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022-330-019
r ` AP 22-33-19 KNAPP,.Gerald KNAPP, Gerald W%side West Biggs e H Y� ]-"8B approxGridley 300' R ue �a-33- / I Y ` Permit ## 200 - w/s W. -Biggs -Gridley Rd. 5001 so. o ( addition) 3o/�fS Macedo Ave . , Gridley 22-33-19 j Permit #k683-79B,P,E(conv.garage to�l dining room & uti .room/S ) �v YE 22-33-19 2371-89B SKIDMORE, Waine F. 997 J r KNAPP_ , Gerald e = oZ a - 33- 1823 W. Biggs R&,'Gridley. W. Biggs Gridley Hwy, just south of Macedo Ave`�.��. Contr: AMRE q1, Gridley (vinyl siding)SF 022-330-019 4 99-15 KNAPP, Madelyne 1 j Xc� 1823 W. Biggs Gridley Road,/bridle Contr: Bakkum Construdiotl '34 `-- - Re Roof Q 022-330-019 ,06-2099 KNAPP, MADELYN ` 1823 WEST BIGGS GRIDLEY RD, GRIDLEY l Cont: BILLS ROOFING ' RE ROOF 41 a a } �� e 3 3 022-330-019 06-2099 KNAPP, MADELYN 1823 WEST BIGGS GRIDLEY RD, E• NOTES GRIDLEY- Cont: BILLS ROOFING;, x s , „s , .' • °°"`y RE ROOF RESIDENTIAL APN: Permit No. Owner. k Site Address: Contractor. Type of Permit 4 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED T SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINAL.ED: i SIGNATURE �/( ki/ /(_.� 94 4� i 1 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED T SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINAL.ED: i SIGNATURE �/( ki/ /(_.� 94 +=OK o = Not OK MANUFACTURED HOMES DATE PERMANENT FOUNDATIONSOFTSET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaIUC/O•Concrete 4 Wtr. Loctn Test -Easement Needed -Regulator 5 Elec Loctn-C(mcs-Gmd' Amp -Concrete 6 Yard Gas; Loctn Test Wrap Nat ❑ or LPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-DemandValve-Cnncir 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/0 to Grade 12 Gas and Electricity Tagged 13.Tie Downs Q Foundation 14 Exits, 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers Pool Drawing MISCELLANEOUS' DECKS`C9VERS'CARP0RTS*GARAGES 1 ZoningSetbacks-Easements 2 Figs; Sails•Sr-0pthSpacing-CnnctrsSieel 3 Decks, Girders/Joists-Ock.ing-Brcing Stairs-GuardlHandratls 4 Wood Awn; Pasts-Beams-Rftrs-CnnctrsShthg• Frmg-Brcng 5 Alum Awn; Columns•CnncinsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rttrs Trtisses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof. Shthg-Roofing 11 Ei&, Steps-Doors-Landthgs 12 Braced Wall pnis tea. o� cls 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -lining 4 Elec Rcptcts/Lting; D-rstance-GFI 5 Elec Fool t pg; 15 volts-GFI 6 Elec.Ericlkrs; Conduit Entries-Tennlnals-1-isted 7 Elec Bonding; Metal w!5'-Crcitng Eqp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool ightg Bares-Encisrs-p 91boa.rds4.nsultn-to Main Conduit 9 (iealth Dept Ap'M , 10 Ptmb; Cir Test Wtr Supply Test 11 It Mche ; 12 Encisr. Fencing -Alarms 13 Bonding. Diving board or Slide = Not OK RESIDENTIAL (Single &Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 ZoningSetbacks-Easements-FloodSlope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Fig Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; SailsSteel-Eiec Gmd Ftg Dpth 55 DWV; Test Fittings & Anchr. Nail PrEctn 4 Ftg Porches/Decks; Soils -Steel Fig Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts Wrapped 57 Test Tub* & Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgmd DATE fM E C H A N'I C A L 13 Plenums & Ducts; Cimc-MaterialSupportansultn 61 AC Ducts Insulfn & Support 14 GirdersSills;-Anchr BoltsJoists Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Acc & Vntitn 63 Condensate Drain & Ovrflw, Sz & Grade - 16 Insulation 64 Furnace -Vent Acc•Comb Air RhmMent 115 Outlet 65 Attic Acc & Pltfrin if Furnace In attic DATE IrRAMING 17 Silts Proper Mafe-rials & Anchrs DATE F I N A L 18 iiii1s Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SldeLt Prion -Landings 19 Bearing Walls over Girders..4 fir Nailing 67 Smoke Detector 20 Draft Stop In Walls (rat proof) 68 Furnace Vnts-Clmc-Comb, Air•Cnnctr 21 Fire Stops; Fiirrea Ceg-UngsStairi-Chasers Tubs In Garage; abv flr-Ducts-Meat Prtctn 22 Headers & BeariisSl &'Bearing' 69 Bedroom Exiting 23 Hangers-Posf'Caps-Ancius .'itnctns 70 GFl 86 Bath Fxtrs & Tub Acc-Spa 24 Gerling Joist fir Tes-Ptrr._N-Roof Brac TnusShthg 71 GFl Arc Fault 25 Frplc Ties or Type A F1u'"rPlc Throat Cime 72 Elec Trim & Subpnl, Breaker Sm &Labels 26 Attic Au., Sz Vtfi E pitcin-Draft Stop -ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Editing DoorsSiO fit & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtchi Friming-RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Fuewall & Opngs' . 76 Ktchn, Fxtr & Appinc; Grn"rGap-Cooking Clmc 30 Ext Doors -One 3' -Check Gauge 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Wdth-Hdrm-Rise-Rum-Land`mg-Fire Prtctn 78 Garage Fire Dobr, Swing4mrtdiing- Closure 32 Plywd on Roof Ovrhng Attic Vrrts-R a Oritrgrs 79 AC Duct In Garage -Damper. 33 Siding -Nailing Yeneer - 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Ace Mech Prtctn; LPG Appince Undr House 3' drain 35 Glazing Area -Glass PrtctnSkyL.ts-Plastic . 81 Pimb; Elec & Mech•Egp Listed for Lode 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GF) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 lnsultn-Foam-Looked in Attic 38 Insultn Walls -Ceilings 84 Guard Rails & Deck Cnsbvbr-Post Caps 39 Infiltration -Walls Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clmc Drnge Planters 0 Yes 0 No #s' d ops 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, PImb-Appinc-Frplc-Clrnc to Opngs DATE ELECTRICAL 90 Wtr Welt, Dscnnct, Elec, Pimb 40 Fxtr & Tmsfmtr Clmc4ns Prtctn 91 Ext Elec Trim, GFl Rcptcl-Undrgmd 41 Elec Rcptcls Spacfng-Lts & Switches at Doors 92 Vntitn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctrts 44 Eqp Gmd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C1O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz w [:3 CU or [:1 AL 98 Address Posted AC Wire Sz , QCUorQAL 99 Fire Sprinkler 48 Range Clic w ❑ CU or ❑ AL Oven Circ , Q CU or ❑ AL Insulated Neutral EJ Yes 0 N �.rT-0�s� a 49 Service -Riser Cndctrs & Gmd Maio Dscnnct 50 Eqp Clmcs pnls-Motors-Meth Eqp 51 Clothes Closet Lt-Shwr LI -Spa Lt 52 Smoke Detector ole 0 d BUTTE COUNTY PERMIT NU. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24-HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP062099 OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter T (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Issued Date: 08/30/2006 APN: 022-330-019-000 effect. % License Class: `7 License Numbg;: Site Address:+ y 1823 W BIGGS GRIDLEY RD BIG Date: Contractor: Map Index:. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State. License Law.). O 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Description: RE -ROOF (9 SQ) Owner: KNAPP FAMILY TRUST KNAPP MADELYN TRUSTEE 1823 W BIGGS RD GRIDLEY, CA 95948 Applicant: BILL'S ROOFING GRAHAM, BILL '1770 KOFFORD ROAD GRIDLEY, CA 95948 530-846-3981 Contractor: BILL'S ROOFING GRAHAM, BILL 1770 KOFFORD ROAD GRIDLEY, CA 95948 530-846-3981 - License #: 801512 Architect: Engineer: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, become subject to the workers' 0 1110, and agree that if I should , compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. O� r " Date: ,�G?- Applicant , WARNING: Failure to secure workers' compensation coverage is ' unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is ereby issued under he applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the CIv.) Resolutio t do wor indigated ve f r which fees have been paid. �1 performance of the work for which this permit is Issued (Sec 3097 By: Date: Name: PERMIT EX IRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that -the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form or docu ent of Butte County. I hereby authorize representatives of tly County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: Date: O OwnerContractor ❑ Agent for Owner ❑ Agent for Contractor n ,. n...--- n......i, — — nA — 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 1 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter T(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: `'7 License Numb Date: S�=Yy �-,Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a. signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Policy #: 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: Applicant. WARNING:- Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (5100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. Issued Date: 08/30/2006 APN 022-330-019-000 Site Address: 1823 W BIGGS GRIDLEY RD BIG Map Index:, Description: RE -ROOF (9 SQ) Owner: KNAPP FAMILY TRUST KNAPP MADELYN TRUSTEE 1823 W BIGGS RD GRIDLEY, CA 95948 Applicant: BILL'S ROOFING GRAHAM, BILL 1770 KOFFORD ROAD GRIDLEY, CA 95948 530-846-3981 Contractor: BILL'S ROOFING GRAHAM, BILL 1770 KOFFORD ROAD GRIDLEY, CA 95948 530-846-3981 License #: 801512 Architect: Engineer: Total Square Ft: Valuation: Census Code: i( 10� f 0021 'Z -30 --OG CONSTRUCTION LENDING AGENCY This pen 1 hereby affirm that there is a construction lending agency for the Resolutk performance of the work for which this permit is issued (Sec 3097 Civ.) By: Name: PERMIT Address: 0 S. F. $0.00 issued under the applicable provisions of the Butte County Code mdigatedve f r which fees have been paid. -1 j� I r , 1 /A 111\ nap• U jV ON: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read'this application, that -the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or docu ent of Butte County. I hereby authorize representatives off Butt County to enter upon the above mentioned property for inspection purposes. Print Name: 'A!1/ � dj/�- Signature: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 'APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X For office use only: OWNER INFORMATION Last Name IrJ5�av .0 irs e /1 Address S if /, City State Zi Phone r / Fax b E-mail E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOAR Name c -- Address A [ City e-421 e r State rG Zip –v Phoneel Map Book Fax E-mail Planner Uc. APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name C Address SRA City I No State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT INFORMATION Name C Address SRA City I No State Zip Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc 0. . PERMIT NO. I0-PikF.7 PROJECT LOCATION AP# 022 -000 -CA no PropertyAd, Cit L,# ` -e 2 9 4 Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Descrip ' or Sc Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OO Received byK.0 . Amount: I V , Bldg Receipt #: q � 112' I e- Vt.114 i Sheriff SMIP I I �� ` QA b Q , I I t 1 .0 Other I I Date: Total Page 1 of 2 REV 8-12-05 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 at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew 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 .--*ra-r... -.ate....awry's�.e�.t�p'R,.v;I��T;.r�{.�'i..•y�.i..7 w ;i r'022-330-019 99-1525 KNAPP, MadeCyre:' 1823 W. Biggs Gridley Road, Gridley Contr: Bakkuin Construction Re Roof f i i t j . 7 J 1 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 q q- /_ ASSESSOR PARCEL NUMBER A 022-33-W1 ZONING BUILDING PERMIT OWNER MADELYNE KNAPP TELEPHONE SQ. FT. OCC. BUILDING VALUATION 20 1200.00 OWNERS MAILING ADDRESS 1823 W. BIGGS GRIDLEY RB CONTRACTOR'S NAME BAKKI-No CONON 1 . TELEPHONE 846-0612 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS SAM Energy Plan Checking Fee $ $ PERMIT FEE $ 49.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: R" Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service . pR LLEESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / License Class Lic. No. 7 � a S L/ OWNER -BUILDER DECLARATION I hereby affirm under penalty,of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation f one hundred dollars ($100) or less.) W-10certify 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 orthwith comply vYith those rovi�ions. Date Signature of Applicant - Cr Owner fpContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service tow To 1000A 46.00 NEW CONST. DW EWNG OCCUP. 3,5aS0. OR ( a CONST MuicTcoS. NONNEW•RESID. 97.50 PowER APPARATUS a RFDCTUcIR.20 OUTLET OR FDRUREs @'50 OUTLET EX. OCCU BAL p .50 FIXED APPLNS. OR 5.00 Ex. Occup. ouTLETS RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Gcc CONST. TYPE TOTAL FEE $ 49.00 i1Az. D. FEES IMP FLOOD CDF PARCEL PD HD IS U 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. y t 'Dates PERMIT EXPIRES ON Date ,t �� Receipt No. '�wi rl) WHITE-D.D.S.-B.D. CANARY -ASSESSOR P NK -INSPECTOR GOLDENROD -APPLICANT nCO�,UNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION •` 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 9 _ PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT — ASSESSOR PARCEL NUMBER 022-33-001 ZONING BUILDING PERMIT OWNER MADELYNE KNAPP TELEPHONE SQ. FT. OCC. BUILDING VALUATION 20 1200.00 .OWNERS MAKING ADDRESS 1823 W. BIGGS GRIDLEY RD CONrRACTOR'S NAME B TELEPHONE -0612 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 29.00 ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS SAME Energy Plan Checking Fee $ $ PERMIT FEE $ 49.00 LAT 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 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 full force and effect. License Class Lic. No. 72— � WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number IT�e above sections need not be completed if the permit is for work of a valuation g�i6 one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' cc m ensation laws of California, and agree that f I should become subject to the w ers' compensation provision of section 3700 of the Labor Code, I shall rthwith comply h thos o ' ions. X Date Signature of Applicant - ❑ Owner 11 -Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service CoA TO 1000A 46.00 NEw CONST. DW ."NG o°cUP. 3.5Qso OR ADDNS.NEW CONST. MUACCou�rLS. ET NON -REBID. C 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL p .50 Ex. Occu . DUT ETS pa D, °E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FElE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNST. TYPE TOTAL FEE $ 49.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL I pD HD U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w ' h fe s have been paid. &A,4 �. PERMIT EXPIRES ON :]? _ ? ate Receipt No. 177M I U= WHITE-D.D.S.-B.D. CANARY -AS E SOR PINK -INSPECTOR GOLDENROD -APPLICANT OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 17 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERM No. ,Rev. 12A16) APPLICATION AND PERMIT AeIIIISMNF'AII1MEiNNMM0. 9/P `7O 0 ) aomm J � ` BUILDING PERMIT owe A1� n/ P4 g -C a ��j SO. FT. OCC. BUILOIN(3 VALUATION ow►o„ Ao LU ,Ql 6 S C Aef v J li ooNrllAcrolrs willTgEslls�ao f f r CCNLTwic"M u"Ot LMOM I ALM AW1108 ARCKIMCT CII L40MM A"CMRCT Olt 04MEM'S NAAM Aoollse IAT No. USEOFSTRUCTURE SF O Duplex O Moblshome O Other opwry TYPE OF WORK Now O Addition O Ren>roc�,sl O Ud I" O Instillation O Other O Describe Work: (y�/ ,�2_ �P, — cP-6:�) Fireplace o%"raL°" s"m.Ex. Occup. Ew Total Valuation Is Temporary Service 23.00 FiGn Fee s Misc. Wiring Permit Fee i Plan Checkina Fee i Energy Plan Checking Fee t t PERMIT FEE _ PLUMBING PERMIT Filing Fee Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 1S.00 Each gas water heater or vent 1S.00 Gas piping system 1 - 5 outlets 1 S.00 Building sower 15.00 Mobile Home I S I G I W–T @20.00 PERMIT FEE t ELECTRICAL PERMIT Main Service � � Main Service ( 2*" To imaA ) 20.00 20.00 Fee 20.00 23.00 48.00 LsoR �7.so Ex. Occup. ounzr oll FKnon o%"raL°" s"m.Ex. Occup. Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE _ F MECHANICAL PERMIT Filing Fee 20.00 Hood 1 1 8.501 1 PERMIT FEt: S Mobile Home Installation Fee s Energy Inspection Fee s occ COP6T. nFf TOTAL FEE $0'.0-6.4 TIAL C. FTEs IMP 11000 CCF PARM This permit is hereby Issued under the appiicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ( 3 3c�L(o,, By Date �— ReceiptNo. PERMIT EXPIRES ON •e0 WHITE •0.O.S... cnn n.....ucocrrnn nnneuaAD•APPUC�NT - ._. 1. '. • �� a .. .� a->?--COUNTY-OF BUTTE -'DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7,County1,Center Drive - Orovlller California 95965 - Telephone: 916/538-7541 % >/ �� f; APPLICATION AND PERMIT ! y y BUILDING PERMIT OWNER`' TELEPHONE �Fn 611 SQ. FT+.� OCC. BIJJ DI}NG VALUATION OWN -R'S AILING DDRES , �� / :/ .1 CONT,F�ACTOR'S'L ,AME : r .� i _ IEL.�IPHONE CONSTRUCTION LEND'ER NDER'S MAILING ADD ADDRESS T NO. I SUBDIVISION NAME SFX ESS USE OF STRUCTURE Duplex ❑ Mobi lehome ❑ Other TYPE OF WORK N V �I y PARCEL M P SPECIFY New ❑ Addition ❑ Remodel ❑ Utilities InstallationOther] Describe work: I I 0 1/ 1 31d ❑ 1 v► 0 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): EO I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. L/ 73 U `l Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE a I declare under penalty of perjury (check one): 1) ❑ The permit is for $100.00 (valuation) or less. C I have placed on file with the County of Butte Building Department *7 ; a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I.shall not employ any person in any manner so as to become subject to the W. C. laws of California. GNNotice to Applicant: If after making this statement, should you become subject tothe W. C. provisions of the Labor Code, you must forthwith comply, with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned, property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments,costs, and expenses which may in any way accrue against said Countyin consequence of the granting of this permit/ X �' `'� s` _ Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. CL WNITL-0. P. W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Fireplace ELECTRICAL PERMIT Total Valuation $ Main service soov OR LESS 100 AMP OR LESS 10.00 Filing Fee $ 10,00 Permit Fee $ , Plan Checking Fee $ Ex. Occu p OUTLETS OR FIXTURES Energy Plan Checking Fee $ 2.00 Penalty $ Mobile Home Facilities Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap $ 2.00 Solar or heat pump water heater MECHANICAL PERMIT 20.00 Water piping 5.00 Each qas water heater or vent Cooling 5.00 Gas piping system 1 - 5 outlets 3.00 5.00 Building sewer 5.00 Mobile Home S I G I W I I hl[).00ea I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.Ei) OR ADDNS. ACC. BLDGS. yzQSgft NEW CONSTR.U TI.OUTLET NON.RESID .BRANCH CIRC ITS 2,50 ea / POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES aoo 20093 300 FIXED Ex. DCCUp. OUTLETS P(RESID )REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Penult Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ )CCUP-1 CONST.TYPItl ISCHOOLIF100Df PARCELI PD I ND I 133VE 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 frees have been paid. Zt DIREQ(Tdil; OF PUBL;IC WORKS Date PERMIT EXPIRES Date G A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS e'7 Co*, y Center Drive - Oroville, CrQiforn►a 95965 - Telephone: 916/538-75416N APPLICAT f6. AND PERMIT �PER I�ITjNO. ASSE SO PAR E NUMB ZO N BUILDING PERMIT ow TELEPHO E FT. OCC. BU DING VALUATION OWt� 'S ILI G A DRE; \ `/ ` CONT OR'S E` TEL HONE CO T 'S MAI ING AO ESS A Fireplace CON UCTI N LE R UNKNOWN Total Valuation is Filing Fee $ 10.00 NDER'S M (LING ADDRESS Permit Fee $ ARC I ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee n ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 0A 8dPLUMBING Permit fee $ PERMIT Filing Fee 10.00 vy Each Trap 2.00 ` Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL M P Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF (Q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ R model ❑ Uti ' s Installation ❑ Other % Describe work: Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS t00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one )• I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. y73�� a Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a ,/z¢sgft OR ACDNS. ACC. BLDGS. NEW CONST R.ET 2,50 ea NO N.R ESID BRANCH CCIRRC ITS /POWER APPARATUS IN\ (SINGLE OUTLET CIR. / Ex. OCCUp OUTLETS OR FIXTURES DALm3o Ex. Occup. out LEPP(RESI*D.)OR EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, j gments, ts, and expenses which may in any way accrue against C in cos uence of the granting of this per t. %� Date MWATThis Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL PD NO 1 IS E permit is hereby issued under sions of the Butte County Code and/or work )c ted above,*r whic DIR OF P YXW EXPIRES Date the applicable provi- resolutions to do f s have been paid. WORKS D to Receipt No. WNITE-O.P.W., YELLOW-ASOESSOK. PINK -INSPECTOR. GOLDENROD -APPLICANT �; �F i f+^+'..h;.S+tt�.1N....,1.;�. I'�••!".i:.:�s::,F'...�•n�:•.-�`�i+� f ... r �,. a.si-;C.+�i�1i.L'�'•s+�..v+nr;;n....ti;•,r.-:,...,,y,.-Y..Y..>-r-.lT..'."'t'•..�`_,K^.,;�;,t„�"y`..'1' . ,COUNTY OF_E�44TTE -DEPARTMENT OF'RU'BLIC WORKS -BUILDING DIVISION- 7 IVISION7 COUNTY CENTER DRIVE - OROVILLE,"CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ' r PERMIT-ARPUCATION DATA SHEET Permit No. OWNER WDN r 4 Yt Proposed Building Use Building Inspector Date At time of permit application, I was advised the folio ing 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 ............ ...I ................................. 12. School District fees paid ................. 13. Sanitation approval from I 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. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ....Pre-dnsrequest to • •Building Innspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22Owner-Builder Verification (Given t6 owner ❑, Mail to owner o) ... Recorded copy of Agricultural Acknowledgment Statement ..... ..... . Z24. Letter of signature authorization ..................................... 25. 26. I When you issue the permit p ocess as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at0�6office. Deliver w/inspector. Other /I Appl icant A"-7� Date 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: ' I Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter�by date Plans checked by Date Plans approved by Date Sets of plans on hold in —'File cabinet AP folder Copy—DPW 0 :PERMIT NO. 683-79B, P, E . PERMIT EXPIRES Madeline Knapp OWNER CONTR. owner 22-33-19 LOCATION (A.P.) W/S West Biggs -Gridley Hwy,.app.300'S.of Macedo Ave., Gridley Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) i • —23--71 (-2*' - Scratch Heatino Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath 1 Ventilation Permanent Door Closer Final Final 0— Z MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping E OME INSTALLATION - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping F,eNrt,rW4 4v,Os 5f4,AJE-0 vFF -PAJ Vag c „ DATE REMARKS OR CORRECTIONS �- Z � y� A • (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT.OF PUBLIC WORKS BUILDING INSPECTION'RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms ! Parapets 1st Floor— Main Bldg. Restroom Finish 2nd Floor Footings Windows /Z 3rd Floor StemwaI I Siding To out • -/Z-• Slab Roof Sheathing Water Piping— Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal l Garage Vents Insulation Water Htr. Heaters Slab ort Footin` s Prov. for ph handica eCar Conformance of ex. structure Appliances Gas Piping Temp. Gas & Test .— Slab Final Sanitation Patio FIREPLACE Final Footin s . Footina ELECTRICAL Masonry Walls Throat Rou h 2— r Reinf. Steel. Final Fixtures Bond Beam �,., FIRE SPi11INKLERS Motors —23--71 (-2*' - Scratch Heatino Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath 1 Ventilation Permanent Door Closer Final Final 0— Z MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping E OME INSTALLATION - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping F,eNrt,rW4 4v,Os 5f4,AJE-0 vFF -PAJ Vag c „ DATE REMARKS OR CORRECTIONS �- Z � y� A • (NOTE: An entry must be made on this form each time you visit the job site.) _J _:� . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive .s OrortylIir, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner O � Iti2 SO. FT. OCC. BUILDING VALUATION fb Mailing Address pc'L 6dx- '76 _:� . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive .s OrortylIir, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner O � Iti2 SO. FT. OCC. BUILDING VALUATION fb Mailing Address pc'L 6dx- '76 1 Telephone No. 2 / Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee2,-- Building Addressf <<'�� ` Plan Checking Fee&/or Penalty Permit Fee L— L f e, a_ p42 COX 3090 SZ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 100 Each Trap 1.50 R P/Repair drainage or vent_ piping 1.50 r_ A.• P. Np. 2 Z_ 3 Z ins & lanai g Water piping 1.50 Each gas water heater or vent 1.50 F s WN. Fire Dept. Fire Zone Use Permi Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Ma p 60' R/W ro Im ments P Each additional outlet .30 Building sewer 5.00 Bldg. ans Recd Parcel Ap val Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER Permit Fee $ `NI w ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 ,C?O Main service 600V OR LESS 100 AMP OR LESS 5•b0 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 - Main service OVER eoov 25.00 100 AMP OR LESS Main service/ EA. AOD'L 100 AMP 1.00 NEW CONST.OR ADDNS. \ ACCLBL GS.CC P N) 20sgft r �a CONTRACTORS LICENSE LAW ,I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Y NEW RESID,CONSTBRANCMULTI OUTL NON.RESID � BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &, NON.RESID. SINGLE OUTLET CIR. EX. OCCUO(OUTLETS OR FIXTIIRES BALD; Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ d $ 3( WORKMEN'S COMPENSATION INSURANCE I.am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of ' Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL iNo. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ Ifi,certify that I have read this application and state that the above information is correct. I agree to comply.to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ 3C aU UIUI ILC ICIJrC5Clltot IVCJ UI the %-Uunry v) tsutte to enter upon the above-mentioned property for inspection purposes. ry �y X: Date L / - N Signature ermitee or Ag Receipt No. `/erR O(D IT White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT 0 BLIC WORKS BY Date ���Hcing permit expires Date 7 —t -PERMIT NO. 2002-74B,P,E P E M MH UTIL. PERMIT NO. PERMIT EXPIRES 10 DOWNER Gerald Knapp 1CONTR. LOCATION (A.P. 22-33-19 Y �t W/sideWest Biggs -Fridley Hwy, approx. - 300' south Macedo Avenue, Gr(Dclley Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas erv. Ca ed PG&E \ OB+ ED ,I/V Jy (Date (Signature) DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE. — DEPARTMEW-17 60 PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County CenteeDrive Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDINg VALUATION o•oa Mailing Address (/�l� / O G L Telephone No. Fireplace Contractor© CoAl L.—, Total Valuation ,�Q 0 Mai l i ng Address Permit Fee XZ O, p a Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ O OI Building Address s/� ( S / I S PLUMBING No. @ FEE PERMIT FILING FEE $2.00 VQ `g �,00 � ,sQv Each Trap 1.50 _ j 4Fo to v e Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. o. 2 ""� ... it Zoning & Planning Gas piping system 1 - 5 outlets L1.50 / S"Q Each additional outlet .30 F s an' i ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin Parcel' Plans parcel Map P 60R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Para I A oval Pla pprovaI Permit Fee $ NEWMAIr ADDITION UTILITIES ❑ OTHER 1 ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 U/;— p Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ©/ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures / 20 ba l_ 410 ' ioZ Re s., swes & fix outl Z �, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring C I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r M I certify that in the performance of the work for which this LZl permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00. Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE p authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date $ignatu of Pe mite Agent / Receipt No. 4:2/:2. e �v White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date_ 8 ding permit expires Date...................(?�� ��.