HomeMy WebLinkAbout022-340-0131
Noel Owens � ���'
N/S Justeson v�A 200`Wof WEST, Stanley 732-6917a
W.Biggs Gridley Rd., Gridley
contr: Burl E. Woodward, Gridley -
Permit #1338-81ByP,E,M(repair fire 2-34-1
damage &add covered porch/SF) l n/s Justeson Ave. 1150 w, of W. Biggs- ridley
Rd., Gridley'
22-34-13 (addition &remodel)
ontr : Burl E. Woodward, Gridley.,
PP'rmit#2423-81B (Wood burning stow
SF)
022-340-013 f 03-2677
,TEAGUE, GAIL
474 JUSTESON RD, GRIDLEY
Cont: H H CUSTOM BLDG lNALED
REROOF
r SKIDMORE, Waine 5631B:
-5394E. '
t
2-3 -1
n/s Justeson Ave. west of Biggs -Gridley Rd,- t
Gridley (Lot 11, Jens n Sub 2====
(new single family) ` I )
t
f
S'
Noel Owens � ���'
N/S Justeson v�A 200`Wof WEST, Stanley 732-6917a
W.Biggs Gridley Rd., Gridley
contr: Burl E. Woodward, Gridley -
Permit #1338-81ByP,E,M(repair fire 2-34-1
damage &add covered porch/SF) l n/s Justeson Ave. 1150 w, of W. Biggs- ridley
Rd., Gridley'
22-34-13 (addition &remodel)
ontr : Burl E. Woodward, Gridley.,
PP'rmit#2423-81B (Wood burning stow
SF)
022-340-013 f 03-2677
,TEAGUE, GAIL
474 JUSTESON RD, GRIDLEY
Cont: H H CUSTOM BLDG lNALED
REROOF
r SKIDMORE, Waine 5631B:
-5394E. '
t
2-3 -1
n/s Justeson Ave. west of Biggs -Gridley Rd,- t
Gridley (Lot 11, Jens n Sub 2====
(new single family) ` I )
t
I
03-2677 /
022=340-013 � Y
TEAGUE; GAIL
474 JUSTESON RD GRIDLEY
Cont: H H CUSTOM BLDG
REROOF'
.k
P
P
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERM,Iy,�VO.
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
027-W-01 1
ZONING
BUILDING PERMIT
OWNER
GAILAr
TELEPHONE
SO.FT. OCC. VALUATION
�/B�UILDING
24 SO S440.00
OWNER'S MAILING ADDRESS
474 JUSTESON ROAD GRIDLEY CA 95948
CONTRACTOR'S NAME
H -H CUSTOM BLDG q46-0874
TELEPHONE
CONTRACTORS MAILING ADDRESS
PO BOX4 T .I ; A 94448
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $ 1"0.f�
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 3S.0Q
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
474 RUE-" ROAD GRIDLEY
Energy Plan Checking Fee
$
$
PERMIT FEE
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RE—ROOF WITH 00MP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoOA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.PSING
License Class ,/S' Lic. No, 2�,7 �i � 7 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:
Er -I 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 4�' % -;'7 It 9-' _ 1, 1
Policy Number "'-a 7 �(/_.C'3y _^ 3
(The above sections need notbe completed Ifthe 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
forthwith comply with those provisions.
X ( f _ Date �i�:g," 3 —o 3
Signature .of Applicant - ❑ dwner 6 -Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00NEW
CONST. DWELLING OCCUP. so
OR ADDNBMS.S. 3.5QFTS. ( & ACC. B.
NON-R61UT MULTI -OUTLET @7,50
8 OUTLET OWERLE APPARATUCIR.S
Ex. Occup.CUTLET OR FIXTURES Bn� � I: o
FILED APPLNS. OR
Ex. Occup. OUTLETS RESID. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 5510
Wiz,,
FE-F10TPWOD-TCD&JPAReW7 I HD
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
B` r _� ,� LI✓
PERMIT+ EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
Date l , 6 . l
1 L
Date
Receipt No. s l (�
WHITE-D.D.S.-B.D.__,A2ANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
c, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 41 PER NO.
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
022-340-013
ZONING
BUILDING PERMIT
OWNER
GATT, TEAGUE
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
24 SQ 1440.00
.OWNERS MAILING ADDRESS
474 JUSTESON ROAD GRIDLEY CA 95948
CONTRACTOR'S NAME
H -H CUSTOM
TELEPHONE
CONTRACTORS MAILING ADDRESS
POB [L
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ L
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$35.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
474 JUS'ESON ROADEnergy
Plan Checking Fee
$
$
PERMIT FEE
$ S c
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
1 7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New O Addition O Remodel O Utilities, O Installation ❑ Other ❑
Describe Work: RE -ROOF WIT, -I COMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zo A DR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class ,� Lic. No. ��Q ,��- Z Z
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 hereb affirm under penalty of perjury one of the following declarations:
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 qui n policy number are:
Carrier
Policy Number aqC:3 �'—n 3
(The above sections need no a completed a permit is for work of a valuation
of one hundred dollars ($100) or less.)
O 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 H I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith c mply with those provisions.
X Date SCS �; --0 3
Signature f Applicant - E caner tractor O Agent'
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Receipt No.
Main Service 200A TO 1000A 46.00
NEW CONST. OW EWNG OCCUP. SO
OR ADDNS. ( 8 ACC. S.3.5¢FT.
N" N.RESDT OUTLET 97.50
8 BINDLPOWER APPOUTLET CIR.ARATUS
E
20 @ 1.00
Ex. Occup. OUTLET OR FDRURES BAL .50
Ex. Occup. OFs Ao °EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 55.00
HD
This permit is hereby issued under the
of the Butte County Code and/or
indicated abo a for which fees have
PERMI PIRES N
applicable provisions
Resolutions to do work
been paid.
Date
' .
Date
WHITE•D.D.S.-B.D A R SSESS R Pit -INSPECTOR G L E OD•APPLICANT
f
rt
R IT NO. 2423-81B
PERMIT EXPIRES 61/99/R2
OWNER NOEL OWENS
CONTR. Burl E. WOoderd
ASSESSOR PARCEL 22-34-13
LOCATION NIS Justeson Ave, 1200'W ofW
Biggs Gridley -Rd, Gridley
• Signature
k
Temp. Power Pole
Called PG&E
Temp. Elec. Service
};
Called PG&E
Temp. Gas Service
Cal led PG&E
i'
JOB FINALED (Date
• Signature
J = OK
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ PV ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date
POOLS (Plans) OK except N's
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch -
10, Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
a
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
_
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
Off -Fireplace
64.
65•
or St Clear
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
71.
Plb., Elec. &Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
_
24.
25.
26.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
2 Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
72.
Insulation -Foam -Looked in Attic E] Yes
Guard Rails &Deck Construction -Post Caps
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive E] Yes E] No; Walks El Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B I
Date
Date Card -BI Date
MECHANICAL (Permit) OK except q's
82.
Glass Protection
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
_
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
e� cls
35.
Attic Access & Platform if Furnace in Attic
CWKBI
ate and -BI Date
Card -BI
_
_Date _ Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
_
FRAMING(Plans) OK except q's
36. Sills; Proper Material & Anchors
37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
38.
39.
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist- Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC
7 County Center Drive - Oroville, California 95965 - Telephone
APPLICATION AND PERMIT .
WORKS 9 7A
PMNO.
No.
916OR3K- 5
ASSESSOR PARCEL NUMBER
IQ a_S
ZO ING
_71_
BUILDING PERMIT
OWNER I
TELEPHONE
SQ. FT.
OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
C RACT R'S NAME gVe EEL NhE
' TR TOR'S MAILING ADDRESS f�
Fireplace
CONSTRUCTION LENDER
"-
UNKNOWN
Total Valuation Is
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $ /DI
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee $
Penalty $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee $
BUILDIN ADDF ES /
US�e.S v
Filing Fee 10.00
PLUMBING PERMIT 9
' w - `
B S f
Each Trap 2.00
Repair drainage or vent piping 5.00
,J gq
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL AP
Each qas water heater or vent 5.00
Gas piping system 1 - 5 outlets
�-,USE OF STRUCTURE
SF r4'/ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system 5.00
TYPE OF WORK
New Addition❑ RemodelQ Utilities[] Install tion❑ Other
Describe work: �� �` i
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100 AMP OR001 OR LESS5.00
Main service EA. ADD'L 100 AMP 2'.50
NEW CONST. (DWELLING OCCUP.M\ 20 sq
OR ADDNS. \ ACC. BLDGS. /
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full f ce and effect.
License f�t'•�,��r_ Classification
F1 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. I.OU LET 2,50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR. l POWER APPARATUS 61
NON-RESID. SINGLE OUTLET CIR.
50 Pzs¢
Ex. Occup OUTLETS OR FIXTURES BAL01
Ex. Occup. �OUTLETS FIXED P(RESID•)REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood 3.00
Ventilation
permit Fee S
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai t sa y ;unVty'cecons ue of the granting of this rmit. T
� Due
D e-
Signature of Applicant - Owner ❑ Contractor ❑ Age t ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ t
OCCUP. GROUP I
TYPE OF CONST,
I
PARCEL
PD
ND
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DTO F PUBLIC WORKS
By7, Date
PERMIT EXPIRES Dae e
Receipt No. S, a 9
WNITE-D.P.W., YELLOW-ASSE930R, PINK -INSPECTOR, GOLDENROD -APPLICANT
.
..alORDERNUMBER
FIRE NUMBERR
FIREINCIDENT
FIRE NAME:
nw .
REG.
N8. START MO.
DATE YEAR COUNTY
$�
IEPORT
(2 60 OROONLY)
FIRE NUMBERR
Number_
FIRE NAME:
nw .
REG.
R.U.
NO. thru
Vah/Dwlg
1
TIMBER 8/OR
YOUNG GROWTH
ACRES FEET
WILDLAND VEGETATION
(Other than TA YG)
WEATHER (ESTIMATE AT SCENE)
AGRICULTURAL PROD
(Other than T & Y G)
...............
ORIGIN LOCATION
000
v„
1/OR CONTENTS
SEC.
TOWNSH
RANGE
IRE
MILES
DIRECTIOIN
®FROM^ ❑IN
NATIONAL FOREST, FIRE DIST., CITY & STREE
VEHICLES 8 CONTENTS
El W
OTHER
INCIDENT TYPE
�F' IR ❑FALSE ALARM
❑ TOP GO TO 10
��
' RESPONSISILITY (AT ORIGIN)
t IRECT Qf3QT. RESP.(°D.P.a`)�B STATUTORY
`ot. ✓ STATE ZONE_ RESPONSIBILITY
- ❑ WILDLAND BURNED OR THREATENED
�❑ SCHEDULE A D.P.R. ❑STATE
❑ UNPROTECTED
f❑DISTRICT
0� OTHER AGENCY D.P.R. ❑CITY
LOCAL ZONE ❑COUNTY
�W SCHEDULE A D.P.R. ❑ U.S.F.S.
V ❑ OTHER AGENCY D.P.R. (Unincorp) ❑ B.L.M.
v FEDERAL ZONE ❑ B.I.A.
❑ FEDERAL(except Military) D.P.R. ❑ N.P.S.
0❑ SCHEDULE A D.P.R. ❑OTHER FEDERAL
❑ MISCJOTHER ('ZONE') ❑OTHER
.ry
D
CAUSE �(START* IN OR 8ONLY) SMOKING
❑ Did not s2 6 or B ❑ EQUIPMENT
❑ LIGHTNING ❑ DEBRIS ❑ PLAY W/FIRE
❑ CAMPFIRE ❑ ARSON ❑ OTHER/MISC. -
a
LAND USE(STARTS IN O ..2 OR�ONLY)` A
❑ Did not atart In 0 2 6 a BS ❑ FOREST INDUSTRY ;
DOMESTIC ❑ RECREATION '
❑ RANCH -FARM ❑OTHER INDUSTRY- COMRCL
❑ DUMP ❑WILDLAND ."I' Ii .
❑ ROAD R ❑NON-WILDLAND �.
❑ UTILITY, RAILROAD ❑OTHER
ti
(2 60 OROONLY)
aLDIAMAIGE
_1NO DAMAGE IN '
Number_
6 �^
nw .
of
8/or 8
0 2 5 OR 8
Vah/Dwlg
1
TIMBER 8/OR
YOUNG GROWTH
ACRES FEET
WILDLAND VEGETATION
(Other than TA YG)
WEATHER (ESTIMATE AT SCENE)
AGRICULTURAL PROD
(Other than T & Y G)
...............
DWELLINGS
000
1/OR CONTENTS
-
OTHER STRUCTURES
�O �
AJOR CONTENTS
4
VEHICLES 8 CONTENTS
OTHER
TOTAL
1AMAGEON'
ARRIlJAL
eat 10
6 �^
nw .
9
1 VEGETATION FIRE OTHER, GO TO
❑ ❑ '
8/or 8
SIZE DISTANCE (Origin to head)
ACRES FEET
WEATHER (ESTIMATE AT SCENE)
WIND DIRECTION FROM TEMPERATURE.,.,
000
M.P.H. l� ' OF
10
OVER PLEASE
�O �
�•.
4
•..,,a.,py.a
- ';''CDF 75.40•=130-0118
.
744M-3561-80 1604 CSP
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,t
�l
i
4
1
1338-81B P E M
�
PERMIT NO.
- 94
go --
{
y
Called PG&E/.
5
}
1
1338-81B P E M
�
PERMIT NO.
- 94
go --
{
y
Called PG&E/.
5
PERMIT EXPIRES
Temp. GasService
G'
Cal led PG&E
r
„
JOB FINALED (Date)
Noel Owens
—E�—
OWNER
4
Signature
w
Burl E.
Woodward, Gridley
�i
'
CONTR.
�i
f
2P -f34-13
ASSESSOR PARCEL
NIS
Justeston
Ave.,app.1200'W.of
6
LOCATION
W.Biggs
Gridley Rd.,Gridley
y�tr
Temp. Power Pole
1
�
Called PG&E
Elec. Service
�Temp.
(
Called PG&E/.
t'4
^ f
Temp. GasService
G'
Cal led PG&E
r
„
JOB FINALED (Date)
ti
—E�—
�,
4
Signature
w
.i
�i
vt = OK''
0 = Not OK
Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOM&UTILITIES (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
Date
DECKS, COVERS, CARPORTS, ETC. fPlans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
2. Footings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4, Water; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7. Utility Clearance
Card -BI
_
7. Elec.
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date
Date Card -BI Date .
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks—Easements
2, Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4, Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
'
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Sinl9le and Duplex)
Date UNDERFLOOR Plans OK except#'s
Date
FRAMING (Continued)
oning requirements -Setbacks -Easements
-".�...
y Line Firewall &Openings
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
tair ; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Steel-BIockouts-Wrapped-Slab
.
'58-Stft-t&-Mesh-Drip
Siding -Nailing -Veneer
Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
ea-GIa��9f stic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
'-
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -B
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date PLUN�WNt- hermit) OK except #'s
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
57. Smoke Detector
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air-Connector-
In Garage; Above Floor-Ducts-Mech. Protection
ater Pipe; Test & Anchors -Nail Protection
V.; Test-Fttngs & Anchors -Nail Protection %11 141,
-t?,.�Shower Pan; Test, First Floor -Tub Access
-+e--'Mt Tub & Shower, 2nd Floor -Tub Access
-499- Gers'Pipe; Size & Anchors
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
64.
Fireplace or Stove; Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
Ir miry
Card -B e _XJ7rCard-BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date ELECT ICAL Permit OK except #'s
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
fixture Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
2t1-7lec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
oxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Romex Installed Close to Edge of Studs & C.
Equip. Ground made up w/Mech. Fasteners .Ga W
72.
Insulation -Foam -Looked in Attic E] Yes
73.
Guard Rails &Deck Construction -Post Caps
- ppliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
_ 26. _ya. r Wire Size / ga. Cu or
27. Range Circ. / / ga. C I -Oven Circ. YV/ ga. Cu or At,
In etEtlNeutral Ples ❑No
75,
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters Oyes ❑No
Se Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
e et Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date MEC CAL (Permit) OK except #'s
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
- Fan; Exhaust above Insulation
_ on ensate Drain & Overflow; Size & Grade
86,
Energy Compliance Certificate -Other Certificates
ur ce-Vent; Access -Comb. Air -Return Air Vent -115V outlet
/4ccess & Platform if Furnace in Attic
Card -BI
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date Card -BI Date
Comments at Final:
Card- 3&Date� Card -BI Date
Card -BI Date Card -BI Date
Date FRAMIN Plans) OK except #'s
6rllgills; Proper Material & Anchors
alls; Studs -Nailing, Spacing & Bracing -Plates -Sound
over Girders & Floor Nailing
_Walls
Draft Stop in Walls (rat proof)
ps; Furred Ceilings -Stairs -Chases -Tub
eade Beam -_Size & Bearing -
ngers-Post Caps -Anchors -Connectors
43. -1 i A
r Ties or Type A Flue -Fireplace Throat
46.09nic Acces ize & Romex Protection -Draft Stop -Ins. Baffles
dows or Exiting Doors -Sill Hgt. & Dimensions
arage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
'i
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, .Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
161'
Inspector
C /
Date
r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATA AND PERMIT
ASSESS r PARCEL NMBERa.' Z NG _ '
r /, BUILDING PER
OWN,V00TELEPHONE SO. FT. OCC. BUILDING VALUATION
_I 6OWNER'S MAILING AD ESS
C RACT R' ME TELEPHONE '� n, ,
(Al
t_JMA
ILI Ir IZI 1"r-14
L-acn1l
CONSTRUCTION LENDER
ITECT OR ENGINEER -.
ARCHITECT OR ENGINEER'S MAILING AD
I
LOT NO. 1 SUBDIVISION NAME
,�—,/ USE OF STRUCTURE
SF LTJ Duplex ❑ Mobi lehome ❑ Other
New ❑
Describ
TYPE OF WORK
el ❑ Utilitie$ ❑
UNKNOWN
PARCEN MAP
SPECIFY
Installation❑, Other
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
[�_II am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profes •ons Code and my license is in full forc and effect.
License N ' Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,andAhe structure is not intended or offered
for sale. (Sec. 7044),
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
Fireplace
Total Valuation $
Filing Fee
Permit Fee
Plan Checking Fee
Penalty
Permit fee
PLUMBING PERMIT
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Building sewer
Lawn sprinkler system
Permit Fee
$ . 10.00
$
$
Filing Fee 10.00
2.00
5.00 "
L
5.00 /t-PYa
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR
00 AMP ORSLESS
5.00 cm
Main service EA. ADD'L 100 AMP
.2,50
NEW CONST. DWEL C P.8I\
OR ADDNS. ACC . G
20 sq it
NEW CONSTR - U LET
NON-RESIC. BRANCH CIRC TS
'2.50 ea
NEW CONSTR. / POWER APPARATUS &)
NON-RESID. %SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES_
BAGL@1
FIXED APPLNS. OR
EX. OCCU p.(OUTLETS (RESID) EA.
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
7.50
❑ I am exempt under Sec. , Business and Professions Code Permit Fee
for this reason Contractor
MECHANICAL PERMIT Filing Fee ' 10.00
Heating 'T
Cooling
P
Hood 3.00
Ventilation
Notice t0 Applicant. I after making this statement, should you become subject Permit Fee
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked. Contractor
1 certify that I have read this application and state that the above information Mobile Home Installation Fee $
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. TOTAL PERMIT FEE
I also agree to save, indemnify and keep harmless the County of Butte against OCCUP. CROUP TYPE OF CONST. PARCEL PO HD ISSUE
all liabilities judgments, costs, and expenses which may in any way accrue
again aid o my in copse a ce of he granting of this permit.,
(LLc�® This permit is hereby issued under the applicable provi-
X Date sions of the Butte County Code and/or resolutions to do
Ignature of Applicant — Owner ❑ Contractor �y Agent
❑ work indicated above for which fees have been paid.
An OSHA permit is required for exca ations over 5'0" deep and demolition or construct- 01R OR OF LIC WORKS
ion of structures over 3 stories in hei t
Of
Receipt No.
By — Date
WHITE-D.P.W.. YELLOW -ASSESSOR. PI K-INSPEC OR, SOLDENROD-APPLICANT PERMIT EXPIRES Date --
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
• f