10/25/94 before me, Linda J. Osbourn, personally appeared **Lyman Coe and Lois Coe** LmUA J OSBOURN N()rary public — Calibrnia, BUTTECOUNry My Comm. Expires MAR 18, 1995 personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity (ies), and that by his/her/their signature(s) on the instrument, the erson(s), or the entity upon behalf of which the person(s? acted, executed the instrument. a ����I WITNES'S my d d official seal. .� • ' "'"'' OFF1�1�r4 `� ^1Fl�raPt, s,IlNllr< : Gb1'iu(�f plfi Signature Seal: My Comm WIN Mltq 1� II)0t A.P. # red � Q- aZ �iO? 3 ��-- END OF DOCUMENT