HomeMy WebLinkAbout024-010-008D Dtp=�pp �-..
24-01-08 "DUKES, W.S.
WILLIAM DUKES F;- Yia �0o?31g�
h 1555 Grilstrap Avenue, Gridley 1197-67P
Permit#3441-85B(wood burning stove)SF 881-67E
.W/slGilstrap app. 300' so. of Oro®
Gridley y Rd
DUKES,
-0-008 93-849 B (extend bedroom) (, -�/'- 7 p L
DUKES , Barbara �1�� •� ,i/9 y
1555 Gilstrap Avenue, Gridley
t (add carportjSF - f
•93-1872 E
DUKES, BARBRA-
1555 GILSTRAP AVE, GRIDLEY
CONTR : BOB FICHTER
ELEC FOR CARPORT/93-849 1'
024-010-008 PERMIT#95-1002• �-
DUKES, Barbara
1555 Gilstrap Ave:,-Gridley 1�7
Add Covered Porch/SF jy� /I�✓�I
024-010-00804 0408
DUKES, BARBARA �INALE 8
1555 GILSTRAP AVE, GRID
Cont: GALLAGHERS
i NEW HVAC
I
i
i
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP040408
F
ERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
affirm under penalty of perjury that I am licensed under Issued Date: #�04APN:
024-010008-000
s of Chapter 9 (commencing with Section 7000) of Division 3 of
ess and Professions Code, and my license is in full force and
effect. -17133 V Site Address: 1555 GILSTRAP AVE GRI
License Class: C2c' C -3g License Number:
,Map Index:
Date: Z U Contractor:
OWNER -BUILDER DECLARATION ,Description: NEW HVAC UNIT
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5 DUKES BARBARA REVOCABLE TRUST
Business and Professions Code: Any city or county which requires a Owner:
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of 1555 GILSTRAP AVE
the Contractor's State License Law (Chapter 9 commencing with Section GRIDLEY, CA
7000) of Division 3 of the Business and Professions Code) or that he or 95948
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not t'
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an Applicant: DUKES BARBARA REVOCABLE TRUST
owner of property who builds or improves thereon, and who does •
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for i,
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.). j
❑ 1, as owner of the property, am exclusively contracting with c
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed I Contractor: GALLAGHER'S HEATING & AIR
pursuant to the Contractors' State License Law.).
t '
❑ I am Exempt under Article 3 of the Business and Professions Code E. HWY 99
LOS MOLINOS CA
Date: 5 oy owner: 800-892-3556
WORKERS' COMPENSATION DECLARATION I
I hereby affirm under penalty of perjury one of the following declarations: t
❑ 1 have and will maintain a certificate of consent to self -insure for License #:
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 Architect:
required by Section 3700 the Labor Code, for the performance of Engineer:
the work for which this permit is issued. My workers' compensation
insurance carrier and 1pelicy number are:
fCarrier. _S We_-61gry
Policy#: Total Square Ft: 0 S. F.
❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00
issued, I shall not employ any person in any manner so as to Census Code:
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/ ,/
Date: l y G 7
Applicant: �— a
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one C�
hundred thousand dollars ($100,000), in addition to the cost of J
ccmpa nsatior.,•damages as provided for in Section.3706 of.the labor -�"- - - ---
code, interest, and attorney's fees. }���0 I'
gow
CONSTRUCTION LENDING AGENCY This permit is hereby issued ry the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the Resoluti s to do work ' di ted bove for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
B Date:
Name: ..
PERMIT EXPIRES ON:
Address: Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name:
P Signature: dip
Date:
❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
o r o„ua;. D.—if M _i R-nd nn 1
�/�3�°� �f ���
.N .... ._.-[' �t�, f, �Y„rw,.r---'-v:...t�rrs;k�..iY•-+"'N'-`•..*i--r^A�:-.;ya1 - .f' .- '�..-fi. -.-."�.'r,. , A i �r . 'y, '/
COUNTY OF BUTTE„
BUILDING DIVISION'
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751 '
7 County Center Drive • Oroville, CA • (530) 538-754-1 {
CORRECTION NOTICE
aC�t3�G
ER
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
rli� V/r / CC16W"�Xle r r G-jow
•'4
hjfm COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP040408
aFaMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
■
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 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 : �2v L -3g License Number.
Date: 2 b Contractor: Gia
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city. or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that.he or
she 'is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ [,'as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will . have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
Date: 5 of Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and 1p61icy number are:
Carrier.
Policy ff: z 7 7 35 -03
❑ 1 certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: 15�G 7
t
Applicant:
Issued Date:
024-010-008-000
Site Address: 1555 GILSTRAP AVE GRI
Map Index:
Description: NEW HVAC UNIT
Owner: DUKES BARBARA REVOCABLE TRUST
1555 GILSTRAP AVE
GRIDLEY, CA
95948
Applicant: DUKES BARBARA REVOCABLE TRUST
Contractor: GALLAGHER'S HEATING & AIR
License #:
Architect:
Engineer:
Total Square Ft:
Valuation:
Census Code:
E. HWY 99
LOS MOLINOS CA
800-892-3556
0 S. F.
$0.00
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one -
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor We
code, interest, and attorney's fees. /m�-
CONSTRUCTION LENDING AGENCY This permit is hereby issued the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the Resoluti s to do worts' di ted bove for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
B Date: '
Name: ..
PERMIT EXPIRES ON:
Address: ate
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the Califomia Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representative - C,
s of Butte County to enter upon the above mentioned property for inspection purposes
Aa
Print Name: d a'-�s e-� Signature:
Date:
❑ Owner
❑ Contractor
1
❑ Agent for Owner
❑ Agent for Contractor
- - o...u.-..-.......1. n1_1 R_nA — 1
INSTR.UCTLONS FOR;GOMP:LETING `THEt APPLICATLOIV
Paease sign,tfie "check �n 'clipboard on,the"counter,-..,� ',
Due to a new computer system,
all information on the application must be completed
NOTE: Each separate building or structure not connected by roof or foundation
requires a separate permit application
1. If the structure is already built, check the box titled "ALREADY BUILT".
2. Date the application the day you are submitting it to the office.
3. You MUST know your parcel #. It is on the tax assessor's bill and your deed
for the property.
4. The owner's name and address is mandatory and must match the tax assessor's
files. (If the property has recently closed escrow, the assessor's information may
not match the new owner's name; provide a grant deed to prove new
ownership).
5. If the permit is for a remodel, addition or change of occupancy of an
existing structure, note the previous use in the space provided.
6. Complete the site address. If there is not an address assigned to the
property yet, show the closest cross streets and lot number.
7. Complete ALL applicant information.
8. Complete ALL contractor information if a contractor is pulling the permit.
DO NOT complete this section if the owner or aaent for the owner is
pulling the permit
9. Complete ALL architect or engineer information. If both are associated with the
project, use the engineer's information.
10. The counter person will complete all gray areas of the application.
WHEN APPLICATION IS COMPLETE:
Please wait until your name is called by the assistant at the
counter
NOTE: If any of the information submitted at application changes before issuance,
contact the Building Division prior to issuing the permit, so the information can
be revised. (i.e. the contractor changes during the bid process)
•.
Ikt
INSTR.UCTLONS FOR;GOMP:LETING `THEt APPLICATLOIV
Paease sign,tfie "check �n 'clipboard on,the"counter,-..,� ',
Due to a new computer system,
all information on the application must be completed
NOTE: Each separate building or structure not connected by roof or foundation
requires a separate permit application
1. If the structure is already built, check the box titled "ALREADY BUILT".
2. Date the application the day you are submitting it to the office.
3. You MUST know your parcel #. It is on the tax assessor's bill and your deed
for the property.
4. The owner's name and address is mandatory and must match the tax assessor's
files. (If the property has recently closed escrow, the assessor's information may
not match the new owner's name; provide a grant deed to prove new
ownership).
5. If the permit is for a remodel, addition or change of occupancy of an
existing structure, note the previous use in the space provided.
6. Complete the site address. If there is not an address assigned to the
property yet, show the closest cross streets and lot number.
7. Complete ALL applicant information.
8. Complete ALL contractor information if a contractor is pulling the permit.
DO NOT complete this section if the owner or aaent for the owner is
pulling the permit
9. Complete ALL architect or engineer information. If both are associated with the
project, use the engineer's information.
10. The counter person will complete all gray areas of the application.
WHEN APPLICATION IS COMPLETE:
Please wait until your name is called by the assistant at the
counter
NOTE: If any of the information submitted at application changes before issuance,
contact the Building Division prior to issuing the permit, so the information can
be revised. (i.e. the contractor changes during the bid process)
BUTTE COUNTY -
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
24 HOUR INSPECTION Al: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541
PERMIT NO.
ok-a�a
DATE:
-2, ! y 0 -'/'
v�
n
ZONING:
NEAREST CROSS STREET:
TRACT/LOT#:
SITE ADDRESS:
CITY, ZIP:
clel -Tsgy4
OWNER NAME:Q/�
c� ��
PHONE:
/gar r q
15 6 3c9 Z
STREET ADDRESS:
FAX:
CITY, ZIP:
E-MAIL:
APPLICANT NAME:.
PHONE:
STREET ADDRESS:
FAX:
CITY, ZIP:
E-MAIL:
CONTRACTOR NAME:.
PHONE:
/
$`t Z 3SJ'/
STREET ADDRESS: _ ' ,• Q
v
I
FAX:
CITY, ZIP:
E-MAIL:
LICENSE NUMBER. -77-7
17-7
LICENSE TYPE:
ARCHITECT/ENGINEER NAME:
C - S
PHONE:
STREET ADDRESS:
FAX:
CITY, ZIP:
LICENSE NUMBER:
E-MAIL:
DESCRIPTION OR SCOPE OF WORK:
G �,
❑ Structure Built without permits
❑ Proposed Change of Occupancy (note previous use)
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after the date of application. In order to renew
action on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to
the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan
checked and other department costs are not refundable.
For office use only:
Notes:
Application Received by: Date:
Receipt number: Amount Received:
B. C. Building Permit 01-23-04 pg 2
r� �. .o
-Asmt
Name, DUKES BARBARA REVOCABLE TRUST i
# R24-010-00820_0 I Fee # 024.010.008.000
Status ACTIVE �� Status Date
A'ddrl 1555 GILSTRAP AVE �
^
r
Tax 000 NORMAL OWNERSHIP___ _�JTRA 075.004
Addr2 GRIDLEY CA 9594.8 ��
Situs 11555 GILSTRAPAVE GRIDLEY
Addr3 - - - -
Base Dt.Beim
Addr4 ��
Land - -
Timber Preserve Structuie 0
--- - _ - - �
Comments : 2401000800 CONVERTED 09/08/88
AgPres Fixtures 0,
� Etal
Growing 0
Creating Doc# 198$19999999 Date
_
Notes
Total L&I _ 0'
�—
Current Doc# 1992837693 �p Date 08!21'11992
I L��
� Bonds --
Fix. RP
Killing Doc# Datel—
__ __
, QJ Multi Situs
� Flagl MH PP 0,
Asmt Desc 1555 GILSTRAP AVE SuplCnt�
Q Flagg PP D;
Zoning A5 Dwell Fj—j
EJ 910 MH Exempt Q
Acres/Sq Ft NIC 024
gj Ascot PP Pen Net o
QJ Tax PP Pen RIC#�
E Appeal Pending 'TIR Dt
-
Split Pending R/CStat
j,, PHY OWN EXP TAX HON ATT � SIT 11.4 APR: PCL
f f�
j� �:l � ►
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�
- -
I� Find
- - -12003
Ready
I sa, 07j25j2001 3:27;21 PM
RESIDENTIAL
024-010-008 PERMIT#95-1002
DUKES, Barbara
1555 Gilstrap Ave., Gridley
Add Covered Porch/SF
JOB FINALED (Date)
Signature
J=OK
O = Not OK
- = Not AppMcable
= Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans). OK except tf's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect i
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except tt's
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Ca,d B-1
MISCELLANEOUS
Date DEC OVERS, CARPORTS, GARAGES, Plans OK except #'s
Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. De ks�Griders and/or Joists -Decking -Bracing -Stairs -Rails
ood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B -g Date Card B-1
Date' Card B--4---Date Card B-1
Date POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts -GF]
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V OK
O=Not OK w .
= Not Applicable
Not Ready RESIDENTIAL (�
' =
Date UNDERFLOOR (Plans) OK except ft's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
6. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except tt's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
-------- ------------------------------------ ----
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
------- ------- --- -----------------
--19. Shower Pan; Test. First Floor -Tub Access
20.---Test-Tub & Shower, -- Second Floor -Tub Access
----------------------------- -------------------
21. Gas Pipe: Size & Anchors
---------- ----------------------------------------------------------
Date - -Card B_1 ---- Date - Card B-1
--------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
-------------- ----- --------------------------------------------------- --
23. Elec. Receptacles Spacing -Lights & Switches at Doors
---------- ---------------------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
--------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
--------------------------------------------------------------- ----------------
26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water
----------- ----------------------------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI
--------------------------------------------- ----------------------------------------
28. Subfeed Wire Size ! / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or AI
29. Range Circ. ! / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
------------------------------------------------ --------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
--------- - ---------------------------------
31. Equip Clearances Panels-Motors-Mech. Equip.
-------------------------------------------------
32.
----------- - ----------------32. Clothes Closet Light -Shower Light -Spa Light
----------------------- -- --------- -- ------ -------------- ------
33. Smoke Detector
---------------------------------------------------------------------------------
------------------------- -------------------------------------------------------
Date Card B-1 Date Card B-1
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except a's
34. A.C. Ducts Insulation & Support
----------- -------------------------------------------
35. Vent Fan Exhaust above insulation
-------- --- ------ -- ----------------------------------------
36.
-----------------36. Condensate Drain & Overflow: Size & Grade
---------------------------------------------------------------------- - -.......--
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
--------- -----------------------------------------------------------------
38. Attic Access & Platform if Furnance in Attic
--------------------------------------------------------------------------- - ----- -
Date Card B-1 Date Card B-1
----------------------------- -- -------------------------------------------------- -
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils. Proper Material & Anchors
------ --------------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
------------ -------------------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
---------- -------------------------------------------------
42. Draft Stop in Walls (rat proof)
-------------------------------------------- -------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
------------------------------
44.
-----------------------------44. Headers & Beam -Size & Bearing
I
ingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
_ 55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
----------- ----------
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
-----------------
--------------------------
Date Card B-1 Date Card B-1
--- ---------------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except N's
--------------61.-.Ext. Steps -Door & Sidelight Protection -Landings
--------- -- -
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
64. Bedroom Exiling
------------------
65.--G.-F.I. & Bath Fixtures & Tub Access -Spa
•t 66. Elec. Trim & Subpanel; Breaker Sizes & Labels
---------------------------------
67. Stairs & Rails _
68. Fireplace or Stove Clearances -Hearth
-
---------- ----------------------------
- 69. Elec. Outlets at Wood Panel: Int. & Ext.
- ------------------------------ ---
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
-------------- - ------------------------
72. Garage Fire Door: Swing -Landing -Closer
----------
--------------------- -
73.-A.C. Duct in Garage -Damper
---------------------------- -
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb.. Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
-------------
7; Insulation -Foam -Looked in -Attic ❑ Yes
- - -----------------
--------------
78. -Guard -Rails
Rails & Deck Construction -Post Caps
-------------------- -
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters _❑ Yes _❑ No--------------------------
_
81. Stucco Brown -Finish
-------- - - -- -
82 A.C. Unit; Disconnect. Electrical. Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well: Disconnect, Electrical, Plumbing
------------------------------
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
----------------------------- ----- --
86. Ventilation Throughout House
.....--- - -------------------------------------
87. Glass Protection
--------------------------------
88.
- ------- -----------
88. Corrections from Previous Inspections
.. --------------..------------------------------------------------
89. Gas Test -Meters Tagged: Gas -Electric
------- -------------------------- -------- ----------
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
------ --------------------------- ---- --
Date Card B-1 Date Card B-1
-------------------------------------------- ------
Date Card B-1 Date Card B-1
--I-- -----------------------------------
Date Card B-1 Date Card B-1
Comments at Final
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
y 7 County Center Drive - Ovoville,'California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT /nna-z'
ASSESSOR PARCEL NUMBER 024-010-008
ZONING .A5
BUILDING PERMIT
OWNER BARBARA DUKES
TELEPHONE
846-3092
SO. FT. OCC. BUILDING VALUATION
204 C 2,652.00
OWNER'S MAILING ADDRESS
1555 GTISTRAP n
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
54.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDINGADDRESS
AVE1599 ('�TT.qTPAP
PERMITFEE $
109.10
PLUMBINGPERMIT
Fling Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF CK Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
yy TYPE OF WORK
New ❑ Addition Ci Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe -Work: COVERED PORCH
— -•�—_�
Mobile Home S G W
@20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main ServiceE011Y OR LESS
( 200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
.LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION%
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law or the following reason:
1, asownerof theproperty, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. & ACC. BLDS. )
sO.
3.5¢ FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
( )
Ex. Occup. (OUTLET OR FIXTURES)
00
20 Q 1.00
BAL .So
Ex. Occup. I FIXEEDrs PLNS .j OR)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
,WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing
g Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE S
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
w rkers' compensation provisions of section 3700 of the Labor Code, I shall
f with comply ' those row ions.( _Gt j
`n / J��
a e Q- 64mpA a a (ms s
Sign t re of App icant - ❑ Owner ❑ Contractor Agent
An S A permit is required for excavations over 60" deep and demolition or construction
of St ures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 109.1 01
HAZ.
0. FEES
r
IMP
FLOOD
—
CDF
CDF PARCEL PD
H
ISSU
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.
/ �q
B l d
Y 0�0� 'r D e_
PERMITEXPIRES ON 6
I l(Dt.)
Receipt No. 176198
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTYOF BUTTE - DEPARTMENT,OFDEVELOPMENT SERVICES -BUILDING DIVISI
7 COUNTY CENTER DRIVE OROVILLE CALIFORNIA95965 -TELEPHONE (916) 538-7541
;,PERMIT APPLICATION DATA SHEET
�,� �i ' / �J �,(k
OWNER .� � _ _ A. P.�ICr7�% � �'0/� -L/ r/!i
Proposed Building Use
Building Inspector
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... .
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6.. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to,plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ . ..........................I.............. .
11. Impact fees as shown on attached schedule . ............................. .
12. California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood bye lifornia Engineer. .. ............ .
14. Sanitation and plot plan approval A-- Health Department . ............
15. City of Chico plumbing permit. .........
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development,a bout (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy)...
'Fre-Insp.ection reque�s
20. Pre -inspection for required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification)..
Certificate of Workmans Compensation Insurance. .........
Owner -Builder Verification (Given to owner ,Mail to owner.......... .
Recorded copy of Agricultural Acknowledgement Statement . .................. _
Letter of signature authorization . ....................................... .
i32? 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ...................... �,................. .
28. Mobilehome utility clearance . ..................:......:............... .
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
-
and (B) Parcel meets zoning area and frontage requirements- ............... _
31. Existing violations/expired permits . ......................................
32. Plan check list . ...................................................... r
33. �.
34.
When yo ssue the permit,rocess as follows:, Mail to owner. Mail to contractor. _-1
elephone nd hold for pickup at /F office. Deliver with inspector.
Other
Parcel Creation 1 _
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution a e
Copy of plans sent Health Dept. Fire Dept. Othe Date By
The following data must be submitted prior to permi issuanG� ircle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail_Counter by _ Date
Plans checked by Date Plans approved by Date -/
Sets of plans on hold in File cabinet Y AP folder
Copy - Department of Public Works
E.H. USE ONLY /
Plot Pbo Attiched
Fkw Ph n Attiched
` Sect to B.D. �• /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
) / r"t. PIZ,
C< J�
Owner Location
z�
2-y_ I _ C
AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other / O Y' c 4
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/92
Date
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 io provide the 'or labor and materials for construction of the
proposed property improvemen -YES ] NO[ ].
2. I HAVE[ ] HAVE NOT[XJ signed an application for a building permit for the
proposed work.
3. I have contracted with the following person. (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIG ED: /� J
PROPERTY OWNER:
SOCIAL SECURITY NUMBER:
DATE:
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
� �s- /a o
O.B.-1
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed .persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerel
Michael C. Vieiia, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
I COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS PERMIT
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 2
APPLICATION�IND PERMIT IF
ASSESSOR PARCEL NUMBER
024-010-008
ZONING
A-5
BUILDING PERMIT
OWNER
Barbra Dukes
TELEPHONE
846-3092
S0. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
1555 Gilstrap Ave., Gridley 95948
CONTRACTOR'S NAME
Bob Fichter
TELEPHONE
846-6611
CONTRACTOR'S MAILING ADDRESS
590 Hazel st. , Gridley 95948
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 15.00'
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
1555 gilstrap ave Gridley
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home IS I G W
@ 15.00
TYPE OF WORK
New" Additionl_j Remodel❑ Utilities❑ InstallationD Other ®
Describe work: Add Elect for Carport _
RE• B.P. #93-849
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
18.50
Main service 20CATO IOo0A)
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
+
rn�X/I
N\ 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. 7 �� Classification / ]
�— r
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as
th(Sece owner, am exclusively contracting with licensed contract- orsMisc.
❑'
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.B?
OR ACDNS. ACC. BLDG S' I
3.64sq.ft.
NEW CONST R. MULTI -OUTLET
NON-RESID BRANCH CIRCUITS)
@ 5.00
POWER APPARATUS .&)
SINGLE OUTLET CIR.
EX. OCCU
Occup(OUTLETS OR FIXTURES
20 761
EX. OCCUp. OUTLETS FIXED P(RESID IREA.)
21 .3.00 6.00
Temporary service
15.00
Mobile Home Facilities
15.00
Wiring
15.00
Permit Fee
$ 21,00
-
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
ve placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
Hood
6.50
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, cos and expenses which may in any way accrue
against i unty in nce of the ranting of thisZprmit.
X Date —/C— 1�
no re of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over S'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE
$ 21.00
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the
Sion of Butte Count CodWano
work ' di ted a v whive
DI F UKS
By
By
PER I IRE Date
applicable pro I-
solutions to do
been paid.
/,/-
DateVZ Z
Receipt No. 14����
WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
Permit#3441-85
Wm Dukes
1555 Gilstrap Ave
Gridley
---------------
4ir
14 �`rs
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, COTiforni� 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ZONING
Al
BUILDING PERMIT
At
OWNER r ` TELEPHONE SO. FT. OCC. BUILDING VALUATION
C, '
OWNER'S AI LING�`�ADDRESS
CO TIRACTOR'S NAME , + / TELEPHONE`
N
CONSTRUCTION LENDER (UNKNOWN
LENDER'S MAILING MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESSJ
lS. 5_ I/�,; ,/rub A"I•,
LOT NO. 1 SUBDIVISION NAME I PARCEIJMAP
USE OF STRUCTURE
SF [K Duplex❑ Mobilehome❑ Other
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Q Installation El Other Q
Describe work: Y
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
❑Q �I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
WORKMEN'S COMPENSATION INSURANCE
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.
Q/ I shal I not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Date
Signature of Applicant — Owner®' Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Receipt No. 51� !l
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
Fireplace
/C (-, 0
Filing Fee 10.00
Total Valuation $
10.00
Main service EA. ADD'L 100 AMP
2.50
Filing Fee
$
NEW CONSTFLMULTI-OUTLET
NON.RESID BRANCH CIRC ITS
10,00
Permit Fee
$
Ex. Occup(z0
OUTLETS OR FIXTURES\\
a sot
eAL030
Plan Checking Fee
$
Temporary service
10.00
Energy Plan Checking Fee
$
Misc. Wiring
15.00
Penalty
$
Permit Fee
$
Permit fee
$
MECHANICAL PERMIT
Filing Fee 10.00
PLUMBING PERMIT
Filing Fee
10.00
Each Trap
ooling
rH
2.00
ood
Solar or heat pump water heater
Ventilation
20.00
Water piping
5.00
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S G W
I
hO.00 ea
I Permit Fee $
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.14
OR ADONS. ACC. BLDGS.
I/20sgft
NEW CONSTFLMULTI-OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS &)
l SINGLE OUTLET CIR.
Ex. Occup(z0
OUTLETS OR FIXTURES\\
a sot
eAL030
FIXED APLNS.
Ex. Occup. OUTLETS P(RESID )REA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
ooling
rH
ood
3.00
Ventilation
Permit Fee $
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
)CCUP.1 CONST.TYPEJ 1 IFLOODIPARCELI PD I ND I 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.
' DI RECTOR'OF PUBIC WORKS {�
By,� .. /ri` n� _JI''Ab-; Date
PERMIT EXPIRES Date +
L% COUNTY OF BUTTE,-- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,-CaliforAia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
i UV0 )
Describe work:
permit Fee •
PERMIT NO.
ASS E Sff PARCEL NU
Main service 600V OR LESS
100 AMP OR LESS
ZONING
BUILDING PERMIT
oW E�
NEW CONST. DWELLING OCCUP.S+
OR ADDNS. ACC. BLDGS.
TEL HONE
SO. FT. OCC. BUILDING VALUATION
2.50 ea
(POWER
(POWER APPARATUS .&)
OUTLET CIR.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sai Cou ty in co equ nce of the granting of this permit.
c A
X % �� Date a
Signature of Applicant — Owner [R� Contractor ❑ Agent
OWNER AI G AD SS
t `
n
82AL@000330
0
FIXED APLINIS
Ex. Occup. OUTLETS P(RESID ),REA.)
1 2.00
Temporary service
CO RACTOR'-S^AME
V
Mobile Home Facilities
TELEPHONE
Misc. Wiring
15.00
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures oveerr/3 stories in height.
IRE T OF PU
BY
Permit Fee
$
CONTRACTOR'S MAILING ADDRESS
PERMI XPIRES Date
Fireplace
Filing Fee 10.00
10 0
CO
,VRDUCTION LENDER
UNKNOWN
Total Valuation $
Hood
Filing Fee
$
10,00
LE••�/N//llD////ER'S MAILING ADDRESS
Permit Fee
$
J
ARC 1 ECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
•
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCE MAP
Water piping
5.00
Each'gas water hgater or vent
5.00
USE OF STRUCTURE
SF N Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
O.00ea
TYPE OF WORK
New Addition Remodel Utili ies_L;l
Installation[]
InstallationOther
Permit Fee $
_
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)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
WORKMEN'S COMPENSATION INSURANCE
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.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California. .
Notice to A Ilcant If after makin this state e t h Idb
Contractor
permit Fee •
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.S+
OR ADDNS. ACC. BLDGS.
h2sgft
NEW CONSTR. U TI.OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
(POWER
(POWER APPARATUS .&)
OUTLET CIR.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sai Cou ty in co equ nce of the granting of this permit.
c A
X % �� Date a
Signature of Applicant — Owner [R� Contractor ❑ Agent
Ex. Occu pOUTLETS OR FIXTURES
82AL@000330
0
FIXED APLINIS
Ex. Occup. OUTLETS P(RESID ),REA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures oveerr/3 stories in height.
IRE T OF PU
BY
Permit Fee
$
Contractor
PERMI XPIRES Date
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
pP g m n , s ou you ecome subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
permit Fee •
$
Contractor
1 certify that I have read this application and state that the above information
Mobile Home Installation Fee
$
Energy Inspection 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
all liabilities, judgments, costs, and expenses which may in any way accrue
against sai Cou ty in co equ nce of the granting of this permit.
c A
X % �� Date a
Signature of Applicant — Owner [R� Contractor ❑ Agent
OCCu P,
ONST.TTPEJ
I FLOOD
PARCEL
I PD
139UE
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.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures oveerr/3 stories in height.
IRE T OF PU
BY
WORKS
Date
Receipt No.y / /,.,L
WHITE-D.P.W., TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PERMI XPIRES Date
f
RESIDENTIAL
024-01-0-008 93-849 B
DUKES, Barbara
1555 Gilstrap Avenue, Gridley
(add carport)SF
j
V= OK '
O=Not OK
Not Applicable
Not Reedy MOBILE HOMES
' =
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft. "
/ /"Nat. or/ PV ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2 Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fell -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
- MISCELLANEOUS
D '/Initial DEC COVERS CARPORTS, GARAGES Plans OK except #'a
Z ' g Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs: Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns-Connections-Spllce-Decal-Enclosures
Carports; Windows -Doors
7. Iectric
Vlr-Frmg; Sils-Anchors-Studs-Rftrs-Trusses
g; Nailing -Veneer -Stucco -Mesh
Roo hthg-Roofing
11. Ext.; Steps- oors-Landings
.i `
Date/Initials POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures -Pane lboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
O = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Materiel -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vente-Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nall Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/Initials ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
-. 25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ge. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Meth. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin=roof Brec-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size .& Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Collings
60. Infiltration -Walls -Windows �.
Date/Initials FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd :Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comnwnts at Final:
J COUNTY OF BUTTE - DEPARTMENT OF PUBLI WOR S
7 County Center Drive - Orovill1', California 95965 - Telepho e: 916/53 -7541
APPL(CATIA AND PERMIT
ASSESSOR PARCEL NUMBER ZONING
.-0-008 A-5 I BUILDING PERMIT
TELEPHONE SO. FT. OCC. BUILDING VALUATION
M ILING ADDRESS 846-3092 400I C 1 5.200
Avenue. Gridl
Roh h er
1 846-6611
ELECTRICAL PERMIT
CONTRACTOR'S MAILING ADDRESS
590 Hazel Street Gridley 95948
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 5,200
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $ 675U—
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee $ 33.7
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
1559 Gilstrap Avenue Gridley
Permit fee $ 116,25
15.00
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Misc. Wiring
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF2XDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑X Remodel ❑ Utilities ❑
Describe work: Carport
Installation❑ Other ❑ Permit Fee
CONTRACTORS LICENSE LAW
I de la under penalty of perjury (check one):
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.;` 7 "k 7 Classification /
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
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
ag�nt�;in
Counn .f.�e{ice o ranting of this permit.
`_' Date
ignature of Applicant — Owner ❑ Contractor Agent ❑
An OSHA permit is required For excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Receipt No. 135957
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDEN ROD -APPLICANT
S
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR 200AORLESS
18.50
Main service 200ATO1000A1
37.50
NEW CONST. / DWELLING OCCUP.k
OR ADDNS. ( ACC. BLDGS.
3.6Qsq.ft.
NEW CONSTFL U TI.OUTLET
_NON RESI
ON.RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 7rA
EX. OCCUp. OUTLETS FIXED APPLNS (RESID IREA.)
3.00
Temporary service
15.00
Mobile Home Facilities
j 15.00
Misc. Wiring
"15.00
rermtt r-ee
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating
Cooling
Hood 1 6.50
Ventilation
Permit Fee $
r:nnrre..r.,r
Mobile Home Installation Fee S
Energy Inspection Fee $
DCC CONST TYPE TOTAL FEE $
HA2 D FEES IMP FLOOD CDF PARCEL PD
This permit is hereby issued under the applicable provi-
sions of the Butte Co ty de and/or resolutions to do
work indicat ab a which fees have been paid.
R T OF PUBLIC WORKS
BY Datey�;
PE M EXPIRES Date `V// 7_ �rL/
..J -J M-!^-' �,„�'��..r..ryy•••i'.:�1.. 1 V•�.-..✓'`�r..`1Y�''q'rY4 ��`1...y r� t •t
COUNTYOF BUTTE - DEPARTMENTOF I)EVELOPMENTS=ONE
- BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLECALIFORNIA95965 - (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER % K es :# A. P. No l/ "C)DC9
Proposed Building Use Building Inspector 942 Date X/ �
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1.
All items have been submitted . ...............
2.
3,
Plot plans, 3/4 sets, signed by preparer of plans. ... .... ............. .
Complete plans, 3/4 sets, siO ed5y preparer of plans. .......................
.4.
Engineered plans and calcs, �44sets;,vrijb wet signature on plans . .............
5.
�r f.. 16;,
Hazardous Material Form./ .........................................
Energy-Design;,Co�npli�nce��Oig"d'd porting documentation. ...�...............
7.
Sta{ement of Intent�for Non -Heated and A/C Buildings . ..................... .
.,711- 81
Engineered truss details and layout in duplicate (required prior to plan check). ... .
9.
Mobilehome data and manufacturers insta�ll�fion�'instructions, 2 sets. ...........
10.
Fees of $ - .......................................... -
11.
Impact feess-ys�i�wn on attached schedule. ........................
dFoorestry
y� t A9-Qa�lif irnia�D pa ment plan approval/fees. ....................... .
13. Flood"elevation letter (100 year flood) by California Engineer.
r 14.
. .
Sanitation and plot plan approval B159pli/� Health Department . ............
15.
City of Chico plumbing permit . .........................................
16.
Plot plan and business license approval from City of Biggs/Gridley. .............
17.
Planning approval for (A) Use: (B) Parking:
18.
Contact Land Development.about (A) Improvements (B) Drainage. .......... .
19.
Driveway permit (construction approval required prior to occupancy). .. .....n .
20.
Pre -inspection for P`e-InspeCti°n `eq°�-
required. . to Building Inspector. (Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ......................... .
23.
Owner -Builder Verification (Given to owner , Mail to owner )............
24.
Recorded copy of Agricultural Acknowledgement Statement . ..................
25.
Letter of signature authorization . ........................................
26.
Copy of recorded deed of parcel creation and 60 right of way to a.public road. .....
27.
'Letter of intent on building use . ........................................ w
28.
Mobilehome utility clearance . ..........................................
29.
Documentation of legal access . ..................... :.................. y+
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
31.
and (B) Parcel. me is zq• Hing area abd frontage requirements . .............
Existing/iola�br s/ex i7ed/p �rf�i s� . !l.vy ...l.'.'... ....................V�V
32.
Plan check list . .................................................... .
33.
34.-
Whsue the permit, process as follows: Mail to owner. a Ma I,�to`contractor.
t is
'
7Telephone �y� i/ and hold for pickup at l2,gt:2 fce. Deliver with inspector.
Other ' y
Parcel Creation
Acreage Applicant",4ellDate �" 93
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data 1p. Q< phone _ mail Count r by _ Date
Plans checked Date Plans approved by Date-
Sets
ate-
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public WorRs
Hot flan Auudied
Floor i'hm Alumhrd����.
Soni [u II,U, /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
]an Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other d.x d Gtr
h�
Hold final for:
Final clearance O.K. for:
NOTE
EnvironmentalHealth Specialist
8/92
Ll's 9.�
Date
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
oKCs 9-�,_fr1Y
OWNER PURMIT NO.
A routine inspe on indicates that the following violations of Butte County 0i..,. ences exist at
the above a ss and should be corrected. Please notify this office when correction of work
WS corr.ple . Hyou have%ny questions pertaining to this matter, or need additional explanation,
Please- ct this odiice immediately. `
04
Date �5 Inspector
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141 l
I
I
C