HomeMy WebLinkAbout022-340-012--- - - _�_ - - A.P22-34-12
Laurence McKibben 56328
n/s Justeson Ave., 8th house west of I. McKIBBEN, Laurence (new owner) 5395E j
W.Biggs-Gridley Rd., Gridley - 1063-67B* 431 P L-
Permit 739-71,B (addn. to att.arage) r - -- -ff, -3 -1
P
n/s Justeson Ave. w. of Biggs-Gridley
1— - Gridley (Lot 10, Jens n Sub . #2) C 77
22-34-12 (new single family) 7 -
f y
*convert carport to age_
contr:�Holida Pools, Chico U
Permit;#3779-77B,P,E(new private swimming
ool) t ..11/.5177
022=340-012 PERMIT#97-2243
r
'McKIBBEN, Larry' &'Claire
468 'Justeson Ave. Gridley
Cont: Mike'"Shields
1�'4
Add Diningrm,Add'1 Bdrm/SF-
r
• I
G,
L
RESIDENTIAL
r
022-340-012 PERMIT#97-2243
McKIBBEN, Larry & Claire
468 Justeson Ave., Gridley
PERMIT NO' Cont:
-Mike _Shields_ _ ..
-u 4 Add Diningrm,Add'l Ftg Bdrm/SF
PERMIT EXPIRES _ ////8/9SI
r
OWNER 4
CONTR.
y
ASSESSOR PARCEL,
LOCATION
gL
jwl/ A5
s.
;t +
e
_ l
✓� b
. r
.,Temp.. Power Pole
t
f Called PG&E
al Temp. Elec. Service
s-, Called PG&E
INS
r,. r
*Temp. Gas Service
Called PG&E
t JOB FINALED (Date) T�%%
}•: �� .Signature
COUNTY OF BUTTE- DEPARTMENTOFDEVELOPMENTSERVICES -BUILDING DIVISION
7_ County Center Drive - Orbville, California' 95965 - Telephone (916) 538-754,1•--
(Rev.12/96) APPLICATION AND PERMIT `� pf /it
ASSESSOR PARCEL NUMBER 02.2-340-012
ZONING SR1
BUILDING PERMIT
OWNER LARRY & CLAIRE MC KIBBEN
Tt54t7 N 976
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 468 JUSTESON AVE GRIDLEY
CONTRACTOR'S NAME MIKE SHIELDS
TELEPHONE
CONTRACTOR'S MAILING ADDRESS -
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
41
Total Valuation $
ARCHITECT OR ENGINEER j'
LICENSE NO.
Filing F@@
$ 20.00
Permit Fee
$ 198.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 198-70
BUILDING ADDRESS 468,"JUSTESON AVE
Ener Plan Checking
Energy g Fee
$ 23.00
GRIDLEY
PERMIT FEE
$ 369.70
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF [X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
21 7.00 LA. 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 IR Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: DINING ROOM & ADD' L FTG TO MASTER
BEDROOM & BATH
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I G W
@20.00
PERMIT FEE
s
ELECTRICAL PERMIT
Filing Fee 20.00
-•-•
Main Service zo.AOR. s
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.P
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00NEW
CONST. DWELLING Occup.
OR ADDNS. ( a ACC. Bins.
so
3.50FT.
NON-RESIDT MULCTI CICU
@7.50
COWER APPARATUS
.ET
8 SINGLE OIR.
EX. Occup. OUTLET OR FIXTURES
SAL I.w
Ex. Occu .puFTEjE, PE.SID.OERn
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
_
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 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 Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
S 35.00
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, 1 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
0rthwith comply with those provisions.
X CA�A.�v� L _ � �_ Date /��
WIgnature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over o/J / �6 0' deep and demolition or construction
of structures over 3 stories in height. /1
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 516.90
HAZ.
i
p, F
IMP
FLOOD
CDF PARCEL
RC
r
PD
_
I
H ISSU
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date !/Q
�t� /,
Dafe
Receipt No. 224882 ,
WHITE-D.D.S.-B.D. CANARY -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT
',.,,�,r, ;r ,f -.•r.. .n.� -T- _•� +: ,�'ff .1"`• r .'uY .r--.a-.-.-r",�S
iii �.,•�� �•. ... r^ti•1 r '� ,» y --fir.• ' �"1. . ..� t' ..;�. ,•. ,�r� .. • y•r .1 .�-r: � �� . r
COUNTY OF BUTTE DEPARTMENT,OF MVELO.VWXT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE,- OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: p ASSESSOR PARAbesufitt,
ER: o
-zqn_ n
Proposed Building Use: - Xl Building Inspector: Date:
At time of permitaapplication, I w advised the following data must d prior to perm' proc ssin nd/or issuance:
Date Received By
❑ 1. All<items have been submitted --------------------------------------------------------------------------------------
E12. Plot plans, 3/4 sets, signed by the preparier of plans. ------------------------------------------------------------
plete plans, 3/4 sets, signed by the preparer of plans. -------------------- ------------------------------
❑4. En eered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans: ;,--=----
�. E eered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
Energy Design Compliance and supporting documentati6n-----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/G Build dgs.
❑ 8. Hazardous Material Form.---------------------------------
1:19
--------------------------------
❑9 Manufactured Home data and installation instructions including Tie Down Specifications .------------------
eesof $ o �r-------------------_------------------- -------------------------------------------
1 pact fees as shown on the attached schedule. K�Op} off_ -------------------------------------
❑ 12. California Department of Forestry plan approval/fees. ------ -------------------------------------
El 1 .Flood elevation certificate. -------
4 anitation and plot plan approval
❑ 5. City of Chico plumbing permit. -
Department.
❑ 16. Plot plan and business license approval from the City of Biggs: -=--=--- ---------------------------
1117.
--=----------------------
❑17. Planning approval for (A) Use: (B) Parking: -------------
❑ 18. Contact Land Development about ❑ Improvements, 11 Drainage, ❑ Legal Parcel. -----------
1 ".
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------
0 20. Pre -inspection for required. Request to Building;I�nspector on
021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- a -----
❑22. Workers' Compensation carrier and policy number. ----------=---------------------------=-----; -�
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------
❑24. Letter of signature authorize rt on. ------------------------------- ------------------------------------------
1
025. Recorded copy of Agricultural�Acknowledgment Statement. -------------------------------------------
%9-
❑ 26. Letter of intent on building use. ------------------------- �-------------------------------------------------------- _
❑ 27. Manufactured Home utility clearance.----------------------------------------------------------------=----c-=
❑28. Existing violations and/or expired permits.---------------------------------------------------------------------.4_
`
029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
❑30. other: :-------
(Date)
When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor.
10 Telephone and hold for pickup office. ❑ eliver with inspector.
Applicant: (/ r'/ Date: I G// G//
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date:_ By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for above items n tiered: 4it 9 d- ❑ P heck Li_qt
2. Additional items required: 1c1 8
Contractor, designer, owner, was advised of the abovi required data by ❑ ph , ❑ mail, ❑ Building Division counter, by Date `
Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
- ; Contractor, designer, owner, was advised o: h ab(4e �equired data by ❑ phone, ❑ mail, ❑ Building ion counter, by Date:
Plans reviewed by: // ! Y3ate: Plans approved by: Date:
Sets of plans on -hold' in uan annet :R A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development.Services, Building Division.
E.H. USE ONLr
Plot Plan Attached
Floor Plan Attached
Sent to B.D. Q 9 7
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Cj / -:2—
Owner / Location AP#
Plan Approved for: Sewage Disposal t/ Water Supply: Public Private Well
Clearance for dwelling. t er ^1�'��Qcia
t ey 6 K UU/, �1 C�UCf�T7M� �A'77-1iZUdtia S
Hold final for:
Final clearance O.K. o :
NOTE:
Environmental Health Specialist Date
8/96
:'
BUTTE COUNTY SCHOOLS IMPACT TFEE CERTIFICATION FORM
(One Form Per Building)
..School Districts Building Department No.
—a2� -N.,
A.P. Number I r -�V -0 vim- Jurisdiction: City `t, County
Property Owner LA KY -u `F-' cktl-4) Y ' A- ( L
Property Location/Address
Subdivison
Lot No.
Residential Development 0
Sq. Footage
No. of Living
MHI
Additi n
(Group R)
Units
__. ;...
Commercial/Industrial '
Sq. Footage r
New
Addition
(Including Exterior
Roofed Areas)
Building Department Representative
Date
(Floor Plans"reviewed by School District Personnel)
District Identification No. '
i a , School District certifies that ; C.
(Applicant)
w9& �� (a -3976
(Street Address (Phone Number)
A/u d,P 0 .1 Ca
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. by payment of $ 44 -
representing 3A/ square feet. As 2926 $
FULL MITIGATION $ ..
Ito -
School District Representative Date
Paid by Check # Remarks:
Bank Number S
Paid by Cash
If, subsequent to the School District Representative, signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) teetorm.wkl (11/94)dmm
A404TY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
(Rev. 12/96)
7 County Center Drive - Oroville' California 95965 -Telephone 19161 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER 0—Q I
ZONING
BUILDINGPERMIT
OWNER -,
tom/
T to
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRES
CORACT R NS
TELEPHONE
CONTRACTORS MAIUNG ADOREss
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation b
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee b
20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee $
Plan Checking Fee
BUILDING ADDRESSL Io f S�
Energy Plan Checking Fee b
�►
PERMIT FEE b
j �:, '70
LOTNO. . SUBDIVISIONS NAME PARCEL
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome O Other
SPEc�v
Each Trap
7.00 r f
Solar or heat pump water heater
23.00
Water piping15.00
Each as water heater or vent
15.00
TYPE OF WORK
New O Addition l Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:' lV\,(
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI G I W
920.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 2�o. oa LES
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 UILc. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
O 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:
O 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
O 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars (S100) or less.)
❑-4-certify that -in the -performance -of -the -work -for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X _ Date _
Signature of Applicant - O Owner O Contractor O Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1— 48.00
NEW CONST. DWELLING OCCUP. SO
OR ADONS. b Ate, aloe. 3.5¢Fr:
NEW CONS T.
NON•RESID. MULTI.OUTIET @7.50
PSO APPARATUS
6 BINDLE OUTLET C0.
Ex, Occup, OUTLET OR FIXTURES 20 ®1'00
eAU .so
Ex. Occup. GL sAJPQ . E, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE =
MECHANICAL PERMIT Fling Fee 20.00
Heating 6.
Cooling
Hood 6.50
Ventilation
PERMIT FEt b
Mobile Home Installation Fee b
Ener y Inspection Fee $ ' au
OCC -
CONST. TYPE /
_ TOTAL FEES.
w►z.
D FEES IMP
Fwoo coy
PARC
PO
HD
ssuE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
10
Receipt No.
WHITE-D.D. .-B.D. CANAR -AS ESS0R PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
CORRECTION NOTICE
�2�
PERMIT No.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
DatevwzdInspe
REV 10/92
COUNTY OF BUTTE
_.BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 MainStreet, Chico, CA - (916) 891-2751
• 7 County CenterDrive, Oroville, CA - (916) 538-7541
'CORRECTION NOTICE
A
A
IrOWNEft-10- PERMIT NO.
L --A inspection indicates that the following violations of Butte County Ordinances exist at
Lottie 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 /bnXct this office immediately.
jV C-.,'
fir
4--.
141 I'v4JIL 4� le -
4 -z
JU -�,57ff 7.
Vb-i
Date
.2 Inspect r
REV 10/92
insulation Certificate
BUILDING OWNER rn P, s Y� A W r �G A r
BUILDING PERM #
BUILDING LOCATION: `
Description of Installation
ROOF .
Material
Thickness (inches)
Brand Name
Thermal Resistance (R -Value)
CEI G -
Batt rBlanketType
— Brand Name
.��,(��) - /(j ThermalResistance.(R-Value)
Loose Fill Type Brand Name
Contractor's minimum installed weight/Minimum nimum thickness inches.
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR_WALL
Material —/3 /ScTT S Brand Name x'61 S
Thickness (inches) S Thermal Resistance (R -Value)
RAISED FLOOR -
MBrand Name
Material
Thickness (inches) S Thermal Resistance (R -Value)
SLAB FLOOR
Material Brand Name
Thickness (inches) Thermal Resistance (R -Value)
Width (inches)
FOUNDATION WALL
Material -
Thickness (inches)
Declaration
Brand Name
Thermal Resistance (R -Value)
I hereby certify that the.above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.'
i.-.z/s
G al Co to uilder) License Number
Signature and Title Date
Sub -Contractor (Insulation Installer)
Signature and Title
, License Number
Date
THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPAR'T'MENT PRIOR TO FINAL IN
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING
JANUARY 1993
V=OK
0 = Not OK
Not =ble
NotRepady 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-FaIFC/O-Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Locadon-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / jLYt
/ /Nat or/ fL ft/ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
9. Siding; Nailing VeneerStucco-Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1. Zoning Requirements- Setbacks Easements
Date
2. Footings; SineSpacng•Marriage Line
Date
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/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; ShcsSia,-DeplhSpacing•Connectos-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns•ConnectionsSplice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frng.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing VeneerStucco-Mesh
10. Roof; Shthg-Roofing
11. Ext; Steps -Doors -Landings
12. Braced Wall. Panels
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, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts -CFI .
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards4ns. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
O = Not o OK RESIDENTIAL
- = Not Applicable
= Not Ready
Date UNDERFLOOR (Plats) OK except #a
`f 1. _ZoningSetbacks-Easments-FloodSlope
2. Ftg., Main; Soils-Elec. Gmi: Ftg. Depth
(Single & Duplex)
Date ELECTRICAL (Permit) OK except #'s
23. Fixture & Transformer Clearance -Ins. Protection
2 . Elec. Receptacles Spacing -Lights & Switches at Doors
` 2�ze Boxes & No. of Conductors Stapled
omex Installed Close to Edge of Studs & C.J.
27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28. 2 Appliance Circuts in Kitchen & Conductor Size GFI
29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth
4. Ftg. Porches & Decks; SoilsSteel-/ i Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts•Wrapped
6. Stemwalls, Garage; Steel-Blockouts4Nrapped
Date
6a. Hold Downs and Special Anchors
Date
7. Slab Steel -Wrapped
Date
ers-Fireplace Ftg.-Steel
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. JUF Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Water Pipe; Test -Anchors -Regulator -Service T
12. Electric Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
1"irdersSills-Anchor Bolts -Joists Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Dat
Card B- Date Card B-1
Date :.
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #s
17. Water Htr; Vent -Access -Combustion Air Baffle
Water Pipe; Test & Anchor -Nail Protection
3
.W.V.; Test Fittings & Anchor -Nail Protection
ower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sae & Anchors
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
23. Fixture & Transformer Clearance -Ins. Protection
2 . Elec. Receptacles Spacing -Lights & Switches at Doors
` 2�ze Boxes & No. of Conductors Stapled
omex Installed Close to Edge of Studs & C.J.
27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28. 2 Appliance Circuts in Kitchen & Conductor Size GFI
29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
Date FRAMING (Plans) OK except ft
40. Sits Proper Materials & Anchors
1. Walls Studs -Nailing Spacing & Braces -Plates -Sound
Bearing Walls over Girders & Floor Nailing
v
Draft Stop in Walls (rat proof)
U. ffre Stops, Furred Ceilings -Stairs -Chasers -Tubs
Headers & Beams -Size & Bearing
Date 4 FRAMING (Continued)
Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng.
Iles or Type A Flue -Fireplace Throat clearance
q/49,,Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
t/50. Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions
51. Garage Fire Protection Framing
52. Property Line Firewall & Openings
53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56. Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
1 /58. Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls; Nailing -Bolts
race Interior / Exterior Wall Panels
6L Arisulation-WaIls•Ceihngs
„x/62. Infiltration -Walls -Windows
B-1 � -Date Card B-1
Date ✓ V Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
eps-Door & Sidelight Protection -Landings
,07 Smok Detector
ur am, Ve ts elnector-
I r-DusmC Mach-12rctection
,,8157 Bedroom Exiting
G.y&-Bath Fixtures & Tub Access -Spa
_.GO-Elec. Trim & Subpanel, Breaker Sizes & Labels
70�Fi[ep�l ca or Steve, Clearapc1Hearth
pec. Outlets at Wood Panel, Int. & Ext.
Air Gap -Cooking Clearance
73 u ets & Recepbcaes at Kit. Counter
ge ire oor; ding -Closure
arege-
7 ., ensea 'r Connector-P.R.V.
In�Above Floor-Mech. Protection
Plb., Elec. & Mech. Equip. Listed for Location
omex Protection
Insulation -Foam -Looked in Attic
Gonsuuction:Post-Ca ps
bg!. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
82. Following
tubing
LW --Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
4-87!Ex ' r Elec. Trim, G.F.I. Receptacle -Underground
,Ljw'VenWation Throught House
lass Protection
ons 9m revious Inspections
91.
to Grade -HD
j93' Energy Compliance Certificate -Other Certificates
Date and B-1 Date Card B-1
Date P Card B-1' Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neutral Q Yes 0 No
31. Service -Riser Conductors & Ground -Main Disconect
oe�uip. Clearances Panels-Motors-Mech. Epuip.
33 lothes Closet Light -Shower Light -Spa Light
34. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35. A.C. Ducts Insulation & Support
VSpt Fan, Exhaust above insulation
37 ondensate Drain & Overflow, Size & Grade
Fufnance-Vent Access -Comb. Air-Retum Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ft
40. Sits Proper Materials & Anchors
1. Walls Studs -Nailing Spacing & Braces -Plates -Sound
Bearing Walls over Girders & Floor Nailing
v
Draft Stop in Walls (rat proof)
U. ffre Stops, Furred Ceilings -Stairs -Chasers -Tubs
Headers & Beams -Size & Bearing
Date 4 FRAMING (Continued)
Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng.
Iles or Type A Flue -Fireplace Throat clearance
q/49,,Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
t/50. Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions
51. Garage Fire Protection Framing
52. Property Line Firewall & Openings
53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56. Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
1 /58. Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls; Nailing -Bolts
race Interior / Exterior Wall Panels
6L Arisulation-WaIls•Ceihngs
„x/62. Infiltration -Walls -Windows
B-1 � -Date Card B-1
Date ✓ V Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
eps-Door & Sidelight Protection -Landings
,07 Smok Detector
ur am, Ve ts elnector-
I r-DusmC Mach-12rctection
,,8157 Bedroom Exiting
G.y&-Bath Fixtures & Tub Access -Spa
_.GO-Elec. Trim & Subpanel, Breaker Sizes & Labels
70�Fi[ep�l ca or Steve, Clearapc1Hearth
pec. Outlets at Wood Panel, Int. & Ext.
Air Gap -Cooking Clearance
73 u ets & Recepbcaes at Kit. Counter
ge ire oor; ding -Closure
arege-
7 ., ensea 'r Connector-P.R.V.
In�Above Floor-Mech. Protection
Plb., Elec. & Mech. Equip. Listed for Location
omex Protection
Insulation -Foam -Looked in Attic
Gonsuuction:Post-Ca ps
bg!. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
82. Following
tubing
LW --Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
4-87!Ex ' r Elec. Trim, G.F.I. Receptacle -Underground
,Ljw'VenWation Throught House
lass Protection
ons 9m revious Inspections
91.
to Grade -HD
j93' Energy Compliance Certificate -Other Certificates
Date and B-1 Date Card B-1
Date P Card B-1' Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
739-71
'^ PERMIT NUMBER - B
fi
P
y
• , 1 f
E
Cy
A� > PERMIT EXPIRES
Laurence McKibben
TOWNER
E
owner
„�CONTR:
�
LOCATION (A. P. 22=34-12 �
n/s Justeson Ave., 8th house west of W.Biggs
Gridley Rd.,' Gridley
i •.
COUNTY OF BUTTE.
Department of Publiil c Works '
BUILDING INSPECTION RECORD
Zoning Setback Forms
Foundation Piers & Girders Fireplace
Rgh, Plumbing Bond Beam Lath & Plaster
Rein. Steel Gas Piping & Test Found. Vents
Framing Plmg. Topout Rough Elec.
Wtr. Htr. Furnace Kitchen Vent
Firewall Garage Vents Sanitation & Water
ELECTRIC GAS BUILDING
Temporary Temporary Cert. of Occup.
Final Final Final
DATE REMARKS OR CORRECTIONS
14� 5 C717\.-
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Phone: 533.1230, Ext. 259
APPLICATION AND BUILDING PERMIT
Permittee Owner Le •{_. / ' [�,,{F, L.��sr_/ ,
Mailing Address ���- -�"-�� lr C��rr._.r���
Contractor A- Lt
A. P. No.('.. -
Fire Zone
Zoning
Sanitation
Planning
Mailing Address J ./l�r+� !
Plans ��
Fees i--
I W.C. �
BLDG. Address"-�-Ft
R/W
Encroachment
�'✓�
NEW 0 ADDITION 0 REPAIRS E] OTHER 0
Others
Single Multi `
USE OF STRUCTURE Family C:1 Duplex Q Dwelling
Others
t
FOUNDATION
MATERIAL
EXTERIOR
PIERS
Width at Top -
�. .
'
Width at Bottom
2—"
Depth in Ground
�r
SQ. FT.
OCC.
BUILDING VALUATION
R.W. PLATE (Sill)
SIZE
SPACING
SPAN
a
J % �--
c -T
v O
Girders
-joists- lst.Floor
joists - 2nd Floor
Fireplace
joists -'Ceiling
Total Valuation
Exterior Studs
-r-rT,
Permit Fee
Interior Studs
Plan Checking Fee &/or Penalty
Roof Rafters
Total Permit Feeyy�
fJ
�f ` ----^'
Bearing W'all's
Vulf 1 RAV 1 Un -1 LIULNbC LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name
styleof............................................................................................................................................................................................................................................. .
License No . ........................... Classification,,,,,,,,,,,,,,,, and certify that the aforesaid license is in -full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
1 am exempt trom the C=ontractors License Laws of the State of California under Sec. 7031.5 because (check one):
I am the owner of the above property and I will contract to have all .of the above work performed by licensed contractors.
( Sec. 7044).
Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
Basis,, if any, for other statutory exemption............................................................:......................:............................................:.................................
WORKMEN'S COMPENSATION INSURANCE
I am- aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
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.
X.....�n..�......................�....�. C .. :'.. :..... Date \iL4u 94' 1171
SIGNATURE OF PERMITTEE OR AGENT '
Receipt No.,,,,,,,!� 7--c'
- c
.............................................................................................
This BUILDING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF �PUBLIC WORKS
.�,.. - j /' 1 ,-
BY............................................................................... Date ....
P 7
ermitsEitpires Date
L
t« PERMIT NO.' 3779-77B,"'. t-
PERMIT EXPIRES
OWNER Lawrence McKibben
CONTR. Holiday Pools Chico
LOCATION (A.P. 22-34-12
NIS Justeson Ave.,, th house W.of W. -Biggs
Gridley Rd.,. Geidley
r
w
r,
•
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
i Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Da
(Signa u a
�I
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors /1/ 7-2
Mesh
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
a
BUILDING INSPECTION RECORD
Grd. Fault Prot. 4 /S O
BUIL,PING, BUILDING (Cont'd)
PLUMBING
Setback,,)`
Firewall
Soil Piping
Forms
Parapets
list 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
Stemwa l l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for phsically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. as
Slab
Z7 Final
Sanitation
Patio
FIREPLACE
Final
Foolings
Footing
ELECTRICAL.., .
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors /1/ 7-2
Mesh
MECHANICAL
Grd. Fault Prot. 4 /S O
Scratch
HeatingService
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final 1;
MOBILEHOME UTILITIES ---------•--------
Elec. Service
Elec. Pedesta
Water Piping
Sewer
Gas Piping
BILEH )ME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
! I
• 6 COUNTY OF BUTTE — DEPAVTMENT OF PUBLIC WORKS
N 7 County Center Drive — Urovilie, California 95965
TSI ephone: 534-4541
• APPLICATION AND PERMIT
7
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. �y 1
Date
Si re of P*e�rmit/ee�ojr Agent
Recei t No.
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 BLIC WORKS
By Date --_.7?
Building permit expires Date P—,7'??
BUILDING
Owner /,�(�fR�'�/C� /jl��/�j(�
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Z 5-0 0 Oro
Telephone No.
Fireplace
Contractor
Total Valuation .:5`0, °
Mailing Address `/p,49 ' ,14Sprly 14VEPermit
Fee
Plan Checking Fee &/or Penalty
T e Ione'No .
G B
Permit Fee $
o°
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
r • V$Jr OL(/' (��Q/,0
Each Trap 1.50
D O
Repair drainage or vent piping 1
Water piping
et4
Each gas water heater or vent 1.50
A. P. No /
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C.
Sa Ion
Fire Dept. Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
d
el
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. Plans Recd Parcel -Approval
Pla pproval
Permit Fee $
$
NEW 00 ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3
Main service 6011 OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V100 AMP OR LESS 25.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ®
Main service EA. ADD'L 100 AMP 1.00
O?XIVAr� < /Y&/ aL
NEW OR ADDNST ( ACCLBLDGLING OCCUP. &) 20sgft
NEW CONSTMULTI-OULET
NON•RESID R ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS 11
NON•RESID. SINGLE OUTLET CIR.
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:
Ex. Occup(OUTLETS OR FIXTURES)50 @25a
BAL@1
Ex. Occup ( FIXED APPLNS. OR
• OUTLETS (RESIO.) EAI 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
dd
License No.�®7`rS� � Classification ��.3
Misc. Wiring/�L AC Ile2a 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ Zf
MECHANICAL No. @ 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.
❑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.
PERMIT 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
State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ r% P'S
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. �y 1
Date
Si re of P*e�rmit/ee�ojr Agent
Recei t No.
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 BLIC WORKS
By Date --_.7?
Building permit expires Date P—,7'??