HomeMy WebLinkAbout024-010-079T
4-01-79
Max Ramirez
1403 Gil strap Ave., Gridley
Permit #4425-81B(new pri.det.garage)
024-01-07079 98-1759 B,
, RAMIREZ, Maxilliano E.
1403 Gilstrap Ave; -'Gridley
(reroof SF & wel Ouse)
B08-0162 024-010-079
MISCELLANEOUS' HVAC Change Out
HVAC CHANGE OUT
1403 "GILSTRAP AVE
RAMIREZ FAMILY TRUST
d
024-01-0=079 -,�98--1759 B
RAMIREZ, Maxilliano E.
1403 Gilstrap Ave, Gridley
(reroof SF & well ho use) Id
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541(Q
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
024-010-079
ZONING
BUILDING PERMIT '
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
___2__6,_5_
' � 00
1, 5 • ""'
OWNER'S MAILING ADDRESS
1401 n 0
CONTRACTOR'S NAME
Oymar
TELEPHONE
CONTRACTOR'S MAILING ADDRESS =
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 37.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
1403 G4119trap. Cridley
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 57.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
1 7.00
USEOFSTRUCTURE
g
SF 13 Duplex ❑ Mobilehome ❑ Other
SPECIFY I
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK t
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ {
i. L
Describe Work: Re -Roof COMP -, i l L' ` . , �_, Ca
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
800VOR UE
Main Service 2o.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
,.4k' I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 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 ($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
fo hwith co ly with those•proviions.
de
X _ Date
Si91; 4 a of Applicant - ❑ ner 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 tow TO 1000A
46.00
NEW CONST. DWELLING OCCUP. So
OR ADDNS. 8 ACC. BLAS. 3.50FT,
NEW
RESIN. MUITI.OU CUT
@7,50
POWER APPARATUS
6 SINGLE OUTLET CIR.
OUTLET OR FLXTURES
Ex. Occup. BAL @':90
flXED APPLNS. OR 5.00
Ex. Occup. ouTLETs RESID. EA
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 57.00
HAZ.
p. FEES IMP
I FLOOD
I CDF
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Da a /0
PERMIT EXPIRES ON i��il
t Date
Receipt No.
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
(Rev. 12/96) APPLICATION AND PERMIT 138 1 jM7
ASSESSOR PARCEL NUMBER
024-010-079
ZONING
A9
BU I LDI NG P ER M IT
"
TELEPHONE
-
SO. FT. OCC. BUILDING
VALUATION
26,5 Cmp 1,590.00
.OWNERS MAILING ADDRESS
1403 Gilstrap Ave, Gridley, 99QAR
CONTRACTORS NAME
Owner
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee $
20.00
—Filing
Permit Fee $
37.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
1403 WIstrap, Gridley
Energy Plan Checking Fee $
$
PERMIT FEE t
57.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF 6 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: Re -Roof Comp -i- L)J e -y1 C -Q
Gas piping sy2tem 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
Main Service p A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
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.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST.DWELLING OCCUP.
OR ADDNS. ( 07
ACC. BLDS.
SO
3.50FT,
NEW CONST. 8=0C=
NON -REBID. CU
97.50
APPAMTUS
8 SINGLE OUTLET CIR.
EX. Occup. OUTLEr OR FIXTURES
.00
BAL @ I.50
FIXED APPLNs. OR
Ex. Occup. ourLErs RM. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE i
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 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 Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
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
fo hwith com ly with thos rovi ions.
zz
X Date _
S' , e of Applicant - ❑ nerContracto❑ 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 $ 57.00
HAZ.
I D. FEES
IMP
I FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
ByA,,,fA-4--Date
E IBES ON
Date
provisions
to do work
paid.
Receipt No.PERMIT
WHITE•D.D.S.- D. ANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.
8/10/98
I Maximilliano E. Ramirez, residing at 1403 Gilstrap Avenue, Gridley,
California, do hereby grant Fidencio Ramirez permission to sign on my behalf a
Butte County building permit.for the purpose of reroofing,my house.
Maximilliano E. Ramirez
OWNER -BUILDER VERIFICATION
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.
1. I personally plan to provide Uie major labor and materials for construction of the proposed
property imrovement : YES – -
2. I HAV" HAVE NOT ❑ signed an application for a building permit for the proposed ward
3. I have contracted with the following person (firm) to provide the proposed construction:..:
NAME:---
ADDRESS:
A MEQ: ---ADDRESS: CITY: -
PHONE: CONTRACTOR'S LICENSE NO. e;
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 prQvide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIG �
PROPERTYOWNER:.. T0 tie,
SOCIAL SECURITY NUMBER: 4 `7 � ? — '91 7 -SC -
DATE: b, / / 0
- NOTE: - ---"--This Owner -Builder Verification is required by S -tion I993rana79UTo7M —
California Health and Safety Code. This verification must be -completed acrd
returned to our office before we are permitted to issue the permit.
I OWNER BUILDER INFORMATION I
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. I
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:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is 5300 or more for the entire project, and such persons are not licensed as contiactors'or
subcontractors. then you may be an employer.
♦ 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.
♦ 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.. '
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Serviee.(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 `owner builder" 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 contrac!prs 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.
r rely,
e'
-1
Mie. el C. Vi iia, C.B.O.
M ger, Building Inspection
NOTE. This Owner-Builder.Informadon is rewired by Section 198.10 of the California Health and Safety Code.
OVER
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
ASSESSORPARCEL NUMBER.(
�—
ZOZ07BUILDING
PERMIT
OWNER
/I c7 r 2
TELEPHONC
G�
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
61 S
CONTRACTOR'S NAME
^<�
T ONE
IS o ��
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
ra
$ 7,
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BuuDwoAD REBS
t, 61/S v- t/� G+^+a C�
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBMISIONSNAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Tra
7.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Other ❑
Describe Work: ( d �j e a� ,s f ��,.L�
LotA S .�
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
t
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service p0A pp L sg
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.
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
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit Is Issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(rhe above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is Issued, I shall
not employ any person In any manner so as to become subject to workers'HAz.
compensation laws of California, and agree that If 1 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 - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60• deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWF]1M1G OCCUP. SO
OR ADDNs. a ACC. eLDS. 3.5¢FT;
PgNLR°SID. RANCHNEW MT. RCUT
@7.50
POWER APPAMTUS
a sINGLF OLrtLEr CIR.
Ex. Occup. ounFr OR FIXTURES 20 ®1.00
SAL .w
Ex. Occup. 0 LETT8PP611)°R. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI= S
Mobile Home Installation Fee $
Energy Inspection Fee $
CONST. TYPE ��
TOTAL FEE
FT�hispermit
D. FEES IMP
FLOOD
CDP P CEL
PD
fro
ssUE
is hereby Issued under
oeutte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
i
the applicable provisions
Resolutions to do work
been paid.
Date
tDatq)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
rll�l��l/ly _ M^yid]Y'�(�, t •i� �t ���'I:Yi�' Y—` Y.r_ 4 �Y/'vi�.�1����\�,�lY Y�-./�.
COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: e-�(/v� (P 0L, ,.� . ASSESSOR PARCEL ER: Z� ^ C� G�- 0 % /
Proposed Building Use: Building Inspector: Date: $" 6
At time of permit application, I was advised the following data must be submitted prior to pe it processing and/or issuance:
Date Received By
❑ 1. All items have been submitted --------------------------------------------------------------------------------------
132. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
07. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $ ----------------------------
❑ 11. Impact fees as shown on the attached schedule. -------
❑ 12. California Department of Forestry plan approval/fees.
❑ 13. Flood elevation certificate. -------------------------------
❑ 14. Sanitation and plot plan approval Health Department.
❑ 15. City of Chico plumbing permit. ----------------------=-------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ------------------------
❑ 17. Planning approval for (A) Use
(B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---•
1120. Pre -inspection for
required Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------=-------------
2rkers' Compensation carrier and policy number. -----------------------------------------------------------
23 er-Builder Verification (Given to owner ❑, Mailed to owner El) - --------------------------------------
c�24. Letter of signature authorization. --------------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
1:126. Letter of intent on building use. ----------------------------------
027. Manufactured Home utility clearance. --------------------------
028. Existing violations and/or expired permits. --------------------
❑29. 0433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
E130. Other:
When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor
❑ Telephone
and hold for pickup at
office. ❑ Deliver with inspector.
Applicant:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other:
Index permit application for the above items numbered:
2. Additional items required:
(Date)
Date:
Date: By:
Date: By:
Cl Plan Check List
Contractor, designer, owner, was advised of the above required data by ❑ 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 of the above required data by ❑ 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:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in 13Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
• CUUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PE"IT APPLICA TION DA TA SHEET
OWNER: 14OCpg^., ASSESSOR PARCEL ER: b/ c>—a %
Proposed Building Use: Building Inspector: Date: "'T17 4
At time of permit application, I was advised the following data must be submitted prior to pe it rocessing and/or issuance:
❑ 1. All items have been submitted.
02. Plot plans, 3/4 sets, signed by the preparer of plans.
03. Complete plans, 3/4 sets, signed by the preparer of plans.
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!
06. Energy Design Compliance and supporting documentation.
❑ 7. Statement of Intent for Non -Heated and A/C Buildings.
118. Hazardous Material Form.
119. Manufactured Home data and installation instructions including Tie Down Specifications.
❑ 10. Fees of $
❑ 11. Impact fees as shown on the attached schedule.
1112. California Department of Forestry plan approval/fees.
1:113. Flood elevation certificate.
❑ 14. Sanitation and plot plan approval Health Department.
❑ 1.5. City of Chico plumbing permit.
1116. Plot plan and business license approval from the City of Biggs.
❑ 17. Planning approval for (A) Use: (B) Parking:
1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
1119. Encroachment Permit for driveway (construction approval prior to occupancy).
❑20. Pre -inspection for
required.
112 1. Contractor's license information. (Number, Name Style, Classification).
E❑222 rkers' Compensation carrier and policy number.
X13.',,Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑).
4. Letter of signature authorization.
025. Recorded copy of Agricultural Acknowledgment Statement.
026. Letter of intent on building use.
027. Manufactured Home utility clearance.:
a
1:128. Existing violations and/or expired permits.
029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
1130. Other:
When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor
❑Telephone _
and hold for pickup at office. ❑ Deliver with inspector.
Applicant:— .�� a J4 ate: D
o" N,I
EXPUZATION OF APTLICATION
Applications for which •a permit has not been issued, will expire by limitation one year'after date of application. In
order twenew action on an application after expiration, a new application, plans and fees will be required.
FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within
two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for
permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing
fees, plan checking fees for work plan checked and other department costs are not refundable.
Original - Applicant
I7
T
i
PERMIT NO. 4425-81B
PERMIT EXPIRES-
OWNER Max Ramirez
CONTR. owner
ASSESSOR PARCEL 24-011 799
LOCATION -1403 Gilstrap Ave., Gridley
i;
:r
S;
.'A
1
M1l
•
a
Temp. Power Pole
•
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas
Service
Calle.. PG&E
40 NALED (Date) 5--7 `d
Signature
COUNTY OF BUTTE
`DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 8911
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
r CORRECTION NOTICE
.k
BUILDING OR PROPERTY ADDRESS
A .roptine inspection indicates that the following violations of County Ordinance
e;Asst 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.
I fir`' •
f
fa` } !
Inspector Date / "�
f
Inspector Date / "�
J = OK
0 = Not OK -
- = Not Applicable RESIDENTIAL (Single and Duplex) •
= Not Ready
Date
UNDER OR Plans OK except #'s
Date
FRAMING (Continued)
oning requirements -Setbacks -Easements
48.
42•^^erl4ow o-Ftirgwall & Openings
Is-Steel-Elec. Grnd.- / /" Ftg. Depth
4$.
ors-One 3' -Check Garage -3rd story, 2 exits
C23
Ftg., Garage; Soils -Steel- / '- Ftg. Depth1._58
-Headroom-Rise-Run-Landing-Fire Protection
4.
ecks; Soils -Steel- / /" Ftg. Depth
.sem)
PlyWood on Roof?Overhang-Attic Vents -Rafter Outriggers
iding-Nailing-Veneer
5 temel-Blockouts-Wrapped-Slab
" 10-'�
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53r
Vents-Underflr. Access
Piers -Fireplace Ftg.-Steel
54.
_ - s Protection -Sky lights-Plast ic
D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
g -Bolts
9Gas
Pipe; Size -Anchors
3.
Water Pipe; Test -Anchors -Regulator -Service Test
Electric; Underground
k1 .
Plenums & Ducts; Clearance -Material -Support -Ins.
1 .
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -B
to d -BI Date
2
/Z-
Card -BI
a 3%^ rd -BI Date
Card -BI
Date Card -BI Date
Card -B
Dat -Si-k-,L Card -BI Date
Date
FINAL (Plans) OK except k's
Card -BI !y/-;-Zfeard-BI Date
Date
_
PLUMBING (Permit) OK except p's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
5
ape- Boor & Sidelight Protection -Landings
57.-SweMe-BefeeEer
58.
Fnrnaaa• �earance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Be9mum-ERTTing
17.
Shower Pan; Test, First Floor -Tub Access
60.&
�t�ri •pq . & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
FIp, Tim & Subp_ el; Breaker Sizes -Labels
_
19.
Gas Pipe; Size & Anchors %
62.
_
63.
FepLaeo-oLStcus; Clearances -Hearth
64.
g1aQ_Q 44eEs-at-Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65•
�liance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
e s eceptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Ga4a%o-F4re-VUUr; Swing -Landing -Closer
68.
,A r ^u,fnn Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
ove or-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
P b.. Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
72.
F� BacepLacles in Garage; (G.F.I.)-Romex Protec.
W*w4a 4--4Feam-Looked in Attic ❑ Yes
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73.
6eerd-f 3"7&'Beck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen &Conductor Size
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
F,A_ -- ole Door -Drainage & Wood -Earth Clearance
Looked under Floor Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A[,
Insulated Neutral ❑Yes ❑No
75.
Fa' �-g=rage, Drive E3 Yes ❑ No; Walks E] Yes E] No;
Planters ❑Ys ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Sfaeear-8rowrrFinish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A -C" QMT-015Lbnnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_
30.
Clothes Closet Light -Shower Light
78,
Ve"t&-AtU7rftof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
--
79.
Wa4eriNett;'UMonnect, Electrical, Plumbing
80.
Cfterior-Eiv:+Trim; G.F.I. Receptacle -Underground
Card 8-I
Card B -I
Date_ Card -BI Date
Date Card -BI Date
81.
VentHa+iea-&4w ughout House
82
.6ieee-PtroteCtrOn
Date
MECHANICAL (Permit) OK except q's
49r -'Correct
from Previous Inspections
84.
ed; Gas -Electric
-_
31.
A.C. Ducts; Insulation & Support
85.
Water-&-Z9%-er Connected -C/O to Grade -HD Approval
_
32.
Vent Fan; Exhaust above Insulation
86
Chi Tr3Pit;e Certificate -Other Certificates
_ ____33.
Condensate Drain & Overflow; Size & Grade
_
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Card -BI
-
Date Card-617Date
-_
Date Card -BI Date
Card-
ate�`� and -BI Date
Card -BI;
Card -BI
Date Card -BI Date
Date Card -BI Date
Date
FRA
Plans) OK except N's
oeomments at Final:
Sills; Proper Material & Anchors_
3garing
alts; Studs -Nailing, Spacing _ lates-Sound
Walls over Girders & Floor Nailing
proof)
4
_
i I ings-Stairs-Chases-Tub
oder & B tze & Bearing
42. -Anchors-_
Connectors
4Ja,_.40tng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng.
44. Fireplace Ties or Type A Flue -Fireplace Throat
45. AH+e "ess^ c & Rom_ex Protection -Draft Stop -Ins. Baffles
_
46.
47.
Bef,;,_i 44@wz.er Exiting Doors -Sill Hgt. & Dimensions
f g&.EiL_Pfi7Mction Framing
(NOTE: An entry must be made each time you visit job site)
I/ =-OK \
0 = Not OK 07e
- = Not Applicable MQBILEHOMES
* = Not Ready
MISCELLAWOUS•
Date
MOBILEHOME UTILITIES (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) L .:xcept 1;
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
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-R1trs.-Connec.-Shthg.-Rfg.�Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc,cs,.res
6. Gas; Location -Test -Wrap: / /"L"ft./ /"Nat.or/ -/"L"ft./ /" LPG
6. Carports; Windows -Doors _ r^
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 N'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-Panelboards-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
Y
COUNTY OF BUTTE - DEPARTMLNYIOF PUBLIC WORKS P RMIT NO.
- 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454
APPLICATION AND PERMIT A 11
ASSESSOR PA CEL NUMBER ZONING BUILDING PERMIT
2 —O/ -- 7
oMbNE T L PHO
IzAM �,P H NE OCC. BUILDI G VALUATION
X ��i S0.T. IO
Mo
OW�*YAl LIN
AIG
CONTRACTOR' S NAME _ , TELEPHONE
CONTRACTOR'S MAILING ADDRESS i
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
LENDER'S MAILING ADDR SS
Permit Fee
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
Penalty
ARCHITECT OR ENGINE R'S MAILING ADDRESS
Permit fee
BL,IL,D4yDA DREsz,�L � #VE.
// (� C�/�!
PLUMBING PERMIT
OCCUP.(EX. IXED APPLNS. OR
OUTLETS (RESID.) EAJ
Each Trap
Repair drainage or vent piping
C7 le
Water piping
L'OT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other PP-1-DL�7, 4190961
SPECIFY
Building sewer
Lawn sprinkler system
T CONST.
WAI
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
Contractor
ND I PeSUE
I
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
$ 10.00
$ 38'.Sa
$ 19.2
$
$ 7.7,5
Filing Fee 10.00
2.00
5.00
5.00
5.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR10V OR LESS5.00
MECHANICAL PERMIT
Main service EA. ADD•L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.51�
OR ADDNS. ACC. BLDGS.
2�sgft '
NEW CONSTR I.OU LET
NON•RESID BRANCH CIRC TS
2,50 ea
NEW CONSTR ( POWER APPARATUS 6J
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
BAOL�
OCCUP.(EX. IXED APPLNS. OR
OUTLETS (RESID.) EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
7.50
1 certify that I have read this application and state that the above information
is.correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, 'udgments, s, a expenses which may in any way accrue
agai aid my in se a of the granting of this permit.
X Date
ignorure of Applicant Owner❑ ntractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 ssttorie in height.
Mobile Home Installation Fee $
❑ I am exempt under Sec. , Business and Professions Code
for this reason
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.
fes' 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. peovisions of the Labor Code, you must forthwith Comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$ f
Contractor
1 certify that I have read this application and state that the above information
is.correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, 'udgments, s, a expenses which may in any way accrue
agai aid my in se a of the granting of this permit.
X Date
ignorure of Applicant Owner❑ ntractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 ssttorie in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 67-75—
OCCUP. GROUP
T CONST.
WAI
PIR�x
>J
ND I PeSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO PUBLIC
By
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 1 L ,
/L Z/ 7
Receipt No. 5o
WHITE-D.P.W., •ELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Y