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Home My WebLink About022-340-003JENSEN, 'Ira 397% 3157P aprx 300' W/teet Biggs -Gridley Rd on Just�`son e., Gridley (new, sing e -family) (o NEW OWNER - Arnold Stewart STEWART, Arnold 5330B J ` A;) q O 3 , r n/s Justeson'3001 w. Biggs -Gridley Rd.;Gridley (convert carport to garage) /_jq_6 7 aa- 34--3, L4 i „ 022-34-0-003 - 93-2429 B E, .E DEWSNUP„ JEWELL / t 416 JUSTESON, GRIDLEY CONV • CARPORTTO GARAGE ° 022-34-0-003 93-3170"B•' KAWASAKI, 'ED . ', 1 416 JUSTESON RD; GRIDLEY 3 y, CONTR; HUBBART,-RFG='.' y REROOF/SF y �� 022-340-003 PERMIT#95-053 KAWASAKI, Ed 416 Just"eson Ave., Gridl @Y R d°/SF � Iy emo el kitchen r _ 022-340-003 99-1033 KAWASKI, Ed / 416 Justeson Avenue, Gridley /2"O9 Contr: North Valley electric Electric Service �� ±f 1 022-340-003, 99-1033 KAWASKI, Ed - 416 Justeson Avenue, Gridley Contr: North Valley electric Electric Service :z 00d r` k tt' " OFFICE I COPY _ Address jy GAS 4 Meter By ELECTRIC Date----- +� Meter By J :f 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 022-340-003 ZONING BUILDING PERMIT OWNER kawaski, ed TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESs416 JUSTESON AVENUE, GRIDLEY CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 416 JUSTFSON AVEWE, GRIDIEY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF G Duplex E3Mobilehome El Other FI E(."rRIC SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK Y New ❑ Addition ❑ Remodel ❑ Udlities ❑' Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 SS Main Service 600V OR 200A OR LELESS 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 /C Lic. No. r� 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. �] 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 workeejs' compen ,tion insur ce cAuier and p icy number r Carrier f �1 tz WA 44 9/,7 r° /I/ / Policy Number r !r -j< fxt-y vy 16f (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f6rt"ith comply with those;provisions. %% �� ' ,�,. X/=x;.�� ('j/ �„1 L-// Date !� ` ` Signature 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. Main Service 200A TO IOOOA 46.00 NEW CONST.DWELLMKi OCCUP. SO OR ADDNS. ( a ACC. BLDs. 3.50FT, N S ppµREsONp.. MULTI.OUTLET,@7.50 POWER APPARATUs 8 SINGLE OUTLET CIR. 0 Ex. OCCu OUTLET OR FixTURES B20 @ I.00 . 0 Ex. Occup. oFUT>Es q Opp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.0023.00 rKh 1NbrU;U0N 23.00 PERMIT FEE $ 89.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $89.00 HAZ. I D. FEES IMP I FLOOD CDF I PARCEL I PD 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. /y� t I `� s By / i Date PERMIT EXPIRES ON Oeta ReceiptNo. w' j WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95966 • Telephone (530) 538-7541 � PERMIT (Rev. 12/96) APPLICATION, AND PERMIT ASSESSOR PARCEL NUMBER 022-340-003 ZONING BUILDING PERMIT OWNER kawaski, ed TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAIuNG ADOREss416 JUSTESON AVENUE, GRIDLEY CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDEA LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS 416 JUSTESON AVENUE, GRIDLEYEner gy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF )p Duplex ❑ Mobilehome ❑ Other ELECTRIC SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities C Installation ❑ Other O _ Describe Work: Gas i in stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 -23, 800V0LESS 00 Main Service tOOA 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 i II force nd effect. /_ /�'9� / License Class ' LIC. NO. b (y G OWNER -BUILDER DECLARATION I hereby affirm under penaltyof erIu Nthat 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 fo, workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compen on insurence c�[ier and poljcy nurnbeerr gre- Carrier ��! `' Policy NumberMobile (The above sections need o be completed 'rf the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I cerci that in the performance of the work for which this permit is issued, I shall �' P P 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 worke s' comp nsation rov" ions of section 3700 of the Labor Code, I shall Ith cc ions. X Date _�_ Signature of Applic nt - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 6 ADC, S.3.50FT. NEW CONST.MULTI.OUTLET @7,50 NON•RESID. FGWER AP=US a SINGLE OurLET CIR. EX. OCCU . OUTLET OR FIXTURES�':� Ex. OCCU onXARNo. OERA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23,00 PRE INSPECTION 23.00 PERMIT FEE S 89.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FdEt Home Installation Fee $ Energy Inspection Fee $ ocD CONST. TYPE TOTAL FEE $ 89.00 HAZ. D. FEES IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of Ahe Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. / By Date PERMIT EXPIRES ON I - I Dale ReceiptNo. 264994 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1��'�fi s�Q� o 33 yl(a VUs'r�s_SonJ CX9 VC .361 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER -/03-3 PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please coo tact this office immediately. Date 5 Inspector REV 10/92 'COUNTY OF BUTTE =r r BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER PERMIT NO. E A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, plegsecontact this office immediately. r 10t'--Aae J-- /12 7- -fes' Date"?—'/ In REV 10/92 i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 ; CORRECTION NOTICE w15A" 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 notice 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. b. tt. a.•S:r .S r� h' L' rb REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES. Y 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice 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. REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965` • Telephone (530) 538-7541 PERMIT . (Rev. 12/96) APPLICATION AND -PERMIT' - ASSESSOR PARCEL NUMBER 022-340-003 ZONING BUILDING PERMIT OWNER kawaski, ed TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESS416 JUSTESON AVENUE; GRIDLEY CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace UENDER'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 416 JUSTESON AVENUE, GRIDLEY Ener Plan Checking Energy g Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTAUCTURE SF ]I Duplex ❑ Mobilehome ❑ Other ELECTRIC 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 1� Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VOR LE ) Main Service OA OR LESS 23.00 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 i II force nd effect. `�j License Class -� Lic. No. v ! 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 To 46.00So W:L200A NEW CONST. DWEWNG OCCUP. CCU OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢Ft, NEW CONST. MULTI.OUTLET NON•RESID. C @7.50 POWERAPPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FDCTUREs .00 BAL O x.50 Ex. Occup. GFucuTEl _RES D.OeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PRE INSPECTION 23.00 PERMIT FEE S 89,00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compen on insur ce c ler apd po,'cy nunler - e Carrier ' 11TV Policy Number (The above sections need hot 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 ation rov' ions of section 3700 of the Labor Code, I shall works s'tcoi Ith s ions. X Date �� / % Signature of A ❑ Owner Contractor ❑ 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 Cooling Hood 6.50 Ventilation PERMIT FEl S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 89.00 HAZ. p. FEES IMP I FLOOD I CDF I PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By.JA PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. �d �! d �Q 0 Date ReceiptNo. 264994 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville. California 95965 • Telephone (530) 538-7541 ERM1T NC (Rev. 12n6) APPLICATION AND PERMIT �•�D"'"'�"""'�' �� - Q�� nD"p'a BUILDING PERMIT OWWA G TR6PMk9 SO. FT. OCC. BUILDING VALUATION owuae taw►o Aoo"as p C C:/� OONrMCTO" NAI! TO�ItONa , DOM"ACTMI IMUNO ADO"O! COMT UCCTM UDOOt tMUM VAN.M ADOR Fireplace Total Valuation = MCN1rECT0"CDt01N[EJ1 use No. FGn Fee i 20.00 Permit Fee i AACWMCT O" DOMEM'S wwNo AOD"Eas Plan Checking Fee i suaoNo Aoo"es! Energy Plan Checking Fee t i PERMIT FEE _ WTMO' ►M1ceL YN PLUMBING PERMIT Filing Foe 20.00 USEOFSTRUCTURE SF Duplex O Wbilohomo O Other r�� P`_� t°eC� Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each ds water hunter a vent 15.00 TYPE OF WO New O Add -tion O Remodel O UBotlos inatelatlon O Other O Describe Work: Gas piping tem t - 5 outlets 15.00 Building sower 15.00 Mobile Homo I S I G I W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service o0 ooa t a 23.00 ReceiptNo. Main Service sou► TO too" 48.00 NEW CONST. OWF3ll10 OCdlt, t0. O" ADOHL a Ace. eux. 3.50�T. MW 0010. YUthOYneT @7.50 POw9i APVPJW ! SDI= QVW OR Ex. Occup. curter O" mnamas O 1.00 Ex. Occup. °A 5.00 owner! ao. u Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 �D V5 A-010 12 PERMIT FEE _ MECHANICAL PERMIT Fling Foe 20.00 Heath Cooling Hood 8.50 Ventilation PERMIT FEt f Mobile Home Installation Fee t Energy Inspection Fee = occ 0016T• TYPE TOTAL FEES �t • D. fE0 W! R=0 c01 IAAco. ro This permit is hereby Issued under the applicable provisions of the Sults County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date�— PERMIT EXPIRES ON -----— .RESIDENTIAL _ 022-340=003 PERMIT#95-0534 KAWASAKI, Ed 416 Justeson Ave., Gridley Remodel kitchen/SF 41 JOB FINALED (Date _ Signature ..r J=OK O = Not OK Not Applicable 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: / P1 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 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 i ,•; 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ___ _� J A 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 V OK O = Not OK -=Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except'N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Date Card B-1 Date Card B-1 Date ELEC_TF(rCAL (Permit) OK except a's Fi re & Transformer Clearance -Ins. Protection -------------------- Ele . Receptacles Spacing -Lights & Switches at Doors ------------- -- ------- ----------------------------- --------- Size oyes & No. of Conductors -Stapled "-------------- ----------------- - ----- --------- ----------------------- -- o �x Installed Close to Edge of Studs & C.J. ---- -_ProEqw round made up w/Mech. Fastners-Bond Gas & Water Appliance Circuts in Kitchen & Conductor Size/GFI --------------------- ----------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! ! ga Cu or At ----------------------------------------------------- ----- 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0- No - ------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect ------------ -------------- ---------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light - --------------------------------------------------------------- ---------------- 33. Smoke Detector ----- -- - - - - --- -- -- - Date y'�Card B-1 Date Card -B- 1 -------- - - - --- ---------- ---------------------------------------------- Date Card B-1 Date Card -B-1 Date MECHANICAL (Permit) OK except a's 34. -.A. -C.- Ducts Insulation & Support -------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation --------------------------------- I ------- - -- - - - -------------------------------- 36. ------------ ----------------I--------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade - ------------------------ ---------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- ---- - ---------------------------------------------- - - - 38. Attic Access & Platform if Furnance in Attic ------------------------------------- --------------------------------------------- Date Card -B-1 Date Card -B- 1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRA G (Plans) OK except O's sillsroper Material & Anchor s -------------- alts tvds-Nailing ----------------------------- Spacing & Bracing -Plates -Sound ' - - ----------------- --- af ails over Girders & Floor Nailing ra op in Walls (rat proof) ----------- ire St s Furred Ceilings -Stairs -Chases -Tub _ --- - --- -- ---------------- V. ders & Beam -size & Bearing & Duplex) Date _fRAMING (Continued) ----_ Ha - rs-Post Caps -Anchors -Connectors _ . Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. fireplace Ties or Type A Flue -Fireplace Throat clearance --A&.-* it�-Xc-cess: Size & Romex Protection -Draft Stop -Ins. Baffles -- -- rm. Windows or Exiting Doors -Sill Hgt. & Dimensions arage ' e -Protection Framing ---- --ro rty Line Firewall & Openings _Ext. DoorsOne3-Check Garage -3rd Story, 2 Exits tai Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers -----------�idinq--Nailing Veneer_ _ S tuc o Mesh -Drip Screed -Fd. Vents-Underflr. Access -------_ . Glazing Area -Glass Protection -Skylights -Plastic hear,.Walls: Nailing -Bolts nsu talion -Walls -Ceilings ��- �- 60. -Infiltration Walls -Windows - - ------------------------------ Date _ _ __Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except tt's 61. t. Steps -Door & Sidelight Protection -Landings ------------- - -------- -- 2_-Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection ------------------------------- 64. Bedroom Exiting •---------------------------- -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. - 70. Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance 1. Elec. Outlets & Receptacles at Kit. Counter -- ----- - 72. Garage Fire Door Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection -------------- ---------------- - Plb. Elec. & Mech._Equip. Listed for Location ---------------- 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ------------- 77. ------------7`. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------- 78. Guard Rails & Deck Construction -Post Caps ------------------------------------- 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ---------------------------------------------- - 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------------------ 81. Stucco: Brown -Finish - - 82. A. C. Unit_ Disconnect. Electrical, Plumbing - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings -------------------------------- - 84. Water Well; Disconnect, Electrical, Plumbing -------------- -------- - ------ --- - 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground -------------------------------------- --- 86. ----- ------------86. Ventilation Throughout House 87. Glass Protection - - - - -.--------- ------ ---------- 88. Corrections from Previous Inspections - - - - - --------------- ------------- -------------- 89. Gas Test -Meters Tagged; Gas -Electric -------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ---- - ------------------------------- --- -- Date Card B-1 - Date -- Card B-1 Date Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. 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 k's --------- 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----- --- ---------------------------- 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------ -------- ---- - ------------------ 19. Shower Pan; Test. First Floor -Tub Access ------- ----------------------------- 20. Test & Shower, Second Floor -Tub Access ---------- Date -Tub ---------------- ----------- ------ 21. Gas Pipe: Size & Anchors ------------------------------------------------------ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELEC_TF(rCAL (Permit) OK except a's Fi re & Transformer Clearance -Ins. Protection -------------------- Ele . Receptacles Spacing -Lights & Switches at Doors ------------- -- ------- ----------------------------- --------- Size oyes & No. of Conductors -Stapled "-------------- ----------------- - ----- --------- ----------------------- -- o �x Installed Close to Edge of Studs & C.J. ---- -_ProEqw round made up w/Mech. Fastners-Bond Gas & Water Appliance Circuts in Kitchen & Conductor Size/GFI --------------------- ----------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! ! ga Cu or At ----------------------------------------------------- ----- 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0- No - ------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect ------------ -------------- ---------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light - --------------------------------------------------------------- ---------------- 33. Smoke Detector ----- -- - - - - --- -- -- - Date y'�Card B-1 Date Card -B- 1 -------- - - - --- ---------- ---------------------------------------------- Date Card B-1 Date Card -B-1 Date MECHANICAL (Permit) OK except a's 34. -.A. -C.- Ducts Insulation & Support -------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation --------------------------------- I ------- - -- - - - -------------------------------- 36. ------------ ----------------I--------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade - ------------------------ ---------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- ---- - ---------------------------------------------- - - - 38. Attic Access & Platform if Furnance in Attic ------------------------------------- --------------------------------------------- Date Card -B-1 Date Card -B- 1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRA G (Plans) OK except O's sillsroper Material & Anchor s -------------- alts tvds-Nailing ----------------------------- Spacing & Bracing -Plates -Sound ' - - ----------------- --- af ails over Girders & Floor Nailing ra op in Walls (rat proof) ----------- ire St s Furred Ceilings -Stairs -Chases -Tub _ --- - --- -- ---------------- V. ders & Beam -size & Bearing & Duplex) Date _fRAMING (Continued) ----_ Ha - rs-Post Caps -Anchors -Connectors _ . Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. fireplace Ties or Type A Flue -Fireplace Throat clearance --A&.-* it�-Xc-cess: Size & Romex Protection -Draft Stop -Ins. Baffles -- -- rm. Windows or Exiting Doors -Sill Hgt. & Dimensions arage ' e -Protection Framing ---- --ro rty Line Firewall & Openings _Ext. DoorsOne3-Check Garage -3rd Story, 2 Exits tai Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers -----------�idinq--Nailing Veneer_ _ S tuc o Mesh -Drip Screed -Fd. Vents-Underflr. Access -------_ . Glazing Area -Glass Protection -Skylights -Plastic hear,.Walls: Nailing -Bolts nsu talion -Walls -Ceilings ��- �- 60. -Infiltration Walls -Windows - - ------------------------------ Date _ _ __Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except tt's 61. t. Steps -Door & Sidelight Protection -Landings ------------- - -------- -- 2_-Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection ------------------------------- 64. Bedroom Exiting •---------------------------- -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. - 70. Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance 1. Elec. Outlets & Receptacles at Kit. Counter -- ----- - 72. Garage Fire Door Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection -------------- ---------------- - Plb. Elec. & Mech._Equip. Listed for Location ---------------- 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ------------- 77. ------------7`. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------- 78. Guard Rails & Deck Construction -Post Caps ------------------------------------- 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ---------------------------------------------- - 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------------------ 81. Stucco: Brown -Finish - - 82. A. C. Unit_ Disconnect. Electrical, Plumbing - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings -------------------------------- - 84. Water Well; Disconnect, Electrical, Plumbing -------------- -------- - ------ --- - 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground -------------------------------------- --- 86. ----- ------------86. Ventilation Throughout House 87. Glass Protection - - - - -.--------- ------ ---------- 88. Corrections from Previous Inspections - - - - - --------------- ------------- -------------- 89. Gas Test -Meters Tagged; Gas -Electric -------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ---- - ------------------------------- --- -- Date Card B-1 - Date -- Card B-1 Date Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Comments at Final: l= COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone,�916) 538- 54i PERMIT NO. - APPLICATION AND PERMIT 0-05'3 ASSESSOR PARCEL NUMBER 022-2 340-003 ZONING BUILDING PERMIT OWNER ED KAWASAKI WORK - TELEPHONE 868-5272 SQ. FT. OCC. BUILDING VALUATION CONT , 500.00 OWNERS MAILING ADDRESS 416 JUSTESON AVE GRIDLEY " CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN OWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 416 JUSTESON AVE PERMITFEE S 138.80 GRIDLEY PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF OX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: REMODEL KITCHEN Mobile Home I S I GI W 1 920.00 PERMITFEE S 27.00 Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service 000V OR LESS ( 200A OR LESS 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,( and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 NEW CONST. DWELLING OCCUP. OR ( a ACC. So. 3.SQ FT. CNS. NEW CONST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 p 1.00 BAL 0 .SO Ex. Occup. (ounEED (REN o.j OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 23.0 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, i shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall orthwith comply with those provisions. X ��{ n/''/ ��i Date �� Signature of Applicant -X Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL F $ 208.80 HAZ. y I D. FEES IMP FLo CDF PARCEL PD HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have / Bye_— PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Qp Date (Dat Receipt No. 175625 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDINQDIVtSION ; DEPARTMENT OF DEVELOPMENT: E_RVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 - y 747 Elliott Road, Paradise, CA'- (916)•872-6307, CORRECTION NOTICE :r Y 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 conte this office immediately. ... �s Date Inspector ;s REV 1019:f' . y SMOKE DETECTOR I&STALLATION CERTIFICATE Y, BUILDING OWNER/ `� PERMIT # G--- -_ ?J �— BUILDING LOCATION/ %'' LOCATION) -J When the valuation of an addition, alteration or repair to a Group R Occupancy(dwelling units, hotels and apartment houses,) exceeds $1,000 and a permit is required, or when one or more sleeping rooms are added or created in existing Group R Occupancies, smoke detectors : shall be installed in accordance with the 1991 Uniform Building Code, section 1210 (a). �.Jn,general,section 1210 (a) specifies that in new construction a smoke detector be installed .iri: (1) Each sleeping room, and at a point centrally located in the corridor or area giving access to each separate sleepingarea. Where the ceiling height of a room open to the hallway serving the bedrooms exceeds that of the hallway by twenty-four (24) inches or more, smoke detectors shall be installed in the hallway and in the adjacent room. (2) In each story and in basements, and on each level containing a sleeping area.; - Such detector(s) shall receive their primary,:power from -the building wiring and be equipped with a battery backup. When the valuation of an addition, alteration or repair to a residence exceeds $1000 and a permit is required, smoke detectors shad bai ristalled in each existing sleeping room, and centrally located within each sleeping area if one is not currently installed. Such detectors may be solely battery operated. ! A repair, alteration or addition applies to a deck addition, wood stove installation, re -roof, vinyl or aluminum siding, and remodel or additional square footage to an existing residence. Declaration I hereby certify that the above smoke 'detector, (s) were installed in the building at the above 5 location in conformance with the 199 -17, -,'Uniform Building Code, section 1210 (a). Cfh4L/'Gf" ��,� i A. Building Contractor/Owner (Please Print) •:N State Contractors License No. Signature of Contractor/Owner i Date This completed certificate must be provided to the;building department prior to final. 2 r: ,'�i.�.•�-�°�.,�..:�.i;'-.,-�•�. it i COUNTYOFBUTTE -DEPARTMENTOFDEVELOPMENT SERVICMBUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 - TE XE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 461' ` A a �A. P. No. IDa � �3�D'Da 3 Proposed Building Use Building Inspector 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 1, All items have been submitted . ......................................... 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $.......................................... Impact fees as shown on attached schedule . ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer ................... Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit . ......................................... Plot plan,and business license approval from City of Biggs/Gridley. .............. Planning approval for (A) Use: (B) Parking: Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy) . . . -Fre-Inspection request Pre -inspection for required. .. to Building Inspector. (Date) Contractor's license information. (No., Name Style, Classification) . ............. . Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner . ........... Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road."k..... Letter of intent on building use . ..................................: `.... . Mobilehome utility clearance......................................4..... . Documentation of legal access . ..................... :............... .. . Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ................ 31. Existing violations/expired permits . ..................................... . 32. Plan checklist ...................................................... . 33. 34. When you issue the permit, process as follows: V Mail to owner Telephone and hold for pickup at Other ' Parcel Creation Acreage Applicant Mail to contractor. - office. Deliver with inspector. Date 1; �eol ao2 5PJ Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit: No building permit will be issued until this verification is received. 0. I personally plan to provide the major labor and materials for construction of the proposed roperty improvement: YESN NO[ ]. 0I HAVE[ ] HAVE NOT[ ] signed an . application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ` ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I 'have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER:�� DATE: /"A,/&,4, &,4, 02 c) I -S NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. O.B.-1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the -entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. ` ccrel, Michail C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER r. ;i..d it A �. �+` A . �. .t ' .dC .r �, r. Ed Kawasaki 416 Justeson Avenue AP# 022-340-021 Install new cabinets. Miscellaneous wiring, as disclosed necessary for new cabinets. Miscellaneous plumbing, as disclosed necessary for new cabinets. Remove existing wall as per EXHIBIT "A" and replace with 4 x 8 x 7 1/2 header. Delete 2 pocket doors as per EXHIBIT "B". Build entry closet as per EXHIBIT "C" Install or replace sheetrock as necessary: Install.skylight in kitchen. Submitted, Ed Kawasaki Date OWNER: LOCATION:_ CONTRACTOR: PRE -INSPECTION PRE -INSPECTION FOR: DATE A. P. # ZONING DATE TO INSPECTOR HISTORY:NV • • • i ��.1�•.�� / �/ �'�/rig r � TYPE OF OCCUPANCY k FIELD - INFORMATION BUILDING USAGE: TENNANT: OCCUPIED r ] "HAS ELECTRIC Q HAS GAS HAS SANITATION FACILITIES HEATED. -COOLED E3 PERSON CONTACTED OTHER COMMENTS: ACTI COMMENDED: 21 ISSUE HOLD FOR OTHER: VL rr.S � ;w.'!�.N.:,��-`k�i� _?"^` r. ,` 1', :. .Mr-�1 h._•:;Yt, /^ .� , -.w m,qi :ilrY! il;fo'1+1;�-�,�•r�rvK,v%i� `�',i+•"::�7�r: ; i'w i{F�:t!tlji.�j'd7 1L 4-IA I, 93-3110 BTESGRIDLEYHUBFG F; - 6 i 1 n n COUNTY OF BUTTE - DEPARTMENT OF OEVFLOPMENT SERVICES - BUILDING -DIVISION 7 County Center Drive - Oroville, &ljfit rnia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT/4 � ASSESSOR PARCEL NUMBER 022-340-o63ka-o�� ZONING s�i BUILDING PERMIT OWNER ED KAWASAKI TELEPHONE SQ, FT, OCC. BUILDING VALUATION 32 ( 6O 1920.00 OWNER'S MAILING ADDRESS 416 USTINS ?v RD GRIDLEX C CONTRACTOR'S NAME IHJBBART ROOFING CO TELEPHONE 674-•8486 CONTRACTOR'S MAILING ADDRESS 3333 INDUSTIA . BR YJJBA CITY CA C)590n Fireplace CONSTRUCTION LENDER • `A UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS 1 Permit Fee $ 45 • (J ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Penalty $ BUILDING ADDRESS , f416 RD PERMIT FEE $ 0D .111STINSON ' 'RTTj1 PY CA 0 Q4 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 n Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SMDuplex ❑ Mobilehome ElOther SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.0 TYPE OF WORK j ' New ❑ Addition ❑ Remodel ❑ Utilities 1:1Installation ❑ Other Q Describe Work: R0fflW13)MROOFING WITH CMP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 1011 11 LESS ) 23.00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLINGOCCUS P. OR ADONS. ( & ACC. BLDS. ) 3.50 FT0.. NEW CONST. MULTI -OUTLET NON RESID. ( BRANCH CIRCUITS ) @7.50 ' 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.Ex. 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) ❑ 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 ) BAS @ 1.0',00 Occup. FIXED APPWS. OR p' (OUTLETS IRESID.1 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. IQ I 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. ❑ 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. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. /�• � % X Date f j? „r.� �—,rL-' —�� u� Signature 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 $ 65.00 HAZ. I D. FEES I IMP I FI -0011 I CDF PARCEL PO HD ISSUE This permit' hereby issued under the applicable provisions of the Bu a/County Code and/or Resolutions to do work / indicat d above for which feehave been paid.a DWCPU�LIC WORKS G By Date r;— PERMIT EXPIRES ON�.+C.;j (Date) Receipt No. I487S6 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVE;.OPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Calif&6a�95465 Telephone (916) 538-7541 PERMIT NO. APPLICATION jAND PERMIT �3� �® ASSESSOR PARCEL NUMBER ' 022-340-003 SR1 ZONING BUILDING PERMIT OWNER ED KAWASAKI TELEPHONE SQ. FT. OCC. BUILDING VALUATION 32 @ 60 1920.00 v OWNER'S MAILING ADDRESS 416 JUSTINSON RD GRTDTRX CA CONTRACTOR'S NAME HUBBART ROOFING CO TELEPHONE 1674-8486 CONTRACTOR'S MAILING ADDRESS N Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 45. 00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 416 RT) PERMIT FEE $ .111LqTTNq0N GRIDIEY CA PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @ZO.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ElInstallation ElOther IR Describe Work: 1KNNN1X(9XXHM ROOFING WITH COMP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 23.00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 FST•O. 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 ❑ 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) El 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 ) SAL. @ 1.0 `50 Ex. Occup.FIXED AP"S. OR ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring EEn WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. 2k I 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 $ 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 co equence of the ranting of this permit. X Date 9'.2,2— Signature of Applica ❑ n Ower 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 FEES 65.00 HAZ- I D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit ' hereby issued under the applicable provisions of the B e County Code and or Resolutions to do work indicat ove for which fe ha a been paid. DEC O P IC WORKS L •°� a � B Date PERMIT EXPIRES ON �J -- _�?2 �� l (De tel Receipt No. 148756 WHIT E-D.D.S.-B.D.. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CLAIMANTt ADDR ESS: 8*401 J13uae "V1 Of OROVILLE, CALIFORNIA GENERAL CLAIM JEWELL M. DEWSNUP 1 64 DAWN DRIVE CITY & STATE: DATE OF CLAIM: . SUBMIT CLAIM RED.-BEUFF CA 96080 September 16, 1993 TO DEPARTMENT RECEIVING GOODS OR IMPORTANT: SEE INSTRUCTIONS ON REVERSE SIDE SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT 9/16/93 Owner has decided not to do work, (Bldg Permit Appin #93-24�9 A.P. #022-34-0-003, Receipt #148001 dated 7/22/93) Total Fees Paid----------------------------- $148.90 Refaid Refund Processing Fee ----$25.00 Retain Bldg. Permit Filing Fee-- 20.00 Retain Plbg. FermitFiling Fee --- 20.00 m_ount Retained -------------- 65.00 5.00 TOTAL REFUND DUE -----------------------------$83.90 83 90 TOTAL 83 90 1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim Is true and correct as stated. Dated this ................. day of 19 atL if. ...... .......... Cat it.,' of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or �:I)ea 0: pecyied above have been performed or de- livered and that thC19! is a Budget Appropriation [3 or specific Board Approval[] (Checkth ame. at .................. , Calif. Department Head ........ Date this .................................... day of ........... 19 .... ... e aA<M/ze Dept Exp. Code ...... PAYABLE FROM ......... CQ T.....p Code ...... 4.4f):.-002 .................. .421Q5QQ ..................... . NS .ERMITS ............................ ........... FUND DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. I PROJ. I SUB. OBJ. I CLAIM NO. I INV. NO. I INV. DATE I ENCUMB. I GROSS AMT. I �ssEsson-- LOT NO. - sUBDIvIsION'S NAME 31ARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION _ ve,- Oroville, California 95965 -Telephone (916) 538-7541a APPLICATIOIN<AND PERMIT ' ZONWOD BUILDING PERMIT snu 8 6 3932 SO. FT. OCC. 'BUILDING VALUATION t • , ; • }.= 645 3,225.00 Gridle 95948',. ,ELERIONE :.. 71 Fireplace.' 13 COUNTY OF B E� I� O 7 County C el ASSESSOR PARCCL NUMBER -- - - 022-340-003 OWNER ' Jewell (Olson) WNER'S MAILING ADDRESS 416 Justeson Rd ,ANTRACTOR'S NAME Unknown LICBiSE NO. CONTRACTOR'S MAILING ADDRESS 8 CONSTRUCTION LENDER $ Mobile Home Facilities 20,00 LENDER'S MAILING ADDRESS -- ARCHITECT OR ENGINEER $ PLUMBING PERMIT ARCHITECT OR ENGINEER'S MAILING ADDRESS Gridley BUILDING ADDRESS 7.00 LOT NO. - sUBDIvIsION'S NAME 31ARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION _ ve,- Oroville, California 95965 -Telephone (916) 538-7541a APPLICATIOIN<AND PERMIT ' ZONWOD BUILDING PERMIT snu 8 6 3932 SO. FT. OCC. 'BUILDING VALUATION t • , ; • }.= 645 3,225.00 Gridle 95948',. ,ELERIONE :.. 71 Fireplace.' Mobile Home. S I G W @20.00 TYPE OF WORK ' New O Addition O Remodel EX Utilities O Installation 0 Other O Describe Work: Convert Carport to Garage _ _ - UNKNOWN • -_Total Valuation 1$3.225. 00 Contractor Rling_ Fee $ 20.00 - _ Pe $ 100 - _ _ CONTRACTORS LICENSE LAW I-d_eclare under penalty of perjury (check one)- - - O I am alicensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification ower, or my employees with wages as their sole compensation, will do 0 1, as then Vithe work, and the structure is not intended or offered for sale. (Sec 7044) .asthe owner,'am exclusively contracting with licensed contractors. (Sec 7044) am exempt under Sec. , Business and Professions Code - for this reason LICBiSE NO. Plan Checking Fee 8 Energy Plan Checking Fee $ Mobile Home Facilities 20,00 Penalty $ PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Gridley Each Trap '; . 7.00 Ventilation Solar or heat pump water _ .. 15.00 PMC0. M Each gas water heater or vent ' 15.00 TURE Gas piping system 1.- 5 outlets' 15.00 Building sewer 15.00 g - P y Energy Inspection Fee - S_ building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes: occ CONST_ TYRE -TOTAL FEE $ -148...90 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 HAz. D, FEES:..aP FLOOD cOF PARCEL PO HO ISSUE Count consequence of t e granting of this permit.'- - - X' Date9�3- This.permit is hereby issued under the applicable provisions Si of.Applicant - Owner O . ntractor- O Agent- of the Butte County Code and/or Resolutions to do work -An OSHA permit is' -Required for excavations over_5"0" deep end demolition or. indicated above for which fees have been paid: construction of -structures over.3 stories. in height. .. DIRECTOR OF. PUBLIC WORKS By Date Receipt No. 14$001 WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT EXPIRES ON `Duplex 0 Mobilehome O Other SPECIFY Mobile Home. S I G W @20.00 TYPE OF WORK ' New O Addition O Remodel EX Utilities O Installation 0 Other O Describe Work: Convert Carport to Garage _ _ - - PERMIT FEE g Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( 200AA0ORLESS I 23.00 2OR LESS . Main Service ( sooA-Tc?000► • j 46.00 NEW. CONST. - OWELL919 ocCUP. SO. OR ADO is_ _ , C. .a ACc. BLvs.. I 3.5C FT. - _ _ CONTRACTORS LICENSE LAW I-d_eclare under penalty of perjury (check one)- - - O I am alicensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification ower, or my employees with wages as their sole compensation, will do 0 1, as then Vithe work, and the structure is not intended or offered for sale. (Sec 7044) .asthe owner,'am exclusively contracting with licensed contractors. (Sec 7044) am exempt under Sec. , Business and Professions Code - for this reason NEW CONST. - MULTI -OUTLET - -•NON-RESID. I �. BRANCH CIRCUITS I T @7.50 -_ ( POWER APPARATUS 1 aSINGIE ouTLET CIR.' Ex. OCCU OUTLET OR FIXTURES 20 @ I •� - P• ( 1 BAL. ,Bo Ex. Occup. FIXED APPINS. OR P• (CUTLETS IRESID. EA. 1 1 5.00 5.00 Temporary Service = -- _ 23,00 Mobile Home Facilities 20,00 Misc. Wiring . 23,00 - - _-WORKER'S- COMPENSATION INSURANCE. declare under penalty -of perjury (check one): .: 0- This permit is. f6r 8100.00 (valuation) or less: - 0 I 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. O 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.- M-ECHANICAL PERMIT-= Filing Fee 20.00 Heating' -_ Cooling t_. Hood. -- - 6,50 Ventilation _ PERMIT FEE _ Contractor - - I certify that I have read this application and state that the above information is correct.- I a Area to corn 1 to all Butte County Ordinances and California State Laws relating to Mobile Home Installation Fee 8 g - P y Energy Inspection Fee - S_ building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes: occ CONST_ TYRE -TOTAL FEE $ -148...90 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 HAz. D, FEES:..aP FLOOD cOF PARCEL PO HO ISSUE Count consequence of t e granting of this permit.'- - - X' Date9�3- This.permit is hereby issued under the applicable provisions Si of.Applicant - Owner O . ntractor- O Agent- of the Butte County Code and/or Resolutions to do work -An OSHA permit is' -Required for excavations over_5"0" deep end demolition or. indicated above for which fees have been paid: construction of -structures over.3 stories. in height. .. DIRECTOR OF. PUBLIC WORKS By Date Receipt No. 14$001 WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT EXPIRES ON COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT v/ ASSESSOR PARCEL NUMBER 022-340-003 ZONING BUILDING PERMIT OWNER Jewell (Olson) Dewsnup TELEPHONE 846-3932 SQ. FT. OCC. BUILDING VALUATION 645 3,225.00 OWNER'S MAILING ADDRESS 416 Justeson Rd, Gridley 95948 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $3,225.00 225.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 40-90 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $123.90 0 PLUMBING PERMIT Filing Fee 20.00 416 Justeson Rd. Gridley Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF q( 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 CICUtilities ❑ Installation ❑ Other ❑ Describe Work: Convert Carport to Garage PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service I 101 OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 FTSO. . NEW CONST. MULTI.OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) 1:1-1 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 O 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) VI, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) I am exempt under Sec. Business and Professions Code forthis reason POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL@r.50 Ex. Occu FIXED APPS. OR p' (OLNUTLETS IRESID.I EA. ) 1 5.00 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 OCertificate of Consent to Self -insure. 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. PERMIT FEE $ 25.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 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 Count 'consequence oft a granting of this permit. X -16wcLPi410�Date % ` 2 — q _� Sig -of Applicant Owner ❑ GKontractor ❑ Agents 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 S Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 148.90 HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL I PD 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. DIRECTOR OF PUBLIC WORKS By Date PERMITEXPIRESON IDatel Receipt No. 148001 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER OO '- as ZONING BUILDING PERMIT ' OWNER ` . eU)e O Solt/ p E' i 5Nyv TELEPHONE 'W_(, — 2, SQ. FT. OCC. BUILDING VALUATIO OWNER'SMAILING.AODR - • - _ uste5OV ! e �. CONTRACTOR'S E - TELEPHONE CONTRACTOWSMAIUNG ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ LENDER'S MAILING ADDRESS Filing Fee $ 20. 0 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS A / (p rV PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME - - PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF kDuplex D Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK - New O Addition O ',Remodel O /Utilities0 InstallationO Other Q Describe Work: Goyli�� l �Q /? PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( �ZOOA OV OR R LESS ) LESS 23.00 _ Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. . ) SO 3.50 FT; CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 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. License No. Classification O 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) (0 �, eS the owner, am exclusively contracting with licensed contractors. (Sec 7044) ,am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-REslo. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) ( a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.UTLETS IREIDFIXED APR SID) EFA. ) ( O. 5•�� f7 ! Temporary Service 28.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O 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 a O0Certificate of Consent to Self -insure. 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 $ a1 9D 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 accru against aid County in consequence of the granting of this permit. X Date O� Signature of Applicant - 0 Owner O Contractor 0 Agent An OSHA permit is required for excavations over 5"0" dee and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ MAZ. D. FEES IMP FLOOD COF PARCEL PD 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. DIRECTOR OF PUBLIC WORKS By Date I PERMIT EXPIRES ON (Date) Q?t j) J ERe.ei�t'No. (�CJV / S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _ONV .� ~.11 M 'wi!r rx`y,Cw�"...�'+r r„•� 'Y COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 5 7 COUNTYCENTER DRIVE OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER fiil!� /Ulm / A. P. No.,2,2, — 3C Z— "�20 .� Proposed Building Use AQ to i'L Building Inspector Date o 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 . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4 .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ............................................... 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. obilehome data and manufacturer's installation instructions, 2 sets. ........... 0. Fees of $......................................... I pact fees as shown on attached schedule. .......... ................. . Y. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. . . 14. Sanitation and plot plan approval Health Department . ............ 1 ._ Cit of Chico plumbing permit. _... .. 16� of pla nd business license ro a rom City of Biggs/Gridley. ............ . 17. anning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for Pre- - e.'°" `�Q" required. . to Bu;Id;ng Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............. 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26.. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27.Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to oyLner. Mail to contractor. Telephone,�4V, 37f� and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant r,e-� ;07. Date 'z XIV I Copy of Haz-Mat form sent Health Dept. Fire Dept,/ Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance:'(Circle new item not checked above). 1. Index permit for above items No. _ Z 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder - Copy - Department of Public Works 'g7q 9-5 ;N �Q OH-dtr r , RCJIUCIV I /HL OVILU/IVV RC(rVRU _.ADDRESS * _-..-- DESCRIPTION OF BUILDING PARCEL --_L_L _.3_-�f_ _5 SHEET OF -3 SHEETS 'LASS9SHAPE CONSTRUCTION STRUCTURAL EXTERIOR RCJIUCIV I /HL OVILU/IVV RC(rVRU _.ADDRESS * _-..-- DESCRIPTION OF BUILDING PARCEL --_L_L _.3_-�f_ _5 SHEET OF -3 SHEETS 'LASS9SHAPE CONSTRUCTION STRUCTURAL EXTERIOR ROOF LIGHTING IR CONDITION ROOM AND .��is`-� FINISH FIX TUR S No. - Floors Wo//s c. Lo. ub Type Grade Soy-Sronccrn o.:cc-n AAuve SJcnoard sFeaO/ t T. .D. fr��sh SAeo/hmq Corcre-e Bock 8-__—_— BR G_ 'Unit Cost l uccn on - Siding FloJ /e ;1,tch Wiring -- Hejc- - R.T. Conduit FoB X. Coble (" nit os1—Cost voting ROOMS FLOORS 1 Q Humid A// _FINISH _DETAIL FLOOR -FINISH TRIM Molenof Grcde -INiERIUR FINISH- - Ac%%s Ceihnys oblc 1 Hip /q qRCNITECTURE Sl,?r; es Shed Fixtures I-h0//1117il Cul p few CepB Ent Ho// - --- ------ - -_ USE TYPE •S�� — Brick Shing/es Dormers Av. . Medium FloorUn,/ Living /' C... I, �•�q•r - Jcrb%e ?u �:'er �p<r .•nen./ -- - FOUNDATION Venefion Blinds Adobe - -- - /oor.Jois1: �+ /sr r ••X •'_ 2"i._ 'X --- .. ► Shakes Mony Special Zone Unit Dining C,TJf - 'ovca-e.'e f.'e �n R?: cwo' O; ick _ -- -- .88. T66. ,}rl />V It11,'w Lo�c_eBL �Brvck -- GuHers3o PLUMBING Bed ----- 0i_) C DU t� — -- -- SAi gle Poor I Good Bed rhl�fv S �_- r'io." 114000 V Sub Floo- Slone 60 Shake O1/Burner Curl piers WINDOW rile f%rlureS �-� ; • _ ;` Cl ss D. H. asemenl Tile Trim 4VoterHeolel, M-B.TU. nsuloledCeilin s lJleelJo5h Composifon utomolicF%rep/oc4j Kitchen ;rails LOh/I_ Henvt• - nsuloled Nol/s Screens Compo. Shin le Gos Elect Droin Bd. Moleriol: 'ypI (/h: fl. Sp/ash: CONSTRUCTION RECORD I CCFCt• I APPA I NORMAL % GOOD I RATING (E. G, A.F, P) I BATH DETAIL ---- -- Amoun7 Dale YEAR YEAR For Age Re,�nain 9 Tob/e Life % Cond. Arch. Atfr. Func. P/on Con- Storo eSpoce Work- F!. form. upb'dC/aset hship FINISH FIX TUR S No. - Floors Wo//s c. Lo. ub Type Grade SHOWER t T. .D. fr��sh Area 'Unit Cost l nit Cost Cost Unit Cost Cost nit os1—Cost CQ 67 Unit Cost nil cost nil Cost Unit Cosl 1 sJ o _ _.00A •S�� — SPECIAL FEATURES _ KA_ _ C... I, Book coIes Built-in Beds Venefion Blinds / eD Gt s C DU t� vwr•cR t /. _ 1 )I_ %? t r%"fviiTAriin J Appraiser 8 Dote Appraiser -Uriru j Ro.. rr u - -b- 7; - 7-,21. 7; - Unit Area 'Unit Cost l nit Cost Cost Unit Cost Cost nit os1—Cost Cost Unit Cost nil cost nil Cost Unit Cosl 1 sJ o _ _.00A •S�� — _ C... I, j -, z314 / eD Gt s f° AA4 f't-k Z 2,1 3LE �-� ; • ;` Cl ss 0 �roraL_C -7 kb NORMAL % GOOD C ! - - R. C. L. N. D. AH 530-A 8'C? 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